Proc format;
  value $cptfmt
"00100"="ANESTH, SALIVARY GLAND      "
"00102"="ANESTH, REPAIR OF CLEFT LIP "
"00103"="ANESTH, BLEPHAROPLASTY      "
.
.
.
and other cpt-4 codes.  you must purchase these from the ama website.
.
.
.


"00000"="See data set for more detail"
"A0010"="Ambulance service, (bls) bas"
"A0020"="Ambulance service, (bls) per"
"A0021"="Outside state ambulance serv"
"A0030"="Air ambulance service"
"A0040"="Helicopter ambulance service"
"A0050"="Water amb service emergency"
"A0060"="Ambulance service, waiting t"
"A0070"="Ambulance service, oxygen"
"A0080"="Noninterest escort in non er"
"A0090"="Interest escort in non er"
"A0100"="Nonemergency transport taxi"
"A0110"="Nonemergency transport bus"
"A0120"="Noner transport mini-bus"
"A0130"="Noner transport wheelch van"
"A0140"="Nonemergency transport air"
"A0150"="Non-emergency transportation"
"A0160"="Noner transport case worker"
"A0170"="Transport parking fees/tolls"
"A0180"="Noner transport lodgng recip"
"A0190"="Noner transport meals recip"
"A0200"="Noner transport lodgng escrt"
"A0210"="Noner transport meals escort"
"A0215"="Ambulance service, miscellan"
"A0220"="Ambulance service, (als) bas"
"A0221"="Ambulance service, (als) per"
"A0222"="Ambulance service, return tr"
"A0223"="Ambulance service, (als) bas"
"A0225"="Neonatal emergency transport"
"A0300"="Ambulance basic non-emer all"
"A0302"="Ambulance basic emergeny all"
"A0304"="Amb adv non-er no serv all"
"A0306"="Amb adv non-er spec serv all"
"A0308"="Amb adv er no spec serv all"
"A0310"="Amb adv er spec serv all"
"A0320"="Amb basic non-er + supplies"
"A0322"="Amb basic emerg + supplies"
"A0324"="Adv non-er serv sep mileage"
"A0326"="Adv non-er no serv sep mile"
"A0328"="Adv er no serv sep mileage"
"A0330"="Adv er spec serv sep mile"
"A0340"="Amb basic non-er + mileage"
"A0342"="Ambul basic emer + mileage"
"A0344"="Amb adv non-er no serv +mile"
"A0346"="Amb adv non-er serv + mile"
"A0348"="Adv emer no spec serv + mile"
"A0350"="Adv emer spec serv + mileage"
"A0360"="Basic non-er sep mile - supp"
"A0362"="Basic emer sep mile - supply"
"A0364"="Adv non-er no serv sep mi-su"
"A0366"="Adv non-er serv sep mil-supp"
"A0368"="Adv er no serv sep mile-supp"
"A0370"="Adv er spec serv sep mi-supp"
"A0380"="Basic life support mileage"
"A0382"="Basic support routine suppls"
"A0384"="Bls defibrillation supplies"
"A0390"="Advanced life support mileag"
"A0392"="Als defibrillation supplies"
"A0394"="Als IV drug therapy supplies"
"A0396"="Als esophageal intub suppls"
"A0398"="Als routine disposble suppls"
"A0420"="Ambulance waiting 1/2 hr"
"A0422"="Ambulance 02 life sustaining"
"A0424"="Extra ambulance attendant"
"A0425"="Ground mileage"
"A0426"="Als 1"
"A0427"="ALS1-emergency"
"A0428"="bls"
"A0429"="BLS-emergency"
"A0430"="Fixed wing air transport"
"A0431"="Rotary wing air transport"
"A0432"="PI volunteer ambulance co"
"A0433"="als 2"
"A0434"="Specialty care transport"
"A0435"="Fixed wing air mileage"
"A0436"="Rotary wing air mileage"
"A0800"="Amb trans 7pm-7am"
"A0888"="Noncovered ambulance mileage"
"A0998"="Ambulance response/treatment"
"A0999"="Unlisted ambulance service"
"A2000"="Chiropractor manip of spine"
"A4190"="Transparent film"
"A4200"="Gauze pads, sterile or nonst"
"A4202"="Gauze bandage, elastic"
"A4203"="Gauze bandage, non-elastic"
"A4204"="Absorptive dressing"
"A4205"="Non-absorptive dressing"
"A4206"="1 CC sterile syringe-needle"
"A4207"="2 CC sterile syringe-needle"
"A4208"="3 CC sterile syringe-needle"
"A4209"="5+ CC sterile syringe-needle"
"A4210"="Nonneedle injection device"
"A4211"="Supp for self-adm injections"
"A4212"="Non coring needle or stylet"
"A4213"="20+ CC syringe only"
"A4214"="30 CC sterile water/saline"
"A4215"="Sterile needle"
"A4216"="Sterile water/saline, 10 ml"
"A4217"="Sterile water/saline, 500 ml"
"A4218"="Sterile saline or water"
"A4220"="Infusion pump refill kit"
"A4221"="Maint drug infus cath per wk"
"A4222"="Infusion supplies with pump"
"A4223"="Infusion supplies w/o pump"
"A4230"="Infus insulin pump non needl"
"A4231"="Infusion insulin pump needle"
"A4232"="Syringe w/needle insulin 3cc"
"A4233"="Alkalin batt for glucose mon"
"A4234"="J-cell batt for glucose mon"
"A4235"="Lithium batt for glucose mon"
"A4236"="Silvr oxide batt glucose mon"
"A4244"="Alcohol or peroxide per pint"
"A4245"="Alcohol wipes per box"
"A4246"="Betadine/phisohex solution"
"A4247"="Betadine/iodine swabs/wipes"
"A4248"="Chlorhexidine antisept"
"A4250"="Urine reagent strips/tablets"
"A4252"="Blood ketone test or strip"
"A4253"="Blood glucose/reagent strips"
"A4254"="Battery for glucose monitor"
"A4255"="Glucose monitor platforms"
"A4256"="Calibrator solution/chips"
"A4257"="Replace Lensshield Cartridge"
"A4258"="Lancet device each"
"A4259"="Lancets per box"
"A4260"="Levonorgestrel implant"
"A4261"="Cervical cap contraceptive"
"A4262"="Temporary tear duct plug"
"A4263"="Permanent tear duct plug"
"A4265"="Paraffin"
"A4266"="Diaphragm"
"A4267"="Male condom"
"A4268"="Female condom"
"A4269"="Spermicide"
"A4270"="Disposable endoscope sheath"
"A4280"="Brst prsths adhsv attchmnt"
"A4281"="Replacement breastpump tube"
"A4282"="Replacement breastpump adpt"
"A4283"="Replacement breastpump cap"
"A4284"="Replcmnt breast pump shield"
"A4285"="Replcmnt breast pump bottle"
"A4286"="Replcmnt breastpump lok ring"
"A4290"="Sacral nerve stim test lead"
"A4300"="Cath impl vasc access portal"
"A4301"="Implantable access syst perc"
"A4305"="Drug delivery system >=50 ML"
"A4306"="Drug delivery system <=50 ml"
"A4310"="Insert tray w/o bag/cath"
"A4311"="Catheter w/o bag 2-way latex"
"A4312"="Cath w/o bag 2-way silicone"
"A4313"="Catheter w/bag 3-way"
"A4314"="Cath w/drainage 2-way latex"
"A4315"="Cath w/drainage 2-way silcne"
"A4316"="Cath w/drainage 3-way"
"A4320"="Irrigation tray"
"A4321"="Cath therapeutic irrig agent"
"A4322"="Irrigation syringe"
"A4323"="Saline irrigation solution"
"A4324"="Male ext cath w/adh coating"
"A4325"="Male ext cath w/adh strip"
"A4326"="Male external catheter"
"A4327"="Fem urinary collect dev cup"
"A4328"="Fem urinary collect pouch"
"A4329"="External catheter start set"
"A4330"="Stool collection pouch"
"A4331"="Extension drainage tubing"
"A4332"="Lube sterile packet"
"A4333"="Urinary cath anchor device"
"A4334"="Urinary cath leg strap"
"A4335"="Incontinence supply"
"A4338"="Indwelling catheter latex"
"A4340"="Indwelling catheter special"
"A4344"="Cath indw foley 2 way silicn"
"A4346"="Cath indw foley 3 way"
"A4347"="Male external catheter"
"A4348"="Male ext cath extended wear"
"A4349"="Disposable male external cat"
"A4351"="Straight tip urine catheter"
"A4352"="Coude tip urinary catheter"
"A4353"="Intermittent urinary cath"
"A4354"="Cath insertion tray w/bag"
"A4355"="Bladder irrigation tubing"
"A4356"="Ext ureth clmp or compr dvc"
"A4357"="Bedside drainage bag"
"A4358"="Urinary leg or abdomen bag"
"A4359"="Urinary suspensory w/o leg b"
"A4361"="Ostomy face plate"
"A4362"="Solid skin barrier"
"A4363"="Ostomy clamp, replacement"
"A4364"="Adhesive, liquid or equal"
"A4365"="Adhesive remover wipes"
"A4366"="Ostomy vent"
"A4367"="Ostomy belt"
"A4368"="Ostomy filter"
"A4369"="Skin barrier liquid per oz"
"A4371"="Skin barrier powder per oz"
"A4372"="Skin barrier solid 4x4 equiv"
"A4373"="Skin barrier with flange"
"A4375"="Drainable plastic pch w fcpl"
"A4376"="Drainable rubber pch w fcplt"
"A4377"="Drainable plstic pch w/o fp"
"A4378"="Drainable rubber pch w/o fp"
"A4379"="Urinary plastic pouch w fcpl"
"A4380"="Urinary rubber pouch w fcplt"
"A4381"="Urinary plastic pouch w/o fp"
"A4382"="Urinary hvy plstc pch w/o fp"
"A4383"="Urinary rubber pouch w/o fp"
"A4384"="Ostomy faceplt/silicone ring"
"A4385"="Ost skn barrier sld ext wear"
"A4387"="Ost clsd pouch w att st barr"
"A4388"="Drainable pch w ex wear barr"
"A4389"="Drainable pch w st wear barr"
"A4390"="Drainable pch ex wear convex"
"A4391"="Urinary pouch w ex wear barr"
"A4392"="Urinary pouch w st wear barr"
"A4393"="Urine pch w ex wear bar conv"
"A4394"="Ostomy pouch liq deodorant"
"A4395"="Ostomy pouch solid deodorant"
"A4396"="Peristomal hernia supprt blt"
"A4397"="Irrigation supply sleeve"
"A4398"="Ostomy irrigation bag"
"A4399"="Ostomy irrig cone/cath w brs"
"A4400"="Ostomy irrigation set"
"A4402"="Lubricant per ounce"
"A4404"="Ostomy ring each"
"A4405"="Nonpectin based ostomy paste"
"A4406"="Pectin based ostomy paste"
"A4407"="Ext wear ost skn barr <=4sq”"
"A4408"="Ext wear ost skn barr >4sq”"
"A4409"="Ost skn barr convex <=4 sq i"
"A4410"="Ost skn barr extnd >4 sq"
"A4411"="Ost skn barr extnd =4sq"
"A4412"="Ost pouch drain high output"
"A4413"="2 pc drainable ost pouch"
"A4414"="Ost sknbar w/o conv<=4 sq in"
"A4415"="Ost skn barr w/o conv >4 sqi"
"A4416"="Ost pch clsd w barrier/filtr"
"A4417"="Ost pch w bar/bltinconv/fltr"
"A4418"="Ost pch clsd w/o bar w filtr"
"A4419"="Ost pch for bar w flange/flt"
"A4420"="Ost pch clsd for bar w lk fl"
"A4421"="Ostomy supply misc"
"A4422"="Ost pouch absorbent material"
"A4423"="Ost pch for bar w lk fl/fltr"
"A4424"="Ost pch drain w bar - filter"
"A4425"="Ost pch drain for barrier fl"
"A4426"="Ost pch drain 2 piece system"
"A4427"="Ost pch drain/barr lk flng/f"
"A4428"="Urine ost pouch w faucet/tap"
"A4429"="Urine ost pouch w bltinconv"
"A4430"="Ost urine pch w b/bltin conv"
"A4431"="Ost pch urine w barrier/tapv"
"A4432"="Os pch urine w bar/fange/tap"
"A4433"="Urine ost pch bar w lock fln"
"A4434"="Ost pch urine w lock flng/ft"
"A4450"="Non-waterproof tape"
"A4452"="Waterproof tape"
"A4454"="Tape all types all sizes"
"A4455"="Adhesive remover per ounce"
"A4458"="Reusable enema bag"
"A4460"="Elastic compression bandage"
"A4461"="Surgicl dress hold non-reuse"
"A4462"="Abdmnl drssng holder/binder"
"A4463"="Surgical dress holder reuse"
"A4465"="Non-elastic extremity binder"
"A4470"="Gravlee jet washer"
"A4480"="Vabra aspirator"
"A4481"="Tracheostoma filter"
"A4483"="Moisture exchanger"
"A4490"="Above knee surgical stocking"
"A4495"="Thigh length surg stocking"
"A4500"="Below knee surgical stocking"
"A4510"="Full length surg stocking"
"A4520"="Incontinence garment anytype"
"A4521"="Adult size diaper sm each"
"A4522"="Adult size diaper med each"
"A4523"="Adult size diaper lg each"
"A4524"="Adult size diaper xl each"
"A4525"="Adult size brief sm each"
"A4526"="Adult size brief med each"
"A4527"="Adult size brief lg each"
"A4528"="Adult size brief xl each"
"A4529"="Child size diaper sm/med ea"
"A4530"="Child size diaper lg each"
"A4531"="Child size brief sm/med each"
"A4532"="Child size brief lg each"
"A4533"="Youth size diaper each"
"A4534"="Youth size brief each"
"A4535"="Disp incont liner/shield ea"
"A4536"="Prot underwr wshbl any sz ea"
"A4537"="Under pad reusable any sz ea"
"A4538"="Reusable diaper from dpr svc"
"A4550"="Surgical trays"
"A4554"="Disposable underpads"
"A4556"="Electrodes, pair"
"A4557"="Lead wires, pair"
"A4558"="Conductive gel or paste"
"A4559"="Coupling gel or paste"
"A4560"="Pessary"
"A4561"="Pessary rubber, any type"
"A4562"="Pessary, non rubber,any type"
"A4565"="Slings"
"A4570"="Splint"
"A4572"="Rib belt"
"A4575"="Hyperbaric o2 chamber disps"
"A4580"="Cast supplies (plaster)"
"A4581"="Supplies risser jacket"
"A4590"="Special casting material"
"A4595"="TENS suppl 2 lead per month"
"A4600"="Sleeve, inter limb comp dev"
"A4601"="Lith ion batt, non-pros use"
"A4604"="Tubing with heating element"
"A4605"="Trach suction cath close sys"
"A4606"="Oxygen probe used w oximeter"
"A4608"="Transtracheal oxygen cath"
"A4609"="Trach suction cath clsed sys"
"A4610"="Trach sctn cath 72h clsedsys"
"A4611"="Heavy duty battery"
"A4612"="Battery cables"
"A4613"="Battery charger"
"A4614"="Hand-held PEFR meter"
"A4615"="Cannula nasal"
"A4616"="Tubing (oxygen) per foot"
"A4617"="Mouth piece"
"A4618"="Breathing circuits"
"A4619"="Face tent"
"A4620"="Variable concentration mask"
"A4621"="Tracheotomy mask or collar"
"A4622"="Tracheostomy or larngectomy"
"A4623"="Tracheostomy inner cannula"
"A4624"="Tracheal suction tube"
"A4625"="Trach care kit for new trach"
"A4626"="Tracheostomy cleaning brush"
"A4627"="Spacer bag/reservoir"
"A4628"="Oropharyngeal suction cath"
"A4629"="Tracheostomy care kit"
"A4630"="Repl bat t.e.n.s. own by pt"
"A4631"="Wheelchair battery"
"A4632"="Infus pump rplcemnt battery"
"A4633"="Uvl replacement bulb"
"A4634"="Replacement bulb th lightbox"
"A4635"="Underarm crutch pad"
"A4636"="Handgrip for cane etc"
"A4637"="Repl tip cane/crutch/walker"
"A4638"="Repl batt pulse gen sys"
"A4639"="Infrared ht sys replcmnt pad"
"A4640"="Alternating pressure pad"
"A4641"="Radiopharm dx agent noc"
"A4642"="In111 satumomab"
"A4643"="High dose contrast MRI"
"A4644"="Contrast 100-199 MGs iodine"
"A4645"="Contrast 200-299 MGs iodine"
"A4646"="Contrast 300-399 MGs iodine"
"A4647"="Supp- paramagnetic contr mat"
"A4648"="Implantable tissue marker"
"A4649"="Surgical supplies"
"A4650"="Implant radiation dosimeter"
"A4651"="Calibrated microcap tube"
"A4652"="Microcapillary tube sealant"
"A4653"="PD catheter anchor belt"
"A4655"="Esrd syringe/needle"
"A4656"="Needle any size"
"A4657"="Syringe w/wo needle"
"A4660"="Sphyg/bp app w cuff and stet"
"A4663"="Dialysis blood pressure cuff"
"A4670"="Automatic bp monitor, dial"
"A4671"="Disposable cycler set"
"A4672"="Drainage ext line, dialysis"
"A4673"="Ext line w easy lock connect"
"A4674"="Chem/antisept solution, 8oz"
"A4680"="Activated carbon filter, ea"
"A4690"="Dialyzer, each"
"A4700"="Standard dialysate solution"
"A4705"="Bicarb dialysate solution"
"A4706"="Bicarbonate conc sol per gal"
"A4707"="Bicarbonate conc pow per pac"
"A4708"="Acetate conc sol per gallon"
"A4709"="Acid conc sol per gallon"
"A4712"="Sterile water"
"A4714"="Treated water per gallon"
"A4719"=""Y set" tubing"
"A4720"="Dialysat sol fld vol > 249cc"
"A4721"="Dialysat sol fld vol > 999cc"
"A4722"="Dialys sol fld vol > 1999cc"
"A4723"="Dialys sol fld vol > 2999cc"
"A4724"="Dialys sol fld vol > 3999cc"
"A4725"="Dialys sol fld vol > 4999cc"
"A4726"="Dialys sol fld vol > 5999cc"
"A4728"="Dialysate solution, non-dex"
"A4730"="Fistula cannulation set, ea"
"A4735"="Local/topical anesthetics"
"A4736"="Topical anesthetic, per gram"
"A4737"="Inj anesthetic per 10 ml"
"A4740"="Shunt accessory"
"A4750"="Art or venous blood tubing"
"A4755"="Comb art/venous blood tubing"
"A4760"="Dialysate sol test kit, each"
"A4765"="Dialysate conc pow per pack"
"A4766"="Dialysate conc sol add 10 ml"
"A4770"="Blood collection tube/vacuum"
"A4771"="Serum clotting time tube"
"A4772"="Blood glucose test strips"
"A4773"="Occult blood test strips"
"A4774"="Ammonia test strips"
"A4780"="Esrd sterilizing agent"
"A4790"="Esrd cleansing agents"
"A4800"="Heparin/antidote dialysis"
"A4802"="Protamine sulfate per 50 mg"
"A4820"="Supplies hemodialysis kit"
"A4850"="Rubber tipped hemostats"
"A4860"="Disposable catheter tips"
"A4870"="Plumb/elec wk hm hemo equip"
"A4880"="Water storage tanks"
"A4890"="Repair/maint cont hemo equip"
"A4900"="Capd supply kit"
"A4901"="Ccpd supply kit"
"A4905"="Ipd supply kit"
"A4910"="Esrd nonmedical supplies"
"A4911"="Drain bag/bottle"
"A4912"="Gomco drain bottle"
"A4913"="Misc dialysis supplies noc"
"A4914"="Preparation kit"
"A4918"="Venous pressure clamp"
"A4919"="Supp dialysis dialyzer holde"
"A4920"="Harvard pressure clamp"
"A4921"="Measuring cylinder"
"A4927"="Non-sterile gloves"
"A4928"="Surgical mask"
"A4929"="Tourniquet for dialysis, ea"
"A4930"="Sterile, gloves per pair"
"A4931"="Reusable oral thermometer"
"A4932"="Reusable rectal thermometer"
"A5051"="Pouch clsd w barr attached"
"A5052"="Clsd ostomy pouch w/o barr"
"A5053"="Clsd ostomy pouch faceplate"
"A5054"="Clsd ostomy pouch w/flange"
"A5055"="Stoma cap"
"A5061"="Pouch drainable w barrier at"
"A5062"="Drnble ostomy pouch w/o barr"
"A5063"="Drain ostomy pouch w/flange"
"A5064"="Drain ostomy pouch w/fceplte"
"A5065"="Drain ostomy pouch on fcplte"
"A5071"="Urinary pouch w/barrier"
"A5072"="Urinary pouch w/o barrier"
"A5073"="Urinary pouch on barr w/flng"
"A5074"="Urinary pouch w/faceplate"
"A5075"="Urinary pouch on faceplate"
"A5081"="Continent stoma plug"
"A5082"="Continent stoma catheter"
"A5083"="Stoma absorptive cover"
"A5093"="Ostomy accessory convex inse"
"A5102"="Bedside drain btl w/wo tube"
"A5105"="Urinary suspensory"
"A5112"="Urinary leg bag"
"A5113"="Latex leg strap"
"A5114"="Foam/fabric leg strap"
"A5119"="Skin barrier wipes box pr 50"
"A5120"="Skin barrier, wipe or swab"
"A5121"="Solid skin barrier 6x6"
"A5122"="Solid skin barrier 8x8"
"A5123"="Skin barrier with flange"
"A5126"="Disk/foam pad +or- adhesive"
"A5131"="Appliance cleaner"
"A5149"="Incontinence/ostomy supply"
"A5200"="Percutaneous catheter anchor"
"A5500"="Diab shoe for density insert"
"A5501"="Diabetic custom molded shoe"
"A5502"="Diabetic shoe density insert"
"A5503"="Diabetic shoe w/roller/rockr"
"A5504"="Diabetic shoe with wedge"
"A5505"="Diab shoe w/metatarsal bar"
"A5506"="Diabetic shoe w/off set heel"
"A5507"="Modification diabetic shoe"
"A5508"="Diabetic deluxe shoe"
"A5509"="Direct heat form shoe insert"
"A5510"="Compression form shoe insert"
"A5511"="Custom fab molded shoe inser"
"A5512"="Multi den insert direct form"
"A5513"="Multi den insert custom mold"
"A6000"="Wound warming wound cover"
"A6010"="Collagen based wound filler"
"A6011"="Collagen gel/paste wound fil"
"A6020"="Collagen dressing cover ea"
"A6021"="Collagen dressing <=16 sq in"
"A6022"="Collagen drsg>6<=48 sq in"
"A6023"="Collagen dressing >48 sq in"
"A6024"="Collagen dsg wound filler"
"A6025"="Silicone gel sheet, each"
"A6154"="Wound pouch each"
"A6196"="Alginate dressing <=16 sq in"
"A6197"="Alginate drsg >16 <=48 sq in"
"A6198"="alginate dressing > 48 sq in"
"A6199"="Alginate drsg wound filler"
"A6200"="Compos drsg <=16 no border"
"A6201"="Compos drsg >16<=48 no bdr"
"A6202"="Compos drsg >48 no border"
"A6203"="Composite drsg <= 16 sq in"
"A6204"="Composite drsg >16<=48 sq in"
"A6205"="Composite drsg > 48 sq in"
"A6206"="Contact layer <= 16 sq in"
"A6207"="Contact layer >16<= 48 sq in"
"A6208"="Contact layer > 48 sq in"
"A6209"="Foam drsg <=16 sq in w/o bdr"
"A6210"="Foam drg >16<=48 sq in w/o b"
"A6211"="Foam drg > 48 sq in w/o brdr"
"A6212"="Foam drg <=16 sq in w/border"
"A6213"="Foam drg >16<=48 sq in w/bdr"
"A6214"="Foam drg > 48 sq in w/border"
"A6215"="Foam dressing wound filler"
"A6216"="Non-sterile gauze<=16 sq in"
"A6217"="Non-sterile gauze>16<=48 sq"
"A6218"="Non-sterile gauze > 48 sq in"
"A6219"="Gauze <= 16 sq in w/border"
"A6220"="Gauze >16 <=48 sq in w/bordr"
"A6221"="Gauze > 48 sq in w/border"
"A6222"="Gauze <=16 in no w/sal w/o b"
"A6223"="Gauze >16<=48 no w/sal w/o b"
"A6224"="Gauze > 48 in no w/sal w/o b"
"A6228"="Gauze <= 16 sq in water/sal"
"A6229"="Gauze >16<=48 sq in watr/sal"
"A6230"="Gauze > 48 sq in water/salne"
"A6231"="Hydrogel dsg<=16 sq in"
"A6232"="Hydrogel dsg>16<=48 sq in"
"A6233"="Hydrogel dressing >48 sq in"
"A6234"="Hydrocolld drg <=16 w/o bdr"
"A6235"="Hydrocolld drg >16<=48 w/o b"
"A6236"="Hydrocolld drg > 48 in w/o b"
"A6237"="Hydrocolld drg <=16 in w/bdr"
"A6238"="Hydrocolld drg >16<=48 w/bdr"
"A6239"="Hydrocolld drg > 48 in w/bdr"
"A6240"="Hydrocolld drg filler paste"
"A6241"="Hydrocolloid drg filler dry"
"A6242"="Hydrogel drg <=16 in w/o bdr"
"A6243"="Hydrogel drg >16<=48 w/o bdr"
"A6244"="Hydrogel drg >48 in w/o bdr"
"A6245"="Hydrogel drg <= 16 in w/bdr"
"A6246"="Hydrogel drg >16<=48 in w/b"
"A6247"="Hydrogel drg > 48 sq in w/b"
"A6248"="Hydrogel drsg gel filler"
"A6250"="Skin seal protect moisturizr"
"A6251"="Absorpt drg <=16 sq in w/o b"
"A6252"="Absorpt drg >16 <=48 w/o bdr"
"A6253"="Absorpt drg > 48 sq in w/o b"
"A6254"="Absorpt drg <=16 sq in w/bdr"
"A6255"="Absorpt drg >16<=48 in w/bdr"
"A6256"="Absorpt drg > 48 sq in w/bdr"
"A6257"="Transparent film <= 16 sq in"
"A6258"="Transparent film >16<=48 in"
"A6259"="Transparent film > 48 sq in"
"A6260"="Wound cleanser any type/size"
"A6261"="Wound filler gel/paste /oz"
"A6262"="Wound filler dry form / gram"
"A6263"="Non-sterile elastic gauze/yd"
"A6264"="Non-sterile no elastic gauze"
"A6265"="Tape per 18 sq inches"
"A6266"="Impreg gauze no h20/sal/yard"
"A6402"="Sterile gauze <= 16 sq in"
"A6403"="Sterile gauze>16 <= 48 sq in"
"A6404"="Sterile gauze > 48 sq in"
"A6405"="Sterile elastic gauze /yd"
"A6406"="Sterile non-elastic gauze/yd"
"A6407"="Packing strips, non-impreg"
"A6410"="Sterile eye pad"
"A6411"="Non-sterile eye pad"
"A6412"="Occlusive eye patch"
"A6413"="Adhesive bandage, first-aid"
"A6441"="Pad band w>=3” <5”/yd"
"A6442"="Conform band n/s w<3”/yd"
"A6443"="Conform band n/s w>=3”<5”/yd"
"A6444"="Conform band n/s w>=5”/yd"
"A6445"="Conform band s w <3”/yd"
"A6446"="Conform band s w>=3” <5”/yd"
"A6447"="Conform band s w >=5”/yd"
"A6448"="Lt compres band <3”/yd"
"A6449"="Lt compres band >=3” <5”/yd"
"A6450"="Lt compres band >=5”/yd"
"A6451"="Mod compres band w>=3”<5”/yd"
"A6452"="High compres band w>=3”<5”yd"
"A6453"="Self-adher band w <3”/yd"
"A6454"="Self-adher band w>=3” <5”/yd"
"A6455"="Self-adher band >=5”/yd"
"A6456"="Zinc paste band w >=3”<5”/yd"
"A6457"="Tubular dressing"
"A6501"="Compres burngarment bodysuit"
"A6502"="Compres burngarment chinstrp"
"A6503"="Compres burngarment facehood"
"A6504"="Cmprsburngarment glove-wrist"
"A6505"="Cmprsburngarment glove-elbow"
"A6506"="Cmprsburngrmnt glove-axilla"
"A6507"="Cmprs burngarment foot-knee"
"A6508"="Cmprs burngarment foot-thigh"
"A6509"="Compres burn garment jacket"
"A6510"="Compres burn garment leotard"
"A6511"="Compres burn garment panty"
"A6512"="Compres burn garment, noc"
"A6513"="Compress burn mask face/neck"
"A6530"="Compression stocking BK18-30"
"A6531"="Compression stocking BK30-40"
"A6532"="Compression stocking BK40-50"
"A6533"="Gc stocking thighlngth 18-30"
"A6534"="Gc stocking thighlngth 30-40"
"A6535"="Gc stocking thighlngth 40-50"
"A6536"="Gc stocking full lngth 18-30"
"A6537"="Gc stocking full lngth 30-40"
"A6538"="Gc stocking full lngth 40-50"
"A6539"="Gc stocking waistlngth 18-30"
"A6540"="Gc stocking waistlngth 30-40"
"A6541"="Gc stocking waistlngth 40-50"
"A6542"="Gc stocking custom made"
"A6543"="Gc stocking lymphedema"
"A6544"="Gc stocking garter belt"
"A6549"="G compression stocking"
"A6550"="Neg pres wound ther drsg set"
"A6551"="Neg press wound ther canistr"
"A7000"="Disposable canister for pump"
"A7001"="Nondisposable pump canister"
"A7002"="Tubing used w suction pump"
"A7003"="Nebulizer administration set"
"A7004"="Disposable nebulizer sml vol"
"A7005"="Nondisposable nebulizer set"
"A7006"="Filtered nebulizer admin set"
"A7007"="Lg vol nebulizer disposable"
"A7008"="Disposable nebulizer prefill"
"A7009"="Nebulizer reservoir bottle"
"A7010"="Disposable corrugated tubing"
"A7011"="Nondispos corrugated tubing"
"A7012"="Nebulizer water collec devic"
"A7013"="Disposable compressor filter"
"A7014"="Compressor nondispos filter"
"A7015"="Aerosol mask used w nebulize"
"A7016"="Nebulizer dome - mouthpiece"
"A7017"="Nebulizer not used w oxygen"
"A7018"="Water distilled w/nebulizer"
"A7025"="Replace chest compress vest"
"A7026"="Replace chst cmprss sys hose"
"A7027"="Combination oral/nasal mask"
"A7028"="Repl oral cushion combo mask"
"A7029"="Repl nasal pillow comb mask"
"A7030"="CPAP full face mask"
"A7031"="Replacement facemask interfa"
"A7032"="Replacement nasal cushion"
"A7033"="Replacement nasal pillows"
"A7034"="Nasal application device"
"A7035"="Pos airway press headgear"
"A7036"="Pos airway press chinstrap"
"A7037"="Pos airway pressure tubing"
"A7038"="Pos airway pressure filter"
"A7039"="Filter, non disposable w pap"
"A7040"="One way chest drain valve"
"A7041"="Water seal drain container"
"A7042"="Implanted pleural catheter"
"A7043"="Vacuum drainagebottle/tubing"
"A7044"="PAP oral interface"
"A7045"="Repl exhalation port for PAP"
"A7046"="Repl water chamber, PAP dev"
"A7501"="Tracheostoma valve w diaphra"
"A7502"="Replacement diaphragm/fplate"
"A7503"="HMES filter holder or cap"
"A7504"="Tracheostoma HMES filter"
"A7505"="HMES or trach valve housing"
"A7506"="HMES/trachvalve adhesivedisk"
"A7507"="Integrated filter - holder"
"A7508"="Housing - Integrated Adhesiv"
"A7509"="Heat - moisture exchange sys"
"A7520"="Trach/laryn tube non-cuffed"
"A7521"="Trach/laryn tube cuffed"
"A7522"="Trach/laryn tube stainless"
"A7523"="Tracheostomy shower protect"
"A7524"="Tracheostoma stent/stud/bttn"
"A7525"="Tracheostomy mask"
"A7526"="Tracheostomy tube collar"
"A7527"="Trach/laryn tube plug/stop"
"A8000"="Soft protect helmet prefab"
"A8001"="Hard protect helmet prefab"
"A8002"="Soft protect helmet custom"
"A8003"="Hard protect helmet custom"
"A8004"="Repl soft interface, helmet"
"A9150"="Misc/exper non-prescript dru"
"A9152"="Single vitamin nos"
"A9153"="Multi-vitamin nos"
"A9155"="Artificial saliva"
"A9160"="Podiatrist non-covered servi"
"A9170"="Chiropractor non-covered ser"
"A9180"="Lice treatment, topical"
"A9190"="Misc/expe personal comfort i"
"A9270"="Non-covered item or service"
"A9274"="Ext amb insulin delivery sys"
"A9275"="Disp home glucose monitor"
"A9276"="Disposable sensor, CGM sys"
"A9277"="External transmitter, CGM"
"A9278"="External receiver, CGM sys"
"A9279"="Monitoring feature/deviceNOC"
"A9280"="Alert device, noc"
"A9281"="Reaching/grabbing device"
"A9282"="Wig any type"
"A9283"="Foot press off load supp dev"
"A9290"="Description does not indicat"
"A9300"="Exercise equipment"
"A9500"="Tc99m sestamibi"
"A9501"="Technetium TC-99m teboroxime"
"A9502"="Tc99m tetrofosmin"
"A9503"="Tc99m medronate"
"A9504"="Tc99m apcitide"
"A9505"="TL201 thallium"
"A9507"="In111 capromab"
"A9508"="I131 iodobenguate, dx"
"A9509"="Iodine I-123 sod iodide mil"
"A9510"="Tc99m disofenin"
"A9511"="Technetium TC 99m depreotide"
"A9512"="Tc99m pertechnetate"
"A9513"="Technetium tc-99m mebrofenin"
"A9514"="Technetiumtc99mpyrophosphate"
"A9515"="Technetium tc-99m pentetate"
"A9516"="Iodine I-123 sod iodide mic"
"A9517"="I131 iodide cap, rx"
"A9519"="Technetiumtc-99mmacroag albu"
"A9520"="Technetiumtc-99m sulfur clld"
"A9521"="Tc99m exametazime"
"A9522"="Indium111ibritumomabtiuxetan"
"A9523"="Yttrium90ibritumomabtiuxetan"
"A9524"="I131 serum albumin, dx"
"A9525"="Low/iso-osmolar contrast mat"
"A9526"="Nitrogen N-13 ammonia"
"A9527"="Iodine I-125 sodium iodide"
"A9528"="Iodine I-131 iodide cap, dx"
"A9529"="I131 iodide sol, dx"
"A9530"="I131 iodide sol, rx"
"A9531"="I131 max 100uCi"
"A9532"="I125 serum albumin, dx"
"A9533"="I-131 tositumomab diagnostic"
"A9534"="I-131 tositumomab therapeut"
"A9535"="Injection, methylene blue"
"A9536"="Tc99m depreotide"
"A9537"="Tc99m mebrofenin"
"A9538"="Tc99m pyrophosphate"
"A9539"="Tc99m pentetate"
"A9540"="Tc99m MAA"
"A9541"="Tc99m sulfur colloid"
"A9542"="In111 ibritumomab, dx"
"A9543"="Y90 ibritumomab, rx"
"A9544"="I131 tositumomab, dx"
"A9545"="I131 tositumomab, rx"
"A9546"="Co57/58"
"A9547"="In111 oxyquinoline"
"A9548"="In111 pentetate"
"A9549"="Tc99m arcitumomab"
"A9550"="Tc99m gluceptate"
"A9551"="Tc99m succimer"
"A9552"="F18 fdg"
"A9553"="Cr51 chromate"
"A9554"="I125 iothalamate, dx"
"A9555"="Rb82 rubidium"
"A9556"="Ga67 gallium"
"A9557"="Tc99m bicisate"
"A9558"="Xe133 xenon 10mci"
"A9559"="Co57 cyano"
"A9560"="Tc99m labeled rbc"
"A9561"="Tc99m oxidronate"
"A9562"="Tc99m mertiatide"
"A9563"="P32 Na phosphate"
"A9564"="P32 chromic phosphate"
"A9565"="In111 pentetreotide"
"A9566"="Tc99m fanolesomab"
"A9567"="Technetium TC-99m aerosol"
"A9568"="Technetium tc99m arcitumomab"
"A9569"="Technetium TC-99m auto WBC"
"A9570"="Indium In-111 auto WBC"
"A9571"="Indium IN-111 auto platelet"
"A9572"="Indium In-111 pentetreotide"
"A9576"="Inj prohance multipack"
"A9577"="Inj multihance"
"A9578"="Inj multihance multipack"
"A9579"="Gad-base MR contrast NOS,1ml"
"A9600"="Sr89 strontium"
"A9605"="Sm 153 lexidronm"
"A9698"="Non-rad contrast materialNOC"
"A9699"="Radiopharm rx agent noc"
"A9700"="Echocardiography Contrast"
"A9900"="Supply/accessory/service"
"A9901"="Delivery/set up/dispensing"
"A9999"="DME supply or accessory, nos"
"ALUE"="MT"
"B4034"="Enter feed supkit syr by day"
"B4035"="Enteral feed supp pump per d"
"B4036"="Enteral feed sup kit grav by"
"B4081"="Enteral ng tubing w/ stylet"
"B4082"="Enteral ng tubing w/o stylet"
"B4083"="Enteral stomach tube levine"
"B4086"="Gastrostomy/jejunostomy tube"
"B4087"="Gastro/jejuno tube, std"
"B4088"="Gastro/jejuno tube, low-pro"
"B4100"="Food thickener oral"
"B4102"="EF adult fluids and electro"
"B4103"="EF ped fluid and electrolyte"
"B4104"="Additive for enteral formula"
"B4149"="EF blenderized foods"
"B4150"="EF complet w/intact nutrient"
"B4151"="Enteral formulae cat1natural"
"B4152"="EF calorie dense>/=1.5Kcal"
"B4153"="EF hydrolyzed/amino acids"
"B4154"="EF spec metabolic noninherit"
"B4155"="EF incomplete/modular"
"B4156"="Enteral formulae category vi"
"B4157"="EF special metabolic inherit"
"B4158"="EF ped complete intact nut"
"B4159"="EF ped complete soy based"
"B4160"="EF ped caloric dense>/=0.7kc"
"B4161"="EF ped hydrolyzed/amino acid"
"B4162"="EF ped specmetabolic inherit"
"B4164"="Parenteral 50% dextrose solu"
"B4168"="Parenteral sol amino acid 3."
"B4172"="Parenteral sol amino acid 5."
"B4176"="Parenteral sol amino acid 7-"
"B4178"="Parenteral sol amino acid >"
"B4180"="Parenteral sol carb > 50%"
"B4184"="Parenteral sol lipids 10%"
"B4185"="Parenteral sol 10 gm lipids"
"B4186"="Parenteral sol lipids 20%"
"B4189"="Parenteral sol amino acid -"
"B4193"="Parenteral sol 52-73 gm prot"
"B4197"="Parenteral sol 74-100 gm pro"
"B4199"="Parenteral sol > 100gm prote"
"B4216"="Parenteral nutrition additiv"
"B4220"="Parenteral supply kit premix"
"B4222"="Parenteral supply kit homemi"
"B4224"="Parenteral administration ki"
"B5000"="Parenteral sol renal-amirosy"
"B5100"="Parenteral sol hepatic-fream"
"B5200"="Parenteral sol stres-brnch c"
"B9000"="Enter infusion pump w/o alrm"
"B9002"="Enteral infusion pump w/ ala"
"B9004"="Parenteral infus pump portab"
"B9006"="Parenteral infus pump statio"
"B9998"="Enteral supp not otherwise c"
"B9999"="Parenteral supp not othrws c"
"C1079"="CO 57/58 per 0.5 uCi"
"C1080"="I-131 tositumomab, dx"
"C1081"="I-131 tositumomab, tx"
"C1082"="In-111 ibritumomab tiuxetan"
"C1083"="Yttrium 90 ibritumomab tiuxe"
"C1091"="IN111 oxyquinoline,per0.5mCi"
"C1092"="IN 111 pentetate per 0.5 mCi"
"C1093"="TC99M fanolesomab"
"C1122"="Tc 99M ARCITUMOMAB PER VIAL"
"C1178"="BUSULFAN IV, 6 Mg"
"C1200"="TC 99M Sodium Glucoheptonat"
"C1201"="TC 99M SUCCIMER, PER Vial"
"C1300"="HYPERBARIC Oxygen"
"C1305"="Apligraf"
"C1713"="Anchor/screw bn/bn,tis/bn"
"C1714"="Cath, trans atherectomy, dir"
"C1715"="Brachytherapy needle"
"C1716"="Brachytx, non-str, Gold-198"
"C1717"="Brachytx, non-str,HDR Ir-192"
"C1718"="Brachytx source, Iodine 125"
"C1719"="Brachytx, NS, Non-HDRIr-192"
"C1720"="Brachytx sour, Palladium 103"
"C1721"="AICD, dual chamber"
"C1722"="AICD, single chamber"
"C1724"="Cath, trans atherec,rotation"
"C1725"="Cath, translumin non-laser"
"C1726"="Cath, bal dil, non-vascular"
"C1727"="Cath, bal tis dis, non-vas"
"C1728"="Cath, brachytx seed adm"
"C1729"="Cath, drainage"
"C1730"="Cath, EP, 19 or few elect"
"C1731"="Cath, EP, 20 or more elec"
"C1732"="Cath, EP, diag/abl, 3D/vect"
"C1733"="Cath, EP, othr than cool-tip"
"C1750"="Cath, hemodialysis,long-term"
"C1751"="Cath, inf, per/cent/midline"
"C1752"="Cath,hemodialysis,short-term"
"C1753"="Cath, intravas ultrasound"
"C1754"="Catheter, intradiscal"
"C1755"="Catheter, intraspinal"
"C1756"="Cath, pacing, transesoph"
"C1757"="Cath, thrombectomy/embolect"
"C1758"="Catheter, ureteral"
"C1759"="Cath, intra echocardiography"
"C1760"="Closure dev, vasc"
"C1762"="Conn tiss, human(inc fascia)"
"C1763"="Conn tiss, non-human"
"C1764"="Event recorder, cardiac"
"C1765"="Adhesion barrier"
"C1766"="Intro/sheath,strble,non-peel"
"C1767"="Generator, neuro non-recharg"
"C1768"="Graft, vascular"
"C1769"="Guide wire"
"C1770"="Imaging coil, MR, insertable"
"C1771"="Rep dev, urinary, w/sling"
"C1772"="Infusion pump, programmable"
"C1773"="Ret dev, insertable"
"C1775"="FDG, per dose (4-40 mCi/ml)"
"C1776"="Joint device (implantable)"
"C1777"="Lead, AICD, endo single coil"
"C1778"="Lead, neurostimulator"
"C1779"="Lead, pmkr, transvenous VDD"
"C1780"="Lens, intraocular (new tech)"
"C1781"="Mesh (implantable)"
"C1782"="Morcellator"
"C1783"="Ocular imp, aqueous drain de"
"C1784"="Ocular dev, intraop, det ret"
"C1785"="Pmkr, dual, rate-resp"
"C1786"="Pmkr, single, rate-resp"
"C1787"="Patient progr, neurostim"
"C1788"="Port, indwelling, imp"
"C1789"="Prosthesis, breast, imp"
"C1813"="Prosthesis, penile, inflatab"
"C1814"="Retinal tamp, silicone oil"
"C1815"="Pros, urinary sph, imp"
"C1816"="Receiver/transmitter, neuro"
"C1817"="Septal defect imp sys"
"C1818"="Integrated keratoprosthesis"
"C1819"="Tissue localization-excision"
"C1820"="Generator neuro rechg bat sy"
"C1821"="Interspinous implant"
"C1874"="Stent, coated/cov w/del sys"
"C1875"="Stent, coated/cov w/o del sy"
"C1876"="Stent, non-coa/non-cov w/del"
"C1877"="Stent, non-coat/cov w/o del"
"C1878"="Matrl for vocal cord"
"C1879"="Tissue marker, implantable"
"C1880"="Vena cava filter"
"C1881"="Dialysis access system"
"C1882"="AICD, other than sing/dual"
"C1883"="Adapt/ext, pacing/neuro lead"
"C1884"="Embolization Protect syst"
"C1885"="Cath, translumin angio laser"
"C1887"="Catheter, guiding"
"C1888"="Endovas non-cardiac abl cath"
"C1891"="Infusion pump,non-prog, perm"
"C1892"="Intro/sheath,fixed,peel-away"
"C1893"="Intro/sheath, fixed,non-peel"
"C1894"="Intro/sheath, non-laser"
"C1895"="Lead, AICD, endo dual coil"
"C1896"="Lead, AICD, non sing/dual"
"C1897"="Lead, neurostim test kit"
"C1898"="Lead, pmkr, other than trans"
"C1899"="Lead, pmkr/AICD combination"
"C1900"="Lead, coronary venous"
"C2614"="Probe, perc lumb disc"
"C2615"="Sealant, pulmonary, liquid"
"C2616"="Brachytx, non-str,Yttrium-90"
"C2617"="Stent, non-cor, tem w/o del"
"C2618"="Probe, cryoablation"
"C2619"="Pmkr, dual, non rate-resp"
"C2620"="Pmkr, single, non rate-resp"
"C2621"="Pmkr, other than sing/dual"
"C2622"="Prosthesis, penile, non-inf"
"C2625"="Stent, non-cor, tem w/del sy"
"C2626"="Infusion pump, non-prog,temp"
"C2627"="Cath, suprapubic/cystoscopic"
"C2628"="Catheter, occlusion"
"C2629"="Intro/sheath, laser"
"C2630"="Cath, EP, cool-tip"
"C2631"="Rep dev, urinary, w/o sling"
"C2632"="Brachytx sol, I-125, per mCi"
"C2633"="Brachytx source, Cesium-131"
"C2634"="Brachytx, non-str, HA, I-125"
"C2635"="Brachytx, non-str, HA, P-103"
"C2636"="Brachy linear, non-str,P-103"
"C2637"="Brachy,non-str,Ytterbium-169"
"C2638"="Brachytx, stranded, I-125"
"C2639"="Brachytx, non-stranded,I-125"
"C2640"="Brachytx, stranded, P-103"
"C2641"="Brachytx, non-stranded,P-103"
"C2642"="Brachytx, stranded, C-131"
"C2643"="Brachytx, non-stranded,C-131"
"C2698"="Brachytx, stranded, NOS"
"C2699"="Brachytx, non-stranded, NOS"
"C8900"="MRA w/cont, abd"
"C8901"="MRA w/o cont, abd"
"C8902"="MRA w/o fol w/cont, abd"
"C8903"="MRI w/cont, breast,  uni"
"C8904"="MRI w/o cont, breast, uni"
"C8905"="MRI w/o fol w/cont, brst, un"
"C8906"="MRI w/cont, breast,  bi"
"C8907"="MRI w/o cont, breast, bi"
"C8908"="MRI w/o fol w/cont, breast,"
"C8909"="MRA w/cont, chest"
"C8910"="MRA w/o cont, chest"
"C8911"="MRA w/o fol w/cont, chest"
"C8912"="MRA w/cont, lwr ext"
"C8913"="MRA w/o cont, lwr ext"
"C8914"="MRA w/o fol w/cont, lwr ext"
"C8918"="MRA w/cont, pelvis"
"C8919"="MRA w/o cont, pelvis"
"C8920"="MRA w/o fol w/cont, pelvis"
"C8921"="Comp transtho echo w/contr"
"C8922"="Limit transtho echo w/contr"
"C8923"="2D com transtho echo w/contr"
"C8924"="2D lim transtho echo w/contr"
"C8925"="2D TEE w/contrast, int/rept"
"C8926"="Cong TEE w/contr, int/rept"
"C8927"="TEE w/contrast; monitor"
"C8928"="2D transtho w/contr; stress"
"C8950"="IV inf, tx/dx, up to 1 hr"
"C8951"="IV inf, tx/dx, each addl hr"
"C8952"="Tx, prophy, dx IV push"
"C8953"="Chemotx adm, IV push"
"C8954"="Chemotx adm, IV inf up to 1h"
"C8955"="Chemotx adm, IV inf, addl hr"
"C8957"="Prolonged IV inf, req pump"
"C9000"="Na chromateCr51, per 0.25mCi"
"C9003"="Palivizumab, per 50 mg"
"C9007"="Baclofen Intrathecal kit-1am"
"C9008"="Baclofen Refill Kit-500mcg"
"C9009"="Baclofen Refill Kit-2000mcg"
"C9013"="Co 57 cobaltous chloride"
"C9102"="51 Na Chromate, 50mCi"
"C9103"="Na Iothalamate I-125, 10 uCi"
"C9105"="Hep B imm glob, per 1 ml"
"C9109"="Tirofiban hcl, 6.25 mg"
"C9112"="Perflutren lipid micro, 2ml"
"C9113"="Inj pantoprazole sodium, via"
"C9121"="Injection, argatroban"
"C9123"="Transcyte, per 247 sq cm"
"C9124"="Injection, daptomycin"
"C9125"="Injection, risperidone"
"C9126"="Injection, natalizumab"
"C9127"="Paclitaxel protein pr"
"C9128"="Inj pegaptanib sodium"
"C9129"="Inj clofarabine"
"C9200"="Orcel, per 36 cm2"
"C9201"="Dermagraft, per 37.5 sq cm"
"C9202"="Octafluoropropane"
"C9203"="Perflexane lipid micro"
"C9205"="Oxaliplatin"
"C9206"="Integra, per cm2"
"C9207"="Injection, bortezomib"
"C9208"="Injection, agalsidase beta"
"C9209"="Injection, laronidase"
"C9210"="Injection, palonosetron HCl"
"C9211"="Inj, alefacept, IV"
"C9212"="Inj, alefacept, IM"
"C9213"="Injection, pemetrexed"
"C9214"="Injection, bevacizumab"
"C9215"="Injection, cetuximab"
"C9216"="Abarelix, inject suspension"
"C9217"="Injection, omalizumab"
"C9218"="Injection, azacitidine"
"C9219"="Mycophenolic acid, oral"
"C9220"="Sodium hyaluronate"
"C9221"="Graftjacket Reg Matrix"
"C9222"="Graftjacket SftTis"
"C9223"="Inj adenosine, tx dx"
"C9224"="Injection, galsulfase"
"C9225"="Fluocinolone acetonide"
"C9226"="Ziconotide intrathecal inf"
"C9227"="Injection, micafungin sodium"
"C9228"="Injection, tigecycline"
"C9229"="Injection ibandronate sodium"
"C9230"="Injection, abatacept"
"C9231"="Injection, decitabine"
"C9232"="Injection, idursulfase"
"C9233"="Injection, ranibizumab"
"C9234"="Inj, alglucosidase alfa"
"C9235"="Injection, panitumumab"
"C9236"="Injection, eculizumab"
"C9238"="Inj, levetiracetam"
"C9239"="Inj, temsirolimus"
"C9350"="Porous collagen tube per cm"
"C9351"="Acellular derm tissue percm2"
"C9352"="Neuragen nerve guide, per cm"
"C9353"="Neurawrap nerve protector,cm"
"C9399"="Unclassified drugs or biolog"
"C9400"="Thallous chloride, brand"
"C9401"="Strontium-89 chloride,brand"
"C9402"="Th I131 so iodide cap, brand"
"C9403"="Dx I131 so iodide cap, brand"
"C9404"="Dx I131 so iodide sol, brand"
"C9405"="Th I131 so iodide sol, brand"
"C9410"="Dexrazoxane HCl inj, brand"
"C9411"="Pamidronate disodium, brand"
"C9412"="Ganciclovir implant, brand"
"C9413"="Sodium hyaluronate inj, bran"
"C9414"="Etoposide oral, brand"
"C9415"="Doxorubic hcl chemo, brand"
"C9417"="Bleomycin sulfate inj, brand"
"C9418"="Cisplatin inj, brand"
"C9419"="Inj cladribine, brand"
"C9420"="Cyclophosphamide inj, brand"
"C9421"="Cyclophosphamide lyo, brand"
"C9422"="Cytarabine hcl inj, brand"
"C9423"="Dacarbazine inj, brand"
"C9424"="Daunorubicin, brand"
"C9425"="Etoposide inj, brand"
"C9426"="Floxuridine inj, brand"
"C9427"="Ifosfamide inj, brand"
"C9428"="Mesna injection, brand"
"C9429"="Idarubicin hcl inj, brand"
"C9430"="Leuprolide acetate inj, bran"
"C9431"="Paclitaxel inj, brand"
"C9432"="Mitomycin inj, brand"
"C9433"="Thiotepa inj, brand"
"C9435"="Gonadorelin hydroch, brand"
"C9436"="Azathioprine parenteral,brnd"
"C9437"="Carmus bischl nitro inj"
"C9438"="Cyclosporine oral, brand"
"C9439"="Diethylstilbestrol injection"
"C9440"="Vinorelbine tar,brand"
"C9701"="Stretta System"
"C9703"="Bard Endoscopic Suturing Sys"
"C9704"="Inj inert subs upper GI"
"C9712"="Insert pH capsule, GERD"
"C9713"="Non-contact laser vap prosta"
"C9714"="Breast inters rad tx, immed"
"C9715"="Breast inters rad tx, delay"
"C9716"="Radiofrequency energy to anu"
"C9717"="Stapled hemorrhoidopexy"
"C9718"="Kyphoplasty, first vertebra"
"C9719"="Kyphoplasty, each addl"
"C9720"="HE ESW tx, tennis elbow"
"C9721"="HE ESW tx, plantar fasciitis"
"C9722"="KV imaging w/IR tracking"
"C9723"="Dyn IR Perf Img"
"C9724"="EPS gast cardia plic"
"C9725"="Place endorectal app"
"C9726"="Rxt breast appl place/remov"
"C9727"="Insert palate implants"
"C9728"="Place device/marker, non pro"
"D0110"="Initial oral examination"
"D0120"="Periodic oral evaluation"
"D0130"="Emergency oral examination"
"D0140"="Limit oral eval problm focus"
"D0145"="Oral evaluation, pt < 3yrs"
"D0150"="Comprehensve oral evaluation"
"D0160"="Extensv oral eval prob focus"
"D0170"="Re-eval,est pt,problem focus"
"D0180"="Comp periodontal evaluation"
"D0210"="Intraor complete film series"
"D0220"="Intraoral periapical first f"
"D0230"="Intraoral periapical ea add"
"D0240"="Intraoral occlusal film"
"D0250"="Extraoral first film"
"D0260"="Extraoral ea additional film"
"D0270"="Dental bitewing single film"
"D0272"="Dental bitewings two films"
"D0273"="Bitewings - three films"
"D0274"="Dental bitewings four films"
"D0277"="Vert bitewings-sev to eight"
"D0290"="Dental film skull/facial bon"
"D0310"="Dental saliography"
"D0320"="Dental tmj arthrogram incl i"
"D0321"="Dental other tmj films"
"D0322"="Dental tomographic survey"
"D0330"="Dental panoramic film"
"D0340"="Dental cephalometric film"
"D0350"="Oral/facial photo images"
"D0360"="Cone beam ct"
"D0362"="Cone beam, two dimensional"
"D0363"="Cone beam, three dimensional"
"D0415"="Collection of microorganisms"
"D0416"="Viral culture"
"D0421"="Gen tst suscept oral disease"
"D0425"="Caries susceptibility test"
"D0431"="Diag tst detect mucos abnorm"
"D0460"="Pulp vitality test"
"D0470"="Diagnostic casts"
"D0471"="Diagnostic photographs"
"D0472"="Gross exam, prep - report"
"D0473"="Micro exam, prep - report"
"D0474"="Micro w exam of surg margins"
"D0475"="Decalcification procedure"
"D0476"="Spec stains for microorganis"
"D0477"="Spec stains not for microorg"
"D0478"="Immunohistochemical stains"
"D0479"="Tissue in-situ hybridization"
"D0480"="Cytopath smear prep - report"
"D0481"="Electron microscopy diagnost"
"D0482"="Direct immunofluorescence"
"D0483"="Indirect immunofluorescence"
"D0484"="Consult slides prep elsewher"
"D0485"="Consult inc prep of slides"
"D0486"="Accession of brush biopsy"
"D0501"="Histopathologic examinations"
"D0502"="Other oral pathology procedu"
"D0999"="Unspecified diagnostic proce"
"D1110"="Dental prophylaxis adult"
"D1120"="Dental prophylaxis child"
"D1201"="Topical fluor w prophy child"
"D1203"="Topical fluor w/o prophy chi"
"D1204"="Topical fluor w/o prophy adu"
"D1205"="Topical fluoride w/ prophy a"
"D1206"="Topical fluoride varnish"
"D1310"="Nutri counsel-control caries"
"D1320"="Tobacco counseling"
"D1330"="Oral hygiene instruction"
"D1351"="Dental sealant per tooth"
"D1510"="Space maintainer fxd unilat"
"D1515"="Fixed bilat space maintainer"
"D1520"="Remove unilat space maintain"
"D1525"="Remove bilat space maintain"
"D1550"="Recement space maintainer"
"D1555"="Remove fix space maintainer"
"D2110"="Amalgam one surface primary"
"D2120"="Amalgam two surfaces primary"
"D2130"="Amalgam three surfaces prima"
"D2131"="Amalgam four/more surf prima"
"D2140"="Amalgam one surface permanen"
"D2150"="Amalgam two surfaces permane"
"D2160"="Amalgam three surfaces perma"
"D2161"="Amalgam 4 or > surfaces perm"
"D2210"="Silcate cement per restorat"
"D2330"="Resin one surface-anterior"
"D2331"="Resin two surfaces-anterior"
"D2332"="Resin three surfaces-anterio"
"D2335"="Resin 4/> surf or w incis an"
"D2336"="Composite resin crown"
"D2380"="Resin one surf poster primar"
"D2381"="Resin two surf poster primar"
"D2382"="Resin three/more surf post p"
"D2385"="Resin one surf poster perman"
"D2386"="Resin two surf poster perman"
"D2387"="Resin three/more surf post p"
"D2390"="Ant resin-based cmpst crown"
"D2391"="Post 1 srfc resinbased cmpst"
"D2392"="Post 2 srfc resinbased cmpst"
"D2393"="Post 3 srfc resinbased cmpst"
"D2394"="Post >=4srfc resinbase cmpst"
"D2410"="Dental gold foil one surface"
"D2420"="Dental gold foil two surface"
"D2430"="Dental gold foil three surfa"
"D2510"="Dental inlay metalic 1 surf"
"D2520"="Dental inlay metallic 2 surf"
"D2530"="Dental inlay metl 3/more sur"
"D2540"="Onlay - metallic - per tooth"
"D2542"="Dental onlay metallic 2 surf"
"D2543"="Dental onlay metallic 3 surf"
"D2544"="Dental onlay metl 4/more sur"
"D2610"="Inlay porcelain/ceramic 1 su"
"D2620"="Inlay porcelain/ceramic 2 su"
"D2630"="Dental onlay porc 3/more sur"
"D2640"="Onlay-porcelain/ceramic"
"D2642"="Dental onlay porcelin 2 surf"
"D2643"="Dental onlay porcelin 3 surf"
"D2644"="Dental onlay porc 4/more sur"
"D2650"="Inlay composite/resin one su"
"D2651"="Inlay composite/resin two su"
"D2652"="Dental inlay resin 3/mre sur"
"D2660"="Onlay-composite/resin"
"D2662"="Dental onlay resin 2 surface"
"D2663"="Dental onlay resin 3 surface"
"D2664"="Dental onlay resin 4/mre sur"
"D2710"="Crown resin-based indirect"
"D2712"="Crown 3/4 resin-based compos"
"D2720"="Crown resin w/ high noble me"
"D2721"="Crown resin w/ base metal"
"D2722"="Crown resin w/ noble metal"
"D2740"="Crown porcelain/ceramic subs"
"D2750"="Crown porcelain w/ h noble m"
"D2751"="Crown porcelain fused base m"
"D2752"="Crown porcelain w/ noble met"
"D2780"="Crown 3/4 cast hi noble met"
"D2781"="Crown 3/4 cast base metal"
"D2782"="Crown 3/4 cast noble metal"
"D2783"="Crown 3/4 porcelain/ceramic"
"D2790"="Crown full cast high noble m"
"D2791"="Crown full cast base metal"
"D2792"="Crown full cast noble metal"
"D2794"="Crown-titanium"
"D2799"="Provisional crown"
"D2810"="Crown 3/4 cast metallic"
"D2910"="Recement inlay onlay or part"
"D2915"="Recement cast or prefab post"
"D2920"="Dental recement crown"
"D2930"="Prefab stnlss steel crwn pri"
"D2931"="Prefab stnlss steel crown pe"
"D2932"="Prefabricated resin crown"
"D2933"="Prefab stainless steel crown"
"D2934"="Prefab steel crown primary"
"D2940"="Dental sedative filling"
"D2950"="Core build-up incl any pins"
"D2951"="Tooth pin retention"
"D2952"="Post and core cast + crown"
"D2953"="Each addtnl cast post"
"D2954"="Prefab post/core + crown"
"D2955"="Post removal"
"D2957"="Each addtnl prefab post"
"D2960"="Laminate labial veneer"
"D2961"="Lab labial veneer resin"
"D2962"="Lab labial veneer porcelain"
"D2970"="Temp crown (fractured tooth)"
"D2971"="Add proc construct new crown"
"D2975"="Coping"
"D2980"="Crown repair"
"D2999"="Dental unspec restorative pr"
"D3110"="Pulp cap direct"
"D3120"="Pulp cap indirect"
"D3220"="Therapeutic pulpotomy"
"D3221"="Gross pulpal debridement"
"D3230"="Pulpal therapy anterior prim"
"D3240"="Pulpal therapy posterior pri"
"D3310"="Anterior"
"D3320"="Root canal therapy 2 canals"
"D3330"="Root canal therapy 3 canals"
"D3331"="Non-surg tx root canal obs"
"D3332"="Incomplete endodontic tx"
"D3333"="Internal root repair"
"D3346"="Retreat root canal anterior"
"D3347"="Retreat root canal bicuspid"
"D3348"="Retreat root canal molar"
"D3351"="Apexification/recalc initial"
"D3352"="Apexification/recalc interim"
"D3353"="Apexification/recalc final"
"D3410"="Apicoect/perirad surg anter"
"D3421"="Root surgery bicuspid"
"D3425"="Root surgery molar"
"D3426"="Root surgery ea add root"
"D3430"="Retrograde filling"
"D3450"="Root amputation"
"D3460"="Endodontic endosseous implan"
"D3470"="Intentional replantation"
"D3910"="Isolation- tooth w rubb dam"
"D3920"="Tooth splitting"
"D3950"="Canal prep/fitting of dowel"
"D3960"="Bleaching of discolored toot"
"D3999"="Endodontic procedure"
"D4210"="Gingivectomy/plasty per quad"
"D4211"="Gingivectomy/plasty per toot"
"D4220"="Gingival curettage per quadr"
"D4230"="Ana crown exp 4 or> per quad"
"D4231"="Ana crown exp 1-3 per quad"
"D4240"="Gingival flap proc w/ planin"
"D4241"="Gngvl flap w rootplan 1-3 th"
"D4245"="Apically positioned flap"
"D4249"="Crown lengthen hard tissue"
"D4250"="Mucogingival surg per quadra"
"D4260"="Osseous surgery per quadrant"
"D4261"="Osseous surgl-3teethperquad"
"D4262"="Osseous graft  -  multiple s"
"D4263"="Bone replce graft first site"
"D4264"="Bone replce graft each add"
"D4265"="Bio mtrls to aid soft/os reg"
"D4266"="Guided tiss regen resorble"
"D4267"="Guided tiss regen nonresorb"
"D4268"="Surgical revision procedure"
"D4270"="Pedicle soft tissue graft pr"
"D4271"="Free soft tissue graft proc"
"D4273"="Subepithelial tissue graft"
"D4274"="Distal/proximal wedge proc"
"D4275"="Soft tissue allograft"
"D4276"="Con tissue w dble ped graft"
"D4320"="Provision splnt intracoronal"
"D4321"="Provisional splint extracoro"
"D4341"="Periodontal scaling - root"
"D4342"="Periodontal scaling 1-3teeth"
"D4345"="Periodontal scaling"
"D4355"="Full mouth debridement"
"D4381"="Localized delivery antimicro"
"D4910"="Periodontal maint procedures"
"D4920"="Unscheduled dressing change"
"D4999"="Unspecified periodontal proc"
"D5110"="Dentures complete maxillary"
"D5120"="Dentures complete mandible"
"D5130"="Dentures immediat maxillary"
"D5140"="Dentures immediat mandible"
"D5211"="Dentures maxill part resin"
"D5212"="Dentures mand part resin"
"D5213"="Dentures maxill part metal"
"D5214"="Dentures mandibl part metal"
"D5225"="Maxillary part denture flex"
"D5226"="Mandibular part denture flex"
"D5281"="Removable partial denture"
"D5410"="Dentures adjust cmplt maxil"
"D5411"="Dentures adjust cmplt mand"
"D5421"="Dentures adjust part maxill"
"D5422"="Dentures adjust part mandbl"
"D5510"="Dentur repr broken compl bas"
"D5520"="Replace denture teeth complt"
"D5610"="Dentures repair resin base"
"D5620"="Rep part denture cast frame"
"D5630"="Rep partial denture clasp"
"D5640"="Replace part denture teeth"
"D5650"="Add tooth to partial denture"
"D5660"="Add clasp to partial denture"
"D5670"="Replc tth-acrlc on mtl frmwk"
"D5671"="Replc tth-acrlc mandibular"
"D5710"="Dentures rebase cmplt maxil"
"D5711"="Dentures rebase cmplt mand"
"D5720"="Dentures rebase part maxill"
"D5721"="Dentures rebase part mandbl"
"D5730"="Denture reln cmplt maxil ch"
"D5731"="Denture reln cmplt mand chr"
"D5740"="Denture reln part maxil chr"
"D5741"="Denture reln part mand chr"
"D5750"="Denture reln cmplt max lab"
"D5751"="Denture reln cmplt mand lab"
"D5760"="Denture reln part maxil lab"
"D5761"="Denture reln part mand lab"
"D5810"="Denture interm cmplt maxill"
"D5811"="Denture interm cmplt mandbl"
"D5820"="Denture interm part maxill"
"D5821"="Denture interm part mandbl"
"D5850"="Denture tiss conditn maxill"
"D5851"="Denture tiss condtin mandbl"
"D5860"="Overdenture complete"
"D5861"="Overdenture partial"
"D5862"="Precision attachment"
"D5867"="Replacement of precision att"
"D5875"="Prosthesis modification"
"D5899"="Removable prosthodontic proc"
"D5911"="Facial moulage sectional"
"D5912"="Facial moulage complete"
"D5913"="Nasal prosthesis"
"D5914"="Auricular prosthesis"
"D5915"="Orbital prosthesis"
"D5916"="Ocular prosthesis"
"D5919"="Facial prosthesis"
"D5922"="Nasal septal prosthesis"
"D5923"="Ocular prosthesis interim"
"D5924"="Cranial prosthesis"
"D5925"="Facial augmentation implant"
"D5926"="Replacement nasal prosthesis"
"D5927"="Auricular replacement"
"D5928"="Orbital replacement"
"D5929"="Facial replacement"
"D5931"="Surgical obturator"
"D5932"="Postsurgical obturator"
"D5933"="Refitting of obturator"
"D5934"="Mandibular flange prosthesis"
"D5935"="Mandibular denture prosth"
"D5936"="Temp obturator prosthesis"
"D5937"="Trismus appliance"
"D5951"="Feeding aid"
"D5952"="Pediatric speech aid"
"D5953"="Adult speech aid"
"D5954"="Superimposed prosthesis"
"D5955"="Palatal lift prosthesis"
"D5958"="Intraoral con def inter plt"
"D5959"="Intraoral con def mod palat"
"D5960"="Modify speech aid prosthesis"
"D5982"="Surgical stent"
"D5983"="Radiation applicator"
"D5984"="Radiation shield"
"D5985"="Radiation cone locator"
"D5986"="Fluoride applicator"
"D5987"="Commissure splint"
"D5988"="Surgical splint"
"D5999"="Maxillofacial prosthesis"
"D6010"="Odontics endosteal implant"
"D6012"="Endosteal implant"
"D6020"="Odontics abutment placement"
"D6030"="Endosseous implant"
"D6040"="Odontics eposteal implant"
"D6050"="Odontics transosteal implnt"
"D6053"="Implnt/abtmnt spprt remv dnt"
"D6054"="Implnt/abtmnt spprt remvprtl"
"D6055"="Implant connecting bar"
"D6056"="Prefabricated abutment"
"D6057"="Custom abutment"
"D6058"="Abutment supported crown"
"D6059"="Abutment supported mtl crown"
"D6060"="Abutment supported mtl crown"
"D6061"="Abutment supported mtl crown"
"D6062"="Abutment supported mtl crown"
"D6063"="Abutment supported mtl crown"
"D6064"="Abutment supported mtl crown"
"D6065"="Implant supported crown"
"D6066"="Implant supported mtl crown"
"D6067"="Implant supported mtl crown"
"D6068"="Abutment supported retainer"
"D6069"="Abutment supported retainer"
"D6070"="Abutment supported retainer"
"D6071"="Abutment supported retainer"
"D6072"="Abutment supported retainer"
"D6073"="Abutment supported retainer"
"D6074"="Abutment supported retainer"
"D6075"="Implant supported retainer"
"D6076"="Implant supported retainer"
"D6077"="Implant supported retainer"
"D6078"="Implnt/abut suprtd fixd dent"
"D6079"="Implnt/abut suprtd fixd dent"
"D6080"="Implant maintenance"
"D6090"="Repair implant"
"D6091"="Repl semi/precision attach"
"D6092"="Recement supp crown"
"D6093"="Recement supp part denture"
"D6094"="Abut support crown titanium"
"D6095"="Odontics repr abutment"
"D6100"="Removal of implant"
"D6190"="Radio/surgical implant index"
"D6194"="Abut support retainer titani"
"D6199"="Implant procedure"
"D6205"="Pontic-indirect resin based"
"D6210"="Prosthodont high noble metal"
"D6211"="Bridge base metal cast"
"D6212"="Bridge noble metal cast"
"D6214"="Pontic titanium"
"D6240"="Bridge porcelain high noble"
"D6241"="Bridge porcelain base metal"
"D6242"="Bridge porcelain nobel metal"
"D6245"="Bridge porcelain/ceramic"
"D6250"="Bridge resin w/high noble"
"D6251"="Bridge resin base metal"
"D6252"="Bridge resin w/noble metal"
"D6253"="Provisional pontic"
"D6520"="Dental retainer two surfaces"
"D6530"="Retainer metallic 3+ surface"
"D6540"="Inlay - metallic onlaying cu"
"D6543"="Dental retainr onlay 3 surf"
"D6544"="Dental retainr onlay 4/more"
"D6545"="Dental retainr cast metl"
"D6548"="Porcelain/ceramic retainer"
"D6600"="Porcelain/ceramic inlay 2srf"
"D6601"="Porc/ceram inlay >= 3 surfac"
"D6602"="Cst hgh nble mtl inlay 2 srf"
"D6603"="Cst hgh nble mtl inlay >=3sr"
"D6604"="Cst bse mtl inlay 2 surfaces"
"D6605"="Cst bse mtl inlay >= 3 surfa"
"D6606"="Cast noble metal inlay 2 sur"
"D6607"="Cst noble mtl inlay >=3 surf"
"D6608"="Onlay porc/crmc 2 surfaces"
"D6609"="Onlay porc/crmc >=3 surfaces"
"D6610"="Onlay cst hgh nbl mtl 2 srfc"
"D6611"="Onlay cst hgh nbl mtl >=3srf"
"D6612"="Onlay cst base mtl 2 surface"
"D6613"="Onlay cst base mtl >=3 surfa"
"D6614"="Onlay cst nbl mtl 2 surfaces"
"D6615"="Onlay cst nbl mtl >=3 surfac"
"D6624"="Inlay titanium"
"D6634"="Onlay titanium"
"D6710"="Crown-indirect resin based"
"D6720"="Retain crown resin w hi nble"
"D6721"="Crown resin w/base metal"
"D6722"="Crown resin w/noble metal"
"D6740"="Crown porcelain/ceramic"
"D6750"="Crown porcelain high noble"
"D6751"="Crown porcelain base metal"
"D6752"="Crown porcelain noble metal"
"D6780"="Crown 3/4 high noble metal"
"D6781"="Crown 3/4 cast based metal"
"D6782"="Crown 3/4 cast noble metal"
"D6783"="Crown 3/4 porcelain/ceramic"
"D6790"="Crown full high noble metal"
"D6791"="Crown full base metal cast"
"D6792"="Crown full noble metal cast"
"D6793"="Provisional retainer crown"
"D6794"="Crown titanium"
"D6920"="Dental connector bar"
"D6930"="Dental recement bridge"
"D6940"="Stress breaker"
"D6950"="Precision attachment"
"D6970"="Post - core plus retainer"
"D6971"="Cast post bridge retainer"
"D6972"="Prefab post - core plus reta"
"D6973"="Core build up for retainer"
"D6975"="Coping metal"
"D6976"="Each addtnl cast post"
"D6977"="Each addtl prefab post"
"D6980"="Bridge repair"
"D6985"="Pediatric partial denture fx"
"D6999"="Fixed prosthodontic proc"
"D7110"="Oral surgery single tooth"
"D7111"="Extraction coronal remnants"
"D7120"="Each add tooth extraction"
"D7130"="Tooth root removal"
"D7140"="Extraction erupted tooth/exr"
"D7210"="Rem imp tooth w mucoper flp"
"D7220"="Impact tooth remov soft tiss"
"D7230"="Impact tooth remov part bony"
"D7240"="Impact tooth remov comp bony"
"D7241"="Impact tooth rem bony w/comp"
"D7250"="Tooth root removal"
"D7260"="Oral antral fistula closure"
"D7261"="Primary closure sinus perf"
"D7270"="Tooth reimplantation"
"D7271"="Tooth implantation"
"D7272"="Tooth transplantation"
"D7280"="Exposure impact tooth orthod"
"D7281"="Exposure tooth aid eruption"
"D7282"="Mobilize erupted/malpos toot"
"D7283"="Place device impacted tooth"
"D7285"="Biopsy of oral tissue hard"
"D7286"="Biopsy of oral tissue soft"
"D7287"="Exfoliative cytolog collect"
"D7288"="Brush biopsy"
"D7290"="Repositioning of teeth"
"D7291"="Transseptal fiberotomy"
"D7292"="Screw retained plate"
"D7293"="Temp anchorage dev w flap"
"D7294"="Temp anchorage dev w/o flap"
"D7310"="Alveoplasty w/ extraction"
"D7311"="Alveoloplasty w/extract 1-3"
"D7320"="Alveoplasty w/o extraction"
"D7321"="Alveoloplasty not w/extracts"
"D7340"="Vestibuloplasty ridge extens"
"D7350"="Vestibuloplasty exten graft"
"D7410"="Rad exc lesion up to 1.25 cm"
"D7411"="Excision benign lesion>1.25c"
"D7412"="Excision benign lesion compl"
"D7413"="Excision malig lesion<=1.25c"
"D7414"="Excision malig lesion>1.25cm"
"D7415"="Excision malig les complicat"
"D7420"="Lesion > 1.25 cm"
"D7430"="Exc benign tumor  to 1.25 cm"
"D7431"="Benign tumor exc > 1.25 cm"
"D7440"="Malig tumor exc to 1.25 cm"
"D7441"="Malig tumor > 1.25 cm"
"D7450"="Rem odontogen cyst to 1.25cm"
"D7451"="Rem odontogen cyst > 1.25 cm"
"D7460"="Rem nonodonto cyst to 1.25cm"
"D7461"="Rem nonodonto cyst > 1.25 cm"
"D7465"="Lesion destruction"
"D7470"="Rem exostosis maxilla/mandib"
"D7471"="Rem exostosis any site"
"D7472"="Removal of torus palatinus"
"D7473"="Remove torus mandibularis"
"D7480"="Partial ostectomy"
"D7485"="Surg reduct osseoustuberosit"
"D7490"="Maxilla or mandible resectio"
"D7510"="I-d absc intraoral soft tiss"
"D7511"="Incision/drain abscess intra"
"D7520"="I-d abscess extraoral"
"D7521"="Incision/drain abscess extra"
"D7530"="Removal fb skin/areolar tiss"
"D7540"="Removal of fb reaction"
"D7550"="Removal of sloughed off bone"
"D7560"="Maxillary sinusotomy"
"D7610"="Maxilla open reduct simple"
"D7620"="Clsd reduct simpl maxilla fx"
"D7630"="Open red simpl mandible fx"
"D7640"="Clsd red simpl mandible fx"
"D7650"="Open red simp malar/zygom fx"
"D7660"="Clsd red simp malar/zygom fx"
"D7670"="Closd rductn splint alveolus"
"D7671"="Alveolus open reduction"
"D7680"="Reduct simple facial bone fx"
"D7710"="Maxilla open reduct compound"
"D7720"="Clsd reduct compd maxilla fx"
"D7730"="Open reduct compd mandble fx"
"D7740"="Clsd reduct compd mandble fx"
"D7750"="Open red comp malar/zygma fx"
"D7760"="Clsd red comp malar/zygma fx"
"D7770"="Open reduc compd alveolus fx"
"D7771"="Alveolus clsd reduc stblz te"
"D7780"="Reduct compnd facial bone fx"
"D7810"="Tmj open reduct-dislocation"
"D7820"="Closed tmp manipulation"
"D7830"="Tmj manipulation under anest"
"D7840"="Removal of tmj condyle"
"D7850"="Tmj meniscectomy"
"D7852"="Tmj repair of joint disc"
"D7854"="Tmj excisn of joint membrane"
"D7856"="Tmj cutting of a muscle"
"D7858"="Tmj reconstruction"
"D7860"="Tmj cutting into joint"
"D7865"="Tmj reshaping components"
"D7870"="Tmj aspiration joint fluid"
"D7871"="Lysis + lavage w catheters"
"D7872"="Tmj diagnostic arthroscopy"
"D7873"="Tmj arthroscopy lysis adhesn"
"D7874"="Tmj arthroscopy disc reposit"
"D7875"="Tmj arthroscopy synovectomy"
"D7876"="Tmj arthroscopy discectomy"
"D7877"="Tmj arthroscopy debridement"
"D7880"="Occlusal orthotic appliance"
"D7899"="Tmj unspecified therapy"
"D7910"="Dent sutur recent wnd to 5cm"
"D7911"="Dental suture wound to 5 cm"
"D7912"="Suture complicate wnd > 5 cm"
"D7920"="Dental skin graft"
"D7940"="Reshaping bone orthognathic"
"D7941"="Bone cutting ramus closed"
"D7942"="Bone cutting ramus open"
"D7943"="Cutting ramus open w/graft"
"D7944"="Bone cutting segmented"
"D7945"="Bone cutting body mandible"
"D7946"="Reconstruction maxilla total"
"D7947"="Reconstruct maxilla segment"
"D7948"="Reconstruct midface no graft"
"D7949"="Reconstruct midface w/graft"
"D7950"="Mandible graft"
"D7951"="Sinus aug w bone/bone sup"
"D7953"="Bone replacement graft"
"D7955"="Repair maxillofacial defects"
"D7960"="Frenulectomy/frenulotomy"
"D7963"="Frenuloplasty"
"D7970"="Excision hyperplastic tissue"
"D7971"="Excision pericoronal gingiva"
"D7972"="Surg redct fibrous tuberosit"
"D7980"="Sialolithotomy"
"D7981"="Excision of salivary gland"
"D7982"="Sialodochoplasty"
"D7983"="Closure of salivary fistula"
"D7990"="Emergency tracheotomy"
"D7991"="Dental coronoidectomy"
"D7993"="Implant - facial bones"
"D7994"="Implant - chin"
"D7995"="Synthetic graft facial bones"
"D7996"="Implant mandible for augment"
"D7997"="Appliance removal"
"D7998"="Intraoral place of fix dev"
"D7999"="Oral surgery procedure"
"D8010"="Limited dental tx primary"
"D8020"="Limited dental tx transition"
"D8030"="Limited dental tx adolescent"
"D8040"="Limited dental tx adult"
"D8050"="Intercep dental tx primary"
"D8060"="Intercep dental tx transitn"
"D8070"="Compre dental tx transition"
"D8080"="Compre dental tx adolescent"
"D8090"="Compre dental tx adult"
"D8110"="Removable appliance therapy"
"D8120"="Fixed appliance therapy"
"D8210"="Orthodontic rem appliance tx"
"D8220"="Fixed appliance therapy habt"
"D8360"="Removable appliance therapy"
"D8370"="Fixed appliance therapy"
"D8460"="Class 1 malocclusion"
"D8470"="Class 2 malocclusion"
"D8480"="Class 3 malocclusion"
"D8560"="Class 1 malocclusion"
"D8570"="Class 2 malocclusion"
"D8580"="Class 3 malocclusion"
"D8650"="Treatment of skeletal case"
"D8660"="Preorthodontic tx visit"
"D8670"="Periodic orthodontc tx visit"
"D8680"="Orthodontic retention"
"D8690"="Orthodontic treatment"
"D8691"="Repair ortho appliance"
"D8692"="Replacement retainer"
"D8693"="Rebond/cement/repair retain"
"D8750"="Post-treatment stabilization"
"D8999"="Orthodontic procedure"
"D9110"="Tx dental pain minor proc"
"D9120"="Fix partial denture section"
"D9210"="Dent anesthesia w/o surgery"
"D9211"="Regional block anesthesia"
"D9212"="Trigeminal block anesthesia"
"D9215"="Local anesthesia"
"D9220"="General anesthesia"
"D9221"="General anesthesia ea ad 15m"
"D9230"="Analgesia"
"D9240"="Intravenous sedation"
"D9241"="Intravenous sedation"
"D9242"="IV sedation ea ad 30 m"
"D9248"="Sedation (non-iv)"
"D9310"="Dental consultation"
"D9410"="Dental house call"
"D9420"="Hospital call"
"D9430"="Office visit during hours"
"D9440"="Office visit after hours"
"D9450"="Case presentation tx plan"
"D9610"="Dent therapeutic drug inject"
"D9612"="Thera par drugs 2 or > admin"
"D9630"="Other drugs/medicaments"
"D9910"="Dent appl desensitizing med"
"D9911"="Appl desensitizing resin"
"D9920"="Behavior management"
"D9930"="Treatment of complications"
"D9940"="Dental occlusal guard"
"D9941"="Fabrication athletic guard"
"D9942"="Repair/reline occlusal guard"
"D9950"="Occlusion analysis"
"D9951"="Limited occlusal adjustment"
"D9952"="Complete occlusal adjustment"
"D9970"="Enamel microabrasion"
"D9971"="Odontoplasty 1-2 teeth"
"D9972"="Extrnl bleaching per arch"
"D9973"="Extrnl bleaching per tooth"
"D9974"="Intrnl bleaching per tooth"
"D9999"="Adjunctive procedure"
"E0100"="Cane adjust/fixed with tip"
"E0105"="Cane adjust/fixed quad/3 pro"
"E0110"="Crutch forearm pair"
"E0111"="Crutch forearm each"
"E0112"="Crutch underarm pair wood"
"E0113"="Crutch underarm each wood"
"E0114"="Crutch underarm pair no wood"
"E0116"="Crutch underarm each no wood"
"E0117"="Underarm springassist crutch"
"E0118"="Crutch substitute"
"E0130"="Walker rigid adjust/fixed ht"
"E0135"="Walker folding adjust/fixed"
"E0140"="Walker w trunk support"
"E0141"="Rigid wheeled walker adj/fix"
"E0143"="Walker folding wheeled w/o s"
"E0144"="Enclosed walker w rear seat"
"E0147"="Walker variable wheel resist"
"E0148"="Heavyduty walker no wheels"
"E0149"="Heavy duty wheeled walker"
"E0153"="Forearm crutch platform atta"
"E0154"="Walker platform attachment"
"E0155"="Walker wheel attachment,pair"
"E0156"="Walker seat attachment"
"E0157"="Walker crutch attachment"
"E0158"="Walker leg extenders set of4"
"E0159"="Brake for wheeled walker"
"E0160"="Sitz type bath or equipment"
"E0161"="Sitz bath/equipment w/faucet"
"E0162"="Sitz bath chair"
"E0163"="Commode chair with fixed arm"
"E0164"="Commode chair mobile fixed a"
"E0165"="Commode chair with detacharm"
"E0166"="Commode chair mobile detach"
"E0167"="Commode chair pail or pan"
"E0168"="Heavyduty/wide commode chair"
"E0169"="Seatlift incorp commodechair"
"E0170"="Commode chair electric"
"E0171"="Commode chair non-electric"
"E0172"="Seat lift mechanism toilet"
"E0175"="Commode chair foot rest"
"E0176"="Air pressre pad/cushion nonp"
"E0177"="Water press pad/cushion nonp"
"E0178"="Gel pressre pad/cushion nonp"
"E0179"="Dry pressre pad/cushion nonp"
"E0180"="Press pad alternating w pump"
"E0181"="Press pad alternating w/ pum"
"E0182"="Replace pump, alt press pad"
"E0184"="Dry pressure mattress"
"E0185"="Gel pressure mattress pad"
"E0186"="Air pressure mattress"
"E0187"="Water pressure mattress"
"E0188"="Synthetic sheepskin pad"
"E0189"="Lambswool sheepskin pad"
"E0190"="Positioning cushion"
"E0191"="Protector heel or elbow"
"E0192"="Pad wheelchr low press/posit"
"E0193"="Powered air flotation bed"
"E0194"="Air fluidized bed"
"E0196"="Gel pressure mattress"
"E0197"="Air pressure pad for mattres"
"E0198"="Water pressure pad for mattr"
"E0199"="Dry pressure pad for mattres"
"E0200"="Heat lamp without stand"
"E0202"="Phototherapy light w/ photom"
"E0203"="Therapeutic lightbox tabletp"
"E0205"="Heat lamp with stand"
"E0210"="Electric heat pad standard"
"E0215"="Electric heat pad moist"
"E0217"="Water circ heat pad w pump"
"E0218"="Water circ cold pad w pump"
"E0220"="Hot water bottle"
"E0221"="Infrared heating pad system"
"E0225"="Hydrocollator unit"
"E0230"="Ice cap or collar"
"E0231"="Wound warming device"
"E0232"="Warming card for NWT"
"E0235"="Paraffin bath unit portable"
"E0236"="Pump for water circulating p"
"E0238"="Heat pad non-electric moist"
"E0239"="Hydrocollator unit portable"
"E0240"="Bath/shower chair"
"E0241"="Bath tub wall rail"
"E0242"="Bath tub rail floor"
"E0243"="Toilet rail"
"E0244"="Toilet seat raised"
"E0245"="Tub stool or bench"
"E0246"="Transfer tub rail attachment"
"E0247"="Trans bench w/wo comm open"
"E0248"="HDtrans bench w/wo comm open"
"E0249"="Pad water circulating heat u"
"E0250"="Hosp bed fixed ht w/ mattres"
"E0251"="Hosp bed fixd ht w/o mattres"
"E0255"="Hospital bed var ht w/ mattr"
"E0256"="Hospital bed var ht w/o matt"
"E0260"="Hosp bed semi-electr w/ matt"
"E0261"="Hosp bed semi-electr w/o mat"
"E0265"="Hosp bed total electr w/ mat"
"E0266"="Hosp bed total elec w/o matt"
"E0270"="Hospital bed institutional t"
"E0271"="Mattress innerspring"
"E0272"="Mattress foam rubber"
"E0273"="Bed board"
"E0274"="Over-bed table"
"E0275"="Bed pan standard"
"E0276"="Bed pan fracture"
"E0277"="Powered pres-redu air mattrs"
"E0280"="Bed cradle"
"E0290"="Hosp bed fx ht w/o rails w/m"
"E0291"="Hosp bed fx ht w/o rail w/o"
"E0292"="Hosp bed var ht w/o rail w/o"
"E0293"="Hosp bed var ht w/o rail w/"
"E0294"="Hosp bed semi-elect w/ mattr"
"E0295"="Hosp bed semi-elect w/o matt"
"E0296"="Hosp bed total elect w/ matt"
"E0297"="Hosp bed total elect w/o mat"
"E0300"="Enclosed ped crib hosp grade"
"E0301"="HD hosp bed, 350-600 lbs"
"E0302"="Ex hd hosp bed > 600 lbs"
"E0303"="Hosp bed hvy dty xtra wide"
"E0304"="Hosp bed xtra hvy dty x wide"
"E0305"="Rails bed side half length"
"E0310"="Rails bed side full length"
"E0315"="Bed accessory brd/tbl/supprt"
"E0316"="Bed safety enclosure"
"E0325"="Urinal male jug-type"
"E0326"="Urinal female jug-type"
"E0328"="Ped hospital bed, manual"
"E0329"="Ped hospital bed semi/elect"
"E0350"="Control unit bowel system"
"E0352"="Disposable pack w/bowel syst"
"E0370"="Air elevator for heel"
"E0371"="Nonpower mattress overlay"
"E0372"="Powered air mattress overlay"
"E0373"="Nonpowered pressure mattress"
"E0424"="Stationary compressed gas 02"
"E0425"="Gas system stationary compre"
"E0430"="Oxygen system gas portable"
"E0431"="Portable gaseous 02"
"E0434"="Portable liquid 02"
"E0435"="Oxygen system liquid portabl"
"E0439"="Stationary liquid 02"
"E0440"="Oxygen system liquid station"
"E0441"="Oxygen contents, gaseous"
"E0442"="Oxygen contents, liquid"
"E0443"="Portable 02 contents, gas"
"E0444"="Portable 02 contents, liquid"
"E0445"="Oximeter non-invasive"
"E0450"="Vol control vent invasiv int"
"E0454"="Pressure ventilator"
"E0455"="Oxygen tent excl croup/ped t"
"E0457"="Chest shell"
"E0459"="Chest wrap"
"E0460"="Neg press vent portabl/statn"
"E0461"="Vol control vent noninv int"
"E0462"="Rocking bed w/ or w/o side r"
"E0463"="Press supp vent invasive int"
"E0464"="Press supp vent noninv int"
"E0470"="RAD w/o backup non-inv intfc"
"E0471"="RAD w/backup non inv intrfc"
"E0472"="RAD w backup invasive intrfc"
"E0480"="Percussor elect/pneum home m"
"E0481"="Intrpulmnry percuss vent sys"
"E0482"="Cough stimulating device"
"E0483"="Chest compression gen system"
"E0484"="Non-elec oscillatory pep dvc"
"E0485"="Oral device/appliance prefab"
"E0486"="Oral device/appliance cusfab"
"E0500"="Ippb all types"
"E0550"="Humidif extens supple w ippb"
"E0555"="Humidifier for use w/ regula"
"E0560"="Humidifier supplemental w/ i"
"E0561"="Humidifier nonheated w PAP"
"E0562"="Humidifier heated used w PAP"
"E0565"="Compressor air power source"
"E0570"="Nebulizer with compression"
"E0571"="Aerosol compressor for svneb"
"E0572"="Aerosol compressor adjust pr"
"E0574"="Ultrasonic generator w svneb"
"E0575"="Nebulizer ultrasonic"
"E0580"="Nebulizer for use w/ regulat"
"E0585"="Nebulizer w/ compressor - he"
"E0590"="Dispensing fee dme neb drug"
"E0600"="Suction pump portab hom modl"
"E0601"="Cont airway pressure device"
"E0602"="Manual breast pump"
"E0603"="Electric breast pump"
"E0604"="Hosp grade elec breast pump"
"E0605"="Vaporizer room type"
"E0606"="Drainage board postural"
"E0607"="Blood glucose monitor home"
"E0610"="Pacemaker monitr audible/vis"
"E0615"="Pacemaker monitr digital/vis"
"E0616"="Cardiac event recorder"
"E0617"="Automatic ext defibrillator"
"E0618"="Apnea monitor"
"E0619"="Apnea monitor w recorder"
"E0620"="Cap bld skin piercing laser"
"E0621"="Patient lift sling or seat"
"E0625"="Patient lift bathroom or toi"
"E0627"="Seat lift incorp lift-chair"
"E0628"="Seat lift for pt furn-electr"
"E0629"="Seat lift for pt furn-non-el"
"E0630"="Patient lift hydraulic"
"E0635"="Patient lift electric"
"E0636"="PT support - positioning sys"
"E0637"="Combination sit to stand sys"
"E0638"="Standing frame sys"
"E0639"="Moveable patient lift system"
"E0640"="Fixed patient lift system"
"E0641"="Multi-position stnd fram sys"
"E0642"="Dynamic standing frame"
"E0650"="Pneuma compresor non-segment"
"E0651"="Pneum compressor segmental"
"E0652"="Pneum compres w/cal pressure"
"E0655"="Pneumatic appliance half arm"
"E0660"="Pneumatic appliance full leg"
"E0665"="Pneumatic appliance full arm"
"E0666"="Pneumatic appliance half leg"
"E0667"="Seg pneumatic appl full leg"
"E0668"="Seg pneumatic appl full arm"
"E0669"="Seg pneumatic appli half leg"
"E0671"="Pressure pneum appl full leg"
"E0672"="Pressure pneum appl full arm"
"E0673"="Pressure pneum appl half leg"
"E0675"="Pneumatic compression device"
"E0676"="Inter limb compress dev NOS"
"E0691"="Uvl pnl 2 sq ft or less"
"E0692"="Uvl sys panel 4 ft"
"E0693"="Uvl sys panel 6 ft"
"E0694"="Uvl md cabinet sys 6 ft"
"E0700"="Safety equipment"
"E0701"="Helmet w face guard prefab"
"E0705"="Transfer device"
"E0710"="Restraints any type"
"E0720"="Tens two lead"
"E0730"="Tens four lead"
"E0731"="Conductive garment for tens/"
"E0740"="Incontinence treatment systm"
"E0744"="Neuromuscular stim for scoli"
"E0745"="Neuromuscular stim for shock"
"E0746"="Electromyograph biofeedback"
"E0747"="Elec osteogen stim not spine"
"E0748"="Elec osteogen stim spinal"
"E0749"="Elec osteogen stim implanted"
"E0752"="Neurostimulator electrode"
"E0754"="Pulsegenerator pt programmer"
"E0755"="Electronic salivary reflex s"
"E0756"="Implantable pulse generator"
"E0757"="Implantable RF receiver"
"E0758"="External RF transmitter"
"E0759"="Replace rdfrquncy transmittr"
"E0760"="Osteogen ultrasound stimltor"
"E0761"="Nontherm electromgntc device"
"E0762"="Trans elec jt stim dev sys"
"E0764"="Functional neuromuscularstim"
"E0765"="Nerve stimulator for tx n-v"
"E0769"="Electric wound treatment dev"
"E0776"="Iv pole"
"E0779"="Amb infusion pump mechanical"
"E0780"="Mech amb infusion pump <8hrs"
"E0781"="External ambulatory infus pu"
"E0782"="Non-programble infusion pump"
"E0783"="Programmable infusion pump"
"E0784"="Ext amb infusn pump insulin"
"E0785"="Replacement impl pump cathet"
"E0786"="Implantable pump replacement"
"E0791"="Parenteral infusion pump sta"
"E0830"="Ambulatory traction device"
"E0840"="Tract frame attach headboard"
"E0849"="Cervical pneum trac equip"
"E0850"="Traction stand free standing"
"E0855"="Cervical traction equipment"
"E0856"="Cervic collar w air bladder"
"E0860"="Tract equip cervical tract"
"E0870"="Tract frame attach footboard"
"E0880"="Trac stand free stand extrem"
"E0890"="Traction frame attach pelvic"
"E0900"="Trac stand free stand pelvic"
"E0910"="Trapeze bar attached to bed"
"E0911"="HD trapeze bar attach to bed"
"E0912"="HD trapeze bar free standing"
"E0920"="Fracture frame attached to b"
"E0930"="Fracture frame free standing"
"E0935"="Cont pas motion exercise dev"
"E0936"="CPM device, other than knee"
"E0940"="Trapeze bar free standing"
"E0941"="Gravity assisted traction de"
"E0942"="Cervical head harness/halter"
"E0944"="Pelvic belt/harness/boot"
"E0945"="Belt/harness extremity"
"E0946"="Fracture frame dual w cross"
"E0947"="Fracture frame attachmnts pe"
"E0948"="Fracture frame attachmnts ce"
"E0950"="Tray"
"E0951"="Loop heel"
"E0952"="Toe loop/holder, each"
"E0953"="Pneumatic tire"
"E0954"="Wheelchair semi-pneumatic ca"
"E0955"="Cushioned headrest"
"E0956"="W/c lateral trunk/hip suppor"
"E0957"="W/c medial thigh support"
"E0958"="Whlchr att- conv 1 arm drive"
"E0959"="Amputee adapter"
"E0960"="W/c shoulder harness/straps"
"E0961"="Wheelchair brake extension"
"E0962"="Wheelchair 1 inch cushion"
"E0963"="Wheelchair 2 inch cushion"
"E0964"="Wheelchair 3 inch cushion"
"E0965"="Wheelchair 4 inch cushion"
"E0966"="Wheelchair head rest extensi"
"E0967"="Manual wc hand rim w project"
"E0968"="Wheelchair commode seat"
"E0969"="Wheelchair narrowing device"
"E0970"="Wheelchair no. 2 footplates"
"E0971"="Wheelchair anti-tipping devi"
"E0972"="Transfer board or device"
"E0973"="W/Ch access det adj armrest"
"E0974"="W/Ch access anti-rollback"
"E0977"="Wheelchair wedge cushion"
"E0978"="W/C acc,saf belt pelv strap"
"E0980"="Wheelchair safety vest"
"E0981"="Seat upholstery, replacement"
"E0982"="Back upholstery, replacement"
"E0983"="Add pwr joystick"
"E0984"="Add pwr tiller"
"E0985"="W/c seat lift mechanism"
"E0986"="Man w/c push-rim pow assist"
"E0990"="Wheelchair elevating leg res"
"E0992"="Wheelchair solid seat insert"
"E0994"="Wheelchair arm rest"
"E0995"="Wheelchair calf rest"
"E0996"="Wheelchair tire solid"
"E0997"="Wheelchair caster w/ a fork"
"E0998"="Wheelchair caster w/o a fork"
"E0999"="Wheelchr pneumatic tire w/wh"
"E1000"="Wheelchair tire pneumatic ca"
"E1001"="Wheelchair wheel"
"E1002"="Pwr seat tilt"
"E1003"="Pwr seat recline"
"E1004"="Pwr seat recline mech"
"E1005"="Pwr seat recline pwr"
"E1006"="Pwr seat combo w/o shear"
"E1007"="Pwr seat combo w/shear"
"E1008"="Pwr seat combo pwr shear"
"E1009"="Add mech leg elevation"
"E1010"="Add pwr leg elevation"
"E1011"="Ped wc modify width adjustm"
"E1012"="Int seat sys planar ped w/c"
"E1013"="Int seat sys contour ped w/c"
"E1014"="Reclining back add ped w/c"
"E1015"="Shock absorber for man w/c"
"E1016"="Shock absorber for power w/c"
"E1017"="HD shck absrbr for hd man wc"
"E1018"="HD shck absrber for hd powwc"
"E1019"="HD feature power seat"
"E1020"="Residual limb support system"
"E1021"="Ex hd feature power seat"
"E1025"="Pedwc lat/thor sup nocontour"
"E1026"="Pedwc contoured lat/thor sup"
"E1027"="Ped wc lat/ant support"
"E1028"="W/c manual swingaway"
"E1029"="W/c vent tray fixed"
"E1030"="W/c vent tray gimbaled"
"E1031"="Rollabout chair with casters"
"E1035"="Patient transfer system"
"E1037"="Transport chair, ped size"
"E1038"="Transport chair pt wt<=300lb"
"E1039"="Transport chair pt wt >300lb"
"E1050"="Whelchr fxd full length arms"
"E1060"="Wheelchair detachable arms"
"E1070"="Wheelchair detachable foot r"
"E1083"="Hemi-wheelchair fixed arms"
"E1084"="Hemi-wheelchair detachable a"
"E1085"="Hemi-wheelchair fixed arms"
"E1086"="Hemi-wheelchair detachable a"
"E1087"="Wheelchair lightwt fixed arm"
"E1088"="Wheelchair lightweight det a"
"E1089"="Wheelchair lightwt fixed arm"
"E1090"="Wheelchair lightweight det a"
"E1092"="Wheelchair wide w/ leg rests"
"E1093"="Wheelchair wide w/ foot rest"
"E1100"="Whchr s-recl fxd arm leg res"
"E1110"="Wheelchair semi-recl detach"
"E1130"="Whlchr stand fxd arm ft rest"
"E1140"="Wheelchair standard detach a"
"E1150"="Wheelchair standard w/ leg r"
"E1160"="Wheelchair fixed arms"
"E1161"="Manual adult wc w tiltinspac"
"E1170"="Whlchr ampu fxd arm leg rest"
"E1171"="Wheelchair amputee w/o leg r"
"E1172"="Wheelchair amputee detach ar"
"E1180"="Wheelchair amputee w/ foot r"
"E1190"="Wheelchair amputee w/ leg re"
"E1195"="Wheelchair amputee heavy dut"
"E1200"="Wheelchair amputee fixed arm"
"E1210"="Whlchr moto ful arm leg rest"
"E1211"="Wheelchair motorized w/ det"
"E1212"="Wheelchair motorized w full"
"E1213"="Wheelchair motorized w/ det"
"E1220"="Whlchr special size/constrc"
"E1221"="Wheelchair spec size w foot"
"E1222"="Wheelchair spec size w/ leg"
"E1223"="Wheelchair spec size w foot"
"E1224"="Wheelchair spec size w/ leg"
"E1225"="Manual semi-reclining back"
"E1226"="Manual fully reclining back"
"E1227"="Wheelchair spec sz spec ht a"
"E1228"="Wheelchair spec sz spec ht b"
"E1229"="Pediatric wheelchair NOS"
"E1230"="Power operated vehicle"
"E1231"="Rigid ped w/c tilt-in-space"
"E1232"="Folding ped wc tilt-in-space"
"E1233"="Rig ped wc tltnspc w/o seat"
"E1234"="Fld ped wc tltnspc w/o seat"
"E1235"="Rigid ped wc adjustable"
"E1236"="Folding ped wc adjustable"
"E1237"="Rgd ped wc adjstabl w/o seat"
"E1238"="Fld ped wc adjstabl w/o seat"
"E1239"="Ped power wheelchair NOS"
"E1240"="Whchr litwt det arm leg rest"
"E1250"="Wheelchair lightwt fixed arm"
"E1260"="Wheelchair lightwt foot rest"
"E1270"="Wheelchair lightweight leg r"
"E1280"="Whchr h-duty det arm leg res"
"E1285"="Wheelchair heavy duty fixed"
"E1290"="Wheelchair hvy duty detach a"
"E1295"="Wheelchair heavy duty fixed"
"E1296"="Wheelchair special seat heig"
"E1297"="Wheelchair special seat dept"
"E1298"="Wheelchair spec seat depth/w"
"E1300"="Whirlpool portable"
"E1310"="Whirlpool non-portable"
"E1340"="Repair for DME, per 15 min"
"E1353"="Oxygen supplies regulator"
"E1355"="Oxygen supplies stand/rack"
"E1372"="Oxy suppl heater for nebuliz"
"E1390"="Oxygen concentrator"
"E1391"="Oxygen concentrator, dual"
"E1392"="Portable oxygen concentrator"
"E1399"="Durable medical equipment mi"
"E1405"="O2/water vapor enrich w/heat"
"E1406"="O2/water vapor enrich w/o he"
"E1500"="Centrifuge"
"E1510"="Kidney dialysate delivry sys"
"E1520"="Heparin infusion pump"
"E1530"="Replacement air bubble detec"
"E1540"="Replacement pressure alarm"
"E1550"="Bath conductivity meter"
"E1560"="Replace blood leak detector"
"E1570"="Adjustable chair for esrd pt"
"E1575"="Transducer protect/fld bar"
"E1580"="Unipuncture control system"
"E1590"="Hemodialysis machine"
"E1592"="Auto interm peritoneal dialy"
"E1594"="Cycler dialysis machine"
"E1600"="Deli/install chrg hemo equip"
"E1610"="Reverse osmosis h2o puri sys"
"E1615"="Deionizer H2O puri system"
"E1620"="Replacement blood pump"
"E1625"="Water softening system"
"E1630"="Reciprocating peritoneal dia"
"E1632"="Wearable artificial kidney"
"E1634"="Peritoneal dialysis clamp"
"E1635"="Compact travel hemodialyzer"
"E1636"="Sorbent cartridges per 10"
"E1637"="Hemostats for dialysis, each"
"E1639"="Dialysis scale"
"E1699"="Dialysis equipment noc"
"E1700"="Jaw motion rehab system"
"E1701"="Repl cushions for jaw motion"
"E1702"="Repl measr scales jaw motion"
"E1800"="Adjust elbow ext/flex device"
"E1801"="SPS elbow device"
"E1802"="Adjst forearm pro/sup device"
"E1805"="Adjust wrist ext/flex device"
"E1806"="SPS wrist device"
"E1810"="Adjust knee ext/flex device"
"E1811"="SPS knee device"
"E1812"="Knee ext/flex w act res ctrl"
"E1815"="Adjust ankle ext/flex device"
"E1816"="SPS ankle device"
"E1818"="SPS forearm device"
"E1820"="Soft interface material"
"E1821"="Replacement interface SPSD"
"E1825"="Adjust finger ext/flex devc"
"E1830"="Adjust toe ext/flex device"
"E1840"="Adj shoulder ext/flex device"
"E1841"="Static str shldr dev rom adj"
"E1902"="AAC non-electronic board"
"E2000"="Gastric suction pump hme mdl"
"E2100"="Bld glucose monitor w voice"
"E2101"="Bld glucose monitor w lance"
"E2120"="Pulse gen sys tx endolymp fl"
"E2201"="Man w/ch acc seat w>=20”<24”"
"E2202"="Seat width 24-27 in"
"E2203"="Frame depth less than 22 in"
"E2204"="Frame depth 22 to 25 in"
"E2205"="Manual wc accessory, handrim"
"E2206"="Complete wheel lock assembly"
"E2207"="Crutch and cane holder"
"E2208"="Cylinder tank carrier"
"E2209"="Arm trough each"
"E2210"="Wheelchair bearings"
"E2211"="Pneumatic propulsion tire"
"E2212"="Pneumatic prop tire tube"
"E2213"="Pneumatic prop tire insert"
"E2214"="Pneumatic caster tire each"
"E2215"="Pneumatic caster tire tube"
"E2216"="Foam filled propulsion tire"
"E2217"="Foam filled caster tire each"
"E2218"="Foam propulsion tire each"
"E2219"="Foam caster tire any size ea"
"E2220"="Solid propulsion tire each"
"E2221"="Solid caster tire each"
"E2222"="Solid caster integrated whl"
"E2223"="Valve replacement only each"
"E2224"="Propulsion whl excludes tire"
"E2225"="Caster wheel excludes tire"
"E2226"="Caster fork replacement only"
"E2227"="Gear reduction drive wheel"
"E2228"="Mwc acc, wheelchair brake"
"E2291"="Planar back for ped size wc"
"E2292"="Planar seat for ped size wc"
"E2293"="Contour back for ped size wc"
"E2294"="Contour seat for ped size wc"
"E2300"="Pwr seat elevation sys"
"E2301"="Pwr standing"
"E2310"="Electro connect btw control"
"E2311"="Electro connect btw 2 sys"
"E2312"="Mini-prop remote joystick"
"E2313"="PWC harness, expand control"
"E2320"="Hand chin control"
"E2321"="Hand interface joystick"
"E2322"="Mult mech switches"
"E2323"="Special joystick handle"
"E2324"="Chin cup interface"
"E2325"="Sip and puff interface"
"E2326"="Breath tube kit"
"E2327"="Head control interface mech"
"E2328"="Head/extremity control inter"
"E2329"="Head control nonproportional"
"E2330"="Head control proximity switc"
"E2331"="Attendant control"
"E2340"="W/c wdth 20-23 in seat frame"
"E2341"="W/c wdth 24-27 in seat frame"
"E2342"="W/c dpth 20-21 in seat frame"
"E2343"="W/c dpth 22-25 in seat frame"
"E2351"="Electronic SGD interface"
"E2360"="22nf nonsealed leadacid"
"E2361"="22nf sealed leadacid battery"
"E2362"="Gr24 nonsealed leadacid"
"E2363"="Gr24 sealed leadacid battery"
"E2364"="U1nonsealed leadacid battery"
"E2365"="U1 sealed leadacid battery"
"E2366"="Battery charger, single mode"
"E2367"="Battery charger, dual mode"
"E2368"="Power wc motor replacement"
"E2369"="Pwr wc gear box replacement"
"E2370"="Pwr wc motor/gear box combo"
"E2371"="Gr27 sealed leadacid battery"
"E2372"="Gr27 non-sealed leadacid"
"E2373"="Hand/chin ctrl spec joystick"
"E2374"="Hand/chin ctrl std joystick"
"E2375"="Non-expandable controller"
"E2376"="Expandable controller, repl"
"E2377"="Expandable controller, initl"
"E2381"="Pneum drive wheel tire"
"E2382"="Tube, pneum wheel drive tire"
"E2383"="Insert, pneum wheel drive"
"E2384"="Pneumatic caster tire"
"E2385"="Tube, pneumatic caster tire"
"E2386"="Foam filled drive wheel tire"
"E2387"="Foam filled caster tire"
"E2388"="Foam drive wheel tire"
"E2389"="Foam caster tire"
"E2390"="Solid drive wheel tire"
"E2391"="Solid caster tire"
"E2392"="Solid caster tire, integrate"
"E2393"="Valve, pneumatic tire tube"
"E2394"="Drive wheel excludes tire"
"E2395"="Caster wheel excludes tire"
"E2396"="Caster fork"
"E2397"="Pwc acc, lith-based battery"
"E2399"="Noc interface"
"E2402"="Neg press wound therapy pump"
"E2500"="SGD digitized pre-rec <=8min"
"E2502"="SGD prerec msg >8min <=20min"
"E2504"="SGD prerec msg>20min <=40min"
"E2506"="SGD prerec msg > 40 min"
"E2508"="SGD spelling phys contact"
"E2510"="SGD w multi methods msg/accs"
"E2511"="SGD sftwre prgrm for PC/PDA"
"E2512"="SGD accessory, mounting sys"
"E2599"="SGD accessory noc"
"E2601"="Gen w/c cushion wdth < 22 in"
"E2602"="Gen w/c cushion wdth >=22 in"
"E2603"="Skin protect wc cus wd <22in"
"E2604"="Skin protect wc cus wd>=22in"
"E2605"="Position wc cush wdth <22 in"
"E2606"="Position wc cush wdth>=22 in"
"E2607"="Skin pro/pos wc cus wd <22in"
"E2608"="Skin pro/pos wc cus wd>=22in"
"E2609"="Custom fabricate w/c cushion"
"E2610"="Powered w/c cushion"
"E2611"="Gen use back cush wdth <22in"
"E2612"="Gen use back cush wdth>=22in"
"E2613"="Position back cush wd <22in"
"E2614"="Position back cush wd>=22in"
"E2615"="Pos back post/lat wdth <22in"
"E2616"="Pos back post/lat wdth>=22in"
"E2617"="Custom fab w/c back cushion"
"E2618"="Wc acc solid seat supp base"
"E2619"="Replace cover w/c seat cush"
"E2620"="WC planar back cush wd <22in"
"E2621"="WC planar back cush wd>=22in"
"E8000"="Posterior gait trainer"
"E8001"="Upright gait trainer"
"E8002"="Anterior gait trainer"
"G0001"="Drawing blood for specimen"
"G0002"="Temporary urinary catheter"
"G0004"="ECG transm phys review - int"
"G0005"="ECG 24 hour recording"
"G0006"="ECG transmission - analysis"
"G0007"="ECG phy review - interpret"
"G0008"="Admin influenza virus vac"
"G0009"="Admin pneumococcal vaccine"
"G0010"="Admin hepatitis b vaccine"
"G0015"="Post symptom ECG tracing"
"G0016"="Post symptom ECG md review"
"G0025"="Collagen skin test kit"
"G0026"="Fecal leukocyte examination"
"G0027"="Semen analysis"
"G0030"="PET imaging prev PET single"
"G0031"="PET imaging prev PET multple"
"G0032"="PET follow SPECT 78464 singl"
"G0033"="PET follow SPECT 78464 mult"
"G0034"="PET follow SPECT 76865 singl"
"G0035"="PET follow SPECT 78465 mult"
"G0036"="PET follow cornry angio sing"
"G0037"="PET follow cornry angio mult"
"G0038"="PET follow myocard perf sing"
"G0039"="PET follow myocard perf mult"
"G0040"="PET follow stress echo singl"
"G0041"="PET follow stress echo mult"
"G0042"="PET follow ventriculogm sing"
"G0043"="PET follow ventriculogm mult"
"G0044"="PET following rest ECG singl"
"G0045"="PET following rest ECG mult"
"G0046"="PET follow stress ECG singl"
"G0047"="PET follow stress ECG mult"
"G0050"="Residual urine by ultrasound"
"G0051"="Destroy benign/premal lesion"
"G0052"="Destruction of add’l lesions"
"G0053"="Destruction of add’l lesions"
"G0058"="Auto multichannel 20 tests"
"G0059"="Auto multichannel 21 tests"
"G0060"="Auto multichannel 22 tests"
"G0062"="peripheral bone densitometry"
"G0063"="central bone densitometry"
"G0064"="care plan oversight,hme hlth"
"G0065"="care plan oversight,hospice"
"G0066"="care plan oversight nurs fac"
"G0071"="Psychotherapy,office,no E/M"
"G0072"="Psychotherapy,office,wth E/M"
"G0073"="Psychotherapy,office,no E/M"
"G0074"="Psychotherapy,office,wth E/M"
"G0075"="Psychotherapy,office,no E/M"
"G0076"="Psychotherapy,office,wth E/M"
"G0077"="Psychotherapy,office, no E/M"
"G0078"="Psychotherapy,office,wth E/M"
"G0079"="Psychotherapy,office, no E/M"
"G0080"="Psychotherapy,office,wth E/M"
"G0081"="Psychotherapy,office, no E/M"
"G0082"="Psychotherapy,office,wth E/M"
"G0083"="Psychotherapy, inpt, no E/M"
"G0084"="Psychotherapy,inpt, with E/M"
"G0085"="Psychotherapy, inpt, no E/M"
"G0086"="Psychotherapy,inpt, with E/M"
"G0087"="Psychotherapy, inpt, no E/M"
"G0088"="Psychotherapy,inpt, with E/M"
"G0089"="Psychotherapy, inpt, no E/M"
"G0090"="Psychotherapy,inpt,with E/M"
"G0091"="Psychotherapy, inpt, no E/M"
"G0092"="Psychotherapy,inpt,with E/M"
"G0093"="Psychotherapy, inpt, no E/M"
"G0094"="Psychotherapy,inpt, with E/M"
"G0100"="Hiv-1, viral load, quant"
"G0101"="CA screen;pelvic/breast exam"
"G0102"="Prostate ca screening; dre"
"G0103"="PSA screening"
"G0104"="CA screen;flexi sigmoidscope"
"G0105"="Colorectal scrn; hi risk ind"
"G0106"="Colon CA screen;barium enema"
"G0107"="CA screen; fecal blood test"
"G0108"="Diab manage trn  per indiv"
"G0109"="Diab manage trn ind/group"
"G0110"="Nett pulm-rehab educ; ind"
"G0111"="Nett pulm-rehab educ; group"
"G0112"="Nett;nutrition guid, initial"
"G0113"="Nett;nutrition guid,subseqnt"
"G0114"="Nett; psychosocial consult"
"G0115"="Nett; psychological testing"
"G0116"="Nett; psychosocial counsel"
"G0117"="Glaucoma scrn hgh risk direc"
"G0118"="Glaucoma scrn hgh risk direc"
"G0120"="Colon ca scrn; barium enema"
"G0121"="Colon ca scrn not hi rsk ind"
"G0122"="Colon ca scrn; barium enema"
"G0123"="Screen cerv/vag thin layer"
"G0124"="Screen c/v thin layer by MD"
"G0125"="PET image pulmonary nodule"
"G0126"="Lung image (PET), staging"
"G0127"="Trim nail(s)"
"G0128"="CORF skilled nursing service"
"G0129"="Partial hosp prog service"
"G0130"="Single energy x-ray study"
"G0131"="CT scan, Axial skeleton"
"G0132"="CT scan, appendicular skelet"
"G0133"="U-S scan,appendicular skelet"
"G0141"="Scr c/v cyto,autosys and md"
"G0143"="Scr c/v cyto,thinlayer,rescr"
"G0144"="Scr c/v cyto,thinlayer,rescr"
"G0145"="Scr c/v cyto,thinlayer,rescr"
"G0147"="Scr c/v cyto, automated sys"
"G0148"="Scr c/v cyto, autosys, rescr"
"G0151"="HHCP-serv of pt,ea 15 min"
"G0152"="HHCP-serv of ot,ea 15 min"
"G0153"="HHCP-svs of s/l path,ea 15mn"
"G0154"="HHCP-svs of rn,ea 15 min"
"G0155"="HHCP-svs of csw,ea 15 min"
"G0156"="HHCP-svs of aide,ea 15 min"
"G0166"="Extrnl counterpulse, per tx"
"G0168"="Wound closure by adhesive"
"G0173"="Linear acc stereo radsur com"
"G0175"="OPPS Service,sched team conf"
"G0176"="OPPS/PHP;activity therapy"
"G0177"="OPPS/PHP; train - educ serv"
"G0179"="MD recertification HHA PT"
"G0180"="MD certification HHA patient"
"G0181"="Home health care supervision"
"G0182"="Hospice care supervision"
"G0186"="Dstry eye lesn,fdr vssl tech"
"G0202"="Screeningmammographydigital"
"G0204"="Diagnosticmammographydigital"
"G0206"="Diagnosticmammographydigital"
"G0210"="PET img wholebody dxlung"
"G0211"="PET img wholbody init lung"
"G0212"="PET img wholebod restag lung"
"G0213"="PET img wholbody dx"
"G0214"="PET img wholebod init"
"G0215"="PETimg wholebod restag"
"G0216"="PET img wholebod dx melanoma"
"G0217"="PET img wholebod init melan"
"G0218"="PET img wholebod restag mela"
"G0219"="PET img wholbod melano nonco"
"G0220"="PET img wholebod dx lymphoma"
"G0221"="PET imag wholbod init lympho"
"G0222"="PET imag wholbod resta lymph"
"G0223"="PET imag wholbod reg dx head"
"G0224"="PET imag wholbod reg ini hea"
"G0225"="PET whol restag headneckonly"
"G0226"="PET img wholbody dx esophagl"
"G0227"="PET img wholbod ini esophage"
"G0228"="PET img wholbod restg esopha"
"G0229"="PET img metaboloc brain pres"
"G0230"="PET myocard viability post"
"G0231"="PET WhBD colorec; gamma cam"
"G0232"="PET whbd lymphoma; gamma cam"
"G0233"="PET whbd melanoma; gamma cam"
"G0234"="PET WhBD pulm nod; gamma cam"
"G0235"="PET not otherwise specified"
"G0237"="Therapeutic procd strg endur"
"G0238"="Oth resp proc, indiv"
"G0239"="Oth resp proc, group"
"G0242"="Multisource photon ster plan"
"G0243"="Multisour photon stero treat"
"G0244"="Observ care by facility topt"
"G0245"="Initial foot exam pt lops"
"G0246"="Followup eval of foot pt lop"
"G0247"="Routine footcare pt w lops"
"G0248"="Demonstrate use home inr mon"
"G0249"="Provide test material,equipm"
"G0250"="MD review interpret of test"
"G0251"="Linear acc based stero radio"
"G0252"="PET imaging initial dx"
"G0253"="PET image brst dection recur"
"G0254"="PET image brst eval to tx"
"G0255"="Current percep threshold tst"
"G0257"="Unsched dialysis ESRD pt hos"
"G0258"="IV infusion during obs stay"
"G0259"="Inject for sacroiliac joint"
"G0260"="Inj for sacroiliac jt anesth"
"G0263"="Adm with CHF, CP, asthma"
"G0264"="Assmt otr CHF, CP, asthma"
"G0265"="Cryopresevation Freeze+stora"
"G0266"="Thawing + expansion froz cel"
"G0267"="Bone marrow or psc harvest"
"G0268"="Removal of impacted wax md"
"G0269"="Occlusive device in vein art"
"G0270"="MNT subs tx for change dx"
"G0271"="Group MNT 2 or more 30 mins"
"G0275"="Renal angio, cardiac cath"
"G0278"="Iliac art angio,cardiac cath"
"G0279"="Excorp shock tx, elbow epi"
"G0280"="Excorp shock tx other than"
"G0281"="Elec stim unattend for press"
"G0282"="Elect stim wound care not pd"
"G0283"="Elec stim other than wound"
"G0288"="Recon, CTA for surg plan"
"G0289"="Arthro, loose body + chondro"
"G0290"="Drug-eluting stents, single"
"G0291"="Drug-eluting stents,each add"
"G0292"="Adm exp drugs,clinical trial"
"G0293"="Non-cov surg proc,clin trial"
"G0294"="Non-cov proc, clinical trial"
"G0295"="Electromagnetic therapy onc"
"G0296"="PET imge restag thyrod cance"
"G0297"="Insert single chamber/cd"
"G0298"="Insert dual chamber/cd"
"G0299"="Inser/repos single icd+leads"
"G0300"="Insert reposit lead dual+gen"
"G0302"="Pre-op service LVRS complete"
"G0303"="Pre-op service LVRS 10-15dos"
"G0304"="Pre-op service LVRS 1-9 dos"
"G0305"="Post op service LVRS min 6"
"G0306"="CBC/diffwbc w/o platelet"
"G0307"="CBC without platelet"
"G0308"="ESRD related svc 4+mo < 2yrs"
"G0309"="ESRD related svc 2-3mo <2yrs"
"G0310"="ESRD related svc 1 vst <2yrs"
"G0311"="ESRD related svs 4+mo 2-11yr"
"G0312"="ESRD relate svs 2-3 mo 2-11y"
"G0313"="ESRD related svs 1 mon 2-11y"
"G0314"="ESRD related svs 4+ mo 12-19"
"G0315"="ESRD related svs 2-3mo/12-19"
"G0316"="ESRD related svs 1vis/12-19y"
"G0317"="ESRD related svs 4+mo 20+yrs"
"G0318"="ESRD related svs 2-3 mo 20+y"
"G0319"="ESRD related svs 1visit 20+y"
"G0320"="ESD related svs home undr 2"
"G0321"="ESRDrelatedsvs home mo 2-11y"
"G0322"="ESRD related svs hom mo12-19"
"G0323"="ESRD related svs home mo 20+"
"G0324"="ESRD relate svs home/dy <2yr"
"G0325"="ESRD relate home/day/ 2-11yr"
"G0326"="ESRD relate home/dy 12-19yr"
"G0327"="ESRD relate home/dy 20+yrs"
"G0328"="Fecal blood scrn immunoassay"
"G0329"="Electromagntic tx for ulcers"
"G0332"="Preadmin IV immunoglobulin"
"G0333"="Dispense fee initial 30 day"
"G0336"="PET imaging brain alzheimers"
"G0337"="Hospice evaluation preelecti"
"G0338"="Linear accelerator stero pln"
"G0339"="Robot lin-radsurg com, first"
"G0340"="Robt lin-radsurg fractx 2-5"
"G0341"="Percutaneous islet celltrans"
"G0342"="Laparoscopy islet cell trans"
"G0343"="Laparotomy islet cell transp"
"G0344"="Initial preventive exam"
"G0345"="IV infuse hydration, initial"
"G0346"="Each additional infuse hour"
"G0347"="IV infusion therapy/diagnost"
"G0348"="Each additional hr up to 8hr"
"G0349"="Additional sequential infuse"
"G0350"="Concurrent infusion"
"G0351"="Therapeutic/diagnostic injec"
"G0353"="IV push,single orinitial dru"
"G0354"="Each addition sequential IV"
"G0355"="Chemo adminisrate subcut/IM"
"G0356"="Hormonal anti-neoplastic"
"G0357"="IV push single/initial subst"
"G0358"="IV push each additional drug"
"G0359"="Chemotherapy IV one hr initi"
"G0360"="Each additional hr 1-8 hrs"
"G0361"="Prolong chemo infuse>8hrs pu"
"G0362"="Each add sequential infusion"
"G0363"="Irrigate implanted venous de"
"G0364"="Bone marrow aspirate -biopsy"
"G0365"="Vessel mapping hemo access"
"G0366"="EKG for initial prevent exam"
"G0367"="EKG tracing for initial prev"
"G0368"="EKG interpret - report preve"
"G0369"="Pharm fee 1st month transpla"
"G0370"="Pharmacy fee oral cancer etc"
"G0371"="Pharm dispense inhalation 30"
"G0372"="MD service required for PMD"
"G0374"="Pharm dispense inhalation 90"
"G0375"="Smoke/tobacco counselng 3-10"
"G0376"="Smoke/tobacco counseling >10"
"G0377"="Administra Part D vaccine"
"G0378"="Hospital observation per hr"
"G0379"="Direct admit hospital observ"
"G0380"="Lev 1 hosp type B ED visit"
"G0381"="Lev 2 hosp type B ED visit"
"G0382"="Lev 3 hosp type B ED visit"
"G0383"="Lev 4 hosp type B ED visit"
"G0384"="Lev 5 hosp type B ED visit"
"G0389"="Ultrasound exam AAA screen"
"G0390"="Trauma Respons w/hosp criti"
"G0392"="AV fistula or graft arterial"
"G0393"="AV fistula or graft venous"
"G0394"="Blood occult test,colorectal"
"G0396"="Alcohol/subs interv 15-30mn"
"G0397"="Alcohol/subs interv >30 min"
"G3001"="Admin + supply, tositumomab"
"G8006"="AMI pt recd aspirin at arriv"
"G8007"="AMI pt did not receiv aspiri"
"G8008"="AMI pt ineligible for aspiri"
"G8009"="AMI pt recd Bblock at arr"
"G8010"="AMI pt did not rec bblock"
"G8011"="AMI pt inelig Bbloc at arriv"
"G8012"="Pneum pt recv antibiotic 4 h"
"G8013"="Pneum pt w/o antibiotic 4 hr"
"G8014"="Pneum pt not elig antibiotic"
"G8015"="Diabetic pt w/ HBA1c>9%"
"G8016"="Diabetic pt w/ HBA1c<or=9%"
"G8017"="DM pt inelig for HBA1c measu"
"G8018"="Care not provided for HbA1c"
"G8019"="Diabetic pt w/LDL>= 100mg/dl"
"G8020"="Diab pt w/LDL< 100mg/dl"
"G8021"="Diab pt inelig for LDL meas"
"G8022"="Care not provided for LDL"
"G8023"="DM pt w BP>=140/80"
"G8024"="Diabetic pt wBP<140/80"
"G8025"="Diabetic pt inelig for BP me"
"G8026"="Diabet pt w no care re BP me"
"G8027"="HF p w/LVSD on ACE-I/ARB"
"G8028"="HF pt w/LVSD not on ACE-I/AR"
"G8029"="HF pt not elig for ACE-I/ARB"
"G8030"="HF pt w/LVSD on Bblocker"
"G8031"="HF pt w/LVSD not on Bblocker"
"G8032"="HF pt not elig for Bblocker"
"G8033"="PMI-CAD pt on Bblocker"
"G8034"="PMI-CAD pt not on Bblocker"
"G8035"="PMI-CAD pt inelig Bblocker"
"G8036"="AMI-CAD pt doc on antiplatel"
"G8037"="AMI-CAD pt not docu on antip"
"G8038"="AMI-CAD inelig antiplate mea"
"G8039"="CAD pt w/LDL>100mg/dl"
"G8040"="CAD pt w/LDL<or=100mg/dl"
"G8041"="CAD pt not eligible for LDL"
"G8051"="Osteoporosis assess"
"G8052"="Osteopor pt not assess"
"G8053"="Pt inelig for osteopor meas"
"G8054"="Falls assess not docum 12 mo"
"G8055"="Falls assess w/ 12 mon"
"G8056"="Not elig for falls assessmen"
"G8057"="Hearing assess receive"
"G8058"="Pt w/o hearing assess"
"G8059"="Pt inelig for hearing assess"
"G8060"="Urinary incont pt assess"
"G8061"="Pt not assess for urinary in"
"G8062"="Pt not elig for urinary inco"
"G8075"="ESRD pt w/ dialy of URR>=65%"
"G8076"="ESRD pt w/ dialy of URR<65%"
"G8077"="ESRD pt not elig for URR/KtV"
"G8078"="ESRD pt w/Hct>or=33"
"G8079"="ESRD pt w/Hct<33"
"G8080"="ESRD pt inelig for HCT/Hgb"
"G8081"="ESRD pt w/ auto AV fistula"
"G8082"="ESRD pt w other fistula"
"G8085"="ESRD PT inelig auto AV FISTU"
"G8093"="COPD pt rec smoking cessat"
"G8094"="COPD pt w/o smoke cessat int"
"G8099"="Osteopo pt given Ca+VitD sup"
"G8100"="Osteop pt inelig for Ca+VitD"
"G8103"="New dx osteo pt w/antiresorp"
"G8104"="Osteo pt inelig for antireso"
"G8106"="Bone dens meas test perf"
"G8107"="Bone dens meas test inelig"
"G8108"="Pt receiv influenza vacc"
"G8109"="Pt w/o influenza vacc"
"G8110"="Pt inelig for influenza vacc"
"G8111"="Pt receiv mammogram"
"G8112"="Pt not doc mammogram"
"G8113"="Pt ineligible mammography"
"G8114"="Care not provided for mamogr"
"G8115"="Pt receiv pneumo vacc"
"G8116"="Pt did not rec pneumo vacc"
"G8117"="Pt was inelig for pneumo vac"
"G8126"="Pt treat w/antidepress12wks"
"G8127"="Pt not treat w/antidepres12w"
"G8128"="Pt inelig for antidepres med"
"G8129"="Pt treat w/antidepres for 6m"
"G8130"="Pt not treat w/antidepres 6m"
"G8131"="Pt inelig for antidepres med"
"G8152"="Pt w/AB 1 hr prior to incisi"
"G8153"="Pt not doc for AB 1 hr prior"
"G8154"="Pt ineligi for AB therapy"
"G8155"="Pt recd thromboemb prophylax"
"G8156"="Pt did not rec thromboembo"
"G8157"="Pt ineligi for thrombolism"
"G8158"="Pt recd CABG w/ IMA"
"G8159"="Pt w/CABG w/o IMA"
"G8160"="Pt inelig for CABG w/IMA"
"G8161"="Iso CABG pt rec preop bblock"
"G8162"="Iso CABG pt w/o preop Bblock"
"G8163"="Iso CABG pt inelig for preo"
"G8164"="Iso CABG pt w/prolng intub"
"G8165"="Iso CABG pt w/o prolng intub"
"G8166"="Iso CABG req surg rexpo"
"G8167"="Iso CABG w/o surg explo"
"G8170"="CEA/ext bypass pt on aspirin"
"G8171"="Pt w/carot endarct/ext bypas"
"G8172"="CEA/ext bypass pt not on asp"
"G8182"="CAD pt care not prov LDL"
"G8183"="HF/atrial fib pt on warfarin"
"G8184"="HF/atrial fib pt inelig warf"
"G8185"="Osteoarth pt w/ assess pain"
"G8186"="Osteoarth pt inelig assess"
"G8191"="Antibiotic given prior surg"
"G8192"="Antib given prior surg incis"
"G8193"="Antibio not doc prior surg"
"G8194"="Pt not elig for antibiotic"
"G8195"="Antibiotic given prior surg"
"G8196"="Antibio not docum prior surg"
"G8197"="Antib order prior to surg"
"G8198"="Cefazolin documented ordered"
"G8199"="Cefazolin given prophylaxis"
"G8200"="Cefazolin not docum prophy"
"G8201"="Pt not eligi for cefazolin"
"G8202"="Order given to d/c antibio"
"G8203"="Antib was D/C 24hrs surg tim"
"G8204"="MD not doc order to d/c anti"
"G8205"="Pt not eligi for proph antib"
"G8206"="MD doc prophylactic AB given"
"G8207"="Clini doc order to D/C antib"
"G8208"="Clini doc AB was D/C 48 h"
"G8209"="Clinician did not doc"
"G8210"="Clini doc pt ineligib anti"
"G8211"="Clini doc proph AB giv"
"G8212"="Clini order given for VTE"
"G8213"="Clini given VTE prop"
"G8214"="Clini not doc order VTE"
"G8215"="Clini doc pt inelig VTE"
"G8216"="Pt received DVT prophylaxis"
"G8217"="Pt not received DVT proph"
"G8218"="Pt inelig DVT prophylaxis"
"G8219"="Received DVT proph day 2"
"G8220"="Pt not rec DVT proph day 2"
"G8221"="Pt inelig for DVT proph"
"G8222"="Pt prescribe platelet at D/C"
"G8223"="Pt not doc for presc antipla"
"G8224"="Pt inelig for antiplat proph"
"G8225"="Pt prescrib anticoag at D/C"
"G8226"="Pt no prescr anticoa at D/C"
"G8227"="Pt not doc to have perm/AF"
"G8228"="Clin pt inelig anticoag D/C"
"G8229"="Pt doc to have admin t-PA"
"G8230"="Pt inelig t-PA isch strok>3h"
"G8231"="Pt not doc for admin t-PA"
"G8232"="Pt received dysphagia screen"
"G8234"="Pt not doc dysphagia screen"
"G8235"="Pt received NPO"
"G8236"="Pt inelig dysphagia screen"
"G8237"="Pt doc rec rehab serv"
"G8238"="Pt not doc to rec rehab serv"
"G8239"="Inter carotid stenosis <30%"
"G8240"="Inter carotid stenosis30-99%"
"G8241"="Pt inelig candidate ito meas"
"G8242"="Pt doc to have CT/MRI w/les"
"G8243"="Pt not doc MRI/CT w/o lesion"
"G8245"="Clini doc prese/abs alarm"
"G8246"="Pt inelig hx w new/chg mole"
"G8247"="Pt w/alarm symp upper endo"
"G8248"="Pt w/one alarm symp not doc"
"G8249"="Pt inelig for upper endo"
"G8250"="Pt w/Barretts esoph endo re"
"G8251"="Pt not doc w/Barretts, endo"
"G8252"="Pt inelig for esophag biop"
"G8253"="Pt rec order for barium"
"G8254"="Pt w/no doc order for barium"
"G8255"="Clini doc pt inelig bar swal"
"G8256"="Clini doc rev D/C meds w/med"
"G8257"="Pt not doc rev meds D/C"
"G8258"="Pt inelig for d/c meds rev"
"G8259"="Pt doc to hav decision maker"
"G8260"="Pt not doc to have dec maker"
"G8261"="Clin doc pt inelig dec maker"
"G8262"="Pt doc assess uriny incon"
"G8263"="Pt not doc assess urinary in"
"G8264"="Pt inelig assess urinary inc"
"G8265"="Pt doc rec charc urin incon"
"G8266"="Pt not doc charc urin incon"
"G8267"="Pt doc rec plan urinary inco"
"G8268"="Pt not doc rec care urin inc"
"G8269"="Clin not prov care urin inco"
"G8270"="Pt receiv screen for fall"
"G8271"="Pt no doc screen fall"
"G8272"="Clin doc pt inelig fall risk"
"G8273"="Clin not prov care scre fall"
"G8274"="Clini not doc pres/abs alarm"
"G8275"="Pt hx w/ new moles"
"G8276"="Pt not doc mole change"
"G8277"="Pt inelig for assess mole"
"G8278"="Pt doc rec PE skin"
"G8279"="Pt not doc rec PE"
"G8280"="Pt inelig PE skin"
"G8281"="Pt rec counsel for self-exam"
"G8282"="Pt not doc to rec couns"
"G8283"="Pt inelig for counsel"
"G8284"="Pt doc to rec pres osteo"
"G8285"="Pt did not rec pres osteo"
"G8286"="Pt inelig to rec pres osteo"
"G8287"="Clin not prov care for pharm"
"G8288"="Pt doc rec Ca/Vit D"
"G8289"="Pt not doc rec Ca/Vit D"
"G8290"="Clin doc pt inelig Ca/Vit D"
"G8291"="Clin no pro care pt Ca/Vit D"
"G8292"="COPD pt w/spir results"
"G8293"="COPD pt w/o spir results"
"G8294"="COPD pt inelig spir results"
"G8295"="COPD pt doc bronch ther"
"G8296"="COPD pt not doc bronch ther"
"G8297"="COPD pt inelig bronch therap"
"G8298"="Pt doc optic nerve eval"
"G8299"="Pt not doc optic nerv eval"
"G8300"="Pt inelig for optic nerv eva"
"G8301"="Clin not prov care POAG"
"G8302"="Pt doc w/ target IOP"
"G8303"="Pt not doc w/ IOP"
"G8304"="Clin doc pt inelig IOP"
"G8305"="Clin not prov care POAG"
"G8306"="POAG w/ IOP rec care plan"
"G8307"="POAG w/ IOP no care plan"
"G8308"="POAG w/ IOP not doc plan"
"G8309"="Pt doc rec antioxidant"
"G8310"="Pt not doc rec antiox"
"G8311"="Pt inelig for antioxidant"
"G8312"="Clin no prov care for antiox"
"G8313"="Pt doc rec macular exam"
"G8314"="Pt not doc to rec mac exam"
"G8315"="Clin doc pt inelig mac exam"
"G8316"="Clin no pro care for mac deg"
"G8317"="Pt doc to have visual func"
"G8318"="Pt doc not have visual func"
"G8319"="Pt inelig for vis func stat"
"G8320"="Clin not prov care catarac"
"G8321"="Pt doc to pre axial leng"
"G8322"="Pt not doc pre axial leng"
"G8323"="Pt inelig for pre surg axial"
"G8324"="Clin not prov care for IOL"
"G8325"="Pt rec fund exam prior surg"
"G8326"="Pt not doc rec fundus exam"
"G8327"="Pt inelig for pre surg fundu"
"G8328"="Clin not prov care fund eval"
"G8329"="Pt doc rec dilated macular"
"G8330"="Pt not doc rec dilated mac"
"G8331"="Pt inelig dilate fundus"
"G8332"="Clin prov no care diabetic r"
"G8333"="Pt doc to have macular exam"
"G8334"="Doc of macular not giv MD"
"G8335"="Clin doc pt inelig macular"
"G8336"="Clin did not pro care diabet"
"G8337"="Clin doc pt was test osteo"
"G8338"="Clin not doc pt test osteo"
"G8339"="Pt inelig for test osteo"
"G8340"="Pt doc have DEXA"
"G8341"="Pt not doc for DEXA"
"G8342"="Clin doc pt inelig DEXA"
"G8343"="Clin not prov care DEXA"
"G8344"="Pt doc have DEXA perform"
"G8345"="Pt not doc have DEXA"
"G8346"="Clin doc pt inelig DEXA"
"G8347"="Clin not prov care DEXA"
"G8348"="Int carotid stenosis meas"
"G8349"="Pt inelig for doc of alarm"
"G8350"="Pt doc 12 lead ECG"
"G8351"="Pt not doc ECG"
"G8352"="Pt inelig for ECG"
"G8353"="Pt doc rec aspirin 24hrs ER"
"G8354"="Pt not rec aspirin prior ER"
"G8355"="Clin doc pt inelig aspirin"
"G8356"="Pt doc to have ECG"
"G8357"="Pt not doc to have ECG"
"G8358"="Clin doc pt inelig ECG"
"G8359"="Pt doc vital signs recorded"
"G8360"="Pt not doc vital signs recor"
"G8361"="Pt doc to have 02 SAT assess"
"G8362"="Pt not doc 02 SAT assess"
"G8363"="Clin doc pt inelig 02 SAT"
"G8364"="Pt doc mental status assess"
"G8365"="Pt not doc mental status"
"G8366"="Pt doc to have empiric AB"
"G8367"="Pt not doc have empiric AB"
"G8368"="Clin doc pt inelig empiri AB"
"G8370"="Asthma pt w survey not docum"
"G8371"="Chemother not rec stg3 colon"
"G8372"="Chemother rec stg3 colon ca"
"G8373"="Chemo plan documen prior che"
"G8374"="Chemo plan not doc prior che"
"G8375"="CLL pt w/o doc flow cytometr"
"G8376"="Brst ca pt inelig tamoxifen"
"G8377"="MD doc colon ca pt inelig ch"
"G8378"="MD doc pt inelig radiation"
"G8379"="Doc radiat tx recom 12mo ov"
"G8380"="Pt w stgIC-3Brst ca not rec"
"G8381"="Pt w stgIC-3Brst ca rec tam"
"G8382"="MM pt w/o doc IV bisphophon"
"G8383"="No doc radiation rec 12mo ov"
"G8384"="Base cytogen test MDS notper"
"G8385"="Diabet pt no do Hgb A1c 12m"
"G8386"="Diabet pt nodoc LDLiprotei"
"G8387"="ESRD pt w Hct/Hgb not docume"
"G8388"="ESRD pt w URR/Ktv notdoc eli"
"G8389"="MDS pt no doc FE st prio EPO"
"G8390"="Diabetic w/o document BP 12m"
"G8391"="Pt w asthma no doc med or tx"
"G8395"="LVEF>=40% doc normal or mild"
"G8396"="LVEF not performed"
"G8397"="Dil macula/fundus exam/w doc"
"G8398"="Dil macular/fundus not perfo"
"G8399"="Pt w/DXA document or order"
"G8400"="Pt w/DXA no document or orde"
"G8401"="Pt inelig osteo screen measu"
"G8402"="Smoke preven interven counse"
"G8403"="Smoke preven nocounsel"
"G8404"="Low extemity neur exam docum"
"G8405"="Low extemity neur not perfor"
"G8406"="Pt inelig lower extrem neuro"
"G8407"="ABI documented"
"G8408"="ABI not documented"
"G8409"="Pt inelig for ABI measure"
"G8410"="Eval on foot documented"
"G8415"="Eval on foot not performed"
"G8416"="Pt inelig footwear evaluatio"
"G8417"="BMI >=30 calcuate w/followup"
"G8418"="BMI < 22 calcuate w/followup"
"G8419"="BMI>=30or<22 cal no followup"
"G8420"="BMI<30 and >=22 calc - docu"
"G8421"="BMI not calculated"
"G8422"="Pt inelig BMI calculation"
"G8423"="Pt screen flu vac - counsel"
"G8424"="Flu vaccine not screen"
"G8425"="Flu vaccine screen not curre"
"G8426"="Pt not approp screen - counc"
"G8427"="Doc meds verified w/pt or re"
"G8428"="Meds document w/o verifica"
"G8429"="Incomplete doc pt on meds"
"G8430"="Pt inelig med check"
"G8431"="Clin depression screen doc"
"G8432"="Clin depression screen not d"
"G8433"="Pt inelig for depression scr"
"G8434"="Cognitive impairment screen"
"G8435"="Cognitive screen not documen"
"G8436"="Pt inelig for cognitive impa"
"G8437"="Tx plan develop - document"
"G8438"="Tx plan develop - not docum"
"G8439"="Pt inelig for co-develp tx p"
"G8440"="Pain assessment document"
"G8441"="No document of pain assess"
"G8442"="Pt inelig pain assessment"
"G8443"="Prescription by E-Prescrib s"
"G8445"="Prescrip not gen at encounte"
"G8446"="Some prescrib handwritten or"
"G8447"="Pt visit doc using CCHIT cer"
"G8448"="Pt visit docum w/non-CCHIT c"
"G8449"="Pt not doc w/EMR due to syst"
"G8450"="Beta-bloc rx pt w/abn lvef"
"G8451"="Pt w/abn lvef inelig b-bloc"
"G8452"="Pt w/abn lvef b-bloc no rx"
"G8453"="Tob use cess int counsel"
"G8454"="Tob use cess int no counsel"
"G8455"="Current tobacco smoker"
"G8456"="Smokeless tobacco user"
"G8457"="Tobacco non-user"
"G8458"="Pt inelig geno no antvir tx"
"G8459"="Doc pt rec antivir treat"
"G8460"="Pt inelig RNA no antvir tx"
"G8461"="Pt rec antivir treat hep c"
"G8462"="Pt inelig couns no antvir tx"
"G8463"="Pt rec antiviral treat doc"
"G8464"="Pt inelig; lo to no dter rsk"
"G8465"="High risk recurrence pro ca"
"G8466"="Pt inelig suic; MDD remis"
"G8467"="New dx init/rec episode MDD"
"G8468"="ACE/ARB rx pt w/abn lvef"
"G8469"="Pt w/abn lvef inelig ACE/ARB"
"G8470"="Pt w/ normal lvef"
"G8471"="LVEF not performed/doc"
"G8472"="ACE/ARB no rx pt w/abn lvef"
"G8473"="ACE/ARB thxpy rx’d"
"G8474"="ACE/ARB not rx’d; doc reas"
"G8475"="ACE/ARB thxpy not rx’d"
"G8476"="BP sys <130 and dias <80"
"G8477"="BP sys>=130 and/or dias >=80"
"G8478"="BP not performed/doc"
"G8479"="MD rx’d ACE/ARB thxpy"
"G8480"="Pt inelig ACE/ARB thxpy"
"G8481"="MD not rx’d ACE/ARB thxpy"
"G8482"="Flu immunize order/admin"
"G8483"="Flu imm no ord/admin doc rea"
"G8484"="Flu immunize no order/admin"
"G9001"="MCCD, initial rate"
"G9002"="MCCD,maintenance rate"
"G9003"="MCCD, risk adj hi, initial"
"G9004"="MCCD, risk adj lo, initial"
"G9005"="MCCD, risk adj, maintenance"
"G9006"="MCCD, Home monitoring"
"G9007"="MCCD, sch team conf"
"G9008"="Mccd,phys coor-care ovrsght"
"G9009"="MCCD, risk adj, level 3"
"G9010"="MCCD, risk adj, level 4"
"G9011"="MCCD, risk adj, level 5"
"G9012"="Other Specified Case Mgmt"
"G9013"="ESRD demo bundle level I"
"G9014"="ESRD demo bundle-level II"
"G9016"="Demo-smoking cessation coun"
"G9017"="Amantadine HCL 100mg oral"
"G9018"="Zanamivir,inhalation pwd 10m"
"G9019"="Oseltamivir phosphate 75mg"
"G9020"="Rimantadine HCL 100mg oral"
"G9021"="Chemo assess nausea vomit L1"
"G9022"="Chemo assess nausea vomit L2"
"G9023"="Chemo assess nausea vomit L3"
"G9024"="Chemo assess nausea vomit L4"
"G9025"="Chemo assessment pain level1"
"G9026"="Chemo assessment pain level2"
"G9027"="Chemo assessment pain level3"
"G9028"="Chemo assessment pain level4"
"G9029"="Chemo assess for fatigue L1"
"G9030"="Chemo assess for fatigue L2"
"G9031"="Chemo assess for fatigue L3"
"G9032"="Chemo assess for fatigue L4"
"G9033"="Amantadine HCL oral brand"
"G9034"="Zanamivir, inh pwdr, brand"
"G9035"="Oseltamivir phosp, brand"
"G9036"="Rimantadine HCL, brand"
"G9041"="Low vision rehab occupationa"
"G9042"="Low vision rehab orient/mobi"
"G9043"="Low vision lowvision therapi"
"G9044"="Low vision rehabilate teache"
"G9050"="Oncology work-up evaluation"
"G9051"="Oncology tx decision-mgmt"
"G9052"="Onc surveillance for disease"
"G9053"="Onc expectant management pt"
"G9054"="Onc supervision palliative"
"G9055"="Onc visit unspecified NOS"
"G9056"="Onc prac mgmt adheres guide"
"G9057"="Onc pract mgmt differs trial"
"G9058"="Onc prac mgmt disagree w/gui"
"G9059"="Onc prac mgmt pt opt alterna"
"G9060"="Onc prac mgmt dif pt comorb"
"G9061"="Onc prac cond noadd by guide"
"G9062"="Onc prac guide differs nos"
"G9063"="Onc dx nsclc stgI no progres"
"G9064"="Onc dx nsclc stg2 no progres"
"G9065"="Onc dx nsclc stg3A no progre"
"G9066"="Onc dx nsclc stg3B-4 metasta"
"G9067"="Onc dx nsclc dx unknown nos"
"G9068"="Onc dx sclc/nsclc limited"
"G9069"="Onc dx sclc/nsclc ext at dx"
"G9070"="Onc dx sclc/nsclc ext unknwn"
"G9071"="Onc dx brst stg1-2B HR,nopro"
"G9072"="Onc dx brst stg1-2 noprogres"
"G9073"="Onc dx brst stg3-HR, no pro"
"G9074"="Onc dx brst stg3-noprogress"
"G9075"="Onc dx brst metastic/ recur"
"G9076"="Onc dx brst unknown NOS"
"G9077"="Onc dx prostate T1no progres"
"G9078"="Onc dx prostate T2no progres"
"G9079"="Onc dx prostate T3b-T4noprog"
"G9080"="Onc dx prostate w/rise PSA"
"G9081"="Onc dx prostate mets no cast"
"G9082"="Onc dx prostate castrate met"
"G9083"="Onc dx prostate unknwn nos"
"G9084"="Onc dx colon t1-3,n1-2,no pr"
"G9085"="Onc dx colon T4, N0 w/o prog"
"G9086"="Onc dx colon T1-4 no dx prog"
"G9087"="Onc dx colon metas evid dx"
"G9088"="Onc dx colon metas noevid dx"
"G9089"="Onc dx colon extent unknown"
"G9090"="Onc dx rectal T1-2 no progr"
"G9091"="Onc dx rectal T3 N0 no prog"
"G9092"="Onc dx rectal T1-3,N1-2noprg"
"G9093"="Onc dx rectal T4,N,M0 no prg"
"G9094"="Onc dx rectal M1 w/mets prog"
"G9095"="Onc dx rectal extent unknwn"
"G9096"="Onc dx esophag T1-T3 noprog"
"G9097"="Onc dx esophageal T4 no prog"
"G9098"="Onc dx esophageal mets recur"
"G9099"="Onc dx esophageal unknown"
"G9100"="Onc dx gastric no recurrence"
"G9101"="Onc dx gastric p R1-R2noprog"
"G9102"="Onc dx gastric unresectable"
"G9103"="Onc dx gastric recurrent"
"G9104"="Onc dx gastric unknown NOS"
"G9105"="Onc dx pancreatc p R0 res no"
"G9106"="Onc dx pancreatc p R1/R2 no"
"G9107"="Onc dx pancreatic unresectab"
"G9108"="Onc dx pancreatic unknwn NOS"
"G9109"="Onc dx head/neck T1-T2no prg"
"G9110"="Onc dx head/neck T3-4 noprog"
"G9111"="Onc dx head/neck M1 mets rec"
"G9112"="Onc dx head/neck ext unknown"
"G9113"="Onc dx ovarian stg1A-B no pr"
"G9114"="Onc dx ovarian stg1A-B or 2"
"G9115"="Onc dx ovarian stg3/4 noprog"
"G9116"="Onc dx ovarian recurrence"
"G9117"="Onc dx ovarian unknown NOS"
"G9118"="Onc NHLstg 1-2 no relap no"
"G9119"="Onc dx NHL stg 3-4 not relap"
"G9120"="Onc dx NHL trans to lg Bcell"
"G9121"="Onc dx NHL relapse/refractor"
"G9122"="Onc dx NHL stg unknown"
"G9123"="Onc dx CML chronic phase"
"G9124"="Onc dx CML acceler phase"
"G9125"="Onc dx CML blast phase"
"G9126"="Onc dx CML remission"
"G9127"="Onc dx CML dx status unknown"
"G9128"="Onc dx multi myeloma stage I"
"G9129"="Onc dx mult myeloma stg2 hig"
"G9130"="Onc dx multi myeloma unknown"
"G9131"="Onc dx brst unknown NOS"
"G9132"="Onc dx prostate mets no cast"
"G9133"="Onc dx prostate clinical met"
"G9134"="Onc NHLstg 1-2 no relap no"
"G9135"="Onc dx NHL stg 3-4 not relap"
"G9136"="Onc dx NHL trans to lg Bcell"
"G9137"="Onc dx NHL relapse/refractor"
"G9138"="Onc dx NHL stg unknown"
"G9139"="Onc dx CML dx status unknown"
"G9140"="Frontier extended stay demo"
"H0001"="Alcohol and/or drug assess"
"H0002"="Alcohol and/or drug screenin"
"H0003"="Alcohol and/or drug screenin"
"H0004"="Alcohol and/or drug services"
"H0005"="Alcohol and/or drug services"
"H0006"="Alcohol and/or drug services"
"H0007"="Alcohol and/or drug services"
"H0008"="Alcohol and/or drug services"
"H0009"="Alcohol and/or drug services"
"H0010"="Alcohol and/or drug services"
"H0011"="Alcohol and/or drug services"
"H0012"="Alcohol and/or drug services"
"H0013"="Alcohol and/or drug services"
"H0014"="Alcohol and/or drug services"
"H0015"="Alcohol and/or drug services"
"H0016"="Alcohol and/or drug services"
"H0017"="Alcohol and/or drug services"
"H0018"="Alcohol and/or drug services"
"H0019"="Alcohol and/or drug services"
"H0020"="Alcohol and/or drug services"
"H0021"="Alcohol and/or drug training"
"H0022"="Alcohol and/or drug interven"
"H0023"="Alcohol and/or drug outreach"
"H0024"="Alcohol and/or drug preventi"
"H0025"="Alcohol and/or drug preventi"
"H0026"="Alcohol and/or drug preventi"
"H0027"="Alcohol and/or drug preventi"
"H0028"="Alcohol and/or drug preventi"
"H0029"="Alcohol and/or drug preventi"
"H0030"="Alcohol and/or drug hotline"
"H0031"="MH health assess by non-md"
"H0032"="MH svc plan dev by non-md"
"H0033"="Oral med adm direct observe"
"H0034"="Med trng - support per 15min"
"H0035"="MH partial hosp tx under 24h"
"H0036"="Comm psy face-face per 15min"
"H0037"="Comm psy sup tx pgm per diem"
"H0038"="Self-help/peer svc per 15min"
"H0039"="Asser com tx face-face/15min"
"H0040"="Assert comm tx pgm per diem"
"H0041"="Fos c chld non-ther per diem"
"H0042"="Fos c chld non-ther per mon"
"H0043"="Supported housing, per diem"
"H0044"="Supported housing, per month"
"H0045"="Respite not-in-home per diem"
"H0046"="Mental health service, nos"
"H0047"="Alcohol/drug abuse svc nos"
"H0048"="Spec coll non-blood:a/d test"
"H0049"="Alcohol/drug screening"
"H0050"="Alcohol/drug service 15 min"
"H1000"="Prenatal care atrisk assessm"
"H1001"="Antepartum management"
"H1002"="Carecoordination prenatal"
"H1003"="Prenatal at risk education"
"H1004"="Follow up home visit/prental"
"H1005"="Prenatalcare enhanced srv pk"
"H1010"="Nonmed family planning ed"
"H1011"="Family assessment"
"H2000"="Comp multidisipln evaluation"
"H2001"="Rehabilitation program 1/2 d"
"H2010"="Comprehensive med svc 15 min"
"H2011"="Crisis interven svc, 15 min"
"H2012"="Behav hlth day treat, per hr"
"H2013"="Psych hlth fac svc, per diem"
"H2014"="Skills train and dev, 15 min"
"H2015"="Comp comm supp svc, 15 min"
"H2016"="Comp comm supp svc, per diem"
"H2017"="Psysoc rehab svc, per 15 min"
"H2018"="Psysoc rehab svc, per diem"
"H2019"="Ther behav svc, per 15 min"
"H2020"="Ther behav svc, per diem"
"H2021"="Com wrap-around sv, 15 min"
"H2022"="Com wrap-around sv, per diem"
"H2023"="Supported employ, per 15 min"
"H2024"="Supported employ, per diem"
"H2025"="Supp maint employ, 15 min"
"H2026"="Supp maint employ, per diem"
"H2027"="Psychoed svc, per 15 min"
"H2028"="Sex offend tx svc, 15 min"
"H2029"="Sex offend tx svc, per diem"
"H2030"="MH clubhouse svc, per 15 min"
"H2031"="MH clubhouse svc, per diem"
"H2032"="Activity therapy, per 15 min"
"H2033"="Multisys ther/juvenile 15min"
"H2034"="A/D halfway house, per diem"
"H2035"="A/D tx program, per hour"
"H2036"="A/D tx program, per diem"
"H2037"="Dev delay prev dp ch, 15 min"
"H5300"="Occupational therapy"
"J0110"="Administration of injection"
"J0120"="Tetracyclin injection"
"J0128"="Abarelix injection"
"J0129"="Abatacept injection"
"J0130"="Abciximab injection"
"J0132"="Acetylcysteine injection"
"J0133"="Acyclovir injection"
"J0135"="Adalimumab injection"
"J0150"="Injection adenosine 6 MG"
"J0152"="Adenosine injection"
"J0170"="Adrenalin epinephrin inject"
"J0180"="Agalsidase beta injection"
"J0190"="Inj biperiden lactate/5 mg"
"J0200"="Alatrofloxacin mesylate"
"J0205"="Alglucerase injection"
"J0207"="Amifostine"
"J0210"="Methyldopate hcl injection"
"J0215"="Alefacept"
"J0220"="Aglucosidase alfa injection"
"J0230"="Injection, allergy desensiti"
"J0240"="Injection, allergy desensiti"
"J0256"="Alpha 1 proteinase inhibitor"
"J0270"="Alprostadil for injection"
"J0275"="Alprostadil urethral suppos"
"J0278"="Amikacin sulfate injection"
"J0280"="Aminophyllin 250 MG inj"
"J0282"="Amiodarone HCl"
"J0285"="Amphotericin B"
"J0287"="Amphotericin b lipid complex"
"J0288"="Ampho b cholesteryl sulfate"
"J0289"="Amphotericin b liposome inj"
"J0290"="Ampicillin 500 MG inj"
"J0295"="Ampicillin sodium per 1.5 gm"
"J0300"="Amobarbital 125 MG inj"
"J0330"="Succinycholine chloride inj"
"J0340"="Nandrolon phenpropionate inj"
"J0348"="Anadulafungin injection"
"J0350"="Injection anistreplase 30 u"
"J0360"="Hydralazine hcl injection"
"J0364"="Apomorphine hydrochloride"
"J0365"="Aprotonin, 10,000 kiu"
"J0380"="Inj metaraminol bitartrate"
"J0390"="Chloroquine injection"
"J0395"="Arbutamine HCl injection"
"J0400"="Aripiprazole injection"
"J0456"="Azithromycin"
"J0460"="Atropine sulfate injection"
"J0470"="Dimecaprol injection"
"J0475"="Baclofen 10 MG injection"
"J0476"="Baclofen intrathecal trial"
"J0480"="Basiliximab"
"J0500"="Dicyclomine injection"
"J0510"="Benzquinamide injection"
"J0515"="Inj benztropine mesylate"
"J0520"="Bethanechol chloride inject"
"J0530"="Penicillin g benzathine inj"
"J0540"="Penicillin g benzathine inj"
"J0550"="Penicillin g benzathine inj"
"J0560"="Penicillin g benzathine inj"
"J0570"="Penicillin g benzathine inj"
"J0580"="Penicillin g benzathine inj"
"J0583"="Bivalirudin"
"J0585"="Botulinum toxin a per unit"
"J0587"="Botulinum toxin type B"
"J0590"="Ethylnorepinephrine hcl inj"
"J0592"="Buprenorphine hydrochloride"
"J0594"="Busulfan injection"
"J0595"="Butorphanol tartrate 1 mg"
"J0600"="Edetate calcium disodium inj"
"J0610"="Calcium gluconate injection"
"J0620"="Calcium glycer - lact/10 ML"
"J0630"="Calcitonin salmon injection"
"J0635"="Calcitriol injection"
"J0636"="Inj calcitriol per 0.1 mcg"
"J0637"="Caspofungin acetate"
"J0640"="Leucovorin calcium injection"
"J0670"="Inj mepivacaine HCL/10 ml"
"J0680"="Injection, deslanoside"
"J0690"="Cefazolin sodium injection"
"J0692"="Cefepime HCl for injection"
"J0694"="Cefoxitin sodium injection"
"J0695"="Cefonocid sodium injection"
"J0696"="Ceftriaxone sodium injection"
"J0697"="Sterile cefuroxime injection"
"J0698"="Cefotaxime sodium injection"
"J0700"="Injection, betamethasone"
"J0702"="Betamethasone acet-sod phosp"
"J0704"="Betamethasone sod phosp/4 MG"
"J0706"="Caffeine citrate injection"
"J0710"="Cephapirin sodium injection"
"J0713"="Inj ceftazidime per 500 mg"
"J0715"="Ceftizoxime sodium / 500 MG"
"J0720"="Chloramphenicol sodium injec"
"J0725"="Chorionic gonadotropin/1000u"
"J0730"="Chlorpheniramin maleate inj"
"J0735"="Clonidine hydrochloride"
"J0740"="Cidofovir injection"
"J0743"="Cilastatin sodium injection"
"J0744"="Ciprofloxacin iv"
"J0745"="Inj codeine phosphate /30 MG"
"J0760"="Colchicine injection"
"J0770"="Colistimethate sodium inj"
"J0780"="Prochlorperazine injection"
"J0790"="Injection, nikethamide"
"J0795"="Corticorelin ovine triflutal"
"J0800"="Corticotropin injection"
"J0810"="Cortisone injection"
"J0820"="Injection, cortigel 40"
"J0830"="Injection, cortrophin zinc h"
"J0835"="Inj cosyntropin per 0.25 MG"
"J0840"="Injection, warfarin sodium"
"J0850"="Cytomegalovirus imm IV /vial"
"J0878"="Daptomycin injection"
"J0880"="Darbepoetin alfa injection"
"J0881"="Darbepoetin alfa, non-esrd"
"J0882"="Darbepoetin alfa, esrd use"
"J0885"="Epoetin alfa, non-esrd"
"J0886"="Epoetin alfa 1000 units ESRD"
"J0894"="Decitabine injection"
"J0895"="Deferoxamine mesylate inj"
"J0900"="Testosterone enanthate inj"
"J0945"="Brompheniramine maleate inj"
"J0970"="Estradiol valerate injection"
"J1000"="Depo-estradiol cypionate inj"
"J1020"="Methylprednisolone 20 MG inj"
"J1030"="Methylprednisolone 40 MG inj"
"J1040"="Methylprednisolone 80 MG inj"
"J1050"="Medroxyprogesterone inj"
"J1051"="Medroxyprogesterone inj"
"J1055"="Medrxyprogester acetate inj"
"J1056"="MA/EC contraceptiveinjection"
"J1060"="Testosterone cypionate 1 ML"
"J1070"="Testosterone cypionat 100 MG"
"J1080"="Testosterone cypionat 200 MG"
"J1090"="Testosterone cypionate 50 MG"
"J1094"="Inj dexamethasone acetate"
"J1095"="Inj dexamethasone acetate"
"J1100"="Dexamethasone sodium phos"
"J1110"="Inj dihydroergotamine mesylt"
"J1120"="Acetazolamid sodium injectio"
"J1155"="Injection, digitoxin"
"J1160"="Digoxin injection"
"J1162"="Digoxin immune fab (ovine)"
"J1165"="Phenytoin sodium injection"
"J1170"="Hydromorphone injection"
"J1180"="Dyphylline injection"
"J1190"="Dexrazoxane HCl injection"
"J1200"="Diphenhydramine hcl injectio"
"J1205"="Chlorothiazide sodium inj"
"J1212"="Dimethyl sulfoxide 50% 50 ML"
"J1230"="Methadone injection"
"J1240"="Dimenhydrinate injection"
"J1245"="Dipyridamole injection"
"J1250"="Inj dobutamine HCL/250 mg"
"J1260"="Dolasetron mesylate"
"J1265"="Dopamine injection"
"J1270"="Injection, doxercalciferol"
"J1300"="Eculizumab injection"
"J1320"="Amitriptyline injection"
"J1324"="Enfuvirtide injection"
"J1325"="Epoprostenol injection"
"J1327"="Eptifibatide injection"
"J1330"="Ergonovine maleate injection"
"J1335"="Ertapenem injection"
"J1340"="Injection, aqueous saline pl"
"J1350"="Injection, erythromycin-im"
"J1360"="Injection, erthromycin-iv"
"J1362"="Erythromycin glucep / 250 MG"
"J1364"="Erythro lactobionate /500 MG"
"J1380"="Estradiol valerate 10 MG inj"
"J1390"="Estradiol valerate 20 MG inj"
"J1410"="Inj estrogen conjugate 25 MG"
"J1430"="Ethanolamine oleate 100 mg"
"J1435"="Injection estrone per 1 MG"
"J1436"="Etidronate disodium inj"
"J1438"="Etanercept injection"
"J1440"="Filgrastim 300 mcg injection"
"J1441"="Filgrastim 480 mcg injection"
"J1450"="Fluconazole"
"J1451"="Fomepizole, 15 mg"
"J1452"="Intraocular Fomivirsen na"
"J1455"="Foscarnet sodium injection"
"J1457"="Gallium nitrate injection"
"J1458"="Galsulfase injection"
"J1460"="Gamma globulin 1 CC inj"
"J1470"="Gamma globulin 2 CC inj"
"J1480"="Gamma globulin 3 CC inj"
"J1490"="Gamma globulin 4 CC inj"
"J1500"="Gamma globulin 5 CC inj"
"J1510"="Gamma globulin 6 CC inj"
"J1520"="Gamma globulin 7 CC inj"
"J1530"="Gamma globulin 8 CC inj"
"J1540"="Gamma globulin 9 CC inj"
"J1550"="Gamma globulin 10 CC inj"
"J1560"="Gamma globulin > 10 CC inj"
"J1561"="Gamunex injection"
"J1562"="Vivaglobin, inj"
"J1563"="IV immune globulin"
"J1564"="Immune globulin 10 mg"
"J1565"="RSV-ivig"
"J1566"="Immune globulin, powder"
"J1567"="Immune globulin, liquid"
"J1568"="Octagam injection"
"J1569"="Gammagard liquid injection"
"J1570"="Ganciclovir sodium injection"
"J1571"="HepaGam B IM injection"
"J1572"="Flebogamma injection"
"J1573"="Hepagam B intravenous, inj"
"J1580"="Garamycin gentamicin inj"
"J1590"="Gatifloxacin injection"
"J1595"="Injection glatiramer acetate"
"J1600"="Gold sodium thiomaleate inj"
"J1610"="Glucagon hydrochloride/1 MG"
"J1620"="Gonadorelin hydroch/ 100 mcg"
"J1625"="Granisetron hydrochlor/1 MG"
"J1626"="Granisetron HCl injection"
"J1630"="Haloperidol injection"
"J1631"="Haloperidol decanoate inj"
"J1640"="Hemin, 1 mg"
"J1642"="Inj heparin sodium per 10 u"
"J1644"="Inj heparin sodium per 1000u"
"J1645"="Dalteparin sodium"
"J1650"="Inj enoxaparin sodium"
"J1652"="Fondaparinux sodium"
"J1655"="Tinzaparin sodium injection"
"J1660"="Injection, histamine"
"J1670"="Tetanus immune globulin inj"
"J1675"="Histrelin acetate"
"J1690"="Prednisolone tebutate inj"
"J1700"="Hydrocortisone acetate inj"
"J1710"="Hydrocortisone sodium ph inj"
"J1720"="Hydrocortisone sodium succ i"
"J1730"="Diazoxide injection"
"J1739"="Hydroxyprogesterone cap 125"
"J1740"="Ibandronate sodium injection"
"J1741"="Hydroxyprogesterone cap 250"
"J1742"="Ibutilide fumarate injection"
"J1743"="Idursulfase injection"
"J1745"="Infliximab injection"
"J1750"="Iron dextran"
"J1751"="Iron dextran 165 injection"
"J1752"="Iron dextran 267 injection"
"J1756"="Iron sucrose injection"
"J1760"="Iron dextran 2 CC inj"
"J1770"="Iron dextran 5 CC inj"
"J1780"="Iron dextran 10 CC inj"
"J1785"="Injection imiglucerase /unit"
"J1790"="Droperidol injection"
"J1800"="Propranolol injection"
"J1810"="Droperidol/fentanyl inj"
"J1815"="Insulin injection"
"J1817"="Insulin for insulin pump use"
"J1820"="Insulin injection"
"J1825"="Interferon beta-1a"
"J1830"="Interferon beta-1b / .25 MG"
"J1835"="Itraconazole injection"
"J1840"="Kanamycin sulfate 500 MG inj"
"J1850"="Kanamycin sulfate 75 MG inj"
"J1885"="Ketorolac tromethamine inj"
"J1890"="Cephalothin sodium injection"
"J1910"="Kutapressin injection"
"J1930"="Propiomazine injection"
"J1931"="Laronidase injection"
"J1940"="Furosemide injection"
"J1945"="Lepirudin"
"J1950"="Leuprolide acetate /3.75 MG"
"J1955"="Inj levocarnitine per 1 gm"
"J1956"="Levofloxacin injection"
"J1960"="Levorphanol tartrate inj"
"J1970"="Methotrimeprazine injection"
"J1980"="Hyoscyamine sulfate inj"
"J1990"="Chlordiazepoxide injection"
"J2000"="Lidocaine injection"
"J2001"="Lidocaine injection"
"J2010"="Lincomycin injection"
"J2020"="Linezolid injection"
"J2050"="Injection, liver"
"J2060"="Lorazepam injection"
"J2100"="Injection, luminal sodium"
"J2150"="Mannitol injection"
"J2160"="Injection, cyclizine lactate"
"J2170"="Mecasermin injection"
"J2175"="Meperidine hydrochl /100 MG"
"J2180"="Meperidine/promethazine inj"
"J2185"="Meropenem"
"J2190"="Injection, mersalyl with the"
"J2210"="Methylergonovin maleate inj"
"J2240"="Metocurine iodide injection"
"J2248"="Micafungin sodium injection"
"J2250"="Inj midazolam hydrochloride"
"J2260"="Inj milrinone lactate / 5 MG"
"J2270"="Morphine sulfate injection"
"J2271"="Morphine so4 injection 100mg"
"J2275"="Morphine sulfate injection"
"J2278"="Ziconotide injection"
"J2280"="Inj, moxifloxacin 100 mg"
"J2300"="Inj nalbuphine hydrochloride"
"J2310"="Inj naloxone hydrochloride"
"J2315"="Naltrexone, depot form"
"J2320"="Nandrolone decanoate 50 MG"
"J2321"="Nandrolone decanoate 100 MG"
"J2322"="Nandrolone decanoate 200 MG"
"J2323"="Natalizumab injection"
"J2324"="Nesiritide"
"J2325"="Nesiritide injection"
"J2330"="Thiothixene injection"
"J2350"="Niacinamide/niacin injection"
"J2353"="Octreotide injection, depot"
"J2354"="Octreotide inj, non-depot"
"J2355"="Oprelvekin injection"
"J2357"="Omalizumab injection"
"J2360"="Orphenadrine injection"
"J2370"="Phenylephrine hcl injection"
"J2400"="Chloroprocaine hcl injection"
"J2405"="Ondansetron hcl injection"
"J2410"="Oxymorphone hcl injection"
"J2425"="Palifermin injection"
"J2430"="Pamidronate disodium /30 MG"
"J2440"="Papaverin hcl injection"
"J2460"="Oxytetracycline injection"
"J2469"="Palonosetron HCl"
"J2480"="Hydrochlorides of opium inj"
"J2490"="Injection, paraldehyde"
"J2495"="Injection, tridihexethyl chl"
"J2501"="Paricalcitol"
"J2503"="Pegaptanib sodium injection"
"J2504"="Pegademase bovine, 25 iu"
"J2505"="Injection, pegfilgrastim 6mg"
"J2510"="Penicillin g procaine inj"
"J2512"="Inj pentagastrin per 2 ML"
"J2513"="Pentastarch 10% solution"
"J2515"="Pentobarbital sodium inj"
"J2520"="Injection, thiopental sodium"
"J2540"="Penicillin g potassium inj"
"J2543"="Piperacillin/tazobactam"
"J2545"="Pentamidine non-comp unit"
"J2550"="Promethazine hcl injection"
"J2560"="Phenobarbital sodium inj"
"J2590"="Oxytocin injection"
"J2595"="Injection, vasopressin tanna"
"J2597"="Inj desmopressin acetate"
"J2600"="Injection, posterior pituita"
"J2640"="Prednisolone sodium ph inj"
"J2650"="Prednisolone acetate inj"
"J2670"="Totazoline hcl injection"
"J2672"="Injection, propantheline bro"
"J2675"="Inj progesterone per 50 MG"
"J2680"="Fluphenazine decanoate 25 MG"
"J2690"="Procainamide hcl injection"
"J2700"="Oxacillin sodium injeciton"
"J2710"="Neostigmine methylslfte inj"
"J2720"="Inj protamine sulfate/10 MG"
"J2724"="Protein C concentrate"
"J2725"="Inj protirelin per 250 mcg"
"J2730"="Pralidoxime chloride inj"
"J2760"="Phentolaine mesylate inj"
"J2765"="Metoclopramide hcl injection"
"J2770"="Quinupristin/dalfopristin"
"J2778"="Ranibizumab injection"
"J2780"="Ranitidine hydrochloride inj"
"J2783"="Rasburicase"
"J2788"="Rho d immune globulin 50 mcg"
"J2790"="Rho d immune globulin inj"
"J2791"="Rhophylac injection"
"J2792"="Rho(D) immune globulin h, sd"
"J2794"="Risperidone, long acting"
"J2795"="Ropivacaine HCl injection"
"J2800"="Methocarbamol injection"
"J2805"="Sincalide injection"
"J2810"="Inj theophylline per 40 MG"
"J2820"="Sargramostim injection"
"J2825"="Injection, sarracenia purpur"
"J2850"="Inj secretin synthetic human"
"J2860"="Secobarbital sodium inj"
"J2910"="Aurothioglucose injeciton"
"J2912"="Sodium chloride injection"
"J2914"="Injection, sodium salicylate"
"J2916"="Na ferric gluconate complex"
"J2920"="Methylprednisolone injection"
"J2930"="Methylprednisolone injection"
"J2940"="Somatrem injection"
"J2941"="Somatropin injection"
"J2950"="Promazine hcl injection"
"J2970"="Methicillin sodium injection"
"J2993"="Reteplase injection"
"J2995"="Inj streptokinase /250000 IU"
"J2996"="Alteplase recombinant inj"
"J2997"="Alteplase recombinant"
"J3000"="Streptomycin injection"
"J3005"="Strontium-89 chloride /10 ML"
"J3010"="Fentanyl citrate injeciton"
"J3030"="Sumatriptan succinate / 6 MG"
"J3050"="Injection, decamethonium bro"
"J3070"="Pentazocine injection"
"J3080"="Chlorprothixene injection"
"J3100"="Tenecteplase injection"
"J3105"="Terbutaline sulfate inj"
"J3110"="Teriparatide injection"
"J3120"="Testosterone enanthate inj"
"J3130"="Testosterone enanthate inj"
"J3140"="Testosterone suspension inj"
"J3150"="Testosteron propionate inj"
"J3180"="Injection, tetanus toxoid"
"J3230"="Chlorpromazine hcl injection"
"J3240"="Thyrotropin injection"
"J3243"="Tigecycline injection"
"J3245"="Tirofiban hydrochloride"
"J3246"="Tirofiban HCl"
"J3250"="Trimethobenzamide hcl inj"
"J3260"="Tobramycin sulfate injection"
"J3265"="Injection torsemide 10 mg/ml"
"J3270"="Imipramine hcl injection"
"J3280"="Thiethylperazine maleate inj"
"J3285"="Treprostinil injection"
"J3301"="Triamcinolone acetonide inj"
"J3302"="Triamcinolone diacetate inj"
"J3303"="Triamcinolone hexacetonl inj"
"J3305"="Inj trimetrexate glucoronate"
"J3310"="Perphenazine injeciton"
"J3315"="Triptorelin pamoate"
"J3320"="Spectinomycn di-hcl inj"
"J3340"="Injection, cryptenamine acet"
"J3350"="Urea injection"
"J3355"="Urofollitropin, 75 iu"
"J3360"="Diazepam injection"
"J3364"="Urokinase 5000 IU injection"
"J3365"="Urokinase 250,000 IU inj"
"J3370"="Vancomycin hcl injection"
"J3380"="Injection, isoxsuprine hcl"
"J3390"="Methoxamine injection"
"J3395"="Verteporfin injection"
"J3396"="Verteporfin injection"
"J3400"="Triflupromazine hcl inj"
"J3410"="Hydroxyzine hcl injection"
"J3411"="Thiamine hcl 100 mg"
"J3415"="Pyridoxine hcl 100 mg"
"J3420"="Vitamin b12 injection"
"J3430"="Vitamin k phytonadione inj"
"J3450"="Mephentermine sulfate inj"
"J3465"="Injection, voriconazole"
"J3470"="Hyaluronidase injection"
"J3471"="Ovine, up to 999 USP units"
"J3472"="Ovine, 1000 USP units"
"J3473"="Hyaluronidase recombinant"
"J3475"="Inj magnesium sulfate"
"J3480"="Inj potassium chloride"
"J3485"="Zidovudine"
"J3486"="Ziprasidone mesylate"
"J3487"="Zoledronic acid"
"J3488"="Reclast injection"
"J3490"="Drugs unclassified injection"
"J3500"="Vitamin therapy"
"J3520"="Edetate disodium per 150 mg"
"J3530"="Nasal vaccine inhalation"
"J3535"="Metered dose inhaler drug"
"J3540"="Autogenous blood extract, in"
"J3550"="Intra-arterial oxygen inject"
"J3560"="Adrenal cortex extract"
"J3570"="Laetrile amygdalin vit B17"
"J3590"="Unclassified biologics"
"J6015"="Typhus"
"J7010"="Vial of allergy vaccine, sin"
"J7020"="Vial of allergy vaccine, mul"
"J7030"="Normal saline solution infus"
"J7040"="Normal saline solution infus"
"J7042"="5% dextrose/normal saline"
"J7050"="Normal saline solution infus"
"J7051"="Sterile saline/water"
"J7060"="5% dextrose/water"
"J7070"="D5w infusion"
"J7080"="Infusion, albumisol 5%"
"J7090"="Infusion, albumisol 25%"
"J7100"="Dextran 40 infusion"
"J7110"="Dextran 75 infusion"
"J7120"="Ringers lactate infusion"
"J7130"="Hypertonic saline solution"
"J7140"="Prescription drug, oral"
"J7150"="Prescription drug, oral chem"
"J7187"="Humate-P, inj"
"J7188"="Inj Vonwillebrand factor iu"
"J7189"="Factor viia"
"J7190"="Factor viii"
"J7191"="Factor VIII (porcine)"
"J7192"="Factor viii recombinant"
"J7193"="Factor IX non-recombinant"
"J7194"="Factor ix complex"
"J7195"="Factor IX recombinant"
"J7196"="Othr hemophilia clot factors"
"J7197"="Antithrombin iii injection"
"J7198"="Anti-inhibitor"
"J7199"="Hemophilia clot factor noc"
"J7300"="Intraut copper contraceptive"
"J7302"="Levonorgestrel iu contracept"
"J7303"="Contraceptive vaginal ring"
"J7304"="Contraceptive hormone patch"
"J7306"="Levonorgestrel implant sys"
"J7307"="Etonogestrel implant system"
"J7308"="Aminolevulinic acid hcl top"
"J7310"="Ganciclovir long act implant"
"J7311"="Fluocinolone acetonide implt"
"J7317"="Sodium hyaluronate injection"
"J7319"="Sodium Hyaluronate Injection"
"J7320"="Hylan G-F 20 injection"
"J7321"="Hyalgan/supartz inj per dose"
"J7322"="Synvisc inj per dose"
"J7323"="Euflexxa inj per dose"
"J7324"="Orthovisc inj per dose"
"J7330"="Cultured chondrocytes implnt"
"J7340"="Metabolic active D/E tissue"
"J7341"="Non-human, metabolic tissue"
"J7342"="Metabolically active tissue"
"J7343"="Nonmetabolic act d/e tissue"
"J7344"="Nonmetabolic active tissue"
"J7345"="Non-human, non-metab tissue"
"J7346"="Injectable human tissue"
"J7347"="Integra matrix tissue"
"J7348"="Tissuemend tissue"
"J7349"="Primatrix tissue"
"J7350"="Injectable human tissue"
"J7500"="Azathioprine oral 50mg"
"J7501"="Azathioprine parenteral"
"J7502"="Cyclosporine oral 100 mg"
"J7503"="Cyclosporine parenteral"
"J7504"="Lymphocyte immune globulin"
"J7505"="Monoclonal antibodies"
"J7506"="Prednisone oral"
"J7507"="Tacrolimus oral per 1 MG"
"J7508"="Tacrolimus oral per 5 MG"
"J7509"="Methylprednisolone oral"
"J7510"="Prednisolone oral per 5 mg"
"J7511"="Antithymocyte globuln rabbit"
"J7513"="Daclizumab, parenteral"
"J7515"="Cyclosporine oral 25 mg"
"J7516"="Cyclosporin parenteral 250mg"
"J7517"="Mycophenolate mofetil oral"
"J7518"="Mycophenolic acid"
"J7520"="Sirolimus, oral"
"J7525"="Tacrolimus injection"
"J7599"="Immunosuppressive drug noc"
"J7602"="Albuterol inh non-comp con"
"J7603"="Albuterol inh non-comp u d"
"J7604"="Acetylcysteine comp unit"
"J7605"="Arformoterol non-comp unit"
"J7607"="Levalbuterol comp con"
"J7608"="Acetylcysteine non-comp unit"
"J7609"="Albuterol comp unit"
"J7610"="Albuterol comp con"
"J7611"="Albuterol non-comp con"
"J7612"="Levalbuterol non-comp con"
"J7613"="Albuterol non-comp unit"
"J7614"="Levalbuterol non-comp unit"
"J7615"="Levalbuterol comp unit"
"J7616"="Albuterol compound solution"
"J7617"="Levalbuterol compounded sol"
"J7618"="Albuterol inh sol con"
"J7619"="Albuterol inh sol u d"
"J7620"="Albuterol ipratrop non-comp"
"J7621"="(Levo)albuterol/Ipra-bromide"
"J7622"="Beclomethasone comp unit"
"J7624"="Betamethasone comp unit"
"J7625"="Albuterol sulfate .5% inj"
"J7626"="Budesonide non-comp unit"
"J7627"="Budesonide comp unit"
"J7628"="Bitolterol mesylate comp con"
"J7629"="Bitolterol mesylate comp unt"
"J7630"="Cromolyn sodium injeciton"
"J7631"="Cromolyn sodium noncomp unit"
"J7632"="Cromolyn sodium comp unit"
"J7633"="Budesonide non-comp con"
"J7634"="Budesonide comp con"
"J7635"="Atropine comp con"
"J7636"="Atropine comp unit"
"J7637"="Dexamethasone comp con"
"J7638"="Dexamethasone comp unit"
"J7639"="Dornase alpha non-comp unit"
"J7640"="Formoterol comp unit"
"J7641"="Flunisolide comp unit"
"J7642"="Glycopyrrolate comp con"
"J7643"="Glycopyrrolate comp unit"
"J7644"="Ipratropium bromide non-comp"
"J7645"="Ipratropium bromide comp"
"J7647"="Isoetharine comp con"
"J7648"="Isoetharine non-comp con"
"J7649"="Isoetharine non-comp unit"
"J7650"="Isoetharine comp unit"
"J7651"="Isoetharine hcl .125% inj"
"J7652"="Isoetharine hcl .167% inj"
"J7653"="Isoetharine hcl .2%/ inj"
"J7654"="Isoetharine hcl .25% inj"
"J7655"="Isoetharine hcl 1% inj"
"J7657"="Isoproterenol comp con"
"J7658"="Isoproterenol non-comp con"
"J7659"="Isoproterenol non-comp unit"
"J7660"="Isoproterenol comp unit"
"J7665"="Isoproterenol hcl 1% inj"
"J7667"="Metaproterenol comp con"
"J7668"="Metaproterenol non-comp con"
"J7669"="Metaproterenol non-comp unit"
"J7670"="Metaproterenol comp unit"
"J7672"="Metaproterenol sulfate .6%"
"J7674"="Methacholine chloride, neb"
"J7675"="Metaproterenol sulfate 5%"
"J7676"="Pentamidine comp unit dose"
"J7680"="Terbutaline sulf comp con"
"J7681"="Terbutaline sulf comp unit"
"J7682"="Tobramycin non-comp unit"
"J7683"="Triamcinolone comp con"
"J7684"="Triamcinolone comp unit"
"J7685"="Tobramycin comp unit"
"J7699"="Inhalation solution for DME"
"J7799"="Non-inhalation drug for DME"
"J8498"="Antiemetic rectal/supp NOS"
"J8499"="Oral prescrip drug non chemo"
"J8501"="Oral aprepitant"
"J8510"="Oral busulfan"
"J8515"="Cabergoline, oral 0.25mg"
"J8520"="Capecitabine, oral, 150 mg"
"J8521"="Capecitabine, oral, 500 mg"
"J8530"="Cyclophosphamide oral 25 MG"
"J8540"="Oral dexamethasone"
"J8560"="Etoposide oral 50 MG"
"J8565"="Gefitinib oral"
"J8597"="Antiemetic drug oral NOS"
"J8600"="Melphalan oral 2 MG"
"J8610"="Methotrexate oral 2.5 MG"
"J8650"="Nabilone oral"
"J8700"="Temozolomide"
"J8999"="Oral prescription drug chemo"
"J9000"="Doxorubic hcl 10 MG vl chemo"
"J9001"="Doxorubicin hcl liposome inj"
"J9010"="Alemtuzumab injection"
"J9015"="Aldesleukin/single use vial"
"J9017"="Arsenic trioxide"
"J9020"="Asparaginase injection"
"J9025"="Azacitidine injection"
"J9027"="Clofarabine injection"
"J9031"="Bcg live intravesical vac"
"J9035"="Bevacizumab injection"
"J9040"="Bleomycin sulfate injection"
"J9041"="Bortezomib injection"
"J9045"="Carboplatin injection"
"J9050"="Carmus bischl nitro inj"
"J9055"="Cetuximab injection"
"J9060"="Cisplatin 10 MG injection"
"J9062"="Cisplatin 50 MG injection"
"J9065"="Inj cladribine per 1 MG"
"J9070"="Cyclophosphamide 100 MG inj"
"J9080"="Cyclophosphamide 200 MG inj"
"J9090"="Cyclophosphamide 500 MG inj"
"J9091"="Cyclophosphamide 1.0 grm inj"
"J9092"="Cyclophosphamide 2.0 grm inj"
"J9093"="Cyclophosphamide lyophilized"
"J9094"="Cyclophosphamide lyophilized"
"J9095"="Cyclophosphamide lyophilized"
"J9096"="Cyclophosphamide lyophilized"
"J9097"="Cyclophosphamide lyophilized"
"J9098"="Cytarabine liposome"
"J9100"="Cytarabine hcl 100 MG inj"
"J9110"="Cytarabine hcl 500 MG inj"
"J9120"="Dactinomycin actinomycin d"
"J9130"="Dacarbazine 100 mg inj"
"J9140"="Dacarbazine 200 MG inj"
"J9150"="Daunorubicin"
"J9151"="Daunorubicin citrate liposom"
"J9160"="Denileukin diftitox, 300 mcg"
"J9165"="Diethylstilbestrol injection"
"J9170"="Docetaxel"
"J9175"="Elliotts b solution per ml"
"J9178"="Inj, epirubicin hcl, 2 mg"
"J9181"="Etoposide 10 MG inj"
"J9182"="Etoposide 100 MG inj"
"J9185"="Fludarabine phosphate inj"
"J9190"="Fluorouracil injection"
"J9200"="Floxuridine injection"
"J9201"="Gemcitabine HCl"
"J9202"="Goserelin acetate implant"
"J9206"="Irinotecan injection"
"J9208"="Ifosfomide injection"
"J9209"="Mesna injection"
"J9211"="Idarubicin hcl injection"
"J9212"="Interferon alfacon-1"
"J9213"="Interferon alfa-2a inj"
"J9214"="Interferon alfa-2b inj"
"J9215"="Interferon alfa-n3 inj"
"J9216"="Interferon gamma 1-b inj"
"J9217"="Leuprolide acetate suspnsion"
"J9218"="Leuprolide acetate injeciton"
"J9219"="Leuprolide acetate implant"
"J9225"="Vantas implant"
"J9226"="Supprelin LA implant"
"J9230"="Mechlorethamine hcl inj"
"J9240"="Medroyprogesterone acetate"
"J9245"="Inj melphalan hydrochl 50 MG"
"J9250"="Methotrexate sodium inj"
"J9260"="Methotrexate sodium inj"
"J9261"="Nelarabine injection"
"J9263"="Oxaliplatin"
"J9264"="Paclitaxel protein bound"
"J9265"="Paclitaxel injection"
"J9266"="Pegaspargase/singl dose vial"
"J9268"="Pentostatin injection"
"J9270"="Plicamycin (mithramycin) inj"
"J9280"="Mitomycin 5 MG inj"
"J9290"="Mitomycin 20 MG inj"
"J9291"="Mitomycin 40 MG inj"
"J9293"="Mitoxantrone hydrochl / 5 MG"
"J9295"="Polyestradiol phosphate"
"J9300"="Gemtuzumab ozogamicin"
"J9303"="Panitumumab injection"
"J9305"="Pemetrexed injection"
"J9310"="Rituximab cancer treatment"
"J9320"="Streptozocin injection"
"J9340"="Thiotepa injection"
"J9350"="Topotecan"
"J9355"="Trastuzumab"
"J9357"="Valrubicin, 200 mg"
"J9360"="Vinblastine sulfate inj"
"J9370"="Vincristine sulfate 1 MG inj"
"J9375"="Vincristine sulfate 2 MG inj"
"J9380"="Vincristine sulfate 5 MG inj"
"J9390"="Vinorelbine tartrate/10 mg"
"J9395"="Injection, Fulvestrant"
"J9600"="Porfimer sodium"
"J9999"="Chemotherapy drug"
"K0001"="Standard wheelchair"
"K0002"="Stnd hemi (low seat) whlchr"
"K0003"="Lightweight wheelchair"
"K0004"="High strength ltwt whlchr"
"K0005"="Ultralightweight wheelchair"
"K0006"="Heavy duty wheelchair"
"K0007"="Extra heavy duty wheelchair"
"K0009"="Other manual wheelchair/base"
"K0010"="Stnd wt frame power whlchr"
"K0011"="Stnd wt pwr whlchr w control"
"K0012"="Ltwt portbl power whlchr"
"K0014"="Other power whlchr base"
"K0015"="Detach non-adjus hght armrst"
"K0017"="Detach adjust armrest base"
"K0018"="Detach adjust armrst upper"
"K0019"="Arm pad each"
"K0020"="Fixed adjust armrest pair"
"K0023"="Planr back insrt foam w/strp"
"K0024"="Plnr back insrt foam w/hrdwr"
"K0037"="High mount flip-up footrest"
"K0038"="Leg strap each"
"K0039"="Leg strap h style each"
"K0040"="Adjustable angle footplate"
"K0041"="Large size footplate each"
"K0042"="Standard size footplate each"
"K0043"="Ftrst lower extension tube"
"K0044"="Ftrst upper hanger bracket"
"K0045"="Footrest complete assembly"
"K0046"="Elevat legrst low extension"
"K0047"="Elevat legrst up hangr brack"
"K0050"="Ratchet assembly"
"K0051"="Cam relese assem ftrst/lgrst"
"K0052"="Swingaway detach footrest"
"K0053"="Elevate footrest articulate"
"K0056"="Seat ht <17 or >=21 ltwt wc"
"K0059"="Plastic coated handrim each"
"K0060"="Steel handrim each"
"K0061"="Aluminum handrim each"
"K0064"="Zero pressure tube flat free"
"K0065"="Spoke protectors"
"K0066"="Solid tire any size each"
"K0067"="Pneumatic tire any size each"
"K0068"="Pneumatic tire tube each"
"K0069"="Rear whl complete solid tire"
"K0070"="Rear whl compl pneum tire"
"K0071"="Front castr compl pneum tire"
"K0072"="Frnt cstr cmpl sem-pneum tir"
"K0073"="Caster pin lock each"
"K0074"="Pneumatic caster tire each"
"K0075"="Semi-pneumatic caster tire"
"K0076"="Solid caster tire each"
"K0077"="Front caster assem complete"
"K0078"="Pneumatic caster tire tube"
"K0081"="Wheel lock assembly complete"
"K0090"="Rear tire power wheelchair"
"K0091"="Rear tire tube power whlchr"
"K0092"="Rear assem cmplt powr whlchr"
"K0093"="Rear zero pressure tire tube"
"K0094"="Wheel tire for power base"
"K0095"="Wheel tire tube each base"
"K0096"="Wheel assem powr base complt"
"K0097"="Wheel zero presure tire tube"
"K0098"="Drive belt power wheelchair"
"K0099"="Pwr wheelchair front  caster"
"K0102"="Crutch and cane holder"
"K0104"="Cylinder tank carrier"
"K0105"="Iv hanger"
"K0106"="Arm trough each"
"K0108"="W/c component-accessory NOS"
"K0114"="Whlchr back suprt inr frame"
"K0115"="Back module orthotic system"
"K0116"="Back - seat modul orthot sys"
"K0195"="Elevating whlchair leg rests"
"K0415"="RX antiemetic drg, oral NOS"
"K0416"="Rx antiemetic drg,rectal NOS"
"K0452"="Wheelchair bearings"
"K0455"="Pump uninterrupted infusion"
"K0462"="Temporary replacement eqpmnt"
"K0552"="Supply/ext inf pump syr type"
"K0553"="Combination oral/nasal mask"
"K0554"="Repl oral cushion combo mask"
"K0555"="Repl nasal pillow comb mask"
"K0600"="Functional neuromuscularstim"
"K0601"="Repl batt silver oxide 1.5 v"
"K0602"="Repl batt silver oxide 3 v"
"K0603"="Repl batt alkaline 1.5 v"
"K0604"="Repl batt lithium 3.6 v"
"K0605"="Repl batt lithium 4.5 v"
"K0606"="AED garment w elec analysis"
"K0607"="Repl batt for AED"
"K0608"="Repl garment for AED"
"K0609"="Repl electrode for AED"
"K0618"="TLSO 2 piece rigid shell"
"K0619"="TLSO 3 piece rigid shell"
"K0620"="Tubular elastic dressing"
"K0627"="Cervical pneum trac equip"
"K0628"="Multi den insert direct form"
"K0629"="Multi den insert custom mold"
"K0630"="SIO flex pelvisacral prefab"
"K0631"="SIO flex pelvisacral custom"
"K0632"="SIO panel prefab"
"K0633"="SIO panel custom"
"K0634"="LO flexibl L1-below L5 pre"
"K0635"="LO sag stays/panels pre-fab"
"K0636"="LO sagitt rigid panel prefab"
"K0637"="LO flex w/o rigid stays pre"
"K0638"="LSO flex w/rigid stays cust"
"K0639"="LSO post rigid panel pre"
"K0640"="LSO sag-coro rigid frame pre"
"K0641"="LSO sag-cor rigid frame cust"
"K0642"="LSO flexion control prefab"
"K0643"="LSO flexion control custom"
"K0644"="LSO sagit rigid panel prefab"
"K0645"="LSO sagittal rigid panel cus"
"K0646"="LSO sag-coronal panel prefab"
"K0647"="LSO sag-coronal panel custom"
"K0648"="LSO s/c shell/panel prefab"
"K0649"="LSO s/c shell/panel custom"
"K0650"="Gen w/c cushion width < 22”"
"K0651"="Gen w/c cushion width > 22”"
"K0652"="Skin pro w/c cus wd < 22”"
"K0653"="Skin protect w/c cus wd>=22”"
"K0654"="Position w/c cush width <22”"
"K0655"="Position w/c cush width >22”"
"K0656"="Skin pro/pos w/c cus wd <22”"
"K0657"="Skin pro/pos w/c cus wd>=22”"
"K0658"="Custom fabricate w/c cushion"
"K0659"="Powered w/c cushion"
"K0660"="Gen use back cush width <22”"
"K0661"="Gen use back cush width >22”"
"K0662"="Position back cush wdth <22”"
"K0663"="Position back cush wdth >22”"
"K0664"="Pos back post/lat width <22”"
"K0665"="Pos back post/lat width >22”"
"K0666"="Custom fab w/c back cushion"
"K0667"="Mt hardwre man/light pwr w/c"
"K0668"="Replace cover w/c seat cush"
"K0669"="Seat/back cus no sadmerc ver"
"K0670"="Stance phase only"
"K0671"="Portable oxygen concentrator"
"K0730"="Ctrl dose inh drug deliv sys"
"K0731"="Lith ion bat CID non-ear lvl"
"K0732"="Lith ion batt CID ear level"
"K0733"="12-24hr sealed lead acid"
"K0734"="Adj skin pro w/c cus wd<22in"
"K0735"="Adj skin pro wc cus wd>=22in"
"K0736"="Adj skin pro/pos wc cus<22in"
"K0737"="Adj skin pro/pos wc cus>=22”"
"K0738"="Portable gas oxygen system"
"K0800"="POV group 1 std up to 300lbs"
"K0801"="POV group 1 hd 301-450 lbs"
"K0802"="POV group 1 vhd 451-600 lbs"
"K0806"="POV group 2 std up to 300lbs"
"K0807"="POV group 2 hd 301-450 lbs"
"K0808"="POV group 2 vhd 451-600 lbs"
"K0812"="Power operated vehicle NOC"
"K0813"="PWC gp 1 std port seat/back"
"K0814"="PWC gp 1 std port cap chair"
"K0815"="PWC gp 1 std seat/back"
"K0816"="PWC gp 1 std cap chair"
"K0820"="PWC gp 2 std port seat/back"
"K0821"="PWC gp 2 std port cap chair"
"K0822"="PWC gp 2 std seat/back"
"K0823"="PWC gp 2 std cap chair"
"K0824"="PWC gp 2 hd seat/back"
"K0825"="PWC gp 2 hd cap chair"
"K0826"="PWC gp 2 vhd seat/back"
"K0827"="PWC gp vhd cap chair"
"K0828"="PWC gp 2 xtra hd seat/back"
"K0829"="PWC gp 2 xtra hd cap chair"
"K0830"="PWC gp2 std seat elevate s/b"
"K0831"="PWC gp2 std seat elevate cap"
"K0835"="PWC gp2 std sing pow opt s/b"
"K0836"="PWC gp2 std sing pow opt cap"
"K0837"="PWC gp 2 hd sing pow opt s/b"
"K0838"="PWC gp 2 hd sing pow opt cap"
"K0839"="PWC gp2 vhd sing pow opt s/b"
"K0840"="PWC gp2 xhd sing pow opt s/b"
"K0841"="PWC gp2 std mult pow opt s/b"
"K0842"="PWC gp2 std mult pow opt cap"
"K0843"="PWC gp2 hd mult pow opt s/b"
"K0848"="PWC gp 3 std seat/back"
"K0849"="PWC gp 3 std cap chair"
"K0850"="PWC gp 3 hd seat/back"
"K0851"="PWC gp 3 hd cap chair"
"K0852"="PWC gp 3 vhd seat/back"
"K0853"="PWC gp 3 vhd cap chair"
"K0854"="PWC gp 3 xhd seat/back"
"K0855"="PWC gp 3 xhd cap chair"
"K0856"="PWC gp3 std sing pow opt s/b"
"K0857"="PWC gp3 std sing pow opt cap"
"K0858"="PWC gp3 hd sing pow opt s/b"
"K0859"="PWC gp3 hd sing pow opt cap"
"K0860"="PWC gp3 vhd sing pow opt s/b"
"K0861"="PWC gp3 std mult pow opt s/b"
"K0862"="PWC gp3 hd mult pow opt s/b"
"K0863"="PWC gp3 vhd mult pow opt s/b"
"K0864"="PWC gp3 xhd mult pow opt s/b"
"K0868"="PWC gp 4 std seat/back"
"K0869"="PWC gp 4 std cap chair"
"K0870"="PWC gp 4 hd seat/back"
"K0871"="PWC gp 4 vhd seat/back"
"K0877"="PWC gp4 std sing pow opt s/b"
"K0878"="PWC gp4 std sing pow opt cap"
"K0879"="PWC gp4 hd sing pow opt s/b"
"K0880"="PWC gp4 vhd sing pow opt s/b"
"K0884"="PWC gp4 std mult pow opt s/b"
"K0885"="PWC gp4 std mult pow opt cap"
"K0886"="PWC gp4 hd mult pow s/b"
"K0890"="PWC gp5 ped sing pow opt s/b"
"K0891"="PWC gp5 ped mult pow opt s/b"
"K0898"="Power wheelchair NOC"
"K0899"="Pow mobil dev no SADMERC"
"L0100"="Cranial orthosis/helmet mold"
"L0110"="Cranial orthosis/helmet nonm"
"L0112"="Cranial cervical orthosis"
"L0120"="Cerv flexible non-adjustable"
"L0130"="Flex thermoplastic collar mo"
"L0140"="Cervical semi-rigid adjustab"
"L0150"="Cerv semi-rig adj molded chn"
"L0160"="Cerv semi-rig wire occ/mand"
"L0170"="Cervical collar molded to pt"
"L0172"="Cerv col thermplas foam 2 pi"
"L0174"="Cerv col foam 2 piece w thor"
"L0180"="Cer post col occ/man sup adj"
"L0190"="Cerv collar supp adj cerv ba"
"L0200"="Cerv col supp adj bar - thor"
"L0210"="Thoracic rib belt"
"L0220"="Thor rib belt custom fabrica"
"L0430"="Dewall posture protector"
"L0450"="TLSO flex prefab thoracic"
"L0452"="tlso flex custom fab thoraci"
"L0454"="TLSO flex prefab sacrococ-T9"
"L0456"="TLSO flex prefab"
"L0458"="TLSO 2Mod symphis-xipho pre"
"L0460"="TLSO2Mod symphysis-stern pre"
"L0462"="TLSO 3Mod sacro-scap pre"
"L0464"="TLSO 4Mod sacro-scap pre"
"L0466"="TLSO rigid frame pre soft ap"
"L0468"="TLSO rigid frame prefab pelv"
"L0470"="TLSO rigid frame pre subclav"
"L0472"="TLSO rigid frame hyperex pre"
"L0476"="TLSO flexion compres jac pre"
"L0478"="TLSO flexion compres jac cus"
"L0480"="TLSO rigid plastic custom fa"
"L0482"="TLSO rigid lined custom fab"
"L0484"="TLSO rigid plastic cust fab"
"L0486"="TLSO rigidlined cust fab two"
"L0488"="TLSO rigid lined pre one pie"
"L0490"="TLSO rigid plastic pre one"
"L0491"="TLSO 2 piece rigid shell"
"L0492"="TLSO 3 piece rigid shell"
"L0500"="Lso flex surgical support"
"L0510"="Lso flexible custom fabricat"
"L0515"="Lso flex elas w/ rig post pa"
"L0520"="Lso a-p-l control with apron"
"L0530"="Lso ant-pos control w apron"
"L0540"="Lso lumbar flexion a-p-l"
"L0550"="Lso a-p-l control molded"
"L0560"="Lso a-p-l w interface"
"L0561"="Prefab lso"
"L0565"="Lso a-p-l control custom"
"L0600"="Sacroiliac flex surg support"
"L0610"="Sacroiliac flexible custm fa"
"L0620"="Sacroiliac semi-rig w apron"
"L0621"="SIO flex pelvisacral prefab"
"L0622"="SIO flex pelvisacral custom"
"L0623"="SIO panel prefab"
"L0624"="SIO panel custom"
"L0625"="LO flexibl L1-below L5 pre"
"L0626"="LO sag stays/panels pre-fab"
"L0627"="LO sagitt rigid panel prefab"
"L0628"="LO flex w/o rigid stays pre"
"L0629"="LSO flex w/rigid stays cust"
"L0630"="LSO post rigid panel pre"
"L0631"="LSO sag-coro rigid frame pre"
"L0632"="LSO sag rigid frame cust"
"L0633"="LSO flexion control prefab"
"L0634"="LSO flexion control custom"
"L0635"="LSO sagit rigid panel prefab"
"L0636"="LSO sagittal rigid panel cus"
"L0637"="LSO sag-coronal panel prefab"
"L0638"="LSO sag-coronal panel custom"
"L0639"="LSO s/c shell/panel prefab"
"L0640"="LSO s/c shell/panel custom"
"L0700"="Ctlso a-p-l control molded"
"L0710"="Ctlso a-p-l control w/ inter"
"L0810"="Halo cervical into jckt vest"
"L0820"="Halo cervical into body jack"
"L0830"="Halo cerv into milwaukee typ"
"L0859"="MRI compatible system"
"L0860"="Magnetic resonanc image comp"
"L0861"="Halo repl liner/interface"
"L0960"="Post surgical support pads"
"L0970"="Tlso corset front"
"L0972"="Lso corset front"
"L0974"="Tlso full corset"
"L0976"="Lso full corset"
"L0978"="Axillary crutch extension"
"L0980"="Peroneal straps pair"
"L0982"="Stocking supp grips set of f"
"L0984"="Protective body sock each"
"L0999"="Add to spinal orthosis NOS"
"L1000"="Ctlso milwauke initial model"
"L1001"="CTLSO infant immobilizer"
"L1005"="Tension based scoliosis orth"
"L1010"="Ctlso axilla sling"
"L1020"="Kyphosis pad"
"L1025"="Kyphosis pad floating"
"L1030"="Lumbar bolster pad"
"L1040"="Lumbar or lumbar rib pad"
"L1050"="Sternal pad"
"L1060"="Thoracic pad"
"L1070"="Trapezius sling"
"L1080"="Outrigger"
"L1085"="Outrigger bil w/ vert extens"
"L1090"="Lumbar sling"
"L1100"="Ring flange plastic/leather"
"L1110"="Ring flange plas/leather mol"
"L1120"="Covers for upright each"
"L1200"="Furnsh initial orthosis only"
"L1210"="Lateral thoracic extension"
"L1220"="Anterior thoracic extension"
"L1230"="Milwaukee type superstructur"
"L1240"="Lumbar derotation pad"
"L1250"="Anterior asis pad"
"L1260"="Anterior thoracic derotation"
"L1270"="Abdominal pad"
"L1280"="Rib gusset (elastic) each"
"L1290"="Lateral trochanteric pad"
"L1300"="Body jacket mold to patient"
"L1310"="Post-operative body jacket"
"L1499"="Spinal orthosis NOS"
"L1500"="Thkao mobility frame"
"L1510"="Thkao standing frame"
"L1520"="Thkao swivel walker"
"L1600"="Abduct hip flex frejka w cvr"
"L1610"="Abduct hip flex frejka covr"
"L1620"="Abduct hip flex pavlik harne"
"L1630"="Abduct control hip semi-flex"
"L1640"="Pelv band/spread bar thigh c"
"L1650"="HO abduction hip adjustable"
"L1652"="HO bi thighcuffs w sprdr bar"
"L1660"="HO abduction static plastic"
"L1680"="Pelvic - hip control thigh c"
"L1685"="Post-op hip abduct custom fa"
"L1686"="HO post-op hip abduction"
"L1690"="Combination bilateral HO"
"L1700"="Leg perthes orth toronto typ"
"L1710"="Legg perthes orth newington"
"L1720"="Legg perthes orthosis trilat"
"L1730"="Legg perthes orth scottish r"
"L1750"="Legg perthes sling"
"L1755"="Legg perthes patten bottom t"
"L1800"="Knee orthoses elas w stays"
"L1810"="Ko elastic with joints"
"L1815"="Elastic with condylar pads"
"L1820"="Ko elas w/ condyle pads - jo"
"L1825"="Ko elastic knee cap"
"L1830"="Ko immobilizer canvas longit"
"L1831"="Knee orth pos locking joint"
"L1832"="KO adj jnt pos rigid support"
"L1834"="Ko w/0 joint rigid molded to"
"L1836"="Rigid KO wo joints"
"L1840"="Ko derot ant cruciate custom"
"L1843"="KO single upright custom fit"
"L1844"="Ko w/adj jt rot cntrl molded"
"L1845"="Ko w/ adj flex/ext rotat cus"
"L1846"="Ko w adj flex/ext rotat mold"
"L1847"="KO adjustable w air chambers"
"L1850"="Ko swedish type"
"L1855"="Ko plas doub upright jnt mol"
"L1858"="Ko polycentric pneumatic pad"
"L1860"="Ko supracondylar socket mold"
"L1870"="Ko doub upright lacers molde"
"L1880"="Ko doub upright cuffs/lacers"
"L1900"="Afo sprng wir drsflx calf bd"
"L1901"="Prefab ankle orthosis"
"L1902"="Afo ankle gauntlet"
"L1904"="Afo molded ankle gauntlet"
"L1906"="Afo multiligamentus ankle su"
"L1907"="AFO supramalleolar custom"
"L1910"="Afo sing bar clasp attach sh"
"L1920"="Afo sing upright w/ adjust s"
"L1930"="Afo plastic"
"L1932"="Afo rig ant tib prefab TCF/="
"L1940"="Afo molded to patient plasti"
"L1945"="Afo molded plas rig ant tib"
"L1950"="Afo spiral molded to pt plas"
"L1951"="AFO spiral prefabricated"
"L1960"="Afo pos solid ank plastic mo"
"L1970"="Afo plastic molded w/ankle j"
"L1971"="AFO w/ankle joint, prefab"
"L1980"="Afo sing solid stirrup calf"
"L1990"="Afo doub solid stirrup calf"
"L2000"="Kafo sing fre stirr thi/calf"
"L2005"="KAFO sng/dbl mechanical act"
"L2010"="Kafo sng solid stirrup w/o j"
"L2020"="Kafo dbl solid stirrup band/"
"L2030"="Kafo dbl solid stirrup w/o j"
"L2034"="KAFO pla sin up w/wo k/a cus"
"L2035"="KAFO plastic pediatric size"
"L2036"="Kafo plas doub free knee mol"
"L2037"="Kafo plas sing free knee mol"
"L2038"="Kafo w/o joint multi-axis an"
"L2039"="KAFO,plstic,medlat rotat con"
"L2040"="Hkafo torsion bil rot straps"
"L2050"="Hkafo torsion cable hip pelv"
"L2060"="Hkafo torsion ball bearing j"
"L2070"="Hkafo torsion unilat rot str"
"L2080"="Hkafo unilat torsion cable"
"L2090"="Hkafo unilat torsion ball br"
"L2106"="Afo tib fx cast plaster mold"
"L2108"="Afo tib fx cast molded to pt"
"L2112"="Afo tibial fracture soft"
"L2114"="Afo tib fx semi-rigid"
"L2116"="Afo tibial fracture rigid"
"L2126"="Kafo fem fx cast thermoplas"
"L2128"="Kafo fem fx cast molded to p"
"L2132"="Kafo femoral fx cast soft"
"L2134"="Kafo fem fx cast semi-rigid"
"L2136"="Kafo femoral fx cast rigid"
"L2180"="Plas shoe insert w ank joint"
"L2182"="Drop lock knee"
"L2184"="Limited motion knee joint"
"L2186"="Adj motion knee jnt lerman t"
"L2188"="Quadrilateral brim"
"L2190"="Waist belt"
"L2192"="Pelvic band - belt thigh fla"
"L2200"="Limited ankle motion ea jnt"
"L2210"="Dorsiflexion assist each joi"
"L2220"="Dorsi - plantar flex ass/res"
"L2230"="Split flat caliper stirr - p"
"L2232"="Rocker bottom, contact AFO"
"L2240"="Round caliper and plate atta"
"L2250"="Foot plate molded stirrup at"
"L2260"="Reinforced solid stirrup"
"L2265"="Long tongue stirrup"
"L2270"="Varus/valgus strap padded/li"
"L2275"="Plastic mod low ext pad/line"
"L2280"="Molded inner boot"
"L2300"="Abduction bar jointed adjust"
"L2310"="Abduction bar-straight"
"L2320"="Non-molded lacer"
"L2330"="Lacer molded to patient mode"
"L2335"="Anterior swing band"
"L2340"="Pre-tibial shell molded to p"
"L2350"="Prosthetic type socket molde"
"L2360"="Extended steel shank"
"L2370"="Patten bottom"
"L2375"="Torsion ank - half solid sti"
"L2380"="Torsion straight knee joint"
"L2385"="Straight knee joint heavy du"
"L2387"="Add LE poly knee custom KAFO"
"L2390"="Offset knee joint each"
"L2395"="Offset knee joint heavy duty"
"L2397"="Suspension sleeve lower ext"
"L2405"="Knee joint drop lock ea jnt"
"L2415"="Knee joint cam lock each joi"
"L2425"="Knee disc/dial lock/adj flex"
"L2430"="Knee jnt ratchet lock ea jnt"
"L2435"="Knee joint polycentric joint"
"L2492"="Knee lift loop drop lock rin"
"L2500"="Thi/glut/ischia wgt bearing"
"L2510"="Th/wght bear quad-lat brim m"
"L2520"="Th/wght bear quad-lat brim c"
"L2525"="Th/wght bear nar m-l brim mo"
"L2526"="Th/wght bear nar m-l brim cu"
"L2530"="Thigh/wght bear lacer non-mo"
"L2540"="Thigh/wght bear lacer molded"
"L2550"="Thigh/wght bear high roll cu"
"L2570"="Hip clevis type 2 posit jnt"
"L2580"="Pelvic control pelvic sling"
"L2600"="Hip clevis/thrust bearing fr"
"L2610"="Hip clevis/thrust bearing lo"
"L2620"="Pelvic control hip heavy dut"
"L2622"="Hip joint adjustable flexion"
"L2624"="Hip adj flex ext abduct cont"
"L2627"="Plastic mold recipro hip - c"
"L2628"="Metal frame recipro hip - ca"
"L2630"="Pelvic control band - belt u"
"L2640"="Pelvic control band - belt b"
"L2650"="Pelv - thor control gluteal"
"L2660"="Thoracic control thoracic ba"
"L2670"="Thorac cont paraspinal uprig"
"L2680"="Thorac cont lat support upri"
"L2750"="Plating chrome/nickel pr bar"
"L2755"="Carbon graphite lamination"
"L2760"="Extension per extension per"
"L2768"="Ortho sidebar disconnect"
"L2770"="Low ext orthosis per bar/jnt"
"L2780"="Non-corrosive finish"
"L2785"="Drop lock retainer each"
"L2795"="Knee control full kneecap"
"L2800"="Knee cap medial or lateral p"
"L2810"="Knee control condylar pad"
"L2820"="Soft interface below knee se"
"L2830"="Soft interface above knee se"
"L2840"="Tibial length sock fx or equ"
"L2850"="Femoral lgth sock fx or equa"
"L2860"="Torsion mechanism knee/ankle"
"L2999"="Lower extremity orthosis NOS"
"L3000"="Ft insert ucb berkeley shell"
"L3001"="Foot insert remov molded spe"
"L3002"="Foot insert plastazote or eq"
"L3003"="Foot insert silicone gel eac"
"L3010"="Foot longitudinal arch suppo"
"L3020"="Foot longitud/metatarsal sup"
"L3030"="Foot arch support remov prem"
"L3031"="Foot lamin/prepreg composite"
"L3040"="Ft arch suprt premold longit"
"L3050"="Foot arch supp premold metat"
"L3060"="Foot arch supp longitud/meta"
"L3070"="Arch suprt att to sho longit"
"L3080"="Arch supp att to shoe metata"
"L3090"="Arch supp att to shoe long/m"
"L3100"="Hallus-valgus nght dynamic s"
"L3140"="Abduction rotation bar shoe"
"L3150"="Abduct rotation bar w/o shoe"
"L3160"="Shoe styled positioning dev"
"L3170"="Foot plastic heel stabilizer"
"L3201"="Oxford w supinat/pronat inf"
"L3202"="Oxford w/ supinat/pronator c"
"L3203"="Oxford w/ supinator/pronator"
"L3204"="Hightop w/ supp/pronator inf"
"L3206"="Hightop w/ supp/pronator chi"
"L3207"="Hightop w/ supp/pronator jun"
"L3208"="Surgical boot each infant"
"L3209"="Surgical boot each child"
"L3211"="Surgical boot each junior"
"L3212"="Benesch boot pair infant"
"L3213"="Benesch boot pair child"
"L3214"="Benesch boot pair junior"
"L3215"="Orthopedic ftwear ladies oxf"
"L3216"="Orthoped ladies shoes dpth i"
"L3217"="Ladies shoes hightop depth i"
"L3219"="Orthopedic mens shoes oxford"
"L3221"="Orthopedic mens shoes dpth i"
"L3222"="Mens shoes hightop depth inl"
"L3224"="Woman*s shoe oxford brace"
"L3225"="Man*s shoe oxford brace"
"L3230"="Custom shoes depth inlay"
"L3250"="Custom mold shoe remov prost"
"L3251"="Shoe molded to pt silicone s"
"L3252"="Shoe molded plastazote cust"
"L3253"="Shoe molded plastazote cust"
"L3254"="Orth foot non-stndard size/w"
"L3255"="Orth foot non-standard size/"
"L3257"="Orth foot add charge split s"
"L3260"="Ambulatory surgical boot eac"
"L3265"="Plastazote sandal each"
"L3300"="Sho lift taper to metatarsal"
"L3310"="Shoe lift elev heel/sole neo"
"L3320"="Shoe lift elev heel/sole cor"
"L3330"="Lifts elevation metal extens"
"L3332"="Shoe lifts tapered to one-ha"
"L3334"="Shoe lifts elevation heel /i"
"L3340"="Shoe wedge sach"
"L3350"="Shoe heel wedge"
"L3360"="Shoe sole wedge outside sole"
"L3370"="Shoe sole wedge between sole"
"L3380"="Shoe clubfoot wedge"
"L3390"="Shoe outflare wedge"
"L3400"="Shoe metatarsal bar wedge ro"
"L3410"="Shoe metatarsal bar between"
"L3420"="Full sole/heel wedge btween"
"L3430"="Sho heel count plast reinfor"
"L3440"="Heel leather reinforced"
"L3450"="Shoe heel sach cushion type"
"L3455"="Shoe heel new leather standa"
"L3460"="Shoe heel new rubber standar"
"L3465"="Shoe heel thomas with wedge"
"L3470"="Shoe heel thomas extend to b"
"L3480"="Shoe heel pad - depress for"
"L3485"="Shoe heel pad removable for"
"L3500"="Ortho shoe add leather insol"
"L3510"="Orthopedic shoe add rub insl"
"L3520"="O shoe add felt w leath insl"
"L3530"="Ortho shoe add half sole"
"L3540"="Ortho shoe add full sole"
"L3550"="O shoe add standard toe tap"
"L3560"="O shoe add horseshoe toe tap"
"L3570"="O shoe add instep extension"
"L3580"="O shoe add instep velcro clo"
"L3590"="O shoe convert to sof counte"
"L3595"="Ortho shoe add march bar"
"L3600"="Trans shoe calip plate exist"
"L3610"="Trans shoe caliper plate new"
"L3620"="Trans shoe solid stirrup exi"
"L3630"="Trans shoe solid stirrup new"
"L3640"="Shoe dennis browne splint bo"
"L3649"="Orthopedic shoe modifica NOS"
"L3650"="Shlder fig 8 abduct restrain"
"L3651"="Prefab shoulder orthosis"
"L3652"="Prefab dbl shoulder orthosis"
"L3660"="Abduct restrainer canvas-web"
"L3670"="Acromio/clavicular canvas-we"
"L3671"="SO cap design w/o jnts CF"
"L3672"="SO airplane w/o jnts CF"
"L3673"="SO airplane w/joint CF"
"L3675"="Canvas vest SO"
"L3677"="SO hard plastic stabilizer"
"L3700"="Elbow orthoses elas w stays"
"L3701"="Prefab elbow orthosis"
"L3702"="EO w/o joints CF"
"L3710"="Elbow elastic with metal joi"
"L3720"="Forearm/arm cuffs free motio"
"L3730"="Forearm/arm cuffs ext/flex a"
"L3740"="Cuffs adj lock w/ active con"
"L3760"="EO withjoint, Prefabricated"
"L3762"="Rigid EO wo joints"
"L3763"="EWHO rigid w/o jnts CF"
"L3764"="EWHO w/joint(s) CF"
"L3765"="EWHFO rigid w/o jnts CF"
"L3766"="EWHFO w/joint(s) CF"
"L3800"="Whfo short opponen no attach"
"L3805"="Whfo long opponens no attach"
"L3806"="WHFO w/joint(s) custom fab"
"L3807"="WHFO,no joint, prefabricated"
"L3808"="WHFO, rigid w/o joints"
"L3810"="Whfo thumb abduction bar"
"L3815"="Whfo second m.p. abduction a"
"L3820"="Whfo ip ext asst w/ mp ext s"
"L3825"="Whfo m.p. extension stop"
"L3830"="Whfo m.p. extension assist"
"L3835"="Whfo m.p. spring extension a"
"L3840"="Whfo spring swivel thumb"
"L3845"="Whfo thumb ip ext ass w/ mp"
"L3850"="Action wrist w/ dorsiflex as"
"L3855"="Whfo adj m.p. flexion contro"
"L3860"="Whfo adj m.p. flex ctrl - i."
"L3890"="Torsion mechanism wrist/elbo"
"L3900"="Hinge extension/flex wrist/f"
"L3901"="Hinge ext/flex wrist finger"
"L3902"="Whfo ext power compress gas"
"L3904"="Whfo electric custom fitted"
"L3905"="WHO w/nontorsion jnt(s) CF"
"L3906"="WHO w/o joints CF"
"L3907"="Whfo wrst gauntlt thmb spica"
"L3908"="Wrist cock-up non-molded"
"L3909"="Prefab wrist orthosis"
"L3910"="Whfo swanson design"
"L3911"="Prefab hand finger orthosis"
"L3912"="Flex glove w/elastic finger"
"L3913"="HFO w/o joints CF"
"L3914"="WHO wrist extension cock-up"
"L3915"="WHO w nontor jnt(s) prefab"
"L3916"="Whfo wrist extens w/ outrigg"
"L3917"="Prefab metacarpl fx orthosis"
"L3918"="HFO knuckle bender"
"L3919"="HO w/o joints CF"
"L3920"="Knuckle bender with outrigge"
"L3921"="HFO w/joint(s) CF"
"L3922"="Knuckle bend 2 seg to flex j"
"L3923"="HFO w/o joints PF"
"L3924"="Oppenheimer"
"L3925"="FO pip/dip with joint/spring"
"L3926"="Thomas suspension"
"L3927"="FO pip/dip w/o joint/spring"
"L3928"="Finger extension w/ clock sp"
"L3929"="HFO nontorsion joint, prefab"
"L3930"="Finger extension with wrist"
"L3931"="WHFO nontorsion joint prefab"
"L3932"="Safety pin spring wire"
"L3933"="FO w/o joints CF"
"L3934"="Safety pin modified"
"L3935"="FO nontorsion joint CF"
"L3936"="Palmer"
"L3938"="Dorsal wrist"
"L3940"="Dorsal wrist w/ outrigger at"
"L3942"="Reverse knuckle bender"
"L3944"="Reverse knuckle bend w/ outr"
"L3946"="HFO composite elastic"
"L3948"="Finger knuckle bender"
"L3950"="Oppenheimer w/ knuckle bend"
"L3952"="Oppenheimer w/ rev knuckle 2"
"L3954"="Spreading hand"
"L3956"="Add joint upper ext orthosis"
"L3960"="Sewho airplan desig abdu pos"
"L3961"="SEWHO cap design w/o jnts CF"
"L3962"="Sewho erbs palsey design abd"
"L3963"="Molded w/ articulating elbow"
"L3964"="Seo mobile arm sup att to wc"
"L3965"="Arm supp att to wc rancho ty"
"L3966"="Mobile arm supports reclinin"
"L3967"="SEWHO airplane w/o jnts CF"
"L3968"="Friction dampening arm supp"
"L3969"="Monosuspension arm/hand supp"
"L3970"="Elevat proximal arm support"
"L3971"="SEWHO cap design w/jnt(s) CF"
"L3972"="Offset/lat rocker arm w/ ela"
"L3973"="SEWHO airplane w/jnt(s) CF"
"L3974"="Mobile arm support supinator"
"L3975"="SEWHFO cap design w/o jnt CF"
"L3976"="SEWHFO airplane w/o jnts CF"
"L3977"="SEWHFO cap desgn w/jnt(s) CF"
"L3978"="SEWHFO airplane w/jnt(s) CF"
"L3980"="Upp ext fx orthosis humeral"
"L3982"="Upper ext fx orthosis rad/ul"
"L3984"="Upper ext fx orthosis wrist"
"L3985"="Forearm hand fx orth w/ wr h"
"L3986"="Humeral rad/ulna wrist fx or"
"L3995"="Sock fracture or equal each"
"L3999"="Upper limb orthosis NOS"
"L4000"="Repl girdle milwaukee orth"
"L4002"="Replace strap, any orthosis"
"L4010"="Replace trilateral socket br"
"L4020"="Replace quadlat socket brim"
"L4030"="Replace socket brim cust fit"
"L4040"="Replace molded thigh lacer"
"L4045"="Replace non-molded thigh lac"
"L4050"="Replace molded calf lacer"
"L4055"="Replace non-molded calf lace"
"L4060"="Replace high roll cuff"
"L4070"="Replace prox - dist upright"
"L4080"="Repl met band kafo-afo prox"
"L4090"="Repl met band kafo-afo calf/"
"L4100"="Repl leath cuff kafo prox th"
"L4110"="Repl leath cuff kafo-afo cal"
"L4130"="Replace pretibial shell"
"L4205"="Ortho dvc repair per 15 min"
"L4210"="Orth dev repair/repl minor p"
"L4350"="Ankle control orthosi prefab"
"L4360"="Pneumati walking boot prefab"
"L4370"="Pneumatic full leg splint"
"L4380"="Pneumatic knee splint"
"L4386"="Non-pneum walk boot prefab"
"L4392"="Replace AFO soft interface"
"L4394"="Replace foot drop spint"
"L4396"="Static AFO"
"L4398"="Foot drop splint recumbent"
"L5000"="Sho insert w arch toe filler"
"L5010"="Mold socket ank hgt w/ toe f"
"L5020"="Tibial tubercle hgt w/ toe f"
"L5050"="Ank symes mold sckt sach ft"
"L5060"="Symes met fr leath socket ar"
"L5100"="Molded socket shin sach foot"
"L5105"="Plast socket jts/thgh lacer"
"L5150"="Mold sckt ext knee shin sach"
"L5160"="Mold socket bent knee shin s"
"L5200"="Kne sing axis fric shin sach"
"L5210"="No knee/ankle joints w/ ft b"
"L5220"="No knee joint with artic ali"
"L5230"="Fem focal defic constant fri"
"L5250"="Hip canad sing axi cons fric"
"L5270"="Tilt table locking hip sing"
"L5280"="Hemipelvect canad sing axis"
"L5301"="BK mold socket SACH ft endo"
"L5311"="Knee disart, SACH ft, endo"
"L5321"="AK open end SACH"
"L5331"="Hip disart canadian SACH ft"
"L5341"="Hemipelvectomy canadian SACH"
"L5400"="Postop dress - 1 cast chg bk"
"L5410"="Postop dsg bk ea add cast ch"
"L5420"="Postop dsg - 1 cast chg ak/d"
"L5430"="Postop dsg ak ea add cast ch"
"L5450"="Postop app non-wgt bear dsg"
"L5460"="Postop app non-wgt bear dsg"
"L5500"="Init bk ptb plaster direct"
"L5505"="Init ak ischal plstr direct"
"L5510"="Prep BK ptb plaster molded"
"L5520"="Perp BK ptb thermopls direct"
"L5530"="Prep BK ptb thermopls molded"
"L5535"="Prep BK ptb open end socket"
"L5540"="Prep BK ptb laminated socket"
"L5560"="Prep AK ischial plast molded"
"L5570"="Prep AK ischial direct form"
"L5580"="Prep AK ischial thermo mold"
"L5585"="Prep AK ischial open end"
"L5590"="Prep AK ischial laminated"
"L5595"="Hip disartic sach thermopls"
"L5600"="Hip disart sach laminat mold"
"L5610"="Above knee hydracadence"
"L5611"="Ak 4 bar link w/fric swing"
"L5613"="Ak 4 bar ling w/hydraul swig"
"L5614"="4-bar link above knee w/swng"
"L5616"="Ak univ multiplex sys frict"
"L5617"="AK/BK self-aligning unit ea"
"L5618"="Test socket symes"
"L5620"="Test socket below knee"
"L5622"="Test socket knee disarticula"
"L5624"="Test socket above knee"
"L5626"="Test socket hip disarticulat"
"L5628"="Test socket hemipelvectomy"
"L5629"="Below knee acrylic socket"
"L5630"="Syme typ expandabl wall sckt"
"L5631"="Ak/knee disartic acrylic soc"
"L5632"="Symes type ptb brim design s"
"L5634"="Symes type poster opening so"
"L5636"="Symes type medial opening so"
"L5637"="Below knee total contact"
"L5638"="Below knee leather socket"
"L5639"="Below knee wood socket"
"L5640"="Knee disarticulat leather so"
"L5642"="Above knee leather socket"
"L5643"="Hip flex inner socket ext fr"
"L5644"="Above knee wood socket"
"L5645"="Bk flex inner socket ext fra"
"L5646"="Below knee cushion socket"
"L5647"="Below knee suction socket"
"L5648"="Above knee cushion socket"
"L5649"="Isch containmt/narrow m-l so"
"L5650"="Tot contact ak/knee disart s"
"L5651"="Ak flex inner socket ext fra"
"L5652"="Suction susp ak/knee disart"
"L5653"="Knee disart expand wall sock"
"L5654"="Socket insert symes"
"L5655"="Socket insert below knee"
"L5656"="Socket insert knee articulat"
"L5658"="Socket insert above knee"
"L5661"="Multi-durometer symes"
"L5665"="Multi-durometer below knee"
"L5666"="Below knee cuff suspension"
"L5668"="Socket insert w/o lock lower"
"L5670"="Bk molded supracondylar susp"
"L5671"="BK/AK locking mechanism"
"L5672"="Bk removable medial brim sus"
"L5673"="Socket insert w lock mech"
"L5674"="Bk suspension sleeve"
"L5675"="Bk heavy duty susp sleeve"
"L5676"="Bk knee joints single axis p"
"L5677"="Bk knee joints polycentric p"
"L5678"="Bk joint covers pair"
"L5679"="Socket insert w/o lock mech"
"L5680"="Bk thigh lacer non-molded"
"L5681"="Intl custm cong/latyp insert"
"L5682"="Bk thigh lacer glut/ischia m"
"L5683"="Initial custom socket insert"
"L5684"="Bk fork strap"
"L5685"="Below knee sus/seal sleeve"
"L5686"="Bk back check"
"L5688"="Bk waist belt webbing"
"L5690"="Bk waist belt padded and lin"
"L5692"="Ak pelvic control belt light"
"L5694"="Ak pelvic control belt pad/l"
"L5695"="Ak sleeve susp neoprene/equa"
"L5696"="Ak/knee disartic pelvic join"
"L5697"="Ak/knee disartic pelvic band"
"L5698"="Ak/knee disartic silesian ba"
"L5699"="Shoulder harness"
"L5700"="Replace socket below knee"
"L5701"="Replace socket above knee"
"L5702"="Replace socket hip"
"L5703"="Symes ankle w/o (SACH) foot"
"L5704"="Custom shape cover BK"
"L5705"="Custom shape cover AK"
"L5706"="Custom shape cvr knee disart"
"L5707"="Custom shape cvr hip disart"
"L5710"="Kne-shin exo sng axi mnl loc"
"L5711"="Knee-shin exo mnl lock ultra"
"L5712"="Knee-shin exo frict swg - st"
"L5714"="Knee-shin exo variable frict"
"L5716"="Knee-shin exo mech stance ph"
"L5718"="Knee-shin exo frct swg - sta"
"L5722"="Knee-shin pneum swg frct exo"
"L5724"="Knee-shin exo fluid swing ph"
"L5726"="Knee-shin ext jnts fld swg e"
"L5728"="Knee-shin fluid swg - stance"
"L5780"="Knee-shin pneum/hydra pneum"
"L5781"="Lower limb pros vacuum pump"
"L5782"="HD low limb pros vacuum pump"
"L5785"="Exoskeletal bk ultralt mater"
"L5790"="Exoskeletal ak ultra-light m"
"L5795"="Exoskel hip ultra-light mate"
"L5810"="Endoskel knee-shin mnl lock"
"L5811"="Endo knee-shin mnl lck ultra"
"L5812"="Endo knee-shin frct swg - st"
"L5814"="Endo knee-shin hydral swg ph"
"L5816"="Endo knee-shin polyc mch sta"
"L5818"="Endo knee-shin frct swg - st"
"L5822"="Endo knee-shin pneum swg frc"
"L5824"="Endo knee-shin fluid swing p"
"L5826"="Miniature knee joint"
"L5828"="Endo knee-shin fluid swg/sta"
"L5830"="Endo knee-shin pneum/swg pha"
"L5840"="Multi-axial knee/shin system"
"L5845"="Knee-shin sys stance flexion"
"L5846"="Knee-shin sys microprocessor"
"L5847"="Microprocessor cntrl feature"
"L5848"="Knee-shin sys hydraul stance"
"L5850"="Endo ak/hip knee extens assi"
"L5855"="Mech hip extension assist"
"L5856"="Elec knee-shin swing/stance"
"L5857"="Elec knee-shin swing only"
"L5858"="Stance phase only"
"L5910"="Endo below knee alignable sy"
"L5920"="Endo ak/hip alignable system"
"L5925"="Above knee manual lock"
"L5930"="High activity knee frame"
"L5940"="Endo bk ultra-light material"
"L5950"="Endo ak ultra-light material"
"L5960"="Endo hip ultra-light materia"
"L5962"="Below knee flex cover system"
"L5964"="Above knee flex cover system"
"L5966"="Hip flexible cover system"
"L5968"="Multiaxial ankle w dorsiflex"
"L5970"="Foot external keel sach foot"
"L5971"="SACH foot, replacement"
"L5972"="Flexible keel foot"
"L5974"="Foot single axis ankle/foot"
"L5975"="Combo ankle/foot prosthesis"
"L5976"="Energy storing foot"
"L5978"="Ft prosth multiaxial ankl/ft"
"L5979"="Multi-axial ankle/ft prosth"
"L5980"="Flex foot system"
"L5981"="Flex-walk sys low ext prosth"
"L5982"="Exoskeletal axial rotation u"
"L5984"="Endoskeletal axial rotation"
"L5985"="Lwr ext dynamic prosth pylon"
"L5986"="Multi-axial rotation unit"
"L5987"="Shank ft w vert load pylon"
"L5988"="Vertical shock reducing pylo"
"L5989"="Pylon w elctrnc force sensor"
"L5990"="User adjustable heel height"
"L5993"="Heavy duty feature, foot"
"L5994"="Heavy duty feature, knee"
"L5995"="Lower ext pros heavyduty fea"
"L5999"="Lowr extremity prosthes NOS"
"L6000"="Par hand robin-aids thum rem"
"L6010"="Hand robin-aids little/ring"
"L6020"="Part hand robin-aids no fing"
"L6025"="Part hand disart myoelectric"
"L6050"="Wrst MLd sck flx hng tri pad"
"L6055"="Wrst mold sock w/exp interfa"
"L6100"="Elb mold sock flex hinge pad"
"L6110"="Elbow mold sock suspension t"
"L6120"="Elbow mold doub splt soc ste"
"L6130"="Elbow stump activated lock h"
"L6200"="Elbow mold outsid lock hinge"
"L6205"="Elbow molded w/ expand inter"
"L6250"="Elbow inter loc elbow forarm"
"L6300"="Shlder disart int lock elbow"
"L6310"="Shoulder passive restor comp"
"L6320"="Shoulder passive restor cap"
"L6350"="Thoracic intern lock elbow"
"L6360"="Thoracic passive restor comp"
"L6370"="Thoracic passive restor cap"
"L6380"="Postop dsg cast chg wrst/elb"
"L6382"="Postop dsg cast chg elb dis/"
"L6384"="Postop dsg cast chg shlder/t"
"L6386"="Postop ea cast chg - realign"
"L6388"="Postop applicat rigid dsg on"
"L6400"="Below elbow prosth tiss shap"
"L6450"="Elb disart prosth tiss shap"
"L6500"="Above elbow prosth tiss shap"
"L6550"="Shldr disar prosth tiss shap"
"L6570"="Scap thorac prosth tiss shap"
"L6580"="Wrist/elbow bowden cable mol"
"L6582"="Wrist/elbow bowden cbl dir f"
"L6584"="Elbow fair lead cable molded"
"L6586"="Elbow fair lead cable dir fo"
"L6588"="Shdr fair lead cable molded"
"L6590"="Shdr fair lead cable direct"
"L6600"="Polycentric hinge pair"
"L6605"="Single pivot hinge pair"
"L6610"="Flexible metal hinge pair"
"L6611"="Additional switch, ext power"
"L6615"="Disconnect locking wrist uni"
"L6616"="Disconnect insert locking wr"
"L6620"="Flexion/extension wrist unit"
"L6621"="Flex/ext wrist w/wo friction"
"L6623"="Spring-ass rot wrst w/ latch"
"L6624"="Flex/ext/rotation wrist unit"
"L6625"="Rotation wrst w/ cable lock"
"L6628"="Quick disconn hook adapter o"
"L6629"="Lamination collar w/ couplin"
"L6630"="Stainless steel any wrist"
"L6632"="Latex suspension sleeve each"
"L6635"="Lift assist for elbow"
"L6637"="Nudge control elbow lock"
"L6638"="Elec lock on manual pw elbow"
"L6639"="Heavy duty elbow feature"
"L6640"="Shoulder abduction joint pai"
"L6641"="Excursion amplifier pulley t"
"L6642"="Excursion amplifier lever ty"
"L6645"="Shoulder flexion-abduction j"
"L6646"="Multipo locking shoulder jnt"
"L6647"="Shoulder lock actuator"
"L6648"="Ext pwrd shlder lock/unlock"
"L6650"="Shoulder universal joint"
"L6655"="Standard control cable extra"
"L6660"="Heavy duty control cable"
"L6665"="Teflon or equal cable lining"
"L6670"="Hook to hand cable adapter"
"L6672"="Harness chest/shlder saddle"
"L6675"="Harness figure of 8 sing con"
"L6676"="Harness figure of 8 dual con"
"L6677"="UE triple control harness"
"L6680"="Test sock wrist disart/bel e"
"L6682"="Test sock elbw disart/above"
"L6684"="Test socket shldr disart/tho"
"L6686"="Suction socket"
"L6687"="Frame typ socket bel elbow/w"
"L6688"="Frame typ sock above elb/dis"
"L6689"="Frame typ socket shoulder di"
"L6690"="Frame typ sock interscap-tho"
"L6691"="Removable insert each"
"L6692"="Silicone gel insert or equal"
"L6693"="Lockingelbow forearm cntrbal"
"L6694"="Elbow socket ins use w/lock"
"L6695"="Elbow socket ins use w/o lck"
"L6696"="Cus elbo skt in for con/atyp"
"L6697"="Cus elbo skt in not con/atyp"
"L6698"="Below/above elbow lock mech"
"L6700"="Terminal device model #3"
"L6703"="Term dev, passive hand mitt"
"L6704"="Term dev, sport/rec/work att"
"L6705"="Terminal device model #5"
"L6706"="Term dev mech hook vol open"
"L6707"="Term dev mech hook vol close"
"L6708"="Term dev mech hand vol open"
"L6709"="Term dev mech hand vol close"
"L6710"="Terminal device model #5x"
"L6715"="Terminal device model #5xa"
"L6720"="Terminal device model #6"
"L6725"="Terminal device model #7"
"L6730"="Terminal device model #7lo"
"L6735"="Terminal device model #8"
"L6740"="Terminal device model #8x"
"L6745"="Terminal device model #88x"
"L6750"="Terminal device model #10p"
"L6755"="Terminal device model #10x"
"L6765"="Terminal device model #12p"
"L6770"="Terminal device model #99x"
"L6775"="Terminal device model#555"
"L6780"="Terminal device model #ss555"
"L6790"="Hooks-accu hook or equal"
"L6795"="Hooks-2 load or equal"
"L6800"="Hooks-aprl vc or equal"
"L6805"="Term dev modifier wrist unit"
"L6806"="Trs grip vc or equal"
"L6807"="Term device grip1/2 or equal"
"L6808"="Term device infant or child"
"L6809"="Trs super sport passive"
"L6810"="Term dev precision pinch dev"
"L6825"="Hands dorrance vo"
"L6830"="Hand aprl vc"
"L6835"="Hand sierra vo"
"L6840"="Hand becker imperial"
"L6845"="Hand becker lock grip"
"L6850"="Term dvc-hand becker plylite"
"L6855"="Hand robin-aids vo"
"L6860"="Hand robin-aids vo soft"
"L6865"="Hand passive hand"
"L6867"="Hand detroit infant hand"
"L6868"="Passive inf hand steeper/hos"
"L6870"="Hand child mitt"
"L6872"="Hand nyu child hand"
"L6873"="Hand mech inf steeper or equ"
"L6875"="Hand bock vc"
"L6880"="Hand bock vo"
"L6881"="Term dev auto grasp feature"
"L6882"="Microprocessor control uplmb"
"L6883"="Replc sockt below e/w disa"
"L6884"="Replc sockt above elbow disa"
"L6885"="Replc sockt shldr dis/interc"
"L6890"="Prefab glove for term device"
"L6895"="Custom glove for term device"
"L6900"="Hand restorat thumb/1 finger"
"L6905"="Hand restoration multiple fi"
"L6910"="Hand restoration no fingers"
"L6915"="Hand restoration replacmnt g"
"L6920"="Wrist disarticul switch ctrl"
"L6925"="Wrist disart myoelectronic c"
"L6930"="Below elbow switch control"
"L6935"="Below elbow myoelectronic ct"
"L6940"="Elbow disarticulation switch"
"L6945"="Elbow disart myoelectronic c"
"L6950"="Above elbow switch control"
"L6955"="Above elbow myoelectronic ct"
"L6960"="Shldr disartic switch contro"
"L6965"="Shldr disartic myoelectronic"
"L6970"="Interscapular-thor switch ct"
"L6975"="Interscap-thor myoelectronic"
"L7007"="Adult electric hand"
"L7008"="Pediatric electric hand"
"L7009"="Adult electric hook"
"L7010"="Hand otto back steeper/eq sw"
"L7015"="Hand sys teknik village swit"
"L7020"="Electronic greifer switch ct"
"L7025"="Electron hand myoelectronic"
"L7030"="Hand sys teknik vill myoelec"
"L7035"="Electron greifer myoelectro"
"L7040"="Prehensile actuator"
"L7045"="Pediatric electric hook"
"L7170"="Electronic elbow hosmer swit"
"L7180"="Electronic elbow sequential"
"L7181"="Electronic elbo simultaneous"
"L7185"="Electron elbow adolescent sw"
"L7186"="Electron elbow child switch"
"L7190"="Elbow adolescent myoelectron"
"L7191"="Elbow child myoelectronic ct"
"L7260"="Electron wrist rotator otto"
"L7261"="Electron wrist rotator utah"
"L7266"="Servo control steeper or equ"
"L7272"="Analogue control unb or equa"
"L7274"="Proportional ctl 12 volt uta"
"L7360"="Six volt bat otto bock/eq ea"
"L7362"="Battery chrgr six volt otto"
"L7364"="Twelve volt battery utah/equ"
"L7366"="Battery chrgr 12 volt utah/e"
"L7367"="Replacemnt lithium ionbatter"
"L7368"="Lithium ion battery charger"
"L7400"="Add UE prost be/wd, ultlite"
"L7401"="Add UE prost a/e ultlite mat"
"L7402"="Add UE prost s/d ultlite mat"
"L7403"="Add UE prost b/e acrylic"
"L7404"="Add UE prost a/e acrylic"
"L7405"="Add UE prost s/d acrylic"
"L7499"="Upper extremity prosthes NOS"
"L7500"="Prosthetic dvc repair hourly"
"L7510"="Prosthetic device repair rep"
"L7520"="Repair prosthesis per 15 min"
"L7600"="Prosthetic donning sleeve"
"L7611"="Ped term dev, hook, vol open"
"L7612"="Ped term dev, hook, vol clos"
"L7613"="Ped term dev, hand, vol open"
"L7614"="Ped term dev, hand, vol clos"
"L7621"="Hook/hand, hvy dty, vol open"
"L7622"="Hook/hand, hvy dty, vol clos"
"L7900"="Male vacuum erection system"
"L8000"="Mastectomy bra"
"L8001"="Breast prosthesis bra - form"
"L8002"="Brst prsth bra - bilat form"
"L8010"="Mastectomy sleeve"
"L8015"="Ext breastprosthesis garment"
"L8020"="Mastectomy form"
"L8030"="Breast prosthesis silicone/e"
"L8035"="Custom breast prosthesis"
"L8039"="Breast prosthesis NOS"
"L8040"="Nasal prosthesis"
"L8041"="Midfacial prosthesis"
"L8042"="Orbital prosthesis"
"L8043"="Upper facial prosthesis"
"L8044"="Hemi-facial prosthesis"
"L8045"="Auricular prosthesis"
"L8046"="Partial facial prosthesis"
"L8047"="Nasal septal prosthesis"
"L8048"="Unspec maxillofacial prosth"
"L8049"="Repair maxillofacial prosth"
"L8100"="Compression stocking BK18-30"
"L8110"="Compression stocking BK30-40"
"L8120"="Compression stocking BK40-50"
"L8130"="Gc stocking thighlngth 18-30"
"L8140"="Gc stocking thighlngth 30-40"
"L8150"="Gc stocking thighlngth 40-50"
"L8160"="Gc stocking full lngth 18-30"
"L8170"="Gc stocking full lngth 30-40"
"L8180"="Gc stocking full lngth 40-50"
"L8190"="Gc stocking waistlngth 18-30"
"L8195"="Gc stocking waistlngth 30-40"
"L8200"="Gc stocking waistlngth 40-50"
"L8210"="Gc stocking custom made"
"L8220"="Gc stocking lymphedema"
"L8230"="Gc stocking garter belt"
"L8239"="G compression stocking  NOS"
"L8300"="Truss single w/ standard pad"
"L8310"="Truss double w/ standard pad"
"L8320"="Truss addition to std pad wa"
"L8330"="Truss add to std pad scrotal"
"L8400"="Sheath below knee"
"L8410"="Sheath above knee"
"L8415"="Sheath upper limb"
"L8417"="Pros sheath/sock w gel cushn"
"L8420"="Prosthetic sock multi ply BK"
"L8430"="Prosthetic sock multi ply AK"
"L8435"="Pros sock multi ply upper lm"
"L8440"="Shrinker below knee"
"L8460"="Shrinker above knee"
"L8465"="Shrinker upper limb"
"L8470"="Pros sock single ply BK"
"L8480"="Pros sock single ply AK"
"L8485"="Pros sock single ply upper l"
"L8490"="Air seal suction reten systm"
"L8499"="Unlisted misc prosthetic ser"
"L8500"="Artificial larynx"
"L8501"="Tracheostomy speaking valve"
"L8505"="Artificial larynx, accessory"
"L8507"="Trach-esoph voice pros pt in"
"L8509"="Trach-esoph voice pros md in"
"L8510"="Voice amplifier"
"L8511"="Indwelling trach insert"
"L8512"="Gel cap for trach voice pros"
"L8513"="Trach pros cleaning device"
"L8514"="Repl trach puncture dilator"
"L8515"="Gel cap app device for trach"
"L8600"="Implant breast silicone/eq"
"L8603"="Collagen imp urinary 2.5 ml"
"L8606"="Synthetic implnt urinary 1ml"
"L8609"="Artificial cornea"
"L8610"="Ocular implant"
"L8612"="Aqueous shunt prosthesis"
"L8613"="Ossicular implant"
"L8614"="Cochlear device"
"L8615"="Coch implant headset replace"
"L8616"="Coch implant microphone repl"
"L8617"="Coch implant trans coil repl"
"L8618"="Coch implant tran cable repl"
"L8619"="Replace cochlear processor"
"L8620"="Repl lithium ion battery"
"L8621"="Repl zinc air battery"
"L8622"="Repl alkaline battery"
"L8623"="Lith ion batt CID,non-earlvl"
"L8624"="Lith ion batt CID, ear level"
"L8630"="Metacarpophalangeal implant"
"L8631"="MCP joint repl 2 pc or more"
"L8641"="Metatarsal joint implant"
"L8642"="Hallux implant"
"L8658"="Interphalangeal joint spacer"
"L8659"="Interphalangeal joint repl"
"L8670"="Vascular graft, synthetic"
"L8680"="Implt neurostim elctr each"
"L8681"="Pt prgrm for implt neurostim"
"L8682"="Implt neurostim radiofq rec"
"L8683"="Radiofq trsmtr for implt neu"
"L8684"="Radiof trsmtr implt scrl neu"
"L8685"="Implt nrostm pls gen sng rec"
"L8686"="Implt nrostm pls gen sng non"
"L8687"="Implt nrostm pls gen dua rec"
"L8688"="Implt nrostm pls gen dua non"
"L8689"="External recharg sys intern"
"L8690"="Aud osseo dev, int/ext comp"
"L8691"="Aud osseo dev ext snd proces"
"L8695"="External recharg sys extern"
"L8699"="Prosthetic implant NOS"
"L9900"="O-P supply/accessory/service"
"M0005"="Off visit 2/more modalities"
"M0006"="One phys therapy modality"
"M0007"="Combined phys ther mod - tx"
"M0008"="Combined phys ther mod - tx"
"M0064"="Visit for drug monitoring"
"M0075"="Cellular therapy"
"M0076"="Prolotherapy"
"M0100"="Intragastric hypothermia"
"M0101"="Foot care hygienic/pm"
"M0300"="IV chelationtherapy"
"M0301"="Fabric wrapping of aneurysm"
"M0302"="Assessment of cardiac output"
"M0702"="Brief, osteopathic manip the"
"M0704"="Limited, osteopathic manip t"
"M0706"="Intermediate osteopathic man"
"M0708"="Extended osteopathic manip t"
"M0710"="Comprehensive osteopathic ma"
"M0722"="Brief inpatient hospital omt"
"M0724"="Limited inpatient hospital o"
"M0726"="Intermediate inpatient hospi"
"M0728"="Extended inpatient hospital"
"M0730"="Comprehensive inpatient hosp"
"M0900"="Excision, revision of a-v sh"
"P2028"="Cephalin floculation test"
"P2029"="Congo red blood test"
"P2031"="Hair analysis"
"P2033"="Blood thymol turbidity"
"P2038"="Blood mucoprotein"
"P3000"="Screen pap by tech w md supv"
"P3001"="Screening pap smear by phys"
"P7001"="Culture bacterial urine"
"P9010"="Whole blood for transfusion"
"P9011"="Blood split unit"
"P9012"="Cryoprecipitate each unit"
"P9013"="Unit/s blood fibrinogen"
"P9014"="Gamma globulin 1 ML"
"P9015"="Rh immune globulin 1 ML"
"P9016"="RBC leukocytes reduced"
"P9017"="Plasma 1 donor frz w/in 8 hr"
"P9018"="Plasma protein fract, unit"
"P9019"="Platelets, each unit"
"P9020"="Plaelet rich plasma unit"
"P9021"="Red blood cells unit"
"P9022"="Washed red blood cells unit"
"P9023"="Frozen plasma, pooled, sd"
"P9031"="Platelets leukocytes reduced"
"P9032"="Platelets, irradiated"
"P9033"="Platelets leukoreduced irrad"
"P9034"="Platelets, pheresis"
"P9035"="Platelet pheres leukoreduced"
"P9036"="Platelet pheresis irradiated"
"P9037"="Plate pheres leukoredu irrad"
"P9038"="RBC irradiated"
"P9039"="RBC deglycerolized"
"P9040"="RBC leukoreduced irradiated"
"P9041"="Albumin (human),5%, 50ml"
"P9043"="Plasma protein fract,5%,50ml"
"P9044"="Cryoprecipitatereducedplasma"
"P9045"="Albumin (human), 5%, 250 ml"
"P9046"="Albumin (human), 25%, 20 ml"
"P9047"="Albumin (human), 25%, 50ml"
"P9048"="Plasmaprotein fract,5%,250ml"
"P9050"="Granulocytes, pheresis unit"
"P9051"="Blood, l/r, cmv-neg"
"P9052"="Platelets, hla-m, l/r, unit"
"P9053"="Plt, pher, l/r cmv-neg, irr"
"P9054"="Blood, l/r, froz/degly/wash"
"P9055"="Plt, aph/pher, l/r, cmv-neg"
"P9056"="Blood, l/r, irradiated"
"P9057"="RBC, frz/deg/wsh, l/r, irrad"
"P9058"="RBC, l/r, cmv-neg, irrad"
"P9059"="Plasma, frz between 8-24hour"
"P9060"="Fr frz plasma donor retested"
"P9603"="One-way allow prorated miles"
"P9604"="One-way allow prorated trip"
"P9605"="Routine venipuncture"
"P9610"="Urine specimen collect singl"
"P9612"="Catheterize for urine spec"
"P9615"="Urine specimen collect mult"
"Q0034"="Admin of influenza vaccine"
"Q0035"="Cardiokymography"
"Q0068"="Extracorpeal plasmapheresis"
"Q0081"="Infusion ther other than che"
"Q0083"="Chemo by other than infusion"
"Q0084"="Chemotherapy by infusion"
"Q0085"="Chemo by both infusion and o"
"Q0091"="Obtaining screen pap smear"
"Q0092"="Set up port xray equipment"
"Q0093"="Filgrastim (g-csf), per 100"
"Q0094"="Sargramostim (gm-csf), per 2"
"Q0103"="Physical therapy evaluation"
"Q0104"="Phys therapy re-evaluation"
"Q0105"="Low osmolar contrast materia"
"Q0106"="Low osmolar contrast materia"
"Q0107"="Low osmolar contrast materia"
"Q0108"="Standby surgery"
"Q0109"="Occupational therapy eval"
"Q0110"="Occupational therap re-eval"
"Q0111"="Wet mounts/ w preparations"
"Q0112"="Potassium hydroxide preps"
"Q0113"="Pinworm examinations"
"Q0114"="Fern test"
"Q0115"="Post-coital mucous exam"
"Q0116"="Hemoglobin, single analyte e"
"Q0117"="Diab custom depth-inlay shoe"
"Q0118"="Diabetic custom molded shoe"
"Q0119"="Diabetic mult density insert"
"Q0120"="Diab modf shoe roller/rocker"
"Q0121"="Diabetic modf with wedge"
"Q0122"="Diab modf w/metatarsal bar"
"Q0123"="Diab modf with off-set heel"
"Q0124"="Admin/pneumococcal, flu vacc"
"Q0125"="Paclitaxel 30 mg"
"Q0132"="Dispensing fee DME neb drug"
"Q0136"="Non esrd epoetin alpha inj"
"Q0137"="Darbepoetin alfa, non-esrd"
"Q0144"="Azithromycin dihydrate, oral"
"Q0156"="Human albumin 5%"
"Q0157"="Human albumin 25%"
"Q0158"="Combined hib - hep B vaccine"
"Q0163"="Diphenhydramine HCl 50mg"
"Q0164"="Prochlorperazine maleate 5mg"
"Q0165"="Prochlorperazine maleate10mg"
"Q0166"="Granisetron HCl 1 mg oral"
"Q0167"="Dronabinol 2.5mg oral"
"Q0168"="Dronabinol 5mg oral"
"Q0169"="Promethazine HCl 12.5mg oral"
"Q0170"="Promethazine HCl 25 mg oral"
"Q0171"="Chlorpromazine HCl 10mg oral"
"Q0172"="Chlorpromazine HCl 25mg oral"
"Q0173"="Trimethobenzamide HCl 250mg"
"Q0174"="Thiethylperazine maleate10mg"
"Q0175"="Perphenazine 4mg oral"
"Q0176"="Perphenazine 8mg oral"
"Q0177"="Hydroxyzine pamoate 25mg"
"Q0178"="Hydroxyzine pamoate 50mg"
"Q0179"="Ondansetron HCl 8mg oral"
"Q0180"="Dolasetron mesylate oral"
"Q0181"="Unspecified oral anti-emetic"
"Q0182"="Nonmetabolic act d/e tissue"
"Q0183"="Nonmetabolic active tissue"
"Q0187"="Factor viia recombinant"
"Q0480"="Driver pneumatic vad, rep"
"Q0481"="Microprcsr cu elec vad, rep"
"Q0482"="Microprcsr cu combo vad, rep"
"Q0483"="Monitor elec vad, rep"
"Q0484"="Monitor elec or comb vad rep"
"Q0485"="Monitor cable elec vad, rep"
"Q0486"="Mon cable elec/pneum vad rep"
"Q0487"="Leads any type vad, rep only"
"Q0488"="Pwr pack base elec vad, rep"
"Q0489"="Pwr pck base combo vad, rep"
"Q0490"="Emr pwr source elec vad, rep"
"Q0491"="Emr pwr source combo vad rep"
"Q0492"="Emr pwr cbl elec vad, rep"
"Q0493"="Emr pwr cbl combo vad, rep"
"Q0494"="Emr hd pmp elec/combo, rep"
"Q0495"="Charger elec/combo vad, rep"
"Q0496"="Battery elec/combo vad, rep"
"Q0497"="Bat clps elec/comb vad, rep"
"Q0498"="Holster elec/combo vad, rep"
"Q0499"="Belt/vest elec/combo vad rep"
"Q0500"="Filters elec/combo vad, rep"
"Q0501"="Shwr cov elec/combo vad, rep"
"Q0502"="Mobility cart pneum vad, rep"
"Q0503"="Battery pneum vad replacemnt"
"Q0504"="Pwr adpt pneum vad, rep veh"
"Q0505"="Miscl supply/accessory vad"
"Q0510"="Dispens fee immunosupressive"
"Q0511"="Sup fee antiem,antica,immuno"
"Q0512"="Px sup fee anti-can sub pres"
"Q0513"="Disp fee inhal drugs/30 days"
"Q0514"="Disp fee inhal drugs/90 days"
"Q0515"="Sermorelin acetate injection"
"Q1001"="Ntiol category 1"
"Q1002"="Ntiol category 2"
"Q1003"="Ntiol category 3"
"Q1004"="Ntiol category 4"
"Q1005"="Ntiol category 5"
"Q2001"="Oral cabergoline 0.5 mg"
"Q2002"="Elliotts b solution per ml"
"Q2003"="Aprotinin, 10,000 kiu"
"Q2004"="Bladder calculi irrig sol"
"Q2005"="Corticorelin ovine triflutat"
"Q2006"="Digoxin immune fab (ovine)"
"Q2007"="Ethanolamine oleate 100 mg"
"Q2008"="Fomepizole, 15 mg"
"Q2009"="Fosphenytoin, 50 mg"
"Q2011"="Hemin, per 1 mg"
"Q2012"="Pegademase bovine, 25 iu"
"Q2013"="Pentastarch 10% solution"
"Q2014"="Sermorelin acetate, 0.5 mg"
"Q2017"="Teniposide, 50 mg"
"Q2018"="Urofollitropin, 75 iu"
"Q2019"="Basiliximab"
"Q2020"="Histrelin acetate"
"Q2021"="Lepirudin"
"Q2022"="VonWillebrandFactrCmplxperIU"
"Q3000"="Rubidium RB-82"
"Q3001"="Brachytherapy Radioelements"
"Q3002"="Gallium ga 67"
"Q3003"="Technetium tc99m bicisate"
"Q3004"="Xenon xe 133"
"Q3005"="Technetium tc99m mertiatide"
"Q3006"="Technetium tc99m glucepatate"
"Q3007"="Sodium phosphate p32"
"Q3008"="Indium 111-in pentetreotide"
"Q3009"="Technetium tc99m oxidronate"
"Q3010"="Technetium tc99mlabeledrbcs"
"Q3011"="Chromic phosphate p32"
"Q3012"="Cyanocobalamin cobalt co57"
"Q3014"="Telehealth facility fee"
"Q3019"="ALS emer trans no ALS serv"
"Q3020"="ALS nonemer trans no ALS ser"
"Q3025"="IM inj interferon beta 1-a"
"Q3026"="Subc inj interferon beta-1a"
"Q3031"="Collagen skin test"
"Q4001"="Cast sup body cast plaster"
"Q4002"="Cast sup body cast fiberglas"
"Q4003"="Cast sup shoulder cast plstr"
"Q4004"="Cast sup shoulder cast fbrgl"
"Q4005"="Cast sup long arm adult plst"
"Q4006"="Cast sup long arm adult fbrg"
"Q4007"="Cast sup long arm ped plster"
"Q4008"="Cast sup long arm ped fbrgls"
"Q4009"="Cast sup sht arm adult plstr"
"Q4010"="Cast sup sht arm adult fbrgl"
"Q4011"="Cast sup sht arm ped plaster"
"Q4012"="Cast sup sht arm ped fbrglas"
"Q4013"="Cast sup gauntlet plaster"
"Q4014"="Cast sup gauntlet fiberglass"
"Q4015"="Cast sup gauntlet ped plster"
"Q4016"="Cast sup gauntlet ped fbrgls"
"Q4017"="Cast sup lng arm splint plst"
"Q4018"="Cast sup lng arm splint fbrg"
"Q4019"="Cast sup lng arm splnt ped p"
"Q4020"="Cast sup lng arm splnt ped f"
"Q4021"="Cast sup sht arm splint plst"
"Q4022"="Cast sup sht arm splint fbrg"
"Q4023"="Cast sup sht arm splnt ped p"
"Q4024"="Cast sup sht arm splnt ped f"
"Q4025"="Cast sup hip spica plaster"
"Q4026"="Cast sup hip spica fiberglas"
"Q4027"="Cast sup hip spica ped plstr"
"Q4028"="Cast sup hip spica ped fbrgl"
"Q4029"="Cast sup long leg plaster"
"Q4030"="Cast sup long leg fiberglass"
"Q4031"="Cast sup lng leg ped plaster"
"Q4032"="Cast sup lng leg ped fbrgls"
"Q4033"="Cast sup lng leg cylinder pl"
"Q4034"="Cast sup lng leg cylinder fb"
"Q4035"="Cast sup lngleg cylndr ped p"
"Q4036"="Cast sup lngleg cylndr ped f"
"Q4037"="Cast sup shrt leg plaster"
"Q4038"="Cast sup shrt leg fiberglass"
"Q4039"="Cast sup shrt leg ped plster"
"Q4040"="Cast sup shrt leg ped fbrgls"
"Q4041"="Cast sup lng leg splnt plstr"
"Q4042"="Cast sup lng leg splnt fbrgl"
"Q4043"="Cast sup lng leg splnt ped p"
"Q4044"="Cast sup lng leg splnt ped f"
"Q4045"="Cast sup sht leg splnt plstr"
"Q4046"="Cast sup sht leg splnt fbrgl"
"Q4047"="Cast sup sht leg splnt ped p"
"Q4048"="Cast sup sht leg splnt ped f"
"Q4049"="Finger splint, static"
"Q4050"="Cast supplies unlisted"
"Q4051"="Splint supplies misc"
"Q4054"="Darbepoetin alfa, esrd use"
"Q4055"="Epoetin alfa, esrd use"
"Q4075"="Acyclovir, 5 mg"
"Q4076"="Dopamine hcl, 40 mg"
"Q4077"="Treprostinil, 1 mg"
"Q4079"="Natalizumab injection"
"Q4080"="Iloprost non-comp unit dose"
"Q4081"="Epoetin alfa, 100 units ESRD"
"Q4082"="Drug/bio NOC part B drug CAP"
"Q4083"="Hyalgan/supartz inj per dose"
"Q4084"="Synvisc inj per dose"
"Q4085"="Euflexxa inj per dose"
"Q4086"="Orthovisc inj per dose"
"Q4087"="Octagam injection"
"Q4088"="Gammagard liquid injection"
"Q4089"="Rhophylac injection"
"Q4090"="HepaGam B IM injection"
"Q4091"="Flebogamma injection"
"Q4092"="Gamunex injection"
"Q4093"="Albuterol inh non-comp con"
"Q4094"="Albuterol inh non-comp u d"
"Q4095"="Reclast injection"
"Q5001"="Hospice in patient home"
"Q5002"="Hospice in assisted living"
"Q5003"="Hospice in LT/non-skilled NF"
"Q5004"="Hospice in SNF"
"Q5005"="Hospice, inpatient hospital"
"Q5006"="Hospice in hospice facility"
"Q5007"="Hospice in LTCH"
"Q5008"="Hospice in inpatient psych"
"Q5009"="Hospice care, NOS"
"Q9920"="Epoetin with hct <= 20"
"Q9921"="Epoetin with hct = 21"
"Q9922"="Epoetin with hct = 22"
"Q9923"="Epoetin with hct = 23"
"Q9924"="Epoetin with hct = 24"
"Q9925"="Epoetin with hct = 25"
"Q9926"="Epoetin with hct = 26"
"Q9927"="Epoetin with hct = 27"
"Q9928"="Epoetin with hct = 28"
"Q9929"="Epoetin with hct = 29"
"Q9930"="Epoetin with hct = 30"
"Q9931"="Epoetin with hct = 31"
"Q9932"="Epoetin with hct = 32"
"Q9933"="Epoetin with hct = 33"
"Q9934"="Epoetin with hct = 34"
"Q9935"="Epoetin with hct = 35"
"Q9936"="Epoetin with hct = 36"
"Q9937"="Epoetin with hct = 37"
"Q9938"="Epoetin with hct = 38"
"Q9939"="Epoetin with hct = 39"
"Q9940"="Epoetin with hct >= 40"
"Q9941"="IVIG lyophil 1G"
"Q9942"="IVIG lyophil 10 mg"
"Q9943"="IVIG non-lyophil 1G"
"Q9944"="IVIG non-lyophil 10 mg"
"Q9945"="LOCM <=149 mg/ml iodine, 1ml"
"Q9946"="LOCM 150-199mg/ml iodine,1ml"
"Q9947"="LOCM 200-249mg/ml iodine,1ml"
"Q9948"="LOCM 250-299mg/ml iodine,1ml"
"Q9949"="LOCM 300-349mg/ml iodine,1ml"
"Q9950"="LOCM 350-399mg/ml iodine,1ml"
"Q9951"="LOCM >= 400 mg/ml iodine,1ml"
"Q9952"="Inj Gad-base MR contrast,1ml"
"Q9953"="Inj Fe-based MR contrast,1ml"
"Q9954"="Oral MR contrast, 100 ml"
"Q9955"="Inj perflexane lip micros,ml"
"Q9956"="Inj octafluoropropane mic,ml"
"Q9957"="Inj perflutren lip micros,ml"
"Q9958"="HOCM <=149 mg/ml iodine, 1ml"
"Q9959"="HOCM 150-199mg/ml iodine,1ml"
"Q9960"="HOCM 200-249mg/ml iodine,1ml"
"Q9961"="HOCM 250-299mg/ml iodine,1ml"
"Q9962"="HOCM 300-349mg/ml iodine,1ml"
"Q9963"="HOCM 350-399mg/ml iodine,1ml"
"Q9964"="HOCM>= 400mg/ml iodine, 1ml"
"Q9965"="LOCM 100-199mg/ml iodine,1ml"
"Q9966"="LOCM 200-299mg/ml iodine,1ml"
"Q9967"="LOCM 300-399mg/ml iodine,1ml"
"R0070"="Transport portable x-ray"
"R0075"="Transport port x-ray multipl"
"R0076"="Transport portable EKG"
"S0012"="Butorphanol tartrate, nasal"
"S0014"="Tacrine hydrochloride, 10 mg"
"S0016"="Injection, amikacin sulfate"
"S0017"="Injection, aminocaproic acid"
"S0020"="Injection, bupivicaine hydro"
"S0021"="Injection, cefoperazone sod"
"S0023"="Injection, cimetidine hydroc"
"S0028"="Injection, famotidine, 20 mg"
"S0030"="Injection, metronidazole"
"S0032"="Injection, nafcillin sodium"
"S0034"="Injection, ofloxacin, 400 mg"
"S0039"="Injection, sulfamethoxazole"
"S0040"="Injection, ticarcillin disod"
"S0071"="Injection, acyclovir sodium"
"S0072"="Injection, amikacin sulfate"
"S0073"="Injection, aztreonam, 500 mg"
"S0074"="Injection, cefotetan disodiu"
"S0077"="Injection, clindamycin phosp"
"S0078"="Injection, fosphenytoin sodi"
"S0080"="Injection, pentamidine iseth"
"S0081"="Injection, piperacillin sodi"
"S0088"="Imatinib 100 mg"
"S0090"="Sildenafil citrate, 25 mg"
"S0091"="Granisetron 1mg"
"S0092"="Hydromorphone 250 mg"
"S0093"="Morphine 500 mg"
"S0104"="Zidovudine, oral, 100 mg"
"S0106"="Bupropion HCL SR 60 tablets"
"S0107"="Inj, omalizumab 25 mg"
"S0108"="Mercaptopurine 50 mg"
"S0109"="Methadone oral 5mg"
"S0114"="Inj treprostinil 0.5 mg"
"S0115"="Bortezomib 3.5 mg"
"S0116"="Bevacizumab 100 mg"
"S0117"="Tretinoin topical 5 g"
"S0118"="Ziconotide inthrathecal 1mcg"
"S0122"="Inj menotropins 75 iu"
"S0126"="Inj follitropin alfa 75 iu"
"S0128"="Inj follitropin beta 75 iu"
"S0132"="Inj ganirelix acetat 250 mcg"
"S0133"="Histrelin implant"
"S0136"="Clozapine, 25 mg"
"S0137"="Didanosine, 25 mg"
"S0138"="Finasteride, 5 mg"
"S0139"="Minoxidil, 10 mg"
"S0140"="Saquinavir, 200 mg"
"S0141"="Zalcitabine, 0.375 mg"
"S0142"="Colistimethate inh sol mg"
"S0143"="Aztreonam, inh sol gram"
"S0145"="Peg interferon alfa-2A/180"
"S0146"="Peg interferon alfa-2b/10"
"S0147"="Alglucosidase alfa 20 mg"
"S0155"="Epoprostenol dilutant"
"S0156"="Exemestane, 25 mg"
"S0157"="Becaplermin gel 1%, 0.5 gm"
"S0158"="Injection laronidase"
"S0159"="Injection agalsidase"
"S0160"="Dextroamphetamine"
"S0161"="Calcitrol"
"S0162"="Injection efalizumab"
"S0163"="Injection risperidoneLA"
"S0164"="Injection pantroprazole"
"S0165"="Injection abarelix"
"S0166"="Inj olanzapine 2.5mg"
"S0167"="Inj apomorphine HCl 1mg"
"S0168"="Inj azacitidine 100mg"
"S0170"="Anastrozole 1 mg"
"S0171"="Bumetanide 0.5 mg"
"S0172"="Chlorambucil 2 mg"
"S0173"="Dexamethasone 4 mg"
"S0174"="Dolasetron 50 mg"
"S0175"="Flutamide 125 mg"
"S0176"="Hydroxyurea 500 mg"
"S0177"="Levamisole 50 mg"
"S0178"="Lomustine 10 mg"
"S0179"="Megestrol 20 mg"
"S0180"="Etonogestrel implant system"
"S0181"="Ondansetron 4 mg"
"S0182"="Procarbazine 5 mg"
"S0183"="Prochlorperazine 5 mg"
"S0187"="Tamoxifen 10 mg"
"S0189"="Testosterone pellet 75 mg"
"S0190"="Mifepristone, oral, 200 mg"
"S0191"="Misoprostol, oral, 200 mcg"
"S0194"="Vitamin suppl 100 caps"
"S0195"="Pneumo vaccine 5-9 yrs"
"S0196"="Poly-l-lactic acid 1ml face"
"S0197"="Prenatal vitamins 30 day"
"S0198"="Inj pegaptanib 0.3 mg"
"S0199"="Med abortion inc all ex drug"
"S0201"="Partial hospitalization serv"
"S0207"="Paramedicintercep nonhospals"
"S0208"="Paramed intrcept nonvol"
"S0209"="WC van mileage per mi"
"S0215"="Nonemerg transp mileage"
"S0220"="Medical conference by physic"
"S0221"="Medical conference, 60 min"
"S0250"="Comp geriatr assmt team"
"S0255"="Hospice refer visit nonmd"
"S0257"="End of life counseling"
"S0260"="H-P for surgery"
"S0265"="Genetic counsel 15 mins"
"S0270"="Home std case rate 30 days"
"S0271"="Home hospice case 30 days"
"S0272"="Home episodic case 30 days"
"S0273"="MD home visit outside cap"
"S0274"="Nurse practr visit outs cap"
"S0302"="Completed EPSDT"
"S0310"="Hospitalist visit"
"S0315"="Disease management program"
"S0316"="Follow-up/reassessment"
"S0317"="Disease mgmt per diem"
"S0320"="RN telephone calls to DMP"
"S0340"="Lifestyle mod 1st stage"
"S0341"="Lifestyle mod 2 or 3 stage"
"S0342"="Lifestyle mod 4th stage"
"S0345"="Home ecg monitrng global 24h"
"S0346"="Home ecg monitrng tech 24hr"
"S0347"="Home ecg monitrng prof 24hr"
"S0390"="Rout foot care per visit"
"S0395"="Impression casting ft"
"S0400"="Global eswl kidney"
"S0500"="Dispos cont lens"
"S0504"="Singl prscrp lens"
"S0506"="Bifoc prscp lens"
"S0508"="Trifoc prscrp lens"
"S0510"="Non-prscrp lens"
"S0512"="Daily cont lens"
"S0514"="Color cont lens"
"S0515"="Scleral lens liquid bandage"
"S0516"="Safety frames"
"S0518"="Sunglass frames"
"S0580"="Polycarb lens"
"S0581"="Nonstnd lens"
"S0590"="Misc integral lens serv"
"S0592"="Comp cont lens eval"
"S0595"="New lenses in pts old frame"
"S0601"="Screening proctoscopy"
"S0605"="Digital rectal examination,"
"S0610"="Annual gynecological examina"
"S0612"="Annual gynecological examina"
"S0613"="Ann breast exam"
"S0618"="Audiometry for hearing aid"
"S0620"="Routine ophthalmological exa"
"S0621"="Routine ophthalmological exa"
"S0622"="Phys exam for college"
"S0625"="Digital screening retina"
"S0630"="Removal of sutures"
"S0800"="Laser in situ keratomileusis"
"S0810"="Photorefractive keratectomy"
"S0812"="Phototherap keratect"
"S0820"="Computerized corneal topogra"
"S0830"="Ultrasound pachymetry"
"S1001"="Deluxe item"
"S1002"="Custom item"
"S1015"="IV tubing extension set"
"S1016"="Non-pvc intravenous administ"
"S1025"="Inhal nitric oxide neonate"
"S1030"="Gluc monitor purchase"
"S1031"="Gluc monitor rental"
"S1040"="Cranial remolding orthosis"
"S2053"="Transplantation of small int"
"S2054"="Transplantation of multivisc"
"S2055"="Harvesting of donor multivis"
"S2060"="Lobar lung transplantation"
"S2061"="Donor lobectomy (lung)"
"S2065"="Simult panc kidn trans"
"S2066"="Breast GAP flap reconst"
"S2067"="Breast ”stacked” DIEP/GAP"
"S2068"="Breast DIEP or SIEA flap"
"S2070"="Cysto laser tx ureteral calc"
"S2075"="Lap inc/vent hernia repair"
"S2076"="Lap umbilical hernia repair"
"S2077"="Lap mesh implant hern rep"
"S2078"="Lap supracerv hysterectomy"
"S2079"="Lap esophagomyotomy"
"S2080"="Laup"
"S2082"="Lap adjustable gastric band"
"S2083"="Adjustment gastric band"
"S2085"="Laparoscop gastric bypass"
"S2090"="Open cryosurg renal"
"S2091"="Perc cryosurg renal"
"S2095"="Transcath emboliz microspher"
"S2102"="Islet cell tissue transplant"
"S2103"="Adrenal tissue transplant"
"S2107"="Adoptive immunotherapy"
"S2112"="Knee arthroscp harv"
"S2113"="Arthro chondrocyte implant"
"S2114"="Arthrosc sh tenodesis biceps"
"S2115"="Periacetabular osteotomy"
"S2117"="Arthroereisis, subtalar"
"S2120"="Low density lipoprotein(LDL)"
"S2130"="Endo RF ablation saph vein"
"S2131"="Laser ablat saphenous vein"
"S2135"="Neurolysis interspace foot"
"S2140"="Cord blood harvesting"
"S2142"="Cord blood-derived stem-cell"
"S2150"="BMT harv/transpl 28d pkg"
"S2152"="Solid organ transpl pkg"
"S2202"="Echosclerotherapy"
"S2205"="Minimally invasive direct co"
"S2206"="Minimally invasive direct co"
"S2207"="Minimally invasive direct co"
"S2208"="Minimally invasive direct co"
"S2209"="Minimally invasive direct co"
"S2211"="Transv carotid stent placemt"
"S2213"="Implant gastric stim"
"S2215"="UGI endoscopy inj implant"
"S2225"="Myringotomy laser-assist"
"S2230"="Implant semi-imp hear"
"S2235"="Implant auditory brain imp"
"S2250"="Uterine artery emboliz"
"S2255"="Hysterosc oviduct occlus"
"S2260"="Induced abortion 17-24 weeks"
"S2262"="Abortion maternal indic>=25w"
"S2265"="Induced abortion 25-28 wks"
"S2266"="Induced abortion 29-31 wks"
"S2267"="Induced abortion 32 or more"
"S2300"="Arthroscopy, shoulder, surgi"
"S2325"="Hip core decompression"
"S2340"="Chemodenervation of abductor"
"S2341"="Chemodenerv adduct vocal"
"S2342"="Nasal endoscop po debrid"
"S2344"="Endosc balloon sinuplasty"
"S2348"="Decompress disc RF lumbar"
"S2350"="Diskectomy, anterior, with d"
"S2351"="Diskectomy, anterior, with d"
"S2360"="Vertebroplast cerv 1st"
"S2361"="Vertebroplast cerv addl"
"S2362"="Kyphoplasty, first vertebra"
"S2363"="Kyphoplasty, each addl"
"S2370"="Intradiscal electrothermal"
"S2371"="Each additional interspace"
"S2400"="Fetal surg congen hernia"
"S2401"="Fetal surg urin trac obstr"
"S2402"="Fetal surg cong cyst malf"
"S2403"="Fetal surg pulmon sequest"
"S2404"="Fetal surg myelomeningo"
"S2405"="Fetal surg sacrococ teratoma"
"S2409"="Fetal surg noc"
"S2411"="Fetoscop laser ther TTTS"
"S2900"="Robotic surgical system"
"S3000"="Bilat dil retinal exam"
"S3005"="Eval self-assess depression"
"S3600"="Stat lab"
"S3601"="Stat lab home/nf"
"S3618"="Free beta HCG"
"S3620"="Newborn metabolic screening"
"S3625"="Maternal triple screen test"
"S3626"="Maternal serum quad screen"
"S3630"="Eosinophil blood count"
"S3645"="HIV-1 antibody testing of or"
"S3650"="Saliva test, hormone level;"
"S3652"="Saliva test, hormone level;"
"S3655"="Antisperm antibodies test"
"S3701"="NMP-22 assay"
"S3708"="Gastrointestinal fat absorpt"
"S3800"="Genetic testing ALS"
"S3818"="BRCA1 gene anal"
"S3819"="BRCA2 gene anal"
"S3820"="Comp BRCA1/BRCA2"
"S3822"="Sing mutation brst/ovar"
"S3823"="3 mutation brst/ovar"
"S3828"="Comp MLH1 gene"
"S3829"="Comp MLH2 gene"
"S3830"="Gene test HNPCC comp"
"S3831"="Gene test HNPCC single"
"S3833"="Comp APC sequence"
"S3834"="Sing mutation APC"
"S3835"="Gene test cystic fibrosis"
"S3837"="Gene test hemochromato"
"S3840"="DNA analysis RET-oncogene"
"S3841"="Gene test retinoblastoma"
"S3842"="Gene test Hippel-Lindau"
"S3843"="DNA analysis factor v"
"S3844"="DNA analysis deafness"
"S3845"="Gene test alpha-thalassemia"
"S3846"="Gene test beta-thalassemia"
"S3847"="Gene test Tay-Sachs"
"S3848"="Gene test Gaucher"
"S3849"="Gene test Niemann-Pick"
"S3850"="Gene test sickle cell"
"S3851"="Gene test canavan"
"S3852"="DNA analysis APOE alzheimer"
"S3853"="Gene test myo musclr dyst"
"S3854"="Gene profile panel breast"
"S3855"="Gene test presenilin-1 gene"
"S3890"="Fecal DNA analysis"
"S3900"="Surface EMG"
"S3902"="Ballistocardiogram"
"S3904"="Masters two step"
"S3905"="Auto handheld diag nerv test"
"S4005"="Interim labor facility globa"
"S4011"="IVF package"
"S4013"="Compl GIFT case rate"
"S4014"="Compl ZIFT case rate"
"S4015"="Complete IVF nos case rate"
"S4016"="Frozen IVF case rate"
"S4017"="IVF canc a stim case rate"
"S4018"="F EMB trns canc case rate"
"S4020"="IVF canc a aspir case rate"
"S4021"="IVF canc p aspir case rate"
"S4022"="Asst oocyte fert case rate"
"S4023"="Incompl donor egg case rate"
"S4025"="Donor serv IVF case rate"
"S4026"="Procure donor sperm"
"S4027"="Store prev froz embryos"
"S4028"="Microsurg epi sperm asp"
"S4030"="Sperm procure init visit"
"S4031"="Sperm procure subs visit"
"S4035"="Stimulated IUI case rate"
"S4036"="Intravag cult case rate"
"S4037"="Cryo embryo transf case rate"
"S4040"="Monit store cryo embryo 30 d"
"S4042"="Ovulation mgmt per cycle"
"S4981"="Insert levonorgestrel ius"
"S4989"="Contracept IUD"
"S4990"="Nicotine patch legend"
"S4991"="Nicotine patch nonlegend"
"S4993"="Contraceptive pills for bc"
"S4995"="Smoking cessation gum"
"S5000"="Prescription drug, generic"
"S5001"="Prescription drug,brand name"
"S5010"="5% dextrose and 0.45% saline"
"S5011"="5% dextrose in lactated ring"
"S5012"="5% dextrose with potassium"
"S5013"="5pdextrose/0.45psaline1000ml"
"S5014"="D5W/0.45NS w KCl and MGS04"
"S5035"="HIT routine device maint"
"S5036"="HIT device repair"
"S5100"="Adult daycare services 15min"
"S5101"="Adult day care per half day"
"S5102"="Adult day care per diem"
"S5105"="Centerbased day care perdiem"
"S5108"="Homecare train pt 15 min"
"S5109"="Homecare train pt session"
"S5110"="Family homecare training 15m"
"S5111"="Family homecare train/sessio"
"S5115"="Nonfamily homecare train/15m"
"S5116"="Nonfamily HC train/session"
"S5120"="Chore services per 15 min"
"S5121"="Chore services per diem"
"S5125"="Attendant care service /15m"
"S5126"="Attendant care service /diem"
"S5130"="Homaker service nos per 15m"
"S5131"="Homemaker service nos /diem"
"S5135"="Adult companioncare per 15m"
"S5136"="Adult companioncare per diem"
"S5140"="Adult foster care per diem"
"S5141"="Adult foster care per month"
"S5145"="Child fostercare th per diem"
"S5146"="Ther fostercare child /month"
"S5150"="Unskilled respite care /15m"
"S5151"="Unskilled respitecare /diem"
"S5160"="Emer response sys instal-tst"
"S5161"="Emer rspns sys serv permonth"
"S5162"="Emer rspns system purchase"
"S5165"="Home modifications per serv"
"S5170"="Homedelivered prepared meal"
"S5175"="Laundry serv,ext,prof,/order"
"S5180"="HH respiratory thrpy in eval"
"S5181"="HH respiratory thrpy nos/day"
"S5185"="Med reminder serv per month"
"S5190"="Wellness assessment by nonph"
"S5199"="Personal care item nos each"
"S5497"="HIT cath care noc"
"S5498"="HIT simple cath care"
"S5501"="HIT complex cath care"
"S5502"="HIT interim cath care"
"S5517"="HIT declotting kit"
"S5518"="HIT cath repair kit"
"S5520"="HIT picc insert kit"
"S5521"="HIT midline cath insert kit"
"S5522"="HIT picc insert no supp"
"S5523"="HIP midline cath insert kit"
"S5550"="Insulin rapid 5 u"
"S5551"="Insulin most rapid 5 u"
"S5552"="Insulin intermed 5 u"
"S5553"="Insulin long acting 5 u"
"S5560"="Insulin reuse pen 1.5 ml"
"S5561"="Insulin reuse pen 3 ml"
"S5565"="Insulin cartridge 150 u"
"S5566"="Insulin cartridge 300 u"
"S5570"="Insulin dispos pen 1.5 ml"
"S5571"="Insulin dispos pen 3 ml"
"S8004"="Wholebody radiopharm trgcell"
"S8030"="Tantalum ring application"
"S8035"="Magnetic source imaging"
"S8037"="mrcp"
"S8040"="Topographic brain mapping"
"S8042"="MRI low field"
"S8049"="Intraoperative radiation the"
"S8055"="Us guidance fetal reduct"
"S8075"="CAD of digital mammogr"
"S8080"="Scintimammography"
"S8085"="Fluorine-18 fluorodeoxygluco"
"S8092"="Electron beam computed tomog"
"S8093"="CT angiography coronary"
"S8095"="Wig (for medically-induced h"
"S8096"="Portable peak flow meter"
"S8097"="Asthma kit"
"S8100"="Spacer without mask"
"S8101"="Spacer with mask"
"S8110"="Peak expiratory flow rate (p"
"S8120"="O2 contents gas cubic ft"
"S8121"="O2 contents liquid lb"
"S8182"="Humidifier non-servo"
"S8183"="Humidifier dual servo"
"S8185"="Flutter device"
"S8186"="Swivel adaptor"
"S8189"="Trach supply noc"
"S8190"="Electronic spirometer"
"S8210"="Mucus trap"
"S8260"="Oral orthotic for treatment"
"S8262"="Mandib ortho repos device"
"S8265"="Haberman feeder"
"S8270"="Enuresis alarm"
"S8301"="Infect control supplies NOS"
"S8415"="Supplies for home delivery"
"S8420"="Custom gradient sleev/glov"
"S8421"="Ready gradient sleev/glov"
"S8422"="Custom grad sleeve med"
"S8423"="Custom grad sleeve heavy"
"S8424"="Ready gradient sleeve"
"S8425"="Custom grad glove med"
"S8426"="Custom grad glove heavy"
"S8427"="Ready gradient glove"
"S8428"="Ready gradient gauntlet"
"S8429"="Gradient pressure wrap"
"S8430"="Padding for comprssn bdg"
"S8431"="Compression bandage"
"S8434"="Interim splint upper extrem"
"S8450"="Splint digit"
"S8451"="Splint wrist or ankle"
"S8452"="Splint elbow"
"S8460"="Camisole post-mast"
"S8490"="100 insulin syringes"
"S8940"="Hippotherapy per session"
"S8948"="Low-level laser trmt 15 min"
"S8950"="Complex lymphedema therapy,"
"S8990"="Pt or manip for maint"
"S8999"="Resuscitation bag"
"S9001"="Home uterine monitor with or"
"S9007"="Ultrafiltration monitor"
"S9015"="Automated EEG monitoring"
"S9022"="Digital subtraction angiogra"
"S9024"="Paranasal sinus ultrasound"
"S9025"="Omnicardiogram/cardiointegra"
"S9034"="ESWL for gallstones"
"S9055"="Procuren or other growth fac"
"S9056"="Coma stimulation per diem"
"S9061"="Medical supplies and equipme"
"S9075"="Smoking cessation treatment"
"S9083"="Urgent care center global"
"S9088"="Services provided in urgent"
"S9090"="Vertebral axial decompressio"
"S9092"="Canolith repositioning"
"S9097"="Home visit wound care"
"S9098"="Home phototherapy visit"
"S9109"="CHF telemonitoring month"
"S9117"="Back school visit"
"S9122"="Home health aide or certifie"
"S9123"="Nursing care in home RN"
"S9124"="Nursing care, in the home; b"
"S9125"="Respite care, in the home, p"
"S9126"="Hospice care, in the home, p"
"S9127"="Social work visit, in the ho"
"S9128"="Speech therapy, in the home,"
"S9129"="Occupational therapy, in the"
"S9131"="PT in the home per diem"
"S9140"="Diabetic Management Program,"
"S9141"="Diabetic Management Program,"
"S9145"="Insulin pump initiation"
"S9150"="Evaluation by ocularist"
"S9152"="Speech therapy, re-eval"
"S9208"="Home mgmt preterm labor"
"S9209"="Home mgmt PPROM"
"S9211"="Home mgmt gest hypertension"
"S9212"="Hm postpar hyper per diem"
"S9213"="Hm preeclamp per diem"
"S9214"="Hm gest dm per diem"
"S9325"="HIT pain mgmt per diem"
"S9326"="HIT cont pain per diem"
"S9327"="HIT int pain per diem"
"S9328"="HIT pain imp pump diem"
"S9329"="HIT chemo per diem"
"S9330"="HIT cont chem diem"
"S9331"="HIT intermit chemo diem"
"S9335"="HT hemodialysis diem"
"S9336"="HIT cont anticoag diem"
"S9338"="HIT immunotherapy diem"
"S9339"="HIT periton dialysis diem"
"S9340"="HIT enteral per diem"
"S9341"="HIT enteral grav diem"
"S9342"="HIT enteral pump diem"
"S9343"="HIT enteral bolus nurs"
"S9345"="HIT anti-hemophil diem"
"S9346"="HIT alpha-1-proteinas diem"
"S9347"="HIT longterm infusion diem"
"S9348"="HIT sympathomim diem"
"S9349"="HIT tocolysis diem"
"S9351"="HIT cont antiemetic diem"
"S9353"="HIT cont insulin diem"
"S9355"="HIT chelation diem"
"S9357"="HIT enzyme replace diem"
"S9359"="HIT anti-tnf per diem"
"S9361"="HIT diuretic infus diem"
"S9363"="HIT anti-spasmotic diem"
"S9364"="HIT tpn total diem"
"S9365"="HIT tpn 1 liter diem"
"S9366"="HIT tpn 2 liter diem"
"S9367"="HIT tpn 3 liter diem"
"S9368"="HIT tpn over 3l diem"
"S9370"="HT inj antiemetic diem"
"S9372"="HT inj anticoag diem"
"S9373"="HIT hydra total diem"
"S9374"="HIT hydra 1 liter diem"
"S9375"="HIT hydra 2 liter diem"
"S9376"="HIT hydra 3 liter diem"
"S9377"="HIT hydra over 3l diem"
"S9379"="HIT noc per diem"
"S9381"="HIT high risk/escort"
"S9401"="Anticoag clinic per session"
"S9430"="Pharmacy comp/disp serv"
"S9434"="Mod solid food suppl"
"S9435"="Medical foods for inborn err"
"S9436"="Lamaze class"
"S9437"="Childbirth refresher class"
"S9438"="Cesarean birth class"
"S9439"="VBAC class"
"S9441"="Asthma education"
"S9442"="Birthing class"
"S9443"="Lactation class"
"S9444"="Parenting class"
"S9445"="PT education noc individ"
"S9446"="PT education noc group"
"S9447"="Infant safety class"
"S9449"="Weight mgmt class"
"S9451"="Exercise class"
"S9452"="Nutrition class"
"S9453"="Smoking cessation class"
"S9454"="Stress mgmt class"
"S9455"="Diabetic Management Program,"
"S9460"="Diabetic Management Program,"
"S9465"="Diabetic Management Program,"
"S9470"="Nutritional counseling, diet"
"S9472"="Cardiac rehabilitation progr"
"S9473"="Pulmonary rehabilitation pro"
"S9474"="Enterostomal therapy by a re"
"S9475"="Ambulatory setting substance"
"S9476"="Vestibular rehab per diem"
"S9480"="Intensive outpatient psychia"
"S9482"="Family stabilization 15 min"
"S9484"="Crisis intervention per hour"
"S9485"="Crisis intervention mental h"
"S9490"="HIT corticosteroid/diem"
"S9494"="HIT antibiotic total diem"
"S9497"="HIT antibiotic q3h diem"
"S9500"="HIT antibiotic q24h diem"
"S9501"="HIT antibiotic q12h diem"
"S9502"="HIT antibiotic q8h diem"
"S9503"="HIT antibiotic q6h diem"
"S9504"="HIT antibiotic q4h diem"
"S9529"="Venipuncture home/snf"
"S9537"="HT hem horm inj diem"
"S9538"="HIT blood products diem"
"S9542"="HT inj noc per diem"
"S9558"="HT inj growth horm diem"
"S9559"="HIT inj interferon diem"
"S9560"="HT inj hormone diem"
"S9562"="HT inj palivizumab diem"
"S9590"="HT irrigation diem"
"S9810"="HT pharm per hour"
"S9900"="Christian Sci Pract visit"
"S9970"="Health club membership yr"
"S9975"="Transplant related per diem"
"S9976"="Lodging per diem"
"S9977"="Meals per diem"
"S9981"="Med record copy admin"
"S9982"="Med record copy per page"
"S9986"="Not medically necessary svc"
"S9988"="Serv part of phase I trial"
"S9989"="Services outside US"
"S9990"="Services provided as part of"
"S9991"="Services provided as part of"
"S9992"="Transportation costs to and"
"S9994"="Lodging costs (e.g. hotel ch"
"S9996"="Meals for clinical trial par"
"S9999"="Sales tax"
"T1000"="Private duty/independent nsg"
"T1001"="Nursing assessment/evaluatn"
"T1002"="RN services up to 15 minutes"
"T1003"="LPN/LVN services up to 15min"
"T1004"="Nsg aide service up to 15min"
"T1005"="Respite care service 15 min"
"T1006"="Family/Couple Counseling"
"T1007"="Treatment Plan Development"
"T1009"="Child Sitting Services"
"T1010"="Meals when Receive Services"
"T1012"="Alcohol/Substance Abuse Skil"
"T1013"="Sign Lang/Oral Interpreter"
"T1014"="Telehealth transmit, per min"
"T1015"="Clinic service"
"T1016"="Case management"
"T1017"="Targeted case management"
"T1018"="School-based IEP ser bundled"
"T1019"="Personal care ser per 15 min"
"T1020"="Personal care ser per diem"
"T1021"="HH Aide or cn aide per visit"
"T1022"="Contracted services per day"
"T1023"="Program intake assessment"
"T1024"="Team evaluation - management"
"T1025"="Ped compr care pkg, per diem"
"T1026"="Ped compr care pkg, per hour"
"T1027"="Family training - counseling"
"T1028"="Home environment assessment"
"T1029"="Dwelling lead investigation"
"T1030"="RN home care per diem"
"T1031"="LPN home care per diem"
"T1500"="Reusable diaper/pant"
"T1502"="Medication admin visit"
"T1503"="Med admin, not oral/inject"
"T1999"="NOC retail items andsupplies"
"T2001"="N-et; patient attend/escort"
"T2002"="N-et; per diem"
"T2003"="N-et; encounter/trip"
"T2004"="N-et; commerc carrier pass"
"T2005"="N-et; stretcher van"
"T2006"="Amb response - trt, no trans"
"T2007"="Non-emer transport wait time"
"T2010"="PASRR Level I"
"T2011"="PASRR Level II"
"T2012"="Habil ed waiver, per diem"
"T2013"="Habil ed waiver per hour"
"T2014"="Habil prevoc waiver, per d"
"T2015"="Habil prevoc waiver per hr"
"T2016"="Habil res waiver per diem"
"T2017"="Habil res waiver 15 min"
"T2018"="Habil sup empl waiver/diem"
"T2019"="Habil sup empl waiver 15min"
"T2020"="Day habil waiver per diem"
"T2021"="Day habil waiver per 15 min"
"T2022"="Case management, per month"
"T2023"="Targeted case mgmt per month"
"T2024"="Serv asmnt/care plan waiver"
"T2025"="Waiver service, nos"
"T2026"="Special childcare waiver/d"
"T2027"="Spec childcare waiver 15 min"
"T2028"="Special supply, nos waiver"
"T2029"="Special med equip, noswaiver"
"T2030"="Assist living waiver/month"
"T2031"="Assist living waiver/diem"
"T2032"="Res care, nos waiver/month"
"T2033"="Res, nos waiver per diem"
"T2034"="Crisis interven waiver/diem"
"T2035"="Utility services waiver"
"T2036"="Camp overnite waiver/session"
"T2037"="Camp day waiver/session"
"T2038"="Comm trans waiver/service"
"T2039"="Vehicle mod waiver/service"
"T2040"="Financial mgt waiver/15min"
"T2041"="Support broker waiver/15 min"
"T2042"="Hospice routine home care"
"T2043"="Hospice continuous home care"
"T2044"="Hospice respite care"
"T2045"="Hospice general care"
"T2046"="Hospice long term care, r-b"
"T2048"="Bh ltc res r-b, per diem"
"T2049"="N-ET; stretcher van, mileage"
"T2101"="Breast milk proc/store/dist"
"T4521"="Adult size brief/diaper sm"
"T4522"="Adult size brief/diaper med"
"T4523"="Adult size brief/diaper lg"
"T4524"="Adult size brief/diaper xl"
"T4525"="Adult size pull-on sm"
"T4526"="Adult size pull-on med"
"T4527"="Adult size pull-on lg"
"T4528"="Adult size pull-on xl"
"T4529"="Ped size brief/diaper sm/med"
"T4530"="Ped size brief/diaper lg"
"T4531"="Ped size pull-on sm/med"
"T4532"="Ped size pull-on lg"
"T4533"="Youth size brief/diaper"
"T4534"="Youth size pull-on"
"T4535"="Disposable liner/shield/pad"
"T4536"="Reusable pull-on any size"
"T4537"="Reusable underpad bed size"
"T4538"="Diaper serv reusable diaper"
"T4539"="Reuse diaper/brief any size"
"T4540"="Reusable underpad chair size"
"T4541"="Large disposable underpad"
"T4542"="Small disposable underpad"
"T4543"="Disp bariatric brief/diaper"
"T5001"="Position seat spec orth need"
"T5999"="Supply, nos"
"V2020"="Vision svcs frames purchases"
"V2025"="Eyeglasses delux frames"
"V2100"="Lens spher single plano 4.00"
"V2101"="Single visn sphere 4.12-7.00"
"V2102"="Singl visn sphere 7.12-20.00"
"V2103"="Spherocylindr 4.00d/12-2.00d"
"V2104"="Spherocylindr 4.00d/2.12-4d"
"V2105"="Spherocylinder 4.00d/4.25-6d"
"V2106"="Spherocylinder 4.00d/>6.00d"
"V2107"="Spherocylinder 4.25d/12-2d"
"V2108"="Spherocylinder 4.25d/2.12-4d"
"V2109"="Spherocylinder 4.25d/4.25-6d"
"V2110"="Spherocylinder 4.25d/over 6d"
"V2111"="Spherocylindr 7.25d/.25-2.25"
"V2112"="Spherocylindr 7.25d/2.25-4d"
"V2113"="Spherocylindr 7.25d/4.25-6d"
"V2114"="Spherocylinder over 12.00d"
"V2115"="Lens lenticular bifocal"
"V2116"="Nonaspheric lens bifocal"
"V2117"="Aspheric lens bifocal"
"V2118"="Lens aniseikonic single"
"V2121"="Lenticular lens, single"
"V2199"="Lens single vision not oth c"
"V2200"="Lens spher bifoc plano 4.00d"
"V2201"="Lens sphere bifocal 4.12-7.0"
"V2202"="Lens sphere bifocal 7.12-20."
"V2203"="Lens sphcyl bifocal 4.00d/.1"
"V2204"="Lens sphcy bifocal 4.00d/2.1"
"V2205"="Lens sphcy bifocal 4.00d/4.2"
"V2206"="Lens sphcy bifocal 4.00d/ove"
"V2207"="Lens sphcy bifocal 4.25-7d/."
"V2208"="Lens sphcy bifocal 4.25-7/2."
"V2209"="Lens sphcy bifocal 4.25-7/4."
"V2210"="Lens sphcy bifocal 4.25-7/ov"
"V2211"="Lens sphcy bifo 7.25-12/.25-"
"V2212"="Lens sphcyl bifo 7.25-12/2.2"
"V2213"="Lens sphcyl bifo 7.25-12/4.2"
"V2214"="Lens sphcyl bifocal over 12."
"V2215"="Lens lenticular bifocal"
"V2216"="Lens lenticular nonaspheric"
"V2217"="Lens lenticular aspheric bif"
"V2218"="Lens aniseikonic bifocal"
"V2219"="Lens bifocal seg width over"
"V2220"="Lens bifocal add over 3.25d"
"V2221"="Lenticular lens, bifocal"
"V2299"="Lens bifocal speciality"
"V2300"="Lens sphere trifocal 4.00d"
"V2301"="Lens sphere trifocal 4.12-7."
"V2302"="Lens sphere trifocal 7.12-20"
"V2303"="Lens sphcy trifocal 4.0/.12-"
"V2304"="Lens sphcy trifocal 4.0/2.25"
"V2305"="Lens sphcy trifocal 4.0/4.25"
"V2306"="Lens sphcyl trifocal 4.00/>6"
"V2307"="Lens sphcy trifocal 4.25-7/."
"V2308"="Lens sphc trifocal 4.25-7/2."
"V2309"="Lens sphc trifocal 4.25-7/4."
"V2310"="Lens sphc trifocal 4.25-7/>6"
"V2311"="Lens sphc trifo 7.25-12/.25-"
"V2312"="Lens sphc trifo 7.25-12/2.25"
"V2313"="Lens sphc trifo 7.25-12/4.25"
"V2314"="Lens sphcyl trifocal over 12"
"V2315"="Lens lenticular trifocal"
"V2316"="Lens lenticular nonaspheric"
"V2317"="Lens lenticular aspheric tri"
"V2318"="Lens aniseikonic trifocal"
"V2319"="Lens trifocal seg width > 28"
"V2320"="Lens trifocal add over 3.25d"
"V2321"="Lenticular lens, trifocal"
"V2399"="Lens trifocal speciality"
"V2410"="Lens variab asphericity sing"
"V2430"="Lens variable asphericity bi"
"V2499"="Variable asphericity lens"
"V2500"="Contact lens pmma spherical"
"V2501"="Cntct lens pmma-toric/prism"
"V2502"="Contact lens pmma bifocal"
"V2503"="Cntct lens pmma color vision"
"V2510"="Cntct gas permeable sphericl"
"V2511"="Cntct toric prism ballast"
"V2512"="Cntct lens gas permbl bifocl"
"V2513"="Contact lens extended wear"
"V2520"="Contact lens hydrophilic"
"V2521"="Cntct lens hydrophilic toric"
"V2522"="Cntct lens hydrophil bifocl"
"V2523"="Cntct lens hydrophil extend"
"V2530"="Contact lens gas impermeable"
"V2531"="Contact lens gas permeable"
"V2599"="Contact lens/es other type"
"V2600"="Hand held low vision aids"
"V2610"="Single lens spectacle mount"
"V2615"="Telescop/othr compound lens"
"V2623"="Plastic eye prosth custom"
"V2624"="Polishing artifical eye"
"V2625"="Enlargemnt of eye prosthesis"
"V2626"="Reduction of eye prosthesis"
"V2627"="Scleral cover shell"
"V2628"="Fabrication - fitting"
"V2629"="Prosthetic eye other type"
"V2630"="Anter chamber intraocul lens"
"V2631"="Iris support intraoclr lens"
"V2632"="Post chmbr intraocular lens"
"V2700"="Balance lens"
"V2702"="Deluxe lens feature"
"V2710"="Glass/plastic slab off prism"
"V2715"="Prism lens/es"
"V2718"="Fresnell prism press-on lens"
"V2730"="Special base curve"
"V2740"="Rose tint plastic"
"V2741"="Non-rose tint plastic"
"V2742"="Rose tint glass"
"V2743"="Non-rose tint glass"
"V2744"="Tint photochromatic lens/es"
"V2745"="Tint, any color/solid/grad"
"V2750"="Anti-reflective coating"
"V2755"="UV lens/es"
"V2756"="Eye glass case"
"V2760"="Scratch resistant coating"
"V2761"="Mirror coating"
"V2762"="Polarization, any lens"
"V2770"="Occluder lens/es"
"V2780"="Oversize lens/es"
"V2781"="Progressive lens per lens"
"V2782"="Lens, 1.54-1.65 p/1.60-1.79g"
"V2783"="Lens, >= 1.66 p/>=1.80 g"
"V2784"="Lens polycarb or equal"
"V2785"="Corneal tissue processing"
"V2786"="Occupational multifocal lens"
"V2787"="Astigmatism-correct function"
"V2788"="Presbyopia-correct function"
"V2790"="Amniotic membrane"
"V2797"="Vis item/svc in other code"
"V2799"="Miscellaneous vision service"
"V5008"="Hearing screening"
"V5010"="Assessment for hearing aid"
"V5011"="Hearing aid fitting/checking"
"V5014"="Hearing aid repair/modifying"
"V5020"="Conformity evaluation"
"V5030"="Body-worn hearing aid air"
"V5040"="Body-worn hearing aid bone"
"V5050"="Hearing aid monaural in ear"
"V5060"="Behind ear hearing aid"
"V5070"="Glasses air conduction"
"V5080"="Glasses bone conduction"
"V5090"="Hearing aid dispensing fee"
"V5095"="Implant mid ear hearing pros"
"V5100"="Body-worn bilat hearing aid"
"V5110"="Hearing aid dispensing fee"
"V5120"="Body-worn binaur hearing aid"
"V5130"="In ear binaural hearing aid"
"V5140"="Behind ear binaur hearing ai"
"V5150"="Glasses binaural hearing aid"
"V5160"="Dispensing fee binaural"
"V5170"="Within ear cros hearing aid"
"V5180"="Behind ear cros hearing aid"
"V5190"="Glasses cros hearing aid"
"V5200"="Cros hearing aid dispens fee"
"V5210"="In ear bicros hearing aid"
"V5220"="Behind ear bicros hearing ai"
"V5230"="Glasses bicros hearing aid"
"V5240"="Dispensing fee bicros"
"V5241"="Dispensing fee, monaural"
"V5242"="Hearing aid, monaural, cic"
"V5243"="Hearing aid, monaural, itc"
"V5244"="Hearing aid, prog, mon, cic"
"V5245"="Hearing aid, prog, mon, itc"
"V5246"="Hearing aid, prog, mon, ite"
"V5247"="Hearing aid, prog, mon, bte"
"V5248"="Hearing aid, binaural, cic"
"V5249"="Hearing aid, binaural, itc"
"V5250"="Hearing aid, prog, bin, cic"
"V5251"="Hearing aid, prog, bin, itc"
"V5252"="Hearing aid, prog, bin, ite"
"V5253"="Hearing aid, prog, bin, bte"
"V5254"="Hearing id, digit, mon, cic"
"V5255"="Hearing aid, digit, mon, itc"
"V5256"="Hearing aid, digit, mon, ite"
"V5257"="Hearing aid, digit, mon, bte"
"V5258"="Hearing aid, digit, bin, cic"
"V5259"="Hearing aid, digit, bin, itc"
"V5260"="Hearing aid, digit, bin, ite"
"V5261"="Hearing aid, digit, bin, bte"
"V5262"="Hearing aid, disp, monaural"
"V5263"="Hearing aid, disp, binaural"
"V5264"="Ear mold/insert"
"V5265"="Ear mold/insert, disp"
"V5266"="Battery for hearing device"
"V5267"="Hearing aid supply/accessory"
"V5268"="ALD Telephone Amplifier"
"V5269"="Alerting device, any type"
"V5270"="ALD, TV amplifier, any type"
"V5271"="ALD, TV caption decoder"
"V5272"="Tdd"
"V5273"="ALD for cochlear implant"
"V5274"="ALD unspecified"
"V5275"="Ear impression"
"V5298"="Hearing aid noc"
"V5299"="Hearing service"
"V5336"="Repair communication device"
"V5362"="Speech screening"
"V5363"="Language screening"
"V5364"="Dysphagia screening" 

"HAEJ1"="Clin=Min, Fun=Min, Ser=Min"
"HAEK1"="Clin=Min, Fun=Min, Ser=Lo"
"HAEL1"="Clin=Min, Fun=Min, Ser=Mod"
"HAEM1"="Clin=Min, Fun=Min, Ser=Hi"
"HAFJ1"="Clin=Min, Fun=Lo, Ser=Min"
"HAFK1"="Clin=Min, Fun=Lo, Ser=Lo"
"HAFL1"="Clin=Min, Fun=Lo, Ser=Mod"
"HAFM1"="Clin=Min, Fun=Lo, Ser=Hi"
"HAGJ1"="Clin=Min, Fun=Mod, Ser=Min"
"HAGK1"="Clin=Min, Fun=Mod, Ser=Lo"
"HAGL1"="Clin=Min, Fun=Mod, Ser=Mod"
"HAGM1"="Clin=Min, Fun=Mod, Ser=Hi"
"HAHJ1"="Clin=Min, Fun=Hi, Ser=Min"
"HAHK1"="Clin=Min, Fun=Hi, Ser=Lo"
"HAHL1"="Clin=Min, Fun=Hi, Ser=Mod"
"HAHM1"="Clin=Min, Fun=Hi, Ser=Hi"
"HAIJ1"="Clin=Min, Fun=Max, Ser=Min"
"HAIK1"="Clin=Min, Fun=Max, Ser=Lo"
"HAIL1"="Clin=Min, Fun=Max, Ser=Mod"
"HAIM1"="Clin=Min, Fun=Max, Ser=Hi"
"HBEJ1"="Clin=Lo, Fun=Min, Ser=Min"
"HBEK1"="Clin=Lo, Fun=Min, Ser=Lo"
"HBEL1"="Clin=Lo, Fun=Min, Ser=Mod"
"HBEM1"="Clin=Lo, Fun=Min, Ser=Hi"
"HBFJ1"="Clin=Lo, Fun=Lo, Ser=Min"
"HBFK1"="Clin=Lo, Fun=Lo, Ser=Lo"
"HBFL1"="Clin=Lo, Fun=Lo, Ser=Mod"
"HBFM1"="Clin=Lo, Fun=Lo, Ser=Hi"
"HBGJ1"="Clin=Lo, Fun=Mod, Ser=Min"
"HBGK1"="Clin=Lo, Fun=Mod, Ser=Lo"
"HBGL1"="Clin=Lo, Fun=Mod, Ser=Mod"
"HBGM1"="Clin=Lo, Fun=Mod, Ser=Hi"
"HBHJ1"="Clin=Lo, Fun=Hi, Ser=Min"
"HBHK1"="Clin=Lo, Fun=Hi, Ser=Lo"
"HBHL1"="Clin=Lo, Fun=Hi, Ser=Mod"
"HBHM1"="Clin=Lo, Fun=Hi, Ser=Hi"
"HBIJ1"="Clin=Lo, Fun=Max, Ser=Min"
"HBIK1"="Clin=Lo, Fun=Max, Ser=Lo"
"HBIL1"="Clin=Lo, Fun=Max, Ser=Mod"
"HBIM1"="Clin=Lo, Fun=Max, Ser=Hi"
"HCEJ1"="Clin=Mod, Fun=Min, Ser=Min"
"HCEK1"="Clin=Mod, Fun=Min, Ser=Lo"
"HCEL1"="Clin=Mod, Fun=Min, Ser=Mod"
"HCEM1"="Clin=Mod, Fun=Min, Ser=Hi"
"HCFJ1"="Clin=Mod, Fun=Lo, Ser=Min"
"HCFK1"="Clin=Mod, Fun=Lo, Ser=Lo"
"HCFL1"="Clin=Mod, Fun=Lo, Ser=Mod"
"HCFM1"="Clin=Mod, Fun=Lo, Ser=Hi"
"HCGJ1"="Clin=Mod, Fun=Mod, Ser=Min"
"HCGK1"="Clin=Mod, Fun=Mod, Ser=Lo"
"HCGL1"="Clin=Mod, Fun=Mod, Ser=Mod"
"HCGM1"="Clin=Mod, Fun=Mod, Ser=Hi"
"HCHJ1"="Clin=Mod, Fun=Hi, Ser=Min"
"HCHK1"="Clin=Mod, Fun=Hi, Ser=Lo"
"HCHL1"="Clin=Mod, Fun=Hi, Ser=Mod"
"HCHM1"="Clin=Mod, Fun=Hi, Ser=Hi"
"HCIJ1"="Clin=Mod, Fun=Max, Ser=Min"
"HCIK1"="Clin=Mod, Fun=Max, Ser=Lo"
"HCIL1"="Clin=Mod, Fun=Max, Ser=Mod"
"HCIM1"="Clin=Mod, Fun=Max, Ser=Hi"
"HDEJ1"="Clin=Hi, Fun=Min, Ser=Min"
"HDEK1"="Clin=Hi, Fun=Min, Ser=Lo"
"HDEL1"="Clin=Hi, Fun=Min, Ser=Mod"
"HDEM1"="Clin=Hi, Fun=Min, Ser=Hi"
"HDFJ1"="Clin=Hi, Fun=Lo, Ser=Min"
"HDFK1"="Clin=Hi, Fun=Lo, Ser=Lo"
"HDFL1"="Clin=Hi, Fun=Lo, Ser=Mod"
"HDFM1"="Clin=Hi, Fun=Lo, Ser=Hi"
"HDGJ1"="Clin=Hi, Fun=Mod, Ser=Min"
"HDGK1"="Clin=Hi, Fun=Mod, Ser=Lo"
"HDGL1"="Clin=Hi, Fun=Mod, Ser=Mod"
"HDGM1"="Clin=Hi, Fun=Mod, Ser=Hi"
"HDHJ1"="Clin=Hi, Fun=Hi, Ser=Min"
"HDHK1"="Clin=Hi, Fun=Hi, Ser=Lo"
"HDHL1"="Clin=Hi, Fun=Hi, Ser=Mod"
"HDHM1"="Clin=Hi, Fun=Hi, Ser=Hi"
"HDIJ1"="Clin=Hi, Fun=Max, Ser=Min"
"HDIK1"="Clin=Hi, Fun=Max, Ser=Lo"
"HDIL1"="Clin=Hi, Fun=Max, Ser=Mod"
"HDIM1"="Clin=Hi, Fun=Max, Ser=Hi"

"RUX11"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX01"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX07"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX02"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX03"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX04"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX54"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX38"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
"RUX08"="Rhb,UlHi,ExtSrvc,Hi,ADL16-18"
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"RML37"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML32"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML33"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML34"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML05"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML17"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML18 "="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML28"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML30"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML35"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML40"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML45"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML48"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML78"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML19"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML29"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML39"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML49"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML79"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8A"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8B"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8C"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8D"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8E"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8F"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8G"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8H"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8I"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RML8X"="Rhb,Med,ExtSrvc,Low,ADL7-14"
"RLX11"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX01"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX07"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX02"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX03"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX04"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX54"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX38"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX08"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX41"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX47"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX42"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX43"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX44"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX31"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX37"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX32"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX33"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX34"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX05"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX17"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX18 "="Rhb,Low,ExtSrvc,ADL7-18"
"RLX28"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX30"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX35"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX40"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX45"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX48"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX78"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX19"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX29"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX39"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX49"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX79"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8A"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8B"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8C"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8D"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8E"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8F"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8G"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8H"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8I"="Rhb,Low,ExtSrvc,ADL7-18"
"RLX8X"="Rhb,Low,ExtSrvc,ADL7-18"
"RUC11"="Rhb,UlHi,ADL16-18"
"RUC01"="Rhb,UlHi,ADL16-18"
"RUC07"="Rhb,UlHi,ADL16-18"
"RUC02"="Rhb,UlHi,ADL16-18"
"RUC03"="Rhb,UlHi,ADL16-18"
"RUC04"="Rhb,UlHi,ADL16-18"
"RUC54"="Rhb,UlHi,ADL16-18"
"RUC38"="Rhb,UlHi,ADL16-18"
"RUC08"="Rhb,UlHi,ADL16-18"
"RUC41"="Rhb,UlHi,ADL16-18"
"RUC47"="Rhb,UlHi,ADL16-18"
"RUC42"="Rhb,UlHi,ADL16-18"
"RUC43"="Rhb,UlHi,ADL16-18"
"RUC44"="Rhb,UlHi,ADL16-18"
"RUC31"="Rhb,UlHi,ADL16-18"
"RUC37"="Rhb,UlHi,ADL16-18"
"RUC32"="Rhb,UlHi,ADL16-18"
"RUC33"="Rhb,UlHi,ADL16-18"
"RUC34"="Rhb,UlHi,ADL16-18"
"RUC05"="Rhb,UlHi,ADL16-18"
"RUC17"="Rhb,UlHi,ADL16-18"
"RUC18 "="Rhb,UlHi,ADL16-18"
"RUC28"="Rhb,UlHi,ADL16-18"
"RUC30"="Rhb,UlHi,ADL16-18"
"RUC35"="Rhb,UlHi,ADL16-18"
"RUC40"="Rhb,UlHi,ADL16-18"
"RUC45"="Rhb,UlHi,ADL16-18"
"RUC48"="Rhb,UlHi,ADL16-18"
"RUC78"="Rhb,UlHi,ADL16-18"
"RUC19"="Rhb,UlHi,ADL16-18"
"RUC29"="Rhb,UlHi,ADL16-18"
"RUC39"="Rhb,UlHi,ADL16-18"
"RUC49"="Rhb,UlHi,ADL16-18"
"RUC79"="Rhb,UlHi,ADL16-18"
"RUC8A"="Rhb,UlHi,ADL16-18"
"RUC8B"="Rhb,UlHi,ADL16-18"
"RUC8C"="Rhb,UlHi,ADL16-18"
"RUC8D"="Rhb,UlHi,ADL16-18"
"RUC8E"="Rhb,UlHi,ADL16-18"
"RUC8F"="Rhb,UlHi,ADL16-18"
"RUC8G"="Rhb,UlHi,ADL16-18"
"RUC8H"="Rhb,UlHi,ADL16-18"
"RUC8I"="Rhb,UlHi,ADL16-18"
"RUC8X"="Rhb,UlHi,ADL16-18"
"RUB11"="Rhb,UlHi,ADL9-15"
"RUB01"="Rhb,UlHi,ADL9-15"
"RUB07"="Rhb,UlHi,ADL9-15"
"RUB02"="Rhb,UlHi,ADL9-15"
"RUB03"="Rhb,UlHi,ADL9-15"
"RUB04"="Rhb,UlHi,ADL9-15"
"RUB54"="Rhb,UlHi,ADL9-15"
"RUB38"="Rhb,UlHi,ADL9-15"
"RUB08"="Rhb,UlHi,ADL9-15"
"RUB41"="Rhb,UlHi,ADL9-15"
"RUB47"="Rhb,UlHi,ADL9-15"
"RUB42"="Rhb,UlHi,ADL9-15"
"RUB43"="Rhb,UlHi,ADL9-15"
"RUB44"="Rhb,UlHi,ADL9-15"
"RUB31"="Rhb,UlHi,ADL9-15"
"RUB37"="Rhb,UlHi,ADL9-15"
"RUB32"="Rhb,UlHi,ADL9-15"
"RUB33"="Rhb,UlHi,ADL9-15"
"RUB34"="Rhb,UlHi,ADL9-15"
"RUB05"="Rhb,UlHi,ADL9-15"
"RUB17"="Rhb,UlHi,ADL9-15"
"RUB18 "="Rhb,UlHi,ADL9-15"
"RUB28"="Rhb,UlHi,ADL9-15"
"RUB30"="Rhb,UlHi,ADL9-15"
"RUB35"="Rhb,UlHi,ADL9-15"
"RUB40"="Rhb,UlHi,ADL9-15"
"RUB45"="Rhb,UlHi,ADL9-15"
"RUB48"="Rhb,UlHi,ADL9-15"
"RUB78"="Rhb,UlHi,ADL9-15"
"RUB19"="Rhb,UlHi,ADL9-15"
"RUB29"="Rhb,UlHi,ADL9-15"
"RUB39"="Rhb,UlHi,ADL9-15"
"RUB49"="Rhb,UlHi,ADL9-15"
"RUB79"="Rhb,UlHi,ADL9-15"
"RUB8A"="Rhb,UlHi,ADL9-15"
"RUB8B"="Rhb,UlHi,ADL9-15"
"RUB8C"="Rhb,UlHi,ADL9-15"
"RUB8D"="Rhb,UlHi,ADL9-15"
"RUB8E"="Rhb,UlHi,ADL9-15"
"RUB8F"="Rhb,UlHi,ADL9-15"
"RUB8G"="Rhb,UlHi,ADL9-15"
"RUB8H"="Rhb,UlHi,ADL9-15"
"RUB8I"="Rhb,UlHi,ADL9-15"
"RUB8X"="Rhb,UlHi,ADL9-15"
"RUA11"="Rhb,UlHi,ADL4-8"
"RUA01"="Rhb,UlHi,ADL4-8"
"RUA07"="Rhb,UlHi,ADL4-8"
"RUA02"="Rhb,UlHi,ADL4-8"
"RUA03"="Rhb,UlHi,ADL4-8"
"RUA04"="Rhb,UlHi,ADL4-8"
"RUA54"="Rhb,UlHi,ADL4-8"
"RUA38"="Rhb,UlHi,ADL4-8"
"RUA08"="Rhb,UlHi,ADL4-8"
"RUA41"="Rhb,UlHi,ADL4-8"
"RUA47"="Rhb,UlHi,ADL4-8"
"RUA42"="Rhb,UlHi,ADL4-8"
"RUA43"="Rhb,UlHi,ADL4-8"
"RUA44"="Rhb,UlHi,ADL4-8"
"RUA31"="Rhb,UlHi,ADL4-8"
"RUA37"="Rhb,UlHi,ADL4-8"
"RUA32"="Rhb,UlHi,ADL4-8"
"RUA33"="Rhb,UlHi,ADL4-8"
"RUA34"="Rhb,UlHi,ADL4-8"
"RUA05"="Rhb,UlHi,ADL4-8"
"RUA17"="Rhb,UlHi,ADL4-8"
"RUA18 "="Rhb,UlHi,ADL4-8"
"RUA28"="Rhb,UlHi,ADL4-8"
"RUA30"="Rhb,UlHi,ADL4-8"
"RUA35"="Rhb,UlHi,ADL4-8"
"RUA40"="Rhb,UlHi,ADL4-8"
"RUA45"="Rhb,UlHi,ADL4-8"
"RUA48"="Rhb,UlHi,ADL4-8"
"RUA78"="Rhb,UlHi,ADL4-8"
"RUA19"="Rhb,UlHi,ADL4-8"
"RUA29"="Rhb,UlHi,ADL4-8"
"RUA39"="Rhb,UlHi,ADL4-8"
"RUA49"="Rhb,UlHi,ADL4-8"
"RUA79"="Rhb,UlHi,ADL4-8"
"RUA8A"="Rhb,UlHi,ADL4-8"
"RUA8B"="Rhb,UlHi,ADL4-8"
"RUA8C"="Rhb,UlHi,ADL4-8"
"RUA8D"="Rhb,UlHi,ADL4-8"
"RUA8E"="Rhb,UlHi,ADL4-8"
"RUA8F"="Rhb,UlHi,ADL4-8"
"RUA8G"="Rhb,UlHi,ADL4-8"
"RUA8H"="Rhb,UlHi,ADL4-8"
"RUA8I"="Rhb,UlHi,ADL4-8"
"RUA8X"="Rhb,UlHi,ADL4-8"
"RVC11"="Rhb,VHi,ADL16-18"
"RVC01"="Rhb,VHi,ADL16-18"
"RVC07"="Rhb,VHi,ADL16-18"
"RVC02"="Rhb,VHi,ADL16-18"
"RVC03"="Rhb,VHi,ADL16-18"
"RVC04"="Rhb,VHi,ADL16-18"
"RVC54"="Rhb,VHi,ADL16-18"
"RVC38"="Rhb,VHi,ADL16-18"
"RVC08"="Rhb,VHi,ADL16-18"
"RVC41"="Rhb,VHi,ADL16-18"
"RVC47"="Rhb,VHi,ADL16-18"
"RVC42"="Rhb,VHi,ADL16-18"
"RVC43"="Rhb,VHi,ADL16-18"
"RVC44"="Rhb,VHi,ADL16-18"
"RVC31"="Rhb,VHi,ADL16-18"
"RVC37"="Rhb,VHi,ADL16-18"
"RVC32"="Rhb,VHi,ADL16-18"
"RVC33"="Rhb,VHi,ADL16-18"
"RVC34"="Rhb,VHi,ADL16-18"
"RVC05"="Rhb,VHi,ADL16-18"
"RVC17"="Rhb,VHi,ADL16-18"
"RVC18 "="Rhb,VHi,ADL16-18"
"RVC28"="Rhb,VHi,ADL16-18"
"RVC30"="Rhb,VHi,ADL16-18"
"RVC35"="Rhb,VHi,ADL16-18"
"RVC40"="Rhb,VHi,ADL16-18"
"RVC45"="Rhb,VHi,ADL16-18"
"RVC48"="Rhb,VHi,ADL16-18"
"RVC78"="Rhb,VHi,ADL16-18"
"RVC19"="Rhb,VHi,ADL16-18"
"RVC29"="Rhb,VHi,ADL16-18"
"RVC39"="Rhb,VHi,ADL16-18"
"RVC49"="Rhb,VHi,ADL16-18"
"RVC79"="Rhb,VHi,ADL16-18"
"RVC8A"="Rhb,VHi,ADL16-18"
"RVC8B"="Rhb,VHi,ADL16-18"
"RVC8C"="Rhb,VHi,ADL16-18"
"RVC8D"="Rhb,VHi,ADL16-18"
"RVC8E"="Rhb,VHi,ADL16-18"
"RVC8F"="Rhb,VHi,ADL16-18"
"RVC8G"="Rhb,VHi,ADL16-18"
"RVC8H"="Rhb,VHi,ADL16-18"
"RVC8I"="Rhb,VHi,ADL16-18"
"RVC8X"="Rhb,VHi,ADL16-18"
"RVB11"="Rhb,VHi,ADL9-15"
"RVB01"="Rhb,VHi,ADL9-15"
"RVB07"="Rhb,VHi,ADL9-15"
"RVB02"="Rhb,VHi,ADL9-15"
"RVB03"="Rhb,VHi,ADL9-15"
"RVB04"="Rhb,VHi,ADL9-15"
"RVB54"="Rhb,VHi,ADL9-15"
"RVB38"="Rhb,VHi,ADL9-15"
"RVB08"="Rhb,VHi,ADL9-15"
"RVB41"="Rhb,VHi,ADL9-15"
"RVB47"="Rhb,VHi,ADL9-15"
"RVB42"="Rhb,VHi,ADL9-15"
"RVB43"="Rhb,VHi,ADL9-15"
"RVB44"="Rhb,VHi,ADL9-15"
"RVB31"="Rhb,VHi,ADL9-15"
"RVB37"="Rhb,VHi,ADL9-15"
"RVB32"="Rhb,VHi,ADL9-15"
"RVB33"="Rhb,VHi,ADL9-15"
"RVB34"="Rhb,VHi,ADL9-15"
"RVB05"="Rhb,VHi,ADL9-15"
"RVB17"="Rhb,VHi,ADL9-15"
"RVB18 "="Rhb,VHi,ADL9-15"
"RVB28"="Rhb,VHi,ADL9-15"
"RVB30"="Rhb,VHi,ADL9-15"
"RVB35"="Rhb,VHi,ADL9-15"
"RVB40"="Rhb,VHi,ADL9-15"
"RVB45"="Rhb,VHi,ADL9-15"
"RVB48"="Rhb,VHi,ADL9-15"
"RVB78"="Rhb,VHi,ADL9-15"
"RVB19"="Rhb,VHi,ADL9-15"
"RVB29"="Rhb,VHi,ADL9-15"
"RVB39"="Rhb,VHi,ADL9-15"
"RVB49"="Rhb,VHi,ADL9-15"
"RVB79"="Rhb,VHi,ADL9-15"
"RVB8A"="Rhb,VHi,ADL9-15"
"RVB8B"="Rhb,VHi,ADL9-15"
"RVB8C"="Rhb,VHi,ADL9-15"
"RVB8D"="Rhb,VHi,ADL9-15"
"RVB8E"="Rhb,VHi,ADL9-15"
"RVB8F"="Rhb,VHi,ADL9-15"
"RVB8G"="Rhb,VHi,ADL9-15"
"RVB8H"="Rhb,VHi,ADL9-15"
"RVB8I"="Rhb,VHi,ADL9-15"
"RVB8X"="Rhb,VHi,ADL9-15"
"RVA11"="Rhb,VHi,ADL4-8"
"RVA01"="Rhb,VHi,ADL4-8"
"RVA07"="Rhb,VHi,ADL4-8"
"RVA02"="Rhb,VHi,ADL4-8"
"RVA03"="Rhb,VHi,ADL4-8"
"RVA04"="Rhb,VHi,ADL4-8"
"RVA54"="Rhb,VHi,ADL4-8"
"RVA38"="Rhb,VHi,ADL4-8"
"RVA08"="Rhb,VHi,ADL4-8"
"RVA41"="Rhb,VHi,ADL4-8"
"RVA47"="Rhb,VHi,ADL4-8"
"RVA42"="Rhb,VHi,ADL4-8"
"RVA43"="Rhb,VHi,ADL4-8"
"RVA44"="Rhb,VHi,ADL4-8"
"RVA31"="Rhb,VHi,ADL4-8"
"RVA37"="Rhb,VHi,ADL4-8"
"RVA32"="Rhb,VHi,ADL4-8"
"RVA33"="Rhb,VHi,ADL4-8"
"RVA34"="Rhb,VHi,ADL4-8"
"RVA05"="Rhb,VHi,ADL4-8"
"RVA17"="Rhb,VHi,ADL4-8"
"RVA18 "="Rhb,VHi,ADL4-8"
"RVA28"="Rhb,VHi,ADL4-8"
"RVA30"="Rhb,VHi,ADL4-8"
"RVA35"="Rhb,VHi,ADL4-8"
"RVA40"="Rhb,VHi,ADL4-8"
"RVA45"="Rhb,VHi,ADL4-8"
"RVA48"="Rhb,VHi,ADL4-8"
"RVA78"="Rhb,VHi,ADL4-8"
"RVA19"="Rhb,VHi,ADL4-8"
"RVA29"="Rhb,VHi,ADL4-8"
"RVA39"="Rhb,VHi,ADL4-8"
"RVA49"="Rhb,VHi,ADL4-8"
"RVA79"="Rhb,VHi,ADL4-8"
"RVA8A"="Rhb,VHi,ADL4-8"
"RVA8B"="Rhb,VHi,ADL4-8"
"RVA8C"="Rhb,VHi,ADL4-8"
"RVA8D"="Rhb,VHi,ADL4-8"
"RVA8E"="Rhb,VHi,ADL4-8"
"RVA8F"="Rhb,VHi,ADL4-8"
"RVA8G"="Rhb,VHi,ADL4-8"
"RVA8H"="Rhb,VHi,ADL4-8"
"RVA8I"="Rhb,VHi,ADL4-8"
"RVA8X"="Rhb,VHi,ADL4-8"
"RHC11"="Rhb,Hi,ADL13-18"
"RHC01"="Rhb,Hi,ADL13-18"
"RHC07"="Rhb,Hi,ADL13-18"
"RHC02"="Rhb,Hi,ADL13-18"
"RHC03"="Rhb,Hi,ADL13-18"
"RHC04"="Rhb,Hi,ADL13-18"
"RHC54"="Rhb,Hi,ADL13-18"
"RHC38"="Rhb,Hi,ADL13-18"
"RHC08"="Rhb,Hi,ADL13-18"
"RHC41"="Rhb,Hi,ADL13-18"
"RHC47"="Rhb,Hi,ADL13-18"
"RHC42"="Rhb,Hi,ADL13-18"
"RHC43"="Rhb,Hi,ADL13-18"
"RHC44"="Rhb,Hi,ADL13-18"
"RHC31"="Rhb,Hi,ADL13-18"
"RHC37"="Rhb,Hi,ADL13-18"
"RHC32"="Rhb,Hi,ADL13-18"
"RHC33"="Rhb,Hi,ADL13-18"
"RHC34"="Rhb,Hi,ADL13-18"
"RHC05"="Rhb,Hi,ADL13-18"
"RHC17"="Rhb,Hi,ADL13-18"
"RHC18 "="Rhb,Hi,ADL13-18"
"RHC28"="Rhb,Hi,ADL13-18"
"RHC30"="Rhb,Hi,ADL13-18"
"RHC35"="Rhb,Hi,ADL13-18"
"RHC40"="Rhb,Hi,ADL13-18"
"RHC45"="Rhb,Hi,ADL13-18"
"RHC48"="Rhb,Hi,ADL13-18"
"RHC78"="Rhb,Hi,ADL13-18"
"RHC19"="Rhb,Hi,ADL13-18"
"RHC29"="Rhb,Hi,ADL13-18"
"RHC39"="Rhb,Hi,ADL13-18"
"RHC49"="Rhb,Hi,ADL13-18"
"RHC79"="Rhb,Hi,ADL13-18"
"RHC8A"="Rhb,Hi,ADL13-18"
"RHC8B"="Rhb,Hi,ADL13-18"
"RHC8C"="Rhb,Hi,ADL13-18"
"RHC8D"="Rhb,Hi,ADL13-18"
"RHC8E"="Rhb,Hi,ADL13-18"
"RHC8F"="Rhb,Hi,ADL13-18"
"RHC8G"="Rhb,Hi,ADL13-18"
"RHC8H"="Rhb,Hi,ADL13-18"
"RHC8I"="Rhb,Hi,ADL13-18"
"RHC8X"="Rhb,Hi,ADL13-18"
"RHB11"="Rhb,Hi,ADL8-12"
"RHB01"="Rhb,Hi,ADL8-12"
"RHB07"="Rhb,Hi,ADL8-12"
"RHB02"="Rhb,Hi,ADL8-12"
"RHB03"="Rhb,Hi,ADL8-12"
"RHB04"="Rhb,Hi,ADL8-12"
"RHB54"="Rhb,Hi,ADL8-12"
"RHB38"="Rhb,Hi,ADL8-12"
"RHB08"="Rhb,Hi,ADL8-12"
"RHB41"="Rhb,Hi,ADL8-12"
"RHB47"="Rhb,Hi,ADL8-12"
"RHB42"="Rhb,Hi,ADL8-12"
"RHB43"="Rhb,Hi,ADL8-12"
"RHB44"="Rhb,Hi,ADL8-12"
"RHB31"="Rhb,Hi,ADL8-12"
"RHB37"="Rhb,Hi,ADL8-12"
"RHB32"="Rhb,Hi,ADL8-12"
"RHB33"="Rhb,Hi,ADL8-12"
"RHB34"="Rhb,Hi,ADL8-12"
"RHB05"="Rhb,Hi,ADL8-12"
"RHB17"="Rhb,Hi,ADL8-12"
"RHB18 "="Rhb,Hi,ADL8-12"
"RHB28"="Rhb,Hi,ADL8-12"
"RHB30"="Rhb,Hi,ADL8-12"
"RHB35"="Rhb,Hi,ADL8-12"
"RHB40"="Rhb,Hi,ADL8-12"
"RHB45"="Rhb,Hi,ADL8-12"
"RHB48"="Rhb,Hi,ADL8-12"
"RHB78"="Rhb,Hi,ADL8-12"
"RHB19"="Rhb,Hi,ADL8-12"
"RHB29"="Rhb,Hi,ADL8-12"
"RHB39"="Rhb,Hi,ADL8-12"
"RHB49"="Rhb,Hi,ADL8-12"
"RHB79"="Rhb,Hi,ADL8-12"
"RHB8A"="Rhb,Hi,ADL8-12"
"RHB8B"="Rhb,Hi,ADL8-12"
"RHB8C"="Rhb,Hi,ADL8-12"
"RHB8D"="Rhb,Hi,ADL8-12"
"RHB8E"="Rhb,Hi,ADL8-12"
"RHB8F"="Rhb,Hi,ADL8-12"
"RHB8G"="Rhb,Hi,ADL8-12"
"RHB8H"="Rhb,Hi,ADL8-12"
"RHB8I"="Rhb,Hi,ADL8-12"
"RHB8X"="Rhb,Hi,ADL8-12"
"RHA11"="Rhb,Hi,ADL4-7"
"RHA01"="Rhb,Hi,ADL4-7"
"RHA07"="Rhb,Hi,ADL4-7"
"RHA02"="Rhb,Hi,ADL4-7"
"RHA03"="Rhb,Hi,ADL4-7"
"RHA04"="Rhb,Hi,ADL4-7"
"RHA54"="Rhb,Hi,ADL4-7"
"RHA38"="Rhb,Hi,ADL4-7"
"RHA08"="Rhb,Hi,ADL4-7"
"RHA41"="Rhb,Hi,ADL4-7"
"RHA47"="Rhb,Hi,ADL4-7"
"RHA42"="Rhb,Hi,ADL4-7"
"RHA43"="Rhb,Hi,ADL4-7"
"RHA44"="Rhb,Hi,ADL4-7"
"RHA31"="Rhb,Hi,ADL4-7"
"RHA37"="Rhb,Hi,ADL4-7"
"RHA32"="Rhb,Hi,ADL4-7"
"RHA33"="Rhb,Hi,ADL4-7"
"RHA34"="Rhb,Hi,ADL4-7"
"RHA05"="Rhb,Hi,ADL4-7"
"RHA17"="Rhb,Hi,ADL4-7"
"RHA18 "="Rhb,Hi,ADL4-7"
"RHA28"="Rhb,Hi,ADL4-7"
"RHA30"="Rhb,Hi,ADL4-7"
"RHA35"="Rhb,Hi,ADL4-7"
"RHA40"="Rhb,Hi,ADL4-7"
"RHA45"="Rhb,Hi,ADL4-7"
"RHA48"="Rhb,Hi,ADL4-7"
"RHA78"="Rhb,Hi,ADL4-7"
"RHA19"="Rhb,Hi,ADL4-7"
"RHA29"="Rhb,Hi,ADL4-7"
"RHA39"="Rhb,Hi,ADL4-7"
"RHA49"="Rhb,Hi,ADL4-7"
"RHA79"="Rhb,Hi,ADL4-7"
"RHA8A"="Rhb,Hi,ADL4-7"
"RHA8B"="Rhb,Hi,ADL4-7"
"RHA8C"="Rhb,Hi,ADL4-7"
"RHA8D"="Rhb,Hi,ADL4-7"
"RHA8E"="Rhb,Hi,ADL4-7"
"RHA8F"="Rhb,Hi,ADL4-7"
"RHA8G"="Rhb,Hi,ADL4-7"
"RHA8H"="Rhb,Hi,ADL4-7"
"RHA8I"="Rhb,Hi,ADL4-7"
"RHA8X"="Rhb,Hi,ADL4-7"
"RMC11"="Rhb,Med,ADL15-18"
"RMC01"="Rhb,Med,ADL15-18"
"RMC07"="Rhb,Med,ADL15-18"
"RMC02"="Rhb,Med,ADL15-18"
"RMC03"="Rhb,Med,ADL15-18"
"RMC04"="Rhb,Med,ADL15-18"
"RMC54"="Rhb,Med,ADL15-18"
"RMC38"="Rhb,Med,ADL15-18"
"RMC08"="Rhb,Med,ADL15-18"
"RMC41"="Rhb,Med,ADL15-18"
"RMC47"="Rhb,Med,ADL15-18"
"RMC42"="Rhb,Med,ADL15-18"
"RMC43"="Rhb,Med,ADL15-18"
"RMC44"="Rhb,Med,ADL15-18"
"RMC31"="Rhb,Med,ADL15-18"
"RMC37"="Rhb,Med,ADL15-18"
"RMC32"="Rhb,Med,ADL15-18"
"RMC33"="Rhb,Med,ADL15-18"
"RMC34"="Rhb,Med,ADL15-18"
"RMC05"="Rhb,Med,ADL15-18"
"RMC17"="Rhb,Med,ADL15-18"
"RMC18 "="Rhb,Med,ADL15-18"
"RMC28"="Rhb,Med,ADL15-18"
"RMC30"="Rhb,Med,ADL15-18"
"RMC35"="Rhb,Med,ADL15-18"
"RMC40"="Rhb,Med,ADL15-18"
"RMC45"="Rhb,Med,ADL15-18"
"RMC48"="Rhb,Med,ADL15-18"
"RMC78"="Rhb,Med,ADL15-18"
"RMC19"="Rhb,Med,ADL15-18"
"RMC29"="Rhb,Med,ADL15-18"
"RMC39"="Rhb,Med,ADL15-18"
"RMC49"="Rhb,Med,ADL15-18"
"RMC79"="Rhb,Med,ADL15-18"
"RMC8A"="Rhb,Med,ADL15-18"
"RMC8B"="Rhb,Med,ADL15-18"
"RMC8C"="Rhb,Med,ADL15-18"
"RMC8D"="Rhb,Med,ADL15-18"
"RMC8E"="Rhb,Med,ADL15-18"
"RMC8F"="Rhb,Med,ADL15-18"
"RMC8G"="Rhb,Med,ADL15-18"
"RMC8H"="Rhb,Med,ADL15-18"
"RMC8I"="Rhb,Med,ADL15-18"
"RMC8X"="Rhb,Med,ADL15-18"
"RMB11"="Rhb,Med,ADL8-14"
"RMB01"="Rhb,Med,ADL8-14"
"RMB07"="Rhb,Med,ADL8-14"
"RMB02"="Rhb,Med,ADL8-14"
"RMB03"="Rhb,Med,ADL8-14"
"RMB04"="Rhb,Med,ADL8-14"
"RMB54"="Rhb,Med,ADL8-14"
"RMB38"="Rhb,Med,ADL8-14"
"RMB08"="Rhb,Med,ADL8-14"
"RMB41"="Rhb,Med,ADL8-14"
"RMB47"="Rhb,Med,ADL8-14"
"RMB42"="Rhb,Med,ADL8-14"
"RMB43"="Rhb,Med,ADL8-14"
"RMB44"="Rhb,Med,ADL8-14"
"RMB31"="Rhb,Med,ADL8-14"
"RMB37"="Rhb,Med,ADL8-14"
"RMB32"="Rhb,Med,ADL8-14"
"RMB33"="Rhb,Med,ADL8-14"
"RMB34"="Rhb,Med,ADL8-14"
"RMB05"="Rhb,Med,ADL8-14"
"RMB17"="Rhb,Med,ADL8-14"
"RMB18 "="Rhb,Med,ADL8-14"
"RMB28"="Rhb,Med,ADL8-14"
"RMB30"="Rhb,Med,ADL8-14"
"RMB35"="Rhb,Med,ADL8-14"
"RMB40"="Rhb,Med,ADL8-14"
"RMB45"="Rhb,Med,ADL8-14"
"RMB48"="Rhb,Med,ADL8-14"
"RMB78"="Rhb,Med,ADL8-14"
"RMB19"="Rhb,Med,ADL8-14"
"RMB29"="Rhb,Med,ADL8-14"
"RMB39"="Rhb,Med,ADL8-14"
"RMB49"="Rhb,Med,ADL8-14"
"RMB79"="Rhb,Med,ADL8-14"
"RMB8A"="Rhb,Med,ADL8-14"
"RMB8B"="Rhb,Med,ADL8-14"
"RMB8C"="Rhb,Med,ADL8-14"
"RMB8D"="Rhb,Med,ADL8-14"
"RMB8E"="Rhb,Med,ADL8-14"
"RMB8F"="Rhb,Med,ADL8-14"
"RMB8G"="Rhb,Med,ADL8-14"
"RMB8H"="Rhb,Med,ADL8-14"
"RMB8I"="Rhb,Med,ADL8-14"
"RMB8X"="Rhb,Med,ADL8-14"
"RMA11"="Rhb,Med,ADL4-7"
"RMA01"="Rhb,Med,ADL4-7"
"RMA07"="Rhb,Med,ADL4-7"
"RMA02"="Rhb,Med,ADL4-7"
"RMA03"="Rhb,Med,ADL4-7"
"RMA04"="Rhb,Med,ADL4-7"
"RMA54"="Rhb,Med,ADL4-7"
"RMA38"="Rhb,Med,ADL4-7"
"RMA08"="Rhb,Med,ADL4-7"
"RMA41"="Rhb,Med,ADL4-7"
"RMA47"="Rhb,Med,ADL4-7"
"RMA42"="Rhb,Med,ADL4-7"
"RMA43"="Rhb,Med,ADL4-7"
"RMA44"="Rhb,Med,ADL4-7"
"RMA31"="Rhb,Med,ADL4-7"
"RMA37"="Rhb,Med,ADL4-7"
"RMA32"="Rhb,Med,ADL4-7"
"RMA33"="Rhb,Med,ADL4-7"
"RMA34"="Rhb,Med,ADL4-7"
"RMA05"="Rhb,Med,ADL4-7"
"RMA17"="Rhb,Med,ADL4-7"
"RMA18 "="Rhb,Med,ADL4-7"
"RMA28"="Rhb,Med,ADL4-7"
"RMA30"="Rhb,Med,ADL4-7"
"RMA35"="Rhb,Med,ADL4-7"
"RMA40"="Rhb,Med,ADL4-7"
"RMA45"="Rhb,Med,ADL4-7"
"RMA48"="Rhb,Med,ADL4-7"
"RMA78"="Rhb,Med,ADL4-7"
"RMA19"="Rhb,Med,ADL4-7"
"RMA29"="Rhb,Med,ADL4-7"
"RMA39"="Rhb,Med,ADL4-7"
"RMA49"="Rhb,Med,ADL4-7"
"RMA79"="Rhb,Med,ADL4-7"
"RMA8A"="Rhb,Med,ADL4-7"
"RMA8B"="Rhb,Med,ADL4-7"
"RMA8C"="Rhb,Med,ADL4-7"
"RMA8D"="Rhb,Med,ADL4-7"
"RMA8E"="Rhb,Med,ADL4-7"
"RMA8F"="Rhb,Med,ADL4-7"
"RMA8G"="Rhb,Med,ADL4-7"
"RMA8H"="Rhb,Med,ADL4-7"
"RMA8I"="Rhb,Med,ADL4-7"
"RMA8X"="Rhb,Med,ADL4-7"
"RLB11"="Rhb,Low,ADL14-18"
"RLB01"="Rhb,Low,ADL14-18"
"RLB07"="Rhb,Low,ADL14-18"
"RLB02"="Rhb,Low,ADL14-18"
"RLB03"="Rhb,Low,ADL14-18"
"RLB04"="Rhb,Low,ADL14-18"
"RLB54"="Rhb,Low,ADL14-18"
"RLB38"="Rhb,Low,ADL14-18"
"RLB08"="Rhb,Low,ADL14-18"
"RLB41"="Rhb,Low,ADL14-18"
"RLB47"="Rhb,Low,ADL14-18"
"RLB42"="Rhb,Low,ADL14-18"
"RLB43"="Rhb,Low,ADL14-18"
"RLB44"="Rhb,Low,ADL14-18"
"RLB31"="Rhb,Low,ADL14-18"
"RLB37"="Rhb,Low,ADL14-18"
"RLB32"="Rhb,Low,ADL14-18"
"RLB33"="Rhb,Low,ADL14-18"
"RLB34"="Rhb,Low,ADL14-18"
"RLB05"="Rhb,Low,ADL14-18"
"RLB17"="Rhb,Low,ADL14-18"
"RLB18 "="Rhb,Low,ADL14-18"
"RLB28"="Rhb,Low,ADL14-18"
"RLB30"="Rhb,Low,ADL14-18"
"RLB35"="Rhb,Low,ADL14-18"
"RLB40"="Rhb,Low,ADL14-18"
"RLB45"="Rhb,Low,ADL14-18"
"RLB48"="Rhb,Low,ADL14-18"
"RLB78"="Rhb,Low,ADL14-18"
"RLB19"="Rhb,Low,ADL14-18"
"RLB29"="Rhb,Low,ADL14-18"
"RLB39"="Rhb,Low,ADL14-18"
"RLB49"="Rhb,Low,ADL14-18"
"RLB79"="Rhb,Low,ADL14-18"
"RLB8A"="Rhb,Low,ADL14-18"
"RLB8B"="Rhb,Low,ADL14-18"
"RLB8C"="Rhb,Low,ADL14-18"
"RLB8D"="Rhb,Low,ADL14-18"
"RLB8E"="Rhb,Low,ADL14-18"
"RLB8F"="Rhb,Low,ADL14-18"
"RLB8G"="Rhb,Low,ADL14-18"
"RLB8H"="Rhb,Low,ADL14-18"
"RLB8I"="Rhb,Low,ADL14-18"
"RLB8X"="Rhb,Low,ADL14-18"
"RLA11"="Rhb,Low,ADL4-13"
"RLA01"="Rhb,Low,ADL4-13"
"RLA07"="Rhb,Low,ADL4-13"
"RLA02"="Rhb,Low,ADL4-13"
"RLA03"="Rhb,Low,ADL4-13"
"RLA04"="Rhb,Low,ADL4-13"
"RLA54"="Rhb,Low,ADL4-13"
"RLA38"="Rhb,Low,ADL4-13"
"RLA08"="Rhb,Low,ADL4-13"
"RLA41"="Rhb,Low,ADL4-13"
"RLA47"="Rhb,Low,ADL4-13"
"RLA42"="Rhb,Low,ADL4-13"
"RLA43"="Rhb,Low,ADL4-13"
"RLA44"="Rhb,Low,ADL4-13"
"RLA31"="Rhb,Low,ADL4-13"
"RLA37"="Rhb,Low,ADL4-13"
"RLA32"="Rhb,Low,ADL4-13"
"RLA33"="Rhb,Low,ADL4-13"
"RLA34"="Rhb,Low,ADL4-13"
"RLA05"="Rhb,Low,ADL4-13"
"RLA17"="Rhb,Low,ADL4-13"
"RLA18 "="Rhb,Low,ADL4-13"
"RLA28"="Rhb,Low,ADL4-13"
"RLA30"="Rhb,Low,ADL4-13"
"RLA35"="Rhb,Low,ADL4-13"
"RLA40"="Rhb,Low,ADL4-13"
"RLA45"="Rhb,Low,ADL4-13"
"RLA48"="Rhb,Low,ADL4-13"
"RLA78"="Rhb,Low,ADL4-13"
"RLA19"="Rhb,Low,ADL4-13"
"RLA29"="Rhb,Low,ADL4-13"
"RLA39"="Rhb,Low,ADL4-13"
"RLA49"="Rhb,Low,ADL4-13"
"RLA79"="Rhb,Low,ADL4-13"
"RLA8A"="Rhb,Low,ADL4-13"
"RLA8B"="Rhb,Low,ADL4-13"
"RLA8C"="Rhb,Low,ADL4-13"
"RLA8D"="Rhb,Low,ADL4-13"
"RLA8E"="Rhb,Low,ADL4-13"
"RLA8F"="Rhb,Low,ADL4-13"
"RLA8G"="Rhb,Low,ADL4-13"
"RLA8H"="Rhb,Low,ADL4-13"
"RLA8I"="Rhb,Low,ADL4-13"
"RLA8X"="Rhb,Low,ADL4-13"
"SE311"="ExtSrvc,ADL7 -18,Count 4-5"
"SE301"="ExtSrvc,ADL7 -18,Count 4-5"
"SE307"="ExtSrvc,ADL7 -18,Count 4-5"
"SE302"="ExtSrvc,ADL7 -18,Count 4-5"
"SE303"="ExtSrvc,ADL7 -18,Count 4-5"
"SE304"="ExtSrvc,ADL7 -18,Count 4-5"
"SE354"="ExtSrvc,ADL7 -18,Count 4-5"
"SE338"="ExtSrvc,ADL7 -18,Count 4-5"
"SE308"="ExtSrvc,ADL7 -18,Count 4-5"
"SE341"="ExtSrvc,ADL7 -18,Count 4-5"
"SE347"="ExtSrvc,ADL7 -18,Count 4-5"
"SE342"="ExtSrvc,ADL7 -18,Count 4-5"
"SE343"="ExtSrvc,ADL7 -18,Count 4-5"
"SE344"="ExtSrvc,ADL7 -18,Count 4-5"
"SE331"="ExtSrvc,ADL7 -18,Count 4-5"
"SE337"="ExtSrvc,ADL7 -18,Count 4-5"
"SE332"="ExtSrvc,ADL7 -18,Count 4-5"
"SE333"="ExtSrvc,ADL7 -18,Count 4-5"
"SE334"="ExtSrvc,ADL7 -18,Count 4-5"
"SE305"="ExtSrvc,ADL7 -18,Count 4-5"
"SE317"="ExtSrvc,ADL7 -18,Count 4-5"
"SE318 "="ExtSrvc,ADL7 -18,Count 4-5"
"SE328"="ExtSrvc,ADL7 -18,Count 4-5"
"SE330"="ExtSrvc,ADL7 -18,Count 4-5"
"SE335"="ExtSrvc,ADL7 -18,Count 4-5"
"SE340"="ExtSrvc,ADL7 -18,Count 4-5"
"SE345"="ExtSrvc,ADL7 -18,Count 4-5"
"SE348"="ExtSrvc,ADL7 -18,Count 4-5"
"SE378"="ExtSrvc,ADL7 -18,Count 4-5"
"SE319"="ExtSrvc,ADL7 -18,Count 4-5"
"SE329"="ExtSrvc,ADL7 -18,Count 4-5"
"SE339"="ExtSrvc,ADL7 -18,Count 4-5"
"SE349"="ExtSrvc,ADL7 -18,Count 4-5"
"SE379"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38A"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38B"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38C"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38D"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38E"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38F"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38G"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38H"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38I"="ExtSrvc,ADL7 -18,Count 4-5"
"SE38X"="ExtSrvc,ADL7 -18,Count 4-5"
"SE211"="ExtSrvc,ADL7 -18,Count 2-3"
"SE201"="ExtSrvc,ADL7 -18,Count 2-3"
"SE207"="ExtSrvc,ADL7 -18,Count 2-3"
"SE202"="ExtSrvc,ADL7 -18,Count 2-3"
"SE203"="ExtSrvc,ADL7 -18,Count 2-3"
"SE204"="ExtSrvc,ADL7 -18,Count 2-3"
"SE254"="ExtSrvc,ADL7 -18,Count 2-3"
"SE238"="ExtSrvc,ADL7 -18,Count 2-3"
"SE208"="ExtSrvc,ADL7 -18,Count 2-3"
"SE241"="ExtSrvc,ADL7 -18,Count 2-3"
"SE247"="ExtSrvc,ADL7 -18,Count 2-3"
"SE242"="ExtSrvc,ADL7 -18,Count 2-3"
"SE243"="ExtSrvc,ADL7 -18,Count 2-3"
"SE244"="ExtSrvc,ADL7 -18,Count 2-3"
"SE231"="ExtSrvc,ADL7 -18,Count 2-3"
"SE237"="ExtSrvc,ADL7 -18,Count 2-3"
"SE232"="ExtSrvc,ADL7 -18,Count 2-3"
"SE233"="ExtSrvc,ADL7 -18,Count 2-3"
"SE234"="ExtSrvc,ADL7 -18,Count 2-3"
"SE205"="ExtSrvc,ADL7 -18,Count 2-3"
"SE217"="ExtSrvc,ADL7 -18,Count 2-3"
"SE218 "="ExtSrvc,ADL7 -18,Count 2-3"
"SE228"="ExtSrvc,ADL7 -18,Count 2-3"
"SE230"="ExtSrvc,ADL7 -18,Count 2-3"
"SE235"="ExtSrvc,ADL7 -18,Count 2-3"
"SE240"="ExtSrvc,ADL7 -18,Count 2-3"
"SE245"="ExtSrvc,ADL7 -18,Count 2-3"
"SE248"="ExtSrvc,ADL7 -18,Count 2-3"
"SE278"="ExtSrvc,ADL7 -18,Count 2-3"
"SE219"="ExtSrvc,ADL7 -18,Count 2-3"
"SE229"="ExtSrvc,ADL7 -18,Count 2-3"
"SE239"="ExtSrvc,ADL7 -18,Count 2-3"
"SE249"="ExtSrvc,ADL7 -18,Count 2-3"
"SE279"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28A"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28B"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28C"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28D"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28E"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28F"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28G"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28H"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28I"="ExtSrvc,ADL7 -18,Count 2-3"
"SE28X"="ExtSrvc,ADL7 -18,Count 2-3"
"SE111"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE101"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE107"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE102"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE103"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE104"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE154"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE138"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE108"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE141"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE147"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE142"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE143"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE144"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE131"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE137"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE132"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE133"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE134"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE105"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE117"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE118 "="ExtSrvc,ADL7 -18,Count 0 -1"
"SE128"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE130"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE135"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE140"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE145"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE148"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE178"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE119"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE129"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE139"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE149"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE179"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18A"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18B"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18C"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18D"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18E"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18F"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18G"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18H"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18I"="ExtSrvc,ADL7 -18,Count 0 -1"
"SE18X"="ExtSrvc,ADL7 -18,Count 0 -1"
"SSC11"="Special Care,ADL17 -18"
"SSC01"="Special Care,ADL17 -18"
"SSC07"="Special Care,ADL17 -18"
"SSC02"="Special Care,ADL17 -18"
"SSC03"="Special Care,ADL17 -18"
"SSC04"="Special Care,ADL17 -18"
"SSC54"="Special Care,ADL17 -18"
"SSC38"="Special Care,ADL17 -18"
"SSC08"="Special Care,ADL17 -18"
"SSC41"="Special Care,ADL17 -18"
"SSC47"="Special Care,ADL17 -18"
"SSC42"="Special Care,ADL17 -18"
"SSC43"="Special Care,ADL17 -18"
"SSC44"="Special Care,ADL17 -18"
"SSC31"="Special Care,ADL17 -18"
"SSC37"="Special Care,ADL17 -18"
"SSC32"="Special Care,ADL17 -18"
"SSC33"="Special Care,ADL17 -18"
"SSC34"="Special Care,ADL17 -18"
"SSC05"="Special Care,ADL17 -18"
"SSC17"="Special Care,ADL17 -18"
"SSC18 "="Special Care,ADL17 -18"
"SSC28"="Special Care,ADL17 -18"
"SSC30"="Special Care,ADL17 -18"
"SSC35"="Special Care,ADL17 -18"
"SSC40"="Special Care,ADL17 -18"
"SSC45"="Special Care,ADL17 -18"
"SSC48"="Special Care,ADL17 -18"
"SSC78"="Special Care,ADL17 -18"
"SSC19"="Special Care,ADL17 -18"
"SSC29"="Special Care,ADL17 -18"
"SSC39"="Special Care,ADL17 -18"
"SSC49"="Special Care,ADL17 -18"
"SSC79"="Special Care,ADL17 -18"
"SSC8A"="Special Care,ADL17 -18"
"SSC8B"="Special Care,ADL17 -18"
"SSC8C"="Special Care,ADL17 -18"
"SSC8D"="Special Care,ADL17 -18"
"SSC8E"="Special Care,ADL17 -18"
"SSC8F"="Special Care,ADL17 -18"
"SSC8G"="Special Care,ADL17 -18"
"SSC8H"="Special Care,ADL17 -18"
"SSC8I"="Special Care,ADL17 -18"
"SSC8X"="Special Care,ADL17 -18"
"SSB11"="Special Care,ADL15-16"
"SSB01"="Special Care,ADL15-16"
"SSB07"="Special Care,ADL15-16"
"SSB02"="Special Care,ADL15-16"
"SSB03"="Special Care,ADL15-16"
"SSB04"="Special Care,ADL15-16"
"SSB54"="Special Care,ADL15-16"
"SSB38"="Special Care,ADL15-16"
"SSB08"="Special Care,ADL15-16"
"SSB41"="Special Care,ADL15-16"
"SSB47"="Special Care,ADL15-16"
"SSB42"="Special Care,ADL15-16"
"SSB43"="Special Care,ADL15-16"
"SSB44"="Special Care,ADL15-16"
"SSB31"="Special Care,ADL15-16"
"SSB37"="Special Care,ADL15-16"
"SSB32"="Special Care,ADL15-16"
"SSB33"="Special Care,ADL15-16"
"SSB34"="Special Care,ADL15-16"
"SSB05"="Special Care,ADL15-16"
"SSB17"="Special Care,ADL15-16"
"SSB18 "="Special Care,ADL15-16"
"SSB28"="Special Care,ADL15-16"
"SSB30"="Special Care,ADL15-16"
"SSB35"="Special Care,ADL15-16"
"SSB40"="Special Care,ADL15-16"
"SSB45"="Special Care,ADL15-16"
"SSB48"="Special Care,ADL15-16"
"SSB78"="Special Care,ADL15-16"
"SSB19"="Special Care,ADL15-16"
"SSB29"="Special Care,ADL15-16"
"SSB39"="Special Care,ADL15-16"
"SSB49"="Special Care,ADL15-16"
"SSB79"="Special Care,ADL15-16"
"SSB8A"="Special Care,ADL15-16"
"SSB8B"="Special Care,ADL15-16"
"SSB8C"="Special Care,ADL15-16"
"SSB8D"="Special Care,ADL15-16"
"SSB8E"="Special Care,ADL15-16"
"SSB8F"="Special Care,ADL15-16"
"SSB8G"="Special Care,ADL15-16"
"SSB8H"="Special Care,ADL15-16"
"SSB8I"="Special Care,ADL15-16"
"SSB8X"="Special Care,ADL15-16"
"SSA11"="Special Care,ADL7-14"
"SSA01"="Special Care,ADL7-14"
"SSA07"="Special Care,ADL7-14"
"SSA02"="Special Care,ADL7-14"
"SSA03"="Special Care,ADL7-14"
"SSA04"="Special Care,ADL7-14"
"SSA54"="Special Care,ADL7-14"
"SSA38"="Special Care,ADL7-14"
"SSA08"="Special Care,ADL7-14"
"SSA41"="Special Care,ADL7-14"
"SSA47"="Special Care,ADL7-14"
"SSA42"="Special Care,ADL7-14"
"SSA43"="Special Care,ADL7-14"
"SSA44"="Special Care,ADL7-14"
"SSA31"="Special Care,ADL7-14"
"SSA37"="Special Care,ADL7-14"
"SSA32"="Special Care,ADL7-14"
"SSA33"="Special Care,ADL7-14"
"SSA34"="Special Care,ADL7-14"
"SSA05"="Special Care,ADL7-14"
"SSA17"="Special Care,ADL7-14"
"SSA18 "="Special Care,ADL7-14"
"SSA28"="Special Care,ADL7-14"
"SSA30"="Special Care,ADL7-14"
"SSA35"="Special Care,ADL7-14"
"SSA40"="Special Care,ADL7-14"
"SSA45"="Special Care,ADL7-14"
"SSA48"="Special Care,ADL7-14"
"SSA78"="Special Care,ADL7-14"
"SSA19"="Special Care,ADL7-14"
"SSA29"="Special Care,ADL7-14"
"SSA39"="Special Care,ADL7-14"
"SSA49"="Special Care,ADL7-14"
"SSA79"="Special Care,ADL7-14"
"SSA8A"="Special Care,ADL7-14"
"SSA8B"="Special Care,ADL7-14"
"SSA8C"="Special Care,ADL7-14"
"SSA8D"="Special Care,ADL7-14"
"SSA8E"="Special Care,ADL7-14"
"SSA8F"="Special Care,ADL7-14"
"SSA8G"="Special Care,ADL7-14"
"SSA8H"="Special Care,ADL7-14"
"SSA8I"="Special Care,ADL7-14"
"SSA8X"="Special Care,ADL7-14"
"CC211"="ClinCmpx,ADL17-18,signs dep"
"CC201"="ClinCmpx,ADL17-18,signs dep"
"CC207"="ClinCmpx,ADL17-18,signs dep"
"CC202"="ClinCmpx,ADL17-18,signs dep"
"CC203"="ClinCmpx,ADL17-18,signs dep"
"CC204"="ClinCmpx,ADL17-18,signs dep"
"CC254"="ClinCmpx,ADL17-18,signs dep"
"CC238"="ClinCmpx,ADL17-18,signs dep"
"CC208"="ClinCmpx,ADL17-18,signs dep"
"CC241"="ClinCmpx,ADL17-18,signs dep"
"CC247"="ClinCmpx,ADL17-18,signs dep"
"CC242"="ClinCmpx,ADL17-18,signs dep"
"CC243"="ClinCmpx,ADL17-18,signs dep"
"CC244"="ClinCmpx,ADL17-18,signs dep"
"CC231"="ClinCmpx,ADL17-18,signs dep"
"CC237"="ClinCmpx,ADL17-18,signs dep"
"CC232"="ClinCmpx,ADL17-18,signs dep"
"CC233"="ClinCmpx,ADL17-18,signs dep"
"CC234"="ClinCmpx,ADL17-18,signs dep"
"CC205"="ClinCmpx,ADL17-18,signs dep"
"CC217"="ClinCmpx,ADL17-18,signs dep"
"CC218 "="ClinCmpx,ADL17-18,signs dep"
"CC228"="ClinCmpx,ADL17-18,signs dep"
"CC230"="ClinCmpx,ADL17-18,signs dep"
"CC235"="ClinCmpx,ADL17-18,signs dep"
"CC240"="ClinCmpx,ADL17-18,signs dep"
"CC245"="ClinCmpx,ADL17-18,signs dep"
"CC248"="ClinCmpx,ADL17-18,signs dep"
"CC278"="ClinCmpx,ADL17-18,signs dep"
"CC219"="ClinCmpx,ADL17-18,signs dep"
"CC229"="ClinCmpx,ADL17-18,signs dep"
"CC239"="ClinCmpx,ADL17-18,signs dep"
"CC249"="ClinCmpx,ADL17-18,signs dep"
"CC279"="ClinCmpx,ADL17-18,signs dep"
"CC28A"="ClinCmpx,ADL17-18,signs dep"
"CC28B"="ClinCmpx,ADL17-18,signs dep"
"CC28C"="ClinCmpx,ADL17-18,signs dep"
"CC28D"="ClinCmpx,ADL17-18,signs dep"
"CC28E"="ClinCmpx,ADL17-18,signs dep"
"CC28F"="ClinCmpx,ADL17-18,signs dep"
"CC28G"="ClinCmpx,ADL17-18,signs dep"
"CC28H"="ClinCmpx,ADL17-18,signs dep"
"CC28I"="ClinCmpx,ADL17-18,signs dep"
"CC28X"="ClinCmpx,ADL17-18,signs dep"
"CC111"="ClinCmpx,ADL17-18"
"CC101"="ClinCmpx,ADL17-18"
"CC107"="ClinCmpx,ADL17-18"
"CC102"="ClinCmpx,ADL17-18"
"CC103"="ClinCmpx,ADL17-18"
"CC104"="ClinCmpx,ADL17-18"
"CC154"="ClinCmpx,ADL17-18"
"CC138"="ClinCmpx,ADL17-18"
"CC108"="ClinCmpx,ADL17-18"
"CC141"="ClinCmpx,ADL17-18"
"CC147"="ClinCmpx,ADL17-18"
"CC142"="ClinCmpx,ADL17-18"
"CC143"="ClinCmpx,ADL17-18"
"CC144"="ClinCmpx,ADL17-18"
"CC131"="ClinCmpx,ADL17-18"
"CC137"="ClinCmpx,ADL17-18"
"CC132"="ClinCmpx,ADL17-18"
"CC133"="ClinCmpx,ADL17-18"
"CC134"="ClinCmpx,ADL17-18"
"CC105"="ClinCmpx,ADL17-18"
"CC117"="ClinCmpx,ADL17-18"
"CC118 "="ClinCmpx,ADL17-18"
"CC128"="ClinCmpx,ADL17-18"
"CC130"="ClinCmpx,ADL17-18"
"CC135"="ClinCmpx,ADL17-18"
"CC140"="ClinCmpx,ADL17-18"
"CC145"="ClinCmpx,ADL17-18"
"CC148"="ClinCmpx,ADL17-18"
"CC178"="ClinCmpx,ADL17-18"
"CC119"="ClinCmpx,ADL17-18"
"CC129"="ClinCmpx,ADL17-18"
"CC139"="ClinCmpx,ADL17-18"
"CC149"="ClinCmpx,ADL17-18"
"CC179"="ClinCmpx,ADL17-18"
"CC18A"="ClinCmpx,ADL17-18"
"CC18B"="ClinCmpx,ADL17-18"
"CC18C"="ClinCmpx,ADL17-18"
"CC18D"="ClinCmpx,ADL17-18"
"CC18E"="ClinCmpx,ADL17-18"
"CC18F"="ClinCmpx,ADL17-18"
"CC18G"="ClinCmpx,ADL17-18"
"CC18H"="ClinCmpx,ADL17-18"
"CC18I"="ClinCmpx,ADL17-18"
"CC18X"="ClinCmpx,ADL17-18"
"CB211"="ClinCmpx,ADL12-16D,signs dep"
"CB201"="ClinCmpx,ADL12-16,signs dep"
"CB207"="ClinCmpx,ADL12-16,signs dep"
"CB202"="ClinCmpx,ADL12-16,signs dep"
"CB203"="ClinCmpx,ADL12-16,signs dep"
"CB204"="ClinCmpx,ADL12-16,signs dep"
"CB254"="ClinCmpx,ADL12-16,signs dep"
"CB238"="ClinCmpx,ADL12-16,signs dep"
"CB208"="ClinCmpx,ADL12-16,signs dep"
"CB241"="ClinCmpx,ADL12-16,signs dep"
"CB247"="ClinCmpx,ADL12-16,signs dep"
"CB242"="ClinCmpx,ADL12-16,signs dep"
"CB243"="ClinCmpx,ADL12-16,signs dep"
"CB244"="ClinCmpx,ADL12-16,signs dep"
"CB231"="ClinCmpx,ADL12-16,signs dep"
"CB237"="ClinCmpx,ADL12-16,signs dep"
"CB232"="ClinCmpx,ADL12-16,signs dep"
"CB233"="ClinCmpx,ADL12-16,signs dep"
"CB234"="ClinCmpx,ADL12-16,signs dep"
"CB205"="ClinCmpx,ADL12-16,signs dep"
"CB217"="ClinCmpx,ADL12-16,signs dep"
"CB218 "="ClinCmpx,ADL12-16,signs dep"
"CB228"="ClinCmpx,ADL12-16,signs dep"
"CB230"="ClinCmpx,ADL12-16,signs dep"
"CB235"="ClinCmpx,ADL12-16,signs dep"
"CB240"="ClinCmpx,ADL12-16,signs dep"
"CB245"="ClinCmpx,ADL12-16,signs dep"
"CB248"="ClinCmpx,ADL12-16,signs dep"
"CB278"="ClinCmpx,ADL12-16,signs dep"
"CB219"="ClinCmpx,ADL12-16,signs dep"
"CB229"="ClinCmpx,ADL12-16,signs dep"
"CB239"="ClinCmpx,ADL12-16,signs dep"
"CB249"="ClinCmpx,ADL12-16,signs dep"
"CB279"="ClinCmpx,ADL12-16,signs dep"
"CB28A"="ClinCmpx,ADL12-16,signs dep"
"CB28B"="ClinCmpx,ADL12-16,signs dep"
"CB28C"="ClinCmpx,ADL12-16,signs dep"
"CB28D"="ClinCmpx,ADL12-16,signs dep"
"CB28E"="ClinCmpx,ADL12-16,signs dep"
"CB28F"="ClinCmpx,ADL12-16,signs dep"
"CB28G"="ClinCmpx,ADL12-16,signs dep"
"CB28H"="ClinCmpx,ADL12-16,signs dep"
"CB28I"="ClinCmpx,ADL12-16,signs dep"
"CB28X"="ClinCmpx,ADL12-16,signs dep"
"CB111"="ClinCmpx,ADL12-16"
"CB101"="ClinCmpx,ADL12-16"
"CB107"="ClinCmpx,ADL12-16"
"CB102"="ClinCmpx,ADL12-16"
"CB103"="ClinCmpx,ADL12-16"
"CB104"="ClinCmpx,ADL12-16"
"CB154"="ClinCmpx,ADL12-16"
"CB138"="ClinCmpx,ADL12-16"
"CB108"="ClinCmpx,ADL12-16"
"CB141"="ClinCmpx,ADL12-16"
"CB147"="ClinCmpx,ADL12-16"
"CB142"="ClinCmpx,ADL12-16"
"CB143"="ClinCmpx,ADL12-16"
"CB144"="ClinCmpx,ADL12-16"
"CB131"="ClinCmpx,ADL12-16"
"CB137"="ClinCmpx,ADL12-16"
"CB132"="ClinCmpx,ADL12-16"
"CB133"="ClinCmpx,ADL12-16"
"CB134"="ClinCmpx,ADL12-16"
"CB105"="ClinCmpx,ADL12-16"
"CB117"="ClinCmpx,ADL12-16"
"CB118 "="ClinCmpx,ADL12-16"
"CB128"="ClinCmpx,ADL12-16"
"CB130"="ClinCmpx,ADL12-16"
"CB135"="ClinCmpx,ADL12-16"
"CB140"="ClinCmpx,ADL12-16"
"CB145"="ClinCmpx,ADL12-16"
"CB148"="ClinCmpx,ADL12-16"
"CB178"="ClinCmpx,ADL12-16"
"CB119"="ClinCmpx,ADL12-16"
"CB129"="ClinCmpx,ADL12-16"
"CB139"="ClinCmpx,ADL12-16"
"CB149"="ClinCmpx,ADL12-16"
"CB179"="ClinCmpx,ADL12-16"
"CB18A"="ClinCmpx,ADL12-16"
"CB18B"="ClinCmpx,ADL12-16"
"CB18C"="ClinCmpx,ADL12-16"
"CB18D"="ClinCmpx,ADL12-16"
"CB18E"="ClinCmpx,ADL12-16"
"CB18F"="ClinCmpx,ADL12-16"
"CB18G"="ClinCmpx,ADL12-16"
"CB18H"="ClinCmpx,ADL12-16"
"CB18I"="ClinCmpx,ADL12-16"
"CB18X"="ClinCmpx,ADL12-16"
"CA211"="ClinCmpx,ADL4-11,signs dep"
"CA201"="ClinCmpx,ADL4-11,signs dep"
"CA207"="ClinCmpx,ADL4-11,signs dep"
"CA202"="ClinCmpx,ADL4-11,signs dep"
"CA203"="ClinCmpx,ADL4-11,signs dep"
"CA204"="ClinCmpx,ADL4-11,signs dep"
"CA254"="ClinCmpx,ADL4-11,signs dep"
"CA238"="ClinCmpx,ADL4-11,signs dep"
"CA208"="ClinCmpx,ADL4-11,signs dep"
"CA241"="ClinCmpx,ADL4-11,signs dep"
"CA247"="ClinCmpx,ADL4-11,signs dep"
"CA242"="ClinCmpx,ADL4-11,signs dep"
"CA243"="ClinCmpx,ADL4-11,signs dep"
"CA244"="ClinCmpx,ADL4-11,signs dep"
"CA231"="ClinCmpx,ADL4-11,signs dep"
"CA237"="ClinCmpx,ADL4-11,signs dep"
"CA232"="ClinCmpx,ADL4-11,signs dep"
"CA233"="ClinCmpx,ADL4-11,signs dep"
"CA234"="ClinCmpx,ADL4-11,signs dep"
"CA205"="ClinCmpx,ADL4-11,signs dep"
"CA217"="ClinCmpx,ADL4-11,signs dep"
"CA218 "="ClinCmpx,ADL4-11,signs dep"
"CA228"="ClinCmpx,ADL4-11,signs dep"
"CA230"="ClinCmpx,ADL4-11,signs dep"
"CA235"="ClinCmpx,ADL4-11,signs dep"
"CA240"="ClinCmpx,ADL4-11,signs dep"
"CA245"="ClinCmpx,ADL4-11,signs dep"
"CA248"="ClinCmpx,ADL4-11,signs dep"
"CA278"="ClinCmpx,ADL4-11,signs dep"
"CA219"="ClinCmpx,ADL4-11,signs dep"
"CA229"="ClinCmpx,ADL4-11,signs dep"
"CA239"="ClinCmpx,ADL4-11,signs dep"
"CA249"="ClinCmpx,ADL4-11,signs dep"
"CA279"="ClinCmpx,ADL4-11,signs dep"
"CA28A"="ClinCmpx,ADL4-11,signs dep"
"CA28B"="ClinCmpx,ADL4-11,signs dep"
"CA28C"="ClinCmpx,ADL4-11,signs dep"
"CA28D"="ClinCmpx,ADL4-11,signs dep"
"CA28E"="ClinCmpx,ADL4-11,signs dep"
"CA28F"="ClinCmpx,ADL4-11,signs dep"
"CA28G"="ClinCmpx,ADL4-11,signs dep"
"CA28H"="ClinCmpx,ADL4-11,signs dep"
"CA28I"="ClinCmpx,ADL4-11,signs dep"
"CA28X"="ClinCmpx,ADL4-11,signs dep"
"CA111"="ClinCmpx,ADL4-11"
"CA101"="ClinCmpx,ADL4-11"
"CA107"="ClinCmpx,ADL4-11"
"CA102"="ClinCmpx,ADL4-11"
"CA103"="ClinCmpx,ADL4-11"
"CA104"="ClinCmpx,ADL4-11"
"CA154"="ClinCmpx,ADL4-11"
"CA138"="ClinCmpx,ADL4-11"
"CA108"="ClinCmpx,ADL4-11"
"CA141"="ClinCmpx,ADL4-11"
"CA147"="ClinCmpx,ADL4-11"
"CA142"="ClinCmpx,ADL4-11"
"CA143"="ClinCmpx,ADL4-11"
"CA144"="ClinCmpx,ADL4-11"
"CA131"="ClinCmpx,ADL4-11"
"CA137"="ClinCmpx,ADL4-11"
"CA132"="ClinCmpx,ADL4-11"
"CA133"="ClinCmpx,ADL4-11"
"CA134"="ClinCmpx,ADL4-11"
"CA105"="ClinCmpx,ADL4-11"
"CA117"="ClinCmpx,ADL4-11"
"CA118 "="ClinCmpx,ADL4-11"
"CA128"="ClinCmpx,ADL4-11"
"CA130"="ClinCmpx,ADL4-11"
"CA135"="ClinCmpx,ADL4-11"
"CA140"="ClinCmpx,ADL4-11"
"CA145"="ClinCmpx,ADL4-11"
"CA148"="ClinCmpx,ADL4-11"
"CA178"="ClinCmpx,ADL4-11"
"CA119"="ClinCmpx,ADL4-11"
"CA129"="ClinCmpx,ADL4-11"
"CA139"="ClinCmpx,ADL4-11"
"CA149"="ClinCmpx,ADL4-11"
"CA179"="ClinCmpx,ADL4-11"
"CA18A"="ClinCmpx,ADL4-11"
"CA18B"="ClinCmpx,ADL4-11"
"CA18C"="ClinCmpx,ADL4-11"
"CA18D"="ClinCmpx,ADL4-11"
"CA18E"="ClinCmpx,ADL4-11"
"CA18F"="ClinCmpx,ADL4-11"
"CA18G"="ClinCmpx,ADL4-11"
"CA18H"="ClinCmpx,ADL4-11"
"CA18I"="ClinCmpx,ADL4-11"
"CA18X"="ClinCmpx,ADL4-11"
"IB211"="Imp Cog,ADL6 -10"
"IB201"="Imp Cog,ADL6 -10"
"IB207"="Imp Cog,ADL6 -10"
"IB202"="Imp Cog,ADL6 -10"
"IB203"="Imp Cog,ADL6 -10"
"IB204"="Imp Cog,ADL6 -10"
"IB254"="Imp Cog,ADL6 -10"
"IB238"="Imp Cog,ADL6 -10"
"IB208"="Imp Cog,ADL6 -10"
"IB241"="Imp Cog,ADL6 -10"
"IB247"="Imp Cog,ADL6 -10"
"IB242"="Imp Cog,ADL6 -10"
"IB243"="Imp Cog,ADL6 -10"
"IB244"="Imp Cog,ADL6 -10"
"IB231"="Imp Cog,ADL6 -10"
"IB237"="Imp Cog,ADL6 -10"
"IB232"="Imp Cog,ADL6 -10"
"IB233"="Imp Cog,ADL6 -10"
"IB234"="Imp Cog,ADL6 -10"
"IB205"="Imp Cog,ADL6 -10"
"IB217"="Imp Cog,ADL6 -10"
"IB218 "="Imp Cog,ADL6 -10"
"IB228"="Imp Cog,ADL6 -10"
"IB230"="Imp Cog,ADL6 -10"
"IB235"="Imp Cog,ADL6 -10"
"IB240"="Imp Cog,ADL6 -10"
"IB245"="Imp Cog,ADL6 -10"
"IB248"="Imp Cog,ADL6 -10"
"IB278"="Imp Cog,ADL6 -10"
"IB219"="Imp Cog,ADL6 -10"
"IB229"="Imp Cog,ADL6 -10"
"IB239"="Imp Cog,ADL6 -10"
"IB249"="Imp Cog,ADL6 -10"
"IB279"="Imp Cog,ADL6 -10"
"IB28A"="Imp Cog,ADL6 -10"
"IB28B"="Imp Cog,ADL6 -10"
"IB28C"="Imp Cog,ADL6 -10"
"IB28D"="Imp Cog,ADL6 -10"
"IB28E"="Imp Cog,ADL6 -10"
"IB28F"="Imp Cog,ADL6 -10"
"IB28G"="Imp Cog,ADL6 -10"
"IB28H"="Imp Cog,ADL6 -10"
"IB28I"="Imp Cog,ADL6 -10"
"IB28X"="Imp Cog,ADL6 -10"
"IB111"="Imp Cog,ADL6 -10,no rn rhb"
"IB101"="Imp Cog,ADL6 -10,no rn rhb"
"IB107"="Imp Cog,ADL6 -10,no rn rhb"
"IB102"="Imp Cog,ADL6 -10,no rn rhb"
"IB103"="Imp Cog,ADL6 -10,no rn rhb"
"IB104"="Imp Cog,ADL6 -10,no rn rhb"
"IB154"="Imp Cog,ADL6 -10,no rn rhb"
"IB138"="Imp Cog,ADL6 -10,no rn rhb"
"IB108"="Imp Cog,ADL6 -10,no rn rhb"
"IB141"="Imp Cog,ADL6 -10,no rn rhb"
"IB147"="Imp Cog,ADL6 -10,no rn rhb"
"IB142"="Imp Cog,ADL6 -10,no rn rhb"
"IB143"="Imp Cog,ADL6 -10,no rn rhb"
"IB144"="Imp Cog,ADL6 -10,no rn rhb"
"IB131"="Imp Cog,ADL6 -10,no rn rhb"
"IB137"="Imp Cog,ADL6 -10,no rn rhb"
"IB132"="Imp Cog,ADL6 -10,no rn rhb"
"IB133"="Imp Cog,ADL6 -10,no rn rhb"
"IB134"="Imp Cog,ADL6 -10,no rn rhb"
"IB105"="Imp Cog,ADL6 -10,no rn rhb"
"IB117"="Imp Cog,ADL6 -10,no rn rhb"
"IB118 "="Imp Cog,ADL6 -10,no rn rhb"
"IB128"="Imp Cog,ADL6 -10,no rn rhb"
"IB130"="Imp Cog,ADL6 -10,no rn rhb"
"IB135"="Imp Cog,ADL6 -10,no rn rhb"
"IB140"="Imp Cog,ADL6 -10,no rn rhb"
"IB145"="Imp Cog,ADL6 -10,no rn rhb"
"IB148"="Imp Cog,ADL6 -10,no rn rhb"
"IB178"="Imp Cog,ADL6 -10,no rn rhb"
"IB119"="Imp Cog,ADL6 -10,no rn rhb"
"IB129"="Imp Cog,ADL6 -10,no rn rhb"
"IB139"="Imp Cog,ADL6 -10,no rn rhb"
"IB149"="Imp Cog,ADL6 -10,no rn rhb"
"IB179"="Imp Cog,ADL6 -10,no rn rhb"
"IB18A"="Imp Cog,ADL6 -10,no rn rhb"
"IB18B"="Imp Cog,ADL6 -10,no rn rhb"
"IB18C"="Imp Cog,ADL6 -10,no rn rhb"
"IB18D"="Imp Cog,ADL6 -10,no rn rhb"
"IB18E"="Imp Cog,ADL6 -10,no rn rhb"
"IB18F"="Imp Cog,ADL6 -10,no rn rhb"
"IB18G"="Imp Cog,ADL6 -10,no rn rhb"
"IB18H"="Imp Cog,ADL6 -10,no rn rhb"
"IB18I"="Imp Cog,ADL6 -10,no rn rhb"
"IB18X"="Imp Cog,ADL6 -10,no rn rhb"
"IA211"="Imp Cog,ADL4-5"
"IA201"="Imp Cog,ADL4-5"
"IA207"="Imp Cog,ADL4-5"
"IA202"="Imp Cog,ADL4-5"
"IA203"="Imp Cog,ADL4-5"
"IA204"="Imp Cog,ADL4-5"
"IA254"="Imp Cog,ADL4-5"
"IA238"="Imp Cog,ADL4-5"
"IA208"="Imp Cog,ADL4-5"
"IA241"="Imp Cog,ADL4-5"
"IA247"="Imp Cog,ADL4-5"
"IA242"="Imp Cog,ADL4-5"
"IA243"="Imp Cog,ADL4-5"
"IA244"="Imp Cog,ADL4-5"
"IA231"="Imp Cog,ADL4-5"
"IA237"="Imp Cog,ADL4-5"
"IA232"="Imp Cog,ADL4-5"
"IA233"="Imp Cog,ADL4-5"
"IA234"="Imp Cog,ADL4-5"
"IA205"="Imp Cog,ADL4-5"
"IA217"="Imp Cog,ADL4-5"
"IA218 "="Imp Cog,ADL4-5"
"IA228"="Imp Cog,ADL4-5"
"IA230"="Imp Cog,ADL4-5"
"IA235"="Imp Cog,ADL4-5"
"IA240"="Imp Cog,ADL4-5"
"IA245"="Imp Cog,ADL4-5"
"IA248"="Imp Cog,ADL4-5"
"IA278"="Imp Cog,ADL4-5"
"IA219"="Imp Cog,ADL4-5"
"IA229"="Imp Cog,ADL4-5"
"IA239"="Imp Cog,ADL4-5"
"IA249"="Imp Cog,ADL4-5"
"IA279"="Imp Cog,ADL4-5"
"IA28A"="Imp Cog,ADL4-5"
"IA28B"="Imp Cog,ADL4-5"
"IA28C"="Imp Cog,ADL4-5"
"IA28D"="Imp Cog,ADL4-5"
"IA28E"="Imp Cog,ADL4-5"
"IA28F"="Imp Cog,ADL4-5"
"IA28G"="Imp Cog,ADL4-5"
"IA28H"="Imp Cog,ADL4-5"
"IA28I"="Imp Cog,ADL4-5"
"IA28X"="Imp Cog,ADL4-5"
"IA111"="Imp Cog,ADL4-5,no rn rhb"
"IA101"="Imp Cog,ADL4-5,no rn rhb"
"IA107"="Imp Cog,ADL4-5,no rn rhb"
"IA102"="Imp Cog,ADL4-5,no rn rhb"
"IA103"="Imp Cog,ADL4-5,no rn rhb"
"IA104"="Imp Cog,ADL4-5,no rn rhb"
"IA154"="Imp Cog,ADL4-5,no rn rhb"
"IA138"="Imp Cog,ADL4-5,no rn rhb"
"IA108"="Imp Cog,ADL4-5,no rn rhb"
"IA141"="Imp Cog,ADL4-5,no rn rhb"
"IA147"="Imp Cog,ADL4-5,no rn rhb"
"IA142"="Imp Cog,ADL4-5,no rn rhb"
"IA143"="Imp Cog,ADL4-5,no rn rhb"
"IA144"="Imp Cog,ADL4-5,no rn rhb"
"IA131"="Imp Cog,ADL4-5,no rn rhb"
"IA137"="Imp Cog,ADL4-5,no rn rhb"
"IA132"="Imp Cog,ADL4-5,no rn rhb"
"IA133"="Imp Cog,ADL4-5,no rn rhb"
"IA134"="Imp Cog,ADL4-5,no rn rhb"
"IA105"="Imp Cog,ADL4-5,no rn rhb"
"IA117"="Imp Cog,ADL4-5,no rn rhb"
"IA118 "="Imp Cog,ADL4-5,no rn rhb"
"IA128"="Imp Cog,ADL4-5,no rn rhb"
"IA130"="Imp Cog,ADL4-5,no rn rhb"
"IA135"="Imp Cog,ADL4-5,no rn rhb"
"IA140"="Imp Cog,ADL4-5,no rn rhb"
"IA145"="Imp Cog,ADL4-5,no rn rhb"
"IA148"="Imp Cog,ADL4-5,no rn rhb"
"IA178"="Imp Cog,ADL4-5,no rn rhb"
"IA119"="Imp Cog,ADL4-5,no rn rhb"
"IA129"="Imp Cog,ADL4-5,no rn rhb"
"IA139"="Imp Cog,ADL4-5,no rn rhb"
"IA149"="Imp Cog,ADL4-5,no rn rhb"
"IA179"="Imp Cog,ADL4-5,no rn rhb"
"IA18A"="Imp Cog,ADL4-5,no rn rhb"
"IA18B"="Imp Cog,ADL4-5,no rn rhb"
"IA18C"="Imp Cog,ADL4-5,no rn rhb"
"IA18D"="Imp Cog,ADL4-5,no rn rhb"
"IA18E"="Imp Cog,ADL4-5,no rn rhb"
"IA18F"="Imp Cog,ADL4-5,no rn rhb"
"IA18G"="Imp Cog,ADL4-5,no rn rhb"
"IA18H"="Imp Cog,ADL4-5,no rn rhb"
"IA18I"="Imp Cog,ADL4-5,no rn rhb"
"IA18X"="Imp Cog,ADL4-5,no rn rhb"
"BB211"="Bhvr Only,ADL6-10"
"BB201"="Bhvr Only,ADL6-10"
"BB207"="Bhvr Only,ADL6-10"
"BB202"="Bhvr Only,ADL6-10"
"BB203"="Bhvr Only,ADL6-10"
"BB204"="Bhvr Only,ADL6-10"
"BB254"="Bhvr Only,ADL6-10"
"BB238"="Bhvr Only,ADL6-10"
"BB208"="Bhvr Only,ADL6-10"
"BB241"="Bhvr Only,ADL6-10"
"BB247"="Bhvr Only,ADL6-10"
"BB242"="Bhvr Only,ADL6-10"
"BB243"="Bhvr Only,ADL6-10"
"BB244"="Bhvr Only,ADL6-10"
"BB231"="Bhvr Only,ADL6-10"
"BB237"="Bhvr Only,ADL6-10"
"BB232"="Bhvr Only,ADL6-10"
"BB233"="Bhvr Only,ADL6-10"
"BB234"="Bhvr Only,ADL6-10"
"BB205"="Bhvr Only,ADL6-10"
"BB217"="Bhvr Only,ADL6-10"
"BB218 "="Bhvr Only,ADL6-10"
"BB228"="Bhvr Only,ADL6-10"
"BB230"="Bhvr Only,ADL6-10"
"BB235"="Bhvr Only,ADL6-10"
"BB240"="Bhvr Only,ADL6-10"
"BB245"="Bhvr Only,ADL6-10"
"BB248"="Bhvr Only,ADL6-10"
"BB278"="Bhvr Only,ADL6-10"
"BB219"="Bhvr Only,ADL6-10"
"BB229"="Bhvr Only,ADL6-10"
"BB239"="Bhvr Only,ADL6-10"
"BB249"="Bhvr Only,ADL6-10"
"BB279"="Bhvr Only,ADL6-10"
"BB28A"="Bhvr Only,ADL6-10"
"BB28B"="Bhvr Only,ADL6-10"
"BB28C"="Bhvr Only,ADL6-10"
"BB28D"="Bhvr Only,ADL6-10"
"BB28E"="Bhvr Only,ADL6-10"
"BB28F"="Bhvr Only,ADL6-10"
"BB28G"="Bhvr Only,ADL6-10"
"BB28H"="Bhvr Only,ADL6-10"
"BB28I"="Bhvr Only,ADL6-10"
"BB28X"="Bhvr Only,ADL6-10"
"BB111"="Bhvr Only,ADL6-10"
"BB101"="Bhvr Only,ADL6-10,no rn rhb"
"BB107"="Bhvr Only,ADL6-10,no rn rhb"
"BB102"="Bhvr Only,ADL6-10,no rn rhb"
"BB103"="Bhvr Only,ADL6-10,no rn rhb"
"BB104"="Bhvr Only,ADL6-10,no rn rhb"
"BB154"="Bhvr Only,ADL6-10,no rn rhb"
"BB138"="Bhvr Only,ADL6-10,no rn rhb"
"BB108"="Bhvr Only,ADL6-10,no rn rhb"
"BB141"="Bhvr Only,ADL6-10,no rn rhb"
"BB147"="Bhvr Only,ADL6-10,no rn rhb"
"BB142"="Bhvr Only,ADL6-10,no rn rhb"
"BB143"="Bhvr Only,ADL6-10,no rn rhb"
"BB144"="Bhvr Only,ADL6-10,no rn rhb"
"BB131"="Bhvr Only,ADL6-10,no rn rhb"
"BB137"="Bhvr Only,ADL6-10,no rn rhb"
"BB132"="Bhvr Only,ADL6-10,no rn rhb"
"BB133"="Bhvr Only,ADL6-10,no rn rhb"
"BB134"="Bhvr Only,ADL6-10,no rn rhb"
"BB105"="Bhvr Only,ADL6-10,no rn rhb"
"BB117"="Bhvr Only,ADL6-10,no rn rhb"
"BB118 "="Bhvr Only,ADL6-10,no rn rhb"
"BB128"="Bhvr Only,ADL6-10,no rn rhb"
"BB130"="Bhvr Only,ADL6-10,no rn rhb"
"BB135"="Bhvr Only,ADL6-10,no rn rhb"
"BB140"="Bhvr Only,ADL6-10,no rn rhb"
"BB145"="Bhvr Only,ADL6-10,no rn rhb"
"BB148"="Bhvr Only,ADL6-10,no rn rhb"
"BB178"="Bhvr Only,ADL6-10,no rn rhb"
"BB119"="Bhvr Only,ADL6-10,no rn rhb"
"BB129"="Bhvr Only,ADL6-10,no rn rhb"
"BB139"="Bhvr Only,ADL6-10,no rn rhb"
"BB149"="Bhvr Only,ADL6-10,no rn rhb"
"BB179"="Bhvr Only,ADL6-10,no rn rhb"
"BB18A"="Bhvr Only,ADL6-10,no rn rhb"
"BB18B"="Bhvr Only,ADL6-10,no rn rhb"
"BB18C"="Bhvr Only,ADL6-10,no rn rhb"
"BB18D"="Bhvr Only,ADL6-10,no rn rhb"
"BB18E"="Bhvr Only,ADL6-10,no rn rhb"
"BB18F"="Bhvr Only,ADL6-10,no rn rhb"
"BB18G"="Bhvr Only,ADL6-10,no rn rhb"
"BB18H"="Bhvr Only,ADL6-10,no rn rhb"
"BB18I"="Bhvr Only,ADL6-10,no rn rhb"
"BB18X"="Bhvr Only,ADL6-10,no rn rhb"
"BA211"="Bhvr Only,ADL4-5"
"BA201"="Bhvr Only,ADL4-6"
"BA207"="Bhvr Only,ADL4-7"
"BA202"="Bhvr Only,ADL4-8"
"BA203"="Bhvr Only,ADL4-9"
"BA204"="Bhvr Only,ADL4-10"
"BA254"="Bhvr Only,ADL4-11"
"BA238"="Bhvr Only,ADL4-12"
"BA208"="Bhvr Only,ADL4-13"
"BA241"="Bhvr Only,ADL4-14"
"BA247"="Bhvr Only,ADL4-15"
"BA242"="Bhvr Only,ADL4-16"
"BA243"="Bhvr Only,ADL4-17"
"BA244"="Bhvr Only,ADL4-18"
"BA231"="Bhvr Only,ADL4-19"
"BA237"="Bhvr Only,ADL4-20"
"BA232"="Bhvr Only,ADL4-21"
"BA233"="Bhvr Only,ADL4-22"
"BA234"="Bhvr Only,ADL4-23"
"BA205"="Bhvr Only,ADL4-24"
"BA217"="Bhvr Only,ADL4-25"
"BA218 "="Bhvr Only,ADL4-26"
"BA228"="Bhvr Only,ADL4-27"
"BA230"="Bhvr Only,ADL4-28"
"BA235"="Bhvr Only,ADL4-29"
"BA240"="Bhvr Only,ADL4-30"
"BA245"="Bhvr Only,ADL4-31"
"BA248"="Bhvr Only,ADL4-32"
"BA278"="Bhvr Only,ADL4-33"
"BA219"="Bhvr Only,ADL4-34"
"BA229"="Bhvr Only,ADL4-35"
"BA239"="Bhvr Only,ADL4-36"
"BA249"="Bhvr Only,ADL4-37"
"BA279"="Bhvr Only,ADL4-38"
"BA28A"="Bhvr Only,ADL4-38"
"BA28B"="Bhvr Only,ADL4-38"
"BA28C"="Bhvr Only,ADL4-38"
"BA28D"="Bhvr Only,ADL4-38"
"BA28E"="Bhvr Only,ADL4-38"
"BA28F"="Bhvr Only,ADL4-38"
"BA28G"="Bhvr Only,ADL4-38"
"BA28H"="Bhvr Only,ADL4-38"
"BA28I"="Bhvr Only,ADL4-38"
"BA28X"="Bhvr Only,ADL4-38"
"BA111"="Bhvr Only,ADL4-5,no rn rhb"
"BA101"="Bhvr Only,ADL4-5,no rn rhb"
"BA107"="Bhvr Only,ADL4-5,no rn rhb"
"BA102"="Bhvr Only,ADL4-5,no rn rhb"
"BA103"="Bhvr Only,ADL4-5,no rn rhb"
"BA104"="Bhvr Only,ADL4-5,no rn rhb"
"BA154"="Bhvr Only,ADL4-5,no rn rhb"
"BA138"="Bhvr Only,ADL4-5,no rn rhb"
"BA108"="Bhvr Only,ADL4-5,no rn rhb"
"BA141"="Bhvr Only,ADL4-5,no rn rhb"
"BA147"="Bhvr Only,ADL4-5,no rn rhb"
"BA142"="Bhvr Only,ADL4-5,no rn rhb"
"BA143"="Bhvr Only,ADL4-5,no rn rhb"
"BA144"="Bhvr Only,ADL4-5,no rn rhb"
"BA131"="Bhvr Only,ADL4-5,no rn rhb"
"BA137"="Bhvr Only,ADL4-5,no rn rhb"
"BA132"="Bhvr Only,ADL4-5,no rn rhb"
"BA133"="Bhvr Only,ADL4-5,no rn rhb"
"BA134"="Bhvr Only,ADL4-5,no rn rhb"
"BA105"="Bhvr Only,ADL4-5,no rn rhb"
"BA117"="Bhvr Only,ADL4-5,no rn rhb"
"BA118 "="Bhvr Only,ADL4-5,no rn rhb"
"BA128"="Bhvr Only,ADL4-5,no rn rhb"
"BA130"="Bhvr Only,ADL4-5,no rn rhb"
"BA135"="Bhvr Only,ADL4-5,no rn rhb"
"BA140"="Bhvr Only,ADL4-5,no rn rhb"
"BA145"="Bhvr Only,ADL4-5,no rn rhb"
"BA148"="Bhvr Only,ADL4-5,no rn rhb"
"BA178"="Bhvr Only,ADL4-5,no rn rhb"
"BA119"="Bhvr Only,ADL4-5,no rn rhb"
"BA129"="Bhvr Only,ADL4-5,no rn rhb"
"BA139"="Bhvr Only,ADL4-5,no rn rhb"
"BA149"="Bhvr Only,ADL4-5,no rn rhb"
"BA179"="Bhvr Only,ADL4-5,no rn rhb"
"BA18A"="Bhvr Only,ADL4-5,no rn rhb"
"BA18B"="Bhvr Only,ADL4-5,no rn rhb"
"BA18C"="Bhvr Only,ADL4-5,no rn rhb"
"BA18D"="Bhvr Only,ADL4-5,no rn rhb"
"BA18E"="Bhvr Only,ADL4-5,no rn rhb"
"BA18F"="Bhvr Only,ADL4-5,no rn rhb"
"BA18G"="Bhvr Only,ADL4-5,no rn rhb"
"BA18H"="Bhvr Only,ADL4-5,no rn rhb"
"BA18I"="Bhvr Only,ADL4-5,no rn rhb"
"BA18X"="Bhvr Only,ADL4-5,no rn rhb"
"PE211"="PhysFxRed,ADL16-18"
"PE201"="PhysFxRed,ADL16-18"
"PE207"="PhysFxRed,ADL16-18"
"PE202"="PhysFxRed,ADL16-18"
"PE203"="PhysFxRed,ADL16-18"
"PE204"="PhysFxRed,ADL16-18"
"PE254"="PhysFxRed,ADL16-18"
"PE238"="PhysFxRed,ADL16-18"
"PE208"="PhysFxRed,ADL16-18"
"PE241"="PhysFxRed,ADL16-18"
"PE247"="PhysFxRed,ADL16-18"
"PE242"="PhysFxRed,ADL16-18"
"PE243"="PhysFxRed,ADL16-18"
"PE244"="PhysFxRed,ADL16-18"
"PE231"="PhysFxRed,ADL16-18"
"PE237"="PhysFxRed,ADL16-18"
"PE232"="PhysFxRed,ADL16-18"
"PE233"="PhysFxRed,ADL16-18"
"PE234"="PhysFxRed,ADL16-18"
"PE205"="PhysFxRed,ADL16-18"
"PE217"="PhysFxRed,ADL16-18"
"PE218 "="PhysFxRed,ADL16-18"
"PE228"="PhysFxRed,ADL16-18"
"PE230"="PhysFxRed,ADL16-18"
"PE235"="PhysFxRed,ADL16-18"
"PE240"="PhysFxRed,ADL16-18"
"PE245"="PhysFxRed,ADL16-18"
"PE248"="PhysFxRed,ADL16-18"
"PE278"="PhysFxRed,ADL16-18"
"PE219"="PhysFxRed,ADL16-18"
"PE229"="PhysFxRed,ADL16-18"
"PE239"="PhysFxRed,ADL16-18"
"PE249"="PhysFxRed,ADL16-18"
"PE279"="PhysFxRed,ADL16-18"
"PE28A"="PhysFxRed,ADL16-18"
"PE28B"="PhysFxRed,ADL16-18"
"PE28C"="PhysFxRed,ADL16-18"
"PE28D"="PhysFxRed,ADL16-18"
"PE28E"="PhysFxRed,ADL16-18"
"PE28F"="PhysFxRed,ADL16-18"
"PE28G"="PhysFxRed,ADL16-18"
"PE28H"="PhysFxRed,ADL16-18"
"PE28I"="PhysFxRed,ADL16-18"
"PE28X"="PhysFxRed,ADL16-18"
"PE111"="PhysFxRed,ADL16-18,no rn rhb"
"PE101"="PhysFxRed,ADL16-18,no rn rhb"
"PE107"="PhysFxRed,ADL16-18,no rn rhb"
"PE102"="PhysFxRed,ADL16-18,no rn rhb"
"PE103"="PhysFxRed,ADL16-18,no rn rhb"
"PE104"="PhysFxRed,ADL16-18,no rn rhb"
"PE154"="PhysFxRed,ADL16-18,no rn rhb"
"PE138"="PhysFxRed,ADL16-18,no rn rhb"
"PE108"="PhysFxRed,ADL16-18,no rn rhb"
"PE141"="PhysFxRed,ADL16-18,no rn rhb"
"PE147"="PhysFxRed,ADL16-18,no rn rhb"
"PE142"="PhysFxRed,ADL16-18,no rn rhb"
"PE143"="PhysFxRed,ADL16-18,no rn rhb"
"PE144"="PhysFxRed,ADL16-18,no rn rhb"
"PE131"="PhysFxRed,ADL16-18,no rn rhb"
"PE137"="PhysFxRed,ADL16-18,no rn rhb"
"PE132"="PhysFxRed,ADL16-18,no rn rhb"
"PE133"="PhysFxRed,ADL16-18,no rn rhb"
"PE134"="PhysFxRed,ADL16-18,no rn rhb"
"PE105"="PhysFxRed,ADL16-18,no rn rhb"
"PE117"="PhysFxRed,ADL16-18,no rn rhb"
"PE118 "="PhysFxRed,ADL16-18,no rn rhb"
"PE128"="PhysFxRed,ADL16-18,no rn rhb"
"PE130"="PhysFxRed,ADL16-18,no rn rhb"
"PE135"="PhysFxRed,ADL16-18,no rn rhb"
"PE140"="PhysFxRed,ADL16-18,no rn rhb"
"PE145"="PhysFxRed,ADL16-18,no rn rhb"
"PE148"="PhysFxRed,ADL16-18,no rn rhb"
"PE178"="PhysFxRed,ADL16-18,no rn rhb"
"PE119"="PhysFxRed,ADL16-18,no rn rhb"
"PE129"="PhysFxRed,ADL16-18,no rn rhb"
"PE139"="PhysFxRed,ADL16-18,no rn rhb"
"PE149"="PhysFxRed,ADL16-18,no rn rhb"
"PE179"="PhysFxRed,ADL16-18,no rn rhb"
"PE18A"="PhysFxRed,ADL16-18,no rn rhb"
"PE18B"="PhysFxRed,ADL16-18,no rn rhb"
"PE18C"="PhysFxRed,ADL16-18,no rn rhb"
"PE18D"="PhysFxRed,ADL16-18,no rn rhb"
"PE18E"="PhysFxRed,ADL16-18,no rn rhb"
"PE18F"="PhysFxRed,ADL16-18,no rn rhb"
"PE18G"="PhysFxRed,ADL16-18,no rn rhb"
"PE18H"="PhysFxRed,ADL16-18,no rn rhb"
"PE18I"="PhysFxRed,ADL16-18,no rn rhb"
"PE18X"="PhysFxRed,ADL16-18,no rn rhb"
"PD211"="PhysFxRed,ADL11-15"
"PD201"="PhysFxRed,ADL11-15"
"PD207"="PhysFxRed,ADL11-15"
"PD202"="PhysFxRed,ADL11-15"
"PD203"="PhysFxRed,ADL11-15"
"PD204"="PhysFxRed,ADL11-15"
"PD254"="PhysFxRed,ADL11-15"
"PD238"="PhysFxRed,ADL11-15"
"PD208"="PhysFxRed,ADL11-15"
"PD241"="PhysFxRed,ADL11-15"
"PD247"="PhysFxRed,ADL11-15"
"PD242"="PhysFxRed,ADL11-15"
"PD243"="PhysFxRed,ADL11-15"
"PD244"="PhysFxRed,ADL11-15"
"PD231"="PhysFxRed,ADL11-15"
"PD237"="PhysFxRed,ADL11-15"
"PD232"="PhysFxRed,ADL11-15"
"PD233"="PhysFxRed,ADL11-15"
"PD234"="PhysFxRed,ADL11-15"
"PD205"="PhysFxRed,ADL11-15"
"PD217"="PhysFxRed,ADL11-15"
"PD218 "="PhysFxRed,ADL11-15"
"PD228"="PhysFxRed,ADL11-15"
"PD230"="PhysFxRed,ADL11-15"
"PD235"="PhysFxRed,ADL11-15"
"PD240"="PhysFxRed,ADL11-15"
"PD245"="PhysFxRed,ADL11-15"
"PD248"="PhysFxRed,ADL11-15"
"PD278"="PhysFxRed,ADL11-15"
"PD219"="PhysFxRed,ADL11-15"
"PD229"="PhysFxRed,ADL11-15"
"PD239"="PhysFxRed,ADL11-15"
"PD249"="PhysFxRed,ADL11-15"
"PD279"="PhysFxRed,ADL11-15"
"PD28A"="PhysFxRed,ADL11-15"
"PD28B"="PhysFxRed,ADL11-15"
"PD28C"="PhysFxRed,ADL11-15"
"PD28D"="PhysFxRed,ADL11-15"
"PD28E"="PhysFxRed,ADL11-15"
"PD28F"="PhysFxRed,ADL11-15"
"PD28G"="PhysFxRed,ADL11-15"
"PD28H"="PhysFxRed,ADL11-15"
"PD28I"="PhysFxRed,ADL11-15"
"PD28X"="PhysFxRed,ADL11-15"
"PD111"="PhysFxRed,ADL11-15,no rn rhb"
"PD101"="PhysFxRed,ADL11-15,no rn rhb"
"PD107"="PhysFxRed,ADL11-15,no rn rhb"
"PD102"="PhysFxRed,ADL11-15,no rn rhb"
"PD103"="PhysFxRed,ADL11-15,no rn rhb"
"PD104"="PhysFxRed,ADL11-15,no rn rhb"
"PD154"="PhysFxRed,ADL11-15,no rn rhb"
"PD138"="PhysFxRed,ADL11-15,no rn rhb"
"PD108"="PhysFxRed,ADL11-15,no rn rhb"
"PD141"="PhysFxRed,ADL11-15,no rn rhb"
"PD147"="PhysFxRed,ADL11-15,no rn rhb"
"PD142"="PhysFxRed,ADL11-15,no rn rhb"
"PD143"="PhysFxRed,ADL11-15,no rn rhb"
"PD144"="PhysFxRed,ADL11-15,no rn rhb"
"PD131"="PhysFxRed,ADL11-15,no rn rhb"
"PD137"="PhysFxRed,ADL11-15,no rn rhb"
"PD132"="PhysFxRed,ADL11-15,no rn rhb"
"PD133"="PhysFxRed,ADL11-15,no rn rhb"
"PD134"="PhysFxRed,ADL11-15,no rn rhb"
"PD105"="PhysFxRed,ADL11-15,no rn rhb"
"PD117"="PhysFxRed,ADL11-15,no rn rhb"
"PD118 "="PhysFxRed,ADL11-15,no rn rhb"
"PD128"="PhysFxRed,ADL11-15,no rn rhb"
"PD130"="PhysFxRed,ADL11-15,no rn rhb"
"PD135"="PhysFxRed,ADL11-15,no rn rhb"
"PD140"="PhysFxRed,ADL11-15,no rn rhb"
"PD145"="PhysFxRed,ADL11-15,no rn rhb"
"PD148"="PhysFxRed,ADL11-15,no rn rhb"
"PD178"="PhysFxRed,ADL11-15,no rn rhb"
"PD119"="PhysFxRed,ADL11-15,no rn rhb"
"PD129"="PhysFxRed,ADL11-15,no rn rhb"
"PD139"="PhysFxRed,ADL11-15,no rn rhb"
"PD149"="PhysFxRed,ADL11-15,no rn rhb"
"PD179"="PhysFxRed,ADL11-15,no rn rhb"
"PD18A"="PhysFxRed,ADL11-15,no rn rhb"
"PD18B"="PhysFxRed,ADL11-15,no rn rhb"
"PD18C"="PhysFxRed,ADL11-15,no rn rhb"
"PD18D"="PhysFxRed,ADL11-15,no rn rhb"
"PD18E"="PhysFxRed,ADL11-15,no rn rhb"
"PD18F"="PhysFxRed,ADL11-15,no rn rhb"
"PD18G"="PhysFxRed,ADL11-15,no rn rhb"
"PD18H"="PhysFxRed,ADL11-15,no rn rhb"
"PD18I"="PhysFxRed,ADL11-15,no rn rhb"
"PD18X"="PhysFxRed,ADL11-15,no rn rhb"
"PC211"="PhysFxRed,ADL9-10"
"PC201"="PhysFxRed,ADL9-10"
"PC207"="PhysFxRed,ADL9-10"
"PC202"="PhysFxRed,ADL9-10"
"PC203"="PhysFxRed,ADL9-10"
"PC204"="PhysFxRed,ADL9-10"
"PC254"="PhysFxRed,ADL9-10"
"PC238"="PhysFxRed,ADL9-10"
"PC208"="PhysFxRed,ADL9-10"
"PC241"="PhysFxRed,ADL9-10"
"PC247"="PhysFxRed,ADL9-10"
"PC242"="PhysFxRed,ADL9-10"
"PC243"="PhysFxRed,ADL9-10"
"PC244"="PhysFxRed,ADL9-10"
"PC231"="PhysFxRed,ADL9-10"
"PC237"="PhysFxRed,ADL9-10"
"PC232"="PhysFxRed,ADL9-10"
"PC233"="PhysFxRed,ADL9-10"
"PC234"="PhysFxRed,ADL9-10"
"PC205"="PhysFxRed,ADL9-10"
"PC217"="PhysFxRed,ADL9-10"
"PC218 "="PhysFxRed,ADL9-10"
"PC228"="PhysFxRed,ADL9-10"
"PC230"="PhysFxRed,ADL9-10"
"PC235"="PhysFxRed,ADL9-10"
"PC240"="PhysFxRed,ADL9-10"
"PC245"="PhysFxRed,ADL9-10"
"PC248"="PhysFxRed,ADL9-10"
"PC278"="PhysFxRed,ADL9-10"
"PC219"="PhysFxRed,ADL9-10"
"PC229"="PhysFxRed,ADL9-10"
"PC239"="PhysFxRed,ADL9-10"
"PC249"="PhysFxRed,ADL9-10"
"PC279"="PhysFxRed,ADL9-10"
"PC28A"="PhysFxRed,ADL9-10"
"PC28B"="PhysFxRed,ADL9-10"
"PC28C"="PhysFxRed,ADL9-10"
"PC28D"="PhysFxRed,ADL9-10"
"PC28E"="PhysFxRed,ADL9-10"
"PC28F"="PhysFxRed,ADL9-10"
"PC28G"="PhysFxRed,ADL9-10"
"PC28H"="PhysFxRed,ADL9-10"
"PC28I"="PhysFxRed,ADL9-10"
"PC28X"="PhysFxRed,ADL9-10"
"PC111"="PhysFxRed,ADL9-10,no rn rhb"
"PC101"="PhysFxRed,ADL9-10,no rn rhb"
"PC107"="PhysFxRed,ADL9-10,no rn rhb"
"PC102"="PhysFxRed,ADL9-10,no rn rhb"
"PC103"="PhysFxRed,ADL9-10,no rn rhb"
"PC104"="PhysFxRed,ADL9-10,no rn rhb"
"PC154"="PhysFxRed,ADL9-10,no rn rhb"
"PC138"="PhysFxRed,ADL9-10,no rn rhb"
"PC108"="PhysFxRed,ADL9-10,no rn rhb"
"PC141"="PhysFxRed,ADL9-10,no rn rhb"
"PC147"="PhysFxRed,ADL9-10,no rn rhb"
"PC142"="PhysFxRed,ADL9-10,no rn rhb"
"PC143"="PhysFxRed,ADL9-10,no rn rhb"
"PC144"="PhysFxRed,ADL9-10,no rn rhb"
"PC131"="PhysFxRed,ADL9-10,no rn rhb"
"PC137"="PhysFxRed,ADL9-10,no rn rhb"
"PC132"="PhysFxRed,ADL9-10,no rn rhb"
"PC133"="PhysFxRed,ADL9-10,no rn rhb"
"PC134"="PhysFxRed,ADL9-10,no rn rhb"
"PC105"="PhysFxRed,ADL9-10,no rn rhb"
"PC117"="PhysFxRed,ADL9-10,no rn rhb"
"PC118 "="PhysFxRed,ADL9-10,no rn rhb"
"PC128"="PhysFxRed,ADL9-10,no rn rhb"
"PC130"="PhysFxRed,ADL9-10,no rn rhb"
"PC135"="PhysFxRed,ADL9-10,no rn rhb"
"PC140"="PhysFxRed,ADL9-10,no rn rhb"
"PC145"="PhysFxRed,ADL9-10,no rn rhb"
"PC148"="PhysFxRed,ADL9-10,no rn rhb"
"PC178"="PhysFxRed,ADL9-10,no rn rhb"
"PC119"="PhysFxRed,ADL9-10,no rn rhb"
"PC129"="PhysFxRed,ADL9-10,no rn rhb"
"PC139"="PhysFxRed,ADL9-10,no rn rhb"
"PC149"="PhysFxRed,ADL9-10,no rn rhb"
"PC179"="PhysFxRed,ADL9-10,no rn rhb"
"PC18A"="PhysFxRed,ADL9-10,no rn rhb"
"PC18B"="PhysFxRed,ADL9-10,no rn rhb"
"PC18C"="PhysFxRed,ADL9-10,no rn rhb"
"PC18D"="PhysFxRed,ADL9-10,no rn rhb"
"PC18E"="PhysFxRed,ADL9-10,no rn rhb"
"PC18F"="PhysFxRed,ADL9-10,no rn rhb"
"PC18G"="PhysFxRed,ADL9-10,no rn rhb"
"PC18H"="PhysFxRed,ADL9-10,no rn rhb"
"PC18I"="PhysFxRed,ADL9-10,no rn rhb"
"PC18X"="PhysFxRed,ADL9-10,no rn rhb"
"PB211"="PhysFxRed,ADL6-8"
"PB201"="PhysFxRed,ADL6-8"
"PB207"="PhysFxRed,ADL6-8"
"PB202"="PhysFxRed,ADL6-8"
"PB203"="PhysFxRed,ADL6-8"
"PB204"="PhysFxRed,ADL6-8"
"PB254"="PhysFxRed,ADL6-8"
"PB238"="PhysFxRed,ADL6-8"
"PB208"="PhysFxRed,ADL6-8"
"PB241"="PhysFxRed,ADL6-8"
"PB247"="PhysFxRed,ADL6-8"
"PB242"="PhysFxRed,ADL6-8"
"PB243"="PhysFxRed,ADL6-8"
"PB244"="PhysFxRed,ADL6-8"
"PB231"="PhysFxRed,ADL6-8"
"PB237"="PhysFxRed,ADL6-8"
"PB232"="PhysFxRed,ADL6-8"
"PB233"="PhysFxRed,ADL6-8"
"PB234"="PhysFxRed,ADL6-8"
"PB205"="PhysFxRed,ADL6-8"
"PB217"="PhysFxRed,ADL6-8"
"PB218 "="PhysFxRed,ADL6-8"
"PB228"="PhysFxRed,ADL6-8"
"PB230"="PhysFxRed,ADL6-8"
"PB235"="PhysFxRed,ADL6-8"
"PB240"="PhysFxRed,ADL6-8"
"PB245"="PhysFxRed,ADL6-8"
"PB248"="PhysFxRed,ADL6-8"
"PB278"="PhysFxRed,ADL6-8"
"PB219"="PhysFxRed,ADL6-8"
"PB229"="PhysFxRed,ADL6-8"
"PB239"="PhysFxRed,ADL6-8"
"PB249"="PhysFxRed,ADL6-8"
"PB279"="PhysFxRed,ADL6-8"
"PB28A"="PhysFxRed,ADL6-8"
"PB28B"="PhysFxRed,ADL6-8"
"PB28C"="PhysFxRed,ADL6-8"
"PB28D"="PhysFxRed,ADL6-8"
"PB28E"="PhysFxRed,ADL6-8"
"PB28F"="PhysFxRed,ADL6-8"
"PB28G"="PhysFxRed,ADL6-8"
"PB28H"="PhysFxRed,ADL6-8"
"PB28I"="PhysFxRed,ADL6-8"
"PB28X"="PhysFxRed,ADL6-8"
"PB111"="PhysFxRed,ADL6-8,no rn rhb"
"PB101"="PhysFxRed,ADL6-8,no rn rhb"
"PB107"="PhysFxRed,ADL6-8,no rn rhb"
"PB102"="PhysFxRed,ADL6-8,no rn rhb"
"PB103"="PhysFxRed,ADL6-8,no rn rhb"
"PB104"="PhysFxRed,ADL6-8,no rn rhb"
"PB154"="PhysFxRed,ADL6-8,no rn rhb"
"PB138"="PhysFxRed,ADL6-8,no rn rhb"
"PB108"="PhysFxRed,ADL6-8,no rn rhb"
"PB141"="PhysFxRed,ADL6-8,no rn rhb"
"PB147"="PhysFxRed,ADL6-8,no rn rhb"
"PB142"="PhysFxRed,ADL6-8,no rn rhb"
"PB143"="PhysFxRed,ADL6-8,no rn rhb"
"PB144"="PhysFxRed,ADL6-8,no rn rhb"
"PB131"="PhysFxRed,ADL6-8,no rn rhb"
"PB137"="PhysFxRed,ADL6-8,no rn rhb"
"PB132"="PhysFxRed,ADL6-8,no rn rhb"
"PB133"="PhysFxRed,ADL6-8,no rn rhb"
"PB134"="PhysFxRed,ADL6-8,no rn rhb"
"PB105"="PhysFxRed,ADL6-8,no rn rhb"
"PB117"="PhysFxRed,ADL6-8,no rn rhb"
"PB118 "="PhysFxRed,ADL6-8,no rn rhb"
"PB128"="PhysFxRed,ADL6-8,no rn rhb"
"PB130"="PhysFxRed,ADL6-8,no rn rhb"
"PB135"="PhysFxRed,ADL6-8,no rn rhb"
"PB140"="PhysFxRed,ADL6-8,no rn rhb"
"PB145"="PhysFxRed,ADL6-8,no rn rhb"
"PB148"="PhysFxRed,ADL6-8,no rn rhb"
"PB178"="PhysFxRed,ADL6-8,no rn rhb"
"PB119"="PhysFxRed,ADL6-8,no rn rhb"
"PB129"="PhysFxRed,ADL6-8,no rn rhb"
"PB139"="PhysFxRed,ADL6-8,no rn rhb"
"PB149"="PhysFxRed,ADL6-8,no rn rhb"
"PB179"="PhysFxRed,ADL6-8,no rn rhb"
"PB18A"="PhysFxRed,ADL6-8,no rn rhb"
"PB18B"="PhysFxRed,ADL6-8,no rn rhb"
"PB18C"="PhysFxRed,ADL6-8,no rn rhb"
"PB18D"="PhysFxRed,ADL6-8,no rn rhb"
"PB18E"="PhysFxRed,ADL6-8,no rn rhb"
"PB18F"="PhysFxRed,ADL6-8,no rn rhb"
"PB18G"="PhysFxRed,ADL6-8,no rn rhb"
"PB18H"="PhysFxRed,ADL6-8,no rn rhb"
"PB18I"="PhysFxRed,ADL6-8,no rn rhb"
"PB18X"="PhysFxRed,ADL6-8,no rn rhb"
"PA211"="PhysFxRed,ADL4-5"
"PA201"="PhysFxRed,ADL4-5"
"PA207"="PhysFxRed,ADL4-5"
"PA202"="PhysFxRed,ADL4-5"
"PA203"="PhysFxRed,ADL4-5"
"PA204"="PhysFxRed,ADL4-5"
"PA254"="PhysFxRed,ADL4-5"
"PA238"="PhysFxRed,ADL4-5"
"PA208"="PhysFxRed,ADL4-5"
"PA241"="PhysFxRed,ADL4-5"
"PA247"="PhysFxRed,ADL4-5"
"PA242"="PhysFxRed,ADL4-5"
"PA243"="PhysFxRed,ADL4-5"
"PA244"="PhysFxRed,ADL4-5"
"PA231"="PhysFxRed,ADL4-5"
"PA237"="PhysFxRed,ADL4-5"
"PA232"="PhysFxRed,ADL4-5"
"PA233"="PhysFxRed,ADL4-5"
"PA234"="PhysFxRed,ADL4-5"
"PA205"="PhysFxRed,ADL4-5"
"PA217"="PhysFxRed,ADL4-5"
"PA218 "="PhysFxRed,ADL4-5"
"PA228"="PhysFxRed,ADL4-5"
"PA230"="PhysFxRed,ADL4-5"
"PA235"="PhysFxRed,ADL4-5"
"PA240"="PhysFxRed,ADL4-5"
"PA245"="PhysFxRed,ADL4-5"
"PA248"="PhysFxRed,ADL4-5"
"PA278"="PhysFxRed,ADL4-5"
"PA219"="PhysFxRed,ADL4-5"
"PA229"="PhysFxRed,ADL4-5"
"PA239"="PhysFxRed,ADL4-5"
"PA249"="PhysFxRed,ADL4-5"
"PA279"="PhysFxRed,ADL4-5"
"PA28A"="PhysFxRed,ADL4-5"
"PA28B"="PhysFxRed,ADL4-5"
"PA28C"="PhysFxRed,ADL4-5"
"PA28D"="PhysFxRed,ADL4-5"
"PA28E"="PhysFxRed,ADL4-5"
"PA28F"="PhysFxRed,ADL4-5"
"PA28G"="PhysFxRed,ADL4-5"
"PA28H"="PhysFxRed,ADL4-5"
"PA28I"="PhysFxRed,ADL4-5"
"PA28X"="PhysFxRed,ADL4-5"
"PA111"="PhysFxRed,ADL4-5,no rn rhb"
"PA101"="PhysFxRed,ADL4-5,no rn rhb"
"PA107"="PhysFxRed,ADL4-5,no rn rhb"
"PA102"="PhysFxRed,ADL4-5,no rn rhb"
"PA103"="PhysFxRed,ADL4-5,no rn rhb"
"PA104"="PhysFxRed,ADL4-5,no rn rhb"
"PA154"="PhysFxRed,ADL4-5,no rn rhb"
"PA138"="PhysFxRed,ADL4-5,no rn rhb"
"PA108"="PhysFxRed,ADL4-5,no rn rhb"
"PA141"="PhysFxRed,ADL4-5,no rn rhb"
"PA147"="PhysFxRed,ADL4-5,no rn rhb"
"PA142"="PhysFxRed,ADL4-5,no rn rhb"
"PA143"="PhysFxRed,ADL4-5,no rn rhb"
"PA144"="PhysFxRed,ADL4-5,no rn rhb"
"PA131"="PhysFxRed,ADL4-5,no rn rhb"
"PA137"="PhysFxRed,ADL4-5,no rn rhb"
"PA132"="PhysFxRed,ADL4-5,no rn rhb"
"PA133"="PhysFxRed,ADL4-5,no rn rhb"
"PA134"="PhysFxRed,ADL4-5,no rn rhb"
"PA105"="PhysFxRed,ADL4-5,no rn rhb"
"PA117"="PhysFxRed,ADL4-5,no rn rhb"
"PA118"="PhysFxRed,ADL4-5,no rn rhb"
"PA128"="PhysFxRed,ADL4-5,no rn rhb"
"PA130"="PhysFxRed,ADL4-5,no rn rhb"
"PA135"="PhysFxRed,ADL4-5,no rn rhb"
"PA140"="PhysFxRed,ADL4-5,no rn rhb"
"PA145"="PhysFxRed,ADL4-5,no rn rhb"
"PA148"="PhysFxRed,ADL4-5,no rn rhb"
"PA178"="PhysFxRed,ADL4-5,no rn rhb"
"PA119"="PhysFxRed,ADL4-5,no rn rhb"
"PA129"="PhysFxRed,ADL4-5,no rn rhb"
"PA139"="PhysFxRed,ADL4-5,no rn rhb"
"PA149"="PhysFxRed,ADL4-5,no rn rhb"
"PA179"="PhysFxRed,ADL4-5,no rn rhb"
"PA18A"="PhysFxRed,ADL4-5,no rn rhb"
"PA18B"="PhysFxRed,ADL4-5,no rn rhb"
"PA18C"="PhysFxRed,ADL4-5,no rn rhb"
"PA18D"="PhysFxRed,ADL4-5,no rn rhb"
"PA18E"="PhysFxRed,ADL4-5,no rn rhb"
"PA18F"="PhysFxRed,ADL4-5,no rn rhb"
"PA18G"="PhysFxRed,ADL4-5,no rn rhb"
"PA18H"="PhysFxRed,ADL4-5,no rn rhb"
"PA18I"="PhysFxRed,ADL4-5,no rn rhb"
"PA18X"="PhysFxRed,ADL4-5,no rn rhb"
"AAA00"="Default Code"



;
  run;