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Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes

Rule 59G-4.002, Provider Reimbursement Schedules and Billing Codes

Fee ScheduleEffective Date
Assistive Care Services Fee Schedule

Updated Fee Schedule [ pdf 9.3 kB ] 2025

Updated Fee Schedule [ pdf 49.7 kB ] October 1, 2024
Promulgated Fee Schedule [ pdf 49.7 kB ] 2024

Behavior Analysis Fee Schedule

Updated Fee Schedule [ pdf 441.6 kB ] 2025

Updated Fee Schedule [ pdf 480.3 kB ] October 1, 2024
Promulgated Fee Schedule [ pdf 480.3 kB ] 2024

Behavioral Health Overlay Services Fee Schedule

Updated Fee Schedule [ pdf 350 kB ] 2025

Promulgated Fee Schedule [ pdf 349.9 kB ] 2024

Birth Center Fee Schedule

Updated Fee Schedule [ pdf 364.2 kB ] 2025
Updated XLS [ excel 70.3 kB ] 2025

Promulgated Fee Schedule [ pdf 92.9 kB ] 2024
Promulgated XLS [ excel 70.8 kB ] 2024

Child Health Targeted Case Management Services Fee Schedule

Updated Fee Schedule [ pdf 107.6 kB ] 2025

Promulgated Fee Schedule [ pdf 423.8 kB ] 2024

Community-Based Substance Abuse County Match Fee Schedule

Updated Fee Schedule [ pdf 353.7 kB ] 2025

Promulgated Fee Schedule [ pdf 30.7 kB ] 2024

Community Behavioral Health Services Fee Schedule

Updated Fee Schedule [ pdf 562.9 kB ] 2025
Updated XLS [ excel 13.7 kB ]  2025

Promulgated Fee Schedule [ pdf 2.2 MB ] 2024
Promulgated XLS [ excel 13.7 kB ] 2024

County Health Department Certified Match Program Fee Schedule

Updated Fee Schedule [ pdf 82.6 kB ] 2025

Promulgated Fee Schedule [ pdf 82.9 kB ] 2024

Dental General Fee Schedule

Updated Fee Schedule [ pdf 406.2 kB ] 2025
Updated XLS [ excel 16.6 kB ] 2025

Updated Fee Schedule [ pdf 342.7 kB ] October 1, 2024
Updated XLS [ excel 16.6 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 154.2 kB ] 2024
Promulgated XLS [ excel 17 kB ] 2024

Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients

Updated Fee Schedule [ pdf 1.4 MB ] 2025
Updated XLS [ excel 133.4 kB ] 2025

Promulgated Fee Schedule [ pdf 722.3 kB ] 2024
Promulgated XLS [ excel 134.6 kB ] 2024

Early Intervention Services Fee Schedule

Updated Fee Schedule [ pdf 71.3 kB ] 2025

Updated Fee Schedule [ pdf 19.8 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 19.5 kB ] 2024

Family Home Health Aide Fee Schedule

Updated Fee Schedule [ pdf 59.4 kB ] 2025

Updated Fee Schedule [ pdf 100.1 kB ] October 1, 2024

Hearing Services Fee Schedule

Updated Fee Schedule [ pdf 175.6 kB ] 2025
Updated XLS [ excel 14.2 kB ] 2025

Promulgated Fee Schedule [ pdf 41.3 kB ] 2024
Promulgated XLS [ excel 14 kB ] 2024

Home Health Visit Services Fee Schedule

Updated Fee Schedule [ pdf 61.3 kB ] 2025

Promulgated Fee Schedule [ pdf 61.5 kB ] 2024

Independent Laboratory Fee Schedule

Updated Fee Schedule [ pdf 213.9 kB ] 2025
Updated XLS [ excel 37 kB ] 2025

Promulgated Fee Schedule [ pdf 298.4 kB ] 2024
Promulgated XLS [ excel 34.9 kB ] 2024

Licensed Midwife Fee Schedule

Updated Fee Schedule [ pdf 251.8 kB ] 2025
Updated XLS [ excel 12.7 kB ] 2025

Promulgated Fee Schedule [ pdf 68.7 kB ] 2024
Promulgated XLS [ excel 12.6 kB ] 2024

Medicaid Certified School Match Program Fee Schedule

Updated Fee Schedule [ pdf 133.2 kB ] 2025

Promulgated Fee Schedule [ pdf 133.5 kB ] 2024

Medical Foster Care Services Fee Schedule

Updated Fee Schedule [ pdf 9.8 kB ] 2025

Updated Fee Schedule [ pdf 50.2 kB ] October 1, 2024
Updated XLS [ excel 46.8 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 9.9 kB ] 2024

Mental Health Targeted Case Management Services Fee Schedule

Updated Fee Schedule [ pdf 107.6 kB ] 2025

Promulgated Fee Schedule [ pdf 423.8 kB ] 2024

Occupational Therapy Services Fee Schedule

Updated Fee Schedule [ pdf 83.5 kB ] 2025

Updated Fee Schedule [ pdf 56.3 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 35.5 kB ] 2024

Personal Care Services Fee Schedule

Updated Fee Schedule [ pdf 51.7 kB ] 2025

Promulgated Fee Schedule [ pdf 51.9 kB ] 2024

Physical Therapy Fee Schedule

Updated Fee Schedule [ pdf 37.1 kB ] 2025

Updated Fee Schedule [ pdf 56.4 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 142.6 kB ] 2024

Physician Pediatric Surgery Fee Schedule

Updated Fee Schedule [ pdf 251.9 kB ] 2025
Updated XLS [ excel 22.4 kB ] 2025

Promulgated Fee Schedule [ pdf 141.1 kB ] 2024
Promulgated XLS [ excel 22.5 kB ] 2024

Practitioner Fee Schedule

Updated Fee Schedule [ pdf 516 kB ] 2025
Updated XLS [ excel 276.1 kB ] 2025

Updated Fee Schedule [ pdf 552.8 kB ]  July 1, 2024
Updated XLS [ excel 262.7 kB ]  July 1, 2024

Promulgated Fee Schedule [ pdf 2.6 MB ] 2024
Promulgated XLS [ excel 262.2 kB ] 2024

Practitioner Laboratory Fee Schedule

(Formerly titled Physician and Outpatient Laboratory Fee Schedule)

Updated Fee Schedule [ pdf 225.9 kB ] 2025
Updated XLS [ excel 52.8 kB ] 2025

Promulgated Fee Schedule [ pdf 499.2 kB ] 2024
Promulgated XLS [ excel 53.7 kB ] 2024

Promulgated Fee Schedule [ pdf 592.7 kB ] July 2022
Promulgated XLS [ excel 114.4 kB ] July 2022

Prescribed Drugs Immunization Fee Schedule

Updated Fee Schedule [ pdf 309.5 kB ] 2025
Updated XLS [ excel 22.9 kB ] 2025

Promulgated Fee Schedule [ pdf 334.8 kB ]  2024
Promulgated XLS [ excel 27.4 kB ]  2024

Prescribed Pediatric Extended Care Services Fee Schedule

Updated Fee Schedule [ pdf 67 kB ] 2025

Promulgated Fee Schedule [ pdf 67.1 kB ] 2024

Private Duty Nursing Services Fee Schedule

Updated Fee Schedule [ pdf 62.8 kB ] 2025

Updated Fee Schedule [ pdf 103.5 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 63.3 kB ] 2024

Radiology Fee Schedule

Updated Fee Schedule 2025
Updated XLS [ excel 39.8 kB ] 2025

Updated Fee Schedule [ pdf 254.7 kB ]  July 1, 2024
Updated XLS [ excel 39.7 kB ]  July 1, 2024

Promulgated Fee Schedule [ pdf 339.5 kB ] 2024
Promulgated XLS [ excel 39.7 kB ] 2024

Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule

Updated Fee Schedule [ pdf 357.9 kB ] 2025
Updated XLS [ excel 12.1 kB ] 2025

Promulgated Fee Schedule [ pdf 50 kB ] 2024
Promulgated XLS [ excel 12.1 kB ] 2024

Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule

Updated Fee Schedule [ pdf 358.5 kB ] 2025
Updated XLS [ excel 12.2 kB ] 2025

Promulgated Fee Schedule [ pdf 47.5 kB ] 2024
Promulgated XLS [ excel 12.2 kB ] 2024

Respiratory Therapy Services

Updated Fee Schedule [ pdf 29.6 kB ] 2025

Promulgated Fee Schedule [ pdf 96 kB ] 2024

Specialized Therapeutic Services Fee Schedule

Updated Fee Schedule [ pdf 501.6 kB ] 2025

Promulgated Fee Schedule [ pdf 501.3 kB ] 2024

Speech-Language Pathology Services Fee Schedule

Updated Fee Schedule [ pdf 38 kB ] 2025

Updated Fee Schedule [ pdf 59 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 38.2 kB ] 2024

Targeted Case Management for Children at Risk of Abuse and Neglect Services Fee Schedule

Updated Fee Schedule [ pdf 107.6 kB ] 2025

Promulgated Fee Schedule [ pdf 423.8 kB ] 2024

Transportation Services Fee Schedule

Updated Fee Schedule [ pdf 19.5 kB ] 2025 

Updated Fee Schedule [ pdf 39.3 kB ] October 1, 2024

Promulgated Fee Schedule [ pdf 19.5 kB ] 2024

Visual Services Fee Schedule

Updated Fee Schedule [ pdf 164.4 kB ] 2025
Updated XLS [ excel 13.5 kB ] 2025

Promulgated Fee Schedule [ pdf 39.5 kB ] 2024
Promulgated XLS [ excel 13.4 kB ] 2024

Billing CodeEffective Date
County Health Department Billing Codes

Updated Billing Code [ pdf 293.1 kB ] 2025

Promulgated Billing Code [ pdf 109.9 kB ] 2024

Federally Qualified Health Center Billing Codes

Updated Billing Code [ pdf 424.4 kB ] 2025

Promulgated Billing Code [ pdf 111.1 kB ] 2024

Hospice Services Billing Codes

Updated Billing Code [ pdf 110.9 kB ] 2025

Promulgated Billing Code [ pdf 109.2 kB ] 2024

Hospital Outpatient Services Billing Codes

Updated Billing Code [ pdf 165 kB ] 2025

Promulgated Billing Code [ pdf 165.6 kB ] 2024

Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes

Updated Billing Code [ pdf 171.9 kB ] 2025

Promulgated Billing Code [ pdf 9.3 kB ] 2024

Nursing Facility Services Billing Codes

Updated Billing Code [ pdf 169.9 kB ] 2025

Promulgated Billing Code [ pdf 92.9 kB ] 2024

Prescribed Drugs Physician Administered Billing Codes

Updated Billing Code [ pdf 246.9 kB ]  2025
Updated XLS [ excel 32.2 kB ]  2025

Promulgated Billing Code [ pdf 244.5 kB ]  2024
Promulgated XLS [ excel 31.9 kB ]  2024

Rural Health Clinic Billing Codes

Updated Billing Code [ pdf 353.6 kB ] 2025

Promulgated Billing Code [ pdf 104.7 kB ] 2024

Statewide Inpatient Psychiatric Program Services Billing Codes

Updated Billing Code [ pdf 62.4 kB ] 2025

Promulgated Billing Code [ pdf 62.2 kB ] 2024

Historical Medicaid Reimbursement Schedules