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 01215 04 Y I 01220 04 Y M 01230 04 Y M 01232 04 Y M 01234 04 Y M 0123T 04 Y M 0124T 04 Y M 01250 04 Y M 01260 04 Y M 01270 04 Y M 01272 04 Y M 01274 04 Y M 01320 04 Y M 01340 04 Y M 01360 04 Y M 01380 04 Y M 01382 04 Y M 01390 04 Y M 01392 04 Y M 01400 04 Y M 01402 04 Y M Wednesday, April 01, 2009 Page 10 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 01404 04 Y M 01420 04 Y I 01430 04 Y M 01432 04 Y M 0143T 04 Y N 01440 04 Y M 01442 04 Y M 01444 04 Y M 01462 04 Y M 01464 04 Y M 01470 04 Y M 01472 04 Y M 01474 04 Y M 0147T C 04 N N 21.37 88.48 109.85 01480 04 Y M 01482 04 Y M 01484 04 Y M 01486 04 Y M 01490 04 Y I 01500 04 Y M 01502 04 Y M Wednesday, April 01, 2009 Page 11 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
- Page 11 and 12: Hcpcs Note ProgCov Eff Date HP NDC
- Page 13 and 14: Hcpcs Note ProgCov Eff Date HP NDC
- Page 15 and 16: Hcpcs Note ProgCov Eff Date HP NDC
- Page 17: Hcpcs Note ProgCov Eff Date HP NDC
- Page 21 and 22: Hcpcs Note ProgCov Eff Date HP NDC
- Page 23 and 24: Hcpcs Note ProgCov Eff Date HP NDC
- Page 25 and 26: Hcpcs Note ProgCov Eff Date HP NDC
- Page 27 and 28: Hcpcs Note ProgCov Eff Date HP NDC
- Page 29 and 30: Hcpcs Note ProgCov Eff Date HP NDC
- Page 31 and 32: Hcpcs Note ProgCov Eff Date HP NDC
- Page 33 and 34: Hcpcs Note ProgCov Eff Date HP NDC
- Page 35 and 36: Hcpcs Note ProgCov Eff Date HP NDC
- Page 37 and 38: Hcpcs Note ProgCov Eff Date HP NDC
- Page 39 and 40: Hcpcs Note ProgCov Eff Date HP NDC
- Page 41 and 42: Hcpcs Note ProgCov Eff Date HP NDC
- Page 43 and 44: Hcpcs Note ProgCov Eff Date HP NDC
- Page 45 and 46: Hcpcs Note ProgCov Eff Date HP NDC
- Page 47 and 48: Hcpcs Note ProgCov Eff Date HP NDC
- Page 49 and 50: Hcpcs Note ProgCov Eff Date HP NDC
- Page 51 and 52: Hcpcs Note ProgCov Eff Date HP NDC
- Page 53 and 54: Hcpcs Note ProgCov Eff Date HP NDC
- Page 55 and 56: Hcpcs Note ProgCov Eff Date HP NDC
- Page 57 and 58: Hcpcs Note ProgCov Eff Date HP NDC
- Page 59 and 60: Hcpcs Note ProgCov Eff Date HP NDC
- Page 61 and 62: Hcpcs Note ProgCov Eff Date HP NDC
- Page 63 and 64: Hcpcs Note ProgCov Eff Date HP NDC
- Page 65 and 66: Hcpcs Note ProgCov Eff Date HP NDC
- Page 67 and 68: Hcpcs Note ProgCov Eff Date HP NDC
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 />
<strong>01</strong>4<strong>04</strong> <strong>04</strong> Y M<br />
<strong>01</strong>420 <strong>04</strong> Y I<br />
<strong>01</strong>430 <strong>04</strong> Y M<br />
<strong>01</strong>432 <strong>04</strong> Y M<br />
<strong>01</strong>43T <strong>04</strong> Y N<br />
<strong>01</strong>440 <strong>04</strong> Y M<br />
<strong>01</strong>442 <strong>04</strong> Y M<br />
<strong>01</strong>444 <strong>04</strong> Y M<br />
<strong>01</strong>462 <strong>04</strong> Y M<br />
<strong>01</strong>464 <strong>04</strong> Y M<br />
<strong>01</strong>470 <strong>04</strong> Y M<br />
<strong>01</strong>472 <strong>04</strong> Y M<br />
<strong>01</strong>474 <strong>04</strong> Y M<br />
<strong>01</strong>47T C <strong>04</strong> N N 21.37 88.48 1<strong>09</strong>.85<br />
<strong>01</strong>480 <strong>04</strong> Y M<br />
<strong>01</strong>482 <strong>04</strong> Y M<br />
<strong>01</strong>484 <strong>04</strong> Y M<br />
<strong>01</strong>486 <strong>04</strong> Y M<br />
<strong>01</strong>490 <strong>04</strong> Y I<br />
<strong>01</strong>500 <strong>04</strong> Y M<br />
<strong>01</strong>502 <strong>04</strong> Y M<br />
Wednesday, April <strong>01</strong>, 20<strong>09</strong> Page 11 <strong>of</strong> 458
Change language