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    2016 Table of Drugs [PDF, 275KB]

    Oct 28, 2015 … Duoval P.A., see Testosterone enanthate and estradiol valerate …… J3301.
    Triamcinolone diacetate per 5 mg. IM. J3302. Triamcinolone …

    Service Provider Manual, Ch. 10 – ahcccs

    Sep 30, 2014 … Services must be billed using appropriate CPT and HCPCS codes and
    procedure … AHCCCS follows Medicare's Correct Coding Initiative (CCI) policy
    and performs ….. PA is not required for emergency dental services, preventive or
    for …. EPSDT visits are paid at a global rate for the services specified in …

    Physician – Mass.Gov

    Jan 1, 2016 … A physician may request prior authorization for any medically necessary service
    reimbursable … Section 604 lists Level II HCPCS codes that are payable under
    MassHealth. … MassHealth does not pay for services billed under the following
    codes. …… Centers for Medicare & Medicaid Services website at.

    Service Codes (PDF) – Mass.Gov

    Centers for Medicare & Medicaid Services HCPCS website when billing for
    services … An acute outpatient hospital provider may request prior authorization (
    PA) for any … MassHealth does not ordinarily pay for services billed under the
    following …… J3301. J3302. J3303. J3357. J3360. J3385. J3396. J3410. J3411.

    016.06.05-026 – Arkansas Secretary of State

    B. The provider must be certified as a Title XVIII (Medicare) radiation therapy
    center … procedure codes may be found in the CPT and HCPCS books and in
    this manual. … B. The Medical Director's prior approval is necessary to ensure
    payment of the provider's … B. The following procedure codes require prior

    CPT – Mass.Gov

    In addition, a podiatrist may request prior authorization (PA) … Sections 603 and
    604 list Level II HCPCS codes that are payable under MassHealth. …. www.cms.
    gov/medicare/hcpcs for detailed descriptions when billing with Level II HCPCS ….
    Providers should refer to the MassHealth Orthotics and Prosthetics Payment and

    April 1, 2016 – Washington State Health Care Authority

    Apr 1, 2016 … What HCPCS codes for blood processing are used in outpatient blood
    transfusions? …. When does the agency pay for Epoetin Alpha (EPO) therapy? ….
    credentialing, prior authorization requirements and billing requirements. … Dual
    eligible – Medicare/Medicaid ….. J3301 Triamcinolone acet inj NOS.

    Montana Medicaid – Fee Schedule Podiatry Services January 1 …

    Jan 1, 2015 … You must refer to the appropriate official CPT-4, HCPCS or CDT-5 coding manual
    for … Fee Sched: Medicaid fee; not determined using RBRVS payment schedule
    … RBRVS: Based on Medicare Relative Value Units (RVU's) x Montana …. PA.
    Pass. Mult Bilat. Assist CoSurg. Team. Adjust. Fees. Indicators.

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