global days policy, professional - exchange · 2021. 2. 20. · global days policy, professional...

UnitedHealthcare® Value & Balance Exchange

Reimbursement Policy CMS 1500

Policy Number 2021R0005A

UnitedHealthcare Value & Balance Exchange Proprietary information of UnitedHealthcare. Copyright 2021 United HealthCare Services, Inc.

Global Days Policy, Professional

IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY You are responsible for submission of accurate claims. This reimbursement policy is intended to ensure that you are reimbursed based on the code or codes that correctly describe the health care services provided. UnitedHealthcare Value & Balance Exchange reimbursement policies may use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement. This reimbursement policy applies to all health care services billed on CMS 1500 forms and, when specified, to those billed on UB04 forms. Coding methodology, industry-standard reimbursement logic, regulatory requirements, benefits design and other factors are considered in developing reimbursement policy. This information is intended to serve only as a general reference resource regarding UnitedHealthcare Value & Balance Exchange’s reimbursement policy for the services described and is not intended to address every aspect of a reimbursement situation. Accordingly, UnitedHealthcare Value & Balance Exchange may use reasonable discretion in interpreting and applying this policy to health care services provided in a particular case. Further, the policy does not address all issues related to reimbursement for health care services provided to UnitedHealthcare Value & Balance Exchange enrollees. Other factors affecting reimbursement may supplement, modify or, in some cases, supersede this policy. These factors may include, but are not limited to: legislative mandates, the physician or other provider contracts, the enrollee’s benefit coverage documents and/or other reimbursement, medical or drug policies. Finally, this policy may not be implemented exactly the same way on the different electronic claims processing systems used by UnitedHealthcare Value & Balance Exchange due to programming or other constraints; however, UnitedHealthcare Value & Balance Exchange strives to minimize these variations. UnitedHealthcare Value & Balance Exchange may modify this reimbursement policy at any time by publishing a new version of the policy on this Website. However, the information presented in this policy is accurate and current as of the date of publication. *CPT Copyright American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.

Table of Contents

Application Policy

Overview Reimbursement

Global Period Assignments and the Global Surgical Package

Services Included in the Global Surgical Package

Services Not Included in the Global Surgical Package

Reimbursement for Procedures Reported with Modifier 78

Modifiers

Definitions Questions and Answers Attachments Resources History





Application

This reimbursement policy applies to UnitedHealthcare Value & Balance Exchange products.

This reimbursement policy applies to services reported using the 1500 Health Insurance Claim Form (a/k/a CMS-1500) or its electronic equivalent or its successor form. This policy applies to all products, all network and non-network physicians and other qualified health care professionals, including, but not limited to, non-network authorized and percent of charge contract physicians and other qualified health care professionals.

Policy

Overview

The Global Period assignment or Global Days Value is the time frame that applies to certain procedures subject to a Global Surgical Package concept whereby all necessary services normally furnished by a physician (before, during and after the procedure) are included in the reimbursement for the procedure performed. Modifiers should be used as appropriate to indicate services that are not part of the Global Surgical Package.

For purposes of this policy, Same Specialty Physician or Other Qualified Health Care Professional is defined as physicians and/or other qualified health care professionals of the same group and same specialty reporting the same Federal Tax Identification number (TIN).

Reimbursement Guidelines

Global Period Assignments and the Global Surgical Package

UnitedHealthcare Value & Exchange follows the Centers for Medicare and Medicaid Services (CMS) in regard to Global Days Values as set forth in the National Physician Fee Schedule (NPFS) Relative Value File, except as noted below. UnitedHealthcare Value & Exchange also follows CMS in regard to services included in and excluded from the Global Surgical Package. Refer to the Attachments section for a complete listing of the UnitedHealthcare Value & Exchange Global Days Values assignments.

CMS/NPFS Global Days

Value

UnitedHealthcare Value & Exchange Global Days Value

Value Description

000 000

Endoscopic or minor procedure with related preoperative and postoperative relative values on the day of the procedure only is included in the Global Surgical Package. Evaluation and Management (E/M) services on the day of the procedure are not reimbursable except as noted within this policy.

010 010

Minor procedure with preoperative relative values on the day of the procedure and postoperative relative values during a 10-day postoperative period are included in the Global Surgical Package. Evaluation and Management services on the day of the procedure and during the 10-day postoperative period are not reimbursable except as noted within this policy. A procedure having a Global Days Value of 000, 010 or 090 that is performed during the postoperative period of a procedure having a Global Days Value of 010 is included in the Global Surgical Package of the initial procedure and is not separately reimbursable except as noted within this policy.

090 090 Major procedure with a 1-day preoperative period and 90-day postoperative period included in the Global Surgical Package. Evaluation and Management services on the day prior to the procedure, the day of the procedure, and during





the 90-day postoperative period are not reimbursable except as noted within this policy. A procedure having a Global Days Value of 000, 010 or 090 that is performed during the postoperative period of a procedure having a Global Days Value of 090 is included in the Global Surgical Package of the initial procedure and is not separately reimbursable except as noted within this policy.

MMM 000, 042, XXX

Maternity code; the usual Global Period concept does not apply. UnitedHealthcare Value & Exchange assigns Global Days Values to these codes. Codes which represent delivery plus postpartum services are assigned a Global Days Value of 042. For these 42-day codes, Evaluation and Management services on the day of the delivery and during the 42-day post-delivery period are not separately reimbursable except as noted within this policy. Other Maternity (MMM) codes are assigned Global Days Values of 000 or XXX.

XXX N/A Per CMS, the Global Surgical Package concept does not apply to the code.

YYY 000 The local Medicare carrier determines whether the global concept applies and establishes the postoperative period. UnitedHealthcare Value & Exchange assigns a Global Days Value of 000 to these codes.

ZZZ N/A

The code is related to another service and is always included in the Global Period of the primary service. The Global Surgical Package concept does not apply to the code.

Global Surgery applies in any setting, including an inpatient hospital, outpatient hospital, Ambulatory Surgical Center (ASC), and physician’s office. Visits to a patient in an intensive care or critical care unit are also included in the Global Surgical Package if made by the surgeon. There are three types of Global Surgical Packages based on the number of post-operative days. Zero Day Post-operative Period, (endoscopies and some Minor Procedures).

• No pre-operative period

• No post-operative days

• Visit on day of procedure is generally not payable as a separate service

10-day Post-operative Period, (other Minor Procedures).

• No pre-operative period

• Visit on day of the procedure is generally not payable as a separate service

• Total global period is 11 days. Count the day of the surgery and 10 days following the day of the surgery

90-day Post-operative Period (Major Procedures)

• One day pre-operative included

• Day of the procedure is generally not payable as a separate service

• Total global period is 92 days. Count 1 day before the day of the surgery, the day of surgery, and the 90 days immediately following the day of surgery.

The payment rules for Global Surgical Packages apply to procedure codes with global surgery indicators of 000, 010, 090, and, sometimes, YYY. While codes with “ZZZ” are surgical codes, they are add-on codes that are always billed with another service. There is no post-operative work included in the NPFS payment for the “ZZZ” codes. Payment is made for both the primary and the add-on codes, and the global period assigned is applied to the primary code.

Services Included in the Global Surgical Package





The following services, when provided within the Global Period by the Same Specialty Physician or Other Qualified Health Care Professional, are included in the Global Surgical Package and are not separately reimbursable except as specified.

▪ Preoperative visits are not separately reimbursable services when performed within the assigned Global Period. This period begins with the day before surgery for Major Procedures (those having a Global Days Value of 090) and the day of surgery for procedures having a Global Days Value other than 090.

▪ Complications following a procedure, including all additional medical and/or surgical services required of the physician (not resulting in a return trip to the operating room) that occur within the designated Global Period.

▪ Postoperative visits. This includes follow-up E/M visits that occur within the designated Global Period that are related to patient recovery following surgery.

▪ Post-procedure pain management by the Same Specialty Physician or Other Qualified Health Care Professional.

▪ Selected supplies. ▪ Miscellaneous services related to the procedure such as dressing changes; local incisional care; removal of

operative pack; removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts, and splints; insertion, irrigation and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes.

A procedure having a Global Days Value of 000, 010 or 090 that is performed during the postoperative period of another procedure having a Global Days Value of 010 or 090, when both procedures are reported by the Same Specialty Physician or Other Qualified Health Care Professional, is considered included in the Global Surgical Package of the initial procedure unless an appropriate modifier is appended.

Services Not Included in the Global Surgical Package

▪ Services of a physician who is not the Same Specialty Physician or Other Qualified Health Care Professional. For situations involving transfer of care, see the Split Surgical Package policy for more information.

▪ The initial consultation or evaluation of the problem to determine the need for surgery when reported with modifier 57. This applies only to Major Procedures (those having a Global Days Value of 090). The initial evaluation is always included in the allowance for a procedure having a Global Days Value other than 090. Please see the Global Days Values Assignments table in the Attachments section below.

▪ Visits that are unrelated to the diagnosis for which the procedure was performed. (Use modifier 25 for the day of the procedure and modifier 24 during the postoperative period.)

▪ Diagnostic tests and procedures (including lab and x-rays). ▪ Staged or related procedures or services during the postoperative period. (Use modifier 58.) ▪ Clearly distinct procedures during the postoperative period that are not re-operations or treatment for

complications. (Use modifier 79.) ▪ Immunosuppressive therapy for organ transplants.

Treatment for postoperative complications that requires a return trip to the operating room (OR). Use modifier 78. Please see the Section entitled Reimbursement for Procedures Reported with Modifier 78.

Reimbursement for Procedures Reported with Modifier 78

Consistent with CMS and CPT, modifier 78 should be reported with procedure codes for treatment of postoperative complications that require a return trip to the operating room. Per CMS, an operating room is defined as a place of service specifically equipped and staffed for the sole purpose of performing procedures. The term operating room includes a cardiac catheterization suite, a laser suite and an endoscopy suite. It does not include a patient's room, a minor treatment room, a recovery room, or an intensive care unit (unless the patient's condition was so critical there would be insufficient time for transportation to an operating room.) When modifier 78 is reported for a procedure having a Global Days Value of 010 or 090, UnitedHealthcare Value & Exchange will reimburse for the Intraoperative Percentage of the modified procedure, determined to be 84% of the Allowable Amount. A modifier 78 reduction will not be applied to a procedure having a Global Days Value other than 010 or 090, even if modifier 78 is appended.





A modifier 78 reduction will not be applied to a procedure having a Global Days Value of 010 or 090 which does not also have an Intraoperative Percentage in the CMS National Physician Fee Schedule Relative Value File. For example, an Intraoperative Percentage is not listed in the National Physician Fee Schedule for CPT code 77750 (Infusion or instillation of radioelement solution [includes 3-month follow-up care]). Therefore, reimbursement for this code will not be reduced to 84% even if the code is reported with modifier 78. PFS Relative Value File A new Global Period will not apply to a procedure meeting these requirements and reported with modifier 78, and multiple procedure reductions will not be applied.

Modifiers

24 25 57 58 78 79

Definitions

Allowable Amount Defined as the dollar amount eligible for reimbursement to the physician or other qualified health care professional on the claim. Contracted rate, reasonable charge, or billed charges are examples of an Allowable Amount, whichever is applicable. For percent of charge or discount contracts, the Allowable Amount is determined as the billed amount, less the discount.

Global Period, Global Days Value The Global Period or Global Days Value represents the period of time during which all necessary services normally furnished by a physician (before, during, and after the procedure) are included in the reimbursement for the procedure performed.

Global Surgical Package The Global Surgical Package includes the following services in addition to the procedure:

• Visits after the decision for a procedure is made beginning with the day before the procedure for a Major Procedure and the day of the procedure for all others;

• Services that are normally a usual and necessary part of a procedure;

• Complications Following the Procedure - All additional medical or surgical services required during the postoperative period because of complications which do not require additional trips to the operating room;

• Postoperative Visits - Follow-up visits during the postoperative period that are related to recovery;

• Post-procedure Pain Management; • Supplies - Except for those identified as exclusions; and

• Miscellaneous Services - Items such as dressing changes; local incisional care; removal of operative pack; removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts, and splints; insertion, irrigation and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes.

Intraoperative Percentage Percentage for the intraoperative portion of the Global Surgical Package, including postoperative work in the hospital.

Major Procedure A procedure having a Global Days Value of 090.

Minor Procedure A procedure having a Global Days Value of 000 or 010.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/PFS-Relative-Value-Files.html





Same Specialty Physician or Other Qualified Health Care Professional

Physicians and/or other qualified health care professionals of the same group and same specialty reporting the same Federal Tax Identification number.

Surgeon Surgeon is defined by CMS and UnitedHealthcare Value & Exchange as not only the physician who performed the procedure, but also any physician or non-physician of the same specialty within the physician's group practice.

Questions and Answers

1

Q: When does the Global Period of a procedure begin and end? A:

▪ The Global Period for a procedure having a Global Days Value of 000 begins and ends on the same day as the procedure and includes the Evaluation and Management (E/M) services on that day only.

▪ The Global Period for a procedure having a Global Days Value of 010 or 042 includes E/M services provided on the day of the procedure and E/M services provided during the 10 or 42 days following the procedure, beginning the first day after the procedure. ❖ Example: A procedure having a Global Days Value of 010 is performed on 10/1. E/M services

reported on 10/1 and also during the 10 day postoperative period (10/2, 3, 4, 5, 6, 7, 8, 9, 10 and 11) are included in the Global Surgical Package.

▪ The Global Period for a procedure having a Global Days Value of 090 includes E/M services on the day before, the day of and during the 90 days following the procedure. ❖ Example: Procedure is performed on 10/1. E/M services reported on 9/30, 10/1 and during the 90

day postoperative period (10/2 through and including 12/30) are included in the Global Surgical Package.

*Note: In addition to E/M services, the Global Surgical Package and Global Period also apply to procedures that have Global Days Values when reported by the Same Specialty Physician or Other Qualified Health Care Professional. A procedure having a Global Days Value of 000, 010, or 090 that is performed during the postoperative period of a procedure having a Global Days Value of 010 or 090 is considered included in the Global Surgical Package and Global Period of the initial procedure unless an appropriate modifier is appended.

2

Q: Does UnitedHealthcare Value & Exchange require that a physician or other qualified health care professional submit two separate and distinct diagnosis codes in order to be reimbursed for a procedure having a Global Days Value of 000, 010, 042, or 090 and an appropriately modified E/M code submitted on the same day?

A: No. For reimbursement purposes, UnitedHealthcare Value & Exchange requires that a physician or other qualified health care professional rendering a significant, separately identifiable E/M service on the same day of the procedure append modifier 25 to the E/M code. Although UnitedHealthcare Value & Exchange does not require two separate and distinct diagnosis codes to be submitted, if there is more than one diagnosis, all diagnosis codes should be indicated on the claim in accordance with correct coding guidelines.

3

Q: Would UnitedHealthcare Value & Exchange reimburse a Surgeon for unrelated Evaluation and Management services during the Global Period of a procedure?

A: Yes. UnitedHealthcare Value & Exchange would reimburse for unrelated Evaluation and Management services during the Global Period of a procedure when modifier 24 (Unrelated Evaluation and Management Service by the Same Physician During the Postoperative Period) is appended to the E/M code.

4

Q: If a cardiologist performs a procedure having a Global Days Value of 010, and then another cardiologist in the same medical group with the same tax identification number provides follow-up care for the patient during this 10-day period, would UnitedHealthcare Value & Exchange reimburse the second cardiologist for a separate E/M service?

A: No, UnitedHealthcare Value & Exchange would not reimburse for a separate E/M service in this case. UnitedHealthcare Value & Exchange follows CMS guidelines by defining the Same Specialty Physician or Other Qualified Health Care Professional as not only the physician or other qualified health care professional who





performed the procedure, but also any physician or other qualified health care professional of the same specialty within the same group practice with the same tax identification number.

5

Q: Are Global Period assignments limited to surgical procedures only?

A: No, CMS has assigned Global Periods to some non-surgical procedures. Examples: Osteopathic Manipulative Treatment codes (98925 thru 98929) and Chiropractic Manipulative Treatment codes (98940 thru 98942) have CMS Global Days Value assignments of 000; Laser treatment for inflammatory skin diseases (psoriasis) total area less than 250 sq. cm (CPT code 96920) has a CMS Global Days Value assignment of 000; and radiation oncology codes 77750-77763 have Global Days Value assignments of 090.

6

Q: If a physician performs a surgery or procedure that has a Global Days Value of 010 or 090, and during the postoperative period of that procedure, the same physician (or the Same Specialty Physician or Other Qualified Health Care Professional) performs another surgery or procedure having any Global Days Value, is this subsequent procedure reimbursable?

A: Any procedure having a Global Days Value of 000, 010 or 090 that is performed during the postoperative period of an earlier procedure by a physician of the same TIN and specialty as the original Surgeon is considered included in the Global Surgical Package of the earlier procedure and is not separately reimbursable unless an appropriate modifier is also reported. Modifiers 58, 78 and 79 describe circumstances that may apply to the subsequent procedure. If one of these modifiers is reported on a subsequent procedure because the patient’s record supports it, the subsequent procedure will not be considered included in the Global Surgical Package of the earlier procedure and will be considered for separate reimbursement.

7

Q: If a surgeon performs a procedure and reports it with modifier LT and during the postoperative period of that procedure, reports the same procedure with modifier RT, is the second procedure reimbursable?

A: The subsequent procedure reported with RT is included in the Global Surgical Package of the earlier procedure reported with LT unless the subsequent procedure is reported with an appropriate Global Days modifier to indicate that it meets one of the criteria for reimbursement. See the sections above titled Services Not Included in the Global Surgical Package. Correct coding guidelines require that all appropriate modifiers be reported.

Attachments

UnitedHealthcare Value & Balance Exchange Global Days Values Assignments

A list of CPT and HCPCS codes and their Global Days Values assignments. This list does not include codes assigned a value of XXX because the Global Surgical Package concept does not apply to codes with this value.

UnitedHealthcare Value &

Balance Exchange Evaluation & Management Services Included in the

Global Period

A list of Evaluation and Management services included in the Global Period.

Resources

American Medical Association, Current Procedural Terminology ( CPT®) and associated publications and services

Global Days Assignments

Code Global days

0163T 000

0164T 000

0165T 000

0234T 000

0235T 000

0236T 000

0237T 000

0238T 000

0253T 000

0266T 000

0267T 000

0268T 000

0274T 000

0275T 000

0308T 000

0329T 000

0330T 000

0331T 000

0332T 000

0333T 000

0335T 000

0338T 000

0339T 000

0342T 000

0345T 000

0347T 000

0348T 000

0349T 000

0350T 000

0351T 000

0352T 000

0353T 000

0354T 000

0355T 000

0356T 000

0358T 000

0362T 000

0373T 000

0440T 000

0441T 000

0442T 000

0444T 000

0445T 000

0446T 000

0447T 000

0448T 000

0449T 000

0450T 000

0451T 000

0452T 000

0453T 000

0454T 000

0455T 000

0456T 000

0457T 000

0458T 000

0459T 000

0460T 000

0461T 000

0462T 000

0463T 000

0464T 000

0465T 000

0467T 000

0468T 000

0479T 000

0481T 000

0483T 000

0484T 000

0489T 000

0490T 000

0491T 000

0499T 000

0505T 000

0510T 000

0511T 000

0512T 000

0515T 000

0516T 000

0517T 000

0518T 000

0519T 000

0520T 000

0524T 000

0525T 000

0526T 000

0527T 000

0530T 000

0531T 000

0532T 000

0540T 000

0543T 000

0544T 000

0545T 000

0546T 000

0548T 000

0549T 000

0550T 000

0551T 000

0552T 000

0553T 000

0563T 000

0564T 000

0565T 000

0566T 000

0567T 000

0568T 000

0569T 000

0571T 000

0572T 000

0573T 000

0574T 000

0575T 000

0576T 000

0577T 000

0578T 000

0579T 000

0580T 000

0581T 000

0582T 000

0583T 000

0584T 000

0585T 000

0586T 000

0587T 000

0588T 000

0589T 000

0590T 000

0591T 000

0592T 000

0593T 000

0594T 000

0596T 000

0597T 000

0598T 000

0600T 000

0601T 000

0602T 000

0603T 000

0604T 000

0605T 000

0606T 000

0607T 000

0608T 000

0609T 000

0610T 000

0611T 000

0612T 000

0613T 000

0614T 000

0615T 000

0616T 000

0617T 000

0618T 000

0619T 000

0620T 000

0621T 000

0622T 000

0627T 000

0629T 000

0632T 000

10030 000

10035 000

10040 010

10060 010

10061 010

10080 010

10081 010

10120 010

10121 010

10140 010

10160 010

10180 010

11000 000

11004 000

11005 000

11006 000

11010 010

11011 000

11012 000

11042 000

11043 000

11044 000

11055 000

11056 000

11057 000

11102 000

11104 000

11106 000

11200 010

11300 000

11301 000

11302 000

11303 000

11305 000

11306 000

11307 000

11308 000

11310 000

11311 000

11312 000

11313 000

11400 010

11401 010

11402 010

11403 010

11404 010

11406 010

11420 010

11421 010

11422 010

11423 010

11424 010

11426 010

11440 010

11441 010

11442 010

11443 010

11444 010

11446 010

11450 090

11451 090

11462 090

11463 090

11470 090

11471 090

11600 010

11601 010

11602 010

11603 010

11604 010

11606 010

11620 010

11621 010

11622 010

11623 010

11624 010

11626 010

11640 010

11641 010

11642 010

11643 010

11644 010

11646 010

11719 000

11720 000

11721 000

11730 000

11740 000

11750 010

11755 000

11760 010

11762 010

11765 010

11770 010

11771 090

11772 090

11900 000

11901 000

11920 000

11921 000

11950 000

11951 000

11952 000

11954 000

11960 090

11970 090

11971 090

11976 000

11980 000

11981 000

11982 000

11983 000

12001 000

12002 000

12004 000

12005 000

12006 000

12007 000

12011 000

12013 000

12014 000

12015 000

12016 000

12017 000

12018 000

12020 010

12021 010

12031 010

12032 010

12034 010

12035 010

12036 010

12037 010

12041 010

12042 010

12044 010

12045 010

12046 010

12047 010

12051 010

12052 010

12053 010

12054 010

12055 010

12056 010

12057 010

13100 010

13101 010

13120 010

13121 010

13131 010

13132 010

13151 010

13152 010

13160 090

14000 090

14001 090

14020 090

14021 090

14040 090

14041 090

14060 090

14061 090

14301 090

14350 090

15002 000

15004 000

15040 000

15050 090

15100 090

15110 090

15115 090

15120 090

15130 090

15135 090

15150 090

15155 090

15200 090

15220 090

15240 090

15260 090

15271 000

15273 000

15275 000

15277 000

15570 090

15572 090

15574 090

15576 090

15600 090

15610 090

15620 090

15630 090

15650 090

15730 090

15731 090

15733 090

15734 090

15736 090

15738 090

15740 090

15750 090

15756 090

15757 090

15758 090

15760 090

15769 090

15770 090

15771 090

15773 090

15775 000

15776 000

15780 090

15781 090

15782 090

15783 090

15786 010

15788 090

15789 090

15792 090

15793 090

15819 090

15820 090

15821 090

15822 090

15823 090

15824 000

15825 000

15826 000

15828 000

15829 000

15830 090

15832 090

15833 090

15834 090

15835 090

15836 090

15837 090

15838 090

15839 090

15840 090

15841 090

15842 090

15845 090

15847 000

15851 000

15852 000

15860 000

15876 000

15877 000

15878 000

15879 000

15920 090

15922 090

15931 090

15933 090

15934 090

15935 090

15936 090

15937 090

15940 090

15941 090

15944 090

15945 090

15946 090

15950 090

15951 090

15952 090

15953 090

15956 090

15958 090

15999 000

16000 000

16020 000

16025 000

16030 000

16035 000

17000 010

17004 010

17106 090

17107 090

17108 090

17110 010

17111 010

17250 000

17260 010

17261 010

17262 010

17263 010

17264 010

17266 010

17270 010

17271 010

17272 010

17273 010

17274 010

17276 010

17280 010

17281 010

17282 010

17283 010

17284 010

17286 010

17311 000

17313 000

17340 010

17360 010

17380 000

17999 000

19000 000

19020 090

19030 000

19081 000

19083 000

19085 000

19100 000

19101 010

19105 000

19110 090

19112 090

19120 090

19125 090

19281 000

19283 000

19285 000

19287 000

19296 000

19298 000

19300 090

19301 090

19302 090

19303 090

19305 090

19306 090

19307 090

19316 090

19318 090

19325 090

19328 090

19330 090

19340 090

19342 090

19350 090

19355 090

19357 090

19361 090

19364 090

19367 090

19368 090

19369 090

19370 090

19371 090

19380 090

19396 000

19499 000

20100 010

20101 010

20102 010

20103 010

20150 090

20200 000

20205 000

20206 000

20220 000

20225 000

20240 000

20245 000

20250 010

20251 010

20500 010

20501 000

20520 010

20525 010

20526 000

20527 000

20550 000

20551 000

20552 000

20553 000

20555 000

20600 000

20604 000

20605 000

20606 000

20610 000

20611 000

20612 000

20615 010

20650 010

20660 000

20661 090

20662 090

20663 090

20664 090

20665 010

20670 010

20680 090

20690 090

20692 090

20693 090

20694 090

20696 090

20697 000

20802 090

20805 090

20808 090

20816 090

20822 090

20824 090

20827 090

20838 090

20900 000

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