La. Admin. Code tit. 40 § I-2533

Current through Register Vol. 50, No. 12, December 20, 2024

Section I-2533 - Outpatient Revenue Codes Not Billable on the UB-92

A. The following revenue codes must be billed on the HCFA 1500 Form.

Revenue Code(s)	Description
274	Medical/Surgical Supplies Prosthetics
277	Medical/Surgical Supplies Take Home Oxygen
290	Durable Medical Equipment (DME) General Classification
291	DME-Rental
292	DME-Purchase
299	DME-Other Equipment
500-539	Outpatient Services, Clinic, Free-Standing Clinic and Osteopathic Services
570-599	Home Health Services
540-549	Ambulance Services
550-559	Skilled Nursing
820-859	Dialysis Service
860-879	Not Assigned
880-889	Miscellaneous Dialysis Services
900-909	Psychiatric/Psychological Treatments
910-919	Psychiatric/Psychological Services
940-949	Therapeutic Services
960-989	Professional Fees

La. Admin. Code tit. 40, § I-2533

Promulgated by the Department of Labor, Office of Workers' Compensation, LR 19:54 (January 1993), repromulgated LR 19:212 (February 1993), amended LR 20:1299 (November 1994).

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