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Home My WebLink About20102716.tiff RESOLUTION RE: APPROVE REVISIONS TO FEE SCHEDULE FOR FEES COLLECTED BY THE WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT WHEREAS, the Board of County Commissioners of Weld County, Colorado, pursuant to Colorado statute and the Weld County Home Rule Charter, is vested with the authority of administering the affairs of Weld County, Colorado, and WHEREAS, the Board has been presented with revisions to the fee schedule for fees collected by the Weld County Department of Public Health and Environment, and WHEREAS, after study and review, the Board deems it advisable to approve the proposed revisions, effective January 1, 2011, copies of which are attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the revised fee schedule for fees collected by the Weld County Department of Public Health and Environment, as attached hereto, be, and hereby are, approved, effective January 1, 2011. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 15th day of November, A.D., 2010. BOARD OF COUNTY COMMISSIONERS ELD COUNTY, COLORADO ATTEST: 75 ✓^�� eqq l 11 a n� �l4 Cpl ✓✓ Do slas/Rademachr'cool Chair Weld County Clerk to th oa e ,O;: rbara Kirkmey= , Pro-Te Deputy Clerk the Bo 'In Sean P. Co ay APPROVED AS TO FORM: �A 7 7/ William F. Gafcia kiCUCou Attorrt�y aj David E. Long Date of signature: / 2 0 \\\V.= 2010-2716 a-("Iv HL0003 Memorandum 3495-5 IIITO: Don Warden, Director of Finance and IS J Administration FROM: Judy Nero, Health Department/ VIII C. DATE: October 21, 2010 Q' rnt COLORADO SUBJECT: Proposed 2011 Fee Schedules CC: Mark Wallace, MD, MPH, Enclosed are revised FY2011 fee schedules for the Environmental Health Services and Public Health Services divisions of the Department of Public Health and Environment. If you have questions regarding these fees, please contact Trevor Jiricek, Director of Environmental Health Services, or Debbie Drew, Director of Public Health Services. Thank you for facilitating the Board of County Commissioners approval of these fee revisions. Enclosures 2010-2716 PHS 2011 Fees Page 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMEN1 PUBLIC HEALTH SERVICES and 2011 SLIDING FEE SCHEDULE HOUSEHOLD CODE SIZE Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 VISITS New Client 99201 Focused- nurse visit* 0.00 10.00 20.00 30.00 40.00 99202 Expanded* 0.00 23.25 46.50 69.75 93.00 99203 Detailed* 0.00 31.00 62.00 93.00 124.00 99204 Comprehensive* 0.00 46.25 92.50 138.75 185.00 Established Client 99211 Nurse Visit* 0.00 9.25 18.50 27.75 37.00 99212 Focused* 0.00 15.50 31.00 46.50 62.00 99213 Expanded* 0.00 20.25 40.50 60.75 81.00 99214 Detailed* 0.00 31.50 63.00 94.50 126.00 Home Visits 99341 New Client- Focused 75.00 75.00 75.00 75.00 75.00 99342 New Client- Expanded 75.00 75.00 75.00 75.00 75.00 99347 Est. Client- Focused 75.00 75.00 75.00 75.00 75.00 99348 Est. Client- Expanded 75.00 75.00 75.00 75.00 75.00 Preventive Medicine Counseling 99401 Individual - 15 min* - 0.00 10.00 20.00 30.00 40.00 99402 Individual -30 min* 0.00 12.25 24.50 36.75 49.00 Travel Visits 99404 Individual Initial Visit-60 62.00 62.00 62.00 62.00 62.00 99401W Return Visit 39.00 39.00 39.00 39.00 39.00 99412 Group Initial Visit-60 39.00 39.00 39.00 39.00 39.00 Preventive Medicine 99384 New Client 12-17 years old* 0.00 31.00 62.00 93.00 124.00 99385 New Client 18-39 years old* 0.00 31.00 62.00 93.00 124.00 99386 New Client 40-64 years old* 0.00 33.50 67.00 100.50 134.00 99394 Est. Client 12-17 years old* 0.00 20.25 40.50 60.75 81.00 99395 Est. Client 18-39 years old* 0.00 20.25 40.50 60.75 81.00 99396 Est. Client 40-64 years old* 0.00 22.00 44.00 66.00 88.00 Miscellaneous INC Scv. Includes Follow-up Care _ 0.00 0.00 0.00 0.00 0.00 99212 Antepartum Care 1 visit 62.00 62.00 62.00 62.00 62.00 59425 Antepartum care 4-6 visits 569.00 569.00 569.00 569.00 569.00 59426 Antepartum care 7 or more visits 1170.00 1170.00 1170.00 1170.00 1170.00 PHS 2011 Fees Page 2 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Miscellaneous (continued) s94o2w _ PE Establishing Medical Record 54.00 54.00 54.00 54.00 54.00 0255W Phone visit 0.00 0.00 0.00 0.00 0.00 59430 Post Partum Only 103.00 103.00 103.001 103.00 103.00 H1005 Prenatal Plus (1-4 visits) 165.00 165.00 165.00 165.00 165.00 H1005 Prenatal Plus (5-9)visits) 441.00 441.00 441.00 441.00 441.00 H1005 Prenatal Plus (10 visits) 827.00 827.00 827.00 827.00 827.00 H1005 Prenatal Plus(11 or more visits) 937.00 937.00 937.00 937.00 937.00 G9006 NHV Mother-Task Care Mgmt. __ _ 12.00 12.00 12.00 _ 12.00 12.00 T1017 NHV Child-Task Care Mgmt. 12.00 12.00 12.00 12.00 12.00 0072W Swift Global Package _3.02.00 302.00 302.00 302.00 302.00 STI Exam pre-pay 55.00 55.00 55.00 55.00 55.00 99499 TB Consultation 35.00 35.00 35.00 35.00 35.00 Lab 86850 Antibody Screen 30.00 30.00 30.00 30.00 _ 30.00 82947 Blood Sugar(FBS)* 0.00 3.75 7.50 11.25 15.00 85025 CBC w/diff 16.00 16.00 16.00 16.00 16.00 85027 CBC w/o Diff 14.00 14.00 14.00 14.00 14.00 87491 Chlamydia PCR* 0.00 6.00 12.00 18.00 24.00 oosow Court Ordered Lab Draw 15.00 15.00 15.00 15.00 15.00 82270 Fecal/Occult Blood Test 0.00 6.25 12.50 18.75 25.00 Fecal/Occult Blood Test(New Test) 0.00 9.50 19.00 28.50 38.00 83001 FSH 31.00 31.00 31.00 31.00 31.00 87591 Gonorrhea PCR* 0.00 6.00 12.00 18.00 24.00 82948 Glucose Random 5.00 5.00 5.00 5.00 5.00 82950 Glucose Tolerance Test 1 hr 15.00 15.00 15.00 15.00 15.00 82951 Glucose Tolerance Test 2 hr 20.00 20.00 20.00 20.00 20.00 82951/82952 Glucose Tolerance Test 3 hr(89999A08) 43.00 43.00 43.00 43.00 43.00 87205 Gram Stain 22.00 22.00 22.00 22.00 22.00 86706 Hep B Surface Antibody 19.00 19.00 19.00 19.00 19.00 87250 Herpes Culture 62.00 62.00 62.00 62.00 62.00 86695 Herpes Select-Type I (89999A33) 25.00 25.00 25.00 25.00 25.00 86696 Herpes Select-Type II (89999A33) 25.00 25.00 25.00 25.00 25.00 85018 HGB- Finger Stick* 0.00 2.75 5.50 8.25 11.00 86703 HIV Test 19.00 19.00 19.00 19.00 19.00 87621 HPV/DNA Testing 62.00 62.00 62.00 62.00 62.00 a8aoosw Immunohis_tochemical Stain 88.00 88.00 88.00 88.00 88.00 86480 IGRA 62.00 62.00 62.00 62.00 62.00 83002 LH 31.00 31.00 31.00 31.00 31.00 80061W Lipid Panel -SFS* 0.00 8.00 16.00 24.00 32.00 80061N Lipid Panel 32.00 32.00 32.00 32.00 32.00 80076 Liver Panel 25.00 25.00 25.00 25.00 25.00 80048 Metabolic Panel 26.00 26.00 26.00 26.00 26.00 88142 Pap Smear-Thin Prep* 0.00 9.00 18.00 27.00 36.00 81025 Pregnancy Test- Urine* 0.00 2.50 5.00 7.50 10.00 84702 Pregnancy Test-Serum -Quantitative 36.00 36.00 36.00 36.00 36.00 PHS 2011 Fees Page 3 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Lab(continued) 84703 Pregnancy Test-Serum -Qualitative 36.00 36.00 36.00 36.00 36.00 84146 Prolactin 32.00 32.00 32.00 32.00 32.00 0080w Repeat Pap - 36.00 _ 36.00 36.00 36.00 36.00 86592 RPR 18.00 18.00 18.00 18.00 18.00 84480 T3 40.00 40.00 _ 40.00 40.00 40.00 84436 T4 _ 5.00 5.00 5.00 5.00 5.00 82465 Total Cholesterol _ 20.00 20.00 20.00 20.00 20.00 84443 _ TSH 30.00 30.00 30.00 30.00 30.00 81002 UA-Dip 7.00 _ 7.00 7.00 7.00 7.00 36415 Venipuncture 5.00 5.00 5.00 _ 5.00 5.00 36415W Venipuncture with sliding lab 0.00 1.25 2.50 3.75 5.00 87210 Wet Prep 20.00 20.00 20.00 20.00 20.00 Medicines and Treatments 0020W Amoxicillin 875 mg#20 _ _ 12.00 12.00 12.00 12.00 12.00 0062w Azythromycin 250 mg -#6 12.00 12.00 12.00 12.00 12.00 101456W Azithromycin 1g suspension 10.00 10.00 10.00 10.00 10.00 oassw Azithromycin State supplied 0.00 0.00 0.00 0.00 0.00 0058W Ciprofloxacin 500 mg -#6 12.00 12.00 12.00 12.00 12.00 0035W Condylox 5.00 5.00 5.00 5.00 5.00 0006w Cytotec 200 mcg#2 5.00 5.00 5.00 5.00 5.00 0011w Fluconazole 15.00 15.00 15.00 15.00 15.00 0005W Doxycycline 14 Capsules 8.00 8.00 8.00 8.00 8.00 0059w Estradiol 1 mg-#100 12.00 12.00 12.00 12.00 12.00 0009W Metronidazole 4 Tablets _ _ 7.00 7.00 7.00 7.00 7.00 0010W Metronidazole 14 Tablets 8.00 8.00 8.00 8.00 8.00 0013W Metronidazole 28 Tablets _- 13.00 13.00 13.00 13.00 13.00 oo12W Iron 9.00 9.00 9.00 9.00 9.00 J0580 LA Bicillin 2.4 Units 0.00 0.00 0.00 _ 0.00 0.00 0014W Lice Shampoo 12.00 12.00 12.00 12.00 12.00 0060w Medroxyprogesterone 10 mg -#5 12.00 12.00 12.00 12.00 12.00 0008W Metrogel 8.00 8.00 8.00 8.00 8.00 0061W Nitrofurantoin Macrocrystals-#14 17.00 17.00 17.00 _ 17.00 17.00 003aw Ofloxacin 90.00 90.00 90.00 90.00 90.00 0016w Podophyllin/TCA _12.00 12.00 12.00 _ 12.00 12.00 00006w Premarin Vaginal Cream 11.00 11.00 11.00 11.00 11.00 0192W Prenatal Vitamins 10.00 10.00 10.00 10.00 10.00 J0696 Ceftriaxone 25.00 25.00 25.00 25.00 25.00 0004W Sulfatrim SMX/TMP 7.00 7.00 7.00 7.00 7.00 00180w Suprax 400 mg#1 17.00 17.00 17.00 17.00 17.00 oo18oNC Suprax 400 mg#1 -State Supplied 0.00 0.00 0.00 0.00 0.00 Procedures 56420 Bartholin Cyst 28.00 28.00 28.00 28.00 28.00 11100 Biopsy of skin, single 26.00 26.00 26.00 26.00 26.00 57500 Cervical Lesion Biopsy 31.00 31.00 31.00 31.00 31.00 PHS 2011 Fees Page 4 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Procedures (continued) _ 0116W Chest X-Ray(Prepay) 45.00 45.00 45.00 45.00 _ 45.00 57452 - Colposcopy w/o Biopsy** 88.00 88.00 88.00 88.00 88.00 57454 Colposcopy with Biopsy** 88.00 88.00 88.00 88.00 88.00 56501 Destruction Lesion Vulva 85.00 85.00 85.00 85.00 85.00 57511 Cryocautery cervix-initial or repeat 96.00 96.00 96.00 96.00 96.00 57170 Diaphragm/Cervical Cap Fitting * 0.00 19.25 38.50 57.75 77.00 58100 Endometrial biopsy w/wo Biopsy 43.00 43.00 43.00 43.00 43.00 58110 Endometrial biopsy with Colposcopy 54.00 54.00 54.00 54.00 54.00 Essure by referral*** 0.00 0.00 0.00 0.00 0.00 11400 Excisions, benign lesion 75.00 75.00 75.00 75.00 75.00 11975 Implanon Insertion 0.00 40.00 80.00 120.00 160.00 11976 Implanon Removal 0.00 47.50 95.00 142.50 190.00 J7307NC Implanon *** 0.00 0.00 0.00 0.00 0.00 11977 - Implant Removal with Reinsertion 0.00 75.00 150.00 225.00 300.00 Incision &drainage of abcess, single or 10060 simple 30.00 30.00 30.00 30.00 30.00 J7302NC IUD Mirena*** 0.00 0.00 0.00 0.00 0.00 58300 IUD Insertion* 0.00 40.00 80.00 120.00 160.00 J7300Nc IUD Paragard*** 0.00 0.00 0.00 0.00 0.00 58301 IUD Removal* 0.00 32.25 64.50 96.75 129.00 59025 Non Stress Test Interp 0.00 0.00 0.00 0.00 0.00 A4550 Surgical Tray 57.00 57.0.0 57.00 57.00 57.00 Shaving of epidermal lesion, single on 11300 trunk, arms or legs, .5cm 36.00 36.00 36.00 36.00 36.00 17000 Skin Cryo 1st lesion ** 25.00 25.00 25.00 25.00 25.00 17003 Skin Cryo 2nd-14th lesions ** 25.00 25.00 25.00 25.00 25.00 17004 Skin Cryo 15 + lesions** 25.00 25.00 25.00 25.00 25.00 88305 Level 4 Pathology 1st spec 88.00 88.00 88.00 88.00 88.00 88305W Level 4 Pathology 2nd &each added 88.00 88.00 88.00 88.00 _ 88.00 Vasectomy by referral**** 75.00 75.00 75.00 75.00 75.00 55250 Vasectomy on site**** 75.00 75.00 75.00 75.00 75.00 Additional Codes 0071W Community Education 1 hr. _ 62.00 62.00 62.00 62.00 62.00 oossw Travax Printout 7.00 7.00 7.00 7.00 7.00 Immunizations 90748 Comvax- Hep B & Hib 14.70 14.70 14.70 14.70 14.70 90700 DTAP 14.70 14.70 14.70 14.70 14.70 90702 DT 14.70 14.70 14.70 14.70 14.70 90633 Hepatitis A-VFC _ 14.70 14.70 14.70 14.70 14.70 90632 Hepatitis A-Adult 45.00 45.00 45.00 45.00 45.00 90744 Hepatitis B-VFC 14.70 14.70 14.70 14.70 14.70 90746 Hepatitis B -Adult 45.00 45.00 45.00 45.00 45.00 90647 HIB 14.70 14.70 14.70 14.70 14.70 90649 HPV-VFC 14.70 14.70 14.70 _ 14.70 14.70 90649A HPV-Adult 160.00 160.00 160.00 160.00 160.00 PHS 2011 Fees Page 5 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Immunizations (continued) 90649AT HPV-Adult Temporary 14.70 14.70 14.70 14.70 14.70 90281 IG Hepatitis A 0.00 0.00 0.00 0.00 0.00 90281T IG Hepatitis A-TVL 41.00 4.1.00 41.00 41.00 41.00 90471 Imm.Admin -one vaccine - 0.00 0.00 0.00 0.00 0.00 90472 Imm Admin -each addl. Vaccine 0.00 0.00 0.00 0.00 0.00 90473 Imm.Admin -intranasal or oral 0.00 0.00 0.00 0.00 0.00 90657 Influenza-Child (6 mo thru 35 mo) 14.70 14.70 14.70 14.70 14/0 90658 Influenza-Child (3 years thru 18 years) 14.70 14.70 14.70 14.70 14.70 90658A Influenza-Adult(Ages 19 &over) 0.00 0.00 0.00 0.00 0.00 00658W Influenza-Adult(State Vaccine) 14.70 14.70 14.70 14.70 14.70 90660 Influenza- intranasal use _ 14.70 14.70 14.70 14.70 14.70 90660A Influenza- Intranasal Adult 25.00 25.00 25.00 25.00 25.00 G0008 Influenza-Admin. 14.70 14.70 14.70 14.70 14.70 90713 IPV-VFC _ _ 14.70 14.70 14.70 14.70 14.70 90713A IPV-Adult 45.00 45.00 45.00 45.00 45.00 90735 Japanese Encephalitis 124.00 124.00 124.00 124.00 124.00 90735 Japanese Encephalitis(new formulation) 230.00 230.00 230.00 230.00 230.00 90696 Kinrix _ _ 14.70 14.70 14.70 14.70 14.70 90733 Meningitis(Menomune) 113.00 113.00 113.00 113.00 113.00 90734 Menectra-Child 14.70 14.70 14.70 14.70 14.70 90734A Menectra-Adult 113.00 113.00 113.00 113.00 113.00 90734AT Menectra Adult Temporary-317 Vaccine 14.70 14.70 14.70 14.70 14.70 90707 MMR-VFC 14.70 14.70 14.70 14.70 14.70 90707A MMR-Adult 58.00 58.00 58.00 58.00 58.00 60707AT MMR-Adult Temporary-317 Vaccine 14.70 14.70 14.70 14.70 14.70 90710 MMRV(MMR&Varivax) Proquad 14.70 14.70 14.70 14.70 14.70 90723 Pediarix- DTAP, Hep B & IPV 14.70 14.70 14.70 14.70 14.70 90698 Pentacel _ 14.70 14.70 14.70 14.70 14.70 90732 ,Pneumovax-VFC 14.70 14.70 14.70 14.70 14.70 90732A Pneumovax -Adult 52.00 52.00 52.00 52.00 52.00 90732AT Pneumovax-Adult Temporary-317 Vacc. 14.70 14.70 14.70 14.70 14.70 G0009 Pneumovax Admin. 5.00 5.00 5.00 5.00 5.00 86580 PPD 20.00 20.00 20.00, 20.00 20.00 6580W PPD N/C _ 0.00 0.00 0.00 0.00 0.00 8658W PPD reading only 0.00 0.00 0.00 0.00 0.00 90669 Prevnar 14.70 14.70 14.70 14.70 14.70 90675 Rabies IM 227.00 227.00 227.00 227.00 _ 227.00 90680 Rotavirus 14.70 14.70 1470 14.70 14/0 90681 Rotarix 14.70 14.70 14.70 14.70 14.70 90718 TD 14.70 14.70 14.70 14.70 14.70 90715 Tdap 14.70 14.70 14.70 14.70 14.70 90715A Tdap Adult 14.70 14.70 14.70 14.70 14.70 90715NC Tdap- No charge 0.00 0.00 _ 0.00 0.00 0.00 90636 Twinrix- Hep A& Hep B 67.00 67.00 67.00 67.00 67.00 90636 Twinrix NC - Hep A& Hep B 0.00 0.00 0.00 0.00 0.00 90691 Typhoid - 1 Shot 67.00 67.00 67.00 67.00 67.00 90690 Typhoid -Oral 57.00 57.00 57.00 57.00 57.00 PHS 2011 Fees Page 6 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Immunizations (continued) 90716 Varivax-VFC 14.70 14.70 14.70 14.70 14.70 90716A Varivax-Adult 98.00 98.00 98.00 98.00 98.00 90716AT Varivax-Adult Temporary -317 Vaccine 14.70 14.70 14.70 14.70 14.70 90717 Yellow Fever 103.00 103.00 103.00 103.00 103.00 VFC Vaccines 14.70 14.70 14.70 14.70 14.70 FAMILY PLANNING SUPPLIES A4267 Condoms pkg. 12* 0.00 1.50 3.00 4.50 6.00 0052W Cycle Beads* 0.00 2.50 5.00 7.50 10.00 J1055 Depo Provera* 0.00 8.00 16.00 24.00 32.00 A4266 Diaphragm* 0.00 6.25 12.50 18.75 25.00 A4269 Foam Contraception* 0.00 2.50 5.00 7.50 10.00 J7307NC Implanon*** 0.00 0.00 0.00 0.00 0.00 J7303NC Nuva Ring*** 0.00 0.00 0.00 0.00 0.00 S4993 Oral Contraceptives* 0.00 5.75 11.50 17.25 23.00 0065w Today's Sponge 0.00 1.00 2.00 3.00 4.00 J7302 NC IUD Mirena*** 0.00 0.00 0.00 0.00 0.00 J7300NC IUD Paragard*** 0.00 0.00 0.00 0.00 0.00 FAMILY PLANNING SUPPLIES -Third Party Payet J7307 Implanon 371.00 371.00 371.00 371.00 371.00 J7302 IUD Mirena _ 412.00 412.00 412.00 412.00 412.00 J7300 IUD Paragard 258.00 258.00 258.00 258.00 258.00 J7303 Nuva Ring - 36.00 36.00 36.00 36.00 36.00 * Fees only slide for the Family Planning Program. Charges for all other programs are the Code 5 fee. ** Services include surgical procedure only. *,• These items are free of charge to the c lient through the Colorado Family Planning Initiative **** Pending MOU and approval by State Rev: 10/21/10 Hello