Cpt for referral
[DOC File]Referral and Authorization Process in the Managed Care ...
https://info.5y1.org/cpt-for-referral_1_722401.html
Referral provider’s name and specialty. Outpatient data elements. Referral or service date. Diagnosis (ICD-9-CM, free text) Number of visits authorized. Specific procedures authorized (CPT-4, free text) Inpatient data elements. Name of institution. Admitting physician. Admission or service dare. Diagnosis (ICD-9-CM, diagnosis related group ...
[DOC File]OCCUPATIONAL HEALTH SERVICES PHYSICIAN REFERRAL FORM
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Referral for performance based physical capacity evaluation. Referral for health services coordination or nurse consultant review. Referral for vocational rehabilitation. Other: Provider Signature Date Billing Codes: Reference: L&I Medical Aid Rules & Fee Schedule 2009 -MARFS and Current Procedural Terminology 2009 -CPT® 2009 codes.
[DOC File]Referring Doctor’s Name:
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Anorectal Manometry (includes Anorectal manometry CPT 91122, EMG CPT 51784, Rectal Sensation, Tone, & Compliance CPT 91120 & expulsion catheter) ... All tests require a referral from a medical provider along with an indication for the diagnostic test. An appointment will be scheduled and mailed to the patient after the referral is received.
[DOC File]Child Health Services/Early and Periodic Screening ...
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A referral to a dentist for an oral screen is offered beginning at childbirth. See Section 242.100 for procedure codes. 215.270 Laboratory Procedures (CPT Codes) 3-1-14 Laboratory procedures should be performed as appropriate for the child’s age and population group. See Sections 215.310 through 215.340 for age and testing recommendations.
[DOC File]MCP PCM BOOKING
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Referral Procedure: This field is used to enter CPT procedure codes for a referral to identify specific treatment(s) for which a beneficiary is being referred. MCP PCM BOOKING. III. TO CHANGE AN APPOINTMENT TYPE; ADD SLOTS TO A SPECIFIC
[DOC File]CONNECT Portal
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Requests submitted as an urgent referral when standard timeframes could seriously jeopardize the Member's life or health or ability to attain, maintain or regain maximum function. ROUTINE (5 BUSINESS DAYS/*14 CALENDAR DAYS) ... CPT Code: _____ CPT Description: _____ ...
[DOC File]Outpatient Behavioral Health Services (OBHS) Section II
https://info.5y1.org/cpt-for-referral_1_9f0d11.html
B. PLACE OF SERVICE Two-digit national standard place of service code. See Section 252.200 for codes. C. EMG Enter “Y” for “Yes” or leave blank if “No”. EMG identifies if the service was an emergency. D. PROCEDURES, SERVICES, OR SUPPLIES CPT/HCPCS Enter the correct CPT or HCPCS procedure codes from Sections 252.100 through 252.150.
[DOC File]NEW JERSEY ADMINISTRATIVE CODE
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2. CPT 97012 is the appropriate code for billing powered traction therapy. 3. CPT 97026 is the appropriate code for billing cold or low-powered laser therapy. 4. HPCPS code G0283 is the appropriate code for billing unattended electrical stimulation. 5.
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