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Approval of Requested Public Health Clinical Service Fees
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INFORMATION CONTACT:
Traci Colley, Human Services Agency Public Health Director, 704-283-3717
ACTION REQUESTED:
Review and approve requested fees to be added to the Human Services Agency’s Division of Public Health Fee Schedule.
BACKGROUND:
In accordance with G.S. 130A-39(g), which allows local public health departments to implement fees for services rendered, Union County Public Health, with the approval of the Union County Consolidated Human Services Agency Board and the Board of County Commissioners, may implement specific fees for services. Dental Clinic fees are proposed to increase by 5%. Listed medical clinic fees will be adjusted to the standard Medicaid rate plus 30%. Any fee without a standard Medicaid rate was increased to the commercial rate plus 30%.
86376 - Thyroid Peroxidase (TPO) Antibodies
86800 - Thyroglobulin Antibody & Thryroglobulin, IMA or RIA
90623 - Penbraya Vaccine, private
0202U - Respiratory Profile, nasal swab
82627 - Dehydroepiandrosterone (DHEA) Sulfate
86140 - C-Reactive Protein (CRP)
82784 - Celiac Antibodies Profile, Immunoglobulins, IgA, IgG, IgM
86231 - Celiac Antibodies Profile, Endomysial Antibody, IgA***
86258 - Celiac Antibodies Profile, Gliadin deamidated antibody, IgA, IgG
86008x2 - Allergen Profile-Egg (Labcorp 603833)
83498 - 17-Hydroxyprogesterone (OHP)
82670 - Estradiol Level
86364 - Transglutaminase (TTG)
*** No Medicaid rate available, recommended rate based upon 30% increase to commercial rate.
The following CPT codes are established fees, and we are requesting them to be increased due to the Medicaid fee being higher than the Union County Public Health’s current fee schedule.
59426 - 7 or more Antepartum visits
59430 - Postpartum Care Only
76816 - OB Ultrasound for Fetal Biophysical Prof..
80053 - Chem 14 Comprehensive metabolic panel
85732 - Lupus Anticoagulant reflex
85613 - Lupus Anticoagulant reflex
86778 - Toxoplasma antibody, IGM
87502 - Influenza A and B
87651 - Strep A
90632 - Hepatitis A vaccine Adult
90633 - Hepatitis A Pediatric Private
90636 - Twinrix Private
90647 - HIB P vax Private
90675 - Rabies Vaccine
90680 - Rota Virus Private
90691 - Typhoid Vaccine
90697 - Vaxelis (DTaP-IPV-Hib-HepB) Private
90698 - Pentacel Private
90700 - DTaP Private
90707 - MMR Private
90714 - TD Tenivac Private
90717 - Yellow fever vaccine
90732 - Pneumovax 23 Private
90734 - Menveo/Menactra Private
90744 - Hepatitis B Pediatric Private
90746 - Hepatitis B Adult Vaccine Private
90785 - Psychotherapy complex interactive
90832 - Psychotherapy w/patient 30 mins
90834 - Psychotherapy w/patient 45 minutes
90837 - Psychotherapy w/patient 60 minutes
90849 - Multiple Family Group Psychotherapy
97803 - Med nutrition, individual, subsequent vi..
99406 - Tobacco counsel 3 to 10 minutes
99407 - Tobacco counsel greater than 10 minutes
99408 - CRAFFT screening
99423 - Online digital evaluation and management..
99492 - 1ST Psychiatric Collab Care Management 1ST 70 minutes
99493 - SBSQ Psychiatric Collab Care Management 1St 60 minutes
99494 - 1ST/SBSQ Psychiatric Collab Care Management, each additional
D0145 - Fluoride Oral Evaluation, pt < 3yrs
90632 - VAQTA 50 units/ML syringe - Hepatitis A vaccine (HEPA), adult dosage, for intramuscular use
90633 - VAQTA 25 units/0.5 ML syringe - Hepatitis A vaccine (HEPA), pediatric/ adolescent dosage - 2 dose schedule, for intramuscular use
90744 - Hepatitis B vaccine, pediatric or adolescent dosage (3 does schedule)
J0561 - Penicillin G benzathine, per 100,000 units, injection (Bicillin L-A)
S4993 - Contraceptive pills for birth control, 1Pack
90660 - Influenza Virus Vaccine, Trivalent, Live
90656 - Fluzone PF, Fluarix PF, Flulaval Trivalent 2024-25 SYR - Influenza Virus Vaccine, Trivalent (IIV3), Split virus, Preservative free, 0.5 ML dosage, for intramuscular use
90658 - Fluzone, Afluria Trivalent 2024-25 Vial Influenza Virus Vaccine, Trivalent (IIV3), Split Virus, 0.5 ML dosage, for Intramuscular use
FINANCIAL IMPACT:
Revenue generated by the requested fees will assist the Human Services Agency’s Department of Public Health in covering associated clinical costs.