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Fee Schedules

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NCCI

The Medicaid fee schedule should be used in conjunction with the CMS NCCI tables. The NCCI tables contain the most current information regarding CPT & HCPCS coding (procedure to procedure editing and maximum units). The Patient Protection and Affordable Care Act require State Medicaid programs to incorporate "NCCI methodologies" in their claims processing systems.

Standard Fee Schedule Updated Nightly

Wyoming Medicaid has replaced the old fee schedule spreadsheets with a new easy-to-use Procedure Code Search.  It provides the same information, but includes the following new features:

  • Search for a procedure code by key word(s) in the description
  • Lookup revenue codes as well as procedure codes
  • Nightly updates from Wyoming Medicaid claims payment system
  • Descriptions added to frequently used indicators (Code Type, Fee Schedule, Factor Code)
  • Five new informational indicators added:
    • Medicare Covered? (Y/N)
    • Nursing Home Covered? (Y/N)
    • Valid Sex (M/F/B)
    • Referral Indicator (Y/N)
    • OPPS Status Indicator (refer to the legend for a list of valid values)

 Procedure Code Search Page
OR
Download the Fee Schedule File

* CSV files can be opened using Microsoft Excel or other spreadsheet programs
The Fee Schedule that is available for download is updated Monday through Friday at 6AM.

Dental Fee Schedule

Wyoming Medicaid Dental  providers should refer to the Dental Fee Schedule when researching codes. This fee schedule offers a list of codes, the reimbursement rate, any age limitations, and a column specfic to whether the code requires an LOA for reimbursement.
Wyoming Medicaid Dental Fee Schedule
APC Fee Schedules

OPPS Fee Schedules 

Legend (35k) (Click Here)

** Please view the " Legend " before viewing/downloading the files below:

 

In order to view the hyperlinked PDF documents on this page, you must have Adobe's free Acrobat Reader software installed on your computer.

APC-Based Fee Schedule 10.1.2014 APC-Based Fee Schedule 10/1/2014 (Excel ver)
APC-Based Fee Schedule 7/1/2014 [APC-Based Fee Schedule 7/1/2014 (Excel ver)]
APC-Based Fee Schedule 4/1/2014

[ APC-Based Fee Schedule 4/1/2014 (Excel Ver)]

APC-Based Fee Schedule 1/1/2014

[ APC-Based Fee Schedule 1/1/2014 (Excel Ver)]

APC-Based Fee Schedule 10/1/2013

 

[ APC-Based Fee Schedule 10/1/2013 (Excel Ver)]

APC-Based Fee Schedule 7/1/2013

[ APC-Based Fee Schedule 7/1/2013 (Excel Ver)]

APC-Based Fee Schedule 4/1/2013

[ APC-Based Fee Schedule 4/1/2013 (Excel Ver)]

APC-Based Fee Schedule 1/1/2013 [ APC-Based Fee Schedule 1/1/2013 (Excel Ver)]
APC-Based Fee Schedule 10/1/2012 [ APC-Based Fee Schedule 10/1/2012 (Excel Ver)]
APC-Based Fee Schedule 7/1/2012 [ APC-Based Fee Schedule 7/1/2012 (Excel Ver)]
APC-Based Fee Schedule 4/1/2012 [ APC-Based Fee Schedule 4/1/2012 (Excel Ver)]
APC-Based Fee Schedule 1/1/2012 [ APC-Based Fee Schedule 1/1/2012 (Excel Ver)]
APC-Based Fee Schedule 10/01/2011 [ APC-Based Fee Schedule 10/01/2011 (Excel Ver)]
APC-Based Fee Schedule 07/01/2011 [ APC-Based Fee Schedule 07/01/2011 (Excel Ver)]
APC-Based Fee Schedule 04/01/2011 [ APC-Based Fee Schedule 04/01/2011 (Excel Ver)]
APC-Based Fee Schedule 12/31/2010 [ APC-Based Fee Schedule 12/31/2010 (Excel Ver)]
APC-Based Fee Schedule 10/01/2010 [ APC-Based Fee Schedule 10/01/2010 (Excel Ver)]
APC-Based Fee Schedule 07/01/2010 [ APC-Based Fee Schedule 07/01/2010 (Excel Ver)]
APC-Based Fee Schedule 01/01/2010 [APC-Based Fee Schedule 01/01/2010 (Excel Ver)]
APC-Based Fee Schedule 10/01/2009 [ APC-Based Fee Schedule 10/01/2009 (Excel Ver)]
APC-Based Fee Schedule 07/01/2009 [ APC-Based Fee Schedule 07/01/2009 (Excel Ver)]
APC-Based Fee Schedule 04/01/2009 [ APC-Based Fee Schedule 04/01/2009 (Excel Ver)]
APC-Based Fee Schedule 01/01/2009 [ APC-Based Fee Schedule 01/01/2009 (Excel Ver)]

APC-Based Fee Schedule 10/1/2008

[ APC-Based Fee Schedule 10/1/2008 (Excel Ver)]

APC-Based Fee Schedule 5/2/2008

[ APC-Based Fee Schedule 5/2/2008 (Excel Ver)]

APC-Based Fee Schedule 4/1/2008

[ APC-Based Fee Schedule 4/1/2008 (Excel Ver)]

APC-Based Fee Schedule 12/28/2007

[ APC-Based Fee Schedule 12/28/2007 (Excel Ver)]

APC-Based Fee Schedule 8/22/2007

[ APC-Based Fee Schedule 8/22/2007 (Excel Ver)]

APC-Based Fee Schedule 6/1/2007

[ APC-Based Fee Schedule 6/1/2007 (Excel Ver)]

APC-Based Fee Schedule 3/20/2007

[ APC-Based Fee Schedule 3/20/2007 (Excel Ver)]

APC-Based Fee Schedule 6/19/2006

APC-Based Fee Schedule 4/13/2006

 

 

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