Fee Screens - Georgia

Click here -> to go to the Table of Contents
Georgia State Prevailing Fee Screens
ALS Method 2 BLS Method 2
(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.

1999 1998 1997 1996 1995 1994

Georgia 1999
(1.1% increase above 1998)

Code	50th%	75th%	IIC	Method	BLS/ALS	E/NE	Description
A0320	249.90	225.00	150.09	2	BLS	NE	BASE, SUP INCL, MILES BILLED SEPAR
A0322	205.00	300.00	150.09	2	BLS	E	BASE, SUP INCL, MILES BILLED SEPAR
A0324	310.00	325.00	261.09	2	ALS	NE	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0326	330.00	478.00	263.93	2	ALS	NE	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0328	300.00	395.00	263.93	2	ALS	E	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0330	300.00	350.00	263.93	2	ALS	E	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0380	5.00	6.40	4.58	1,2,3,4	BLS		BLS MILEAGE PER MILE
A0390	5.25	6.00	4.72	1,2,3,4	ALS		ALS MILEAGE PER MILE
A0422	N/A	N/A	N/A	1,,3,4	ALS\BLS	E,NE	OX AND OX SUPP LIFE SUST SITU – Bill to Medicaid and RR Medicare only

Georgia 1998
(1.3% increase above 1997)

Code	50th%	75th%	IIC	Method	BLS/ALS	E/NE	Description
A0320	210.00	195.00	148.46	2	BLS	NE	BASE, SUP INCL, MILES BILLED SEPAR
A0322	250.00	200.00	148.46	2	BLS	E	BASE, SUP INCL, MILES BILLED SEPAR
A0324	275.00	250.00	258.25	2	ALS	NE	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0326	393.00	315.00	261.06	2	ALS	NE	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0328	340.00	300.00	261.06	2	ALS	E	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0330	325.00	300.00	261.06	2	ALS	E	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0380	5.00	5.00	4.53	1,2,3,4	BLS		BLS MILEAGE PER MILE
A0390	5.75	5.00	4.67	1,2,3,4	ALS		ALS MILEAGE PER MILE
A0422	N/A	N/A	N/A	1,,3,4	ALS\BLS	E,NE	OX AND OX SUPP LIFE SUST SITU – Bill to Medicaid and RR Medicare only

Georgia 1997
(2.8% increase above 1996)

Code	50th%	75th%	IIC	Method	BLS/ALS	E/NE	Description
A0320	180.00	200.00	146.55	2	BLS	NE	BASE, SUP INCL, MILES BILLED SEPAR
A0322	200.00	225.00	146.55	2	BLS	E	BASE, SUP INCL, MILES BILLED SEPAR
A0324	200.00	275.00	254.94	2	ALS	NE	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0326	280.00	305.00	257.71	2	ALS	NE	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0328	300.00	350.00	257.71	2	ALS	E	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0330	285.00	300.00	257.71	2	ALS	E	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0380	5.00	5.00	4.47	1,2,3,4	BLS		BLS MILEAGE PER MILE
A0390	5.00	5.00	4.61	1,2,3,4	ALS		ALS MILEAGE PER MILE
A0422	N/A	N/A	N/A	1,3,4	*ALS\BLS	E,NE	OX AND OX SUPP LIFE SUST SITU Always bill to Medicaid (when primary) ALS/BLS GA Medicaid does not bundle Ox for Method 2

Georgia 1996
(3.0% increase above 1995)

Code	50th%	75th%	IIC	Method	BLS/ALS	E/NE	Description
A0320	175.00	200.00	142.56	2	BLS	NE	BASE, SUP INCL, MILES BILLED SEPAR
A0322	155.00	250.00	142.56	2	BLS	E	BASE, SUP INCL, MILES BILLED SEPAR
A0324	200.00	248.00	250.69	2	ALS	NE	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0326	260.00	330.00	250.69	2	ALS	NE	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0328	280.00	328.90	250.69	2	ALS	E	BASE NO SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0330	260.00	300.00	250.69	2	ALS	E	BASE SPECIAL SERVICES, SUP INCL, MILES BILLED SEPAR
A0380	4.50	5.00	4.35	1,2,3,4	BLS		BLS MILEAGE PER MILE
A0390	4.75	5.00	4.48	1,2,3,4	ALS		ALS MILEAGE PER MILE
A0422	N/A	N/A	N/A	1,,3,4	ALS\BLS	E,NE	OX AND OX SUPP LIFE SUST SITU – Bill to Medicaid and RR Medicare only

Georgia 1995

A0320

161.85

185.00

138.41

2

BLS

BLS BASE, RETURN, METHOD 2

A0322

168.36

208.38

138.41

2

BLS

E

SUPPLIES INCLUDED, MILEAGE SEPAR

A0324

266.98

291.99

243.39

2

ALS

NE

SUPP INCLUDED, MILEAGE BILLED

A0326

266.98

291.99

243.39

2

ALS

NE

SPEC ALS, SUPP INC, MILE BILLED

A0328

266.98

291.99

243.39

2

ALS

E

SUPP INCLUDED, MILEAGE BILL

A0329

266.98

291.99

243.39

A0330

266.98

291.99

243.39

2

ALS

E

SPEC ALS, SUPP INC, MILE BILLED

A0380

4.10

5.00

4.22

4

BLS

BLS MILEAGE PER MILE

A0390

4.25

5.00

4.35

2

ALS

ALS MILEAGE PER MILE

Georgia 1994

A0010

135.00

185.00

120.02
BLS Base Emer supplies/ox separate

A0020

4,00

4.50

4.12
BLS Miles

A0070

30.00

37.00

29.98
Oxygen

A0150

150.00

169.00

120.00
BLS Base Non-Emer

A0215

16.00

20.00

19.80
BLS Supplies

A0220

225.00

255.00

220.43
ALS Emer includes supplies

A0221

4.00

5.00

4.24
ALS miles

A0222

150.00

195.00

120.02
BLS Base Return

A0223

NC

NC

NC

A0320	161.85	185.00	138.41	2	BLS		BLS BASE, RETURN, METHOD 2
A0322	168.36	208.38	138.41	2	BLS	E	SUPPLIES INCLUDED, MILEAGE SEPAR
A0324	266.98	291.99	243.39	2	ALS	NE	SUPP INCLUDED, MILEAGE BILLED
A0326	266.98	291.99	243.39	2	ALS	NE	SPEC ALS, SUPP INC, MILE BILLED
A0328	266.98	291.99	243.39	2	ALS	E	SUPP INCLUDED, MILEAGE BILL
A0329	266.98	291.99	243.39
A0330	266.98	291.99	243.39	2	ALS	E	SPEC ALS, SUPP INC, MILE BILLED
A0380	4.10	5.00	4.22	4	BLS		BLS MILEAGE PER MILE
A0390	4.25	5.00	4.35	2	ALS		ALS MILEAGE PER MILE

A0010	135.00	185.00	120.02	BLS Base Emer supplies/ox separate
A0020	4,00	4.50	4.12	BLS Miles
A0070	30.00	37.00	29.98	Oxygen
A0150	150.00	169.00	120.00	BLS Base Non-Emer
A0215	16.00	20.00	19.80	BLS Supplies
A0220	225.00	255.00	220.43	ALS Emer includes supplies
A0221	4.00	5.00	4.24	ALS miles
A0222	150.00	195.00	120.02	BLS Base Return
A0223	NC	NC	NC