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Official Description

Carbidopa 5 mg/levodopa 20 mg enteral suspension, 100 ml
Short Descr Carbidopa levodopa ent 100ml
Related Drugs Duopa
Coverage Carrier Priced
Pricing Indicator(s) 51 – Drugs
MPI A – Not applicable, as HCPCS priced under one methodology
ASC Payment Group Code YY – 1/01/2020
BETOS O1E – Other drugs
TOS Code(s) P – Lump sum purchase of DME, prosthetics, orthotics
Added Date 1/1/2016
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 1
MUE 56
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
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
GW Service not related to the hospice patient's terminal condition
JB Administered subcutaneously
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
JW Drug amount discarded/not administered to any patient
Date
Action
Notes
2017-01-01 Changed Description Changed
2016-01-01 ReActivated Recycled Code. New Description.
2016-01-01 Added Code added 1/1/2016
2009-01-01 Deleted Deleted Code for 2009
2002-01-01 Added Added.
Code
Description
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