source_invoice_line_id,source_date_of_service,source_hcpcs,source_modifier_1,source_diagnosis_1,source_diagnosis_2,source_diagnosis_3,source_diagnosis_4,source_diagnosis_5,source_admission_diagnosis,source_billed_amount,source_row_number,invoice_line_id,date_of_service,hcpcs,modifiers,billed_amount,article_id,article_version,article_title,article_effective_from,article_effective_to,cms_source_release,hcpcs_groups,article_result,hcpcs_diagnosis_results,group_mapping_method,reference_only_disclaimer
PERF-000001,2021-06-15,80050,,Z00.00,,,,,,125.00,2,PERF-000001,2021-06-15,80050,,125.00,A60001,1,Demo Comprehensive Lab Panel,2020-01-01,2022-12-31,CMS Article Test Data,1,supported_by_reference,80050/Z0000:supported_by_reference,exact_group;no_group,"CMS LCD/Article reference result only; not a coverage determination, denial recommendation, or finding of improper billing."
PERF-000001,2021-06-15,80050,,Z00.00,,,,,,125.00,2,PERF-000001,2021-06-15,80050,,125.00,A60002,1,Demo Alternate Lab Panel Article,2020-01-01,,CMS Article Test Data,1,no_submitted_diagnosis_in_covered_list,80050/Z0000:not_in_covered_diagnosis_list,exact_group;no_group,"CMS LCD/Article reference result only; not a coverage determination, denial recommendation, or finding of improper billing."