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016.06.63-II. Billing Protocol

AR ADC 016.06.63-IIArkansas Administrative Code

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 63. Billing for Essure Procedure and Device
Ark. Admin. Code 016.06.63-II
016.06.63-II. Billing Protocol
Currentness
All providers are to separate their charges when billing for:
1) Performance of the “procedure”, “Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants-PROCEDURE ONLY” (CPT procedure code 58565). This service includes all supplies except provision of the device. Claims must be billed on paper with a correct DMS-615 attached.
2) Provision of the implant “device” for: “Hysteroscopy, surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants-DEVICE ONLY” Claims may be billed electronically or on paper. NOTE: Payment of the claim for the “device” will not be made without a paid or pending Essure “procedure” claim.

Credits

Adopted Nov. 26, 2009.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 016.06.63-II, AR ADC 016.06.63-II
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