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9218d81f-664c-4325-86e2-b7cdfee1f8d5.aspx
  
07.00.14h​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Low-LevelLaserTherapy07.00.14hMedicine (07)​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Low-Level Laser Therapy9218d81f-664c-4325-86e2-b7cdfee1f8d56600​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​​Low-Level Laser Therapy07.00.14
488dec00-d5ea-416c-86b2-e1e16d582e79.aspx
  
08.00.62qAbatacept(Orencia®)forInjectionforIntravenousUse08.00.62qPharmacy (08)Abatacept (Orencia®) for Injection for Intravenous Use488dec00-d5ea-416c-86b2-e1e16d582e796641Abatacept (Orencia®) for Injection for Intravenous Use08.00.62
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06ffc3eb-f745-408c-ae63-cf0ba3ecbbdc.aspx
  
12.00.01hAcupuncture12.00.01hMiscellaneous (12)Acupuncture06ffc3eb-f745-408c-ae63-cf0ba3ecbbdc6059Acupuncture12.00.01
{"6060": {"Id":6060,"MPAttachmentLetter":"A","Title":"ICD-10 CM Codes Eligible to be Reported for Acupuncture","MPPolicyAttachmentInternalSourceId":8416,"PolicyAttachmentPageName":"95367bbb-8f90-4ffd-8085-a5bac9b24308"},}
ad65734f-8c9d-4c0a-b362-9b3677e62f35.aspx
  
12.04.04bAcuteCareFacilityInpatientTransfers12.04.04bMiscellaneous (12)Acute Care Facility Inpatient Transfersad65734f-8c9d-4c0a-b362-9b3677e62f356190Acute Care Facility Inpatient Transfers12.04.04
d5e67f8a-f5e2-4997-8424-41e3b326d8b7.aspx
  
08.02.21ADAMTS13,recombinant-krhn(Adzynma)08.02.21Pharmacy (08)ADAMTS13, recombinant-krhn (Adzynma)d5e67f8a-f5e2-4997-8424-41e3b326d8b76515ADAMTS13, recombinant-krhn (Adzynma)08.02.21
b2f741cb-d1fd-49a3-91e0-bf9f2d147f8d.aspx
  
08.01.11iAdo-TrastuzumabEmtansine(Kadcyla®)08.01.11iPharmacy (08)Ado-Trastuzumab Emtansine (Kadcyla®)b2f741cb-d1fd-49a3-91e0-bf9f2d147f8d6105Ado-Trastuzumab Emtansine (Kadcyla®)08.01.11
{"6106": {"Id":6106,"MPAttachmentLetter":"A","Title":"ICD-10-CM Codes and Narratives","MPPolicyAttachmentInternalSourceId":8429,"PolicyAttachmentPageName":"f3dcbb05-9707-4ad4-9b88-6be3d7172267"},}
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08.00.69dAgalsidasebeta(Fabrazyme®)andpegunigalsidasealfa-iwxj(Elfabrio)08.00.69dPharmacy (08)Agalsidase beta (Fabrazyme®) and pegunigalsidase alfa-iwxj (Elfabrio) 2e032683-3b7c-4677-a7c8-f74557ec2fab6616Agalsidase beta (Fabrazyme®) and pegunigalsidase alfa-iwxj (Elfabrio) 08.00.69
245ffd2b-6443-450c-854f-d6716f6c1f0c.aspx
  
12.04.03cAirAmbulanceServices12.04.03cMiscellaneous (12)Air Ambulance Services245ffd2b-6443-450c-854f-d6716f6c1f0c6418Air Ambulance Services12.04.03
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08.01.22dAlemtuzumab(Lemtrada®)08.01.22dPharmacy (08)Alemtuzumab (Lemtrada®)8ff701a8-0577-4eaa-be05-2bb2131430a66215Alemtuzumab (Lemtrada®)08.01.22
acd08093-ff2e-4a25-bd88-d5bba1956861.aspx
  
08.00.72lAlglucosidasealfa(e.g.,Lumizyme®),Avalglucosidasealfa-ngpt(Nexviazyme®),Cipaglucosidasealfa-atga(Pombiliti™)08.00.72lPharmacy (08)Alglucosidase alfa (e.g., Lumizyme®), Avalglucosidase alfa-ngpt (Nexviazyme® ), Cipaglucosidase alfa-atga (Pombiliti™ )acd08093-ff2e-4a25-bd88-d5bba19568616240Alglucosidase alfa (e.g., Lumizyme®), Avalglucosidase alfa-ngpt (Nexviazyme® ), Cipaglucosidase alfa-atga (Pombiliti™ )08.00.72
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07.00.21jAllergyImmunotherapy07.00.21jMedicine (07)Allergy Immunotherapyf9143396-59dc-41c7-b0bd-3276abbd228c6262Allergy Immunotherapy07.00.21
aacfb39b-5245-40ea-9144-83238a559ae3.aspx
  
08.01.88AllogeneicProcessedThymusTissue-agdc(Rethymic®)08.01.88Pharmacy (08)Allogeneic Processed Thymus Tissue-agdc (Rethymic®)aacfb39b-5245-40ea-9144-83238a559ae36077Allogeneic Processed Thymus Tissue-agdc (Rethymic®)08.01.88
5e8e88d4-c3f6-49aa-a4b4-8048806aaad2.aspx
  
06.02.29dAlloMap™MolecularExpressionTestingforHeartTransplantRejection(IndependenceAdministrators)06.02.29dPathology and Laboratory (06)AlloMap™ Molecular Expression Testing for Heart Transplant Rejection (Independence Administrators)5e8e88d4-c3f6-49aa-a4b4-8048806aaad26056AlloMap™ Molecular Expression Testing for Heart Transplant Rejection (Independence Administrators)06.02.29
d32eec72-479b-43a6-bdf3-cfe24dfa12b2.aspx
  
08.00.91eAlpha1-AntitrypsinTherapy(e.g.,Prolastin-C®,AralastNP®,Glassia®,Zemaira®)08.00.91ePharmacy (08)Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C®, Aralast NP®, Glassia®, Zemaira®)d32eec72-479b-43a6-bdf3-cfe24dfa12b26266Alpha 1-Antitrypsin Therapy (e.g., Prolastin-C®, Aralast NP®, Glassia®, Zemaira®)08.00.91
7c1789be-016d-4e2a-8483-612f267ce5d6.aspx
  
00.01.52wAlwaysBundledProcedureCodes00.01.52wAdministrative (00)Always Bundled Procedure Codes7c1789be-016d-4e2a-8483-612f267ce5d66767Always Bundled Procedure Codes00.01.52
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eeb386be-be45-43cb-b8dd-5eaca1df97ee.aspx
  
07.02.09jAmbulatoryBloodPressureMonitoring(ABPM)andHomeBloodPressureMonitoring(HBPM)Devices07.02.09jMedicine (07)Ambulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Deviceseeb386be-be45-43cb-b8dd-5eaca1df97ee6660Ambulatory Blood Pressure Monitoring (ABPM) and Home Blood Pressure Monitoring (HBPM) Devices07.02.09
ba42d838-ddc7-45b0-b065-6b90274bde77.aspx
  
07.02.21qAmbulatoryElectrocardiography(AECG)MonitoringandMobileCardiacOutpatientTelemetry(MCOT)Monitoring07.02.21qMedicine (07)Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoringba42d838-ddc7-45b0-b065-6b90274bde777005Ambulatory Electrocardiography (AECG) Monitoring and Mobile Cardiac Outpatient Telemetry (MCOT) Monitoring07.02.21
22e3725e-1aab-4c4e-a86b-bd4cb90f60b2.aspx
  
08.01.90aAmivantamab-vmjw(Rybrevant®)08.01.90aPharmacy (08)Amivantamab-vmjw (Rybrevant®)22e3725e-1aab-4c4e-a86b-bd4cb90f60b26324Amivantamab-vmjw (Rybrevant®)08.01.90
142c8236-6430-4f8e-99d8-3cc44fc27dca.aspx
  
01.00.12cAnesthesiaServicesforEpidural,ParavertebralFacetandSacroiliacJointInjectionsforSpinalJointManagement01.00.12cAnesthesia (01)Anesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management142c8236-6430-4f8e-99d8-3cc44fc27dca6675Anesthesia Services for Epidural, Paravertebral Facet and Sacroiliac Joint Injections for Spinal Joint Management01.00.12
{"6676": {"Id":6676,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":9043,"PolicyAttachmentPageName":"9198205f-cc8f-4dc8-8637-891b21ef044c"},}
d76f0864-8820-4305-aef9-042ca7cef74f.aspx
  
08.01.82cAnifrolumab-fnia(Saphnelo®)08.01.82cPharmacy (08)Anifrolumab-fnia (Saphnelo®)d76f0864-8820-4305-aef9-042ca7cef74f6388Anifrolumab-fnia (Saphnelo®)08.01.82
fe722ca4-78d7-45f4-b87b-93327b0f1be1.aspx
  
05.00.39uAnkle-Foot/Knee-Ankle-FootOrthoses05.00.39uDME (05)Ankle-Foot/Knee-Ankle-Foot Orthosesfe722ca4-78d7-45f4-b87b-93327b0f1be16161Ankle-Foot/Knee-Ankle-Foot Orthoses05.00.39
{"6162": {"Id":6162,"MPAttachmentLetter":"A","Title":"HCPCS Codes","MPPolicyAttachmentInternalSourceId":8450,"PolicyAttachmentPageName":"49a552ed-2d8e-4614-98a6-1999bffabbb6"},}
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06.03.04nApheresisTherapy06.03.04nPathology and Laboratory (06)Apheresis Therapyfecd240a-368a-41a9-b5bd-3a444f0cf66d5811Apheresis Therapy06.03.04
d639cac9-8dad-420b-896d-b30fd48ea0e9.aspx
  
05.00.84Apos®biomechanicalshoesystem05.00.84DME (05)Apos® biomechanical shoe systemd639cac9-8dad-420b-896d-b30fd48ea0e96859Apos® biomechanical shoe system05.00.84
585fcd79-7a3a-47af-8791-80a5d1d21317.aspx
  
11.08.05gApplicationandRemovalofTattoos11.08.05gSurgery (11)Application and Removal of Tattoos585fcd79-7a3a-47af-8791-80a5d1d213176047Application and Removal of Tattoos11.08.05
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14.00.03aAppliedBehaviorAnalysis(ABA)fortheTreatmentofAutismSpectrumDisorders(ASD)14.00.03aBehavioral Health (14)Applied Behavior Analysis (ABA) for the Treatment of Autism Spectrum Disorders (ASD)b635799b-2e23-43e5-adc9-0dfcfe2217b96596Applied Behavior Analysis (ABA) for the Treatment of Autism Spectrum Disorders (ASD)14.00.03
313650d2-3c00-43a3-ad1b-36d6fd45655e.aspx
  
11.05.16lAqueousShunts,Microstents,Viscocanalostomy,andCanaloplastyfortheTreatmentofGlaucoma11.05.16lSurgery (11)Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma313650d2-3c00-43a3-ad1b-36d6fd45655e6331Aqueous Shunts, Microstents, Viscocanalostomy, and Canaloplasty for the Treatment of Glaucoma11.05.16
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ca8705e7-f5e4-43fe-aba0-460c9e68fa27.aspx
  
11.14.19pArtificialIntervertebralCervicalDiscInsertion(IndependenceAdministrators)11.14.19pSurgery (11)Artificial Intervertebral Cervical Disc Insertion (Independence Administrators)ca8705e7-f5e4-43fe-aba0-460c9e68fa276634Artificial Intervertebral Cervical Disc Insertion (Independence Administrators)11.14.19
ee9b7ce0-a5ec-4384-96fc-8614abab3c08.aspx
  
08.01.35iAsparaginaseErwiniaChrysanthemi(recombinant)-rywn(Rylaze®)08.01.35iPharmacy (08)Asparaginase Erwinia Chrysanthemi (recombinant)-rywn (Rylaze®)ee9b7ce0-a5ec-4384-96fc-8614abab3c087010Asparaginase Erwinia Chrysanthemi (recombinant)-rywn (Rylaze®)08.01.35
7cbff8e4-239e-4e23-8ef4-e3d22768b91e.aspx
  
06.02.27oAssaysofGeneticExpressioninTumorTissueforBreastCancerPrognosis(IndependenceAdministrators)06.02.27oPathology and Laboratory (06)Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (Independence Administrators)7cbff8e4-239e-4e23-8ef4-e3d22768b91e6754Assays of Genetic Expression in Tumor Tissue for Breast Cancer Prognosis (Independence Administrators)06.02.27
b753c112-cb1c-4a31-a437-b39ee728998e.aspx
  
07.10.06jAssistedReproductiveTechnologyforInfertilityandOocyteCryopreservation07.10.06jMedicine (07)Assisted Reproductive Technology for Infertility and Oocyte Cryopreservationb753c112-cb1c-4a31-a437-b39ee728998e6522Assisted Reproductive Technology for Infertility and Oocyte Cryopreservation07.10.06
b439a208-d623-4dec-a31f-30f7ccce45bf.aspx
  
08.01.69dAtezolizumab(Tecentriq®)andAtezolizumabwithHyaluronidase-tqjs(TecentriqHybrezaTM)08.01.69dPharmacy (08)Atezolizumab (Tecentriq®) and Atezolizumab with Hyaluronidase-tqjs (Tecentriq Hybreza TM)b439a208-d623-4dec-a31f-30f7ccce45bf7008Atezolizumab (Tecentriq®) and Atezolizumab with Hyaluronidase-tqjs (Tecentriq Hybreza TM)08.01.69
{"7009": {"Id":7009,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":9178,"PolicyAttachmentPageName":"57f605ae-0a74-4513-ab4b-672a02381dcb"},}
a327d3f7-485f-4db6-8738-01d56e324c2f.aspx
  
08.02.24Atidarsageneautotemcel(Lenmeldy)08.02.24Pharmacy (08)Atidarsagene autotemcel (Lenmeldy)a327d3f7-485f-4db6-8738-01d56e324c2f6935Atidarsagene autotemcel (Lenmeldy)08.02.24
854d35ec-1da5-4c9b-96c7-258cc052d5ff.aspx
  
05.00.82AuricularProstheses05.00.82DME (05)Auricular Prostheses854d35ec-1da5-4c9b-96c7-258cc052d5ff6321Auricular Prostheses05.00.82
444a363e-bb66-41ec-b11d-2151aaa5d1da.aspx
  
11.14.06jAutologousChondrocyteImplantation(ACI)andOtherCell-basedTreatmentsofFocalArticularCartilageLesions(IndependenceAdministrators)11.14.06jSurgery (11)Autologous Chondrocyte Implantation (ACI) and Other Cell-based Treatments of Focal Articular Cartilage Lesions (Independence Administrators)444a363e-bb66-41ec-b11d-2151aaa5d1da6598Autologous Chondrocyte Implantation (ACI) and Other Cell-based Treatments of Focal Articular Cartilage Lesions (Independence Administrators)11.14.06
880ac0ba-087b-492d-bb3a-229afdfc32ce.aspx
  
05.00.29oAutomaticExternalCardioverterDefibrillators(WearableandNonwearable)05.00.29oDME (05)Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)880ac0ba-087b-492d-bb3a-229afdfc32ce6856Automatic External Cardioverter Defibrillators (Wearable and Nonwearable)05.00.29
{"6857": {"Id":6857,"MPAttachmentLetter":"B","Title":"ICD-10 codes used to represent the Nonwearable Automatic External Defibrillator (AED):","MPPolicyAttachmentInternalSourceId":9235,"PolicyAttachmentPageName":"8e848a11-c209-4686-ac14-ee1f724685ea"},"6858": {"Id":6858,"MPAttachmentLetter":"A","Title":"ICD-10 Codes used to represent the Wearable Automatic External Defibrillator (AED):","MPPolicyAttachmentInternalSourceId":9236,"PolicyAttachmentPageName":"193cd183-6742-43c9-b6f8-618d3bb2e7ef"},}
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07.03.23gAutonomicNervousSystemTesting07.03.23gMedicine (07)Autonomic Nervous System Testing2fbad6ab-e991-4724-b940-8fe96c5d52ad6696Autonomic Nervous System Testing07.03.23
3f713f51-a7e4-4470-876d-57b93f779c9d.aspx
  
08.01.64dAvelumab(Bavencio®)08.01.64dPharmacy (08)Avelumab (Bavencio®)3f713f51-a7e4-4470-876d-57b93f779c9d6950Avelumab (Bavencio®)08.01.64
{"6951": {"Id":6951,"MPAttachmentLetter":"A","Title":"ICD-10 Codes and Narratives","MPPolicyAttachmentInternalSourceId":9267,"PolicyAttachmentPageName":"e06bd658-f9c9-41e2-8b59-c7306cab3eea"},}
ba56049f-3cd9-43b7-a293-f8c5eab39b25.aspx
  
11.16.06kBalloonCatheterDilationofSinusOstiaforTreatmentofChronicRhinosinusitisorRecurrentAcuteRhinosinusitis11.16.06kSurgery (11)Balloon Catheter Dilation of Sinus Ostia for Treatment of Chronic Rhinosinusitis or Recurrent Acute Rhinosinusitisba56049f-3cd9-43b7-a293-f8c5eab39b256813Balloon Catheter Dilation of Sinus Ostia for Treatment of Chronic Rhinosinusitis or Recurrent Acute Rhinosinusitis11.16.06
f3f1d184-cad0-43e4-b5e4-b19abc0f213c.aspx
  
11.03.02uBariatricSurgery11.03.02uSurgery (11)Bariatric Surgeryf3f1d184-cad0-43e4-b5e4-b19abc0f213c6996Bariatric Surgery11.03.02
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08.00.99eBelimumab(Benlysta®)forIntravenousUse08.00.99ePharmacy (08)Belimumab (Benlysta®) for Intravenous Usee31a657f-48be-4a73-9792-130bfcdf2d6c6312Belimumab (Benlysta®) for Intravenous Use08.00.99
e6dbad62-468b-468f-b299-699bc381c4b9.aspx
  
08.02.10bBeremageneGeperpavec(Vyjuvek™)08.02.10bPharmacy (08)Beremagene Geperpavec (Vyjuvek™)e6dbad62-468b-468f-b299-699bc381c4b96516Beremagene Geperpavec (Vyjuvek™)08.02.10
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08.01.89aBetibeglogeneAutotemcel[Beti-Cel(ZYNTEGLO®)]08.01.89aPharmacy (08)Betibeglogene Autotemcel [Beti-Cel (ZYNTEGLO®)]eaeb3ab5-7cc1-47ad-b9ed-89caee51d73b6454Betibeglogene Autotemcel [Beti-Cel (ZYNTEGLO®)]08.01.89
400bb492-f2c0-480e-be9e-f0604f9c8cf6.aspx
  
08.00.66wBevacizumab(Avastin®)andRelatedBiosimilarsForOncologicUse08.00.66wPharmacy (08)Bevacizumab (Avastin®) and Related Biosimilars For Oncologic Use400bb492-f2c0-480e-be9e-f0604f9c8cf66952Bevacizumab (Avastin®) and Related Biosimilars For Oncologic Use08.00.66
{"6953": {"Id":6953,"MPAttachmentLetter":"A","Title":"ICD 10 Diagnosis Codes","MPPolicyAttachmentInternalSourceId":9221,"PolicyAttachmentPageName":"0354602f-0ecd-45a0-94c5-e80d8aef3c70"},}
0c8d2564-3861-4119-a5ac-33bc514ae8ab.aspx
  
00.10.39pBillingforProfessionalOffice-BasedServicesPerformedinanOutpatientOffice-BasedSettingLocatedwithinaFacilityoronaFacilityCampus00.10.39pAdministrative (00)Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus0c8d2564-3861-4119-a5ac-33bc514ae8ab5794Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus00.10.39
{"5795": {"Id":5795,"MPAttachmentLetter":"A","Title":"Billing for Professional Office-Based Services Performed in an Outpatient Office-Based Setting Located within a Facility or on a Facility Campus","MPPolicyAttachmentInternalSourceId":7908,"PolicyAttachmentPageName":"ea57ccb3-fc18-4495-8ca8-249692b39da8"},}
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00.10.38aBillingRequirementsforMultipleBirthsforProfessionalProviders00.10.38aAdministrative (00)Billing Requirements for Multiple Births for Professional Providers21ae79a9-3406-47c5-bb6d-1fae803679986302Billing Requirements for Multiple Births for Professional Providers00.10.38
{"6303": {"Id":6303,"MPAttachmentLetter":"C","Title":"CODING SCENARIOS FOR REPORTING HIGH-ORDER MULTIPLE (TRIPLETS, QUADRUPLETS, ETC) BIRTHS WHEN ROUTINE OBSTETRIC (GLOBAL MATERNITY/OBSTETRIC [OB]) CARE WAS PROVIDED","MPPolicyAttachmentInternalSourceId":8677,"PolicyAttachmentPageName":"eb66d5c6-6236-4d27-97a4-bcdd186ff868"},"6304": {"Id":6304,"MPAttachmentLetter":"A","Title":"MULTIPLE BIRTH CODING SCENARIOS FOR DELIVERY OF TWINS WHEN ROUTINE OBSTETRIC (GLOBALE MATERNITY/OBSTETRIC [OB]) CARE WAS PROVIDED","MPPolicyAttachmentInternalSourceId":8678,"PolicyAttachmentPageName":"d50dbf13-85a1-46a6-ba08-f3aa39e2c495"},"6305": {"Id":6305,"MPAttachmentLetter":"D","Title":"MULTIPLE BIRTH CODING SCENARIOS FOR DELIVERY OF HIGH-ORDER MULTIPLES WHEN ANTEPARTUM CARE IS NOT PROVIDED","MPPolicyAttachmentInternalSourceId":8679,"PolicyAttachmentPageName":"e4baa2eb-649c-4057-b59a-482ec93d4622"},"6306": {"Id":6306,"MPAttachmentLetter":"B","Title":"MULTIPLE BIRTH CODING SCENARIOS FOR DELIVERY OF TWINS WHEN ANETEPARTUM CARE IS NOT PROVIDED","MPPolicyAttachmentInternalSourceId":8680,"PolicyAttachmentPageName":"c6801920-f2e5-42bd-8e26-0f6161437f1b"},}
1b5502ef-edab-448d-a895-c6cb8b610cc9.aspx
  
07.00.01nBiofeedbackTherapy07.00.01nMedicine (07)Biofeedback Therapy1b5502ef-edab-448d-a895-c6cb8b610cc96514Biofeedback Therapy07.00.01
f9a6a3eb-3e75-4270-bf9f-f6b8aff92631.aspx
  
07.06.03bBioimpedancefortheDetectionofLymphedema07.06.03bMedicine (07)Bioimpedance for the Detection of Lymphedemaf9a6a3eb-3e75-4270-bf9f-f6b8aff926316599Bioimpedance for the Detection of Lymphedema07.06.03
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bed8434e-8b79-418e-b18e-118a5e7dccd8.aspx
  
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ebee83c9-0d6f-4f49-9c7b-ac71d2a03bc8.aspx
  
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00.01.59nCareManagementandCarePlanningServices00.01.59nAdministrative (00)Care Management and Care Planning Servicescd60daa2-173d-4be1-9b25-3bbed6aa295a6013Care Management and Care Planning Services00.01.59
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713595c4-c9ab-4fea-8792-7e96084b0f34.aspx
  
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6b32b36f-1f58-42d1-b90e-32ddb34e2702.aspx
  
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a969b8f9-a858-4c56-9705-1e4c094fef97.aspx
  
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c6349587-f8ed-4988-af17-d7556abd45f7.aspx
  
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f2ab36de-7b50-4249-8bcb-138c1415b6e6.aspx
  
08.00.92ahCoagulationFactors08.00.92ahPharmacy (08)Coagulation Factorsf2ab36de-7b50-4249-8bcb-138c1415b6e66949Coagulation Factors08.00.92
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86537148-8562-4da7-87ef-9ebe5abed28b.aspx
  
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12.00.03hComplementaryandIntegrativeHealthServices12.00.03hMiscellaneous (12)Complementary and Integrative Health Servicesbd65e1a4-f2f6-4bee-92f1-e5ace6a688d66308Complementary and Integrative Health Services12.00.03
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11.14.30CompositeTissueAllotransplantationoftheHand(s)andFace11.14.30Surgery (11)Composite Tissue Allotransplantation of the Hand(s) and Face2b5ef5e6-615c-4d34-8f9e-8e49c34dcdfb6151Composite Tissue Allotransplantation of the Hand(s) and Face11.14.30
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05.00.37iCompressionGarments05.00.37iDME (05)Compression Garments93d9046c-91e9-4834-8660-9e60f7bab2be6031Compression Garments05.00.37
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34a2f226-750f-40db-a9d0-44decc11aea8.aspx
  
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ccbf392a-076f-491f-81a7-7c009973654a.aspx
  
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12.01.03bCosmeticProcedures12.01.03bMiscellaneous (12)Cosmetic Proceduresfb6694bb-0c14-4e23-a1d8-d9709f7ff5676062Cosmetic Procedures12.01.03
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08.01.08sCoverageofAnticancerPrescriptionOralandInjectableDrugsandBiologicsandSupportiveAgents08.01.08sPharmacy (08)Coverage of Anticancer Prescription Oral and Injectable Drugs and Biologics and Supportive Agents7d637028-76e2-425c-973b-549b10299aba6974Coverage of Anticancer Prescription Oral and Injectable Drugs and Biologics and Supportive Agents08.01.08
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05.00.80dCranialElectrotherapyStimulation05.00.80dDME (05)Cranial Electrotherapy Stimulatione09e0da7-d349-4852-8d61-0dbc6ecd6b836378Cranial Electrotherapy Stimulation05.00.80
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00.10.03lCriteriaforReimbursementofEmergencyRoomServices00.10.03lAdministrative (00)Criteria for Reimbursement of Emergency Room Servicesdfd4ab70-1b25-4431-9e64-8919d5b988ea6877Criteria for Reimbursement of Emergency Room Services00.10.03
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08.00.04acrizanlizumab-tmca(Adakveo®)08.00.04aPharmacy (08)crizanlizumab-tmca (Adakveo®)f3947580-94ff-4833-9972-eae6958cb8ca6336crizanlizumab-tmca (Adakveo®)08.00.04
d897877c-e6c6-4015-bb59-e60c538c3ec9.aspx
  
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370f27b0-7c52-4adb-a6b5-badb05e0aea2.aspx
  
08.01.29lDaratumumab(Darzalex®),DaratumumabandHyaluronidase-fihj(DarzalexFaspro®)08.01.29lPharmacy (08)Daratumumab (Darzalex®), Daratumumab and Hyaluronidase-fihj (Darzalex Faspro®)370f27b0-7c52-4adb-a6b5-badb05e0aea26570Daratumumab (Darzalex®), Daratumumab and Hyaluronidase-fihj (Darzalex Faspro®)08.01.29
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10.00.02cDayRehabilitation10.00.02cRehabilitation Services (10)Day Rehabilitation428fce04-72cd-4183-803d-dd7bc0f01d5d6795Day Rehabilitation10.00.02
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11.08.17kDebridementofMycoticandSymptomaticNon-MycoticHypertrophicToeNails11.08.17kSurgery (11)Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nailsf8389c50-7373-416b-8e33-b719d614340c6255Debridement of Mycotic and Symptomatic Non-Mycotic Hypertrophic Toe Nails11.08.17
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11.15.20tDeepBrainStimulation(DBS)11.15.20tSurgery (11)Deep Brain Stimulation (DBS)96470516-1ae4-4283-b31d-41241f54eb336860Deep Brain Stimulation (DBS)11.15.20
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