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AUC Medical Code TAG Meeting Materials 03-14-13 - Minnesota ...

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DRAFT<br />

Table A.5.3.c – Substance Abuse Services: Outpatient Services<br />

837I<br />

Service<br />

Description<br />

Medication<br />

Assisted<br />

Treatment (MAT)<br />

– methadone<br />

(report LIN<br />

segment to<br />

identify drug)<br />

Medication<br />

Assisted<br />

Treatment (MAT)<br />

– all other drugs<br />

(report LIN<br />

segment to<br />

identify drug)<br />

MAT Plus –<br />

methadone<br />

(report LIN<br />

segment to<br />

identify drug)<br />

MAT Plus – all<br />

other drugs<br />

(report LIN<br />

segment to<br />

identify drug)<br />

Alcohol and/or<br />

drug assessment<br />

Outpatient<br />

Ancillary Services<br />

Unit Revenue <strong>Code</strong> HCPCS Procedure Type of Bill<br />

<strong>Code</strong><br />

Day 0944 H0020 089x or 0<strong>13</strong>x<br />

H0047 U9<br />

Day 0944 H0020 UA 089x or 0<strong>13</strong>x<br />

H0047 UB<br />

Session/visit 0900 H0001 As appropriate<br />

Based on revenue<br />

code<br />

As appropriate<br />

089x or 0<strong>13</strong>x<br />

30

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