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b23324af-17c8-465d-89a2-a53aa831de7b.aspx
  
08.01.40eLanreotide(Somatuline®Depot)08.01.40ePharmacy (08)Lanreotide (Somatuline® Depot)b23324af-17c8-465d-89a2-a53aa831de7b4618Lanreotide (Somatuline® Depot)08.01.40
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11.06.10Laparoscopic,Percutaneous,andTranscervicalTechniquesforUterineFibroidMyolysis11.06.10Surgery (11)Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid Myolysis3729b42d-5f69-4566-9e55-579670af00fa4268Laparoscopic, Percutaneous, and Transcervical Techniques for Uterine Fibroid Myolysis11.06.10
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11.08.03lLipectomyandLiposuction11.08.03lSurgery (11)Lipectomy and Liposuction6cc36479-c47c-404c-93f8-1ae85fe79e7d4490Lipectomy and Liposuction11.08.03
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08.00.59bLoncastuximabtesirine-lpyl(Zynlonta®)08.00.59bPharmacy (08)Loncastuximab tesirine-lpyl (Zynlonta®)3c24366e-029e-4d30-8524-c3a394ee81fe4884Loncastuximab tesirine-lpyl (Zynlonta®)08.00.59
95e7ec8f-ea9e-439e-8808-f619b3fb846a.aspx
  
05.00.59kLowerLimbProstheses05.00.59kDME (05)Lower Limb Prostheses95e7ec8f-ea9e-439e-8808-f619b3fb846a3578Lower Limb Prostheses05.00.59
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07.00.14gLow-levelLaserTherapy(LLLT)07.00.14gMedicine (07)Low-level Laser Therapy (LLLT)821c1131-09eb-4314-b14b-8c160a36e4494231Low-level Laser Therapy (LLLT)07.00.14
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09.00.31dLowOsmolarContrastAgents09.00.31dRadiology (09)Low Osmolar Contrast Agents1b345950-8a8c-4c42-9eac-cb89223eed313043Low Osmolar Contrast Agents09.00.31
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08.01.67bLurbinectedin(Zepzelca)08.01.67bPharmacy (08)Lurbinectedin (Zepzelca)28c5f973-427f-4257-9474-e8f8e1b591c24162Lurbinectedin (Zepzelca)08.01.67
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08.00.10bLuspatercept–aamt(Reblozyl®)08.00.10bPharmacy (08)Luspatercept–aamt (Reblozyl®)effc7383-610d-4467-af57-6f772be87d5f4342Luspatercept–aamt (Reblozyl®)08.00.10
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08.01.57Lutathera®(LutetiumLu177Dotatate)(IndependenceAdministrators)08.01.57Pharmacy (08)Lutathera® (Lutetium Lu 177 Dotatate) (Independence Administrators)587ca64c-5670-4915-946a-b3a7c38e6ee64410Lutathera® (Lutetium Lu 177 Dotatate) (Independence Administrators)08.01.57
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06.02.01jLymeDisease:DiagnosisandIntravenous(IV)AntibioticTherapy06.02.01jPathology and Laboratory (06)Lyme Disease: Diagnosis and Intravenous (IV) Antibiotic Therapydc9cc665-c1f1-4d2d-9657-13778abf42da3005Lyme Disease: Diagnosis and Intravenous (IV) Antibiotic Therapy06.02.01
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11.15.13dLysisofEpiduralAdhesions11.15.13dSurgery (11)Lysis of Epidural Adhesionsd932d50c-7af9-4ea5-9681-0ab5022227f44225Lysis of Epidural Adhesions11.15.13
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09.00.45iMagneticResonanceImaging(MRI)ContrastAgents09.00.45iRadiology (09)Magnetic Resonance Imaging (MRI) Contrast Agentsd4d87368-119f-4422-92aa-840a1f8266103131Magnetic Resonance Imaging (MRI) Contrast Agents09.00.45
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11.06.06gMagneticResonanceImaging(MRI)-GuidedFocusedUltrasoundAblation11.06.06gSurgery (11)Magnetic Resonance Imaging (MRI)-Guided Focused Ultrasound Ablation8287f8b2-8716-445d-b2e8-ca6bc054a51b4508Magnetic Resonance Imaging (MRI)-Guided Focused Ultrasound Ablation11.06.06
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08.01.37bMaintenanceTreatmentofOpioidorAlcoholUseDisorder08.01.37bPharmacy (08)Maintenance Treatment of Opioid or Alcohol Use Disorder ab893aee-7e07-4b54-864f-7afa01da0f2f4691Maintenance Treatment of Opioid or Alcohol Use Disorder 08.01.37
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11.14.24bManipulationUnderAnesthesia11.14.24bSurgery (11)Manipulation Under Anesthesiad6e16a25-c7d5-4c06-8ad3-ea55a2f0b8694115Manipulation Under Anesthesia11.14.24
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05.00.12iManualWheelchairs05.00.12iDME (05)Manual Wheelchairse6e4ee3d-9748-42c9-9038-ae92bc2b83f54235Manual Wheelchairs05.00.12
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08.01.75bMargetuximab-cmkb(Margenza)08.01.75bPharmacy (08)Margetuximab-cmkb (Margenza)abeb37e5-c94c-4424-a11c-29b39466749c4315Margetuximab-cmkb (Margenza)08.01.75
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00.01.48dMarijuanaforMedicalUse00.01.48dAdministrative (00)Marijuana for Medical Use383e59e4-a92b-4bc7-885a-4106604996fa3436Marijuana for Medical Use00.01.48
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07.11.02fMeasurementofExhaledNitricOxideandBreathCondensateintheDiagnosisandManagementofAsthmaandOtherRespiratoryDisorders07.11.02fMedicine (07)Measurement of Exhaled Nitric Oxide and Breath Condensate in the Diagnosis and Management of Asthma and Other Respiratory Disorders0ec7e3a3-c6da-40b8-9a74-ee725aecdcee4995Measurement of Exhaled Nitric Oxide and Breath Condensate in the Diagnosis and Management of Asthma and Other Respiratory Disorders07.11.02
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06.02.39dMeasurementofSerumAntibodiestoandMeasurementofSerumLevelsofBiologics06.02.39dPathology and Laboratory (06)Measurement of Serum Antibodies to and Measurement of Serum Levels of Biologicsd267e468-bd50-4330-8b1a-4944db9f891d4811Measurement of Serum Antibodies to and Measurement of Serum Levels of Biologics06.02.39
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05.00.70cMechanicalStretchingDevicesfortheTreatmentofJointStiffnessorContractures05.00.70cDME (05)Mechanical Stretching Devices for the Treatment of Joint Stiffness or Contractures29b043b6-208e-4400-a817-f838480cec1e4126Mechanical Stretching Devices for the Treatment of Joint Stiffness or Contractures05.00.70
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12.01.02aMedical NecessityMiscellaneous (12)Medical Necessity85256AA800623D7A85258566004C91B62400Medical Necessity12.01.02
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07.08.03hMedicalandSurgicalTreatmentofTemporomandibularJointDisorder07.08.03hMedicine (07)Medical and Surgical Treatment of Temporomandibular Joint Disordercbbd8ae6-e131-4fe3-9e84-de1f8f219fbe4519Medical and Surgical Treatment of Temporomandibular Joint Disorder07.08.03
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07.03.03hMedicalEvaluationandManagementforAttention-DeficitHyperactivityDisorder(ADHD)07.03.03hMedicine (07)Medical Evaluation and Management for Attention-Deficit Hyperactivity Disorder (ADHD)b9237846-fbc8-493b-a3ec-ae86e6347eed4694Medical Evaluation and Management for Attention-Deficit Hyperactivity Disorder (ADHD)07.03.03
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11.14.03hMeniscalAllograftTransplantationandMeniscalImplants(IndependenceAdministrators)11.14.03hSurgery (11)Meniscal Allograft Transplantation and Meniscal Implants (Independence Administrators)c2b6581a-a4d5-4561-9368-f81dc5c7908a4380Meniscal Allograft Transplantation and Meniscal Implants (Independence Administrators)11.14.03
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11.14.01gMentoplastyorGenioplasty11.14.01gSurgery (11)Mentoplasty or Genioplasty8ff597e5-0dbf-4a5f-a84e-2f6ee37b08ba4228Mentoplasty or Genioplasty11.14.01
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11.14.21iMicroprocessor-ControlledProsthesesforLower-ExtremityAmputees11.14.21iSurgery (11)Microprocessor-Controlled Prostheses for Lower-Extremity Amputeesbc4c5498-29e7-4bd2-9c0f-299e58e5fede3078Microprocessor-Controlled Prostheses for Lower-Extremity Amputees11.14.21
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11.15.24aMigraineDeactivationSurgery11.15.24aSurgery (11)Migraine Deactivation Surgeryc696f70d-0184-4427-8768-959ec7f5863f4346Migraine Deactivation Surgery11.15.24
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03.00.15pModifier24:UnrelatedEvaluationandManagementServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalDuringaPostoperativePeriod03.00.15pClinical Logic (03)Modifier 24: Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Periodf8d7e646-0584-45eb-91dc-27d2c67fb1ab3435Modifier 24: Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period03.00.15
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03.00.06wModifier25:Significant,SeparatelyIdentifiableEvaluationandManagementServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalontheSameDayoftheProcedureorOtherService03.00.06wClinical Logic (03)Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service44f7db9c-5159-4947-ba5c-9c3075c126ca4972Modifier 25: Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service03.00.06
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03.00.05tModifier50:BilateralProcedure03.00.05tClinical Logic (03)Modifier 50: Bilateral Procedure41922b73-cc56-449b-a8a7-90c5abc953074516Modifier 50: Bilateral Procedure03.00.05
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03.00.32bModifier52:ReducedServices03.00.32bClinical Logic (03)Modifier 52: Reduced Services6492c677-6217-4645-aa98-51b1c2e00d7c3835Modifier 52: Reduced Services03.00.32
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03.00.33bModifier53:DiscontinuedProcedure03.00.33bClinical Logic (03)Modifier 53: Discontinued Procedure4a23f8b3-7157-4c86-a465-0aa8180110603828Modifier 53: Discontinued Procedure03.00.33
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03.00.16pModifier57:DecisionforSurgery03.00.16pClinical Logic (03)Modifier 57: Decision for Surgerye7ced3e4-15a1-420e-8929-f0d159ec16703325Modifier 57:  Decision for Surgery03.00.16
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00.10.11uModifier62:TwoSurgeons00.10.11uAdministrative (00)Modifier 62: Two Surgeons4bd84c94-064d-43be-9a7f-1348f1e11f7b4989Modifier 62: Two Surgeons00.10.11
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00.10.17mModifier66:SurgicalTeam00.10.17mAdministrative (00)Modifier 66: Surgical Teamfcd892e5-213b-4cbc-9d79-164181bab86b4166Modifier 66: Surgical Team00.10.17
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03.00.02cModifier76:RepeatProcedureorServicebySamePhysicianorOtherQualifiedHealthCareProfessional03.00.02cClinical Logic (03)Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional3f390070-f6ea-4ccc-b8e9-dbc89fffb1ab3327Modifier 76: Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional03.00.02
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03.00.11cModifier77:RepeatProcedureorServicebyAnotherPhysicianorOtherQualifiedHealthCareProfessional03.00.11cClinical Logic (03)Modifier 77: Repeat Procedure or Service by Another Physician or Other Qualified Health Care Professionale47367e6-a014-4f26-b8a3-eded6b029b5b3328Modifier 77: Repeat Procedure or Service by Another Physician or Other Qualified Health Care Professional03.00.11
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03.00.12gModifier78:UnplannedReturntotheOperating/ProcedureRoombytheSamePhysicianorOtherQualifiedHealthCareProfessionalFollowingtheInitialProcedureforaRelatedProcedureDuringthePostoperativePeriod03.00.12gClinical Logic (03)Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following the Initial Procedure for a Related Procedure During the Postoperative Period24cabd61-2a54-4eda-bcd2-8049fafc5e733525Modifier 78: Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following the Initial Procedure for a Related Procedure During the Postoperative Period03.00.12
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03.00.28nModifier79:UnrelatedProcedureorServicebytheSamePhysicianorOtherQualifiedHealthCareProfessionalDuringthePostoperativePeriod03.00.28nClinical Logic (03)Modifier 79: Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period99b98586-29b5-497a-b30c-28b14bef62a53526Modifier 79:  Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period03.00.28
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03.00.20pModifiers26(ProfessionalComponent)andTC(TechnicalComponent)03.00.20pClinical Logic (03)Modifiers 26 (Professional Component) and TC (Technical Component)9023d90f-ea9e-4837-bf15-15b4609c61f14963Modifiers 26 (Professional Component) and TC (Technical Component)03.00.20
5a0c009c-df41-46fe-85e9-f75926c59e4e.aspx
  
00.10.18tModifiersforAssistant-at-SurgeryServices:80,81,82,andAS00.10.18tAdministrative (00)Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS5a0c009c-df41-46fe-85e9-f75926c59e4e4990Modifiers for Assistant-at-Surgery Services: 80, 81, 82, and AS00.10.18
7748849d-668f-44a3-b385-64d7e4b3a018.aspx
  
03.00.31gModifiersforSplitorSharedSurgicalServices(Modifiers54,55,and56)03.00.31gClinical Logic (03)Modifiers for Split or Shared Surgical Services (Modifiers 54, 55, and 56)7748849d-668f-44a3-b385-64d7e4b3a0183725Modifiers for Split or Shared Surgical Services (Modifiers 54, 55, and 56)03.00.31
d0e4489b-c807-4e43-9abb-a90f6f1cebdd.aspx
  
03.00.08fModifiersXE,XS,XP,XU,and5903.00.08fClinical Logic (03)Modifiers XE, XS, XP, XU, and 59d0e4489b-c807-4e43-9abb-a90f6f1cebdd4018Modifiers XE, XS, XP, XU, and 5903.00.08
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08.01.52dMogamulizumab-kpkc(Poteligeo®)08.01.52dPharmacy (08)Mogamulizumab-kpkc (Poteligeo®)5ad79e01-f20d-4edd-93a6-e9211bfab0484469Mogamulizumab-kpkc (Poteligeo®)08.01.52
2af498eb-f6e4-4e26-9f63-f30ad42b2ff3.aspx
  
11.08.23jMohs'MicrographicSurgery11.08.23jSurgery (11)Mohs' Micrographic Surgery2af498eb-f6e4-4e26-9f63-f30ad42b2ff34191Mohs' Micrographic Surgery11.08.23
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06.02.36cMolecularTestingfortheManagementofPancreaticCystsorBarrett'sEsophagus(IndependenceAdministrators)06.02.36cPathology and Laboratory (06)Molecular Testing for the Management of Pancreatic Cysts or Barrett's Esophagus (Independence Administrators)d15cd425-f061-4fbc-a119-14d64d51bcb84420Molecular Testing for the Management of Pancreatic Cysts or Barrett's Esophagus (Independence Administrators)06.02.36
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06.02.32dMultigeneExpressionAssaysforPredictingRecurrenceinColonCancer(IndependenceAdministrators)06.02.32dPathology and Laboratory (06)Multigene Expression Assays for Predicting Recurrence in Colon Cancer (Independence Administrators)56cef71d-72dd-45ed-ab0c-e989f8be35a94419Multigene Expression Assays for Predicting Recurrence in Colon Cancer (Independence Administrators)06.02.32
5A317727AACA768F8525846600442DF8.aspx
  
00.01.68Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy ServicesAdministrative (00)Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services5A317727AACA768F8525846600442DF82131Multiple Procedure Payment Reduction Guidelines for Physical, Occupational, and Speech Therapy Services00.01.68
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00.01.60hMultipleProcedurePaymentReduction(MPPR)onCertainDiagnosticServices00.01.60hAdministrative (00)Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services5a4ae1ad-0ca0-4ecd-bf79-ff4a1156bec34024Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Services00.01.60
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11.00.10xMultipleSurgeryPaymentReduction11.00.10xSurgery (11)Multiple Surgery Payment Reductionafb5dab9-c104-4a32-9f0f-0165854ddf754729Multiple Surgery Payment Reduction11.00.10
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3f770296-d1e6-4aa4-ab6d-bf7b78f1a988.aspx
  
00.01.66gMusculoskeletalServices(Independence)00.01.66gAdministrative (00)Musculoskeletal Services (Independence)3f770296-d1e6-4aa4-ab6d-bf7b78f1a9884830Musculoskeletal Services (Independence)00.01.66
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85256AA800623D7A85258596007D8BBB.aspx
  
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