Private duty nursing services copayments
Effective June 19, 2004
CODE |
DESCRIPTION
|
FEE/
VISIT |
PLUS COPAYMENT (Per visit, effective 1/1/03) |
STANDARD
COPAYMENT |
| T1030 | RN Visit | $16.59 | $3.00 |
none |
| T1031 | LPN Visit | $14.79 | $3.00 |
none |
| S9123 | RN Shift | $34.90 | $3.00 |
none |
| S9124 | LPN Shift | $29.66 | $3.00 |
none |
Figure the price for the prior authorization according to the requested amount, agreed upon fee, or fee schedule; the MMIS will figure out the copayment.