Or. Admin. Code § 410-146-0130

Current through Register Vol. 63, No. 11, November 1, 2024

Section 410-146-0130 - Modifiers

(1) The Division uses HIPAA compliant modifiers for many services.

(2) The following services require the use of a modifier for all services for all procedures:

(a) Family planning service -- FP, refer to OAR 410-130-0585 Family Planning Services;

(b) Vaccine for children -- SL or 26, refer to OAR 410-130-0255.

(3) When billing for services that are reimbursed outside an IHCP's cost-based or IHS rate, a clinic must use the required modifier listed in the individual program-specific administrative rules.

Or. Admin. Code § 410-146-0130

OMAP 59-2002, f. & cert. ef. 10-1-02; OMAP 68-2003, f. 9-12-03, cert. ef. 10-1-03; DMAP 19-2007, f. 12-5-07, cert. ef. 1-1-08; DMAP 34-2008, f. 11-26-08, cert. ef. 12-1-08; DMAP 42-2017, amend filed 10/03/2017, effective 10/3/2017

Statutory/Other Authority: ORS 413.042 & ORS 414.065

Statutes/Other Implemented: ORS 414.065