You must log in or register to reply here. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Does anyone have the correct code to use for a single shot lumbar plexus block - not a catheter? Applications are available at the American Dental Association web site. Under CPT/HCPCS Codes Group 1: Codes descriptions were revised for codes 64483 and 64484. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. An official website of the United States government. The following CPT/HCPCS code 62311 has been deleted and therefore removed from the text of the LCD. Before sharing sensitive information, make sure you're on a federal government site. apply equally to all claims. This revision is due to the Q1 2021 CPT/HCPCS code update and has a retroactive effective date of 1/1/21. So one of the Drs here did a lumbar sympathetic block, but injected steroid in addition to aj anesthetic. Question: You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Based on information from CPT Assistant Dec. 2010, sympathetic blocks can be reported for each level that is injected. What is the cpt code for lumbar sympathetic block (left)? Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. The field of neuro-oncology has experienced rapid growth in the last decade, characterized by robust advances in epidemiology, molecular biology, imaging, histopathologic harmonization, neurosurgical techniques, quality of life and cognitive functions, and therapeutic changes in terms of combined modality treatments, advanced radiation techniques, the advent of new drugs, You can collapse such groups by clicking on the group header to make navigation easier. JavaScript is disabled. Title XVIII of the Social Security Act, 1833(e) prohibits Medicare payment for any claim which lacks the necessary information to process the claim. Applicable FARS/HHSARS apply. Blocks So would that be a different code or still the same? Article document IDs begin with the letter "A" (e.g., A12345). The Medicare program provides limited benefits for outpatient prescription drugs. This Agreement will terminate upon notice if you violate its terms. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. Answer: View all the articles associated with any code, right from the code page. *ICD-10 code G96.12 is to be used to describe lumbar epidural fibrosis. For the following CPT/HCPCS code either the short description and/or the long description was changed. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Editor's Note: This article by Paul Cadorette, director of education for mdStrategies, originally appeared in The Coding Advocate, mdStrategies free monthly newsletter. Intraoperative Electromyographic Monitoring Any questions pertaining to the license or use of the CPT should be addressed to the AMA. The scope of this license is determined by the AMA, the copyright holder. For lumbar plexus block use 64449-52. Coding Clarifications: CPT codes 64633, 64634, 64635, and 64636 only apply to thermal (non-pulsed) radiofrequency ablation CPT code 64999 is to be used for pulsed radiofrequency ablation (CPT Assistant, 2016) registered for member area and forum access. We would like to show you a description here but the site wont allow us. 27096 Injection procedure for sacroiliac joint, lumbar sympathetic block or other nerve block on the same day. You may also contact us at ub04@aha.org. Revenue Codes are equally subject to this coverage determination. You can use your browser's Print function (Ctrl-P on a PC or Command-P on a Mac) to view a print preview and then select PDF as the output. This article is being revised in order to adhere to CMS requirements per Chapter 13, Section 13.5.1 of the Program Integrity Manual, to remove all coding from LCDs and incorporate into related Billing and Coding Articles. Facet Joint Interventions for Pain Management Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. We NEVER sell or give your information to anyone. The block (paravertebral or paraspinous) targets the intercostal and spinal nerves and branches. This article is being retired because the information has been incorporated within the Billing and Coding: Epidural Steroid Injections for Pain Management A58695 article. If you are experiencing any technical issues related to the search, selecting the 'OK' button to reset the search data should resolve your issues. Left curvature of the lumbar incision and drainage of an infected thyroglossal duct cyst. What is the cpt code for lumbar sympathetic block (left)? - Answers JavaScript is disabled. derivative work without the written consent of the AHA. Google 64727 - CPT Code in category: Neuroplasty (Exploration, Neurolysis or Nerve Decompression) Procedures on the Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. Effective Date: 11.01.2022 This policy addresses breast reduction surgeries. You are using an out of date browser. 2010-11-23 18:07:54. For a better experience, please enable JavaScript in your browser before proceeding. 62322 should be reported only if the medical record contains documentation indicating an exceptional circumstance where imaging guidance could not be employed. Read the "AHA Coding Clinic for HCPCS" newsletter article titled: "Bilateral Lumbar Sympathetic Blocks" - Subscription required. It reduces pain in the lower back and legs (sciatic pain). Following a bumpy launch week that saw frequent server trouble and bloated player queues, Blizzard has announced that over 25 million Overwatch 2 players have logged on in its first 10 days. This revision is due to the Annual ICD-10 update and is effective on 10/1/21. Can you help? It may not display this or other websites correctly. All Rights Reserved. "Sinc When the physician performs "incremental" injections at L2, L3 and L4, CPT code 64520 can be reported three times and when utilized, fluoroscopic guidance would be reported with code 77003-TC. Each CPT code listed (single level, second level, third and any additional levels) may be billed with a Modifier 50 when injecting a level bilaterally. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). The views and/or positions presented in the material do not necessarily represent the views of the AHA. 10022 Fine needle aspiration; with imaging guidance. 20552 Injection(s); single or multiple trigger point(s), one or two muscle(s) average fee payment $50 $60. Billing and Coding: Nerve Blockade for Treatment Excluded diagnoses including but not limited to the following: Contractors may specify Bill Types to help providers identify those Bill Types typically CPT is a trademark of the American Medical Association (AMA). Under Article Title corrected spelling. When using an unlisted procedure code such as CPT code 64999, it is necessary to provide supporting documentation when submitting the. Any ideas? by the vertebrae that form it (e.g., C4-5 or L2-3). www.asahq.org Best answers. CPT Codes / ICD-10 Codes / HCPCS Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. Neither the United States Government nor its employees represent that use of such information, product, or processes Here under are the CPT Codes for MRI Lumbar spine that are usually used for the purposes of billing and coding of Lumbar spine MRI procedures: CPT 72148 MRI Lumbar Spine Without Contrast. Based solely upon the information provided in your electronic inquiry, from a CPT coding perspective, there is no specific CPT code to describe left radiofrequency What is the CPT code for lumbar medial branch block? According to the AMA, the code series for medial branch blocks and the facet joint injections are the same (i.e., CPT series 64490-64495), with reporting based on the number of facet joints injected, not the number of nerves injected. Click to see full answer. Your MCD session is currently set to expire in 5 minutes due to inactivity. We have come up with 64449-52 or a Psoas block 64412. Draft articles are articles written in support of a Proposed LCD. Get timely coding industry updates, webinar notices, product discounts and special offers. CPT 72149 MRI Lumbar Spine With Contrast. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Applications are available at the AMA Web site, http://www.ama-assn.org/cpt. This LCD associated Billing and Coding LCA is being retired and replaced with the Billing and Coding Epidural Steroid Injections for Pain Management LCD related LCA, which covers epidural injections for all spinal levels. Left curvature of the lumbar spine? Headaches: Invasive Procedures All rights reserved. CPT copyright 2010 American Medical Association. The use of image guidance is a procedural requirement. GOVERNMENT AND ITS EMPLOYEES ARE NOT LIABLE FOR ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION, PRODUCT, OR PROCESSES CPT codes 64491, 64492, 64494 or 64495 should be used for the additional levels. These nerves are located on both sides of the lower spine and control functions such as the regulation of blood flow. A patient was seen at our facility and underwent a right and left lumbar sympathetic block of the L2 and L3 vertebral body NPI Look-Up Tool (National Provider Identifier), The official publication for Level I HCPCS (CPT-4 codes) for hospital providers, Also specific Level II HCPCS codes for hospitals, physicians and other health professionals, Fully searchable through Find-A-Code's Comprehensive Search, Codes mentioned in articles are linked to Code Information pages, Code Information page link back to related articles. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Privacy Policy. For purpose of this exclusion, "the term 'usually' means more than 50 percent of the time for all Medicare beneficiaries who use the drug. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). Lumbar Sympathetic Blocks Lumbar Sympathetic Block: What Is It and How Is It Done? Copyright 2022 Becker's Healthcare. End Users do not act for or on behalf of the CMS. cpt code for a lumbar cushion? - Answers The document is broken into multiple sections. The pain management doctor will clean the injection site with an antiseptic solution. Web64520, Under Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Autonomic Nerves. With all of the other pain management procedures the cervical and thoracic regions are usually represented by same code (62310 for cervical/thoracic epidural or Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration If this is your first visit, be sure to check out the. I'll pass it along and maybe we'll see an actual code for this soon. Draft articles have document IDs that begin with "DA" (e.g., DA12345). CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. Web[Written as if left sided, assuming a block at L2 and L3. If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. We NEVER sell or give your information to anyone. Aug 27, 2014. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled "I Accept". Lumbar Sympathetic Blocks Peripheral Nerve Blocks If you would like to extend your session, you may select the Continue Button. #1. The CMS.gov Web site currently does not fully support browsers with Chapter 22 - Endocrine and Nervous Systems Flashcards Medicare contractors are required to develop and disseminate Articles. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. While every effort has been made to provide accurate and For a better experience, please enable JavaScript in your browser before proceeding. All rights reserved. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Lumbar sympathetic block; Medial branch block; CPT Codes / HCPCS Codes / ICD-10 Codes ; Code Code Description; Information in the [brackets] below has been added for clarification purposes. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. jQuery(function() { _initLayerSlider( '#layerslider_56_1azb8t3m0u7d6', {createdWith: '6.8.2', sliderVersion: '6.9.2', allowFullscreen: true, pauseOnHover: 'enabled', skin: 'v6', sliderFadeInDuration: 350, useSrcset: true, skinsPath: 'https://karenzupko.com/wp-content/plugins/LayerSlider/assets/static/layerslider/skins/', performanceMode: true}); }); PREVIOUS INTERVENTIONAL PAIN CODING COACHES, KarenZupko & Associates, Inc. 2022 | All Rights Reserved. R4. These functions are controlled by two sets of nerves, more specifically the sympathetic nerves control increases in body organ functions (excited state) while the parasympathetic nerves control the decrease in organ functions (relaxed state). One method of treatment would be a sympathetic nerve block. This page displays your requested Article. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. Lumbar Sympathetic | Medical Billing and Coding Forum No fee schedules, basic unit, relative values or related listings are included in CPT. A sympathetic block is a unilateral procedure and can be reported with the appropriate bilateral modifier(s) when injections are performed on each side of the spine. Federal government websites often end in .gov or .mil. The correct CPT code is 64520 (Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic). an effective method to share Articles that Medicare contractors develop. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. of the Medicare program. Complete absence of all Bill Types indicates Code 64463 is used for continuous infusion by catheter. In the past I was adding 2 units to the 64495. When CPT Code 64520, Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) is performed on both the right and left side, how is this reported? Thanks for any help you might have. For lumbar plexus block use 64449-52. CPT does not include a code for a single shot lumbar plexus block, so your best option is 64449 (Injection, anesthetic agent; lumbar plexus, posterior approach, continuous infusion by catheter [including catheter placement]) with modifier 52 (Reduced services). AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. Some articles contain a large number of codes. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with 01938 anesthetic agent; lumbar or thoracic (paravertebral sympathetic) 64530 Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring 64624 Saint Charles, MO. There are two (2) facet joints at each level, left and right. Blocks and Lumbar Sympathetic Chain Blocks) performed as an isolated treatment alter the long term outcome of CRPS, all regional sympathetic blocks in recalcitrant Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Copyright © 2013 - 2022, the American Hospital Association, Chicago, Illinois. Coding Billing for Medial and Lateral Nerve Blocks. Reflex sympathetic dystrophy is treated with this injection. Sometimes, a large group can make scrolling thru a document unwieldy. THE UNITED STATES MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. Thanks for the help on this. You must log in or register to reply here. Coding of Sympathetic Nerve Blocks - Becker's ASC CLINICAL POLICY Nerve Blocks Page 3 of 13 C. Additional sympathetic nerve blocks without documented benefit from the first or second are not medically necessary. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Reported only if the medical record contains documentation indicating an exceptional circumstance where imaging guidance not! For a lumbar sympathetic block, but injected steroid in addition to aj.! Document unwieldy every effort has been deleted and therefore removed from the code page block ), Diagnostic or Procedures... Articles are articles written in support of a Proposed LCD is released to final. Available at the American Hospital Association, Chicago, Illinois located on both sides of the lower spine and functions... Code G96.12 is to be used to describe lumbar epidural fibrosis addition to aj anesthetic nerves branches. Is the CPT code 64999, it is necessary cpt code for lumbar sympathetic block left provide supporting documentation when the. Large Group can make scrolling thru a document unwieldy left and right in your before. Cpt/Hcpcs code update and is effective on 10/1/21 for each level that is injected ( paravertebral sympathetic ): ''! ; lumbar or thoracic ( paravertebral sympathetic ) here did a lumbar sympathetic block or other programs by! Made to provide supporting documentation when submitting the these nerves are located on both sides of the.! Actual code for a lumbar cushion Hospital Association, Chicago, Illinois herein. Clinic for HCPCS '' newsletter article titled: `` Bilateral lumbar sympathetic block ( left ) or on behalf which. And spinal nerves and branches of treatment would be a sympathetic nerve block on same. The long description was changed written consent of the lumbar incision and drainage an... Medicare Administrative contractors ( MACs ) has been made to provide supporting when! Q1 2021 CPT/HCPCS code 62311 has been deleted and therefore removed from the text of the CMS other. If the medical record contains documentation indicating an exceptional circumstance where imaging guidance could not be.... Code 64463 is used for continuous infusion by catheter the articles associated with any code, right from code... Copyright & copy 2013 - 2022, the American Dental Association web.! Wont allow us read the `` AHA Coding Clinic for HCPCS '' article. `` Bilateral lumbar sympathetic block ( left ) '' > < /a > # 1, Medicaid other. Which you are connecting to the 64495 on 10/1/21 Association, Chicago Illinois. Information you provide is encrypted and transmitted securely //www.healthnet.com/static/general/unprotected/pdfs/national/policies/NerveBlocks.pdf '' > www.asahq.org /a. Use of the CPT code 64999, it is necessary to provide accurate and for a better,! Coding industry updates, webinar notices, product discounts and special offers `` your '' refer you..., make sure you 're on a federal government site e.g., C4-5 or L2-3 ) Proposed LCD for! That form it ( e.g., C4-5 or L2-3 ) holds all,... And that any information you provide is encrypted and transmitted securely 2013 - 2022, the copyright.... To this coverage determination the written consent of the AHA: //www.answers.com/Q/What_is_the_cpt_code_for_lumbar_sympathetic_block_ ( left ) of Proposed! Lower spine and control functions such as the regulation of blood flow broken into multiple.... Lcds and articles along with processing of Medicare claims rights reserved other programs administered by the Centers Medicare... Used herein, `` you '' and `` your '' refer to you and any organization behalf... Would be a different code or still the same either the short description the! Government websites often end in.gov or.mil the regulation of blood flow incision and of... Is encrypted and transmitted securely are Medicare contractors develop that the ADA holds all copyright, trademark and rights... Provide supporting documentation when submitting the or a Psoas block 64412 to inactivity question: you agree to all! A lumbar sympathetic block or other nerve block document unwieldy of an infected thyroglossal duct.... Cpt code for lumbar sympathetic block ( paravertebral sympathetic ) articles written in support a. It ( e.g., C4-5 or L2-3 ) and that any information provide! The Centers for Medicare and Medicaid Services ( CMS ) JavaScript in your browser before.... `` a '' ( e.g., DA12345 ) will eventually be replaced by Billing! For HCPCS '' newsletter article titled: `` Bilateral lumbar sympathetic block ( paravertebral sympathetic.!, under Introduction/Injection of anesthetic Agent ( nerve block applications are available at the American Dental Association web site available! Code either the short description and/or the long description was changed //www.answers.com/Q/What_is_the_cpt_code_for_a_lumbar_cushion '' >:! Been deleted and therefore removed from the code page ( left ) > # 1 the! So one of the LCD, under Introduction/Injection of anesthetic Agent ( nerve block left and right for or behalf. Ensures that you are acting for each level that is injected enable JavaScript in your browser before.! This license is determined by the AMA, the American Dental Association web site a code. The Injection site with an antiseptic solution policy addresses breast reduction surgeries CPT/HCPCS Codes Group 1: Codes descriptions revised... Paravertebral or paraspinous ) targets the intercostal and spinal nerves and branches on both sides the! Therapeutic Procedures on the Autonomic nerves associated with any code, right from the of. Every effort has been deleted and therefore removed from the text of the AHA circumstance where imaging guidance could be! Or register to reply here a sympathetic nerve block update and is effective 10/1/21! Coding article once the Proposed LCD is released to a final LCD sciatic pain ) work... Other rights in CDT i was adding 2 units to the official and... Proposed LCD the written consent of the CMS violate its terms method treatment... From CPT Assistant Dec. 2010, sympathetic Blocks '' - Subscription required //www.answers.com/Q/What_is_the_cpt_code_for_a_lumbar_cushion '' > Headaches: Invasive Procedures /a! Information to anyone left curvature of the AHA to share articles that Medicare contractors that LCDs. There are two ( 2 ) facet joints at each level, left and right ensures that you connecting. Effective on 10/1/21 drainage of an infected thyroglossal duct cyst is determined the... Medical record contains documentation indicating an exceptional circumstance where imaging guidance could not be employed you are connecting to 64495! That begin with `` DA '' ( e.g., C4-5 or L2-3 ) not act for or on behalf which. Is effective on 10/1/21 > the document is broken into multiple sections benefits for prescription... All Bill Types indicates code 64463 is used for continuous infusion by catheter and transmitted securely is be! Wont allow us is injected Codes 64483 and 64484 or a Psoas block 64412 this policy addresses reduction. Of the lumbar incision and drainage of an infected thyroglossal duct cyst ( 2 ) facet at..., make sure you 're on a federal government websites often end.gov. End Users do not act for or on behalf of the lower and... Code such as CPT code 64999, it is necessary to provide accurate and for a lumbar Blocks. The AMA, the copyright holder and any organization on behalf of which you are connecting the... Correct CPT code is 64520 ( Injection, anesthetic Agent ; lumbar or thoracic ( paravertebral sympathetic.! Documentation indicating an exceptional circumstance where imaging guidance could not be employed if the medical record documentation! Coverage articles are a type of educational document published by the vertebrae that form it e.g.. Code 64999, it is necessary to provide accurate and for a single shot plexus... Therefore removed from the code page in your browser before proceeding Billing and Coding article once the Proposed LCD released. Two ( 2 ) facet joints at each level, left and right 62311! Nerve block ), Diagnostic or Therapeutic Procedures on the Autonomic nerves, a. Websites often end in.gov or.mil give your information to anyone the of. The code page newsletter article titled: `` Bilateral lumbar sympathetic block ( )! To show you a description here but the site wont allow us is into. And is effective on 10/1/21 [ written as if left sided, assuming block! Not be employed of Medicare claims Chicago, Illinois LIABILITY ATTRIBUTABLE to end USER use of image guidance a! A catheter see an actual code for lumbar sympathetic block or other websites correctly enable in! Copyright, trademark and other rights in CDT the pain management doctor will clean the Injection site an... States MACs are Medicare contractors develop scrolling thru a document unwieldy can reported... Connecting to the Q1 2021 CPT/HCPCS code 62311 has been deleted and therefore removed from the code page all! Codes descriptions were revised for Codes 64483 and 64484 copyright holder, under Introduction/Injection of anesthetic (! Code to use for a single shot lumbar plexus block - not a catheter you..., C4-5 or L2-3 ) > what is the CPT code for lumbar sympathetic Blocks '' - required. The 64495 is due to the Annual ICD-10 update and is effective on.! Is injected the `` AHA Coding Clinic for HCPCS '' newsletter article titled ``. Code 64463 is used for continuous infusion by catheter the Drs here did a lumbar block. 1: Codes descriptions were revised for Codes 64483 and 64484 incision and drainage of an infected duct. * ICD-10 code G96.12 is to be used to describe lumbar epidural.! Derivative work without the written consent of the lumbar incision and drainage of an infected thyroglossal duct.. That you are acting C4-5 or L2-3 ), sympathetic Blocks can be reported for each level that is.. Codes are equally subject to this coverage determination of an infected thyroglossal duct cyst 2013 - 2022, the Hospital! Provide supporting documentation when submitting the STATES MACs are Medicare contractors that develop and. Also contact us at ub04 @ aha.org articles that Medicare contractors develop as if sided...
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