Medicaid Fee Schedule without Mods 200801

More documents

Recommendations

Info

PROC-CODE DESC MAC BEG END 86654 ANTIBODY; ENCEPHALITIS, WESTERN EQUINE $11.06 20060701 99999999 86658 ANTIBODY; ENTEROVIRUS (EG, COXSACKIE, ECHO, POLIO) $10.92 20060701 99999999 86663 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, EARLY ANTIGEN (EA) $18.13 20060701 99999999 86664 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, NUCLEAR ANTIGEN (EBNA) $21.14 20060701 99999999 86665 ANTIBODY; EPSTEIN-BARR (EB) VIRUS, VIRAL CAPSID (VCA) $25.07 20060701 99999999 86666 ANTIBODY; EHRLICHIA $8.53 20060701 99999999 86668 ANTIBODY; FRANCISELLA TULARENSIS $8.72 20060701 99999999 86671 ANTIBODY; FUNGUS, NOT ELSEWHERE SPECIFIED $16.95 20060701 99999999 86674 ANTIBODY; GIARDIA LAMBLIA $20.34 20060701 99999999 86677 ANTIBODY; HELICOBACTER PYLORI $20.05 20060701 99999999 86682 ANTIBODY; HELMINTH, NOT ELSEWHERE SPECIFIED $12.60 20060701 99999999 86684 ANTIBODY; HEMOPHILUS INFLUENZA $13.28 20060701 99999999 86687 HTLV I, ANTIBODY DETECTION IMMUNOASSAY $11.60 20060701 99999999 86688 ANTIBODY; HTLV-II $11.74 20060701 99999999 86689 HTLV I, ANTIBODY DETECTION CONFIRMATORY TEST $26.75 20060701 99999999 86692 ANTIBODY; HEPATITIS, DELTA AGENT $23.72 20060701 99999999 86694 ANTIBODY; HERPES SIMPLEX, NON-SPECIFIC TYPE TEST $19.89 20060701 99999999 86695 ANTIBODY; HERPES SIMPLEX, TYPE I $18.23 20060701 99999999 86696 ANTIBODY; HERPES SIMPLEX, TYPE 2 $27.05 20060701 99999999 86698 ANTIBODY; HISTOPLASMA $10.48 20060701 99999999 86701 ANTIBODY; HIV-1 $12.28 20060701 99999999 86702 ANTIBODY; HIV-2 $18.69 20060701 99999999 86703 ANTIBODY; HIV-1 AND HIV-2, SINGLE ASSAY $18.96 20060701 99999999 86704 HEPATITIS B CORE ANTIBODY (HBCAB); IGG AND IGM $16.66 20060701 99999999 86705 HEPATITIS B CORE ANTIBODY (HBCAB); IGM ANTIBODY $16.27 20060701 99999999 86706 HEPATITIS B SURFACE ANTIBODY (HBSAB) $14.84 20060701 99999999 86707 HEPATITIS BE ANTIBODY (HBEAB) $15.98 20060701 99999999 86708 HEPATITIS A ANTIBODY (HAAB); IGG AND IGM $17.12 20060701 99999999 86709 HEPATITIS A ANTIBODY (HAAB); IGM ANTIBODY $15.55 20060701 99999999 86710 ANTIBODY; INFLUENZA VIRUS $11.36 20060701 99999999 86713 ANTIBODY; LEGIONELLA $21.15 20060701 99999999 86717 ANTIBODY; LEISHMANIA $10.27 20060701 99999999 86720 ANTIBODY; LEPTOSPIRA $18.23 20060701 99999999 86723 ANTIBODY; LISTERIA MONOCYTOGENES $11.06 20060701 99999999 86727 ANTIBODY; LYMPHOCYTIC CHORIOMENINGITIS $10.79 20060701 99999999 86729 ANTIBODY; LYMPHOGRANULOMA VENEREUM $10.01 20060701 99999999 86732 ANTIBODY; MUCORMYCOSIS $11.06 20060701 99999999 86735 ANTIBODY; MUMPS $18.03 20060701 99999999 86738 ANTIBODY; MYCOPLASMA $18.31 20060701 99999999 86741 ANTIBODY; NEISSERIA MENINGITIDIS $11.06 20060701 99999999 86744 ANTIBODY; NOCARDIA $11.06 20060701 99999999 86747 ANTIBODY; PARVOVIRUS $20.77 20060701 99999999 86750 ANTIBODY; PLASMODIUM (MALARIA) $11.06 20060701 99999999 86753 ANTIBODY; PROTOZOA, NOT ELSEWHERE SPECIFIED $10.39 20060701 99999999 86756 ANTIBODY; RESPIRATORY SYNCYTIAL VIRUS $10.81 20060701 99999999 86757 ANTIBODY; RICKETTSIA $26.75 20060701 99999999 86759 ANTIBODY; ROTAVIRUS $11.06 20060701 99999999 86762 ANTIBODY; RUBELLA $19.89 20060701 99999999 86765 ANTIBODY; RUBEOLA $17.81 20060701 99999999 86768 ANTIBODY; SALMONELLA $11.06 20060701 99999999 86771 ANTIBODY; SHIGELLA $11.06 20060701 99999999 86774 ANTIBODY; TETANUS $12.41 20060701 99999999 86777 ANTIBODY; TOXOPLASMA $19.89 20060701 99999999 86778 ANTIBODY; TOXOPLASMA, IGM $19.90 20060701 99999999 86781 ANTIBODY; TREPONEMA PALLIDUM, CONFIRMATORY TEST (EG, FTA- ABS) $18.30 20060701 99999999 86784 ANTIBODY; TRICHINELLA $17.36 20060701 99999999 86787 ANTIBODY; VARICELLA-ZOSTER $17.81 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 258
PROC-CODE DESC MAC BEG END 86788 ANTIBODY; WEST NILE VIRUS, IGM $23.54 20070101 99999999 86789 ANTIBODY; WEST NILE VIRUS $20.11 20070101 99999999 86790 ANTIBODY; VIRUS, NOT ELSEWHERE SPECIFIED $17.81 20060701 99999999 86793 ANTIBODY; YERSINIA $11.06 20060701 99999999 86800 THYROGLOBULIN ANTIBODY, RIA $21.98 20060701 99999999 86803 HEPATITIS C ANTIBODY; $19.73 20060701 99999999 86804 HEPATITIS C ANTIBODY; CONFIRMATORY TEST (EG, IMMUNOBLOT) $21.40 20060701 99999999 86805 LYMPHOCYTOTOXICITY ASSAY, VISUAL CROSSMATCH WITH TITRATION $44.08 20060701 99999999 86806 LYMPHOCYTOTOXICITY ASSAY, VISUAL CROSSMATCH WITHOUT TITRATIO $39.68 20060701 99999999 86807 SERUM SCREENING FOR CYTOTOXIC PERCENT REACTIVE ANTIBODY STAN $28.22 20060701 99999999 86808 LYMPHOCYTOTOXICITY ASSAY,VISUAL CROSSMATCH W/O TITRATION $24.88 20060701 99999999 86812 TISSUE TYPING $35.66 20060701 99999999 86813 TISSUE TYPING $80.13 20060701 99999999 86816 TISSUE TYPING $38.49 20060701 99999999 86817 TISSUE TYPING $88.98 20060701 99999999 86821 TISSUE TYPING $47.33 20060701 99999999 86822 TISSUE TYPING $30.64 20060701 99999999 86849 UNLISTED IMMUNOLOGY PROCEDURE $18.98 19990701 99999999 86850 ANTIBODY SCREEN, RBC, EACH SERUM TECHNIQUE $19.65 19990701 99999999 86860 ANTIBODY ELUTION (RBC), EACH ELUTION $16.20 19990701 99999999 86870 ANTIBODY IDENTIFICATION, RBC ANTIBODIES, EACH PANEL FOR EACH SERUM TECHNIQUE $55.70 19990701 99999999 86880 ANTIHUMAN GLOBULIN TEST (COOMBS TEST); DIRECT, EACH ANTISERUM $7.42 20060701 99999999 86885 ANTIHUMAN GLOBULIN TEST (COOMBS TEST); INDIRECT, QUALITATIVE, EACH ANTISERUM $7.90 20060701 99999999 86886 ANTIHUMAN GLOBULIN TEST (COOMBS TEST); INDIRECT, TITER, EACH ANTISERUM $7.15 20060701 99999999 86890 AUTOLOGOUS BLOOD OR COMPONENT, COLLECTION PROCESSING AND STORAGE; PREDEPOSITED $32.95 19990701 99999999 86900 BLOOD TYPING; ABO $4.12 20060701 99999999 86901 BLOOD TYPING; RH (D) $8.22 19990701 99999999 86903 BLOOD TYPING; ANTIGEN SCREENING FOR COMPATIBLE BLOOD UNIT USING REAGENT SERUM, P $6.63 20060701 99999999 86904 BLOOD TYPING; ANTIGEN SCREENING FOR COMPATIBLE UNIT USING PATIENT SERUM, PER UNI $4.02 20060701 99999999 86905 BLOOD TYPING; RBC ANTIGENS, OTHER THAN ABO OR RH (D), EACH $5.28 20060701 99999999 86906 BLOOD TYPING; RH PHENOTYPING, COMPLETE $10.71 20060701 99999999 86920 COMPATIBILITY TEST EACH UNIT; IMMEDIATE SPIN TECHNIQUE $20.80 19990701 99999999 86921 COMPATIBILITY TEST EACH UNIT; INCUBATION TECHNIQUE $20.80 19990701 99999999 86922 COMPATIBILITY TEST EACH UNIT; ANTIGLOBULIN TECHNIQUE $20.80 19990701 99999999 86927 FRESH FROZEN PLASMA, THAWING, EACH UNIT $5.35 19990701 99999999 86930 FROZEN BLOOD, PREPARATION FOR FREEZING, EACH UNIT; $9.00 19990701 99999999 86940 HEMOLYSINS AND AGGLUTININS, AUTO, SCREEN, EACH; $11.32 20060701 99999999 86941 HEMOLYSINS AND AGGLUTININS, AUTO, SCREEN, EACH; INCUBATED $16.73 20060701 99999999 86945 IRRADIATION OF BLOOD PRODUCT, EACH UNIT $54.60 20010101 99999999 86965 POOLING OF PLATELETS OR OTHER BLOOD PRODUCTS $16.20 19990701 99999999 86985 SPLITTING OF BLOOD OR BLOOD PRODUCTS, EACH UNIT $9.00 20010101 99999999 86999 UNLISTED IMMUNOLOGY PROCEDURE $21.15 19990701 99999999 87001 ANIMAL INOCULATION, SMALL ANIMAL $11.08 20060701 99999999 87003 ANIMAL INOCULATION, SMALL ANIMAL $14.11 20060701 99999999 87015 CONCENTRATION (ANY TYPE), FOR PARASITES, OVA, OR $9.23 20060701 99999999 87040 CULTURE, BACTERIAL, DEFINITIVE $14.27 20060701 99999999 87045 CULTURE, BACTERIAL, DEFINITIVE $13.04 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 259
Page 1 and 2:
PROC-CODE DESC MAC BEG END A0130 NO
Page 3 and 4:
PROC-CODE DESC MAC BEG END A4355 3-
Page 5 and 6:
PROC-CODE DESC MAC BEG END A4431 OS
Page 7 and 8:
PROC-CODE DESC MAC BEG END A5093 OS
Page 9 and 10:
PROC-CODE DESC MAC BEG END A6231 GA
Page 11 and 12:
PROC-CODE DESC MAC BEG END A6452 HI
Page 13 and 14:
PROC-CODE DESC MAC BEG END A7504 FI
Page 15 and 16:
PROC-CODE DESC MAC BEG END ENTERAL
Page 17 and 18:
PROC-CODE DESC MAC BEG END D4210 GI
Page 19 and 20:
PROC-CODE DESC MAC BEG END D7911 SU
Page 21 and 22:
PROC-CODE DESC MAC BEG END E0248 TR
Page 23 and 24:
PROC-CODE DESC MAC BEG END E0580 NE
Page 25 and 26:
PROC-CODE DESC MAC BEG END E0911 TR
Page 27 and 28:
PROC-CODE DESC MAC BEG END E1085 HE
Page 29 and 30:
PROC-CODE DESC MAC BEG END E1638 HE
Page 31 and 32:
PROC-CODE DESC MAC BEG END E2324 PO
Page 33 and 34:
PROC-CODE DESC MAC BEG END E2605 PO
Page 35 and 36:
PROC-CODE DESC MAC BEG END G0091 IN
Page 37 and 38:
PROC-CODE DESC MAC BEG END G0206 DI
Page 39 and 40:
PROC-CODE DESC MAC BEG END K0032 SE
Page 41 and 42:
PROC-CODE DESC MAC BEG END K0130 FO
Page 43 and 44:
PROC-CODE DESC MAC BEG END K0240 HY
Page 45 and 46:
PROC-CODE DESC MAC BEG END K0529 ST
Page 47 and 48:
PROC-CODE DESC MAC BEG END K0822 PO
Page 49 and 50:
PROC-CODE DESC MAC BEG END L0350 TL
Page 51 and 52:
PROC-CODE DESC MAC BEG END L0633 LU
Page 53 and 54:
PROC-CODE DESC MAC BEG END L1685 HO
Page 55 and 56:
PROC-CODE DESC MAC BEG END L2106 AF
Page 57 and 58:
PROC-CODE DESC MAC BEG END L2670 AD
Page 59 and 60:
PROC-CODE DESC MAC BEG END L3420 FU
Page 61 and 62:
PROC-CODE DESC MAC BEG END L3906 WH
Page 63 and 64:
PROC-CODE DESC MAC BEG END L4110 RE
Page 65 and 66:
PROC-CODE DESC MAC BEG END L5622 AD
Page 67 and 68:
PROC-CODE DESC MAC BEG END L5701 AL
Page 69 and 70:
PROC-CODE DESC MAC BEG END L5981 AL
Page 71 and 72:
PROC-CODE DESC MAC BEG END L6646 UP
Page 73 and 74:
PROC-CODE DESC MAC BEG END L6915 HA
Page 75 and 76:
PROC-CODE DESC MAC BEG END L8170 EL
Page 77 and 78:
PROC-CODE DESC MAC BEG END M0728 EX
Page 79 and 80:
PROC-CODE DESC MAC BEG END Q4047 CA
Page 81 and 82:
PROC-CODE DESC MAC BEG END V2522 CO
Page 83 and 84:
PROC-CODE DESC MAC BEG END W9801 QU
Page 85 and 86:
PROC-CODE DESC MAC BEG END 00530 AN
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
PROC-CODE DESC MAC BEG END 11443 EX
Page 97 and 98:
PROC-CODE DESC MAC BEG END 12056 LA
Page 99 and 100:
PROC-CODE DESC MAC BEG END 15341 TI
Page 101 and 102:
Page 103 and 104:
PROC-CODE DESC MAC BEG END 19110 NI
Page 105 and 106:
PROC-CODE DESC MAC BEG END 20612 AS
Page 107 and 108:
PROC-CODE DESC MAC BEG END 21100 AP
Page 109 and 110:
PROC-CODE DESC MAC BEG END 21310 TR
Page 111 and 112:
PROC-CODE DESC MAC BEG END 21920 BI
Page 113 and 114:
PROC-CODE DESC MAC BEG END 22844 PO
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
PROC-CODE DESC MAC BEG END 25316 FL
Page 121 and 122:
PROC-CODE DESC MAC BEG END 26010 DR
Page 123 and 124:
PROC-CODE DESC MAC BEG END 26530 AR
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
PROC-CODE DESC MAC BEG END 27513 OP
Page 131 and 132:
Page 133 and 134:
PROC-CODE DESC MAC BEG END 28200 RE
Page 135 and 136:
PROC-CODE DESC MAC BEG END 28636 PE
Page 137 and 138:
Page 139 and 140:
PROC-CODE DESC MAC BEG END 30801 CA
Page 141 and 142:
Page 143 and 144:
PROC-CODE DESC MAC BEG END 32310 PL
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
PROC-CODE DESC MAC BEG END 35102 DI
Page 155 and 156:
PROC-CODE DESC MAC BEG END TRANSLUM
Page 157 and 158:
Page 159 and 160:
PROC-CODE DESC MAC BEG END 36555 IN
Page 161 and 162:
PROC-CODE DESC MAC BEG END 37188 PE
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
PROC-CODE DESC MAC BEG END 42836 AD
Page 169 and 170:
PROC-CODE DESC MAC BEG END 43260 EN
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
PROC-CODE DESC MAC BEG END 45114 PR
Page 177 and 178:
PROC-CODE DESC MAC BEG END 46221 HE
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
PROC-CODE DESC MAC BEG END 50393 IN
Page 187 and 188:
PROC-CODE DESC MAC BEG END 50940 DE
Page 189 and 190:
PROC-CODE DESC MAC BEG END 51920 CL
Page 191 and 192:
PROC-CODE DESC MAC BEG END 52647 NO
Page 193 and 194:
PROC-CODE DESC MAC BEG END 54162 LY
Page 195 and 196:
PROC-CODE DESC MAC BEG END 55110 SC
Page 197 and 198:
PROC-CODE DESC MAC BEG END 56353 HY
Page 199 and 200:
PROC-CODE DESC MAC BEG END 57310 CL
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
PROC-CODE DESC MAC BEG END 61026 VE
Page 207 and 208: PROC-CODE DESC MAC BEG END 61576 TR
Page 209 and 210: PROC-CODE DESC MAC BEG END 61865 CR
Page 211 and 212: PROC-CODE DESC MAC BEG END 62360 IM
Page 213 and 214: PROC-CODE DESC MAC BEG END 63270 LA
Page 215 and 216: PROC-CODE DESC MAC BEG END 64479 IN
Page 217 and 218: PROC-CODE DESC MAC BEG END 64837 SU
Page 219 and 220: PROC-CODE DESC MAC BEG END 65870 SE
Page 221 and 222: PROC-CODE DESC MAC BEG END 67225 DE
Page 223 and 224: PROC-CODE DESC MAC BEG END 68320 CO
Page 225 and 226: PROC-CODE DESC MAC BEG END 69643 TY
Page 227 and 228: PROC-CODE DESC MAC BEG END 70542 MA
Page 229 and 230: PROC-CODE DESC MAC BEG END 72200 RA
Page 233 and 234: PROC-CODE DESC MAC BEG END 75822 VE
Page 237 and 238: PROC-CODE DESC MAC BEG END 76938 UL
Page 241 and 242: PROC-CODE DESC MAC BEG END 78261 GA
Page 245 and 246: PROC-CODE DESC MAC BEG END 82000 AC
Page 249 and 250: PROC-CODE DESC MAC BEG END 83015 HE
Page 251 and 252: PROC-CODE DESC MAC BEG END 83903 MO
Page 253 and 254: PROC-CODE DESC MAC BEG END 84425 TH
Page 255 and 256: PROC-CODE DESC MAC BEG END 85370 FI
Page 257: PROC-CODE DESC MAC BEG END 86343 LE
Page 261 and 262: PROC-CODE DESC MAC BEG END 87206 SM
Page 267 and 268: PROC-CODE DESC MAC BEG END 88184 FL
Page 269 and 270: PROC-CODE DESC MAC BEG END 89140 GA
Page 271 and 272: PROC-CODE DESC MAC BEG END 90734 ME
Page 273 and 274: PROC-CODE DESC MAC BEG END 90847 FA
Page 275 and 276: PROC-CODE DESC MAC BEG END 92250 OP
Page 277 and 278: PROC-CODE DESC MAC BEG END 92602 DI
Page 279 and 280: PROC-CODE DESC MAC BEG END 93237 EL
Page 283 and 284: PROC-CODE DESC MAC BEG END 94016 PA
Page 285 and 286: PROC-CODE DESC MAC BEG END 95811 PO
Page 289 and 290: PROC-CODE DESC MAC BEG END 97022 PH
Page 291 and 292: PROC-CODE DESC MAC BEG END 99214 OF
Page 293 and 294: PROC-CODE DESC MAC BEG END 99307 SU
Page 295: PROC-CODE DESC MAC BEG END 99440 NE
show all

Medicaid Fee Schedule without Mods 200801

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?