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Names like Bruno Magli, Salvatore Ferragamo and other Italian brands at BLOW-OUT prices!!
Save on Men's Clothing at Sierra Trading Post! |
| HCPCS |
Seq Num |
RIC |
Long Description |
Short Description |
PI1 | PI2 | PI3 | PI4 | MPI | CIM1 | CIM2 | CIM3 | MCM1 | MCM2 | MCM3 | Statute |
Lab Cert1 |
Lab Cert2 |
Lab Cert3 |
Lab Cert4 |
Lab Cert5 |
Lab Cert6 |
Lab Cert7 |
Lab Cert8 |
X-Ref1 | X-Ref2 | X-Ref3 | X-Ref4 | X-Ref5 | Coverage | ASC Pay Grp |
ASC_Pay_Grp Eff_Date |
Mog Pay Grp |
Mog Pay Ind |
Mog Eff Date |
Proc Note |
BETOS | FILLER | TOS1 | TOS2 | TOS3 | TOS4 | TOS5 |
Anest Base Units |
Code Add Date |
Action Eff Date |
Term Date |
Action Code |
| A5513 | 00100 | 3 | "FOR DIABETICS ONLY, MULTIPLE DENSITY INSERT, CUSTOM MOLDED FROM MODEL OF" | Multi den insert custom mold | 52 | A | C | D1F | J | 20060101 | 20060101 | N | ||||||||||||||||||||||||||||||||||||
| A5513 | 00200 | 4 | "PATIENT'S FOOT, TOTAL CONTACT WITH PATIENT'S FOOT, INCLUDING ARCH, BASE LAYER" | |||||||||||||||||||||||||||||||||||||||||||||
| A5513 | 00300 | 4 | "MINIMUM OF 3/16 INCH MATERIAL OF SHORE A 35 DUROMETER OR HIGHER), INCLUDES ARCH" | |||||||||||||||||||||||||||||||||||||||||||||
| A5513 | 00400 | 4 | "FILLER AND OTHER SHAPING MATERIAL, CUSTOM FABRICATED, EACH" | |||||||||||||||||||||||||||||||||||||||||||||
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