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However, its important to interpret it in context this was one patient, and he was also a diabetic which can itself affect fertility

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When such a primary service is reported on a hospital outpatient claim, taking into consideration the few exceptions that are discussed below, we make payment for all other items and services reported on the hospital outpatient claim as being integral, ancillary, supportive, dependent, and adjunctive to the primary service (hereinafter collectively referred to as adjunctive services) and representing components of a complete comprehensive service (78 FR 74865 and 79 FR 66799)