| Short Descr | Phone/inter for dx/treat >5m | Coverage | Carrier Priced | Pricing Indicator(s) | 13 – Physician Fee Schedule - Price established by carriers (e.G., not otherwise classified, individual determination, carrier discretion) | MPI | A – Not applicable, as HCPCS priced under one methodology | BETOS | M5D – Specialist - other | TOS Code(s) | 1 – Medical care | Added Date | 1/1/2025 | Action Code | A – Add procedure or modifier code (effective 1/1/2025) | Status Code | Active Code | Global Days | XXX - Global Concept Does Not Apply | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Not Billable to the MAC | 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. |