Reimbursement Type 1-Surgical
Reimbursement Type 5-Non-Surgical. Revenue code 450 pays an all-inclusive rate based on the diagnosis code level. Multiple diagnosis codes pay the highest reimbursement level. Reimbursement is based on the highest reimbursement level plus add-ons or the total S. C. Medicaid allowed amount, whichever is less. ................
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