| Short Descr | Cad breast mri | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | Cross-Reference(s) | 0159T | BETOS | I2D – Advanced imaging - MRI/MRA: other | TOS Code(s) | 4 – Diagnostic radiology | Added Date | 1/1/2019 | APC Status Indicator | Items and Services Packaged into APC Rates | MUE | 2 | MUE | Not applicable/unspecified. | OTS Orthotic | No |
| 52 | Reduced services: under certain circumstances a service or procedure is partially reduced or eliminated at the discretion of the physician or other qualified health care professional. under these circumstances the service provided can be identified by its usual procedure number and the addition of modifier 52, signifying that the service is reduced. this provides a means of reporting reduced services without disturbing the identification of the basic service. note: for hospital outpatient reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well-being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use). |
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| 2019-01-01 | Added | Added |
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