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... (loop 2110 Service Payment Information REF), if present. 3299 HOLIDAY PAY TV MOD BILLED - NOT A 2001 Deny Holiday Pay TV Modifier when not a ...
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... place of residency Hospital Nursing Facility ICF / MR Group Home Assisted Living Private Home Apartment Temporary Lodging Other (specify): ____ Length of Residency: ____ ...
... provider website For more information about PT 93, see the following web announcements (WA): • WA 3383 • WA 3452 †...
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 The value sent at this ...
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 The value sent at this ...
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 The value sent at this ...
... , FI, HM, LM, MA, MB, MC, OF, TV, VA, WC, ZZ Medicaid MC 2 121 2010BA NM1 Subscriber Name ...
... nebulization: maintenance, 500 Î ¼ g QID, dose six to eight hours apart Tiotropium Maintenance treatment of bronchospasm Safety and Powder for oral associated with chronic obstructive ...
... , 500 nebulization ® Î ¼ g QID, dose six to eight hours apart (Atrovent ): 500 Î ¼ g (0.02%) Tiotropium Maintenance ...
... %) 500 Î ¼ g four times daily, dose six to eight hours apart Tiotropium Asthma, maintenance treatment: Asthma (12 years Aerosol for Aerosol for ...
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