Transcription of Facility/Program Preferred Codes Universal Services …
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magellan Standard Services simplified billing Codes Recommended billing Codes for the magellan Services listed - please use appropriate Codes as needed in other fields to complete the claim form Facility/Program Preferred Codes Preferred Codes Universal Services List for UB-04 billing for CMS 1500 billing Type of Bill Place of Service USL # Standard Services Revenue code code CPT/HCPCS Codes HCPCS Modifier CPT/ HCPCS Codes HCPCS Modifier code Hospitalization 0114, 0124, 0134, 0144, Hospitalization, Psychiatric 0154 N/A - Bill inpatient Services on UB-04 form 0118, 0128, Hospitalization, Substance Use Disorders, 0138, 0148, Rehabilitation Treatment 0158 N/A - Bill inpatient Services on UB-04 form 0118, 0128, 0138, 0148, Hospitalization, Substance-Induced Disorders 0158 N/A - Bill inpatient s
Magellan Standard Services Simplified Billing Codes Recommended billing codes for the Magellan services listed - please use appropriate codes as needed in other fields to complete the claim form
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CMS-1500 Claim Form Guidelines 02, 1500 claim form, Instructions for Completing the CMS 1500 Claim, Instructions for Completing the CMS 1500 Claim Form, Form 1500, Cms 1500, 02/12) claim form instructions, Medicare Claims Processing Manual, Form, CMS 1500-Health Insurance Claim Form, Claim Form Billing Instructions CMS-1500, Claim