59G-4.002 : Provider Reimbursement Schedules and Billing Codes - Florida Administrative Rules, Law, Code, Register

Florida Department of State and Division of Library and Information Services

Rule: 59G-4.002 Prev Up Next

Rule Title: Provider Reimbursement Schedules and Billing Codes
Department:	AGENCY FOR HEALTH CARE ADMINISTRATION	Add to MyFLRules Favorites
Division:	Medicaid
Chapter:	MEDICAID POLICY

Latest version of the final adopted rule presented in Florida Administrative Code (FAC):

	Effective Date:	8/24/2025
	History Notes:	Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.905, 409.906, 409.907, 409.908, 409.912, 409.913 FS. History–New 8-18-05, Amended 11-30-05, 4-16-06, 10-11-06, 3-27-07, 7-25-07, 9-29-08, 4-28-09, 2-11-10, 1-31-11, 7-16-13, 5-21-14, 6-20-16, 6-22-17, 2-8-18, 5-7-18, 1-7-19, 7-17-19, 12-15-20, 9-29-21, 8-2-22, 12-31-23, 10-21-24, 8-24-25.
	References in this version:	Ref-18271 Assistive Care Services Fee Schedule January 1, 2025 Ref-18286 Practitioner Fee Schedule July 1 2024 Ref-18287 Radiology Fee Schedule July 1 2024 Ref-18288 Assistive Care Services Fee Schedule October 1 2024 Ref-18289 Behavior Analysis Fee Schedule October 1 2024 Ref-18290 Dental General Fee Schedule October 1 2024 Ref-18291 Early Intervention Services Fee Schedule October 1 2024 Ref-18292 Family Home Health Aide Services Fee Schedule October 1 2024 Ref-18293 Medical Foster Care Services Fee Schedule October 1 2024 Ref-18295 Physical Therapy Services Fee Schedule October 1 2024 Ref-18296 Private Duty Nursing Services Fee Schedule October 1 2024 Ref-18297 Specialized Therapeutic Services Fee Schedule October 1 2024 Ref-18298 Speech-Language Pathology Services Fee Schedule October 1 2024 Ref-18299 Transportation Services Fee Schedule October 1 2024 Ref-18300 Behavior Analysis Fee Schedule January 1 2025 Ref-18302 Birth Center Fee Schedule January 1 2025 Ref-18304 Community-Based Substance Abuse County Match Fee Schedule January 1 2025 Ref-18305 County Health Department Certified Match Program Fee Schedule January 1 2025 Ref-18306 Dental General Fee Schedule January 1 2025 Ref-18307 Durable Medical Equipment and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients January 1 2025 Ref-18308 Early Intervention Services Fee Schedule January 1 2025 Ref-18309 Family Home Health Aide Services Fee Schedule January 1 2025 Ref-18310 Hearing Services Fee Schedule January 1 2025 Ref-18311 Home Health Visit Services Fee Schedule January 1 2025 Ref-18312 Independent Laboratory Fee Schedule January 1 2025 Ref-18313 Licensed Midwife Fee Schedule January 1 2025 Ref-18314 Medicaid Certified School Match Program Fee Schedule January 1 2025 Ref-18315 Medical Foster Care Services Fee Schedule January 1 2025 Ref-18317 Personal Care Services Fee Schedule January 1 2025 Ref-18319 Physician Pediatric Surgery Fee Schedule January 1 2025 Ref-18320 Practitioner Fee Schedule January 1 2025 Ref-18321 Practitioner Laboratory Fee Schedule January 1 2025 Ref-18322 Prescribed Drugs Immunization Fee Schedule January 1 2025 Ref-18323 Prescribed Pediatric Extended Care Services Fee Schedule January 1 2025 Ref-18324 Private Duty Nursing Services Fee Schedule January 1 2025 Ref-18325 Radiology Fee Schedule January 1 2025 Ref-18326 Regional Perinatal Intensive Care Center (RPICC) Neonatal Services Fee Schedule January 1 2025 Ref-18327 Regional Perinatal Intensive Care Center (RPICC) Obstetrical Services Fee Schedule January 1 2025 Ref-18328 Respiratory Therapy Services Fee Schedule January 1 2025 Ref-18329 Specialized Therapeutic Services Fee Schedule January 1 2025 Ref-18332 Transportation Services Fee Schedule January 1 2025 Ref-18333 Visual Services Fee Schedule January 1 2025 Ref-18334 County Health Department Billing Codes January 1 2025 Ref-18335 Federally Qualified Health Center Billing Codes January 1 2025 Ref-18336 Hospice Services Billing Codes January 1 2025 Ref-18337 Hospital Outpatient Services Billing Codes January 1 2025 Ref-18338 Intermediate Care Facility for Individuals with Intellectual Disabilities Services Billing Codes January 1 2025 Ref-18340 Prescribed Drugs Physician Administered Billing Codes January 1 2025 Ref-18341 Rural Health Clinic Billing Codes January 1 2025 Ref-18352 Behavioral Health Overlay Services Fee Schedule January 1 2025 Ref-18354 Occupational Therapy Services Fee Schedule January 1 2025 Ref-18356 Targeted Case Management Services Fee Schedule January 1 2025 Ref-18358 Nursing Facility Services Billing Codes January 1 2025 Ref-18359 Statewide Inpatient Psychiatric Program Services Billing Codes January 1 2025 Ref-18362 Speech-Language Pathology Services Fee Schedule January 1 2025 Ref-18363 Occupational Therapy Fee Schedule October 1 2024 Ref-18364 Community Behavioral Health Services Fee Schedule January 1 2025 Ref-18365 Physical Therapy Fee Schedule January 1 2025

History of this Rule since Jan. 6, 2006

Section	Description	ID	Publish Date

Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	29848663	Effective: 08/24/2025
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	28828126	Effective: 10/21/2024
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	27852694	Effective: 12/31/2023
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	26076721	Effective: 08/02/2022
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	25004483	Effective: 09/29/2021
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	23946310	Effective: 12/15/2020
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	22077217	Effective: 07/17/2019
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	21294039	Effective: 01/07/2019
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	20333157	Effective: 05/07/2018
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	19983181	Effective: 02/08/2018
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	19052757	Effective: 06/22/2017
Final 59G-4.002	Provider Reimbursement Schedules and Billing Codes	17625111	Effective: 06/20/2016
Final 59G-4.002	Medicaid Provider Reimbursement Schedules	14521693	Effective: 05/21/2014
Final 59G-4.002	Medicaid Provider Reimbursement Schedules	13195412	Effective: 07/16/2013
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	9608740	Effective: 01/31/2011
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	8224841	Effective: 02/11/2010
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	7036979	Effective: 04/28/2009
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	6174358	Effective: 09/29/2008
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	4372195	Effective: 07/25/2007
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	3915519	Effective: 03/27/2007
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	3051152	Effective: 10/11/2006
Final 59G-4.002	Medicaid Provider Reimbursement Schedule	1845345	Effective: 04/16/2006

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