Defined-U-Modifiers_dhs16_167693
NPI of Billing Physician . Assignment or Non-assignment of claim . Medicare Beneficiary ID Number. Zip Code of the place of service . All related diagnosis reported with the highest degree of specificity . NPI of Referring Physician . Date of service . Place of service . Procedure code . Modifiers when applicable . Number of service(s) Billed ... ................
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