Medicaid Kentucky policy

[KyMMIS Billing Instructions] 12 Nursing Facility

[KyMMIS Billing Instructions] 12 Nursing Facility is a public Medicaid Kentucky policy (policy KyMMIS PT 12). It lists 261 CPT or HCPCS codes. Not a coverage decision; the payer's own document governs.

View the original policy (PDF) ↗

Payer
Medicaid Kentucky
Policy number
KyMMIS PT 12
Line of business
Medicaid
States
KY
Source
www.kymmis.com

Codes in this policy

The CPT and HCPCS codes the policy names. A policy can name a code it excludes.

CodeOther Medicaid Kentucky policies
24163Policies naming 24163
33032Policies naming 33032
36400Policies naming 36400
36405Policies naming 36405
36406Policies naming 36406
36410Policies naming 36410
36415Policies naming 36415
36416Policies naming 36416
40224Policies naming 40224
40602Policies naming 40602
70370Policies naming 70370
70371Policies naming 70371
71010Policies naming 71010
71023Policies naming 71023
71100Policies naming 71100
71101Policies naming 71101
71110Policies naming 71110
71111Policies naming 71111
71120Policies naming 71120
71130Policies naming 71130
72010Policies naming 72010
72040Policies naming 72040
72069Policies naming 72069
72070Policies naming 72070
72080Policies naming 72080
72100Policies naming 72100
72170Policies naming 72170
72190Policies naming 72190
72200Policies naming 72200
72202Policies naming 72202
72220Policies naming 72220
72240Policies naming 72240
72255Policies naming 72255
72265Policies naming 72265
72270Policies naming 72270
72285Policies naming 72285
72295Policies naming 72295
73000Policies naming 73000
73010Policies naming 73010
73020Policies naming 73020
73030Policies naming 73030
73040Policies naming 73040
73050Policies naming 73050
73060Policies naming 73060
73070Policies naming 73070
73080Policies naming 73080
73085Policies naming 73085
73090Policies naming 73090
73100Policies naming 73100
73110Policies naming 73110
73115Policies naming 73115
73120Policies naming 73120
73130Policies naming 73130
73140Policies naming 73140
73500Policies naming 73500
73510Policies naming 73510
73520Policies naming 73520
73525Policies naming 73525
73530Policies naming 73530
73540Policies naming 73540
73542Policies naming 73542
73550Policies naming 73550
73560Policies naming 73560
73562Policies naming 73562
73564Policies naming 73564
73565Policies naming 73565
73580Policies naming 73580
73590Policies naming 73590
73600Policies naming 73600
73610Policies naming 73610
73615Policies naming 73615
73620Policies naming 73620
73630Policies naming 73630
73650Policies naming 73650
73660Policies naming 73660
74000Policies naming 74000
74010Policies naming 74010
74020Policies naming 74020
74022Policies naming 74022
74190Policies naming 74190
74210Policies naming 74210
74220Policies naming 74220
74240Policies naming 74240
74241Policies naming 74241
74245Policies naming 74245
74246Policies naming 74246
74247Policies naming 74247
74249Policies naming 74249
74250Policies naming 74250
74251Policies naming 74251
74260Policies naming 74260
74270Policies naming 74270
74280Policies naming 74280
74283Policies naming 74283
74290Policies naming 74290
74291Policies naming 74291
74300Policies naming 74300
74305Policies naming 74305
74320Policies naming 74320
74327Policies naming 74327
74328Policies naming 74328
74329Policies naming 74329
74330Policies naming 74330
74340Policies naming 74340
74355Policies naming 74355
74360Policies naming 74360
74363Policies naming 74363
74400Policies naming 74400
74410Policies naming 74410
74415Policies naming 74415
74420Policies naming 74420
74425Policies naming 74425
74430Policies naming 74430
74440Policies naming 74440
74445Policies naming 74445
74450Policies naming 74450
74455Policies naming 74455
74470Policies naming 74470
74475Policies naming 74475
74480Policies naming 74480
74485Policies naming 74485
74740Policies naming 74740
74742Policies naming 74742
74775Policies naming 74775
80048Policies naming 80048
80050Policies naming 80050
80053Policies naming 80053
80061Policies naming 80061
80069Policies naming 80069
80074Policies naming 80074
80076Policies naming 80076
80100Policies naming 80100
80101Policies naming 80101
80102Policies naming 80102
80103Policies naming 80103
80150Policies naming 80150
80156Policies naming 80156
80157Policies naming 80157
80158Policies naming 80158
80162Policies naming 80162
80164Policies naming 80164
80168Policies naming 80168
80170Policies naming 80170
80173Policies naming 80173
80176Policies naming 80176
80178Policies naming 80178
80184Policies naming 80184
80185Policies naming 80185
80186Policies naming 80186
80188Policies naming 80188
80190Policies naming 80190
80192Policies naming 80192
80194Policies naming 80194
80197Policies naming 80197
80198Policies naming 80198
80200Policies naming 80200
80202Policies naming 80202
80299Policies naming 80299
81000Policies naming 81000
81001Policies naming 81001
81002Policies naming 81002
81003Policies naming 81003
81005Policies naming 81005
81007Policies naming 81007
81015Policies naming 81015
81050Policies naming 81050
81099Policies naming 81099
82009Policies naming 82009
82270Policies naming 82270
82550Policies naming 82550
82552Policies naming 82552
82575Policies naming 82575
82607Policies naming 82607
82803Policies naming 82803
82805Policies naming 82805
82810Policies naming 82810
82948Policies naming 82948
82950Policies naming 82950
82951Policies naming 82951
82962Policies naming 82962
83036Policies naming 83036
84152Policies naming 84152
84181Policies naming 84181
84182Policies naming 84182
84442Policies naming 84442
84443Policies naming 84443
84478Policies naming 84478
84479Policies naming 84479
84550Policies naming 84550
84999Policies naming 84999
85002Policies naming 85002
85004Policies naming 85004
85009Policies naming 85009
85014Policies naming 85014
85018Policies naming 85018
85025Policies naming 85025
85175Policies naming 85175
85345Policies naming 85345
85520Policies naming 85520
85611Policies naming 85611
85652Policies naming 85652
86140Policies naming 86140
86510Policies naming 86510
86580Policies naming 86580
86625Policies naming 86625
86628Policies naming 86628
86674Policies naming 86674
86677Policies naming 86677
86682Policies naming 86682
86701Policies naming 86701
86702Policies naming 86702
86703Policies naming 86703
86704Policies naming 86704
86707Policies naming 86707
86708Policies naming 86708
86803Policies naming 86803
87040Policies naming 87040
87046Policies naming 87046
87070Policies naming 87070
87071Policies naming 87071
87073Policies naming 87073
87086Policies naming 87086
87088Policies naming 87088
87177Policies naming 87177
92507Policies naming 92507
92508Policies naming 92508
92521Policies naming 92521
92522Policies naming 92522
92523Policies naming 92523
92524Policies naming 92524
92526Policies naming 92526
92610Policies naming 92610
96105Policies naming 96105
97001Policies naming 97001
97002Policies naming 97002
97003Policies naming 97003
97004Policies naming 97004
97014Policies naming 97014
97032Policies naming 97032
97035Policies naming 97035
97110Policies naming 97110
97112Policies naming 97112
97116Policies naming 97116
97161Policies naming 97161
97162Policies naming 97162
97163Policies naming 97163
97164Policies naming 97164
97165Policies naming 97165
97166Policies naming 97166
97167Policies naming 97167
97168Policies naming 97168
97530Policies naming 97530
97532Policies naming 97532
97535Policies naming 97535
97537Policies naming 97537
97542Policies naming 97542
E0424Policies naming E0424
E0431Policies naming E0431
E0434Policies naming E0434
E0450Policies naming E0450
E1390Policies naming E1390

All Medicaid Kentucky policies

Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.