| Short Descr | Pump elastomc non-opioid dev | Coverage | Special coverage instructions apply | Pricing Indicator(s) | 53 – Statute | MPI | A – Not applicable, as HCPCS priced under one methodology | Statute | 1833(t) | ASC Payment Group Code | YY – 1/01/2025 | BETOS | D1A – Medical/surgical supplies | TOS Code(s) | 9 – Other medical items or services | Added Date | 1/1/2025 | Action Code | A – Add procedure or modifier code (effective 1/1/2025) | APC Status Indicator | Non-opioid Medical Devices For Post-Surgical Pain Relief | ASC Payment Indicator | New Technology Intraocular Lens (NTIOL); special payment. | 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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| 2026-01-01 | Added | First appearance of addition in codebook. |
| 2025-01-01 | Added | Code added. |