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016.06.20-216.540 Family Planning Procedures

AR ADC 016.06.20-216.540Arkansas 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.
Effective: February 1, 2022
Ark. Admin. Code 016.06.20-216.540
016.06.20-216.540 Family Planning Procedures
The following procedure code table lists family planning procedures payable to hospitals. These codes require a primary diagnosis of family planning on the claim.
Sterilization procedures require paper billing with DMS-615 attached. View or print form DMS-615. View or print form DMS-615 Spanish.
View or print the procedure codes for Hospital/Critical Access Hospitals/ESRD services.
*CPT code represents a procedure to treat medical conditions as well as for elective sterilizations.
Family planning laboratory codes are found in Section 216.550.

Credits

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 016.06.20-216.540, AR ADC 016.06.20-216.540
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