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2. Your MCD session is currently set to expire in 5 minutes due to inactivity. CPT codes 96136-96139 were added to report psychological or neuropsychological report testing and scoring. If the technique used is not specifically named in the code descriptions for 92273, 92274, 0509T, use the unlisted procedure code 92499." The last of the new eye codes likely to be encountered are: 0514T Intraoperative visual axis identification using patient fixation (List separately in addition to code for primary procedure) 92273 26. Subscribers may add their own notes as well as "Admin Notes" visible to all subscribers in their account. The 1 code indicates that one service was rendered to the right and left side at the same encounter. These are billed on one line with modifier 50 and 1 unit. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. Does anyone know if the Covid infusions codes M0243 are reportable with an administration code ? CPT Code: 92060 Region: 37 States covered: General guidelines if your state does not have a local coverage determination Title: Sensorimotor Examination with Multiple Measurements of Ocular Deviation Category Special Ophthalmological Services. 92273, 92274, 0509T 95974 Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse The inclusion of a code does not imply any right to reimbursement or guarantee claim payment. 99448, and 99449. No change in coverage. Title XVIII of the Social Security Act Section 1862(a)(1)(A) excludes expenses incurred for items or services which are not reasonable and necessary for the diagnosis or treatment of illness or injury or to improve the functioning of a malformed body member.Code of Federal Regulations 42 CFR Section 410.32 indicates that diagnostic tests may only be ordered by the treating physician (or other treating practitioner acting within the scope of his or her license and Medicare requirements who furnishes a consultation or treats a beneficiary for a specific medical problem and who uses the results in the management of the beneficiary's specific medical problem. My providers give insulin to pt's when they come in with extremely high diabetes 300 +. If the technique used is not specifically named in the code descriptions for 92273, 92274 or 0509T, use the unlisted procedure code 92499." Essentially, this means that clinicians should use the code associated with the technique used to do the ERG test—but if you are using another technique, you must use the "unlisted ophthalmological . If the code has an indicator of 1, it can be done bilaterally. Federal government websites often end in .gov or .mil. For codes in the table below that require a 7th character: A - initial encounter, D - subsequent encounter, or S – sequela may be used. The diagnosis codes in Group 1 below support the medical necessity of CPT code 95930 only. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material. Code correctly so you get paid. CPT ® 92274, Under Other Specialized Ophthalmological Services and Procedures. - Eyelid codes. All rights reserved. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Documentation supporting the medical necessity should be legible, maintained in the patient's medical record, and must be made available to the MAC upon request. Found insideThis book describes the medical applications of inorganic nanoparticles. An official website of the United States government. You are leaving the CMS MCD and are being redirected to the CMS MCD Archive that contains outdated (No Longer In Effect) Local Coverage Determinations and Articles, You are leaving CMS.gov and are being redirected to, Billing and Coding: Visual Electrophysiology Testing, AMA CPT / ADA CDT / AHA NUBC Copyright Statement, Article - Billing and Coding: Visual Electrophysiology Testing (A57599). You may also contact us at ub04@aha.org. CPT code information is copyright by the AMA. Nearly every section in the code book has updates The stakes are high that your coding is affected. These words of an eminent Soviet scientist, B. L. As taurov , taken by T. B. Aizenshtadt as an epigraph to her chapter in this book, make a good epigraph for the entire book. (See “Coverage Indications, Limitations, and/or Medical Necessity") This documentation includes, but is not limited to, relevant medical history, physical examination, and results of pertinent diagnostic tests or procedures. 92273. Most eye procedures have an indicator of 1. For the following CPT/HCPCS code(s) either the short description and/or the long description has been changed. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or Added HCPCS code J0584 to Billing/Coding section and deleted codes C9399, J3490, and J3590 effective 1/1/19. CPT Code: 83880 LCD Description: B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. No fee schedules, basic unit, relative values or related listings are included in CPT. Thank you for choosing Find-A-Code, please Sign In to remove ads. The American Hospital Association (“the AHA”) has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. This book looks at important issues pertaining to the 340B Drug Pricing Program. CMS and its products and services are not endorsed by the AHA or any of its affiliates. Access to this feature is available in the . This list contains the following CPT codes: Non-Covered Provisional Coverage Possible Provisional Coverage No Longer Considered Investigational; Global Coverage Allowed . Used in conjunction with other clinical information, rapid measurement of BNP . AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. For codes in the table below that require a 7th character: A - initial encounter, D - subsequent encounter, or S – sequela may be used. All rights reserved. ... My PCP provider sees patients at an Assisted Living facility. If you are looking at a single problem, such as glaucoma, both tests . America's Children is a comprehensive, easy-to-read analysis of the relationship between health insurance and access to care. The book addresses three broad questions: How is children's health care currently financed? New CPT Codes for 2019 CPT 92273 -ERG, w I&R, Full field (ffERG) CPT 92274 -ERG, w I&R, Multifocal (mfERG) CPT 92275 -ERG, w I&R, Pattern (pERG) - an old code that has been deleted in 2019 - For pattern ERG use CPT 0509T For complete information regarding all CPT codes and descriptions, refer to the 2019 edition of Current . CMS assigned 92274 a wRVU of 0.61, despite the RUC recom-mending a wRVU of 0.72. There six new codes in the Evaluation and Management (E&M) section in CPT. In CPT, it is not infrequent that outdated codes are still in place … the technology rushes forward and the CPT book does its best to play catch-up. CMS has defined "not usually self-administered" according to how the Medicare population as a whole uses the drug, not how an individual patient or physician may choose to use a particular drug. The program covers drugs that are furnished "incident-to" a physician's service provided that the drugs are not "usually self-administered" by the patient. New codes 99451 and 99152 should be used to report assessment and management services. View historical information about the code including when it was added, changed, deleted, etc. that coverage is not influenced by Bill Type and the article should be assumed to View January 2019 Webinar.pdf from CS MISC at Laurus College, San Luis Obispo. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. The diagnosis codes in Group 2 below support the medical necessity of CPT codes 92273 and 92274 only. Neither the United States Government nor its employees represent that use of such information, product, or processes I have always billed POS 13 and CPT 99324-99337. CPT/ HCPCS CODE DESCRIPTION EFFECTIVE DATE CROSS-REFERENCE/ NEW CODE 10022 Fine needle aspiration; with imaging guidance 1/1/2019 10004 -10012 11100 . damages arising out of the use of such information, product, or process. Group 2 Codes: ICD-10 CODE DESCRIPTION 2019 CPT®/HCPCS Updates and Impact on Billing Tuesday January 29, 2019 0800-0900 EST Thursday January 31, 2019 92274 . If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. CPT® 2020 Professional Edition is the definitive AMA-authored resource to help health care professionals correctly report and bill medical procedures and services. The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. ICD-10 Diagnosi s Codes That Support Medical Necessity (92273) . Codes requiring a 7th character are represented by "+": CPT codes covered if selection criteria are met: 76514 CPT 92250 is defined as bilateral so reimbursement is for both eyes. IHCP bulletin BT201908 FEBRUARY 14, 2019 Additional 2019 HCPCS Update Tables 1 of 5 Note: Emphasis (bold type) has been added to the new or corrected information in Tables 1 and 2 for ease of reference. purposes only. Please note that inclusion in this list does not imply coverage or non-coverage. The Current Procedural Terminology (CPT ®) code 92274 as maintained by American Medical Association, is a medical procedural code under the range - Other . With that update in mind, let's look at some common coding scenarios. an effective method to share Articles that Medicare contractors develop. Z13.1 Most eye procedures have an indicator of 1. The components should be reported with modifiers 26 or TC as appropriate, if the entire global service is not performed. 212 new codes; 50 revised codes Claims will be processed at 150% of the allowable. If an entity wishes to utilize any AHA materials, please contact the AHA at 312-893-6816. CPT 2019 includes 212 new Category I and III codes 50 revised code descriptors and 71 deleted codes ... Hi All, These codes are assigned a "sunset date," which is the end of a 5-year review period, at which time the code may: • Expire • Be assigned a Level 1 CPT code • Have an extended sunset date TABLE 3. Does telemedicine mean on a video device vs. phone appt which is on the phone? CPT codes 81236 and 81237 may only be billed with one of the following ICD-10-CM diagnosis codes is required on the claim: D47.1, D47.3 or C83.30 - C83.39. The views and/or positions presented in the material do not necessarily represent the views of the AHA. Contractors may specify Bill Types to help providers identify those Bill Types typically CPT code 92274 ERG with interpretation and report; multifocal (mfERG): The typical allowable is $93. Ultimate Skiing features author Ron LeMaster's clear, thorough and captivating photo sequences depicting proper form on the slopes. The provider performs an electrophysiologic test of retinal function, which may be referred to as conventional, full–field or Ganzfeld (ffERG) or flash/focal (fERG) electroretinography to assess outer or generalized retinal function. Documenting Cataracts with ICD-10 and CPT Codes A cataract is a clouding of the normally clear lens of your eye. Fundus photography (CPT code 92250) and scanning ophthalmic computerized diagnostic imaging (e.g., CPT codes 92132, 92133, 92134) are generally mutually exclusive of one another in that a provider would use one technique or the other to evaluate fundal disease. Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “I Accept”. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. Medicare coverage for many tests, items and services depends on where you live. Documenting Cataracts with ICD-10 and CPT Codes 1. American Hospital Association ("AHA"), DM Retinopathy Screening performed by PCP. Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any This revised training and educational tool helps to simplify learning the ICD-9-CM coding process. Absence of a Bill Type does not guarantee that the Please note that if you choose to continue without enabling "JavaScript" certain functionalities on this website may not be available. H10.82 - Rosacea conjunctivitis codes. The single ERG code (92275) has been replaced by 2 new codes that offer additional granularity: full-field ERG (92273) and multifocal ERG (92274). 92274 26. Codes are based on time and whether the service was performed by a technician or clinician. Terminology (CPT) Code 2 Description . Therefore, these codes have been removed from the range. Senior medical director approved 12/2019. CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. There six new codes in the Evaluation and Management (E&M) section in CPT. This list only includes tests, items and services (both covered and non-covered) if coverage is the same no matter where you live. Effective with date of service Jan. 1, 2019, the American Medical Association (AMA) has added new CPT codes, deleted others and changed descriptions of some existing codes. The 1999 edition includes more than 500 code changes. To make coding easy, color-coded keys are used for identifying section and sub-headings, and pre-installed thumb-notch tabs speed searching through codes. Also, you can decide how often you want to get updates. Example . Revenue Codes are equally subject to this coverage determination. If these proposed changes are implemented, there will be a single code and payment replacing the current levels 2 through 4 E/M visits (99202-99204 and 99212-99214). H57.8 - Brow ptosis codes. View matching HCPCS Level II codes and their definitions. 92274. Beginning with CPT 2021, except for 99211, time alone may be used to select the appropriate code level for the office or other outpatient E/M service codes (99202,99203,99204,99205,99212,99214,99215). your signature. By clicking below on the button labeled “I accept”, you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement. "JavaScript" disabled. . Diagnosis codes must be coded to the highest level of specificity. Current Dental Terminology © 2020 American Dental Association. Billing and Coding articles provide guidance for the related Local Coverage Determination (LCD) and assist providers in submitting correct claims for payment. Are any of you billing for telemedicine? View a chart showing the last 8+ years of Medicare denial rates, Medicare Allowed amounts, and Medicare billed amounts. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. Revisions Due To CPT/HCPCS Code Changes; 06/01/2018 R4 06/01/2018 Annual review done 05/02/2018. End User License Agreement: It is composed of rod and cone . There are three editions of this book:1. The facsimile edition, a photocopy of the original book (this edition).2. A re-created edition, newly typeset and with high-quality images scanned from Adams's original prints.3. It tells the story of four unlikely people whose lives come together during a time of political turmoil soon after the government declares a “State of Internal Emergency.” Through days of bleakness and hope, their circumstances – and ... Please visit the. Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. Author: GDIT, (800) 688-6696. The AMA is a third party beneficiary to this Agreement. Instructions for enabling "JavaScript" can be found here. The level 1 (99201, 99211) and level 5 (99205, 99215) codes will remain. CPT 92274 should be used to report photoreceptors in multiple separate locations in the retina and macula. Example . In most instances Revenue Codes are purely advisory. Added codes 0509T, 92145, 92242, 92273. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials. This section shows APC information including: Status Indicator, Relative Weight, Payment Rate, Crosswalks, and more. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license. Cardiac Monitoring Devices in the Outpatient Setting Instructions for enabling "JavaScript" can be found here. No changes to . Diagnosis codes must be coded to the highest level of specificity. 92273. apply equally to all claims. January 9, 2019. This is due to the length of time involved. End Users do not act for or on behalf of the CMS. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential CAR-T Therapy: Added HCPCS code Q2042 and associated description to Billing/Coding section, deleted code Q2040, and revised description of code Q2041, effective 1/1/19. All Rights Reserved. The new current procedural terminology (CPT®) codes have been released with 335 code changes in 2019. 81271, 81274 CPT codes 81271 and 81274 are limited to once in a lifetime for any provider and require a TAR with documentation of the following criteria: A few examples are reviewed that have been brought up for discussion in recent list servs and coding courses. ICD-10 Diagnosis Codes That Support Medical Necessity (92274) Subscribers will be able to see codes in a code-book page-like view here. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. The Department is end-dating the informational modifier 78 (unplanned return to the operating room) for medical procedure codes 95971 and 95972 as clinical review determined DISCLOSED HEREIN. CPT ® Code Set. End User License Agreement. Table: CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. View a table of UCR, Worker's Comp, and Medicare Fees here, as well as see UCR Fees in the charts below. 92081: Use this code for visual field examination . 92274 - CPT® Code in category: Electroretinography (ERG), with interpretation and report. Found insideCovers the latest advances in the design and operation of large and small steam power plants. Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association. Look up the introductory note to the section of CPT® where these codes are listed …If the technique used is not specifically named in the descriptors of codes 92273, 92274, or 0509T, go for the unlisted code 92499. CPT Code: 83880 LCD Description: B-type natriuretic peptide (BNP) is a cardiac neurohormone produced mainly in the left ventricle. Copyright © 2013 - 2021, the American Hospital Association, Chicago, Illinois. If your test, item or service isn't listed, talk to your doctor or other health care provider about why you need certain tests, items . Before sharing sensitive information, make sure you’re on a federal government site. A: Use CPT code 92250 ( Fundus photo-graphy with interpretation and report) to report this service. New codes 99451 and 99152 should be used to report assessment and management services. A few examples are reviewed that have been brought up for discussion in recent list servs and coding courses. Diagnosis codes must be coded to the highest level of specificity. If the code is defined as bilateral, there is no additional reimbursement for the second procedure. 92082 visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg . Access to this feature is available in the . Essential Rules and Guidance to Code It Right. Diagnosis codes must be coded to the highest level of specificity. If the code has an indicator of 1, it can be done bilaterally. article does not apply to that Bill Type. Applicable FARS\DFARS Restrictions Apply to Government Use. Reviews movies that are available on DVD or tape. CPT ® Code Set. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. To plug inpatient facility revenue drains, subscribe to, Crosswalk to an anesthesia code and its base units, and calculate payments in a snap! Modifier 26 - One of the most frequent reopening requests we receive is based on the failure to correctly indicate professional component for services in a SNF (Skilled Nursing Facility).Each month we receive a significant number of reopening requests to add Modifier 26 to services performed in a SNF because the physician simply failed to include the modifier. Applications covered include targeted drug delivery, water purification and hydrogen generation. This is an important research resource for those wishing to learn more about how eco-efficient nanoparticles can best be used. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. In a click, check the DRG's IPPS allowable, length of stay, and more. 2. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. If you work with several fee schedules or would like to create custom fee comparison reports, you need our exclusive Compare-A-Fee™ tool. CPT Code Description Non-Covered 0054T 92273 Electroretinography (ERG), with interpretation and report; full field 92274 Electroretinography (ERG), with interpretation and report; multifocal 92283 Color vision examination, extended, eg, anomaloscope or equivalent 92284 Dark adaptation examination with interpretation and report HCPCS ®* Codes Description No applicable codes. CPT code 96146 is used to report psychological or neuropsychological automated testing using an electronic platform. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Millones de Productos que Comprar! A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. . CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. Modifiers 33, 90 and 99 are allowed. For clinical responsibility, terminology, tips and additional info start codify free trial. CCI bundling for this code is the same as for CPT code 92273. Medicare contractors are required to develop and disseminate Articles. Inclusion or exclusion of any codes does not guarantee coverage. CPT® / HCPCS Code Description 76510 Oph us dx b-scan&quan a-scan 76511 Oph us dx quan a-scan only 76512 Oph us dx b-scan . The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, If you would like to extend your session, you may select the Continue Button. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. This book is a must-have tool for physician practices because it offers invaluable insight and information needed to understand Medicare's resource-based relative value scale (RBRVS) payment system, and to help physician practices establish ... AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with End User Point and Click Amendment: This volume describes nanoparticles and their biomedical applications, and covers metal nanoparticles, metal oxide nanoparticles, rare earth based nanoparticles and graphene oxide nanoparticles. Draft articles have document IDs that begin with “DA” (e.g., DA12345). 9-30-2015) ICD-9 code description. Calculated for National Unadjusted (00000), Clinical Labor (Non-Facility)- Direct Expense, Additional Code Information (Global Days, MUEs, etc.). Code: Procedure Code Allowed POS: 94002 06 94002 08 94002 19 94002 21 94002 22 94002 23 94002 24 94002 25 94002 26 94002 51 94002 53 94002 56 94002 61 94003 06 94003 08 94003 19 94003 21 94003 22 94003 23 94003 24 94003 25 94003 26 94003 51 94003 53 94003 56 94003 61 94004 31 94004 32 94004 34 99201 02 99201 03 99201 05 E/M CODING CHANGES PROPOSED FOR 2021 Current E/M System 2021 E/M Changes CPT code Description 99201 New patient, level 1 99201 The AMA does not directly or indirectly practice medicine or dispense medical services. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. Subscribe to. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). will not infringe on privately owned rights. Reading and Comprehending the Descriptor, Intent, and Purpose of a CPT Code. View calculated CPT fee values specifically for your Medicare locality. CPT code 43773 Compra en Amazon.com.mx - Ahorra en Miles De Producto . used to report this service. Where appropriate, there are also Pre- and Post-service descriptions. You will be able to see the most common modifiers billed to Medicare along with this code. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. The Medicare program provides limited benefits for outpatient prescription drugs. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. CPT code 92273 ERG with interpretation and report; full field (i.e., ffERG, flash ERG, Ganzfeld ERG): The typical allowable is $138 with the technical component averaging $100. 92273 - CPT® Code in category: Electroretinography (ERG), with interpretation and report. The rates for the three new codes, 92273, 92274 and 0509T, are $136, $92 and $81, respectively (0509T is a Category III code, which means reimbursement and coverage is at the payer's discretion). CPT codes, descriptions and other data only are copyright 2020 American Medical Association. CPT 92273 should be used to report global response of photoreceptors of the retina. You, your employees and agents are authorized to use CPT only as contained in the following authorized materials of CMS internally within your organization within the United States for the sole use by yourself, employees and agents. reverse_index/reverse_index_content.php?set=CPT&c=92273, newsletters/newsletter_content.php?set=CPT&c=92273, webacode/webacode_content.php?set=CPT&c=92273, medlabtests/medlabtests_content.php?set=CPT&c=92273, crosswalks/crosswalk_content.php?set=CPT&c=92273, ncciedits/ncci_content.php?set=CPT&c=92273, coverage/coverage_content.php?set=CPT&c=92273, commercial-payers/commercial-payers-content.php?set=CPT&c=92273, NPI Look-Up Tool (National Provider Identifier), Contact lens electrode for mfERG and ffERG, applicator, cotton-tipped, non-sterile 6in, tape, porous-hypoallergenic 2in (Scanpore), proparacaine 0.5% ophth (Ophthaine, Alcaine), Major Complications or Comorbidities (MCC/CC), Create UNLIMITED Customized Fee Schedule reports - for ALL localities, ALL specialties, See fees for ALL localities (all ZIP codes) as well as National fees, Load UNLIMITED Fee Schedules with your fees or fees from your payers, Choose to compare fees (national or adjusted for your locality) from built-in data sets and the fee schedules you enter. CPT® Vignettes illustrate code use through sample patient examples. The technical compo-nent requires general supervision. product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Decline Accept I need a bit of help. A copy of this current textbook can be checked out for 2-hours at the Reserve Desk. If it is unavailable, you may place a hold to get on the waiting list.
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