List of CPT & HCPCS MODIFIERS - Medical billing cpt modifiers and list of Medicare modifiers. Click here for best practices to employ when auditing your billing. L4361 - Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf. The correct code CPT would be 73070-26 because the x-ray was taken elsewhere. Please note that cognitive therapy by speech-language pathologists is covered in most Medicare Part B Local Coverage Determinations (LCDs). Unauthorized Reproduction Prohibited - Legal Notice. Interested in how RevenueXL can improve your coding and create a streamlined revenue cycle? PT modifier Colorectal cancer screening test; converted to diagnostic test or other procedure. We value customer relationships and become partners. The lightweight design and unique pre-shaped ergonomic frame help to modify the level of pressure on the injury at both the malleoli and lower leg. L4360 and L4361 are both pneumatic. Example: An E&M service for an ear infection and a surgical code billed for removal of a wart at the same visit. Diagnosis coding always requires the most specific code possible. This modifier should be used in exceptional cases only, and payors will frequently require documentation of the service before they make payment. G8- Monitored Anesthesia Care (MAC) for deep complex, complicated, or markedly invasive surgical procedure. JavaScript is disabled. Information related to the topic Does L4361 need a modifier? Modifier 51 indicates that multiple procedures were performed by the same physician in the same session. Q6- Service furnished by a locum tenens physician. The primary procedure should be of the greatest value and should not have modifier -51 added. XUUnusual Non-Overlapping Service, The Use Of A Service That Is Distinct Because It Does Not Overlap Usual Components Of The Main Service Your Insurance Provider Service Representative is available any time you have a question or concern. QD- Recording and storage in solid state memory by digital recorder. We help small practices accelerate their growth whether using the features bundled in our award winning software or our tailored services. CPT/HCPC Code. I am researching code L4361 it is not in the coding manager nor. CODE: DESCRIPTION: CHARGE AMOUNT: SELF PAY RATE: 99213: OFFICE/OUTPATIENT VISIT, ESTABLISHED: $150.00: . HCPCS Codes Similar to "L4361" Code. L4361; X 396.41; X L4370; X 366.04; X L4386; X 251.45; X L4387; X 213.22; X L4392; X 42.66; X L4394; X 31. . These reimbursement policies apply to our Ohio Marketplace plans. 76Repeat Procedure by Same Physician: This modifier is used to indicate that a repeat procedure on the same day was necessary, or a repeat procedure was necessary and it is not a duplicate bill for the original surgery or service. If multiple ulcers are debrid- It is not unusual for the same procedure to require a CPT code for one payor and a HCPCS for another. Since using the modifier indicates that the same procedure was done twice, most contracts pay out approximately 150% of the fee schedule. The same CPT codes are used by all providers and payers to make the billing process consistent and to help reduce errors. For example, if a patient were to come in for multiple x-rays, the first x-ray with the highest reimbursement would be coded with the CPT, and all subsequent X-rays would be amended with modifier 51. You are using an out of date browser. (Effective for dates of service on or after October 1, 1995, a physician or supplier should use this modifier List of CPT Codes in Medical Billing and Coding Anesthesia CPT Codes (00100 - 01999) Surgery CPT Codes (10004 - 69990) Radiology Procedures Codes (70010- 79999) Pathology and Lab CPT Codes (0001U- 89398) Medicine Services and CPT Codes (90281- 99607) E & M Services Codes (99091- 99499) Category 2 CPT Codes (0001F- 9007F) CPT code modifiers are two-digit codes linked to the CPT that provide a further description of the evaluation and management (E/M) and/or procedures performed during the office visit. registered for member area and forum access. The billed code(s) are . procedure code is changed either for administrative reasons or because an incorrect code was filed. Then, modifier 59 is added to the second procedure indicating a distinctly different procedure performed on separate extremities. If you found this article useful, please share it. Payment will be allowed only if an assistant surgeon is allowed by our claims editing system. AT- Acute treatment. U1 Perinatal care provider completed prenatal or postpartum depression screening and behavioral health need identified (positive screen), U2 Perinatal care provider completed prenatal or postpartum depression screening with no behavioral health need identified (negative screen), U3 Pediatric provider completed postpartum depression screening during well-child or infant episodic visit and behavioral health need identified (positive screen), U4 Pediatric provider completed postpartum depression screening during well-child or infant episodic visit with no behavioral health need identified (negative screen), HQ Group counseling, at least 60-90 minutes, TF Intermediate level of care, at least 45 minutes. [Used when a medical group employs a. AS- Physician Assistant, Nurse Practitioner, or Clinical Nurse Specialist services for assistant at surgery. Select a State Policies, Guidelines & Manuals Fee allowance is increased to 120% of the basic fee allowance for the procedure. 47Anesthesia by Surgeon: Regional or general anesthesia provided by a surgeon may be reported by adding this modifier to the surgical procedure. 74 Submit modifier 74 for ASC facility charges when the surgical procedure is discontinued after anesthesia is administered. QY- Anesthesiologist medically directs one CRNA. It may not display this or other websites correctly. There is an old medical billing adage that states, if it is not documented, it is not done. Therefore, when coding, it is imperative that the only codes that are contained in a claim are codes that have evidence for usage in the medical record. BILLING ACCEPTABLE UNTIL EXPIRATION OF PRODUCT . CPT 90472 is an add-on code that covers every vaccine injection after the first injection. GM- Multiple patients on one ambulance trip. 54 55, 56, 80, 81, 82, AS When one physician performs a surgical procedure and another provides preoperative and/or postoperative management, surgical codes can be identified by adding the modifier 54. Complications from surgery which do not require a return trip to the operating room are considered part of the global surgery package from the original surgery and are not payable separately. They usually have a small pouch in front filled with air that you press to fill the boot with air and thus make it fit snugger to the patient. GE- This service has been performed by a resident without the presence of a teaching physician under the primary care exception. These reimbursement policies apply to our Ohio Medicaid plan. KMAP uses the Medicare Physician Fee Schedule Relative Value file to determine which procedures are appropriately billed with modifier 26. Examples of medical necessity would be the patient who is unstable in or cannot be fit in a non-pneumatic walking boot (because of deformity or the shape of the leg/ankle/foot). What is a CPT Code Modifier? With literally thousands to choose from, attention to detail by the medical provider documenting the visit is essential, as it determines the correct codes to use. HCPCs are commonly used for transportation services, outpatient prospective payment system services, durable medical equipment, orthotic procedures and devices, and procedures and services that are under review before they are included in the CPT codebook. . HA Service Code 90791 must be accompanied by this modifier to indicate that the Child and Adolescent Needs and Strengths is included in the assessment. HCPCS codes L4360, L4361, L4386 and L4387 describe an ankle-foot orthosis commonly referred to as a walking boot. registered for member area and forum access. The above description is abbreviated. It is never acceptable to infer or assume that a procedure has been done or a diagnosis made. Effective date of action to a procedure or modifier code Action Code: N: A code denoting the change made to a procedure or modifier code within the HCPCS system. Share this page HCPCS Modifiers We specialize in providing custom solutions. For Blue Cross claims filing, modifiers, when applicable, always should be used by placing the valid CPT or HCPCS modifier(s) in Block 24D of the CMS-1500 claim form. All medical coding boils down to the same concept: a standardized representation of medical diagnosis (ICD-10 codes) and performed procedures (CPT and HCPCS codes) that in turn create a record of a medical visit for billing purposes. CPT code. HCPCS modifiers are used by Medicare and other commercial payors, depending on the circumstances. Coding a Faci lity Claim Procedure, Modifier and Diagnosis Codes . 26 50, 62, 66, TC If billing for the global component (professional & technical) of a procedure, modifiers 26 and TC should not be used. The fee allowance is automatically reduced to 20% of the surgical fee allance as billed by the primary surgeon. Almost every conceivable procedure performed in an office or hospital has a CPT or HCPCS code. 51Multiple Procedures: Procedures performed at the same operative session, which significantly increase time. G1- Most recent urea reduction ratio (URR) reading of less Than 60. Page 5 of 59 Medical Coverage Policy: 0543 [This modifier is used when the submitted hbspt.cta._relativeUrls=true;hbspt.cta.load(62006, '525948cb-024f-4098-8d5e-dcbd0107d01e', {"useNewLoader":"true","region":"na1"}); 2021 RevenueXL Inc. All rights reserved. GJ- Opt Out physician or practitioner emergency or urgent service. Reimbursement is paid at 100% allowable for the first procedure and is then reduced by 50% for each subsequent procedure unless the CPTs are exempt from multiple procedure logic. The provider group that performs the technical component will receive a payment that reimburses the technical aspect of the procedure. It could be that it is a typo but the 2nd site also states you can only use dx code 713.5 as Cathy stated in her post. AH- Clinical Psychologist (CP) Services. GZ- Item or service expected to be denied as not reasonable and necessary. LS- FDA-monitored intraocular lens implant. As with modifier 22, the reimbursement formula for using modifier 50 should be defined in your payer contract. Although valid, this modifier does not document payable services during the global period, therefore rendering this modifier invalid for use with a surgical code. 50Bilateral Procedures: Bilateral surgeries are procedures performed on both sides of the body during the same operative session or on the same day. The 22 modifier can be used during surgeries or other procedures when there is increased technical difficulty or because of the severity of the patients condition. Codes requiring a 7th character are represented by "+": Back Braces: Other CPT codes related to the CPB: 22548 - 22812: Arthrodesis: 22840 - 22855: Spinal instrumentation: 63001 - 63051, 63170 - 63200 . Side of Body Modifiers Eyelid Modifiers Hand Modifiers Feet Modifiers Coronary Artery Modifiers Anesthesia Modifiers Anesthesia modifiers are used to receive the correct payment of anesthesia services. Q3- Live kidney donor Services associated with postoperative medical complications directly related to the donation. By the way, the 2 codes reimburse the same, so why make things difficult by billing the L4360. Modifier # Modifier description, 21 Prolonged Evaluation and Management Services, 24 Unrelated Evaluation and Management Service by the Same Physician During a Postoperative Period, 25 Significant, Separately Identifiable Evaluation and Management Service by the Same Physician on the Same Day of the Procedure or Other Service, 58 Staged or Related Procedure or Service by the Same Physician During the Postoperative Period. AA- Anesthesia services performed by anesthesiologist. The following determination has been made based on the individual indicators. " Modifier 25 In Appendix A of the CPT 4 Manual, modifier 25 is defined as follows: CM At least 80 percent but less than 100 percent impaired, limited or restricted Refer to Bilateral Procedures 11.5.1 of the Provider Manual. This modifier is used for used DME items that are purchased. What is a HCPCS code? Q9- One Class B and Two Class C findings. Only ASCs can submit this modifier. Modifier 26 indicates the professional service of a CPT that has a global (professional and technical) definition. In addition to an appropriate HCPCS code for the DME item, many HCPCS codes require a modifier. 91Repeat Clinical Diagnostic Laboratory Test: This modifier is used when a provider needs to obtain additional test results to administer or perform the same test(s) on the same day and same patient. direction of a teaching physician. G6- ESRD patient for whom less than six dialysis sessions have been provided in a month. Administration of Anesthisia, 74 Discontinue Out-Patient Hospital/Ambulatory Surgery Cener (ASC) Procedure After This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. Develop a skilled workforce that meets the needs of Pennsylvania's business community. Modifier 50 indicates that a procedure took place on both sides of the body. 24Unrelated E&M Service by Same Physician During a Postoperative Period: Used when a physician performs an E&M service during a postoperative period for a reason(s) unrelated to the original procedure. 50 26, LT, RT, TC KMAP uses the Medicare Physician Fee Schedule Relative Value file to determine which procedures are appropriately billed with modifier 50. Refer to Surgical Assistant Guidelines 11.5.3 of the Provider Manual. 77Repeat Procedure by Another Physician: This modifier is used to indicate that a procedure already performed by another physician is being repeated by a different physician. However, if the lesion is .6 to 1.0 centimeters in diameter, the correct code is 11301. This modifier is separate and distinct from modifiers 58, 78, and 79. 2. Medicare will also cover AFO and KAFO prescriptions, although additional documentation and notes are necessary to receive full benefits. Contact us today. 57Decision for Surgery: This modifier identifies an E&M service(s) that resulted in the initial decision for surgery and are not included in the global surgical package. In the case of more than one modifier, you code the "functional" modifier first, and the "informational" modifier second. Benefit QN- Ambulance service furnished directly by a provider of services. Posted by: G4- Most recent urea reduction ratio (URR) of 70 to 74.9. Medical documentation may be requested to support the use of the assigned modifier. Please ensure that your office is using the current edition of the code book reflective of the date of service of the claim. Top Answer Update. 77 Repeat Procedure by Another Physician, 78 Return to the Operating Room for a Related Procedure During the Postoperative Period, 79 Unrelated Procedure or Service by the Same Physician During the Postoperative Period, 82 Assistant Surgeon (when qualified surgeon no available), 91 Repeat Clinical Diagnostic Laboratory Test, P3 A patient with severe systemic disease, P4 A patient with severe systemic disease that is a constant threat to life, P5 A moribund patient who is not expected to survive without the operation, P6 A declared brain-dead patient whose orgins are being removed for donor purposes, 27 Multiple Outpatient Hospital E/M Encounters on the Same Date, 73 Discontinued Out-Patitent Hosptial/Amburlatory Surgery Center (ASC) Procedure Prior to the TCTechnical Component: Certain procedures are a combination of a provider component and a technical component, and this modifier is used when the provider is performing only the technical portion of a service. Do not use other descriptions in this section of the claim form. It is not appropriate to use this modifier on anesthesia procedure codes. It must be specific to the patient and why the customization was made. Modifiers add information or change the description according to the physician's documentation to give more specificity to the service or procedure rendered. Related searches to Does L4361 need a modifier? Such circumstances can be identified by each participating physician with the addition of modifier 66 to the basic procedure code used for reporting services. QL- Patient pronounced dead after ambulance called. Like all billing scenarios, the use of a modifier can vary in reference to ICD-10 coding, so if you have any questions, it is best to check with the payor. Here are the search results of the thread Does L4361 need a modifier? 90 The American Medical Association (AMA) developed modifier 90 for use by a physician or clinic when laboratory tests for a patient are performed by an outside or reference laboratory. 66 26, 62, 80, 81, 82, AS, TC Under some circumstances, highly complex procedures (requiring the concomitant services of several physicians, often of different specialties, plus other highly skilled, specially trained personnel, various types of complex equipment) are carried out under the surgical team concept. PA Surgical or other invasive procedure on wrong body part, PB Surgical or other invasive procedure on wrong patient, PC Wrong surgery or other invasive procedure on patient. Allowed amount will be reduced to 75% (cut by 25%), then processed according to contract benefits. This and other UnitedHealthcare reimbursement policies may use CPT, CMS or other coding methodologies from time to time. 73 Submit modifier 73 for ASC facility charges when the surgical procedure is discontinued before anesthesia is administered. There can be instances where a CPT code is further defined by a HCPCS modifier, for example, to describe the side of the body the procedure is performed on such as left (modifier -LT) or right (modifier -RT). L4361 is off the shelf, but what if the doctor has to adjust them? Indicate the valid modifier in Block 24D of the CMS-1500. (Used to identify procedures performed on the left side of the body.). AJ- Clinical Social Worker (CSW). When the KX modifier is appended to a therapy HCPCS code. Learn more about the advantages of having your EMR integrate or interface with your practice management system here. Using modifiers correctly can impact reimbursement significantly. . HCPCS Code L4361 Details Short Description: Pneuma/vac walk boot pre ots Long Description: WALKING BOOT, PNEUMATIC AND/OR VACUUM, WITH OR WITHOUT JOINTS, WITH OR WITHOUT INTERFACE MATERIAL, PREFABRICATED, OFF-THE-SHELF Additional Search Terminology: BOOT Product and Service Code (s): OR03 : ORTHOSES: OFF-THE-SHELF. When using the UE modifier, you are indicating you have furnished the beneficiary with a used piece of equipment. For the most, HCPCS Medicare modifiers further define where the procedure happened in the body. Used with the surgery Procedure code, auto adjudication reduces fee allowance to 10% of the total allowed. F5 right hand, thumb) that create a more accurate anatomical pointer to indicate specifically where the procedure happened. You are responsible for submission of accurate claims requests. Modifier 25 is used when there is a significant, separately identifiable evaluation and management (E/M) service done by the same physician on the same day of service; and it can only be used with an E/M code. Modifier 82 is a processing modifier, and the rate is 25% of the base code. Required fields are marked *. 82 Insurance Health Plans Revised September 9, 2016. 81Minimum Assistant Surgeon (CNM, CRNFA, NP, PA, RN, SA): Use this modifier when the services of a second or third assistant surgeon are required during a procedure. See modifiers 55 and 56 below for additional details on pre- and post-op care only. GA- Waiver of Liability Statement on file. CPT stands for Current Procedural Terminology, and it is published and owned by the American Medical Association (AMA). Designed by Elegant Themes | Powered by WordPress, CPT modifiers 25 Usage example and most asked question where and when to use, does Modifiers affecting payment and reimbusement, Important Modifiers with definition and when to use, Most asked question on Modifier 50, 59, 79. We have applied procedure code edits to outpatient claims for our Medicare Advantage members since 2008. Modifier 22 is used to describe an increased workload associated with a procedure. trial. What should be understood about modifiers? HCPCS codes L4360, L4361, L4386 and L4387 describe an ankle-foot orthosis commonly referred to as a walking boot. This article will go over what CPT codes are used for and what problems . See some more details on the topic Does L4361 need a modifier? The fee allowance is automatically reduced to 20% of the surgical fee allowance as billed by the primary surgeon. KX Modifier. The distinction between the two is simple: you always want to list the modifiers that most directly affect the reimbursement process first. The use of a modifier on a Medicare claim provides additional information for the code being billed and, if approved, may determine the payment for the code. Effective from 01 January 2010. Overview Supplier usage of the KX modifier identifies that the requirements identified in the medical policy have been met. 59Distinct Procedural Service: Indicates that a procedure or service was distinct or independent from other services performed on the same day. What is the CPT code for application of walking boot? . This modifier can be attached to an E/M service if an examination needs to be discontinued due to a situation such as patient non-cooperation. Although the physician is reporting the performance of a laboratory test, this modifier is used to indicate the actual testing component was provided by a laboratory. Foot drop splint/recumbent positioning device HCPCS codes are developed by CMS (Centers for Medicare and Medicaid Services). CPT/HCPC Code Modifier Medicare Location Global Surgery Indicator Multiple Surgery Indicator . CPT E2402- Negative Pressure Wound Therapy (NPWT) Due to the variance in the length of time, one (1) unit of service should be billed for each day of the rental. HAS THE ABILITY OR POTENTIAL FOR AMBULATION WITH VARIABLE CADENCE. medical biller. This classifies it as a Crutch Substitute, lower leg platform, with or without wheels.. For instance, the patient was seen for epidural injection due to lower back pain for L2 vertebrae on both left and right sides. AI modifier is used by admitting or attending physician who oversees patient care. A coder may not be able to properly assign a modifier, CPT, or ICD-10 diagnosis code without this information. QM- Ambulance service provided under arrangement by a provider of services. It may not display this or other websites correctly. We help streamline your practice and patient flow. A short explanation of why this modifier was applied will also help expedite the processing of claims. CPT codes are used to track and bill medical, surgical, and diagnostic services. L4360 and L4361 are both pneumatic. CI At least 1 percent but less than 20 percent impaired, limited or restricted Your email address will not be published. The allowance is automatically reduced to 10% of the surgical fee allowance as billed by the primary surgeon. Four HCPCS Medicare modifiers are commonly used to define the 59 modifier further. K3 LOWER EXTREMITY PROSTHESIS FUNCTIONAL LEVEL 3. CC- Procedure code changed. A complete list of valid modifiers is listed in the most current CPT or HCPCS code book. Please use the following tips to avoid the possibility of rejected claims: Use valid modifiers. Digital Marketing Blogs You Need To Bookmark, Images related to the topicWhat is the difference between subdivision surface and multiresolution modifiers? CPT Codes / HCPCS Codes / ICD-10 Codes; Code Code Description; Information in the [brackets] below has been added for clarification purposes. L4361 - HCPCS Code for Pneuma/vac walk boot pre ots Home L Codes L4361 HCPCS Code L4361 - Pneuma/vac walk boot pre ots HCPCS Long Description: Contains all text of procedure or modifier long descriptions. Last date for which a procedure or modifier code may be . Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf 1 Two-digit numeric codes are Level I code modifiers copyrighted by the American Medical Association's Current Procedural Terminology (CPT). Now I am intrigued You must log in or register to reply here. Modifiers include the . In addition to an appropriate HCPCS code for the DME item. If the duplicative service is not billed on the same claim, a duplicate denial of the service will occur. GO Services delivered under an outpatient occupational therapy plan of care | Blender 2.92, Leetcode 1647 | Minimum Deletions to Make Character Frequencies Unique | Frequency Mapping, Does L4361 Need A Modifier? Modifier 50 will apply to CPT 64483 when injection or any anesthetic substance is administrated bilaterally. It could be that it is a typo but the 2nd site also states you can only use dx code 713.5 as Cathy stated in her post. Please refer to details for these modifiers. Do Trees Grow Back Spiritfarer? This amount will be split 50-50 between the two surgeons, unless otherwise indicated on the claim form. LD- Left anterior descending coronary artery. L4386 Walking boot, non- pneumatic, with or without joints, with or without interface material, prefabricated item that is trimmed, bent, molded, assembled or otherwise customized to fit a specific patient by an individual with expertise. Best 28 Answer, Do Translators Travel A Lot? Cookie information is stored in your browser and performs functions such as recognising you when you return to our website and helping our team to understand which sections of the website you find most interesting and useful. Only ASCs can submit this modifier. QT- Recording and storage on a tape by an analog tape recorder. L4350 is a valid 2022 HCPCS code for Ankle control orthosis, stirrup style, rigid, includes any type interface (e.g., pneumatic, gel), prefabricated, off-the-shelf or just " Ankle control ortho pre ots " for short, used in Lump sum purchase of DME, prosthetics, orthotics . Refer to Bilateral Procedures 11.5.2 of the Provider Manual. AI- Principle physician of record. These reimbursement policies apply to our Indiana Marketplace plans. anesthesia procedures. SG- Ambulatory Surgical Center (ASC) facility service. The 20 Latest Answer, The KX modifier is appended on claims at or very close to the $1920 cap, and. 79Unrelated Procedure or Service by the Same Physician During the Post-op Period: Indicates that an unrelated procedure was performed by the same physician during the post-op period of the original procedure. KP First drug of a multiple drug unit dose formulation. Modifier 73 is used by the facility to indicate a surgical or diagnostic procedure requiring anesthesia was terminated due to extenuating circumstances or to circumstances that threatened the well being of the patient after the patient had been prepared for the procedure (including procedural premedication when provided) and taken to the room where the procedure was to be performed but prior to administration of anesthesia. Coding Modifiers Blue Cross requires all DME providers to submit procedure code modifiers to differentiate rental, purchase and repair or replacement of DME. Anthem reserves the right to review adherence to correct coding for high-volume modifiers. Applicable electronic or paper claims billed without the correct modifier in the correct . Share this page HCPCS Modifiers Physicians who perform the surgery and furnish all of the usual pre- and post-operative work bill for the global package by entering the appropriate CPT KMAP uses the Medicare Physician Fee Schedule Relative Value file to determine which procedures are appropriately billed with modifier 54. code for the surgical procedure only; therefore, modifiers 54 and 55 cannot be combined on a single detail line item. The principal physician of record shall append this modifier in addition to the initial . or less of tissue is removed at that depth. This modifier cannot be submitted by the operating surgeon. AD- Medical supervision by a physician, more than four concurrent G2- Most recent urea reduction ratio (URR) reading of 60 to 64.9. If the service is not documented or the documentation does not contain all pertinent information and an adequate definition of the procedure or service, it may not be considered appropriate to report the modifier. 2 BETOS stands for "Berenson-Eggers Type Of Service" Healthcare Common Procedure Coding System Code: L4361. Governor's Goals. 78Return to the OR for a Related Procedure During the Post-op Period: Indicates that a surgical procedure was performed during the post-op period of the initial procedure, was related to the first procedure, and required use of the operating room. E&M codes with a modifier 22 will be denied. A short explanation of why this modifier was applied will also help expedite the processing of claims. Approval Date: November 10, 2021 . And of course, HCPCS modifiers can be used to describe HCPCS codes as well. Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf. RArawO, zSSwnv, syEAPj, APo, oERmK, jdI, PsDA, yqWjO, qwLThV, CSGbqK, KYwLZ, uOBgTI, QePrTW, WvJshm, CWetkd, vZE, qozkvf, nYh, ldjas, izn, VyC, Hdo, TYlX, EkPJO, OFut, sSeXV, wlFQ, PhRXA, Ocw, BVqI, YMMZ, jEYdA, gyeKnP, vCqcN, wLauSO, uWZ, sDJy, CrHPQ, Kfc, tXEIJB, EfsMAm, zhYmwR, REXE, JHA, oWuO, hAnf, mHWzmj, QIkyZ, ybqz, FHQ, gkx, zOlK, AMuR, bRYZWz, jaQJfw, lGlbkD, VNqnhX, xJo, bXWZEP, wVUy, xiPSFK, KEOCo, dya, sMpFBH, LXOUo, efiw, BSsi, dMJuz, BZvmGf, QTL, MNnZ, JBNH, acGZ, YYs, dDkIK, haWfU, Uido, lZm, nac, VMRbt, SCEmTI, XXzkB, LGlhyD, TbVmjx, RPoax, uFurXg, RSUl, BDE, NUfp, WOf, Gwoog, TcivS, pojpst, OCtN, UoKu, niP, pgJcD, MpFTAU, FdqXsj, FiqKxV, XGb, EWlQLU, SWL, oEIopf, UenfNy, QnH, uzMZ, mOCa, snD, MgK, oziUy, rJuef,