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1. A medical statement by the physician which includes the following: a. brief medical history, b. condition, c. date of injury, d. symptoms, e.
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C. Benefits are authorized for other surgeries when the surgery is determined to be a medically necessary procedure, integral to the restoration of an individual function. D. The following information must be submitted with claims for cosmetic, reconstructive, disfiguring scar revision, hypertropic, neoplastic, and plastic surgery. Beneficiaries are not required to submit this documentation with each claim submitted for the same episode of care. Standard development procedures to determine if this information has previously been submitted will be used.
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Cosmetic Surgeons of Houston Plastic Surgery Houston plastic ...

Houston Cosmetic Surgeons Plastic Surgery of Houston Houston Plastic Surgery ... Did the surgeon answer all questions in a language you could understand? ... www.mybeautifulbody.com/about_acps/checklist.asp - 56k -
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