Medicare Data Utilities Appendices

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01006 PRIM TB COMPLEX-OTH TEST 0101 PRIMARY TB PLEURISY* 01010 PRIM TB PLEURISY-UNSPEC 01011 PRIM TB PLEURISY-NO EXAM 01012 PRIM TB PLEUR-EXAM UNKN 01013 PRIM TB PLEURIS-MICRO DX 01014 PRIM TB PLEURISY-CULT DX 01015 PRIM TB PLEURIS-HISTO DX 01016 PRIM TB PLEURIS-OTH TEST 0108 PRIM PROGRESSIVE TB NEC* 01080 PRIM PROG TB NEC-UNSPEC 01081 PRIM PROG TB NEC-NO EXAM 01082 PRIM PR TB NEC-EXAM UNKN 01083 PRIM PRG TB NEC-MICRO DX 01084 PRIM PROG TB NEC-CULT DX 01085 PRIM PRG TB NEC-HISTO DX 01086 PRIM PRG TB NEC-OTH TEST 0109 PRIMARY TB INFECTION NOS* 01090 PRIMARY TB NOS-UNSPEC 01091 PRIMARY TB NOS-NO EXAM 01092 PRIMARY TB NOS-EXAM UNKN 01093 PRIMARY TB NOS-MICRO DX 01094 PRIMARY TB NOS-CULT DX 01095 PRIMARY TB NOS-HISTO DX 01096 PRIMARY TB NOS-OTH TEST 011 PULMONARY TUBERCULOSIS* 0110 TB OF LUNG, INFILTRATIVE* 01100 TB LUNG INFILTR-UNSPEC 01101 TB LUNG INFILTR-NO EXAM 01102 TB LUNG INFILTR-EXM UNKN 01103 TB LUNG INFILTR-MICRO DX 01104 TB LUNG INFILTR-CULT DX 01105 TB LUNG INFILTR-HISTO DX 01106 TB LUNG INFILTR-OTH TEST 0111 TB OF LUNG, NODULAR* 01110 TB LUNG NODULAR-UNSPEC 01111 TB LUNG NODULAR-NO EXAM 01112 TB LUNG NODUL-EXAM UNKN 01113 TB LUNG NODULAR-MICRO DX 01114 TB LUNG NODULAR-CULT DX 01115 TB LUNG NODULAR-HISTO DX 01116 TB LUNG NODULAR-OTH TEST 0112 TB OF LUNG W CAVITATION* 01120 TB LUNG W CAVITY-UNSPEC 01121 TB LUNG W CAVITY-NO EXAM 01122 TB LUNG CAVITY-EXAM UNKN 01123 TB LUNG W CAVIT-MICRO DX 01124 TB LUNG W CAVITY-CULT DX 01125 TB LUNG W CAVIT-HISTO DX 01126 TB LUNG W CAVIT-OTH TEST 0113 TUBERCULOSIS OF BRONCHUS* 01130 TB OF BRONCHUS-UNSPEC 01131 TB OF BRONCHUS-NO EXAM 01132 TB OF BRONCHUS-EXAM UNKN 01133 TB OF BRONCHUS-MICRO DX 01134 TB OF BRONCHUS-CULT DX 01135 TB OF BRONCHUS-HISTO DX
01136 TB OF BRONCHUS-OTH TEST 0114 TB FIBROSIS OF LUNG* 01140 TB LUNG FIBROSIS-UNSPEC 01141 TB LUNG FIBROSIS-NO EXAM 01142 TB LUNG FIBROS-EXAM UNKN 01143 TB LUNG FIBROS-MICRO DX 01144 TB LUNG FIBROSIS-CULT DX 01145 TB LUNG FIBROS-HISTO DX 01146 TB LUNG FIBROS-OTH TEST 0115 TB BRONCHIECTASIS* 01150 TB BRONCHIECTASIS-UNSPEC 01151 TB BRONCHIECT-NO EXAM 01152 TB BRONCHIECT-EXAM UNKN 01153 TB BRONCHIECT-MICRO DX 01154 TB BRONCHIECT-CULT DX 01155 TB BRONCHIECT-HISTO DX 01156 TB BRONCHIECT-OTH TEST 0116 TUBERCULOUS PNEUMONIA* 01160 TB PNEUMONIA-UNSPEC 01161 TB PNEUMONIA-NO EXAM 01162 TB PNEUMONIA-EXAM UNKN 01163 TB PNEUMONIA-MICRO DX 01164 TB PNEUMONIA-CULT DX 01165 TB PNEUMONIA-HISTO DX 01166 TB PNEUMONIA-OTH TEST 0117 TUBERCULOUS PNEUMOTHORAX* 01170 TB PNEUMOTHORAX-UNSPEC 01171 TB PNEUMOTHORAX-NO EXAM 01172 TB PNEUMOTHORX-EXAM UNKN 01173 TB PNEUMOTHORAX-MICRO DX 01174 TB PNEUMOTHORAX-CULT DX 01175 TB PNEUMOTHORAX-HISTO DX 01176 TB PNEUMOTHORAX-OTH TEST 0118 PULMONARY TB NEC* 01180 PULMONARY TB NEC-UNSPEC 01181 PULMONARY TB NEC-NO EXAM 01182 PULMON TB NEC-EXAM UNKN 01183 PULMON TB NEC-MICRO DX 01184 PULMON TB NEC-CULT DX 01185 PULMON TB NEC-HISTO DX 01186 PULMON TB NEC-OTH TEST 0119 PULMONARY TB NOS* 01190 PULMONARY TB NOS-UNSPEC 01191 PULMONARY TB NOS-NO EXAM 01192 PULMON TB NOS-EXAM UNKN 01193 PULMON TB NOS-MICRO DX 01194 PULMON TB NOS-CULT DX 01195 PULMON TB NOS-HISTO DX 01196 PULMON TB NOS-OTH TEST 012 OTHER RESPIRATORY TB* 0120 TUBERCULOUS PLEURISY* 01200 TB PLEURISY-UNSPEC 01201 TB PLEURISY-NO EXAM 01202 TB PLEURISY-EXAM UNKN 01203 TB PLEURISY-MICRO DX 01204 TB PLEURISY-CULT DX 01205 TB PLEURISY-HISTOLOG DX
Page 1 and 2: Medicare Data Utilities Appendices
Page 3 and 4: Appendix C BETOS Table The Berenson
Page 5 and 6: Appendix D Carrier Claim Payment De
Page 7 and 8: Appendix G CMS Provider Specialty T
Page 9 and 10: 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
Page 17 and 18: 46XB = (C) MULTIPLE COIN VALU CODES
Page 19 and 20: 5500 = (U) FULL DAYS/SNF-HOSP FULL
Page 21 and 22: 6911 = (C) REV CODE 274 ON OUTPAT A
Page 23 and 24: 94X5 = (C) BLOOD/MSP CODE/COMPUTED
Page 25 and 26: Appendix L State Table The followin
Page 27 and 28: Appendix M Identification of variab
Page 29 and 30: 48 Thyroid disorders 49 Diabetes me
Page 31 and 32: 159 Urinary tract infections 160 Ca
Page 33 and 34: 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: 0064 AMEBIC LUNG ABSCESS 0065 AMEBI
Page 43 and 44: 01326 TUBRCLOMA BRAIN-OTH TEST 0133
Page 45 and 46: 01576 TB OF BONE NEC-OTH TEST 0158
Page 47 and 48: 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
Page 59 and 60: 09889 GONOCOCCAL INF SITE NEC 099 O
Page 61 and 62: 1160 BLASTOMYCOSIS 1161 PARACOCCIDI
Page 63 and 64: 1330 SCABIES 1338 ACARIASIS NEC 133
Page 65 and 66: 151 MALIGNANT NEO STOMACH* 1510 MAL
Page 67 and 68: 1712 MAL NEO SOFT TISSUE ARM 1713 M
Page 69 and 70: 1902 MAL NEO LACRIMAL GLAND 1903 MA
Page 71 and 72: 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
Page 79 and 80: 234 CA IN SITU NEC/NOS* 2340 CA IN
Page 81 and 82: 2469 DISORDER OF THYROID NOS 250 DI
Page 83 and 84: 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 and 220:
80230 MANDIBLE FX NOS-OPEN 80231 FX
Page 221 and 222:
80405 CL SKUL/OTH FX-DEEP COMA 8040
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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