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6.3.50.2 Domiciliary, Rest Home, or Custodial Care Services
The following procedure codes are used to report E/M in a facility that provides room, board, and other personal assistance services:
Established patient visits billed on the same date of service as a new patient visit, by the same provider, will be denied as part of another procedure. Established patient visits are limited to one per day regardless of diagnosis.
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