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Follow Up Procedure Guidelines - PULMONOLOGY

SERIAL NUMBER Procedure 1st Qtr Per Qtr (for next 3 Qtrs) Requirements while submitting for follow-up Preauth Requirements while submitting for follow-up Claims
99 FP0099 : Interstitial lung disease 4,000 2,000 Previous Discharge Summary (Clinical Evaluation-Mandatory), PFT,HRCT
100 FP0100 : Pneumoconiosis 4,000 2,000 Previous Discharge Summary (Clinical Evaluation, PFT, Chest X-Ray-Mandatory)