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Fee Schedules and Rates

The following contains Current Dental Terminology, Fourth Edition (CDT), copyright © 2010 American Dental Association (ADA).  All rights reserved. CDT is a trademark of the ADA. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. U.S. Government Rights. This product includes CDT, which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable, which was developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago, Illinois, 60611. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2) (June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a) (June 1995) and DFARS 227.7202-3(a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.” The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement below by checking the checkbox and clicking on the button labeled “I ACCEPT”. If you do not agree to the terms and conditions, you may not access the following data. Instead, you must click below on the button labeled “I DO NOT ACCEPT” and return to the homepage.
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Below are the fee schedules and rates listed by codes for particular provider or facility types.


Fee Schedules File Type File Type Effective Date
Ambulance PDF Excel July 1, 2014
Anesthesia Base Unit PDF Excel July 1, 2014
ASC Fee Schedule for DOS PDF Excel Jan. 1, 2014
Billing Guidelines for Mental Health/Psychiatry PDF July 1, 2014
Billing Guidelines for Therapeutic and Evaluative Mental Health Services for Children
(formerly Billing Guidelines for Community-Based Mental Health Services)
PDF July 1, 2014
Billing Guidelines for Community Mental Health Center (Section 15) PDF July 1, 2014
Dental Fees – Outpatient Hospital PDF Excel July 1, 2014
Dental Fees – Professional Services PDF Excel July 1, 2014
Durable Medical Equipment (DME), Orthotic, Prosthetic PDF Excel July 1, 2014
Early Periodic Screening, Diagnosis, and Treatment (EPSDT) PDF July, 1, 2009
Hearing PDF Excel Dec. 1, 2013
Intellectual and Developmental Disabilities (ID/DD) waiver PDF Jan. 1, 2009
Increased Primary Care Provider PDF Excel Jan. 1, 2014
Physician Administered Drug PDF Excel Oct. 1, 2014
Medical Supply PDF Excel July 1, 2014
Medical Supply Codes – Manually Priced PDF Excel July 1, 2014
Outpatient Prospective Payment System (OPPS) Medicaid PDF Excel July 1, 2014
PASRR Administrative Services PDF
Pathology Laboratory PDF Excel July 1, 2014
Radiology PDF Excel July 1, 2014
School Health PDF Oct. 1, 2014
Vision PDF Excel July 1, 2014



Rates Effective Date
End-Stage Renal Disease 2013
End-Stage Renal Disease bundled list Jan. 1, 2014
Federally Qualified Health Center (FQHC) Calendar Year 2014
Home Health Fiscal Year 2015
Hospice FY 2015 Rates by County Oct. 1, 2014
Hospice FY 2014 Rates by County Oct. 1, 2013
Intermediate Care Facilities for the Mentally Retarded (ICF-MR) Calendar Year 2013
Psychiatric Residential Treatment Facilities (PRTF) Calendar Year 2013
Rural Health Clinics (RHC) Calendar Year 2014
Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF-IID) Calendar Year 2014
MS Dept. of Health Clinic July 1, 2011
Nursing Facilities 2014 First Quarter
2014 Second Quarter
2014 Third Quarter
2014 Fourth Quarter


 Code descriptions on the various fee schedules available below are incomplete. Providers must use current CPT, HCPCS, CDT and ICD9 books for correct coding.


Current Dental Terminology (including procedure codes, nomenclature, descriptors and other data contained therein) is copyright © 2008 American Dental Association. All rights reserved. Applicable FARS/DFARS Apply.

CPT only copyright 2014 American Medical Association. All rights reserved.