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    Podiatry Fee Schedule 2014

    Uploaded by

    Vinay
    This document is the New York State Medicaid Podiatry Services Fee Schedule effective April 1, 2014. It lists various podiatry medical codes, descriptions of the associated procedures, and the fees reimbursed for each code for services provided in different settings such as the office, outpatient, or inpatient. The fee schedule spans 8 pages and provides coding and reimbursement details for over 100 different podiatry procedures and services.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd

    Podiatry Fee Schedule 2014

    Uploaded by

    Vinay
    35 views8 pages
    This document is the New York State Medicaid Podiatry Services Fee Schedule effective April 1, 2014. It lists various podiatry medical codes, descriptions of the associated procedures, and the fees reimbursed for each code for services provided in different settings such as the office, outpatient, or inpatient. The fee schedule spans 8 pages and provides coding and reimbursement details for over 100 different podiatry procedures and services.

    Original Description:

    Fee Schedule for Podiatry

    Copyright

    © © All Rights Reserved

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    XLS, PDF, TXT or read online from Scribd

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    This document is the New York State Medicaid Podiatry Services Fee Schedule effective April 1, 2014. It lists various podiatry medical codes, descriptions of the associated procedures, and the fees reimbursed for each code for services provided in different settings such as the office, outpatient, or inpatient. The fee schedule spans 8 pages and provides coding and reimbursement details for over 100 different podiatry procedures and services.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    35 views8 pages

    Podiatry Fee Schedule 2014

    Uploaded by

    Vinay
    This document is the New York State Medicaid Podiatry Services Fee Schedule effective April 1, 2014. It lists various podiatry medical codes, descriptions of the associated procedures, and the fees reimbursed for each code for services provided in different settings such as the office, outpatient, or inpatient. The fee schedule spans 8 pages and provides coding and reimbursement details for over 100 different podiatry procedures and services.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 8

    Page 1 of 8

    NYS Medicaid Podiatry Services Fee Schedule


    Effective Date: April 1, 2014

    CODE

    DESCRIPTION

    FEE

    10060
    10061
    10120
    10121
    10140
    10160
    11100
    11101
    11420
    11421
    11422
    11423
    11720
    11721
    11730
    11732
    11740
    11750
    11755
    12001
    12002
    12004
    12005
    12020
    16000
    17000
    17003
    17004
    17110
    17111
    17250
    20600
    20612
    28001
    28008
    28010
    28011
    28020
    28022
    28024
    28090
    28092
    28100
    28104

    INCISION AND DRAINAGE OF ABSCESS (EG, CA


    INCISION AND DRAINAGE OF ABSCESS (EG, CA
    INCISION AND REMOVAL OF FOREIGN BODY, SU
    INCISION AND REMOVAL OF FOREIGN BODY, SU
    INCISION AND DRAINAGE OF HEMATOMA, SEROM
    PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA
    BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/
    BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/
    EXCISION, BENIGN LESION INCLUDING MARGIN
    EXCISION, BENIGN LESION INCLUDING MARGIN
    EXCISION, BENIGN LESION INCLUDING MARGIN
    EXCISION, BENIGN LESION INCLUDING MARGIN
    DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S);
    DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S);
    AVULSION OF NAIL PLATE, PARTIAL OR COMPL
    AVULSION OF NAIL PLATE, PARTIAL OR COMPL
    EVACUATION OF SUBUNGUAL HEMATOMA
    EXCISION OF NAIL AND NAIL MATRIX, PARTIA
    BIOPSY OF NAIL UNIT (EG, PLATE, BED, MAT
    SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF S
    SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF S
    SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF S
    SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF S
    TREATMENT OF SUPERFICIAL WOUND DEHISCENC
    INITIAL TREATMENT, FIRST DEGREE BURN, WH
    DESTRUCTION (EG, LASER SURGERY, ELECTROS
    DESTRUCTION (EG, LASER SURGERY, ELECTROS
    DESTRUCTION (EG, LASER SURGERY, ELECTROS
    DESTRUCTION (EG, LASER SURGERY, ELECTROS
    DESTRUCTION (EG, LASER SURGERY, ELECTROS
    CHEMICAL CAUTERIZATION OF GRANULATION TI
    ARTHROCENTESIS, ASPIRATION AND/OR INJECT
    ASPIRATION AND/OR INJECTION OF GANGLION
    INCISION AND DRAINAGE, BURSA, FOOT
    FASCIOTOMY, FOOT AND/OR TOE
    TENOTOMY, PERCUTANEOUS, TOE; SINGLE TEND
    TENOTOMY, PERCUTANEOUS, TOE; MULTIPLE TE
    ARTHROTOMY, INCLUDING EXPLORATION, DRAIN
    ARTHROTOMY, INCLUDING EXPLORATION, DRAIN
    ARTHROTOMY, INCLUDING EXPLORATION, DRAIN
    EXCISION OF LESION, TENDON, TENDON SHEAT
    EXCISION OF LESION, TENDON, TENDON SHEAT
    EXCISION OR CURETTAGE OF BONE CYST OR BE
    EXCISION OR CURETTAGE OF BONE CYST OR BE

    8.00
    24.00
    8.00
    16.00
    8.00
    4.00
    12.00
    12.00
    16.00
    20.00
    24.00
    36.00
    8.00
    12.00
    8.00
    2.00
    4.00
    40.00
    12.00
    8.00
    10.00
    12.00
    14.00
    80.00
    6.00
    18.00
    4.00
    80.00
    8.00
    11.00
    8.00
    8.00
    12.00
    12.00
    40.00
    20.00
    30.00
    120.00
    40.00
    60.00
    60.00
    40.00
    100.00
    100.00

    FEE
    FEE
    FU
    OFFICE OUTPT BR DAYS

    BR
    BR
    BR

    0
    0
    0
    0
    0
    0
    15
    15
    30
    30
    30
    30
    0
    0
    0
    0
    0
    30
    0
    0
    0
    0
    0
    0
    0
    10
    0
    10
    10
    10
    0
    0
    0
    0
    60
    0
    0
    90
    60
    60
    30
    30
    90
    90

    Page 2 of 8

    NYS Medicaid Podiatry Services Fee Schedule


    Effective Date: April 1, 2014

    CODE

    DESCRIPTION

    FEE

    28280
    28285
    28290
    28292
    28302
    28304
    28306
    28308
    28310
    28312
    28315
    28450
    28455
    28470
    28475
    28490
    28495
    28510
    28515
    28630
    28635
    28660
    28665
    28805
    28810
    28820
    28825
    28899
    29405
    29425
    29580
    64450
    64455
    64632
    64776
    64778
    64782
    64783
    73600
    73610
    73620
    73630
    73660
    81000

    SYNDACTYLIZATION, TOES (EG, WEBBING OR K


    CORRECTION, HAMMERTOE (EG, INTERPHALANGE
    CORRECTION, HALLUX VALGUS (BUNION), WITH
    CORRECTION, HALLUX VALGUS (BUNION), WITH
    OSTEOTOMY; TALUS
    OSTEOTOMY, TARSAL BONES, OTHER THAN CALC
    OSTEOTOMY, WITH OR WITHOUT LENGTHENING,
    OSTEOTOMY, WITH OR WITHOUT LENGTHENING,
    OSTEOTOMY, SHORTENING, ANGULAR OR ROTATI
    OSTEOTOMY, SHORTENING, ANGULAR OR ROTATI
    SESAMOIDECTOMY, FIRST TOE (SEPARATE PROC
    TREATMENT OF TARSAL BONE FRACTURE (EXCEP
    TREATMENT OF TARSAL BONE FRACTURE (EXCEP
    CLOSED TREATMENT OF METATARSAL FRACTURE;
    CLOSED TREATMENT OF METATARSAL FRACTURE;
    CLOSED TREATMENT OF FRACTURE GREAT TOE,
    CLOSED TREATMENT OF FRACTURE GREAT TOE,
    CLOSED TREATMENT OF FRACTURE, PHALANX OR
    CLOSED TREATMENT OF FRACTURE, PHALANX OR
    CLOSED TREATMENT OF METATARSOPHALANGEAL
    CLOSED TREATMENT OF METATARSOPHALANGEAL
    CLOSED TREATMENT OF INTERPHALANGEAL JOIN
    CLOSED TREATMENT OF INTERPHALANGEAL JOIN
    AMPUTATION, FOOT; TRANSMETATARSAL
    AMPUTATION, METATARSAL, WITH TOE, SINGLE
    AMPUTATION, TOE; METATARSOPHALANGEAL JOI
    AMPUTATION, TOE; INTERPHALANGEAL JOINT
    UNLISTED PROCEDURE, FOOT OR TOES
    APPLICATION OF SHORT LEG CAST (BELOW KNE
    APPLICATION OF SHORT LEG CAST (BELOW KNE
    STRAPPING; UNNA BOOT
    INJECTION, ANESTHETIC AGENT; OTHER PERIP
    NJECTION(S), ANESTHETIC AGENT AND/OR STE
    DESTRUCTION BY NEUROLYTIC AGENT; PLAN
    EXCISION OF NEUROMA; DIGITAL NERVE, ONE
    EXCISION OF NEUROMA; DIGITAL NERVE, EACH
    EXCISION OF NEUROMA; HAND OR FOOT, EXCEP
    EXCISION OF NEUROMA; HAND OR FOOT, EACH
    RADIOLOGIC EXAMINATION, ANKLE; TWO VIEWS
    RADIOLOGIC EXAMINATION, ANKLE; COMPLETE,
    RADIOLOGIC EXAMINATION, FOOT; TWO VIEWS
    RADIOLOGIC EXAMINATION, FOOT; COMPLETE,
    RADIOLOGIC EXAMINATION; TOE(S), MINIMUM
    URINALYSIS, BY DIP STICK OR TABLET REAGE

    156.00
    80.00
    80.00
    120.00
    120.00
    120.00
    120.00
    120.00
    120.00
    120.00
    60.00
    30.00
    40.00
    30.00
    40.00
    12.00
    20.00
    12.00
    20.00
    28.00
    28.00
    8.00
    8.00
    140.00
    100.00
    40.00
    40.00

    FEE
    FEE
    FU
    OFFICE OUTPT BR DAYS

    BR
    12.00
    14.00
    8.00
    12.00
    18.11
    29.62
    40.00
    6.00
    60.00
    6.00
    10.00
    12.50
    10.00
    12.50
    7.50
    4.00

    60
    120
    60
    120
    120
    120
    120
    120
    120
    120
    60
    45
    90
    45
    90
    30
    60
    30
    60
    45
    45
    0
    30
    90
    90
    45
    45
    0
    2
    2
    2
    7
    0
    10
    60
    0
    60
    0
    0
    0
    0
    0
    0
    0

    Page 3 of 8

    NYS Medicaid Podiatry Services Fee Schedule


    Effective Date: April 1, 2014

    CODE
    81002
    81015
    85007
    85013
    85018
    85025
    85041
    85048
    85651
    85652
    99070
    99201
    99202
    99203
    99204
    99205
    99211
    99212
    99213
    99214
    99215
    99221
    99222
    99223
    99231
    99232
    99233
    99238
    99239
    99281
    99282
    99283
    99284
    99285
    99304
    99305
    99306
    99307
    99308
    99309
    99310
    99324
    99325
    99326

    DESCRIPTION
    URINALYSIS, BY DIP STICK OR TABLET REAGE
    URINALYSIS; MICROSCOPIC ONLY
    BLOOD COUNT; BLOOD SMEAR, MICROSCOPIC EX
    BLOOD COUNT; SPUN MICROHEMATOCRIT
    BLOOD COUNT; HEMOGLOBIN (HGB)
    BLOOD COUNT; COMPLETE (CBC), AUTOMATED (
    BLOOD COUNT; RED BLOOD CELL (RBC), AUTOM
    BLOOD COUNT; LEUKOCYTE (WBC), AUTOMATED
    SEDIMENTATION RATE, ERYTHROCYTE; NON-AUT
    SEDIMENTATION RATE, ERYTHROCYTE; AUTOMAT
    SUPPLIES AND MATERIALS (EXCEPT SPECTACLE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    OFFICE OR OTHER OUTPATIENT VISIT FOR THE
    INITIAL HOSPITAL CARE, PER DAY, FOR THE
    INITIAL HOSPITAL CARE, PER DAY, FOR THE
    INITIAL HOSPITAL CARE, PER DAY, FOR THE
    SUBSEQUENT HOSPITAL CARE, PER DAY, FOR T
    SUBSEQUENT HOSPITAL CARE, PER DAY, FOR T
    SUBSEQUENT HOSPITAL CARE, PER DAY, FOR T
    HOSPITAL DISCHARGE DAY MANAGEMENT; 30 MI
    HOSPITAL DISCHARGE DAY MANAGEMENT; MORE
    EMERGENCY DEPARTMENT VISIT FOR THE EVALU
    EMERGENCY DEPARTMENT VISIT FOR THE EVALU
    EMERGENCY DEPARTMENT VISIT FOR THE EVALU
    EMERGENCY DEPARTMENT VISIT FOR THE EVALU
    EMERGENCY DEPARTMENT VISIT FOR THE EVALU
    INITIAL NURSING FACILITY CARE, PER DAY,
    INITIAL NURSING FACILITY CARE, PER DAY,
    INITIAL NURSING FACILITY CARE, PER DAY,
    SUBSEQUENT NURSING FACILITY CARE, PER DA
    SUBSEQUENT NURSING FACILITY CARE, PER DA
    SUBSEQUENT NURSING FACILITY CARE, PER DA
    SUBSEQUENT NURSING FACILITY CARE, PER DA
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E

    FEE

    FEE
    FEE
    FU
    OFFICE OUTPT BR DAYS

    2.00
    2.00
    1.43
    2.00
    2.00
    3.17
    3.17
    3.17
    2.00
    2.00
    BR
    5.00
    5.00
    6.50
    6.50
    6.50
    5.00
    5.00
    6.50
    6.50
    6.50
    8.00
    8.00
    8.00
    5.00
    5.00
    5.00
    5.00
    5.00
    8.00
    8.00
    8.00
    8.00
    8.00
    8.00
    8.00
    8.00
    7.00
    7.00
    7.00
    7.00
    7.00
    7.00
    8.00

    8.00
    8.00
    8.00
    8.00
    8.00
    5.00
    5.00
    5.00
    5.00
    5.00

    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0

    Page 4 of 8

    NYS Medicaid Podiatry Services Fee Schedule


    Effective Date: April 1, 2014

    CODE
    99327
    99328
    99334
    99335
    99336
    99337
    99341
    99342
    99343
    99344
    99345
    99347
    99348
    99349
    99350
    J3490
    T1013

    DESCRIPTION
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E
    DOMICILIARY OR REST HOME VISIT FOR THE E
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    HOME VISIT FOR THE EVALUATION AND MANAGE
    UNCLASSIFIED DRUGS
    SIGN LANGUAGE OR ORAL INTERPRETIVE SER

    FEE

    FEE
    FEE
    FU
    OFFICE OUTPT BR DAYS

    8.00
    8.00
    7.00
    7.00
    8.00
    8.00
    7.00
    8.00
    8.00
    8.00
    8.00
    7.00
    7.00
    8.00
    8.00
    BR
    11.00

    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0
    0

    Page 5 of 8

    CHANGE

    Page 6 of 8

    CHANGE

    Page 7 of 8

    CHANGE

    Page 8 of 8

    CHANGE

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