Each of these services may be billed separately. Use procedure code 99070 for supplies and materials provided by the physician. Wisconsin Medicaid covers the chemotherapy drug procedure codes listed in the Physician Services Maximum Allowable Fee Schedule. Reimbursement for these procedure codes includes the cost of the drug and the charge for injecting the drug. Wisconsin Medicaid reimburses clozapine separately for outpatient and nursing home residents.
Clozapine management is reimbursable only for outpatients.
Refer to Appendix 29 for more information about Medicaid's coverage of clozapine management. The physician is not required to be in the same room as the ancillary provider, unless dictated by medical necessity and good medical practice. Visual evoked potential study. Intraoperative neurophysiological testing reimbursed by the hour. These evoked potential tests are allowed once per day, per recipient.