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Office-Based Procedures - Site of Service
UHC (United)
Medical & Drug
Placeholder - content to be pulled from the policy
Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.
11402, 11403, 11404, 11406, 11420, 11421, 11422, 11423, 11424, 11426, 11442, 19000, 20552, 20553, 27096, 31579, 57460, 62270, 62321, 64479, 64490, 64493, 64633, 64635
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