Add Service to Claim Procedure Modifiers (if applicable)
{"Image DocumentName": "Add Service to Claim Procedure Modifiers (if applicable)", "Image ImageDescription": "Enter the 5 digit procedure code. Modifiers (if applicable) Charge (for the total line item) Quantity. Units or minutes and how many. Facility Code (not required for this screen) Diagnosis Code Pointer. Points diagnosis code to procedure. Emergency/EPSDT/Family Planning Indicator. Only if applicable. How to use DDE: Professional Billing.", "Image XResolution": "37", "Image YResolution": "37", "Image ResolutionUnit": "Pixels/Centimeter", "Image Software": "SlidePlayer", "Image YCbCrPositioning": "Centered"}