La. Admin. Code tit. 40 § I-2525

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

Section I-2525 - Inpatient Services Not Billable on the UB-92

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

1. durable medical equipment when charges exceed $150;

2. orthotic/prosthetic appliance when charges exceed $150 (Pacemakers and other surgically implanted devices may be billed on UB-92);

3. ambulance;

4. psychiatric/psychological treatments and services;

5. therapeutic services;

6. professional services customarily billed separately must be billed on the HCFA-1500 Claim Form; and

7. separate sets of billing instructions have been developed for the following services:

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

b. durable medical equipment and supplies;

c. prosthetic and orthotic equipment;

d. medical transportation (ambulance);

e. respiratory therapy; and

f. nursing/home health and attendant services.

La. Admin. Code tit. 40, § I-2525

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.