
Epsdt Forms PDF


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People also ask
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What does EPSDT mean in Medi-Cal terms?
A. “EPSDT” stands for Early and Periodic Screening, Diagnostic and Treatment. The EPSDT benefit provides comprehensive and preventive health services for children under age 21 who are enrolled in Medicaid.
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What code sets are used to report physician services?
The Current Procedural Terminology (CPT®) codes offer doctors and health care professionals a uniform language for coding medical services and procedures to streamline reporting, increase accuracy and efficiency.
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What CPT code is used to report?
The CPT descriptive terminology and associated code numbers provide the most widely accepted medical nomenclature used to report medical procedures and services for processing claims, conducting research, evaluating healthcare utilization, and developing medical guidelines and other forms of healthcare documentation.
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What EPSDT code is used to report new service requested?
What EPSDT code is used to report New Service Requested? (The following codes for EPSDT are used in 5010A1: AV for Available - Not Used, S2 for Under Treatment, ST for New Service Requested, and NU for Not Used.)
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What is the claim filing indicator code?
An EDI Claim file indicator is a code transmitted on an EDI/837 Claim file that tells the payer whether the primary insurance is Medicare or another commercial payer. It is included on all electronic 837P (professional claims) and 837I (institutional claims) claim files in Loop 2000B, segment SBR09.
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Which code set is used to report the what for outpatient facility services?
Final answer: The code set used to report procedures for outpatient facility services is the Current Procedural Terminology (CPT) code set, developed and maintained by the American Medical Association (AMA).
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What modifier is used for EPSDT?
If the first 5 or more components of an HCY/EPSDT screen are completed, you may bill using the age appropriate CPT code, EP modifier (along with modifier 52 to identify a partial screen was performed), and appropriate ICD-10 code to count toward your Participation Rate.
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What type of program is EPSDT?
The Early and Periodic Screening, Diagnostic and Treatment (EPSDT) benefit provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid.
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