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Try CasePilot| Short Descr | Inj, aducanumab-avwa, 2 mg | Related Drugs | Aduhelm | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.) | MPI | 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99') | ASC Payment Group Code | YY – 1/01/2022 | Processing Note | SEE NCD CAG-00460N. | BETOS | O1E – Other drugs | TOS Code(s) | 1 – Medical care | Added Date | 1/1/2022 | Status Code | Excluded from Physician Fee Schedule by Regulation | 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 | Nonpass-Through Drugs and Nonimplantable Biologicals, Including Therapeutic Radiopharmaceuticals | ASC Payment Indicator | Drugs and biologicals paid separately when provided integral to a surgical procedure on ASC list; payment based on OPPS rate. | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| GY | Item or service statutorily excluded, does not meet the definition of any medicare benefit or, for non-medicare insurers, is not a contract benefit | JZ | Zero drug amount discarded/not administered to any patient | JW | Drug amount discarded/not administered to any patient | GA | Waiver of liability statement issued as required by payer policy, individual case | JA | Administered intravenously | KP | First drug of a multiple drug unit dose formulation | KX | Requirements specified in the medical policy have been met | Q0 | Investigational clinical service provided in a clinical research study that is in an approved clinical research study | KQ | Second or subsequent drug of a multiple drug unit dose formulation | GW | Service not related to the hospice patient's terminal condition |
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| 2022-04-07 | Note | Change in administrative data field |
| 2022-01-01 | Added | Code added. |
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