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Updated fee schedules and billing codes for 2018 may be viewed on the Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes page.

Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes
2018 Draft Fee Schedules and Billing Codes

Fee Schedule Effective Date
Ambulatory Surgical Center Services Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Assistive Care Services Fee Schedule *Draft Fee Schedule 1/1/2018
Behavior Analysis Fee Schedule *Draft Fee Schedule 1/1/2018
Behavioral Health Overlay Services Fee Schedule *Draft Fee Schedule 1/1/2018
Birth Center Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Child Health Services Targeted Case Management Services Fee Schedule *Draft Fee Schedule 1/1/2018
Community-Based Substance Abuse County Match Fee Schedule *Draft Fee Schedule 1/1/2018
Community Behavioral Health Services Fee Schedule *Draft Fee Schedule 1/1/2018
County Health Department Certified Match Program Fee Schedule *Draft Fee Schedule 1/1/2018
Dental General Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients *Draft Fee Schedule 1/1/2018
Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for Medicaid Recipients
Under the Age of 21 Years
*Draft Fee Schedule 1/1/2018
Early Intervention Services Fee Schedule *Draft Fee Schedule 1/1/2018
Emergency Transportation Services Fee Schedule *Draft Fee Schedule 1/1/2018
Hearing Services Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Home Health Visit Services Fee Schedule *Draft Fee Schedule 1/1/2018

Immunization Fee Schedule
*Draft Fee Schedule 1/1/2018
*Draft XLS
Independent Laboratory Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Injectable Medications Oncology Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Licensed Midwife Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Medicaid Certified School Match Program Fee Schedule *Draft Fee Schedule 1/1/2018
Medical Foster Care Services Fee Schedule *Draft Fee Schedule 1/1/2018
Mental Health Targeted Case Management Services Fee Schedule *Draft Fee Schedule 1/1/2018
Occupational Therapy Services Fee Schedule *Draft Fee Schedule 1/1/2018
Outpatient Laboratory Fee Schedule
(Formerly titled Physician and Outpatient Laboratory Fee Schedule)
*Draft Fee Schedule 1/1/2018
*Draft XLS
Personal Care Services Fee Schedule *Draft Fee Schedule 1/1/2018
Physical Therapy Services Fee Schedule *Draft Fee Schedule 1/1/2018
Physician Pediatric Surgery Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Practitioner Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Practitioner Laboratory Fee Schedule
(Formerly titled Physician and Outpatient Laboratory Fee Schedule)
*Draft Fee Schedule 1/1/2018
*Draft XLS
Prescribed Drug (Not Reviewed by the Pharmaceutical and Therapeutics Committee) Fee Schedule
(Formerly titled Injectable Medications Non-Oncology Fee Schedule)
*Draft Fee Schedule 1/1/2018
*Draft XLS
Prescribed Pediatric Extended Care Services Fee Schedule *Draft Fee Schedule 1/1/2018
Private Duty Nursing Services Fee Schedule *Draft Fee Schedule 1/1/2018
Radiology Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
Respiratory Therapy Fee Schedule *Draft Fee Schedule 1/1/2018
Specialized Therapeutic Services Fee Schedule *Draft Fee Schedule 1/1/2018
Speech-Language Pathology Services Fee Schedule *Draft Fee Schedule 1/1/2018
Targeted Case Management for Children at Risk of Abuse and Neglect Services Fee Schedule *Draft Fee Schedule 1/1/2018
Visual Services Fee Schedule *Draft Fee Schedule 1/1/2018
*Draft XLS
*Fee Schedules not yet promulgated.

Billing Code Effective Date
County Health Department Billing Codes *Draft Billing Code 1/1/2018
Federally Qualified Health Center Billing Codes *Draft Billing Code 1/1/2018
Hospice Services Billing Codes *Draft Billing Code 1/1/2018
Hospital Outpatient Services Billing Codes *Draft Billing Code 1/1/2018
Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes *Draft Billing Code 1/1/2018
Nursing Facility Services Billing Codes *Draft Billing Code 1/1/2018
Rural Health Clinic Billing Codes *Draft Billing Code 1/1/2018
Statewide Inpatient Psychiatric Program Services Billing Codes *Draft Billing Code 1/1/2018
*Billing codes not yet promulgated.