DEPARTMENT OF
PUBLIC WELFAREAdjusted Fees for Medical Assistance Laboratory Services [26 Pa.B. 2251] By this notice, the Department of Public Welfare announces effective June 3, 1996, that adjustments have been made to Medical Assistance fees for laboratory services to be consistent with the Medicare upper limit requirement.
The laboratory fees being adjusted are:
Adjusted Fee Procedure Code Current Fee June 3, 1996 80092 $ 42.67 $ 41.67 80164 18.99 18.72 80172 23.06 22.52 80202 18.99 18.72 80400 46.18 45.10 80402 120.88 120.18 80406 110.76 108.18 80408 177.62 173.46 80412 466.50 455.58 80414 73.06 71.34 80415 79.10 77.24 80418 820.16 801.00 80420 102.66 100.26 80422 65.22 63.72 80424 71.48 69.80 80426 210.04 205.16 80428 94.32 92.16 80430 111.00 108.45 80432 191.18 186.71 80434 143.25 139.90 80435 145.70 142.35 80439 95.12 92.88 80440 82.26 80.31 81000 4.47 4.37 81003 3.18 3.10 81005 3.06 2.99 82003 28.64 27.97 82043 8.60 8.00 82108 36.06 35.22 82131 26.35 23.19 82154 40.80 39.85 82160 35.39 34.56 82164 20.66 20.17 82205 16.18 15.80 82270 3.50 3.47 82306 41.89 40.91 82307 45.60 44.54 82330 20.26 18.89 82374 6.72 6.57 82387 29.44 28.75 82436 7.36 6.95 82441 8.50 8.30 82570 7.68 7.15 82633 43.50 42.81 82666 30.41 29.69 82696 33.38 32.60 82705 7.21 7.04 82757 24.54 23.97 82759 30.41 29.69 82784 13.16 12.85 82800 11.98 11.70 82803 27.00 26.74 82805 39.79 38.86 82810 12.11 12.06 82926 8.31 7.52 82938 25.00 24.46 82943 20.00 19.75 82946 21.33 20.83 82963 30.41 29.69 82965 10.94 10.68 82979 9.74 9.52 83018 31.07 30.35 83527 18.48 18.05 83528 22.50 21.98 83586 18.00 17.69 83727 24.34 23.77 83866 14.63 13.62 83890 5.67 5.54 83896 5.86 5.54 83912 5.86 5.54 83915 15.78 15.41 83918 23.29 22.75 83937 42.24 41.25 84035 5.18 5.05 84087 14.95 14.27 84105 7.42 7.15 84106 6.06 5.92 84133 6.40 5.94 84134 21.74 20.22 84140 70.00 28.58 84143 80.00 31.54 84160 7.68 7.15 84165 15.93 14.87 84181 24.10 23.54 84182 25.47 24.87 84202 20.31 19.84 84203 12.18 11.89 84207 39.75 38.82 84235 74.05 72.31 84300 7.24 6.72 84432 23.18 21.76 84436 10.23 9.50 84443 24.97 23.22 84449 25.60 25.00 84479 9.63 8.95 84481 23.98 23.42 84482 23.50 22.95 84488 10.33 10.09 84490 10.77 10.52 84586 62.50 48.83 84681 29.44 28.75 84703 10.63 10.38 85013 3.34 3.27 85014 3.34 3.27 85018 3.34 3.27 85041 4.26 4.16 85048 3.62 3.53 85175 6.43 6.29 85244 28.90 28.22 85245 32.47 31.71 85246 32.47 31.71 85247 33.23 31.71 85292 26.80 26.17 85293 26.80 26.17 85301 15.30 14.95 85302 17.01 16.61 85303 19.59 19.14 85305 16.41 16.02 85306 21.69 21.18 85348 5.27 5.15 85362 9.74 9.52 85378 10.54 10.29 85400 12.52 12.23 85410 10.91 10.66 85421 14.42 14.08 85460 10.95 10.69 85461 11.46 9.38 85475 12.42 12.26 85525 16.80 16.41 85576 30.41 29.69 85597 25.00 24.84 85611 5.57 5.43 85670 8.30 7.99 85675 10.19 9.47 86003 13.64 7.21 86147 36.80 35.94 86157 11.35 11.14 86160 16.99 16.59 86161 16.99 16.59 86226 17.14 16.74 86287 14.62 14.27 86290 16.66 16.26 86303 25.31 21.40 86306 23.23 22.69 86308 7.32 7.15 86309 9.16 8.95 86316 29.45 28.76 86317 21.22 20.72 86318 18.32 17.89 86327 32.00 31.36 86340 21.00 20.83 86341 28.00 27.34 86353 69.37 67.75 86360 65.78 64.24 86403 14.42 14.08 86406 15.79 14.58 86431 7.91 7.73 86588 13.88 13.06 86593 6.23 6.09 86603 18.22 17.79 86606 21.30 20.80 86612 18.66 18.22 86617 25.31 21.40 86618 24.10 23.54 86625 18.61 18.17 86628 17.53 17.12 86632 18.26 17.80 86635 16.46 16.07 86638 17.86 17.43 86641 20.80 20.31 86644 20.30 19.83 86645 24.80 24.22 86648 21.97 21.45 86651 18.66 18.22 86652 18.66 18.22 86653 18.66 18.22 86654 18.66 18.22 86663 18.66 18.22 86664 21.97 21.45 86665 25.67 25.07 86668 14.72 14.38 86677 21.07 20.58 86684 21.97 21.45 86687 11.87 11.60 86689 27.77 26.75 86692 24.29 23.72 86694 20.30 19.83 86695 18.66 18.22 86698 17.86 17.43 86701 12.57 12.27 86703 20.00 19.53 86713 21.34 20.85 86720 18.66 18.22 86727 18.22 17.79 86738 18.66 18.22 86744 18.66 18.22 86747 21.30 20.80 86756 18.22 17.79 86759 18.66 18.22 86762 20.30 19.83 86777 20.30 19.83 86778 21.07 20.58 86781 18.74 18.30 86784 17.86 17.43 86787 18.24 17.81 86807 56.00 54.69 86808 42.00 41.02 86817 91.11 88.98 86821 79.90 78.03 86822 51.58 50.52 86880 7.98 7.43 86885 8.50 7.90 86886 7.69 7.15 86900 4.50 4.12 86903 14.04 13.05 86904 14.12 13.13 87103 12.76 12.46 87117 16.00 15.99 87118 15.49 15.12 87175 15.22 14.86 87178 23.53 22.97 87179 23.74 23.19 87187 14.67 14.33 87192 12.84 12.54 87210 6.00 5.90 87252 36.89 36.02 88230 164.86 161.01 88237 178.74 174.56 88245 210.66 205.72 88248 245.06 239.33 88260 157.99 154.30 88261 250.10 244.25 88262 176.38 172.25 88263 212.66 207.68 88267 254.40 248.44 88269 235.36 229.85 88280 35.52 34.69 88283 97.06 94.79 88285 26.89 26.26 89125 6.11 5.97 The fiscal note was prepared under provision of section 612 of The Administrative Code of 1929 (71 P. S. § 232).
Price changes made to the Medical Assistance Fee Schedule are routinely included in carryforward budget estimates.
Contact Person
Interested persons are invited to submit written comments to this notice within 30 days of this publication. Comments should be sent to the Department of Public Welfare, Office of Medical Assistance Programs, c/o Regulations Coordinator, Room 515, Health and Welfare Building, Harrisburg, PA 17120.
Persons with a disability may use the AT&T Relay Service by calling 1 (800) 654-5984 (TDD users) or 1 (800) 654-5988 (Voice users), or may use the Department of Public Welfare TDD by calling 1 (717) 787-3616. Persons who require another alternative format should contact India Wood at (717) 783-2212.
FEATHER O. HOUSTOUN,
SecretaryFiscal Note: 14-NOT-121. No fiscal impact; (8) recommends adoption. Price changes made to the Medical Assistance Fee Schedule are included in the Medical Assistance-Outpatient appropriations in the General Appropriations Act and the Governor's Budget.
[Pa.B. Doc. No. 96-770. Filed for public inspection May 10, 1996, 9:00 a.m.]
