Recommended Encounter Data Set Elements

Nov 16, 2017 · MassHealth’s current validity process looks for standard codes only: CPT, ICD-9, HCPCS, and ADA. The non-standard codes are considered invalid by MassHealth. HIPPA regulations require that only standard HCPCS Level I(CPT) and II be used for reporting and data exchange. The only field containing procedure codes is the Procedure Code field ... ................
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