Transcription of MEDICAID PROGRAM ORDERED AMBULATORY PROCEDURE …
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MEDICAID PROGRAM ORDERED AMBULATORY PROCEDURE CODES ORDERED AMBULATORY PROCEDURE Codes Version 2018 Page 2 of 65 Table of Contents GENERAL INFORMATION .. 3 LABORATORY SERVICES INFORMATION .. 3 RADIOLOGY INFORMATION .. 3 MMIS MODIFIERS .. 8 RADIOLOGY SERVICES .. 9 DIAGNOSTIC RADIOLOGY (DIAGNOSTIC IMAGING) .. 9 DIAGNOSTIC ULTRASOUND .. 18 RADIOLOGIC GUIDANCE .. 23 BREAST, MAMMOGRAPHY .. 24 BONE/JOINT STUDIES .. 24 RADIATION ONCOLOGY .. 25 NUCLEAR MEDICINE .. 29 POSITRON EMISSION TOMOGRAPHY (PET) .. 36 MEDICINE SERVICES .. 37 IMMUNIZATIONS .. 37 MISCELLANEOUS DRUGS AND SOLUTIONS .. 40 HYDRATION, THERAPEUTIC, PROPHYLACTIC, DIAGNOSTIC INJECTIONS and INFUSIONS .. 45 CHEMOTHERAPY DRUGS .. 47 GASTROENTEROLOGY .. 50 OPHTHALMOLOGY .. 51 OTORHINOLARYNGOLOGIC & VESTIBULAR SERVICES .. 52 53 NON INVASIVE VASCULAR DIAGNOSTIC STUDIES .. 57 PULMONARY .. 57 ALLERGY AND CLINICAL IMMUNOLOGY.
Ordered Ambulatory Procedure Codes Version 2018 Page 7 of 65 and equipment necessitated. Appropriate documentation (eg, procedure description, itemized
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