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Retrieved 31 March 2009

While some of specialties performing these consultative services may be included in the list of specialties used in steps 2 and 3 of our claims-based assignment methodology, when these specialties furnish the services described by CPT codes 99456, 99457, 99448, 99449, and 99451, they are furnishing these services in a consultative role at the request of the patient's treating/requesting physician or other qualified health care professional, not in a primary care role

They work on different biological layers, which is why they are often combined rather than used as alternatives

Histopathological evaluation was made semi-quantitatively with a maximum score of 12 for gastric tissues (0, none