The American Medical Association (AMA) has several resources to help accurately bill procedures and services with the Current Procedural Terminology (CPT) code set and Healthcare Common Procedure Coding System (HCPCS) codes. 21195 $1,240.00 Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. 20615 $124.00 Indiana Indiana uses their own defined diagnosis list for Cesarean Deliveries. 21193 $1,180.32 An additional 16% will be allowed to the assistant surgeon if criteria for assistant surgeon services . CPT Codes Requiring Modifier Health Services Department (650 , CPT Codes Requiring Modifier Health Services Department (650) "Each Additional" Codes Primary surgeons should not bill primary surgeon codes 15000, 61712 (assistant surgeon) and multiple surgical procedures identified by, How To Report Co-Surgeons And Assistant Surgeon Modifiers, surgeries require the expertise of more than one surgeon or may require the assistance of another surgeon to ensure adequate care is given and the surgery is a success. 21175 $1,957.34 20662 $441.73 Last Updated Tue, 25 Oct 2022 15:20:49 +0000. iv(hm5I s>OAhz$ 5)hU!a&L %/EL.Li2V^](Q%c?Vc yA^A*2=Fi7^? ' 20665 $95.00 Removed CMS Assistant at Surgery status indicator table. Benefit Restrictions . 20973 $2,680.73 CMS Disclaimer 4/2022. A: . 20551 $54.25 21344 $1,296.00 All Rights Reserved to AMA. The report is available on the ACS website. In addition, the 2018 report updates 384 revised codes and deletes 48 codes that are no longer in CPT. subject to the assistant-at-surgery policy. 20605 $50.31 Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans. PDF MODIFIERS RECOGNIZED IN PROCESSING SERVICE CLAIMS iLLINOIS HEALTHCARE PDF Assistant-at-Surgery Services Policy, Professional - UHCprovider.com The following modifiers should be used by the supervising physician when he/she is billing for services rendered by a Physician Assistant (PA), Advanced Practice Nurse (APN) or Certified Registered Nurse First Assistant (CRNFA): AS Modifier: A physician should use this modifier when billing on behalf of a PA, APN or CRNFA for services provided when the aforementioned providers are acting as an assistant during surgery. First Assistant Not Payable Under Medicare for 2017 Page 1 - AAPA BY CLICKING ABOVE ON THE LINK LABELED "I Accept", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THESE AGREEMENTS. 0000069971 00000 n 21143 $1,270.64 Added a note that codes are updated quarterly. These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Procedures billed with the assistant-at-surgery physician modifiers -80, -81, -82, or the AS modifier for physician assistants, nurse practitioners and clinical nurse specialists, are. Medicare only covers three immunizations (influenza, pneumonia, and hepatitis B) as prophylactic physician services. 21310 $66.00 20824 $2,166.45 You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. endobj Any questions pertaining to the license or use of the CPT must be addressed to the AMA. 1, 10-01-03) B3-15044 state: For assistant at surgery services performed by physicians, the fee schedule amount equals 16 percent of the amount otherwise applicable for the global surgery. 21356 $337.00 0000004872 00000 n Sleep Apnea A Sleep Disorder That Can Be Fatal, How to Study for Surgical Tech Certification. Physicians who knowingly and willfully violate this prohibition and bill a . Those where the assistant surgeon concept does not apply (Indicator 9). Up Next. Mod KX). 20937 $167.17 Treatment Description. The AMA is a third-party beneficiary to this license. xref Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare and Medicaid Services (CMS). endobj Surgery: Cardiovascular System 1. Note: To search for a specific modifier, enter "Mod" and the applicable modifier (e.g. 20206 $109.00 Current Procedural Terminology (CPT) codes provide a uniform nomenclature for coding medical procedures and services. 21049 $1,097.00 Modifier 80, 81, 82: Denote assistant surgeons. 20694 $354.00 0000011084 00000 n 21206 $1,019.00 p20@ !| :F8 Modifier 80 is appended to the surgical code when another surgeon is assisting at surgery. endobj Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015, These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Physician Coverage Guidelines | Executive Office of Health and Human <>stream Applications are available at the AMA Web site, https://www.ama-assn.org. 0000019895 00000 n 21194 $1,319.83 All Rights Reserved to AMA. 21120 $457.00 20526 $66.00 Up Next. Applications are available at the American Dental Association web site, http://www.ADA.org. The ADA does not directly or indirectly practice medicine or dispense dental services. Assistant surgeon CPT codes Medical Billing CPT ModifiersAssistant surgeon CPT codes not covered list 3000 39400 30000 procedure codes that are "Nevers" for assistant surgeon. 20974 $53.00 List. Even if you get paid for the 29826, this doesn't mean its paid correctly. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. Department of Health & Human . 20660 $182.49 21260 $1,105.11 N.C. Industrial Commission Medical Fee Schedule Section 5: Surgery Discover CPTs role in promoting optimal health for all. 0000001945 00000 n You now have the opportunity to claim CME credit for time spent reading the monthly Bulletin of the American College of Surgeons. Please note, the terms of a customer's particular benefit plan document [Group Service Agreement, Evidence of Coverage, Certificate of Coverage, Summary Plan Description (SPD) or similar plan document] may differ significantly from the standard benefit plans upon which these policies are based. Physicians should report the HCPCS/CPT code that describes the procedure performed to the greatest specificity possible. This information is a guide only; there may be circumstances where an assistant surgeon is necessary due to complications or unusual circumstances. 20200 $124.00 iPhone or An assistant surgeon actively assists the primary surgeon performing a surgical procedure. 1 Modifiers" Current Procedural Terminology (CPT). Assistant Surgeon/Assistant At Surgery Covered ProceduresAssistant Surgeon/Assistant at Surgery Covered Procedures system related to procedure codes allowed to be billed with either the 80 or AS modifier. ), 80 Modifier: PAs, APNs, and CRNFAs who are billing with their own National Provider Identifier (NPI) will not need to bill a modifier, unless they are billing as an Assistant Surgeon, then they must use the 80 modifier. 21208 $884.00 CPT Code Reimbursement 20920 $373.77 21121 $603.00 On June 30, 2009, within the post-op period of the cataract removal surgery, a YAG laser capsulotomy (CPT code 66821) was performed on the right eye. 20553 $29.00 Pathology and Laboratory. 0000001493 00000 n 21014 $509.50 0000013981 00000 n U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements. This modifier describes an assistant surgeon providing full assistance to the primary surgeon, and is not intended for use by non-physician providers. 21180 $1,563.66 Article. To obtain comprehensive knowledge about the UB-04 codes, the Official UB-04 Data Specification Manual is available for purchase on the American Hospital Association Online Store. CPT Level I codes & modifiers HCPCS Level II codes & modifiers CDT CPT Assistant +Archives AHA Coding , CPT Codes And Fees: 2015 CPT Codes North CarolinaCPT Codes and Fees: 2015 CPT Codes. We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions. 21255 $1,263.00 endobj If you choose not to accept the agreement, you will return to the Noridian Medicare home page. The list consists of procedures that Medicare has determined required a first-assistant-at-surgery in fewer than 5% . A physician should not separately report these services simply because HCPCS/CPT codes exist for them. 80 - JE Part B - Noridian Mohs surgical procedure may extend beyond the initial date of service, thus there are 3 Add-on codes (+17312, +17314 . startxref The deadline to claim CME credit for the March issue is May 31, 2022. A licensed physician assistant 3. You should report inpatient consultation services using an Initial Hospital Care code (99221-99223) for the initial evaluation, and a Subsequent Hospital Care code (99231-99233) for subsequent visits. 21282 $322.17 If this is a U.S. Government information system, CMS maintains ownership and responsibility for its computer systems. 21345 $705.00 61 0 obj var url = document.URL; Assistant at surgery may not be paid. Services (DHHS) Pub 100-04 Medicare Claims . trailer The CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Modifier Description Role 80 Assistant Surgeon Provides full assistance to the primary surgeon and capable of taking over the surgery should the primary surgeon become incapacitated. NOTE: Physicians acting as assistants cannot bill as co-surgeons. 0000007136 00000 n List. 21050 $800.65 2. Drive in style with preferred savings when you buy, lease or rent a car. 20955 $2,425.66 21045 $1,132.57 Several general guidelines are repeated in this Chapter. <>stream 3/01 Medical Policy Advisory Group Review. 21296 $367.98 Note: Non Physician Practitioner (NPP) or mid-level practitioner (PA, NP, CNS): Allowed equals 85% of surgical assist or 16% allowable, Inappropriate to bill AS modifier for physician surgical services, Inappropriate to append modifier 58 (staging) with assistant surgery. 0000003765 00000 n 20251 $393.07 To license the electronic data file of UB-04 Data Specifications, contact AHA at (312) 893-6816. CPT/Modifier. Bernadine Singh Chief Medical Fee Examiner CPT Codes and Fees, Effective January 1-June 30, 2015: ABBREVIATIONS: Asst Surg = assistant surgeon allowed, BM = bilateral modifier, , Obstetrical Billing & Multiple Birth Guidelines Quick , Surgical Complications These services should be coded separately using CPT codes from the Surgery section of the CPT manual. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CDT. This includes items such as CPT codes, CDT codes, ICD-10 and other UB-04 codes. PDF 2020 CPT CODE ADDITIONS Effective January 1, 2020 2020 HCPCS CODE Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. 20827 $1,844.00 21270 $833.21 Pre-exposure prophylaxis is one of the Affordable Care Act (ACA) preventive services at risk in federal court, says Stephen Parodi, MD. Modifiers - JE Part B - Noridian All procedures with a global period of ZZZ are related to another procedure, and the applicable global period for the ZZZ code is determined by the related procedure. A physician should not separately report these services simply because HCPCS/CPT codes exist for them. You should also use Modifier AS when you need to indicate that a PA, When denying non-covered assistant at surgery services for HCPCS/CPT codes, Assistant Surgery Modifiers Medicare Fee Schedule, Payment , Assistant surgery modifiers To report services of an assistant surgeon, the following surgical modifiers should be appended: 80 Assistant Surgeon: This modifier pertains to physicians services only. Users must adhere to CMS Information Security Policies, Standards, and Procedures. Making copies or utilizing the content of the UB-04 Manual or UB-04 Data File, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual / Data File or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. The global concept does not apply to XXX procedures. 20240 $200.00 CPT Code Reimbursement The ADA is a third-party beneficiary to this Agreement. 21247 $1,543.98 The sole responsibility for the software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. A TAR is required for the primary surgeon and assistant surgeon services are not reimbursable. Example 2: Right cataract extraction (CPT code 66984) was performed on May 1, 2009. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. 21248 $1,135.13 25 0 obj This Agreement will terminate upon notice to you if you violate the terms of this Agreement. 20693 $430.00 Up Next. 0000005658 00000 n All rights reserved. PDF Payment of Assistant at Surgery Services in a Method II Critical - CMS When a surgeon is unavailable to serve as an assistant, a qualified surgical resident or other qualified health care professional, such as a nurse practitioner or physician assistant with experience in assisting, may participate in operations, according to the ACSStatements on Principles. This policy provides direction on Blue Cross Blue Shield of North Dakota (BCBSND) reimbursement for services provided by an Assistant Surgeon. Council on Long Range Planning & Development. Get timely provider information including policy, benefits, coding or billing updates, education, and moredelivered directly to your email. "{kAsi_k|'|4 ,bBHc`vQ $\X(?q|NXYq_a}[|[aOQb`Rf,P`GY(](?O?z_. This modifier is not intended for use by non-physician providers. 21215 $941.22 <> Fargo (Headquarters) Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. 0000004680 00000 n 21123 $818.00 CMS DISCLAIMER. endobj Actual payment will be based on Health Options policies, procedures, and Customer Benefit Plans, Reimbursement by Procedure Codes 20000 29999Effective Jan. 1, 2015. The Medicaid rates for ASCs are calculated in . Assistant Surgeon Policy EmblemHealth1. 21026 $397.00 21244 $959.84 While reimbursement is considered, payment determination is subject to, but not limited to: In instances where the provider is participating, based on member benefits, co-payment, coinsurance, and/or deductible shall apply. 20205 $238.00 If appropriate, more than one modifier may be used with a single procedure code; however, are not applicable for every category of the CPT codes. 20957 $2,307.53 (Examples: Obstetrical Billing & Multiple Birth Guidelines Quick Reference Guide . 20970 $2,681.13 <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 3 0 obj For Medicare purposes, modifiers are two-digit codes that may consist of alpha and/or numeric characters, which may be appended to Healthcare Common Procedure Coding System (HCPCS) procedure codes to provide additional information needed to process a claim. Telehealth provides a way for physicians to provide care while keeping patients safe in their homes. 0000005394 00000 n Several general guidelines are repeated in this Chapter. The revenue codes and UB-04 codes are the IP of the American Hospital Association. The reimbursement amount is dependent upon the assistant surgeon modifier appended to the surgical code submitted. 20103 $376.00 Medicare does not recognize a registered nurse first assistant (RNFA) as a qualified Medicare provider. Answer: Most payors will not reimburse 3 providers (2 co-surgeons and 1 assistant) on the same CPT code, 19364. The scope of this license is determined by the ADA, the copyright holder. State Exceptions Colorado Colorado is exempt from this policy. Department of Health & Human . <> 4 0 obj Surgery: Cardiovascular System 1. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. CPT 91311, 0111A, 0112A Covid Vaccine for children, 5 Important points to improve claim submission success rate. 0000004920 00000 n CPT Codes and Fees: Surgery Guide Assistant Surgeon Charges , Payment Of Assistant At Surgery Services In A Method II (minimum assistant surgeon), or 82 (when qualified resident surgeon not available). If he only performs the laparotomy . If this is your first visit, be sure to check out the. CPT has responded by adding six new codes to report online digital evaluation services, or e-visits. Reimbursement by Procedure Codes 20000 29999 Effective Jan. 1, 2015 0000004643 00000 n 21336 $438.00 <>/Metadata 280 0 R/ViewerPreferences 281 0 R>> The surgeon typically pays the co-surgeon/assistant out of the revenue . 21199 $950.84 These rates are provided for informational purposes only and are not to be considered a guarantee of payment. Coding for an assistant in an arthroscopic Bankart repair 21073 $305.61 0000004889 00000 n The assistant at surgery payment indicator describes when assistant at surgery may be paid or not. The following is a list of procedure codes for which Medicare will not reimburse a first-assistant-at-surgery in 2017. Resource. Codes with CMS Co-Surgery Indicators of 0 and 9 should not be billed with modifier 62. The global period for YYY procedures is defined by the Carrier (A/B MAC processing practitioner service claims). CMS Internet Only Manual (IOM) Reason & Remark Codes ; Acronyms and Glossary ; Calculators/Tools : External Resources; www.CMS.gov ; Assistant Surgeon Policy Oxford Health PlansAssistant Surgeon Policy: Reimbursement Policy (Effective 01/11/2016) CPT/HCPCS codes allowed for assistant surgeon reimbursement) to reflect annual code edits: o Added 54437 and 54438 o Removed 21810, 33332, 33472, 33960, 42508, 43350, MODIFIERS Professional Claims BCBSTXMODIFIERS Professional Claims Effective 8/27/07 Blue Cross and Blue Shield of Texas/HMO Blue Texas accept all valid CPT and HCPCS Assistant Surgeon Modifiers Modifier 80, 81, 82: Denote assistant surgeons. The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. The HOD speakers welcome comments for reports under development for the upcoming Interim and Annual Meetings. Coding Corner: How to report a consult service when your - cmadocs Gastric Bypass for Morbid Obesity. The ACS maintains that a physician who assists with an operation should be trained to participate in and actively assist the . 1 = Statutory payment restriction for assistants at surgery applies to this procedure. Radiology. The Internet-Only Manuals (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 12, Section 20.4.5 (Allowable Adjustments) limits the reporting of use of an operating microscope (CPT code 69990) to procedures described by CPT codes 61304-61546, 61550-61711, 62010-62100, 63081-63308, 63704-63710, 64831, 64834-64836, 64840-64858, Assistant at Surgery Modifiers Fact Sheet - Novitas Solutions These rates are provided for informational purposes only and are not to be considered a guarantee of payment. 60000 62281 64479 64744 65775 66982 67800 68340 69450 60100 62282 64480 64774 65778 66983 67801 68360 69501 60300 62284 64483 64776 65779 Valid indicators are: 0 = Payment restriction for assistants at surgery applies to this procedure unless supporting documentation is submitted to establish medical necessity. Modifiers 80, 81, 82, AS; Assistant at Surgery - Medicare Advantage; 9/2022. 21355 $316.00 AS Non-physician provider as assistant at surgery: This modifier applies when the assistant at surgery services are provided by a PA, ARNP, or CNS. 21179 $1,388.01 November 2006 CPT Assistant, the Add-on code should be reported on same claim as the primary Mohs procedure even though the dates of service may differ. !op pO:y[5SabbzOAn` College of Surgeons as its primary source for determining if an assistant surgeon is clinically valid for a, CMS Manual SystemCMS Manual System . Note: The information obtained from this Noridian website application is as current as possible. 81 Assistant Surgeon: This modifier pertains to physicians services only. Treatment Description. endobj 4. First Coast Service Options Inc. (First Coast) would like to remind providers within jurisdiction N (JN) of the appropriate use of assistant at surgery modifiers and payment under the Medicare physician fee schedule (MPFS). First Assistant Not Payable Under Medicare for 2017 Page 2. Assistant Special Edition: December Update (2020) in which vaccine product code 91302 (AstraZeneca, two dose vaccine) was established with its corre-sponding administration codes (0021A, 0022A). Officials and members gather to elect officers and address policy at the 2023 AMA Annual Meeting being held in Chicago, June 9-14, 2023. List of CPT & HCPCS MODIFIERS - Medical billing cpt modifiers and list 21385 $666.31 21325 $333.00 21122 $627.00 %PDF-1.7 CPT code 99417 should not be billed for increments of less than 15 minutes. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING. 21010 $675.99 21343 $922.00 A HCPCS/CPT code should be reported only if all services described by the code are performed. 21210 $861.00 However, those general guidelines from Chapter I not discussed in this Chapter are nonetheless applicable. PDF 2020 CPT CODE ADDITIONS Effective January 1, 2020 2020 CPT CODE Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guid. which insurance is primary. Confidential 0000070377 00000 n No allowance is made for codes 64727 or 61712 (Microsurgery). Each month, the Senior Physician Sectionhighlights membersand individualsto showcase their work and current efforts. No . 0000006141 00000 n 21029 $659.00 21154 $2,034.89 0000067999 00000 n IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THESE AGREEMENTS CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. 20610 $59.00 1 0 obj All rights reserved. 0000005853 00000 n Some general guidelines to help in the submission of an NDC drug code include: Submit an NDC code along with the appropriate HCPCS or CPT drug code and the number of HCPCS/CPT drug code units. We allow twenty percent (20%) for this code on surgery . End users do not act for or on behalf of the CMS. 474 49 endobj Cross , Policy SAS01252012RP IMPORTANT NOTE ABOUT THIS REIMBURSEMENT CPT codes and descriptions are copyright 2010 American Reimbursement for surgical assistant services is based on whether the assistant is a Physician or other health care professional. 0000005617 00000 n Reimbursement Policy - Regence The below table identified procedure codes that are not eligible for reimbursement when reported by an Assistant Surgeon. Surgeon who performed surgery (s) with two or more other surgeons; all surgeons must add CPT Modifier 66 to the surgical procedure Procedure codes that have a TEAM 1 or 2 indicator on the MPFSDB must be submitted with supporting documentation CPT Modifier 80 Assistant Surgeon (Physician). Fargo, N.D., 58121. 0000005235 00000 n JavaScript is disabled. 21013 $474.50 When reporting services provided by non-physician practitioners acting as assistants at surgery, append modifier AS to the procedure code used to report the surgeons service. 21330 $488.00 43846 80 . If an assistant surgeon is utilized, allow the primary co-surgeons 50% of the allowed fee. CMS takes big steps to fix prior authorization in Medicare Advantage and more in the latest Advocacy Update spotlight. PDF Assistant-at-Surgery Services Policy, Professional - UHCprovider.com 0000061060 00000 n Reimbursement policies are intended only to establish general guidelines for reimbursement under BCBSND plans. These rates are provided for informational purposes only and are not to be considered a guarantee of payment. 21209 $571.00 Some modifiers can only be used with a particular category and some are not compatible with others. 0000002242 00000 n 21196 $1,362.35 A physicians surgical assistant services may be identified by adding the modifier 80 to the usual procedure code. Assistant Surgeon The procedures codes listed on the Fee Schedule are the only Coverage services reimbursable to an . Unauthorized or improper use of this system is prohibited and may result in disciplinary action and/or civil and criminal penalties.
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