OAR 410-146-0130: Modifiers
Edition: Current OARD snapshotEffective: 2017-10-03Last verified: 2026-09-07
(1) The Division uses HIPAA compliant modifiers for many services. (2) The following services require the use of a modifier for all services for all procedures: (a) Family planning service -- FP, refer to OAR 410-130-0585 Family Planning Services; (b) Vaccine for children -- SL or 26, refer to OAR 410-130-0255. (3) When billing for services that are reimbursed outside an IHCP’s cost-based or IHS rate, a clinic must use the required modifier listed in the individual program-specific administrative rules.
Official history and status
Statutory/Other Authority: ORS 413.042 & ORS 414.065
Statutes/Other Implemented: ORS 414.065
History: DMAP 42-2017, amend filed 10/03/2017, effective 10/03/2017 DMAP 34-2008, f. 11-26-08, cert. ef. 12-1-08 DMAP 19-2007, f. 12-5-07, cert. ef. 1-1-08 OMAP 68-2003, f. 9-12-03, cert. ef. 10-1-03 OMAP 59-2002, f. & cert. ef. 10-1-02
This rule cites
- OAR 410-130-0585 — resolved
- OAR 410-130-0255 — resolved
Cited by
No inbound citations found.
Official source: https://secure.sos.state.or.us/oard/