| Document Date: 2011-12-02 11:43:40
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IndustryTerm recipient site / molluscum contagiosu chemical cauterization / chemical peel / donor site / / MedicalCondition acne acne / pressure sore excision sacral decubitus ulcer / exc sacral pressure ulcer / tail bone excision sacral decubitus ulcer / burn / acne / nerve palsy facial nerve paralysis / pilonidal cyst / pressure ulcer / sacral pressure ulcer / flat warts / pressure sore excision / closur exc sacral pressure ulcer / superficial dermabrasion abrasion single lesion eg keratosis scar / exc ischial pressure ulcer / gynecomastia mastectomy / pressure sore removal / burns / hidradenitis / cyst / exc sacral decubitus ulcer / pressure sore excision trochanteric decubitus ulcer / fibroadenoma / facial nerve paralysis / abscess / ostectomy/primary excision sacral decubitus ulcer / ischial pressure ulcer / trochanteric pressure ulcer / each additional cyst / / MedicalTreatment balloon catheter / dermabrasion / incision / breast reconstruction / drainage / amputation / radiotherapy / laser surgery / surgery / brachytherapy / cryotherapy / mammaplasty / mastectomy / lumpectomy / / Position Physician Services / Physician / surgeon / / Product pre-op / / PublishedMedium the Medicaid Billing Guide / / Technology laser / drug delivery / /
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Physician Fee Schedule Provider Specialty 001 Physician Services The inclusion of a rate on this table does not guarantee that a service is covered. Please refer to the Medicaid Billing Guide and the Medicaid and Health