<?xml version="1.0" encoding="UTF-8"?>
<HCPCS>
<HCPC>
HCPC
</HCPC>
<LongDescription>
LongDescription
</LongDescription>
<ShortDescription>
ShortDescription
</ShortDescription>
<PricingIndicators>
<PricingIndicator>
<PricingIndicatorName>
PI1
</PricingIndicatorName>
<PricingIndicatorCode>
PricingIndicatorCode1
</PricingIndicatorCode>
</PricingIndicator>
<PricingIndicator>
<PricingIndicatorName>
PI2
</PricingIndicatorName>
<PricingIndicatorCode>
PricingIndicatorCode2
</PricingIndicatorCode>
</PricingIndicator>
<PricingIndicator>
<PricingIndicatorName>
PI3
</PricingIndicatorName>
<PricingIndicatorCode>
PricingIndicatorCode3
</PricingIndicatorCode>
</PricingIndicator>
<PricingIndicator>
<PricingIndicatorName>
PI4
</PricingIndicatorName>
<PricingIndicatorCode>
PricingIndicatorCode4
</PricingIndicatorCode>
</PricingIndicator>
</PricingIndicators>
<MPI>
MPI
</MPI>
<MultiplePricingIndicatorCode>
MultiplePricingIndicatorCode
</MultiplePricingIndicatorCode>
<CIMs>
<CIM>
CIM1
</CIM>
<CIM>
CIM2
</CIM>
<CIM>
CIM3
</CIM>
</CIMs>
<MCMs>
<MCM>
MCM1
</MCM>
<MCM>
MCM2
</MCM>
<MCM>
MCM3
</MCM>
</MCMs>
<Statute>
Statute
</Statute>
<LabCertifications>
<LabCertification>
<LabCert>
LabCert1
</LabCert>
<LabCertificationCode>
LabCertificationCode1
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert2
</LabCert>
<LabCertificationCode>
LabCertificationCode2
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert3
</LabCert>
<LabCertificationCode>
LabCertificationCode3
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert4
</LabCert>
<LabCertificationCode>
LabCertificationCode4
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert5
</LabCert>
<LabCertificationCode>
LabCertificationCode5
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert6
</LabCert>
<LabCertificationCode>
LabCertificationCode6
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert7
</LabCert>
<LabCertificationCode>
LabCertificationCode7
</LabCertificationCode>
</LabCertification>
<LabCertification>
<LabCert>
LabCert8
</LabCert>
<LabCertificationCode>
LabCertificationCode8
</LabCertificationCode>
</LabCertification>
</LabCertifications>
<XReferences>
<XReference>
<XRef>
XRef1
</XRef>
<XRefDescription>
XRef1Description
</XRefDescription>
</XReference>
<XReference>
<XRef>
XRef2
</XRef>
<XRefDescription>
XRef2Description
</XRefDescription>
</XReference>
<XReference>
<XRef>
XRef3
</XRef>
<XRefDescription>
XRef3Description
</XRefDescription>
</XReference>
<XReference>
<XRef>
XRef4
</XRef>
<XRefDescription>
XRef4Description
</XRefDescription>
</XReference>
<XReference>
<XRef>
XRef5
</XRef>
<XRefDescription>
XRef5Description
</XRefDescription>
</XReference>
</XReferences>
<Coverage>
Coverage
</Coverage>
<CoverageDescription>
CoverageDescription
</CoverageDescription>
<ASCPayGrp>
ASCPayGrp
</ASCPayGrp>
<ASCPayGrpEffDate>
ASCPayGrpEffDate
</ASCPayGrpEffDate>
<MOGPayGrp>
MOGPayGrp
</MOGPayGrp>
<MOGPaymentGroupCode>
MOGPaymentGroupCode
</MOGPaymentGroupCode>
<MOGPayInd>
MOGPayInd
</MOGPayInd>
<MOGPaymentPolicyIndicator>
MOGPaymentPolicyIndicator
</MOGPaymentPolicyIndicator>
<MOGEffDate>
MOGEffDate
</MOGEffDate>
<ProcNote>
ProcNote
</ProcNote>
<BETOS>
BETOS
</BETOS>
<BETOSDescription>
BETOSDescription
</BETOSDescription>
<TypeOfServices/>
<AnestBaseUnits>
AnestBaseUnits
</AnestBaseUnits>
<CodeAddDate>
CodeAddDate
</CodeAddDate>
<ActionEffDate>
ActionEffDate
</ActionEffDate>
<TermDate>
TermDate
</TermDate>
<ActionCode>
ActionCode
</ActionCode>
<ActionCodeDescription>
ActionCodeDescription
</ActionCodeDescription>
</HCPCS>