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2012 Texas Medicaid Provider Procedures Manual

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook

Medical and Nursing Specialists, Physicians, and Physician Assistants Handbook
1. General Information MD-15
2. Chiropractic Manipulative Treatment (CMT) MD-16
2.1 Enrollment MD-16
2.2 Services, Benefits, Limitations, and Prior Authorization MD-16
2.2.1 Prior Authorization MD-16
2.3 Documentation Requirements MD-17
2.4 Claims Filing and Reimbursement MD-17
2.4.1 Claims Information MD-17
2.4.2 Reimbursement MD-17
3. Certified Nurse Midwife (CNM) MD-18
3.1 Provider Enrollment MD-18
3.1.1 Enrollment in Texas Health Steps (THSteps) MD-18
3.2 Services, Benefits, Limitations, and Prior Authorization MD-18
3.2.1 Deliveries MD-19
3.2.2 Newborn Services MD-19
3.2.3 Prenatal and Postpartum Services MD-19
3.2.4 Laboratory and Radiology Services MD-19
3.2.5 Prior Authorization MD-19
3.2.6 Documentation Requirements MD-19
3.2.7 Claims Filing and Reimbursement MD-20
4. Certified Registered Nurse Anesthetist (CRNA) MD-20
4.1 Enrollment MD-20
4.2 Services, Benefits, Limitations, and Prior Authorization MD-21
4.2.1 Prior Authorization MD-21
4.3 Documentation Requirements MD-21
4.4 Claims Filing and Reimbursement MD-21
4.4.1 Claims Information MD-21 Interpreting the R&S Report MD-22
4.4.2 Reimbursement MD-22
5. Geneticists MD-22
5.1 Enrollment MD-22
5.1.1 Geneticists MD-22
5.2 Services, Benefits, Limitations, and Prior Authorization MD-23
5.2.1 Family History MD-23
5.2.2 Genetic Tests MD-24
5.2.3 Laboratory Practices MD-24
5.2.4 Genetic Counselors MD-24
5.2.5 Genetic Evaluation and Counseling by a Geneticist MD-24
5.2.6 Prior Authorization MD-25
5.3 Documentation Requirements MD-25
5.4 Claims Filing and Reimbursement MD-25
5.4.1 Claims Information MD-25
5.4.2 Reimbursement MD-26
6. Maternity Service Clinics (MSC) MD-26
6.1 Provider Enrollment MD-26
6.1.1 Physician Responsibility MD-26
6.1.2 Case Management Services to High-Risk Individuals MD-27
6.2 Services, Benefits, Limitations, and Prior Authorization MD-27
6.2.1 Initial Prenatal Care Visit Components MD-28 History MD-28 Physical Examination MD-28 Laboratory Tests MD-28 Assessment MD-29 Plan MD-29 Education and Counseling MD-29
6.2.2 Subsequent Prenatal Care Visits MD-29 Physical Examination MD-29 Laboratory Tests MD-29
6.2.3 Postpartum Care Visit MD-30
6.2.4 Prior Authorization MD-30
6.3 Documentation Requirements MD-30
6.4 Claims Filing and Reimbursement MD-30
7. Nurse Practitioner (NP) and Clinical Nurse Specialist (CNS) MD-31
7.1 Enrollment MD-31
7.1.1 Enrollment in Texas Health Steps (THSteps) MD-31
7.2 Services, Benefits, Limitations, and Prior Authorization MD-31
7.2.1 Prior Authorization MD-32
7.3 Documentation Requirements MD-32
7.4 Claims Filing and Reimbursement MD-32
7.4.1 Claims Information MD-32
7.4.2 Reimbursement MD-32
8. Physician MD-33
8.1 Enrollment MD-33
8.1.1 Physicians and Doctors MD-33
8.2 Services, Benefits, Limitations, and Prior Authorization MD-33
8.2.1 Teaching Physician and Resident Physician MD-34 Teaching Physician Prerequisites MD-34
8.2.2 Substitute Physician MD-35
8.2.3 Aerosol Treatment MD-36
8.2.4 Allergy Services MD-37 Allergy Immunotherapy MD-37 Prior Authorization for Allergy Immunotherapy MD-37 Limitations of Allergy Immunotherapy MD-37 Allergy Testing MD-38 RAST/MAST Tests MD-40 Collagen Skin Test MD-40 Prior Authorization for Collagen Skin Tests MD-40
8.2.5 Ambulance Transport Services - Nonemergency MD-40
8.2.6 Anesthesia MD-41 Medical Direction by an Anesthesiologist MD-41 Anesthesia for Sterilization MD-42 Anesthesia for Labor and Delivery MD-42 Anesthesia Provided by the Surgeon (Other Than Labor and Delivery) MD-43 Complicated Anesthesia MD-43 Multiple Procedures MD-43 Monitored Anesthesia Care MD-43 Reimbursement Methodology MD-43 Anesthesia Modifiers MD-45 State-Defined Modifiers MD-45 Modifier Combinations MD-45 CRNA Services MD-46 Prior Authorization for Anesthesia MD-46 Claims Filing MD-46 Anesthesia (General) for THSteps Dental MD-46
8.2.7 Abdominal Aortic Aneurysm Screening MD-46
8.2.8 Bariatric Surgery MD-47 Prior Authorization for Bariatric Surgery MD-47
8.2.9 Bacillus Calmette‑Guérin (BCG) Intravesical for Treatment of Bladder Cancer MD-49
8.2.10 Behavioral Health Services MD-50
8.2.11 Biopsy MD-50
8.2.12 Biofeedback Services MD-50 Biofeedback Certification MD-50 Prior Authorization for Biofeedback Services MD-51
8.2.13 Blepharoplasty Procedures MD-52
8.2.14 BRCA Testing MD-52 Prior Authorization for Gene Mutation Analysis MD-53 Retroactive Authorization MD-54
8.2.15 Mammography (Screening and Diagnostic Studies of the Breast) MD-55
8.2.16 Prognostic Breast and Gynecological Cancer Studies MD-55 Colorectal Cancer Screening MD-56 Prior Authorization for Colorectal Cancer Screening MD-58 Genetic Testing for Colorectal Cancer MD-58 Testing for Familial Adenomatous Polyposis MD-58 Hereditary Nonpolyposis Colorectal Cancer (HNPCC) MD-59 Prior Authorization for Genetic Testing for Colorectal Cancer MD-59
8.2.17 Capsulotomy MD-59
8.2.18 Cardiac Rehabilitation MD-59 Prior Authorization for Cardiac Rehabilitation MD-61 Reimbursement MD-61
8.2.19 Casting, Splinting, and Strapping MD-62
8.2.20 Cardiopulmonary Resuscitation (CPR) MD-63
8.2.21 Chemotherapy MD-64 Chemotherapy Procedure Codes MD-64
8.2.22 Circumcisions MD-65
8.2.23 Closure of Wounds MD-65
8.2.24 Cochlear Implants MD-66
8.2.25 Continuous Glucose Monitoring (CGM) MD-67 Prior Authorization for Continuous Glucose Monitoring MD-67
8.2.26 Developmental and Neurological Assessment and Testing MD-67 Assessment of Aphasia MD-68 Developmental Screening MD-68 Developmental Testing MD-69 Neurobehavioral Testing MD-69 12-Hour Limitation for Procedure Codes 96110, 96111, and 96116 MD-72
8.2.27 Diagnostic Tests MD-72 Ambulatory Blood Pressure Monitoring MD-72 Ambulatory Electroencephalogram (Ambulatory EEG) MD-73 Bone Marrow Aspiration, Biopsy MD-73 Cytopathology Studies—Other Than Gynecological MD-73 Echoencephalography MD-74 Electrocardiogram (ECG) MD-75 Prior Authorization for ECG MD-75 Electrodiagnostic (EDX) Testing MD-76 Electromyography (EMG) MD-77 Nerve Conduction Studies (NCS) MD-78 Documentation Requirements for EDX Testing MD-79 Prior and Retrospective Authorization for EDX Testing MD-80 Esophageal pH Probe Monitoring MD-81 Prior Authorization MD-81 Helicobacter Pylori (H. pylori) MD-81 Myocardial Perfusion Imaging MD-83 Pediatric Pneumogram MD-83
8.2.28 Diagnostic Doppler Sonography MD-83
8.2.29 Extracorporeal Membrane Oxygenation (ECMO) MD-88
8.2.30 Family Planning MD-89
8.2.31 Gynecological Health Services MD-89
8.2.32 Hospital Visits MD-89
8.2.33 Hyperbaric Oxygen Therapy (HBOT) MD-89
8.2.34 Ilizarov Device and Procedure MD-91
8.2.35 Immunization Guidelines and Administration MD-91 Administration Fee MD-91 Documentation MD-94 Vaccine Adverse Event Reporting System (VAERS) MD-94
8.2.36 Immunizations for Clients Birth through 20 Years of Age MD-94 Vaccine Coverage Through the TVFC Program MD-95 Vaccine and Toxoid Procedure Codes MD-96
8.2.37 Immunizations for Clients Who Are 21 Years of Age and Older MD-98
8.2.38 Postexposure Prophylaxis for Rabies MD-100 Prior Authorization for Postexposure Rabies Vaccine MD-101 Limitations for Postexposure Rabies Vaccine MD-101 Obtaining Rabies Vaccine and HRIG from DSHS for PEP Use MD-101
8.2.39 Medications - Injectable MD-101 Abatacept (Orencia) MD-104 Prior Authorization for Abatacept (Orencia) MD-104 Alatrofloxacin Mesylate (Trovan) MD-104 Alglucosidase Alfa (Myozyme) MD-105 Prior Authorization for Alglucosidase Alfa (Myozyme) MD-105 17-Alpha Hydroxyprogesterone Caproate MD-105 Compounded 17P-alpha hydroxyprogesterone caproate MD-105 Prior Authorization for Trademarked 17P-alpha hydroxyprogesterone
caproate (Makena) MD-105 Amifostine MD-106 Antibiotics and Steroids MD-107 Antihemophilic Factor MD-108 Botulinum Toxin Type A MD-108 Chelating Agents MD-109 Dimercaprol MD-109 Edetate calcium disodium MD-109 Deferoxamine mesylate (Desferal) MD-109 Edetate disodium MD-109 Clofarabine MD-110 Prior Authorization for Clofarabine MD-110 Colony Stimulating Factors (Filgrastim, Pegfilgrastim, and
Sargramostim) MD-110 Hematopoietic Injections MD-112 Epoetin Alfa (EPO) MD-113 Darbepoetin Alfa MD-113 Fluocinolone Acetonide (Retisert) MD-114 Gamma Globulin/Immune Globulin MD-114 Medroxyprogesterone Acetate (Depo Provera) MD-115 Immunosuppressive Drugs MD-115 Interferon MD-117 Joint Injections and Trigger Point Injections MD-118 Leuprolide Acetate (Lupron Depot) MD-118 Omalizumab MD-119 Prior Authorization for Omalizumab MD-119 Paclitaxel MD-120 Implantable Infusion Pumps MD-120 Prior Authorization for Implantable Infusion Pumps MD-121 Implantation of Catheters, Reservoirs, and Pumps MD-125 Trastuzumab MD-126 Vitamin B12 (Cyanocobalamin) Injections MD-126 Injection Administration MD-127 Billing for Injectable Medications MD-127 Unit Calculations for Billing Drugs MD-128
8.2.40 Medications - Oral MD-128
8.2.41 Laboratory Services MD-128 THSteps Laboratory Services MD-129 Laboratory Handling Charge MD-129 Blood Counts MD-129 Clinical Lab Panel Implementation MD-130 Clinical Pathology Consultations MD-130 Cytogenetics Testing MD-130 Maternal Serum Alpha‑Fetoprotein (MSAFP) MD-133
8.2.42 Lung Volume Reduction Surgery (LVRS) MD-133 Prior Authorization for Lung Volume Reduction Surgery MD-134 Noncovered Conditions MD-135
8.2.43 Mastectomy and Breast Reconstruction MD-136 Mastectomies MD-136 Prophylactic Mastectomies MD-137 Breast Reconstruction MD-137 Tattooing to Correct Color Defects of the Skin MD-139 Treatment for Complications of Breast Reconstruction MD-139 External Breast Prostheses MD-139 Prior Authorization Requirements for Mastectomy and Breast
Reconstruction MD-140 Limitations for Mastectomy and Breast Reconstruction MD-141
8.2.44 Neurostimulators MD-142 Prior Authorization for Neurostimulators MD-143 Neuromuscular Electrical Stimulation (NMES) MD-143 NMES Rental MD-143 NMES Purchase MD-144 NMES for Muscle Atrophy MD-144 NMES for Walking in Clients with Spinal Cord Injury (SCI) MD-144 Transcutaneous Electrical Nerve Stimulation (TENS) MD-145 TENS Rental MD-145 TENS Purchase MD-145 NMES and TENS Garments MD-145 NMES and TENS Supplies MD-146 Dorsal Column Neurostimulator (DCN) MD-146 Prior Authorization for Dorsal Column Neurostimulators MD-146 Intracranial Neurostimulators MD-147 Prior Authorization for Intracranial Neurostimulators MD-147 Percutaneous Electrical Nerve Stimulation (PENS) MD-148 Prior Authorization for PENS MD-148 Sacral Nerve Stimulators (SNS) MD-148 Prior Authorization for SNS MD-148 Vagal Nerve Stimulators (VNS) MD-148 Prior Authorization for VNS MD-148 Prior Authorization of Neurostimulator Devices Procedure Codes MD-149 Supplies for Neurostimulators MD-149 Electronic Analysis for Neurostimulators MD-149 Revision or Removal of Neurostimulator Devices MD-149 Noncovered Neurostimulator Services MD-149
8.2.45 Newborn Services MD-149 Circumcisions for Newborns MD-150 Hospital Visits and Routine Care MD-150 Newborn Hearing Screening MD-153
8.2.46 Obstetrics and Prenatal Care MD-153 Amniocentesis, Cordocentesis, and Ultra­sonic Guidance MD-155 Deliveries MD-155 External Cephalic Version MD-155 Fetal Fibronectin MD-156 Fetal Intrauterine Transfusion (FIUT) MD-156 Doppler Studies MD-156 Fetal Echocardiography MD-156 Obstetric Ultrasound MD-157 Prenatal Surveillance MD-160 Tobacco Use Cessation Counseling MD-161 Documentation Requirements for Diagnostic Studies MD-161 Required Screening of Pregnant Women for Syphilis, HIV, and
Hepatitis B MD-162 HIV Testing MD-162 Hepatitis B and Syphilis Screening MD-162
8.2.47 Occupational Therapy (OT) Services MD-162
8.2.48 Ophthalmology MD-162 Corneal Transplants MD-162 Eye Surgery by Laser MD-163 Other Eye Surgery Procedures MD-163 Eye Surgery by Incision MD-164 Intraocular Lens (IOL) MD-165 Intravitreal Drug Delivery System MD-165 Other Eye Surgery Limitations MD-165
8.2.49 Organ/Tissue Transplants MD-166 Heart Transplants MD-166 Prior Authorization for Heart Transplants MD-166 Guidelines for Coverage of a Heart Transplant MD-166 Intestinal Transplants MD-167 Prior Authorization for Intestinal Transplants MD-167 Guidelines for Coverage of an Intestinal Transplant MD-167 Other Limitations for Intestinal Transplants MD-168 Kidney Transplants MD-168 Prior Authorization for Kidney Transplants MD-168 Guidelines for Coverage of a Kidney Transplant MD-168 Other Limitations for Kidney Transplants MD-169 Cytogam MD-169 Liver Transplants MD-169 Prior Authorization for Liver Transplants MD-169 Guidelines for Coverage MD-170 Lung Transplants MD-170 Prior Authorization for Lung Transplants MD-170 Guidelines for Coverage of a Lung Transplant MD-171 Pancreas Transplant and Simultaneous Kidney‑Pancreas Transplant MD-171 Prior Authorization for Pancreas Transplant/Simultaneous
Kidney-Pancreas Transplant MD-171 Guidelines for Coverage of a Pancreas/Simultaneous Kidney‑Pancreas
Transplant MD-171 Pancreas Transplant Alone MD-172 Simultaneous Kidney-Pancreas Transplant MD-172 Nonsolid Organ Transplants MD-173 Allogeneic and Autologous Bone Marrow and Stem Cell
Transplantation MD-173 Autologous Islet Cell Transplantation MD-174 Prior Authorization for Nonsolid Organ Transplants MD-175 Organ Procurement MD-175 Prior Authorization for All Transplants MD-175
8.2.50 Orthognathic Surgery MD-176 Prior Authorization for Orthognathic Surgery MD-177
8.2.51 Osteogenic Stimulation MD-177
8.2.52 Osteopathic Manipulative Treatment (OMT) MD-177
8.2.53 Pain Management MD-179 Epidural and Subarachnoid Infusion (Not Including Labor and Delivery) MD-179
8.2.54 Palivizumab Injections MD-180 Benefits and Limitations MD-180 Prior Authorization Requirements MD-180 Obtaining Palivizumab MD-182
8.2.55 Panniculectomy and Abdominoplasty MD-183 Panniculectomy MD-183 Abdominoplasty MD-185
8.2.56 Penile and Testicular Prostheses MD-186
8.2.57 Pentamidine Aerosol MD-186
8.2.58 Percutaneous Transluminal Coronary Interventions MD-186
8.2.59 Physical Therapy (PT) Services MD-187
8.2.60 Physician Evaluation and Management (E/M) Services MD-187 Office or Other Outpatient Hospital Services MD-187 New and Established Patient Services MD-187 Preventive Care Visits MD-188 Consultation Services MD-189 Services Outside of Business Hours MD-190 Observation Services MD-190 Domiciliary, Rest Home, or Custodial Care Services MD-191 Physician Services Provided in the Emergency Department MD-191 Group Clinical Visits MD-192 Group Clinical Visits for Diabetes MD-192 Group Clinical Visits for Asthma MD-193 Group Clinical Visits for Pregnancy MD-193 Home Services MD-195 Inpatient Hospital Services MD-195 Hospital Admissions, Initial Visits, and Subsequent Visits MD-195 Concurrent Care MD-196 Consultations MD-196 Critical Care MD-197 Hospital Discharge MD-199 Nursing Facility Services MD-200 Observation MD-200 Prolonged Physician Services MD-201 Referrals MD-201 Referral Requirements for Children with Disabilities MD-201
8.2.61 Physician Services in a Long Term Care (LTC) Nursing Facility MD-202
8.2.62 Podiatry and Related Services MD-202 Clubfoot Casting MD-202 Flat Foot Treatment MD-202 Routine Foot Care MD-202
8.2.63 Prostate Surgery MD-202
8.2.64 Radiation Therapy MD-203 Brachytherapy MD-204 Prior Authorization for Brachytherapy MD-204 Other Limitations on Brachytherapy MD-204 Procedure Code Limitations MD-205 Stereotactic Radiosurgery MD-207 Prior Authorization for Stereotactic Radiosurgery MD-207 Other Limitations on Stereotactic Radiosurgery MD-208
8.2.65 Radiology Services MD-208 Diagnosis Requirements MD-209 Cardiac Blood Pool Imaging MD-210 Chest X‑Rays MD-210 Magnetic Resonance Angiography (MRA) MD-212 Magnetic Resonance Imaging (MRI) MD-212 Technetium TC 99M MD-213
8.2.66 Reduction Mammaplasties MD-213 Prior Authorization for Reduction Mammaplasty MD-213
8.2.67 Renal Disease MD-214 Dialysis Patients MD-214 Physician Supervision of Dialysis Patients MD-214 Laboratory Services for Dialysis Patients MD-216 Self‑Dialysis Patients MD-216 Physician Supervision MD-217 Initial Training MD-217 Subsequent Training MD-217
8.2.68 Sign Language Interpreting Services MD-217
8.2.69 Skin Therapy MD-218
8.2.70 Sleep Studies MD-220 Actigraphy MD-221 Pneumocardiograms MD-222 Polysomnography MD-222 Multiple Sleep Latency Test (MSLT) MD-223 Sleep Facility Restrictions for Polysomnography and Multiple Sleep
Latency Testing MD-224
8.2.71 Speech Therapy (ST) Services MD-225
8.2.72 Surgery Billing Guidelines MD-225 Primary Surgeon MD-225 Anesthesia Administered by Surgeon MD-225 Assistant Surgeon MD-226 Bilateral Procedures MD-226 Cosurgery MD-227 Global Fees MD-227 Multiple Surgeries MD-231 Office Procedures MD-231 Orthopedic Hardware MD-232 Second Opinions MD-232 Services Incidental to Surgery and/or Anesthesia MD-232 Supplies, Trays, and Drugs MD-234
8.2.73 Telemedicine Services MD-234 Distant Site MD-234 Patient Site MD-235
8.2.74 Therapeutic Apheresis MD-236
8.2.75 Therapeutic Phlebotomy MD-237
8.2.76 Therapeutic Radiopharmaceuticals MD-237 Prior Authorization for Therapeutic Radiopharmaceuticals MD-238 Other Limitations on Therapeutic Radiopharmaceuticals MD-238
8.2.77 Urethral Dilation MD-238
8.2.78 Ventilation Assist and Management for the Inpatient MD-239
8.2.79 Wearable Cardiac Defibrillator (WCD) MD-239 Prior Authorization for WCD MD-239
8.2.80 Wound Care Management MD-242 First-Line Wound Care Therapy MD-243 Cleansing, Antibiotics, and Pressure Off-loading MD-243 Compression MD-243 Debridement MD-243 Dressings and Metabolically Active Skin Equivalents MD-245 Whirlpool for Burns MD-245 Second-Line Wound Care Therapy MD-246 Whirlpool MD-246 Pulsatile-Jet Irrigation MD-246 Documentation Requirements MD-246
8.3 Doctor of Dentistry Practicing as a Limited Physician MD-246
8.3.1 Prior Authorization for General Dental Services Due to Life‑Threatening
Medical Condition MD-247 Guidelines for Requesting Mandatory Prior Authorization MD-247
8.3.2 Benefits and Limitations MD-248 Diagnosis Codes MD-248 Evaluation and Management Procedure Codes MD-249 Additional Payable Procedure Codes MD-249 Immune Globulin by a Doctor of Dentistry as a Limited Physician MD-251 Radiographs by a Doctor of Dentistry Practicing as a Limited Physician MD-252 Dental Anesthesia by a Doctor of Dentistry Practicing as a
Limited Physician MD-252
8.4 Documentation Requirements MD-252
8.5 Claims Filing and Reimbursement MD-252
8.5.1 Claims Information MD-252
8.5.2 National Drug Codes (NDC) MD-253
8.5.3 Reimbursement MD-253
9. Physician Assistant MD-254
9.1 Enrollment MD-254
9.2 Services, Benefits, Limitations, and Prior Authorization MD-254
9.2.1 Prior Authorization MD-255
9.3 Documentation Requirements MD-255
9.4 Claims Filing and Reimbursement MD-255
9.4.1 Claims Information MD-255
9.4.2 Reimbursement MD-256
10. Claims Resources MD-256
11. Contact TMHP MD-257
12. Forms MD-258
MD.1 Abortion Certification Statements Form MD-259
MD.2 DME Certification and Receipt Form (3 pages) MD-260
MD.3 Hospital Report (Newborn Child or Children) (Form 7484) MD-263
MD.4 Hysterectomy Acknowledgment Form MD-264
MD.5 Medicaid Certificate of Medical Necessity for Reduction Mammaplasty MD-265
MD.6 Nonemergency Ambulance Prior Authorization Request Form (2 Pages) MD-266
MD.7 Obstetric Ultrasound Prior Authorization Request Instructions MD-268
MD.8 Obstetric Ultrasound Prior Authorization Request Form MD-269
MD.9 Special Medicaid Prior Authorization (SMPA) Request Form MD-270
MD.10 Sterilization Consent Form Instructions (2 pages) MD-271
MD.11 Sterilization Consent Form (English) MD-273
MD.12 Sterilization Consent Form (Spanish) MD-274
MD.13 Texas Medicaid Palivizumab (Synagis) Prior Authorization Request Form MD-275
MD.14 Texas Medicaid Vendor Drug Program for Outpatient Pharmacies Synagis
(Palivizumab) Prior Authorization Request & Prescription Form for 2011 MD-276
MD.15 THSteps Dental Mandatory Prior Authorization Request Form MD-277
MD.16 THSteps Dental Criteria for Dental Therapy Under General Anesthesia (2 pages) MD-278
13. Claim Form Examples MD-280
MD.17 Anesthesia MD-281
MD.18 Certified Nurse-Midwife (CNM) MD-282
MD.19 Certified Registered Nurse Anesthetist (CRNA) MD-283
MD.20 Chiropractic Services MD-284
MD.21 Dental (Doctor of Dentistry) MD-285
MD.22 Dialysis Training MD-286
MD.23 Genetics MD-287
MD.24 Radiation Therapy MD-288
MD.25 Surgery MD-289
Index MD-290

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