Billing Modality

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Code
Modality
Effective Date
Expiration Date
         
         

Diagnosis

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Full Name
DSM
DSM-5
IVD-9
IVD-10
SNO
SNOMED
Effective Date
Expiration Date
                   
                   

AXIS II

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Full Name
Effective Date
Expiration Date
       
       

AXIS III

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Full Name
Effective Date
Expiration Date
       
       

Place of Service

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Place of Service
Effective Date
Expiration Date