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LT Left Side (used to identify procedures performed on the left side of teh body)
RT Right Side (Used to identifiy procedures performed on the right side of the body)
BL Special Acquistion of blood and blood products
CA Procedure payable only in the inaptient setting when performed emergently on an outpatient who expires prior to admission
CR Catastrophe/Disaster related
E1 Upper left eyelid
E2 Lower left eyelid
E3 Upper right eyelid
E4 Lower right eyelid
FA Left Hand, Thumb
F1 Left Hand, Second Digit
F2 Left Hand, Third Digit
F3 Left Hand, Fourth Digit
F4 Left Hand, Fifth
F5 Right Hand, Thumb
F6 Right Hand, Second Digit
F7 Right Hand, Third Digit
F8 Right Hand, Fourth Digit
F9 Right Hand, Fifth
FB Item provided without cost to provider, supplier, or practitioner, or full credit received for replaced device (examples, but not limited to covered under warranty, replaced due to defect, free samples)
FC Partial credit received for replaced device
GA Wavier of Liability Statement on file
GG Performance and Payment of a screening Mammogram on the same day
GH Diagnostic mammogram converted from screening mammogram on same day
LC Left Circumflex, Coronary Artery
LD Left Anterior Decending Coronary Artery
RC Right Coronary Artery
Q0 Investigational clinical service provided in a clinical research study that is in an approved clinical research study
Q1 Routine clinical service provided in a clinical research study that is in an approved clinical research study
QM Ambulance service provided under arrangement by a provider of service
QN Ambulance service furnished directly by a provider of service
TA Left Foot, Great Toe
T1 Left Foot, Second Digit
T2 Left Foot, Third Digit
T3 Left Foot, Fourth Digit
T4 Left Foot, Fifth Digit
T5 Right Foot, Great Toe
T6 Right Foot, Second Digit
T7 Right Foot, Third Digit
T8 Right Foot, Fourth Digit
T9 Right Foot, Fifth Digit
Created by: lorireid1980