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Official Description

Histotripsy (i.e., non-thermal ablation via acoustic energy delivery) of malignant renal tissue, including image guidance
Short Descr Kidney histotripsy w/image
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(t)
Cross-Reference(s) 0888T
BETOS P1G – Major procedure - Other
TOS Code(s) 6 – Therapeutic radiology
Added Date 10/1/2023
Termination Date 6/30/2024
APC Status Indicator Procedure or Service, Not Discounted when Multiple
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2025-01-01 Note Clerical change.
2024-07-01 Note Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers)
2024-06-30 Deleted Code deleted, see 0888T.
2024-01-01 Added First appearance in codebook.
2023-10-01 Added Code added.
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