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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
5/5/23 Adult Developmental Day Treatment
5/21/24Ambulatory Surgical Center (ASC)
3/15/24 ARKids First-B
1/13/23Autism Waiver
1/13/23Autism Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
5/24/24Certified Nurse-Midwife
6/14/24Certified Registered Nurse Anesthetist
4/2/24 Child Health Services/Early and Periodic Screening, Diagnosis, and Treatment (EPSDT)
2/1/22Children’s Services Targeted Case Management
2/1/22 Chiropractic
6/21/24Counseling and Crisis Services
2/20/24Counseling Substance Abuse Codes for LADAC
6/10/24Critical Access Hospital
1/9/23Developmental Therapy Services
3/5/24Diagnostic and Evaluation Services
4/2/24 Early Intervention Day Treatment
8/3/22 Early Intervention Day Treatment Academic Medical Centers Services
6/10/24End-Stage Renal Disease
6/14/24Family Planning Clinic
5/24/24Federally Qualified Health Center
3/11/24 Hearing Services
4/26/24Home Health
11/6/23 Hyperalimentation
6/14/24Independent Laboratory
6/14/24Independent Radiology
6/14/24Nurse Practitioner
3/11/24Occupational Therapy, Physical Therapy, and Speech-Language Pathology Services
6/14/24Oral Surgeon (Dental Procedure Codes or Physician Procedure Codes )
7/1/24Physician Assistant
2/1/22 Portable X-Ray Services
6/14/24Primary Care Physician
3/11/24Private Duty Nursing
5/21/24Prosthetics (includes Durable Medical Equipment and Orthotics)
6/14/24Radiation Therapy Center
6/10/24Rehabilitative Hospital
3/15/24 Rural Health Clinic
3/11/24 Transportation
5/3/24Ventilator Equipment
6/10/24Visual Care

Archived Procedure Code Tables

View or print archived procedure code tables.