Or. Admin. R. 410-147-0160
Current through Register Vol. 63, No. 8, August 1, 2024
Section 410-147-0160 - Modifiers(1) The Division of Medical Assistance Programs (Division) uses HIPAA compliant modifiers for many services.(2) The following conditions require the use of a modifier for all codes: (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(4)(3) When billing for services that are reimbursed outside a clinic's encounter rate, a clinic must use the required modifier(s) listed in the individual program Administrative Rules. (a) Enhanced Care Services (including extended care) - HK, Refer to OAR 410-147-0120;(b) Assist surgeon for cesarean deliveries for Citizenship Waived Medical (CWM) clients - 80, 81, 82 or AS.Or. Admin. R. 410-147-0160
OMAP 63-2002, f. & cert. ef. 10-1-02; OMAP 71-2003, f. 9-15-03, cert. ef. 10-1-03; OMAP 27-2006, f. 6-14-06, cert. ef. 7-1-06; DMAP 34-2008, f. 11-26-08, cert. ef. 12-1-08; DMAP 16-2022, minor correction filed 02/16/2022, effective 2/16/2022Statutory/Other Authority: ORS 413.042 & 414.065
Statutes/Other Implemented: ORS 414.065