471 NAC 26-006. Billing Requirements

26-006 Billing Requirements 26-006.01 Required Forms: When billing Medicaid, the ASC must submit on the appropriate form or electronic format (see Claim Submission Table at 471-000-49). All claims for ASC services must include the date of surgery and the physician's name and license number. 26-006.02 Procedure Codes: To claim the ASC facility fee, the ASC must use the appropriate HCPCS/CPT procedure codes as outlined in claim completion instructions (see 471-000-52) and see 471-000-409, state defined ASC Services code(s). The ASC must use HCPCS/CPT procedure codes when billing for practitioner services and laboratory services. Regulations listed in 471 NAC 4-000 must be used for ambulance services. Regulations listed in 471 NAC 7-000 must be used for durable medical equipment and medical supplies.