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SA

Nurse practitioner rendering service in collaboration with a physician

SB

Nurse midwife

SC

Medically necessary service or supply

SD

Services provided by registered nurse with specialized, highly technical home infusion training

SE

State and/or federally-funded programs/services

SF

Second opinion ordered by a professional review organization (pro) per section 9401, p.l. 99-272 (100% reimbursement - no medicare deductible or coinsurance)

SG

Ambulatory surgical center (asc) facility service

SH

Second concurrently administered infusion therapy

SJ

Third or more concurrently administered infusion therapy

SK

Member of high risk population (use only with codes for immunization)

SL

State supplied vaccine

SM

Second surgical opinion

SN

Third surgical opinion

SQ

Item ordered by home health

SS

Home infusion services provided in the infusion suite of the iv therapy provider

ST

Related to trauma or injury

SU

Procedure performed in physician's office (to denote use of facility and equipment)

SV

Pharmaceuticals delivered to patient's home but not utilized

SW

Services provided by a certified diabetic educator

SY

Persons who are in close contact with member of high-risk population (use only with codes for immunization)

SZ

Habilitative services

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