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INDIANA HEALTH COVERAGE PROGRAMS

INDIANA HEALTH COVERAGE PROGRAMS . P R O V I D E R C O D E T AB L E S. Mental HEALTH and Addiction Services Codes Note: Due to possible changes in INDIANA HEALTH COVERAGE PROGRAMS (IHCP) policy or national coding updates, inclusion of a code on the code tables does not necessarily indicate current COVERAGE . See IHCP Banner Pages and Bulletins and the IHCP. Fee Schedule for updates to coding, COVERAGE , and benefit information. Previous versions of code tables are archived for purposes of historical reference. For information about using these code tables, see the Mental HEALTH and Addiction Services provider reference module. Table 1 Procedure Codes for Applied Behavioral Analysis Therapy Table 2 ICD-10 Diagnosis Codes for Bridge Appointments Note: See Revenue Codes Linked to Specific Procedure Codes accessible from the Code Sets page at for procedure codes linked to revenue code 513 Clinic/Psychiatric for dates of service before March 15, 2018.

INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Published: January 10, 2019 1 Mental Health and Addiction Services Codes Note: Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or

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