Archive Fee Schedule

(a) The Montana Hospital Inpatient Services MS-DRG Reimbursement Fee
Complete Excel File for July 1, 2015
​​Complete Excel File October 1, 2014
Complete Excel File July 1, 2014
Complete Excel File October 1, 2013
Complete Excel File July 1, 2013
Complete Excel File October 1, 2010
Complete Excel File October 1, 2009
Complete Excel File December 1, 2008
(b) The Montana Hospital Outpatient and ASC Fee Schedule Organized by APC
Complete Excel File for July 1, 2015
​Complete Excel File April 1, 2015
Complete Excel File July 1, 2014
Complete Excel File April 1, 2014
Complete Excel File July 1, 2013
Complete Excel File July 1, 2011
Complete Excel File April 1, 2011
Complete Excel File January 1, 2011
Complete Excel File October 1, 2010
Complete Excel File July 1, 2010
Complete Excel File April 1, 2010
Complete Excel File January 1, 2010
Complete Excel File October 1, 2009
Complete Excel File July 1, 2009
Complete Excel File April 1, 2009
Complete Excel File Pre April 1, 2009
(c) The Montana Hospital Outpatient and ASC Fee Schedule Organized  by CPT/HCPCS
Complete Excel File for July 1, 2015
Complete Excel File April 1, 2015
Complete Excel File July 1, 2014
Complete Excel File April 1, 2014
Complete Excel File July 1, 2013
Complete Excel File July 1, 2011
Complete Excel File April 1, 2011
Complete Excel File January 1, 2011
Complete Excel File October 1, 2010
Complete Excel File July 1, 2010
Complete Excel File April 1, 2010
Complete Excel File January 1, 2010
Complete Excel File October 1, 2009
Complete Excel File July 1, 2009
Complete Excel File April 1, 2009
Complete Excel File Pre April 1, 2009
Organized by Code on Dental Procedures and Nomenclature (CDT)
Request Dental Codes July 1, 2014 - June 30, 2015
Dental Codes Excel File July 1, 2013
(d) Montana Ambulance Fee Schedule
Complete Excel File for July 1, 2015
Complete Excel File July 1, 2014
Complete Excel File April 1, 2014
Complete Excel File July 1, 2013
(e) The Montana CCI Code Edits Listing
CCI Code Edits for 2016 (.xlsx)
Complete Excel File July 1, 2013 - June 30, 2014​ (Zipped)
Complete Excel File July 1, 2011 - June 30, 2013 (Zipped)
Complete Excel File Pre-July 1, 2011 (Zipped)
​(f) Medically Unlikely Edits (MUEs)
Complete Excel File for July 1, 2015
(g) The Montana CCR and other Montana CCR-based Calculations
Complete Excel File for July 1, 2015
CCR Values for 2014
October 1, 2010 - June 30, 2013
2008 - September 30, 2010
(h) The Montana Status Indicator Codes
Complete Excel File for July 1, 2015
July 1, 2011 - June 30, 2013
Prior to July 1, 2011
(i) Place of Service Codes
Complete Excel File for July 1, 2015
(j) Modifiers
Complete Excel File for July 1, 2015
(k) Facility Fee Schedule Instruction Set
Facility Fee Schedule Instruction Set for 2015
July 1, 2014 - June 30, 2015
Prior to July 1, 2013
(l) Guidance
April 1, 2015: Facility Fee Schedule (outpatient) J1 Status Indicator Professional Fee Schedule Modifier 59
June 30, 2014: Non-patient Hospital Outpatient Clinical Diagnostic Laboratory Test Payment and Billing
January 28, 2014: Professional Fee Service Clarification for DOS on or after July 1, 2013 Passive therapy vs passive modalities
October 16, 2013: Amended Guidance/Clarification Treatment Room Billing at a Facility Physical Therapy (PT), Speech Therapy (ST), and Occupational Therapy (OT)
(i) The Base Rates and Conversion Formulas Established by The Department
July 1, 2011 - June ​30, 2013
January 1, 2003 - December 31, 2007
January 1, 1995 - December 31, 2002