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Section 4 / Part 4
Effective Date: May 1, 1998
Miscellaneous medical services
Range of motion, back and extremities up to
a maximum of $35
When available medical information does not include this information,
purchasing a range of motion analysis versus a general medical exam is
more cost effective. When a rehabilitation counselor purchases a general
medical exam, the range of motion information is to be provided by the
examining physician. The general medical exam with its range of motion
provides an alternative to an orthopedic specialist exam.
Visual Basic eye examination by an optometrist $60 OPTOM
Eye examination and diagnosis by an ophthalmologist $85 OPHTH
Low vision examination $125 LVEX
Goldman Visual Field examination $70 GOLDM
Eyeglasses Kansas Social and Rehabilitation Services (SRS) prudent person concept
with maximum rate of $100 for frames. May use the WG modifier and pay
“as billed” if needed.
Mental health Mental Health Centers are paid at the same rate as other providers for
the same services.
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