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Official Description

Pathogen(s) test for platelets
Short Descr Pathogen test for platelets
Coverage Special coverage instructions apply
Pricing Indicator(s) 57 – Other carrier priced
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 50-34
BETOS T1H – Lab tests - other (non-Medicare fee schedule)
TOS Code(s) 5 – Diagnostic laboratory
Added Date 1/1/2018
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 Procedure or Service, Not Discounted when Multiple
MUE 2
MUE Not applicable/unspecified.
IOM 100-03, 4, 300.1
OTS Orthotic No
Date
Action
Notes
2018-01-01 Added Code Added.
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