Payment authorization is required for those services indicated by the Code PA. Following are the procedure codes to be used for billing:

1. (1) Medical/surgical supplies and devices:

   1. (a) 270 -- General classification;
   2. (b) 271 – Non-sterile supply;
   3. (c) 272 -- Sterile supply.

2. (2) Physical Therapy:

   1. (a) 421 -- Visit charge -- PA;
   2. (b) 424 -- Evaluation (includes OASIS assessment) or re-evaluation.

3. (3) Occupational Therapy:

   1. (a) 431 -- Visit charge -- PA;
   2. (b) 434 -- Evaluation or re-evaluation.

4. (4) Speech-language pathology:

   1. (a) 441 -- Visit charge -- PA;
   2. (b) 444 -- Evaluation (includes OASIS assessment) or re-evaluation.

5. (5) Skilled nursing:

   1. (a) 551 -- Visit charge -- PA;
   2. (b) 559 -- Other skilled nursing -- evaluation (includes OASIS assessment).
6. (6) Home health aide -- 571 -- Visit charge -- PA.
7. (7) Total charge -- 001 -- Total Charge.

Statutory/Other Authority

ORS 413.042

Statutes/Other Implemented

ORS 414.065

History

DMAP 4-2020, amend filed 02/24/2020, effective 02/25/2020
DMAP 32-2019, temporary amend filed 08/13/2019, effective 08/19/2019 through 02/14/2020
DMAP 2-2018, amend filed 01/10/2018, effective 01/10/2018
DMAP 29-2017(Temp), f. 7-14-17, cert. ef. 7-15-17 thru 1-10-18
OMAP 19-2000, f. 9-28-00, cert. ef. 10-1-00
HR 15-1995, f. & cert. ef. 8-1-95
HR 14-1992, f. & cert. ef. 6-1-92
HR 12-1991, f. & cert. ef. 3-1-91
HR 28-1990, f. 8-31-90, cert. ef. 9-1-90