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PROFESSIONAL SERVICES PROVIDER MANUAL

PROFESSIONAL SERVICES . PROVIDER MANUAL . Chapter Five of the Medicaid SERVICES MANUAL Issued February 1, 2012 Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable ICD 10 diagnosis code that reflects the policy intent. References in this MANUAL to ICD 9 diagnosis codes only apply to claims/authorizations with dates of service prior to October 1, 2015. State of Louisiana Bureau of Health SERVICES Financing LOUISIANA MEDICAID PROGRAM ISSUED: 04/13/18. REPLACED: 10/01/15. CHAPTER 5: PROFESSIONAL SERVICES . SECTION: TABLE OF CONTENTS PAGE(S) 9. PROFESSIONAL SERVICES . TABLE OF CONTENTS. SUBJECT SECTION. OVERVIEW SECTION COVERED SERVICES SECTION Abortion Induced Abortion Threatened, Incomplete or Missed Abortion Acute Hospital Pre-Certification Medical Necessity OB Care and Delivery Precert Inquiry Application Physician Billing When Pre-Certification is Not Authorized Retrospective Eligibility Pre-Certification Outpatient Surgery Performed on an Inpatient Basis Adju

PROFESSIONAL SERVICES PROVIDER MANUAL Chapter Five of the Medicaid Services Manual Issued February 1, 2012 Claims/authorizations for dates of service on or after October 1, 2015

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