CMS 1500 Billing Instructions Guide - Maine

Ambulance claims must include a diagnosis code. For dates of service prior to 10/01/2015, use 780.99 (Other General Symptoms). For dates of service of 10/01/2015 and forward, use the appropriate ICD-10 code: R45.84 (anhedonia) or R68.89 (other general symptoms and signs). Box 22: Resubmission Code/Original Ref. No. ................
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