| Short Descr | Eps stomach plic | 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) | 43210 | BETOS | P8I – Endoscopy - other | TOS Code(s) | 2 – Surgery | Added Date | 4/1/2005 | Termination Date | 12/31/2015 | APC Status Indicator | Procedure or Service, Multiple Reduction Applies | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No | CCS Clinical Classification | 70 - Upper gastrointestinal endoscopy, biopsy |
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Date
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Action
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Notes
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| 2016-01-01 | Deleted | Code deleted, see 43210. |
| 2013-01-01 | Changed | Description Changed |
| 2005-04-01 | Added | Code added 4/1/2005 |
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