| Short Descr | Oral mucoadhesive per 1 ml |
| Coverage | Special coverage instructions apply |
| 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') |
| MCM | 2079 |
| BETOS | Z2 – Undefined codes |
| TOS Code(s) | 9 – Other medical items or services |
| Added Date | 10/1/2023 |
| 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 | Items and Services Packaged into APC Rates |
| ASC Payment Indicator | Packaged service/item; no separate payment made. |
| MUE | Not applicable/unspecified. |
| MUE | Not applicable/unspecified. |
| OTS Orthotic | No |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2024-01-01 | Added | First appearance in codebook. |
| 2023-10-01 | Added | Code added. |