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CODE DESCRIPTION CPT/HCPCS *Please note: This list applies ...
cpt/hcpcs code all inpatient services require an authorization code description auth required 0095t rmvl artific disc addl crvcl yes 0098t rev artific disc addl yes 0213t injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal joint) yes 0214t injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal joint) yes
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Magellan Complete Care (MCC) of Arizona NCPDP Version D.0 ...
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Credentialing Alliance ORGANIZATIONAL DATA FORM
www.mccofaz.coma. Policy shall be endorsed, as required by this written agreement, to include the State of Arizona, and its departments, agencies, boards, commissions, universities, officers, officials, agents, and employees as additional insureds with
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