| Short Descr | Kidney histotripsy w/image | 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) | 0888T | BETOS | P1G – Major procedure - Other | TOS Code(s) | 6 – Therapeutic radiology | Added Date | 10/1/2023 | Termination Date | 6/30/2024 | APC Status Indicator | Procedure or Service, Not Discounted when Multiple | MUE | Not applicable/unspecified. | MUE | Not applicable/unspecified. | OTS Orthotic | No |
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Date
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Action
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Notes
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|---|---|---|
| 2025-01-01 | Note | Clerical change. |
| 2024-07-01 | Note | Payment change (MOG, pricing indicator codes, anesthesia base units, Ambulatory Surgical Centers) |
| 2024-06-30 | Deleted | Code deleted, see 0888T. |
| 2024-01-01 | Added | First appearance in codebook. |
| 2023-10-01 | Added | Code added. |
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