|
Current Reference Extracts for the following tables are available. |
|
Table# |
Table Description |
How used in relation to the outpatient hospital fee schedule project. |
|
See "How used..." |
Valid OPFS procedure modifiers |
AHCCCS standards for applicable OPFS procedure modifiers are consistent with and
based upon current UBEditor Ingenix values. Any questions or concerns should be
submitted to the AHCCCS OPFS workgroup. |
|
See "How used..." |
OPFS CCI relationships |
AHCCCS standards for applicable OPFS CCI relationships are consistent with and based
upon current UBEditor Ingenix values, with the additions on the attached document
(AHCCCS Specific OPFS CCI Relationships). Any questions or concerns should be submitted
to the AHCCCS OPFS workgroup. |
|
RF723 |
Limit override modifiers |
Provides a list of modifiers which when billed on any applicable HCPCS/CPT on an
outpatient hospital claim or encounter, require exception processing (such as override
of service limits) as defined by the action code. |
|
RF739 |
OPFS bundled exception procedures |
Provides a list of HCPCS/CPT codes which when billed on an outpatient hospital claim
or encounter, require exception processing (such as not being subject to surgery
bundling) as defined by the action code. |
|
See "How used..." RF773 |
Revenue codes to procedure codes |
Provides a listing of HCPCS/CPT that can be reported for a
revenue code.
October 2008 Extract:
RF773 0001-0299 [PDF]
[MS-Excel]
RF773 0300-0350 [PDF]
[MS-Excel]
RF773 0351-0399 [PDF]
[MS-Excel]
RF773 0400-0499 [PDF]
[MS-Excel]
RF773 0500-0511 [PDF]
[MS-Excel]
RF773 0512-0514 [PDF]
[MS-Excel]
RF773 0515-0517 [PDF]
[MS-Excel]
RF773 0518-0599 [PDF]
[MS-Excel]
RF773 0600-3109 [PDF]
[MS-Excel]
|
|
See "How used..." RF774 |
Revenue codes to bill types |
Establishes relationships between revenue codes and type of
bill that they can be utilized on, and for outpatient claims
and encounters flags those revenue codes which require
and/or allow reporting of HCPCS/CPT codes.
October 2008 Extract:
RF774
0001-0499 [PDF]
[MS-Excel]
RF774 0500-3109 [PDF]
[MS-Excel]
|
|
RF789 |
Multiple surgery exception table |
Provides a listing of surgery HCPCS/CPT codes which are exempted from multiple surgery
discount logic. |
|
RF796 |
OPFS bundled revenue codes |
Provides a listing of revenue codes which are bundled under qualified surgery or
emergency room services on outpatient claims and encounters. |
|
RF797 |
OPFS bundled rate driver |
Provides a list of HCPCS/CPT codes which qualify for a surgery or emergency room
services bundling situation on outpatient claims and encounters. |