016.06.48-242.155 Billing and Reimbursement Protocol for FM (Frequency Modulation) System and R...
AR ADC 016.06.48-242.155Arkansas Administrative CodeEffective: February 1, 2022
Effective: February 1, 2022
Ark. Admin. Code 016.06.48-242.155
016.06.48-242.155 Billing and Reimbursement Protocol for FM (Frequency Modulation) System and Replacement Cochlear Implant Parts
Procedure codes in the table below require paper claim submission with a manufacturer's invoice attached that demonstrates the specific cost per item. The invoice must clearly indicate the specific item(s) supplied to the beneficiary for whom the claim is billed. Procedure codes may be submitted electronically or on a paper claim form. Procedure code may be submitted electronically or on a paper claim form. For provider charges for an FM system that is meant to be used with a cochlear implant, should reflect the retail price. For reimbursement of an FM system to be used with a cochlear implant, will be at 68 percent of the retail price.
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 services.
*Denotes paper claim
Credits
Adopted Nov. 1, 2017. Amended 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 016.06.48-242.155, AR ADC 016.06.48-242.155
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