HCPCS Code - CCharge Code Item Description General Ledger Key Medicare Medicaid Charges Revenue Code Activity Date - 49683105 CT scan; head; w/out contrast 3 70450 70450 500.00 0351 1/1/2013 - 49683106 CT scan; head; with contrast 3 70460 70460 675.00 0351 1/1/2013 - This information provides a narrative name of the services provided. This information should be presented in a clear and concise manner. When possible - the narratives from the HCPCS/CPT book should be utilized.

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HCPCS Code - CCharge Code Item Description General Ledger Key Medicare Medicaid Charges Revenue Code Activity Date - 49683105 CT scan; head; w/out contrast 3 70450 70450 500.00 0351 1/1/2013 - 49683106 CT scan; head; with contrast 3 70460 70460 675.00 0351 1/1/2013 - This information provides a narrative name of the services provided. This information should be presented in a clear and concise manner. When possible - the narratives from the HCPCS/CPT book should be utilized.