Plug assisted retrograde transvenous obliteration icd 10 pcs

Plug-Assisted Retrograde Transvenous Obliteration for the

ICD-10-PCS . 1. ICD-10-PCS codes: 00HU0MZ, 0JH70BZ, BR17ZZZ . Rationale: One code is assigned for the neurostimulator lead and another for the stimulator generator. The root operation Insertion is coded for both procedures and they both use the open approach. The device value for the lead is M. The device value for the neurostimulator generator. Gwon DI, Kim YH, Ko GY, Kim JW, Ko HK, Kim JH, et al. Vascular plug-assisted retrograde transvenous obliteration for the treatment of gastric varices and hepatic encephalopathy: a prospective multicenter study. J Vasc Interv Radiol. 2015;26:1589-95. Article PubMed Google Scholar 27 Balloon-occluded retrograde transvenous obliteration (BRTO) is a technique used by interventional radiologists in the treatment of gastric varices, particularly those with prominent infra-diaphragmatic portosystemic venous shunts (e.g. gastro-renal and gastro-caval shunts). The technique is more popular in Asia, where it is a first-line treatment for gastric variceal hemorrhage 1 ICD-10 codes and descriptions are copyright 2019 World Health Organization; revised for use in the United States by the Centers for Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention's (CDC) National Center for Health Statistics (NCHS) as ICD-10-CM / ICD-10-PCS

  1. Balloon-Occluded Retrograde Transvenous Obliteration. G astric and esophageal varices can have multiple etiologies. Most (90%) patients have underlying cirrhosis and portal hypertension. This patient population has a 30% risk of developing varices, with gastric varices representing 10% to 20%. Although the bleeding risk associated with gastric.
  2. This is Part 2 of a 4 part series on the FY2021 ICD-10 Code and IPPS changes. In this part, the ICD-10-PCS procedure codes are presented. For FY2021 ICD-10-PCS there are 78,115 total codes (FY2020 total was 77,571); 556 new codes (734 new last year in FY2020
  3. g a double access route has been reported. We report a case of CARTO using a steerable microcatheter to successfully treat gastric varices (GV)
  4. Long-term results of balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding and risky gastric varices: A 10-year experience J Gastroenterol Hepatol , 23 ( 2008 ) , pp. 1702 - 170
  5. The plug-assisted retrograde transvenous obliteration technique utilizes an appropriately sized Amplatzer vascular plug II (St. Jude Medical, Inc.)

What is retrograde transvenous obliteration? The procedure involves blocking the dilated vessels, reducing the risk of rupture. It can be used in addition to or as an alternative to TIPS, which is the primary treatment for gastric varices.TIPS aims to relieve the pressure on the dilated vessels by creating new connections between blood vessels in the liver using a shunt Balloon-occluded retrograde transvenous obliteration (BRTO) is an endovascular technique that was developed in Japan 11,12 as a therapeutic adjunct or alternative to TIPS in the management of gastric varices. It is also an effective therapy for sclerosis of de novo portosystemic shunts complicated by hepatic encephalopathy The Conventional Balloon-Occluded Retrograde Transvenous Obliteration Procedure: Indications, Contraindications, and Technical Applications Wael E.A. Saad, MD, FSIR,* Takashi Kitanosono, MD,† Jun Koizumi, MD, PhD,‡ and Shozo Hirota, MD§ Transvenous obliteration of gastric varices can be performed from the systemic venou Vascular plug-assisted retrograde transvenous obliteration is technically simple and safe and seems to be clinically effective for the treatment of gastric varices and hepatic encephalopathy. PurposeTo evaluate technical safety, clinical safety, and effectiveness of vascular plug-assisted retrograde transvenous obliteration (RTO) for.

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In ICD-10-PCS, coders will select Occlusion as the root operation if the objective of the procedure is to completely close an orifice or lumen of a tubular body part. If the physician only partially closes off an orifice or body part, coders would select root operation Restriction. For Restriction and Occlusion, the orifice can be natural or. Balloon-occluded Retrograde Transvenous Obliteration (BRTO) of gastric varices What is BRTO? Portal hypertension refers to high blood pressure in the liver. One of the major possible complications of portal hypertension is gastric variceal bleeding. Varices are dilated vessels which may rupture, causing variceal bleeding

Balloon-occluded retrograde transvenous occlusion Tech Vasc Interv Radiol. 2008 Dec;11(4):225-9. doi: 10.1053/j.tvir.2009.04.005. Author Hector Ferral 1 Affiliation 1 Department of Radiology, Section of. Of the rest of the 43 patients not included in this study, 15 patients received CARTO for the treatment of hepatic encephalopathy and 8 patients received PARTO (Plug-assisted Retrograde Transvenous Obliteration) for the treatment of GVB. The entry criterion was follow-up of ≥6 months Endovascular techniques including plug-assisted or balloon-occluded retrograde transvenous obliteration (PARTO/BRTO) or covered inferior vena cava (IVC) stent grafts were to occlude these PSS and counter the portal steal in all patients. Technical success and clinical outcomes at 1-year-follow-up were assessed. Result

Vascular Plug-Assisted Retrograde Transvenous Obliteration

  1. vascular plug-assisted retrograde transvenous obliteration; PCS, physical component summary; PEG, polyethylene glycol; PHES, psychometric hepatic encephalopathy score; PPI, proton pump inhibitor; PRBC, packed red blood cell
  2. The current article describes a patient with acute, massive upper gastrointestinal bleeding from isolated gastric varices. The patient had a large gastrosystemic shunt and was managed with a combination of splenic artery embolization followed by balloon-occluded retrograde transvenous occlusion (BORTO) of the gastric varices
  3. Transvenous retrograde oblit eration has recently become the treatment of choice for gastric varices with a gastrorenal shunt in many institutions in Japan [1, 2].The method of transvenous retrograde obliteration has two approaches: the transjugular and the trans femoral

Balloon-occluded Retrograde Transvenous Obliteration (BRTO

Akahoshi T, Hashizume M, Tomikawa M, et al. Long-term results of balloon-occluded retrograde transvenous obliteration for gastric variceal bleeding and risky gastric varices: a 10-year experience. J Gastroenterol Hepatol. 2008;23:1702-9 BRTO = Balloon-occluded retrograde transvenous obliteration BTK = Below-the-knee BUN = Blood urea nitrogen ICD-10 = International Classification of Diseases, 10th revision ICH = Intracerebral hemorrhage PARTO = Plug-assisted retrograde transvenous obliteration Radiologic treatments consist of transjugular intrahepatic portosystemic shunt (TIPS) and balloon-occluded retrograde transvenous obliteration (BRTO). TIPS works well to treat type 1 GOVs in patients who are refractory to band ligation, as the shunt reduces the portocaval pressure gradient Get reviews, hours, directions, coupons and more for Brian S Goodman, MD. Search for other Physicians & Surgeons, Radiology on The Real Yellow Pages®

PurposeTo compare the clinical outcomes of balloon-occluded retrograde transvenous obliteration (BRTO) using ethanolamine oleate (EO), BRTO using sodium tetradecyl sulfate (STS) foam, and vascular plug-assisted retrograde transvenous obliteration (PARTO).Materials and MethodsFrom April 2004 to February 2015, ninety-five patients underwent. For GOV2s and IGV1s, EVO, balloon-occluded retrograde transvenous obliteration (BRTO), and vascular plug-assisted retrograde transvenous obliteration (PARTO) can be considered to prevent bleeding [141,142]. NSBBs are non-invasive and can be used because they can reduce other side effects in patients with cirrhosis A balloon device is inserted through your cervix and then inflated with heated fluid. Depending on the type of balloon device, the procedure can take from two to 10 minutes. Microwave. A slender wand is inserted through the cervix. The wand emits microwaves, which heat the endometrial tissue. Treatment usually lasts three to five minutes.

The new CPT codes for embolization and occlusion are to be used for any procedure performed to permanently block or restrict blood or lymphatic fluid flow to an area. CPT 37204 and 37210 have been deleted. The new codes should not be used for embolization in vessels in the head, neck, brain, or spinal cord. Other codes are available for those. Consent for Dialysis Therapy in Acute Kidney InjuryJackie Loach3/27/17New Consent170303Division of Nephrology Consent for Dialysis Therapy in Acute Kidney InjuryJackie Loach3/27/17New Consent170304Lynchburg Nephrology Consent for Dialysis Therapy in Acute Kidney InjuryJackie Loach4/10/17New Consent170305Cenra Health, Inc. Consent for Dialysis. ICD-9-CM Vol. 3 Procedure Codes - 44.91. 44.91 - Ligation of gastric varices. The above description. and gastric varices. 4-9. occluded retrograde transvenous obliteration of Balloon-occluded retrograde transvenous obliteration. gastric erosions, esophageal varices, and some rarer causes such as gastric cancer 10.1055/b-0038-162900 29 Intra-Abdominal Fluid Collections Stephen R. Lee, Ashraf Thabet, and Peter R. Mueller 29.1 Introduction In this chapter, the percutaneous management of intra-abdominal flu ISBN 10: 1496302079. ISBN 13: 9781496302076. File: PDF, 25.01 MB. Preview. Send-to-Kindle or Email . Please to your account first; Need help? Please read our short guide how to send a book to Kindle. Save for later You may be interested in Powered by Rec2Me Most frequently terms . patients 1708.

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دانلود مقالات isi انگلیسی درباره آنسفالوپاتی کبدی با ترجمه فارسی - مقالات الزویر ساینس دایرکت Science Direc

Transjugular intrahepatic portosystemic shunt was very effective in decreasing the portosystemic pressure gradient from 26.2 +/- 5.8 to 10 +/- 6.2 mmHg. All patients but 2 were alive at the time of writing. Acute leukemia was the cause of the single early death and was unrelated to the procedure The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS) available for public use. CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS

Modified Balloon-Occluded Retrograde Transvenous

In 8-12% of cases endotherapy may fail to control acute variceal bleed. In emergency scenarios surgical ablative procedures, transjugular intrahepatic portosystemic shunt (TIPSS), or balloon-occluded retrograde transvenous obliteration (BRTO) can be done - decisions of which remain individualized [33,34]. Anticoagulatio 2020 ICD-10-CM Diagnosis Code S25.392D: Other specified injury of left innominate or subclavian vein, subsequent encounter Free, official coding info for 2020 ICD-10-CM S25.392D - includes detailed rules, notes, synonyms, ICD-9-CM conversion, index and annotation crosswalks, DRG grouping and more Cholecystostomy Tube. Your gallbladder is a pear-shaped organ that is located just below your liver. Its main purpose is to store and concentrate bile, which is the liquid responsible for carrying toxins away from your liver and into the gallbladder

Balloon-occluded retrograde transvenous obliteration

Peer-review publications from UCLA Dept of Radiology in 201 Modified-BRTO procedures, known as plug-assisted and coil-assisted retrograde transvenous obliteration (PARTO and CARTO, respectively) have become the standard of care at many institutions for the treatment of gastric varices and portosystemic shunt-induced hepatic encephalopathy After balloon-occluded retrograde transvenous obliteration, gastric varices disappeared completely in all 30 cases in 4-16 weeks (mean, 10 weeks). Recurrence of gastric varices was observed in three cases (10%), which were treated with repeated balloon-occluded retrograde transvenous obliteration

ICD-9 and 10 codes were used to identify newborns born to mothers with a diagnosis of syphilis at the time of delivery at a tertiary care hospital in Fresno, California from 01/2010 -12/2018. 231 newborns and mother dyads were included in analysis It applies to Viz.ai's acute ischemic stroke product, Viz LVO, officially known as Viz ContaCT, under which the ICD-10 Procedure Coding System (ICD-10-PCS) procedure code 4A03x5D was established. Viz ContaCT is an AI-based system that creates a parallel alert system whenever it detects a large vessel occlusion (LVO) on a computed tomography.

Balloon-Occluded Retrograde Transvenous Obliteration

Already have an account? Log in here.. Login ID: Password: Re-enter: Email: (Don't worry, your e-mail will not be distributed or made public. Its only purpose is for us to contact you about your account. ICD-10-PCS 06L Medical and Surgical: Lower Veins Occlusion. Icdlist.com DA: 11 PA: 35 MOZ Rank: 64. List of ICD-10-PCS codes used to specify 06L - Occlusion (completely closing an orifice or the lumen of a tubular body part) There are a total of 238 procedure codes in this section pr adj tiss xfer scalp,extrem 10.1-30 sqcm pr fun stat score le >= 0 pr combined vaccine,mmr+varicella,sub-q pr debridement, infected skin, up to 10% bsa pr simple cystometrogram pr remv vein clot cava-iliac,leg incis pr crown build up pr repair esophagus opening pr remove eyelid lesn (not chalazion) pr drain perineal urin leak,uncompli

pr adj tiss xfer scalp,extrem 10.1-30 sqcm pr fun stat score le >= 0 pr inject anes/steroid foramen cerv/thoracic w img guide ,1 level pr debridement, infected skin, up to 10% bsa pr simple cystometrogram pr remv vein clot cava-iliac,leg incis pr crown build up pr repair esophagus opening pr remove eyelid lesn (not chalazion Background/aims: Plug-assisted retrograde transvenous obliteration (PARTO) is widely used to manage gastric varices with a portosystemic shunt.It is not clear whether portal pressure and the incidence of complications increase after PARTO. The aim of this study was to determine the changes in portal pressure and the associated changes in liver function, ascites, hepatic encephalopathy, and. pr destruc cut/vasc <10 sqcm pr destruc cut/vasc 10-50 sqcm pr destruc cut/vasc >50 sqcm pr destruction benign lesions up to 14 pr destruction benign lesions 15 or more pr chem cautery granulatn tissue pr destr malig trunk,extrem <0.6 cm pr destr malig trunk,extrem 0.6-1 cm pr destr malig trunk,extrem 1.1-2 cm pr destr malig trunk,extrem 2.1-3 c Read 47th Annual Meeting of the Austrian Society of Surgery, Vienna, June 15-17, 2006, European Surgery on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips Balloon- or plug-assisted retrograde transvenous obliteration of portosystemic shunts is an effective endovascular technique for the treatment of type B bypass hepatic encephalopathy. We describe a patient who underwent balloon- and plug-assisted obliteration for a lienorenal and lienogonadal shunt, respectively

Coding Tip: The Root Operation Restriction and Occlusion

The distal left pulmonary measured approximately 10 mm in diameter with a mid stent measuring 10.3 mm and the proximal stent near the origin of the left pulmonary artery is 6.8 mm diameter. The left femoral venous sheath was exchanged over wire for a 7-French sheath http://www.healthsystem.virginia.edu/docs/per/knee-meniscus-repair-transplant-discharge-instructions-1 http://www.healthsystem.virginia.edu/docs/per/fit-screening. Issak, Abdulfatah (P754) Successful Isolated Gastric Variceal Decompression Using Combined Sclerotherapy and Plug-assisted Retrograde Transvenous Obliteration (SPARTO) with a Single-access Coaxial Technique; Issak, Abdulfatah (P1023) Successful Over-the-Scope Closure of Recurrent Fistula from a Perforated Duodenal Ulce Health related quality of life improved 41% for PCS (26.9±4.5 at pretreatment to 39.2±6.1 at 12 months) and 22% for MCS (36.0±4.2 at pretreatment to 44.0±5.7 at 12 months) (both p<0.001) (Abstract O-010 figure 1B). PCS clinical success (≥5.7 point improvement) was 81% and MCS clinical success (≥6.3 point improvement) was 62% at 12 months ACG 2016. This is a resource to help you schedule your time at the conference. Creating an agenda does not mean you are registered for the conference. Adding a session to your agenda does not guarantee you a seat at the event. All sessions are filled on a first-come-first-served basis. We encourage you to plan ahead and get to your sessions early

258 HEPATIC RESECTION FOR HEPATOCELLULAR CARCINOMA (HCC) IN 300 CONSECUTIVE PATIENTS AT A SINGLE WESTERN CENTER Sasan Roayaie, Josep M. Llovet, Parissa Tabrizian, Mount Sinai Liver Cancer Program, New York, NY; Francesco Dâ Amico, Policlinico Universitario OspedalePadova, Padova, Italy; Maria I. Fiel, Department of Pathology, New York, NY; Myron E. Schwartz, Mount Sinai Liver Cancer Program. Oral varix: a review. PubMed. Lazos, Jerónimo P; Piemonte, Eduardo D; Panico, René L. 2015-06-01. Ageing produces several changes on the oral cavity, and oral varix (OV) is amo Insertion or replacement of implantable cardioverter-defibrillator pulse generator only. 33241: Cardiovascular: Removal of implantable cardioverter-defibrillator pulse generator only. 33242: Cardiovascular: Repair of implantable cardioverter-defibrillator pulse generator and/or leads. 33243: Cardiovascula 2017 Icd 10 Cm Pcs Changes Rachel Sc Webinar. Icd Classification. ICD 10-2010 The International Classification of Diseases, 9th Revision, published by the World Health Organization (WHO) is the foundation of the ICD- 9- CM and continues to be the classification employed in cause- of- death coding in the United States. transvenous leads.

Coil-assisted retrograde transvenous obliteration (CARTO

Management of Complications of Portal Hypertension: Special Considerations -- 6. Management of Complications of Portal Hypertension: Balloon-Occluded Retrograde Transvenous Obliteration, Plug-Assisted Retrograde Transvenous Obliteration, Coil-Assisted Retrograde Transvenous Obliteration, and Balloon-Assisted Antegrade Transvenous Obliteration -- 7 Other operations on lacrimal system 09.91 09.99 Obliteration of lacrimal punctum Other. 10 10.0. Excludes: insertion of temporary transvenous pacemaker system (37.78) 48 ICD-9-CM TABULAR LIST OF PROCEDURES (FY07) replacement of atrial and/or ventricular lead(s) (37.76) 37.74 Insertion or replacement of epicardial lead [electrode] into. In the #1 New York Times bestseller The 5 Love Languages, you'll discover the secret that has transformed millions of relationships worldwide. Whether your relationship is flourishing or failing, Dr. Gary Chapman's proven approach to showing and receiving love will help you experience deeper and richer levels of intimacy with your partner—starting today Infection by E.Coli, Klebsiella, or Enterobacter cause a high fever and a sick looking patient.Temp > 104 with chills and severe leukocytosis in the setting of symptomatic gallstones are a tip- off. Fever, jaundice, RUQ pain = charcots triad + hypotension and confusion = Reynolds' pentad This patient needs emergent ERCP with bowel rest, IVF, analgesia, but most importantly needs IV antibiotics.

balloon occluded retrograde transvenous obliteration blood sugar bilateral salpingo-oophorectomy bladder tumor brain tumor blood urea nitrogen (産)(診) birth weight body weight internal carotid artery の segment No. carcinoma celiac artery (婦)(検) carbohydrate angigen 125 coronary aortic bypass graft coronary artery disease (循)(放 balloon occluded retrograde transvenous obliteration blood sugar bilateral salpingo-oophorectomy bladder tumor brain tumor blood urea nitrogen birth weight body weight internal carotid artery の segment No. carcinoma celiac artery carbohydrate angigen 125 coronary aortic bypass graft coronary artery disease cardioangiography carotid angiograph

Balloon-occluded Retrograde Transvenous Occlusion

See page 12 for additional information. 10 - Register for ACG 2016 at www.acgmeetings.gi.org FEATURED LECTURES Nicholas J. Talley, MD, MBBS, PhD, MMedSci, FACG Saturday, October 15 • 10:00 am - 10:30 am • Venetian Ballroom What are some of the future approaches to move from a symptombased therapy to a cure Columbia University Medical Center Gill BJA, Khan FA, McKhann GM. You're Not Hallucinating: Potential New Targets for Schizophrenia Treatment. Neurosurgery. 2018 Dec 27. doi: 10.1093/neuros/nyy628. [Epub ahead of print] PubMed PMID: 30590758. 2: Imahiyerobo TA, Johns AL, Christian EA, Sanchez-Lara PA, Krieger MD, McComb JG, Urata MM. Risk Factors for Preoperative Developmental Delay in. In a 10-year period from January 2009 to January 2019, we identified 10 patients (6 male, 4 female) who received surgery or frameless stereotactic drainage of a cerebral aspergilloma at our center. Patients ' and disease characteristics were recorded. The median age was 65 (range 45 to 83)

Endovascular Transvenous Obliteration of Bleeding Gastric

食道疾患用語解説集。食道癌診断・治療ガイドライン | the japan esophageal society.|日本食道学会事務局 〒130-0012 東京都墨田区太平2-3-13 廣瀬ビルディング4階 tel/fax: 03-6456-133 Metabolic Equivalents (METS) 15 14 13 12 11 10 9 8 7 6 5 4 3 2. Functional Tasks. Treadmill: Bruce Protocol 3-Minute Stages (mph/elevation) Bike Ergometer: for 70kg of Body Weight (kg/min) 4.2/16.0. 1500 1350 1200 1050 900 750. Jogging. 3.4/14.0. 2.5/12.0 Stair climbing. 600 450 300 150. 1.7/10.0 Walking (level surface) Bed exercise (arm. All venous diseases ICD 454 ICD 459 Source: From Ref. 1. Days of invalidity As % of invalidity Cost £ million 1.8 million 818,000 903,000 0.4 0.2 0.2 73 33 36 Impact of Venous Disorders 55 clinic and control groups, respectively Over a 6-year period (2005-2010) we found that 10/20 cases of previously healthy subjects admitted to Periodic Research Fever Centre of Catholic University of Sacred Heart, who received a diagnosis of PMR and/or GCA, developed the disease within 3 months of Inf-V, with a frequency of 1:2 cases and a median of 2 post-immunization cases/year

ICD-10-PCS Overview and Conventions

ICD-10-PCS 2013. Anatomy and Physiology. Chao Hu Ichthy s. ICD9CM. 0ietidwdj88ay. ICD 10-2010. 4 INTRODUCTION The International Classification of Diseases, 9th Revision, transvenous leads including placement of lead into left ventricular coronary venous system,. Methods. 10 W male C57Bl6/J mice were exposed to alcohol on the NIAAA protocol: 10 days liquid diet, followed by a bolus gavage (5 g/kg) Animals were sacrificed 9 or 24 hours after the gavage, and liver and lung tissue, plasma, and bronchoalveolar lavage fluid (BALF) were collected for analysis Injury was determined biochemically and.

54 Likes, 13 Comments - Physiatry Residents (@lapmrresidency) on Instagram: Resident's Corner: Name: David Huy Blumeyer, MD Year in residency: PGY-4 Where were you bor A repertoire of 10 TLRs mediate the first response to all microbes that infect mammals. They are the long sought receptors for a wide range of microbial products. Notable examples include TLR4 which recognizes LPS from gram negative bacteria, TLR3 which recognizes viral double-stranded RNA and TLR9 which recognizes CpG DNA motifs, found. 4: THE ATHEROSCLEROTIC PROCESS IN PSORIASIS IS DIRECTLY RELATED TO INFLAMMATION. J Nieves 1. C Sulia 1. PI Altieri 1,2. L Figueroa 1. H Banchs 1,2. W González 1. 1 University of Puerto Rico, School of Medicine, San Juan, PR. 2 Cardiovascular Center of Puerto Rico and the Caribbean, San Juan, PR. Purpose of Study We intended to study the morbidity and mortality in patients (P.) with psoriasis. More than 7000 people (as many women as men) were screened in 83 centerswith a 1.70% prevalence of AAA in the age-based target population (3.12% for men, 0.27% forwomen). The median diameter of.

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Gastric Varices (CARTO/BRTO/PARTO) - Atabak Allaei, MD

In the SSV, valves are numerous (median 7-10, range 4-13) and more closely spaced. The highest valve is usually 18 Development and anatomy of the venous system Figure 2.10 Relation of the medial direct perforating veins to the deep and superficial posterior fascial compartments (SPCs). PTVs, posterior tibial veins The maximum conversion factor is $10.00. Enter Total Anesthesia Value (total units) for each procedure in the units column of the MMIS Claim Form. GENERAL INFORMATION AND RULES. 1. The total values for anesthesia services include pre- and post-operative visits, the administration of the anesthetic and the administration of fluids and/or blood. Wednesday, October 22 6:00 am - 12:15 pm Registration Broad Street Atrium 6:00 am - 12:15 pm Job Forum Broad Street Atrium 6:45 am - 8:15 am Optional Breakfast Sessions* (ticket required) See ticket for room assignment 8:00 am - 12:15 pm ACG Store Terrace Ballroom Lobby 8:30 am - 12:15 pm Annual Scientific Meeting Terrace Ballroom 10. 108 Likes, 2 Comments - Dr Raymond C Lee MD (@drrayleemd) on Instagram: What an amazing virtual aats. Congratulations to my chairman Dr Vaughn Starnes 100th AAT

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