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Try CasePilot| Short Descr | Plt, pher, l/r cmv-neg, irr | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 52 – Reasonable charge | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833T | BETOS | T1H – Lab tests - other (non-Medicare fee schedule) | TOS Code(s) | 9 – Other medical items or services | Added Date | 1/1/2004 | 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. | OTS Orthotic | No | CCS Clinical Classification | 222 - Blood transfusion |
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| 2004-01-01 | Added | Code added 1/1/2004 |
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