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Official Description

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms
Short Descr Arformoterol non-comp unit
Related Drugs Arformoterol Tartrate
Coverage Carrier Priced
Pricing Indicator(s) 51 – Drugs
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1G – Drugs Administered through DME
TOS Code(s) 1 – Medical care
Added Date 1/1/2008
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 Not Billable to the MAC
MUE 2
MUE 186
OTS Orthotic No
CCS Clinical Classification 240 - Medications (Injections, infusions and other forms)
KO Single drug unit dose formulation
KX Requirements specified in the medical policy have been met
JZ Zero drug amount discarded/not administered to any patient
GA Waiver of liability statement issued as required by payer policy, individual case
CR Catastrophe/disaster related
GW Service not related to the hospice patient's terminal condition
CC Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed)
EY No physician or other licensed health care provider order for this item or service
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
KT Beneficiary resides in a competitive bidding area and travels outside that competitive bidding area and receives a competitive bid item
Date
Action
Notes
2008-01-01 Added -
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