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EX Reason EX-Code Description Code - pshpgeorgia.com

pend: the procedure code is inconsistent with the patient's age : 1k: 6 ; deny: cpt or dx code is not valid for age of patient : 07; 7 : deny: the procedure code is inconsistent with the patient's sex : 08: 8 ; pend: the procedure code is inconsistent with the provider type : 09; 9 ...

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Provider and Billing Manual - Peach State Health Plan

www.pshpgeorgia.com

Federal and State Laws Governing the Release of Information ... This Provider Manual is a reference guide for providers and their staff providing services to ... Providers will ensure that their hours of operations are convenient to the member and do

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Georgia - Outpatient Medicaid Prior Authorization Fax Form

www.pshpgeorgia.com

PRIOR AUTHORIZATION FAX FORM Complete and Fax to: 1-866-532-8834. Request for additional units. Existing Authorization . Units. Standard Request . Urgent Request - I certify this request is urgent and medically necessary to treat an injury, illness or condition (not life threatening) within 48 hours

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PSHP-Quick Reference Guide

www.pshpgeorgia.com

Functional status assessment ... or newly active COPD, who received appropriate spirometry testing to confirm the diagnosis. Spirometry testing should be completed within 6 months of the new diagnosis or exacerbation. CPT. 94010, 94014-94016, 94060, 94070, 94375, 94620.

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Claim Adjustment Reason Codes Crosswalk

www.superiorhealthplan.com

ex1k 6 n129 deny: procedure code is inconsistent with patient s age deny ex1l b14 m86 deny: visit & preven codes are not payable on same dos w o documentation deny ex1n 251 n237 no evv visit match for medicaid id and npi/api for date of svc billed deny claim adjustment reason codes crosswalk superiorhealthplan.com shp_20205782

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ICD-10 Codes for Orthodontics

www.aaoinfo.org

canine, crowding and midlines off one would code M26.212, M26.220, K00.6, M26.31, and M26.29. As you can see from this example, although the CDT Procedure Code for this case would be simply D8080 (in the adolescent dentition) this would clearly be a more challenging case than one coded simply M26.212without the other orthodontic issues. Also ...

  Code, Procedures, Procedure codes

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