Tus kws kho mob muab tshuaj (PAD)
Raws li kev ua raws li lub Ib Hlis 22, 2020 memo thiab txhawm rau ua raws li DHCS cov cai, qhov no yog ib qho kev ceeb toom tias txhua qhov kev thov thawj zaug thiab theem nrab rau Tus Kws Kho Mob Tswj Tshuaj (PAD) yuav tsum tau them nqi nrog cov ntaub ntawv hauv qab no:
- Kev tsim nyog
- National Drug Code (NDC)
- Chav ntsuas thiab qhov ntau - units ntawm kev ntsuas suav nrog F2 (International Unit), GR (Gram), ML (Milliliter) thiab UN (Unit)
Cov ntaub ntawv tsis tiav lossis ploj lawm yuav raug tsis lees paub nrog piav qhia vim li cas code 522- Tus kws kho mob muab cov ntaub ntawv tshuaj tsis raug lossis tsis raug.
DME Tus Nqi Kho Mob
Los ntawm txoj kev tshawb xyuas sab hauv, Alliance tau txheeb xyuas qhov tsis sib xws ntawm Medi-Cal Phau Ntawv Qhia thiab Medi-Cal Fee Schedule. Pib txij hnub tim 9/1/2020, lub Alliance yuav kho tag nrho cov nqi kom muaj kev cuam tshuam cov nqi los ntawm Medi-Cal lub sij hawm them nqi.
Medi-Cal Fee Schedule tuaj yeem nrhiav tau ntawm qhov txuas hauv qab no:
https://files.medi-cal.ca.gov/Rates/RatesHome.aspx
Cov lus qhia them nqi rau Telehealth Qhov Chaw Pabcuam thiab Kev Hloov Kho Cov Cai
Raws li kev txheeb xyuas tsis ntev los no ntawm Telehealth thov lub Alliance xav ceeb toom rau cov kws kho mob txog kev coding kom raug rau cov kev pabcuam no. Ob qho kev hloov kho thiab qhov chaw ntawm kev pabcuam yog cov ntaub ntawv xav tau rau cov ntaub ntawv thov xa tuaj rau ntawm CMS 1500 daim ntawv thov. Kev siv qhov chaw tsis raug ntawm cov lej kev pabcuam thiab ploj lossis hloov kho tsis raug yuav ua rau qhov kev thov raug tsis lees paub.
Cov kev sib txuas hauv qab no yuav tsum muaj rau txhua daim ntawv thov kev noj qab haus huv: CMS 1500 daim ntawv thov kev thov:
- Qhov Chaw Pabcuam (Lub thawv 24)
- Siv code 02
- Hloov kho (Lub thawv 24D)
- Siv modifier 95 rau Synchronous Telemedicine lossis siv modifier GQ rau Asynchronous Telemedicine
UB-04 thov los ntawm cov kev xav tau:
- Hloov kho (Lub thawv 44)
- Siv modifier 95 rau Synchronous Telemedicine lossis siv modifier GQ rau Asynchronous Telemedicine
Cov Lus Qhia Txog Kev Them Nqi rau Kev Ntsuas COVID-19
Cov kws kho mob uas ntsib cov neeg mob rau lub hom phiaj nkaus xwb los muab qhov kev kuaj mob COVID 19 swab yuav tsum tau them nqi nrog cov lej hauv qab no:
- 99211: LUB CHAW UA HAUJ LWM LUB SIJ HAWM NTAWM LUB SIJ HAWM NTAWM LUB SIJ HAWM NTAWM KEV KAWM NTAWV THIAB KEV PAB CUAM NTAWM IB TUG MENYUAM NTAUB NTAWV, uas yuav tsis tas yuav muaj tus kws kho mob lossis lwm tus kws kho mob tsim nyog. Feem ntau, cov teeb meem tam sim no (S) tsawg tsawg. Feem ntau, 5 feeb yog siv sijhawm los ua haujlwm lossis saib xyuas cov kev pabcuam no.
Ua ke nrog:
- 99000: KEV TIV THAIV THIAB/lossis kev xa khoom ntawm cov ntaub ntawv xa tawm los ntawm chaw ua haujlwm mus rau ib lub chaw kuaj mob
Thiab ib qho ntawm cov kab mob hauv qab no uas zoo tshaj plaws ntes cov xwm txheej ntawm tus neeg mob noj qab haus huv:
- 59: ENCOUNTER RAU SCREENING rau lwm yam kab mob kis
- 818: ENCOUNTER FOR SERVATION FOR SUSPECTED EXPOSURE TO LWM BIOLOGICAL AGENTS RULED OUT
- 828: Tiv tauj nrog thiab (tseem ceeb) raug rau lwm yam kab mob sib kis
- 1: COVID 19
Cov kws kho mob uas tswj hwm qhov kev sim COVID 19 nyob rau hauv tandem nrog E&M chaw ua haujlwm mus ntsib txawm tias qib qib twg yuav tsis raug them rov qab rau kev tuav thiab / lossis kev xa cov khoom kuaj raws li nws suav nrog hauv kev them nyiaj rov qab ntawm E&M code.
Kev xa mus tsis tas yuav tsum muaj rau cov tswv cuab sib txuas, cov chaw muab kev pom cov tswv cuab tsis sib txuas yuav tsum siv EMG teb lossis tus lej lej 81 raws li tau teev tseg hauv cov txheej txheem sau nqi yav dhau los thiab kev sib txuas lus.
Cov kws kho mob pom cov neeg mob rau tag nrho lwm yam mob thiab nyob rau hauv cov kev kho mob uas tau xaiv los tswj cov kev kuaj mob COVID 19 yuav tsum tau them nqi raws li cov kev pab cuam uas tsim nyog, kev kuaj kab mob rau tus neeg mob tau raug pom zoo raws li qhov tsim nyog kev kuaj mob COVID 19. code.
Rau cov lus nug txog kev thov, thov hu rau Tus Neeg Saib Xyuas Kev Pabcuam Cov Neeg Siv Khoom ntawm (831) 430-5503 lossis (800) 700-3874 ext. ib 5503.
