Montana Facility Fee Schedule Archives

​​​​​​​(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)

CCI Code Edits for 2014 Part 1 (.xlsx, zipped)

CCI Code Edits for 2014 Part 2 (.xlsx, zipped)
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

Complete Excel File July 1, 2014 - June 30, 2015

​Complete Excel File July 1, 2013 - June 30, 2014​
(g) The Montana CCR and other Montana CCR-based Calculations

Complete Excel File for July 1, 2015

CCR Values for 2014

July 1, 2014 - Sep​tember 30, 2014

PDF File ​July 1, 2013 - June 30, 2014
October 1, 2010 - June 30, 2013
2008 - September 30, 2010
(h) The Montana Status Indicator Codes

Complete Excel File for July 1, 2015

​​Complete Excel File July 1, 2014 - June 30, 2015

​​Complete Excel File July 1, 2013 - June 30, 2014
July 1, 2011 - June 30, 2013
Prior to July 1, 2011
(i) Place of Service Codes

Complete Excel File for July 1, 2015

July 1, 2014 - June 30, 2015

July 1, 2013 - June 30, 2014
(j) Modifiers

Complete Excel File for July 1, 2015

July 1, 2014 - June 30, 2015

July 1, 2013 - June 30, 2014
(k) Facility Fee Schedule Instruction Set

Facility Fee Schedule Instruction Set for 2015

July 1, 2014 - June 3​0, 2015

July 1, 2013 - June 3​0, 2014
Prior to July 1, 2013
Unit One - Understanding Montana Workers' Compensation (WC) Facility Fee Schedule
Unit Two - Understanding the Workers' Compensation (WC) Facility Fee Schedule (Using the UB04)
(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, 2013Passive 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​​​​