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Coding is a clinical decision and should be to the highest level of specificity. Any examples are provided for informational purposes only. Information is subject to change; contact the appropriate payor for specific current coverage and coding guidance. Individual patient billing will vary based on multiple factors and determination of coverage, coding, or reimbursement is not implied. Coverage, deductible, coinsurance, and copay is based upon payor/plan specifics and/or payor contracts. CPT® codes and descriptions are copyright of the American Medical Association. CPT® is a registered trademark of the American Medical Association (AMA). All rights reserved. Any analysis is not meant to be a complete representation of all potential complex scenarios, it is based on Reimbursement Hub’s understanding of the current landscape and derived from content sources deemed reliable. Reimbursement Hub does not represent the information to be complete or accurate and should not be interpreted as such. Final company decisions should be based on expert legal, regulatory, and financial counsel.
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