Transcription of Simplified Billing Codes - Magellan Provider
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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, Substance Use Disorders, Rehabilitation Treatment019X H0008 orH0010H0008 orH0010 Partial Hospitalization, Psychiatric0912 Hospitalization, Substance Use Disorders, Rehabilitation Treatment0912 Hospitalization, Eating Disorders0912 or0913H0035H0035 Intensive Outpatient Outpatient, Outpatient, Substance Use Disorders, Rehabilitation Outpatient, Eati
5.12 Home Health Therapy Services 058x Applicable CPT codes Applicable CPT codes 12‐Home 5.13 Nursing Home/Domiciliary or Rest Home Visit N/A Applicable CPT codes Applicable CPT codes Ancillary Services 6.1 Telehealth Administrative Services 078x Q3014 Q3014 02‐Telehealth 6.2 Non‐Emergency Transportation S0209 S0215 A0100 S0209
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