2019 Home Health & Hospice Fee Schedule - October 2019 Update

The following fees are based on the CY 2019 Medicare Physician Fee Schedule (MPFS) Final Rule. These fees are effective January 1, 2019.

CPT Code
Modifer
Contractor
Locality
Non Facility Fee
Alabama
96931
 
10112
00
$157.23
96934
 
10112
00
$83.12
Arkansas
96931
 
07102
13
$154.84
96934
 
07102
13
$82.17
Florida
96931
 
09102
03
$177.51
96934
 
09102
03
$92.99
96931
 
09102
04
$181.60
96934
 
09102
04
$95.43
96931
 
09102
99
$167.98
96934
 
09102
99
$88.51
Georgia
96931
 
10212
01
$173.83
96934
 
10212
01
$90.79
96931
 
10212
99
$159.78
96934
 
10212
99
$84.73
Illinois
96931
 
06102
12
$166.61
96934
 
06102
12
$88.29
96931
 
06102
15
$183.13
96934
 
06102
15
$95.35
96931
 
06102
16
$181.16
96934
 
06102
16
$94.80
96931
 
06102
99
$162.93
96934
 
06102
99
$86.20
Indiana
96931
 
08102
00
$161.14
96934
 
08102
00
$84.71
Kentucky
96931
 
15102
00
$156.51
96934
 
15102
00
$83.10
Louisiana
96931
 
07202
01
$169.79
96934
 
07202
01
$89.22
96931
 
07202
99
$158.33
96934
 
07202
99
$84.21
Mississippi
96931
 
07302
00
$154.11
96934
 
07302
00
$81.67
New Mexico
96931
 
04212
05
$163.30
96934
 
04212
05
$86.40
North Carolina
96931
 
11502
00
$163.54
96934
 
11502
00
$86.02
Ohio
96931
 
15202
00
$162.20
96934
 
15202
00
$85.71
Oklahoma
96931
 
04312
00
$158.37
96934
 
04312
00
$84.02
South Carolina
96931
 
11202
01
$160.51
96934
 
11202
01
$84.59
Tennessee
96931
 
10312
35
$158.88
96934
 
10312
35
$83.86
Texas
96931
 
04412
09
$173.87
96934
 
04412
09
$90.89
96931
 
04412
11
$175.92
96934
 
04412
11
$91.59
96931
 
04412
15
$175.87
96934
 
04412
15
$91.75
96931
 
04412
18
$176.22
96934
 
04412
18
$91.99
96931
 
04412
20
$162.85
96934
 
04412
20
$85.84
96931
 
04412
28
$171.72
96934
 
04412
28
$89.69
96931
 
04412
31
$176.53
96934
 
04412
31
$91.66
96931
 
04412
99
$164.76
96934
 
04412
99
$86.63

Contact Palmetto GBA JM Part HHH Medicare

Email HHH

Contact a specific JM HHH department

Provider Contact Center: 855-696-0705

TDD: 866-830-3188

Other Palmetto GBA Sites

Palmetto GBA Home

DMEPOS Competitive Bidding Program

Jurisdiction J Part A MAC

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Jurisdiction M Part A MAC

Jurisdiction M Part B MAC

Jurisdiction M Home Health and Hospice MAC

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PDAC

RRB Specialty MAC Providers

RRB Specialty MAC Beneficiaries

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