Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois
Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois Practitioner Fee Schedule (pdf)- Updated 04/01/09 - State of Illinois
Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty StateMax Surg Child Adult 00174 04 Y M 00176 04 Y M 0017T 04 Y M 00190 04 Y M 00192 04 Y M 0019T 04 Y I 00210 04 Y M 00211 04 1/1/2009 Y M 00212 04 Y M 00214 04 Y M 00215 04 Y M 00216 04 Y M 00218 04 Y M 00220 04 Y M 00222 04 Y M 00300 04 Y M 0030T 04 Y N 00320 04 Y M 00322 04 Y M 00326 04 Y M 00350 04 Y M Wednesday, April 01, 2009 Page 2 of 458
Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty StateMax Surg Child Adult 00352 04 Y M 00400 04 Y I 00402 04 Y M 00404 04 Y M 00406 04 Y M 00410 04 N I 112.40 0042T B 04 N N 141.22 141.22 282.45 00450 04 Y M 00452 04 Y M 00454 04 Y I 00470 04 Y M 00472 04 Y M 00474 04 Y M 0048T 04 Y M Y 00500 04 Y M 0051T 04 Y M Y Y 00520 04 Y M 00522 04 Y I 00524 04 Y M 00528 04 Y M 00529 04 Y N Wednesday, April 01, 2009 Page 3 of 458
- Page 1 and 2: Healthcare and Family Services Prac
- Page 3 and 4: Q State maximum amount now includes
- Page 5 and 6: MODIFIERS RECOGNIZED IN PROCESSING
- Page 7 and 8: HO Masters degree level; added 0601
- Page 9: Health Care and Family Services Rev
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Hcpcs Note ProgCov Eff Date HP NDC Ind SurgInd M1 (26) M2 (TC) Assist Surg Co-Surg Unitprice MaxQty <strong>State</strong>Max Surg Child Adult<br />
00352 <strong>04</strong> Y M<br />
0<strong>04</strong>00 <strong>04</strong> Y I<br />
0<strong>04</strong>02 <strong>04</strong> Y M<br />
0<strong>04</strong><strong>04</strong> <strong>04</strong> Y M<br />
0<strong>04</strong>06 <strong>04</strong> Y M<br />
0<strong>04</strong>10 <strong>04</strong> N I 112.40<br />
0<strong>04</strong>2T B <strong>04</strong> N N 141.22 141.22 282.45<br />
0<strong>04</strong>50 <strong>04</strong> Y M<br />
0<strong>04</strong>52 <strong>04</strong> Y M<br />
0<strong>04</strong>54 <strong>04</strong> Y I<br />
0<strong>04</strong>70 <strong>04</strong> Y M<br />
0<strong>04</strong>72 <strong>04</strong> Y M<br />
0<strong>04</strong>74 <strong>04</strong> Y M<br />
0<strong>04</strong>8T <strong>04</strong> Y M Y<br />
00500 <strong>04</strong> Y M<br />
0051T <strong>04</strong> Y M Y Y<br />
00520 <strong>04</strong> Y M<br />
00522 <strong>04</strong> Y I<br />
00524 <strong>04</strong> Y M<br />
00528 <strong>04</strong> Y M<br />
00529 <strong>04</strong> Y N<br />
Wednesday, April <strong>01</strong>, 20<strong>09</strong> Page 3 <strong>of</strong> 458
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