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89 2 Tobacco Use Yes No CPT Codes for billing 99406 3 to 10 mins 99407 10 mins 3 Drug Use 4 Alcohol Abuse 5 History of Preterm Labor Yes No ICD10 Codes for billing Z87. THIS FORM MUST BE COMPLETED IN FULL TO BE ELIGIBLE FOR THE PRENATAL INCENTIVE BABYCARE PROGRAM PRENATAL ENCOUNTER FORM Attachment A The Baby Care Incentive Program BIP rewards providers for the demonstration of quality care according to QARR/HEDIS standards. SECTION I Provider Name Group Name Member Name Member ID Member...
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