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Try CasePilot| Short Descr | Inj milrinone lactate / 5 mg | Related Drugs | Milrinone Lactate | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 51 – Drugs | MPI | A – Not applicable, as HCPCS priced under one methodology | MCM | 2049 | BETOS | O1E – Other drugs | TOS Code(s) | 1 – Medical care | Added Date | 1/1/1986 | 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 | 4 | MUE | 252 | IOM | 100-02, 15, 50 | OTS Orthotic | No | CCS Clinical Classification | 240 - Medications (Injections, infusions and other forms) |
| KX | Requirements specified in the medical policy have been met | 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 | 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 | GZ | Item or service expected to be denied as not reasonable and necessary | CR | Catastrophe/disaster related | JK | One month supply or less of drug or biological | EY | No physician or other licensed health care provider order for this item or service | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | JB | Administered subcutaneously | JG | Drug or biological acquired with 340b drug pricing program discount, reported for informational purposes | TG | Complex/high tech level of care | GW | Service not related to the hospice patient's terminal condition | BR | The beneficiary has been informed of the purchase and rental options and has elected to rent the item | KZ | New coverage not implemented by managed care | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | KW | Dmepos item subject to dmepos competitive bidding program number 4 | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service |
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| 1986-01-01 | Added | Code added 1/1/1986 |
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