Horizon Blue Cross Blue Shield of New Jersey Correct Coding ......When the code pairs in the table...

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Correct Coding Rules Bank for Radiology, Cardiology and Ultrasound Services

When the code pairs in the table below are submitted for the same date, the code in column 1 will be considered for reimbursement and the code in column 2 will be denied. An asterisk (*) identifies those correct coding rules are effective January 1, 2020.

Paid Code

Denied Code

Rule Source

33016 76000 CMS Edit* 33016 76376 CMS Edit* 33016 76377 CMS Edit* 33016 76380 CMS Edit* 33016 76942 CMS Edit* 33016 76970 CMS Edit* 33016 76998 CMS Edit* 33016 77012 CMS Edit* 33016 77021 CMS Edit* 33016 93303 CMS Edit* 33016 93304 CMS Edit* 33016 93306 CMS Edit* 33016 93307 CMS Edit* 33016 93308 CMS Edit* 33016 93312 CMS Edit* 33016 93320 CMS Edit* 33016 93321 CMS Edit* 33016 93325 CMS Edit* 33017 33016 CMS Edit* 33017 75989 CMS Edit* 33017 76000 CMS Edit* 33017 76376 CMS Edit* 33017 76377 CMS Edit* 33017 76380 CMS Edit* 33017 76942 CMS Edit* 33017 76970 CMS Edit* 33017 76998 CMS Edit* 33017 77012 CMS Edit*

Paid Code

Denied Code

Rule Source

33017 77021 CMS Edit* 33017 93303 CMS Edit* 33017 93304 CMS Edit* 33017 93306 CMS Edit* 33017 93307 CMS Edit* 33017 93308 CMS Edit* 33017 93312 CMS Edit* 33017 93320 CMS Edit* 33017 93321 CMS Edit* 33017 93325 CMS Edit* 33018 33016 CMS Edit* 33018 33017 CMS Edit* 33018 75989 CMS Edit* 33018 76000 CMS Edit* 33018 76376 CMS Edit* 33018 76377 CMS Edit* 33018 76380 CMS Edit* 33018 76942 CMS Edit* 33018 76970 CMS Edit* 33018 76998 CMS Edit* 33018 77012 CMS Edit* 33018 77021 CMS Edit* 33018 93303 CMS Edit* 33018 93304 CMS Edit* 33018 93306 CMS Edit* 33018 93307 CMS Edit* 33018 93308 CMS Edit* 33018 93312 CMS Edit*

See page 68 to review a list of only the code pairs added effective 1/1/2020.

See page 71 to review the code pairs terminated effective 12/31/2019.

This listing was revised on February 21, 2020 and may be subject to change.

Correct Coding Rules Bank: Radiology, Cardiology, Ultrasound Services

* Rule effective January 1, 2020 2

Paid Code

Denied Code

Rule Source

33018 93320 CMS Edit* 33018 93321 CMS Edit* 33018 93325 CMS Edit* 33019 33016 CMS Edit* 33019 33017 CMS Edit* 33019 33018 CMS Edit* 33019 75989 CMS Edit* 33019 76000 CMS Edit* 33019 76380 CMS Edit* 33019 76942 CMS Edit* 33019 76970 CMS Edit* 33019 76998 CMS Edit* 33019 77012 CMS Edit* 33019 77021 CMS Edit* 33019 93303 CMS Edit* 33019 93304 CMS Edit* 33019 93306 CMS Edit* 33019 93307 CMS Edit* 33019 93308 CMS Edit* 33019 93312 CMS Edit* 33019 93320 CMS Edit* 33019 93321 CMS Edit* 33019 93325 CMS Edit* 70010 76000 CMS Edit 70010 77001 CMS Edit 70015 76000 CMS Edit 70015 77001 CMS Edit 70110 70100 CMS Edit 70130 70120 CMS Edit 70150 70140 CMS Edit 70170 76000 CMS Edit 70170 77001 CMS Edit 70170 78660 CMS Edit 70220 70210 CMS Edit 70260 70250 CMS Edit 70310 70300 CMS Edit 70320 70300 CMS Edit

Paid Code

Denied Code

Rule Source

70320 70310 CMS Edit 70330 70328 CMS Edit 70332 76000 CMS Edit 70332 77001 CMS Edit 70336 70332 CPT Definition 70355 70300 CMS Edit 70355 70310 CMS Edit 70355 70320 CMS Edit 70370 70360 CMS Edit 70370 74210 CMS Edit 70370 74230 CMS Edit 70370 76000 CMS Edit 70370 77001 CMS Edit 70370 77002 CMS Edit 70371 70370 CMS Edit 70371 74210 CMS Edit 70371 74230 CMS Edit 70371 74240 CPT Definition 70371 76000 CMS Edit 70371 77001 CMS Edit 70371 77002 CMS Edit 70390 76000 CMS Edit 70390 77001 CMS Edit 70450 70480 CMS Edit 70450 70481 CMS Edit 70450 70482 CMS Edit 70450 76380 CMS Edit 70460 70450 CMS Edit 70460 70480 CMS Edit 70460 70481 CMS Edit 70460 70482 CMS Edit 70460 76000 CMS Edit 70460 76380 CMS Edit 70460 76942 CMS Edit 70460 76970 CMS Edit 70460 76998 CMS Edit 70460 77001 CMS Edit



Paid Code

Denied Code

Rule Source

70470 70450 CMS Edit 70470 70460 CMS Edit 70470 70480 CMS Edit 70470 70481 CMS Edit 70470 70482 CMS Edit 70470 76000 CMS Edit 70470 76380 CMS Edit 70470 76942 CMS Edit 70470 76970 CMS Edit 70470 76998 CMS Edit 70470 77001 CMS Edit 70480 70542 CPT Definition 70480 70543 CPT Definition 70480 76380 CMS Edit 70481 70480 CMS Edit 70481 70540 CPT Definition 70481 70542 CPT Definition 70481 70543 CPT Definition 70481 76000 CMS Edit 70481 76380 CMS Edit 70481 76942 CMS Edit 70481 76970 CMS Edit 70481 76998 CMS Edit 70481 77001 CMS Edit 70482 70480 CMS Edit 70482 70481 CMS Edit 70482 70540 CPT Definition 70482 70542 CPT Definition 70482 70543 CPT Definition 70482 76000 CMS Edit 70482 76380 CMS Edit 70482 76942 CMS Edit 70482 76970 CMS Edit 70482 76998 CMS Edit 70482 77001 CMS Edit 70486 76380 CMS Edit 70487 70486 CMS Edit

Paid Code

Denied Code

Rule Source

70487 76000 CMS Edit 70487 76380 CMS Edit 70487 76942 CMS Edit 70487 76970 CMS Edit 70487 76998 CMS Edit 70487 77001 CMS Edit 70488 70486 CMS Edit 70488 70487 CMS Edit 70488 76000 CMS Edit 70488 76380 CMS Edit 70488 76942 CMS Edit 70488 76970 CMS Edit 70488 76998 CMS Edit 70488 77001 CMS Edit 70490 70540 CPT Definition 70490 70542 CPT Definition 70490 70543 CPT Definition 70490 76380 CMS Edit 70490 78072 CMS Edit 70491 70490 CMS Edit 70491 70540 CPT Definition 70491 70542 CPT Definition 70491 70543 CPT Definition 70491 76000 CMS Edit 70491 76380 CMS Edit 70491 76942 CMS Edit 70491 76970 CMS Edit 70491 76998 CMS Edit 70491 77001 CMS Edit 70491 78072 CMS Edit 70492 70490 CMS Edit 70492 70491 CMS Edit 70492 70540 CPT Definition 70492 70542 CPT Definition 70492 70543 CPT Definition 70492 76000 CMS Edit 70492 76380 CMS Edit



Paid Code

Denied Code

Rule Source

70492 76942 CMS Edit 70492 76970 CMS Edit 70492 76998 CMS Edit 70492 77001 CMS Edit 70492 78072 CMS Edit 70496 70450 CMS Edit 70496 70460 CMS Edit 70496 70470 CMS Edit 70496 76000 CMS Edit 70496 76376 CMS Edit 70496 76377 CMS Edit 70496 76380 CMS Edit 70496 76942 CMS Edit 70496 76970 CMS Edit 70496 76998 CMS Edit 70496 77001 CMS Edit 70498 70490 CMS Edit 70498 70491 CMS Edit 70498 70492 CMS Edit 70498 76000 CMS Edit 70498 76376 CMS Edit 70498 76377 CMS Edit 70498 76380 CMS Edit 70498 76942 CMS Edit 70498 76970 CMS Edit 70498 76998 CMS Edit 70498 77001 CMS Edit 70540 70547 CMS Edit 70540 70548 CMS Edit 70542 70540 CMS Edit 70542 76000 CMS Edit 70542 76942 CMS Edit 70542 76970 CMS Edit 70542 76998 CMS Edit 70542 77001 CMS Edit 70543 70540 CMS Edit 70543 70542 CMS Edit

Paid Code

Denied Code

Rule Source

70543 76000 CMS Edit 70543 76942 CMS Edit 70543 76970 CMS Edit 70543 76998 CMS Edit 70543 77001 CMS Edit 70544 70496 CPT Definition 70544 76376 CMS Edit 70544 76377 CMS Edit 70545 70496 CPT Definition 70545 70544 CMS Edit 70545 76000 CMS Edit 70545 76376 CMS Edit 70545 76377 CMS Edit 70545 76942 CMS Edit 70545 76970 CMS Edit 70545 76998 CMS Edit 70545 77001 CMS Edit 70546 70496 Standard of Practice 70546 70544 CMS Edit 70546 70545 CMS Edit 70546 76000 CMS Edit 70546 76376 CMS Edit 70546 76377 CMS Edit 70546 76942 CMS Edit 70546 76970 CMS Edit 70546 76998 CMS Edit 70546 77001 CMS Edit 70547 70498 CPT Definition 70547 76000 CMS Edit 70547 76376 CMS Edit 70547 76377 CMS Edit 70547 76942 CMS Edit 70547 76970 CMS Edit 70547 76998 CMS Edit 70547 77001 CMS Edit 70548 70498 CPT Definition 70548 70547 CMS Edit



Paid Code

Denied Code

Rule Source

70548 76000 CMS Edit 70548 76376 CMS Edit 70548 76377 CMS Edit 70548 76942 CMS Edit 70548 76970 CMS Edit 70548 76998 CMS Edit 70548 77001 CMS Edit 70549 70498 CPT Definition 70549 70547 CMS Edit 70549 70548 CMS Edit 70549 76000 CMS Edit 70549 76376 CMS Edit 70549 76377 CMS Edit 70549 76942 CMS Edit 70549 76970 CMS Edit 70549 76998 CMS Edit 70549 77001 CMS Edit 70551 70544 CMS Edit* 70551 70545 CMS Edit* 70551 70555 CMS Edit 70551 70557 CMS Edit 70552 70544 CMS Edit* 70552 70545 CMS Edit* 70552 70551 CMS Edit 70552 70554 CMS Edit 70552 70555 CMS Edit 70552 76000 CMS Edit 70552 76942 CMS Edit 70552 76970 CMS Edit 70552 76998 CMS Edit 70552 77001 CMS Edit 70553 70544 CMS Edit* 70553 70545 CMS Edit* 70553 70546 CMS Edit* 70553 70551 CMS Edit 70553 70552 CMS Edit 70553 70554 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

70559 70553 CMS Edit 70559 70557 CMS Edit 70559 70558 CMS Edit 70559 76000 CMS Edit 70559 76942 CMS Edit 70559 76970 CMS Edit 70559 77001 CMS Edit 70559 77021 CMS Edit 71045 74018 CMS Edit 71045 0175T CMS Edit 71046 71045 CMS Edit 71046 0175T CMS Edit 71047 71045 CMS Edit 71047 71046 CMS Edit 71047 71101 CMS Edit 71047 0175T CMS Edit 71048 71045 CMS Edit 71048 71046 CMS Edit 71048 71047 CMS Edit 71048 71101 CMS Edit 71048 0175T CMS Edit 71100 71045 CMS Edit 71101 71045 CMS Edit 71101 71046 CMS Edit 71101 71100 CMS Edit 71110 71045 CMS Edit 71110 71100 CMS Edit 71110 71101 CMS Edit 71111 71045 CMS Edit 71111 71046 CMS Edit 71111 71047 CMS Edit 71111 71048 CMS Edit 71111 71100 CMS Edit 71111 71101 CMS Edit 71111 71110 CMS Edit 71250 71550 CPT Definition 71250 71551 CPT Definition

Paid Code

Denied Code

Rule Source

71250 71552 CPT Definition 71250 75571 CMS Edit 71250 76380 CMS Edit 71260 71250 CMS Edit 71260 71550 CPT Definition 71260 71551 CPT Definition 71260 71552 CPT Definition 71260 75571 CMS Edit 71260 76000 CMS Edit 71260 76380 CMS Edit 71260 76942 CMS Edit 71260 76970 CMS Edit 71260 76998 CMS Edit 71260 77001 CMS Edit 71270 71250 CMS Edit 71270 71260 CMS Edit 71270 71550 CPT Definition 71270 71551 CPT Definition 71270 71552 CPT Definition 71270 75571 CMS Edit 71270 76000 CMS Edit 71270 76380 CMS Edit 71270 76942 CMS Edit 71270 76970 CMS Edit 71270 76998 CMS Edit 71270 77001 CMS Edit 71270 78803 CMS Edit* 71270 78830 CMS Edit* 71270 78831 CMS Edit* 71270 78832 CMS Edit* 71275 71250 CMS Edit 71275 71260 CMS Edit 71275 71270 CMS Edit 71275 76000 CMS Edit 71275 76376 CMS Edit 71275 76377 CMS Edit 71275 76380 CMS Edit



Paid Code

Denied Code

Rule Source

71275 76942 CMS Edit 71275 76970 CMS Edit 71275 76998 CMS Edit 71275 77001 CMS Edit 71275 78803 CMS Edit* 71275 78830 CMS Edit* 71275 78831 CMS Edit* 71275 78832 CMS Edit* 71275 G0297 CMS Edit 71551 71550 CMS Edit 71551 76000 CMS Edit 71551 76942 CMS Edit 71551 76970 CMS Edit 71551 76998 CMS Edit 71551 77001 CMS Edit 71552 71550 CMS Edit 71552 71551 CMS Edit 71552 71555 CMS Edit 71552 76000 CMS Edit 71552 76942 CMS Edit 71552 76970 CMS Edit 71552 76998 CMS Edit 71552 77001 CMS Edit 71555 71275 CPT Definition 71555 71550 CMS Edit 71555 71551 CMS Edit 71555 76000 CMS Edit 71555 76376 CMS Edit 71555 76377 CPT Definition 71555 76942 CMS Edit 71555 76970 CMS Edit 71555 76998 CMS Edit 71555 77001 CMS Edit 72020 77085 CPT Definition 72020 77086 CPT Definition 72040 72020 CPT Definition 72050 72020 CMS Edit

Paid Code

Denied Code

Rule Source

72050 72040 CMS Edit 72052 72020 CMS Edit 72052 72040 CMS Edit 72052 72050 CMS Edit 72070 72020 CPT Definition 72070 72080 CMS Edit 72072 72020 CPT Definition 72072 72070 CMS Edit 72072 72080 CMS Edit 72074 72020 CPT Definition 72074 72070 CMS Edit 72074 72072 CMS Edit 72074 72080 CMS Edit 72080 72020 CPT Definition 72081 72020 CMS Edit 72081 72040 CMS Edit 72081 72050 CMS Edit 72081 72052 CMS Edit 72081 72070 CMS Edit 72081 72072 CMS Edit 72081 72074 CMS Edit 72081 72080 CMS Edit 72081 72100 CMS Edit 72081 72110 CMS Edit 72081 72114 CMS Edit 72081 72120 CMS Edit 72081 72220 CMS Edit 72082 72020 CMS Edit 72082 72040 CMS Edit 72082 72050 CMS Edit 72082 72052 CMS Edit 72082 72070 CMS Edit 72082 72072 CMS Edit 72082 72074 CMS Edit 72082 72080 CMS Edit 72082 72081 CMS Edit 72082 72100 CMS Edit



Paid Code

Denied Code

Rule Source

72082 72110 CMS Edit 72082 72114 CMS Edit 72082 72120 CMS Edit 72082 72220 CMS Edit 72083 72020 CMS Edit 72083 72040 CMS Edit 72083 72050 CMS Edit 72083 72052 CMS Edit 72083 72070 CMS Edit 72083 72072 CMS Edit 72083 72074 CMS Edit 72083 72080 CMS Edit 72083 72081 CMS Edit 72083 72082 CMS Edit 72083 72100 CMS Edit 72083 72110 CMS Edit 72083 72114 CMS Edit 72083 72120 CMS Edit 72083 72220 CMS Edit 72084 72020 CMS Edit 72084 72040 CMS Edit 72084 72050 CMS Edit 72084 72052 CMS Edit 72084 72070 CMS Edit 72084 72072 CMS Edit 72084 72074 CMS Edit 72084 72080 CMS Edit 72084 72081 CMS Edit 72084 72082 CMS Edit 72084 72083 CMS Edit 72084 72100 CMS Edit 72084 72110 CMS Edit 72084 72114 CMS Edit 72084 72120 CMS Edit 72084 72220 CMS Edit 72100 72020 CPT Definition 72100 72080 CMS Edit

Paid Code

Denied Code

Rule Source

72110 72020 CMS Edit 72110 72080 CMS Edit 72110 72100 CMS Edit 72110 72114 CMS Edit 72114 72020 CPT Definition 72114 72080 CMS Edit 72114 72100 CMS Edit 72114 72120 CMS Edit 72120 72080 CMS Edit 72120 72100 CPT Definition 72120 72110 CMS Edit 72125 72020 CPT Definition 72125 72040 CPT Definition 72125 72050 CPT Definition 72125 72052 CPT Definition 72125 72240 CMS Edit 72125 72270 CMS Edit 72125 76380 CMS Edit 72126 72020 CPT Definition 72126 72040 CPT Definition 72126 72050 CPT Definition 72126 72052 CPT Definition 72126 72125 CMS Edit 72126 72240 CMS Edit 72126 72270 CMS Edit 72126 76000 CMS Edit 72126 76380 CMS Edit 72126 76942 CMS Edit 72126 76970 CMS Edit 72126 76998 CMS Edit 72126 77001 CMS Edit 72127 72040 CPT Definition 72127 72125 CMS Edit 72127 72126 CMS Edit 72127 72240 CMS Edit 72127 72270 CMS Edit 72127 76000 CMS Edit



Paid Code

Denied Code

Rule Source

72127 76380 CMS Edit 72127 76942 CMS Edit 72127 76970 CMS Edit 72127 76998 CMS Edit 72127 77001 CMS Edit 72128 72070 CPT Definition 72128 72072 CPT Definition 72128 72074 CPT Definition 72128 72080 CPT Definition 72128 72255 CMS Edit 72128 72270 CMS Edit 72128 76380 CMS Edit 72129 72070 CPT Definition 72129 72072 CPT Definition 72129 72074 CPT Definition 72129 72080 CPT Definition 72129 72128 CMS Edit 72129 72255 CMS Edit 72129 72270 CMS Edit 72129 76000 CMS Edit 72129 76380 CMS Edit 72129 76942 CMS Edit 72129 76970 CMS Edit 72129 76998 CMS Edit 72129 77001 CMS Edit 72130 72070 CPT Definition 72130 72072 CPT Definition 72130 72074 CPT Definition 72130 72080 CPT Definition 72130 72128 CMS Edit 72130 72129 CMS Edit 72130 72255 CMS Edit 72130 72270 CMS Edit 72130 76000 CMS Edit 72130 76380 CMS Edit 72130 76942 CMS Edit 72130 76970 CMS Edit

Paid Code

Denied Code

Rule Source

72130 76998 CMS Edit 72130 77001 CMS Edit 72131 72265 CMS Edit 72131 72270 CMS Edit 72131 76380 CMS Edit 72132 72100 CPT Definition 72132 72110 CPT Definition 72132 72114 CPT Definition 72132 72120 CPT Definition 72132 72131 CMS Edit 72132 72265 CMS Edit 72132 72270 CMS Edit 72132 76000 CMS Edit 72132 76380 CMS Edit 72132 76942 CMS Edit 72132 76970 CMS Edit 72132 76998 CMS Edit 72132 77001 CMS Edit 72133 72131 CMS Edit 72133 72132 CMS Edit 72133 72265 CMS Edit 72133 72270 CMS Edit 72133 76000 CMS Edit 72133 76380 CMS Edit 72133 76942 CMS Edit 72133 76970 CMS Edit 72133 76998 CMS Edit 72133 77001 CMS Edit 72142 72141 CMS Edit 72142 76000 CMS Edit 72142 76942 CMS Edit 72142 76970 CMS Edit 72142 76998 CMS Edit 72142 77001 CMS Edit 72147 72146 CMS Edit 72147 76000 CMS Edit 72147 76942 CMS Edit



Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source

72159 72157 CMS Edit 72159 72158 CMS Edit 72159 76000 CMS Edit 72159 76376 CMS Edit 72159 76377 CMS Edit 72159 76942 CMS Edit 72159 76970 CMS Edit 72159 76998 CMS Edit 72190 72170 CMS Edit 72191 72192 CMS Edit 72191 72193 CMS Edit 72191 72194 CMS Edit 72191 74176 CMS Edit 72191 74177 CMS Edit 72191 74178 CMS Edit 72191 76000 CMS Edit 72191 76376 CMS Edit 72191 76377 CMS Edit 72191 76380 CMS Edit 72191 76942 CMS Edit 72191 76970 CMS Edit 72191 76998 CMS Edit 72191 77001 CMS Edit 72192 74022 CPT Definition 72192 76380 CMS Edit 72193 72192 CMS Edit 72193 74022 CPT Definition 72193 76000 CMS Edit 72193 76380 CMS Edit 72193 76942 CMS Edit 72193 76970 CMS Edit 72193 76998 CMS Edit 72193 77001 CMS Edit 72194 72192 CMS Edit 72194 72193 CMS Edit 72194 74022 CPT Definition 72194 76000 CMS Edit



Paid Code

Denied Code

Rule Source

72194 76380 CMS Edit 72194 76942 CMS Edit 72194 76970 CMS Edit 72194 76998 CMS Edit 72194 77001 CMS Edit 72195 72192 CPT Definition 72195 72193 CPT Definition 72195 72194 CPT Definition 72196 72192 CPT Definition 72196 72193 CPT Definition 72196 72194 CPT Definition 72196 72195 CMS Edit 72196 76000 CMS Edit 72196 76942 CMS Edit 72196 76970 CMS Edit 72196 76998 CMS Edit 72196 77001 CMS Edit 72197 72192 CPT Definition 72197 72193 CPT Definition 72197 72194 CPT Definition 72197 72195 CMS Edit 72197 72196 CMS Edit 72197 72198 CMS Edit 72197 74713 CMS Edit 72197 76000 CMS Edit 72197 76942 CMS Edit 72197 76970 CMS Edit 72197 76998 CMS Edit 72197 77001 CMS Edit 72198 72191 CPT Definition 72198 72195 CMS Edit 72198 72196 CMS Edit 72198 74712 CMS Edit 72198 76000 CMS Edit 72198 76376 CMS Edit 72198 76377 CMS Edit 72198 76942 CMS Edit

Paid Code

Denied Code

Rule Source

72198 76970 CMS Edit 72198 76998 CMS Edit 72198 77001 CMS Edit 72202 72200 CMS Edit 72240 72255 CMS Edit 72240 72265 CMS Edit 72240 76000 CMS Edit 72240 77001 CMS Edit 72255 72265 CMS Edit 72255 76000 CMS Edit 72255 77001 CMS Edit 72265 72100 CPT Definition 72265 72110 CPT Definition 72265 72114 CPT Definition 72265 72120 CPT Definition 72265 76000 CMS Edit 72265 77001 CMS Edit 72270 72240 CMS Edit 72270 72255 CMS Edit 72270 72265 CMS Edit 72270 76000 CMS Edit 72270 77001 CMS Edit 72275 76000 CMS Edit 72275 77001 CMS Edit 72285 76000 CMS Edit 72285 77001 CMS Edit 72295 76000 CMS Edit 72295 77001 CMS Edit 73030 73020 CMS Edit 73040 73020 CMS Edit 73040 73030 CMS Edit 73040 76000 CMS Edit 73040 77001 CMS Edit 73080 73070 CMS Edit 73085 73070 CMS Edit 73085 73080 CMS Edit 73085 76000 CMS Edit



Paid Code

Denied Code

Rule Source

73085 77001 CMS Edit 73092 73090 CMS Edit* 73110 73100 CMS Edit 73115 73100 CMS Edit 73115 73110 CMS Edit 73115 76000 CMS Edit 73115 77001 CMS Edit 73120 73140 CMS Edit 73130 73120 CMS Edit 73130 73140 CMS Edit 73200 73218 CPT Definition 73200 73220 CPT Definition 73200 73221 CPT Definition 73200 73222 CPT Definition 73200 73223 CPT Definition 73200 76380 CMS Edit 73201 73200 CMS Edit 73201 73218 CPT Definition 73201 73219 CPT Definition 73201 73220 CPT Definition 73201 73222 CPT Definition 73201 73223 CPT Definition 73201 76000 CMS Edit 73201 76380 CMS Edit 73201 76942 CMS Edit 73201 76970 CMS Edit 73201 76998 CMS Edit 73201 77001 CMS Edit 73202 73200 CMS Edit 73202 73201 CMS Edit 73202 73218 CPT Definition 73202 73219 CPT Definition 73202 73220 CPT Definition 73202 73221 CPT Definition 73202 73222 CPT Definition 73202 73223 CPT Definition 73202 76000 CMS Edit

Paid Code

Denied Code

Rule Source

73202 76380 CMS Edit 73202 76942 CMS Edit 73202 76970 CMS Edit 73202 76998 CMS Edit 73202 77001 CMS Edit 73206 73200 CMS Edit 73206 73201 CMS Edit 73206 73202 CMS Edit 73206 76000 CMS Edit 73206 76376 CMS Edit 73206 76377 CMS Edit 73206 76380 CMS Edit 73206 76942 CMS Edit 73206 76970 CMS Edit 73206 76998 CMS Edit 73206 77001 CMS Edit 73219 73200 CPT Definition 73219 73218 CMS Edit 73219 76000 CMS Edit 73219 76942 CMS Edit 73219 76970 CMS Edit 73219 76998 CMS Edit 73219 77001 CMS Edit 73220 73218 CMS Edit 73220 73219 CMS Edit 73220 76000 CMS Edit 73220 76942 CMS Edit 73220 76970 CMS Edit 73220 76998 CMS Edit 73220 77001 CMS Edit 73222 73221 CMS Edit 73223 73221 CMS Edit 73223 73222 CMS Edit 73225 73206 CPT Definition 73225 73218 CMS Edit 73225 73219 CMS Edit 73225 73220 CMS Edit



Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source

73525 73502 CMS Edit 73525 73503 CMS Edit 73525 73521 CMS Edit 73525 73522 CMS Edit 73525 73523 CMS Edit 73525 76000 CMS Edit 73525 77001 CMS Edit 73552 73551 CMS Edit 73562 73560 CMS Edit 73564 73560 CMS Edit 73564 73562 CMS Edit 73564 73565 CMS Edit 73565 73562 CMS Edit 73580 73560 CMS Edit 73580 76000 CMS Edit 73580 77001 CMS Edit 73590 73592 CMS Edit 73592 73610 CMS Edit 73600 73592 CMS Edit 73610 73600 CMS Edit 73615 73600 CMS Edit 73615 73610 CMS Edit 73615 76000 CMS Edit 73615 77001 CMS Edit 73620 73660 CMS Edit 73630 73620 CMS Edit 73630 73650 CMS Edit 73630 73660 CMS Edit 73700 73718 CPT Definition 73700 73719 CPT Definition 73700 73720 CPT Definition 73700 73721 CPT Definition 73700 73723 CPT Definition 73700 76380 CMS Edit 73701 73700 CMS Edit 73701 73718 CPT Definition 73701 73719 CPT Definition



Paid Code

Denied Code

Rule Source

73701 73720 CPT Definition 73701 73721 CPT Definition 73701 73722 CPT Definition 73701 73723 CPT Definition 73701 76000 CMS Edit 73701 76380 CMS Edit 73701 76942 CMS Edit 73701 76970 CMS Edit 73701 76998 CMS Edit 73701 77001 CMS Edit 73702 73700 CMS Edit 73702 73701 CMS Edit 73702 73718 CPT Definition 73702 73719 CPT Definition 73702 73720 CPT Definition 73702 73721 CPT Definition 73702 73722 CPT Definition 73702 73723 CPT Definition 73702 76000 CMS Edit 73702 76380 CMS Edit 73702 76942 CMS Edit 73702 76970 CMS Edit 73702 76998 CMS Edit 73702 77001 CMS Edit 73706 72191 CMS Edit 73706 73700 CMS Edit 73706 73701 CMS Edit 73706 73702 CMS Edit 73706 76000 CMS Edit 73706 76376 CMS Edit 73706 76377 CMS Edit 73706 76380 CMS Edit 73706 76942 CMS Edit 73706 76970 CMS Edit 73706 76998 CMS Edit 73706 77001 CMS Edit 73719 73718 CMS Edit

Paid Code

Denied Code

Rule Source

73719 76000 CMS Edit 73719 76942 CMS Edit 73719 76970 CMS Edit 73719 76998 CMS Edit 73719 77001 CMS Edit 73720 73718 CMS Edit 73720 73719 CMS Edit 73720 73725 CMS Edit 73720 76000 CMS Edit 73720 76942 CMS Edit 73720 76970 CMS Edit 73720 76998 CMS Edit 73720 77001 CMS Edit 73722 73721 CMS Edit 73722 99241 CPT Definition 73722 99242 CPT Definition 73722 99243 CPT Definition 73722 99244 CPT Definition 73722 99245 CPT Definition 73723 73700 CPT Definition 73723 73721 CMS Edit 73723 73722 CMS Edit 73723 73725 CMS Edit 73725 73706 CPT Definition 73725 73718 CMS Edit 73725 73719 CMS Edit 73725 73721 CMS Edit 73725 73722 CMS Edit 73725 76000 CMS Edit 73725 76376 CMS Edit 73725 76377 CMS Edit 73725 76942 CMS Edit 73725 76970 CMS Edit 73725 76998 CMS Edit 73725 77001 CMS Edit 74019 74018 CMS Edit 74021 74018 CMS Edit



Paid Code

Denied Code

Rule Source

74021 74019 CMS Edit 74022 71045 CMS Edit 74022 74018 CMS Edit 74022 74019 CMS Edit 74022 74021 CMS Edit 74150 72192 CMS Edit 74150 72193 CMS Edit 74150 72194 CMS Edit 74150 74022 CPT Definition 74150 74181 CPT Definition 74150 74182 CPT Definition 74150 74183 CPT Definition 74150 76380 CMS Edit 74160 72192 CMS Edit 74160 72193 CMS Edit 74160 72194 CMS Edit 74160 74022 CPT Definition 74160 74150 CMS Edit 74160 74181 CPT Definition 74160 74182 CPT Definition 74160 74183 CPT Definition 74160 76000 CMS Edit 74160 76380 CMS Edit 74160 76942 CMS Edit 74160 76970 CMS Edit 74160 76998 CMS Edit 74160 77001 CMS Edit 74170 72192 CMS Edit 74170 72193 CMS Edit 74170 72194 CMS Edit 74170 74022 CPT Definition 74170 74150 CMS Edit 74170 74160 CMS Edit 74170 74181 CPT Definition 74170 74182 CPT Definition 74170 74183 CPT Definition 74170 76000 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

74175 76942 CMS Edit 74175 76970 CMS Edit 74175 76998 CMS Edit 74175 77001 CMS Edit 74176 72192 CMS Edit 74176 72193 CMS Edit 74176 72194 CMS Edit 74176 74022 CPT Definition 74176 74150 CMS Edit 74176 74160 CMS Edit 74176 74170 CMS Edit 74176 74263 CPT Definition 74176 76380 CMS Edit 74177 72192 CMS Edit 74177 72193 CMS Edit 74177 72194 CMS Edit 74177 74022 CPT Definition 74177 74150 CMS Edit 74177 74160 CMS Edit 74177 74170 CMS Edit 74177 74176 CMS Edit 74177 74263 CPT Definition 74177 76380 CMS Edit 74178 72192 CMS Edit 74178 72193 CMS Edit 74178 72194 CMS Edit 74178 74022 CPT Definition 74178 74150 CMS Edit 74178 74160 CMS Edit 74178 74170 CMS Edit 74178 74176 CMS Edit 74178 74177 CMS Edit 74178 74263 CPT Definition 74178 76380 CMS Edit 74182 74181 CMS Edit 74182 76000 CMS Edit 74182 76942 CMS Edit

Paid Code

Denied Code

Rule Source

74182 76970 CMS Edit 74182 76998 CMS Edit 74182 77001 CMS Edit 74183 74181 CMS Edit 74183 74182 CMS Edit 74183 74185 CMS Edit 74183 76000 CMS Edit 74183 76942 CMS Edit 74183 76970 CMS Edit 74183 76998 CMS Edit 74183 77001 CMS Edit 74185 74175 CPT Definition 74185 74181 CMS Edit 74185 74182 CMS Edit 74185 75635 CPT Definition 74185 76000 CMS Edit 74185 76376 CMS Edit 74185 76377 CMS Edit 74185 76942 CMS Edit 74185 76970 CMS Edit 74185 76998 CMS Edit 74185 77001 CMS Edit 74190 76000 CMS Edit 74190 77001 CMS Edit 74210 76000 CMS Edit 74210 77001 CMS Edit 74210 77002 CMS Edit 74220 74210 CMS Edit 74220 76000 CMS Edit 74220 77001 CMS Edit 74220 77002 CMS Edit 74221 74210 CMS Edit* 74221 74220 CMS Edit* 74221 74248 CMS Edit* 74221 76000 CMS Edit* 74230 74210 CMS Edit 74230 74220 CMS Edit



Paid Code

Denied Code

Rule Source

74230 74221 CMS Edit* 74230 76000 CMS Edit 74230 77001 CMS Edit 74230 77002 CMS Edit 74235 76000 CMS Edit 74235 77001 CMS Edit 74240 74018 CMS Edit 74240 74019 CMS Edit* 74240 74021 CMS Edit* 74240 74022 CPT Definition 74240 74210 CMS Edit 74240 74220 CMS Edit 74240 74221 CMS Edit* 74240 74250 CMS Edit* 74240 76000 CMS Edit 74240 77001 CMS Edit 74240 77002 CMS Edit 74246 74018 CMS Edit 74246 74019 CMS Edit 74246 74022 CPT Definition 74246 74210 CMS Edit 74246 74220 CMS Edit 74246 74221 CMS Edit* 74246 74240 CMS Edit 74246 74250 CMS Edit* 74246 76000 CMS Edit 74246 77001 CMS Edit 74246 77002 CMS Edit 74248 74018 CMS Edit* 74248 74019 CMS Edit* 74248 74021 CMS Edit* 74248 74210 CMS Edit* 74248 74220 CMS Edit* 74248 76000 CMS Edit* 74250 74018 CMS Edit 74250 74022 CPT Definition 74250 74248 CMS Edit*

Paid Code

Denied Code

Rule Source

74250 76000 CMS Edit 74250 77001 CMS Edit 74250 77002 CMS Edit 74251 74018 CMS Edit 74251 74022 CPT Definition 74251 74246 CMS Edit* 74251 74248 CMS Edit* 74251 74250 CMS Edit 74251 76000 CMS Edit 74251 77001 CMS Edit 74251 77002 CMS Edit 74251 99241 CPT Definition 74251 99242 CPT Definition 74251 99243 CPT Definition 74251 99244 CPT Definition 74251 99245 CPT Definition 74261 72192 CMS Edit 74261 72193 CMS Edit 74261 72194 CMS Edit 74261 74150 CMS Edit 74261 74160 CMS Edit 74261 74170 CMS Edit 74261 74176 CMS Edit 74261 74177 CMS Edit 74261 74178 CMS Edit 74261 74263 CMS Edit 74261 76000 CMS Edit 74261 76376 CMS Edit 74261 76377 CMS Edit 74261 77001 CMS Edit 74262 72192 CMS Edit 74262 72193 CMS Edit 74262 72194 CMS Edit 74262 74150 CMS Edit 74262 74160 CMS Edit 74262 74170 CMS Edit 74262 74176 CMS Edit



Paid Code

Denied Code

Rule Source

74262 74177 CMS Edit 74262 74178 CMS Edit 74262 74261 CMS Edit 74262 74263 CMS Edit 74262 76000 CMS Edit 74262 76376 CMS Edit 74262 76377 CMS Edit 74262 76942 CMS Edit 74262 76970 CMS Edit 74262 76998 CMS Edit 74262 77001 CMS Edit 74263 72192 CMS Edit 74263 72193 CMS Edit 74263 72194 CMS Edit 74263 74150 CMS Edit 74263 74160 CMS Edit 74263 74170 CMS Edit 74263 76000 CMS Edit 74263 76376 CMS Edit 74263 76377 CMS Edit 74270 74018 CMS Edit 74270 74019 CMS Edit 74270 74022 CPT Definition 74270 74280 CMS Edit 74270 74283 CMS Edit 74270 76000 CMS Edit 74270 76942 CMS Edit 74270 76970 CMS Edit 74270 76998 CMS Edit 74270 77001 CMS Edit 74270 77002 CMS Edit 74280 74018 CMS Edit 74280 74019 CMS Edit 74280 74022 CPT Definition 74280 74283 CMS Edit 74280 76000 CMS Edit 74280 77001 CMS Edit

Paid Code

Denied Code

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Paid Code

Denied Code

Rule Source

74400 74410 CMS Edit 74400 74420 CMS Edit 74400 76000 CMS Edit 74400 76101 CMS Edit 74400 76102 CMS Edit 74400 76942 CMS Edit 74400 76970 CMS Edit 74400 76998 CMS Edit 74400 77001 CMS Edit 74410 74018 CMS Edit 74410 74019 CMS Edit 74410 74021 CMS Edit 74410 74420 CMS Edit 74410 74425 CMS Edit 74410 76101 CMS Edit 74410 76102 CMS Edit 74415 74018 CMS Edit 74415 74019 CMS Edit 74415 74021 CMS Edit 74415 74400 CMS Edit 74415 74410 CMS Edit 74415 74420 CMS Edit 74415 74425 CMS Edit 74415 76101 CPT Definition 74415 76102 CMS Edit 74420 74018 CMS Edit 74420 74019 CMS Edit 74420 74021 CMS Edit 74420 74425 CMS Edit 74420 74430 CMS Edit 74420 74450 CMS Edit 74420 74455 CMS Edit 74420 76000 CMS Edit 74420 76101 CPT Definition 74420 76102 CMS Edit 74420 76942 CMS Edit 74420 76970 CMS Edit

Paid Code

Denied Code

Rule Source

74420 76998 CMS Edit 74420 77001 CMS Edit 74425 74018 CMS Edit 74425 74019 CMS Edit 74425 74021 CMS Edit 74425 74400 CMS Edit 74425 76000 CMS Edit 74425 76101 CPT Definition 74425 76102 CMS Edit 74425 77001 CMS Edit 74430 74018 CMS Edit 74430 74455 CMS Edit 74430 76000 CMS Edit 74430 77001 CMS Edit 74440 74018 CMS Edit 74440 74450 CMS Edit 74440 76000 CMS Edit 74440 76942 CMS Edit 74440 76970 CMS Edit 74440 76998 CMS Edit 74440 77001 CMS Edit 74445 74018 CMS Edit 74445 76000 CMS Edit 74445 76942 CMS Edit 74445 76970 CMS Edit 74445 76998 CMS Edit 74445 77001 CMS Edit 74450 74018 CMS Edit 74450 76000 CMS Edit 74450 77001 CMS Edit 74455 74018 CMS Edit 74455 74450 CMS Edit 74455 76000 CMS Edit 74455 77001 CMS Edit 74455 77002 CMS Edit 74470 76000 CMS Edit 74470 77001 CMS Edit



Paid Code

Denied Code

Rule Source

74485 76000 CMS Edit 74485 76942 CMS Edit 74485 76970 CMS Edit 74485 76998 CMS Edit* 74485 77001 CMS Edit 74712 72195 CMS Edit 74712 72196 CMS Edit 74712 72197 CMS Edit 74713 72195 CMS Edit 74713 72196 CMS Edit 74740 76000 CMS Edit 74740 77001 CMS Edit 74740 77002 CMS Edit 74742 74740 CMS Edit 74742 76000 CMS Edit 74742 77001 CMS Edit 74775 76000 CMS Edit 74775 77001 CMS Edit 74775 99241 CPT Definition 74775 99242 CPT Definition 74775 99243 CPT Definition 74775 99244 CPT Definition 74775 99245 CPT Definition 75557 76376 CMS Edit 75557 76377 CMS Edit 75559 75557 CMS Edit 75559 76376 CMS Edit 75559 76377 CMS Edit 75561 75557 CMS Edit 75561 75559 CMS Edit 75561 76000 CMS Edit 75561 76376 CMS Edit 75561 76377 CMS Edit 75561 76942 CMS Edit 75561 76970 CMS Edit 75561 76998 CMS Edit 75561 77001 CMS Edit

Paid Code

Denied Code

Rule Source

75563 75557 CMS Edit 75563 75559 CMS Edit 75563 75561 CMS Edit 75563 76000 CMS Edit 75563 76376 CMS Edit 75563 76377 CMS Edit 75563 76942 CMS Edit 75563 76970 CMS Edit 75563 76998 CMS Edit 75563 77001 CMS Edit 75565 76376 CMS Edit 75565 76377 CMS Edit 75571 76000 CMS Edit 75571 76120 CMS Edit 75571 76125 CMS Edit 75571 76376 CMS Edit 75571 76377 CMS Edit 75571 77001 CMS Edit 75572 71250 CMS Edit 75572 71260 CMS Edit 75572 71270 CMS Edit 75572 75571 CMS Edit 75572 76000 CMS Edit 75572 76120 CMS Edit 75572 76125 CMS Edit 75572 76376 CMS Edit 75572 76377 CMS Edit 75572 76942 CMS Edit 75572 76970 CMS Edit 75572 76998 CMS Edit 75572 77001 CMS Edit 75572 78803 CMS Edit* 75572 78830 CMS Edit* 75572 78831 CMS Edit* 75572 78832 CMS Edit* 75572 G0297 CMS Edit 75573 71250 CMS Edit



Paid Code

Denied Code

Rule Source

75573 71260 CMS Edit 75573 71270 CMS Edit 75573 75571 CMS Edit 75573 75572 CMS Edit 75573 75574 CMS Edit 75573 76000 CMS Edit 75573 76120 CMS Edit 75573 76125 CMS Edit 75573 76376 CMS Edit 75573 76377 CMS Edit 75573 76942 CMS Edit 75573 76970 CMS Edit 75573 76998 CMS Edit 75573 77001 CMS Edit 75573 78431 CMS Edit* 75573 78433 CMS Edit* 75573 78803 CMS Edit* 75573 78830 CMS Edit* 75573 78831 CMS Edit* 75573 78832 CMS Edit* 75573 G0297 CMS Edit 75574 71250 CMS Edit 75574 71260 CMS Edit 75574 71270 CMS Edit 75574 71275 CPT Definition 75574 75571 CMS Edit 75574 75572 CMS Edit 75574 76000 CMS Edit 75574 76120 CMS Edit 75574 76125 CMS Edit 75574 76376 CMS Edit 75574 76377 CMS Edit 75574 76942 CMS Edit 75574 76970 CMS Edit 75574 76998 CMS Edit 75574 77001 CMS Edit 75574 78431 CMS Edit*

Paid Code

Denied Code

Rule Source

75574 78433 CMS Edit* 75574 78803 CMS Edit* 75574 78830 CMS Edit* 75574 78831 CMS Edit* 75574 78832 CMS Edit* 75574 G0297 CMS Edit 75600 75827 CMS Edit 75600 75893 CMS Edit 75600 76000 CMS Edit 75600 76942 CMS Edit 75600 76970 CMS Edit 75600 76998 CMS Edit 75600 77001 CMS Edit 75605 75600 CMS Edit 75605 75827 CMS Edit 75605 75893 CMS Edit 75605 76000 CMS Edit 75605 76942 CMS Edit 75605 76970 CMS Edit 75605 76998 CMS Edit 75605 77001 CMS Edit 75625 75825 CMS Edit 75625 75893 CMS Edit 75625 76000 CMS Edit 75625 76942 CMS Edit 75625 76970 CMS Edit 75625 76998 CMS Edit 75625 77001 CMS Edit 75630 75625 CMS Edit 75630 75716 CMS Edit 75630 75820 CMS Edit 75630 75822 CMS Edit 75630 75825 CMS Edit 75630 75893 CMS Edit 75630 76000 CMS Edit 75630 76942 CMS Edit 75630 76970 CMS Edit



Paid Code

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Paid Code

Denied Code

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Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

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Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

75889 76970 CMS Edit 75889 76998 CMS Edit 75889 77001 CMS Edit 75891 76000 CMS Edit 75891 76942 CMS Edit 75891 76970 CMS Edit 75891 76998 CMS Edit 75891 77001 CMS Edit 75893 75810 CMS Edit 75893 75820 CMS Edit 75893 75822 CMS Edit 75893 75825 CMS Edit 75893 75827 CMS Edit 75893 75831 CMS Edit 75893 75833 CMS Edit 75893 75840 CMS Edit 75893 75842 CMS Edit 75893 75860 CMS Edit 75893 75870 CMS Edit 75893 75872 CMS Edit 75893 75880 CMS Edit 75893 75885 CMS Edit 75893 75887 CMS Edit 75893 75889 CMS Edit 75893 75891 CMS Edit 75893 76000 CMS Edit 75893 76942 CMS Edit 75893 76970 CMS Edit 75893 76998 CMS Edit 75893 77001 CMS Edit 75894 74425 CPT Definition 75894 75600 CMS Edit 75894 75605 CMS Edit 75894 75625 CMS Edit 75894 75630 CMS Edit 75894 75635 CMS Edit 75894 75705 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

75898 75630 CMS Edit 75898 75635 CMS Edit 75898 75705 CMS Edit 75898 75710 CMS Edit 75898 75716 CMS Edit 75898 75726 CMS Edit 75898 75731 CMS Edit 75898 75733 CMS Edit 75898 75736 CMS Edit 75898 75741 CMS Edit 75898 75743 CMS Edit 75898 75746 CMS Edit 75898 75756 CMS Edit 75898 75774 CMS Edit 75898 75810 CMS Edit 75898 75820 CMS Edit 75898 75822 CMS Edit 75898 75825 CMS Edit 75898 75827 CMS Edit 75898 75831 CMS Edit 75898 75833 CMS Edit 75898 75840 CMS Edit 75898 75842 CMS Edit 75898 75860 CMS Edit 75898 75870 CMS Edit 75898 75872 CMS Edit 75898 75880 CMS Edit 75898 75885 CMS Edit 75898 75887 CMS Edit 75898 75889 CMS Edit 75898 75891 CMS Edit 75898 75893 CMS Edit 75898 76000 CMS Edit 75898 76942 CMS Edit 75898 76970 CMS Edit 75898 76998 CMS Edit* 75898 77001 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

75989 76377 CMS Edit 75989 76942 CMS Edit 75989 76970 CMS Edit 75989 76998 CMS Edit 75989 77001 CMS Edit 75989 77012 CMS Edit 75989 77021 CMS Edit 76000 76125 CMS Edit 76000 76942 CMS Edit 76000 76970 CMS Edit 76000 76998 CMS Edit* 76000 0571T CMS Edit* 76000 0572T CMS Edit* 76010 71045 CMS Edit 76010 71046 CMS Edit 76010 71047 CMS Edit 76010 71048 CMS Edit 76010 74018 CMS Edit 76080 76000 CMS Edit 76080 77001 CMS Edit 76100 74400 CMS Edit 76100 74410 CMS Edit 76100 74415 CMS Edit 76100 74420 CMS Edit 76100 74425 CMS Edit 76100 76000 CMS Edit 76100 77001 CMS Edit 76101 76000 CMS Edit 76101 77001 CMS Edit 76102 76000 CMS Edit 76102 76101 CMS Edit 76102 77001 CMS Edit 76120 76000 CMS Edit 76120 77001 CMS Edit 76125 76120 CMS Edit 76376 76942 CMS Edit 76376 76970 CMS Edit

Paid Code

Denied Code

Rule Source

76376 76998 CMS Edit* 76376 G0279 CPT Definition 76377 76376 CMS Edit 76377 76942 CMS Edit 76377 76970 CMS Edit 76377 76998 CMS Edit* 76377 G0279 CPT Definition 76380 0571T CMS Edit* 76380 0572T CMS Edit* 76506 76970 CMS Edit 76506 76998 CMS Edit 76536 76942 CMS Edit* 76536 76970 CMS Edit 76536 76998 CMS Edit 76604 76942 CMS Edit 76604 76970 CMS Edit 76604 76998 CMS Edit 76641 76642 CPT Definition 76641 76882 CMS Edit 76641 76942 CMS Edit 76641 76970 CMS Edit 76641 76998 CMS Edit 76642 76882 CMS Edit 76642 76942 CMS Edit 76642 76970 CMS Edit 76642 76998 CMS Edit 76700 76705 CMS Edit 76700 76770 CPT Definition 76700 76942 CMS Edit 76700 76970 CMS Edit 76700 76998 CMS Edit 76705 76942 CMS Edit 76705 76970 CMS Edit 76705 76998 CMS Edit 76706 76775 CMS Edit* 76706 76857 CMS Edit* 76706 76942 CMS Edit*



Paid Code

Denied Code

Rule Source

76706 76970 CMS Edit 76706 76998 CMS Edit* 76770 76706 CMS Edit* 76770 76775 CMS Edit 76770 76942 CMS Edit 76770 76970 CMS Edit 76770 76998 CMS Edit 76775 76857 CMS Edit 76775 76942 CMS Edit 76775 76970 CMS Edit 76775 76998 CMS Edit 76776 76706 CMS Edit* 76776 76775 CMS Edit 76776 76942 CMS Edit 76776 76970 CMS Edit 76776 76998 CMS Edit 76800 76942 CMS Edit 76800 76970 CMS Edit 76800 76998 CMS Edit 76801 76805 CMS Edit 76801 76810 CMS Edit 76801 76812 CMS Edit 76801 76815 CMS Edit 76801 76816 CMS Edit 76801 76818 CPT Definition 76801 76819 CPT Definition 76801 76830 CMS Edit 76801 76942 CMS Edit 76801 76970 CMS Edit 76801 76998 CMS Edit 76802 76815 CPT Definition 76802 76816 CPT Definition 76802 76818 CPT Definition 76802 76819 CPT Definition 76802 76942 CMS Edit 76802 76970 CMS Edit 76802 76998 CMS Edit

Paid Code

Denied Code

Rule Source

76805 76802 CMS Edit 76805 76812 CMS Edit 76805 76815 CMS Edit 76805 76816 CMS Edit 76805 76830 CMS Edit 76805 76831 CMS Edit 76805 76856 CMS Edit 76805 76857 CMS Edit 76805 76942 CMS Edit 76805 76970 CMS Edit 76805 76998 CMS Edit 76810 76815 CMS Edit 76810 76942 CMS Edit 76810 76970 CMS Edit 76810 76998 CMS Edit 76811 76801 CMS Edit 76811 76805 CMS Edit 76811 76810 CPT Definition 76811 76815 CMS Edit 76811 76816 CMS Edit 76811 76830 CMS Edit 76811 76831 CMS Edit 76811 76856 CMS Edit 76811 76857 CMS Edit 76811 76941 CMS Edit 76811 76942 CMS Edit 76811 76970 CMS Edit 76811 76998 CMS Edit* 76812 76810 CPT Definition 76812 76815 CPT Definition 76812 76816 CPT Definition 76812 76942 CMS Edit 76812 76970 CMS Edit 76812 76998 CMS Edit* 76813 76815 CMS Edit 76813 76830 CMS Edit 76813 76857 CMS Edit



Paid Code

Denied Code

Rule Source

76813 76942 CMS Edit 76813 76970 CMS Edit 76813 76998 CMS Edit* 76814 76942 CMS Edit 76814 76970 CMS Edit 76814 76998 CMS Edit* 76815 76827 CMS Edit 76815 76828 CMS Edit 76815 76857 CMS Edit 76815 76942 CMS Edit 76815 76970 CMS Edit 76815 76998 CMS Edit 76816 76810 CMS Edit 76816 76815 CMS Edit 76816 76857 CMS Edit 76816 76942 CMS Edit 76816 76970 CMS Edit 76816 76998 CMS Edit* 76817 76830 CMS Edit 76817 76831 CMS Edit 76817 76856 CMS Edit 76817 76857 CMS Edit 76817 76941 CMS Edit 76817 76942 CMS Edit 76817 76970 CMS Edit 76817 76998 CMS Edit 76818 76376 CMS Edit 76818 76377 CMS Edit 76818 76819 CMS Edit 76818 76970 CMS Edit 76818 76998 CMS Edit* 76819 76376 CMS Edit 76819 76377 CMS Edit 76819 76970 CMS Edit 76819 76998 CMS Edit* 76820 76827 CPT Definition 76820 93325 CMS Edit

Paid Code

Denied Code

Rule Source

76821 76376 CMS Edit 76821 76377 CMS Edit 76821 76815 CMS Edit 76821 93325 CMS Edit 76825 76815 CMS Edit 76825 76970 CMS Edit 76825 76998 CMS Edit* 76825 93325 CPT Definition 76826 76815 CMS Edit 76826 76825 CMS Edit 76826 76970 CMS Edit 76826 76998 CMS Edit* 76826 93325 CPT Definition 76827 76376 CMS Edit 76827 76377 CMS Edit 76827 76970 CMS Edit 76827 76998 CMS Edit* 76828 76376 CMS Edit 76828 76377 CMS Edit 76828 76827 CMS Edit 76828 76970 CMS Edit 76828 76998 CMS Edit* 76830 76815 CMS Edit 76830 76816 CMS Edit 76830 76942 CMS Edit 76830 76970 CMS Edit 76830 76998 CMS Edit* 76831 76801 CMS Edit 76831 76813 CMS Edit 76831 76815 CMS Edit 76831 76816 CMS Edit 76831 76830 CMS Edit 76831 76856 CPT Definition 76831 76942 CMS Edit 76831 76970 CMS Edit 76831 76998 CMS Edit* 76856 76801 CMS Edit



Paid Code

Denied Code

Rule Source

76856 76813 CMS Edit 76856 76815 CMS Edit 76856 76816 CMS Edit 76856 76857 CMS Edit 76856 76941 CMS Edit 76856 76942 CMS Edit 76856 76970 CMS Edit 76856 76998 CMS Edit 76857 76801 CMS Edit 76857 76810 CMS Edit 76857 76941 CMS Edit 76857 76942 CMS Edit 76857 76970 CMS Edit 76857 76998 CMS Edit 76870 76942 CMS Edit 76870 76970 CMS Edit 76870 76998 CMS Edit* 76872 76873 CMS Edit 76872 76942 CMS Edit 76872 76970 CMS Edit 76872 76998 CMS Edit* 76873 76942 CMS Edit 76873 76970 CMS Edit 76881 76882 CMS Edit 76881 76942 CMS Edit 76881 76970 CMS Edit 76881 76998 CMS Edit 76882 76942 CMS Edit 76882 76970 CMS Edit 76882 76998 CMS Edit 76885 76886 CMS Edit 76885 76970 CMS Edit 76885 76998 CMS Edit* 76886 76998 CMS Edit* 76932 76970 CMS Edit 76932 76998 CMS Edit* 76932 77001 CMS Edit

Paid Code

Denied Code

Rule Source

76936 76000 CMS Edit 76936 76376 CMS Edit 76936 76377 CMS Edit 76936 76942 CMS Edit 76936 76970 CMS Edit 76936 76998 CMS Edit 76936 77001 CMS Edit 76936 77021 CMS Edit 76936 93985 CMS Edit* 76936 93986 CMS Edit* 76937 76000 CMS Edit 76937 76942 CMS Edit 76937 76970 CMS Edit 76937 76998 CMS Edit 76940 76970 CMS Edit 76940 76998 CMS Edit 76940 99241 CPT Definition 76940 99242 CPT Definition 76940 99243 CPT Definition 76940 99244 CPT Definition 76940 99245 CPT Definition 76941 76000 CMS Edit 76941 76801 CMS Edit 76941 76805 CMS Edit 76941 76810 CMS Edit 76941 76815 CMS Edit 76941 76816 CMS Edit 76941 76825 CMS Edit 76941 76826 CMS Edit 76941 76827 CMS Edit 76941 76828 CMS Edit 76941 76830 CMS Edit 76941 76942 CMS Edit 76941 76970 CMS Edit 76941 76998 CMS Edit 76941 77001 CMS Edit 76941 77021 CMS Edit



Paid Code

Denied Code

Rule Source

76942 76536 CMS Edit 76942 76641 CPT Definition 76942 76642 CPT Definition 76942 76998 CMS Edit 76942 77012 CMS Edit 76942 77021 CMS Edit 76942 77065 CMS Policy 76942 77066 CMS Policy 76942 77067 CMS Policy 76942 99202 CMS Edit 76942 99203 CMS Edit 76942 99204 CMS Edit 76942 99205 CMS Edit 76942 99211 CMS Edit 76942 99212 CMS Edit 76942 99213 CMS Edit 76942 99214 CMS Edit 76942 99215 CMS Edit 76942 99241 CMS Edit 76942 99242 CMS Edit 76942 99243 CMS Edit 76942 99244 CMS Edit 76942 99245 CMS Edit 76942 0571T CMS Edit* 76942 0572T CMS Edit* 76942 J2001 CMS Policy 76945 76000 CMS Edit 76945 76942 CMS Edit 76945 76946 CMS Edit 76945 76970 CMS Edit 76945 76998 CMS Edit 76945 77001 CMS Edit 76945 77021 CMS Edit 76946 76000 CMS Edit 76946 76942 CMS Edit 76946 76970 CMS Edit 76946 76998 CMS Edit

Paid Code

Denied Code

Rule Source

76946 77001 CMS Edit 76946 77021 CMS Edit 76948 76000 CMS Edit 76948 76942 CMS Edit 76948 76945 CMS Edit 76948 76970 CMS Edit 76948 76998 CMS Edit 76948 77001 CMS Edit 76948 77021 CMS Edit 76965 76000 CMS Edit 76965 76872 CMS Edit 76965 76873 CMS Edit 76970 76942 CMS Edit 76970 76965 CMS Edit 76970 76998 CMS Edit 76970 0571T CMS Edit* 76970 0572T CMS Edit* 76975 76376 CMS Edit 76975 76377 CMS Edit 76975 76942 CMS Edit 76975 76970 CMS Edit 76975 76998 CMS Edit 76978 76506 CMS Edit 76978 76536 CMS Edit 76978 76604 CMS Edit 76978 76641 CMS Edit 76978 76642 CMS Edit 76978 76700 CMS Edit 76978 76705 CMS Edit 76978 76706 CMS Edit 76978 76770 CMS Edit 76978 76775 CMS Edit 76978 76776 CMS Edit 76978 76800 CMS Edit 76978 76830 CMS Edit 76978 76831 CMS Edit 76978 76856 CMS Edit



Paid Code

Denied Code

Rule Source

76978 76857 CMS Edit 76978 76870 CMS Edit 76978 76872 CMS Edit 76978 76881 CMS Edit 76978 76882 CMS Edit 76978 76970 CMS Edit 76978 0571T CMS Edit* 76978 0572T CMS Edit* 76979 76506 CMS Edit 76979 76536 CMS Edit 76979 76604 CMS Edit 76979 76641 CMS Edit 76979 76642 CMS Edit 76979 76700 CMS Edit 76979 76705 CMS Edit 76979 76706 CMS Edit 76979 76770 CMS Edit 76979 76775 CMS Edit 76979 76776 CMS Edit 76979 76800 CMS Edit 76979 76830 CMS Edit 76979 76831 CMS Edit 76979 76856 CMS Edit 76979 76857 CMS Edit 76979 76870 CMS Edit 76979 76872 CMS Edit 76979 76881 CMS Edit 76979 76882 CMS Edit 76979 76970 CMS Edit 77001 71045 CMS Edit 77001 71046 CMS Edit 77001 71047 CMS Edit 77001 75820 CMS Edit 77001 75822 CMS Edit 77001 75825 CMS Edit 77001 75827 CMS Edit 77001 76000 CMS Edit

Paid Code

Denied Code

Rule Source

77001 76942 CMS Edit 77001 76970 CMS Edit 77001 76998 CMS Edit 77001 99241 CPT Definition 77001 99242 CPT Definition 77001 99243 CPT Definition 77001 99244 CPT Definition 77001 99245 CPT Definition 77011 70450 Standard of Practice 77011 70460 Standard of Practice 77011 70470 Standard of Practice 77011 70480 Standard of Practice 77011 70481 Standard of Practice 77011 70482 Standard of Practice 77011 70486 Standard of Practice 77011 70487 Standard of Practice 77011 70488 Standard of Practice 77011 70490 Standard of Practice 77011 70491 Standard of Practice 77011 70492 Standard of Practice 77011 70496 Standard of Practice 77011 70498 Standard of Practice 77011 71250 Standard of Practice 77011 71260 Standard of Practice 77011 71270 Standard of Practice 77011 71275 Standard of Practice 77011 72125 Standard of Practice 77011 72126 Standard of Practice 77011 72127 Standard of Practice 77011 72128 Standard of Practice 77011 72129 Standard of Practice 77011 72130 Standard of Practice 77011 72131 Standard of Practice 77011 72132 Standard of Practice 77011 72133 Standard of Practice 77011 72191 Standard of Practice 77011 72192 Standard of Practice



Paid Code

Denied Code

Rule Source

77011 72193 Standard of Practice 77011 72194 Standard of Practice 77011 73200 Standard of Practice 77011 73201 Standard of Practice 77011 73202 Standard of Practice 77011 73206 Standard of Practice 77011 73700 Standard of Practice 77011 73701 Standard of Practice 77011 73702 Standard of Practice 77011 73706 Standard of Practice 77011 74150 Standard of Practice 77011 74160 Standard of Practice 77011 74170 Standard of Practice 77011 74175 Standard of Practice 77011 75635 Standard of Practice 77011 76380 CMS Edit 77011 77012 CMS Edit 77011 77013 Standard of Practice 77011 99241 CPT Definition 77011 99242 CPT Definition 77011 99243 CPT Definition 77011 99244 CPT Definition 77011 99245 CPT Definition 77012 70450 Standard of Practice 77012 70460 Standard of Practice 77012 70470 Standard of Practice 77012 70480 Standard of Practice 77012 70481 Standard of Practice 77012 70482 Standard of Practice 77012 70486 Standard of Practice 77012 70487 Standard of Practice 77012 70488 Standard of Practice 77012 70490 Standard of Practice 77012 70491 Standard of Practice 77012 70492 Standard of Practice 77012 70496 Standard of Practice 77012 70498 Standard of Practice

Paid Code

Denied Code

Rule Source

77012 71250 Standard of Practice 77012 71260 Standard of Practice 77012 71270 Standard of Practice 77012 71275 Standard of Practice 77012 72125 Standard of Practice 77012 72126 Standard of Practice 77012 72127 Standard of Practice 77012 72128 Standard of Practice 77012 72129 Standard of Practice 77012 72130 Standard of Practice 77012 72131 Standard of Practice 77012 72132 Standard of Practice 77012 72133 Standard of Practice 77012 72191 Standard of Practice 77012 72192 Standard of Practice 77012 72193 Standard of Practice 77012 72194 Standard of Practice 77012 73200 Standard of Practice 77012 73201 Standard of Practice 77012 73202 Standard of Practice 77012 73206 Standard of Practice 77012 73700 Standard of Practice 77012 73701 Standard of Practice 77012 73702 Standard of Practice 77012 73706 Standard of Practice 77012 74150 Standard of Practice 77012 74160 Standard of Practice 77012 74170 Standard of Practice 77012 74175 Standard of Practice 77012 75635 Standard of Practice 77012 76380 CMS Edit 77012 77001 CMS Edit 77012 77065 CMS Policy 77012 77066 CMS Policy 77012 77067 CMS Policy 77012 99241 CPT Definition 77012 99242 CPT Definition



Paid Code

Denied Code

Rule Source

77012 99243 CPT Definition 77012 99244 CPT Definition 77012 99245 CPT Definition 77012 0571T CMS Edit* 77012 0572T CMS Edit* 77013 76380 CMS Edit 77013 76940 CMS Edit 77013 76998 CMS Edit* 77013 77012 CMS Edit 77013 99241 CPT Definition 77013 99242 CPT Definition 77013 99243 CPT Definition 77013 99244 CPT Definition 77013 99245 CPT Definition 77014 76380 CMS Edit 77021 76376 CPT Definition 77021 76377 CPT Definition 77021 77001 CMS Edit 77021 77012 CMS Edit 77021 77065 CMS Policy 77021 77066 CMS Policy 77021 77067 CMS Policy 77021 99241 CPT Definition 77021 99242 CPT Definition 77021 99243 CPT Definition 77021 99244 CPT Definition 77021 99245 CPT Definition 77021 0571T CMS Edit* 77021 0572T CMS Edit* 77022 76940 CMS Edit 77022 76998 CMS Edit* 77022 77013 CMS Edit 77022 77021 CMS Edit 77022 99241 CPT Definition 77022 99242 CPT Definition 77022 99243 CPT Definition 77022 99244 CPT Definition

Paid Code

Denied Code

Rule Source

77022 99245 CPT Definition 77046 76000 CMS Edit 77046 76376 CMS Edit 77046 76377 CMS Edit 77046 76942 CMS Edit 77046 76970 CMS Edit 77046 76998 CMS Edit* 77047 76000 CMS Edit 77047 76376 CMS Edit 77047 76377 CMS Edit 77047 76942 CMS Edit 77047 76970 CMS Edit 77047 76998 CMS Edit* 77047 77046 CMS Edit 77048 76000 CMS Edit 77048 76376 CMS Edit 77048 76377 CMS Edit 77048 76942 CMS Edit 77048 76970 CMS Edit 77048 76998 CMS Edit* 77048 77046 CMS Edit 77048 77047 CMS Edit 77049 76000 CMS Edit 77049 76376 CMS Edit 77049 76377 CMS Edit 77049 76942 CMS Edit 77049 76970 CMS Edit 77049 76998 CMS Edit* 77049 77046 CMS Edit 77049 77047 CMS Edit 77049 77048 CMS Edit 77053 99241 CPT Definition 77053 99242 CPT Definition 77053 99243 CPT Definition 77053 99244 CPT Definition 77053 99245 CPT Definition 77054 99241 CPT Definition



Paid Code

Denied Code

Rule Source

77054 99242 CPT Definition 77054 99243 CPT Definition 77054 99244 CPT Definition 77054 99245 CPT Definition 77061 76376 CPT Definition 77061 76377 CPT Definition 77062 76376 CPT Definition 77062 76377 CPT Definition 77062 77061 CPT Definition 77063 76376 CMS Edit 77063 76377 CMS Edit 77073 73501 CMS Edit 77073 73502 CMS Edit 77073 73503 CMS Edit 77073 73521 CMS Edit 77073 73522 CMS Edit 77073 73523 CMS Edit 77073 73551 CMS Edit 77073 73552 CMS Edit 77075 71045 CMS Edit 77075 71046 CMS Edit 77075 71047 CMS Edit 77075 77074 CMS Edit 77075 77076 CMS Edit 77076 77074 CMS Edit 77077 76000 CMS Edit 77077 77001 CMS Edit 77078 76380 CPT Definition 77078 76977 CPT Definition 77078 77080 CPT Definition 77078 77081 CPT Definition 77078 77085 CPT Definition 77078 77086 CPT Definition 77078 G0130 CPT Definition 77080 72020 CPT Definition 77080 72070 CPT Definition 77080 72072 CPT Definition

Paid Code

Denied Code

Rule Source

77080 72074 CPT Definition 77080 72080 CPT Definition 77080 72100 CPT Definition 77080 72110 CPT Definition 77080 72114 CPT Definition 77080 72120 CPT Definition 77080 76977 CPT Definition 77080 77081 CMS Edit* 77080 77086 CPT Definition 77081 72020 CPT Definition 77081 72070 CMS Edit 77081 72072 CMS Edit 77081 72074 CMS Edit 77081 72080 CMS Edit 77081 72100 CPT Definition 77081 72110 CPT Definition 77081 72114 CPT Definition 77081 72120 CMS Edit 77081 76977 CMS Edit 77081 G0130 CMS Edit 77084 76970 CMS Edit 77084 76998 CMS Edit* 77084 77001 CMS Edit 77085 77080 CMS Edit 77085 77081 CMS Edit 77085 77086 CMS Edit 77301 70480 CMS Edit 77301 70481 CMS Edit 77301 70482 CMS Edit 78012 76000 CMS Edit 78012 76376 CMS Edit 78012 76377 CMS Edit 78012 76942 CMS Edit 78012 76970 CMS Edit 78012 76998 CMS Edit* 78012 77001 CMS Edit 78012 78445 CMS Edit



Paid Code

Denied Code

Rule Source

78013 76000 CMS Edit 78013 76376 CMS Edit 78013 76377 CMS Edit 78013 76942 CMS Edit 78013 76970 CMS Edit 78013 76998 CMS Edit* 78013 77001 CMS Edit 78013 78012 CMS Edit 78013 78445 CMS Edit 78014 76000 CMS Edit 78014 76376 CMS Edit 78014 76377 CMS Edit 78014 76942 CMS Edit 78014 76970 CMS Edit 78014 76998 CMS Edit* 78014 77001 CMS Edit 78014 78012 CMS Edit 78014 78013 CMS Edit 78014 78015 CMS Edit 78014 78445 CMS Edit 78015 76000 CMS Edit 78015 76376 CPT Definition 78015 76377 CMS Edit 78015 76942 CMS Edit 78015 76970 CMS Edit 78015 76998 CMS Edit 78015 77001 CMS Edit 78015 78012 CMS Edit 78015 78013 CMS Edit 78015 78020 CPT Definition 78015 78445 CMS Edit 78016 76000 CMS Edit 78016 76376 CMS Edit 78016 76377 CMS Edit 78016 76942 CPT Definition 78016 76970 CMS Edit 78016 76998 CMS Edit

Paid Code

Denied Code

Rule Source

78016 77001 CMS Edit 78016 78015 CMS Edit 78016 78445 CMS Edit 78018 76000 CMS Edit 78018 76376 CMS Edit 78018 76377 CMS Edit 78018 76942 CMS Edit 78018 76970 CMS Edit 78018 76998 CMS Edit 78018 77001 CMS Edit 78018 77750 CMS Edit 78018 77790 CMS Edit 78018 78015 CMS Edit 78018 78445 CMS Edit 78020 78445 CMS Edit 78070 76000 CMS Edit 78070 76376 CMS Edit 78070 76377 CMS Edit 78070 76942 CMS Edit 78070 76970 CMS Edit 78070 76998 CMS Edit 78070 77001 CMS Edit 78070 78445 CMS Edit 78070 78800 CMS Edit* 78070 78801 CMS Edit* 78070 78802 CMS Edit* 78071 76000 CMS Edit 78071 76376 CMS Edit 78071 76377 CMS Edit 78071 76942 CMS Edit 78071 76970 CMS Edit 78071 76998 CMS Edit* 78071 77001 CMS Edit 78071 78070 CMS Edit 78071 78445 CMS Edit 78071 78800 CMS Edit* 78071 78801 CMS Edit*



Paid Code

Denied Code

Rule Source

78071 78802 CMS Edit* 78071 78803 CMS Edit* 78071 78804 CMS Edit* 78072 76000 CMS Edit 78072 76376 CMS Edit 78072 76377 CMS Edit 78072 76942 CMS Edit 78072 76970 CMS Edit 78072 76998 CMS Edit* 78072 77001 CMS Edit 78072 78070 CMS Edit 78072 78071 CMS Edit 78072 78445 CMS Edit 78072 78800 CMS Edit* 78072 78801 CMS Edit* 78072 78802 CMS Edit* 78072 78803 CMS Edit* 78072 78804 CMS Edit* 78075 76000 CMS Edit 78075 76376 CMS Edit 78075 76377 CMS Edit 78075 76942 CMS Edit 78075 76970 CMS Edit 78075 76998 CMS Edit 78075 77001 CMS Edit 78075 78445 CMS Edit 78102 76000 CMS Edit 78102 76376 CMS Edit 78102 76377 CMS Edit 78102 76942 CMS Edit 78102 76970 CMS Edit 78102 76998 CMS Edit 78102 77001 CMS Edit 78102 78445 CMS Edit 78103 76000 CMS Edit 78103 76376 CMS Edit 78103 76377 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

78195 78445 CMS Edit 78201 76000 CMS Edit 78201 76376 CMS Edit 78201 76377 CMS Edit 78201 76942 CMS Edit 78201 76970 CMS Edit 78201 76998 CMS Edit 78201 77001 CMS Edit 78201 78216 CMS Edit 78201 78445 CMS Edit 78201 78803 CMS Edit* 78202 76000 CMS Edit 78202 76376 CMS Edit 78202 76377 CMS Edit 78202 76942 CMS Edit 78202 76970 CMS Edit 78202 76998 CMS Edit 78202 77001 CMS Edit 78202 78201 CMS Edit 78202 78215 CMS Edit 78202 78216 CMS Edit 78202 78445 CMS Edit 78202 78803 CMS Edit* 78215 76000 CMS Edit 78215 76376 CMS Edit 78215 76377 CMS Edit 78215 76942 CMS Edit 78215 76970 CMS Edit 78215 76998 CMS Edit 78215 77001 CMS Edit 78215 78185 CMS Edit 78215 78201 CMS Edit 78215 78216 CMS Edit 78215 78445 CMS Edit 78215 78803 CMS Edit* 78216 76000 CMS Edit 78216 76376 CMS Edit

Paid Code

Denied Code

Rule Source

78216 76377 CMS Edit 78216 76942 CMS Edit 78216 76970 CMS Edit 78216 76998 CMS Edit 78216 77001 CMS Edit 78216 78185 CMS Edit 78216 78445 CMS Edit 78216 78803 CMS Edit* 78226 76000 CMS Edit 78226 76376 CMS Edit 78226 76377 CMS Edit 78226 76942 CMS Edit 78226 76970 CMS Edit 78226 76998 CMS Edit 78226 77001 CMS Edit 78226 78445 CMS Edit 78227 76000 CMS Edit 78227 76376 CMS Edit 78227 76377 CMS Edit 78227 76942 CMS Edit 78227 76970 CMS Edit 78227 76998 CMS Edit 78227 77001 CMS Edit 78227 78226 CMS Edit 78227 78445 CMS Edit 78230 76000 CMS Edit 78230 76376 CMS Edit 78230 76377 CMS Edit 78230 76942 CMS Edit 78230 76970 CMS Edit 78230 76998 CMS Edit 78230 77001 CMS Edit 78230 78445 CMS Edit 78231 76000 CMS Edit 78231 76376 CMS Edit 78231 76377 CMS Edit 78231 76942 CMS Edit



Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source

78282 77001 CMS Edit 78282 78445 CMS Edit 78290 76000 CMS Edit 78290 76376 CMS Edit 78290 76377 CMS Edit 78290 76942 CMS Edit 78290 76970 CMS Edit 78290 76998 CMS Edit 78290 77001 CMS Edit 78290 78445 CMS Edit 78291 76000 CMS Edit 78291 76376 CMS Edit 78291 76377 CMS Edit 78291 76942 CMS Edit 78291 76970 CMS Edit 78291 76998 CMS Edit 78291 77001 CMS Edit 78291 78445 CMS Edit 78300 76000 CMS Edit 78300 76376 CMS Edit 78300 76377 CMS Edit 78300 76942 CMS Edit 78300 76970 CMS Edit 78300 76998 CMS Edit 78300 77001 CMS Edit 78300 78445 CMS Edit 78300 78808 CMS Edit* 78305 76000 CMS Edit 78305 76376 CMS Edit 78305 76377 CMS Edit 78305 76942 CMS Edit 78305 76970 CMS Edit 78305 76998 CMS Edit 78305 77001 CMS Edit 78305 78300 CMS Edit 78305 78445 CMS Edit 78305 78808 CMS Edit*



Paid Code

Denied Code

Rule Source

78306 76000 CMS Edit 78306 76376 CMS Edit 78306 76377 CMS Edit 78306 76942 CMS Edit 78306 76970 CMS Edit 78306 76998 CMS Edit 78306 77001 CMS Edit 78306 78300 CMS Edit 78306 78305 CMS Edit 78306 78445 CMS Edit 78306 78808 CMS Edit* 78315 76000 CMS Edit 78315 76376 CMS Edit 78315 76377 CMS Edit 78315 76942 CMS Edit 78315 76970 CMS Edit 78315 76998 CMS Edit 78315 77001 CMS Edit 78315 78300 CMS Edit 78315 78305 CMS Edit 78315 78445 CMS Edit 78315 78808 CMS Edit* 78350 76376 CMS Edit 78350 76377 CMS Edit 78351 76376 CMS Edit 78351 76377 CMS Edit 78414 76000 CMS Edit 78414 76376 CMS Edit 78414 76377 CMS Edit 78414 76942 CMS Edit 78414 76970 CMS Edit 78414 76998 CMS Edit 78414 77001 CMS Edit 78414 78445 CMS Edit 78428 76000 CMS Edit 78428 76376 CMS Edit 78428 76377 CMS Edit

Paid Code

Denied Code

Rule Source

78428 76942 CMS Edit 78428 76970 CMS Edit 78428 76998 CMS Edit 78428 77001 CMS Edit 78428 78445 CMS Edit 78429 76376 CMS Edit* 78429 78445 CMS Edit* 78429 78459 CMS Edit* 78430 78445 CMS Edit* 78430 78459 CMS Edit* 78431 71250 CMS Edit* 78431 71260 CMS Edit* 78431 71270 CMS Edit* 78431 75571 CMS Edit* 78431 76000 CMS Edit* 78431 76120 CMS Edit* 78431 76125 CMS Edit* 78431 76376 CMS Edit* 78431 76377 CMS Edit* 78431 76942 CMS Edit* 78431 76970 CMS Edit* 78431 76998 CMS Edit* 78431 78445 CMS Edit* 78431 78491 CMS Edit* 78431 78492 CMS Edit* 78431 G0297 CMS Edit* 78432 76376 CMS Edit* 78432 76377 CMS Edit* 78432 78429 CMS Edit* 78432 78430 CMS Edit* 78432 78431 CMS Edit* 78432 78445 CMS Edit* 78432 78459 CMS Edit* 78432 78492 CMS Edit* 78433 71250 CMS Edit* 78433 71260 CMS Edit* 78433 71270 CMS Edit*



Paid Code

Denied Code

Rule Source

78433 75571 CMS Edit* 78433 76000 CMS Edit* 78433 76120 CMS Edit* 78433 76125 CMS Edit* 78433 76376 CMS Edit* 78433 76377 CMS Edit* 78433 76942 CMS Edit* 78433 76970 CMS Edit* 78433 76998 CMS Edit* 78433 78429 CMS Edit* 78433 78430 CMS Edit* 78433 78431 CMS Edit* 78433 78445 CMS Edit* 78433 78459 CMS Edit* 78433 78491 CMS Edit* 78433 78492 CMS Edit* 78433 G0297 CMS Edit* 78434 76376 CMS Edit* 78434 76377 CMS Edit* 78434 78445 CMS Edit* 78434 78491 CMS Edit* 78445 75820 CMS Edit 78445 75822 CMS Edit 78445 75825 CMS Edit 78445 75827 CMS Edit 78445 75831 CMS Edit 78445 75833 CMS Edit 78445 75840 CPT Definition 78445 75842 CPT Definition 78445 75860 CPT Definition 78445 75870 CMS Edit 78445 75872 CMS Edit 78445 75880 CMS Edit 78445 75885 CMS Edit 78445 75887 CMS Edit 78445 75889 CMS Edit 78445 75891 CMS Edit

Paid Code

Denied Code

Rule Source

78445 76000 CMS Edit 78445 76376 CMS Edit 78445 76377 CMS Edit 78445 76942 CMS Edit 78445 76970 CMS Edit 78445 76998 CMS Edit 78445 77001 CMS Edit 78451 76000 CMS Edit 78451 76376 CMS Edit 78451 76377 CMS Edit 78451 76942 CMS Edit 78451 76970 CMS Edit 78451 76998 CMS Edit 78451 77001 CMS Edit 78451 78445 CPT Definition 78451 78453 CPT Definition 78451 78454 CPT Definition 78451 78466 CPT Definition 78451 78468 CPT Definition 78451 78469 CPT Definition 78451 78472 CMS Edit 78451 78473 CMS Edit 78451 78481 CMS Edit 78451 78483 CMS Edit 78451 78494 CMS Edit 78451 78496 CMS Edit 78451 78580 CMS Edit 78451 78582 CMS Edit 78451 78597 CMS Edit 78451 78598 CMS Edit 78451 78635 CMS Edit 78452 76000 CMS Edit 78452 76376 CMS Edit 78452 76377 CMS Edit 78452 76942 CMS Edit 78452 76970 CMS Edit 78452 76998 CMS Edit



Paid Code

Denied Code

Rule Source

78452 77001 CPT Definition 78452 78445 CPT Definition 78452 78451 CMS Edit 78452 78453 CMS Edit 78452 78454 CMS Edit 78452 78466 CPT Definition 78452 78468 CPT Definition 78452 78469 CPT Definition 78452 78472 CMS Edit 78452 78473 CMS Edit 78452 78481 CMS Edit 78452 78483 CMS Edit 78452 78494 CMS Edit 78452 78496 CMS Edit 78452 78580 CMS Edit 78452 78582 CMS Edit 78452 78597 CMS Edit 78452 78598 CMS Edit 78452 78635 CMS Edit 78453 76000 CMS Edit 78453 76376 CMS Edit 78453 76377 CPT Definition 78453 76942 CPT Definition 78453 76970 CMS Edit 78453 76998 CMS Edit 78453 77001 CMS Edit 78453 78445 CMS Edit 78453 78466 CPT Definition 78453 78468 CPT Definition 78453 78469 CPT Definition 78453 78472 CMS Edit 78453 78473 CMS Edit 78453 78481 CMS Edit 78453 78483 CMS Edit 78453 78496 CMS Edit 78453 78580 CMS Edit 78453 78582 CMS Edit

Paid Code

Denied Code

Rule Source

78453 78597 CMS Edit 78453 78598 CMS Edit 78453 78635 CMS Edit 78454 76000 CMS Edit 78454 76376 CMS Edit 78454 76377 CMS Edit 78454 76942 CMS Edit 78454 76970 CMS Edit 78454 76998 CMS Edit 78454 77001 CMS Edit 78454 78445 CMS Edit 78454 78453 CMS Edit 78454 78466 CPT Definition 78454 78468 CPT Definition 78454 78469 CPT Definition 78454 78472 CMS Edit 78454 78473 CMS Edit 78454 78481 CMS Edit 78454 78483 CMS Edit 78454 78496 CMS Edit 78454 78580 CMS Edit 78454 78582 CMS Edit 78454 78597 CMS Edit 78454 78598 CMS Edit 78454 78635 CMS Edit 78456 75822 CMS Edit 78456 75825 CMS Edit 78456 75827 CMS Edit 78456 75831 CMS Edit 78456 75833 CMS Edit 78456 75840 CMS Edit 78456 75842 CMS Edit 78456 75860 CMS Edit 78456 75870 CMS Edit 78456 75872 CMS Edit 78456 75885 CMS Edit 78456 75887 CMS Edit



Paid Code

Denied Code

Rule Source


Paid Code

Denied Code

Rule Source

78458 75833 CMS Edit 78458 75840 CMS Edit 78458 75842 CMS Edit 78458 75860 CMS Edit 78458 75870 CMS Edit 78458 75872 CMS Edit 78458 75885 CMS Edit 78458 75887 CMS Edit 78458 75889 CMS Edit 78458 75891 CMS Edit 78458 76000 CMS Edit 78458 76376 CMS Edit 78458 76377 CMS Edit 78458 76942 CMS Edit 78458 76970 CMS Edit 78458 76998 CMS Edit 78458 77001 CMS Edit 78458 78445 CMS Edit 78458 78456 CMS Edit 78458 78457 CMS Edit 78459 76376 CMS Edit 78459 76377 CMS Edit 78459 78445 CMS Edit 78466 76000 CMS Edit 78466 76376 CMS Edit 78466 76377 CPT Definition 78466 76942 CMS Edit 78466 76970 CMS Edit 78466 76998 CMS Edit 78466 77001 CMS Edit 78466 78445 CMS Edit 78466 78468 CMS Edit 78466 78469 CMS Edit 78466 78635 CMS Edit 78468 76000 CMS Edit 78468 76376 CMS Edit 78468 76377 CMS Edit



Paid Code

Denied Code

Rule Source

78468 76942 CMS Edit 78468 76970 CMS Edit 78468 76998 CMS Edit 78468 77001 CMS Edit 78468 78445 CMS Edit 78468 78635 CMS Edit 78469 76000 CMS Edit 78469 76376 CMS Edit 78469 76377 CMS Edit 78469 76942 CMS Edit 78469 76970 CMS Edit 78469 76998 CMS Edit 78469 77001 CMS Edit 78469 78445 CMS Edit 78469 78468 CMS Edit 78469 78472 CPT Definition 78469 78635 CMS Edit 78472 76000 CMS Edit 78472 76376 CMS Edit 78472 76377 CMS Edit 78472 76942 CMS Edit 78472 76970 CMS Edit 78472 76998 CMS Edit 78472 77001 CMS Edit 78472 78445 CMS Edit 78472 78481 CMS Edit 78472 78635 CMS Edit 78473 76000 CMS Edit 78473 76376 CMS Edit 78473 76377 CMS Edit 78473 76942 CMS Edit 78473 76970 CMS Edit 78473 76998 CMS Edit 78473 77001 CMS Edit 78473 78445 CMS Edit 78473 78472 CMS Edit 78473 78481 CMS Edit

Paid Code

Denied Code

Rule Source

78473 78483 CMS Edit 78473 78494 CMS Edit 78473 78496 CMS Edit 78473 78635 CMS Edit 78481 76000 CMS Edit 78481 76376 CMS Edit 78481 76377 CMS Edit 78481 76942 CMS Edit 78481 76970 CMS Edit 78481 76998 CMS Edit 78481 77001 CMS Edit 78481 78445 CMS Edit 78481 78496 CMS Edit 78481 78635 CMS Edit 78483 76000 CMS Edit 78483 76376 CMS Edit 78483 76377 CMS Edit 78483 76942 CMS Edit 78483 76970 CMS Edit 78483 76998 CMS Edit 78483 77001 CMS Edit 78483 78445 CMS Edit 78483 78472 CMS Edit 78483 78481 CMS Edit 78483 78494 CMS Edit 78483 78496 CMS Edit 78483 78635 CMS Edit 78491 76376 CMS Edit 78491 76377 CMS Edit 78491 78445 CMS Edit 78492 76376 CMS Edit 78492 76377 CMS Edit 78492 78429 CMS Edit* 78492 78430 CMS Edit* 78492 78445 CMS Edit 78492 78491 CMS Edit 78494 76000 CMS Edit



Paid Code

Denied Code

Rule Source

78494 76376 CMS Edit 78494 76377 CPT Definition 78494 76942 CMS Edit 78494 76970 CMS Edit 78494 76998 CMS Edit 78494 77001 CMS Edit 78494 78445 CMS Edit 78494 78472 CMS Edit 78494 78481 CMS Edit 78494 78496 CMS Edit 78494 78635 CMS Edit 78496 78445 CMS Edit 78579 76000 CMS Edit 78579 76376 CMS Edit 78579 76377 CMS Edit 78579 76942 CMS Edit 78579 76970 CMS Edit 78579 76998 CMS Edit 78579 77001 CMS Edit 78579 78445 CMS Edit 78580 76000 CMS Edit 78580 76376 CMS Edit 78580 76377 CMS Edit 78580 76942 CMS Edit 78580 76970 CMS Edit 78580 76998 CMS Edit 78580 77001 CMS Edit 78580 78445 CMS Edit 78580 78579 CMS Edit 78580 78599 CMS Edit 78582 76000 CMS Edit 78582 76376 CMS Edit 78582 76377 CMS Edit 78582 76942 CMS Edit 78582 76970 CMS Edit 78582 76998 CMS Edit 78582 77001 CMS Edit

Paid Code

Denied Code

Rule Source

78582 78445 CMS Edit 78582 78579 CMS Edit 78582 78580 CMS Edit 78582 78598 CMS Edit 78597 76000 CMS Edit 78597 76376 CMS Edit 78597 76377 CMS Edit 78597 76942 CMS Edit 78597 76970 CMS Edit 78597 76998 CMS Edit 78597 77001 CMS Edit 78597 78445 CMS Edit 78597 78579 CMS Edit 78597 78580 CMS Edit 78597 78582 CMS Edit 78597 A9552 CMS Edit 78597 A9558 CMS Edit 78598 76000 CMS Edit 78598 76376 CMS Edit 78598 76377 CMS Edit 78598 76942 CMS Edit 78598 76970 CMS Edit 78598 76998 CMS Edit 78598 77001 CMS Edit 78598 78445 CMS Edit 78598 78579 CMS Edit 78598 78580 CMS Edit 78598 78597 CMS Edit 78598 A9552 CMS Edit 78600 76000 CMS Edit 78600 76376 CPT Definition 78600 76377 CPT Definition 78600 76942 CMS Edit 78600 76970 CMS Edit 78600 76998 CMS Edit 78600 77001 CMS Edit 78600 78445 CMS Edit



Paid Code

Denied Code

Rule Source

78600 78610 CPT Definition 78601 76000 CMS Edit 78601 76376 CMS Edit 78601 76377 CMS Edit 78601 76942 CMS Edit 78601 76970 CMS Edit 78601 76998 CMS Edit 78601 77001 CMS Edit 78601 78445 CMS Edit 78601 78600 CMS Edit 78601 78610 CMS Edit 78605 76000 CMS Edit 78605 76376 CMS Edit 78605 76377 CMS Edit 78605 76942 CMS Edit 78605 76970 CMS Edit 78605 76998 CMS Edit 78605 77001 CMS Edit 78605 78445 CMS Edit 78605 78600 CMS Edit 78605 78601 CPT Definition 78605 78610 CPT Definition 78606 76000 CMS Edit 78606 76376 CMS Edit 78606 76377 CMS Edit 78606 76942 CMS Edit 78606 76970 CMS Edit 78606 76998 CMS Edit 78606 77001 CMS Edit 78606 78445 CMS Edit 78606 78600 CMS Edit 78606 78601 CMS Edit 78606 78605 CMS Edit 78606 78610 CMS Edit 78608 76376 CMS Edit 78608 76377 CMS Edit 78608 A9526 CMS Edit

Paid Code

Denied Code

Rule Source

78608 A9555 CMS Edit 78609 76376 CPT Definition 78609 76377 CPT Definition 78610 76000 CMS Edit 78610 76376 CMS Edit 78610 76377 CMS Edit 78610 76942 CMS Edit 78610 76970 CMS Edit 78610 76998 CMS Edit 78610 77001 CMS Edit 78610 78445 CMS Edit 78630 76000 CMS Edit 78630 76376 CMS Edit 78630 76377 CMS Edit 78630 76800 CMS Edit 78630 76942 CMS Edit 78630 76970 CMS Edit 78630 76998 CMS Edit 78630 77001 CMS Edit 78630 78445 CMS Edit 78630 78803 CMS Edit* 78635 76000 CMS Edit 78635 76376 CMS Edit 78635 76377 CMS Edit 78635 76800 CMS Edit 78635 76942 CMS Edit 78635 76970 CMS Edit 78635 76998 CMS Edit 78635 77001 CMS Edit 78635 78445 CMS Edit 78635 78630 CMS Edit 78635 78803 CMS Edit* 78645 76000 CMS Edit 78645 76376 CMS Edit 78645 76377 CMS Edit 78645 76800 CMS Edit 78645 76942 CMS Edit



Paid Code

Denied Code

Rule Source

78645 76970 CMS Edit 78645 76998 CMS Edit 78645 77001 CMS Edit 78645 78445 CMS Edit 78645 78630 CMS Edit* 78645 78635 CMS Edit* 78645 78650 CMS Edit* 78645 78803 CMS Edit* 78650 76000 CMS Edit 78650 76376 CMS Edit 78650 76377 CMS Edit 78650 76800 CMS Edit 78650 76942 CMS Edit 78650 76970 CMS Edit 78650 76998 CMS Edit 78650 77001 CMS Edit 78650 78445 CMS Edit 78650 78630 CMS Edit 78650 78635 CMS Edit 78650 78803 CMS Edit* 78660 76000 CMS Edit 78660 76376 CMS Edit 78660 76377 CMS Edit 78660 76942 CMS Edit 78660 76970 CMS Edit 78660 76998 CMS Edit 78660 77001 CMS Edit 78660 78445 CMS Edit 78700 76000 CMS Edit 78700 76376 CMS Edit 78700 76377 CMS Edit 78700 76942 CMS Edit 78700 76970 CMS Edit 78700 76998 CMS Edit 78700 77001 CMS Edit 78700 78445 CMS Edit 78700 78725 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

78709 76970 CMS Edit 78709 76998 CMS Edit 78709 77001 CMS Edit 78709 78445 CMS Edit 78709 78700 CMS Edit 78709 78701 CMS Edit 78709 78707 CMS Edit 78709 78708 CMS Edit 78709 78725 CMS Edit 78709 78803 CMS Edit* 78725 76000 CMS Edit 78725 76376 CMS Edit 78725 76377 CMS Edit 78725 76942 CMS Edit 78725 76970 CMS Edit 78725 76998 CMS Edit 78725 77001 CMS Edit 78725 78445 CPT Definition 78730 78445 CPT Definition 78740 76000 CMS Edit 78740 76376 CMS Edit 78740 76377 CMS Edit 78740 76942 CMS Edit 78740 76970 CMS Edit 78740 76998 CMS Edit 78740 77001 CMS Edit 78740 78445 CMS Edit 78761 76000 CMS Edit 78761 76376 CPT Definition 78761 76377 CPT Definition 78761 76942 CMS Edit 78761 76970 CMS Edit 78761 76998 CMS Edit 78761 77001 CMS Edit 78761 78445 CMS Edit 78800 76000 CMS Edit 78800 76376 CMS Edit

Paid Code

Denied Code

Rule Source

78800 76377 CMS Edit 78800 76942 CMS Edit 78800 76970 CMS Edit 78800 76998 CMS Edit 78800 77001 CMS Edit 78800 78445 CPT Definition 78800 78808 CMS Edit 78801 76000 CMS Edit 78801 76376 CMS Edit 78801 76377 CMS Edit 78801 76942 CMS Edit 78801 76970 CMS Edit 78801 76998 CMS Edit 78801 77001 CPT Definition 78801 78445 CMS Edit 78801 78800 CMS Edit 78801 78808 CMS Edit 78802 76000 CMS Edit 78802 76376 CMS Edit 78802 76377 CMS Edit 78802 76942 CMS Edit 78802 76970 CMS Edit 78802 76998 CMS Edit 78802 77001 CMS Edit 78802 78445 CMS Edit 78802 78800 CMS Edit 78802 78801 CMS Edit 78802 78808 CMS Edit 78803 75571 CMS Edit* 78803 76000 CMS Edit 78803 76376 CPT Definition 78803 76377 CPT Definition 78803 76380 CMS Edit* 78803 76800 CMS Edit* 78803 76942 CPT Definition 78803 76970 CMS Edit 78803 76998 CMS Edit



Paid Code

Denied Code

Rule Source

78803 77001 CMS Edit 78803 78070 CPT Definition 78803 78070 CMS Edit* 78803 78185 CMS Edit* 78803 78195 CMS Edit* 78803 78300 CMS Edit* 78803 78305 CMS Edit* 78803 78315 CMS Edit* 78803 78445 CMS Edit 78803 78600 CMS Edit* 78803 78601 CMS Edit* 78803 78605 CMS Edit* 78803 78606 CMS Edit* 78803 78700 CMS Edit* 78803 78701 CMS Edit* 78803 78707 CMS Edit* 78803 78708 CMS Edit* 78803 78725 CMS Edit* 78803 78800 CMS Edit 78803 78801 CMS Edit 78803 78802 CMS Edit* 78803 78808 CMS Edit 78804 76000 CMS Edit 78804 76376 CMS Edit 78804 76377 CMS Edit 78804 76942 CMS Edit 78804 76970 CMS Edit 78804 76998 CMS Edit 78804 77001 CMS Edit 78804 78070 CMS Edit* 78804 78185 CMS Edit 78804 78195 CPT Definition 78804 78201 CPT Definition 78804 78215 CMS Edit 78804 78445 CMS Edit 78804 78800 CMS Edit 78804 78801 CMS Edit

Paid Code

Denied Code

Rule Source

78804 78802 CMS Edit 78804 78803 CPT Definition 78804 78808 CMS Edit 78808 76000 CMS Edit 78808 76942 CMS Edit 78808 76970 CMS Edit 78808 76998 CMS Edit 78808 77001 Standard of Practice 78808 78445 CMS Edit 78811 70450 CMS Edit 78811 70460 Standard of Practice 78811 70470 CMS Policy 78811 70480 CMS Policy 78811 70481 Standard of Practice 78811 70482 Standard of Practice 78811 70486 Standard of Practice 78811 70487 Standard of Practice 78811 70488 Standard of Practice 78811 70490 Standard of Practice 78811 70491 Standard of Practice 78811 70492 Standard of Practice 78811 71250 CMS Policy 78811 71260 Standard of Practice 78811 71270 Standard of Practice 78811 72125 CMS Edit 78811 72126 Standard of Practice 78811 72127 CMS Policy 78811 72128 CMS Policy 78811 72129 Standard of Practice 78811 72130 CMS Policy 78811 72131 CMS Edit 78811 72132 Standard of Practice 78811 72133 CMS Policy 78811 72192 CMS Edit 78811 72193 Standard of Practice 78811 72194 Standard of Practice 78811 73200 CMS Edit



Paid Code

Denied Code

Rule Source

78811 73201 Standard of Practice 78811 73202 Standard of Practice 78811 73700 CMS Edit 78811 73701 Standard of Practice 78811 73702 CMS Policy 78811 74150 CMS Edit 78811 74160 Standard of Practice 78811 74170 CMS Policy 78811 74176 CMS Edit 78811 74177 Standard of Practice 78811 74178 CMS Policy 78811 76376 CMS Edit 78811 76377 CMS Edit 78811 76380 Standard of Practice 78811 78445 CMS Edit 78811 78803 CMS Edit* 78811 78830 CMS Edit* 78811 78831 CMS Edit* 78811 78832 CMS Edit* 78811 A9526 CMS Edit 78811 A9555 CMS Policy 78811 G0297 CMS Edit 78812 70450 CMS Edit 78812 70460 Standard of Practice 78812 70470 CMS Policy 78812 70480 CMS Edit 78812 70481 Standard of Practice 78812 70482 Standard of Practice 78812 70486 CMS Edit 78812 70487 Standard of Practice 78812 70488 Standard of Practice 78812 70490 CMS Edit 78812 70491 Standard of Practice 78812 70492 Standard of Practice 78812 71250 CMS Edit 78812 71260 Standard of Practice 78812 71270 Standard of Practice

Paid Code

Denied Code

Rule Source

78812 72125 CMS Edit 78812 72126 Standard of Practice 78812 72127 Standard of Practice 78812 72128 CMS Edit 78812 72129 CMS Policy 78812 72130 Standard of Practice 78812 72131 CMS Edit 78812 72132 CMS Policy 78812 72133 Standard of Practice 78812 72192 CMS Edit 78812 72193 CMS Policy 78812 72194 Standard of Practice 78812 73200 CMS Edit 78812 73201 Standard of Practice 78812 73202 Standard of Practice 78812 73700 Standard of Practice 78812 73701 CMS Edit 78812 73702 Standard of Practice 78812 74150 CMS Edit 78812 74160 CMS Policy 78812 74170 Standard of Practice 78812 74176 CMS Edit 78812 74177 CMS Policy 78812 74178 Standard of Practice 78812 76376 CMS Edit 78812 76377 CMS Edit 78812 76380 Standard of Practice 78812 78445 CMS Edit 78812 78803 CMS Edit* 78812 78811 CMS Edit 78812 78830 CMS Edit* 78812 78831 CMS Edit* 78812 78832 CMS Edit* 78812 A9526 CMS Edit 78812 A9540 CMS Edit 78812 A9555 CMS Policy 78812 G0297 CMS Edit



Paid Code

Denied Code

Rule Source

78813 70450 CMS Edit 78813 70460 Standard of Practice 78813 70470 CMS Policy 78813 70480 CMS Edit 78813 70481 Standard of Practice 78813 70482 Standard of Practice 78813 70486 CMS Edit 78813 70487 Standard of Practice 78813 70488 Standard of Practice 78813 70490 CMS Edit 78813 70491 Standard of Practice 78813 70492 Standard of Practice 78813 71250 CMS Edit 78813 71260 Standard of Practice 78813 71270 Standard of Practice 78813 72125 CMS Edit 78813 72126 Standard of Practice 78813 72127 Standard of Practice 78813 72128 CMS Edit 78813 72129 CMS Policy 78813 72130 CMS Policy 78813 72131 CMS Edit 78813 72132 CMS Policy 78813 72133 CMS Policy 78813 72192 CMS Edit 78813 72193 CMS Policy 78813 72194 CMS Policy 78813 73200 CMS Edit 78813 73201 Standard of Practice 78813 73202 Standard of Practice 78813 73700 CMS Edit 78813 73701 Standard of Practice 78813 73702 Standard of Practice 78813 74150 CMS Edit 78813 74160 CMS Policy 78813 74170 CMS Policy 78813 74176 CMS Edit

Paid Code

Denied Code

Rule Source

78813 74177 CMS Policy 78813 74178 CMS Policy 78813 76376 CMS Edit 78813 76377 CMS Edit 78813 76380 CMS Policy 78813 78445 CMS Edit 78813 78803 CMS Edit* 78813 78811 CMS Edit 78813 78812 CMS Edit 78813 78830 CMS Edit* 78813 78831 CMS Edit* 78813 78832 CMS Edit* 78813 A9526 CMS Edit 78813 A9555 CMS Policy 78813 G0297 CMS Edit 78814 70450 CMS Edit 78814 70460 CPT Definition 78814 70470 CMS Policy 78814 70480 CMS Edit 78814 70481 CPT Definition 78814 70482 Standard of Practice 78814 70486 CMS Edit 78814 70487 CPT Definition 78814 70488 Standard of Practice 78814 70490 CMS Edit 78814 70491 CPT Definition 78814 70492 CPT Definition 78814 71250 CMS Edit 78814 71260 CPT Definition 78814 71270 CPT Definition 78814 72125 CMS Edit 78814 72126 CPT Definition 78814 72127 CPT Definition 78814 72128 CMS Edit 78814 72129 CPT Definition 78814 72130 CPT Definition 78814 72131 CMS Edit



Paid Code

Denied Code

Rule Source

78814 72132 CPT Definition 78814 72133 CMS Policy 78814 72192 CMS Edit 78814 72193 CPT Definition 78814 72194 CMS Policy 78814 73200 CMS Edit 78814 73201 CPT Definition 78814 73202 Standard of Practice 78814 73700 CMS Edit 78814 73701 CPT Definition 78814 73702 Standard of Practice 78814 74150 CMS Edit 78814 74160 CPT Definition 78814 74170 CMS Policy 78814 74176 CMS Edit 78814 74177 CPT Definition 78814 74178 CMS Policy 78814 76376 CMS Edit 78814 76377 CMS Edit 78814 76380 CMS Policy 78814 78445 CMS Edit 78814 78803 CMS Edit* 78814 78811 CMS Edit 78814 78812 CMS Edit 78814 78813 CMS Edit 78814 78830 CMS Edit* 78814 78831 CMS Edit* 78814 78832 CMS Edit* 78814 A9526 CMS Edit 78814 A9540 CMS Edit 78814 A9555 CMS Policy 78814 G0297 CMS Edit 78815 70450 CMS Edit 78815 70460 CPT Definition 78815 70470 CMS Policy 78815 70480 CMS Edit 78815 70481 CPT Definition

Paid Code

Denied Code

Rule Source

78815 70482 Standard of Practice 78815 70486 CMS Edit 78815 70487 CPT Definition 78815 70488 Standard of Practice 78815 70490 CMS Edit 78815 70491 CPT Definition 78815 70492 CMS Edit 78815 71250 CMS Edit 78815 71260 CPT Definition 78815 71270 CPT Definition 78815 72125 CMS Edit 78815 72126 CPT Definition 78815 72127 CPT Definition 78815 72128 CMS Edit 78815 72129 CPT Definition 78815 72130 CPT Definition 78815 72131 CMS Edit 78815 72132 CMS Policy 78815 72133 CPT Definition 78815 72192 CMS Edit 78815 72193 CMS Policy 78815 72194 Standard of Practice 78815 73200 CMS Edit 78815 73201 CMS Policy 78815 73202 CPT Definition 78815 73700 CMS Edit 78815 73701 Standard of Practice 78815 73702 CPT Definition 78815 74150 CMS Edit 78815 74160 Standard of Practice 78815 74170 CPT Definition 78815 74176 CMS Policy 78815 74177 CMS Policy 78815 74178 CPT Definition 78815 76376 CMS Edit 78815 76377 CMS Edit 78815 76380 CPT Definition



Paid Code

Denied Code

Rule Source

78815 78445 CMS Edit 78815 78803 CMS Edit* 78815 78811 CMS Edit 78815 78812 CMS Edit 78815 78813 CMS Edit 78815 78814 CMS Edit 78815 78830 CMS Edit* 78815 78831 CMS Edit* 78815 78832 CMS Edit* 78815 A9526 CMS Edit 78815 A9540 CMS Edit 78815 A9555 CMS Edit 78815 A9558 CMS Edit 78815 G0297 CMS Edit 78816 70450 CMS Edit 78816 70460 CPT Definition 78816 70470 CMS Policy 78816 70480 CMS Edit 78816 70481 CPT Definition 78816 70482 Standard of Practice 78816 70486 CMS Edit 78816 70487 CPT Definition 78816 70488 Standard of Practice 78816 70490 Standard of Practice 78816 70491 CPT Definition 78816 70492 CMS Edit 78816 71250 CMS Edit 78816 71260 CPT Definition 78816 71270 CPT Definition 78816 72125 CMS Edit 78816 72126 CPT Definition 78816 72127 CPT Definition 78816 72128 CMS Edit 78816 72129 CPT Definition 78816 72130 CPT Definition 78816 72131 CMS Edit 78816 72132 CPT Definition

Paid Code

Denied Code

Rule Source

78816 72133 CPT Definition 78816 72192 CMS Edit 78816 72193 CPT Definition 78816 72194 CPT Definition 78816 73200 CMS Edit 78816 73201 CPT Definition 78816 73202 CPT Definition 78816 73700 CMS Edit 78816 73701 CPT Definition 78816 73702 CPT Definition 78816 74150 CMS Edit 78816 74160 CPT Definition 78816 74170 CPT Definition 78816 74176 CMS Edit 78816 74177 CPT Definition 78816 74178 CPT Definition 78816 76376 CMS Edit 78816 76377 CMS Edit 78816 76380 CPT Definition 78816 78445 CMS Edit 78816 78803 CMS Edit* 78816 78811 CMS Edit 78816 78812 CMS Edit 78816 78813 CMS Edit 78816 78814 CMS Edit 78816 78815 CMS Edit 78816 78830 CMS Edit* 78816 78831 CMS Edit* 78816 78832 CMS Edit* 78816 A9526 CPT Definition 78816 A9555 CPT Definition 78816 G0297 CMS Edit 78830 75571 CMS Edit* 78830 76000 CMS Edit* 78830 76376 CMS Edit* 78830 76377 CMS Edit* 78830 76380 CMS Edit*



Paid Code

Denied Code

Rule Source

78830 76942 CMS Edit* 78830 76970 CMS Edit* 78830 76998 CMS Edit* 78830 78185 CMS Edit* 78830 78195 CMS Edit* 78830 78201 CMS Edit* 78830 78215 CMS Edit* 78830 78445 CMS Edit* 78830 78800 CMS Edit* 78830 78801 CMS Edit* 78830 78802 CMS Edit* 78830 78803 CMS Edit* 78830 78808 CMS Edit* 78831 75571 CMS Edit* 78831 76000 CMS Edit* 78831 76376 CMS Edit* 78831 76377 CMS Edit* 78831 76380 CMS Edit* 78831 76942 CMS Edit* 78831 76970 CMS Edit* 78831 76998 CMS Edit* 78831 78185 CMS Edit* 78831 78195 CMS Edit* 78831 78201 CMS Edit* 78831 78215 CMS Edit* 78831 78445 CMS Edit* 78831 78800 CMS Edit* 78831 78801 CMS Edit* 78831 78802 CMS Edit* 78831 78803 CMS Edit* 78831 78808 CMS Edit* 78831 78830 CMS Edit* 78832 75571 CMS Edit* 78832 76000 CMS Edit* 78832 76376 CMS Edit* 78832 76377 CMS Edit* 78832 76380 CMS Edit*

Paid Code

Denied Code

Rule Source

78832 76942 CMS Edit* 78832 76970 CMS Edit* 78832 76998 CMS Edit* 78832 78185 CMS Edit* 78832 78195 CMS Edit* 78832 78201 CMS Edit* 78832 78215 CMS Edit* 78832 78445 CMS Edit* 78832 78800 CMS Edit* 78832 78801 CMS Edit* 78832 78802 CMS Edit* 78832 78803 CMS Edit* 78832 78808 CMS Edit* 78832 78830 CMS Edit* 78832 78831 CMS Edit* 93015 93000 CMS Edit 93015 93016 CMS Edit 93015 93017 CPT Definition 93015 93018 CMS Edit 93303 76970 CMS Edit 93303 76998 CMS Edit* 93303 93304 CMS Edit 93303 93307 CMS Edit 93303 93308 CMS Edit 93303 C8922 CMS Edit 93303 C8929 CMS Edit* 93304 76970 CMS Edit 93304 76998 CMS Edit* 93304 93308 CMS Edit 93304 93350 CMS Edit* 93306 76604 CMS Edit* 93306 76970 CMS Edit 93306 76998 CMS Edit* 93306 93303 CMS Edit 93306 93304 CMS Edit 93306 93307 CMS Edit 93306 93308 CMS Edit



Paid Code

Denied Code

Rule Source

93306 93320 CMS Edit 93306 93321 CMS Edit 93306 93325 CMS Edit 93306 C8924 CMS Edit 93306 C8929 CMS Edit* 93307 76604 CMS Edit* 93307 76970 CMS Edit 93307 76998 CMS Edit* 93307 93304 CMS Edit 93307 93308 CMS Edit 93307 93320 CMS Edit 93307 93321 CMS Edit 93307 93325 CMS Edit 93307 C8924 CMS Edit 93308 76970 CMS Edit* 93308 76998 CMS Edit* 93308 93320 CMS Edit* 93312 76970 CMS Edit* 93312 76998 CMS Edit* 93312 93313 CMS Edit* 93312 93314 CMS Edit* 93312 93315 CMS Edit* 93312 93351 CMS Edit* 93312 C8930 CMS Edit* 93313 76970 CMS Edit* 93313 76998 CMS Edit* 93313 93316 CMS Edit* 93314 76970 CMS Edit* 93314 76998 CMS Edit* 93314 93313 CMS Edit* 93314 93317 CMS Edit* 93315 76970 CMS Edit* 93315 76998 CMS Edit* 93315 93316 CMS Edit* 93315 93317 CMS Edit* 93316 76970 CMS Edit* 93316 76998 CMS Edit*

Paid Code

Denied Code

Rule Source

93317 76970 CMS Edit* 93317 76998 CMS Edit* 93318 76970 CMS Edit* 93318 76998 CMS Edit* 93318 93303 CMS Edit* 93318 93304 CMS Edit* 93318 93306 CMS Edit* 93318 93307 CMS Edit* 93318 93308 CMS Edit* 93318 93312 CMS Edit* 93318 93313 CMS Edit* 93318 93314 CMS Edit* 93318 93315 CMS Edit* 93318 93316 CMS Edit* 93318 93317 CMS Edit* 93318 93320 CMS Edit* 93318 93321 CMS Edit* 93318 93325 CMS Edit* 93318 C8921 CMS Edit* 93318 C8922 CMS Edit* 93318 C8923 CMS Edit* 93318 C8924 CMS Edit* 93318 C8925 CMS Edit* 93318 C8926 CMS Edit* 93318 C8929 CMS Edit* 93320 76970 CMS Edit* 93320 76998 CMS Edit* 93321 76970 CMS Edit* 93321 76998 CMS Edit* 93325 76970 CMS Edit* 93325 76998 CMS Edit* 93350 76970 CMS Edit 93350 76998 CMS Edit* 93350 93015 CMS Edit 93350 93303 CMS Edit 93350 93304 CPT Definition 93350 93306 CMS Edit



Paid Code

Denied Code

Rule Source

93350 93307 CMS Edit 93350 93308 CMS Edit 93350 93308 CMS Edit* 93350 93312 CMS Edit* 93350 93313 CMS Edit* 93350 93314 CMS Edit* 93350 C8929 CMS Edit* 93351 76970 CMS Edit 93351 76998 CMS Edit* 93351 93015 CMS Edit 93351 93016 CMS Edit 93351 93017 CMS Edit 93351 93018 CMS Edit 93351 93303 CMS Edit 93351 93304 CMS Edit 93351 93306 CMS Edit 93351 93307 CMS Edit 93351 93308 CMS Edit 93351 93313 CMS Edit* 93351 93314 CMS Edit* 93351 93350 CMS Edit 93451 75600 CMS Edit 93451 75605 CMS Edit 93451 75741 CMS Edit 93451 75743 CMS Edit 93451 75746 CMS Edit 93451 75756 CMS Edit 93451 76000 CMS Edit 93451 78635 CMS Edit 93451 93318 CMS Edit* 93451 93462 CMS Edit* 93452 75600 CMS Edit 93452 75605 CMS Edit 93452 75625 CMS Edit 93452 75630 CMS Edit 93452 75710 CMS Edit 93452 75716 CMS Edit

Paid Code

Denied Code

Rule Source

93452 75741 CMS Edit 93452 75743 CMS Edit 93452 75746 CMS Edit 93452 75756 CMS Edit 93452 75774 CMS Edit 93452 75893 CMS Edit 93452 76000 CMS Edit 93452 78635 CMS Edit 93452 93451 CMS Edit 93453 75600 CMS Edit 93453 75605 CMS Edit 93453 75625 CMS Edit 93453 75630 CMS Edit 93453 75710 CMS Edit 93453 75716 CMS Edit 93453 75741 CMS Edit 93453 75743 CMS Edit 93453 75746 CMS Edit 93453 75756 CMS Edit 93453 75774 CMS Edit 93453 75893 CMS Edit 93453 76000 CMS Edit 93453 78635 CMS Edit 93453 93451 CMS Edit 93453 93452 CMS Edit 93453 93454 CMS Edit* 93453 93455 CMS Edit* 93453 93456 CMS Edit 93453 93458 CMS Edit 93454 75600 CMS Edit 93454 75605 CMS Edit 93454 75625 CMS Edit 93454 75630 CMS Edit 93454 75710 CMS Edit 93454 75716 CMS Edit 93454 75741 CMS Edit 93454 75743 CMS Edit



Paid Code

Denied Code

Rule Source

93454 75746 CMS Edit 93454 75756 CMS Edit 93454 75774 CMS Edit 93454 75893 CMS Edit 93454 76000 CMS Edit 93454 93318 CMS Edit* 93454 93451 CMS Edit* 93454 93452 CMS Edit* 93454 93462 CMS Edit 93454 93463 CMS Edit* 93455 75600 CMS Edit 93455 75605 CMS Edit 93455 75625 CMS Edit 93455 75630 CMS Edit 93455 75710 CMS Edit 93455 75716 CMS Edit 93455 75741 CMS Edit 93455 75743 CMS Edit 93455 75746 CMS Edit 93455 75756 CMS Edit 93455 75774 CMS Edit 93455 75893 CMS Edit 93455 76000 CMS Edit 93455 93318 CMS Edit* 93455 93451 CMS Edit* 93455 93452 CMS Edit* 93455 93454 CMS Edit 93455 93462 CMS Edit 93455 93463 CMS Edit* 93456 75600 CMS Edit 93456 75600 CMS Edit* 93456 75605 CMS Edit 93456 75625 CMS Edit 93456 75630 CMS Edit 93456 75710 CMS Edit 93456 75716 CMS Edit 93456 75741 CMS Edit

Paid Code

Denied Code

Rule Source

93456 75743 CMS Edit 93456 75746 CMS Edit 93456 75756 CMS Edit 93456 75774 CMS Edit 93456 75893 CMS Edit 93456 76000 CMS Edit 93456 78635 CMS Edit 93456 93451 CMS Edit 93456 93454 CMS Edit 93456 93455 CMS Edit 93456 93458 CMS Edit 93456 93462 CMS Edit* 93457 75600 CMS Edit 93457 75605 CMS Edit 93457 75625 CMS Edit 93457 75630 CMS Edit 93457 75710 CMS Edit 93457 75716 CMS Edit 93457 75741 CMS Edit 93457 75743 CMS Edit 93457 75746 CMS Edit 93457 75756 CMS Edit 93457 75774 CMS Edit 93457 75893 CMS Edit 93457 76000 CMS Edit 93457 78635 CMS Edit 93457 93451 CMS Edit 93457 93452 CMS Edit* 93457 93453 CMS Edit 93457 93454 CMS Edit 93457 93455 CMS Edit 93457 93456 CMS Edit 93457 93458 CMS Edit 93457 93459 CMS Edit 93457 93462 CMS Edit 93458 75600 CMS Edit 93458 75605 CMS Edit



Paid Code

Denied Code

Rule Source

93458 75625 CMS Edit 93458 75630 CMS Edit 93458 75710 CMS Edit 93458 75716 CMS Edit 93458 75741 CMS Edit 93458 75743 CMS Edit 93458 75746 CMS Edit 93458 75756 CMS Edit 93458 75774 CMS Edit 93458 75893 CMS Edit 93458 76000 CMS Edit 93458 78635 CMS Edit 93458 93318 CMS Edit* 93458 93451 CMS Edit* 93458 93452 CMS Edit 93458 93454 CMS Edit 93458 93455 CMS Edit 93459 75600 CMS Edit 93459 75605 CMS Edit 93459 75625 CMS Edit 93459 75630 CMS Edit 93459 75710 CMS Edit 93459 75716 CMS Edit 93459 75741 CMS Edit 93459 75743 CMS Edit 93459 75746 CMS Edit 93459 75756 CMS Edit 93459 75774 CMS Edit 93459 75893 CMS Edit 93459 76000 CMS Edit 93459 78635 CMS Edit 93459 93452 CMS Edit 93459 93453 CMS Edit 93459 93454 CMS Edit 93459 93455 CMS Edit 93459 93456 CMS Edit 93459 93458 CMS Edit

Paid Code

Denied Code

Rule Source




Paid Code

Denied Code

Rule Source

93461 93318 CMS Edit* 93461 93451 CMS Edit 93461 93452 CMS Edit 93461 93453 CMS Edit 93461 93454 CMS Edit 93461 93455 CMS Edit 93461 93456 CMS Edit 93461 93457 CMS Edit 93461 93458 CMS Edit 93461 93459 CMS Edit 93461 93460 CMS Edit 93880 76536 CPT Definition 93880 76970 CMS Edit* 93880 76998 CMS Edit* 93880 93882 CMS Edit* 93882 76536 CPT Definition 93882 76970 CMS Edit* 93882 76998 CMS Edit* 93886 76970 CMS Edit* 93886 76998 CMS Edit* 93886 93888 CMS Edit* 93888 76970 CMS Edit* 93888 76998 CMS Edit* 93890 93888 CMS Edit* 93892 93888 CMS Edit* 93893 93888 CMS Edit* 93893 93892 CMS Edit* 93922 76881 CMS Edit* 93922 76882 CMS Edit* 93922 76970 CMS Edit* 93922 76998 CMS Edit* 93923 76881 CMS Edit* 93923 76882 CMS Edit* 93923 76970 CMS Edit* 93923 76998 CMS Edit* 93924 76881 CMS Edit* 93924 76882 CMS Edit*

Paid Code

Denied Code

Rule Source

93925 76881 CMS Edit* 93925 76882 CMS Edit* 93925 76970 CMS Edit* 93925 76998 CMS Edit* 93925 93986 CMS Edit* 93926 76881 CMS Edit* 93926 76882 CMS Edit* 93926 76970 CMS Edit* 93926 76998 CMS Edit* 93930 76881 CMS Edit* 93930 76882 CMS Edit* 93930 76970 CMS Edit* 93930 76998 CMS Edit* 93930 93986 CMS Edit* 93931 76881 CMS Edit* 93931 76882 CMS Edit* 93931 76970 CMS Edit* 93931 76998 CMS Edit* 93970 76881 CMS Edit 93970 76882 CMS Edit 93970 76937 CMS Edit* 93970 76970 CMS Edit 93970 76998 CMS Edit* 93970 93986 CMS Edit* 93971 76881 CMS Edit 93971 76882 CMS Edit 93971 76937 CMS Edit* 93971 76970 CMS Edit 93971 76998 CMS Edit* 93975 76700 CMS Edit* 93975 76705 CMS Edit* 93975 76706 CMS Edit* 93975 76770 CMS Edit* 93975 76775 CMS Edit* 93975 76776 CMS Edit* 93975 76856 CMS Edit* 93975 76970 CMS Edit*



Paid Code

Denied Code

Rule Source

93975 76998 CMS Edit* 93976 76700 CMS Edit* 93976 76705 CMS Edit* 93976 76706 CMS Edit* 93976 76770 CMS Edit* 93976 76775 CMS Edit* 93976 76776 CMS Edit* 93976 76970 CMS Edit* 93976 76998 CMS Edit* 93978 76706 CMS Edit* 93978 76770 CMS Edit* 93978 76775 CMS Edit* 93978 76970 CMS Edit* 93978 76998 CMS Edit* 93979 76706 CMS Edit* 93979 76770 CMS Edit* 93979 76775 CMS Edit* 93979 76856 CMS Edit* 93979 76970 CMS Edit* 93979 76998 CMS Edit* 93980 76970 CMS Edit* 93980 76998 CMS Edit* 93981 76856 CMS Edit* 93981 76970 CMS Edit* 93981 76998 CMS Edit* 93985 76881 CMS Edit* 93985 76882 CMS Edit* 93985 76937 CMS Edit* 93985 76970 CMS Edit* 93985 76998 CMS Edit* 93985 93986 CMS Edit* 93986 76881 CMS Edit* 93986 76882 CMS Edit* 93986 76937 CMS Edit* 93986 76970 CMS Edit* 93986 76998 CMS Edit* 93990 76970 CMS Edit*

Paid Code

Denied Code

Rule Source

93990 76998 CMS Edit* 93990 93986 CMS Edit* 0042T 70460 CMS Edit 0042T 70470 CMS Edit 0501T 76376 CMS Edit 0501T 76377 CMS Edit 0501T 0502T CMS Edit 0501T 0503T CMS Edit 0501T 0504T CMS Edit 0502T 76376 CMS Edit 0502T 76377 CMS Edit 0503T 76376 CMS Edit 0503T 76377 CMS Edit 0504T 76376 CMS Edit 0504T 76377 CMS Edit A9500 A9502 CMS Edit A9500 A9512 CMS Edit A9501 A9512 CMS Edit A9502 A9512 CMS Edit A9503 A9512 CMS Edit A9504 A9512 CMS Edit A9510 A9512 CMS Edit A9521 A9512 CMS Edit A9536 A9512 CMS Edit A9537 A9512 CMS Edit A9538 A9512 CMS Edit A9539 A9512 CMS Edit A9540 A9512 CMS Edit A9541 A9512 CMS Edit A9550 A9512 CMS Edit A9551 A9512 CMS Edit A9557 A9512 CMS Edit A9560 A9512 CMS Edit A9561 A9512 CMS Edit A9562 A9512 CMS Edit A9566 A9512 CMS Edit A9567 A9512 CMS Edit



Paid Code

Denied Code

Rule Source

A9568 A9512 CMS Edit A9569 A9512 CMS Edit C8900 76000 CMS Edit C8900 76376 CMS Edit C8900 76377 CMS Edit C8900 76942 CMS Edit C8900 76970 CMS Edit C8900 76998 CMS Edit C8901 76000 CMS Edit C8901 76376 CMS Edit C8901 76377 CMS Edit C8901 76942 CMS Edit C8901 76970 CMS Edit C8901 76998 CMS Edit C8902 76000 CMS Edit C8902 76376 CMS Edit C8902 76377 CMS Edit C8902 76942 CMS Edit C8902 76970 CMS Edit C8902 76998 CMS Edit C8903 76000 CMS Edit C8903 76942 CMS Edit C8903 76970 CMS Edit C8903 76998 CMS Edit C8903 77046 CMS Edit C8903 77047 CMS Edit C8903 77048 CMS Edit C8903 77049 CMS Edit C8905 76000 CMS Edit C8905 76942 CMS Edit C8905 76970 CMS Edit C8905 76998 CMS Edit C8905 77046 CMS Edit C8905 77047 CMS Edit C8905 77048 CMS Edit C8905 77049 CMS Edit C8906 76000 CMS Edit

Paid Code

Denied Code

Rule Source

C8906 76970 CMS Edit C8906 76998 CMS Edit C8906 77046 CMS Edit C8906 77047 CMS Edit C8906 77048 CMS Edit C8906 77049 CMS Edit C8906 C8903 CMS Edit C8906 C8905 CMS Edit C8908 76000 CMS Edit C8908 76942 CMS Edit C8908 76970 CMS Edit C8908 76998 CMS Edit C8908 77046 CMS Edit C8908 77047 CMS Edit C8908 77048 CMS Edit C8908 77049 CMS Edit C8908 C8903 CMS Edit C8908 C8905 CMS Edit C8909 76000 CMS Edit C8909 76376 CMS Edit C8909 76377 CMS Edit C8909 76942 CMS Edit C8909 76970 CMS Edit C8909 76998 CMS Edit C8910 76000 CMS Edit C8910 76376 CMS Edit C8910 76377 CMS Edit C8910 76942 CMS Edit C8910 76970 CMS Edit C8910 76998 CMS Edit C8911 76000 CMS Edit C8911 76376 CMS Edit C8911 76377 CMS Edit C8911 76942 CMS Edit C8911 76970 CMS Edit C8911 76998 CMS Edit C8912 76000 CMS Edit



Paid Code

Denied Code

Rule Source

C8912 76376 CMS Edit C8912 76377 CMS Edit C8912 76942 CMS Edit C8912 76970 CMS Edit C8912 76998 CMS Edit C8913 76000 CMS Edit C8913 76376 CMS Edit C8913 76377 CMS Edit C8913 76942 CMS Edit C8913 76970 CMS Edit C8913 76998 CMS Edit C8914 76000 CMS Edit C8914 76376 CMS Edit C8914 76377 CMS Edit C8914 76942 CMS Edit C8914 76970 CMS Edit C8914 76998 CMS Edit C8918 76000 CMS Edit C8918 76376 CMS Edit C8918 76377 CMS Edit C8918 76942 CMS Edit C8918 76970 CMS Edit C8918 76998 CMS Edit C8919 76000 CMS Edit C8919 76376 CMS Edit C8919 76377 CMS Edit C8919 76942 CMS Edit C8919 76970 CMS Edit C8919 76998 CMS Edit C8920 76000 CMS Edit C8920 76376 CMS Edit C8920 76377 CMS Edit C8920 76942 CMS Edit C8920 76970 CMS Edit C8920 76998 CMS Edit C8921 76970 CMS Edit C8921 76998 CMS Edit*

Paid Code

Denied Code

Rule Source

C8921 93303 CMS Edit C8921 93304 CMS Edit C8921 C8922 CMS Edit C8922 76970 CMS Edit C8922 76998 CMS Edit* C8922 93304 CMS Edit C8923 76970 CMS Edit C8923 76998 CMS Edit* C8923 93306 CMS Edit C8923 93307 CMS Edit C8923 93308 CPT Definition C8923 93320 CPT Definition C8923 93321 CPT Definition C8923 93325 CPT Definition C8923 C8924 CMS Edit C8923 C8929 CMS Edit C8924 76970 CMS Edit C8924 76998 CMS Edit* C8924 93308 CMS Edit C8925 76970 CMS Edit C8925 76998 CMS Edit C8925 93312 CMS Edit* C8925 93313 CMS Edit* C8925 93314 CMS Edit* C8926 76970 CMS Edit* C8926 76998 CMS Edit* C8926 93315 CMS Edit* C8926 93316 CMS Edit* C8926 93317 CMS Edit* C8928 76970 CMS Edit C8928 76998 CMS Edit C8928 93015 CMS Edit C8928 93016 CPT Definition C8928 93017 CPT Definition C8928 93018 CPT Definition C8928 93306 CPT Definition C8928 93307 CPT Definition



Paid Code

Denied Code

Rule Source

C8928 93308 CMS Edit C8928 93312 CMS Edit* C8928 93313 CMS Edit* C8928 93314 CMS Edit* C8928 93318 CMS Edit* C8928 93350 CMS Edit C8928 93351 CMS Edit C8928 C8923 CMS Edit C8928 C8924 CMS Edit C8928 C8930 CMS Edit C8929 76604 CMS Edit C8929 76970 CMS Edit C8929 76998 CMS Edit* C8929 93304 CMS Edit* C8929 93307 CMS Edit* C8929 93308 CMS Edit* C8929 93320 CMS Edit* C8929 93321 CMS Edit* C8929 93325 CMS Edit* C8929 C8924 CMS Edit C8930 76970 CMS Edit C8930 76998 CMS Edit C8930 93303 CMS Edit C8930 93304 CMS Edit C8930 C8929 CMS Edit C8931 72141 CMS Edit* C8931 72142 CMS Edit* C8931 72146 CMS Edit* C8931 72147 CMS Edit* C8931 72148 CMS Edit* C8931 72149 CMS Edit* C8931 72156 CMS Edit* C8931 72157 CMS Edit* C8931 72158 CMS Edit* C8931 72159 CMS Edit* C8931 76000 CMS Edit* C8931 76942 CMS Edit*

Paid Code

Denied Code

Rule Source

C8931 76970 CMS Edit* C8931 76998 CMS Edit* C8931 C8932 CMS Edit* C8932 72141 CMS Edit* C8932 72142 CMS Edit* C8932 72146 CMS Edit* C8932 72147 CMS Edit* C8932 72148 CMS Edit* C8932 72149 CMS Edit* C8932 72156 CMS Edit* C8932 72157 CMS Edit* C8932 72158 CMS Edit* C8932 72159 CMS Edit* C8932 76000 CMS Edit* C8932 76942 CMS Edit* C8932 76970 CMS Edit* C8932 76998 CMS Edit* C8933 72141 CMS Edit* C8933 72142 CMS Edit* C8933 72146 CMS Edit* C8933 72147 CMS Edit* C8933 72148 CMS Edit* C8933 72149 CMS Edit* C8933 72156 CMS Edit* C8933 72157 CMS Edit* C8933 72158 CMS Edit* C8933 72159 CMS Edit* C8933 76000 CMS Edit* C8933 76942 CMS Edit* C8933 76970 CMS Edit* C8933 76998 CMS Edit* C8933 C8931 CMS Edit* C8933 C8932 CMS Edit* C8934 73218 CMS Edit* C8934 73219 CMS Edit* C8934 73220 CMS Edit* C8934 73221 CMS Edit*



Paid Code

Denied Code

Rule Source

C8934 73222 CMS Edit* C8934 73223 CMS Edit* C8934 73225 CMS Edit* C8934 76000 CMS Edit* C8934 76942 CMS Edit* C8934 76970 CMS Edit* C8934 76998 CMS Edit* C8934 C8935 CMS Edit* C8935 73218 CMS Edit* C8935 73219 CMS Edit* C8935 73220 CMS Edit* C8935 73221 CMS Edit* C8935 73222 CMS Edit* C8935 73223 CMS Edit* C8935 73225 CMS Edit* C8935 76000 CMS Edit* C8935 76942 CMS Edit* C8935 76970 CMS Edit* C8935 76998 CMS Edit* C8936 73218 CMS Edit* C8936 73219 CMS Edit* C8936 73220 CMS Edit* C8936 73221 CMS Edit*

Paid Code

Denied Code

Rule Source

C8936 73222 CMS Edit* C8936 73223 CMS Edit* C8936 73225 CMS Edit* C8936 76000 CMS Edit* C8936 76942 CMS Edit* C8936 76970 CMS Edit* C8936 76998 CMS Edit* C8936 C8934 CMS Edit* C8936 C8935 CMS Edit* C9744 76942 CMS Policy C9744 76970 CMS Policy C9744 76998 CMS Policy G0279 77061 CPT Definition G0279 77062 CPT Definition G0297 71250 CMS Edit G0297 71260 CMS Edit G0297 71270 CMS Edit G0297 75571 CMS Edit G0297 76380 CMS Edit G0297 78803 CMS Edit* G0297 78830 CMS Edit* G0297 78831 CMS Edit* G0297 78832 CMS Edit*

Correct Coding Rules Added Effective 1/1/2020

The codes listed in this section are also included in the body of the main list beginning on page 1.

68

Paid Code

Denied Code

33016 76000

33016 76376

33016 76377

33016 76380

33016 76942

33016 76970

33016 76998

33016 77012

33016 77021

33016 93303

33016 93304

33016 93306

33016 93307

33016 93308

33016 93312

33016 93320

33016 93321

33016 93325

33017 33016

33017 75989

33017 76000

33017 76376

33017 76377

33017 76380

33017 76942

33017 76970

33017 76998

33017 77012

33017 77021

33017 93303

33017 93304

33017 93306

33017 93307

33017 93308

33017 93312

33017 93320

33017 93321

33017 93325

33018 33016

33018 33017

33018 75989

Paid Code

Denied Code

33018 76000

33018 76376

33018 76377

33018 76380

33018 76942

33018 76970

33018 76998

33018 77012

33018 77021

33018 93303

33018 93304

33018 93306

33018 93307

33018 93308

33018 93312

33018 93320

33018 93321

33018 93325

33019 33016

33019 33017

33019 33018

33019 75989

33019 76000

33019 76380

33019 76942

33019 76970

33019 76998

33019 77012

33019 77021

33019 93303

33019 93304

33019 93306

33019 93307

33019 93308

33019 93312

33019 93320

33019 93321

33019 93325

71270 78803

71270 78830

71270 78831

Paid Code

Denied Code

71270 78832

71275 78803

71275 78830

71275 78831

71275 78832

74221 74210

74221 74220

74221 74248

74221 76000

74230 74221

74240 74019

74240 74021

74240 74221

74240 74250

74246 74221

74246 74250

74248 74018

74248 74019

74248 74021

74248 74210

74248 74220

74248 76000

74250 74248

74251 74246

74251 74248

75572 78803

75572 78830

75572 78831

75572 78832

75573 78431

75573 78433

75573 78803

75573 78830

75573 78831

75573 78832

75574 78431

75574 78433

75574 78803

75574 78830

75574 78831

75574 78832



69

Paid Code

Denied Code

76000 0571T

76000 0572T

76380 0571T

76380 0572T

76936 93985

76936 93986

76942 0571T

76942 0572T

76970 0571T

76970 0572T

76978 0571T

76978 0572T

77012 0571T

77012 0572T

77021 0571T

77021 0572T

77080 77081

78070 78800

78070 78801

78070 78802

78071 78800

78071 78801

78071 78802

78071 78803

78071 78804

78072 78800

78072 78801

78072 78802

78072 78803

78072 78804

78201 78803

78202 78803

78215 78803

78216 78803

78300 78808

78305 78808

78306 78808

78315 78808

78429 76376

78429 78445

78429 78459

Paid Code

Denied Code

78430 78445

78430 78459

78431 71250

78431 71260

78431 71270

78431 75571

78431 76000

78431 76120

78431 76125

78431 76376

78431 76377

78431 76942

78431 76970

78431 76998

78431 78445

78431 78491

78431 78492

78431 G0297

78432 76376

78432 76377

78432 78429

78432 78430

78432 78431

78432 78445

78432 78459

78432 78492

78433 71250

78433 71260

78433 71270

78433 75571

78433 76000

78433 76120

78433 76125

78433 76376

78433 76377

78433 76942

78433 76970

78433 76998

78433 78429

78433 78430

78433 78431

Paid Code

Denied Code

78433 78445

78433 78459

78433 78491

78433 78492

78433 G0297

78434 76376

78434 76377

78434 78445

78434 78491

78492 78429

78492 78430

78630 78803

78635 78803

78645 78803

78650 78803

78709 78803

78803 75571

78803 76380

78803 76800

78803 78070

78803 78185

78803 78195

78803 78300

78803 78305

78803 78315

78803 78600

78803 78601

78803 78605

78803 78606

78803 78700

78803 78701

78803 78707

78803 78708

78803 78725

78803 78802

78804 78070

78811 78803

78811 78830

78811 78831

78811 78832

78812 78803



70

Paid Code

Denied Code

78812 78830

78812 78831

78812 78832

78813 78803

78813 78830

78813 78831

78813 78832

78814 78803

78814 78830

78814 78831

78814 78832

78815 78803

78815 78830

78815 78831

78815 78832

78816 78803

78816 78830

78816 78831

78816 78832

78830 75571

78830 76000

78830 76376

78830 76377

78830 76380

78830 76942

78830 76970

78830 76998

78830 78185

78830 78195

78830 78201

78830 78215

78830 78445

Paid Code

Denied Code

78830 78800

78830 78801

78830 78802

78830 78803

78830 78808

78831 75571

78831 76000

78831 76376

78831 76377

78831 76380

78831 76942

78831 76970

78831 76998

78831 78185

78831 78195

78831 78201

78831 78215

78831 78445

78831 78800

78831 78801

78831 78802

78831 78803

78831 78808

78831 78830

78832 75571

78832 76000

78832 76376

78832 76377

78832 76380

78832 76942

78832 76970

78832 76998

Paid Code

Denied Code

78832 78185

78832 78195

78832 78201

78832 78215

78832 78445

78832 78800

78832 78801

78832 78802

78832 78803

78832 78808

78832 78830

78832 78831

93925 93986

93930 93986

93970 93986

93985 76881

93985 76882

93985 76937

93985 76970

93985 76998

93985 93986

93986 76881

93986 76882

93986 76937

93986 76970

93986 76998

93990 93986

G0297 78803

G0297 78830

G0297 78831

G0297 78832

Correct Coding Rules Terminated Effective 12/31/2019

71

Paid Code

Denied Code

74240 74245

74240 74249

74241 74018

74241 74019

74241 74022

74241 74210

74241 74220

74241 74240

74241 74245

74241 74249

74241 76000

74241 77001

74241 77002

74245 74018

74245 74019

74245 74021

74245 74022

74245 74210

74245 74220

74245 74250

74245 76000

74245 77001

74245 77002

74246 74241

74246 74245

74246 74249

74247 74018

74247 74019

74247 74022

74247 74210

74247 74220

74247 74240

74247 74241

74247 74245

74247 74246

74247 74249

74247 76000

74247 77001

74247 77002

74249 74018

74249 74022

74249 74210

74249 74220

Paid Code

Denied Code

74249 74245

74249 74250

74249 76000

74249 77001

74249 77002

74260 74246

74260 74247

74260 74249

74260 76000

74260 77001

74260 77002

76930 76000

76930 76376

76930 76377

76930 76942

76930 76970

76930 76998

76930 77001

76930 77021

77081* 77080*

78205 76000

78205 76376

78205 76377

78205 76942

78205 76970

78205 76998

78205 77001

78205 78201

78205 78202

78205 78215

78205 78216

78205 78445

78206 76000

78206 76376

78206 76377

78206 76942

78206 76970

78206 76998

78206 77001

78206 78201

78206 78202

78206 78205

78206 78215

Paid Code

Denied Code

78206 78216

78206 78445

78320 76000

78320 76376

78320 76377

78320 76942

78320 76970

78320 76998

78320 77001

78320 78300

78320 78305

78320 78445

78607 76000

78607 76376

78607 76377

78607 76942

78607 76970

78607 76998

78607 77001

78607 78445

78607 78600

78607 78601

78607 78605

78607 78606

78630 78647

78635 78647

78645 78647

78647 76000

78647 76376

78647 76377

78647 76800

78647 76942

78647 76970

78647 76998

78647 77001

78647 78445

78650 78647

78701 78710

78707 78710

78709 78710

78710 76000

78710 76376

78710 76377

Correct Coding Rules Terminated Effective 12/31/2019

72

Paid Code

Denied Code

78710 76942

78710 76970

78710 76998

78710 77001

78710 78445

78710 78700

78710 78708

78710 78725

78800 78806

78800 78807

78801 78806

78801 78807

78802 78806

78802 78807

78803 78806

78803 78807

78804 78806

Paid Code

Denied Code

78804 78807

78805 76000

78805 76376

78805 76377

78805 76942

78805 76970

78805 76998

78805 77001

78805 78445

78805 78808

78806 76000

78806 76376

78806 76377

78806 76942

78806 76970

78806 76998

78806 77001

Paid Code

Denied Code

78806 78070

78806 78075

78806 78445

78806 78805

78806 78808

78807 76000

78807 76376

78807 76377

78807 76942

78807 76970

78807 76998

78807 77001

78807 78445

78807 78805

78807 78808

* This rule was terminated on June 30, 2019.

Date post:	05-Nov-2020
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Horizon Blue Cross Blue Shield of New Jersey Correct Coding ......When the code pairs in the table...

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