Plan 2 Security Deposit Forms
Montana Facility Fee Schedule Archives
(a) The Montana Hospital Inpatient Services MS-DRG Reimbursement Fee
| Complete Excel File Effective October 1, 2009 | |
| Complete Excel File Effective December 1, 2008 |
(b) The Montana Hospital Outpatient and ASC Fee Schedule Organized by APC
(c) The Montana Hospital Outpatient and ASC Fee Schedule Organized by CPT/HCPCS
(d) The Montana CCI Code Edits Listing
Complete Excel File Zipped
| 0001T-19999 | Category III Codes and Surgery (Integumentary System) | ZIP | |
| 20000-29999 | Surgery (Musculoskeletal) | ZIP | |
| 30000-39999 | Surgery(Respiratory, Cardiovascular, Hemic and Lymphatic Systems) | ZIP | |
| 40000-49999 | Surgery(Digestive System) | ZIP | |
| 50000-59999 | Surgery(Urinary, Male Genital, Female Genital, Maternity Care and Delivery Systems) | ZIP | |
| 60000-69999 | Surgery(Endocrine, Nervous, Eye and Ocular Adnexa, Auditory Systems) | ZIP | |
| 70000-79999 | Surgery Radiology Services | ZIP | |
| 80000-89999 | Pathology and Laboratory Services | ZIP | |
| 90000-99999 | Medicine Evaluation and Management Services | ZIP | |
| 0001T-99999 | All Mutually Excluded Codes | ZIP |
(e) The Montana RCC and other Montana RCC-based Calculations
(f) The Montana Status Indicator Codes
| Complete Excel File |
(g) The Base Rates and Conversion Formulas Established by The Department
(h) Montana Hospital Rate Change Report
Microsoft Excel (xls)
Microsoft Word, Pg1 (doc)
Microsoft Word, Pg2 (doc)
Microsoft Word, Pg3 (doc)
