Confidential Screening/Billing Report (PM 160) Claim Form ...
Columns a check mark (() in column A or B or a numeric follow-up code in column C and/or D. ... ICD-10-CM diagnosis code in the Comments/Problems area. Code 4. DX PENDING/RETURN VISIT SCHEDULED. ... Birth weight should be entered for children younger than 2 years of age. Use the same system for recording birth weight that was used for recording ... ................
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