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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
5.1
EMERGENCY DEPARTMENT/AACC/UCC VISITS/ASSESSMENTS BY ROTATION DUTY PHYSICIANS OR BY PHYSICIANS PROVIDING FIRST CALL COVERAGE IN AN EMERGENCY DEPARTMENT THAT HAS GREATER THAN 25,000 VISITS TO THE EMERGENCY ROOM PER YEAR
5.2
SPECIAL CALLBACKS TO AACC/UCC/HOSPITAL EMERGENCY/OUT-PATIENT DEPARTMENT BY NON-ROTATION DUTY PHYSICIANS
5.3
BENEFITS FOR INTENSIVE CARE SERVICES (ICU).
5.4
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5.5
Deleted
5.6
Deleted
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
16
Deleted
17
TELEHEALTH
18
BODY MASS INDEX (BMI)
19
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Governing Rule: 5.5
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5.5.1
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5.5.2
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5.5.3 Deleted
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5.5.4
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5.5.5
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Health Service Codes
HSCs
Modifiers
Explanatory Codes
Exp. Codes
Governing Rules
Gov. Rules
AMA billing tips
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