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Official Description

Plasma, pooled multiple donor, solvent/detergent treated, frozen, each unit
Short Descr Frozen plasma, pooled, sd
Coverage Special coverage instructions apply
Pricing Indicator(s) 52 – Reasonable charge
MPI A – Not applicable, as HCPCS priced under one methodology
MCM 2455 B
BETOS T1H – Lab tests - other (non-Medicare fee schedule)
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2000
Status Code Statutory Exclusion (from MPFS, may be paid under other methodologies)
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 Blood and Blood Products
MUE 2
MUE Not applicable/unspecified.
IOM 100-01, 3, 20.5
OTS Orthotic No
CCS Clinical Classification 222 - Blood transfusion
Date
Action
Notes
2000-01-01 Added Code added 1/1/2000
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