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Address Info: 1150 O Street, P.O. Box 758, Greeley, CO 80632 | Phone:
(970) 400-4225
| Fax: (970) 336-7233 | Email:
egesick@weld.gov
| Official: Esther Gesick -
Clerk to the Board
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20093055.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, a hearing was conducted on November 2, 2009, at which time the Board deemed it advisable to continue said matter to November 16, 2009, and then again to November 23, 2009, in order to allow time for a work session to be conducted regarding the matter, and WHEREAS, after study and review, the Board deems it advisable to approve the proposed revisions, effective January 1, 2010, 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, 2010. The above and foregoing Resolution was, on motion duly made and seconded, adopted by the following vote on the 23rd day of November, A.D., 2009. BOARD OF COUNTY COMMISSIONERS WELD C U COLORADO ATTEST: Weld County Clerk to the BY: �, '4,GUd /4 ,tl/1 Depu y Clerk o the Board AP,EROAS TO FOR /County - t.rney Date of Signature: I ILI l0� illiam . Garcia hair Dougla Rademache Pro-Tem EXCUSED (NAY) AYE (AYE) (AYE) 2009-3055 HL0003 l ala a /07 Att:rm De COLORADO Memorandum TO: Don Warden, Director of Finance and Administration FROM: Judy Nero, Health Department DATE: October 20, 2009 SUBJECT: Proposed 2010 Fee Schedules CC: Mark Wallace, MD, MPH, Y1sther Gesick qft Enclosed are revised FY2010 fee schedules for the Environmental Health Services and Public Health Services divisions of the Department of Public Health and Environment. Thank you for facilitating the approval process by the Board of County Commissioners. Enclosures 2009-3055 PHS 2010 Fees Page 1 WELD COUNTY DEPARTMENT OF PUBLIC HEALTH AND ENVIRONMENT PUBLIC HEALTH SERVICES [ i HE PROPOSED 2010 SLIDING SCHEDULE HOUSEHOLD CODE SIZE Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 V VISITS New Client 99201 Focused - nurse visit* 0.00 10.00 20.00 30.00 40.00 99202 Expanded* 0.00 22.50 45.00 67.50. 90.00 99203 Detailed* 0.00 30.00 60.00 90.00 120.00 99204 Comprehensive* 0.00 45.00 90.00 135.00 180.00 Established Client 99211 Nurse Visit* 0.00 9.25 18.50 27.75 37.00 99212 Focused* 0.00 15.00 30.00 45.00 60.00 99213 Expanded* 0.00 19.75 39.50 59.25 79.00 99214 Detailed* 0.00 30.50 61.00 91.50 122.00 Home Visits 99341 New Client - Focused 73.00 73.00 73.00 73.00 73.00 99342 New Client - Expanded 73.00 73.00 73.00 73.00 73.00 99347 Est. Client - Focused 73.00 73.00 73.00 73.00 73.00 99348 Est. Client - Expanded 73.00 73.00 73.00 73.00 73.00 Preventive Medicine Counseling 99401 Individual - 15 min* 0.00 10.00 20.00 30.00 40.00 99402 Individual - 30 min* 0.00 11.75 23.50 35.25 47.00 Travel Visits 99404 Individual Initial Visit - 60 60.00 60.00 60.00 60.00 60.00 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 P Preventive Medicine 99384 New Client 12-17 years old* 0.00 30.00 60.00, 90.00 120.00 99385 New Client 18-39 years old* 0.00 30.00 60.00 90.00 120.00 99386 New Client 40-64 years old* 0.00 32.50 65.00 97.50 130.00 99394 Est. Client 12-17 years old* 0.00 19.75 39.50 59.25 _ ,79.00 99395 Est. Client 18-39 years old* 0.00 19.75 39.50 59.25 79.00 Est. Client 40-64 old* 0.00 21.25 42.50 63.75 85.00 99386 years Miscellaneous INC Scv. Includes Follow-up Care 0.00 0.00 0.00 0.00 0.00 99212 Antepartum Care 1 visit 60.00 60.00 60.00 60.00 60.00 59425 Antepartum care 4-6 visits 552.00 552.00 552.00 552.00 552.00 59426 Antepartum care 7 or more visits 1136.00 1,136.00 1,136.00 1,136.00 1136.00 52.00 99402W PE Establishing Medical Record 52.00 52.00 52.00 52.00 PHS 2010 Fees Page 2 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Miscellaneous (Continued) 0255W Phone visit 0.00 0.00 0.00 0.00 0.00 59430 Post Partum Only 100.00 100.00 100.00 100.00 100.00 H1005 Prenatal Plus (1-4 visits) 160.00 160.00 160.00 160.00 160.00 H1005 Prenatal Plus (5-9) visits) 428.00 428.00 428.00 428.00 428.00 H1005 Prenatal Plus (10 visits) 803.00 803.00 803.00 803.00 803.00 H1005 Prenatal Plus (11 or more visits) 910.00 910.00 910.00 910.00 910.00 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 293.00 293.00 293.00 293.00 293.00 Lab 86850 Antibody Screen 30.00 30.00 30.00 30.0O 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 0.00 14.00 14.00 14.00 14.00 87491 Chlamydia PCR* 6.00 12.00 18.00 24.00 0090W Court Ordered Lab Draw 15.00 15.00 15.00 15.00. 15.00 82270 Fecal/Occult Blood Test* 0.00 31.00 2.50 5.00 7.50 10.00 83001 FSH 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 82947/82950 Glucose Tolerance Test 2 hr 20.00 20.00 20.00 20.00 20.00 82951 Glucose Tolerance Test 3 hr 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 87528 Herpes Culture 60.00 60.00 60.0O 60.00 60.00 86695 Herpes Select - Type I 33.00 33.00 33.00 33.00 33.00 86696 Herpes Select - Type II 33.00 - 33.00 33.00 33.0O 33.00 85018 HGB - Finger Stick* 0.00 2.75 5.50 8.25 11.00 86701 HIV Test 19.00 19.00 19.00 19.00 19.00 87621 HPV/DNA Testing 60.00 60.00 60.00 60.00 60.00 83002 i LH 31.00 31.00 31.00 31.00 31.00 80061 'Lipid Profile* 0.00 8.00 16.00' 24.00 32.00 80076 Liver Panel 25.00 25.0O 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 84703 Pregnancy Test - Serum 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 35.00 35.00 35.00 35.00 35.00 _ 84436 T4 4.00 4.00 4.00 4.00 4.00 82465 Total Cholesterol 20.00 20.00 20.00 20.00 20.00 84443 TSH 30.00 3.0.00 30.00 30.00 30.00 81002 UA-Dip 7.00 7.00 7.00 7.00 7.00 PHS 2010 Fees Page 3 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 Lab (cont.) 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 J0456 Azithromycin* 0.00 6.75 13.50 20.25 27.00 mo62W Azythromycin 250 mg - #6 12.00 12.00 12.00 12.00 12.00 0.00 0.00 0.00 0.00 O0144 Azithromycin State supplied 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 oo11w Fluconazole 15.00 15.00 15.00 15.00 15.00 000sw 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 mom/ Metronidazole 4 Tablets 7.00 7.00 7.00 7.00 7.00 oo10W 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 9.00 9.00 9.00 9.00 0012W Iron 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 12.00 12.00 12.00 12.00 oosow Medroxyprogesterone 10 mg - #5 12.00 0008W Metrogel 25.00 25.00 25.00 25.00 25.00 17.00 17.00 17.00 17.00 0051 W Nitrofurantoin Macrocrystals - #14 17.00 87.00 87.00 87.00 87.00 0034W Ofloxacin 87.00 12.00 12.00 12.00 12.00 0016W PodophyllinlTCA 12.00 11.00 11.00 11.00 11.00 00006W Premarin Vaginal Cream 11.00 0192W Prenatal Vitamins 10.00 10.00 10.00 10.00 10.0 0 _ J0696 Ceftriaxone 25.00 25.00 25.00 25.00 25.00 7.00 7.00 7.00 7.00 0004W Sulfatrim SMX/TMP 7.00 Procedures 56420 Bartholin Cyst 28.00 28.00 28.00 28.00 28 00 too 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 45.00 45.00 45.00 45.00 0116W Chest X -Ray (Prepay) 45.00 57452 Colposcopy w/o Biopsy ** 85.00 85.00 85.00 85.00 85.00 57454 Colposcopy with Biopsy ** 85.00 85.00 85.00 85.00 85.00 56501 Colposcopy with Cryo ** 85.00 85.00 85.00 85.00 85.00 93.00 93.00 93.00 93.00 57511 Cryocautery - initial or repeat 93.00 57170 Diaphragm/Cervical Cap Fitting * 0.00 18.75 37.50 56.25 75.00 43.00 43.00 43.00 43.00 58100 Endometrial biopsy w/wo Biopsy 43.00 54.00 54.00 54.00 54.00 58110 Endometrial biopsy with Colposcopy 54.00 11400 Excisions, benign lesion 75.00 75.00 75.00 75.00 75.00 38.75 77.50 116.25 155.00 11975 Implanon Insertion 0.00 11976 Implanon Removal 0.00 46.25 92.50 138.75 185.00 PHS 2010 Fees Page 4 Procedure Code Code Code Code Code Code I Procedure 1 2 3 4 Procedures (cont.) 11977 Implant Removal with Reinsertion 0.00 75.00 150.00 225.00 300.00 10060 Incision & drainage of abcess, single or 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 38.75 77.50 116.25 155.00 J7300NC IUD Paragard*** 0.00 0.00 0.00 0.00 0.00 58301 IUD Removal* 0.00 31.25 62.50 93.75 125.00 59025 Non Stress Test lnterp 0.00 0.00 0.00 0.00 0.00 A4550 Surgical Tray 55.00 13.75 27.50 41.25 55.00 _ 11300 Shaving of epidermal lesion, single on 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 85.00 85.00 85.00 85.00 85.00 88305W Level 4 Pathology 2nd & each added 85.00 85.00 85.00 85.00 85.00 Additional Codes 0071w Community Education 1 hr. 60.00 60.00 60.00 60.00 60.00 0069W 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 155.00 155.00 155.00 155.00 155.00 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 41.00 41.00 41.00 41.00 90471 Imm. Admin - one vaccine 0.00 0.00 0.00 0.00 0.00 90472 1mm 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 14.70 90658 Influenza - Child (3 years thru 18 years) 14.70 14.70 14.70 14.70 14.70 90658A Influenza - Adult (Ages 19 & over) 20.00 20.00 20.00 20.00 20.00 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 Go0o8 Influenza - Admin. 5.00 5.00 5.00 5.00 5.00 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 r PHS 2010 Fees Page 5 Procedure Code Code Code Code Code Code Procedure 1 2 3 4 5 90735 Immunizations (continuted) Japanese Encephalitis**** 120.00 220.00 120.00 120.00 120.00 120.00 90735 90696 90733 90734 90734A Japanese Encephalitis (new formulation) 220.00 220.00 220.00 220.00 Kinrix Meningitis (Menomune) Menectra - Child 14.70 14.70 14.70 14.70 14.70 110.00 110.00 110.00 110.00 110.00 14.70 14.70 14.70 14.70 14.70 Menectra - Adult 110.00 110.00 110.00 110.00 110.00 90707 MMR - VFC 14.70 14.70 14.70 14.70 14.70 90707A MMR - Adult 55.00 55.00 55.00 55.00 55.00 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 50.00 50.00 50.00 50.00 50.00 60009 Pneumovax Admin. 5.00 5.00 5.00 5.00 5.00 86580 PPD 20.00 20.00 20.0O 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 90680 90681 90718 90715 9o715A Rabies IM 220.00 220.00 220.00 220.00 220.00 Rotavirus 14.70 14.70 14.70 14.70 14.70 Rotarix 14.70 14.70 14.70 14.70 14.70 TD 14.70 14.70 14.70 14.70 14.70 Tdap 14.70 14.70 14.70 14.70 14.70 Tdap Adult 14.70 14.70 14.70 14.70 14.70 90636 90636 90691 90690 Twinrix - Hep A &Hep B 65.00 65.00 65.00 65.00 65.00 - Twinrix NC - Hep A & Hep B 0.00 0.00 0.00 0.00 0.00 Typhoid - 1 Shot Typhoid - Oral 65.00 65.00 65.00 65.00 65.00 55.00 55.00 55.00 55.00 55.00 90716 90716A Varivax - VFC 14.70 14.70 14.70 14.70 14.70 Varivax - Adult 95.00 95.00 95.00 95.00 95.00 90717 Yellow Fever 100.00 100.00 100.00 100.00 100.00 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 J73o7Nc Foam Contraception* 0.00 2.50 5.00 7.50 10.00 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 0047W 0065W J7302 NC J7300NC Oral Contraceptives* 0.00 5.75 11.50 17.25 23.00 Plan B* 0.00 5.75 11.50 17.25 23.00 Today's Sponge 0.00 1.00 2.00 3.00 4.00 IUD Mirena*** IUD Paragard*** 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 PHS 2010 Fees Page 6 Procedure Code _ 1 Coded Code Coded Code Code Procedure 2 3 4 _ F FAMILY PLANNING SUPPLIES - Third Party Payer 360.00 J7307 Implanon 360.00 360.00 360.00 360.00 J7302 IUD Mirena 400.00 400.00 400.00 400.00 400.00 _ J7300 IUDParagard 250.00 250.00 250.00 250.00 250.00 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. r Services include surgical procedure only. These items are free of charge to the client through the Colorado Family Planning Initiative **** Once this is gone will switch to new formulation due out approximately June 2010 -T I II'
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