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Aug 12, 2025 · The policies and procedures for enrolling with MSP and receiving payment for the medical services provided to patients vary from one type of practitioner to the next. Find resources and information related to your specific type of medical practice.
Jul 29, 2025 · In each case, explanatory codes accompany the payment, rejection, reduction or refusal in order to provide the practitioner with the reason for their claim not being paid in full.
MSP Service Locations Codes (SLCs) claim data fields will expand to reflect a greater diversity of treatment locations. This change will help to identify the type of facility and care settings where
SENILE AND PRESENILE ORGANIC PSYCHOTIC CONDITIONS SENILE DEMENTIA, SIMPLE TYPE PRESENILE DEMENTIA SENILE DEMENTIA, DEPRESSED OR PARANOID TYPE SENILE DEMENTIA WITH ACUTE CONFUSIONAL STATE ARTERIOSCLEROTIC DEMENTIA OTHER UNSPECIFIED ALCOHOLIC PSYCHOSES DELIRIUM TREMENS KORSAKOV’S …
ADDITIONAL DIAGNOSTIC CODES DIZZINESS, VERTIGO, INSOMNIA ABDOMINAL SWELLING NOT OTHERWISE SPECIFIED OR ABDOMINAL PAIN PRE-OPERATIVE ASSESSMENT (DENTAL) – NO DIAGNOSIS SPECIFIED GENERAL PSYCHIATRIC EXAMINATION – NO CARE REQUIRED GROWTH AND DEVELOPMENT FEEDING AND …
Medical Services Plan MSP Explanatory CodesJune 1, 2025
Aug 12, 2025 · MSP pays practitioner claims in accordance with the provisions of the Medicare Protection Act and Regulations, the relevant payment schedule, and MSP claims policy and procedures.
ADDITIONAL DIAGNOSTIC CODES 01A 02A 03A 04A 05A 06A 07A 08A 10A 11A 12A 31A 32A 33A 34A 35A
DIFFUSE DISEASES OF CONNECTIVE TISSUE SYSTEMIC LUPUS ERYTHEMATOSUS SYSTEMIC SCLEROSIS SICCA SYNDROME DERMATOMYOSITIS POLYMYOSITIS OTHER UNSPECIFIED ARTHROPATHY ASSOCIATED WITH INFECTIONS PYOGENIC ARTHRITIS ARTHROPATHY IN REITER'S DISEASE AND ALLIED CONDITIONS ARTHROPATHY IN …
Apr 11, 2017 · All claims submitted by physicians to the Medical Services Plan (MSP) must include a diagnostic code. This information allows MSP to verify claims and generate statistics about causes of illness and death.
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