| Short Descr | Prostatic rf water vapor tx | 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) | 53854 | BETOS | P5E – Ambulatory procedures - other | TOS Code(s) | 2 – Surgery | Added Date | 1/1/2018 | Termination Date | 12/31/2018 | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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Notes
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| 2018-12-31 | Deleted | Code deleted, see 53854. |
| 2018-01-01 | Added | Code Added. |
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