Services provided to patients on a ventilator are eligible for an additional benefit; refer to HSC 13.62A.
5.3.2
Benefits for unscheduled services may be claimed according to GR 15.
5.3.3
Deleted
5.3.4
Deleted
5.3.5
Deleted
5.3.6
Procedures performed in ICU are payable as follows:
the same encounter - the greater procedure at 100% and other procedures at 75% unless otherwise specified in the Schedule.
to obtain payment at 100% for two or more procedures on the same date of service, the claim must indicate that the service was performed at a separate encounter.