Medicaid Fee Schedule without Mods 200801

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PROC-CODE DESC MAC BEG END 99271 CONFIRMATORY CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE $24.74 20041001 99999999 99272 CONFIRMATORY CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE $46.51 20041001 99999999 99273 CONFIRMATORY CONSULTATION FOR A NEW OR ESTABLISHED PATIENT, WHICH REQUIRES THESE $65.34 20041001 99999999 99274 CONFIRMATORY CONSULTATION FOR A PATIENT, WHICH REQUIRES THESE THREE KEY COMPONEN $89.26 20030401 99999999 99275 CONFIRMATORY CONSULTATION FOR A PATIENT, WHICH REQUIRES THESE THREE KEY COMPONEN $116.93 20030401 99999999 99281 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH $15.42 20060701 99999999 99282 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH $23.95 20060701 99999999 99283 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH $48.05 20060701 99999999 99284 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH $73.66 20060701 99999999 99285 EMERGENCY DEPARTMENT VISIT FOR THE EVALUATION AND MANAGEMENT OF A PATIENT, WHICH $115.85 20060701 99999999 99288 PHYSICIAN DIRECTION OF EMERGENCY MEDICAL SYSTEMS (EMS) EMERGENCY CARE, ADVANCED $16.59 19990701 99999999 99289 PHYSICIAN CONSTANT ATTENTION OF THE CRITICALLY ILL OR INJURED PATIENT DURING AN $150.46 20060701 99999999 99290 PHYSICIAN CONSTANT ATTENTION OF THE CRITICALLY ILL OR INJURED PATIENT DURING AN $77.49 20060701 99999999 99291 CRITICAL CARE, INCLUDING THE DIAGNOSTIC AND THERAPEUTIC SERVICES AND DIRECTION O $144.08 20060701 99999999 99292 CRITICAL CARE, INCLUDING THE DIAGNOSTIC AND THERAPEUTIC SERVICES EACH ADDITIONAL $71.82 20060701 99999999 99293 INITIAL PEDIATRIC CRITICAL CARE, 31 DAYS UP THROUGH 24 MONTHS OF AGE, PER DAY, F $144.08 20060701 99999999 99294 SUBSEQUENT PEDIATRIC CRITICAL CARE, 31 DAYS UP THROUGH 24 MONTHS OF AGE, PER DAY $100.00 20060701 99999999 99295 INITIAL NICU CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A CRITICALLY IL $300.00 20060701 99999999 99296 SUBSEQUENT NICU CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A CRITICALLY $100.00 20060701 99999999 99297 SUBSEQUENT NICU CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A CRITICALLY $108.00 20000101 99999999 99298 SUBSEQUENT NEONATAL INTENSIVE CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT O $89.43 20060701 99999999 99299 SUBSEQUENT INTENSIVE CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF THE REC $81.77 20060701 99999999 99300 SUBSEQUENT INTENSIVE CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF THE REC $78.79 20060701 99999999 99301 EVALUATION AND MANAGEMENT OF A NEW OR ESTABLISHED PATIENT INVOLVING AN ANNUAL NU $46.61 20030401 99999999 99302 EVALUATION AND MANAGEMENT OF A NEW OR ESTABLISHED PATIENT INVOLVING A NURSING FA $60.71 20030401 99999999 99303 EVALUATION AND MANAGEMENT OF A NEW OR ESTABLISHED PATIENT INVOLVING A NURSING FA $81.15 20030401 99999999 99304 INITIAL NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A P $46.61 20060701 99999999 99305 INITIAL NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A P $60.71 20060701 99999999 99306 INITIAL NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF A P $74.08 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 292
PROC-CODE DESC MAC BEG END 99307 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $23.47 20060701 99999999 99308 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $39.23 20060701 99999999 99309 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $53.90 20060701 99999999 99310 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $68.61 20060701 99999999 99311 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $25.33 20030401 99999999 99312 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $39.23 20030401 99999999 99313 SUBSEQUENT NURSING FACILITY CARE, PER DAY, FOR THE EVALUATION AND MANAGEMENT OF $53.90 20030401 99999999 99315 NURSING FACILITY DISCHARGE DAY MANAGEMENT; 30 MINUTES OR LESS $45.08 20060701 99999999 99316 NURSING FACILITY DISCHARGE DAY MANAGEMENT; 30 MINUTES OR LESS MORE THAN 30 MINUT $57.25 20060701 99999999 99318 EVALUATION AND MANAGEMENT OF A PATIENT INVOLVING AN ANNUAL NURSING FACILITY ASSE $45.34 20060701 99999999 99321 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $32.22 19990701 99999999 99322 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $38.70 19990701 99999999 99323 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $60.82 19990701 99999999 99324 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $36.37 20060701 99999999 99325 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $53.19 20060701 99999999 99326 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $76.94 20060701 99999999 99327 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $109.29 20060701 99999999 99328 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIEN $139.40 20060701 99999999 99331 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $27.83 19990701 99999999 99332 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $36.46 19990701 99999999 99333 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $45.15 19990701 99999999 99334 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $28.20 20060701 99999999 99335 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $44.54 20060701 99999999 99336 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $68.51 20060701 99999999 99337 DOMICILIARY OR REST HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF AN ESTABLISH $107.32 20060701 99999999 99341 HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH $44.73 20060701 99999999 99342 HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH $63.95 20060701 99999999 99343 HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH $93.85 20060701 99999999 99344 HOME VISIT FOR THE EVALUATION AND MANAGEMENT OF A NEW PATIENT, WHICH REQUIRES TH $119.66 20060701 99999999 Hawaii Medicaid Fee Schedule without Mods 01/2008 293
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Medicaid Fee Schedule without Mods 200801

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