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    Health Service Code 09.02D

    Community or outpatient retinopathy examination of prematurity in infants

    NOTE:

    May only be claimed for an infant up to one year of age.

    Category:V Visit
    Base rate:$109.92

    Fee modifiers:

    TypeCode# of callsExplicitActionAmount
    TRAYMINTIncrease By$13.11
    NBTRNBTRYes

    Governing Rules:

    No Governing Rules.