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#ahcc7;a77#a77,y7 ( ! ,social ,security 
,act 7#db ,u4,s4,c4 #aciel7a77#a77,y77  
is am5d$ by ins]t+ 1 includ+ a          
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removal ( tissue or o!r proc$ure t is   
furni%$ 9 connection )1 z a result (1 & 
9 ! same cl9ical enc\nt] z ! scre5+     
te/71 aft] section #ahfa7;ddd77#c74  7b7
 ,effective date ,! am5dm5t made by     
subsection 7a7 %all apply to items &    
s]vices furni%$ aft] ! date ( ! enactm5t
 ( ?is ,act4