Example: dental hygienist
Fee Schedule Instructions
• End Date – Indicates the end date for that rate type and max fee amount. • PA – Indicates whether or not prior authorization (PA) is required. If the column contains ... Procedures 81220-81224 effective 10/1/2015. Table 11a: Lists ICD-10-CM Diagnosis Codes SMA Lab Procedure 81329 effective 1/1/2021.
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