Professional Services, Lab, X-Ray, and ASC Reimbursement/Fee Schedules Page

The following list consists of Fee Schedules used by Louisiana Medicaid providers.

Fee Schedules on or after August 4, 2009:

Professional Services	Description
Professional Services Fee Schedule for Dates of Service on or after February 1, 2013 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below. Professional Services Fee Schedule for Dates of Service on or after February 1, 2013 (Excel Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Professional Services Fee Schedule for Dates of Service January 1, 2013 – January 31, 2013 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below.	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Professional Services Fee Schedule for Dates of Service July 1, 2012 – December 31, 2012 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below.	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Professional Services Fee Schedule for Dates of Service January 1, 2012 – June 30, 2012 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below.	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 07/12
Professional Services Fee Schedule for Dates of Service January 1, 2011-December 31, 2011 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below.	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 03/12
Professional Services Fee Schedule for Dates of Service December 1, 2010-December 31, 2010 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below. Supplement to Professional Services Fee Schedule Effective for Dates of Service December 1, 2010-December 31, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 01/11 This report lists the procedure codes included in the reimbursement changes effective with DOS on or after December 1, 2010. Refer to the corresponding Professional Services Fee Schedules listed on this page for rates pre- and post- changes. Updated 01/11
Professional Services Fee Schedule for Dates of Service August 1, 2010-November 30, 2010 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below. Supplement to Professional Services Fee Schedule Effective for Dates of Service August 1, 2010-November 30, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 11/10 This report lists the procedure codes included in the reimbursement changes effective with DOS August 1, 2010-November 30, 2010. Refer to the corresponding Professional Services Fee Schedules listed on this page for rates pre- and post- changes. Updated 09/10
Professional Services Fee Schedule for Dates of Service January 22, 2010-July 31, 2010 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below. Supplement to Professional Services Fee Schedule Effective for Dates of Service January 22, 2010-July 31, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 08/10 This report lists the procedure codes included in the reimbursement changes effective with DOS Jan 22, 2010-July 31, 2010. Refer to the corresponding Professional Services Fee Schedules listed on this page for rates pre- and post- changes. Updated 08/10
Professional Services Fee Schedule for Dates of Service August 4, 2009-January 21, 2010 (PDF Format) The fees for Laboratory, Radiology and Ambulatory Surgical Centers (ASC) have been moved to separate fee schedules below. Supplement to Professional Services Fee Schedule Effective for Dates of Service Effective for Dates of Service August 4, 2009-January 21, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 06/10 This report lists the procedure codes included in the reimbursement changes effective with DOS Aug 4, 2009- Jan 21, 2010. Refer to the corresponding Professional Services Fee Schedules listed on this page for rates pre- and post- changes. Added 06/10

Laboratory & Radiology (Non-Hospital) Services	Description
Laboratory & Radiology (Non-Hospital) Services Fee Schedule for Dates of Service on or after February 1, 2013 (PDF Format) Laboratory & Radiology (Non-Hospital) Services Fee Schedule for Dates of Service on or after February 1, 2013 (Excel Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Laboratory & Radiology (Non-Hospital) Services Fee Schedule for Dates of Service January 1, 2013 – January 31, 2013 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Laboratory & Radiology (Non-Hospital) Services Fee Schedule for Dates of Service July 1, 2012 – December 31, 2012 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Laboratory & Radiology (Non-Hospital) Services Fee Schedule for Dates of Service January 1, 2012 – June 30, 2012 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 07/12
Laboratory & Radiology (Non-Hospital ) Fee Schedule for Dates of Service January 1, 2011 - December 31, 2011 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 03/12
Laboratory & Radiology (Non-Hospital ) Fee Schedule for Dates of Service August 1, 2010-December 31, 2010 ((PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 01/11
Laboratory & Radiology (Non-Hospital ) Fee Schedule for Dates of Service January 22, 2010- July 31, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association.
Laboratory & Radiology (Non-Hospital) Fee Schedule for Dates of Service August 4, 2009-January 21, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association.

Ambulatory Surgical Centers ASC (Non-Hospital) Services	Description
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service on or after February 1, 2013 (PDF Format) Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service on or after February 1, 2013 (Excel Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service January 1, 2013 – January 31, 2013 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service July 1, 2012 - December 31, 2012 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 04/13
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service January 1, 2012 – June 30, 2012 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 07/12
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service January 1, 2011 - December 31, 2011 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 03/12
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service August 1, 2010-December 31, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 01/11
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service February 5, 2010-July 31, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 08/10
Ambulatory Surgical Centers ASC (Non Hospital) Fee Schedule for Dates of Service February 26, 2009-February 4, 2010 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 10/10

Fee Schedules Prior to August 4, 2009:

Professional Services, Lab, X-Ray, and ASC Reimbursement/Fee Schedule for Dates of Service February 26, 2009-August 03, 2009 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Updated 02/10
Professional Services, Lab, X-Ray, and ASC Reimbursement/Fee Schedule for Dates of Service January 1, 2009-February 25, 2009 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Added 03/09
Professional Services, Lab, X-Ray and ASC Reimbursement/Fee Schedule Effective for Dates of Service January 01-December 31, 2008 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association.
Professional Services, Lab, X-Ray and ASC Reimbursement/Fee Schedule for Dates of Service of October 15, 2007 through December 31, 2007 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association. Added 06/08
Professional Services, Lab, X-Ray and ASC Reimbursement/Fee Schedule for Dates of Service through October 14, 2007 (PDF Format)	Fee Schedules for HCPCS code, TOS, and as applicable, sex and age restrictions. All CPT codes and descriptions are copyrighted by the American Medical Association.