016.06.48-242.120 Medical Supplies for Beneficiaries of All Ages
AR ADC 016.06.48-242.120Arkansas Administrative CodeEffective: February 1, 2022
Effective: February 1, 2022
Ark. Admin. Code 016.06.48-242.120
016.06.48-242.120 Medical Supplies for Beneficiaries of All Ages
Procedure codes found in this section must be billed either electronically or on paper using modifier NU for beneficiaries of all ages. When a second modifier is listed, that modifier must be used in conjunction with the modifier NU.
Modifiers in this section are indicated by the headings M1 and M2
1 Not all medical supplies require prior authorization. Supplies with this symbol require prior authorization. Form DMS-679A must be used to request prior authorization. Note: Compression burn garments are manually priced. The manufacturer's invoice must be submitted with the request for compression burn garments. View or print form DMS-679A and instructions for completion.
-(...) This symbol, along with text in parentheses, indicates the Arkansas Medicaid description of the product. When using a procedure code with this symbol, the product must meet the indicated Arkansas Medicaid description.
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.
Credits
Amended Aug. 15, 2018; 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 016.06.48-242.120, AR ADC 016.06.48-242.120
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