County Health Department Billing Codes. Effective January 1, 2017
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1 County Health Department Billing Codes Effective Adult Health Screening Codes CODE DESCRIPTION OF SERVICES Maximum Fee Adult Health Screening, new patient, age yrs Adult Health Screening, new patient, age yrs Adult Health Screening, new patient, age 65 yrs. and over Adult Health Screening, established patient, age yrs Adult Health Screening, established patient, age yrs Adult Health Screening, established patient, 64 yrs. and over Dental Services Codes CODE DESCRIPTION OF SERVICES Maximum Fee D0150 Comprehensive Oral Evaluation D0120 Periodic Oral Evaluation D5211 Upper Partial-Resin Base * D5212 Lower Partial-Resin Base * D5213 Maxillary Partial Denture * D5214 Mandibular Partial Denture * D5820 Interim Partial Denture *
2 Child Health Check-Up Codes Child Health Check-Up Screening new patient <1year Child Health Check-Up Screening new patient 1 through 4 years Child Health Check-Up Screening new patient 5 through 11 years Child Health Check-Up Screening new patient 12 through 17 years EP Child Health Check-Up Screening new patient 18 through 20 years Child Health Check-Up Screening established patient <1 year Child Health Check-Up Screening established patient 1 through 4 years Child Health Check-Up Screening established patient 5 through 11 years Child Health Check-Up Screening established patient 12 through 17 years EP Child Health Check-Up Screening established patient 18 through 20 years
3 Family Planning Codes FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Counseling Visit FP Family Planning Supply Visit HIV Counseling
4 Family Planning Waiver Codes FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Initial Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning Annual Family Planning FP Family Planning--Counseling Visit FP Family Planning--Supply Visit 99401, , 57454, HIV Counseling Colposcopy Surgeries (Billed with the Fee-For- Service Group Practitioner Provider Number) See Practitioner Fee Schedule
5 Primary Medical Care Codes CODE DESCRIPTION OF SERVICES Maximum Fee Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit Office or other outpatient visit H1000 Antepartum Care only Postpartum Care only Registered Nurse Services Code TD Services provided by registered nurses Exception: Bill adult health screenings, Child Health Check-Up screenings, family planning services, and antepartum services rendered by RNs with the applicable service procedure code rather than TD.
6 Immunization Codes Administration of Vaccines to Medicaid recipients from birth through 18 years $5.50 per vaccine dose *Requires prior authorization
County Health Department Billing Codes, Effective January 1, *Requires prior authorization. CODE DESCRIPTION OF SERVICES Maximum Fee
County Health Department Billing Codes, Effective January 1, 2018 *Requires prior authorization Adult Health Screening Codes CODE DESCRIPTION OF SERVICES Maximum Fee 99385 Adult Health Screening, new patient,
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