Most recent hemoglobin (hgb) 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