Arkansas Administrative Code › Agency 016 - DEPARTMENT OF HUMAN SERVICES › Division 06 - Medical Services › Rule 016.06.05-006 - Official Notice DMS-2005-A-1, DMS-2005-AR-1, DMS-2005-HH-1, DMS-2005-G-1, DMS-2005-CA-1, DMS-2005-Z-1, DMS-2005-X-1, DMS-2005-II-1, DMS-2005-L-1, DMS-2005-SS-1, DMS-2005-KK-1, DMS-2005-R-1, DMS-2005-Y-1

Current through Register Vol. 49, No. 6, June, 2024
2005
CPT Procedure Code
			 Conversion
I.
General
			 Information
A review of the CPT 2005 procedure codes has been completed,
				and the Arkansas Medicaid Program will begin accepting CPT 2005 procedure codes
				for dates of service on and after
April 1, 2005.
Please add this
				information to your Medicaid provider manual until revised manual sections have
				been included in future manual updates.
Procedure codes that are identified as deletions in the CPT
				2005 (Appendix B) are
non-payable
for dates of service on and
				after April 1, 2005.
II.
Non-Covered CPT 2005 Procedure Codes
A. The following are new CPT 2005 procedure
			 codes for services that are not presently covered. Coverage of these codes is
			 not being added.
32855
32856
33933
33944
44715
44720
44721
47143
47144
47145
47146
47147
48551
48552
50323
50325
50327
50328
50329
88188
88189
90465
90466
90467
90468
90656
94452
94453
97810
97811
97813
97814
B. The
			 following are new CPT 2005 procedure codes for services that are not presently
			 covered for outpatient hospital and ambulatory surgical center providers.
			 Coverage of these codes is not being added for outpatient hospital and
			 ambulatory surgical center providers.
11008
19297
31620
31637
34803
36476
36479
57267
63295
C. All
			 CPT 2005 procedure codes listed in
Category II
and
Category
			 III
are temporary procedure codes for services not currently provided.
			 Coverage of these codes is not being added.
III.
Prior
			 Authorization
Effective for dates of service on and after April 1, 2005, the
				following CPT procedure codes require prior authorization for all approved
				types of service:
27412
27415
29866
29867
29868
43257
43644
43645
43845
IV.
Replacement Procedure Codes
CPT procedure codes
78990
and
79900
have been deleted from CPT 2005. Effective for dates of service on and
				after April 1, 2005, when services represented by the deleted CPT procedure
				codes are furnished, providers must use the following HCPCS procedure codes, as
				applicable, when filing claims.
A9500
A9502
A9503
A9504
A9505
A9507
A9508
A9510
A9600
A9605
V.
CPT 2005 Procedure Codes Manually Reviewed
Effective for dates of service on and after April 1, 2005, the
				CPT procedure codes listed below are manually reviewed before payment.
				Providers must submit paper claims with supporting documentation, such as an
				operative report, sterilization consent form, etc.
A9507
A9605
19296
19298
36475
36476
36478
36479
58565
58956
VI.
Additional Information
Complete descriptions of CPT 2005 procedure codes are in the
				CPT 2005 book. Complete descriptions of replacement HCPCS procedure codes are
				in the HCPCS 2005 book. These books may be purchased from Ingenix online at
http: / /
www.ingenixonline.com/
or by
				calling 1-800-464 -3649.
Thank you for your participation in the Arkansas Medicaid
				Program.
Roy Jeffus, Director
If you need this material in an alternative format, such as
				large print, please contact our Americans with Disabilities Act Coordinator at
				(501) 682-6789 and 1-877-708 -8191. Both telephone numbers are voice and
				TDD.
If you have questions regarding this notice, please
				contact the EDS Provider Assistance Center at In-State WATS 1 - 800-457-4454,
				or locally and Out-of-State at (501) 376-2211.
Arkansas Medicaid provider manuals, official notices
				and remittance advice (RA) messages are available for downloading from the
				Arkansas Medicaid website:
www, medicaid, state, or.
				us
.