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Try CasePilot| Short Descr | Mri hyperpolarized xenon129 | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | BETOS | I2D – Advanced imaging - MRI/MRA: other | TOS Code(s) | 4 – Diagnostic radiology | Added Date | 10/1/2023 | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2024-01-01 | Added | First appearance in codebook. |
| 2023-10-01 | Added | Code added. |
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