November 20, 2007 - Revised 07.21.08
2008 North Carolina Medicare Clinical Social Worker Fee Schedule
Revised Fees for selected Mental Health Codes
Note: Bolded codes received an increase
Effective for DOS July 1, 2008
| Procedure Code | Non-Facility Fee | Facility Fee | |
|---|---|---|---|
| 90801AJ | $106.70 | $91.68 | |
| 90802AJ | $113.09 | $98.84 | |
| * | 90804AJ | $47.06 | $40.97 |
| * | 90806AJ | $66.83 | $62.69 |
| * | 90808AJ | $98.73 | $94.31 |
| * | 90810AJ | $49.94 | $44.69 |
| * | 90812AJ | $72.58 | $66.21 |
| * | 90814AJ | $103.92 | $98.39 |
| * | 90816AJ | $44.36 | $44.36 |
| * | 90818AJ | $66.05 | $66.05 |
| * | 90821AJ | $97.97 | $97.97 |
| * | 90823AJ | $47.91 | $47.91 |
| * | 90826AJ | $70.37 | $70.37 |
| * | 90828AJ | $102.08 | $102.08 |
| * | 90845AJ | $58.51 | $57.20 |
| *# | 90846AJ | $62.00 | $60.95 |
| *# | 90847AJ | $77.17 | $73.22 |
| *# | 90849AJ | $23.12 | $21.02 |
| * | 90853AJ | $21.89 | $20.57 |
| * | 90857AJ | $24.59 | $21.95 |
| * | 90880AJ | $77.39 | $70.27 |
| 96102AJ | $35.95 | $16.18 | |
| 96103AJ | $27.98 | $16.91 | |
| 96105AJ | $48.34 | $48.34 | |
| 96110AJ | $8.00 | $8.00 | |
| 96111AJ | $91.61 | $90.02 | |
| 96119AJ | $50.45 | $20.66 | |
| 96120AJ | $45.12 | $16.64 | |
| 96125AJ | $65.78 | $55.49 |
* The procedure code is subject to the 62.5% outpatient psychiatric payment limitation (i.e., the allowed amount is reduced to 62.5% of the allowable amount).
# The procedure code has a restricted coverage status. Documentation must be included in order to review for coverage.
© All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2007 by the American Medical Association.
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