Section 0               Medical and Surgical
Axis 4                  Body Part
Row         Add         
Term        Add         Subarachnoid Space, Intracranial
Includes    Add         Cisterna Magna
 
Axis 6                  Device
Row         Add         
Term        Add         Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed for Fusion in Lower Joints
Includes    Add         aprevo(R)
 
Row         Add         
Term        Add         Interbody Fusion Device, Custom-Made Anatomically and Virtually Designed for Fusion in Upper Joints
Includes    Add         aprevo(R)
 
Section 3               Administration
Axis 6                  Substance
Row         Add         
Term        Add         Antineoplastic
Includes    Add         Amivantamab Monoclonal Antibody
Includes    Add         Lurbinectedin
Includes    Add         RYBREVANT (tm) (Amivantamab Monoclonal Antibody)
Includes    Add         ZEPZELCA(tm) (Lurbinectedin)
 
Row                     
Term                    Globulin
Includes    Add         GAMUNEX-C
Includes    Add         hdIVIG (high-dose intravenous immunoglobulin)
Includes    Add         High-dose intravenous immunoglobulin (hdIVIG)
Includes    Add         Octagam 10%
 
Row                     
Term                    Other Therapeutic Substance
Includes    Add         Anacaulase-bcdb
Includes    Add         Bromelain-enriched Proteolytic Enzyme
Includes    Add         Collagenase SANTYL Ointment
Includes    Add         COSELA(tm) (Trilaciclib)
Includes    Add         ENSPRYNG(tm) (Satralizumab-mwge)
Includes    Add         Fostamatinib
Includes    Add         NexoBrid(tm)
Includes    Add         SANTYL Ointment
Includes    Add         Satralizumab-mwge
Includes    Add         TAVALISSE(R)
Includes    Add         Trilaciclib
 
Row                     
Term                    Vasopressor
Includes    Add         Terlipressin
Includes    Add         TERLIVAZ(R) (Terlipressin)
 
Section X               New Technology
Axis 6                  Device / Substance / Technology
Row         Delete      
Term        Delete      Amivantamab Monoclonal Antibody
Includes    Delete      RYBREVANT(tm)
 
Row         Delete      
Term        Delete      Anacaulase-bcdb
Includes    Delete      Bromelain-enriched Proteolytic Enzyme
Includes    Delete      NexoBrid(tm)
 
Row         Delete      
Term        Delete      Antibiotic-eluting Bone Void Filler
Includes    Delete      CERAMENT(R) G
 
Row         Delete      
Term        Delete      High-Dose Intravenous Immune Globulin
Includes    Delete      GAMUNEX-C, for COVID-19 treatment
Includes    Delete      hdIVIG (high-dose intravenous immunoglobulin), for COVID-19 treatment
Includes    Delete      High-dose intravenous immunoglobulin (hdIVIG), for COVID-19 treatment
Includes    Delete      Octagam 10%, for COVID-19 treatment
 
Row         Delete      
Term        Delete      Interbody Fusion Device, Custom-Made Anatomically Designed in New Technology
Includes    Delete      aprevo(tm)
 
Row         Delete      
Term        Delete      Lurbinectedin
Includes    Delete      ZEPZELCA(tm)
 
Row         Delete      
Term        Delete      Satralizumab-mwge
Includes    Delete      ENSPRYNG(tm)
 
Row         Delete      
Term        Delete      Terlipressin
Includes    Delete      TERLIVAZ(R)
 
Row         Delete      
Term        Delete      Tixagevimab and Cilgavimab Monoclonal Antibody
Includes    Delete      EVUSHELD(tm)
 
Row         Delete      
Term        Delete      Trilaciclib
Includes    Delete      COSELA(tm)
 
Row         Add         
Term        Add         Bioprosthetic Valve, Balloon-expandable with Dock in New Technology
Includes    Add         SAPIEN M3 TMVR system
 
Row         Add         
Term        Add         Branched Intraluminal Device, Integrated System Extension in New Technology
Includes    Add         NEXUS(R) Aortic Arch Stent Graft System
 
Row         Add         
Term        Add         Branched Intraluminal Device, Integrated System with Innominate Branch in New Technology
Includes    Add         NEXUS(R) Aortic Arch Stent Graft System
 
Row         Add         
Term        Add         Branched Intraluminal Device, with Conical Collar in New Technology
Includes    Add         Arcevo(tm) LSA Hybrid Stent Graft System
 
Row         Add         
Term        Add         Carbon/PEEK Spinal Stabilization Device in New Technology
Includes    Add         CMORE(R) Cervicothoracic (CT) System
 
Row         Add         
Term        Add         Contractility Modulation Device with Defibrillator Generator in New Technology
Includes    Add         CCM-D (Cardiac Contractility Modulation-Defibrillator) System
Includes    Add         Impulse Dynamics CCM-D System (CCM-D)
 
Row         Add         
Term        Add         Elamipretide
Includes    Add         FORZINITY(tm)
 
Row         Add         
Term        Add         Etuvetidigene Autotemcel
Includes    Add         WASKYRA(tm)
 
Row         Add         
Term        Add         Gentamicin-eluting Bone Void Filler
Includes    Add         CERAMENT(R) G
 
Row         Add         
Term        Add         Intraluminal Device(s), Small-diameter in New Technology
Includes    Add         MicroStent Peripheral Vascular Stent System
 
Row         Add         
Term        Add         Landiolol Antiarrhythmic
Includes    Add         RAPIBLYK(tm)
 
Row         Add         
Term        Add         Leadless Neurostimulator Generator in New Technology
Includes    Add         SetPoint System
 
Row         Add         
Term        Add         Lunsotogene Parvec-cwha via Intracochlear Infusion
Includes    Add         Lunsotogene Parvec
Includes    Add         Otarmeni(tm)
 
Row         Add         
Term        Add         Narsoplimab Monoclonal Antibody
Includes    Add         YARTEMLEA(R)
 
Row         Add         
Term        Add         Recombinant Human Bone Morphogenetic Protein-2 with Collagen Scaffold
Includes    Add         INFUSE(tm) Bone Graft
 
Row         Add         
Term        Add         Synthetic Substitute, Size-Adjustable in New Technology
Includes    Add         Autus(tm) Size-adjustable Valve
 
Row         Add         
Term        Add         Temporary Intraluminal Device, Venous Angle Decompression using Impeller Pump in New Technology
Includes    Add         eLym(tm) System
Includes    Add         WhiteSwell eLym(tm) System
 
Row         Add         
Term        Add         Vancomycin-eluting Bone Void Filler
Includes    Add         CERAMENT(R) V
 
Row         Add         
Term        Add         Zooplastic Tissue, with Integrated Native Leaflet Clipping Locators in New Technology
Includes    Add         Trilogy(tm) TAVR-AR (Transcatheter Aortic Valve Replacement-Aortic Regurgitation) System
