Medicaid, ARHOME, and ARKids Clients

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Procedure Code Tables

Procedure Code Tables

The procedure code tables provided do not address, and are not meant to provide, all the various coverage limitations routinely applied by Arkansas Medicaid before final payment is determined (including, but not limited to, client and provider eligibility, benefit limits, billing instructions, frequency of services, third party liability, age or gender restrictions, prior authorization, diagnosis requirements, co-payments, or coinsurance where applicable.)

Although every effort is made to ensure the accuracy of this information, discrepancies may occur.  The procedure code tables may be changed or updated at any time to correct such discrepancies. 

The procedure codes listed do not guarantee that a claim will be accepted, or guarantee payment, coverage, or an allowed amount.

The procedure codes reflected in these procedure code tables are in effect as of the date of these document.  These procedure code tables are intended to reflect only procedure codes that are currently payable as of the date of the table version. 

The allowed reimbursement rates related to the procedure codes submitted on a claim depend on the claim’s date of service because Arkansas Medicaid’s authorized procedure codes and related reimbursement rates are date-of-service effective. 

Providers are responsible for verification and compliance with all requirements for filing claims correctly for allowed reimbursement.

Current Procedure Code Tables

The following code tables are available for providers.

Release DateProcedure Code Tables
8/3/22Adult Behavioral Health Services for Community Independence
2/1/22Adult Developmental Day Treatment
8/12/22Ambulatory Surgical Center (ASC)
5/10/22ARKids First-B
2/1/22Autism Waiver
2/1/22Autism Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
8/3/22Certified Nurse-Midwife
8/12/22Certified Registered Nurse Anesthetist
2/1/22Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
2/1/22Children’s Services Targeted Case Management
2/1/22Chiropractic
8/12/22Critical Access Hospital
4/1/22Dental
7/15/22Developmental Therapy Services
7/15/22Early Intervention Day Treatment
8/3/22Early Intervention Day Treatment Academic Medical Centers Services
8/12/22End-Stage Renal Disease
8/12/22Family Planning Clinic
5/10/22Federally Qualified Health Center
8/3/22Hearing Services
8/3/22Home Health
8/12/22Hospital
4/19/22Hyperalimentation
8/12/22Independent Laboratory
8/12/22Independent Radiology
8/12/22Nurse Practitioner
5/23/22Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services
8/12/22Oral Surgeon (Dental Procedure Codes or Physician Procedure Codes )
5/10/22Outpatient Behavioral Health Services
8/12/22Physician
4/1/22Podiatrist
2/1/22Portable X-Ray Services
8/12/22Primary Care Physician
5/10/22Private Duty Nursing
8/3/22Prosthetics (includes Durable Medical Equipment and Orthotics)
8/12/22Radiation Therapy Center
2/1/22Rehabilitative Hospital
4/25/22Rural Health Clinic
2/1/22School-Based Mental Health Services
4/19/22Transportation
4/8/22Ventilator Equipment
8/3/22Visual Care

Archived Procedure Code Tables

View or print archived procedure code tables.

DMS Address

P.O. Box 1437, Slot S401
Little Rock, AR 72203-1437

DMS Phone Number

501-682-8292
Fax: 501-682-1197

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