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-2527 - Inpatient Revenue Codes Not Billable on the UB-92
Universal Citation: LA Admin Code I-2527
Current through Register Vol. 50, No. 9, September 20, 2024
A. The following revenue codes must be billed on the HCFA 1500 Form as professional services.
Revenue Code(s) |
Description |
290 |
Durable Medical Equipment (DME) General Classification (Except charge under $150) |
291 |
DME-Rental |
292 |
DME-Purchase |
299 |
DME-Other Equipment |
540-549 |
Ambulance Services |
900-909 |
Psychiatric/Psychological Treatments |
910-919 |
Psychiatric/Psychological Services |
940-949 |
Therapeutic Services |
960-989 |
Professional Fees |
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1034.2.
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