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Official Description

Cryoablation needle (e.g., iovera system), including needle/tip and all disposable system components, non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
Short Descr Cryo needle non-opioid dev
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 – 1/01/2025
BETOS D1A – Medical/surgical supplies
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2025
Action Code A – Add procedure or modifier code (effective 1/1/2025)
APC Status Indicator Non-opioid Medical Devices For Post-Surgical Pain Relief
ASC Payment Indicator New Technology Intraocular Lens (NTIOL); special payment.
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2026-01-01 Added First appearance of addition in codebook.
2025-01-01 Added Code added.
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