Procedure codes associated with the identified services will appear on the MDHHS OPPS Wraparound Code List available on the MDHHS website.
Reimbursement for outpatient services is billed using the appropriate HCPCS code and includes the collection of the specimen(s), the analysis, and the lab test results.
MDHHS performs pre- and/or postpayment reviews to monitor laboratory procedures for medical necessity and appropriate practitioner orders.
SQL statements that modify data (such as INSERT, UPDATE, or DELETE) do not return rows.
Similarly, many stored procedures perform an action but do not return rows.
For approval of payment, the laboratory procedure(s) must be specific and appropriate to the beneficiary's documented condition and diagnosis.