Medicaid Fee Schedule without Mods 200801

More documents

Recommendations

Info

PROC-CODE DESC MAC BEG END 87046 CULTURE, BACTERIAL; STOOL, ADDITIONAL PATHOGENS, ISOLATION AND PRELIMINARY EXAMI $7.91 20060701 99999999 87060 CULTURE, BACTERIAL, DEFINITIVE $10.67 19990701 99999999 87070 CULTURE, BACTERIAL, DEFINITIVE $11.90 20060701 99999999 87071 CULTURE, BACTERIAL; QUANTITATIVE, AEROBIC WITH ISOLATION AND PRESUMPTIVE IDENTIF $7.91 20060701 99999999 87072 CULTURE OR DIRECT BACTERIAL IDENTIFICATION METHOD, EACH $11.16 19990701 99999999 87073 CULTURE, BACTERIAL; QUANTITATIVE, ANAEROBIC WITH ISOLATION AND PRESUMPTIVE IDENT $7.91 20060701 99999999 87075 CULTURE, BACTERIAL, ANY SOURCE $13.08 20060701 99999999 87076 CULTURE, BACTERIAL, ANY SOURCE $11.16 20060701 99999999 87077 CULTURE, BACTERIAL; AEROBIC ISOLATE, ADDITIONAL METHODS REQUIRED FOR DEFINITIVE $11.16 20060701 99999999 87081 CULTURE, BACTERIAL, SCREENING ONLY, FOR SINGLE $9.16 20060701 99999999 87084 CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY, BY $11.90 20060701 99999999 87085 CULTURE, PRESUMPTIVE, PATHOGENIC ORGANISMS, SCREENING ONLY, BY $11.90 19990701 99999999 87086 CULTURE, BACTERIAL, URINE $11.16 20060701 99999999 87088 CULTURE, BACTERIAL, URINE $10.55 20060701 99999999 87101 CULTURE, FUNGI, ISOLATION $10.66 20060701 99999999 87102 CULTURE, FUNGI, ISOLATION $11.61 20060701 99999999 87103 CULTURE, FUNGI, ISOLATION BLOOD $12.46 20060701 99999999 87106 CULTURE, FUNGI, DEFINITIVE IDENTIFICATION OF EACH FUNGUS $14.27 20060701 99999999 87107 CULTURE, FUNGI, DEFINITIVE IDENTIFICATION, EACH ORGANISM; MOLD $14.42 20060701 99999999 87109 CULTURE, MYCOPLASMA, ANY SOURCE $21.26 20060701 99999999 87110 CULTURE, CHLAMYDIA $27.08 20060701 99999999 87116 CULTURE, TUBERCLE OR OTHER ACID-FAST BACILLI (EG, TB, $13.63 20060701 99999999 87117 CULTURE, TUBERCLE OR OTHER ACID-FAST BACILLI (EG, TB, $15.99 19990701 99999999 87118 CULTURE, MYCOBACTERIA, DEFINITIVE IDENTIFICATION OF EACH ORGANISM $15.13 20060701 99999999 87140 CULTURE, TYPING $7.71 20060701 99999999 87143 CULTURE, TYPING $10.51 20060701 99999999 87147 CULTURE, TYPING $7.15 20060701 99999999 87149 CULTURE, TYPING; IDENTIFICATION BY NUCLEIC ACID PROBE $27.71 20060701 99999999 87152 CULTURE, TYPING; IDENTIFICATION BY PULSE FIELD GEL TYPING $4.39 20060701 99999999 87158 CULTURE, TYPING $4.39 20060701 99999999 87163 CULTURE, ANY SOURCE, ADDITIONAL IDENTIFICATION METHODS REQUIRED $15.30 19990701 99999999 87164 DARK FIELD EXAMINATION, ANY SOURCE (EG, PENILE, VAGINAL, $9.01 20060701 99999999 87166 DARK FIELD EXAMINATION, ANY SOURCE (EG, PENILE, VAGINAL, $9.47 20060701 99999999 87168 MACROSCOPIC EXAMINATION; ARTHROPOD $5.40 20060701 99999999 87169 MACROSCOPIC EXAMINATION; PARASITE $5.90 20060701 99999999 87172 PINWORM EXAM (EG, CELLOPHANE TAPE PREP) $5.90 20060701 99999999 87176 ENDOTOXIN, BACTERIAL (PYROGENS) $4.93 20060701 99999999 87177 OVA AND PARASITES, DIRECT SMEARS, CONCENTRATION AND IDENTIFICATION $12.30 20060701 99999999 87181 SENSITIVITY STUDIES, ANTIBIOTIC $2.57 20060701 99999999 87184 SENSITIVITY STUDIES, ANTIBIOTIC $9.53 20060701 99999999 87185 SUSCEPTIBILITY STUDIES, ANTIMICROBIAL AGENT; ENZYME DETECTION (EG, BETA LACTAMAS $2.57 20060701 99999999 87186 SENSITIVITY STUDIES, ANTIBIOTIC $11.94 20060701 99999999 87187 SENSITIVITY STUDIES,ANTIBIOTIC MBC(USE IN ADDIT.87186-87188) $8.69 20060701 99999999 87188 SENSITIVITY STUDIES, ANTIBIOTIC $5.56 20060701 99999999 87190 SENSITIVITY STUDIES, ANTIBIOTIC $7.81 20060701 99999999 87197 SERUM BACTERICIDAL TITER (SCHLICTER TEST) $9.79 20060701 99999999 87205 SMEAR, PRIMARY SOURCE, WITH INTERPRETATION $5.90 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 260
PROC-CODE DESC MAC BEG END 87206 SMEAR, PRIMARY SOURCE, WITH INTERPRETATION $7.42 20060701 99999999 87207 SMEAR, PRIMARY SOURCE, WITH INTERPRETATION $8.37 20060701 99999999 87209 SMEAR, PRIMARY SOURCE WITH INTERPRETATION; COMPLEX SPECIAL STAIN (EG, TRICHROME, $17.57 20060701 99999999 87210 SMEAR, PRIMARY SOURCE, WITH INTERPRETATION $5.90 20060701 99999999 87220 TISSUE EXAMINATION FOR FUNGI (EG, KOH SLIDE) $5.90 20060701 99999999 87230 TOXIN OR ANTITOXIN ASSAY, TISSUE CULTURE (EG, CLOSTRIDIUM $27.28 20060701 99999999 87250 VIRUS IDENTIFICATION $27.02 20060701 99999999 87252 VIRUS IDENTIFICATION $36.02 20060701 99999999 87253 VIRUS IDENTIFICATION TISSUE CULTURE,ADDITIONAL STUDIES_ISOLA $12.39 20060701 99999999 87254 VIRUS ISOLATION; SHELL VIAL, INCLUDES IDENTIFICATION WITH IMMUNOFLUORESCENCE STA $16.39 20060701 99999999 87255 VIRUS ISOLATION; INCLUDING IDENTIFICATION BY NON-IMMUNOLOGIC METHOD, OTHER THAN $42.92 20060701 99999999 87260 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; ADE $10.06 20060701 99999999 87265 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; BOR $16.58 20060701 99999999 87267 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; ENTEROVIRUS, $16.76 20060701 99999999 87269 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; GIARDIA $12.02 20060701 99999999 87270 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; CHL $16.58 20060701 99999999 87271 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; CYTOMEGALOVIR $16.76 20060701 99999999 87272 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; CRY $16.58 20060701 99999999 87273 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; HERPES SIMPLE $10.06 20060701 99999999 87274 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; HER $16.58 20060701 99999999 87275 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; INFLUENZA B V $16.58 20060701 99999999 87276 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; INF $16.58 20060701 99999999 87277 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; LEGIONELLA MI $10.06 20060701 99999999 87278 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; LEG $16.58 20060701 99999999 87279 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; PARAINFLUENZA $10.06 20060701 99999999 87280 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; RES $16.58 20060701 99999999 87281 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; PNEUMOCYSTIS $10.06 20060701 99999999 87283 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE; RUBEOLA $10.06 20060701 99999999 87285 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; TRE $10.06 20060701 99999999 87290 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE; VAR $10.06 20060701 99999999 87299 INFECTIOUS AGENT ANTIGEN DETECTION BY DIRECT FLUORESCENT ANTIBODY TECHNIQUE, NOT $16.58 20060701 99999999 87300 INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOFLUORESCENT TECHNIQUE, POLYVALENT FO $10.06 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 261
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:
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 and 258: PROC-CODE DESC MAC BEG END 86343 LE
Page 259: PROC-CODE DESC MAC BEG END 86788 AN
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

Create successful ePaper yourself

Delete template?

Save as template?