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Official Description

Injectable bulking agent for vocal cord medialization, 0.1 ml, includes shipping and necessary supplies
Short Descr Inj vocal cord bulking agent
Coverage Special coverage instructions apply
Pricing Indicator(s) 38 – Supplies And Surgical Dressings - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
MCM 65.9
BETOS D1F – Prosthetic/Orthotic devices
TOS Code(s) P – Lump sum purchase of DME, prosthetics, orthotics
Added Date 1/1/2016
APC Status Indicator Items and Services Packaged into APC Rates
ASC Payment Indicator Packaged service/item; no separate payment made.
MUE 20
MUE Not applicable/unspecified.
IOM 100-03, 4, 280.1
OTS Orthotic No
GC This service has been performed in part by a resident under the direction of a teaching physician
GW Service not related to the hospice patient's terminal condition
JW Drug amount discarded/not administered to any patient
JZ Zero drug amount discarded/not administered to any patient
LT Left side (used to identify procedures performed on the left side of the body)
SG Ambulatory surgical center (asc) facility service
Date
Action
Notes
2016-01-01 Added Added
Code
Description
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