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Last Modified: 10/21/2009 Location: FL, PR, USVI Business: Part A

38105

Standard narrative: Whether any REV code lines are equal or not, outpatient types of bills (13X, 14X, 83X, or 85X) cannot have overlapping dates when the provider numbers are equal unless
1. One of the claims is for a PAP smear only
2. One of the claims is for mammography screening only
3. The outpatient claim has a span code 74 and the ASC claim has a date of service within the span code 74 dates
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Source: FCSO Education Action Team