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Governing Rules
Health Service Codes
Modifiers
Explanatory Codes
Governing Rules
AMA billing tips
1
DEFINITIONS
2
APPLICATIONS
3
EXCLUSIONS
4
VISITS AND CONSULTATIONS
5
EMERGENCY/URGENT/CRITICAL CARE
6
PROCEDURES
7
RECONSTRUCTIVE PLASTIC SURGERY
8
OBSTETRICS AND GYNECOLOGY
9
OPHTHALMOLOGY
10
DENTAL/ORAL SURGICAL RELATED SERVICES
11
LABORATORY/PATHOLOGY/RADIOLOGY
12
ANESTHESIA
13
SURGICAL ASSISTANCE BENEFITS
14
TRAY SERVICE
15
OFF HOURS PREMIUM BENEFITS
15.1
15.2
Deleted
15.3
UNSCHEDULED SERVICES/SPECIAL CALLBACKS - AACC, UCC, HOSPITAL INPATIENT, OUTPATIENT AND EMERGENCY DEPARTMENTS
15.4
15.5
15.6
15.7
Claims for Unscheduled Services/Special Callback Benefits
15.8
15.9
15.10
15.11
MAXIMUMS FOR SPECIAL CALLBACKS
15.12
Deleted
15.13
AFTER HOURS TIME PREMIUM - HOSPITAL INPATIENT, OUTPATIENT AND EMERGENCY
16
Deleted
17
TELEHEALTH
18
BODY MASS INDEX (BMI)
19
Fee Navigator
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Governing Rule: 15.12
Deleted
15.12.1
Deleted
15.12.2
Deleted
15.12.3
Deleted
15.12.4
Deleted
15.12.5
Deleted
15.12.6
Deleted
15.12.7
Deleted
15.12.8
Deleted
15.12.9
Deleted
Health Service Codes
HSCs
Modifiers
Explanatory Codes
Exp. Codes
Governing Rules
Gov. Rules
AMA billing tips
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