87426 Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], fluorescence immunoassay [FIA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg, SARS-CoV, SARS-CoV-2 [COVID-19]). Concurrent detection promises to conserve important testing resources, allowing for ongoing surveillance of influenza while testing for the novel coronavirus.. Please note, effective Jan. 1, 2021, tests U0003 and U0004 will be reimbursed at $75 when not completed within two calendar days of the specimen being collected. Immunofluorescence (IF) - Direct (DFA) or Indirect (IFA) Fluorescent Antibody Staining (antigen detection): If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. Waner JL, Todd, SI, Shalaby H, et al. used to report this service. Anterior nasal swabs (self-collected under healthcare provider (HCP) supervision or HCP-collected) are also considered . Best answers. As the only medical association that convenes 190+ state and specialty medical societies and other critical stakeholders, the AMA represents physicians with a unified voice to all key players in health care. FDA) now requires that all Rapid influenza diagnostic tests (RIDTs) achieve 80% or higher sensitivity compared with RT-PCR. We will specifically apply our methods to evaluate the potential for predicting routes to drug resistance in pathogens. Making copies or utilizing the content of the UB‐04 Manual, including the codes and/or descriptions, for internal purposes, Residents and fellows deciding on a practice setting should be armed with all the relevant details. AMA members get discounts on prep courses and practice questions. What is the CMS suggested CPT code and National Limit for the Sofia Influenza A+B FIA? Download AMA Connect app for Effective March 5, 2020. Qty Check Availability. This email will be sent from you to the Nov 4, 2009. preparation of this material, or the analysis of information provided in the material. Influenza viruses. Some older versions have been archived. Unless specified in the article, services reported under other To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom End User Point and Click Amendment: Copyright 1995 - 2023 American Medical Association. A Draft article will eventually be replaced by a Billing and Coding article once the Proposed LCD is released to a final LCD. This study evaluated the BD Veritor System Flu A+B (Veritor; BD Diagnostics, Sparks, MD, USA), Quidel Sofia Influenza A+B FIA (Sofia; Quidel Corp., San Diego, CA, USA), and Alere BinaxNOW Influenza A&B (Binax; Alere Scarborough, Inc., Scarborough, ME, USA) compared to reverse transcription-polymerase . that coverage is not influenced by Revenue Code and the article should be assumed to apply equally to all Revenue Codes. Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. If you would like to extend your session, you may select the Continue Button. The CPT Editorial Panel also revised CPT codes ranging from 87301 to 87430 by removing . Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). A positive result (on testing of an upper respiratory tract specimen) in a person who recently received intranasal administration of live attenuated influenza virus vaccine (LAIV) may indicate detection of vaccine virus. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. without the written consent of the AHA. Among hospitalizations, 86.4 percent were . To submit a comment or question to CMS, please use the Feedback/Ask a Question link available at the bottom Status COVID-19/Flu A&B: - USA Manufactured and Delivered. The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. This instructional video reviews the items included in the McKesson Consult Flu Test Kit and provides an overview of step-by-step instructions for using this test kit. %PDF-1.6 % If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. The test is intended for use in the simultaneous rapid in vitro detection and differentiation of SARS-CoV-2, influenza A virus, and influenza B virus nucleocapsid protein antigen , but does not . CONTENTS: 25 Test Cassettes, 25 Sterile Swabs, 25 Extraction Reagent Capsules, 1 Positive Control Swab, 1 Negative Control Swab, 1 Procedure Card, 1 Instructions for Use. All Rights Reserved (or such other date of publication of CPT). Applicable FARS\DFARS Restrictions Apply to Government Use. The code lists in the article help explain which services (procedures) the related LCD applies to, the diagnosis codes for which the service is covered, or for which the service is not considered reasonable and necessary and therefore not covered. Pre-exposure prophylaxis is one of the Affordable Care Act (ACA) preventive services at risk in federal court, says Stephen Parodi, MD. ONLY IF NO MORE DESCRIPTIVE MODIFIER IS AVAILABLE, AND THE USE OF MODIFIER -59 BEST EXPLAINS THE CIRCUMSTANCES, SHOULD MODIFIER -59 BE USED. This article is being revised in order to adhere to CMS requirements per chapter 13, section 13.5.1 of the Program Integrity Manual. In individuals with symptoms, the Lucira COVID-19 & Flu Home Test correctly identified 99.3% of negative and 90.1% of positive Influenza A samples, 100% of negative and 88.3% of positive COVID-19 . The Sofia Influenza A+B FIA has been shown to detect cultured human isolates of H5N1; as with other rapid tests for influenza, the ability of the Sofia . accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the The suggested*** CPT codes are: Influenza A: 87804 . All rights reserved. To avoid the overuse of antibiotics and the potential risk of antibiotic resistance, point of care providers should consider testing patients prior to prescribing treatment for a bacterial or influenza infection. 323 0 obj <> endobj "lV $10120^ &'@ A 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. If your session expires, you will lose all items in your basket and any active searches. CLIA waived; The responsibility for the content of this file/product is with CMS and no endorsement by the AMA is intended or implied. 1. Reference: Centers for Disease Control and Prevention. Molnlycke Exufiber absorption comparison. You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. Contractors may specify Bill Types to help providers identify those Bill Types typically Do not use transport devices beyond their expiration date. The AMA is your steadfast ally from classroom to Match to residency and beyond. Shell vials or equivalent multiwell plate cell culture; identification (additional CPT codes/charges will apply) if culture results warrant. Reference: Centers for Disease Control and Prevention. Alternative name (s): Influenza A&B EIA; Rapid Flu; Rapid Influenza. CPT code for the rapid flu test. will not infringe on privately owned rights. ICD-10-CM Codes that Support Medical Necessity, ICD-10-CM Codes that DO NOT Support Medical Necessity, Information for Clinicians on Rapid Diagnostic Testing for Influenza, VIRUS ISOLATION; TISSUE CULTURE INOCULATION, OBSERVATION, AND PRESUMPTIVE IDENTIFICATION BY CYTOPATHIC EFFECT, VIRUS ISOLATION; TISSUE CULTURE, ADDITIONAL STUDIES OR DEFINITIVE IDENTIFICATION (EG, HEMABSORPTION, NEUTRALIZATION, IMMUNOFLUORESCENCE STAIN), EACH ISOLATE, VIRUS ISOLATION; CENTRIFUGE ENHANCED (SHELL VIAL) TECHNIQUE, INCLUDES IDENTIFICATION WITH IMMUNOFLUORESCENCE STAIN, EACH VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA B VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA A VIRUS, INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (EG, ENZYME IMMUNOASSAY [EIA], ENZYME-LINKED IMMUNOSORBENT ASSAY [ELISA], FLUORESCENCE IMMUNOASSAY [FIA], IMMUNOCHEMILUMINOMETRIC ASSAY [IMCA]), QUALITATIVE OR SEMIQUANTITATIVE; INFLUENZA, A OR B, EACH, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, INCLUDES REVERSE TRANSCRIPTION, WHEN PERFORMED, AND AMPLIFIED PROBE TECHNIQUE, EACH TYPE OR SUBTYPE, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-TYPES, INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, FIRST 2 TYPES OR SUB-TYPES, INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA); INFLUENZA VIRUS, FOR MULTIPLE TYPES OR SUB-TYPES, INCLUDES MULTIPLEX REVERSE TRANSCRIPTION, WHEN PERFORMED, AND MULTIPLEX AMPLIFIED PROBE TECHNIQUE, EACH ADDITIONAL INFLUENZA VIRUS TYPE OR SUB-TYPE BEYOND 2 (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE), INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL (IE, VISUAL) OBSERVATION; INFLUENZA. An official website of the United States government. Positive and negative included. Reporting negatives and combined reporting in 30 minutes. Do not freeze specimens. The Centers for Medicare & Medicaid Services (CMS) and the American Medical Association have announced the release of several new codes to report testing for Coronavirus (COVID-19). Editor's note: While this department attempts to provide accurate information and useful advice, third-party . The American Medical Association is the physicians powerful ally in patient care. CDT is a trademark of the ADA. 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. CPT is a trademark of the American Medical Association (AMA). DISCLOSED HEREIN. If you are looking for a specific code, use your browser's Find function (Ctrl-F) to quickly locate the code in the article. There are different article types: Articles are often related to an LCD, and the relationship can be seen in the "Associated Documents" section of the Article or the LCD. complete information, CMS does not guarantee that there are no errors in the information displayed on this web site. Yes, agreed. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. In most instances Revenue Codes are purely advisory. Comparison of Directigen FLU-A with viral isolation and direct immunofluorescence for the rapid detection and identification of influenza A virus. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. Turnaround time is defined as the usual number of days from the date of pickup of a specimen for of every MCD page. Accessed 4/27/21. Self-Administered Drug (SAD) Exclusion List articles list the CPT/HCPCS codes that are excluded from coverage under this category. In this episode of Making the Rounds, learn about one resident's experience of not matching, offering insight on coping and how unmatched applicants can find a position. recipient email address(es) you enter. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work Billing and Coding articles typically include CPT/HCPCS procedure codes, ICD-10-CM diagnosis codes, as well as Bill Type, Revenue, and CPT/HCPCS Modifier codes. 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. descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work NPA* (versus an FDA-cleared influenza A and B molecular assay) A: 97.8%, B: 99.1%. You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees and agents. If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. - 3 in 1 Format; Three tests results with one simple procedure. The CMS.gov Web site currently does not fully support browsers with Collect respiratory tract specimens as early in the illness as possible (within 3-4 days of illness onset). Veritor System for Rapid Detection of Flu A + B Product Insert, Table 2 (U.S. Sites) SOFIA Influenza rapid test demonstrated good specificity and low sensitivity compared with a nucleic acid test for influenza A, subtype H3, and for influenza B. SOFIA Influenza A + B test performed well in providing a rapid diagnosis, however, confirmatory molecular testing is recommended for negative test results. The Xpert Xpress SARS-CoV-2/Flu/RSV PLUS test is a rapid, multiplexed real-time RT-PCR test intended for the detection and differentiation of SARS-CoV-2, influenza A, influenza B, and respiratory syncytial virus (RSV) viral RNA in specimens collected from individuals suspected of respiratory viral infection consistent with COVID-19. Sofia 2 with Advance Result Technology (ART) delivers accurate, objective and automated results in as few as three minutes. MACs are Medicare contractors that develop LCDs and Articles along with processing of Medicare claims. Therefore, if a drug is self-administered by more than 50 percent of Medicare beneficiaries, the drug is excluded from coverage" and the MAC will make no payment for the drug. October 07, 2020 - In response to the COVID-19 pandemic, the American Medical Association (AMA) is adding two new codes to the Current Procedural Terminology (CPT) code set. RT-PCR or other amplification methods to detect viral nucleic acids, Results available in < 24 hours (often in less than 2-4 hours), Detects from 1-2 to up to 20 respiratory pathogens from 1 specimen. Includes: influenza A (non-novel), influenza B, influenza C. Vignette. Another option is to use the Download button at the top right of the document view pages (for certain document types). required field. The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely. Before sharing sensitive information, make sure you're on a federal government site. Two of the newly approved codes report nucleic acid assays that allow a single test to simultaneously detect the novel coronavirus and a combination of common viral infectious agents, including influenza A/B and respiratory syncytial virus, said AMA President Susan R. Bailey, M.D. (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2], influenza A, influenza B, respiratory syncytial virus [RSV]), upper respiratory specimen, each pathogen reported as detected or not detected: $142.63 . The HOD speakers welcome comments for reports under development for the upcoming Interim and Annual Meetings. The Centers for Medicare & Medicaid Services (CMS), the federal agency responsible for administration of the Medicare, Draft articles have document IDs that begin with "DA" (e.g., DA12345). The document is broken into multiple sections. Find an overview of AMA efforts and initiatives to help improv GME. 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. Viral transport medium acceptable for collection of influenza specimens in 1 mL or 3 mL volumes can be used to transport swabs for COVID-19 testing. New aspects of influenza viruses. Articles often contain coding or other guidelines that are related to a Local Coverage Determination (LCD). 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. The May 2009 issue of CPT Assistant provided some guidance regarding this in the article, "Coding Brief: Rapid Influenza Virus A and B Testing (Code 87804)." The coding brief noted that direct optical observation "is a testing platform that yields a typi- Next video. View return policy. Streamlines laboratory operations. An official website of the United States government. The illness classically presents with sudden onset . "The new CPT code for antigen testing to detect the coronavirus is the latest in a series of CPT codes developed in rapid response to the pandemic," said AMA President Susan R. Bailey, M.D. You can collapse such groups by clicking on the group header to make navigation easier. Effective immediately, coders . [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique 87811 - Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) Special Services, Procedures and Reports CPT code 99072 was created in response to the significant additional practice expenses Add to cart. An asterisk (*) indicates a HOWEVER, WHAN ANOTHER ALREADY ESTABLISHED MODIFIER IS APPROPRIATE IT SHOULD BE USED RATHER THAN MODIFIER -59. Kits may test for influenza A, influenza B, or both and may provide a single result or separate results when testing for both A and B. DISCLOSED HEREIN. Throat or nasopharyngeal (NP) swab or wash, sputum, bronchial washings, bronchoalveolar lavage (BAL). End User Point and Click Amendment: f Zhq,3&,w+0bv ]LL Copyright © 2022, the American Hospital Association, Chicago, Illinois. Per the office this is a nasal swab. The new additions and revisions to the CPT code set have been approved for immediate use. The results were evaluated based on PCR ct values. Applicable FARS/HHSARS apply. AHA copyrighted materials including the UB‐04 codes and End Users do not act for or on behalf of the CMS. Rapid qualitative test that detects Influenza type A and type B antige . This Agreement will terminate upon notice if you violate its terms. In some cases, additional time should be Learn more with the AMA. COVID-19/Flu A&B test is intended to aid in the rapid differential diagnosis of Influenza A, B, and SARS-CoV-2 viral infection. Table 2: Available FDA-Cleared Rapid Influenza Diagnostic Tests (Antigen Detection Only) 1. When we billed Medicare for both of these CPTs they were denied . Applications are available at the American Dental Association web site. If you do not agree with all terms and conditions set forth herein, click below on the button labeled "I do not accept" and exit from this computer screen. RIDTs usually involve inserting a swab into your nostril to get a sample. Not every residency match is made to last, as more than 1,000 residents transfer programs each year. All Rights Reserved. Draft articles are articles written in support of a Proposed LCD. All rights reserved. (CPT) code(s) information for each test or profile. Some articles contain a large number of codes. Version 2.74 COVID-19/Flu A&B . Applicable FARS/HHSARS apply. preparation of this material, or the analysis of information provided in the material. The code joins other COVID-19 testing codes already approved by the CPT Editorial Panel, an independent body convened by the AMA that has the sole authority to expedite the review of proposed changes and additions to the CPT code set. This culture is for the isolation of influenza A and influenza B, other viral agents will not routinely be detected. This revision affects the newly developed descriptor for CPT code 87426. 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. Influenza A/B and RSV PCR w/ Subtyping. When community influenza activity is high and the rapid diagnostic test result is negative. If a rapid antigen test is performed and then confirmed using PCR, the second test may require the -59 modifier. Data for the 2017 to 2018 influenza season indicates that 84.1 percent of positive samples were influenza A, while 15.9 percent were influenza B. If a CLIA-waived test is performed, the -QW modifier should be reported for the waived test. A federal government website managed and paid for by the U.S. Centers for Medicare & Medicaid Services. registered for member area and forum access. Influenza testing (using molecular methods) is recommended for hospitalized patients with suspected influenza. As used herein, "you" and "your" refer to you and any organization on behalf of which you are acting. Learn more about the process with the AMA. MODIFIER -59 IS USED TO IDENTIFY PROCEDURES/SERVICES THAT ARE NOT NORMALLY REPORTED TOGETHER, BUT ARE APPROPRIATE UNDER THE CIRCUMSTANCES. "Moving quickly during this crisis to meet the medical coding needs of the health care industry has enhanced the reporting of innovative tools now . Article document IDs begin with the letter "A" (e.g., A12345). %%EOF Content And Storage. The AMA does not directly or indirectly practice medicine or dispense medical services. Medicaid and the State Children's Health Insurance Programs, contracts with certain organizations to assist in the administration You need modifer -QW for Medicare patients. Under Article Title changed the title from "Influenza Diagnostic Tests" to " Billing and Coding: Influenza Diagnostic Tests". Please enable "JavaScript" and revisit this page or proceed with browsing CMS.gov with Issue briefs summarize key health policy issues by providing concise and digestible content for both relevant stakeholders and those who may know little about the topic. End Users do not act for or on behalf of the CMS. Rapid qualitative test that detects Influenza type A and type B antigens directly from nasal swab, nasopharyngeal swab, and Nasopharyngeal aspirate / wash specimens. If you would like to extend your session, you may select the Continue Button. CHICAGO The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT) code set that includes new code additions and editorial revisions for reporting medical services sparked by the public health response to the COVID-19 pandemic. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. Same CPT but these are two different strains and pts should be tested for both. CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. iPhone or CDT is a trademark of the ADA. Local Coverage Articles are a type of educational document published by the Medicare Administrative Contractors (MACs). allowed for additional confirmatory or additional reflex tests. Medicare contractors are required to develop and disseminate Articles. Accurate and reliable detection of Flu A and Flu B in as soon as 20 minutes*. used to report this service. Drive in style with preferred savings when you buy, lease or rent a car. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). CPT codes, descriptions and other data only are copyright 2022 American Medical Association. Supplier: Quidel 20218. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. 2009;13(1):15-18. Absence of a Bill Type does not guarantee that the Improves patient satisfaction. If an entity wishes to utilize any AHA materials, please contact the AHA at 312‐893‐6816. However, please note that once a group is collapsed, the browser Find function will not find codes in that group. Harmon MW, Kendal AP. and, driving the future of medicine to tackle the biggest challenges in health care. damages arising out of the use of such information, product, or process. INFLUENZA A & B - CONTROL SWAB KIT 425-080 CPT CODE: 87502-QW . 7500 Security Boulevard, Baltimore, MD 21244. Access reports from the Council on Medical Education presented during the AMA Annual and Interim Meetings. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Please review and accept the agreements in order to view Medicare Coverage documents, which may include licensed information and codes. Centers for Disease Control and Prevention (CDC) recommendations: Use rapid diagnostic tests with high sensitivity and specificity. The Cepheid Xpert Xpress SARS-CoV-2/Flu/RSV assay is a rapid, real-time RT-PCR test intended for the simultaneous qualitative detection and differentiation of SARS-CoV-2, influenza A, influenza B, and respiratory syncytial virus (RSV) viral DNA in either nasopharyngeal swab, nasal swab or nasal wash/aspirate specimens collected from individuals suspected of respiratory viral infection . However, testing is not needed for all outpatients with signs and symptoms consistent with influenza before making antiviral treatment decisions, particularly once influenza activity has been documented in the community. All rights reserved. HOWEVER, WHAN ANOTHER ALREADY ESTABLISHED MODIFIER IS APPROPRIATE IT SHOULD BE USED RATHER THAN MODIFIER -59. CPT coding for microbiology and virology procedures often cannot be . Your MCD session is currently set to expire in 5 minutes due to inactivity. 23-043-070. This culture is for the isolation of influenza A and influenza B, other viral agents will not routinely be detected. Response to Comment (RTC) articles list issues raised by external stakeholders during the Proposed LCD comment period. The scope of this license is determined by the AMA, the copyright holder. The FDA has authorized the first nonprescription diagnostic test that can identify multiple viruses that cause COVID-19-like respiratory symptoms, including respiratory syncytial virus (RSV). No portion of the American Hospital Association (AHA) copyrighted materials contained within this publication may be Revenue Codes are equally subject to this coverage determination. Contractors may specify Revenue Codes to help providers identify those Revenue Codes typically used to report this service. Performed: Avg. The American Medical Association updated its Current Procedural Terminology set to include updates to coding for tests that detect influenza and . Color-coded control swab packaging for easy positive/negative . 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. "JavaScript" disabled. Tests will be run in the order of receipt only, tests remaining at the end of each shift will be reordered under NCVQLT for transport to UW Virology.
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