Cpt code 51701

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cpt code 51701 62$ 1451701 51701 insert bladder catheter 176. SCAM ALERT. The Current Procedural Terminology (CPT ®) code 51701 as maintained by American Medical Association, is a medical procedural code under the range - Introduction Procedures on the Bladder. $71. Accolades. Voiding Pressure Test. 51705. ” Replaced incorrect language that allowed 2 fittings every 12 months. 51797*. 64. Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Urethral catheterization (e. CPT Codes - 51 Group 5100F CPT Code; 51701 CPT Code; 51702 CPT Code; 51703 CPT Code; 51705 Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 51701-51703, A4351, A4358 . 49450-49452. com These changes are made necessary by changes in the coding system. 000 and 450. Cadaver donor / Living donor nephrectomy, CPT code 51701 (insertion of nondwelling bladder catheter [e. 9. 06 Description: This report shows CPT codes for a particular procedure when the procedure was performed 10 times or more as the primary procedure. Do not report 51701-51702 when catheter insertion is an inclusive component of another procedure. , sterile urine specimen (commercial payers only) or a post-voiding residual urine (commercial or Medicare). For example, some CPT COMING SOON -- Effective for dates of service TBD -- local codes for Hospital Outpatient Services (Z7500-Z7514, Z7610-Z7614) will be terminated. We are not sure why an injection code would bump up against a Foley or why an EKG would bump up against a straight cath. The remainder of lab dure codes proce and diagnostic services are covered when billed with a medical diagnosis code (diagnosis indicating the member has symptoms or problems) but are considered non-covered and will be denied if billed with a routine/preventive diagnosis code. Code assignment in ICD-10-PCS is a process of “constructing” the code by selecting values from a code table for each of the seven standard characters. A modifier provides a means by which a physician can 51701 Insertion of non-indwelling Requisition code: 51701. Because this is integral to the CPT® code 51701 Insertion of non-indwelling bladder catheter (e. log in. 28 @ 50%. 51701 - CPT® Code in category: Introduction Procedures on the Bladder. 51700. View more than 1000 cpt codes with starting character 5. , straight catheterization for residual urine): This code is used when a non-indwelling bladder catheter is inserted and immediately removed after urine is obtained for diagnostic purposes, i. 000); • CPT codes that have special limitations or requirements, such as prior authorization, 51701 51701 - INSERT BLADDER CATHETER 11,088. e. Urine is obtained by the nursing staff using a straight catheter. Thus, based upon the HCPCS/CPT code descriptors, HCPCS/CPT code 15271 is bundled into HCPCS/CPT code 37760. • Guidance was given to use CPT code 51999 Unlisted laparoscopy procedure, bladder. 51702. • CPT code 36000 (introduction of needle or intracatheter, vein) is not reimbursable when billed by same provider for the same recipient on the same date of service with any CPT code within the ranges of 00100 thru 69999 and 96360 thru 96549. 2. Code 69990 will be denied when billed with codes NOT documented in the CMS Claims Processing Manual Chapter 12 # 20. Healthcare Common Procedure Coding System. 2) Inclusion of a procedure code on this list does not guarantee payment. American Medical Association. 51700 is an integral component of the other services. When removing a ureteral stent and replacing a new stent on the same side, only CPT® Code 52332 should be billed for Jun 29, 2020 · Codes from the 50000 series billed with other codes from the same series. Ureteral anastomosis procedures are described by CPT codes 50740-50825, and 50860. catheterization CPT codes, 51701, 51702, 51703, as well as cystoscopy, 52000, urethral dilations, 53600 to 53665, meatotomy or urethrostomy, 53000 to 53025, and cystoscopic removal of bladder calculi or foreign bodies, 52310 and 52315. The HCPCS/CPT code 37760 descriptor includes the service described by the descriptor of HCPCS/CPT code 15271. Provider appealed CPT 96413: Unfavorable Aug 31, 2005 · CPT® 2005 imposed requirements on coding for complete abdominal and retroperitoneal ultrasound studies relating to documentation of all the obligate elements that constitute complete studies of these anatomic regions. 52005, 52353. 5 list of eligible codes. 3 13101 Repair of wound or lesion 1 51701 1 51702 1 51703 1 62318 1 62319 1 64415 1 64416 1 Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. ” 51701 and 51702) is not separately reimbursable when billed with CPT codes 10021 thru 69979. Like code 51700, the CPT inference would require the use of a catheter to instill the anticarcenogenic agent. 07% of his services : 32nd 53rd most performed service for this provider most performed service in this state & specialty. The puncture aspiration of a hydrocele (e. 51715. AMA press 2005. Clinical Gynecologic Endocrinology & Infertility. g. R33. Walkers* SERVICE DESCRIPTION CPT/HCPCS CODE *Coverage is subject to medical necessity, based Apr 15, 2013 · – Gastic tube placement code 43752 – Catheterization codes 51701-51703 – Cystoscopic codes 52000, 52001, 52310, 52315 – Urethrotomy and meatotomy codes 53000-53025 – Urethral dilation codes 53600-53665, – Pelvic exam under anesthesia code 57410. *Code 51797 can only be billed if also billing either 51728 or 51729. I hope you find this information helpful Nov 17, 2021 · CPT ® Code Set. 46$ 01451702 51702 foley or i&o cath 90. 51701 Insertion, catheter, urethral CPT code 31622 is a separate procedure code and should not be Cpt Code 51702 Coupons, Promo Codes 11-2021. 69210 – cerumen removal using curettes, forceps, or suction ( not lavage) 12001 - Wound repair, simple < 2. Dec 28, 2020 · (24) CT Head-Brain (CPT Codes 70450, 70460, and 70470) (25) Screening CT of Thorax (CPT Codes 71250, 71260, 71270, and 71271) (26) X-Ray Bile Ducts (CPT Codes 74300, 74328, 74329, and 74330) (27) Venography (CPT Codes 75820 and 75822) (28) Introduction of Catheter or Stent (CPT Code 75984) (29) Medical Physics Dose Evaluation (CPT Code 76145) . 51701-51703. – Injection codes 62310-62311, 62318-62319, 64400-64530 – Microsurgical technique Oct 20, 2016 · procedure code and description 51798- Us urine capacity measure - average fee payment- $20 - $30 procedure code 51702 Insertion of temporary indwelling bladder catheter; simple (e. • CPT procedure code 36000 (introduction of needle or intracatheter, vein) is not Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Access restricted. Per AMA Guidelines, “Codes 51701-51702 are reported only when performed independently. CPT code 21495 The applicable CPT codes are: CPT 51701 Insertion of non-indwelling bladder catheter; (eg, straight catheterization for residual urine) Used when a non-indwelling catheter is inserted and removed for diagnostic purposes or post-voiding residual urine in the physician’s office, and reimbursement under 51701 includes CPT code 52000 Cystoscopy Cystourethroscopy (separate procedure) CPT code 51701 CPT code 51798 Post-void Residual Insertion of non-indwelling bladder catheter (eg, straight catheterization for residual urine) Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging 2013 Reimbursement Coding Guide Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Coding for urodynamics •CPT codes •51728- cmg with voiding pressure study •51797- intra-abdominal voiding pressure rectal •51784- electromyography study of anal or urethral sphincter •51741- complex uroflowmetry •51726- complex cystometrogram •51701- insertion of catheter •76000- fluoroscopy •74455- urethrocystography Apr 17, 2021 · Nucleus: Login. Medicare's National Level II Codes HCPCS 2006. - 6:00 P. 5 cm. 67$ 01490472 90472 immunization each add vaccine 19. , Foley catheter) is left in the bladder and urine is drained. CPT codes 51701, 51702, and 51703) are not separately reported when done at the time of or just prior to a surgical procedure. CPT® code 51702 is correct to report for this scenario since an indwelling catheter (e. As Couponxoo’s tracking, online shoppers can recently get a save of 50% on average by using our coupons for shopping at P9612 Vs 51701 Cpt Code . It is the average charge for all procedures that may have been provided. , sterile urine specimen (commercial payers only) or a post-voiding residual urine The -Childrens -Clinic . 13 patients got this service, 2% of his patients: 1. 0, 51701 Jan 01, 2017 · CPT code 92071 For vision hardware, ages 0-20, changed wording to “1 fittings every 12 months for asymptomatic clients. Code Tdap 90715 (≥7 yrs) 3 90460, 90461 x 2 Td 90714 2 90460 and 90461 MPSV4 (SQ) MCV4 (IM) 90733 90734 1 90460 HPV (Gardasil) 90649 1 90460 HPV (Cervarix) 90650 1 90460 NCCI Edits Coding & Billing Tips NCCI Edits • The NCCI edits are code edits published by both Medicaid and Medicare to support correct 3. $505. The list consists of procedures that Medicare has determined required a first-assistant-at-surgery in fewer than 5% Coding for Primary Procedure, Reoperation, and Complications . Note: These code combinations will not be paid, even if billed with a modifier. Oct 01, 2003 · A. 33 3,648. With these books, readers will better understand the relationship of medical necessity Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Basic Current Procedural Terminology and HCPCS Coding . In short, you should not bill the 51701 with either 51700 or Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 The CPT code set uses modifiers as an integral part of its nomenclature. Index Procedures CPT code 57288 ICD 9/10 788. Only codes with Correct Coding Initiative (CCI) edits and/or Medicare physician fee schedule (MPFS) relative values are 51701 -urethral catheter. , Foley) Q. Authorized CPT ® Codes in Physician SCG 01 46600 47531 47532 49082-49084 49440-49442 49446. The Nucleus login page is no longer valid. 64 CPT or HCPCS code. Please log in. Jan 22, 2015 · 51701 or 51702 w/96360 or 96365 or 96374. 10120 – Simple tweezer removal of skin FB, splinter or tick ( Full FB, single stroke or pull) 10121 - Complex removal of Skin FB Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Dec 29, 2020 · Service Code Cash Price Rates; CT Scan: CT scan: CPT 70450: CPT 51701: $87: Insert emergency airway: CPT 31500: $100: Insert temp bladder cath: CPT 51702: $87 01451701 51701 insert bladder catheter 176. 64 @ 100%. Claim billed with HCPCS J9035, Bevacizumab, and CPT 96413. Correction to match current policy in WAC 182-531-1000. The self pay price is the Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 CPT Codes MassHealth pays for services billed using all medicine, radiology, laboratory, surgery, and 51701 51702 51800 51820 51841 51845 51860 51865 51900 51920 CPT® CODE 13101 Q1 2008 14. MST. For example, the code descriptor for CPT code 33612 is “Repair of double outlet Feb 14, 2018 · Catheterization codes 51701, 51702, and 51703 are not separately reported when done at the time or before other surgical procedures which require this as part of the procedure. $116. 24640 – nursemaid elbow reduction. In addition, catheterizations (e. M. 51710. CPT Code (s) CPT Code (s) 50590. CPT/ HCPCS Codes OWCP ASC Modifier SG 0100T 0101T 0102T 51701 51702 51736 51741 51792 51797 51701 Barium Enema: 74270-74280 CPT 45380 Thyroid 76536 issued and limited to 1 procedure or diagnostic testing per code, exception Office Rationale: In the CPT® Index look for Catheter/Bladder referring you to codes 51701-51703. . Renal allo-transplantation involves three distinct components of physician work, A. Admin. 49460 49465 50430 50431 51100-51102 51600 51605 51610 51700 51701-51703 51705 51710 51725-51729 51736 51741 51784 5178 CPT code 23410 differs from CPT codes 23412 and 23420 in that it describes an acute condition 7 new P9612 Vs 51701 Cpt Code results have been found in the last 90 days, which means that every 13, a new P9612 Vs 51701 Cpt Code result is figured out. What ICD-10-CM and CPT codes in addition to the applicable E/M codes, would be submitted by the facility for the nursing services provided that day? a. 9, 51702, P9612 C. CHARACTER DESCRIPTION 3: Root Operation CPT® Coding Essentials Each of the eight titles within this series focuses on a subset of specialty-specific CPT codes and provides plain English descriptors, relative value units (RVU), modifiers, CCI edits, related HCPCS codes, ICD-10 crosswalks and more. com Monday - Friday, 6:00 A. Mar 07, 2019 · When reporting for a bladder instillation, the following CPT code should be assigned: 51700 – Bladder irrigation, simple, lavage and/or instillation. Private carrier may adopt Medicare policies; so please double check with your private carriers. Speroff L, Glass RH, Kase NG. Vein Mapping for Fistula : 93970, 93971 . , straight catheterization for residual urine); or 51702: insertion of temporary indwelling bladder catheter; simple (e. One may also ask, what type of code is assigned to report the removal of the stent? The previously placed stent was removed and a new stent was placed. 00$ 01490471 90471 immunization 1 vaccine 28. 3 average number of visits a patient made for this service (Peers: 1. Any , Coding - Read the magazine and earn FREE CEUs - Over 6,000 online articles Service Code: 51701 Performed in an office : 17 times performed, 0. To report, use 51701: Insertion of non-indwelling bladder catheter (e. 50020 Jun 01, 2019 · The Coding and Payment Guideline policy has been updated to reflect that while BCBSRI has adopted CMS payment policies with respect to bilateral services, there are limited cases in which CMS and CPT coding guidelines may differ in the correct use of modifier 50. 6th Edition. CPT code 53670 was deleted in CPT 2003. 03$ 01451798 51798 bladder scanning, non-imaging 61. (CPT codes 51701, 51702, and 51703) is not separately reportable with a surgical procedure when performed at the time of or just prior to the procedure. N39. 9, Z87. This code represents the column 1 code within the column 1/ column 2 correct coding edits table, (formerly called the “comprehensive” code), which indicates the major service or procedure. 67$ 1490472 90472 immunization each add vaccine 19. 2x: ICD‐10: R33. CPT Code List Product Line Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Acupuncture Allergy Services Allergy Services Allergy Services Allergy Services Jul 15, 2016 · As a result, we are proposing to refine the ED050 equipment time to 21 minutes for CPT code 72081, 36 minutes for CPT code 72082, 44 minutes for CPT code 72083, and 53 minutes for CPT code 72084 to reflect the clinical labor time associated with these codes. Top Offers From www. Apr 24, 2020 · 51701 . CPT/HCPC Code Modifier Medicare Location Global Surgery Indicator Multiple Surgery Indicator Prevailing Charge Amount Fee Schedule Amount 51701 3: 0: 2: X: 104. Providers should bill using the appropriate HIPAA compliant, nationally recognized revenue codes, CPT-4 codes and/or HCPCS codes that best represents the service provided. Beginning in 2012, data collection was expanded to include all Outpatient CPT-4 codes * HCPCS Code 21 51701 INSERT BLADDER CATHETER 27 0. Our members may discuss various subjects related to medical coding, but none of the information should replace the independent judgment Jul 25, 2012 · CPT Codes (Current Procedural Terminology) Wednesday, July 25, 2012. 0 Q2 2007 13. be reported. 440, 51701 b. 5910 or [email protected] CPT code 55000) is included in services involving the tunica vaginalis and proximate anatomy (scrotum, vas deferens) and in. 31500 -endotracheal intubation. Subscribe to Codify and get the code details in a flash. Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Nov 09, 2021 · Our hospital coders are questioning the NCCI edit that appears when using code 96372 with 51702 and also code 93005 with a 51701. , straight catheterization for residual urine ): This code is used when a non-indwelling bladder catheter is inserted and immediately removed after urine is obtained for diagnostic purposes, i. The following CPT codes no longer need to be reported: CPT codes 15732, 34802, and 34825 are deleted. CPT code information is copyright by the AMA. Please click here to access Nucleus. 46$ 1451702 51702 foley or i&o cath 90. May 24, 2018 · CPT code 51701 is straight catheter for residual urine. Surgery (10004-69990) 12001 . Additionally, many procedures involving the urinary tract include the placement of a urethral/bladder catheter for postoperative drainage. Codes requiring a 7th character are represented by "+": Other CPT codes related to the CPB: 90281 - 90399: Immune globulins [intramuscular, intravenous, subcutaneous] 90471, 90472, 90474 Mar 01, 2006 · American Medical Association CPT 2006 Professional Edition. In those cases BCBSRI will follow the CPT coding guidelines. , CPT codes 51701-51703) is necessary to complete a more extensive procedure, the urethral catheterization/dilation is not separately reportable. End User License Agreement. For example, if a patient had multiple foreign bodies Sep 01, 2012 · Again, code 51701 is bundled into the 51720 and unbundling is never allowed. There are no current vignettes or Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Radiology CPT codes CT Head, Face, Neck, Sinus, 3D CT Head w/o contrast 70450 Nuclear Cystogram 78740, 51701 Thyroid Scan Multi-Uptake (I-123) 78014 HIDA 78226 The CPT codes are provided “as is” without warranty of any kind. AMA Press 2005. Many lesions of the genitourinary tract which require biopsy, excision or destruction involve the mucocutaneous border and several CPT codes may generally describe the nature of • No specific code to report a laparoscopic radical cystectomy. 285. 9: Non‐indwelling bladder catheter (eg, straight catheterization for residual urine) CPT: 51701: Sterile intermittent catheter kit: HCPCS: A4353 Correct Code For Billing A. , Foley) • procedure code 51705 Change of cystostomy tube; simple • procedure code 51798 Measurement of post-voiding residual urine and/or bladder capacity by… • CPT codes that are not payable under MassHealth (all other CPT codes in the CPT 2005 code book are payable, subject to all limitations and conditions of payment in MassHealth’s regulations at 130 CMR 433. Distinct Procedural Service -59: This modifier is used to report procedures that are distinct but have the same CPT code. 21 92. Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 51784-51. 3. CPT codes 51701, 51702, and 51703), when medically necessary to successfully accomplish a procedure, should not be separately reported. Decline Accept CPT Code 52005 has a zero in the bilateral field (payment adjustment for bilateral procedure does not apply) because the basic procedure is an examination of the bladder and urethra (cystourethroscopy), gastric, CPT 51700 will be coded for a voiding trial with 52 modifier, coders may be tempted to assign CPT code 52341, In most cases, The work The following is a list of procedure codes for which Medicare will not reimburse a first-assistant-at-surgery in 2017. 03$ 1451798 51798 bladder scanning, non-imaging 61. Guidelines provided in the CPT 2005 code book make it clear that a diagnostic ultrasound study of the kidneys and urinary Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 CPT® code 51701: Insertion of non-indwelling bladder catheter (e. 31 CPT® code 51701: Insertion of non-indwelling bladder catheter (e. The AMA specifically disclaims all liability for use or 51701 $290. 4. Your login attempt has failed. 00 Simple repair of superficial wounds of scalp, neck, axillae, CPT code list with starting character '5' . Philadelphia: Lippencott, Williams The usual CPT code is used with the added -52 modifier indicating that the typical procedure was not performed as described, but rather at some reduced level of service. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT codes and descriptions only are copyright 2019 American Medical Association. 5 CPT Code List. Video Urodynamics. 62$ Aug 22, 2020 · Exclusion criteria diagnostic codes; Description Code type Code; Bladder‐related comorbidities to be excluded during pre‐index period only: Urinary retention: ICD‐9: 788. 2 Q4 2007 13. 64$ 01486580 86580 tb skin test 24. 9 and CPT 51701 or 51702 . Berger AA, Tan-Kim J Jan 01, 2021 · 51701. Note: CPT® Code 52332 is bundled into CPT codes 52310 and 52315. In general, they represent mutually exclusive procedures 51701 and 51702) is not separately reimbursable when billed with CPT codes 10021 thru 69979. Jun 01, 2012 · You have reported Current Procedural Terminology (CPT ®) codes 51701 (straight catheterization for residual urine), 81000 (urinalysis, non-automated, with microscopy), and an established patient office evaluation and management (E/M) service (99212–99215). 20/R33. Dental codes (D codes) are Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 51701 insert bladder catheter 22, 24 51728 cystometrogram w/vp 22, 24 51729 cystometrogram w/vp&up 22, 24 CPT Code CPT Description Place of Service (POS)* Can you charge for the insertion of the catheter (51701) along with the procedure code (78740) for a radionuclide voiding cystourethrography (VCUG)? Answer: Please Login as a SNMMI Member to access the answers to the Coding and Reimbursement Q&As. 1 Q3 2007 13. $35. Our health plan will deny an add-on code as a CCE denial when its primary code is denied as part of a CCI or CCE code pair. Top 10 Billable Services from each of the CPT sections that we bill for services | 2020 . Disclaimer: Although AAPC staff members will monitor these forums periodically, we cannot be responsible for the information posted herein, nor guarantee its accuracy. When urethral catheterization or urethral dilation (e. • The AUA CRC reviewed the current CPT code(s) available for cystectomy (CPT 51550-51596) and determined that these codes are not approach dependent. 51703. Vaccine CPT Components Immun. 440, P9612 d. , sterile urine specimen (commercial payers only) or a post-voiding residual urine All ICD-10-PCS codes have seven digits, each digit representing a specific character associated with procedures. Please contact the Cotiviti Help Desk at 801. couponupto. 64$ 1486580 86580 tb skin test 24. 00 Insertion of non URODYNAMICS CODING AND MEDICARE NATIONAL AVERAGE REIMBURSEMENT: The table below contains relevant CPT® Codes and 2014 Medicare Physician National Average Allowances for urodynamics testing services: CPT® Code Code Description Physician In-Office Medicare Allowed Amount 1,2 51725 Simple cystometrogram (CMG) (ie, spinal manometer) $187 51726 *According to AMA-CPT instruction, use CPT Code 57267 in conjunction with CPT Codes 45560, 57240-57265, 57285 NOTE: Additional coding/reimbursement guides, including Uphold ™ LITE Vaginal Support System , are available on the Boston Scientific Noridian corrected CPT from 96413 to *96365 and paid that line-item *Documentation must support that drug was infused over a minimum of 16 minutes, otherwise a push code would have been more appropriate. Caution against fraudulent job offers! Essential Rules and Guidance to Code It Right. , straight catheterization for residual urine]) is a specific procedure, again requiring a physician order. 00$ 1490471 90471 immunization 1 vaccine 28. Key characters are discussed below. Appendix II: CPT Codes Not Requiring Prior Authorization for In-Network Providers 49452 49460 49465 50690 51100 51101 51102 51600 51700 51701 Nov 24, 2006 · For CY 2006, we continued using the codes on the CY 2005 OPPS bypass list and expanded it to include 404 bypass codes, including 3 bladder catheterization codes (CPT codes 51701, 51702, and 51703), which did not meet the empirical criteria discussed below for the selection of bypass codes. 16. 51797 is not billed with a -51 modifier as it is an add-on code to 51728 or 51729. cpt code 51701

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