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CPT/HC Provider Chronic Revenue Major Category General ...

RevenueCodesMajor CategoryDescriptionCPT/HCPC requiredProvider Specific * General Outpatient Psychiatric Outpatient Chronic Disease Outpatient 250 Pharmacy General ClassificationXXX253 Pharmacy - Take home drugs (LARCs only)XX254 Pharmacy - Drugs Incident to other Diagnostic ServXX255 Pharmacy - Drugs Incident to RadiologyXX258 Pharmacy - IV SolutionsXX259 Pharmacy - Other DrugsXXX260IV Therapy General ClassificationXX261IV Therapy - Infusion PumpXXX262IV Therapy - Pharmacy ServicesXXX264IV Therapy - SuppliesXX270 Med-Surgical Supplies - General ClassificationXX271 Med-Surgical Supplies - Non-Sterile SupplyXX272 Med-Surgical Supplies - Sterile SupplyXX273 Med-Surgical Supplies - Take Home SupplyXXX274 Med-Surgical Supplies - Prosthetic/Orthotic DeviceXXX275 Med-Surgical Supplies - PacemakerX276 Med-Surgical Supplies - Intraocular

Clinic - Chronic Pain Clinic X. X 513. Clinic - Psychiatric Clinic X. X 514. Clinic - OB-GYN Clinic X. X 515. Clinic - Pediatric Clinic X. X 516. Clinic - Urgent Care Clinic X. X 519. ... Behavior Health Treatments/Services - Partial Intensv X. X 914. Behavior Health Treatments/Services - Indiv Therapy X. X 915.

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