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Misc

last updated 06/04/2013 garcarl

28735 Arthrodesis, midtarsal or tarsometatarsal, multiple or transverse; with osteotomy (eg, flatfoot correction)
32664 Thoracoscopy, surgical; with thoracic sympathectomy
36515 Therapeutic apheresis; with extracorporeal immunoadsorption and plasma reinfusion (Done in a Provider's office)
36516 Therapeutic apheresis; with extracorporeal selective adsorption or selective filtration and plasma reinfusion (Provider's Office)
41874 Alveoplasty
58750 Tubotubal anastomosis
64611 Chemodenervation of parotid and submandibular salivary glands, bilateral
64612 Chemodenervation of Muscle(s); Muscle(s) Innervated by Facial Nerve (eg, for Blepharospasm, Hemifacial Spasm)   
64614 Chemodenervation of muscle(s); extremity(s) and/or trunk muscle(s) (eg, for dystonia, cerebral palsy, multiple sclerosis)
77301 Intensity modulated radiotherapy plan, including dose-volume histograms for target and critical structure partial tolerance specifications
77338 Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan
77418 Intensity modulated treatment delivery, single or multiple fields/arcs
77520 Proton treatment delivery; simple, without compensation 
77522 Proton treatment delivery; simple, with compensation 
77523 Proton treatment delivery; intermediate
77525 Proton treatment delivery; complex
S1040 Cranial Molding Helmet
A9276 Sensor; invasive, disposable for use with interstitial continuous glucose monitoring system; 1 unit = 1 day supply
A9277 Transmitter, external, for use with interstitial continuous blucose monitoring system
A9278 Receiver (monitor), external, for use with interstitial glucose monitoring system
A9279 Monitoring feature/device, stand-alone or integrated
S2066 Breast reconstruction with gluteal artery perforator (GAP) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
S2067 Breast reconstruction of a single breast with "stacked" deep inferior epigastric perforator (DIEP) flap(s) and/or gluteal artery perforator (GAP) flap(s), including harvesting of the flap(s), microvascular transfer, closure of donor site(s) and shaping the flap into a breast, unilateral
S2068 Breast reconstruction with deep inferior epigastric perforator (DIEP) flap or superficial inferior epigastric artery (SIEA) flap, including harvesting of the flap, microvascular transfer, closure of donor site and shaping the flap into a breast, unilateral
XXXXX Humanitarian Device Exemption - requires approval on an individual basis

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