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A service or procedure was provided more than once. Unusual events occurred. Code used to identify the appropriate methodology for developing unique pricing amounts under part B.

A procedure may have one to four pricing codes. The Berenson-Eggers Type of Service BETOS for the procedure code based on generally agreed upon clinically meaningful groupings of procedures and services.

The carrier assigned CMS type of service which describes the particular kind s of service represented by the procedure code.

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