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Try CasePilot| Short Descr | Instill pharm renal pelvis | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | ASC Payment Group Code | YY – 10/01/2023 | BETOS | P5E – Ambulatory procedures - other | TOS Code(s) | 2 – Surgery | Added Date | 10/1/2023 | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | LT | Left side (used to identify procedures performed on the left side of the body) |
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| 2024-01-01 | Added | First appearance in codebook. |
| 2023-10-01 | Added | Code added. |
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