claim editing update report 2nd quarter 2015...claim editing update report 2nd quarter 2015...

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Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1 McKesson Code Pair Expirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 CCI V21.1 Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4 CCI V21.1 Expirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28 CCI V21.1 Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 CCI V21.1 Deletions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37 OCE CCI V21.1 Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38 OCE CCI V21.1 Expirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69 OCE CCI V21.1 Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 70 OCE CCI V21.1 Deletions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73 An independent licensee of the Blue Cross and Blue Shield Association.

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Page 1: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

Claim Editing Update Report

2nd Quarter 2015

Contents: See page:

McKesson Code Pair Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

McKesson Code Pair Expirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

CCI V21.1 Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

CCI V21.1 Expirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

CCI V21.1 Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

CCI V21.1 Deletions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 37

OCE CCI V21.1 Additions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

OCE CCI V21.1 Expirations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69

OCE CCI V21.1 Changes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .70

OCE CCI V21.1 Deletions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 73

An independent licensee of theBlue Cross and Blue Shield Association.

Page 2: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

McKesson Code Pair Additions

Rule Type

Denied Code

Denied Code Description

Denied Code Section

Denied Code Effective Date

Paid Code

Paid CodeDescription

Paid Code Section

Paid Code Effective Date

HorizonEffective Date

INC 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 24666 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 7/1/2015INC 36591 DRAW BLOOD OFF VENOUS DEVICE Cardiovascular 1/1/2008 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 36591 DRAW BLOOD OFF VENOUS DEVICE Cardiovascular 1/1/2008 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 36592 COLLECT BLOOD FROM PICC Cardiovascular 1/1/2008 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 36592 COLLECT BLOOD FROM PICC Cardiovascular 1/1/2008 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 44300 OPEN BOWEL TO SKIN Digestive 1/1/1998 43832 PLACE GASTROSTOMY TUBE Digestive 1/1/1998 7/1/2015ME 90460 IM ADMIN 1ST/ONLY COMPONENT Medicine(1) 1/1/2011 G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 7/1/2015ME 90460 IM ADMIN 1ST/ONLY COMPONENT Medicine(1) 1/1/2011 G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 7/1/2015ME 90460 IM ADMIN 1ST/ONLY COMPONENT Medicine(1) 1/1/2011 G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 7/1/2015ME 90471 IMMUNIZATION ADMIN Medicine(1) 1/1/1999 G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 7/1/2015ME 90471 IMMUNIZATION ADMIN Medicine(1) 1/1/1999 G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 7/1/2015ME 90471 IMMUNIZATION ADMIN Medicine(1) 1/1/1999 G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 7/1/2015ME 90473 IMMUNE ADMIN ORAL/NASAL Medicine(1) 1/1/2001 G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 7/1/2015ME 90473 IMMUNE ADMIN ORAL/NASAL Medicine(1) 1/1/2001 G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 7/1/2015ME 90473 IMMUNE ADMIN ORAL/NASAL Medicine(1) 1/1/2001 G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 7/1/2015INC 93770 MEASURE VENOUS PRESSURE Medicine(1) 1/1/1998 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 93770 MEASURE VENOUS PRESSURE Medicine(1) 1/1/1998 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94150 VITAL CAPACITY TEST Medicine(1) 1/1/1998 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94150 VITAL CAPACITY TEST Medicine(1) 1/1/1998 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94760 MEASURE BLOOD OXYGEN LEVEL Medicine(1) 1/1/1998 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94760 MEASURE BLOOD OXYGEN LEVEL Medicine(1) 1/1/1998 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94761 MEASURE BLOOD OXYGEN LEVEL Medicine(1) 1/1/1998 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94761 MEASURE BLOOD OXYGEN LEVEL Medicine(1) 1/1/1998 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94762 MEASURE BLOOD OXYGEN LEVEL Medicine(1) 1/1/1998 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 94762 MEASURE BLOOD OXYGEN LEVEL Medicine(1) 1/1/1998 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 96523 IRRIG DRUG DELIVERY DEVICE Medicine(1) 1/1/2006 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 96523 IRRIG DRUG DELIVERY DEVICE Medicine(1) 1/1/2006 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C2623 CATH, TRANSLUMIN, DRUG-COAT HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C9445 C-1 ESTERASE, RECUONEST HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C9448 ORAL NETUPITANT PALONOSETRON HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C9449 INJ, BLINATUMOMAB HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C9450 FLUOCINOLONE ACETONIDE IMPLT HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C9451 INJECTION, PERAMIVIR HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 C9452 INJ, CEFTOLOZANE/TAZOBACTAM HCPCS 4/1/2015 7/1/2015ME 99070 SPECIAL SUPPLIES PHYS/QHP Medicine(1) 1/1/1998 Q9975 FACTOR VIII FC FUSION RECOMB HCPCS 4/1/2015 7/1/2015ME 99490 CHRON CARE MGMT SRVC 20 MIN Evaluation & Management 1/1/2015 99487 CMPLX CHRON CARE W/O PT VSIT Evaluation & Management 1/1/2013 7/1/2015INC A4215 STERILE NEEDLE HCPCS 1/1/1985 97810 ACUPUNCT W/O STIMUL 15 MIN Medicine(1) 1/1/2005 7/1/2015INC A4215 STERILE NEEDLE HCPCS 1/1/1985 97811 ACUPUNCT W/O STIMUL ADDL 15M Medicine(1) 1/1/2005 7/1/2015INC A4215 STERILE NEEDLE HCPCS 1/1/1985 97813 ACUPUNCT W/STIMUL 15 MIN Medicine(1) 1/1/2005 7/1/2015INC A4215 STERILE NEEDLE HCPCS 1/1/1985 97814 ACUPUNCT W/STIMUL ADDL 15M Medicine(1) 1/1/2005 7/1/2015INC A4216 STERILE WATER/SALINE, 10 ML HCPCS 1/1/2004 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4216 STERILE WATER/SALINE, 10 ML HCPCS 1/1/2004 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015

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Page 3: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

McKesson Code Pair Additions

Rule Type

Denied Code

Denied Code Description

Denied Code Section

Denied Code Effective Date

Paid Code

Paid CodeDescription

Paid Code Section

Paid Code Effective Date

HorizonEffective Date

INC A4217 STERILE WATER/SALINE, 500 ML HCPCS 1/1/2004 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4217 STERILE WATER/SALINE, 500 ML HCPCS 1/1/2004 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4244 ALCOHOL OR PEROXIDE PER PINT HCPCS 1/1/1985 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4244 ALCOHOL OR PEROXIDE PER PINT HCPCS 1/1/1985 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4245 ALCOHOL WIPES PER BOX HCPCS 1/1/1985 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4245 ALCOHOL WIPES PER BOX HCPCS 1/1/1985 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4246 BETADINE/PHISOHEX SOLUTION HCPCS 1/1/1985 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4246 BETADINE/PHISOHEX SOLUTION HCPCS 1/1/1985 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4247 BETADINE/IODINE SWABS/WIPES HCPCS 1/1/1985 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4247 BETADINE/IODINE SWABS/WIPES HCPCS 1/1/1985 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4248 CHLORHEXIDINE ANTISEPT HCPCS 1/1/2004 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4248 CHLORHEXIDINE ANTISEPT HCPCS 1/1/2004 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4550 SURGICAL TRAYS HCPCS 1/1/1982 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4550 SURGICAL TRAYS HCPCS 1/1/1982 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4649 SURGICAL SUPPLIES HCPCS 1/1/1982 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4649 SURGICAL SUPPLIES HCPCS 1/1/1982 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4930 STERILE, GLOVES PER PAIR HCPCS 1/1/2003 90620 MENB RP W/OMV VACCINE IM Medicine(1) 1/1/2015 7/1/2015INC A4930 STERILE, GLOVES PER PAIR HCPCS 1/1/2003 90621 MENB RLP VACCINE IM Medicine(1) 1/1/2015 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99205 OFFICE/OUTPATIENT VISIT NEW Evaluation & Management 1/1/1998 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99326 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99327 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99328 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99343 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99344 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99345 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99386 PREV VISIT NEW AGE 40-64 Evaluation & Management 1/1/1998 7/1/2015ME G0466 FQHC VISIT NEW PATIENT HCPCS 10/1/2014 99387 INIT PM E/M NEW PAT 65+ YRS Evaluation & Management 1/1/1998 7/1/2015ME G0467 FQHC VISIT, ESTAB PT HCPCS 10/1/2014 99337 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 7/1/2015ME G0467 FQHC VISIT, ESTAB PT HCPCS 10/1/2014 99350 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 7/1/2015ME G0467 FQHC VISIT, ESTAB PT HCPCS 10/1/2014 99397 PER PM REEVAL EST PAT 65+ YR Evaluation & Management 1/1/1998 7/1/2015ME G0469 FQHC VISIT, MH NEW PT HCPCS 10/1/2014 90832 PSYTX PT&/FAMILY 30 MINUTES Medicine(1) 1/1/2013 7/1/2015ME G0469 FQHC VISIT, MH NEW PT HCPCS 10/1/2014 90834 PSYTX PT&/FAMILY 45 MINUTES Medicine(1) 1/1/2013 7/1/2015ME G0469 FQHC VISIT, MH NEW PT HCPCS 10/1/2014 90837 PSYTX PT&/FAMILY 60 MINUTES Medicine(1) 1/1/2013 7/1/2015ME G0470 FQHC VISIT, MH ESTAB PT HCPCS 10/1/2014 90832 PSYTX PT&/FAMILY 30 MINUTES Medicine(1) 1/1/2013 7/1/2015ME G0470 FQHC VISIT, MH ESTAB PT HCPCS 10/1/2014 90834 PSYTX PT&/FAMILY 45 MINUTES Medicine(1) 1/1/2013 7/1/2015ME G0470 FQHC VISIT, MH ESTAB PT HCPCS 10/1/2014 90837 PSYTX PT&/FAMILY 60 MINUTES Medicine(1) 1/1/2013 7/1/2015ME G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 44384 SMALL BOWEL ENDOSCOPY Digestive 1/1/2015 7/1/2015INC G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45387 #COLONOSCOPY W/STENT Digestive 1/1/2001 7/1/2015

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Page 4: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

McKesson Code Pair Expirations

Rule Type

Denied Code

Denied Code Description

Denied Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Paid Code Section

Paid Code Effective Date

Horizon Expiration Date

INC 43235 EGD DIAGNOSTIC BRUSH WASH Digestive 1/1/1998 43770 LAP PLACE GASTR ADJ DEVICE Digestive 1/1/2006 6/30/2015INC 43235 EGD DIAGNOSTIC BRUSH WASH Digestive 1/1/1998 43771 LAP REVISE GASTR ADJ DEVICE Digestive 1/1/2006 6/30/2015INC 43235 EGD DIAGNOSTIC BRUSH WASH Digestive 1/1/1998 43772 LAP RMVL GASTR ADJ DEVICE Digestive 1/1/2006 6/30/2015INC 43235 EGD DIAGNOSTIC BRUSH WASH Digestive 1/1/1998 43773 LAP REPLACE GASTR ADJ DEVICE Digestive 1/1/2006 6/30/2015INC 43235 EGD DIAGNOSTIC BRUSH WASH Digestive 1/1/1998 43774 LAP RMVL GASTR ADJ ALL PARTS Digestive 1/1/2006 6/30/2015INC 43235 EGD DIAGNOSTIC BRUSH WASH Digestive 1/1/1998 43775 LAP SLEEVE GASTRECTOMY Digestive 1/1/2010 6/30/2015ME 44300 OPEN BOWEL TO SKIN Digestive 1/1/1998 43832 PLACE GASTROSTOMY TUBE Digestive 1/1/1998 6/30/2015INC 76000 FLUOROSCOPE EXAMINATION Radiology 1/1/1998 36597 REPOSITION VENOUS CATHETER Cardiovascular 1/1/2004 6/30/2015ME G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 90460 IM ADMIN 1ST/ONLY COMPONENT Medicine(1) 1/1/2011 6/30/2015ME G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 90461 IM ADMIN EACH ADDL COMPONENT Medicine(1) 1/1/2011 6/30/2015ME G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 90471 IMMUNIZATION ADMIN Medicine(1) 1/1/1999 6/30/2015ME G0008 ADMIN INFLUENZA VIRUS VAC HCPCS 1/1/1994 90472 IMMUNIZATION ADMIN EACH ADD Medicine(1) 1/1/1999 6/30/2015ME G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 90460 IM ADMIN 1ST/ONLY COMPONENT Medicine(1) 1/1/2011 6/30/2015ME G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 90461 IM ADMIN EACH ADDL COMPONENT Medicine(1) 1/1/2011 6/30/2015ME G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 90471 IMMUNIZATION ADMIN Medicine(1) 1/1/1999 6/30/2015ME G0009 ADMIN PNEUMOCOCCAL VACCINE HCPCS 1/1/1994 90472 IMMUNIZATION ADMIN EACH ADD Medicine(1) 1/1/1999 6/30/2015ME G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 90460 IM ADMIN 1ST/ONLY COMPONENT Medicine(1) 1/1/2011 6/30/2015ME G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 90461 IM ADMIN EACH ADDL COMPONENT Medicine(1) 1/1/2011 6/30/2015ME G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 90471 IMMUNIZATION ADMIN Medicine(1) 1/1/1999 6/30/2015ME G0010 ADMIN HEPATITIS B VACCINE HCPCS 1/1/1994 90472 IMMUNIZATION ADMIN EACH ADD Medicine(1) 1/1/1999 6/30/2015

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Page 5: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24300 MANIPULATE ELBOW W/ANESTH Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

4

Page 6: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

5

Page 7: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

6

Page 8: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24300 MANIPULATE ELBOW W/ANESTH Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

7

Page 9: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

8

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CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

9

Page 11: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

10

Page 12: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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Page 13: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

12

Page 14: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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Page 15: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

14

Page 16: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

17

Page 19: Claim Editing Update Report 2nd Quarter 2015...Claim Editing Update Report 2nd Quarter 2015 Contents: See page: McKesson Code Pair Additions . . . . . . . . . . . . . . . . . .

CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

Horizon Edit Effective Date

Edit Expiration Date

CCI Policy

20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code22848 INSERT PELV FIXATION DEVICE Musculoskeletal 1/1/1996 27279 ARTHRODESIS SACROILIAC JOINT Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition33951 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33955 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33952 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33954 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33952 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33956 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33953 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33955 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33954 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33956 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures

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Denied Code

Denied Code Description

Code Section

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Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

Modifier Override

Edit Effective Date

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CCI Policy

42826 REMOVAL OF TONSILS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43770 LAP PLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43771 LAP REVISE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43773 LAP REPLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43774 LAP RMVL GASTR ADJ ALL PARTS Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43775 LAP SLEEVE GASTRECTOMY Digestive 1/1/2010 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43843 GASTROPLASTY W/O V-BAND Digestive 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43770 LAP PLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43771 LAP REVISE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43773 LAP REPLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43774 LAP RMVL GASTR ADJ ALL PARTS Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43775 LAP SLEEVE GASTRECTOMY Digestive 1/1/2010 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43843 GASTROPLASTY W/O V-BAND Digestive 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code44403 COLONOSCOPY W/RESECTION Digestive 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45350 SGMDSC W/BAND LIGATION Digestive 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45350 SGMDSC W/BAND LIGATION Digestive 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Effective Date

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Edit Effective Date

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64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66820 INCISION SECONDARY CATARACT Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66821 AFTER CATARACT LASER SURGERY Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66840 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66850 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66852 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66920 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66930 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66940 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66986 EXCHANGE LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66820 INCISION SECONDARY CATARACT Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66821 AFTER CATARACT LASER SURGERY Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66825 REPOSITION INTRAOCULAR LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66830 REMOVAL OF LENS LESION Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66840 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66850 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66852 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66920 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66930 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66940 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66982 CATARACT SURGERY COMPLEX Eye & Ocular Adnexa 1/1/2001 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66983 CATARACT SURG W/IOL 1 STAGE Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66984 CATARACT SURG W/IOL 1 STAGE Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66985 INSERT LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66986 EXCHANGE LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66820 INCISION SECONDARY CATARACT Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66821 AFTER CATARACT LASER SURGERY Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66825 REPOSITION INTRAOCULAR LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66830 REMOVAL OF LENS LESION Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66840 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66850 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66852 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66920 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66930 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66940 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66983 CATARACT SURG W/IOL 1 STAGE Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66985 INSERT LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66986 EXCHANGE LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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76970 ULTRASOUND EXAM FOLLOW-UP Radiology 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code76970 ULTRASOUND EXAM FOLLOW-UP Radiology 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code76970 ULTRASOUND EXAM FOLLOW-UP Radiology 1/1/1998 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77063 BREAST TOMOSYNTHESIS BI Radiology 1/1/2015 77057 MAMMOGRAM SCREENING Radiology 1/1/2007 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77300 RADIATION THERAPY DOSE PLAN Radiology 1/1/1998 77321 SPECIAL TELETX PORT PLAN Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77385 NTSTY MODUL RAD TX DLVR SMPL Radiology 1/1/2015 77386 NTSTY MODUL RAD TX DLVR CPLX Radiology 1/1/2015 1 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition87623 HPV LOW-RISK TYPES Pathology & Laboratory 1/1/2015 87624 HPV HIGH-RISK TYPES Pathology & Laboratory 1/1/2015 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions87625 HPV TYPES 16 & 18 ONLY Pathology & Laboratory 1/1/2015 87624 HPV HIGH-RISK TYPES Pathology & Laboratory 1/1/2015 0 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81246 FLT3 GENE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81288 MLH1 GENE Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81313 PCA3/KLK3 ANTIGEN Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81410 AORTIC DYSFUNCTION/DILATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81411 AORTIC DYSFUNCTION/DILATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81415 EXOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81416 EXOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81417 EXOME RE-EVALUATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81420 FETAL CHRMOML ANEUPLOIDY Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81425 GENOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81426 GENOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81427 GENOME RE-EVALUATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81430 HEARING LOSS SEQUENCE ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81431 HEARING LOSS DUP/DEL ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81435 HEREDITARY COLON CANCER Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81436 HEREDITARY COLON CA SYND Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81440 MITOCHONDRIAL GENE Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81445 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81450 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81455 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81460 WHOLE MITOCHONDRIAL GENOME Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81465 WHOLE MITOCHONDRIAL GENOME Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81470 X-LINKED INTELLECTUAL DBLT Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81471 X-LINKED INTELLECTUAL DBLT Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81246 FLT3 GENE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81288 MLH1 GENE Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81313 PCA3/KLK3 ANTIGEN Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81410 AORTIC DYSFUNCTION/DILATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81411 AORTIC DYSFUNCTION/DILATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81415 EXOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81416 EXOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81417 EXOME RE-EVALUATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81420 FETAL CHRMOML ANEUPLOIDY Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81425 GENOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81426 GENOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81427 GENOME RE-EVALUATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81430 HEARING LOSS SEQUENCE ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81431 HEARING LOSS DUP/DEL ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81435 HEREDITARY COLON CANCER Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81436 HEREDITARY COLON CA SYND Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81440 MITOCHONDRIAL GENE Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81445 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81450 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81455 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81460 WHOLE MITOCHONDRIAL GENOME Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81465 WHOLE MITOCHONDRIAL GENOME Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81470 X-LINKED INTELLECTUAL DBLT Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81471 X-LINKED INTELLECTUAL DBLT Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81246 FLT3 GENE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81288 MLH1 GENE Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81313 PCA3/KLK3 ANTIGEN Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81410 AORTIC DYSFUNCTION/DILATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81411 AORTIC DYSFUNCTION/DILATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81415 EXOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81416 EXOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81417 EXOME RE-EVALUATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81420 FETAL CHRMOML ANEUPLOIDY Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81425 GENOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81426 GENOME SEQUENCE ANALYSIS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81427 GENOME RE-EVALUATION Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81430 HEARING LOSS SEQUENCE ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81431 HEARING LOSS DUP/DEL ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81435 HEREDITARY COLON CANCER Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81436 HEREDITARY COLON CA SYND Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81440 MITOCHONDRIAL GENE Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81445 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81450 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81455 TARGETED GENOMIC SEQ ANALYS Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81460 WHOLE MITOCHONDRIAL GENOME Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81465 WHOLE MITOCHONDRIAL GENOME Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81470 X-LINKED INTELLECTUAL DBLT Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81471 X-LINKED INTELLECTUAL DBLT Pathology & Laboratory 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93260 PRGRMG DEV EVAL IMPLTBL SYS Medicine(1) 1/1/2015 93640 EVALUATION HEART DEVICE Medicine(1) 1/1/1998 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93260 PRGRMG DEV EVAL IMPLTBL SYS Medicine(1) 1/1/2015 93641 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93260 PRGRMG DEV EVAL IMPLTBL SYS Medicine(1) 1/1/2015 93642 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93261 INTERROGATE SUBQ DEFIB Medicine(1) 1/1/2015 93640 EVALUATION HEART DEVICE Medicine(1) 1/1/1998 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93261 INTERROGATE SUBQ DEFIB Medicine(1) 1/1/2015 93641 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93261 INTERROGATE SUBQ DEFIB Medicine(1) 1/1/2015 93642 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93282 PRGRMG EVAL IMPLANTABLE DFB Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93283 PRGRMG EVAL IMPLANTABLE DFB Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93284 PRGRMG EVAL IMPLANTABLE DFB Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93287 PERI-PX DEVICE EVAL & PRGR Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93289 INTERROG DEVICE EVAL HEART Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 0375T TOTAL DISC ARTHRP ANT APPR T Codes 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice

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93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33957 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33958 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33959 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33962 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33963 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33964 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33965 ECMO/ECLS RMVL PERPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33966 ECMO/ECLS RMVL PRPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33969 ECMO/ECLS RMVL PERPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33984 ECMO/ECLS RMVL PRPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33985 ECMO/ECLS RMVL CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33986 ECMO/ECLS RMVL CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33988 INSERTION OF LEFT HEART VENT Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33989 REMOVAL OF LEFT HEART VENT Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 34839 PLNNING PT SPEC FENEST GRAFT Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62302 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62303 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62304 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62305 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33210 INSERT ELECTRD/PM CATH SNGL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33211 INSERT CARD ELECTRODES DUAL Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33210 INSERT ELECTRD/PM CATH SNGL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33211 INSERT CARD ELECTRODES DUAL Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33210 INSERT ELECTRD/PM CATH SNGL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33211 INSERT CARD ELECTRODES DUAL Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI v21.1 Additions

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93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98925 OSTEOPATH MANJ 1-2 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98926 OSTEOPATH MANJ 3-4 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98927 OSTEOPATH MANJ 5-6 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98928 OSTEOPATH MANJ 7-8 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98929 OSTEOPATH MANJ 9-10 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98940 CHIROPRACT MANJ 1-2 REGIONS Medicine(1) 1/1/1997 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98941 CHIROPRACT MANJ 3-4 REGIONS Medicine(1) 1/1/1997 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98942 CHIROPRACTIC MANJ 5 REGIONS Medicine(1) 1/1/1997 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6002 STEREOSCOPIC X-RAY GUIDANCE HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6004 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6005 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6006 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6008 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6009 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6010 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6012 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6013 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6014 RADIATION TREATMENT DELIVERY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6015 RADIATION TX DELIVERY IMRT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6016 DELIVERY COMP IMRT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None Standards of medical / surgical practice99497 ADVNCD CARE PLAN 30 MIN Evaluation & Management 1/1/2015 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice

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CCI v21.1 Additions

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G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 45393 COLONOSCOPY W/DECOMPRESSION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 45398 COLONOSCOPY W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 45393 COLONOSCOPY W/DECOMPRESSION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 45398 COLONOSCOPY W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure

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CCI v21.1 Expirations

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95012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95115 IMMUNOTHERAPY ONE INJECTION Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95117 IMMUNOTHERAPY INJECTIONS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95120 IMMUNOTHERAPY ONE INJECTION Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95125 IMMUNOTHERAPY 2/> INJECTIONS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95130 IMMNTX 1 STING INSECT Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95131 IMMNTX 2 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95132 IMMNTX 3 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95133 IMMNTX 4 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95134 IMMNTX 5 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95144 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1994 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95145 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95146 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95147 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95148 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95149 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95165 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1994 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95170 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95180 RAPID DESENSITIZATION Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/2015

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CCI v21.1 Changes

Change Action

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Modified 0213T NJX PARAVERT W/US CER/THOR T Codes 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0213T NJX PARAVERT W/US CER/THOR T Codes 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0213T NJX PARAVERT W/US CER/THOR T Codes 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0213T NJX PARAVERT W/US CER/THOR T Codes 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0213T NJX PARAVERT W/US CER/THOR T Codes 1/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0213T NJX PARAVERT W/US CER/THOR T Codes 1/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0216T NJX PARAVERT W/US LUMB/SAC T Codes 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0216T NJX PARAVERT W/US LUMB/SAC T Codes 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0216T NJX PARAVERT W/US LUMB/SAC T Codes 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0216T NJX PARAVERT W/US LUMB/SAC T Codes 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0216T NJX PARAVERT W/US LUMB/SAC T Codes 1/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0216T NJX PARAVERT W/US LUMB/SAC T Codes 1/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42826 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42826 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015

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Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 57545 REMOVE CERVIX/REPAIR PELVIS Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 57545 REMOVE CERVIX/REPAIR PELVIS Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 1 None 5/1/2015 None None

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Modified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58552 LAPARO-VAG HYST INCL T/O Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58552 LAPARO-VAG HYST INCL T/O Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58553 LAPARO-VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58553 LAPARO-VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58554 LAPARO-VAG HYST W/T/O COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58554 LAPARO-VAG HYST W/T/O COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015

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Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 1 None 5/1/2015 None NoneModified 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64400 N BLOCK INJ TRIGEMINAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64400 N BLOCK INJ TRIGEMINAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64400 N BLOCK INJ TRIGEMINAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64400 N BLOCK INJ TRIGEMINAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64402 N BLOCK INJ FACIAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64402 N BLOCK INJ FACIAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64402 N BLOCK INJ FACIAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64402 N BLOCK INJ FACIAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64405 N BLOCK INJ OCCIPITAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64405 N BLOCK INJ OCCIPITAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64405 N BLOCK INJ OCCIPITAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64405 N BLOCK INJ OCCIPITAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None None

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Modified 64408 N BLOCK INJ VAGUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64408 N BLOCK INJ VAGUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64408 N BLOCK INJ VAGUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64408 N BLOCK INJ VAGUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64410 N BLOCK INJ PHRENIC Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64410 N BLOCK INJ PHRENIC Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64410 N BLOCK INJ PHRENIC Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64410 N BLOCK INJ PHRENIC Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64412 N BLOCK INJ SPINAL ACCESSOR Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64412 N BLOCK INJ SPINAL ACCESSOR Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64412 N BLOCK INJ SPINAL ACCESSOR Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64412 N BLOCK INJ SPINAL ACCESSOR Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64413 N BLOCK INJ CERVICAL PLEXUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64413 N BLOCK INJ CERVICAL PLEXUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64413 N BLOCK INJ CERVICAL PLEXUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64413 N BLOCK INJ CERVICAL PLEXUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64415 N BLOCK INJ BRACHIAL PLEXUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64415 N BLOCK INJ BRACHIAL PLEXUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64415 N BLOCK INJ BRACHIAL PLEXUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64415 N BLOCK INJ BRACHIAL PLEXUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64416 N BLOCK CONT INFUSE B PLEX Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64416 N BLOCK CONT INFUSE B PLEX Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64416 N BLOCK CONT INFUSE B PLEX Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64416 N BLOCK CONT INFUSE B PLEX Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64417 N BLOCK INJ AXILLARY Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64417 N BLOCK INJ AXILLARY Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64417 N BLOCK INJ AXILLARY Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64417 N BLOCK INJ AXILLARY Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64418 N BLOCK INJ SUPRASCAPULAR Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64418 N BLOCK INJ SUPRASCAPULAR Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64418 N BLOCK INJ SUPRASCAPULAR Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64418 N BLOCK INJ SUPRASCAPULAR Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64420 N BLOCK INJ INTERCOST SNG Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64420 N BLOCK INJ INTERCOST SNG Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64420 N BLOCK INJ INTERCOST SNG Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64420 N BLOCK INJ INTERCOST SNG Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64421 N BLOCK INJ INTERCOST MLT Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64421 N BLOCK INJ INTERCOST MLT Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64421 N BLOCK INJ INTERCOST MLT Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64421 N BLOCK INJ INTERCOST MLT Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64425 N BLOCK INJ ILIO-ING/HYPOGI Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64425 N BLOCK INJ ILIO-ING/HYPOGI Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64425 N BLOCK INJ ILIO-ING/HYPOGI Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015

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Added 64425 N BLOCK INJ ILIO-ING/HYPOGI Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64430 N BLOCK INJ PUDENDAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64430 N BLOCK INJ PUDENDAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64430 N BLOCK INJ PUDENDAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64430 N BLOCK INJ PUDENDAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64435 N BLOCK INJ PARACERVICAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64435 N BLOCK INJ PARACERVICAL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64435 N BLOCK INJ PARACERVICAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64435 N BLOCK INJ PARACERVICAL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64445 N BLOCK INJ SCIATIC SNG Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64445 N BLOCK INJ SCIATIC SNG Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64445 N BLOCK INJ SCIATIC SNG Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64445 N BLOCK INJ SCIATIC SNG Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64446 N BLK INJ SCIATIC CONT INF Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64446 N BLK INJ SCIATIC CONT INF Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64446 N BLK INJ SCIATIC CONT INF Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64446 N BLK INJ SCIATIC CONT INF Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64447 N BLOCK INJ FEM SINGLE Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64447 N BLOCK INJ FEM SINGLE Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64447 N BLOCK INJ FEM SINGLE Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64447 N BLOCK INJ FEM SINGLE Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64448 N BLOCK INJ FEM CONT INF Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64448 N BLOCK INJ FEM CONT INF Nervous 1/1/2003 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64448 N BLOCK INJ FEM CONT INF Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64448 N BLOCK INJ FEM CONT INF Nervous 1/1/2003 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64449 N BLOCK INJ LUMBAR PLEXUS Nervous 1/1/2004 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64449 N BLOCK INJ LUMBAR PLEXUS Nervous 1/1/2004 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64449 N BLOCK INJ LUMBAR PLEXUS Nervous 1/1/2004 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64449 N BLOCK INJ LUMBAR PLEXUS Nervous 1/1/2004 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64479 INJ FORAMEN EPIDURAL C/T Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64479 INJ FORAMEN EPIDURAL C/T Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64479 INJ FORAMEN EPIDURAL C/T Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64479 INJ FORAMEN EPIDURAL C/T Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64483 INJ FORAMEN EPIDURAL L/S Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64483 INJ FORAMEN EPIDURAL L/S Nervous 1/1/2000 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64483 INJ FORAMEN EPIDURAL L/S Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64483 INJ FORAMEN EPIDURAL L/S Nervous 1/1/2000 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None None

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Modified 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 0 1/1/2015 1/1/2015 None 4/30/2015Added 64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 1 None 5/1/2015 None NoneModified 64490 INJ PARAVERT F JNT C/T 1 LEV Nervous 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64490 INJ PARAVERT F JNT C/T 1 LEV Nervous 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64490 INJ PARAVERT F JNT C/T 1 LEV Nervous 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64490 INJ PARAVERT F JNT C/T 1 LEV Nervous 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64493 INJ PARAVERT F JNT L/S 1 LEV Nervous 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64493 INJ PARAVERT F JNT L/S 1 LEV Nervous 1/1/2010 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64493 INJ PARAVERT F JNT L/S 1 LEV Nervous 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64493 INJ PARAVERT F JNT L/S 1 LEV Nervous 1/1/2010 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64505 N BLOCK SPENOPALATINE GANGL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015

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CCI v21.1 Changes

Change Action

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Paid Code

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Paid CodeSection

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Modifier Override

Previous EditEffective Date

New EditEffective Date

Previous EditExpiration Date

New EditExpiration Date

Added 64505 N BLOCK SPENOPALATINE GANGL Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64505 N BLOCK SPENOPALATINE GANGL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64505 N BLOCK SPENOPALATINE GANGL Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64508 N BLOCK CAROTID SINUS S/P Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64508 N BLOCK CAROTID SINUS S/P Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64508 N BLOCK CAROTID SINUS S/P Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64508 N BLOCK CAROTID SINUS S/P Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64510 N BLOCK STELLATE GANGLION Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64510 N BLOCK STELLATE GANGLION Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64510 N BLOCK STELLATE GANGLION Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64510 N BLOCK STELLATE GANGLION Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64517 N BLOCK INJ HYPOGAS PLXS Nervous 1/1/2004 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64517 N BLOCK INJ HYPOGAS PLXS Nervous 1/1/2004 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64517 N BLOCK INJ HYPOGAS PLXS Nervous 1/1/2004 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64517 N BLOCK INJ HYPOGAS PLXS Nervous 1/1/2004 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64520 N BLOCK LUMBAR/THORACIC Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64520 N BLOCK LUMBAR/THORACIC Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64520 N BLOCK LUMBAR/THORACIC Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64520 N BLOCK LUMBAR/THORACIC Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64530 N BLOCK INJ CELIAC PELUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64530 N BLOCK INJ CELIAC PELUS Nervous 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None NoneModified 64530 N BLOCK INJ CELIAC PELUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 64530 N BLOCK INJ CELIAC PELUS Nervous 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 None 5/1/2015 None None

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CCI v21.1 Deletions

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Paid Code

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Modifier Override

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HorizonEffective Date

57260 REPAIR OF VAGINA Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 11/1/201477052 COMP SCREEN MAMMOGRAM ADD-ON Radiology 1/1/2007 77063 BREAST TOMOSYNTHESIS BI Radiology 1/1/2015 0 1/1/2015 2/1/2015

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

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Paid Code

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Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

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CCI Policy

0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code0228T NJX TFRML EPRL W/US CER/THOR T Codes 7/1/2010 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code0230T NJX TFRML EPRL W/US LUMB/SAC T Codes 7/1/2010 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure12001 RPR S/N/AX/GEN/TRNK 2.5CM/< Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12001 RPR S/N/AX/GEN/TRNK 2.5CM/< Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12004 RPR S/N/AX/GEN/TRK7.6-12.5CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12004 RPR S/N/AX/GEN/TRK7.6-12.5CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12005 RPR S/N/A/GEN/TRK12.6-20.0CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12005 RPR S/N/A/GEN/TRK12.6-20.0CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12006 RPR S/N/A/GEN/TRK20.1-30.0CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12006 RPR S/N/A/GEN/TRK20.1-30.0CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12007 RPR S/N/AX/GEN/TRNK >30.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12007 RPR S/N/AX/GEN/TRNK >30.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12011 RPR F/E/E/N/L/M 2.5 CM/< Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12011 RPR F/E/E/N/L/M 2.5 CM/< Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12013 RPR F/E/E/N/L/M 2.6-5.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12013 RPR F/E/E/N/L/M 2.6-5.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12014 RPR F/E/E/N/L/M 5.1-7.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12014 RPR F/E/E/N/L/M 5.1-7.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12015 RPR F/E/E/N/L/M 7.6-12.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12015 RPR F/E/E/N/L/M 7.6-12.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12016 RPR FE/E/EN/L/M 12.6-20.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12016 RPR FE/E/EN/L/M 12.6-20.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12017 RPR FE/E/EN/L/M 20.1-30.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12017 RPR FE/E/EN/L/M 20.1-30.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12018 RPR F/E/E/N/L/M >30.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12018 RPR F/E/E/N/L/M >30.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12020 CLOSURE OF SPLIT WOUND Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12020 CLOSURE OF SPLIT WOUND Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12021 CLOSURE OF SPLIT WOUND Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12021 CLOSURE OF SPLIT WOUND Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12031 INTMD RPR S/A/T/EXT 2.5 CM/< Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12031 INTMD RPR S/A/T/EXT 2.5 CM/< Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12032 INTMD RPR S/A/T/EXT 2.6-7.5 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12032 INTMD RPR S/A/T/EXT 2.6-7.5 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12034 INTMD RPR S/TR/EXT 7.6-12.5 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12034 INTMD RPR S/TR/EXT 7.6-12.5 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

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CCI Policy

12035 INTMD RPR S/A/T/EXT 12.6-20 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12035 INTMD RPR S/A/T/EXT 12.6-20 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12036 INTMD RPR S/A/T/EXT 20.1-30 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12036 INTMD RPR S/A/T/EXT 20.1-30 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12037 INTMD RPR S/TR/EXT >30.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12037 INTMD RPR S/TR/EXT >30.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12041 INTMD RPR N-HF/GENIT 2.5CM/< Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12041 INTMD RPR N-HF/GENIT 2.5CM/< Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12042 INTMD RPR N-HF/GENIT2.6-7.5 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12042 INTMD RPR N-HF/GENIT2.6-7.5 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12044 INTMD RPR N-HF/GENIT7.6-12.5 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12044 INTMD RPR N-HF/GENIT7.6-12.5 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12045 INTMD RPR N-HF/GENIT12.6-20 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12045 INTMD RPR N-HF/GENIT12.6-20 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12046 INTMD RPR N-HF/GENIT20.1-30 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12046 INTMD RPR N-HF/GENIT20.1-30 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12047 INTMD RPR N-HF/GENIT >30.0CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12047 INTMD RPR N-HF/GENIT >30.0CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12051 INTMD RPR FACE/MM 2.5 CM/< Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12051 INTMD RPR FACE/MM 2.5 CM/< Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12052 INTMD RPR FACE/MM 2.6-5.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12052 INTMD RPR FACE/MM 2.6-5.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12053 INTMD RPR FACE/MM 5.1-7.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12053 INTMD RPR FACE/MM 5.1-7.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12054 INTMD RPR FACE/MM 7.6-12.5CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12054 INTMD RPR FACE/MM 7.6-12.5CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12055 INTMD RPR FACE/MM 12.6-20 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12055 INTMD RPR FACE/MM 12.6-20 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12056 INTMD RPR FACE/MM 20.1-30.0 Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12056 INTMD RPR FACE/MM 20.1-30.0 Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12057 INTMD RPR FACE/MM >30.0 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code12057 INTMD RPR FACE/MM >30.0 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13100 CMPLX RPR TRUNK 1.1-2.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13100 CMPLX RPR TRUNK 1.1-2.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13101 CMPLX RPR TRUNK 2.6-7.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13101 CMPLX RPR TRUNK 2.6-7.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13102 CMPLX RPR TRUNK ADDL 5CM/< Integumentary 1/1/2000 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13102 CMPLX RPR TRUNK ADDL 5CM/< Integumentary 1/1/2000 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13120 CMPLX RPR S/A/L 1.1-2.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13120 CMPLX RPR S/A/L 1.1-2.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13121 CMPLX RPR S/A/L 2.6-7.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13121 CMPLX RPR S/A/L 2.6-7.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13122 CMPLX RPR S/A/L ADDL 5 CM/> Integumentary 1/1/2000 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13122 CMPLX RPR S/A/L ADDL 5 CM/> Integumentary 1/1/2000 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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13131 CMPLX RPR F/C/C/M/N/AX/G/H/F Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13131 CMPLX RPR F/C/C/M/N/AX/G/H/F Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13132 CMPLX RPR F/C/C/M/N/AX/G/H/F Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13132 CMPLX RPR F/C/C/M/N/AX/G/H/F Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13133 CMPLX RPR F/C/C/M/N/AX/G/H/F Integumentary 1/1/2000 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13133 CMPLX RPR F/C/C/M/N/AX/G/H/F Integumentary 1/1/2000 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13151 CMPLX RPR E/N/E/L 1.1-2.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13151 CMPLX RPR E/N/E/L 1.1-2.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13152 CMPLX RPR E/N/E/L 2.6-7.5 CM Integumentary 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13152 CMPLX RPR E/N/E/L 2.6-7.5 CM Integumentary 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13153 CMPLX RPR E/N/E/L ADDL 5CM/< Integumentary 1/1/2000 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code13153 CMPLX RPR E/N/E/L ADDL 5CM/< Integumentary 1/1/2000 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24300 MANIPULATE ELBOW W/ANESTH Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20600 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24300 MANIPULATE ELBOW W/ANESTH Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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Edit Exp. Date

CCI Policy

20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

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Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI Policy

20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI Policy

20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20605 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27137 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27138 REVISE HIP JOINT REPLACEMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27331 EXPLORE/TREAT KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27332 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27333 REMOVAL OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27334 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27335 REMOVE KNEE JOINT LINING Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27340 REMOVAL OF KNEECAP BURSA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27350 REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27403 REPAIR OF KNEE CARTILAGE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27405 REPAIR OF KNEE LIGAMENT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27420 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27422 REVISION OF UNSTABLE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27424 REVISION/REMOVAL OF KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27425 LAT RETINACULAR RELEASE OPEN Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27427 RECONSTRUCTION KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27437 REVISE KNEECAP Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27438 REVISE KNEECAP WITH IMPLANT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27455 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27457 REALIGNMENT OF KNEE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27486 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27487 REVISE/REPLACE KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27488 REMOVAL OF KNEE PROSTHESIS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27511 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27513 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27514 TREATMENT OF THIGH FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27524 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27530 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27540 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27556 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27557 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27558 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27566 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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Denied Code Description

Code Section

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Paid Code Description

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Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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Denied Code Description

Code Section

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Paid Code

Paid Code Description

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Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20610 DRAIN/INJ JOINT/BURSA W/O US Musculoskeletal 1/1/1998 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 21073 MNPJ OF TMJ W/ANESTH Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23520 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23525 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23530 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23532 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23540 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23545 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23550 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23552 TREAT CLAVICLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23650 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23655 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23660 TREAT SHOULDER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23665 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23670 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23675 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 23680 TREAT DISLOCATION/FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24145 PARTIAL REMOVAL OF RADIUS Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24149 RADICAL RESECTION OF ELBOW Musculoskeletal 1/1/1997 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24150 RESECT DISTAL HUMERUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24152 RESECT RADIUS TUMOR Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24155 REMOVAL OF ELBOW JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24343 REPR ELBOW LAT LIGMNT W/TISS Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24344 RECONSTRUCT ELBOW LAT LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24345 REPR ELBW MED LIGMNT W/TISSU Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24346 RECONSTRUCT ELBOW MED LIGMNT Musculoskeletal 1/1/2002 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24357 REPAIR ELBOW PERC Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24358 REPAIR ELBOW W/DEB OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24359 REPAIR ELBOW DEB/ATTCH OPEN Musculoskeletal 1/1/2008 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24530 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24535 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24538 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24545 TREAT HUMERUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24620 TREAT ELBOW FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24640 TREAT ELBOW DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24650 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 24655 TREAT RADIUS FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25600 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25605 TREAT FRACTURE RADIUS/ULNA Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25622 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 25624 TREAT WRIST BONE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26540 REPAIR HAND JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26541 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26542 REPAIR HAND JOINT WITH GRAFT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26545 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26548 RECONSTRUCT FINGER JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26740 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26742 TREAT FINGER FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 26776 PIN FINGER DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27120 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27122 RECONSTRUCTION OF HIP SOCKET Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27146 INCISION OF HIP BONE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27216 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27217 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27218 TREAT PELVIC RING FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27220 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27222 TREAT HIP SOCKET FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27250 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27252 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27253 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27254 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27256 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27257 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27258 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27259 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27265 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27266 TREAT HIP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27275 MANIPULATION OF HIP JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27520 TREAT KNEECAP FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27532 TREAT KNEE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27538 TREAT KNEE FRACTURE(S) Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27550 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27552 TREAT KNEE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27560 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27562 TREAT KNEECAP DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27570 FIXATION OF KNEE JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27818 TREATMENT OF ANKLE FRACTURE Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27829 TREAT LOWER LEG JOINT Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27830 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27831 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27832 TREAT LOWER LEG DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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OCE_CCI v21.1 Additions

Denied Code

Denied Code Description

Code Section

Denied Code Effective Date

Paid Code

Paid Code Description

Code Section

Paid Code Eff. Date

Modifier Override

Edit Eff. Date

Horizon Edit Eff. Date

Edit Exp. Date

CCI Policy

20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27840 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 27842 TREAT ANKLE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28455 TREAT MIDFOOT FRACTURE EACH Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28540 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28545 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28546 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28570 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28575 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28576 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28600 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28605 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28606 TREAT FOOT DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28630 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28635 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28636 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28660 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28665 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 28666 TREAT TOE DISLOCATION Musculoskeletal 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code22848 INSERT PELV FIXATION DEVICE Musculoskeletal 1/1/1996 27279 ARTHRODESIS SACROILIAC JOINT Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition33951 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33955 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33952 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33954 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33952 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33956 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33953 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33955 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures33954 ECMO/ECLS INSJ PRPH CANNULA Cardiovascular 1/1/2015 33956 ECMO/ECLS INSJ CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures42826 REMOVAL OF TONSILS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42825 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42826 REMOVAL OF TONSILS Digestive 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43770 LAP PLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43771 LAP REVISE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43773 LAP REPLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43774 LAP RMVL GASTR ADJ ALL PARTS Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43775 LAP SLEEVE GASTRECTOMY Digestive 1/1/2010 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43281 LAP PARAESOPHAG HERN REPAIR Digestive 1/1/2010 43843 GASTROPLASTY W/O V-BAND Digestive 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43770 LAP PLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43771 LAP REVISE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43773 LAP REPLACE GASTR ADJ DEVICE Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43774 LAP RMVL GASTR ADJ ALL PARTS Digestive 1/1/2006 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43775 LAP SLEEVE GASTRECTOMY Digestive 1/1/2010 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code43282 LAP PARAESOPH HER RPR W/MESH Digestive 1/1/2010 43843 GASTROPLASTY W/O V-BAND Digestive 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code44403 COLONOSCOPY W/RESECTION Digestive 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45350 SGMDSC W/BAND LIGATION Digestive 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45350 SGMDSC W/BAND LIGATION Digestive 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedure45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures46601 DIAGNOSTIC ANOSCOPY Digestive 1/1/2015 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 0 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64486 TAP BLOCK UNIL BY INJECTION Nervous 1/1/2015 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64487 TAP BLOCK UNI BY INFUSION Nervous 1/1/2015 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64488 TAP BLOCK BI INJECTION Nervous 1/1/2015 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code64489 TAP BLOCK BI BY INFUSION Nervous 1/1/2015 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66820 INCISION SECONDARY CATARACT Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66821 AFTER CATARACT LASER SURGERY Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66840 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66850 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66852 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66920 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66930 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66940 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "66030 INJECTION TREATMENT OF EYE Eye & Ocular Adnexa 1/1/1998 66986 EXCHANGE LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66820 INCISION SECONDARY CATARACT Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66821 AFTER CATARACT LASER SURGERY Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66825 REPOSITION INTRAOCULAR LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66830 REMOVAL OF LENS LESION Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66840 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66850 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66852 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66920 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66930 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66940 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66982 CATARACT SURGERY COMPLEX Eye & Ocular Adnexa 1/1/2001 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66983 CATARACT SURG W/IOL 1 STAGE Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66984 CATARACT SURG W/IOL 1 STAGE Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66985 INSERT LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "67028 INJECTION EYE DRUG Eye & Ocular Adnexa 1/1/1998 66986 EXCHANGE LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66820 INCISION SECONDARY CATARACT Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66821 AFTER CATARACT LASER SURGERY Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66825 REPOSITION INTRAOCULAR LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66830 REMOVAL OF LENS LESION Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66840 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66850 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66852 REMOVAL OF LENS MATERIAL Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66920 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66930 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66940 EXTRACTION OF LENS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66983 CATARACT SURG W/IOL 1 STAGE Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye & Ocular Adnexa 1/1/1998 66985 INSERT LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code68200 TREAT EYELID BY INJECTION Eye and Ocular Adnexa 1/1/1998 66986 EXCHANGE LENS PROSTHESIS Eye & Ocular Adnexa 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code76970 ULTRASOUND EXAM FOLLOW-UP Radiology 1/1/1998 20604 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code76970 ULTRASOUND EXAM FOLLOW-UP Radiology 1/1/1998 20606 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code76970 ULTRASOUND EXAM FOLLOW-UP Radiology 1/1/1998 20611 DRAIN/INJ JOINT/BURSA W/US Musculoskeletal 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62310 INJECT SPINE CERV/THORACIC Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62311 INJECT SPINE LUMBAR/SACRAL Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62318 INJECT SPINE W/CATH CRV/THRC Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77003 FLUOROGUIDE FOR SPINE INJECT Radiology 1/1/2007 62319 INJECT SPINE W/CATH LMB/SCRL Nervous 1/1/2000 1 1/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77063 BREAST TOMOSYNTHESIS BI Radiology 1/1/2015 77057 MAMMOGRAM SCREENING Radiology 1/1/2007 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77261 RADIATION THERAPY PLANNING Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77262 RADIATION THERAPY PLANNING Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77263 RADIATION THERAPY PLANNING Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77300 RADIATION THERAPY DOSE PLAN Radiology 1/1/1998 77321 SPECIAL TELETX PORT PLAN Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77306 TELETHX ISODOSE PLAN SIMPLE Radiology 1/1/2015 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77307 TELETHX ISODOSE PLAN CPLX Radiology 1/1/2015 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77316 BRACHYTX ISODOSE PLAN SIMPLE Radiology 1/1/2015 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77317 BRACHYTX ISODOSE INTERMED Radiology 1/1/2015 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77318 BRACHYTX ISODOSE COMPLEX Radiology 1/1/2015 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77332 RADIATION TREATMENT AID(S) Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77333 RADIATION TREATMENT AID(S) Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77334 RADIATION TREATMENT AID(S) Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77336 RADIATION PHYSICS CONSULT Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77338 DESIGN MLC DEVICE FOR IMRT Radiology 1/1/2010 77385 NTSTY MODUL RAD TX DLVR SMPL Radiology 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77385 NTSTY MODUL RAD TX DLVR SMPL Radiology 1/1/2015 77386 NTSTY MODUL RAD TX DLVR CPLX Radiology 1/1/2015 1 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition77427 RADIATION TX MANAGEMENT X5 Radiology 1/1/2000 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77431 RADIATION THERAPY MANAGEMENT Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77432 STEREOTACTIC RADIATION TRMT Radiology 1/1/1994 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77435 SBRT MANAGEMENT Radiology 1/1/2007 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77469 IO RADIATION TX MANAGEMENT Radiology 1/1/2012 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions77470 SPECIAL RADIATION TREATMENT Radiology 1/1/1998 77401 RADIATION TREATMENT DELIVERY Radiology 1/1/1998 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions87623 HPV LOW-RISK TYPES Pathology & Laboratory 1/1/2015 87624 HPV HIGH-RISK TYPES Pathology & Lab 1/1/2015 0 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions87625 HPV TYPES 16 & 18 ONLY Pathology & Laboratory 1/1/2015 87624 HPV HIGH-RISK TYPES Pathology & Lab 1/1/2015 0 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definition88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81246 FLT3 GENE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81288 MLH1 GENE Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81313 PCA3/KLK3 ANTIGEN Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81410 AORTIC DYSFUNCTION/DILATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81411 AORTIC DYSFUNCTION/DILATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81415 EXOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81416 EXOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81417 EXOME RE-EVALUATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81420 FETAL CHRMOML ANEUPLOIDY Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81425 GENOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81426 GENOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81427 GENOME RE-EVALUATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81430 HEARING LOSS SEQUENCE ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81431 HEARING LOSS DUP/DEL ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81435 HEREDITARY COLON CANCER Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81436 HEREDITARY COLON CA SYND Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81440 MITOCHONDRIAL GENE Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81445 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81450 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81455 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81460 WHOLE MITOCHONDRIAL GENOME Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81465 WHOLE MITOCHONDRIAL GENOME Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81470 X-LINKED INTELLECTUAL DBLT Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88366 INSITU HYBRIDIZATION (FISH) Pathology & Laboratory 1/1/2015 81471 X-LINKED INTELLECTUAL DBLT Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81246 FLT3 GENE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81288 MLH1 GENE Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81313 PCA3/KLK3 ANTIGEN Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81410 AORTIC DYSFUNCTION/DILATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81411 AORTIC DYSFUNCTION/DILATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81415 EXOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81416 EXOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81417 EXOME RE-EVALUATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81420 FETAL CHRMOML ANEUPLOIDY Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81425 GENOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81426 GENOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81427 GENOME RE-EVALUATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81430 HEARING LOSS SEQUENCE ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81431 HEARING LOSS DUP/DEL ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81435 HEREDITARY COLON CANCER Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81436 HEREDITARY COLON CA SYND Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81440 MITOCHONDRIAL GENE Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81445 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81450 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81455 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81460 WHOLE MITOCHONDRIAL GENOME Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81465 WHOLE MITOCHONDRIAL GENOME Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81470 X-LINKED INTELLECTUAL DBLT Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88374 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81471 X-LINKED INTELLECTUAL DBLT Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81246 FLT3 GENE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81288 MLH1 GENE Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81313 PCA3/KLK3 ANTIGEN Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81410 AORTIC DYSFUNCTION/DILATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81411 AORTIC DYSFUNCTION/DILATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81415 EXOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81416 EXOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81417 EXOME RE-EVALUATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81420 FETAL CHRMOML ANEUPLOIDY Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81425 GENOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81426 GENOME SEQUENCE ANALYSIS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81427 GENOME RE-EVALUATION Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81430 HEARING LOSS SEQUENCE ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81431 HEARING LOSS DUP/DEL ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81435 HEREDITARY COLON CANCER Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81436 HEREDITARY COLON CA SYND Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81440 MITOCHONDRIAL GENE Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81445 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81450 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81455 TARGETED GENOMIC SEQ ANALYS Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81460 WHOLE MITOCHONDRIAL GENOME Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81465 WHOLE MITOCHONDRIAL GENOME Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81470 X-LINKED INTELLECTUAL DBLT Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code88377 M/PHMTRC ALYS ISHQUANT/SEMIQ Pathology & Laboratory 1/1/2015 81471 X-LINKED INTELLECTUAL DBLT Pathology & Lab 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code92012 EYE EXAM ESTABLISH PATIENT Medicine(1) 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions92012 EYE EXAM ESTABLISH PATIENT Medicine(1) 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions92014 EYE EXAM&TX ESTAB PT 1/>VST Medicine(1) 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions92014 EYE EXAM&TX ESTAB PT 1/>VST Medicine(1) 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions93260 PRGRMG DEV EVAL IMPLTBL SYS Medicine(1) 1/1/2015 93640 EVALUATION HEART DEVICE Medicine(1) 1/1/1998 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93260 PRGRMG DEV EVAL IMPLTBL SYS Medicine(1) 1/1/2015 93641 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93260 PRGRMG DEV EVAL IMPLTBL SYS Medicine(1) 1/1/2015 93642 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93261 INTERROGATE SUBQ DEFIB Medicine(1) 1/1/2015 93640 EVALUATION HEART DEVICE Medicine(1) 1/1/1998 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93261 INTERROGATE SUBQ DEFIB Medicine(1) 1/1/2015 93641 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93261 INTERROGATE SUBQ DEFIB Medicine(1) 1/1/2015 93642 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/1994 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93282 PRGRMG EVAL IMPLANTABLE DFB Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93283 PRGRMG EVAL IMPLANTABLE DFB Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93284 PRGRMG EVAL IMPLANTABLE DFB Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93287 PERI-PX DEVICE EVAL & PRGR Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93289 INTERROG DEVICE EVAL HEART Medicine(1) 1/1/2009 93644 ELECTROPHYSIOLOGY EVALUATION Medicine(1) 1/1/2015 1 4/1/2015 5/1/2015 None Mutually exclusive procedures93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 0375T TOTAL DISC ARTHRP ANT APPR T Codes 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33957 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33958 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33959 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33962 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33963 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33964 ECMO/ECLS REPOS PERPH CNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33965 ECMO/ECLS RMVL PERPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33966 ECMO/ECLS RMVL PRPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33969 ECMO/ECLS RMVL PERPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33984 ECMO/ECLS RMVL PRPH CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33985 ECMO/ECLS RMVL CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33986 ECMO/ECLS RMVL CTR CANNULA Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33988 INSERTION OF LEFT HEART VENT Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 33989 REMOVAL OF LEFT HEART VENT Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 34839 PLNNING PT SPEC FENEST GRAFT Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62302 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice

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93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62303 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62304 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 62305 MYELOGRAPHY LUMBAR INJECTION Nervous 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6018 ILEOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6019 COLONOSCOPY LESION REMOVAL HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6020 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6024 LESION REMOVAL COLONOSCOPY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6025 COLONOSCOPY W/STENT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93355 ECHO TRANSESOPHAGEAL (TEE) Medicine(1) 1/1/2015 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None Standards of medical / surgical practice93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33210 INSERT ELECTRD/PM CATH SNGL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33211 INSERT CARD ELECTRODES DUAL Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93600 BUNDLE OF HIS RECORDING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33210 INSERT ELECTRD/PM CATH SNGL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33211 INSERT CARD ELECTRODES DUAL Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93602 INTRA-ATRIAL RECORDING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33210 INSERT ELECTRD/PM CATH SNGL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33211 INSERT CARD ELECTRODES DUAL Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93603 RIGHT VENTRICULAR RECORDING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93610 INTRA-ATRIAL PACING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33202 INSERT EPICARD ELTRD OPEN Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33203 INSERT EPICARD ELTRD ENDO Cardiovascular 1/1/2007 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33206 INSERT HEART PM ATRIAL Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code

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CCI Policy

93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33207 INSERT HEART PM VENTRICULAR Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33208 INSRT HEART PM ATRIAL & VENT Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33212 INSERT PULSE GEN SNGL LEAD Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33213 INSERT PULSE GEN DUAL LEADS Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33214 UPGRADE OF PACEMAKER SYSTEM Cardiovascular 1/1/1994 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33215 REPOSITION PACING-DEFIB LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33216 INSERT 1 ELECTRODE PM-DEFIB Cardiovascular 1/1/1998 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33217 INSERT 2 ELECTRODE PM-DEFIB Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33221 INSERT PULSE GEN MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33224 INSERT PACING LEAD & CONNECT Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33225 L VENTRIC PACING LEAD ADD-ON Cardiovascular 1/1/2003 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33226 REPOSITION L VENTRIC LEAD Cardiovascular 1/1/2003 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33227 REMOVE&REPLACE PM GEN SINGL Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33228 REMV&REPLC PM GEN DUAL LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33229 REMV&REPLC PM GEN MULT LEADS Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33230 INSRT PULSE GEN W/DUAL LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33231 INSRT PULSE GEN W/MULT LEADS Cardiovascular 1/1/2012 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33240 INSRT PULSE GEN W/SINGL LEAD Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33249 INSJ/RPLCMT DEFIB W/LEAD(S) Cardiovascular 1/1/1994 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33262 RMVL& REPLC PULSE GEN 1 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33263 RMVL & RPLCMT DFB GEN 2 LEAD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33264 RMVL & RPLCMT DFB GEN MLT LD Cardiovascular 1/1/2012 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33270 INS/REP SUBQ DEFIBRILLATOR Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33271 INSJ SUBQ IMPLTBL DFB ELCTRD Cardiovascular 1/1/2015 1 4/1/2015 5/1/2015 None Misuse of column two code with column one code93612 INTRAVENTRICULAR PACING Medicine(1) 1/1/1998 33273 REPOS PREV IMPLTBL SUBQ DFB Cardiovascular 1/1/2015 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98925 OSTEOPATH MANJ 1-2 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98926 OSTEOPATH MANJ 3-4 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98927 OSTEOPATH MANJ 5-6 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98928 OSTEOPATH MANJ 7-8 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98929 OSTEOPATH MANJ 9-10 REGIONS Medicine(1) 1/1/1994 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98940 CHIROPRACT MANJ 1-2 REGIONS Medicine(1) 1/1/1997 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98941 CHIROPRACT MANJ 3-4 REGIONS Medicine(1) 1/1/1997 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code98942 CHIROPRACTIC MANJ 5 REGIONS Medicine(1) 1/1/1997 22505 MANIPULATION OF SPINE Musculoskeletal 1/1/1998 0 4/1/2015 5/1/2015 None Misuse of column two code with column one code99211 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99211 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99212 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99212 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99213 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99213 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99214 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99214 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99215 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99215 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99217 OBSERVATION CARE DISCHARGE Evaluation & Management 1/1/1994 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions

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CCI Policy

99217 OBSERVATION CARE DISCHARGE Evaluation & Management 1/1/1994 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99218 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99218 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99219 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99219 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99220 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99220 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99221 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99221 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99222 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99222 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99223 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99223 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99231 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99231 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99232 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99232 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99233 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99233 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99234 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99234 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99235 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99235 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99236 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99236 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99238 HOSPITAL DISCHARGE DAY Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99238 HOSPITAL DISCHARGE DAY Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99239 HOSPITAL DISCHARGE DAY Evaluation & Management 1/1/1996 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99239 HOSPITAL DISCHARGE DAY Evaluation & Management 1/1/1996 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99241 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99241 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99242 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99242 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99243 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99243 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99244 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99244 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99245 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99245 OFFICE CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99251 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99251 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99252 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99252 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99253 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions

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99253 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99254 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99254 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99255 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99255 INPATIENT CONSULTATION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99291 CRITICAL CARE FIRST HOUR Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99291 CRITICAL CARE FIRST HOUR Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99292 CRITICAL CARE ADDL 30 MIN Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99292 CRITICAL CARE ADDL 30 MIN Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99304 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99304 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99305 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99305 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99306 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99306 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99307 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99307 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99308 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99308 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99309 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99309 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99310 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99310 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99315 NURSING FAC DISCHARGE DAY Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99315 NURSING FAC DISCHARGE DAY Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99316 NURSING FAC DISCHARGE DAY Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99316 NURSING FAC DISCHARGE DAY Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99334 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99334 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99335 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99335 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99336 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99336 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99337 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99337 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99347 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99347 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99348 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99348 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99349 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99349 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99350 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99350 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99374 HOME HEALTH CARE SUPERVISION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions

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99374 HOME HEALTH CARE SUPERVISION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99375 HOME HEALTH CARE SUPERVISION Evaluation & Management 1/1/1994 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99375 HOME HEALTH CARE SUPERVISION Evaluation & Management 1/1/1994 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99377 HOSPICE CARE SUPERVISION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99377 HOSPICE CARE SUPERVISION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99378 HOSPICE CARE SUPERVISION Evaluation & Management 1/1/1998 G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructions99378 HOSPICE CARE SUPERVISION Evaluation & Management 1/1/1998 G6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 1 4/1/2015 5/1/2015 None CPT Manual or CMS manual coding instructionsG6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 45393 COLONOSCOPY W/DECOMPRESSION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6022 SIGMOIDOSCOPY W/ABLATE TUMR HCPCS 1/1/2015 45398 COLONOSCOPY W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 45393 COLONOSCOPY W/DECOMPRESSION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6023 SIGMOIDOSCOPY W/STENT HCPCS 1/1/2015 45398 COLONOSCOPY W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 0377T ANOSCPY INJ AGENT FOR INCONT T Codes 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition"G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45346 SIGMOIDOSCOPY W/ABLATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45347 SIGMOIDOSCOPY W/PLCMT STENT Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45350 SGMDSC W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45388 COLONOSCOPY W/ABLATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45389 COLONOSCOPY W/STENT PLCMT Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45393 COLONOSCOPY W/DECOMPRESSION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 45398 COLONOSCOPY W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None "CPT ""separate procedure"" definition "G6027 ANOSCOPY HRA W/SPEC COLLECT HCPCS 1/1/2015 46607 DIAGNOSTIC ANOSCOPY & BIOPSY Digestive 1/1/2015 0 4/1/2015 5/1/2015 None HCPCS/CPT procedure code definitionG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45346 SIGMOIDOSCOPY W/ABLATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45347 SIGMOIDOSCOPY W/PLCMT STENT Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45349 SIGMOIDOSCOPY W/RESECTION Digestive 1/1/2015 1 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45350 SGMDSC W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45388 COLONOSCOPY W/ABLATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45389 COLONOSCOPY W/STENT PLCMT Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45390 COLONOSCOPY W/RESECTION Digestive 1/1/2015 1 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45393 COLONOSCOPY W/DECOMPRESSION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 45398 COLONOSCOPY W/BAND LIGATION Digestive 1/1/2015 0 4/1/2015 5/1/2015 None More extensive procedureG6028 ANOSCOPY HRA W/BIOPSY HCPCS 1/1/2015 46615 ANOSCOPY Digestive 1/1/1994 1 4/1/2015 5/1/2015 None More extensive procedure

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95012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95115 IMMUNOTHERAPY ONE INJECTION Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95117 IMMUNOTHERAPY INJECTIONS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95120 IMMUNOTHERAPY ONE INJECTION Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95125 IMMUNOTHERAPY 2/> INJECTIONS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95130 IMMNTX 1 STING INSECT Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95131 IMMNTX 2 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95132 IMMNTX 3 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95133 IMMNTX 4 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95134 IMMNTX 5 STING INSECTS Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95144 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1994 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95145 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95146 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95147 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95148 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95149 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95165 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1994 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95170 ANTIGEN THERAPY SERVICES Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/201595012 EXHALED NITRIC OXIDE MEAS Medicine(1) 1/1/2007 95180 RAPID DESENSITIZATION Medicine(1) 1/1/1998 1 10/1/2014 03/31/2015 04/30/2015

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Modified 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42825 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42826 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42826 REMOVAL OF TONSILS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42830 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42831 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42835 REMOVAL OF ADENOIDS Digestive 1/1/1998 42820 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 1 1/1/1996 1/1/1996 None 4/30/2015Added 42836 REMOVAL OF ADENOIDS Digestive 1/1/1998 42821 REMOVE TONSILS AND ADENOIDS Digestive 1/1/1998 0 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57260 REPAIR OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 57545 REMOVE CERVIX/REPAIR PELVIS Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 57545 REMOVE CERVIX/REPAIR PELVIS Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015

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Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 10/1/2014 None 4/30/2015Added 57280 SUSPENSION OF VAGINA Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58263 VAG HYST W/T/O & VAG REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58270 VAG HYST W/ENTEROCELE REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58280 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58292 VAG HYST T/O & REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58294 VAG HYST W/ENTEROCELE COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 1 None 5/1/2015 None None

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Modified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58552 LAPARO-VAG HYST INCL T/O Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58552 LAPARO-VAG HYST INCL T/O Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58553 LAPARO-VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58553 LAPARO-VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58554 LAPARO-VAG HYST W/T/O COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57282 COLPOPEXY EXTRAPERITONEAL Female Genital 1/1/1998 58554 LAPARO-VAG HYST W/T/O COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58267 VAG HYST W/URINARY REPAIR Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58293 VAG HYST W/URO REPAIR COMPL Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 10/1/2014 None 4/30/2015Added 57283 COLPOPEXY INTRAPERITONEAL Female Genital 1/1/2005 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 1 None 5/1/2015 None NoneModified 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58290 VAG HYST COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 10/1/2014 None 4/30/2015Added 57284 REPAIR PARAVAG DEFECT OPEN Female Genital 1/1/1996 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 1 None 5/1/2015 None NoneModified 77052 COMP SCREEN MAMMOGRAM ADD-ON Radiology 1/1/2007 77061 BREAST TOMOSYNTHESIS UNI Radiology 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 77052 COMP SCREEN MAMMOGRAM ADD-ON Radiology 1/1/2007 77061 BREAST TOMOSYNTHESIS UNI Radiology 1/1/2015 1 None 5/1/2015 None NoneModified 77052 COMP SCREEN MAMMOGRAM ADD-ON Radiology 1/1/2007 77062 BREAST TOMOSYNTHESIS BI Radiology 1/1/2015 0 1/1/2015 1/1/2015 None 4/30/2015Added 77052 COMP SCREEN MAMMOGRAM ADD-ON Radiology 1/1/2007 77062 BREAST TOMOSYNTHESIS BI Radiology 1/1/2015 1 None 5/1/2015 None None

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57260 REPAIR OF VAGINA Female Genital 1/1/1998 58260 VAGINAL HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58262 VAG HYST INCLUDING T/O Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58275 HYSTERECTOMY/REVISE VAGINA Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58285 EXTENSIVE HYSTERECTOMY Female Genital 1/1/1998 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58290 VAG HYST COMPLEX Female Genital 1/1/2003 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58291 VAG HYST INCL T/O COMPLEX Female Genital 1/1/2003 0 10/1/2014 11/1/201457260 REPAIR OF VAGINA Female Genital 1/1/1998 58550 LAPARO-ASST VAG HYSTERECTOMY Female Genital 1/1/2000 0 10/1/2014 11/1/201477052 COMP SCREEN MAMMOGRAM ADD-ON Radiology 1/1/2007 77063 BREAST TOMOSYNTHESIS BI Radiology 1/1/2015 0 1/1/2015 2/1/201599201 OFFICE/OUTPATIENT VISIT NEW Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599202 OFFICE/OUTPATIENT VISIT NEW Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599203 OFFICE/OUTPATIENT VISIT NEW Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599204 OFFICE/OUTPATIENT VISIT NEW Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599205 OFFICE/OUTPATIENT VISIT NEW Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599211 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599212 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599213 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599214 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599215 OFFICE/OUTPATIENT VISIT EST Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599217 OBSERVATION CARE DISCHARGE Evaluation & Management 1/1/1994 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599218 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599219 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599220 INITIAL OBSERVATION CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599221 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599222 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599223 INITIAL HOSPITAL CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599231 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599232 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599233 SUBSEQUENT HOSPITAL CARE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599234 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599235 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599236 OBSERV/HOSP SAME DATE Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599238 HOSPITAL DISCHARGE DAY Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599239 HOSPITAL DISCHARGE DAY Evaluation & Management 1/1/1996 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599281 EMERGENCY DEPT VISIT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599282 EMERGENCY DEPT VISIT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599283 EMERGENCY DEPT VISIT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599284 EMERGENCY DEPT VISIT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599285 EMERGENCY DEPT VISIT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599291 CRITICAL CARE FIRST HOUR Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599292 CRITICAL CARE ADDL 30 MIN Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599304 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599305 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599306 NURSING FACILITY CARE INIT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/2015

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99307 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599308 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599309 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599310 NURSING FAC CARE SUBSEQ Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599315 NURSING FAC DISCHARGE DAY Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599316 NURSING FAC DISCHARGE DAY Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599318 ANNUAL NURSING FAC ASSESSMNT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599324 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599325 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599326 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599327 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599328 DOMICIL/R-HOME VISIT NEW PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599334 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599335 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599336 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599337 DOMICIL/R-HOME VISIT EST PAT Evaluation & Management 1/1/2006 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599341 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599342 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599343 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599344 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599345 HOME VISIT NEW PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599347 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599348 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599349 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599350 HOME VISIT EST PATIENT Evaluation & Management 1/1/1998 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599354 PROLONGED SERVICE OFFICE Evaluation & Management 1/1/1994 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599356 PROLONGED SERVICE INPATIENT Evaluation & Management 1/1/1994 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599360 PHYSICIAN STANDBY SERVICES Evaluation & Management 1/1/1994 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599455 WORK RELATED DISABILITY EXAM Evaluation & Management 1/1/1995 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599456 DISABILITY EXAMINATION Evaluation & Management 1/1/1995 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599460 INIT NB EM PER DAY HOSP Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599461 INIT NB EM PER DAY NON-FAC Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599462 SBSQ NB EM PER DAY HOSP Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599463 SAME DAY NB DISCHARGE Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599464 ATTENDANCE AT DELIVERY Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599465 NB RESUSCITATION Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599466 PED CRIT CARE TRANSPORT Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599467 PED CRIT CARE TRANSPORT ADDL Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599468 NEONATE CRIT CARE INITIAL Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599469 NEONATE CRIT CARE SUBSQ Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599471 PED CRITICAL CARE INITIAL Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599472 PED CRITICAL CARE SUBSQ Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599475 PED CRIT CARE AGE 2-5 INIT Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/2015

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99476 PED CRIT CARE AGE 2-5 SUBSQ Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599477 INIT DAY HOSP NEONATE CARE Evaluation & Management 1/1/2008 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599478 IC LBW INF < 1500 GM SUBSQ Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599479 IC LBW INF 1500-2500 G SUBSQ Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599480 IC INF PBW 2501-5000 G SUBSQ Evaluation & Management 1/1/2009 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/201599485 SUPRV INTERFACILTY TRANSPORT Evaluation & Management 1/1/2013 G6017 INTRAFRACTION TRACK MOTION HCPCS 1/1/2015 1 1/1/2015 2/1/2015

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