Job & Family Services Ohio Medicaid
Ohio Health Plans

  HIPAA Compliant Codes
 
The following documents are a guide to providers to indicate the new HIPAA compliant codes when the local level codes are discontinued as well as indicate other code set to be used under HIPAA. In the documents, the effective date for each of the new codes is specifically indicated. Please see the rule number that is indicated for each code for more details.
 
DME Codes Requiring Licensure or Registration
 
2006 DME HCPCS Changes and Crosswalk
 
DME Repair Coding and Billing Changes
 
Hearing Aid Code Crosswalk 11/01/04.
 
Crosswalk from EOB codes to HIPAA Remittance Advice Remark Codes.
 
Crosswalk From Local Level Code To H.I.P.A.A. Compliant Code
 
Adult Dental Program Coverage by CDT Code - Updated 8/5/2008
 
Draft Vision Care Code Crosswalk for Optical Laboratories under Ohio Medicaid's Volume Purchasing Contract: W codes to the HIPAA compliant HCPC V codes
 
HIPAA Compliant Modifiers
    Obsolete Modifiers
 
Hospital Code Set Changes
 
Supplemental Co-payment Billing Instructions
 

Related Medicaid Handbook Transmittal Letters
The following Medicaid Handbook Transmittal Letters (MHTL) address HIPAA Changes for physicians and advanced practice nurses (APNS)
 
Physicians
  • MHTL 3336-02-05: PHYSICIAN HANDBOOK UPDATE- Policy/Code Changes Relating to H.I.P.A.A. - OBSTETRICAL SERVICES

  • MHTL: 3336-02-04: PHYSICIAN HANDBOOK UPDATE- Policy/Code Changes CPCS and H.I.P.A.A. CODE CHANGES, ELECTRONIC DISTRIBUTION OF HANDBOOK UPDATES
Advanced Practice Nurses
  • MHTL 3355-02-05: APN HANDBOOK UPDATE- Policy/Code Changes Relating to H.I.P.A.A. -OBSTETRICAL SERVICES

  • MHTL 3355-02-04: APN HANDBOOK UPDATE- Policy/Code Changes POLICY UPDATE: HCPCS AND H.I.P.A.A. CODE CHANGES -ELECTRONIC DISTRIBUTION OF HANDBOOK UPDATES