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Try CasePilot| Short Descr | Esd endoscopy or colonoscopy | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | BETOS | P8D – Endoscopy - colonoscopy | TOS Code(s) | 9 – Other medical items or services | Added Date | 10/1/2021 | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GC | This service has been performed in part by a resident under the direction of a teaching physician |
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| 2024-01-01 | Note | Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers) |
| 2022-01-01 | Added | First appearance in codebook. |
| 2021-10-01 | Added | Code added. |
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