Fee Schedule and Covered Codes webpage coming in November

Effective Nov. 3, 2022, fee schedules currently listed on the NC Medicaid website will move to a new public fee schedule and covered code website.

Effective Nov. 3, 2022, all fee schedules currently listed on the NC Medicaid website will be moved to a new fee schedule and covered code website available to the public. The new website offers enhanced search options for fee schedules, covered procedure codes and covered revenue code data. These enhancements include: 

Fee Schedules - (NC Medicaid Website Fee Schedules Only)

  • Fee schedules will be made available in a formatted, standardized template 
  • A single link will be available to download all current and archived fee schedule files 
  • A single link will be available to access a new lookup tool that allows users to search for fee schedule data using filters

Covered Procedure Code Combinations and Covered Revenue Code Documents

  • These documents will be moved to a new website accessible to Health Plans and Providers
  • A single link will allow users to download each of the covered procedure code combinations and covered revenue code files
  • A single link will be available to access a new lookup tool to search for covered procedure code combinations data and covered revenue code data using filters

All fee schedule data created prior to Nov. 3, 2022, will remain on the current NC Medicaid Fee Schedule web page. A link to the new website will be available by Nov. 3, 2022. More details will be shared closer to the launch.

Contact

NC Medicaid Contact Center: 888-245-0179

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