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Indian Health Service The Federal Health Program for American Indians and Alaska Natives


     Indian Health Manual
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Part 2, Chapter 3:  Manual Exhibit 2-3-J

Object Class Code Narratives and
Service Class Code Narratives


Code Narrative
256Q Lab and Test Services
256R Medical Health Services
256T Physician Visit/Services IHS
2185 Ancillary
263A Ancillary
263G Ancillary
263K Ancillary
4319 Interest


OCC Code Object Class Code Narrative SCC Code Service Class Code Narrative Effective Dates & Areas
2185 Ancillary 2185 Patient and Escort Travel 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
4319 Interest 4319 Interest xx
256Q Lab and Test Services 252A Medical Lab Services: Outpatient, Non-IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256Q Lab and Test Services 252B Medical Lab Services: Inpatient/Outpatient, IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256Q Lab and Test Services 252H X-Ray Services: Outpatient, Non-IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256Q Lab and Test Services 252J X-Ray Services: Inpatient, Inpatient/Outpatient, IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256R Medical Health Services 252D Dental Lab 10/01/86 - All Areas
256R Medical Health Services 252G Non-Federal Hospitalization 10/01/86 - All Areas
256R Medical Health Services 252L Hospital Outpatient Visits 10/01/86 - All Areas
256R Medical Health Services 252M Extended Care and Rehabilitation 10/01/86 - All Areas
256R Medical Health Services 252Q Emergency Room 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256R Medical Health Services 52S Physical Therapy Services 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256R Medical Health Services 254B Physician Inpatient: Non-IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256R Medical Health Services l254D Physician Outpatient: Non-IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma 04/01/95 - Oklahoma
256R Medical Health Services 254E Dentists an Dental Hygienists 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma Tucson; 04/01/95 - Oklahoma
256R Medical Health Services 254G Free Basis Specialist: IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma ; 04/01/95 - Oklahoma
256R Medical Health Services 254J Free Basis Specialist: Non-IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma 04/01/95 - Oklahoma
256R Medical Health Services 254L Refractions: Non-IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256T Physicians Visits/Services 254A Physician, Inpatient: IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
256T Physicians Visit/Services 254C Physician, Outpatient: IHS Facility 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
263A Ancillary 263A Consumable Medical/Surgical Supplies 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
263A Ancillary 263L Hearing Aids 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
263G Ancillary 263G Noncomsumable Medical/Surgical Supplies 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma
263K Ancillary 263K Eyeglasses 01/01/93 - Alaska, Billings, Nashville, Portland;01/01/95 - Aberdeen, Bemidji; 03/01/95 - Albuquerque, Navajo, Phoenix, Tucson; 04/01/95 - Oklahoma



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