Louisiana
highLA Proserv LAB XRAY RAD ASC
Run Date and Time
Feb 17, 2026
10s
Run Metrics
Fee Schedule Impacts
Run summary
Run: ccff5af6-6be2-46f3-9f11-a8886efd157a Status: ok Started: 2026-02-17T02:28:08.215741+00:00 Finished: 2026-02-17T02:28:19.172908+00:00 Source: Louisiana Medicaid Hub: LA_PROSERV_LAB_XRAY_RAD_ASC IMPORTANT NEW_DOC (Current/Upcoming) - 5 - Effective 2025-05-16 - The document outlines a new Louisiana Medicaid professional services fee schedule effective from May 16, 2025, to June 30, 2025. It includes specific CPT codes with associated fees for new and established patient off. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_May2025.xlsx - Effective 2025-07-01 - The document outlines a new Louisiana Medicaid professional services fee schedule effective from July 1, 2025, to October 31, 2025, with specific CPT codes and fees listed. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_July2025.xlsx - Effective 2025-11-01 - The document outlines a new Medicaid professional services fee schedule for Louisiana, effective from November 1, 2025, to December 31, 2025. It includes specific CPT codes with associated fees and effective dates. URL: https://www.lamedicaid.com/provweb1/fee_schedules/PS_FS_Nov2025.xlsx - Effective 2025-11-17 - The document introduces a new professional services fee schedule effective November 17, 2025, detailing reimbursement rates for various provider types and services. URL: https://www.lamedicaid.com/provweb1/fee_schedules/feesched_legend.xlsx - Effective 2026-01-01 - The document outlines a new Louisiana Medicaid professional services fee schedule effective January 1, 2026, with specific CPT codes and fees listed for services provided on or after this date. URL: https://www.lamedicaid.com/provweb1/fee_schedules/feesched.xlsx HISTORICAL DISCOVERIES OTHER
High Impact (2)
feesched_legend.xlsx
The document introduces a new professional services fee schedule effective November 17, 2025, detailing reimbursement rates for various provider types and services.
Highlights
- •Effective date: November 17, 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
- •Age restrictions for procedure codes are specified
- •Medical review and prior authorization requirements are outlined
Reason
The document specifies new reimbursement rates and effective dates impacting claims processing.
Watch items
PS_FS_May2025.xlsx
The document outlines a new Louisiana Medicaid professional services fee schedule effective from May 16, 2025, to June 30, 2025. It includes specific CPT codes with associated fees for new and established patient office visits.
Highlights
- •New fee schedule effective May 16, 2025, to June 30, 2025.
- •Includes CPT codes 99202, 99203, 99212, 99213, 99214.
- •Specific fees listed for new and established patient visits.
- •CPT codes have different fees based on modifiers and patient age.
Reason
The document contains new reimbursement rates effective soon, impacting billing and reimbursement processes.
Watch items
Medium Impact (3)
PS_FS_July2025.xlsx
The document outlines a new Louisiana Medicaid professional services fee schedule effective from July 1, 2025, to October 31, 2025, with specific CPT codes and fees listed.
Highlights
- •Effective dates: July 1, 2025 - October 31, 2025
- •CPT codes include 99202, 99203, 99212, 99213, 99214
- •Fees for CPT 99202: $57.45, CPT 99203: $89.35
- •Fees for CPT 99212: $44.91, CPT 99213: $72.72, CPT 99214: $102.83
Reason
The document is current but effective dates are not imminent, requiring review for future planning.
Watch items
PS_FS_Nov2025.xlsx
The document outlines a new Medicaid professional services fee schedule for Louisiana, effective from November 1, 2025, to December 31, 2025. It includes specific CPT codes with associated fees and effective dates.
Highlights
- •Effective dates: November 1, 2025, to December 31, 2025
- •CPT codes include 99202, 99203, 99212, 99213, 99214
- •Fees for CPT 99202: $57.45, CPT 99203: $89.35
- •Fees for CPT 99212: $44.91, CPT 99213: $72.72, CPT 99214: $102.83
Reason
The document is current but changes are not immediately effective.
Watch items
feesched.xlsx
The document outlines a new Louisiana Medicaid professional services fee schedule effective January 1, 2026, with specific CPT codes and fees listed for services provided on or after this date.
Highlights
- •New fee schedule effective January 1, 2026.
- •Includes CPT codes 99202, 99203, 99212, 99213, 99214.
- •Specific fees and effective dates provided for each code.
- •Applies to both new and established patient services.
Reason
The changes are not effective immediately and are scheduled for 2026, reducing urgency for immediate review.
Watch items
Low Impact (0)
No documents in this severity group.