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Code deleted, see J7296.

Official Description

Levonorgestrel-releasing intrauterine contraceptive system (kyleena), 19.5 mg
Short Descr Kyleena, 19.5 mg
Coverage Non-covered by Medicare statute
Pricing Indicator(s) 00 – Service not separately priced by part B (e.G., services not covered, bundled, used by part a only, etc.)
MPI 9 – Not applicable, as HCPCS not priced separately by part B (pricing indicator is 00) or value is not established (pricing indicator is '99')
Statute 1862(a)(1)
Cross-Reference(s) J7296
BETOS P6C – Minor procedures - other (Medicare fee schedule)
TOS Code(s) 9 – Other medical items or services
Added Date 7/1/2017
Termination Date 12/31/2017
Status Code Non-Covered Service
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
2017-12-31 Deleted Code deleted, see J7296.
2017-07-01 Added Added
Code
Description
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