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 01520 04 Y M 01522 04 Y M 01610 04 Y M 01620 04 Y M 01622 04 Y M 01630 04 Y M 01632 04 Y M 01634 04 Y M 01636 04 Y M 01638 04 Y M 01650 04 Y M 01652 04 Y M 01654 04 Y M 01656 04 Y M 01670 04 Y M 01680 04 Y I 01682 04 Y I 01710 04 Y M 01712 04 Y M 01714 04 Y M 01716 04 Y M Wednesday, April 01, 2009 Page 12 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 01730 04 Y M 01732 04 Y M 01740 04 Y M 01742 04 Y M 01744 04 Y M 01756 04 Y M 01758 04 Y M 01760 04 Y M 01770 04 Y M 01772 04 Y M 01780 04 Y M 01782 04 Y M 01810 04 Y M 01820 04 Y M 01829 04 N M 356.10 01830 04 Y M 01832 04 Y M 01840 04 Y M 01842 04 Y M 01844 04 Y M 01850 04 Y M Wednesday, April 01, 2009 Page 13 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 />
<strong>01</strong>520 <strong>04</strong> Y M<br />
<strong>01</strong>522 <strong>04</strong> Y M<br />
<strong>01</strong>610 <strong>04</strong> Y M<br />
<strong>01</strong>620 <strong>04</strong> Y M<br />
<strong>01</strong>622 <strong>04</strong> Y M<br />
<strong>01</strong>630 <strong>04</strong> Y M<br />
<strong>01</strong>632 <strong>04</strong> Y M<br />
<strong>01</strong>634 <strong>04</strong> Y M<br />
<strong>01</strong>636 <strong>04</strong> Y M<br />
<strong>01</strong>638 <strong>04</strong> Y M<br />
<strong>01</strong>650 <strong>04</strong> Y M<br />
<strong>01</strong>652 <strong>04</strong> Y M<br />
<strong>01</strong>654 <strong>04</strong> Y M<br />
<strong>01</strong>656 <strong>04</strong> Y M<br />
<strong>01</strong>670 <strong>04</strong> Y M<br />
<strong>01</strong>680 <strong>04</strong> Y I<br />
<strong>01</strong>682 <strong>04</strong> Y I<br />
<strong>01</strong>710 <strong>04</strong> Y M<br />
<strong>01</strong>712 <strong>04</strong> Y M<br />
<strong>01</strong>714 <strong>04</strong> Y M<br />
<strong>01</strong>716 <strong>04</strong> Y M<br />
Wednesday, April <strong>01</strong>, 20<strong>09</strong> Page 12 <strong>of</strong> 458
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