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Description
The referral destination depends on the accompanying findings: liver findings may point to hepatology or gastroenterology, significant kidney disease to nephrology, abnormal counts or smear findings to hematology, and cancer concern to oncology

Missing the PCP referral on a specialist 20610 claim generates a PR-242 denial classified as provider liability

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A total of 616 patients were randomized: 410 patients to the Pemetrexed for Injection, pembrolizumab, and platinum chemotherapy arm and 206 to the placebo, Pemetrexed for Injection, and platinum chemotherapy arm

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