The Oklahoma HealthCare Authority
Required. Procedure - Enter the CPT or HCPCS procedure code in the Procedure field. See 1500 Health Insurance Claim Form locator 24d for more information. Required. **To have claims count towards the PPS Settle-up you must enter the first detail line with procedure code T1015.** Modifier - Enter modifier code(s) in the Modifier fields. ................
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