Cysto, litho, vacuum kidney
D = Special coverage instructions apply
C = Change in long description of procedure or modifier code
January 01, 2023
October 01, 2020
53 = Statute
A = Not applicable as HCPCS priced under one methodology
1833(t)
YY
October 01, 2020
2 = SurgeryF = Ambulatory surgical center (facility usage for surgical services)
0