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.
North Carolina 1999
(1.1% above 1998)
Some providers in North Carolina are on Method 2 and some on Method 4
Code |
50th% |
75th% |
IIC |
Method |
A/B |
E/NE |
Description |
A0320 |
150.00 |
175.00 |
104.60 |
2 |
BLS |
NE |
BLS BASE, RETURN, METHOD 2 |
A0322 |
175.00 |
225.00 |
119.23 |
2 |
BLS |
E |
SUPPLIES INC, MILEAGE SEPARATE |
A0324 |
200.00 |
275.00 |
104.60 |
2 |
ALS |
NE |
SUPP INCLUDED, MILEAGE BILLED |
A0326 |
300.00 |
350.00 |
116.10 |
2 |
ALS |
NE |
SPEC ALS, SUPP INC, MILE BILLED |
A0328 |
300.00 |
300.00 |
178.66 |
2 |
ALS |
E |
SUPP INCLUDED, MILEAGE BILL |
A0330 |
250.00 |
310.00 |
178.66 |
2 |
ALS |
E |
SPEC ALS, SUPP INC, MILE BILLED |
A0360 |
175.00 |
175.00 |
103.51 |
4 |
BLS |
NE |
MILEAGE AND DIS SUPP SEP BILL |
A0362 |
150.00 |
150.00 |
103.51 |
4 |
BLS |
E |
MILEAGE AND DIS SUPP SEP BILL |
A0364 |
170.00 |
175.00 |
103.51 |
4 |
ALS |
NE |
ALS Base, Return, Method 4 |
A0366 |
180.00 |
215.00 |
103.51 |
4 |
ALS |
NE |
NO SPEC SVC, MILE/SUP SEP BILL |
A0368 |
150.00 |
175.00 |
106.24 |
4 |
ALS |
E |
NO SPEC SVC, MILE/SUP SEP BILL |
A0370 |
200.00 |
225.00 |
106.24 |
4 |
ALS |
E |
SPEC SVC, MILE/SUP SEP BILL |
A0380 |
3.25 |
3.50 |
2.47 |
2-4 |
BLS |
BLS MILEAGE PER MILE |
|
A0382 |
35.00 |
35.00 |
25.61 |
4 |
BLS |
BLS DISP SUPPLY-ROUTINE |
|
A0384 |
25.00 |
25.00 |
8.10 |
4 |
BLS |
BLS DISP SUPPLY-DEFIB |
|
A0390 |
3.00 |
3.00 |
2.36 |
2-4 |
ALS |
ALS MILEAGE PER MILE |
|
A0392 |
10.00 |
100.00 |
8.20 |
4 |
ALS |
ALS DISP SUPPLY-DEFIB |
|
A0394 |
20.00 |
50.00 |
3.97 |
4 |
ALS |
ALS DISP SUPPLY-IV/DRUG THERAPY |
|
A0396 |
25.00 |
40.00 |
10.85 |
4 |
ALS |
ALS DISP SUPPLY-ESOPHAGEAL INTUB |
|
A0398 |
25.00 |
35.00 |
28.28 |
4 |
ALS |
ALS DISP SUPPLY-ROUTINE |
|
A0422 |
20.00 |
20.00 |
14.22 |
4 |
ALS |
OXYGEN |
North Carolina 1998
(1.3% increase above 1997)
North Carolina 1997
(2.8% increase above 1996)
North Carolina 1996
(3.0% increase above 1995)
North Carolina 1995
Code |
50th% |
75th% |
IIC |
Method |
BLS/ALS |
E/NE |
Description |
A0320 |
116.49 |
140.52 |
96.46 |
2 |
BLS |
BLS BASE, RETURN, METHOD 2 | |
A0322 |
115.49 |
153.49 |
109.95 |
2 |
BLS |
E |
SUPPLIES INC, MILEAGE SEPARATE |
A0324 |
116.49 |
140.52 |
96.46 |
2 |
ALS |
NE |
SUPP INCLUDED, MILEAGE BILLED |
A0326 |
130.88 |
152.64 |
107.07 |
2 |
ALS |
NE |
SPEC ALS, SUPP INC, MILE BILLED |
A0328 |
176.02 |
211.02 |
164.76 |
2 |
ALS |
E |
SUPP INCLUDED, MILEAGE BILL |
A0330 |
176.02 |
211.02 |
164.76 |
2 |
ALS |
E |
SPEC ALS, SUPP INC, MILE BILLED |
A0360 |
125.00 |
138.00 |
95.46 |
4 |
BLS |
NE |
MILEAGE AND DIS SUPP SEP BILL |
A0362 |
100.00 |
138.00 |
95.46 |
4 |
BLS |
E |
MILEAGE AND DIS SUPP SEP BILL |
A0364 |
125.00 |
138.00 |
95.46 |
4 |
ALS |
ALS Base, Return, Method 4 |
|
A0366 |
125.00 |
138.00 |
95.46 |
4 |
ALS |
NE |
NO SPEC SVC, MILE AND SUP SEP BILL |
A0368 |
150.00 |
150.00 |
97.96 |
4 |
ALS |
E |
NO SPEC SVC, MILE AND SUP SEP BILL |
A0370 |
150.00 |
150.00 |
97.96 |
4 |
ALS |
E |
SPEC SVC, MILE AND SUP SEP BILL |
A0380 |
2.50 |
3.00 |
2.27 |
4 |
BLS |
BLS MILEAGE PER MILE |
|
A0382 |
25.00 |
25.00 |
30.75 |
4 |
BLS |
BLS ROUTINE DISP SUPPLIES |
|
A0390 |
2.00 |
3.00 |
2.17 |
2 |
ALS |
ALS MILEAGE PER MILE |
|
A0398 |
25.00 |
25.00 |
30.75 |
3 |
ALS |
ALS ROUTINE DISPOSABLE SUPPLIES |
|
A0422 |
15.00 |
15.00 |
13.12 |
4 |
ALS\BLS |
E |
OX AND OX SUPP LIFE SUST SITU |
North Carolina 1994
Code |
50th% |
75th% |
IIC |
A0010 |
90.00 |
125.00 |
93.13 |
A0020 |
2.50 |
3.00 |
2.21 |
A0070 |
15.00 |
15.00 |
12.80 |
A0150 |
100.00 |
125.00 |
93.13 |
A0215 |
25.00 |
30.00 |
30.90 |
A0220 |
165.00 |
200.00 |
151.34 |
A0221 |
2.00 |
3.00 |
2.12 |
A0222 |
90.00 |
125.00 |
87.31 |
A0223 |
100.00 |
100.00 |
95.57 |