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Follow Up Procedure Guidelines - SURGERY

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
9 FP0009 : Coronary Balloon Angioplasty 4,000 2,000 Previous Discharge Summary (INR Levels, ECG, Clinical Evaluation, ECHO-M-Mandatory)
10 FP0010 : Renal Angioplasty 4,000 2,000 Previous Discharge Summary (BP, Clinical Evaluation, Doppler, PT/INR, USG-KUB-Mandatory)
11 FP0011 : Peripheral Angioplasty 4,000 2,000 Previous Discharge Summary (Color Doppler, Capillary Filling Period, Claudications, Clinical Evaluation,PT/INR-Mandatory)
12 FP0012 : Vertebral Angioplasty 4,000 2,000 Previous Discharge Summary (Color Doppler, Clinical Evaluation, PT/INR-Mandatory)