Louisiana
highLA Proserv LAB XRAY RAD ASC
Run Date and Time
Feb 17, 2026
3m 22s
Run Metrics
Fee Schedule Impacts
Run summary
Run: 9cfcb197-bef5-413e-beef-10f653cba6a5 Status: ok Started: 2026-02-17T02:31:40.915482+00:00 Finished: 2026-02-17T02:35:03.358749+00:00 Source: Louisiana Medicaid Hub: LA_PROSERV_LAB_XRAY_RAD_ASC IMPORTANT NEW_DOC (Current/Upcoming) - 15 - Effective 2025-03-15 - The document outlines a new fee schedule for Louisiana Medicaid professional services, effective from March 15, 2025, to May 15, 2025. It includes specific CPT codes and associated fees for various patient services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Mar2025.xlsx - Effective 2025-03-15 - The document introduces a new Louisiana Medicaid Professional Services Fee Schedule effective March 15, 2025, with specific rates for thoracoscopy procedures. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Mar2025.pdf - Effective 2025-05-07 - The document introduces a new professional services fee schedule effective May 7, 2025, detailing reimbursement rates for various provider types and services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/feesched_legend_05-23-25.xlsx - Effective 2025-06-06 - The document outlines a professional services fee schedule effective June 6, 2025, detailing reimbursement rates for various provider types and services, including anesthesia and assistant surgeon claims. It specifie. URL: https://www.lamedicaid.com/provweb1/fee_schedules/feesched_legend_09-05-25.xlsx - Effective 2025-07-01 - The document outlines a new fee schedule for Louisiana Medicaid laboratory and radiology services, effective from July 1, 2025, to December 31, 2025. It includes specific CPT codes with associated fees and effective. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Jul2025.xlsx - Effective 2025-09-05 - The document outlines a new fee schedule for portable radiology and EKG services effective September 5, 2025. It includes details on type of service, procedure codes, modifiers, and pricing methods. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Port_Rad_Legend_11-18-25.xlsx - Effective 2025-09-05 - The document outlines updates to the lab and radiology fee schedule effective September 5, 2025, including reimbursement rates for various providers and service limitations. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Legend_11-18-25.xlsx - Effective 2025-09-05 - The document introduces a new fee schedule for ambulatory surgical centers (non-hospital) effective September 5, 2025. It includes details on procedure codes, modifiers, and pricing methods, as well as restrictions b. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Legend_11-18-25.xlsx - Effective 2025-09-05 - The document introduces a new professional services fee schedule effective September 5, 2025, detailing reimbursement rates for various provider types and services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/feesched_legend_11-17-25.xlsx - Effective 2025-11-18 - The document introduces a new fee schedule for ambulatory surgical centers (non-hospital) effective November 18, 2025. It includes details on procedure codes, modifiers, and pricing methods, as well as restrictions b. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Legend.xlsx - Effective 2025-11-18 - The document outlines a new fee schedule for lab and radiology services effective November 18, 2025, with specific reimbursement rates for various providers. It also details prior authorization requirements and servi. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Legend.xlsx - Effective 2025-11-18 - The document outlines a fee schedule for portable radiology and EKG services effective November 18, 2025, detailing how claims are processed based on service type, provider, and modifiers. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Port_Rad_Legend.xlsx - Effective 2026-01-01 - The document outlines a new fee schedule for Louisiana Medicaid laboratory and radiology services effective January 1, 2026. It includes specific CPT codes with associated fees and effective dates for services such a. URL: https://www.lamedicaid.com/provweb1/fee_schedules/labfee.xlsx - Effective 2026-01-01 - The document introduces a new fee schedule for Louisiana Medicaid portable radiology/EKG services, effective January 1, 2026. It includes specific CPT codes and fees for various radiologic examinations and services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/radfee.xlsx - Effective 2026-01-01 - The document introduces a new fee schedule for ambulatory surgical centers effective January 1, 2026. It includes specific CPT codes and fees, such as G0105 and G0121, with historical effective dates noted. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ascfee.xlsx HISTORICAL DISCOVERIES NEW_DOC (Historical) - 89 - Effective 2025-01-01 - The document is a new Louisiana Medicaid Professional Services Fee Schedule effective from January 1, 2025, to March 14, 2025. It includes specific fee updates for thoracoscopy surgical procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Jan2025.pdf - Effective 2025-01-01 - The document introduces a new fee schedule for Louisiana Medicaid laboratory and radiology services effective January 1, 2025. It includes specific rate changes for various nuclear diagnostic and therapy procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Jan2025.pdf - Effective 2025-01-01 - The document introduces a new fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective January 1, 2025. It includes specific rates for various nasal procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_1_2025.pdf - Effective 2025-01-01 - The document introduces a new Louisiana Medicaid laboratory and radiology fee schedule effective from January 1, 2025, to June 30, 2025. It includes specific CPT codes and fees, such as G0433 and G0452, with historic. (LLM: medium) URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Jan2025.xlsx - Effective 2025-01-01 - The document introduces a new fee schedule for ambulatory surgical centers effective from January 1, 2025, to December 31, 2025. It includes specific CPT codes and descriptions, but most rates appear unchanged from p. (LLM: medium) URL: https://www.lamedicaid.com/provweb1/fee_schedules/ascfee_01-01-25.xlsx - Effective 2024-08-12 - The document outlines the Louisiana Medicaid Professional Services Fee Schedule effective from August 12, 2024, to December 31, 2024, with specific fee updates for certain surgical procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Aug2024.pdf - Effective 2024-08-12 - The document provides a new fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from August 12, 2024, to December 31, 2024. It includes specific fees for various nasal procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_8-2024.pdf - Effective 2024-07-01 - The document outlines the Louisiana Medicaid laboratory and radiology fee schedule effective from July 1, 2024, to December 31, 2024. It includes specific fees for various nuclear medicine and laboratory procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_July2024.pdf - Effective 2024-05-01 - The document outlines the Louisiana Medicaid Professional Services Fee Schedule effective from May 1, 2024, to August 11, 2024, including specific CPT codes and fees for thoracoscopy procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_May2024.pdf - Effective 2024-05-01 - The document outlines the Louisiana Medicaid laboratory and radiology fee schedule effective from May 1, 2024, to June 30, 2024. It includes specific fees for various procedures such as nuclear medicine and blood tes. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_May2024.pdf - Effective 2024-01-01 - The document is a new Louisiana Medicaid professional services fee schedule effective from January 1, 2024, to April 30, 2024. It includes specific CPT codes and associated fees, such as for thoracoscopy procedures. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Jan2024.pdf - Effective 2024-01-01 - The document provides a new fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2024, to April 30, 2024. It includes specific rates for various procedures such as radionuc. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Jan2024.pdf - Effective 2024-01-01 - The document is a new fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from January 1, 2024, to August 11, 2024. It includes specific CPT codes and associated fees for various nasal procedur. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2024.pdf - Effective 2023-05-12 - The document provides updates to the Louisiana Medicaid Professional Services Fee Schedule, effective from May 12, 2023, to December 31, 2023. It includes specific fee changes for procedures such as lung transplants. (LLM: medium) URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_May2023.pdf - Effective 2023-05-12 - The document provides a new fee schedule for Louisiana Medicaid laboratory and radiology services, effective from May 12, 2023, to December 31, 2023. It includes specific fees for various medical procedures, such as. (LLM: high) URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_May2023.pdf - Effective 2023-01-01 - The document provides updates to the Louisiana Medicaid Professional Services Fee Schedule, effective from January 1, 2023, through May 11, 2023. It includes specific fee changes for procedures such as lung transplan. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Jan2023.pdf - Effective 2023-01-01 - The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from January 1, 2023, to December 31, 2023. It includes specific CPT codes and associated fees for various nasal proce. (LLM: medium) URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2023.pdf - Effective 2023-01-01 - The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2023, to May 11, 2023. It includes specific fees for various medical tests and therapies. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Ja2023.pdf - Effective 2022-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2022, to December 31, 2022. It includes specific CPT codes and reimbursement rates for various nasal proced. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2022.pdf - Effective 2022-01-01 - The document provides a fee schedule for Louisiana Medicaid professional services effective from January 1, 2022, to December 31, 2022. It includes specific rates for procedures such as chest wall revision and lung r. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_2022.pdf - Effective 2022-01-01 - The document is a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2022, to December 31, 2022. It includes specific CPT codes and fees, such as 79445 and 79999, with as. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_2022.pdf - Effective 2021-03-01 - The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from March 1, 2021, to December 31, 2021. It includes specific fees for various radiopharmaceutical servic. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_2021.pdf - Effective 2021-01-01 - The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from January 1, 2021, to December 31, 2021. It includes specific CPT codes and their corresponding fees. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2021.pdf - Effective 2021-01-01 - The document provides a fee schedule for Louisiana Medicaid professional services effective from January 1, 2021, to December 31, 2021. It includes specific rate changes for procedures related to pacemaker services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_2021.pdf - Effective 2021-01-01 - The document outlines a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2021, to February 28, 2021. It includes specific CPT codes and their associated fees. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_1-2021.pdf - Effective 2020-12-01 - The document contains a Louisiana Medicaid fee schedule effective from December 1, 2020, to December 31, 2020, with specific rate changes for procedures related to pacemaker and cardioverter-defibrillator services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_12-2020.pdf - Effective 2020-01-01 - The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2020, to December 31, 2020. It includes specific rates for various procedures, such as PET. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_2020.pdf - Effective 2020-01-01 - The document appears to be a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from January 1, 2020, to December 31, 2020. It includes specific CPT codes and reimbursement rates for various na. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2020.pdf - Effective 2020-01-01 - The document appears to be a Louisiana Medicaid fee schedule effective from January 1, 2020, to November 30, 2020. It includes specific CPT codes and fees for services like the removal of permanent pacemaker pulses. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_2020.pdf - Effective 2019-11-01 - The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from November 1, 2019, to December 31, 2019. It includes specific rates for various procedures, such as ce. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Novemeber_2019.pdf - Effective 2019-07-01 - The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from July 1, 2019, to October 31, 2019. It includes specific fees for various procedures such as cerebrospinal f. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_July_2019.pdf - Effective 2019-01-01 - The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2019, to June 30, 2019. It includes specific CPT codes and associated fees for various pro. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Jan_2019.pdf - Effective 2019-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2019, to December 31, 2019. It includes specific CPT codes and reimbursement rates for nose reconstruction. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2019.pdf - Effective 2019-01-01 - The document contains a Louisiana Medicaid fee schedule effective from January 1, 2019, to December 31, 2019. It includes specific CPT codes and associated fees for medical procedures. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_2019.pdf - Effective 2018-07-01 - The document appears to be a Louisiana Medicaid fee schedule for professional services, effective from July 1, 2018, to December 31, 2018. It includes specific rates for procedures such as ablation and removal of pac. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Jul_Dec_2018.pdf - Effective 2018-02-01 - The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from February 1, 2018, to December 31, 2018. It includes specific fee changes for various nuclear imaging. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Feb_2018.pdf - Effective 2018-02-01 - The document appears to be a Louisiana Medicaid professional services fee schedule effective from February 1, 2018, to June 30, 2018. It includes specific rates for procedures such as tissue ablation and removal of p. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Feb_2018.pdf - Effective 2018-01-01 - The document is a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2018, to January 31, 2018. It includes specific fees for various nuclear medicine procedures related. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_Jan_2018.pdf - Effective 2018-01-01 - The document provides a Louisiana Medicaid fee schedule effective from January 1, 2018, to January 31, 2018, with specific rates for various procedures, including operative tissue ablation and removal of pacing cardi. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Jan_2018.pdf - Effective 2018-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2018, to December 31, 2018. It includes specific CPT codes and reimbursement rates for various nasal proced. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2018.pdf - Effective 2018-01-01 - The document is a Louisiana Medicaid fee schedule for portable radiology/EKG services, effective from January 1, 2018. It includes specific fees for various radiologic examinations. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PORT_RAD_2018.pdf - Effective 2018-01-01 - The document outlines the Louisiana Medicaid portable radiology/EKG fee schedule effective from January 1, 2018, through December 31, 2025. It includes specific CPT codes and fees for various radiologic examinations. (LLM: medium) URL: https://www.lamedicaid.com/provweb1/fee_schedules/radfee_01-01-18.xlsx - Effective 2017-01-01 - The document appears to be a historical Medicaid fee schedule for Louisiana, effective from January 1, 2017, to December 31, 2017. It includes specific rates for operative tissue ablation and reconstruction procedure. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_Fee_2017.pdf - Effective 2017-01-01 - The document appears to be a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2017, to December 31, 2017. It includes specific fees for various nuclear exams. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_2017.pdf - Effective 2017-01-01 - The document appears to be a historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from January 1, 2017, to December 31, 2017. It includes specific CPT codes and associated fees for va. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_2017.pdf - Effective 2016-10-01 - The document appears to be a Louisiana Medicaid fee schedule for professional services, effective from October 1, 2016, to December 31, 2016. It includes specific fee changes for procedures such as heart wound repair. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_Fee_Oct-Dec2016.pdf - Effective 2016-10-01 - The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from October 1, 2016, to December 31, 2016. It includes specific fees for various procedures, such as colorectal scree. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_Oct2016.pdf - Effective 2016-07-01 - The document appears to be a historical Louisiana Medicaid fee schedule effective from July 1, 2016, to September 30, 2016, detailing rates for various surgical procedures. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_Fee_July-Sept2016.pdf - Effective 2016-07-01 - The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from July 1, 2016, to December 31, 2016. It includes specific rates for various procedures, such as brain. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_July-Dec2016.pdf - Effective 2016-01-01 - The document appears to be a historical fee schedule for Louisiana Medicaid, covering portable radiology and EKG services with fees effective from January 1, 2016, to December 31, 2017. It includes specific rates for. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PORT_RAD_2016.pdf - Effective 2016-01-01 - The document appears to be a Louisiana Medicaid fee schedule for professional services, effective from January 1, 2016, to June 30, 2016. It includes specific rates for procedures such as exploratory heart surgery an. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_Fee_Jan-Jun2016.pdf - Effective 2016-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2016, to September 30, 2016. It includes specific fees for various procedures, such as colorectal screening. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Fee_2016.pdf - Effective 2016-01-01 - The document appears to be a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2016, to June 30, 2016. It includes specific fees for various procedures, such. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Static_Jan-Jun2016.pdf - Effective 2015-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2015, to December 31, 2015. It includes specific fees for various procedures, such as colorectal screenings. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Fee_2015.pdf - Effective 2015-01-01 - The document contains a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2015, to December 31, 2015. It includes specific fees for various procedures such as mammography. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Static_2015.pdf - Effective 2015-01-01 - The document is a Louisiana Medicaid fee schedule for professional services, effective from January 1, 2015, to December 31, 2015. It includes specific CPT codes and fees for procedures like 'repair major vessel.' URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_Fee_2015.pdf - Effective 2014-01-01 - The document appears to be a historical Louisiana Medicaid fee schedule for professional services, effective from January 1, 2014, to December 31, 2014. It includes specific fee changes for various procedures, such a. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_Fee_2014.pdf - Effective 2014-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2014, to December 31, 2014. It includes specific fees for various procedures, such as colorectal screenings. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Fee_2014.pdf - Effective 2014-01-01 - The document appears to be a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2014, to December 31, 2014. It includes specific fees for various procedures, s. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Jan2014-December2014_Lab_Rad_Static.pdf - Effective 2013-08-20 - The document appears to be a historical Medicaid fee schedule for Louisiana, effective from August 20, 2013, to December 31, 2013. It includes specific rates for procedures such as operative tissue ablation and recon. URL: https://www.lamedicaid.com/provweb1/fee_schedules/AUG2013-DEC2013_StaticFeeSchedule.pdf - Effective 2013-02-01 - The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services, effective from February 1, 2013, to December 31, 2013. It includes specific fees for various procedures such as mammograp. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FEB2013-DEC31_Lab_Rad_Static.pdf.pdf - Effective 2013-02-01 - The document contains a fee schedule for Louisiana Medicaid laboratory and radiology services effective from February 1, 2013, to December 31, 2013. It includes specific CPT codes and associated fees for various proc. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FEB2013-DEC31_Lab_Rad_Static.pdf - Effective 2013-02-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from February 1, 2013, to December 31, 2013. It includes specific fees for various procedures, such as colorectal screening. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Feb-Dec2013_ASC_Fee_Report.pdf - Effective 2013-02-01 - The document appears to be a historical Medicaid fee schedule for Louisiana, effective from February 1, 2013, to August 19, 2013. It includes specific rates for various procedures, such as ablation and removal of pac. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FEB2013-Aug19_Static%20Fee%20Schedule.pdf - Effective 2013-01-01 - The document appears to be a historical Medicaid fee schedule for Louisiana, effective from January 1, 2013, to January 31, 2013. It includes specific CPT codes and their associated fees, such as 33261 and 33262, wit. URL: https://www.lamedicaid.com/provweb1/fee_schedules/JAN2013_Static_Fee_Schedule.pdf - Effective 2013-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2013, to January 31, 2013. It includes specific fees for various procedures, such as colorectal screenings. URL: https://www.lamedicaid.com/provweb1/fee_schedules/JAN2013_ASC_Fee_Report.pdf - Effective 2012-07-01 - The document contains a fee schedule for Louisiana Medicaid laboratory and radiology services effective from July 1, 2012, to December 31, 2012. It includes specific fees for various procedures such as mammography an. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Static_2012B.pdf - Effective 2012-07-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from July 1, 2012, to December 31, 2012. It includes specific fees for various procedures, such as colorectal screenings an. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_Jul_Dec_12.pdf - Effective 2012-07-01 - The document appears to be a historical Medicaid fee schedule for Louisiana, effective from July 1, 2012, to December 31, 2012. It includes specific rates for procedures such as tissue ablation and removal of pacing. URL: https://www.lamedicaid.com/provweb1/fee_schedules/July_1-to-Dec_31_Static_Fee_Shcedule.pdf - Effective 2012-01-01 - The document appears to be a historical Louisiana Medicaid fee schedule with rates effective from January 1, 2012, to June 30, 2012. It includes specific fee changes for various procedures, such as insertion or repla. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Prof_FS_Static_12.pdf - Effective 2012-01-01 - The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2012, to June 30, 2012. It includes specific fees for various procedures such as mammography and. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Static_2012.pdf - Effective 2012-01-01 - The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2012, to June 30, 2012. It includes specific fees for various procedures, such as colorectal screenings and. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_Jan_Jun_12.pdf - Effective 2011-01-01 - The document is a Louisiana Medicaid fee schedule for laboratory and radiology services effective from January 1, 2011, to December 31, 2011. It includes specific fees for various procedures, such as mammography and. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Static_2011.pdf - Effective 2011-01-01 - The document appears to be a historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from January 1, 2011, to December 31, 2011. It includes specific CPT codes and fees but lacks current. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Static_2011.pdf - Effective 2011-01-01 - The document is a Louisiana Medicaid fee schedule effective from January 1, 2011, to December 31, 2011. It includes specific fees for procedures such as 'insert major vessel graft.' URL: https://www.lamedicaid.com/provweb1/fee_schedules/Prof_Serv_Static_2011.pdf - Effective 2010-12-01 - The document contains a Louisiana Medicaid fee schedule effective from December 1, 2010, to December 31, 2010, with specific rates for various medical procedures. It includes detailed fee changes for CPT codes such a. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FEESCHED_Dec_10.pdf - Effective 2010-08-01 - The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from August 1, 2010, to December 31, 2010. It includes specific fees for various procedures such as mammography. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Aug_Dec_10.pdf - Effective 2010-08-01 - The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from August 1, 2010, to December 31, 2010. It includes specific CPT codes and associated fees for various procedures. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_FS_Aug_Dec_10.pdf - Effective 2010-08-01 - The document provides a Louisiana Medicaid fee schedule effective from August 1, 2010, to November 30, 2010, detailing specific CPT codes and their associated fees. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FEESCHED_Aug_Nov_10.pdf - Effective 2010-01-22 - The document is a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 22, 2010, to July 31, 2010. It includes specific fees for various procedures, such as mammography and nu. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Radiology_Jan_Jul_10.pdf - Effective 2010-01-22 - The document contains historical Medicaid fee schedules for professional services in Louisiana, effective from January 22, 2010, to July 31, 2010. It includes specific fees for various medical procedures, such as off. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FS_Jan_July_10.pdf - Effective 2009-08-04 - The document contains a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from August 4, 2009, to January 21, 2010. It lists specific fees for various procedures, such as mye. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_FS_8-04-09.pdf - Effective 2009-08-04 - The document contains historical Medicaid fee schedules for professional services in Louisiana, effective from August 4, 2009, to January 21, 2010. It includes specific fees for various medical procedures, such as of. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FeeSched_Static.pdf - Effective 2009-02-26 - The document contains historical Medicaid fee schedules for professional services in Louisiana, effective from February 26, 2009, to August 3, 2009. It includes specific fees for various medical procedures, such as o. URL: https://www.lamedicaid.com/provweb1/fee_schedules/FEESCHED_Aug_03_09.pdf - Effective 2009-02-05 - The document appears to be a historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from February 5, 2009, to July 31, 2010. It includes specific fees for various procedures, such as co. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Feb_July_10_Static_FS.pdf - Effective 2009-01-01 - The document provides a Louisiana Medicaid fee schedule effective from January 1, 2009, to February 25, 2009, detailing fees for various medical services, including office visits and surgical procedures. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Static_Physician_FS.pdf - Effective 2008-01-01 - The document contains a Louisiana Medicaid fee schedule effective from January 1, 2008, to December 31, 2008. It includes specific fees for various medical procedures, such as office visits and surgical repairs. URL: https://www.lamedicaid.com/provweb1/fee_schedules/2008_Static_FeeSched.pdf - Effective 2007-10-15 - The document outlines the Louisiana Medicaid Professional Services Fee Schedule effective from October 15, 2007, to December 31, 2007, detailing fees for various medical services, including office visits and reconstr. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Static_Fee_Schedule_2.pdf - Effective 2007-10-14 - The document appears to be a historical Medicaid fee schedule for professional services in Louisiana, effective through October 14, 2007. It includes specific fees for various medical procedures, such as office visit. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Fee_Schedule-10-29-07_static.pdf OTHER NEW_DOC (Unknown date) - 6 - The document outlines updates for ambulatory surgical centers (non-hospital) with details on procedure codes, modifiers, and pricing methods. It includes restrictions such as sex and provider specialty limitations, and service frequency li. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Legend_09-05-25.xlsx - The document outlines updates to lab and radiology services, including reimbursement rates for various providers and service limitations. It specifies that nurse practitioners and similar providers are paid at 80% of the physician fee, whi. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Legend_09-05-25.xlsx - The document outlines updates for ambulatory surgical centers (non-hospital) with details on procedure codes, modifiers, and pricing determination. It includes information on provider specialty restrictions and service limitations. URL: https://www.lamedicaid.com/provweb1/fee_schedules/ASC_Legend_05-23-25.xlsx - The document outlines updates to the portable radiology and EKG legend, including details on procedure codes, modifiers, and service limitations. It specifies the effective date for fees and highlights provider specialty restrictions and s. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Port_Rad_Legend_05-23-25.xlsx - The document outlines updates to lab and radiology services, including reimbursement rates for various providers and service limitations. It specifies that nurse practitioners and similar roles are paid at 80% of the physician fee, while c. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Lab_Rad_Legend_05-23-25.xlsx - The document outlines a legend for portable radiology and EKG services, detailing fields such as type of service, procedure codes, modifiers, and pricing methods. It also includes restrictions like sex, provider specialty, and service limi. URL: https://www.lamedicaid.com/provweb1/fee_schedules/Port_Rad_Legend_09-05-25.xlsx
High Impact (23)
feesched_legend_11-17-25.xlsx
The document introduces a new professional services fee schedule effective September 5, 2025, detailing reimbursement rates for various provider types and services.
Highlights
- •Effective date: September 5, 2025
- •Reimbursement rates for nurse practitioners, clinical nurse specialists, certified nurse midwives, and physician assistants set at 80% of the fee
- •Certified nurse midwives reimbursed at 95% for pregnancy and childbirth services
- •Claims pricing based on provider type and procedure code modifiers
- •Age restrictions and prior authorization requirements outlined
Reason
The document includes new reimbursement rates and effective dates impacting claims processing.
Watch items
feesched_legend_05-23-25.xlsx
The document introduces a new professional services fee schedule effective May 7, 2025, detailing reimbursement rates for various provider types and services.
Highlights
- •Effective date: May 7, 2025
- •Reimbursement rates for nurse practitioners, clinical nurse specialists, certified nurse midwives, and physician assistants set at 80% of the fee.
- •Certified nurse midwives receive 95% reimbursement for pregnancy and childbirth services compared to licensed physicians.
- •Claims are priced based on provider type and procedure code modifiers.
- •Age restrictions and prior authorization requirements are specified.
Reason
The document outlines new reimbursement rates and effective dates impacting claims processing starting May 2025.
Watch items
Lab_Rad_Legend_11-18-25.xlsx
The document outlines updates to the lab and radiology fee schedule effective September 5, 2025, including reimbursement rates for various providers and service limitations.
Highlights
- •Effective date: September 5, 2025
- •Reimbursement rates for nurse practitioners and midwives
- •Prior authorization requirements
- •Provider specialty restrictions
- •Service frequency limitations
Reason
The document includes specific reimbursement changes and effective dates that impact billing and claims processing.
Watch items
Port_Rad_Legend_11-18-25.xlsx
The document outlines a new fee schedule for portable radiology and EKG services effective September 5, 2025. It includes details on type of service, procedure codes, modifiers, and pricing methods.
Highlights
- •New fee schedule for portable radiology/EKG services.
- •Effective date: September 5, 2025.
- •Includes type of service, procedure codes, and modifiers.
- •Pricing methods: manually priced, system priced, cost to charge ratio.
Reason
The document introduces a new fee schedule with specific effective date and pricing details, impacting reimbursement.
Watch items
Lab_Rad_FS_Jan2025.pdf
The document introduces a new fee schedule for Louisiana Medicaid laboratory and radiology services effective January 1, 2025. It includes specific rate changes for various nuclear diagnostic and therapy procedures.
Highlights
- •New fee schedule effective January 1, 2025.
- •Includes rates for nuclear diagnostic exams and therapies.
- •Specific rates for procedures like nuclear rx, oral admin, and radionuclide therapy.
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Lab_Rad_FS_May2023.pdf
The document provides a new fee schedule for Louisiana Medicaid laboratory and radiology services, effective from May 12, 2023, to December 31, 2023. It includes specific fees for various medical procedures, such as radionuclide therapy and metabolic panels.
Highlights
- •New fee schedule for laboratory and radiology services
- •Effective dates: May 12, 2023 - December 31, 2023
- •Includes fees for radionuclide therapy and metabolic panels
- •Specific fees listed for procedures like 79300 and 80047
Reason
The document contains specific fee changes effective immediately, impacting reimbursement rates.
Watch items
Lab_Rad_FS_July2024.pdf
The document outlines the Louisiana Medicaid laboratory and radiology fee schedule effective from July 1, 2024, to December 31, 2024. It includes specific fees for various nuclear medicine and laboratory procedures.
Highlights
- •Effective dates: July 1, 2024 - December 31, 2024
- •Includes fees for nuclear medicine and lab tests
- •Specific CPT codes and fees listed
- •Contact information for provider relations included
Reason
The document contains specific fee changes effective soon, impacting reimbursement rates.
Watch items
feesched_legend_09-05-25.xlsx
The document outlines a professional services fee schedule effective June 6, 2025, detailing reimbursement rates for various provider types and services, including anesthesia and assistant surgeon claims. It specifies that nurse practitioners and similar providers are reimbursed at 80% of the fee, with certified nurse midwives receiving 95% for pregnancy services.
Highlights
- •Effective date: June 6, 2025
- •Nurse practitioners reimbursed at 80%
- •Certified nurse midwives reimbursed at 95% for pregnancy services
- •Anesthesia and assistant surgeon claims pricing detailed
Reason
The document includes specific reimbursement rates and an effective date that is upcoming, impacting provider payments.
Watch items
ASC_FS_2024.pdf
The document is a new fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from January 1, 2024, to August 11, 2024. It includes specific CPT codes and associated fees for various nasal procedures.
Highlights
- •New fee schedule for Ambulatory Surgical Centers.
- •Effective dates: January 1, 2024 - August 11, 2024.
- •Includes CPT codes for nasal procedures.
- •Specific fees listed for each procedure.
Reason
The document contains new reimbursement rates effective soon, impacting billing and reimbursement.
Watch items
Lab_Rad_FS_May2024.pdf
The document outlines the Louisiana Medicaid laboratory and radiology fee schedule effective from May 1, 2024, to June 30, 2024. It includes specific fees for various procedures such as nuclear medicine and blood test panels.
Highlights
- •Effective dates: May 1, 2024 - June 30, 2024
- •Includes fees for nuclear medicine and blood test panels
- •Specific fees listed for procedures like radionuclide therapy and metabolic panels
Reason
The document contains specific fee changes effective soon, impacting reimbursement.
Watch items
ASC_FS_1_2025.pdf
The document introduces a new fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective January 1, 2025. It includes specific rates for various nasal procedures.
Highlights
- •New fee schedule effective January 1, 2025.
- •CPT codes for nasal procedures with specific rates listed.
- •Includes procedures like revision of nose, removal of nose lesion, and rhinoplasty.
Reason
The document contains new reimbursement rates effective soon, impacting billing and reimbursement processes.
Watch items
Lab_Rad_FS_Jan2024.pdf
The document provides a new fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2024, to April 30, 2024. It includes specific rates for various procedures such as radionuclide therapy and metabolic panels.
Highlights
- •New fee schedule effective January 1, 2024, to April 30, 2024.
- •Includes rates for radionuclide therapy and nuclear medicine therapy.
- •Lists fees for various blood test panels, including metabolic and lipid panels.
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Lab_Rad_Legend.xlsx
The document outlines a new fee schedule for lab and radiology services effective November 18, 2025, with specific reimbursement rates for various providers. It also details prior authorization requirements and service limitations for certain procedure codes.
Highlights
- •New fee schedule effective 11/18/2025 for lab and radiology services.
- •Reimbursement rates specified for nurse practitioners and midwives.
- •Prior authorization required for some services.
- •Service limitations and provider specialty restrictions noted.
Reason
The document includes a new fee schedule with specific reimbursement rates and effective date, impacting billing and claims processing.
Watch items
PS_FS_Jan2025.pdf
The document is a new Louisiana Medicaid Professional Services Fee Schedule effective from January 1, 2025, to March 14, 2025. It includes specific fee updates for thoracoscopy surgical procedures.
Highlights
- •New fee schedule effective January 1, 2025, to March 14, 2025.
- •Includes fees for thoracoscopy surgical procedures.
- •Specific CPT codes mentioned: 32667, 32668, 32669, 32670, 32671.
Reason
The document contains specific fee updates effective soon, impacting reimbursement rates.
Watch items
PS_FS_Jan2024.pdf
The document is a new Louisiana Medicaid professional services fee schedule effective from January 1, 2024, to April 30, 2024. It includes specific CPT codes and associated fees, such as for thoracoscopy procedures.
Highlights
- •New fee schedule effective January 1, 2024, to April 30, 2024.
- •Includes CPT codes 32673 and 32674 with specific fees.
- •Thoracoscopy procedures listed with detailed fees.
Reason
The document contains specific rate changes effective soon, impacting reimbursement.
Watch items
Port_Rad_Legend.xlsx
The document outlines a fee schedule for portable radiology and EKG services effective November 18, 2025, detailing how claims are processed based on service type, provider, and modifiers.
Highlights
- •Effective date: November 18, 2025
- •Covers portable radiology/EKG services
- •Includes type of service and modifier details
- •Specifies pricing determination factors
Reason
The document includes a new fee schedule with an imminent effective date, impacting reimbursement.
Watch items
radfee.xlsx
The document introduces a new fee schedule for Louisiana Medicaid portable radiology/EKG services, effective January 1, 2026. It includes specific CPT codes and fees for various radiologic examinations and services.
Highlights
- •New fee schedule for portable radiology/EKG services.
- •Effective date: January 1, 2026.
- •Includes CPT codes like Q0092, R0070, R0075, R0076, 70100, 71100, 72040, etc.
- •Specific fees listed for each service.
Reason
The document details a new fee schedule with specific rates and an imminent effective date, impacting reimbursements.
Watch items
PS_FS_May2024.pdf
The document outlines the Louisiana Medicaid Professional Services Fee Schedule effective from May 1, 2024, to August 11, 2024, including specific CPT codes and fees for thoracoscopy procedures.
Highlights
- •Effective dates: May 1, 2024 - August 11, 2024
- •CPT codes include 32669, 32670, 32671
- •Fees for thoracoscopy procedures listed
- •Contact for clarification: Gainwell Technologies Provider Relations
Reason
The document contains specific fee changes and effective dates that impact reimbursement, effective soon.
Watch items
Lab_Rad_Legend_09-05-25.xlsx
The document outlines updates to lab and radiology services, including reimbursement rates for various providers and service limitations. It specifies that nurse practitioners and similar providers are paid at 80% of the physician fee, while midwives receive 95% for pregnancy services. Additionally, it details prior authorization requirements and service limitations for certain procedure codes.
Highlights
- •Nurse practitioners paid at 80% of physician fee.
- •Midwives reimbursed 95% for pregnancy services.
- •Prior authorization required for some services.
- •Service limitations include frequency and specialty restrictions.
Reason
The document includes reimbursement-impacting changes and service limitations effective soon.
ASC_FS_8-2024.pdf
The document provides a new fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from August 12, 2024, to December 31, 2024. It includes specific fees for various nasal procedures.
Highlights
- •New fee schedule for Ambulatory Surgical Centers (non-hospital).
- •Effective dates: August 12, 2024, to December 31, 2024.
- •Includes fees for procedures like removal of nose lesion and rhinoplasty.
- •Contact Gainwell Technologies for further clarification.
Reason
The document contains specific fee changes effective soon, impacting reimbursement.
Watch items
PS_FS_Mar2025.pdf
The document introduces a new Louisiana Medicaid Professional Services Fee Schedule effective March 15, 2025, with specific rates for thoracoscopy procedures.
Highlights
- •New fee schedule effective March 15, 2025.
- •Includes rates for thoracoscopy procedures (CPT codes 32667-32671).
- •Rates vary by procedure and modifier.
Reason
The document contains new reimbursement rates effective soon, impacting billing and reimbursement.
Watch items
PS_FS_Aug2024.pdf
The document outlines the Louisiana Medicaid Professional Services Fee Schedule effective from August 12, 2024, to December 31, 2024, with specific fee updates for certain surgical procedures.
Highlights
- •Effective dates: August 12, 2024 - December 31, 2024
- •Updated fees for thoracoscopy procedures (CPT 32672, 32673, 32674)
- •Contact Gainwell Technologies for clarification
Reason
The document includes specific fee changes effective soon, impacting reimbursement.
Watch items
PS_FS_Mar2025.xlsx
The document outlines a new fee schedule for Louisiana Medicaid professional services, effective from March 15, 2025, to May 15, 2025. It includes specific CPT codes and associated fees for various patient services.
Highlights
- •New fee schedule effective March 15, 2025, to May 15, 2025.
- •Includes CPT codes 99202, 99203, 99212, 99213, 99214.
- •Specific fees listed for new and established patient services.
Reason
The document contains new reimbursement rates effective soon, impacting billing and payments.
Watch items
Medium Impact (15)
Port_Rad_Legend_09-05-25.xlsx
The document outlines a legend for portable radiology and EKG services, detailing fields such as type of service, procedure codes, modifiers, and pricing methods. It also includes restrictions like sex, provider specialty, and service limitations.
Highlights
- •Type of service and procedure code details.
- •Modifiers required for pricing determination.
- •Restrictions on sex and provider specialty.
- •Service limitations and units of service.
- •Special indicators for Medicaid expansion.
Reason
The document provides detailed service and billing information but lacks specific rate changes or effective dates.
Lab_Rad_FS_Jan2025.xlsx
The document introduces a new Louisiana Medicaid laboratory and radiology fee schedule effective from January 1, 2025, to June 30, 2025. It includes specific CPT codes and fees, such as G0433 and G0452, with historical effective dates. The document appears to be a new schedule but lacks clear current rate changes.
Highlights
- •New fee schedule effective January 1, 2025, to June 30, 2025.
- •Includes CPT codes like G0433 and G0452.
- •Historical effective dates are mentioned.
- •No clear current rate changes identified.
Reason
The document is current but lacks clear evidence of immediate reimbursement-impacting changes.
Watch items
ASC_Legend_11-18-25.xlsx
The document introduces a new fee schedule for ambulatory surgical centers (non-hospital) effective September 5, 2025. It includes details on procedure codes, modifiers, and pricing methods, as well as restrictions based on sex, provider specialty, and service frequency.
Highlights
- •New fee schedule for ambulatory surgical centers (non-hospital).
- •Effective date: September 5, 2025.
- •Includes procedure codes, modifiers, and pricing methods.
- •Contains sex, provider specialty, and service frequency restrictions.
Reason
The changes are relevant but not immediately effective, with an effective date in 2025.
Watch items
ascfee.xlsx
The document introduces a new fee schedule for ambulatory surgical centers effective January 1, 2026. It includes specific CPT codes and fees, such as G0105 and G0121, with historical effective dates noted.
Highlights
- •New fee schedule for ambulatory surgical centers effective January 1, 2026.
- •Includes CPT codes like G0105 and G0121.
- •Historical effective dates are listed for some codes.
Reason
The document is current but changes are not immediately effective, and many dates are historical.
Watch items
Lab_Rad_Legend_05-23-25.xlsx
The document outlines updates to lab and radiology services, including reimbursement rates for various providers and service limitations. It specifies that nurse practitioners and similar roles are paid at 80% of the physician fee, while certified nurse midwives receive 95% for pregnancy services. Additionally, there are restrictions based on sex, provider specialty, and service frequency.
Highlights
- •Lab and radiology service updates effective 05/13/25.
- •Nurse practitioners paid at 80% of physician fee.
- •Certified nurse midwives reimbursed 95% for pregnancy services.
- •Service limitations include sex and provider specialty restrictions.
Reason
The document contains reimbursement updates effective in the future, requiring review but not immediate action.
Watch items
ascfee_01-01-25.xlsx
The document introduces a new fee schedule for ambulatory surgical centers effective from January 1, 2025, to December 31, 2025. It includes specific CPT codes and descriptions, but most rates appear unchanged from previous years.
Highlights
- •New fee schedule effective January 1, 2025.
- •CPT codes include G0105, G0121, G0260, G0330, V2785, 00170, 11044, 11102, 11104, 11106, 11400, 11401, 11402, 11403, 11404, 11406, 11420, 11421.
- •Rates mostly unchanged at 182.3, except V2785 at 1645.64.
Reason
The document is current but lacks significant rate changes, suggesting limited immediate impact.
Watch items
ASC_FS_2023.pdf
The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from January 1, 2023, to December 31, 2023. It includes specific CPT codes and associated fees for various nasal procedures.
Highlights
- •Fee schedule effective January 1, 2023, to December 31, 2023.
- •Includes CPT codes for nasal procedures.
- •Specific fees listed for each procedure.
Reason
The document is current but lacks evidence of imminent changes or new policy impacts.
Watch items
radfee_01-01-18.xlsx
The document outlines the Louisiana Medicaid portable radiology/EKG fee schedule effective from January 1, 2018, through December 31, 2025. It includes specific CPT codes and fees for various radiologic examinations and services.
Highlights
- •Effective date: January 1, 2018 - December 31, 2025
- •Includes CPT codes for portable radiology/EKG services
- •Lists fees for specific radiologic examinations
- •CPT code Q0092: $7.21
- •CPT code R0070: $69.24
Reason
The document is current but does not indicate new changes or updates impacting reimbursement.
Watch items
Port_Rad_Legend_05-23-25.xlsx
The document outlines updates to the portable radiology and EKG legend, including details on procedure codes, modifiers, and service limitations. It specifies the effective date for fees and highlights provider specialty restrictions and service limitations.
Highlights
- •Portable radiology/EKG legend updated.
- •Includes procedure codes and modifiers.
- •Specifies effective date for fees.
- •Provider specialty restrictions noted.
- •Service limitations and frequency limits included.
Reason
The document contains relevant updates but lacks specific rate changes or imminent effective dates.
Lab_Rad_FS_Jul2025.xlsx
The document outlines a new fee schedule for Louisiana Medicaid laboratory and radiology services, effective from July 1, 2025, to December 31, 2025. It includes specific CPT codes with associated fees and effective dates.
Highlights
- •New fee schedule for laboratory and radiology services.
- •Effective dates: July 1, 2025, to December 31, 2025.
- •Includes CPT codes like G0433, G0452, G0480, G0481, G6001.
- •Specific fees listed for each CPT code.
Reason
The changes are relevant but not immediately urgent as they are effective in 2025.
Watch items
ASC_Legend_05-23-25.xlsx
The document outlines updates for ambulatory surgical centers (non-hospital) with details on procedure codes, modifiers, and pricing determination. It includes information on provider specialty restrictions and service limitations.
Highlights
- •Ambulatory surgical centers (non-hospital) updates.
- •Procedure codes and modifiers for pricing.
- •Provider specialty restrictions noted.
- •Service limitations and frequency limits included.
Reason
The document contains relevant updates but lacks specific rate changes or imminent effective dates.
PS_FS_May2023.pdf
The document provides updates to the Louisiana Medicaid Professional Services Fee Schedule, effective from May 12, 2023, to December 31, 2023. It includes specific fee changes for procedures such as lung transplants.
Highlights
- •Effective dates: May 12, 2023 - December 31, 2023
- •Fee for CPT 32851: $2,171.93
- •Fee for CPT 32852: $2,339.48
Reason
The document contains specific fee updates but the effective period is not imminent.
Watch items
labfee.xlsx
The document outlines a new fee schedule for Louisiana Medicaid laboratory and radiology services effective January 1, 2026. It includes specific CPT codes with associated fees and effective dates for services such as infectious agent antibody detection and various x-ray procedures.
Highlights
- •New fee schedule effective January 1, 2026
- •Includes CPT codes like G0433, G0452, G0480
- •Specific fees and effective dates provided
- •Applies to laboratory and radiology services
- •CPT copyright 2025 American Medical Association
Reason
The changes are not effective immediately and are scheduled for 2026, reducing urgency for immediate review.
Watch items
ASC_Legend_09-05-25.xlsx
The document outlines updates for ambulatory surgical centers (non-hospital) with details on procedure codes, modifiers, and pricing methods. It includes restrictions such as sex and provider specialty limitations, and service frequency limits.
Highlights
- •Ambulatory surgical centers (non-hospital) updates.
- •Procedure codes and modifiers detailed.
- •Pricing methods: manually/system priced, cost to charge ratio.
- •Restrictions: sex, provider specialty, service frequency.
- •Special indicators for Medicaid expansion and global maternity.
Reason
The document contains relevant updates but lacks specific rate changes or effective dates.
ASC_Legend.xlsx
The document introduces a new fee schedule for ambulatory surgical centers (non-hospital) effective November 18, 2025. It includes details on procedure codes, modifiers, and pricing methods, as well as restrictions based on sex, provider specialty, and service frequency.
Highlights
- •New fee schedule for ambulatory surgical centers (non-hospital)
- •Effective date: November 18, 2025
- •Includes procedure codes and modifiers
- •Details on pricing methods: manually/system priced
- •Restrictions: sex, provider specialty, service frequency
Reason
The document outlines future changes effective in 2025, which are not immediately urgent but relevant for future planning.
Watch items
Low Impact (72)
PS_FS_2019.pdf
The document contains a Louisiana Medicaid fee schedule effective from January 1, 2019, to December 31, 2019. It includes specific CPT codes and associated fees for medical procedures.
Highlights
- •Fee schedule effective January 1, 2019, to December 31, 2019.
- •Includes CPT codes 33249, 33250, and 33251.
- •Lists fees for procedures like insertion or replacement and operative ablation.
Reason
The document is historical, covering a period that ended in 2019, and does not indicate any current or upcoming changes.
Prof_Serv_Static_2011.pdf
The document is a Louisiana Medicaid fee schedule effective from January 1, 2011, to December 31, 2011. It includes specific fees for procedures such as 'insert major vessel graft.'
Highlights
- •Document is a fee schedule for 2011.
- •Includes fees for 'insert major vessel graft.'
- •Effective dates: January 1, 2011, to December 31, 2011.
Reason
The document is historical, with effective dates from 2011, indicating no current urgency.
Jan2014-December2014_Lab_Rad_Static.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2014, to December 31, 2014. It includes specific fees for various procedures, such as mammography and nuclear exams.
Highlights
- •Document is a fee schedule for 2014.
- •Includes fees for mammography and nuclear exams.
- •Effective dates: January 1, 2014 - December 31, 2014.
Reason
The document is historical, with effective dates from 2014, indicating no current urgency for review.
JAN2013_ASC_Fee_Report.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2013, to January 31, 2013. It includes specific fees for various procedures, such as colorectal screenings and sinus explorations.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: January 1, 2013, to January 31, 2013.
- •Includes fees for procedures like colorectal screenings and sinus explorations.
- •Specific fees listed, e.g., $182.30 for colorectal screening.
Reason
The document is historical, with effective dates over 10 years ago, indicating no current urgency.
Lab_Rad_FS_July-Dec2016.pdf
The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from July 1, 2016, to December 31, 2016. It includes specific rates for various procedures, such as brain scans and cerebrospinal fluid scans.
Highlights
- •Fee schedule effective July 1, 2016, to December 31, 2016.
- •Includes rates for brain and cerebrospinal fluid scans.
- •Specific CPT codes and rates are listed.
- •Document is from Louisiana Medicaid.
Reason
The document is historical, with an effective date in 2016, indicating no current urgency for review.
PS_FS_12-2020.pdf
The document contains a Louisiana Medicaid fee schedule effective from December 1, 2020, to December 31, 2020, with specific rate changes for procedures related to pacemaker and cardioverter-defibrillator services.
Highlights
- •Fee schedule effective December 1, 2020, to December 31, 2020.
- •Includes rates for pacemaker and cardioverter-defibrillator procedures.
- •Specific CPT codes mentioned: 33225, 33226, 33227, 33228, 33229, 33230, 33231.
Reason
The document is historical, covering a period in 2020, and does not indicate current or upcoming changes.
Watch items
Lab_Rad_Static_Jan-Jun2016.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2016, to June 30, 2016. It includes specific fees for various procedures, such as mammography and nuclear medicine therapies.
Highlights
- •Document is a fee schedule for 2016.
- •Includes fees for mammography and nuclear medicine.
- •Effective dates: January 1, 2016, to June 30, 2016.
Reason
The document is historical, with effective dates from 2016, indicating no current urgency for review.
Feb_July_10_Static_FS.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from February 5, 2009, to July 31, 2010. It includes specific fees for various procedures, such as colorectal screenings and nasal endoscopies.
Highlights
- •Historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers.
- •Effective dates: February 5, 2009 - July 31, 2010.
- •Includes fees for procedures like colorectal screenings and nasal endoscopies.
- •Specific fees listed, e.g., $202.05 for colorectal screening.
Reason
The document is historical with effective dates over 13 years ago, indicating no current urgency.
PS_Fee_July-Sept2016.pdf
The document appears to be a historical Louisiana Medicaid fee schedule effective from July 1, 2016, to September 30, 2016, detailing rates for various surgical procedures.
Highlights
- •Document is a fee schedule for July 1, 2016, to September 30, 2016.
- •Includes rates for procedures like exploratory heart surgery and vessel repair.
- •Rates vary by procedure and code, e.g., 33310, 33315, 33320.
- •No current or future effective dates are mentioned.
Reason
The document is historical, with effective dates from 2016, indicating no current urgency.
ASC_FS_2017.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from January 1, 2017, to December 31, 2017. It includes specific CPT codes and associated fees for various nasal procedures.
Highlights
- •Document is a fee schedule for 2017.
- •Includes CPT codes for nasal procedures.
- •Lists fees for procedures like 'reconstruction of nose' and 'repair nasal defect'.
- •Effective dates are January 1, 2017, to December 31, 2017.
Reason
The document is historical, with effective dates in 2017, indicating no current urgency for review.
July_1-to-Dec_31_Static_Fee_Shcedule.pdf
The document appears to be a historical Medicaid fee schedule for Louisiana, effective from July 1, 2012, to December 31, 2012. It includes specific rates for procedures such as tissue ablation and removal of pacing cardioverter-defibrillators.
Highlights
- •Fee schedule effective July 1, 2012, to December 31, 2012.
- •Includes rates for procedures like tissue ablation.
- •Specific CPT codes mentioned: 33257, 33258, 33259, 33261, 33262.
Reason
The document is historical, with an effective date over 10 years ago, indicating no current urgency.
Watch items
FEESCHED_Aug_Nov_10.pdf
The document provides a Louisiana Medicaid fee schedule effective from August 1, 2010, to November 30, 2010, detailing specific CPT codes and their associated fees.
Highlights
- •Effective dates: August 1, 2010, to November 30, 2010
- •CPT code 99201: Fee $25.73 to $30.87
- •CPT code 99202: Fee $44.72 to $53.67
- •CPT code 33413: Fee $2,297.92 to $2,757.50
Reason
The document is historical, with effective dates over 13 years ago, indicating no current urgency.
ASC_Fee_2016.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2016, to September 30, 2016. It includes specific fees for various procedures, such as colorectal screenings and sinus explorations.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: January 1, 2016 - September 30, 2016.
- •Includes fees for procedures like colorectal screenings and sinus explorations.
Reason
The document is historical, with effective dates in 2016, indicating no current urgency.
Static_Physician_FS.pdf
The document provides a Louisiana Medicaid fee schedule effective from January 1, 2009, to February 25, 2009, detailing fees for various medical services, including office visits and surgical procedures.
Highlights
- •Effective date: January 1, 2009 - February 25, 2009
- •Includes fees for office visits and surgical procedures
- •Specific CPT codes mentioned: 99201, 99202, 42145, 42160, 42180, 42182, 42200, 42205, 42210
Reason
The document is historical, with an effective date over 14 years ago, indicating no current urgency.
Lab_Rad_FS_Ja2023.pdf
The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2023, to May 11, 2023. It includes specific fees for various medical tests and therapies.
Highlights
- •Fee schedule effective January 1, 2023, to May 11, 2023.
- •Includes fees for laboratory and radiology services.
- •Specific fees listed for tests like basic metabolic panel and lipid panel.
Reason
The document is historical, covering a period that has already passed, and does not indicate any new or upcoming changes.
Lab_Rad_FS_2017.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from January 1, 2017, to December 31, 2017. It includes specific fees for various nuclear exams and scans.
Highlights
- •Document is a fee schedule for 2017.
- •Includes fees for nuclear exams and scans.
- •Effective dates: January 1, 2017 - December 31, 2017.
Reason
The document is historical, with effective dates in 2017, and does not supersede current schedules.
ASC_FS_Jul_Dec_12.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from July 1, 2012, to December 31, 2012. It includes specific fees for various procedures, such as colorectal screenings and sinus surgeries.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: July 1, 2012 - December 31, 2012.
- •Includes fees for procedures like colorectal screenings and sinus surgeries.
- •Specific fees listed, e.g., $182.30 for colorectal screening.
Reason
The document is historical, with effective dates over 10 years ago, indicating no current urgency.
FS_Jan_July_10.pdf
The document contains historical Medicaid fee schedules for professional services in Louisiana, effective from January 22, 2010, to July 31, 2010. It includes specific fees for various medical procedures, such as office visits and aortic valve surgeries.
Highlights
- •Fees effective from January 22, 2010, to July 31, 2010.
- •Includes office visit codes 99201, 99202, 99203.
- •Lists fees for aortic valve procedures (e.g., 33401, 33403, 33405).
- •Document is historical, not current.
Reason
The document is historical with effective dates over 13 years ago, indicating no current urgency.
Lab_Rad_FS_Novemeber_2019.pdf
The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from November 1, 2019, to December 31, 2019. It includes specific rates for various procedures, such as cerebrospinal fluid scans and nuclear exams.
Highlights
- •Fee schedule effective November 1, 2019, to December 31, 2019.
- •Includes rates for cerebrospinal fluid scans and nuclear exams.
- •Specific rates listed for procedures like 78635, 78645, 78647, 78650, 78660, 78699, 78700, 78701, 78707, 78708.
Reason
The document is historical, with an effective date in 2019, indicating no current urgency.
ASC_FS_Jan_Jun_12.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2012, to June 30, 2012. It includes specific fees for various procedures, such as colorectal screenings and sinus surgeries.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: January 1, 2012 - June 30, 2012.
- •Includes fees for procedures like colorectal screenings and sinus surgeries.
Reason
The document is historical, with effective dates over 11 years ago, indicating no current urgency.
Lab_Radiology_Jan_Jul_10.pdf
The document is a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 22, 2010, to July 31, 2010. It includes specific fees for various procedures, such as mammography and nuclear scans.
Highlights
- •Document type: Louisiana Medicaid fee schedule
- •Effective dates: January 22, 2010 - July 31, 2010
- •Includes fees for mammography and nuclear scans
- •Specific CPT codes and fees listed
Reason
The document is historical, with effective dates over 13 years ago, indicating no current urgency.
ASC_FS_2019.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2019, to December 31, 2019. It includes specific CPT codes and reimbursement rates for nose reconstruction and revision procedures.
Highlights
- •Fee schedule effective from January 1, 2019, to December 31, 2019.
- •Includes CPT codes for nose reconstruction and revision.
- •Reimbursement rates specified for procedures like 30420, 30430, 30435, 30450, 30460, and 30462.
- •Procedures not on the schedule under TOS 08 but listed under TOS 03 are reimbursed at $248.14.
Reason
The document is historical, with an effective date range in 2019, indicating no current urgency.
PS_Fee_2017.pdf
The document appears to be a historical Medicaid fee schedule for Louisiana, effective from January 1, 2017, to December 31, 2017. It includes specific rates for operative tissue ablation and reconstruction procedures.
Highlights
- •Document is a fee schedule for 2017.
- •Includes rates for CPT codes 33254 to 33259.
- •Rates range from $76.87 to $1,617.90.
- •Document is from Louisiana Medicaid.
Reason
The document is historical, with an effective date in 2017, and does not supersede current schedules.
Lab_Rad_FS_1-2021.pdf
The document outlines a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2021, to February 28, 2021. It includes specific CPT codes and their associated fees.
Highlights
- •Fee schedule effective January 1, 2021, to February 28, 2021.
- •Includes CPT codes 78831, 78832, 78835, 78999, 79005, 79101.
- •Specific fees listed for radiopharmaceutical localization and nuclear diagnostic exams.
Reason
The document is historical, with an effective date over 24 months ago, indicating low urgency for review.
ASC_Fee_2014.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2014, to December 31, 2014. It includes specific fees for various procedures, such as colorectal screenings and sinus surgeries.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: January 1, 2014 - December 31, 2014.
- •Includes fees for procedures like colorectal screenings and sinus surgeries.
Reason
The document is historical, with effective dates in 2014, indicating no current urgency for review.
ASC_Fee_2015.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2015, to December 31, 2015. It includes specific fees for various procedures, such as colorectal screenings and nasal surgeries.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: January 1, 2015 - December 31, 2015.
- •Includes fees for procedures like colorectal screenings and nasal surgeries.
Reason
The document is historical, with effective dates in 2015, indicating no current urgency for review.
Lab_Rad_Static_2012.pdf
The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2012, to June 30, 2012. It includes specific fees for various procedures such as mammography and nuclear scans.
Highlights
- •Fee schedule effective January 1, 2012 - June 30, 2012
- •Includes fees for mammography and nuclear scans
- •Specific codes and fees listed (e.g., G0202, 78610)
Reason
The document is historical, with an effective date over 10 years ago, indicating no current urgency.
Fee_Schedule-10-29-07_static.pdf
The document appears to be a historical Medicaid fee schedule for professional services in Louisiana, effective through October 14, 2007. It includes specific fees for various medical procedures, such as office visits and reconstructive surgeries.
Highlights
- •Document is a fee schedule for Louisiana Medicaid.
- •Effective date is through October 14, 2007.
- •Includes fees for office visits and reconstructive surgeries.
- •Contains specific CPT codes and associated fees.
Reason
The document is historical, with an effective date over 15 years ago, indicating no current urgency for review.
PORT_RAD_2018.pdf
The document is a Louisiana Medicaid fee schedule for portable radiology/EKG services, effective from January 1, 2018. It includes specific fees for various radiologic examinations.
Highlights
- •Fee schedule for portable radiology/EKG services
- •Effective date: January 1, 2018
- •Includes fees for radiologic examinations like mandible, mastoids, facial bones, nasal bones, skull, teeth, neck, and chest
Reason
The document is historical with an effective date in 2018, indicating no immediate urgency for review.
PS_Fee_2015.pdf
The document is a Louisiana Medicaid fee schedule for professional services, effective from January 1, 2015, to December 31, 2015. It includes specific CPT codes and fees for procedures like 'repair major vessel.'
Highlights
- •Document is a fee schedule for 2015.
- •Includes CPT code 33321 and 33322.
- •Lists fees for 'repair major vessel' procedures.
- •Effective dates: January 1, 2015 - December 31, 2015.
Reason
The document is historical, with effective dates in 2015, indicating no current urgency.
ASC_FS_2018.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2018, to December 31, 2018. It includes specific CPT codes and reimbursement rates for various nasal procedures.
Highlights
- •Fee schedule effective January 1, 2018, to December 31, 2018.
- •Includes rates for nasal procedures like reconstruction and repair.
- •CPT codes listed with specific reimbursement amounts.
- •Procedures not on the schedule under TOS 08 are reimbursed at $248.14 if listed under TOS 03.
Reason
The document is historical, with an effective date in 2018, indicating no current urgency.
Lab_Rad_Static_2015.pdf
The document contains a fee schedule for Louisiana Medicaid laboratory and radiology services effective from January 1, 2015, to December 31, 2015. It includes specific fees for various procedures such as mammography and blood test panels.
Highlights
- •Fee schedule effective January 1, 2015, to December 31, 2015.
- •Includes fees for mammography and blood test panels.
- •Specific codes and fees are listed, e.g., G0202, G0204, 80048.
Reason
The document is historical, with an effective date range from 2015, indicating no current urgency.
FEESCHED_Aug_03_09.pdf
The document contains historical Medicaid fee schedules for professional services in Louisiana, effective from February 26, 2009, to August 3, 2009. It includes specific fees for various medical procedures, such as office visits and surgical repairs.
Highlights
- •Historical fee schedule from 2009.
- •Includes fees for office visits and surgeries.
- •Specific CPT codes like 99201 and 42140 are listed.
- •Effective dates: February 26, 2009 - August 3, 2009.
Reason
The document is historical, with effective dates from 2009, and does not impact current policies.
Lab_Rad_FS_July_2019.pdf
The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from July 1, 2019, to October 31, 2019. It includes specific fees for various procedures such as cerebrospinal fluid scans and nuclear exams.
Highlights
- •Fee schedule effective July 1, 2019, to October 31, 2019.
- •Includes fees for cerebrospinal fluid scans and nuclear exams.
- •Specific fees listed for procedures like 78635, 78645, 78647, 78650, 78660, 78699, 78700, 78701, 78707.
Reason
The document is historical, with an effective date in 2019, indicating no current urgency.
PS_FS_2021.pdf
The document provides a fee schedule for Louisiana Medicaid professional services effective from January 1, 2021, to December 31, 2021. It includes specific rate changes for procedures related to pacemaker services.
Highlights
- •Fee schedule effective January 1, 2021, to December 31, 2021.
- •Rate changes for pacemaker-related procedures.
- •Specific CPT codes affected: 33213, 33214, 33215, 33216, 33217, 33218, 33220, 33221.
Reason
The document is historical, covering rates for 2021, and does not indicate current or upcoming changes.
PS_FS_2020.pdf
The document appears to be a Louisiana Medicaid fee schedule effective from January 1, 2020, to November 30, 2020. It includes specific CPT codes and fees for services like the removal of permanent pacemaker pulses.
Highlights
- •Document is a fee schedule for Louisiana Medicaid.
- •Effective dates: January 1, 2020, to November 30, 2020.
- •Includes CPT codes for pacemaker removal with specific fees.
- •No new or future effective dates are mentioned.
Reason
The document is historical, covering dates in 2020, and does not indicate any current or upcoming changes.
FEB2013-Aug19_Static Fee Schedule.pdf
The document appears to be a historical Medicaid fee schedule for Louisiana, effective from February 1, 2013, to August 19, 2013. It includes specific rates for various procedures, such as ablation and removal of pacing cardioverter-defibrillators.
Highlights
- •Document is a fee schedule for Louisiana Medicaid.
- •Effective dates: February 1, 2013, to August 19, 2013.
- •Includes rates for procedures like ablation and defibrillator removal.
- •Rates are historical and not current.
Reason
The document is historical with effective dates from 2013, indicating no current urgency.
PS_Fee_2014.pdf
The document appears to be a historical Louisiana Medicaid fee schedule for professional services, effective from January 1, 2014, to December 31, 2014. It includes specific fee changes for various procedures, such as removal of pacing cardioverter-defibrillators and heart wound repairs.
Highlights
- •Fee schedule effective from January 1, 2014, to December 31, 2014.
- •Includes fees for procedures like removal of pacing cardioverter-defibrillators.
- •Lists specific CPT codes and corresponding fees.
- •Document is from the Louisiana Medicaid Management Information System.
Reason
The document is historical, with an effective date range from 2014, indicating no current urgency for review.
ASC_FS_2021.pdf
The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from January 1, 2021, to December 31, 2021. It includes specific CPT codes and their corresponding fees.
Highlights
- •Fee schedule effective January 1, 2021, to December 31, 2021.
- •Includes CPT codes for nasal procedures.
- •Specific fees listed for each procedure.
- •Procedures not on the schedule under TOS 08 are reimbursed at $248.14 if listed under TOS 03.
Reason
The document is historical, covering a period that ended in 2021, and does not indicate any current or upcoming changes.
2008_Static_FeeSched.pdf
The document contains a Louisiana Medicaid fee schedule effective from January 1, 2008, to December 31, 2008. It includes specific fees for various medical procedures, such as office visits and surgical repairs.
Highlights
- •Fee schedule effective from January 1, 2008, to December 31, 2008.
- •Includes fees for office visits and surgical procedures.
- •Specific codes and fees are listed, e.g., 99201 and 42227.
Reason
The document is historical, with an effective date over 15 years ago, indicating no current urgency.
ASC_FS_2020.pdf
The document appears to be a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from January 1, 2020, to December 31, 2020. It includes specific CPT codes and reimbursement rates for various nasal procedures.
Highlights
- •Fee schedule effective from January 1, 2020, to December 31, 2020.
- •Includes rates for nasal procedures like reconstruction and revision.
- •CPT codes and descriptions are copyrighted by the AMA.
- •Procedures not on the fee schedule under TOS 08 are reimbursed at $248.14 if listed under TOS 03.
Reason
The document is historical, covering a period that ended in 2020, and does not indicate any current or upcoming changes.
ASC_Static_2011.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid Ambulatory Surgical Centers, effective from January 1, 2011, to December 31, 2011. It includes specific CPT codes and fees but lacks current or upcoming changes.
Highlights
- •Historical fee schedule for 2011.
- •Includes CPT codes and fees.
- •No current or upcoming changes indicated.
Reason
The document is historical, with an effective date over 12 years ago, indicating no urgency for current review.
PS_FS_Jan_2018.pdf
The document provides a Louisiana Medicaid fee schedule effective from January 1, 2018, to January 31, 2018, with specific rates for various procedures, including operative tissue ablation and removal of pacing cardioverter-defibrillators.
Highlights
- •Fee schedule effective January 1, 2018, to January 31, 2018.
- •Includes rates for operative tissue ablation and recons.
- •Lists rates for removal of pacing cardioverter-defibrillators.
- •Specific CPT codes like 33259, 33261, 33262, 33263, 33264, 33265, 33266 are mentioned.
Reason
The document is historical, with an effective date in 2018, indicating no current urgency.
AUG2013-DEC2013_StaticFeeSchedule.pdf
The document appears to be a historical Medicaid fee schedule for Louisiana, effective from August 20, 2013, to December 31, 2013. It includes specific rates for procedures such as operative tissue ablation and reconstruction.
Highlights
- •Document is a fee schedule for Louisiana Medicaid.
- •Effective dates: August 20, 2013, to December 31, 2013.
- •Includes rates for procedures like operative tissue ablation.
- •Rates for CPT codes 33256, 33257, 33258, 33259, and 33261 are listed.
Reason
The document is historical, with effective dates from 2013, and does not impact current policies.
Watch items
FeeSched_Static.pdf
The document contains historical Medicaid fee schedules for professional services in Louisiana, effective from August 4, 2009, to January 21, 2010. It includes specific fees for various medical procedures, such as office visits and valve repairs.
Highlights
- •Historical fee schedule from 2009-2010.
- •Includes fees for office visits and valve repairs.
- •Specific CPT codes like 99201, 99202, 33416, 33417, 33420, 33422, 33425, 33426 are listed.
Reason
The document is historical, with effective dates over 24 months in the past, indicating no immediate impact on current policies.
Lab_Rad_FS_Jan_2019.pdf
The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2019, to June 30, 2019. It includes specific CPT codes and associated fees for various procedures.
Highlights
- •Fee schedule effective from January 1, 2019, to June 30, 2019.
- •Includes CPT codes for nuclear exams and tumor localization.
- •Specific fees listed for each procedure.
- •Document run date: June 28, 2019.
Reason
The document is historical, with an effective date over four years ago, indicating no current urgency for review.
Lab_Rad_FS_2021.pdf
The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from March 1, 2021, to December 31, 2021. It includes specific fees for various radiopharmaceutical services.
Highlights
- •Fee schedule effective March 1, 2021, to December 31, 2021.
- •Includes fees for radiopharmaceutical localization and quantification.
- •Specific CPT codes and fees are listed.
Reason
The document is historical, covering a period that ended in 2021, and does not indicate any current or upcoming changes.
Lab_Rad_FS_2020.pdf
The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2020, to December 31, 2020. It includes specific rates for various procedures, such as PET scans and tumor imaging.
Highlights
- •Fee schedule effective January 1, 2020, to December 31, 2020.
- •Includes rates for PET scans and tumor imaging.
- •Specific CPT codes like 78802, 78803, 78804, 78811, 78812, 78813, 78814, 78815, 78816 are listed.
Reason
The document is historical, covering a period that ended in 2020, and does not indicate any current or upcoming changes.
PS_Fee_Jan-Jun2016.pdf
The document appears to be a Louisiana Medicaid fee schedule for professional services, effective from January 1, 2016, to June 30, 2016. It includes specific rates for procedures such as exploratory heart surgery and repair of major blood vessels.
Highlights
- •Fee schedule effective January 1, 2016, to June 30, 2016.
- •Includes rates for exploratory heart surgery and vessel repair.
- •Rates vary by procedure and code (e.g., 33310, 33315).
Reason
The document is historical, with an effective date in 2016, indicating no current urgency.
PS_FS_Feb_2018.pdf
The document appears to be a Louisiana Medicaid professional services fee schedule effective from February 1, 2018, to June 30, 2018. It includes specific rates for procedures such as tissue ablation and removal of pacing cardioverter-defibrillators.
Highlights
- •Fee schedule effective February 1, 2018, to June 30, 2018.
- •Includes rates for procedure codes 33258, 33259, 33261, 33262, 33263, 33264, 33265.
- •Rates for tissue ablation and removal of pacing cardioverter-defibrillators are specified.
Reason
The document is historical, with an effective date over five years ago, indicating no current urgency.
Prof_FS_Static_12.pdf
The document appears to be a historical Louisiana Medicaid fee schedule with rates effective from January 1, 2012, to June 30, 2012. It includes specific fee changes for various procedures, such as insertion or replacement of permanent devices and operative ablation procedures.
Highlights
- •Document is a fee schedule for Louisiana Medicaid.
- •Effective dates: January 1, 2012, to June 30, 2012.
- •Includes specific procedure fees, e.g., CPT 33249, 33250, 33251.
- •Rates for procedures like operative ablation are listed.
- •Contact information for provider relations is included.
Reason
The document is historical with effective dates from 2012, indicating no current urgency.
PS_FS_Jan2023.pdf
The document provides updates to the Louisiana Medicaid Professional Services Fee Schedule, effective from January 1, 2023, through May 11, 2023. It includes specific fee changes for procedures such as lung transplants and rib removal.
Highlights
- •Fee schedule effective January 1, 2023, to May 11, 2023.
- •Includes fees for lung transplant and rib removal.
- •Specific CPT codes and fees are listed.
Reason
The effective date is in the past, indicating the document is archival.
JAN2013_Static_Fee_Schedule.pdf
The document appears to be a historical Medicaid fee schedule for Louisiana, effective from January 1, 2013, to January 31, 2013. It includes specific CPT codes and their associated fees, such as 33261 and 33262, with detailed pricing changes.
Highlights
- •Document is a fee schedule for January 2013.
- •Includes CPT codes like 33261 and 33262.
- •Lists specific fees for medical procedures.
- •Historical document with no current effective date.
Reason
The document is historical, with an effective date over 10 years ago, indicating no current urgency for review.
Lab_Rad_FS_2022.pdf
The document is a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2022, to December 31, 2022. It includes specific CPT codes and fees, such as 79445 and 79999, with associated rates.
Highlights
- •Fee schedule effective from January 1, 2022, to December 31, 2022.
- •Includes CPT codes like 79445 and 79999.
- •Specific fees listed, e.g., $135.51 for 79445.
- •Document pertains to laboratory and radiology services.
- •Managed by Louisiana Department of Health.
Reason
The document is historical, covering a period that ended in 2022, with no indication of superseding current schedules.
Static_Fee_Schedule_2.pdf
The document outlines the Louisiana Medicaid Professional Services Fee Schedule effective from October 15, 2007, to December 31, 2007, detailing fees for various medical services, including office visits and reconstructive surgeries.
Highlights
- •Effective dates: October 15, 2007 - December 31, 2007
- •CPT code 99201: Office visit, new patient, straightforward problem, fee $29.46
- •CPT code 99202: Office visit, new patient, expanded problem, fee $51.86
- •CPT code 42205: Reconstruct cleft palate, fee $804.92
- •CPT code 42210: Reconstruct cleft palate, fee $917.48
Reason
The document is historical, with effective dates from 2007, indicating no current urgency for review.
PS_FS_Jul_Dec_2018.pdf
The document appears to be a Louisiana Medicaid fee schedule for professional services, effective from July 1, 2018, to December 31, 2018. It includes specific rates for procedures such as ablation and removal of pacing cardioverter-defibrillators.
Highlights
- •Fee schedule effective July 1, 2018, to December 31, 2018.
- •Includes rates for procedure codes like 33261, 33262, 33263, 33264, 33265, and 33266.
- •Rates for procedures such as ablation and removal of pacing cardioverter-defibrillators are listed.
Reason
The document is historical, with an effective date range from 2018, indicating it is archival.
ASC_FS_Aug_Dec_10.pdf
The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from August 1, 2010, to December 31, 2010. It includes specific CPT codes and associated fees for various procedures.
Highlights
- •Fee schedule effective August 1, 2010 - December 31, 2010.
- •Includes CPT codes like G0105, G0121, and 30905.
- •Fees for procedures such as colorectal screening and sinus exploration.
- •Specific fees listed, e.g., $193.16 for certain procedures.
Reason
The document is historical, with an effective date over 13 years ago, indicating no current urgency.
Feb-Dec2013_ASC_Fee_Report.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from February 1, 2013, to December 31, 2013. It includes specific fees for various procedures, such as colorectal screenings and sinus explorations.
Highlights
- •Fee schedule for ambulatory surgical centers.
- •Effective dates: February 1, 2013 - December 31, 2013.
- •Includes fees for procedures like colorectal screenings and sinus explorations.
- •Specific fees listed, e.g., $182.30 for colorectal screenings.
Reason
The document is historical, with effective dates in 2013, indicating no current urgency.
Lab_Rad_Aug_Dec_10.pdf
The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services effective from August 1, 2010, to December 31, 2010. It includes specific fees for various procedures such as mammography and nuclear scans.
Highlights
- •Fee schedule effective August 1, 2010 - December 31, 2010
- •Includes fees for mammography and nuclear scans
- •Specific CPT codes and fees listed
- •Document appears historical
Reason
The document is historical with an effective date over 24 months in the past, indicating low urgency for review.
PS_FS_2022.pdf
The document provides a fee schedule for Louisiana Medicaid professional services effective from January 1, 2022, to December 31, 2022. It includes specific rates for procedures such as chest wall revision and lung revision.
Highlights
- •Fee schedule effective January 1, 2022, to December 31, 2022.
- •Includes rates for procedures like chest wall revision and lung revision.
- •Specific rates listed for CPT codes 32905, 32906, 32940, 32960, 32994, 32997, and 32998.
Reason
The document is historical, covering a past period with no indication of superseding current schedules.
Lab_Rad_FS_Jan_2018.pdf
The document is a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from January 1, 2018, to January 31, 2018. It includes specific fees for various nuclear medicine procedures related to kidney and bladder imaging.
Highlights
- •Fee schedule effective January 1, 2018, to January 31, 2018.
- •Includes fees for nuclear medicine studies of kidney and bladder.
- •Specific CPT codes and fees are listed, such as 78708 and 78709.
- •Document is from the Louisiana Medicaid Management Information System.
Reason
The document is historical, with an effective date in 2018, and does not supersede current schedules.
FEB2013-DEC31_Lab_Rad_Static.pdf
The document contains a fee schedule for Louisiana Medicaid laboratory and radiology services effective from February 1, 2013, to December 31, 2013. It includes specific CPT codes and associated fees for various procedures.
Highlights
- •Fee schedule effective from February 1, 2013, to December 31, 2013.
- •Includes CPT codes for mammography and nuclear exams.
- •Lists fees for each procedure, e.g., G0202 and 78740.
- •Document is historical, not current.
Reason
The document is historical with an effective date over 24 months in the past, indicating no immediate action is required.
Lab_Rad_Static_2012B.pdf
The document contains a fee schedule for Louisiana Medicaid laboratory and radiology services effective from July 1, 2012, to December 31, 2012. It includes specific fees for various procedures such as mammography and nuclear scans.
Highlights
- •Fee schedule effective July 1, 2012 - December 31, 2012
- •Includes fees for mammography and nuclear scans
- •Specific CPT codes and fees listed
Reason
The document is historical, with an effective date over 10 years ago, indicating no current urgency.
Lab_Rad_FS_Feb_2018.pdf
The document appears to be a Louisiana Medicaid fee schedule for laboratory and radiology services, effective from February 1, 2018, to December 31, 2018. It includes specific fee changes for various nuclear imaging procedures.
Highlights
- •Fee schedule effective from February 1, 2018, to December 31, 2018.
- •Includes fees for kidney, bladder, ureter, and testicular imaging.
- •Specific CPT codes like 78710, 78725, 78730, 78740, 78761, 78799, 78800, 78801, 78802, 78803 are listed.
- •Rates for procedures vary significantly, e.g., 78710 ranges from $63.33 to $158.32.
Reason
The document is historical, with an effective date range in 2018, indicating it is archival.
ASC_FS_Oct2016.pdf
The document provides a fee schedule for Louisiana Medicaid Ambulatory Surgical Centers effective from October 1, 2016, to December 31, 2016. It includes specific fees for various procedures, such as colorectal screenings and sinus surgeries.
Highlights
- •Fee schedule effective from October 1, 2016, to December 31, 2016.
- •Includes fees for colorectal screenings and sinus surgeries.
- •Specific fees listed, e.g., $182.30 for colorectal screenings.
- •Applies to non-hospital ambulatory surgical centers.
Reason
The document is historical, with an effective date in 2016, indicating no current urgency for review.
Lab_Rad_Static_2011.pdf
The document is a Louisiana Medicaid fee schedule for laboratory and radiology services effective from January 1, 2011, to December 31, 2011. It includes specific fees for various procedures, such as mammography and nuclear scans.
Highlights
- •Fee schedule effective January 1, 2011 - December 31, 2011
- •Includes fees for mammography and nuclear scans
- •Specific CPT codes and fees listed
- •Document run date: December 26, 2011
Reason
The document is historical, with an effective date over 12 years ago, indicating no current urgency.
FEB2013-DEC31_Lab_Rad_Static.pdf.pdf
The document provides a fee schedule for Louisiana Medicaid laboratory and radiology services, effective from February 1, 2013, to December 31, 2013. It includes specific fees for various procedures such as mammography and nuclear scans.
Highlights
- •Fee schedule effective February 1, 2013, to December 31, 2013.
- •Includes fees for mammography and nuclear scans.
- •Specific CPT codes and fees are listed, e.g., G0202, 78700.
Reason
The document is historical, with an effective date over 24 months in the past.
ASC_FS_2022.pdf
The document is a Louisiana Medicaid fee schedule for ambulatory surgical centers, effective from January 1, 2022, to December 31, 2022. It includes specific CPT codes and reimbursement rates for various nasal procedures.
Highlights
- •Fee schedule effective January 1, 2022, to December 31, 2022.
- •Includes CPT codes for nasal procedures.
- •Specific rates provided for procedures like 'reconstruction of nose' and 'repair nasal defect'.
- •Procedures not listed under TOS 08 but under TOS 03 are reimbursed at $248.14.
Reason
The document is historical, covering a period that ended in 2022, with no indication of superseding current policy.
PS_Fee_Oct-Dec2016.pdf
The document appears to be a Louisiana Medicaid fee schedule for professional services, effective from October 1, 2016, to December 31, 2016. It includes specific fee changes for procedures such as heart wound repair and exploratory heart surgery.
Highlights
- •Fee schedule effective from October 1, 2016, to December 31, 2016.
- •Includes fees for procedures like heart wound repair and exploratory heart surgery.
- •Specific CPT codes mentioned: 33300, 33305, 33310, 33315, 33320.
Reason
The document is historical, with an effective date in 2016, indicating no current urgency.
Watch items
Lab_Rad_FS_8-04-09.pdf
The document contains a historical fee schedule for Louisiana Medicaid laboratory and radiology services, effective from August 4, 2009, to January 21, 2010. It lists specific fees for various procedures, such as myelography and nuclear scans of the kidney.
Highlights
- •Fee schedule effective from August 4, 2009, to January 21, 2010.
- •Includes fees for myelography and nuclear kidney scans.
- •Document is from Louisiana Medicaid Management Information System.
Reason
The document is historical, with an effective date over 24 months in the past, indicating low urgency for current review.
FEESCHED_Dec_10.pdf
The document contains a Louisiana Medicaid fee schedule effective from December 1, 2010, to December 31, 2010, with specific rates for various medical procedures. It includes detailed fee changes for CPT codes such as 99201 and 33404.
Highlights
- •Fee schedule effective December 1, 2010, to December 31, 2010.
- •Includes CPT codes like 99201 and 33404.
- •Specific rates for procedures such as office visits and aortic valve replacements.
Reason
The document is historical, with an effective date over 12 years ago, indicating no current urgency for review.
PORT_RAD_2016.pdf
The document appears to be a historical fee schedule for Louisiana Medicaid, covering portable radiology and EKG services with fees effective from January 1, 2016, to December 31, 2017. It includes specific rates for various radiologic examinations.
Highlights
- •Document is a fee schedule for portable radiology/EKG.
- •Effective dates: January 1, 2016 - December 31, 2017.
- •Includes specific rates for radiologic examinations.
- •Historical document, not current.
Reason
The document is historical with effective dates in the past, indicating no immediate impact on current policies.