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2009 ICD-9-CM
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| HCPC | A6404 |
| LongDesc | GAUZE, NON-IMPREGNATED, STERILE, PAD SIZE MORE THAN 48 SQ. IN., WITHOUT |
| LongDesc | ADHESIVE BORDER, EACH DRESSING |
| SeqNum | 001 |
| RIC | 003 |
| ShortDesc | Sterile gauze > 48 sq in |
| PI1 | 35 |
| PI2 | |
| PI3 | |
| PI4 | |
| MPI | A |
| CIM1 | |
| CIM2 | |
| CIM3 | |
| MCM1 | 2079 |
| MCM2 | |
| MCM3 | |
| Statute | |
| LabCert1 | |
| LabCert2 | |
| LabCert3 | |
| LabCert4 | |
| LabCert5 | |
| LabCert6 | |
| LabCert7 | |
| LabCert8 | |
| XRef1 | |
| XRef2 | |
| XRef3 | |
| XRef4 | |
| XRef5 | |
| Cov | D |
| ASCPayGrp | |
| ASCPayGrpEffDate | |
| MOGPayGrp | |
| MOGPayInd | |
| MOGEffDate | |
| ProcNote | |
| BETOS | D1A |
| Filler | |
| TOS1 | S |
| TOS2 | |
| TOS3 | |
| TOS4 | |
| TOS5 | |
| AnestBaseUnits | 0 |
| CodeAddDate | 19970101 |
| ActionEffDate | 20030101 |
| TermDate | |
| ActionCode | N |