| Name | Value |
|---|---|
| NAME | DG LTC OPT GEM CANCEL |
| ABBREVIATION | LTC OGEM |
| CHARGE CATEGORY | GERIATRIC EVAL-NON-INSTITUTION |
| SEQUENCE NUMBER | CANCEL |
| CANCELLATION ACTION TYPE | DG LTC OPT GEM CANCEL |
| UPDATE ACTION TYPE | DG LTC OPT GEM UPDATE |
| NEW ACTION TYPE | DG LTC OPT GEM NEW |
| BILLING GROUP | LTC OPT |