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Try CasePilot| Short Descr | Contraceptive hormone patch | Coverage | Non-covered by Medicare statute | 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') | Statute | 1862.1 | BETOS | Z2 – Undefined codes | TOS Code(s) | 9 – Other medical items or services | Added Date | 1/1/2005 | Status Code | Non-Covered Service | 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 | Non-Covered Service, not paid under OPPS | MUE | 0 | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 240 - Medications (Injections, infusions and other forms) |
| 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 | U1 | Medicaid level of care 1, as defined by each state | UD | Medicaid level of care 13, as defined by each state | FP | Service provided as part of family planning program | U2 | Medicaid level of care 2, as defined by each state |
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| 2005-01-01 | Added | Code added 1/1/2005 |
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