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Same procedure code - 2 Arterial repairs

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Hello,
 
I submitted this for manual review because I had to do 2 arterial repairs but it looks like the Ministry rejected one procedure. Would this be based on the manual review? Next step is RA form?

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C,

When two identical procedures have been conducted, the service code should be submitted with a quantity of 2. Submitting duplicate entries will cause rejection because the MoH assume it is a mistake. To correct this, you will need to submit an RA inquiry to change the quantity of the service code to two (2). 

Please let me know if you have further questions.
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