Example: bankruptcy

Illinois Medicaid Prior Authorization Procedure Code List ...

15275 SKIN SUB GRAFT FACE/NK/HF/G Letter of medical necessity, including condition being treated. 15780 DERMABRASION TOTAL FACE Pre-operative evaluation, history and physical including functional impairment, and operative report. 15781 DERMABRASION SEGMENTAL FACE Pre-operative evaluation, history and physical including

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Transcription of Illinois Medicaid Prior Authorization Procedure Code List ...

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