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Code deleted, see Q9975

Official Description

Injection, factor viii, fc fusion protein, (recombinant), per i.u.
Short Descr Factor viii (eloctate)
Related Drugs ELOCTATE
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) Q9975
BETOS O1E – Other drugs
TOS Code(s) 9 – Other medical items or services
Added Date 1/1/2015
Termination Date 3/31/2015
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
Date
Action
Notes
2015-04-01 Deleted Deleted
2015-03-31 Deleted Code deleted, see Q9975
2015-01-01 Added Added
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