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Contact Name of Pharmacy Director or other payer representative Contact Title Name of Health Insurance Company Address City, State, ZIP RE: Letter of Medical Necessity for NUPLAZIDTM (pimavanserin)
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How to fill out hallucinations and/or delusions ICD-10-CM:

01
Start by identifying the specific code for hallucinations and/or delusions in the ICD-10-CM coding manual. Look for the appropriate section related to mental and behavioral disorders.
02
Review the specific diagnostic criteria for hallucinations and/or delusions to ensure accurate coding. This may involve understanding the definitions, symptom duration, severity, and any associated factors required for coding purposes.
03
Use the provided code for hallucinations and/or delusions that best matches the specific diagnosis and symptom presentation. Double-check the accuracy of the code to avoid any coding errors or miscoding.
04
Ensure that the documentation supports the assigned code. Look for clear and concise clinical information related to the presence of hallucinations and/or delusions. This may include specific details about the type, frequency, intensity, and impact on the individual's functioning.
05
Include any relevant additional codes that may be required to fully capture the patient's condition. This could involve coding for underlying causes, comorbidities, or related symptoms.
06
Document the code(s) on the appropriate forms or electronic health record systems as per the facility's coding guidelines and procedures.

Who needs hallucinations and/or delusions ICD-10-CM?

01
Mental health professionals and psychologists analyzing and diagnosing patients with mental and behavioral disorders such as hallucinations and/or delusions.
02
Healthcare providers, including psychiatrists and primary care physicians, who are involved in the assessment and treatment of individuals experiencing hallucinations and/or delusions.
03
Healthcare administrators and coders responsible for accurate medical coding and reimbursement processes within healthcare organizations.
04
Researchers and epidemiologists studying mental health conditions and conducting epidemiological studies.
05
Insurance companies and payers processing claims and reimbursing healthcare services related to hallucinations and/or delusions.
06
Medical billing professionals ensuring correct coding and billing practices for services related to hallucinations and/or delusions.
07
Patients and their families who need accurate diagnoses and proper management strategies for dealing with hallucinations and/or delusions.
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