LAC 40:I.2525
LAC 40:I.2525. Inpatient Services Not Billable on the UB-92
Cite as La. Admin. Code tit. 40, pt. I, § 2525
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.