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CODING AND BILLING INSTRUCTIONS CMS-1500 Form For Physician Offices Billing For Solesta Just Got Easier The Centers for Medicare and Medicaid Services awarded Solesta with a unique HCPCS Code for billing all claims. BILLING PROVIDER INFO PHONE NUCC Instruction Manual available at www. nucc.org 30. BALANCE DUE 32. SERVICE FACILITY LOCATION INFORMATION APPROVED OMB-0938-0999 FORM CMS-1500 08-05 Specify the diagnosis from Box 21 that relates to the ...
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