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Try CasePilot| Short Descr | Screening pap smear by phys | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 11 – Physician Fee Schedule - Price established using national RVUs | MPI | C – Physician interpretation of clinical lab service is priced under physician fee schedule using RVUs, while pricing of lab service is paid under clinical lab fee schedule | CIM | 50-20 | Lab Cert(s) | 630 – Cytology | Processing Note | SEE INTERMEDIARY MANUAL 3628.1A FOR PAYMENT INSTRUCTIONS. ( | BETOS | T1G – Lab tests - other (Medicare fee schedule) | TOS Code(s) | 5 – Diagnostic laboratory | Added Date | 1/1/1992 | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x) | MUE | 1 | MUE | Not applicable/unspecified. | IOM | 100-03, 3, 190.2 | OTS Orthotic | No | CCS Clinical Classification | 234 - Pathology |
| GA | Waiver of liability statement issued as required by payer policy, individual case | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician |
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| 1992-01-01 | Added | Code added 1/1/1992 |
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