Author: Provider Reimbursement
In accordance with the NC State Plan, Section 4.19-B, Section 3, Page 1, North Carolina Division of Medical Assistance (DMA) will revise rates for the following laboratory procedure codes: 81220, 81221, 81222, 81223, 81228, 81229, 81243, 81244, 81331, and 81507.
The revised rates as shown below will become effective on July 1, 2018.
|
Procedure Code |
Facility rate |
Non-facility rate |
|
81220 |
$ 506.51 |
$ 506.51 |
|
81221 |
$ 88.47 |
$ 88.47 |
|
81222 |
$ 395.91 |
$ 395.91 |
|
81223 |
$ 454.09 |
$ 454.09 |
|
81228 |
$ 819.00 |
$ 819.00 |
|
81229 |
$ 1,055.60 |
$ 1,055.60 |
|
81243 |
$ 51.91 |
$ 51.91 |
|
81244 |
$ 40.85 |
$ 40.85 |
|
81331 |
$ 46.47 |
$ 46.47 |
|
81507 |
$ 723.45 |
$ 723.45 |
These changes will be reflected on the Laboratory fee schedule and posted on the North Carolina DMA website prior to the effective date of the change:
Providers with questions regarding the revised rates may contact DMA Provider Reimbursement.