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solated Patients ravel and Accommodation Assistance ceme …

Form 1: Application for travel and accommodation assistance Page 3 of 4 18.reatment details T Name of specialist, allied health clinic, dentist or prosthetist/orthotist Phone number Medicare provider number (not applicable to allied health or prosthetic/orthotic treatment)

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Mar 13, 2009 · When medical and surgical supplies (other than prosthetic and orthotic devices as described in the Medicare Benefit Policy Manual, Pub. 100-02, Chapter 15, §120 and §130, and take-home surgical dressings) described by HCPCS codes with status indicators other than “H” or “N,” are provided incident to a physician's service by

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