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

Effective for services provided on and or 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 must be billed with a the appropriate modifier to denote the type of APN that 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.

Effective: 01/01/2010
R.C. 119.032 review dates: 05/13/2009 and 01/01/2015
Promulgated Under: 119.03
Statutory Authority: 5111.02
Rule Amplifies: 5111.01 , 5111.02 , 5111.021
Prior Effective Dates: 10/1/2003