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Home My WebLink About20091299.tiffRESOLUTION RE: APPROVE REVISIONS TO FEE SCHEDULE FOR TRAVEL CLINIC 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 the travel clinic 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, a copy of which is attached hereto and incorporated herein by reference. NOW, THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Weld County, Colorado, that the matter concerning the revised fee schedule for the travel clinic fees collected by the Weld County Department of Public Health and Environment, be, and hereby is, approved. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 8th day of June, A.D., 2009. BOARD OF COUNTY COMMISSIONERS ATTEST: WELD%COUNTCOLORADO Weld County Clerk to the Board BY Deputy C 2kfrcP—RO Date of Signature. ounty Attorney j c Rademacher, Pro-Tem ara Kirkmeyer David E. Long (o//&/o7 2009-1299 HL0003 paL 61& /// /Oc-/ COLORADO Memorandum TO: William Garcia, Chair, BOCC DATE: June 2, 2009 FROM: Mark E. Wallace, MD, MPH, Department of Public Health and Environment SUBJECT: Travel Clinic, Fee Increases As discussed in the April 20, 2009, work session with the Board of County Commissioners, the Department of Public Health and Environment has proposed to increase Travel Clinic Fees. Current Proposed Hepatitis A $30.00 $45.00 Hepatitis B $30.00 $45.00 Japanese Enc. $112.00 $120.00 Menectra $100.00 $110.00 Menomune $100.00 $110.00 MMR $48.00 $55.00 Rabies $182.00 $220.00 Twinrix $47.00 $65.00 Typhoid Oral $45.00 $55.00 Typhoid Injection $54.00 $65.00 Varicella $85.00 $95.00 Yellow Fever $87.00 $100.00 HPV (New) New $155.00 The proposed Travel Clinic Fees is projected to raise revenue by $6,589.20 for Budget Year 2010. The Department recommends approval of the fee increases. 2009-1299 PHS 2009 Fees Page 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES 2009 SLIDING FEE SCHEDULE - REVISED 04/10/2009 HOUSEHOLD CODE SIZE Procedure Code Procedure VISITS New Client 99201 Focused - nurse visit* 99202 Expanded* 99203 Detailed* 99204 Comprehensive* Code Code Code Code Code 99211 99212 99212-PN 99213 99214 99215 Established Client Nurse Visit* Focused* Prenatal Visit Expanded* Detailed* Comprehensive* 1 2 3 4 5 0.00 9.75 0.00, 22.50 0.00 29.75 0.00 44.50 19.50 29.25 45.00 67.50 90.00 59.50 89.25 119.00 89.00 133.50 178.00 0.00 0.00 Home Visits 99341 New Client - Focused 99342 New Client - Expanded 99347 Est. Client - Focused 99348 Est. Client - Expanded 9940 99402 59.00. 0.00 0.00 0.00 39.00 0.00 0.00 0.00 9.00 18.00 14.75' 29.50 59.00 59.00 19.25 38.50 30.50 61.00 40.00 80.00 Preventive Medicine Counseling Individual - 15 min* Individual - 30 min* Individual - 45 min* 99403 Travel Visits Individual Initial Visit - 60 Return Visit Group Initial Visit - 60 99404 99401W 99412 99382 99383 99384 Preventive Medicine New Client 1-4 years old New Client 5-11 years old New Client 12-17 years old New Client 18-39 years old Est. Client 1-4 years old Est. Client 5-11 years old 99385 99392 99393 99394 Est. Client 12-17 years old 99395 27.00 44.25 59.00 57.75 91.50 120.00 36.00 59.00 59.00 77.00 122.00 160.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 0.00 0.00 0.00 9.75 11.25 18.50 19.50 22.50 37.00 60.00 39.00 39.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 73.00 29.25 33.75 55.50 60.00 60.00 39.00 39.00 39.00 39.00 Est. Client 18-39 years old 39.00 45.00 74.00 60.00 39.00 39.00 60.00 39.00 39.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 72.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00 53.00' 53.00 53.00 PHS 2009 Fees Page 2 Procedure Code Procedure Miscellaneous Scv. Includes Follow-up Care Antepartum Care 1 visit Antepartum care 4-6 visits Antepartum care 7 or more visits PE Establishing Medical Record Phone visit Post Partum Only Prenatal Plus (1-4 visits) Code Code Code Code Code 1 2 INC 99212 59425 59426 99402W 0255W 59430 H1005 H1005 Prenatal Plus (5-9) visits) -11005 Prenatal Plus (10 visits) H1005 Prenatal Plus (11 or more visits) 139006 NHV Mother - Task Care Mgmt. T1017 NHV Child - Task Care Mgmt. 3 4 5 0.00 0.00 0.00 0.00 0.00 59.00 59.00 59.00 59.00 59.00 552.00 552.00 552.00 552.00 552.00 1136.00 1,136.00 1,136.00 1,136.00 1136.00 45.00 45.00 45.00 45.00 45.00 0.00 0.00 0.00 0.00 0.00 86850 82947 85025 85027 87491 0090W 82270 83001 8759 82948 82950 82951 Lab Antibody Screen Blood Sugar (FBS)* CBC w/diff CBC w/o Diff Chlamydia PCR* Court Ordered Lab Draw Fecal/Occult Blood Test* FSH Gonorrhea PCR* Glucose Random Glucose Tolerance Test 1 hr Glucose Tolerance Test 3 hr Gram Stain Hep B Surface Antibody Herpes Culture 100.00 100.00 100.00 100.00 100.00 160.00 160.00 160.00 160.00 160.00 428.00 428.00 428.00 428.00 428.00 803.00 803.00 803.00 803.00 803.00 910.00 910.00 910.00 910.00 910.00 87205 66.00 66.00 66.00 66.00 66.00 66.00 66.00 66.00 66.00 66.00 86706 87528 86695/86696 Herpes Select 85018 HGB - Finger Stick* 86701 HIV Test 87621 HPV/DNA Testing 83002 80061 80076 80048 88142 81025 84703 84146 Prolactin 0080W Repeat Pap 86592 RPR 84480 T3 84436 T4 82465 ;Total Cholesterol LH Lipid Profile* Liver Panel Metabolic Panel Pap Smear - Thin Prep* Pregnancy Test - Urine* Pregnancy Test - Serum 29.00 29.00 29.00 29.00 29.00 0.00 3.75 7.50 11.25 15.00 15.00 15.00 15.00 15.00 15.00 13.00 13.00 13.00 13.00 13.00 0.00 6.00 12.00 18.00 24.00 15.00 15.00 15.00 15.00 15.00 0.00 2.50 5.00 7.50 10.00 30.00 30.00 30.00 30.00 30.00 0.00 6.00 12.00 18.00 24.00 4.00 4.00 4.00 4.00 4.00 15.00 15.00 15.00 15.00 15.00 42.00 42.00 42.00 42.00 42.00 21.00 21.00 21.00 21.00 21.00 18.00 18.00 18.00 18.00 18.00 59.00 59.00 59.00 59.00 59.00 66.00 66.00 66.00 66.00 66.00 0.00 2.75 5.50 8.25 11.00 18.00 18.00 18.00 18.00 18.00 60.00 60.00 60.00 60.00 60.00 30.00 30.00 30.00 30.00 30.00 0.00 7.75 15.50 23.25 31.00 24.00 24.00 24.00 24.00 24.00 25.00 25.00 25.00 25.00 25.00 0.00 9.00 18.00 27.00 36.00 0.00 2.50 5.00 7.50 10.00 36.00 36.00 36.00 36.00 36.00 31.00' 31.00 31.00 31.00 31.00 36.00 36.00 36.00 36.00 36.00 18.00 18.00 18.00 18.00 18.00 34.00 34.00 34.00 34.00 34.00 3.00 3.00 3.00 3.00 3.00 20.00 I 20.00 20.001 20.00 I 20.00 PHS 2009 Fees Page 3 Procedure Code Procedure Lab (cont.) TSH UA-Dip Venipuncture Venipuncture with sliding lab _ Wet Prep 84443 81002 36415 36415W 87210 Code Code 11 2 0020W J0456 O0144 Code 3 Code 4 Code 5 28.00 28.00 28.00 28.00 28.00 6.00 6.00 6.00 6.00 6.00 5.00 5.00 5.00 5.00 5.00 0.00 1.25 2.50 3.75 5.00 Medicines and Treatments Amoxicillin 875 mg #20 Azithromycin* Azithromycin State supplied Ciprofloxacin 500 mg - #6 Condylox Fluconazole Doxycycline 14 Capsules Estradiol 1 mg -#100 _ 0009W Metronidazole 4 Tablets 0010W Metronidazole 14 Tablets 0058W 0035W 0011W 0005W 0059W 20.00, 20.00. 20.00 20.00 20.00 0013W 0012W J0580 0014W 0060W 0008W 0061W 0034W 0016W 0192W J0696 0004W 11.00 11.00 11.00 11.00 11.00 0.00 6.75 13.50 20.25', 27.00 0.00 0.00 0.00' 0.00 0.00 11.00 11.00 11.00 ' 11.00 11.00 5.00 5.00 5.00 5.00 5.00 15.00 15.00 15.00 15.00 15.00 8.00 8.00 8.00 8.00 8.00 11.00 11.00 11.00 11.00 11.00 Metronidazole 28 Tablets Iron LA Bicillin 2.4 Units Lice Shampoo Medroxyprogesterone 10 mg - #5 Metrogel Nitrofurantoin Macrocrystals - #14 Ofloxacin Podophyllin/TCA Prenatal Vitamins Ceftriaxone Sulfatrim SMX/TMP Azythromycin 250 mg - #6 0062W 6.00 6.00 6.00 6.00 6.00 Procedures Biopsy of skin, single _ Cervical Lesion Biopsy Chest X -Ray (Prepay) Colposcopy w/o Biopsy ** Colposcopy with Biopsy ** Colposcopy with Cryo ** Cryocautery - initial or repeat Diaphragm/Cervical Cap Fitting * _ Endometrial biopsy w/wo Biopsy Endometrial biopsy with Colposcopy Excisions, benign lesion Implanon Insertion Implanon Removal Implant Removal with Reinsertion 1100 57500 0116W 57452 7454 6501 57511 57170 58100 58110 11400 11975 1976 11977 11.00 11.00 11.00 11.00 11.00 12.00 12.00' 12.00 12.00 12.00 8.00 8.00 8.00 8.00 8.00 0.00 0.00 0.00 0.00 0.00 11.00 11.00 11.00 11.00 11.00 11.00 11.00 11.00 11.00 11.00 24.00 24.00 24.00 24.00 24.00 16.00 16.00 16.00 16.00 16.00 85.00 85.00 85.00 85.00 85.00 11.00 11.00 11.00 11.00 11.00 9.00 9.00 9.00 9.00 9.00 25.00 25.00 25.00 25.00, 25.00 6.00 6.00 6.00 6.00 6.00 11.00' 11.00 11.00 11.00 11.00 25.00 25.00 25.00' 25.00 25.00 30.00 30.00 30.00 30.00 30.00 45.00 45.00 45.00 45.00 45.00 83.00 83.00 83.00 83.004 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 83.00 90.00 90.00 90.00 90.00 90.00 0.00 18.50 37.00 55.50 74.00 41.00 41.00 41.00 41.00 41.00 52.00 52.00 52.00 52.00 52.00 74.00 74.00 74.00 74.00 74.00 0.00 38.75 77.50 116.25 155.00 0.00 46.25 92.50 138.75 185.00 0.00 75.00 150.00 225.00 300.00 PHS 2009 Fees Page 4 Procedure Code Procedure 10060 J7302 58300 Procedures (cont.) Incision & drainage of abcess, single or simple IUD Mirena*** IUD Insertion* IUD Paragard*** IUD Removal* Non Stress Test Interp Surgical Tray Shaving of epidermal lesion, single on trunk, arms or legs, .5cm Skin Cryo 1st lesion ** Skin Cryo 2nd -14th lesions ** Skin Cryo 15 + lesions ** Level 4 Pathology 1st spec Level 4 Pathology 2nd & each added Code 1 Code Code J7300 5830 59025 A4550 11300 7000 17003 17004 88305 88305W Code Code 2 3 4 28.00 28.00 28.00 0.00 0.00 0.00 0.00 38.75 77.50 0.00 0.00 0.00 0.00 31.00 62.00 0.00. 0.00 0.00 5 28.00 28.00 0.00 0.00 116.25 155.00 0.00 0.00 Additional Codes Community Education 1 hr. Travax Printout 0071W 0069W 90748 90700 90702 90633 90632 Hepatitis A - Adult 90744 Hepatitis B - VFC 90746 Hepatitis B - Adult 90647 HIB 90649 HPV - VFC 90649A HPV - Adult 90281 IG Hepatitis A 90281T IG Hepatitis A - TVL 90471 Imm. Admin - one vaccine 90472 Imm Admin - each addl. Vaccine 90473 Imm. Admin - intranasal or oral Influenza - Child (6 mo thru 35 mo) Influenza - Child (3 years thru 18 years) Influenza - Adult (Ages 19 & over) Influenza - intranasal use Influenza - Intranasal Adult Influenza - Admin. IPV-VFC IPV - Adult Japanese Encephalitis Kinrix Meningitis (Menomune) Menectra (Child) Immunizations Comvax - Hep B & Hib DTAP DT Hepatitis A - VFC 55.00 13.75 27.50 93.00 124.00 0.00 0.00 41.25 55.00 35.00 35.00 35.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 25.00 85.00 85.00 85.00 85.00 85.00 85.00 90657 90658 90658A 90660 90660A G0008 35.00 35.00 25.00 25.00 25.00 25.00 25.00 25.00 85.00 85.00 85.00 85.00 60.00 60.00 60.00 7.00 7.00 7.00 14.70 14.70 14.70 14.70 45.00 14.70 14.70 14.70 14.70 14.70 45.00 14.70 14.70 14.70 14.70 14.70 14.70 45.00 45.00 90713 90713A 90735 90696 90733 90734 60.00 60.00 14.70 14.70 14.70 7.00 7.00 14.70 14.70 14.70, 14.70 14.70 14.70 14.70 14.70 45.00 45.00 14.70 155.00 0.00 41.00 0.00 0.00 0.00 14.70 14.70 20.00 14.70 25.00 45.00 14.70 14.70' 155.00 0.00 41.00 0.00 0.00 0.00 45.00 14.70 14.70 155.00 0.00 41.00 5.00 14.70 41.00 120.00 14.70 110.00 14.70 14.70 14.70 20.00 14.70 25.00 5.00 14.70 41.00 120.00 14.70 110.00 14.70 0.00 0.00 0.00 14.70 14.70 20.00 14.70 25.00 5.00 14.70 41.00 120.00 14.70 110.00 14.701 45.00 45.00 14.701 14.70 14.70 14.70 155.00 155.00 0.001 0.00 41.00 41.00 0.00 0.00 0.00 0.00 0.00 0.00 14.70 14.70 14.70 14.70 20.00 20.00 14.70 14.70 25.00 25.00 5.00 5.00 14.70 14.70 41.00 41.00 120.00 120.00 14.70 14.70 110.00 110.00 14.70 14.70 PHS 2009 Fees Page 5 Procedure Code Procedure Immunizations (continuted) 90734A Menectra (Adult) 90707 MMR - VFC 90707A MMR - Adult 90710 MMRV (MMR & Varivax) Proquad 90723 Pediarix - DTAP, Hep B & IPV 90698 90732 Pentacel Pneumovax Pneumovax Admin. PPD PPD N/C PPD reading only Prevnar Rabies IM Rotavirus Rotarix TD Tdap Tdap Adult Twinrix - Heb A & Hep B Twinrix NC - Heb A & Hep B Typhoid - 1 Shot Typhoid - Oral Varivax - VFC Varivax - Adult Yellow Fever VFC Vaccines G0009 86580 6580W 8658W 90669 90675 90680 90681 90718 90715 90715A 90636 90636 90691 90690 90716 90716A 90717 Code Code Code 1 2 3 Code Code 4 5 110.00 110.00 110.00 110.00 110.00 14.70 14.70 14.70 14.70 14.70 55.00 55.00 55.00 55.00 55.00 14.70 14.70' 14.701 14.701 14.70 14.70 14.70' 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 40.00 40.00 40.00 40.00 40.00 5.00 5.00 5.00 5.00 5.00 20.00 20.00 20.00 20.00 20.00 0.00 0.00 0.00 0.00 0.00 FAMILY PLANNING SUPPLIES A4267 Condoms pkg. 10* 0052W Cycle Beads* J1oss Depo Provera* A4266 Diaphragm* A4269 Foam Contraception* J7307 Implanon*** 0143W Nuva Ring*** S4993 Oral Contraceptives* 0047W Plan B* 0.00 0.00 0.00 0.00 0.00 14.70 14.70 14.70 14.70 14.70 220.00 220.00 220.00 220.00 220.00 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 14.70 65.00 65.00 65.00 65.00 65.00 0.00' 0.00 0.00 0.00 0.00 65.00 65.00 65.00 65.00 65.00 55.00 55.00 55.00 55.00 55.00 14.70 14.70 14.70 14.70 14.70 95.00 95.00 95.00 95.00 95.00 100.00 100.00 100.00 100.00 100.00 14.70 14.70 14.70 14.70 14.70 0065W J7302 J7300 Today's Sponge IUD Mirena*** IUD Paragard*** 0.00, 1.50 3.00 4.50 6.00 0.00 2.50 5.00 7.50 10.00 0.00 7.75 15.50 23.25 31.00 0.00 6.25 12.50 18.75 25.00 0.00 2.50 5.00 7.50 10.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 5.75 11.50 17.25 23.00 0.00 5.75 11.50 17.25 23.00 0.00 1.00' 2.00 3.00 4.00 0.00 0.00 0.00 0.00 0.00 0.00' 0.00 0.00 0.00 0.00 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 client through the Colorado Family Planning Initiative Rev. 04/20/09 1 Hello