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16th November 2015, 02:29 PM
Super Moderator
 
Join Date: May 2012
Re: Cherokee Mental Health Center IOWA

As you want to get the disability services and Elective C-Section Coverage Table of Cherokee Mental Health Institute so here is the information of the same for you:

Disability Services:
Community-based Services
Intermediate Care Facilities
Employment Supports
Resource Centers
State Supplementry Assistance
Targeted Case Management

Covered Services, Rates, and Payments:
ICD -10 Elective C-Section Coverage Table:
Group 1 Elective C-sections
O30001 -- Twin preg, unsp num plcnta & amnio sacs, first trimester
O30002 -- Twin preg, unsp num plcnta & amnio sacs, second trimester
O30003 -- Twin preg, unsp num plcnta & amnio sacs, third trimester
O30009 -- Twin pregnancy, unsp num plcnta & amnio sacs, unsp trimester
O30021 -- Conjoined twin pregnancy, first trimester
O30022 -- Conjoined twin pregnancy, second trimester
O30023 -- Conjoined twin pregnancy, third trimester
O30029 -- Conjoined twin pregnancy, unspecified trimester
O30101 -- Triplet preg, unsp num plcnta & amnio sacs, first trimester
O30102 -- Triplet preg, unsp num plcnta & amnio sacs, second trimester
O30103 -- Triplet preg, unsp num plcnta & amnio sacs, third trimester
O30109 -- Triplet preg, unsp num plcnta & amnio sacs, unsp trimester
O30201 -- Quad preg, unsp num plcnta & amnio sacs, first trimester
O30202 -- Quad preg, unsp num plcnta & amnio sacs, second trimester
O30203 -- Quad preg, unsp num plcnta & amnio sacs, third trimester
O30209 -- Quad pregnancy, unsp num plcnta & amnio sacs, unsp trimester
O30801 -- Oth multiple gest, unsp num plcnta & amnio sacs, first tri
O30802 -- Oth multiple gest, unsp num plcnta & amnio sacs, second tri
O30803 -- Oth multiple gest, unsp num plcnta & amnio sacs, third tri
O30809 -- Oth multiple gest, unsp num plcnta & amnio sacs, unsp tri
O30811 -- Oth mult gest w two or more monochorionic fetuses, first tri
O30812 -- Oth mult gest w two or more monochorionic fetuses, 2nd tri
O30813 -- Oth mult gest w two or more monochorionic fetuses, third tri
O30821 -- Oth multiple gest w two or more monoamnio fetuses, first tri
O30822 -- Oth mult gest w two or more monoamnio fetuses, second tri
O30823 -- Oth multiple gest w two or more monoamnio fetuses, third tri
O30891 -- Oth mult gest, unab to dtrm num plcnta & amnio sacs, 1st tri
O30892 -- Oth mult gest, unab to dtrm num plcnta & amnio sacs, 2nd tri
O30893 -- Oth mult gest, unab to dtrm num plcnta & amnio sacs, 3rd tri
O3090 -- Multiple gestation, unspecified, unspecified trimester
O3091 -- Multiple gestation, unspecified, first trimester
O3092 -- Multiple gestation, unspecified, second trimester
O3093 -- Multiple gestation, unspecified, third trimester
O3110X0 -- Cont preg aft spon abort of one fts or more, unsp tri, unsp
O3110X1 -- Cont preg aft spon abort of one fts or more, unsp tri, fts1
O3110X2 -- Cont preg aft spon abort of one fts or more, unsp tri, fts2
O3110X3 -- Cont preg aft spon abort of one fts or more, unsp tri, fts3
O3110X4 -- Cont preg aft spon abort of one fts or more, unsp tri, fts4
O3110X5 -- Cont preg aft spon abort of one fts or more, unsp tri, fts5
O3110X9 -- Cont preg aft spon abort of one fetus or more, unsp tri, oth
O3111X0 -- Cont preg aft spon abort of one fts or more, first tri, unsp
O3111X1 -- Cont preg aft spon abort of one fts or more, first tri, fts1
O3111X2 -- Cont preg aft spon abort of one fts or more, first tri, fts2
O3111X3 -- Cont preg aft spon abort of one fts or more, first tri, fts3
O3111X4 -- Cont preg aft spon abort of one fts or more, first tri, fts4
O3111X5 -- Cont preg aft spon abort of one fts or more, first tri, fts5
O3111X9 -- Cont preg aft spon abort of one fts or more, first tri, oth
O3112X0 -- Cont preg aft spon abort of one fetus or more, 2nd tri, unsp
O3112X1 -- Cont preg aft spon abort of one fetus or more, 2nd tri, fts1
O3112X2 -- Cont preg aft spon abort of one fetus or more, 2nd tri, fts2
O3112X3 -- Cont preg aft spon abort of one fetus or more, 2nd tri, fts3
O3112X4 -- Cont preg aft spon abort of one fetus or more, 2nd tri, fts4
O3112X5 -- Cont preg aft spon abort of one fetus or more, 2nd tri, fts5
O3112X9 -- Cont preg aft spon abort of one fetus or more, 2nd tri, oth
O3113X0 -- Cont preg aft spon abort of one fts or more, third tri, unsp
O3113X1 -- Cont preg aft spon abort of one fts or more, third tri, fts1
O3113X2 -- Cont preg aft spon abort of one fts or more, third tri, fts2
O3113X3 -- Cont preg aft spon abort of one fts or more, third tri, fts3
O3113X4 -- Cont preg aft spon abort of one fts or more, third tri, fts4
O3113X5 -- Cont preg aft spon abort of one fts or more, third tri, fts5
O3113X9 -- Cont preg aft spon abort of one fts or more, third tri, oth
O3120X0 -- Cont preg aft uterin dth of one fts or more, unsp tri, unsp
O3120X1 -- Cont preg aft uterin dth of one fts or more, unsp tri, fts1
O3120X2 -- Cont preg aft uterin dth of one fts or more, unsp tri, fts2
O3120X3 -- Cont preg aft uterin dth of one fts or more, unsp tri, fts3
O3120X4 -- Cont preg aft uterin dth of one fts or more, unsp tri, fts4
O3120X5 -- Cont preg aft uterin dth of one fts or more, unsp tri, fts5
O3120X9 -- Cont preg aft uterin dth of one fetus or more, unsp tri, oth
O3121X0 -- Cont preg aft uterin dth of one fts or more, first tri, unsp
O3121X1 -- Cont preg aft uterin dth of one fts or more, first tri, fts1
O3121X2 -- Cont preg aft uterin dth of one fts or more, first tri, fts2
O3121X3 -- Cont preg aft uterin dth of one fts or more, first tri, fts3
O3121X4 -- Cont preg aft uterin dth of one fts or more, first tri, fts4
O3121X5 -- Cont preg aft uterin dth of one fts or more, first tri, fts5
O3121X9 -- Cont preg aft uterin dth of one fts or more, first tri, oth
O3122X0 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, unsp
O3122X1 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, fts1
O3122X2 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, fts2
O3122X3 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, fts3
O3122X4 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, fts4
O3122X5 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, fts5
O3122X9 -- Cont preg aft uterin dth of one fetus or more, 2nd tri, oth
O3123X0 -- Cont preg aft uterin dth of one fts or more, third tri, unsp
O3123X1 -- Cont preg aft uterin dth of one fts or more, third tri, fts1
O3123X2 -- Cont preg aft uterin dth of one fts or more, third tri, fts2
O3123X3 -- Cont preg aft uterin dth of one fts or more, third tri, fts3
O3123X4 -- Cont preg aft uterin dth of one fts or more, third tri, fts4
O3123X5 -- Cont preg aft uterin dth of one fts or more, third tri, fts5
O3123X9 -- Cont preg aft uterin dth of one fts or more, third tri, oth
O3130X0 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,unsp
O3130X1 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts1
O3130X2 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts2
O3130X3 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts3
O3130X4 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts4
O3130X5 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri,fts5
O3130X9 -- Cont preg aft elctv fetl rdct of 1 fts or more,unsp tri, oth
O3131X0 -- Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, unsp
O3131X1 -- Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts1
O3131X2 -- Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts2
O3131X3 -- Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts3
O3131X4 -- Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts4
O3131X5 -- Cont preg aft elctv fetl rdct of 1 fts or more,1st tri, fts5
O3131X9 -- Cont preg aft elctv fetl rdct of 1 fts or more, 1st tri, oth
O3132X0 -- Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, unsp
O3132X1 -- Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts1
O3132X2 -- Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts2
O3132X3 -- Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts3
O3132X4 -- Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts4
O3132X5 -- Cont preg aft elctv fetl rdct of 1 fts or more,2nd tri, fts5
O3132X9 -- Cont preg aft elctv fetl rdct of 1 fts or more, 2nd tri, oth
O3133X0 -- Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, unsp
O3133X1 -- Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts1
O3133X2 -- Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts2
O3133X3 -- Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts3
O3133X4 -- Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts4
O3133X5 -- Cont preg aft elctv fetl rdct of 1 fts or more,3rd tri, fts5
O3133X9 -- Cont preg aft elctv fetl rdct of 1 fts or more, 3rd tri, oth
O318X10 -- Oth comp specific to multiple gest, first trimester, unsp
O318X11 -- Oth comp specific to multiple gest, first trimester, fetus 1
O318X12 -- Oth comp specific to multiple gest, first trimester, fetus 2
O318X13 -- Oth comp specific to multiple gest, first trimester, fetus 3
O318X14 -- Oth comp specific to multiple gest, first trimester, fetus 4
O318X15 -- Oth comp specific to multiple gest, first trimester, fetus 5
O318X19 -- Oth comp specific to multiple gest, first trimester, oth
O318X20 -- Oth comp specific to multiple gest, second trimester, unsp
O318X21 -- Oth comp specific to multiple gest, second tri, fetus 1
O318X22 -- Oth comp specific to multiple gest, second tri, fetus 2
O318X23 -- Oth comp specific to multiple gest, second tri, fetus 3
O318X24 -- Oth comp specific to multiple gest, second tri, fetus 4
O318X25 -- Oth comp specific to multiple gest, second tri, fetus 5
O318X29 -- Oth comp specific to multiple gest, second trimester, oth
O318X30 -- Oth comp specific to multiple gest, third trimester, unsp
O318X31 -- Oth comp specific to multiple gest, third trimester, fetus 1
O318X32 -- Oth comp specific to multiple gest, third trimester, fetus 2
O318X33 -- Oth comp specific to multiple gest, third trimester, fetus 3
O318X34 -- Oth comp specific to multiple gest, third trimester, fetus 4
O318X35 -- Oth comp specific to multiple gest, third trimester, fetus 5
O318X39 -- Oth comp specific to multiple gest, third trimester, oth
O318X90 -- Oth comp specific to multiple gest, unsp trimester, unsp
O318X91 -- Oth comp specific to multiple gest, unsp trimester, fetus 1
O318X92 -- Oth comp specific to multiple gest, unsp trimester, fetus 2
O318X93 -- Oth comp specific to multiple gest, unsp trimester, fetus 3
O318X94 -- Oth comp specific to multiple gest, unsp trimester, fetus 4
O318X95 -- Oth comp specific to multiple gest, unsp trimester, fetus 5
O318X99 -- Oth comp specific to multiple gestation, unsp trimester, oth
O320XX0 -- Maternal care for unstable lie, not applicable or unsp
O320XX1 -- Maternal care for unstable lie, fetus 1
O320XX2 -- Maternal care for unstable lie, fetus 2
O320XX3 -- Maternal care for unstable lie, fetus 3
O320XX4 -- Maternal care for unstable lie, fetus 4
O320XX5 -- Maternal care for unstable lie, fetus 5
O320XX9 -- Maternal care for unstable lie, other fetus
O321XX0 -- Maternal care for breech presentation, unsp
O321XX1 -- Maternal care for breech presentation, fetus 1
O321XX2 -- Maternal care for breech presentation, fetus 2
O321XX3 -- Maternal care for breech presentation, fetus 3
O321XX4 -- Maternal care for breech presentation, fetus 4
O321XX5 -- Maternal care for breech presentation, fetus 5
O321XX9 -- Maternal care for breech presentation, other fetus
O322XX0 -- Maternal care for transverse and oblique lie, unsp
O322XX1 -- Maternal care for transverse and oblique lie, fetus 1
O322XX2 -- Maternal care for transverse and oblique lie, fetus 2
O322XX3 -- Maternal care for transverse and oblique lie, fetus 3
O322XX4 -- Maternal care for transverse and oblique lie, fetus 4
O322XX5 -- Maternal care for transverse and oblique lie, fetus 5
O322XX9 -- Maternal care for transverse and oblique lie, other fetus
O323XX0 -- Maternal care for face, brow and chin presentation, unsp
O323XX1 -- Maternal care for face, brow and chin presentation, fetus 1
O323XX2 -- Maternal care for face, brow and chin presentation, fetus 2
O323XX3 -- Maternal care for face, brow and chin presentation, fetus 3
O323XX4 -- Maternal care for face, brow and chin presentation, fetus 4
O323XX5 -- Maternal care for face, brow and chin presentation, fetus 5
O323XX9 -- Maternal care for face, brow and chin presentation, oth
O324XX0 -- Maternal care for high head at term, not applicable or unsp
O324XX1 -- Maternal care for high head at term, fetus 1
O324XX2 -- Maternal care for high head at term, fetus 2
O324XX3 -- Maternal care for high head at term, fetus 3
O324XX4 -- Maternal care for high head at term, fetus 4
O324XX5 -- Maternal care for high head at term, fetus 5
O324XX9 -- Maternal care for high head at term, other fetus
O326XX0 -- Maternal care for compound presentation, unsp
O326XX1 -- Maternal care for compound presentation, fetus 1
O326XX2 -- Maternal care for compound presentation, fetus 2
O326XX3 -- Maternal care for compound presentation, fetus 3
O326XX4 -- Maternal care for compound presentation, fetus 4
O326XX5 -- Maternal care for compound presentation, fetus 5
O326XX9 -- Maternal care for compound presentation, other fetus
O328XX0 -- Maternal care for oth malpresentation of fetus, unsp
O328XX1 -- Maternal care for other malpresentation of fetus, fetus 1
O328XX2 -- Maternal care for other malpresentation of fetus, fetus 2
O328XX3 -- Maternal care for other malpresentation of fetus, fetus 3
O328XX4 -- Maternal care for other malpresentation of fetus, fetus 4
O328XX5 -- Maternal care for other malpresentation of fetus, fetus 5
O328XX9 -- Maternal care for oth malpresentation of fetus, other fetus
O329XX0 -- Maternal care for malpresentation of fetus, unsp, unsp
O329XX1 -- Maternal care for malpresentation of fetus, unsp, fetus 1
O329XX2 -- Maternal care for malpresentation of fetus, unsp, fetus 2
O329XX3 -- Maternal care for malpresentation of fetus, unsp, fetus 3
O329XX4 -- Maternal care for malpresentation of fetus, unsp, fetus 4
O329XX5 -- Maternal care for malpresentation of fetus, unsp, fetus 5
O329XX9 -- Maternal care for malpresentation of fetus, unsp, oth fetus
O331 -- Matern care for disproprtn d/t generally contracted pelvis
O332 -- Maternal care for disproprtn due to inlet contrctn of pelvis
O333XX0 -- Matern care for disproprtn d/t outlet contrctn of pelv, unsp
O333XX1 -- Matern care for disproprtn d/t outlet contrctn of pelv, fts1
O333XX2 -- Matern care for disproprtn d/t outlet contrctn of pelv, fts2
O333XX3 -- Matern care for disproprtn d/t outlet contrctn of pelv, fts3
O333XX4 -- Matern care for disproprtn d/t outlet contrctn of pelv, fts4
O333XX5 -- Matern care for disproprtn d/t outlet contrctn of pelv, fts5
O333XX9 -- Matern care for disproprtn d/t outlet contrctn of pelv, oth
O334XX0 -- Matern care for disproprtn of mix matern & fetl origin, unsp
O334XX1 -- Matern care for disproprtn of mix matern & fetl origin, fts1
O334XX2 -- Matern care for disproprtn of mix matern & fetl origin, fts2
O334XX3 -- Matern care for disproprtn of mix matern & fetl origin, fts3
O334XX4 -- Matern care for disproprtn of mix matern & fetl origin, fts4
O334XX5 -- Matern care for disproprtn of mix matern & fetl origin, fts5
O334XX9 -- Matern care for disproprtn of mix matern & fetl origin, oth
O335XX0 -- Matern care for disproprtn d/t unusually large fetus, unsp
O335XX1 -- Matern care for disproprtn d/t unusually large fetus, fts1
O335XX2 -- Matern care for disproprtn d/t unusually large fetus, fts2
O335XX3 -- Matern care for disproprtn d/t unusually large fetus, fts3
O335XX4 -- Matern care for disproprtn d/t unusually large fetus, fts4
O335XX5 -- Matern care for disproprtn d/t unusually large fetus, fts5
O335XX9 -- Matern care for disproprtn due to unusually large fetus, oth
O336XX0 -- Matern care for disproprtn due to hydrocephalic fetus, unsp
O336XX1 -- Matern care for disproprtn due to hydrocephalic fetus, fts1
O336XX2 -- Matern care for disproprtn due to hydrocephalic fetus, fts2
O336XX3 -- Matern care for disproprtn due to hydrocephalic fetus, fts3
O336XX4 -- Matern care for disproprtn due to hydrocephalic fetus, fts4
O336XX5 -- Matern care for disproprtn due to hydrocephalic fetus, fts5
O336XX9 -- Maternal care for disproprtn due to hydrocephalic fetus, oth
O337 -- Maternal care for disproportion due to oth fetal deformities
O338 -- Maternal care for disproportion of other origin
O339 -- Maternal care for disproportion, unspecified
O3400 -- Maternal care for unsp congen malform of uterus, unsp tri
O3401 -- Maternal care for unsp congen malform of uterus, first tri
O3402 -- Maternal care for unsp congen malform of uterus, second tri
O3403 -- Maternal care for unsp congen malform of uterus, third tri
O3410 -- Maternal care for benign tumor of corpus uteri, unsp tri
O3411 -- Maternal care for benign tumor of corpus uteri, first tri
O3412 -- Maternal care for benign tumor of corpus uteri, second tri
O3413 -- Maternal care for benign tumor of corpus uteri, third tri
O3421 -- Maternal care for scar from previous cesarean delivery
O3429 -- Maternal care due to uterine scar from oth previous surgery
O3440 -- Maternal care for oth abnlt of cervix, unsp trimester
O3441 -- Maternal care for oth abnlt of cervix, first trimester
O3442 -- Maternal care for oth abnlt of cervix, second trimester
O3443 -- Maternal care for oth abnlt of cervix, third trimester
O34511 -- Maternal care for incarceration of gravid uterus, first tri
O34512 -- Maternal care for incarceration of gravid uterus, second tri
O34513 -- Maternal care for incarceration of gravid uterus, third tri
O34519 -- Maternal care for incarceration of gravid uterus, unsp tri
O34521 -- Maternal care for prolapse of gravid uterus, first trimester
O34522 -- Maternal care for prolapse of gravid uterus, second tri
O34523 -- Maternal care for prolapse of gravid uterus, third trimester
O34529 -- Maternal care for prolapse of gravid uterus, unsp trimester
O34531 -- Maternal care for retroversion of gravid uterus, first tri
O34532 -- Maternal care for retroversion of gravid uterus, second tri
O34533 -- Maternal care for retroversion of gravid uterus, third tri
O34539 -- Maternal care for retroversion of gravid uterus, unsp tri
O34591 -- Maternal care for oth abnlt of gravid uterus, first tri
O34592 -- Maternal care for oth abnlt of gravid uterus, second tri
O34593 -- Maternal care for oth abnlt of gravid uterus, third tri
O34599 -- Maternal care for oth abnlt of gravid uterus, unsp trimester
O3460 -- Maternal care for abnormality of vagina, unsp trimester
O3461 -- Maternal care for abnormality of vagina, first trimester
O3462 -- Maternal care for abnormality of vagina, second trimester
O3463 -- Maternal care for abnormality of vagina, third trimester
O3470 -- Maternal care for abnlt of vulva and perineum, unsp tri
O3471 -- Maternal care for abnlt of vulva and perineum, first tri
O3472 -- Maternal care for abnlt of vulva and perineum, second tri
O3473 -- Maternal care for abnlt of vulva and perineum, third tri
O3480 -- Maternal care for oth abnlt of pelvic organs, unsp trimester
O3481 -- Maternal care for oth abnlt of pelvic organs, first tri
O3482 -- Maternal care for oth abnlt of pelvic organs, second tri
O3483 -- Maternal care for oth abnlt of pelvic organs, third tri
O3490 -- Maternal care for abnlt of pelvic organ, unsp, unsp tri
O3491 -- Maternal care for abnlt of pelvic organ, unsp, first tri
O3492 -- Maternal care for abnlt of pelvic organ, unsp, second tri
O3493 -- Maternal care for abnlt of pelvic organ, unsp, third tri
O350XX0 -- Maternal care for (suspected) cnsl malform in fetus, unsp
O350XX1 -- Maternal care for (suspected) cnsl malform in fetus, fetus 1
O350XX2 -- Maternal care for (suspected) cnsl malform in fetus, fetus 2
O350XX3 -- Maternal care for (suspected) cnsl malform in fetus, fetus 3
O350XX4 -- Maternal care for (suspected) cnsl malform in fetus, fetus 4
O350XX5 -- Maternal care for (suspected) cnsl malform in fetus, fetus 5
O350XX9 -- Maternal care for (suspected) cnsl malform in fetus, oth
O43121 -- Velamentous insertion of umbilical cord, first trimester
O43122 -- Velamentous insertion of umbilical cord, second trimester
O43123 -- Velamentous insertion of umbilical cord, third trimester
O43129 -- Velamentous insertion of umbilical cord, unsp trimester
O4400 -- Placenta previa specified as w/o hemorrhage, unsp trimester
O4401 -- Placenta previa specified as w/o hemorrhage, first trimester

Skilled Nursing Services:

ON WITH LIFE INC
MERCY MEDICAL CENTER ECF
MERCY HOSPITAL SNF
GREAT RIVER MEDICAL CENTER SNF
GRANDVIEW HEALTH CARE CENTER
CHILDSERVE HABILITATION CENTER
MERCY MEDICAL CENTER--NORTH IOWA
MERCY MEDICAL CENTER--DUBUQUE
FLEUR HEIGHTS CENTER FOR WELLNESS
ON WITH LIFE AT GLENWOOD
CARING ACRES NURSING & REHAB CENTER

Adjustment request Form:


Contact Details:
Cherokee Mental Health Institute
1251 W Cedar Loop,
Cherokee,
IA 51012,
United States
[MAP]Cherokee Mental Health Institute United States[/MAP]


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