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ACG

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

Automated Clinical Guidelines

Cardiopulmonary & Vascular Surgery2

Indicates Non-covered Service
Anthem
Leadless Pacemaker
Partial Left Ventriculectomy & Surgical Ventricular Restoration
FloridaBlue

33206, 33207, 33208, 33210, 33211, 33212, 33213, 33214, 33216, 33217, 33221, 33224, 33227, 33228, 33229, 33230, 33231, 33233, 33234, 33235, 33240, 33241, 33244, 33249, 33262, 33263, 33264, 33270, 33271, 33272, 33273, 33274, 33275, 33289*, 33340, 0571T, 0572T, 0573T, 0574T, 0580T, 0614T, C1721, C1722, C1777, C1779, C1785, C1786, C1882, C1895, C1896, C1898, C1899, C1900, C2619, C2620, C2621, 33285, 33286, 93228, 93229, 93745, K0606, K0607, K0608, K0609, 33875, 33877, 33880, 33881, 33883, 33886, 34701, 34702, 34703, 34704, 34705, 34706, 34830, 34831, 34832, 34841, 34842, 34843, 34845, 34846, 34847, 34848, 93451, 93452, 93453, 93454, 93455, 93456, 93457, 93458, 93459, 93460, 93461, 93530, 93531, 93532, 93533, 93561, 93562, 35301, 37215, 37216, 37217, 37218, 92920, 92928, 92937, 92943, C9600, C9604, C9607, 93580,  33361, 33362, 33363, 33364, 33365, 33366, 33418, 0345T,32096, 32097, 32505, 32607, 32608, 32666, 37220*, 37221*, 37224, 37225, 37226, 37227, 37228, 37229, 37230, 37231, 0505T, 36465, 36466, 36468, 36470, 36471, 36473, 36474, 36475, 36476, 36478, 36479, 36482, 36483, 37500, 37700, 37718, 37722, 37735, 37760, 37761, 37765, 37766, 37780, 37785, S2202, 0524T, 33990, 33991, 33995, 33975, 33976, 33979, 33981, 33982, 33983, 0451T, 0452T, 0453T, 0454T, 0455T, 0456T, 0457T, 0458T, 0459T, 0460T, 0461T, 0462T, 0463T, Q0477, Q0480, Q0481, Q0482, Q0483, Q0484, Q0485, Q0486, Q0487, Q0488, Q0489, Q0490, Q0491, Q0492, Q0493, Q0494, Q0495, Q0496, Q0497, Q0498, Q0499, Q0500, Q0501, Q0502, Q0503, Q0504, Q0506, Q0507, Q0508, Q0509, 31627, 31620

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