§4.114 - Veterans Affairs
Type of transplant Date of disease onset Procedure description and CPT Codes(s): ICD-9-CM code(s) (provide ALL code numbers, as well as diagnosis names): 1. 4. 2. 5. 3. 6. Medical necessity: Submit information from primary transplant physician including the following: Diagnosis per transplant specialist evaluation. Clinical indications for ... ................
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