Post Operative
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Patient Presents Post Operative Of
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Procedure Performed
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Procedure Performed
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PATIENT DIAGNOSIS
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Patient diagnosis codes
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SUPPORTING DIAGNOSTIC EVALUATION
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Ultrasound Report
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Ultrasound Assessment Name
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Ultrasound Report
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Ultrasound Report
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36475 (Endovenous Ablation Therapy of Incompetent Vein; First Vein Treated) ______ Right
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36475 (Endovenous Ablation Therapy of Incompetent Vein; First Vein Treated) ______ Left
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Veins Requested Right
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Veins Requested Left
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Billing
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Billing Services
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