992. REIMBURSEMENT TO FEE-FOR-SERVICE PROVIDERS FOR SELECTED FREQUENT PROCEDURES

992 REIMBURSEMENT TO FEE-FOR-SERVICE PROVIDERS FOR SELECTED FREQUENT PROCEDURES 992.1 The Department shall reimburse a fee-for-service provider for the following frequent procedures or services: Selected Frequent Procedures Procedure Code Price Microbial Identification, Nucleic Acid 87178 $14.18 Initial Medical Visit - DHS 90020 Y4 94.64 Followup Medical Visit - DHS 90060 Y4 94.64 Individual Medical Psychotherapy 90844 37.80 Hemodialysis Procedure w/single 90935 115.20 FRSDC/All Inclusive Dialysis Service 90955 YD 162.00 Echocardiography/realtime w/IMA 93307 112.50 Office Visit, new patient 99205 58.50 Brief Consult/Nurse or non-MD visit 99211 Y4 94.64 Brief Consult/Nurse or non-MD visit 99211 Y5 94.64 Office visit, established patient 99212 18.00 Office visit, established patient 99213 18.00 Office visit, established patient 99214 27.00 Office visit, established patient 99215 40.50 Initial Hospital Care 99221 31.50 Initial Hospital Care 99222 36.00 Initial Hospital Care 99223 40.50 Subsequent Hospital Care, H/P LowCom 99231 16.20 Subsequent Hospital Care 99232 16.20 Subsequent Hospital Care/Day 99233 33.30 Initial Inpatient Consultation 99254 54.00 Emergency Department Visit 99282 17.42 Emergency Department Visit 99283 25.71 Emergency Department Visit 99284 39.13 Critical Care Evaluation and Monitoring 99291 50.40 Periodic Preventive Medicine Re-evaluation 99392 23.40 Community Health Care Clinic visit 99502 68.98 Individual Psychotherapy, Psychiatrist/FSMHC H5010 Y3 67.50 Individual Psychotherabpy, Mental Health Professional H5015 58.50 Psychotherapy Group H5020 27.00 Group Therapy (MD or MHP) H5030 36.00 Comprehensive Evaluation H5040 180.00 Single VC Service made by Provider Y2344 17.87 Bifocal VC Serv. made by Provider Y2345 20.75 Prescription/Medication Assessment.FSMHC Y3907 31.50 Family Therapy/MHP/FSMHC Y3908 54.00 Partial Day Programs/Adults Y5909 105.30 Children’s Program Y6909 108.00 Extended Therapy Y7909 108.00 SOURCE: Final Rulemaking published at 44 DCR 5495 (September 26, 1997); as amended by Final Rulemaking published at 45 DCR 5224 (August 7, 1998). District of Columbia Municipal Regulations Public Welfare 29 DCMR § 992