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hcpcs/rate/hipps code



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hcpcs/rate/hipps code

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CMS Manual System

www.cms.gov

maximum number of the UB-04 codes (value codes, condition codes, occurrence
codes occurrence span …… b. MED. REC. #. 44 HCPCS / RATE / HIPPS CODE.

OWCP-04 – United States Department of Labor

www.dol.gov

44 HCPCS / RATE / HIPPS CODE. PAGE. OF. APPROVED OMB NO. e a. 8
PATIENT NAME. 50 PAYER NAME. 63 TREATMENT AUTHORIZATION CODES.

R

www.ok.gov

44 HCPCS / RATE / HIPPS CODE. PAGE. OF. APPROVED OMB NO. e a. 8
PATIENT NAME. 50 PAYER NAME. 63 TREATMENT AUTHORIZATION CODES.
6.

Surgical Modifiers – Medi-Cal

files.medi-cal.ca.gov

Jan 5, 2016 … Modifiers Used With Procedure Codes (modif used). Non-Physician ….. and
without a modifier in the HCPCS/Rate/HIPPS Code field (Box 44).

(CMS-1450) (UB-04) – CT.gov

www.ct.gov

44 HCPCS / RATE / HIPPS CODE. PAGE. OF. OMB APPROVAL PENDING e a. 8
PATIENT NAME. 50 PAYER NAME. 63 TREATMENT AUTHORIZATION …

Introduction – ahcccs

www.azahcccs.gov

Sep 15, 2015 … AHCCCS does not accept DSM-4 diagnosis codes, and behavioral …. Locator 44
(HCPCS/Rate/HIPPS code): Enter the corresponding HCPCS.

UB-04 – BCBSNC

www.cdc.gov

44 HCPCS / RATE / HIPPS CODE. PAGE. OF. APPROVED OMB NO. 0938-0997
e a. 8 PATIENT NAME. 50 PAYER NAME. 63 TREATMENT AUTHORIZATION …

F245-367-000 – FirstCarolinaCare Insurance Company

www.lni.wa.gov

44 HCPCS / RATE / HIPPS CODE. PAGE. OF. OMB APPROVAL PENDING e a. 8
PATIENT NAME. 50 PAYER NAME. 63 TREATMENT AUTHORIZATION …

NDC Billing Requirement – South Dakota Department of Social …

dss.sd.gov

Aug 18, 2016 … The National Drug Code (NDC) is required to be reported on Medicaid claims or
Medicare claims when …. 44 HCPCS/ RATE / HIPPS CODE.



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