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Elizabeth M. Whitehorn, Director

Provider Notice issued 11/30/04

Ambulatory Procedures Listing (APL) Code Additions Retroactive to July 1, 2004

To:​

Enrolled Hospitals: Chief Executive Officers, Chief Financial Officers, Patient Accounts Managers, Health Information Management Directors; and Ambulatory Surgical Treatment Centers (ASTCs) ​
Date:​ November 30, 2004​
Re:​ Ambulatory Procedures Listing (APL) Code Additions Retroactive to July 1, 2004​

 

 

Effective for dates of service on and after July 1, 2004, the department required that all hospital outpatient and ASTC services be billed using the appropriate APL HCPCS/CPT codes. After further review of the initial HCPCS/CPT code set, the department has compiled a list of additional HCPCS/CPT codes to be added to the APL.

 

These codes are valid retroactively to July 1, 2004.

The actual APL will be revised at a later date. The APL and the retroactive code list are posted on the department’s Web site at <http://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/default.aspx>.

Specific information on the department’s contingency plans and testing status with specific electronic trading partners is available at <http://www.illinois.gov/hfs/info/legal/HIPAA/Pages/default.aspx>. It is the responsibility of each provider to ensure that all material related to changes in the department’s billing procedures, handbooks, etc., are shared with their software vendor, corporate help desk or information systems area.

To reduce copying and mailing cost, the department may not always include hardcopies of attachments referenced in notices and bulletins. Web site links will be identified so providers may view and print the material from the Internet. Providers wishing to receive e-mail notification, when new provider information has been posted by the department, may register at the following IDPA Web sites:

http://www.illinois.gov/hfs/MedicalProviders/notices/Pages/ProviderEmailSubscribe.aspx

Any questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 877-782-5565 (toll-free) or 217-782-5565.

 

Anne Marie Murphy, Ph.D.

Administrator

Division of Medical Programs