You can use this page to search for procedure code/place of service rates.
The Search Procedure Code/Place of Service page contains the following panels:
Field | Description |
---|---|
To add a rate, click Add Procedure Code/Place of Service. |
|
LOB |
The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid. |
Procedure Code |
Indicates the procedure or service provided. Healthcare Common Procedure Coding System (HCPCS) or Current Dental Terminology (CDT) codes are typically used. Can be used with the Starts With option. |
Starts With |
The Starts With option tells the system to retrieve all records that start with the search criteria entered. At least 2 characters must be entered when using the Starts With option. |
Modifier 1 thru Modifier 4 |
A two-digit code attached to the procedure code to modify or clarify the description of the procedure. Up to four modifiers may be submitted on a claim for each procedure code, if applicable. Note: If you select a modifier, you must complete the Procedure Code field. |
Place of Service |
Physical location where the health care service was provided. Examples: Office, Urgent Care Facility, Inpatient Hospital, Independent Clinic, School, Ambulance - Land |
Field | Description |
---|---|
If more than one match is found, this table is displayed. To view a match, click the appropriate row. None of these fields can be edited. |
|
Procedure Code |
Indicates the procedure or service provided. Healthcare Common Procedure Coding System (HCPCS) or Current Dental Terminology (CDT) codes are typically used. |
Mod 1 thru Mod 4 |
A two-digit code attached to the procedure code to modify or clarify the description of the procedure. Up to four modifiers may be submitted on a claim for each procedure code, if applicable. |
Description |
The short description for the procedure or procedure/modifier combination, if applicable. |
Place of Service |
Physical location where the health care service was provided. Examples: Office, Urgent Care Facility, Inpatient Hospital, Independent Clinic, School, Ambulance - Land |
LOB |
The unique code that identifies the line of business, a high-level payer, or funding source such as Medicaid. |
Version as of 5/16/14.
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