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Temporomandibular Joint Disorders
UHC (United)
Medical & Drug
Placeholder - content to be pulled from the policy
Examples: Medical documentation required, coverage criteria, codes, modifiers, etc.
20552, 20553, 20605, 20606, 21010, 21050, 21060, 21070, 21085, 21089, 21110, 21240, 21242, 21243, 21247, 21299, 21499, 29800, 29804, 90901, 97039, 97139, E0746, E1399, E1700, E1701, and E1702
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