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MAGELLAN VA MEDICAID/DMAS

EFFECTIVE: 7/1/2017 CPT CODE Age or SettingModifierPHYSICIAN PSYCHOLOGISTMASTER'S LEVELCLINICAL NURSE SPECIALIST90791 IPw/ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ or w/o GT$ $ $ $ +90785$ $ $ $ or w/o GT$ $ or w/o GT$ $ +90833 IPw/ or w/o GT$ $ +90833 OPw/ or w/o GT$ $ +90836 IPw/ or w/o GT$ $ +90836 OPw/ or w/o GT$ $ +90838 IPw/ or w/o GT$ $ +90838 OPw/ or w/o GT$ $ $ $ or HK, GT$ or TS, GT$ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ >20/IPw/ or w/o GT$ $ >20/OPw/ or w/o GT$ $ <21/IPw/ or w/o GT$ $ <21/OPw/ or w/o GT$ $ Outpatient Visit, Established patient, minor*Office Outpatient Visit, Established patient, minimal*Office Outpatient Visit, Es

effective: 7/1/2017 magellan va medicaid/dmas rates cpt® code age or setting modifier physician psychologist master's level clinical nurse

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