Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes
| Fee Schedule | Effective Date |
|---|---|
| Ambulatory Surgical Center Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Assistive Care Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Behavior Analysis Fee Schedule | Promulgated Fee Schedule 1/1/2018 Updated Fee Schedule 1/1/2020 |
| Behavioral Health Overlay Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Birth Center Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Child Health Targeted Case Management Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Community-Based Substance Abuse County Match Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Community Behavioral Health Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| County Health Department Certified Match Program Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Dental General Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Early Intervention Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Hearing Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Home Health Visit Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Independent Laboratory Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Licensed Midwife Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Medicaid Certified School Match Program Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Medical Foster Care Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Mental Health Targeted Case Management Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Occupational Therapy Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Outpatient Laboratory Fee Schedule (Formerly titled Physician and Outpatient Laboratory Fee Schedule) |
Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Personal Care Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Physical Therapy Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Physician Pediatric Surgery Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Practitioner Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Practitioner Laboratory Fee Schedule (Formerly titled Physician and Outpatient Laboratory Fee Schedule) |
Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Prescribed Drugs Immunization Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Prescribed Drugs Oncology Physician Administered Fee Schedule | Fee Schedule 1/1/2019 XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Prescribed Drugs Physician Administered Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Prescribed Pediatric Extended Care Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Private Duty Nursing Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Radiology Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Respiratory Therapy Services | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Specialized Therapeutic Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Speech-Language Pathology Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Targeted Case Management for Children at Risk of Abuse and Neglect Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Transportation Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Updated Fee Schedule 1/1/2020 |
| Visual Services Fee Schedule | Promulgated Fee Schedule 1/1/2019 Promulgated XLS 1/1/2019 Updated Fee Schedule 1/1/2020 Updated XLS 1/1/2020 |
| Billing Code | Effective Date |
|---|---|
| County Health Department Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Federally Qualified Health Center Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Hospice Services Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Hospital Outpatient Services Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Nursing Facility Services Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Rural Health Clinic Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |
| Statewide Inpatient Psychiatric Program Services Billing Codes | Promulgated Billing Code 1/1/2019 Updated Billing Code 1/1/2020 |