Section R. 418.10925 - Billing requirements for other licensed facilitiesRule 925.
(1) A licensed facility, other than a hospital or freestanding surgical outpatient facility, shall bill the facility services on the UB-04 national uniform billing claim form and shall include the revenue codes contained in the Official UB-04 Data Specifications Manual, ICD-10-CM and ICD-10-PCS coding for diagnoses and procedures, and CPT procedure codes for surgical, radiological, laboratory, and medicine and evaluation and management services.(2) Only the technical component of a radiological service or a laboratory service shall be billed on the standardized UB-04 national uniform billing claim form.(3) All bills for the professional services shall be billed on a CMS 1500 claim form, using the appropriate CPT procedure code and modifier.(4) A report describing the services provided and the condition of the patient shall be included with the bill.Mich. Admin. Code R. 418.10925
1998-2000 AACS; 2003 AACS; 2005 AACS; 2008 AACS; 2014 AACS; 2017 MR 1, Eff. 1/13/2017