North Carolina
mediumNC FEE Schedules
Run Date and Time
Mar 03, 2026
31s
Run Metrics
Fee Schedule Impacts
Run summary
Run: b6f954c5-19ff-4397-8712-7a6be32c2973 Status: ok Started: 2026-03-03T02:44:03.180466+00:00 Finished: 2026-03-03T02:44:34.621114+00:00 Source: North Carolina Medicaid Hub: NC_FEE_SCHEDULES IMPORTANT HISTORICAL DISCOVERIES NEW_DOC (Historical) - 8 - Effective 2022-08-15 - The document includes updates to Medicaid rates for various medical items, with effective dates in 2021 and 2022. It also mentions a durable medical equipment fee schedule effective August 15, 2022. (LLM: medium) URL: https://medicaid.ncdhhs.gov/dme-fee-schedule-8-15-22-pdf/open - Effective 2022-08-15 - The document is a durable medical equipment fee schedule for NC Medicaid, effective August 15, 2022. It includes HCPCS codes and rates for various items, but the rates listed are from 2021. (LLM: medium) URL: https://medicaid.ncdhhs.gov/dme-fee-schedule-8-15-22-excel/open - Effective 2022-07-01 - The document lists Medicaid rates for various county EMS providers, effective from 7/1/2022 to 6/30/2023. It includes specific rates for ground transport but lacks any updates or changes beyond this period. URL: https://medicaid.ncdhhs.gov/ambulance-provider-fee-schedule-oct-19-2022-pdf/open - Effective 2022-07-01 - The document outlines updated ambulance fee schedule rates effective from July 1, 2022, to June 30, 2023, for North Carolina. It includes specific rates for various county EMS providers and mentions a proposed payment to public ambulance providers to cover service costs. (LLM: medium) URL: https://medicaid.ncdhhs.gov/ambulance-provider-fee-schedule-oct-19-2022-excel/open - Effective 2022-01-01 - The document outlines updates to the ambulatory surgical center fee schedule, effective January 1, 2022, with specific rate changes for several procedure codes. Temporary COVID-19 rate increases are set to end on this date. URL: https://medicaid.ncdhhs.gov/ambulatory-surgical-center-fee-schedule-aug-19-2022-excel/open - Effective 2022-01-01 - The document outlines updates to the ambulatory surgical center fee schedule effective January 1, 2022, with specific rate changes for certain procedures. Temporary COVID-19 rate increases are set to end on this date. URL: https://medicaid.ncdhhs.gov/ambulatory-surgical-center-fee-schedule-aug-24-2022-excel/open - Effective 2022-01-01 - The document outlines Medicaid rate changes effective from January 1, 2022, with adjustments to several procedure codes. Temporary COVID-19 rate increases are being ended as per session law 2020-4. (LLM: medium) URL: https://medicaid.ncdhhs.gov/ambulatory-surgical-center-fee-schedule-aug-19-2022-pdf/open - Effective 2022-01-01 - The document outlines updates to Medicaid rates, indicating a decrease in rates effective from January 1, 2022, for several procedures. Temporary COVID-19 rate increases have ended as of this date. (LLM: medium) URL: https://medicaid.ncdhhs.gov/ambulatory-surgical-center-fee-schedule-aug-24-2022-pdf/open OTHER NEW_DOC (Unknown date) - 2 - The document outlines a fee schedule for COVID-19 vaccine administration and monoclonal antibodies in North Carolina, with specific rates and effective dates for various vaccine doses. URL: https://medicaid.ncdhhs.gov/covid-19-vac-mab-administration-fee-schedule-outpatient-oct-5-2022-excel/open - The document outlines updated Medicaid rates for COVID-19 vaccine administration, including Pfizer-BioNTech and Moderna vaccines, with effective dates extending to 12/31/9999. URL: https://medicaid.ncdhhs.gov/covid-19-vac-mab-administration-fee-schedule-outpatient-oct-5-2022-pdf/open
High Impact (0)
No documents in this severity group.
Medium Impact (7)
open
The document outlines updated ambulance fee schedule rates effective from July 1, 2022, to June 30, 2023, for North Carolina. It includes specific rates for various county EMS providers and mentions a proposed payment to public ambulance providers to cover service costs.
Highlights
- •Effective date: July 1, 2022 - June 30, 2023
- •Proposed payment to cover 100% of service costs for public ambulance providers
- •Specific rates listed for county EMS providers
- •No separate reimbursement for mileage codes
Reason
The document contains specific rate updates effective in the current period, but the changes are not immediately urgent for review.
Watch items
open
The document outlines updates to Medicaid rates, indicating a decrease in rates effective from January 1, 2022, for several procedures. Temporary COVID-19 rate increases have ended as of this date.
Highlights
- •Rates decreased for procedures effective 1/1/2022.
- •Temporary COVID-19 increases ended 1/1/2022.
- •Specific CPT codes affected include 10030, 10060, 10061, and others.
- •Ambulatory surgical center fee schedule updated.
Reason
The changes are already in effect since 1/1/2022, indicating a need for review but not immediate urgency.
Watch items
open
The document outlines Medicaid rate changes effective from January 1, 2022, with adjustments to several procedure codes. Temporary COVID-19 rate increases are being ended as per session law 2020-4.
Highlights
- •Rates effective 01/01/2022.
- •Temporary COVID-19 increases ending.
- •Specific codes affected: 10030, 10060, 10061, 10080, 10081, 10120, 10121, 10140, 10180, 31825, 31830.
- •Rate adjustments for facility and non-facility settings.
Reason
The document details rate changes effective from 2022, but these are not immediate changes.
Watch items
open
The document outlines updated Medicaid rates for COVID-19 vaccine administration, including Pfizer-BioNTech and Moderna vaccines, with effective dates extending to 12/31/9999.
Highlights
- •Pfizer-BioNTech first dose: $65.00 from 4/1/2021
- •Pfizer-BioNTech second dose: $65.00 from 4/1/2021
- •Moderna booster: $65.00 from 10/20/2021
- •Pfizer-BioNTech pediatric doses: $65.00 from 10/29/2021
Reason
The document provides current rates but lacks imminent changes or new effective dates.
Watch items
open
The document is a durable medical equipment fee schedule for NC Medicaid, effective August 15, 2022. It includes HCPCS codes and rates for various items, but the rates listed are from 2021.
Highlights
- •Document type: Durable Medical Equipment Fee Schedule
- •Effective date: August 15, 2022
- •Includes HCPCS codes and rates
- •Rates listed are from 2021
- •Coverage not guaranteed by inclusion
Reason
The document is current but lacks new rate changes, listing only 2021 rates.
Watch items
open
The document outlines a fee schedule for COVID-19 vaccine administration and monoclonal antibodies in North Carolina, with specific rates and effective dates for various vaccine doses.
Highlights
- •Fee schedule for outpatient facility services under revenue code 0771.
- •Rates for Pfizer-BioNTech and Moderna COVID-19 vaccines listed.
- •Effective dates range from 2021 to 2022, with some rates valid indefinitely.
- •Includes administration fees for first, second, third doses, and boosters.
Reason
The document provides specific rates and effective dates, but changes are not imminent and appear to be administrative.
Watch items
open
The document includes updates to Medicaid rates for various medical items, with effective dates in 2021 and 2022. It also mentions a durable medical equipment fee schedule effective August 15, 2022.
Highlights
- •Rates for items like alcohol wipes and urinary catheter devices effective 4/1/2021.
- •New rates for replacement pads and tips effective 1/1/2022.
- •Durable medical equipment fee schedule effective 8/15/2022.
Reason
The document contains rate updates and a new fee schedule effective soon, but lacks immediate urgency.
Watch items
Low Impact (3)
open
The document outlines updates to the ambulatory surgical center fee schedule effective January 1, 2022, with specific rate changes for certain procedures. Temporary COVID-19 rate increases are set to end on this date.
Highlights
- •Ambulatory surgical center fee schedule updated.
- •Effective date: January 1, 2022.
- •End of temporary COVID-19 rate increases.
- •Specific rate changes for procedures 11444, 11446, 11450, 11451, 11462, 11463, 11470.
Reason
The changes are historical, with an effective date over 24 months ago.
Watch items
open
The document outlines updates to the ambulatory surgical center fee schedule, effective January 1, 2022, with specific rate changes for several procedure codes. Temporary COVID-19 rate increases are set to end on this date.
Highlights
- •Ambulatory surgical center fee schedule updated.
- •Effective date: January 1, 2022.
- •End of temporary COVID-19 rate increases.
- •Specific rate changes for procedure codes 11444, 11446, 11450, 11451, 11462, 11463, 11470.
Reason
The changes are historical, effective January 1, 2022, and do not require urgent review.
Watch items
open
The document lists Medicaid rates for various county EMS providers, effective from 7/1/2022 to 6/30/2023. It includes specific rates for ground transport but lacks any updates or changes beyond this period.
Highlights
- •Rates for ground transport EMS services listed.
- •Effective date: 7/1/2022 to 6/30/2023.
- •No new rates or changes beyond 6/30/2023.
Reason
The document appears historical with rates effective in the past, lacking any new or upcoming changes.