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Coding and Billing Units: OUTPATIENT HOSPITAL UB04 FORM 1 FL 42 9 PATIENT Address Enter the 4digit revenue code for service provided1 For chemotherapy administration, 0260 (IV therapy) or 0335 (radiology
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Enter form 4-digit revenue is a form used to report revenue in a 4-digit format.
All businesses generating revenue must file enter form 4-digit revenue.
To fill out enter form 4-digit revenue, you need to enter your revenue in a 4-digit format in the designated fields.
The purpose of enter form 4-digit revenue is to accurately report revenue for tax and regulatory purposes.
The information reported on enter form 4-digit revenue includes total revenue generated by the business.
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