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HOSPITAL SERVICES PROVIDER MANUAL

HOSPITAL SERVICES PROVIDER MANUAL Chapter Twenty five of the Medicaid SERVICES MANUAL Issued July 1, 2011 State of Louisiana Bureau of Health SERVICES Financing Claims/authorizations for dates of service on or after October 1, 2015 must use the applicable ICD 10 diagnosis/surgical procedure codes that reflect the policy intent. References in this MANUAL to ICD 9 diagnosis/surgical procedure codes only apply to claims/authorizations with dates of service prior to October 1, 2015. LOUISIANA MEDICAID PROGRAM ISSUED: 07/15/13 REPLACED: 04/15/13 CHAPTER 25: HOSPITAL SERVICES SECTION: TABLE OF CONTENTS PAGE(S) 5 Page 1 of 5 Table of Contents HOSPITAL SERVICES TABLE OF CONTENTS SUBJECT SECTION OVERVIEW PROVIDER REQUIREMENTS Licensure Clinical Laboratory Improvement Amendments of 1988 (CLIA) Distinct Part Psychiatric Units INPATIENT SERVICES Preadmission Certification and Length of Stay Assignment Distinct Part Psychiatric Units Obstetrical and Gynecological SERVICES Requiring Special Procedures Sterilizations Exceptions to Sterilization Policy Informed consent Abortions Dilations and Curettage Ectopic Pregnancies Molar Pregnancies Hysterectomies Exceptions to the hysterectomy Policy Deliveries with Non-Payable Sterilizations Other Inpatient SERVICES Blood HOSPITAL -Based Ambulance SERVICES Mother/Newborn/Nursery Inpatient HOSPITAL Definition of Discharge Discharge and Readmit on the Same Day Direct Transfers Date of Discharge or Death Out

Informed Consent . Abortions . Dilations and Curettage . Ectopic Pregnancies . Molar Pregnancies . Hysterectomies . Exceptions to the Hysterectomy Policy . Deliveries Prior to 39 Weeks . Deliveries with Non-Payable Sterilizations . Donor Human Milk . Long Acting Reversible Contraceptives (LARCs) in the Inpatient Hospital Setting . Other ...

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  Consent, Hysterectomy

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