016.06.21-213.000. Coverage of Parenteral Hyperalimentation Services/Benefit Limits.
AR ADC 016.06.21-213.000Arkansas Administrative Code
Ark. Admin. Code 016.06.21-213.000
016.06.21-213.000. Coverage of Parenteral Hyperalimentation Services/Benefit Limits.
Daily parenteral nutrition is considered medically necessary for a patient with severe pathology of the alimentary tract that does not allow absorption of sufficient nutrients to maintain weight and strength commensurate with the patient's general condition.
Hyperalimentation is delivery of nutrients through a central venous line. Hyperalimentation is not a covered service when delivered through a peripheral IV.
Coverage of parenteral nutrition therapy must be prior approved. Each request will be reviewed on a case by case basis. Some medical conditions that frequently cause severe nutritional deficiency, in spite of adequate oral intake, and result in the use of parenteral nutrition are:
Parenteral hyperalimentation services include the provision and delivery of the prescribed therapy, equipment and supplies necessary for the administration of the parenteral nutrition in the beneficiary's place of residence.
A nutritional assessment performed by the hyperalimentation provider is not a covered service.
Parenteral hyperalimentation services are limited to six units of service per day. A half-liter of the prescribed hyperalimentation total parenteral nutrition (TPN) equals one unit of service. Units may not be rounded up. Providers must bill a date span according to the prescribed daily volume. (Refer to Section 240.000 for billing instructions)
Credits
Eff. Oct. 1, 2006.
<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 016.06.21-213.000, AR ADC 016.06.21-213.000
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