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Official Description

Vitrectomy, mechanical, pars plana approach, with subretinal injection of pharmacologic/biologic agent
Short Descr Vitrec/mech pars, subret inj
Coverage Special coverage instructions apply
Pricing Indicator(s) 53 – Statute
MPI A – Not applicable, as HCPCS priced under one methodology
Statute 1833(T)
BETOS P4E – Eye procedure - other
TOS Code(s) 2 – Surgery
Added Date 1/1/2021
Termination Date 12/31/2023
APC Status Indicator Procedure or Service, Multiple Reduction Applies
MUE Not applicable/unspecified.
MUE Not applicable/unspecified.
OTS Orthotic No
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
LT Left side (used to identify procedures performed on the left side of the body)
Date
Action
Notes
2023-12-31 Deleted Code deleted.
2021-01-01 Added Code added.
Code
Description
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