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Facility/Program Preferred Codes Universal Services …

magellan Standard ServicesSimplified billing CodesRecommended billing Codes for the magellan Services listed - please use appropriate Codes as needed in other fields to complete the claim formFacility/ProgramUniversal Services List USL #Standard ServicesRevenue CodeType of Bill CodeCPT/HCPCS CodesHCPCS ModifierCPT/ HCPCS CodesHCPCS ModifierPlace of Service , Psychiatric0114, 0124, 0134, 0144, , Substance Use Disorders, Rehabilitation Treatment0118, 0128, 0138, 0148, , Substance-Induced Disorders0118, 0128, 0138, 0148, , Substance Use Disorders, Detoxification0116, 0126, 0136, 0146, , Eating Disorders0114, 0124, 0134, 0144, , 23 Hr Bed, , 23 Hr Bed, Substance Use Disorders, Rehabilitation Treatment0762 Residential Treatment, Psychiatric1001H0017 orH0018H0017 Treatment, Substance Use Disorders, Rehabilitation Treatment1002H0011 H0011 Treatment, Eating Disorders1001H0017 orH0018H0017 Based Sub-Acute Care, Psychiatric019X H0017 orH0018 orT2048 (Medicaid only)H0017 orH0018 orT2048 (Medicaid only) Based Sub-Acute Care, Substance Use Disorders, Rehabilitation Treatment019X H0008 orH0010H0008 orH0010 Partial Hospitalization, Psychiatric0912

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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