Include a complete description of the item, product information, and the medical necessity for the service or supply. Y - Indicates modifiers specified must always be used when billing for the procedure code. N - Indicates modifiers are not required when billing for the procedure code, but if listed, may be used if the modifier indicates a more accurate definition of the supply. NO - Indicates this item is not included in the nursing home daily rate and is separately reimbursable for Wisconsin Medicaid nursing home recipients. NO - Indicates this item is not included in the home care visit rate and is separately reimbursable for Wisconsin Medicaid home care recipients.
Descriptions also indicate quantities of each, package and per box, which is considered one unit.
For example, a box may contain multiple items. Maximum allowable fee for each procedure code and modifier. C - indicates changes. D - indicates deletions. N - indicates new information.