5101:3-8-27 Advanced practice nurses::modifiers.

Effective for services provided on and after October 1, 2003, when billing for any service provided by an advanced practice nurse (APN), whether the APN is in independent practice or a provider-based practice as described in rule 5101:3-8-22 of the Administrative Code, all services provided by an APN must be billed with a modifier to denote the type of APN which provided the service:

(A) Bill the modifier “SA” e.g. 99201SA, if the APN is a nurse practitioner;

(B) Bill the modifier “SB” e.g. 99201SB, if the APN is a nurse mid-wife; or

(C) Bill the modifier “UC” e.g. 99201UC if the APN is a clinical nurse specialist.

HISTORY: Eff 10-1-03

Rule promulgated under: RC 119.03

Rule authorized by: RC 5111.02

Rule amplifies: RC 5111.01, 5111.02

R.C. 119.032 review dates: 10/01/2008