Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 2 - Medical Guidelines
Chapter 25 - Hospital Reimbursement Schedule, Billing Instruction and Maintenance Procedures
Section I-2525 - Inpatient Services Not Billable on the UB-92

Universal Citation: LA Admin Code I-2525

Current through Register Vol. 50, No. 9, September 20, 2024

A. The following inpatient services are not billable on the UB-92 Form unless they are customarily billed in that manner:

1. durable medical equipment when charges exceed $150;

2. orthotic/prosthetic appliance when charges exceed $150 (Pacemakers and other surgically implanted devices may be billed on UB-92);

3. ambulance;

4. psychiatric/psychological treatments and services;

5. therapeutic services;

6. professional services customarily billed separately must be billed on the HCFA-1500 Claim Form; and

7. separate sets of billing instructions have been developed for the following services:
a. professional services (including chiropractor and physical therapy);

b. durable medical equipment and supplies;

c. prosthetic and orthotic equipment;

d. medical transportation (ambulance);

e. respiratory therapy; and

f. nursing/home health and attendant services.

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.

Disclaimer: These regulations may not be the most recent version. Louisiana 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.
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