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.