TABLE OF CONTENTS

May 01, 2002 · Status of Pap smear - Routine or Diagnostic? (If diagnostic, you must give the ICD-9 code which indicates why pap smear is diagnostic) Last Menstrual Period. Patient Address. Billing information. Advanced Beneficiary Notice on all Medicare Patients. Failure to submit any of the above information will result in a delay in processing the specimen. ................
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