Louisiana denial decoder
Service documentation does not support the code
Louisiana requires appropriate documentation for the applicable CPT or HCPCS code.
Denial guidance uses state billing sources.
Next actions avoid reimbursement guarantees.
Source trail remains visible for review.
Service documentation does not support the code
Louisiana requires appropriate documentation for the applicable CPT or HCPCS code.
Next action
Add service date, service type, support provided, resources or referrals, and follow-up plan before billing.
Back to Louisiana rulesWhy this page exists
Denial pages use the same checked state sources as the app.
Louisiana Medicaid Professional Services Provider ManualLouisiana Department of Health / Louisiana Medicaid · Chapter 5 Professional Services, Section 5.1, issued December 29, 2025; doula coverage, qualifications, codes, and visit limits · checked 2026-06-13Louisiana Medicaid Professional Services Fee ScheduleLouisiana Department of Health / Gainwell · Effective for dates of service on and after January 1, 2026; 99404 $35.41, S9445 $69.69, 99199 $459, S9442/S9443/S9444 $40.80 · checked 2026-06-13Louisiana Medicaid Doula Provider Enrollment NoticeLouisiana Department of Health · Managed care coverage effective January 1, 2026; FFS coverage effective January 20, 2026; provider enrollment packets · checked 2026-06-13Louisiana Medicaid Doula Individual Provider Enrollment PacketLouisiana Department of Health / Gainwell · PT-DL Doula Individual packet, December 2025; provider type DL specialty 1V and registry proof · checked 2026-06-13