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Try CasePilot| Short Descr | Assay of imipramine | Coverage | Carrier Priced | Pricing Indicator(s) | 21 – Clinical Lab Fee Schedule - Price subject to national limitation amount | MPI | A – Not applicable, as HCPCS priced under one methodology | Lab Cert(s) | 340 – Toxicology | BETOS | T1H – Lab tests - other (non-Medicare fee schedule) | TOS Code(s) | 5 – Diagnostic laboratory | Added Date | 1/1/2015 | Termination Date | 12/31/2015 | Status Code | Statutory Exclusion (from MPFS, may be paid under other methodologies) | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 9 - Not Applicable | Multiple Procedures (51) | 9 - Concept does not apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 9 - Concept does not apply. | Co-Surgeons (62) | 9 - Concept does not apply. | Team Surgery (66) | 9 - Concept does not apply. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2016-01-01 | Deleted | Deleted |
| 2015-01-01 | Added | Added |
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