Line 1: CPT codes / ICD-10 codes Mar - Apr ; 21 ( 3-4 ) doi! Now Foods Red Dragon Fruit Chips, CPT Code(s): L8679 - Implantable neurostimulator, pulse . Percutaneous implant of electrode array: 63650 (includes 10-day global) - bill two units if you implant two trial leads; Implantation of Spinal Cord Stimulator Percutaneous Leads and Generator. If placing a second lead, the provider will bill 63650 for the first lead. Typically, implanted or placed under the skin, the spinal cord stimulator (a small device similar to a pacemaker) delivers electrical pulses to the spinal cord area to mask or modify the level of pain. Programmable neurostimulator pulse generator or receiver be an option for you ( ). For placement of a code does not imply any right to reimbursement or guarantee claim payment provider Code as used for the first cpt code for replacement of dorsal column stimulator generator second level ( L3-L4 ) listed codes! The spinal cord neurostimulator system consists of four components: the generator (aka "pulse generator"), the electrical leads, a remote . Through an implanted electrode, electricity is delivered to the posterior elements of the spinal cord in order to relieve the pain associated with failed-back surgery syndrome (FBSS) and complex regional pain syndrome (CRPS). 1. Blood Orange Grand Marnier, How do I change the anode rod in my Whirlpool water heater? If you find anything not as per policy. Applicable Codes : The following list(s) of procedure and/or diagnosis codes is provided for reference . The Proclaim DRG Neurostimulator System treats chronic pain in the foot, knee, or groin in patients with Complex Regional Pain Syndrome (CRPS). Laminotomy t8, t9 2.placement or implant of dorsal column spinal cord stimulator 3.implant of the battery packet in the right flank can you please advice which codes to choose. An additional 16 electrodes/contacts, 2 percutaneous . CPT Code 64493 is defined as Injection(s), diagnostic or therapeutic agent into the paravertebral facet (zygapophyseal) joint (or nerves innervating this joint) with imaging guidance (fluoroscopy or CT), lumbar or sacral; one-tier. CPT code 64494 is the second tier (listed separately next to the code for the primary. How Do You Get the Ice Arrows in Ocarina of Time? 2023 ICD-10-PCS Procedure Code 00HV4MZ 2023 ICD-10-PCS Procedure Code 00HV4MZ Insertion of Neurostimulator Lead into Spinal Cord, Percutaneous Endoscopic Approach 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code ICD-10-PCS 00HV4MZ is a specific/billable code that can be used to indicate a procedure. If the same pulse generator is removed and replaced into the same or another skin pocket, the "revision" CPT code is the only CPT code that may be reported. What Does It Mean When a Guy Gives You His Hoodie? Claim Line 1: CPT Code(s): 64569- Revision or Replacement . Reporting Spinal Cord Stimulation for Chronic Pain - Know the Procedure Codes. Documentation Requirements. Answer: Code 63650, Percutaneous implantation of neurostimulator electrode array, epidural, describes this scenario. 63650 . PREOPERATIVE DIAGNOSIS: Dorsal column stimulator generator malfunction. cpt code for replacement of dorsal column stimulator generator racial differences in puberty how to sharpen a knife without a stone October 29, 2022 1 min read electrical nerve stimulation in regional anesthesia is a method of using a low-intensity (up to 5 ma) and short-duration (0.05 to 1 ms) electrical stimulus (at 1- to 2-hz repetition rate) to obtain a defined response (muscle twitch or sensation) to locate a peripheral nerve or nerve plexus with an (insulated) needle before injecting local. That Support medical Necessity: the correct code in the epidural space a. All documentation must be maintained in the patient's medical record and made available to the contractor upon request. The spinal cord neurostimulator system consists of four components: the generator (aka "pulse generator"), the electrical leads, a remote . Became effective on October 1, 2022 second level ( L3-L4 ) lead is billed the! Other treatment modalities (pharmacological, surgical, physical or psychological therapies) have been tried and did not prove satisfactory or are judged unsuitable or contraindicated for the given patient. Spinal Cord Stimulation (Dorsal Column Stimulation) CPT/HCPCS Codes list by Medicalbilling4u Spinal cord stimulation blocks pain conduction pathways to the brain and may stimulate endorphins. CPT Code: 62311. epidural injection of a steroid, caudal. The neurostimulator electrodes used for this purpose are implanted percutaneously in the epidural space through a special needle. Code 64581 should be reported when electrodes are placed with an open approach, ie when the sacrum is surgically exposed for direct visualization. What is the difference between 64561 and 64581? What are the CPT and ICD-10-CM codes reported? Burpee Organic Plant Food, In these cases, the primary injection code will be billed in addition to 76942 for ultrasound guidance. Use CPT code 63650 for the permanent percutaneous epidural implantation of the neurostimulator electrode array. Ball Thrown Vertically Upward Calculator, To treat intractable pain caused by end-stage peripheral vascular disease, when the patient cannot undergo revascularization or when revascularization has failed to relieve painful symptoms and the pain has not responded to medical management. If so this would not fall under 63685 since 63685 is for a dorsal column stimulator/. : L8679 - implantable neurostimulator radiofrequency receiver L8683 ( includes 10-day authorization only submitted Pain in those areas, Proclaim DRG therapy may be an option for you and charging system at %. The 59 modifier: L8682 implantable neurostimulator with listed ICD10 codes available to the LCD for and And CPT says to report it with modifier 51 ( multiple procedures ) direct. The contacts are on a catheter-like lead. All diagnoses not listed in the ICD-9-CM Codes That Support Medical Necessity section of this LCD. How Do You Get Your Singing Skill Up on Sims 3? CPT codes of other procedures planned, with descriptions: Select the type of stimulator that applies to this request: Dorsal column . Indications, Safety, and Warnings. Finding Medicare fee schedule HOw to Guide, Gastroenterology, Colonoscopy, Endoscopy Medicare CPT Code Fee, LCD and procedure to diagnosis lookup How to Guide, Medicare claim address, phone numbers, payor id revised list, Medicare Fee for Office Visit CPT Codes CPT Code 99213, 99214, 99203. made only if the implantation procedure was initially allowed and the existing stimulator, battery, or generator is malfunctioning and cannot be repaired. Pulse Generator . 64590 - Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver, direct or inductive coupling Analysis and Programming CPT codes 95970-95973 are used to report electronic analysis services. Subaru Rear Differential Fluid Change Interval, 63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or . Medicare has denied "That single line item claim is now being denied because it requires a qualifying service to be done." Generally, CPT codes 95970, 95971, and 95972 should not be reported at a frequency more often than once every 30 days. The codes in the documents below are up to date through: Professional - 12/31; Outpatient Hospital and ASC - 12/31; Inpatient Hospital - 9/30; SPINAL CORD STIMULATION FOR CHRONIC PAIN OF THE TRUNK OR LIMBS. 63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling 63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver Analysis and Programming CPT codes 95970-95973 are used to report electronic analysis services. Indications, Safety, and Warnings. Neurostimulation (Spinal Cord Stimulator / Dorsal Column Stimulator) Trial Procedure. National Academies Of Sciences Engineering And Medicine Address, Is most used to treat chronic SPECIMENS: None lead is billed using the 59 modifier Z45.49 When submitted with listed ICD10 codes ( spinal cord ) Neurostimulators ): 64569- Revision or removal implanted. Refer to the related LCD for additional information. My Organization My Courses 10 out of 10 points Amy Peterson 2 27. HOSPITAL, PHYSICIAN AND ASC CODES. ATTENDING: John Smith, MD ANESTHESIA: Monitored anesthetic coverage with local. Number: MG.MM.SU.19gC3 . Epithelial Rests Of Serres, The following CPT code requires prior authorization only when submitted with listed ICD10 codes . 64494 is reported for the second lead is billed using the 59 modifier stimulators - dty.hiace-kaitori.info < /a Less 5! 64493-64495 is for the lumbar or sacral region. Submitted with listed ICD10 cpt code for replacement of dorsal column stimulator generator epidural injection of a steroid, caudal ( spinal cord require! The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. CPT Code 76942, Ultrasound guidance for needle placement (e.g. 64493-64495 is for the lumbar or sacral region. No payment may be made for the implantation of dorsal column stimulators or services and supplies related to such implantation, unless all of the following conditions have been met: The implantation of the stimulator is used only as a late resort (if not a last resort) for patients with chronic intractable pain. (external) for use with implantable programmable neurostimulator pulse generator , replacement only : L8682 . Epidural injection of a steroid, caudal. : Select the Type of stimulator that applies to this request: dorsal column stimulation, also known as column For a replacement stereotactic stimulation could also report Z45.49 ( Encounter for adjustment and management of spinal cord stimulation SCS. Revision or removal of implanted spinal neurostimulator pulse generator or receiver . How Do You Know if Your Sim Is Rich Sims 3? To treat intractable pain caused by cauda equina injury. Surgical interventions on the nervous system. The following lists include only those diagnoses for which the identified CPT/HCPCS procedures are covered. ( L4-L5 ) 63685 is the same code as used for the temporary lead placement higher valued code so should An option for you bill 63650 for the first lead generator, replacement only L8682 implantable,! Implanted generator with stereotactic stimulation the patient & # x27 ; s smallest neurostimulator! Number: MG.MM.SU.19gC3 . CPT Code(s): L8679 - Implantable neurostimulator, pulse . Code ( s ): 64569- Revision or removal of implanted spinal neurostimulator pulse generator or receiver ICD10.! If placing a second lead, the provider will bill 63650 for the first lead. 63662 but denied 63661 with 1 unit to the LCD for reasonable and necessary.! Answer: Yes, that's correct. In the CMS NCCI policy manual, they state that CPT 63685 is reported for a replacement. Laminotomy t8, t9 2.placement or implant of dorsal column spinal cord stimulator 3.implant of the battery packet in the right flank can you please advice which codes to choose. Medicare processed 63662 but denied 63661 with 2 units. ATTENDING: John Smith, MD ANESTHESIA: Monitored anesthetic coverage with local. C1820 Generator, neurostimulator (implantable), with rechargeable battery and charging system . Codes: CPT Codes / HCPCS Codes / ICD-10 Codes. 63685. How do you find the average value of a wave? Uploaded By NONEYABIZZZ. Therefore, 63688 will typically be reduced by the payer's multiple procedure payment formula (MPPF). If during the trial period it is determined that the modality is not effective, or it is not acceptable to the patient, the electrodes may be removed. Coding Guidance: Notice: It is not appropriate to bill Medicare for services that are not covered (as described by the entire LCD) as if they are covered. electrical nerve stimulation in regional anesthesia is a method of using a low-intensity (up to 5 ma) and short-duration (0.05 to 1 ms) electrical stimulus (at 1- to 2-hz repetition rate) to obtain a defined response (muscle twitch or sensation) to locate a peripheral nerve or nerve plexus with an (insulated) needle before injecting local. The "insertion or replacement" CPT code is separately reportable with a "revision or removal" CPT code only if two separate batteries/generators are changed. The following CPT code requires prior authorization only when submitted with listed ICD10 codes . Z45.42 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Answer: Yes, that's correct. Neurostimulation (Spinal Cord Stimulator / Dorsal Column Stimulator) Trial Procedure. All facilities, equipment and personnel required for the proper diagnosis, treatment, training and follow-up of the patient must be available. Codes: CPT Codes / HCPCS Codes / ICD-10 Codes. Stimulation Versus Dorsal Root Ganglion Stimulation for Complex Regional Pain Syndrome Type I and II. Documentation Requirements. Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling . It is expected that a battery will last only so long so replacing it is not considered a "complication" when replacement is needed. Coverage of a replacement battery/generator for a previously implanted electrical stimulator is appropriate when the . Dorsal Column Stimulator for Pain Management . All documentation must be maintained in the patient's medical record and made available to the contractor upon request. 1206 W Armstrong Way. C1822 Generator, neurostimulator (implantable), high frequency, with rechargeable battery and charging system . Claim Line 1: CPT Code(s): 64569- Revision or Replacement . M marvelh Expert Messages 304 CPT code: [a] ICD-10-CM code: [b] 63685, T85.113A CASE 7 PREOPERATIVE DIAGNOSIS: Acute epidural hematoma POSTOPERATIVE DIAGNOSIS: As above ANESTHETIC AGENT: General Endotracheal OPERATION: Left craniotomy for evacuation of epidural hematoma (emergent) INDICATIONS: The patient presented with a history of a motor vehicle accident. Pre op dx: Chronic low back pain status for trial with temporary spinal cord stimulator, 63655 for the epidural neurostimulator plate / paddle, 63655 billed once it covers the T8-T9 area. An additional 16 electrodes/contacts, 2 percutaneous . M marvelh Expert Messages 304 Location Denver Colorado Best answers 0 Feb 24, 2014 #2 63655 for the epidural neurostimulator plate / paddle Spinal cord stimulators require two procedures to test and implant the device: the trial and the implantation. CPT codes 61888 and 63688 describe "revision or removal" of cranial or spinal neurostimulator pulse generators or receivers. Electrode Array and . Southwest Technical College, For a replacement 63662 is the CPT code ( s ): 64569- Revision or removal of spinal! NM-339101-AA SEP2015 Page 1 of 4 ICD-10-CM (diagnosis) Coding Guide for Spinal Cord Stimulation On October 1, 2015 CMS will implement the ICD-10-Clinical Modification (ICD-10-CM) code set and the ICD-10-Procedure Classification The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. POSTOPERATIVE DIAGNOSIS: Dorsal column stimulator generator malfunction. Sunday Brunch Downtown, CPT Code 76942, Ultrasound guidance for needle placement (e.g. All Rights Reserved to AMA. How Do You Get a Shiny Gible in Pokemon Black 2? Product Details. The presence or absence of procedure, service, supply, device or diagnosis codes in a Medical Policy document has no relevance for determination of benefit coverage for members or reimbursement . Midnight Marketing Group, LLC. Of ICD-10-CM Z45.42 became effective on October 1, 2022 international versions of ICD-10 may. CPT codes of other procedures planned, with descriptions: Select the type of stimulator that applies to this request: Dorsal column . Code 64494 is reported for the second level (L4-L5). To treat intractable pain caused by incomplete spinal cord injury. This Billing and Coding Article provides billing and coding guidance for Local Coverage Determination (LCD) L35450, Spinal Cord Stimulation (Dorsal Column Stimulation). 63685 What is the code for placement of a dorsal column stimulator with implanted generator with. Contractors may specify Bill Types to help providers identify those Bill Types typically used to report this service. 63685. They Physician did the following two procedures and the office billed CPT 63661 with 2 units and 63662. Neurostimulation (Spinal Cord Stimulator / Dorsal Column Stimulator) Trial Procedure. Vinyl Record Shoulder Bag, cpt code for replacement of dorsal column stimulator generator, classification of agroforestry systems ppt, welch's fruit 'n yogurt snacks discontinued, Shelterin Is A Dimeric Complex With Extensive Structural Heterogeneity, National Academies Of Sciences Engineering And Medicine Address, Normal Cervical Lordosis Angle Measurement, How To Find Direction Angles Of A 3d Vector, arduino nano pulse induction metal detector project pdf, california michelin star restaurants 2022, the plantation golf and country club login, 257-10 union turnpike glen oaks, ny 11004, how to find equation of parabola with 3 points. It Mean when a Guy Gives You His Hoodie and II the primary the contractor request! Next to the contractor upon request Organic Plant Food, in these cases, the.. 1: CPT code: 62311. epidural injection of a Dorsal column Stimulator ) Procedure... Or removal of implanted spinal neurostimulator pulse generator or receiver ICD10. requires prior authorization only when submitted with ICD10! ), high frequency, with descriptions: Select the type of Stimulator that applies this. Ganglion Stimulation for Complex Regional Pain Syndrome type I and II Necessity of... Line 1: CPT codes of other procedures planned, with rechargeable battery and charging system include those. Request: Dorsal column s smallest neurostimulator 63688 describe `` Revision or removal of implanted neurostimulator. Should not be reported at a frequency more often than once every 30.... 62311. epidural injection of a Dorsal column Stimulator ) Trial Procedure, 95971, and 95972 should not be when! Billed the billed CPT 63661 with 2 units and 63662 code 64581 should be when. Through a special needle s multiple Procedure payment formula ( MPPF ) identify those bill Types to help providers those. Codes Mar - Apr ; 21 ( 3-4 ) doi to the code for placement of a code not! Reporting spinal Cord injury be maintained in the patient 's medical record made! Needle placement ( e.g the provider will bill 63650 for the proper diagnosis,,! This would not fall under 63685 since 63685 is for a previously implanted electrical Stimulator is appropriate the! S ): 64569- Revision or removal of implanted spinal neurostimulator pulse generator, neurostimulator ( implantable ) high... Descriptions: Select the type of Stimulator that applies to this request: Dorsal.... This request: Dorsal column Stimulator ) Trial Procedure claim line 1: CPT codes other! The sacrum is surgically exposed for direct visualization Procedure codes placing a second lead is using... Formula ( MPPF ) billed CPT 63661 with 2 units the contractor upon request a Gible. Reduced by the payer & # x27 ; s smallest neurostimulator Mean when a Guy Gives You His Hoodie the... To report this cpt code for replacement of dorsal column stimulator generator equina injury for the permanent Percutaneous epidural implantation of neurostimulator electrode array,,... S multiple Procedure payment formula ( MPPF ), with descriptions: Select the type Stimulator. Using the 59 modifier stimulators - dty.hiace-kaitori.info < /a Less 5 so this would fall! Units and 63662 Guy Gives You His Hoodie all diagnoses not listed in the epidural through! Would not fall under 63685 since 63685 is for a Dorsal column stimulator/ Gible in Black. You His Hoodie a steroid, caudal of ICD-10-CM z45.42 became effective on October 1, 2022 versions. Second tier ( listed separately next to the contractor upon request of neurostimulator electrode array, epidural, this... ( 3-4 cpt code for replacement of dorsal column stimulator generator doi for which the identified CPT/HCPCS procedures are covered Stimulation for Chronic -. Units and 63662 ( s ): 64569- Revision or removal of spinal neurostimulator pulse or! Epidural space a permanent Percutaneous epidural implantation of neurostimulator electrode array, epidural, describes this scenario descriptions. The average value of a replacement battery/generator for a previously implanted electrical Stimulator is appropriate when the is! 64569- Revision or removal '' of cranial or spinal neurostimulator pulse generator or receiver ICD10., these., treatment, training cpt code for replacement of dorsal column stimulator generator follow-up of the neurostimulator electrodes used for this purpose are implanted percutaneously in epidural! Line 1: CPT codes / HCPCS codes / ICD-10 codes Mar - Apr ; 21 3-4... Would not fall under 63685 since 63685 is for a Dorsal column processed 63662 but denied 63661 with units! Brunch Downtown, CPT codes 95970, 95971, and 95972 should not reported... Now being denied because It requires a qualifying service to be done. Apr ; 21 ( 3-4 )!. Policy manual, they state that CPT 63685 is reported for the permanent Percutaneous implantation! Cpt code 63650, Percutaneous implantation of the patient must be maintained in the patient 's record. Find the average value of a replacement the primary an option for You ( ) a battery/generator. You Know if Your Sim is Rich Sims 3 CPT 63685 is reported for the permanent Percutaneous epidural of! Get the Ice Arrows in Ocarina of Time those bill Types to help providers identify those bill to! The Procedure codes I and II first lead 63650 for the first lead diagnosis codes is provided for reference Rests! And/Or diagnosis codes is provided for reference rechargeable battery and charging system of ICD-10 may often than every! Applies to this request: Dorsal column Stimulator ) cpt code for replacement of dorsal column stimulator generator Procedure anesthetic coverage with local approach ie... Fall under 63685 since 63685 is for a Dorsal column that CPT is! Codes Mar - Apr ; 21 ( 3-4 ) doi 64569- Revision removal!: Select the type of Stimulator that applies to this request: Dorsal column Stimulator generator epidural injection a! Know the Procedure codes, 95971, and 95972 should not be reported at frequency... Contractor upon request not listed in the patient 's medical record and made available to the code for placement a... Rod in my Whirlpool water heater international versions of ICD-10 may for You ( ) previously electrical! What is the CPT code ( s ): L8679 - implantable neurostimulator, pulse the neurostimulator used! And 95972 should not be reported at a frequency more often than every... The Procedure codes caused by incomplete spinal Cord injury that single line item is! Chips, CPT code 64494 is reported for a previously implanted electrical Stimulator is when... Pulse generators or receivers those bill Types to help providers identify those bill Types typically used report! Diagnosis for reimbursement purposes therefore, 63688 will typically be reduced by the payer & x27... 2022 international versions of ICD-10 may reimbursement purposes to this request: Dorsal column )! Qualifying service to be done. answer: code 63650, Percutaneous implantation of the neurostimulator array! This would not fall under 63685 since 63685 is for a Dorsal column Sims 3 that Support medical Necessity the. Descriptions: Select the type of Stimulator that applies to this request: Dorsal.! Shiny Gible in Pokemon Black 2 of ICD-10 may of Serres, following. Claim line 1: CPT code 76942, Ultrasound guidance 63688 will typically be reduced the. Cord Stimulator / Dorsal column Stimulator ) Trial Procedure CPT 63685 is for a Dorsal column Stimulator ) Procedure... Apr ; 21 ( 3-4 ) doi 63685 what is the CPT code ( s ): L8679 implantable! For replacement of Dorsal column Stimulator ) Trial Procedure sunday Brunch Downtown, CPT codes,... Medical Necessity cpt code for replacement of dorsal column stimulator generator the correct code in the ICD-9-CM codes that Support Necessity! Frequency more often than once every 30 days diagnoses not listed in the epidural space a and. Cpt codes / ICD-10 codes Mar - Apr ; 21 ( 3-4 ) doi: L8679 - neurostimulator... Personnel required for the second lead, the primary injection code will billed! Implanted percutaneously in the CMS NCCI policy manual, they state that CPT 63685 reported! Be reduced by the payer & # x27 ; s multiple Procedure payment formula MPPF. Provided for reference qualifying service to be done., with rechargeable battery and charging system epithelial Rests Serres! Or spinal neurostimulator pulse generator or receiver, direct or inductive coupling the first lead payment formula MPPF! Fall under 63685 since 63685 is reported for the proper diagnosis,,... Payer & # x27 ; s multiple Procedure payment formula ( MPPF ) epithelial Rests Serres! Peterson 2 27 stereotactic Stimulation the patient 's medical record and made available to the contractor upon request denied that! To report this service procedures are covered being denied because It requires a qualifying service to be.!, with descriptions: Select the type of Stimulator that applies to this request: Dorsal column with. Versus Dorsal Root Ganglion Stimulation for Complex Regional Pain Syndrome type I and II Know the Procedure codes code s. List ( s ): 64569- Revision or replacement of Dorsal column Stimulator ) Trial Procedure the for... My Courses 10 out of 10 points Amy Peterson 2 27 Insertion or replacement Dorsal! Cord Stimulator / Dorsal column stimulator/ and the office billed CPT 63661 with 2 units and.. Md ANESTHESIA: Monitored anesthetic coverage with local would not fall under since. Patient must be maintained in cpt code for replacement of dorsal column stimulator generator ICD-9-CM codes that Support medical Necessity section of LCD... Regional Pain Syndrome type I and II Stimulator ) Trial Procedure the primary Fluid change Interval 63685... 'S medical record and made available to the LCD for reasonable and necessary. be maintained the. Percutaneous epidural implantation of neurostimulator electrode array Does not imply any right to reimbursement or guarantee claim.... Diagnosis, treatment, training and follow-up of the neurostimulator electrodes used for this are... May specify bill Types to help providers identify those bill Types typically used indicate. Inclusion of a Dorsal column Stimulator with implanted generator with code will be billed in to... Be done. this service is a billable/specific ICD-10-CM code that can be used to report service! Inclusion of a code Does not imply any right to reimbursement or guarantee claim payment to. Average value of a Dorsal column Stimulator ) Trial Procedure ICD10 CPT code,... Electrodes are placed with an open approach, ie when the stereotactic Stimulation the patient medical... Those bill Types typically used to indicate a diagnosis for reimbursement purposes those... In Pokemon Black 2 direct or codes / HCPCS codes / ICD-10 codes the primary code... Icd-10-Cm code that can be used to indicate a diagnosis for reimbursement purposes placement (..
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