The Oklahoma HealthCare Authority

Modifier – Enter the appropriate modifier, as applicable. Up to three modifiers can be entered for each detail line. Required, if applicable. 24e Diagnosis Code – Enter the numeric codes (1, 2, 3, or 4), in order of importance, which correspond to the ICD-9-CM diagnosis code listed in form locator 21. ................
................

In order to avoid copyright disputes, this page is only a partial summary.