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NCCI Code Pairs — 96530

Complete listing of CMS National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edits involving HCPCS/CPT code 96530.

152 Total Edits 82 as Column 1 70 as Column 2
← View HCPCS 96530 Detail Page

Column 1 Pairs 96530 is the primary code

When 96530 is reported as the Column 1 (comprehensive) code, the paired Column 2 code is bundled and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 36 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
77406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77411 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77414 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96400 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96405 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96406 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96408 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96410 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96412 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96420 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96422 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96423 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96425 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96440 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96450 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96445 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96542 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
49010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 1997-01-01 2005-12-31
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77403 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77404 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96414 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
77600 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77605 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77610 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77615 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77620 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
99185 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1996-01-01 2005-12-31
A4214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
Medicare Practitioner — 46 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
99202 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99204 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99203 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99201 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99214 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99213 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99212 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99211 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
99205 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
77408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77409 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77411 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77413 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77414 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77416 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96400 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96405 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96406 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96408 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96410 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96412 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96420 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96422 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96423 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96425 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96440 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96445 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96450 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
96542 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1997-01-01 1997-01-01
77401 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77402 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77403 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77404 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
77407 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
49010 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
CPT Separate procedure definition 1997-01-01 2005-12-31
99185 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1996-01-01 2005-12-31
96414 · CCI
9 Not applicable — edit has been deleted or is no longer active
Mutually exclusive procedures 1996-01-01 1996-01-01
77620 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77615 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77610 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
A4214 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77605 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01
77600 · CCI
9 Not applicable — edit has been deleted or is no longer active
Standards of medical/surgical practice 1996-01-01 1996-01-01

Column 2 Pairs 96530 is the bundled code

When 96530 is reported as the Column 2 (component) code, it is bundled into the Column 1 comprehensive code and generally not separately payable.

Medicare Facility (Hospital Outpatient) — 37 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
62367 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-04-01 2005-12-31
62368 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-04-01 2005-12-31
36571 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
36563 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
36560 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
36561 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
36566 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
36570 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-01-01 2005-12-31
95991 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2004-01-01 2005-12-31
96414 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2003-07-01 2004-12-31
96425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2003-07-01 2005-12-31
G0292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2003-07-01 2004-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2005-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2005-12-31
62351 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
62361 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
62362 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
95990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2003-01-01 2005-12-31
61215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
36533 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Misuse of Column Two code with Column One code 2003-01-01 2004-03-31
62350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
62360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
96542 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
36260 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
36261 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
Medicare Practitioner — 33 pairs
Paired Code
Mod? Modifier Indicator: 0 = not allowed, 1 = modifier may permit separate reporting, 9 = N/A
Rationale Effective End Date
G0355 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2005-01-01 2005-12-31
G0361 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2005-01-01 2005-12-31
G0359 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2005-01-01 2005-12-31
G0357 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2005-01-01 2005-12-31
G0356 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 2005-01-01 2005-12-31
62367 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-04-01 2005-12-31
62368 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2004-04-01 2005-12-31
95991 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2004-01-01 2005-12-31
G0292 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
HCPCS/CPT procedure code definition 2003-07-01 2004-12-31
96425 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2003-07-01 2005-12-31
96414 · CCI
0 Modifier not allowed — codes cannot be reported together under any circumstances
Standards of medical/surgical practice 2003-07-01 2004-12-31
62319 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2005-12-31
62318 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-04-01 2005-12-31
62362 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
61215 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
62351 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
95990 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Mutually exclusive procedures 2003-01-01 2005-12-31
62360 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
62361 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
62350 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Misuse of Column Two code with Column One code 2003-01-01 2005-12-31
96445 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96440 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96423 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96422 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96420 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96412 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96410 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96408 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31
96406 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96405 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96450 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96542 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2005-12-31
96400 · CCI
1 Modifier allowed — a NCCI-associated modifier may permit separate reporting
Standards of medical/surgical practice 1997-01-01 2004-12-31

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