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The occurrence of this disease was significantly associated with reduced conception rates, extended calving intervals, and decreased milk production 119,120,121,122

Bilateral surgeries, defined as an indicator of B, Bilateral Surgery Rules (modifier -50), are associated with the following status indicators and their descriptions: 0: 150% payment adjustment for bilateral procedures does not apply due to anatomy, or the code descriptor is a unilateral procedure 1: 150% payment adjustment for bilateral procedures applies 2: 150% payment adjustment for bilateral procedures does not apply, as the code descriptor states the procedure is bilateral and/or paid whether performed unilaterally or bilaterally 3: The usual payment adjustment for bilateral procedures does not apply