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DESCRIPTION Enter a narrative description of the related revenue code category on this bill. Abbreviations may be used. Only one description per line. Optional. HCPCS RATES Use the Healthcare Common Procedure Coding System HCPCS ; code applicable to the service provided. Only one service code per line is permitted. Required for home health, outpatient, and ASC services. This field is also used to identify procedure code modifiers. Provide the appropriate modifier, as applicable. Up to four modifiers are allowed for each procedure code. This is a thirteen character field. Required, if applicable. SERV. DATE Provide the date the indicated outpatient service was rendered. Required for home health, hospice, independent laboratories, dialysis, ASC, and outpatient. Creation Date Field 45, line 23, enter the date the bill is submitted. Required. SERV. UNITS Provide the number of units corresponding to the revenue code or procedure code submitted. Seven digits are allowed. Units must be billed using whole numbers. Required and ceftin.
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