Under the Current Procedural Terminology (CPT) coding system, which conditions must be met in order for multiple procedures performed during the same operative episode to be coded separately?

1. The procedures must be performed at different anatomic sites.
2. The procedures must be distinct and independent from each other.
3. The procedures must not be considered components of a more complex procedure.
4. The documentation must clearly demonstrate the medical necessity for each separate procedure.

5. The procedures must be of different CPT code categories.