|
|
|
|
 |
|
 |
|
|
|
Median Fee Schedule
|
|
|
Effective March 3, 2007 |
|
|
|
Code
|
OFFICE VISITS
|
Fee
|
|
100
|
Office Visit -Initial
|
$85
|
|
101
|
Office Visit -Initial, Complex / Comprehensive Condition
|
$148
|
|
110
|
Office Visit -Follow Up
|
$60
|
|
120
|
& HolidaysOffice Visit -After Hours, Weekends
|
$135
|
|
|
|
Code
|
OUT OF OFFICE VISITS
|
Fee
|
|
200
|
Hospital Visit -Initial
|
$96
|
|
201
|
Hospital Visit -Follow Up
|
$83
|
|
205
|
Hospital Visit -After Hours, Weekends & Holidays
|
$145
|
|
210
|
Institutional Visit
|
$45
|
|
220
|
House Call -Initial Visit (One Patient)
|
$96
|
|
221
|
House Call -Subsequent Visit (One Patient)
|
$76
|
|
230
|
House Call -After Hours, Weekends & Holidays (One Patient)
|
$145
|
|
|
|
Code
|
BIOMECHANICAL and PLASTER SERVICES
|
Fee
|
|
300
|
Biomechanical Exam -Detailed
|
$135
|
|
301
|
Casting for Orthotics
|
$135
|
|
302
|
Casting for Shoes
|
$195
|
|
303
|
Cast -Below Knee
|
$92*
|
|
304
|
Cast -Below Knee Walking
|
$123*
|
|
305
|
Removal of Cast
|
$65
|
|
306
|
Application of Unna Boot
|
$68*
|
|
310
|
Orthotic Case Fee (Exam, Casting, Orthotic Devices, Dispensing & Follow Up)
|
$650
|
|
|
|
| *Plus cost of materials (Invoice cost plus 15% handling fee) |
|
|
|
Code
|
NAIL SURGERY
|
Fee
|
|
400
|
Incision and Drainage of Paronychia Without Nail Avulsion
|
$82
|
|
401
|
Incision and Drainage of Paronychia With Partial Nail Avulsion
|
$120*
|
|
402
|
Incision and Drainage of Paronychia With Complete Nail Avulsion
|
$185*
|
|
403
|
Permanent Partial Matrixectomy -Single Border
|
$310*
|
|
404
|
Permanent Partial Matrixectomy -Bilateral Borders
|
$510*
|
|
405
|
Permanent Total Matrixectomy
|
$510*
|
|
|
|
| *Plus Surgical Tray Fee -See Code 800 |
|
|
|
Code
|
WARTS and VERRUCAE
|
|
|
500
|
Chemical Application Treatment for Verrucae (Sole Purpose of Visit)
|
|
|
501
|
Cryotherapy for Verrucae (Sole Purpose of Visit)
|
|
|
502
|
Excisional Curettage of Single Wart / Verruca
|
|
|
503
|
Excisional Curretage of Multiple Warts / Verrucae
|
|
|
504
|
Excision of Wart / Verruca with Primary Closure
|
|
|
|
|
|
*Plus Surgical Tray Fee -See Code 800
|
|
|
|
|
|
|
| Code |
ULCERS and ABSCESSES |
Fee
|
| 600 |
Ulcer Debridement |
$50
|
| 601 |
Abscess Drainage |
$98
|
|
|
|
Code
|
OTHER OFFICE PROCEDURES
|
Fee
|
|
700
|
Physiotherapy Modalities (Sole Purpose of Visit)
|
$52
|
|
701
|
Orthopedic Padding and Strapping (Sole Purpose of Visit)
|
$45
|
|
702
|
Injection (Sole Purpose of Visit)
|
$48*
|
|
705
|
ESWT (Extracorporial Shock Wave Therapy) -Single Session
|
$300
|
|
710
|
Anodyne Light Therapy -Single Session
|
$100
|
|
730
|
X-Rays (Per Plate)
|
$50
|
|
|
|
| *Plus cost of injectable medication (invoice cost plus 15% handling fee) |
|
|
|
Code
|
MISCELLANEOUS
|
Fee
|
|
800
|
Surgical Tray Fee -Nail and Wart Surgery
|
$50-100
|
|
801
|
Post -Op / Surgical Shoe
|
$35
|
|
802
|
Telephone Conversation / Consultation
|
$20
|
|
803
|
Insurance Forms -Filling Out (Per Page)
|
$25
|
|
804
|
Prescription
|
$35
|
|
805
|
Medical Legal Report -Basic
|
$150
|
|
806
|
Medical Legal Report -Comprehensive
|
$300 +
|
|
807
|
Court Appearance as Expert Witness, Per Half Day (Minimum Half Day)
|
$725
|
|
|
|
MULTIPLE PROCEDURES PERFORMED IN SAME SESSION
First procedure billed @ 100% of initial fee Second and third procedures billed @ 75% of initial fee Fourth procedure billed @ 50% of initial fee Fifth and all subsequent procedures billed @ 25% of initial fee
back
|
|
|
|
|
|
|
|
|
|