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CPT Code* <br /> <br /> Cabarrus County Health Department <br /> <br />Fees for Health Department Physician Provided Services <br /> To Health Department Patients <br /> <br /> To Be Effective September l, 1993 <br /> <br /> Fee Procedure <br /> <br />54150 $ 120.00 <br />54160 250.00 <br />56400 120.00 <br />56420 120.00 <br />57452 150.00 <br />57454 150.00 <br />57700 500.00 <br />59320 500.00 <br />58600 850.00 <br />58605 600.00 <br /> <br />58611 1,200.00 <br />58982 500.00 <br /> <br />58983 500.00 <br /> <br />59000 150.00 <br />59025 59.00 <br />59160 250.00 <br />58120 250.00 <br />59410 800.00 <br />59515 1,000.00 <br />59812 200.00 <br /> <br />59820 250.00 <br /> <br />59821 250.00 <br /> <br />76805 180.00 <br />76815 90.00 <br /> <br />76816 100.00 <br />76818 100.00 <br />90782 25.00 <br /> <br />W5131'* 555.00 <br />W5132'* 232.00 <br />W5133-* 703.00 <br /> <br />Circumcision, using clamp, newborn <br />Circumcision, surgical, other than clamp, newborn <br />I & D Vulva Abscess <br />I & D Bartholin Abscess <br />Colposcopy (vaginoscopy) <br />Colposcopy with biopsy of the cervix <br />Cerclage of uterine cervix, non-obstetrical <br />Cerclage of cervix during pregnancy <br />Tubal Ligation/Operative <br />Postpartum bilateral tubal ligation during same <br />hospitalization <br />C-Section Bilateral tubal ligation <br />Tubal ligation, Laparoscopy, with fulguration of <br />oviducts <br />Tubal ligation, Laparoscopy, with occlusion of <br />oviducts by device <br />Amniocentesis <br />Fetal non-stress test <br />D & C postpartum & hemorrhage <br />D & C diagnostic and/or therapeutic, non-obstetrical <br />Vaginal delivery with postpartum care <br />Cesarean delivery with postpartum care <br />Treatment of spontaneous abortion, any trimester, <br />completed surgiqally <br />Treatment of missed abortion, completed surgically, <br />1st trimester <br />Treatment of missed abortion, completed surgically, <br />2nd trimester <br />OB Ultrasound, 1st, complete maternal & fetal eval. <br />OB Ultrasound, 1st, limited (gestational age, fetal <br />position, heart beat, placental location, etc.) <br />OB Ultrasound, followup or repeat <br />Fetal biophysical profile <br />Therapeutic/diagnostic injection (subcu or IM), <br />(specify injection, e.g. Rhogam) <br />Insertion procedure and Norplant system kit <br />Removal procedure (Norplant) <br />Removal and reinsertion and Norplant system kit <br /> <br />*Procedure codes and definitions are those of the 1993 edition of the AMA <br />Physician's Current Procedural Terminology code book and are subject to change <br />with each newly published edition of the book. <br /> <br />**HSIS Medicaid codes <br /> <br />09/93 <br />(fees3) <br /> <br />08-26-93 <br /> <br />Approved by the Cabarrus County Board of Health <br /> / <br /> <br /> <br />