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016.06.20-217.062 Corneal Transplants

AR ADC 016.06.20-217.062Arkansas Administrative CodeEffective: February 1, 2022

West's Arkansas Administrative Code
Title 016. Department of Human Services
Division 06. Division of Medical Services
Rule 20. Hospital/Critical Access Hospital (CAH)/End-Stage Renal Disease (ESRD) Provider Manual (Refs & Annos)
Section 210.000. Program Coverage -- Hospital and Critical Access Hospital.
Section 217.000. Coverage Limitations.
Effective: February 1, 2022
Ark. Admin. Code 016.06.20-217.062
016.06.20-217.062 Corneal Transplants
A. Medicaid covers hospitalization related to corneal transplants from the date of the transplant procedure until the date of discharge, subject to the beneficiary's inpatient benefit utilization status if he or she is aged 21 or older and subject to MUMP precertification requirements.
B. Coverage includes the preservation of the organ from a cadaver donor but not the harvesting of the organ.
C. For processing, preserving and transporting corneal tissues, use procedure code. Requires paper billing and a manufacturer's invoice attached to the claim.
View or print the procedure codes for Hospital/Critical Access Hospitals/ESRD services.

Credits

Eff. Mar. 15, 2005. Amended Feb. 1, 2022.
<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 016.06.20-217.062, AR ADC 016.06.20-217.062
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