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| Short Descr | DOCD PEGINTF/RIB THXY CONSD | Medium Descr | DOC CONSIDERATION COMB PEGINTERF/RIBAVIRIN TX | Long Descr | Documentation that combination peginterferon and ribavirin therapy considered (HEP-C) | APC Status Indicator | Type of Service (TOS) | 1 - Medical Care | Berenson-Eggers TOS (BETOS) | none | MUE | Not applicable/unspecified. | CCS Clinical Classification | 33 - Other OR therapeutic procedures on nose, mouth and pharynx |
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| 2009-12-31 | Deleted | Code deleted. |
| 2009-01-01 | Added | Code added. |
| 2008-10-01 | Deleted | - |
| 2007-10-01 | Added | - |
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