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ACG

h.o.l.M.E.S.

Automated Clinical Guidelines

Transplant Services

Indicates Non-covered Service
Vascularized Composite Allograft (VCA) Transplantation
Cigna

32850, 32851, 32852, 32853, 32854, 33927, 33928, 33929, 33935, 33945, 38230, 38232, 38240, 38241, 38243, 47135, 48160, 48550, 48554, 48556, 50360, 50365, 50370, 81370, 81371, 81372, 81373, 81374, 81375, 81376, 81377, 81378, 81379, 81380, 81381, 81382, 81383, 81595, 0494T, 0495T,0496T, 0584T, 0585T, 0586T, L8698, S9975,

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