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Code deleted, see J3304.

Official Description

Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg
Short Descr Inj., triamcinolone ext rel
Related Drugs Zilretta
Coverage Special coverage instructions apply
Pricing Indicator(s) 51 – Drugs
MPI A – Not applicable, as HCPCS priced under one methodology
Cross-Reference(s) J3304
Processing Note PUBLICATION 100.2, CHAPTER 15, 50.1.
BETOS O1E – Other drugs
TOS Code(s) 1 – Medical care
Added Date 7/1/2018
Termination Date 12/31/2018
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 Pass-Through Drugs and Biologicals
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2018-12-31 Deleted Code deleted, see J3304.
2018-07-01 Added Code added.
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