Arkansas Administrative Code
Agency 016 - DEPARTMENT OF HUMAN SERVICES
Division 06 - Medical Services
Rule 016.06.05-020 - Hospital/Critical Access Hospital (CAH)/End-Stage Renal Disease (ESRD) Update Transmittal #76
Current through Register Vol. 49, No. 9, September, 2024
Section II Hospital/Critical Access Hospital (CAH)/End Stage Renal Disease (ESRD)
|
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 |
