Alabama Administrative Code
Title 560 - ALABAMA MEDICAID AGENCY
Chapter 560-X-39 - EXTRACORPOREAL SHOCK WAVE LITHOTRIPSY (ESWL)
Section 560-X-39-.03 - Physician Services
Universal Citation: AL Admin Code R 560-X-39-.03
Current through Register Vol. 42, No. 11, August 30, 2024
(1) For ESWL treatment to both kidneys during the same treatment period, Medicaid will pay the surgeon one-and-a-half times the regular reimbursement rate for the surgical procedure.
(2) For repeat ESWL treatments on the same recipient within a ninety-day period, Medicaid will reimburse the surgeon at half the regular reimbursement rate for the surgical procedure.
Author: Charles A. Reasner
Statutory Authority: State Plan; Title XIX, Social Security Act; 42 C.F.R. §§401, et seq.
Disclaimer: These regulations may not be the most recent version. Alabama may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google
Privacy Policy and
Terms of Service apply.
