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016.06.3-242.110. ASC Dental Billing

AR ADC 016.06.3-242.110Arkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 3. Ambulatory Surgical Center Provider Manual (Refs & Annos)
Section 240.000. Billing Procedures
Ark. Admin. Code 016.06.3-242.110
016.06.3-242.110. ASC Dental Billing
Currentness
Outpatient dental surgical procedures performed in an ASC are billed to Medicaid with revenue codes rather than with HCPCS or CPT procedure codes. Bill Medicaid with the revenue code that is in the same outpatient surgical group as the surgery performed. Modifier SG should not be billed with Dental surgery revenue codes below.
Revenue Code
Description
0361
Group I, Outpatient Dental Surgery
0360
Group II, Outpatient Dental Surgery
0369
Group III, Outpatient Dental Surgery
0509
Group IV, Outpatient Dental Surgery

Credits

Eff. Nov. 1, 2008; Nov. 1, 2007; May 1, 2007; July 1, 2007. Amended March 7, 2014; July 1, 2014.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.3-242.110, AR ADC 016.06.3-242.110
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