Confidential Screening/Billing Report (PM 160) Claim Form ...
ICD-10-CM diagnosis code in the Comments/Problems area. Code 4. DX PENDING/RETURN VISIT SCHEDULED. Enter code 4 if: a. A return visit has been scheduled for diagnosis, or. b. A return visit has been scheduled for diagnosis and treatment, or. c. A return visit has been scheduled for treatment only. Enter . the diagnosis and the appropriate ICD ... ................
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