Physician-Related Services
Billing Instructions

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Current Billing Instructions
Dates of service on and after July 1, 2009 (pdf)

Individual BI Sections:

• Table of Contents (pdf)

• Cover - Definitions (pdf)

• A  B  C  D  E  F  G  H  I  J  K  L  M

 

Other Helpful Links:

• For the following forms, click on this link:
  http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]

• Hysterectomy Form [DSHS 13-365]

• Sterilization and Hysterectomy Sections, including sample Sterilization Consent Forms (pdf)

 

How Much Does DSHS Pay for These Services?

• Physician Fee Schedule

• Injectable Drugs

• Diabetes Education Fee Schedule

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Where Can I Find Previous Versions of the Billing Instructions?

Below are options organized by dates of service.  Click on the appropriate hyperlink.

Dates of service January 1, 2009-June 30, 2009
Complete booklet (pdf) (Superseded)

Individual BI Sections:

• Table of Contents (pdf)

• Cover - Definitions (pdf)

• A  B  C  D  E  F  G  H  I  J  K  L  M  N

 

Other Helpful Links:

• For the following forms, click on this link:
  http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]

• Hysterectomy Form [DSHS 13-365]

• Sterilization and Hysterectomy Sections, including sample Sterilization Consent Forms (pdf)

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Dates of service July 1, 2008-December 31, 2008 (Superseded)

Complete booklet (pdf)

 

Individual BI Sections:

• Table of Contents (pdf)

• Cover - Definitions (pdf)

• A  B  C  D  E  F  G  H  I  J  K  L  M  N

 

 

Other Helpful Links:

• For the following forms, click on this link:
  http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]

• Hysterectomy Form [DSHS 13-365]

• Sterilization and Hysterectomy Sections, including sample Sterilization Consent Forms (pdf)

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Dates of service January 1, 2008-June 30, 2008 (Superseded)

Complete booklet (pdf)

 

Individual BI Sections:

• Table of Contents (pdf)

• Cover - Definitions</ (pdf)

• A A  B  C  D  E  F  G  H  I  J  K  L  M  N

 

Other Helpful Links:

• For the following forms, click on this link:
  http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]

• Hysterectomy Form [DSHS 13-365]

• Sterilization and Hysterectomy Sections, including sample Sterilization Consent Forms (pdf)

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Dates of service: July 1, 2007 - December 31, 2007 (Superseded)

Complete Booklet (pdf)

 

Individual BI Sections:

• Table of Contents

• Cover - Definitions

• A  B  C  D  E  F  G  H  I  J  K  L  M  N

 

Other Helpful Links:

• For the following forms, click on this link:
  http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]

• Hysterectomy Form [DSHS 13-365]

• Sterilization and Hysterectomy Sections, including sample Sterilization Consent Forms (pdf)

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Dates of service: July 1, 2006 - June 30, 2007 (Superseded)

Complete Booklet (pdf)

 

Individual BI Sections:

• Table of Contents

• Cover - Definitions

• A  B  C  D  E  F  G  H  I  J  K  L  M  N
   

Other Helpful Links:

• For the following forms, click on this link:
  http://www1.dshs.wa.gov/msa/forms/eforms.html

• Sterilization Consent Form [DSHS 13-364]

• Hysterectomy Form [DSHS 13-365]

• Sterilization and Hysterectomy Sections, including sample Sterilization Consent Forms (pdf)

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Dates of service: July 1, 2005 - June 30, 2006 (Superseded)

Dates of service: January 1, 2005 - June 30, 2005 (Superseded)

Dates of service:  July 1, 2004 - December 31, 2004 (Superseded)

Dates of service: July 1, 2002 - June 30, 2004 (Superseded)

Dates of service: July 1, 2001 - June 30, 2002 (Superseded)

Dates of service prior to July 1, 2001 (Superseded)

Email HRSA if you have comments or questions regarding health and recovery services.

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Page modified: November 2009       

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