D.C. Mun. Regs. tit. 29, § 7114
7114
| Services | Procedure Codes | Rate |
|---|---|---|
| Assistive Technology Services | DME Procedure Codes | Varies depending on code |
| Assessments for Service Planning | T1023 R1 (RC1) | $37.50/15 min |
| T1023 R2 (RC2) | $28.50/ 15 min | |
| Audiology | G0153 GP (group) | $25.13/15 min |
| G0153 R1 (individual RC1) | $37.50/15 min | |
| G0153 R2 (individual RC2) | $28.50/15 min | |
| Developmental Therapy | T1027 R2 (individual RC2) | $27.50/15 min |
| Developmental Therapy– Applied Behavioral Analysis Method | T1027 R1 (individual RC1) | $31.25/15 min |
| T1027 R2 (individual RC2) | $27.50/15 min | |
| T1027 GP (group) | $18.43/15 min | |
| Group Therapy (two (2) or more children) | T1027 GP (group) | $18.43/15 min |
| Nursing Services | G0154 U1 (individual) | $37.50/15 min |
| G0154 GP (group) | $25.13/15 min | |
| Nutrition Services | 97802 R2 (initial) | $30.41/15 min |
| 97803 R2 (subsequent) | $26.49/15 min | |
| 97804 R2 (group) | $13.32/15 min | |
| Occupational Therapy | G0152 U1 (individual) | $37.50/15 min |
| G0152 GP (group) | $25.13/15 min | |
| Social Work Services | 90806 | $70.94/50 min |
| 90846 | $71.06/50 min | |
| Psychological Services | 90802 | $146.76/dx interview |
| 90804 | $54.06/30 min | |
| 90806 | $70.94/50 min | |
| 90808 | $103.32/80 min | |
| 90810 | $55.23/30 min | |
| 96111 | $108. 22 | |
| Physical Therapy | G0151 U1 (individual RC1) | $37.50/15 min |
| G0151 U1 (individual RC2) | $28.50/15 min | |
| G0151 GP (group) | $25.13/15 min | |
| Speech-Language Pathology | G0153 U1 (individual RC1) | $37.50/15 min |
| G0153 GP (group) | $25.13/15 min | |
| Team Treatment Activities (more than one professional providing services during same | T1024 R1 (individual RC1) | $37.50/15 min |
| session for an individual child/family) | ||
|---|---|---|
| Vision Services/Orientation | V2799 R2 (individual RC2) | $37.50/ 15 min |
*Reimbursement Category 1 (RC 1) providers are physical therapists, occupational therapists, speech-language pathologists, nurses (registered nurses or nurse practitioners), psychologists, board certified behavior analysts (BCBAs), audiologists, certified assistive technology specialists, and certified auditory verbal therapists or educators.
*Reimbursement Category 2 (RC 2) providers are PT assistants, OT assistants, certified therapeutic recreational specialists, counselors, special educators, dietitians, family therapists, orientation and mobility specialists, social workers certified nurse aides, LPNs, ABA paraprofessionals, and board certified assistant behavior analysts (BCaBAs).
Per professional.
SOURCE: Final Rulemaking published at 61 DCR 8122 (August 8, 2014).