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-2531 - Outpatient Services Not Billable on the UB-92

Universal Citation: LA Admin Code I-2531

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

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

1. ambulance;

2. psychiatric/psychological treatments and services;

3. therapeutic services;

4. all professional services including those provided by salaried personnel that are customarily billed separately and those provided in connection with emergency room service. These type of professional services must be billed on the HCFA-1500 Form;

5. outpatient clinic services; and

6. all outpatient durable medical and prosthetic/orthotic items.

B. Separate sets of billing instructions/fee schedules have been developed for the following services:

1. professional services (including chiropractor and physical therapy);

2. durable medical equipment and supplies;

3. prosthetic and orthotic equipment;

4. medical transportation (ambulance);

5. respiratory therapy;

6. nursing/home health and attendant services; and

7. ambulance.

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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