| Short Descr | 3d anat seg imaging preop |
| Coverage | Carrier Priced |
| Pricing Indicator(s) | 13 – Physician Fee Schedule - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) |
| MPI | A – Not applicable, as HCPCS priced under one methodology |
| BETOS | I4B – Imaging/procedure - other |
| TOS Code(s) | 4 – Diagnostic radiology |
| Added Date | 1/1/2025 |
| Action Code | A – Add procedure or modifier code (effective 1/1/2025) |
| APC Status Indicator | Procedure or Service, Not Discounted when Multiple |
| MUE | Not applicable/unspecified. |
| MUE | Not applicable/unspecified. |
| OTS Orthotic | No |
|
Date
|
Action
|
Notes
|
|---|---|---|
| 2026-01-01 | Added | First appearance of addition in codebook. |
| 2025-01-01 | Added | Code added. |