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4 <br />Proposed New Fees <br />Primary Care <br />Effective January 1, 2005 <br />Determinatic of OCHD fees: <br />If Medicaid rate < or = to $20, add $5 to MC, rate <br />If Medicaid rate $21-$100, then multiply MC rate X 1,25% <br />If Medicaid rate $101 or >, then multiply MC rate X 1,2% <br />UNC labs: Round to lowest dollar of Medicare rate NEW <br />CPT Medicaid <br />Code Service Type Rate <br /> eff.1/1/2004 <br />PROPOSED' <br />NEW <br />OCHD <br />FEE <br />(adjusted to <br />nearest $5) <br />10120 Remove Foreign Body $94.12 $120.00 <br />10140 Drainage of Hematoma/Fluid $108.08 $130.00 <br />10160 Puncture Drainage of Lesion $69.52 $85.00 <br />11000 Debride Infected Skin $41.42 $50.00 <br />11200 Removal of Skin Tags $63.41 $80.00 <br />11300 Shave Skin Lesion $51.99 $65.00 <br />11400 Removal of Skin Lesion $97.73 $120.00 <br />11401 Removal of Skin Lesion $114.40 $140.00 <br />11402 Removal of Skin Lesion $130.93 $155.00 <br />11403 Removal of Skin Lesion $147.57 $175.00 <br />11420 Removal of Skin Lesion $95.40 $120.00 <br />11421 Removal of Skin Lesion $121.91 $145.00 <br />11422 Removal of Skin Lesion $136.51 $165.00 <br />11423 Removal of Skin Lesion $162.09 $195.00 <br />11719 Trim Nail(s) $14.50 $20.00 <br />11720 Debride Nail, 1-5 $23.02 $30.00 <br />11740 Drain Blood From Under Nail $42.07 $50.00 <br />12001 Repair Superficial Wound(s) $129.85 $155.00 <br />12002 Repair Superficial Wound(s) $137.95 $165.00 <br />16000 Initial Treatment of Burn(s) $61.50 $75.00 <br />17000 Destroy BenignlPremal Lesion $54.52 $65.00 <br />17003 Destroy Lesions, 2-14 $9.17 $15.00 <br />17110 Destruct Lesion, 1-14 $77.98 $98.00 <br />20550 Inject Single TendonlLigament/Cyst $51.58 $65.00 <br />20551 Inject Single tendon origin? Insertion $50.59 $60.00 <br />20552 Inject, Single/Mull Trigger Pts, 1-2 Musc $49.05 $60.00 <br />20553 Inject, single/Mutt Trigger Pts, 3/More Musc $55.88 $70.00 <br />20600 Drain/Inject, Joint/Bursa $46.08 $60.00 <br />20605 Drainllnject, Joint/Bursa $50.42 $65.00 <br />20610 Drain/Inject, JoinUBursa $61.26 $75.00 <br />26010 Drainage of Finger Abscess $245.59 $295.00 <br />29130 Application of Finger Splint $33.91 $40.00 <br />30901 Control of Nosebleed $90.24 $110.00 <br />46600 Diagnostic Anoscopy $71.01 $90.00 <br />46611 Anoscopy $178.77 $215.00 <br />56405 I & D of Vulva/Perineum $98.72 $125.00 <br />