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Alabama State Prevailing Fee Screens
ALS Method 2     BLS Method 4   ---   1995 and later
(click here for HCFA billing methods 1 thru 4)

Nationwide, each January 1st,   fee screen IICs for each HCPCS code are increased by the previous year CPI-U (Consumer Price Index - Urban), and this ranges from 1-3 percent unless there is either a freeze or some other congressional reduction.  What this means to you is that each year your Medicare allowed amount for each charge (A0330 base rate, A0390 mileage, e.g.) you bill will be increased by the IIC percent increase.  Your Medicare allowed amounts will be the lesser of your IICs or what you actually bill.  For the fee screen years below, the percent increases are listed.

2000 1999     1998      1997     1996      1995

Alabama 2000
(2.0% increase above 1999)

Procedure
Code

75th
Percentile

50th
Percentile

Prevailing
IIC

       

A0324

325.00

275.00

130.42

A0326

400.00

365.00

270.98

A0328

415.00

360.00

270.98

A0330

430.00

375.00

270.98

A0360

250.00

225.00

103.28

A0362

250.00

250.00

131.98

A0380

5.00

5.00

2.64

A0382

40.00

35.00

28.35

A0390

5.25

5.00

2.64

A0422

40.00

40.00

26.40

 

Alabama 1999
(1.1% increase above 1998)

Procedure
Code

75th
Percentile

50th
Percentile

Prevailing
IIC

       

A0324

330.00

250.00

127.86

A0326

400.00

365.00

265.67

A0328

415.00

325.27

265.67

A0330

425.00

375.00

265.67

A0360

250.00

175.00

101.25

A0362

250.00

250.00

129.39

A0380

5.00

4.00

2.59

A0382

40.00

35.00

27.79

A0390

5.00

5.00

2.59

A0422

40.00

35.00

25.88

 

Alabama 1998
(1.3% increase above 1997)wpe5.jpg (38438 bytes)

 

Alabama 1997
(2.8% increase above 1996)

 

Alabama 1996
(3.0% increase above 1995)

Code

50th%

75th%

IIC

Method

BLS/ALS

E/NE

Description

A0324

212.67

248.04

117.91

2

ALS

NE

SUPP INCLUDED, MILEAGE BILLED

A0326

320.00

397.94

244.99

2

ALS

NE

SPEC ALS, SUPP INC, MILE BILLED

A0328

320.00

397.94

244.99

2

ALS

E

SUPP INCLUDED, MILEAGE BILL

A0330

320.00

397.94

244.99

2

ALS

E

SPEC ALS, SUPP INC, MILE BILLED

A0360

175.00

200.00

93.37

4

BLS

NE

MILEAGE AND DIS SUPP SEP BILL

A0362

150.00

200.00

119.32

4

BLS

E

MILEAGE AND DIS SUPP SEP BILL

A0380

4.00

5.00

2.39

4

BLS

 

BLS MILEAGE PER MILE

A0382

25.00

35.00

25.63

4

BLS

 

BLS ROUTINE DISP SUPPLIES

A0390

4.00

5.00

2.39

2

ALS

 

ALS MILEAGE PER MILE

A0422

35.00

40.00

23.86

4

ALS\BLS

E

OX AND OX SUPP LIFE SUST SITU

 

Alabama 1995

Code

50th%

75th%

IIC

A0010

150.00

165.00

116.41

A0020

4.00

4.00

2.33

A0070

30.00

40.00

23.28

A0150

150.00

150.00

90.06

A0215

25.00

25.00

25.75

A0220

275.00

295.00

221.18

A0221

4.00

4.00

2.33

A0222

150.00

150.00

93.13

A0223

NC

NC

NC