Confidential Screening/Billing Report (PM 160) Claim Form ...
Follow-up Codes FOLLOW-UP CODES. Do not use check marks (() in column C or D. Use only follow-up codes 1 – 6 as follows: Code 1. NO DX/RX INDICATED OR NOW UNDER CARE. Enter code 1 if no treatment is indicated or the patient is now under care (for example, dental … ................
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