Medications, Labs & Devices
Labs
May require a CLIA certificate. May not be reimbursed by Alaska Medicaid.
36415 - Routine Venipuncture
36416 - Capillary Blood Collection (finger, heel, ear) - Included in PKU reimbursement.
81005 - URINALYSIS
81025 - URINE PREGNANCY TEST
Administration / Diagnostic
May not be reimbursed separately from professional E/M level service or surgical procedure (delivery).
Separate from the medication being administered.
51701 - Insertion of non-dwelling bladder catheter
59025 - Fetal non-stress test
12001 - Simple Repair of Superficial Wounds of External Genitalia 2.5cm or less
12002 - Simple Repair of Superficial Wounds of External Genitalia 2.6cm to 7.5cm
12004 - Simple Repair of Superficial Wounds of External Genitalia 7.6cm to 12.5cm
92558 - Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysis
94640 - Pressurized or nonpressurized Oxygen Therapy, up to 1 hour
94760 - Noninvasive ear or pulse oximetry for oxygen saturation; single determination.
96360 - Intravenous Infusion, hydration; initial, 30min to 1 hour
96361 - Intravenous Infusion, hydration; each additional hour (add on)
96365 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hour
96366 - Intravenous infusion, for therapy; prophylaxis, or diagnosis (specify specific substance or drug); each additional hour
96367 - Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional subsequential infusion of a new drug/substance up to 1 hour
96372 - Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
96374 - Therapeutic Prophylactic or Diagnostic Injection (See specific substance or Drug); intravenous push, single or initial substance/drug
S3620 - PKU -NEWBORN METABOLIC SCREENING * Includes PKU test slip
Medications
The NDC, or National Drug Code, is a unique 10-digit or 11-digit, 3-segment number, and a universal product identifier for human drugs in the United States located on the medication labeling.
Will require the number of Billable* units. Ex: 10IU of Pitocin is 1 billable unit.
J0171 - EPINEPHRINE
J0290 - AMPICILLIN
J1000 - DEPO-ESTRADIOL CYPIONATE INJ
J2001 - LIDOCAINE
J2210 - METHLERGONOVIN
J2590 - PITOCIN
J2790 - RHOGAM
J3430 - VITAMIN K1
J7120 - RINGERS LACTATE 1000CC
S0191 - CYTOTEC, MISOPROSTOL
Devices / Supplies
Not always reimbursed on a professional claim form. Insurance may not cover all supplies.
S8415 - Supply kit for home delivery of newborn
A4266 - DIAPHRAGM
J7298 - MIRENA IUD, 52 MG
J7300 - IUD COPPER- PARAGARD
J7301 - IUD-SKYLA
A4355 - Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each
A4355 - Irrigation tubing set for continuous bladder irrigation through a 3-way indwelling Foley catheter, each
C1758 - Catheter, ureteral