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We agree with commenters that suggested EDI 835 ERA transaction data is sent by many payers and thus requiring its use to calculate and encode the allowed amounts would enhance the consistency of hospital standard charge information and the comparability of the median allowed amount, and the 10th percentile and the 90th percentile allowed amounts

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During this procedure, the long head biceps tendon is detached from its proximal attachment point at the labrum and is then reattached further down the arm at the humerus

Prior authorization is required by most commercial payers (not traditional Medicare) before a 64483 claim is submitted