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Addendum. Behavioral Health Exclusion Codes Preamble Code Ranges for Behavioral Health Identification or Exclusion cover the following attributes: Diagnosis Code (for ICD9 and for ICD10) Drug Class
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Who needs behavioral health exclusion codes?
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Behavioral health exclusion codes are needed by healthcare providers, insurance companies, and other entities in the healthcare industry.
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They are used to exclude specific behavioral health services or conditions from coverage or reimbursement under certain circumstances.
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Therefore, anyone involved in the administration, billing, or management of behavioral health services may need to be familiar with and use behavioral health exclusion codes.
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What is behavioral health exclusion codes?
Behavioral health exclusion codes are codes used to identify certain behavioral health services that are excluded from coverage by insurance providers.
Who is required to file behavioral health exclusion codes?
Healthcare providers and insurance companies are required to file behavioral health exclusion codes.
How to fill out behavioral health exclusion codes?
Behavioral health exclusion codes can be filled out electronically using the appropriate code sets and submitting them to the relevant regulatory bodies.
What is the purpose of behavioral health exclusion codes?
The purpose of behavioral health exclusion codes is to ensure that certain behavioral health services are not covered by insurance providers, thereby controlling costs and ensuring appropriate utilization of services.
What information must be reported on behavioral health exclusion codes?
Behavioral health exclusion codes must include the specific service being excluded, the reason for exclusion, and any relevant policy or guideline references.
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