Read Microsoft Word - PN0050 laurencopy.doc text version

Provider Notice #0050 Date: 10/3/05 Subject: HIPAA Billing Codes and Modifiers for Hearing Aids and Accessories/Services Effective 11/1/05 In accordance with the Health Insurance Portability and Accountability Act (HIPAA), effective for dates of service on or after 11/1/05, the following changes for hearing aids and accessories are in effect. 1. Terminated Codes a. Local code Z3604 (Postage and Handling for repairs) is end-dated as of 10/31/05 and will not be replaced by a national code. b. Local code Z3606 (Hearing aid rental, any type, per day) is end-dated as of 10/31/05 and will not be replaced by a national code. 2. Modifiers The following modifiers are no longer valid when billing for hearing aids effective 11/1/05: -Y1 -Y6 -Y2 -Y7 Rental, with sales tax Rental, without sales tax Purchase, repair, mileage, without sales tax Purchase, with sales tax

Claims for all hearing aid codes must be billed with the appropriate modifier listed below effective 11/1/05: -NU -RR -RP Purchase Rental Repair/replacement

All hearing aids and accessories are taxable. Reimbursement for the purchase and rental of these items must include the payment of sales tax. Replacement parts necessary to repair a hearing aid are taxable; labor performed during the repair is NOT taxable.

360 Campus Lane, Suite 100, Fairfield City, CA 94534 (707) 863-4100 fax (707) 863-4117

Page 1

3. HCPCS Code V5014 HCPCS Code V5014 (repair/modification of a hearing aid) must be billed with modifier ­RP (repair/replacement).

Page 2


Microsoft Word - PN0050 laurencopy.doc

2 pages

Report File (DMCA)

Our content is added by our users. We aim to remove reported files within 1 working day. Please use this link to notify us:

Report this file as copyright or inappropriate


You might also be interested in

HealthPartners Distinctions II Plan Summary Plan Description
Microsoft Word - PN0050 laurencopy.doc