|
C1724 |
 |
Catheter, transluminal atherectomy, rotational
| short | Cath, trans atherec,rotation |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 5.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 5.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1725 |
|
Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability)
| short | Cath, translumin non-laser |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 9.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 9.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1726 |
|
Catheter, balloon dilatation, non-vascular
| short | Cath, bal dil, non-vascular |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 5.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 5.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1727 |
|
Catheter, balloon tissue dissector, non-vascular (insertable)
| short | Cath, bal tis dis, non-vas |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1728 |
|
Catheter, brachytherapy seed administration
| short | Cath, brachytx seed adm |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 5.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 5.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1729 |
|
Catheter, drainage
| short | Cath, drainage |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 6.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1730 |
|
Catheter, electrophysiology, diagnostic, other than 3d mapping (19 or fewer electrodes)
| short | Cath, ep, 19 or few elect |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 4.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 4.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1731 |
|
Catheter, electrophysiology, diagnostic, other than 3d mapping (20 or more electrodes)
| short | Cath, ep, 20 or more elec |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1732 |
|
Catheter, electrophysiology, diagnostic/ablation, 3d or vector mapping
| short | Cath, ep, diag/abl, 3d/vect |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1733 |
|
Catheter, electrophysiology, diagnostic/ablation, other than 3d or vector mapping, other than cool-tip
| short | Cath, ep, othr than cool-tip |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1734 |
|
Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable)
| short | Orth/devic/drug bn/bn,tis/bn |
|
|
|
C1749 |
|
Endoscope, retrograde imaging/illumination colonoscope device (implantable)
| short | Endo, colon, retro imaging |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment | | OPH | 1.0 | 3 Date of Service Edit: Clinical | Nature of Equipment |
|
|
|
|
C1750 |
|
Catheter, hemodialysis/peritoneal, long-term
| short | Cath, hemodialysis,long-term |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1751 |
|
Catheter, infusion, inserted peripherally, centrally or midline (other than hemodialysis)
| short | Cath, inf, per/cent/midline |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 3.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 3.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1752 |
|
Catheter, hemodialysis/peritoneal, short-term
| short | Cath,hemodialysis,short-term |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1753 |
|
Catheter, intravascular ultrasound
| short | Cath, intravas ultrasound |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1754 |
|
Catheter, intradiscal
| short | Catheter, intradiscal |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1755 |
|
Catheter, intraspinal
| short | Catheter, intraspinal |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1756 |
|
Catheter, pacing, transesophageal
| short | Cath, pacing, transesoph |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1757 |
|
Catheter, thrombectomy/embolectomy
| short | Cath, thrombectomy/embolect |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 6.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 6.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|
|
C1758 |
|
Catheter, ureteral
| short | Catheter, ureteral |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Anatomic Consideration |
|
|
|
|
C1759 |
|
Catheter, intracardiac echocardiography
| short | Cath, intra echocardiography |
| MUE | | Location | Value | Ajudication Indicator | Rationale |
|---|
| PRA | 2.0 | 3 Date of Service Edit: Clinical | Clinical: CMS Workgroup | | OPH | 2.0 | 3 Date of Service Edit: Clinical | Clinical: Data |
|
|
|