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S05.22XA
Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, init
Billable
Notes
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S05.22XD
Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, subs
Billable
Notes
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S05.22XS
Oclr lac/rupt w prolaps/loss of intraoc tissue, l eye, sqla
Billable
Notes