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Official Description

Contact lens, hydrophilic, spherical, photochromic additive, per lens
Short Descr Cntct lens hydrophil photoch
Coverage Special coverage instructions apply
Pricing Indicator(s) 38 – Supplies And Surgical Dressings - Orthotics, prosthetics, prosthetic devices & vision services (price subject to floors and ceilings)
MPI A – Not applicable, as HCPCS priced under one methodology
CIM 80.4
BETOS D1F – Prosthetic/Orthotic devices
TOS Code(s) Q – Vision items or services
Added Date 10/1/2020
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 Service Paid under Fee Schedule or Payment System other than OPPS
MUE 2
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2022-10-01 Note Change in administrative data field
2020-10-01 Added Code added.
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