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Try CasePilot| Short Descr | Bamlanivimab and etesevima | Coverage | Carrier Priced | Pricing Indicator(s) | 54 – Vaccinations | MPI | A – Not applicable, as HCPCS priced under one methodology | BETOS | O1G – Immunizations/Vaccinations | TOS Code(s) | V – Pneumococcal/flu vaccine | Added Date | 2/9/2021 | 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 | Influenza, Pneumococcal Pneumonia, Hepatitis B, and Covid-19 Vaccines; Monoclonal Antibody Therapy Product | ASC Payment Indicator | Influenza vaccine; pneumococcal vaccine. | MUE | 1 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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| 2022-01-24 | Note | Revoked by EUA for treatment or post-exposure prevention of COVID-19 until further notice by the FDA. |
| 2021-02-09 | Added | Code added. EUA issued. |
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