The Vanguard Solution
Behavioral health coding, payer policy and compliance — in one reference.
1,879 reference topics across 12 disciplines, each linked back to the agency, accreditor or payer that publishes the requirement. No login, no sales gate.
- Reference topics
- 1,879
- Disciplines
- 12
- Primary-source links
- 2,605
- Coded services profiled
- 65
The library
Every category is organized the way the work happens — the code or requirement first, then the documentation that supports it, then the source that governs it.
Procedure Codes
175CPT and HCPCS context for behavioral health services — who may report each code, the documentation that supports it, unit and time rules, modifiers, and how payers evaluate it.
Diagnosis Coding
20ICD-10-CM selection and specificity for behavioral health diagnoses, including code-set structure and payer coverage considerations.
Payer Policies
52Payer-specific coverage, authorization, credentialing and claim-submission requirements for behavioral health services.
Billing & Reimbursement
66Claim construction, denial resolution, revenue-cycle and reimbursement context across commercial, Medicare and Medicaid behavioral health.
Levels of Care
26ASAM placement criteria, program types from outpatient through residential, utilization review and continued-stay context.
Clinical Assessments
7Standardized screening and assessment instruments, scoring, and the encounter workflows they support.
Documentation
14Note structures, treatment planning and documentation elements that establish and sustain medical necessity.
Compliance & Accreditation
45Accreditation standards, privacy and confidentiality rules, program certification and federal oversight requirements.
Professional Organizations
98Accrediting bodies, provider associations, government agencies and recovery organizations, with links to each body's own standards.
Professional Licensing
6Licensure paths, scope of practice and verification requirements by discipline and jurisdiction.
State Requirements
1,362State and local licensing, Medicaid, telehealth and program-operation requirements, linked to each jurisdiction's own authority.
Industry Guidance
8Operational guidance for running behavioral health programs — startup, staffing, oversight readiness and program administration.
2026 Psychiatry Coding and Coverage Guide
Aetna Commercial and Aetna Medicare Advantage - Las Vegas, Nevada
The full payer-specific guide is preserved here in its own route: authenticated contracted rates, covered diagnoses, payer guidelines and CCI relationships, searchable by exact code.
- Code profiles
- 65
- Payer guideline rows
- 130
- Covered diagnoses
- 234
- Contracted rates
- 0
- CCI relationships
- 1,830
Sourced, not summarized
Requirements change at the agency, not in a blog post. Each topic keeps the publisher's own link so a coder, biller or program director can confirm the current rule at the source.
See the primary sources