Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-019 - Rehabilitative Hospital Provider Manual Update Transmittal #53
Current through Register Vol. 49, No. 9, September, 2024
242.122 Procedure Codes Requiring Modifiers
Treatment and therapy procedure codes may not be billed in conjunction with revenue code 0459. The basic non-emergency service is included in the coverage of the therapies.
|
Procedure Code |
Modifier |
Description |
|
T1015 |
U1 |
Outpatient Hospital Clinic Room Charge. This room charge includes supplies and non-physician staffing. |
|
77417 |
U1 |
Therapeutic Radiology Port Film(s) |
|
77417 |
U2 |
Therapeutic Radiology Port Film(s) |
|
77417 |
U3 |
Therapeutic Radiology Port Film(s) |
|
92507 |
UB |
Individual Speech Therapy by SLPA |
|
92508 |
UB |
Group Speech Therapy by SLPA |
|
97110 |
UB |
Individual Physical Therapy by Physical Therapy Assistant |
|
97150 |
U1 UB |
Group Occupational Therapy by Occupational Therapy Assistant |
|
97150 |
UB |
Group Physical Therapy by Physical Therapy Assistant |
|
97530 |
UB |
Individual Occupational Therapy by Occupational Therapy Assistant |
|
99401 |
UA |
Outpatient Hospital Clinic Room Charge-Periodic Family Planning Visit |
|
99402 |
UA |
Outpatient Hospital Clinic Room Charge-Basic Family Planning Visit |
