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 0052T 04 Y M Y Y 00530 04 Y M 00532 04 Y I 00534 04 Y M 00537 04 Y I 00539 04 Y M 0053T 04 Y M Y Y 00540 04 Y M 00541 04 Y M 00542 04 Y M 00546 04 Y M 00548 04 Y M 00550 04 Y M 00560 04 Y M 00561 04 Y M 00562 04 Y M 00563 04 Y M 00566 04 Y M 00567 04 1/1/2009 Y M 00580 04 Y M 00600 04 Y M Wednesday, April 01, 2009 Page 4 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 00604 04 Y M 00620 04 Y M 00622 04 Y M 00625 04 1/1/2007 Y M 00626 04 1/1/2007 Y N 0062T 04 N M 509.95 00630 04 Y M 00632 04 Y M 00634 04 Y M 00635 04 Y I 0063T 04 Y M 00640 04 Y M 00670 04 Y M 00700 04 Y M 00702 04 Y I 00730 04 Y M 0073T 04 N N 364.51 00740 04 Y M 00750 04 Y M 00752 04 Y M 00754 04 Y M Wednesday, April 01, 2009 Page 5 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 and 10: 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 />
0052T <strong>04</strong> Y M Y Y<br />
00530 <strong>04</strong> Y M<br />
00532 <strong>04</strong> Y I<br />
00534 <strong>04</strong> Y M<br />
00537 <strong>04</strong> Y I<br />
00539 <strong>04</strong> Y M<br />
0053T <strong>04</strong> Y M Y Y<br />
00540 <strong>04</strong> Y M<br />
00541 <strong>04</strong> Y M<br />
00542 <strong>04</strong> Y M<br />
00546 <strong>04</strong> Y M<br />
00548 <strong>04</strong> Y M<br />
00550 <strong>04</strong> Y M<br />
00560 <strong>04</strong> Y M<br />
00561 <strong>04</strong> Y M<br />
00562 <strong>04</strong> Y M<br />
00563 <strong>04</strong> Y M<br />
00566 <strong>04</strong> Y M<br />
00567 <strong>04</strong> 1/1/20<strong>09</strong> Y M<br />
00580 <strong>04</strong> Y M<br />
00600 <strong>04</strong> Y M<br />
Wednesday, April <strong>01</strong>, 20<strong>09</strong> Page 4 <strong>of</strong> 458
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