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For further discussion and rationale for the proposed modification or removal of these measures is provided at Table Group DD and Table Group C of this final rule

The distinction between CPT 20605 (intermediate joints) and CPT 20610 (major joints) matters most for elbow, wrist, and ankle claims: the primary large articulations at these locations (tibiotalar, humeroulnar, and radiocarpal) qualify for CPT 20610, while smaller associated articulations at the same anatomical region qualify for CPT 20605