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Simplified Billing Codes - Magellan Provider

Magellan Standard ServicesSimplified Billing CodesRecommended Billing Codes for the Magellan services listed - please use appropriate Codes as needed in other fields to complete the claim formFacility/ProgramUniversal Services List USL #Standard ServicesRevenue CodeType of Bill CodeCPT/HCPCS CodesHCPCS ModifierCPT/ HCPCS CodesHCPCS ModifierPlace of Service , Psychiatric0114, 0124, 0134, 0144, , Substance Use Disorders, Rehabilitation Treatment0118, 0128, 0138, 0148, , Substance-Induced Disorders0118, 0128, 0138, 0148, , Substance Use Disorders, Detoxification0116, 0126, 0136, 0146, , Eating Disorders0114, 0124, 0134, 0144, , 23 Hr Bed, , 23 Hr Bed, Substance Use Disorders, Rehabilitation Treatment0762 Residential Treatment, Psychiatric1001H0017 orH0018H0017 Treatment, Substance Use Disorders, Rehabilitation Treatment1002H0011 H0011 Treatment, Eating Disorders1001H0017 orH0018H0017 Based Sub-Acute Care, Psychiatric019X H0017 orH0018 orT2048 (Medicaid only)H0017 orH0018 orT2048 (Medicaid only) Based Sub-Acute Care.

5.3 Applied Behavior Analysis (Autism) Applicable CPT codes for ABA services Applicable CPT codes for ABA services 5.4 Electroconvulsive Therapy (ECT) 0901 90870 90870 5.5 ECT Anesthesia 0901 00104 00104 5.6 Ambulatory, Substance Use Disorders, Detoxification 0944 or 0945 H0014 H0014 5.7 Ambulatory, Substance Use Disorders,

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