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OTHER AND UNSPECIFIED DISORDERS - Provider Express

Proprietary Information of Optum. Copyright 2020 Optum, Inc. United Behavioral HealthCoverage Determination Guideline: OTHER and UNSPECIFIED DISORDERS Document Number: BH803 OUD032020 Effective Date: March 16, 2020 Table of Contents Introduction Instructions for Use Benefit Considerations Coverage Rationale Applicable Codes References Revision History Coverage Determination Guidelines are a set of objective and evidence-based behavioral health criteria used by Commercial plans that don t have a provision for medical necessity to standardize coverage determinations, promote evidence-based practices, and support members recovery, resiliency, and wellbeing for behavioral health benefit plans that are managed by Optum 1.

Other and Unspecified Disorders Page 1 of 7 ... Training and educational services related to the care and treatment of patient's ... F31.89 Other bipolar disorder F32.89 Other specified depressive episodes F32.9 Major depressive disorder, single episode, unspecified

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  Other, Related, Disorders, Bipolar, Other and unspecified disorders, Unspecified

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