Dental Services Billing Instructions Guide

Feb 10, 2021 · The form/attachment is incorrect, not legible, print is too light, and/or the alignment is not correct (one (1) character out of alignment or more) ... Box 34: Diagnosis Code List Qualifier. Situational (Required if a diagnosis code is listed in Box 34a) Enter the appropriate code to identify the diagnosis code source. ICD-9-CM: B. ................
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