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Official Description

Injection, immune globulin (cutaquig), 100 mg
Short Descr Inj cutaquig 100 mg
Related Drugs Cutaquig
Coverage Carrier Priced
Pricing Indicator(s) 51 – Drugs
MPI A – Not applicable, as HCPCS priced under one methodology
ASC Payment Group Code YY – 7/01/2022
BETOS O1E – Other drugs
TOS Code(s) 1 – Medical care
Added Date 7/1/2022
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 Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
MUE 1600
MUE Not applicable/unspecified.
OTS Orthotic No
JB Administered subcutaneously
KX Requirements specified in the medical policy have been met
JZ Zero drug amount discarded/not administered to any patient
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
GA Waiver of liability statement issued as required by payer policy, individual case
GZ Item or service expected to be denied as not reasonable and necessary
CR Catastrophe/disaster related
Date
Action
Notes
2023-01-01 Added First appearance in codebook.
2022-07-01 Added Code added.
Code
Description
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