DATE: 05/02/2006 PROGRAM: MEDICAID Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published. TEXAS MEDICAID FEE SCHEDULE - PODIATRIST 1 of 35 Dear Podiatrist Provider: Texas Medicaid Fee Schedule Information Podiatrist May 2006 The Texas Medicaid & Healthcare Partnership (TMHP) compiled the Texas Medicaid Fee Schedule to assist providers in determining payment amounts for specific services. Procedures listed in this fee schedule are payable based on the policies in effect for specific dates of service. The fee schedule contains a list of procedures and corresponding reimbursement. The reimbursement methodology for podiatrists can be found in Title 1 Texas Administrative Code (TAC), §355.8081. The following paragraphs are an overview of the current Texas Medicaid reimbursement methodologies used in this report. 1 TAC §355.8085 covers the reimbursement methodology for providers, which includes resource-based fees (RBFs) and access-based fees (ABFs). RBFs are based on relative value units (RVUs) times the current Texas statewide conversion factor for these services of $27.276. ABFs are developed to account for deficiencies in RBFs relating to adequate accessing of health care services for Medicaid clients. In addition to RBFs and ABFs for services provided by physicians and certain other practitioners, this fee schedule uses the reimbursement for clinical laboratory services located in 1 TAC §355.8610. The fee schedule field descriptions below are a guide for using the fee schedule. TMHP hopes this information is helpful in determining payment amounts for services provided. Thanks to providers for participating in the Texas Medicaid Program. Field Descriptions TOS: Type of service. One-digit TOS and corresponding description. Proc code: Procedure code. Modifier: Modifier required for specific procedure codes. TMRM payable: Texas Medicaid Reimbursement Methodology. The payable amount for the TOS and procedure code for providers, specifically RBFs. The payable amount is calculated by multiplying the total RVUs by the conversion factor ($27.276). Total RVUs: The current relative value units in TMHP files for the procedure code. Conv Factor: Conversion factor. The conversion factor amounts for determining either the TMRM payable or the anesthesia payable amount. Access-Based or Max Fee: The access-based fee amount or maximum fee. Note code: Note code indicator. It is important that each note code be reviewed to identify specific payment explanation or limitation. Note code description: 1 In an outpatient setting, this procedure is subject to a 60 percent payable if the diagnosis is nonemergency. 2 Clinical laboratory fee schedule procedure. 4 There must be medical documentation supporting the need for an inpatient setting. 5 This procedure is manually reviewed to determine pricing. 11 Fee schedule national crosswalk procedure code. TOS description: 1 Medical Services 2 Surgery 3 Consultation 4 Radiology 5 Laboratory. 8 Assistant Surgery 9 DME – Other I Professional Component T Technical Component Note: Medicaid payments for services by professional and outpatient facilities under fee-for-service and primary care case management (PCCM) programs covered by this fee schedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and durable medical equipment (DME) and supplies. For more information, refer to “Professional Providers and Outpatient Facilities Reimbursement Reduction” on page 2-8 of the 2006 Texas Medicaid Provider Procedures Manual, which is available for downloading from the TMHP website at http://www.tmhp.com. Texas Medicaid & Healthcare Partnership, 12365-A Riata Trace Parkway, Austin, TX 78727
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DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
1 of 35
Dear Podiatrist Provider:
Texas Medicaid Fee Schedule InformationPodiatrist
May 2006
The Texas Medicaid & Healthcare Partnership (TMHP) compiled the Texas Medicaid Fee Schedule to assist providers in determining payment amounts for specific services. Procedures listed in this fee schedule are payable based on the policies in effect for specific dates of service. The fee schedule contains a list of procedures and corresponding reimbursement. The reimbursement methodology for podiatrists can be found in Title 1 Texas Administrative Code (TAC), §355.8081. The following paragraphs are an overview of the current Texas Medicaid reimbursement methodologies used in this report.
1 TAC §355.8085 covers the reimbursement methodology for providers, which includes resource-based fees (RBFs) and access-based fees (ABFs). RBFs are based on relative value units (RVUs) times the current Texas statewide conversion factor for these services of $27.276. ABFsare developed to account for deficiencies in RBFs relating to adequate accessing of health care services for Medicaid clients.
In addition to RBFs and ABFs for services provided by physicians and certain other practitioners, this fee schedule uses the reimbursement for clinical laboratory services located in 1 TAC §355.8610.
The fee schedule field descriptions below are a guide for using the fee schedule. TMHP hopes this information is helpful in determining paymentamounts for services provided. Thanks to providers for participating in the Texas Medicaid Program.
Field DescriptionsTOS: Type of service. One-digit TOS and corresponding description.
Proc code: Procedure code.Modifier: Modifier required for specific procedure codes.
TMRM payable: Texas Medicaid Reimbursement Methodology. The payable amount for the TOS and procedure code for providers, specifically RBFs. The payable amount is calculated by multiplying the total RVUs by the conversion factor ($27.276).
Total RVUs: The current relative value units in TMHP files for the procedure code.Conv Factor: Conversion factor. The conversion factor amounts for determining either the TMRM
payable or the anesthesia payable amount.Access-Based or Max Fee: The access-based fee amount or maximum fee.
Note code: Note code indicator. It is important that each note code be reviewed to identify specific payment explanation or limitation.
Note code description: 1 In an outpatient setting, this procedure is subject to a 60 percent payable if the diagnosis is nonemergency. 2 Clinical laboratory fee schedule procedure. 4 There must be medical documentation supporting the need for an inpatient setting. 5 This procedure is manually reviewed to determine pricing. 11 Fee schedule national crosswalk procedure code.
TOS description: 1 Medical Services 2 Surgery 3 Consultation 4 Radiology 5 Laboratory. 8 Assistant Surgery 9 DME – Other I Professional Component T Technical Component
Note: Medicaid payments for services by professional and outpatient facilities under fee-for-service and primary care case management (PCCM) programs covered by this fee schedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and durable medical equipment (DME) and supplies. For more information, refer to “Professional Providers and Outpatient Facilities Reimbursement Reduction” on page 2-8 of the 2006 Texas Medicaid Provider Procedures Manual, which is available for downloading from the TMHP website at http://www.tmhp.com.
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
3 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
4 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
5 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
6 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
7 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
8 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
9 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
10 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
11 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
12 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
13 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
14 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
15 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
16 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
17 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
18 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
19 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
20 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
21 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
22 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
23 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
24 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
25 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
26 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
27 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
28 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
29 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
30 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
31 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
32 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
33 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
34 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies
DATE: 05/02/2006PROGRAM: MEDICAID
Due to AMA and ADA copyright restrictions, CPT and CDT procedure code and modifier descriptions cannot be published.
TEXAS MEDICAID FEE SCHEDULE - PODIATRIST
35 of 35
TOS Procedure Modifier TMRM Total Conv Access Based NoteCode Payable RVUs Factor or Max Fee Code
Medicaid payments for services by professional and outpatient facilities under fee-for-service and PCCM programs covered by this feeschedule are reduced by 2.5 percent effective September 1, 2003, with the exception of payments for drugs and biologicals, and DME and supplies