Medicaid Codes
Medicaid code details are provided in an exportable grid format. Each column in the grid can be sorted and/or removed from the default view by clicking the down arrow next to the column header.
If available, Medicaid manuals and bulletins are accessible from the Medicaid Code Detail page. Click a hyperlink under Source in the Medicaid Manual section to view the specific article in a PDF. You can print or email each article, as well as save to your Favorites.
Medicaid Detail Results Grid Field Descriptions
This table explains the columns in the Medicaid Detail results grid.
|
Column |
Description |
|---|---|
|
Medicaid Code |
The Medicaid code. |
|
State |
The state in which the Medicaid code charges are reimbursable. |
|
Proc Type |
Denotes the procedure or record type. Records are uniquely defined by a combination of procedure type and procedure code. This list describes the Proc Type: Proc Types
E: Local Educational Agency F: EAPC G: AIDS Waiver I: Injection J: Anesthesia K: Primary Surgeon L: Radiology M: Pathology and Clinical Laboratory N: Medicine O: Assistant Surgeon P: Podiatrist Q: Psychology Services for Mental Health Expansion T: EPSDT U: EPSDT V:Palliative Care X:Targeted Rate Increase 1:Allied Health and other programs 3:Vision Care |
|
Procedure Description |
The procedure description. |
|
Non Prac Ind |
|
|
Conv Ind |
|
|
Cutback Ind |
|
|
Base Rate |
|
|
Child Rate |
|
|
Er Ind |
|
|
Er Rate |
|
|
Rental Rate |
|
|
Pro% |
|
|
Unit Value |
|
|
Start Date |
|
|
End Date |
|
|
More CPT/HCPCS Options |
A Medicaid code - to CPT/HCPCS crosswalk. Note: The CPT/HCPCS options provided are based on a coding algorithm and similarity match between the Medicaid code/description and the national code/descriptions available and are subject to change. One or more options may be available. Please review the list to determine the final options. |
|
BP Catalog |
BP Catalog-related codes for the crosswalked CPT/HCPCS code. If the BP Catalog icon is available, click it to be directed to the BP Catalog Related Codes page. If the icon is not available, there is no related code. |
|
CPT Description |
The description of the crosswalked CPT/HCPCS code from the More CPT/HCPCS Options column. |