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Official Description

Injection, epoetin beta, 1 microgram, (for esrd on dialysis)
Short Descr Epoetin beta esrd use
Coverage Special coverage instructions apply
Pricing Indicator(s) 57 – Other carrier priced
MPI A – Not applicable, as HCPCS priced under one methodology
Cross-Reference(s) J0887
Processing Note PUB. 100-4, CH.4, SEC 240.
BETOS O1E – Other drugs
TOS Code(s) 1 – Medical care
Added Date 7/1/2014
Termination Date 12/31/2014
Status Code Excluded from Physician Fee Schedule by Regulation
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 Non-Covered Service, not paid under OPPS
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2015-01-01 Deleted Deleted
2014-10-01 Added Added
2014-07-01 Added Code added 7/1/2014
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