ࡱ> 76  \pBIMCKEE Ba==f0<8X@"1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial1Arial"$"#,##0_);\("$"#,##0\)!"$"#,##0_);[Red]\("$"#,##0\)""$"#,##0.00_);\("$"#,##0.00\)'""$"#,##0.00_);[Red]\("$"#,##0.00\)7*2_("$"* #,##0_);_("$"* \(#,##0\);_("$"* "-"_);_(@_).))_(* #,##0_);_(* \(#,##0\);_(* "-"_);_(@_)?,:_("$"* #,##0.00_);_("$"* \(#,##0.00\);_("$"* "-"??_);_(@_)6+1_(* #,##0.00_);_(* \(#,##0.00\);_(* "-"??_);_(@_)                + ) , *        8 A!x A)x   "<  (  8 @ @ !0@ @  )8@ @ 8  0  *8 !@ @  (@ @ (8@ @  (   "|@ @ @ @ (8@ @ ( (0 )0@ @ (8  (|@ @ *8@ @ "8@ @  1"<@ @ A*x@ @   @ @ A*x  (8  A x   8  )8 !  A x@@   0@  0 @  8@@ 0@ 0 @  0@  0 @  Normal_Sheet1` Exhibit 6  ;?  ;8Mq^970129701697018970229702497026970289703297033970349703597110971249714097150989409894198942 Description9703698925989269892798928989299711297530*DIRECT ONE-ON-ONE PATIENT CONTACT REQUIRED(CONSTANT ATTENDANCE OF PROVIDER REQUIREDSUPERVISED MODALITY7includes treatment with VAX-D, DRX and similar machines1includes cold laser or low-power laser treatmentG0283:ELECTRICAL STIMULATION, (UNATTENDED), TO ONE OR MORE AREASNOTE: FOR CHIROPRACTIC MANIPULATIVE TREATMENT, THE 5 SPINAL REGIONS REFERRED TO ARE: CERVICAL REGION (INCLUDES ATLANTO-OCCIPITAL JOINT); THORACIC REGION (INCLUDES COSTOVERTEBRAL AND COSTOTRANSVERSE JOINTS); LUMBAR REGION; SACRAL REGION; AND PELVIC (SACRO-ILIAC JOINT) REGION. THE FIVE EXTRA-SPINAL REGIONS REFERRED TO ARE: HEAD (INCLUDING TEMPOROMANDIBULAR JOINT, EXCLUDING ATLANTO-OCCIPITAL) (EXCLUDING COSTOTRANSVERSE AND COSTOVERTEBRAL JOINTS AND ABDOMEN) NOTE: FOR OSTEOMANIPULATIVE TREATMENT, THE BODY REGIONS REFERRED TO ARE: HEAD REGION; CERVICAL REGION; THORACIC REGION; LUMBAR REGION; SACRAL REGION; PELVIC REGION; LOWER EXTREMITIES; UPPER EXTREMITIES; RIB CAGE REGION; ABDOMEN AND VISCERA REGION  9781097811978139781497139970399711397535 STRAP CHESTSTRAP SHOULDERSTRAP ELBOW OR WRISTSTRAP HAND OR FINGER STRAP HIP STRAP KNEESTRAP ANKLE AND/OR FT STRAP TOESAPPLY PASTE BOOTAPPLY MULTILAY COMPRESS LWR LEGAPPLY FOOT SPLINTCAST/STRAP PROCEDUREMECHANICAL TRACTION THERAPYVASOPNEUMATIC DEVICE THERAPYPARAFFIN BATH THERAPYWHIRLPOOL THERAPYDIATHERMY EG, MICROWAVEINFRARED THERAPYULTRAVIOLET THERAPYMASSAGE THERAPYSELF CARE MANAGEMENT TRAINING$OSTEOPATHIC MANIPULATION 1-2 REGIONS$OSTEOPATHIC MANIPULATION 3-4 REGIONS$OSTEOPATHIC MANIPULATION 5-6 REGIONS$OSTEOPATHIC MANIPULATION 7-8 REGIONS%OSTEOPATHIC MANIPULATION 9-10 REGIONS%CHIROPRACTIC MANIPULATION 1-2 REGIONS%CHIROPRACTIC MANIPULATION 3-4 REGIONS#CHIROPRACTIC MANIPULATION 5 REGIONSNOTE: FOR STRAPPING, THIS IS A REPLACEMENT PROCEDURE USED DURING OR AFTER THE PERIOD OF FOLLOW-UP CARE OR WHEN THE APPLICATION IS AN INITIAL SERVICE PERFORMED WITHOUT A RESTORATIVE TREATMENT TO STABILIZE OR PROTECT A FRACTURE, INJURY OR DISLOCATION AND/OR TO AFFORD COMFORT TO A PATIENT. {*Current Procedural Terminology (CPT) is copyright 2010 American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. the AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT is a trademark of the American Medical Association. CPT*/HCPSC`APPLICATION OF A MODALITY TO ONE OR MORE AREAS; ELECTRICAL STIMULATION (MANUAL), EACH 15 MINUTESIONTOPHORESIS, EACH 15 MINUTESCONTRAST BATHS, EACH 15 MINUTESULTRASOUND, EACH 15 MINUTESHUBBARD TANK, EACH 15 MINUTES+UNLISTED PHYSICAL MEDICINE & REHAB MODALITYTHERAPEUTIC PROCEDURE, 1 OR MORE AREAS, EACH 15 MINUTES; THERAPEUTIC EXERCISES TO DEVELOP STRENGTH AND ENDURANCE, RANGE OF MOTION AND FLEXIBILITYNEUROMUSCULAR REEDUCATION OF MOVEMENT, BALANCE COORDINATION, KINESTHETIC SENSE, POSTURE, AND/OR PROPRIOCEPTION FOR SITTING OR STANDING ACTIVITIES*AQUATIC THERAPY WITH THERAPEUTIC EXERCISES$UNLISTED PHYSICAL MEDICINE PROCEDUREMANUAL THERAPY TECHNIQUES (eg MOBILIZATION/MANIPULATION, MANUAL LYMPHATIC DRAINAGE, MANUAL TRACTION, 1 OR MORE REGIONS, EACH 15 MINUTES5GROUP THERAPEUTIC PROCEDURES, (2 OR MORE INDIVIDUALS)UTHERAPEUTIC ACTIVITIES, (USE OF DYNAMIC ACTIVITIES TO IMPROVE FUNCTIONAL PERFORMANCE)RACUPUNCTURE, 1 OR MORE NEEDLES, WITHOUT ELECTRICAL STIMULATION, INITIAL 15 MINUTESxACUPUNCTURE, 1 OR MORE NEEDLES, WITHOUT ELECTRICAL STIMULATION, EACH ADDITIONAL 15 MINUTES, WITH REINSERTION OF NEEDLESOACUPUNCTURE, 1 OR MORE NEEDLES, WITH ELECTRICAL STIMULATION, INITIAL 15 MINUTESuACUPUNCTURE, 1 OR MORE NEEDLES, WITH ELECTRICAL STIMULATION, EACH ADDITIONAL 15 MINUTES, WITH REINSERTION OF NEEDLES8CHIROPRACTIC MANIPULATION EXTRASPINAL, 1 OR MORE REGIONSb E L dk  $cc&   @9B-J  dMbP?_*+%B?&CAppendix Exhibit 6 CPT/HCPCS Codes Subject to Daily Maximum'?(\(\?MSassie PSS odXXLetterPRIV0''''D\KhCڄ SMTJXerox ColorQube 9202 PSLeadingEdgePageSizeLetterPageRegionDuplexNoneResolution600x600dpiD1NRX Qk  MSCFN ,90R.//Uncompressed-Data//^.CKZil>3v81؉=vq&~^RHpMbJ 84z 6U$ l"PjqJh&)-KX[~JiJV*jZR%9gͼŮ!~h|wνߜs猧eAΑtB[X[ܘe Os[sMJ/RŷZ< s9tM G)s&^F?(+'%6q9l:Re܇Ǹ6y5ٰ썆<ƍf|RqްmqA ~> i 9P "L^0ps$ߩ6<:Irgmɱ]R+/.i|lآ0%[VR24x&Ԏ*tV!˘[W d.ڎU)d1Nd#һz,Z;h+uq5+ \lJm=($hW1we.= 6 VW+Es'$[˳*VLz]ʒ&C \rKŦhS35 nKU <-֭sېV8'2ipZū\WH6`x͠1:2[ūTrUlz΁W"Z㵁÷ZTgEDnuBI7BU^py5 H3Y;B:HgkWļ*}N=|:-bMG 增NҎd1q!$O4JQip6=.O '( r/8l^с ^.Ap?z wNMY=?[`3&[guwQGRh@}$3fHp[A:a6IM&fՆqv< KLޞO?x C kvΜ|Ieo/{Q[/+;!𜽐Wi;c_s/.COM5excel.exeBIMCKEE  o 11.0.8346.0"dXXQ??U} } m.} -} $@ @@@@@@@ @ @ @ @ @@)))))))))))))) )))  $K  . =J>>>~ 2@ , /!~ 3@ - / ~ 3@ . / ~ 3@ / / ~ 3@ 0 / ~ 3@ 1 / ~ 3@ 2 / ~ 3@ 3 / ~ 3@ 4 / ~ 3@@ 5 / ~ 3@ 6 / ~ 3@ 7 /  4 %8 ' '( * 1! 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