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Official Description

Cast supplies, long leg cylinder cast, pediatric (0-10 years), fiberglass
Short Descr Cast sup lngleg cylndr ped f
Coverage Carrier Priced
Pricing Indicator(s) 55 – Splints and Casts
MPI A – Not applicable, as HCPCS priced under one methodology
BETOS D1A – Medical/surgical supplies
TOS Code(s) S – Surgical dressings or other medical supplies
Added Date 7/1/2001
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 Code Not Recognized by OPPS when submitted on Outpatient Hospital Part B Bill Type (12x/13x)
MUE 2
MUE 0
OTS Orthotic No
CCS Clinical Classification 243 - DME and supplies
Date
Action
Notes
2001-07-01 Added Code added 7/1/2001
Code
Description
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