Endoscopic outlet reduction, gastric pouch application, with endoscopy and intraluminal tube insertion, if performed, including all system and tissue anchoring components
Short Description
Endo outlet restrict w/tube
HCPCS Coverage Code
D = Special coverage instructions apply
HCPCS Action Code
A = Add procedure or modifier code
HCPCS Action Effective Date
July 01, 2023
HCPCS Code Added Date
July 01, 2023
HCPCS Pricing Indicator Code
53 = Statute
HCPCS Multiple Pricing Indicator Code
A = Not applicable as HCPCS priced under one methodology
HCPCS Statute Number
1833(t)
HCPCS Type Of Service Code
2 = Surgery
HCPCS Anesthesia Base Unit Quantity
0
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