Most recent hemoglobin level <= 12.0 g/dl
Short Description: Hgb <= 12 g/dl Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2012
Effective Date: January 1, 2015
Termination Date: December 31, 2014
Short Description: Hgb <= 12 g/dl Coverage Code: Carrier judgment
Action Code: No maintenance for this code
Date Added: January 1, 2012
Effective Date: January 1, 2015
Termination Date: December 31, 2014