ADOPTED- APRIL 29, 2003

Agenda Item No. 13



Introduced by the Human Services and Finance Committees of the:



INGHAM COUNTY BOARD OF COMMISSIONERS



RESOLUTION TO AUTHORIZE AN ADJUSTMENT TO THE HEALTH DEPARTMENT FEE SCHEDULE



RESOLUTION #03-114



WHEREAS, the Board of Commissioners has the authority to establish and adjust fees for services provided through the Ingham County Health Department; and



WHEREAS, the Health Officer has recommended that some of the fees be adjusted in the Fee Schedule in order to maximize revenue from third-party payers.



THEREFORE BE IT RESOLVED, that the Ingham County Board of Commissioners authorizes the following adjustments to the Health Department's Fee Schedules effective October 1, 2002

Cedar Adult Health Procedures

Proposed Fee

10160 Puncture aspiration of abscess, hematoma, bulla or cyst

$50.00

20600

Arthrocentesis, aspiration and/or injection; small joint, bursa or ganglion cyst (e.g., fingers, toes)

$ 35.00

20605 Intermediate joint, bursa or ganglion cyst (e.g., temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa)

$ 35.00

20610 Major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)

$ 45.00

94760 Noninvasive ear or pulse oximetry for oxygen saturation; single determination

$ 5.00

94761 Multiple determinations of Noninvasive oximetry (e.g., during exercise)

$10.00

CPT

Otto Health Center Procedures

Proposed Fee
94060 (PFT) Bronchospasm evaluation: spirometry, before and after bronchodialator (aerosol or parenteral)



$ 40.00

CPT MSS/ISS Transportation Services Proposed Fee

Z0010

MSS Trans. Bus/Van actual cost/max

$ 21.20

Z0011

MSS-Trans Taxi actual cost/max

$ 21.31

Z0012

MSS Trans. Volunteer $ .23/mile

Z0030

ISS Trans. Bus/Van actual cost/max

$ 21.20

Z0031

ISS-Trans. Taxi actual cost/max

$ 21.31

Z0032

ISS Trans. Volunteer $ .23/mile

CPT BCCCP Medical Office Consultations Proposed Fee

99241

Medical Office Consultation (15 min)

$ 50.00

99242

Medical Office Consultation (30 min)

$ 90.00

99243

Medical Office Consultation (40 min)

$ 120.00

99244

Medical Office Consultation (60 min)

$ 165.00

99499

Case Management

$ 95.00

CPT

WISEWOMAN Education and Screening Services

Proposed Fee

99401

Preventative medicine counseling, individual (15 min) $ 15.00

99402

Preventative medicine counseling, individual (30 min) $ 30.00

99403

Preventative medicine counseling, individual (45 min) $ 45.00

99404

Preventative medicine counseling, individual (60 min) $ 60.00

99411

Preventative medicine counseling, group (30 min) $ 15.00

99412

Preventative medicine counseling, group (60 min) $ 30.00

99420

Administration and interpretation of HRA $ 10.00

99429

Medical Care Case Management $95.00

82465

Cholesterol, Serum or Whole Blood, Total $ 7.00

83718

High Density Cholesterol $ 15.00





CPT

Lead Billing Services

Proposed Fee

T1029

(replaces Z6200 & Z6210)

Comprehensive Environmental Investigation $ 200.00

T1028

(replaces Z6220)

Assessment of Home $ 85.00
CPT Family Planning

A4266

(replaces Z8510)

Diaphragm $ 10.00

A4267

(replaces Z8511)

Condom, male - each $ .06

A4268

(replaces Z8512)

Condom, female - each $ 1.25

A4269

(replaces Z8513)

Contraceptive, Spermicide $ 4.50

S4993

(replaces Z8500)

Contraceptive pill $ 6.50

CPT

Misc. Procedure Code Revisions Proposed Fee

36415

(revised definition)

Collection of venous blood by venipuncture $ 10.00

36416

(new code)

Collection of capillary blood specimen (eg, finger, heel, ear stick) $ 5.00

HUMAN SERVICES: Yeas: Dedden, Weatherwax-Grant, Celentino

Nays: Severino Absent: Hertel, Swope Approved 4/21/03

FINANCE: Yeas: Grebner, Swope, Dedden, Thomas, Minter

Nays: None Absent: Hertel Approved 4/23/03