Florida Administrative Register



Rural Health Center Billing Codes 2019Adult Health Screening CodesCODEDESCRIPTION OF SERVICESMAXIMUM FEE99385Adult Health Screening, new patient, age 21-39 yrs.Cost based99386Adult Health Screening, new patient, age 40-64 yrs.Cost based99387Adult Health Screening, new patient, age 65 yrs. and overCost based99395Adult Health Screening, established patient, age 21-39 yrs.Cost based99396Adult Health Screening, established patient, age 40-64 yrs.Cost based99397Adult Health Screening, established patient, 65 yrs. and overCost basedChiropractic Services CodesCODEDESCRIPTION OF SERVICESMAXIMUM FEE99203New Patient VisitCost-based989409894198942Chiropractic ManipulationCost-basedWell Child Visit (Child Health Check-Up) CodesCODEMODIFIERDESCRIPTION OF SERVICESMAXIMUM FEE99381Well Child Visit – new patient <1yearCost-based99382Well Child Visit – new patient 1 through 4 yearsCost-based99383Well Child Visit – new patient 5 through 11 yearsCost-based99384Well Child Visit – new patient 12 through 17 yearsCost-based99385EPWell Child Visit – new patient 18 through 20 yearsCost-based99391Well Child Visit– established patient <1 yearCost-based99392Well Child Visit – established patient 1 through 4 yearsCost-based99393Well Child Visit – established patient 5 through 11 yearsCost-based99394Well Child Visit – established patient 12 through 17 yearsCost-based99395EPWell Child Visit – established patient 18 through 20 yearsCost-basedFamily Planning CodesCODEMODIFIERDESCRIPTION OF SERVICESMAXIMUM FEE99383FPFamily Planning—Initial Family Planning Examination – age 5-11Cost-based99384FPFamily Planning—Initial Family Planning Examination – age 12-17Cost-based99385FPFamily Planning—Initial Family Planning Examination – age 18-39Cost-based99386FPFamily Planning—Initial Family Planning Examination – age 40-64Cost-based99393FPFamily Planning—Annual Family Planning Examination – age 5-11Cost-based99394FPFamily Planning—Annual Family Planning Examination – age 12-17Cost-based99395FPFamily Planning—Annual Family Planning Examination – age 18-39Cost-based99396FPFamily Planning—Annual Family Planning Examination – age 40-64Cost-based99403FPFamily Planning Counseling VisitCost-based99211FPFamily Planning Supply VisitCost-based9940199402FPHIV CounselingCost-basedFamily Planning Waiver CodesFor more information about the family planning waiver program, visit: OF SERVICESMAXIMUM FEE99384FPFamily Planning—Initial Family Planning ExaminationCost-based99385FPFamily Planning—Initial Family Planning ExaminationCost-based99386FPFamily Planning—Initial Family Planning ExaminationCost-based99394FPFamily Planning—Annual Family Planning Examination – age 12-17Cost-based99395FPFamily Planning—Annual Family Planning Examination – age 18-39Cost-based99396FPFamily Planning—Annual Family Planning Examination – age 40-55Cost-based99211FPFamily Planning--Supply VisitCost-based99403FPFamily Planning--Counseling VisitCost-based9940199402FPHIV CounselingCost-basedPrimary Medical Care CodesCODEDESCRIPTION OF SERVICESMAXIMUMFEE99201Office or other outpatient visitCost-based99202Office or other outpatient visitCost-based99203Office or other outpatient visitCost-based99204Office or other outpatient visitCost-based99205Office or other outpatient visitCost-based99211Office or other outpatient visitCost-based99212Office or other outpatient visitCost-based99213Office or other outpatient visitCost-based99214Office or other outpatient visitCost-based99215Office or other outpatient visitCost-basedH1000Antepartum Care onlyCost-based59430Postpartum Care onlyCost-basedMental Health Services CodeCODEDESCRIPTIONMAXIMUM FEEH0004Individual and/or Group Therapy by Mental Health Practitioner (45--50 minutes)Cost-basedOptometric Services CodesCODEDESCRIPTIONMAXIMUM FEE99201-99205Optometric Care-New patientCost-based99211-99215Optometric Care-Established patientCost-basedPodiatry Services CodesCODEDESCRIPTIONMAXIMUM FEE99201-99215See Primary Medical Care for descriptorsCost-basedRHC Visits to Nursing Facility or Custodial Care Facility, i.e., Assisted LivingFacilityCODEDESCRIPTIONMAXIMUM FEE99306Visit to a FacilityCost-basedImmunization CodesCodeDESCRIPTIONMAXIMUM FEEBill the Appropriate CPT CodeAdministration of Vaccines to Medicaid recipients from birth through 18 years$10.00 per vaccine dose ................
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