Home Table of Contents

016.06.48-242.153 Low-Profile Skin Level Gastrostomy Tube (Low-Profile Button) and Low-Profile ...

AR ADC 016.06.48-242.153Arkansas Administrative CodeEffective: February 1, 2022

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 48. Prosthetics Provider Manual (Refs & Annos)
Section 242.000. CMS-1500 Billing Procedures.
Section 242.100. HCPCS Procedure Codes.
Effective: February 1, 2022
Ark. Admin. Code 016.06.48-242.153
016.06.48-242.153 Low-Profile Skin Level Gastrostomy Tube (Low-Profile Button) and Low-Profile Percutaneous Cecostomy Tube and Supplies for Beneficiaries of All Ages
Currentness
NOTE: When billing for the Low-Profile Percutaneous Cecostomy Tube or supplies, an additional third modifier UA will be required.
Modifiers in this section are indicated by the headings M1 and M2. Prior authorization requirements are shown under the heading PA.
View or print the procedure codes and modifiers for Durable Medical Equipment (DME), oxygen equipment and supplies, orthotic appliances, prosthetic devices and medical supplies, procedures and service.

Credits

Amended June 7, 2014; Nov. 1, 2017; Dec. 1, 2020; Feb. 1, 2022.
<Editor’s Note: Nonfunctioning links so in original.>
Current with amendments received through May 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.48-242.153, AR ADC 016.06.48-242.153
End of Document