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Fee Schedule Instructions

5 Table 10: Lists the ICD-10-CM Behavioral Health Diagnosis Codes effective 10/1/2015. Table 11: Lists the ICD-10-CM Pregnancy Diagnosis Codes not requiring PA for Lab Procedures 81220-81224 effective 10/1/2015. Table 11a: Lists ICD-10-CM Diagnosis Codes SMA Lab Procedure 81329 effective 1/1/2021. Table 12: Lists the ICD-10 CM Diagnosis Codes for Tuberculosis …

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