Medicare Data Utilities Appendices

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80343 CL SKULL FX NEC-MOD COMA 80344 CL SKL FX NEC-PROLN COMA 80345 CL SKUL FX NEC-DEEP COMA 80346 CL SKULL FX NEC-COMA NOS 80349 CL SKULL FX NEC-CONCUSS 8035 OPEN SKULL FRACTURE NEC* 80350 OPEN SKULL FRACTURE NEC 80351 OPN SKUL FX NEC W/O COMA 80352 OPN SKUL FX NEC-BRF COMA 80353 OPN SKUL FX NEC-MOD COMA 80354 OPN SKL FX NEC-PROL COMA 80355 OPN SKL FX NEC-DEEP COMA 80356 OPN SKUL FX NEC-COMA NOS 80359 OPN SKULL FX NEC-CONCUSS 8036 OPN SKL FX NEC/CEREB LAC* 80360 OPN SKL FX NEC/CEREB LAC 80361 OPN SKUL FX NEC W/O COMA 80362 OPN SKUL FX NEC-BRF COMA 80363 OPN SKUL FX NEC-MOD COMA 80364 OPN SKL FX NEC-PROLN COM 80365 OPN SKL FX NEC-DEEP COMA 80366 OPN SKUL FX NEC-COMA NOS 80369 OPN SKULL FX NEC-CONCUSS 8037 OPN SKL FX NEC/MENIN HEM* 80370 OPN SKL FX NEC/MENIN HEM 80371 OPN SKUL FX NEC W/O COMA 80372 OPN SKUL FX NEC-BRF COMA 80373 OPN SKUL FX NEC-MOD COMA 80374 OPN SKL FX NEC-PROL COMA 80375 OPN SKL FX NEC-DEEP COMA 80376 OPN SKUL FX NEC-COMA NOS 80379 OPN SKULL FX NEC-CONCUSS 8038 OPN SKULL FX NEC/HEM NEC* 80380 OPN SKULL FX NEC/HEM NEC 80381 OPN SKUL FX NEC W/O COMA 80382 OPN SKUL FX NEC-BRF COMA 80383 OPN SKUL FX NEC-MOD COMA 80384 OPN SKL FX NEC-PROL COMA 80385 OPN SKL FX NEC-DEEP COMA 80386 OPN SKUL FX NEC-COMA NOS 80389 OPN SKULL FX NEC-CONCUSS 8039 OP SKL FX NEC/BR INJ NEC* 80390 OP SKL FX NEC/BR INJ NEC 80391 OPN SKUL FX NEC W/O COMA 80392 OPN SKUL FX NEC-BRF COMA 80393 OPN SKUL FX NEC-MOD COMA 80394 OPN SKL FX NEC-PROL COMA 80395 OPN SKL FX NEC-DEEP COMA 80396 OPN SKUL FX NEC-COMA NOS 80399 OPN SKULL FX NEC-CONCUSS 804 MULT FX SKULL W OTH BONE* 8040 CL SKUL FX W OTH BONE FX* 80400 CL SKUL FX W OTH BONE FX 80401 CL SKL W OTH FX W/O COMA 80402 CL SKL W OTH FX-BRF COMA 80403 CL SKL W OTH FX-MOD COMA 80404 CL SKL/OTH FX-PROLN COMA
80405 CL SKUL/OTH FX-DEEP COMA 80406 CL SKL W OTH FX-COMA NOS 80409 CL SKUL W OTH FX-CONCUSS 8041 CL SK W OTH FX/CEREB LAC* 80410 CL SK W OTH FX/CEREB LAC 80411 CL SKL W OTH FX W/O COMA 80412 CL SKL W OTH FX-BRF COMA 80413 CL SKL W OTH FX-MOD COMA 80414 CL SKL/OTH FX-PROLN COMA 80415 CL SKUL/OTH FX-DEEP COMA 80416 CL SKL W OTH FX-COMA NOS 80419 CL SKUL W OTH FX-CONCUSS 8042 CL SKL/OTH FX/MENING HEM* 80420 CL SKL/OTH FX/MENING HEM 80421 CL SKL W OTH FX W/O COMA 80422 CL SKL W OTH FX-BRF COMA 80423 CL SKL W OTH FX-MOD COMA 80424 CL SKL/OTH FX-PROLN COMA 80425 CL SKUL/OTH FX-DEEP COMA 80426 CL SKL W OTH FX-COMA NOS 80429 CL SKUL W OTH FX-CONCUSS 8043 CL SKUL W OTH FX/HEM NEC* 80430 CL SKUL W OTH FX/HEM NEC 80431 CL SKL W OTH FX W/O COMA 80432 CL SKL W OTH FX-BRF COMA 80433 CL SKL W OTH FX-MOD COMA 80434 CL SKL/OTH FX-PROLN COMA 80435 CL SKUL/OTH FX-DEEP COMA 80436 CL SKL W OTH FX-COMA NOS 80439 CL SKUL W OTH FX-CONCUSS 8044 CL SKL/OTH FX/BR INJ NEC* 80440 CL SKL/OTH FX/BR INJ NEC 80441 CL SKL W OTH FX W/O COMA 80442 CL SKL W OTH FX-BRF COMA 80443 CL SKL W OTH FX-MOD COMA 80444 CL SKL/OTH FX-PROLN COMA 80445 CL SKUL/OTH FX-DEEP COMA 80446 CL SKL W OTH FX-COMA NOS 80449 CL SKUL W OTH FX-CONCUSS 8045 OPN SKULL FX/OTH BONE FX* 80450 OPN SKULL FX/OTH BONE FX 80451 OPN SKUL/OTH FX W/O COMA 80452 OPN SKUL/OTH FX-BRF COMA 80453 OPN SKUL/OTH FX-MOD COMA 80454 OPN SKL/OTH FX-PROL COMA 80455 OPN SKL/OTH FX-DEEP COMA 80456 OPN SKUL/OTH FX-COMA NOS 80459 OPN SKULL/OTH FX-CONCUSS 8046 OPN SKL/OTH FX/CEREB LAC* 80460 OPN SKL/OTH FX/CEREB LAC 80461 OPN SKUL/OTH FX W/O COMA 80462 OPN SKUL/OTH FX-BRF COMA 80463 OPN SKUL/OTH FX-MOD COMA 80464 OPN SKL/OTH FX-PROL COMA 80465 OPN SKL/OTH FX-DEEP COMA 80466 OPN SKUL/OTH FX-COMA NOS 80469 OPN SKULL/OTH FX-CONCUSS
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Medicare Data Utilities Appendices
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Appendix C BETOS Table The Berenson
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Appendix D Carrier Claim Payment De
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Appendix G CMS Provider Specialty T
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8O = Clinical social worker (1991)
Page 11 and 12:
75 = Other medical care (GPPP) (not
Page 13 and 14:
Appendix I Line Place of Service Ta
Page 15 and 16:
0406 = (C) MAMMOGRAPHY WITH NO HCPC
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46XB = (C) MULTIPLE COIN VALU CODES
Page 19 and 20:
5500 = (U) FULL DAYS/SNF-HOSP FULL
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6911 = (C) REV CODE 274 ON OUTPAT A
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94X5 = (C) BLOOD/MSP CODE/COMPUTED
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Appendix L State Table The followin
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Appendix M Identification of variab
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48 Thyroid disorders 49 Diabetes me
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159 Urinary tract infections 160 Ca
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Appendix O Agency for Healthcare Re
Page 35 and 36:
102 Ureteral catheterization 103 Ne
Page 37 and 38:
216 Respiratory intubation and mech
Page 39 and 40:
0064 AMEBIC LUNG ABSCESS 0065 AMEBI
Page 41 and 42:
01136 TB OF BRONCHUS-OTH TEST 0114
Page 43 and 44:
01326 TUBRCLOMA BRAIN-OTH TEST 0133
Page 45 and 46:
01576 TB OF BONE NEC-OTH TEST 0158
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01726 TB PERIPH LYMPH-OTH TEST 0173
Page 49 and 50:
026 RAT-BITE FEVER* 0260 SPIRILLARY
Page 51 and 52:
04181 MYCOPLASMA 04182 BACILLUS FRA
Page 53 and 54:
05579 MEASLES COMPLICATION NEC 0558
Page 55 and 56:
0771 EPIDEM KERATOCONJUNCTIV 0772 P
Page 57 and 58:
0907 LATE CONGEN SYPH NOS 0909 CONG
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09889 GONOCOCCAL INF SITE NEC 099 O
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1160 BLASTOMYCOSIS 1161 PARACOCCIDI
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1330 SCABIES 1338 ACARIASIS NEC 133
Page 65 and 66:
151 MALIGNANT NEO STOMACH* 1510 MAL
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1712 MAL NEO SOFT TISSUE ARM 1713 M
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1902 MAL NEO LACRIMAL GLAND 1903 MA
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20083 MIXED LYMPHOSARC ABDOM 20084
Page 73 and 74:
20225 SEZARY'S DISEASE INGUIN 20226
Page 75 and 76:
20610 CHR MONO LEUK W/O RMSION 2061
Page 77 and 78:
218 UTERINE LEIOMYOMA* 2180 SUBMUCO
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234 CA IN SITU NEC/NOS* 2340 CA IN
Page 81 and 82:
2469 DISORDER OF THYROID NOS 250 DI
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2592 CARCINOID SYNDROME 2593 ECTOPI
Page 85 and 86:
2766 FLUID OVERLOAD 2767 HYPERPOTAS
Page 87 and 88:
2882 GENETIC ANOMALY LEUKOCYT 2883
Page 89 and 90:
29552 LATENT SCHIZOPHREN-CHR 29553
Page 91 and 92:
2990 INFANTILE AUTISM* 29900 INFANT
Page 93 and 94:
30403 OPIOID DEPENDENCE-REMISS 3041
Page 95 and 96:
30721 TRANSIENT TIC, CHILDHOOD 3072
Page 97 and 98:
3150 SPECIFIC READING DIS* 31500 RE
Page 99 and 100:
33510 SPINAL MUSCL ATROPHY NOS 3351
Page 101 and 102:
34600 CLSC MIGRNE WO NTRC MGRN 3460
Page 103 and 104:
3594 TOXIC MYOPATHY 3595 MYOPATHY I
Page 105 and 106:
3625 DEGENERATION OF MACULA* 36250
Page 107 and 108:
36459 IRIS ATROPHY NEC 3646 ANTERIO
Page 109 and 110:
36731 ANISOMETROPIA 36732 ANISEIKON
Page 111 and 112:
37005 MYCOTIC CORNEAL ULCER 37006 P
Page 113 and 114:
37230 CONJUNCTIVITIS NOS 37231 ROSA
Page 115 and 116:
3752 EPIPHORA* 37520 EPIPHORA NOS 3
Page 117 and 118:
37775 CORTICAL BLINDNESS 3779 OPTIC
Page 119 and 120:
37953 VISUAL DEPRIVATN NYSTAGM 3795
Page 121 and 122:
38421 CENT PERF TYMPANIC MEMB 38422
Page 123 and 124:
38900 CONDUCT HEARING LOSS NOS 3890
Page 125 and 126:
41020 AMI INFEROLATERAL,UNSPEC 4102
Page 127 and 128:
426 CONDUCTION DISORDERS* 4260 ATRI
Page 129 and 130:
438 LATE EFF CEREBROVASC DIS* 4380
Page 131 and 132:
4518 THROMBOPHLEBITIS NEC* 45181 IL
Page 133 and 134:
4741 T & A HYPERTROPHY* 47410 HYPER
Page 135 and 136:
4951 BAGASSOSIS 4952 BIRD-FANCIERS'
Page 137 and 138:
5226 CHR APICAL PERIODONTITIS 5227
Page 139 and 140:
53089 OTHER DSRDERS ESOPHAGUS 5309
Page 141 and 142:
535 GASTRITIS AND DUODENITIS* 5350
Page 143 and 144:
5539 HERNIA NOS 555 REGIONAL ENTERI
Page 145 and 146:
572 SEQUELA OF CHR LIVER DIS* 5720
Page 147 and 148:
5838 NEPHRITIS NOS W OTH LES* 58381
Page 149 and 150:
5997 HEMATURIA 5998 URINARY TRACT D
Page 151 and 152:
6168 FEMALE GEN INFLAM NEC 6169 FEM
Page 153 and 154:
6281 INFERTIL-PITUITARY ORIG 6282 I
Page 155 and 156:
63622 ILLEG AB W PEL DAMG-COMP 6363
Page 157 and 158:
64120 PREM SEPAR PLACEN-UNSPEC 6412
Page 159 and 160:
64613 EDEMA IN PREG-ANTEPARTUM 6461
Page 161 and 162:
64821 ANEMIA-DELIVERED 64822 ANEMIA
Page 163 and 164:
65270 PROLAPSED ARM-UNSPEC 65271 PR
Page 165 and 166:
65501 FETAL CNS MALFORM-DELIV 65503
Page 167 and 168:
65901 FAIL MECH INDUCT-DELIVER 6590
Page 169 and 170: 66221 PROLONG 2ND STAGE-DELIV 66223
Page 171 and 172: 66584 OB TRAUMA NEC-POSTPARTUM 6659
Page 173 and 174: 670 MAJOR PUERPERAL INFECT* 67000 M
Page 175 and 176: 67494 PUERP COMPL NOS-POSTPART 675
Page 177 and 178: 6825 CELLULITIS OF BUTTOCK 6826 CEL
Page 179 and 180: 7038 DISEASES OF NAIL NEC 7039 DISE
Page 181 and 182: 71145 BACT ARTHRITIS-PELVIS 71146 B
Page 183 and 184: 71298 CRY ARTHROP NOS-OTH SITE 7129
Page 185 and 186: 71635 CLIMACT ARTHRITIS-PELVIS 7163
Page 187 and 188: 71830 RECUR DISLOCAT-UNSPEC 71831 R
Page 189 and 190: 71951 JT STIFFNESS NEC-SHLDER 71952
Page 191 and 192: 724 BACK DISORDER NEC & NOS* 7240 S
Page 193 and 194: 72886 NECROTIZING FASCIITIS 72889 M
Page 195 and 196: 7330 OSTEOPOROSIS* 73300 OSTEOPOROS
Page 197 and 198: 7379 CURVATURE OF SPINE NOS 738 OTH
Page 199 and 200: 74405 ANOMALIES OF INNER EAR 74409
Page 201 and 202: 74904 BILAT CLEFT PALATE-INC 7491 C
Page 203 and 204: 75433 CONG HIP SUBLUX, BILAT 75435
Page 205 and 206: 75681 ABSENCE OF MUSCLE/TENDON 7568
Page 207 and 208: 7641 LT-FOR-DATES W FETAL MAL* 7641
Page 209 and 210: 7732 NB HEMOLYT DIS-ISOIM NEC 7733
Page 211 and 212: 7826 PALLOR & FLUSHING* 78261 PALLO
Page 213 and 214: 78900 ABDMNAL PAIN UNSPCF SITE 7890
Page 215 and 216: 7951 ABN PAP SMEAR-OTH SITE 7952 AB
Page 217 and 218: 80090 OP SKL VLT FX/BR INJ NEC 8009
Page 219: 80230 MANDIBLE FX NOS-OPEN 80231 FX
Page 223 and 224: 8060 CLOS CERV FX W CORD INJ* 80600
Page 225 and 226: 81011 FX CLAVIC, STERN END-OPN 8101
Page 227 and 228: 8141 FRACTURE CARPAL BONE-OPN* 8141
Page 229 and 230: 82391 FX FIBULA NOS-OPEN 82392 FX T
Page 231 and 232: 836 DISLOCATION OF KNEE* 8360 TEAR
Page 233 and 234: 84213 SPRAIN INTERPHALANGEAL 84219
Page 235 and 236: 85155 OPN CEREBE CONT-DEEP COM 8515
Page 237 and 238: 8540 BRAIN INJURY NEC* 85400 BRAIN
Page 239 and 240: 86412 LIVER LACERAT, MINOR-OPN 8641
Page 241 and 242: 87333 OPEN WND NAS SINUS-COMPL 8733
Page 243 and 244: 8821 OPN WOUND HAND-COMPLICAT 8822
Page 245 and 246: 90242 INJURY RENAL VEIN 90249 INJUR
Page 247 and 248: 9117 FOREIGN BODY TRUNK-INFEC 9118
Page 249 and 250: 92320 CONTUSION OF HAND(S) 92321 CO
Page 251 and 252: 94111 1ST DEG BURN EAR 94112 1ST DE
Page 253 and 254: 94311 1ST DEG BURN FOREARM 94312 1S
Page 255 and 256: 9451 1ST DEGREE BURN LEG* 94510 1ST
Page 257 and 258: 94888 80-89% BDY BRN/80-89% 3D 9489
Page 259 and 260: 9590 FACE AND NECK INJURY NOS* 9590
Page 261 and 262: 9697 POISON-PSYCHOSTIMULANTS 9698 P
Page 263 and 264: 9840 TX EFF INORG LEAD COMPND 9841
Page 265 and 266: 99580 ADULT MALTREATMENT NOS 99581
Page 267 and 268: 9994 ANAPHYLACTIC SHOCK-SERUM 9995
Page 269 and 270: E8147 MV COLL W PEDEST-PEDEST E8148
Page 271 and 272:
E8250 MV N-TRAFF ACC NEC-DRIV E8251
Page 273 and 274:
E8378 WATERCRAFT EXPL-PERS NEC E837
Page 275 and 276:
E8551 ACC POISN-CNS DEPRES NEC E855
Page 277 and 278:
E8714 POSTENDOSCOPY FORGN BODY E871
Page 279 and 280:
E893 CLOTHING FIRE ACCIDENT* E8930
Page 281 and 282:
E9203 KNIFE/SWORD/DAGGER ACC E9204
Page 283 and 284:
E935 ADV EFF ANALGESICS* E9350 ADV
Page 285 and 286:
E9473 ADV EFF ALCOHOL DETER E9474 A
Page 287 and 288:
E9682 ASSAULT-STRIKING W OBJ E9683
Page 289 and 290:
V0261 HEPATITIS B CARRIER V0262 HEP
Page 291 and 292:
V1062 HX OF MYELOID LEUKEMIA V1063
Page 293 and 294:
V169 FAMILY HX-MALIGNANCY NOS V17 F
Page 295 and 296:
V291 NB OBSRV SUSPCT NEURLGCL V292
Page 297 and 298:
V440 TRACHEOSTOMY STATUS V441 GASTR
Page 299 and 300:
V533 ADJUST CARDIAC PACEMAKER* V533
Page 301 and 302:
V6289 PSYCHOLOGICAL STRESS NEC V629
Page 303 and 304:
V738 SCREEN VRAL CHLM DIS NEC* V738
Page 305 and 306:
Appendix Q International Classifica
Page 307 and 308:
0405 GASSERIAN GANGLIONECTOMY 0406
Page 309 and 310:
0752 PINEAL GLAND INCISION 0753 PAR
Page 311 and 312:
098 NASO-LACRIMAL FISTULIZAT* 0981
Page 313 and 314:
1274 CIL BODY DIMINUTION NOS 1279 G
Page 315 and 316:
161 REMOVE PENETRAT FB EYE 162 ORBI
Page 317 and 318:
2098 IMP/REP MCHAN COCHL PROS 2099
Page 319 and 320:
2499 DENTAL OPERATION NEC 25 OPERAT
Page 321 and 322:
2991 PHARYNGEAL DILATION 2992 DIVIS
Page 323 and 324:
3423 CHEST WALL BIOPSY 3424 PLEURAL
Page 325 and 326:
3631 OPEN CHEST TRANS REVASC 3632 O
Page 327 and 328:
385 VARICOSE LIGAT & STRIP* 3850 VA
Page 329 and 330:
406 THORACIC DUCT OPERATIONS* 4061
Page 331 and 332:
4400 VAGOTOMY NOS 4401 TRUNCAL VAGO
Page 333 and 334:
4624 DELAY OPENING ILEOSTOMY 463 OT
Page 335 and 336:
4939 OTHER DESTRUC ANUS LES 494 HEM
Page 337 and 338:
5196 PERC EXTRAC COM DUC CALC 5198
Page 339 and 340:
5495 PERITONEAL INCISION 5496 INJEC
Page 341 and 342:
5749 TU DESTRUC BLADD LES NEC 575 B
Page 343 and 344:
6091 PERCUT PROSTATIC ASPIRAT 6092
Page 345 and 346:
6525 OTH LAP LOC EXC DEST OVA 6529
Page 347 and 348:
686 RADICAL ABD HYSTERECTOMY 687 RA
Page 349 and 350:
7254 TOT BREECH EXTRAC NEC 726 FORC
Page 351 and 352:
7699 FACIAL BONE/JNT OP NEC 77 INCI
Page 353 and 354:
7802 BONE GRAFT TO HUMERUS 7803 BON
Page 355 and 356:
7909 CLOSED FX REDUCTION NEC 791 CL
Page 357 and 358:
8019 OTHER ARTHROTOMY NEC 802 ARTHR
Page 359 and 360:
8151 TOTAL HIP REPLACEMENT 8152 PAR
Page 361 and 362:
8339 EXC LES SOFT TISSUE NEC 834 OT
Page 363 and 364:
8541 UNILAT SIMPLE MASTECTOMY 8542
Page 365 and 366:
8729 SPINAL X-RAY NEC 873 THORAX SO
Page 367 and 368:
8862 CONTR PHLEBOGRAM-PULMON 8863 T
Page 369 and 370:
901 MICRO EXAM-ENDOCRINE* 9011 BACT
Page 371 and 372:
9151 BACT SMEAR-MUSCULOSKEL 9152 CU
Page 373 and 374:
934 SKELETAL & OTH TRACTION* 9341 S
Page 375 and 376:
9507 DARK ADAPTATION STUDY 9509 EYE
Page 377 and 378:
9723 REPLACE TRACH TUBE 9724 REPLAC
Page 379 and 380:
9927 IONTOPHORESIS 9928 IMMUNOTHERA
Page 381 and 382:
Appendix R Diagnostic Related Group
Page 383 and 384:
104 MDC 05P CARDIAC VALVE & OTH MAJ
Page 385 and 386:
218 MDC 08P LOWER EXTREM & HUMER PR
Page 387 and 388:
332 MDC 11M OTHER KIDNEY & URINARY
Page 389 and 390:
446 MDC 21M TRAUMATIC INJURY AGE 0-
Page 391 and 392:
Appendix S Alpha-Numeric HCPCS Code
Page 393 and 394:
A0425 GROUND MILEAGE, PER STATUTE M
Page 395 and 396:
A4356 EXTERNAL URETHRAL CLAMP OR CO
Page 397 and 398:
A4636 REPLACEMENT, HANDGRIP, CANE,
Page 399 and 400:
A6021 COLLAGEN DRESSING, PAD SIZE 1
Page 401 and 402:
EACH DRESSING A6259 TRANSPARENT FIL
Page 403 and 404:
HOMEMIX B4178 PARENTERAL NUTRITION
Page 405 and 406:
C1047 CATHETER, DIAGNOSTIC, NAVI-ST
Page 407 and 408:
C1134 PACEMAKER, DUAL CHAMBER, SIGM
Page 409 and 410:
SOMNOPLASTY COAGULATING ELECTRODE C
Page 411 and 412:
C1812 ANCHOR, OBL 2.0MM MINI TAC AC
Page 413 and 414:
C2104 CATHETER, ELECTROPHYSIOLOGY,
Page 415 and 416:
C4607 LEAD, PACEMAKER, FINELINE II
Page 417 and 418:
C5601 VASCULAR CLOSURE DEVICE, VASC
Page 419 and 420:
C8513 LEAD, NEUROSTIMULATION, PISCE
Page 421 and 422:
E0147 HEAVY DUTY, MULTIPLE BREAKING
Page 423 and 424:
E0424 STATIONARY COMPRESSED GASEOUS
Page 425 and 426:
E0757 IMPLANTABLE NEUROSTIMULATOR R
Page 427 and 428:
AWAY DETACHABLE FOOTRESTS E1100 SEM
Page 429 and 430:
E1635 COMPACT (PORTABLE) TRAVEL HEM
Page 431 and 432:
PATIENT'S CARE, INTEGRATION OF NEW
Page 433 and 434:
G0115 NETT PULM-REHAB; PSYCHOLOGICA
Page 435 and 436:
INVOLVED IN THE PATIENT’S CARE, I
Page 437 and 438:
J0200 INJECTION, ALATROFLOXACIN MES
Page 439 and 440:
J1364 INJECTION, ERYTHROMYCIN LACTO
Page 441 and 442:
J2512 INJECTION, PENTAGASTRIN, PER
Page 443 and 444:
J7320 HYLAN G-F 20, 16 MG, FOR INTR
Page 445 and 446:
J9000 DOXORUBICIN HCL, 10 MG J9001
Page 447 and 448:
K0034 HEEL LOOP,EACH K0035 HEEL LOO
Page 449 and 450:
K0171 ADMINISTRATION SET, SMALL VOL
Page 451 and 452:
K0462 TEMPORARY REPLACEMENT FOR PAT
Page 453 and 454:
L0340 TLSO, ANTERIOR-POSTERIOR-LATE
Page 455 and 456:
CUSTOM FABRICATED L1686 HIP ORTHOSI
Page 457 and 458:
CUSTOM-FABRICATED L2112 ANKLE FOOT
Page 459 and 460:
L2780 ADDITION TO LOWER EXTREMITY O
Page 461 and 462:
L3640 TRANSFER OF AN ORTHOSIS FROM
Page 463 and 464:
RECLINING, PREFABRICATED, INCLUDES
Page 465 and 466:
SYSTEM, PYLON, NO COVER, SACH FOOT,
Page 467 and 468:
L5697 ADDITION TO LOWER EXTREMITY,
Page 469 and 470:
L6100 BELOW ELBOW, MOLDED SOCKET, F
Page 471 and 472:
L6765 TERMINAL DEVICE, HOOK, DORRAN
Page 473 and 474:
L8020 BREAST PROSTHESIS, MASTECTOMY
Page 475 and 476:
P2029 CONGO RED, BLOOD P2031 HAIR A
Page 477 and 478:
Q0172 CHLORPROMAZINE HYDROCHLORIDE,
Page 479 and 480:
Q9936 INJECTION OF EPO, PER 1000 UN
Page 481 and 482:
S2371 EACH ADDITIONAL INTERSPACE (L
Page 483 and 484:
S9310 NURSING SERVICES AND ALL NECE
Page 485 and 486:
V2212 SPHEROCYLINDER, BIFOCAL, PLUS
Page 487:
V5130 BINAURAL, IN THE EAR V5140 BI
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