TECHNICAL GUIDELINES FOR PAPER CLAIM PREPARATION

Internet Quick Reference Guide. A-13 Anesthesia Payment Formula . Appendix A-1. Technical Guidelines . f. or Paper Claim Preparation. ... A written description is not required if a valid ICD-10 Code is entered in Item 24D. Optional. ... The pin-feed guide strip of the two-part form should be removed prior to submission to the Department. The ... ................
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