| Short Descr | Perc d-e cor revasc chro add | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | Processing Note | PAYMENT IS FOR HOSPITAL OUTPATIENT ONLY. NOT PAYABLE UNDER THE PHYSICIAN FEE SCHEDULE; IN ACCORDANCE WITH FR DATE 8/9/2002 (HOPPS), PAGE 52105. | BETOS | P2F – Major procedure, cardiovascular-Other | TOS Code(s) | 2 – Surgery | Added Date | 1/1/2013 | APC Status Indicator | Items and Services Packaged into APC Rates | MUE | 2 | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 45 - Percutaneous transluminal coronary angioplasty (PTCA) |
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| 2013-01-01 | Added | Added, replaced G0291 |
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