Transcription of MDHHS Clinic-PPS Visit Codes January 2018 - michigan.gov
1 MDHHS Clinic-PPS Visit Codes January 2018 CPT Codes , descriptions and two-digit modifiers only are Copyright American Medical Association. All Rights Reserved. The information provided on this page serves as a reference only. It does not establish payment methodologies for third parties. Services are eligible to receive the Prospective Payment System (PPS) rate for Federally Qualified Health Centers and Rural Health Centers, or All Inclusive Rates (AIR) for the Tribal Health Centers when they meet the definition of an encounter, are billed appropriately, and do not exceed the encounter limits described in the michigan Medicaid Provider Manual.
2 Providers are instructed to refer to the Medicaid Provider Manual, Medical Services Administration Bulletins, and other relevant policy information for specific coverage, limits, and billing policies. Procedure Codes on this list are subject to change. Any discrepancy between the information on this page and the Medicaid Provider Manual will be resolved in favor of the Provider Manual language. Page 1 of 1 Clinic-PPS Visit Codes will reimburse at the provider's PPS rate. FQHC and THC Clinic-PPS Visit Codes must be billed with a Qualifying Visit to receive payment.
3 Code Short Description G0466 FQHC New Patient Visit G0467 FQHC Established Patient G0468 FQHC Visit , IPE Or AWV G0469 FQHC Visit , New Patient Mental Health G0470 FQHC Visit , Established Patient Mental Health T1015 All Inclusive clinic Visit
