OAR 410-133-0300
Procedure Codes

(1)

The provider must use the procedure code from the School-Based Health Services table that best describes the specific service provided and a modifier that describes the discipline providing the service. Refer to 410-133-0080 (Coverage) Coverage for service requirements and limitations.

(2)

Unit values equal 15 minutes of service unless otherwise stated. These time units must be documented in the Medicaid-eligible student’s records under the services billed and accounted for under one code only.

(3)

Visit. A service measurement of time for billing and reimbursement efficiency. One visit equals the school provider’s hourly cost rate for category of service provided (i.e., occupational therapy, physical therapy, speech therapy, etc.) specified in an IEP or IFSP, divided by 60 to yield a cost per minute; per minute cost is then multiplied by amount of service time provided in minutes. For billing purposes, a visit is always presented as one visit.

Source: Rule 410-133-0300 — Procedure Codes, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-133-0300.

Last Updated

Jun. 8, 2021

Rule 410-133-0300’s source at or​.us