90960 (394259) SELECTION (357.3)
Name
Value
SELECTION ID
90960
SELECTION LIST
CPT CODES
SELECTION GROUP
HEMODIALYSIS OVERSIGHT
PRINT ORDER WITHIN GROUP
1
QUANTITY
1
SUBCOLUMN VALUE
SUBCOLUMN NUMBER: 2
90960
SUBCOLUMN NUMBER: 3
ESRD SRV 4 VISITS P MO 20+