Alternative Payment Fee Schedule For D&TC

• Fee Schedule is also available in Excel Format (XSL) and Portable Document Format (PDF)

Revised for 1/1/2025 Updates:

Rate Code	Rate Code Description	Rate					Rate End Date
		9/1/2009	10/1/2009	4/1/2022	3/1/2023	1/1/2025
1226	Fitting Of Spectacles; Monofocal; Bifocal; Multifocal	$47.06	$47.06	N/A	N/A	N/A	1/1/2011(1)
1227	Fitting of spectacles plus eyeglass material - DOWNSTATE	$104.40	$104.40	N/A	N/A	N/A	1/1/2011(1)
1227	Fitting of spectacles plus eyeglass material - UPSTATE	$134.41	$134.41	N/A	N/A	N/A	1/1/2011(1)
1228	Comprehensive wheelchair evaluation and management		$302.00	$305.02	$305.02	$305.02
3257	SBHC-LCSW/LMSW Services 20-30 minutes with patient(2)	$41.00	$41.00	$41.41	$41.41	$45.14
3258	SBHC-LCSW/LMSW Services 45-50 minutes with patient(2)	$62.00	$62.00	$62.62	$62.62	$68.26
3259	SBHC-Family Svcs LCSW/LMSW with/without patient(2)	$70.00	$70.00	$70.70	$70.70	$77.06
3260	SBHC-Individ LMHC/LMFT Service 20-30 min w/patient				$41.41	$45.14
3261	SBHC-Individ LMHC/LMFT Service 45-50 min w/patient				$62.62	$68.26
3262	SBHC-Fam Srvcs LMHC/LMFT with or w/o p/t present				$70.70	$77.06
4222	Individ LMHC/LMFT Services 20-30 min w/patient				$41.41	$45.14
4223	Individ LMHC/LMFT Services 45-50 min w/patient				$62.62	$68.26
4224	Family Srvcs LMHC/LMFT with or w/o p/t present				$70.70	$77.06
4257	LCSW/LMSW Services 20-30 minutes with patient(2)	$41.00	$41.00	$41.41	$41.41	$45.14
4258	LCSW/LMSW Services 45-50 minutes with patient(2)	$62.00	$62.00	$62.62	$62.62	$68.26
4259	Family Svcs LCSW/LMSW with/without patient(2)	$70.00	$70.00	$70.70	$70.70	$77.06

Note: ^{(1) Rate Codes 1226 and 1227 are now paid thru APGs. 1
           (2) This service had been limited to under age 21 and pregnant women, however, the restrcition was removed effective 1/1/2024. 2}