institutional medicaid wisconsin

Speed up enrollment and payment for employer groups benefits. And weve seen the consequence of that play out in communities across Wisconsin., He said communities have been forced to make impossible decisions about what essential services to fund.. fact sheet, P-00533. is deemed half to each spouse. 1) Institutional / Nursing Home Medicaid - This is an entitlement program; anyone who is eligible will receive assistance. spouse SallyComm. If a calculated 340B ceiling price is not available for a drug, ForwardHealth will reimburse 340B ingredient cost at the lesser of WAC minus 50 percent or the provider-submitted 340B AAC plus a professional dispensing fee. You can view the slides in English (PDF), Hmong (PDF), or Spanish (PDF). "20" (340B) Providers who submit a compound or noncompound drug claim for a drug purchased through the 340B Program are required to enter submission clarification code "20" to indicate that the provider determined the drug being billed on the claim was purchased pursuant to rights available under Section 340B of the Public Health Act of 1992. MADISON, Wis. (AP) Wisconsin's Democratic Gov. The programs and services contained within the State County Contract are either Medicaid funded, or are not required to meet the federal reporting guidelines within 2 CFR Part 200. A Payer ID routes electronic data transactions to the appropriate payer. fact sheet, P00533A, What are the Rules When Getting Free Rides to Appointments? The end time of your appointment if you know it. Wisconsin Medicaid is a joint federal and state program that helps more than 1 million residents get: High-quality health care coverage. The applicant must meet certain medical requirements consistent with the level of care requested. Soon, the first of 13 mobile treatment centers will pull up to Kenosha to . The defendant is presumed innocent and is entitled to a fair trial at which the government must prove guilt beyond a reasonable doubt. In Wisconsin, local IM agencies are organized in to 10 IM Consortia. 15 - 18) Program Admin. Medicaid Eligibility Approval Once Medical Assistance eligibility is approved, the community spouse's assets are no longer considered available to the institutionalized spouse going forward. One of the primary reasons the Department of Justice focuses on prosecuting health care fraud is to ensure public funds are used to help the people they are designed to help, and not to unfairly enrich others at the expense of the public and those who desperately need these services, said U.S. Attorney Haanstad. If a compound drug includes an ingredient that was purchased through the 340B Program, the provider should use the appropriate submission clarification code to identify the claim is for a drug purchased through the 340B Program, and ForwardHealth will assume the submission clarification code "8" (Process Compound for Approved Ingredients) applies to all ingredients of the compound drug claim. COMMUNITY SPOUSE INCOME ALLOCATION (CSIA) The community spouses income can be increased up to the CSIA of $2,873.34 by allocating some or all of the institutionalized spouses remaining income to the community spouse. Rehabilitation needed due to injury, disability, or illness. This applies if you have a car and can drive yourself to your appointment but cant afford gas. The information concerning the Medicaid program provided in this handbook release is published in accordance with: Titles XI and XIX of the Social Security Act; Parts 430 through 481 of Title 42 of the Code of Federal Regulations; Chapters 46 and 49 of the Wisconsin Statutes; and Chapters HA 3, DHS 2, 10 and 101 through 109 of the Wisconsin Administrative Code. h-) @ h2 @aJ h~ @aJ hJZ h-) @aJ h-) @aJ h-) h-) 5CJ$ aJ$ h 5CJ$ aJ$ h-) 5CJ$ aJ$ ) # 5 6 Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. Institutional billing Financial Policy for Institutional Billing . A .gov website belongs to an official government organization in the United States. Watch your mail for your letter and renewal packet from the Wisconsin Department of Health Services. ~ Resources - commonly called assets. Milwaukee, WI 53202, Milwaukee: (414) 297-1700 Mr. Rodriguezs monthly income is $3,700 (from Social Security and his retirement pension). There are several different programs that fall under the broad category of Medicaid. Working together, we can help communities reduce and prevent trauma's most devastating effects. GREEN BAY - Imagine being able to drive entire opioid treatment programs to the most at-risk parts of Wisconsin. In Wisconsin, 9-year-old Eliciana Gonzales is one of a kind. The maximum income allowance can be increased by the amount of shelter expenses above $862.50. Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. Form F-10097 Institutional Medicaid Income Allocation - Wisconsin (Hmong) Form F-10097 Institutional Medicaid Income Allocation - Wisconsin (Hmong) Preview Download or Fill PDF Online This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. Examples of exempt assets are: Home Household goods and personal property One vehicle Burial/funeral preplanning (if Medicaid-compliant) IRA or work-related pension owned by the community spouse Once the total amount of countable assets is calculated, the income maintenance consortium will determine the community spouse resource allowance (CSRA). Share sensitive information only on official, secure websites. Medicaid is the primary payer across the nation for long-term care services. A .gov website belongs to an official government organization in the United States. Electronic claims payment through electronic funds transfer (EFT) is a secure and fast way to receive payment, reducing administrative processes. Mrs. Rodriguez will pay $955 ($1,000 less her $45 personal needs allowance) to the nursing facility for her patient liability each month. The CSIA is $2,873.34. The community spouse must prove that exceptional circumstances require an allowance above the income or asset limit to avoid financial duress. This increase in the resource allowance can be accomplished only by requesting a fair hearing and presenting the case to an administrative law judge. Allowable Procedure Codes for Services Provided to Members Receiving the Tuberculosis-Related Services-Only Benefit, Members may be enrolled in more than one limited benefit category. Medicaid covers certain inpatient, comprehensive services as institutional benefits. Income from employment belongs solely to the spouse who earns it. These are hospital services,Intermediate Care Facilities for People with Intellectual disability (ICF/ID),Nursing Facility (NF),Preadmission Screening & Resident Review (PASRR),Inpatient Psychiatric Services for Individuals Under Age 21, andServices for individuals age 65 or older in an institution for mental diseases. However, the transfer of the assets into the community spouses name must occur within one year from the date that the Medicaid application is approved. / c vpj Kevin had a stroke and now needs care in a nursing facility. WI 54301 (920) 448-4300 www.adrcofbrowncounty.org ADRC is a nonprofit, 501(c)3 organization Find us online: 2 Assets . Read How Do I File a Complaint or Ask for a Fair Hearing? Watch your mail for your letter and renewal packet from the Wisconsin Department of Health Services. COMMUNITY SPOUSE INCOME ALLOCATION (CSIA) Excess Shelter Expenses It is possible for the community spouse to receive more than $2,873.34 per month if the community spouse has excess shelter expenses and additional income is available from the institutionalized spouse. All assets will be examined, regardless of title ownership, and whether they are joint or individually owned property. The HCPCS code should be entered in Form Locator 44 of the UB-04 Claim Form. They replaced Medical Transportation Management, Inc. Veyo services offer a few improvements and changes, including: Weve hosted two webinars for members so they can learn more about NEMT. 4) Within 12 months, submit the completed log online or send to: 5) Veyo will send you a check or make an electronic funds transfer (EFT) directly to your bank account within three weeks. Republican lawmakers writing the next state budget voted not to include a provision to extend Medicaid coverage for postpartum . spouse $1,583 SS income $1,352 SS income + $500 pension ---- _______________ _______________ $2,083 total income $1,352 total income $45 personal needs $250 medical exp _________________ $1,788 income remaining* John---Inst. (National Academy of Elder Law Attorneys) and enter your zip code. Their mortgage is paid off, but they have a car payment, utilities, groceries, household supplies, and medical copays for Jane, etc. Publication updated: July 2020 PAGE \* MERGEFORMAT 7 PAGE \* MERGEFORMAT 1 The first step is to determine to whom the various sources of income belong. . Sometimes people in the spend down phase want to gift money to their family members. EXAMPLE #7: Mrs. Rodriguez is in a nursing home and eligible for Medicaid. Medical institution means a facility that: With Evers signing the bill, the focus now shifts to those Milwaukee governing boards to see if they will vote to approve the increase. Therefore, her excess monthly shelter costs are $163.50 ($1,026 - $862.50 = $163.50). Complaints may be about things like: When filing a complaint, youll need your: Sometimes, a request for a transportation service may be denied. Home | Providers | Claims Claims Claims processes, timelines, forms, and resources can be found here. 2. Wisconsin Well Woman Medicaid (See MEH Section 36.1 Wisconsin Well Woman Medicaid Introduction) SSI Medicaid If the applicant is currently eligible for full-benefit Medicaid, the ADRC/tribal ADRS checks the 4 0 obj Wisconsin Medicaid does not reimburse the costs associated with ongoing monitoring and service coordination by more than one identifiable, individual case manager except in the case of a qualified, temporary replacement used when the designated case manager is unavailable due to illness, vacation, death, or client crisis. PHC 1721 Wheelchairs and durable medical equipment:Changes in maximum allowable fees and lifeexpectancies Wisconsin Medicaid has revisedmaximum allowable fees and lifeexpectancies for a select list ofwheelchair parts and durable medicalequipment. Therefore, the reporting date within the State County Contract is accurate for the Profiles and Programs contained therein. These transactions including Electronic Remittance Advices (ERA) and Electronic Funds Transfers (EFT) offer a fast, efficient and cost-effective way for providers to do business. The bill would not allow questions on hot-button issues like whether voters support abortion rights, accept Medicaid expansion or legalize marijuana, which many communities across the state have put forward in recent years. Tony Evers called it a "historic day" before he signed a bipartisan bill on Tuesday that sends more money to Milwaukee and gives both the city and county the ability to raise the local sales tax in an effort to avoid bankruptcy.. BadgerCare Plus is health insurance for families with minor children. U.S. Attorney's Office As of today, no separate filing guidelines for the form are provided by the issuing department. To figure out how much income John can give to Sally, we need to find out how far below the Community Spouse Income Allowance (CSIA) Sallys current income is. The name, phone number, address, and ZIP code of the provider youre seeing. Gregory J. Haanstad, United States Attorney for the Eastern District of Wisconsin, announced that on June 21, 2023, a federal grand jury indicted Markita Barnes (age: 30) of Milwaukee, Wisconsin, for perpetrating a $2.3 million health care fraud and kickback scheme that involved Barnes lying about having provided prenatal care coordination (PNCC) services and childcare coordination services to at-risk and low-income pregnant women and new mothers in Milwaukee. Transfers between spouses are not divestments. Residency and Citizenship - the applicant must be a resident of Wisconsin and a U.S. citizen or have proper immigration status. NOTE: The government does not provide Jane with additional income to bring her up to the CSIA of $2,873.34. endobj Anthem Blue Cross and Blue Shield (Anthem) uses Availity as its exclusive partner for managing all electronic data interchange (EDI) transactions. For far too long, our local communities have been forced to do more with less, Evers said. Institutions are subject to survey at regular intervals to maintain their certification and license to operate. Divestment A divestment is a transfer for less than fair market value. That means they need to spend down $63,000 of their assets. Milwaukee is struggling with an underfunded pension system and not enough money to maintain essential police, fire and emergency services. Once Medicaid applicants have spent their income down to the medically needy income limit (MNIL) on medical expenses, they will be Medicaid eligible for the remainder of the "spend down" period, which is between 1 and 6 months. Veyo doesnt make payments by debit card. Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. If youre going to a new appointment location, you must schedule over the phone. 1035, violations of the Anti-Kickback Statute, 42 U.S.C. U.S. Attorney's Office, Eastern District of Wisconsin, Federal Crimes and Agency Contact Information, Milwaukee Woman Indicted for Perpetrating a $2.3 Million Health Care Fraud, Milwaukee, Wisconsin, for perpetrating a $2.3 million health care fraud, Five Milwaukee Men Federally Indicted for Involvement in Armed Robberies of U.S. Do rules governing other public benefit programs include divestment penalties? BadgerCare Plus and Medicaid programs. Republicans who control the Wisconsin Senate, in a surprise move, are proceeding with trying to force a vote on firing the states nonpartisan top elections official before the 2024 presidential election. Once they document to the income maintenance consortium that they have met the spend down requirement, Mr. Winthrop is approved for Medicaid. As of December 2019, has enrolled 985,201 individuals in Medicaid and CHIP a net increase of 57.29% since the first Marketplace Open Enrollment Period and related Medicaid program changes in October 2013. adopted one or more of the targeted enrollment strategies outlined in guidance CMS issued on May 17, 2013, designed to facilitate . You can get a free ride to medical appointments if you have no other way to get there and youre enrolled in one of the following programs: Read Who Can Get Free Rides to Appointments? It's important to understand that adverse childhood experiences or ACEs are preventable. The document is provided in Hmong. Kevin will have $0 patient liability to the nursing facility towards the cost of his care. Providers who submit claims for Family Planning Only Services using the UB-04 Claim Form and the 837I transactions are required to indicate a valid HCPCS procedure code for each revenue code on the claim. 24- 38) Appendix (Chs. Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. Ask for trip logs to be mailed to you or download them online. When using time for code selection, 60-74 minutes of total time is spent on the date of the encounter. ForwardHealth uses submission clarification codes on compound and noncompound drug claims and a modifier on professional claims to identify claims for drugs purchased through the 340B Program. This is a legal form that was released by the Wisconsin Department of Health Services - a government authority operating within Wisconsin. The general reason for the appointment (checkup, eye appointment, etc.). Form F-40085 Wic Program Notice of Ineligibility - Wisconsin (Hmong), Form F-02733 Request for Community Spouse Signature - Wisconsin (Hmong), Form F-01002 Healthcheck Individual Health History - Wisconsin (Hmong), Form F-10097 Institutional Medicaid Income Allocation - Wisconsin, Form F-02430 Statement About Immigration Status - Wisconsin (Hmong), Form F-40096 Ewic Program Repayment Agreement - Wisconsin (Hmong), Form F-16104 Local Agency Customer Feedback - Wisconsin (Hmong), Form F-10097A Community-Based Long-Term Care Services Medicaid Income Allocation - Wisconsin (Hmong), Form F-01542 Notification of Required Drug Testing - Wisconsin (Hmong), Form F-44161 Wic Rights and Responsibilities - Wisconsin (Hmong). The Legislature passed the bill on a bipartisan vote last week. You may be able to get a ride to your medical appointment if you have no other way to get there. spouse SallyComm. ForwardHealth relies solely on these claim level identifiers to identify claims for drugs purchased through the 340B Program. that loads or reloads a page, your session will expire in Establishment of an institutional account is very simple and requires only a phone call to GeneDx Accounts at (888) 729-1206, option 4. Availity offers flexibility to submit transactions through an existing EDI vendor or clearinghouse, or use your own EDI software. Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (List separately in addition to, Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient; adolescent (age 12 through 17 years), Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, established patient; adolescent (age 12 through 17 years), Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes, Patient education, not otherwise classified, non-physician provider, individual, per session, Permanent implantable contraceptive intratubal occlusion device(s) and delivery system, Contraceptive supply, condom, female, each, Contraceptive supply, spermicide (e.g., foam, gel), each, Cervical or vaginal cancer screening; pelvic and clinical breast examination, Injection, penicillin G benzathine, 100,000 units, Injection, ceftriaxone sodium [Rocephin], per 250 mg, Levonorgestrel-releasing intrauterine contraceptive system, (Kyleena), 19.5 mg, Levonorgestrel-releasing intrauterine contraceptive system (Liletta), 52mg, Levonorgestrel-releasing intrauterine contraceptive system (Mirena), 52mg, Contraceptive supply, hormone containing vaginal ring, each, Contraceptive supply, hormone containing patch, each, Etonogestrel (contraceptive) implant system, including implant and supplies, Azithromycin dihydrate, oral, capsules/powder, 1 gram, Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection, Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy, unilateral or bilateral, Anesthesia for vaginal procedures (including biopsy of labia, vagina, cervix or endometrium); hysteroscopy and/or hysterosalpingography, Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paraonychia); simple or single, Incision and drainage of hematoma, seroma or fluid collection, Excision, benign lesion including margins, except skin tag (unless listed elsewhere), scalp, neck, hands, feet, genitalia; excised diameter 0.5 cm or less, Removal, implantable contraceptive capsules, Insertion, non-biodegradable drug delivery implant, Removal, non-biodegradable drug delivery implant, Removal with reinsertion, non-biodegradable drug delivery implant, Destruction (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions, Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), simple; chemical, Destruction of lesion(s), anus (eg, condyloma, papilloma, molluscum contagiosum, herpetic vesicle), extensive (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery), Vasectomy, unilateral or bilateral (separate procedure), including postoperative semen examination(s), Destruction of lesion(s), vulva; simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery), Destruction of vaginal lesion(s); simple (eg, laser surgery, electrosurgery, cryosurgery, chemosurgery), Diaphragm or cervical cap fitting with instructions. that loads or reloads a page, your session will expire in ForwardHealth relies solely on modifier UD to identify professional claims for drugs purchased through the 340B Program. ], Ligation or transection of fallopian tube(s), abdominal or vaginal approach, unilateral or bilateral, Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure), Occlusion of fallopian tube(s) by device (eg, band, clip, Falope ring) vaginal or suprapubic approach, Laparoscopy, surgical; with removal of adnexal structures (partial or total oophorectomy and/or salphingectomy), Laparoscopy, surgical; with fulguration of oviducts (with or without transection), with occlusion of oviducts by device (eg, band, clip, or Falope ring), Radiologic examination, chest; single view, Hysterosalpingography, radiological supervision and interpretation, Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular use, Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular use, Human Papillomavirus vaccine, types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular use, Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular, Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided), Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, screening by cytotechnologist under physician supervision, Basic metabolic panel [see CPT for tests that must be included in the panel], General health panel [see CPT for tests that must be included in the panel], Electrolyte panel [see CPT for tests that must be included in the panel], Comprehensive metabolic panel [see CPT for tests that must be included in the panel], Lipid panel [see CPT for tests that must be included in the panel], Acute hepatitis panel [see CPT for tests that must be included in the panel], Hepatic function panel [see CPT for tests that must be included in the panel], Urinalysis, by dip stick or tablet reagent for bilirubin, glucose, hemoglobin, ketones, leukocytes, nitrite, pH, protein, specific gravity, urobilinogen, any number of these constituents; non-automated, with microscopy, Urine pregnancy test, by visual color comparison methods, Creatinine; blood [only used if patient is on medication for Herpes], Glucose; quantitative, blood (except reagent strip), Gonadotropin; follicle stimulating hormone (FSH), Hemoglobin fractionation and quantitation; electrophoresis (eg, A2, S, C, and/or F), Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip), Transferase; aspartate amino (AST) (SGOT), Gonadotropin, chorionic (hCG); quantitative, Blood count; blood smear, microscopic examination with manual differential WBC count, manual differential WBC count, buffy coat, complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count, complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count), manual cell count (erythrocyte, leukocyte, or platelet) each, Sedimentation rate, erythrocyte; non-automated, Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART), Antibody; HTLV or HIV antibody, confirmatory test (eg, Western Blot), Culture, bacterial; any other source except urine, blood or stool, aerobic, with isolation and presumptive identification of isolates, any source, except blood, anaerobic with isolation and presumptive identification of isolates, anaerobic isolate, additional methods required for definitive identification, each isolate, Culture, presumptive, pathogenic organisms, screening only, Culture, bacterial; quantitative colony count, urine, Culture, bacterial; with isolation and presumptive identification of each isolate, urine, Culture, fungi (mold or yeast) isolation, with presumptive identification of isolates; skin, hair, or nail, Smear, primary source with interpretation; Gram or Giemsa stain for bacteria, fungi, or cell types, fluorescent and/or acid fast stain for bacteria, fungi, parasites, viruses or cell types, special stain for inclusion bodies or parasites (eg, malaria, coccidia, microsporidia, trypanosomes, herpes viruses), wet mount for infectious agents (eg, saline, India ink, KOH preps), Virus isolation; tissue culture inoculation, observation, and presumptive identification by cytopathic effect, centrifuge enhanced (shell vial) technique, includes identification with immunofluorescence stain, each virus, Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis, Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]) qualitative or semiquantitative, multiple-step method; Chlamydia trachomatis, Infectious agent antigen detection by immunoassay technique, (eg, enzyme immunoassay [EIA], enzyme-linked immunosorbent assay [ELISA], immunochemiluminometric assay [IMCA]), qualitative or semiquantitative; multiple-step method, not otherwise specified, each organism, Infectious agent detection by nucleic acid (DNA or RNA); Candida species, amplified probe technique, Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis, direct probe technique, Chlamydia trachomatis, amplified probe technique, Gardnerella vaginalis, direct probe technique, Gardnerella vaginalis, amplified probe technique, Herpes simplex virus, direct probe technique, Herpes simplex virus, amplified probe technique, Herpes virus-6, amplified probe technique, HIV-1, amplified probe technique, includes reverse transcription when performed, HIV-1, quantification, includes reverse transcription when performed, HIV-2, amplified probe technique, includes reverse transcription when performed, HIV-2, quantification, includes reverse transcription when performed, Infectious agent detection by nucleic acid (DNA or RNA); mycoplasma genitalium, amplified probe technique, Neisseria gonorrhoeae, amplified probe technique, Human Papillomavirus (HPV), low-risk types (eg, 6, 11, 42, 43, 44), Human Papillomavirus (HPV), high-risk types (eg, 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68), Human Papillomavirus (HPV), types 16 and 18 only, includes type 45, if performed, Infectious agent detection by nucleic acid (DNA or RNA), not otherwise specified; direct probe technique, each organism, Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique, Infectious agent antigen detection by immunoassay with direct optical observation; HIV-1 antigen(s), with HIV-1 and HIV-2 antibodies, Infectious agent antigen detection by immunoassay with direct optical observation; Trichomonas vaginalis, Cytopathology, cervical or vaginal (any reporting system), requiring interpretation by physician, Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; manual screening under physician supervision, with manual screening and rescreening under physician supervision, Cytopathology, smears, any other source; screening and interpretation, Cytopathology, slides, cervical or vaginal (the Bethesda System); manual screening under physician supervision, with manual screening and computer-assisted rescreening under physician supervision, with manual screening and computer-assisted rescreening using cell selection and review under physician supervision, Cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation; with screening by automated system and manual rescreening or review, under physician supervision, Level I Surgical pathology, gross examination only, Level II Surgical pathology, gross and microscopic examination, Level IV Surgical pathology, gross and microscopic examination, Level V Surgical pathology, gross and microscopic examination, Immunohistochemistry or immunocytochemistry, per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure), Immunohistochemistry or immunocytochemistry, per specimen; initial single antibody stain procedure, Handling and/or conveyance of specimen for transfer from the office to a laboratory.

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