Non-Covered Diagnoses — ICD-10 mappings and internal categorization
Lists diagnosis codes that are categorized as non-covered for Neighborhood Health Plan of Rhode Island; affects claims adjudication and billing for members and providers.
No material clinical or coverage changes in this revision.
Non-Covered Diagnoses
Non-Covered Diagnoses
Codes listed below are designated non-covered diagnoses:
ALL of the following
Non-covered code ranges and mappings
- N46.01 to N46.9 — Commercial mapping: L70.0 to L70.9; INTEGRITY mapping: N46.01 to N46.9
- N52.9 — Commercial mapping: L73.0; INTEGRITY mapping: N52.9
- N97.0 to N97.9 — Commercial mapping: L80; INTEGRITY mapping: N52.9
- Z00.8 — Commercial mapping: N52.9; INTEGRITY mapping: N97.0 to N97.9
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