Physician Manual Archive

Below are the previous versions of the Physician Manual.

Version	Manual Document	Change Notes
2023-10 2023-7 2023-3 2023-3 Archived October 2, 2023	Fee Schedule: Drug (XLS 208KB) Fee Schedule: Medicine (XLS 396KB) Fee Schedule: Radiology (XLS 156KB) Fee Schedule: Surgery (XLS 931KB)
2023-9 2023-6 Archived September 22, 2023	Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 388KB)
2023-8 Archived September 1, 2023	Fee Schedule: Drug (XLS 208KB)
2023-7 Archived July 31, 2023	Fee Schedule: Drug (XLS 203KB)
2022-1 Archived July 17, 2023	Policy Guidelines (PDF 1,161KB)
2023-6 Archived July 5, 2023	Fee Schedule: Drug (XLS 209KB)
2022-2 2022-1 2022-1 2022-2 Archived May 26, 2023	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1347KB) Procedure Codes: Surgery (PDF 2688KB) Procedure Codes: Anesthesia (PDF 803KB) Procedure Codes: Radiology (PDF 938KB)
2023-5 2023-5 Archived May 18, 2023	Fee Schedule: Drug (XLS 203KB) Fee Schedule: Medicine (XLS 378KB)
2023-4 2023-4 2023-2 Archived May 15, 2023	Fee Schedule: Drug (XLS 210KB) Fee Schedule: Medicine (XLS 384KB) Fee Schedule: Surgery (XLS 932KB)
2023-1 2023-3 2023-3 2023-2 2023-1 Archived May 2, 2023	Fee Schedule: Anesthesia (XLS 70KB) Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 394KB) Fee Schedule: Radiology (XLS 156KB) Fee Schedule: Surgery (XLS 931KB)
2023-2 Archived February 13, 2023	Fee Schedule: Drug (XLS 213KB)
2023-2 Archived February 6, 2023	Fee Schedule: Medicine (XLS 400KB)
2023-1 2023-1 Archived January 30, 2023	Fee Schedule: Medicine (XLS 401KB) Fee Schedule: Drug (XLS 263KB)
2023-1 Archived January 24, 2023	Fee Schedule: Radiology (XLS 161KB)
2022-11 2022-4 2022-3 2017-1 Archived December 22, 2022	Fee Schedule: Medicine (XLS 396KB) Fee Schedule: Radiology (XLS 154KB) Fee Schedule: Surgery (XLS 928KB) Enhanced Program Fee Schedule (XLS 48KB)
2022-10 Archived November 29, 2022	Fee Schedule: Medicine (XLS 396KB)
2022-9 Archived November 4, 2022	Fee Schedule: Medicine (XLS 395KB)
2022-8 Archived October 19, 2022	Fee Schedule: Medicine (XLS 395KB)
2022-5 2022-7 Archived October 5, 2022	Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 394KB)
2022-4 2022-6 2022-3 Archived September 7, 2022	Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 395KB) Fee Schedule: Radiology (XLS 154KB)
2022-3 2022-5 2022-2 Archived August 16, 2022	Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 394KB) Fee Schedule: Surgery (XLS 928KB)
2022-4 Archived August 10, 2022	Fee Schedule: Medicine (XLS 394KB)
2022-3 Archived August 2, 2022	Fee Schedule: Medicine (XLS 382KB)
2022-2 2022-2 2022-2 Archived June 30, 2022	Fee Schedule: Drug (XLS 207KB) Fee Schedule: Medicine (XLS 382KB) Fee Schedule: Radiology (XLS 154KB)
2022-1 2022-1 Archived June 30, 2022	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1348KB) Procedure Codes: Radiology (PDF 940KB)
2022-1 2022-1 2022-1 2022-1 2022-1 Archived April 19, 2022	Fee Schedule: Anesthesia (XLS 71KB) Fee Schedule: Drug (XLS 204KB) Fee Schedule: Medicine (XLS 382KB) Fee Schedule: Radiology (XLS 154KB) Fee Schedule: Surgery (XLS 922KB)
2021-3 2021-1 2021-4 2021-1 Archived April 19, 2022	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1340KB) Procedure Codes: Radiology (PDF 940KB) Procedure Codes: Surgery (PDF 3005KB) Procedure Codes: Anesthesia (PDF 1966KB)
2015 - 4 (10/15/15) Archived March 18, 2022	Policy Guidelines (PDF 1,122KB)
2021-2 2021-6 2021-6 2021-3 2021-4 Archived March 11, 2022	Fee Schedule: Anesthesia (XLS 74KB) Fee Schedule: Drug (XLS 187KB) Fee Schedule: Medicine (XLS 378KB) Fee Schedule: Radiology (XLS 152KB) Fee Schedule: Surgery (XLS 920KB)
2021-2 Archived November 19, 2021	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1336KB)
2021-5 Archived September 30, 2021	Fee Schedule: Drug (XLS 203KB)
2021-3 2021-3 Archived September 23, 2021	Fee Schedule: Surgery (XLS 920KB) Procedure Codes: Surgery (XLS 215KB)
2021-4 Archived September 7, 2021	Fee Schedule: Drug (XLS 203KB)
2021-5 Archived September 7, 2021	Fee Schedule: Medicine (XLS 378KB)
2021-3 Archived August 26, 2021	Fee Schedule: Drug (XLS 196KB)
2021-4 Archived August 2, 2021	Fee Schedule: Medicine (XLS 376KB)
2021-2 2021-2 2021-3 Archived July 1, 2021	Fee Schedule: Radiology (XLS 153KB) Fee Schedule: Drug (XLS 195KB) Fee Schedule: Medicine (XLS 370KB)
2021-1 2021-2 Archived July 1, 2021	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1333KB) Procedure Codes: Surgery (PDF 2152KB)
2021-1 Archived June 9, 2021	Procedure Codes: Surgery (PDF 3005KB)
2021-1 2021-1 2021-2 2021-1 2021-2 Archived April 27, 2021	Fee Schedule: Anesthesia (XLS 74KB) Fee Schedule: Drug (XLS 187KB) Fee Schedule: Medicine (XLS 370KB) Fee Schedule: Radiology (XLS 152KB) Fee Schedule: Surgery (XLS 919KB)
2020-2 2020-1 2020-1 2020-1 Archived April 27, 2021	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1995KB) Procedure Codes: Radiology (PDF 1040KB) Procedure Codes: Surgery (PDF 3005KB) Procedure Codes: Anesthesia (PDF 833KB)
2021-1 2021-1 Archived January 8, 2021	Fee Schedule: Medicine (XLS 369KB) Fee Schedule: Surgery (XLS 919KB)
2020-1 2020-5 2020-6 2020-3 2020-3 Archived January 4, 2021	Fee Schedule: Anesthesia (XLS 74KB) Fee Schedule: Drug (XLS 187KB) Fee Schedule: Medicine (XLS 370KB) Fee Schedule: Radiology (XLS 156KB) Fee Schedule: Surgery (XLS 919KB)
2020-4 2020-1 Archived September 4, 2020	Fee Schedule: Drug and Drug Administration (XLS 187KB) Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1058KB)
2019-2 2019-1 2019-1 2019-1 Archived August 17, 2020	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1995KB) Procedure Codes: Radiology (PDF 1040KB) Procedure Codes: Surgery (PDF 3005KB) Procedure Codes: Anesthesia (PDF 833KB)
2020-5 2020-3 2020-2 2020-2 Archived August 17, 2020	Fee Schedule: Medicine (XLS 370KB) Fee Schedule: Drug and Drug Administration (XLS 191KB) Fee Schedule: Radiology (XLS 156KB) Fee Schedule: Surgery (XLS 919KB)
2020-2 Archived June 5, 2020	Fee Schedule: Drugs (XLS 190KB)
2020-4 Archived May 20, 2020	Fee Schedule: Medicine (XLS 370KB)
2020-3 Archived April 30, 2020	Fee Schedule: Medicine (XLS 373KB)
2020-1 Archived April 30, 2020	Fee Schedule: Drugs (XLS 181KB)
2020-1 Archived April 30, 2020	Fee Schedule: Radiology (XLS 155KB)
2020-1 Archived April 30, 2020	Fee Schedule: Surgery (XLS 923KB)
2019-1 Archived April 30, 2020	Fee Schedule: Anesthesia (XLS 74KB)
2020-2 Archived April 13, 2020	Fee Schedule: Medicine (XLS 370KB)
2020-1 Archived March 24, 2020	Fee Schedule: Medicine (XLS 371KB)
2019-1 2019-2 2019-2 2019-3 Archived January 13, 2020	Fee Schedule: Medicine (XLS 355KB) Fee Schedule: Drug and Drug Administration (XLS 181KB) Fee Schedule: Radiology (XLS 150KB) Fee Schedule: Surgery (XLS 914KB)
2019-1 Archived December 18, 2019	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1154KB)
2019-2 (04/01/19) Archived August 28, 2019	Fee Schedule: Surgery (XLS 913KB)
2018-1 2018-1 2018-1 2018-1 Archived March 22, 2019	Procedure Codes: Medicine, Drugs, and Drug Administration (PDF 1264KB) Procedure Codes: Radiology (PDF 649KB) Procedure Codes: Surgery (PDF 1111KB) Procedure Codes: Anesthesia (PDF 512KB)
2019-1 (01/01/19) 2019-1 (01/01/19) 2019-1 (01/01/19) Archived March 22, 2019	Fee Schedule: Drug & Drug Administration (XLS 177KB) Fee Schedule: Radiology (XLS 149KB) Fee Schedule: Surgery (XLS 913KB)
2018-2 (04/01/18) 2018-2 (04/01/18) 2018-1 (01/01/18) 2018-2 (04/01/18) 2018-1 (01/01/18) Archived December 27, 2018	Fee Schedule: Medicine (XLS 124KB) Fee Schedule: Drug & Drug Administration (XLS 176KB) Fee Schedule: Radiology (XLS 150KB) Fee Schedule: Surgery (XLS 912KB) Fee Schedule: Anesthesia (XLS 74KB)
2017-1 Archived March 30, 2018	Procedure Codes: Medicine and Drugs (PDF 512KB)
2018-1 (01/01/18) 2018-1 (01/01/18) 2018-1 (01/01/18) Archived March 30, 2018	Fee Schedule: Medicine (XLS 124KB) Fee Schedule: Drug & Drug Administration (XLS 174KB) Fee Schedule: Surgery (XLS 911KB)
2017-1 2017-1 2017-1 Archived March 27, 2018	Procedure Codes: Radiology (PDF 206KB) Procedure Codes: Surgery (PDF 1.08MB) Procedure Codes: Anesthesia (PDF 99KB)
2017-2 (04/01/17) 2017-2 (04/01/17) 2017-2 (04/01/17) 2017-2 (04/01/17) 2017-1 (01/01/17) Archived December 27, 2017	Fee Schedule: Medicine (XLS 122KB) Fee Schedule: Drug & Drug Administration (XLS 177KB) Fee Schedule: Radiology (XLS 151KB) Fee Schedule: Surgery (XLS 909KB) Fee Schedule: Anesthesia (XLS 62KB)
2017-1 (04/01/10) Archived July 21, 2017	Enhanced Program Fee Schedule: Physician Section 6 (XLS 22KB)
2017-1 (01/01/17) 2017-1 (01/01/17) 2017-1 (01/01/17) 2017-1 (01/01/17) Archived March 24, 2017	Fee Schedule: Medicine (XLS 121KB) Fee Schedule: Drug & Drug Administration (XLS 175KB) Fee Schedule: Radiology (XLS 150KB) Fee Schedule: Surgery (XLS 909KB)
2015-1 (10/15/15) 2016-1 2016-1 2016-2 2016-1 Archived March 23, 2017	Procedure Codes: General Information (PDF 80KB) Procedure Codes: Medicine and Drugs (PDF 521KB) Procedure Codes: Radiology (PDF 216KB) Procedure Codes: Surgery (PDF 1.28MB) Procedure Codes: Anesthesia (PDF 101KB)
2016-2 (04/01/16) 2016-2 (04/01/16) 2016-2 (04/01/16) 2016-1 (01/01/16) 2016-1 (01/01/16) Archived December 29, 2016	Fee Schedule: Medicine (XLS 115KB) Fee Schedule: Drug & Drug Administration (XLS 169KB) Fee Schedule: Surgery (XLS 903KB) Fee Schedule: Anesthesia (XLS 62KB) Fee Schedule: Radiology (XLS 57KB)
2016-1 (03/30/16) Archived April 27, 2016	Procedure Codes: Surgery (PDF 1.13MB)
2016-1 (01/01/16) 2016-1 (01/01/16) 2016-1 (01/01/16) Archived March 30, 2016	Fee Schedule: Medicine (XLS 119KB) Fee Schedule: Drug & Drug Administration (XLS 169KB) Fee Schedule: Surgery (XLS 800KB)
2015-2 (05/05/15) 2015-2 (05/05/15) 2015-2 (05/05/15) 2015-2 (05/05/15) Archived March 30, 2016	Procedure Codes: Medicine and Drugs (PDF 454KB) Procedure Codes: Radiology (PDF 193KB) Procedure Codes: Surgery (PDF 1.05MB) Procedure Codes: Anesthesia (PDF 104KB)
2015 - 1 (01/01/15) 2015 - 2 (04/01/15) 2015 - 2 (04/01/15) 2015 - 2 (04/01/15) 2015 - 2 (04/01/15) Archived December 29, 2015	Fee Schedule Anesthesia (XLS 57KB) Fee Schedule Drug & Drug Administration (XLS 51KB) Fee Schedule Medicine (XLS 49KB) Fee Schedule Radiology (XLS 137KB) Fee Schedule Surgery (XLS 312KB)
2008 - 1 (05/15/08) 2015 - 3 (08/07/15) Archived October 15, 2015	Procedure Codes - General Information (PDF 41KB) Policy Guidelines (PDF 308KB)
2008 - 2 (04/15/08) Archived September 14, 2015	Policy Guidelines (PDF 339KB)
2008 - 1 (05/08/08) Archived September 14, 2015	Prior Approval Guidelines (PDF 282KB)
2015 - 1 (01/01/15) Archived May 5, 2015	Fee Schedules Surgery (XLS 785KB)
2015 - 1 (01/01/15) Archived May 5, 2015	Fee Schedules Radiology (XLS 137KB)
2015 - 1 (01/01/15) Archived May 5, 2015	Fee Schedules Drugs (XLS 115KB)
2015 - 1 (01/01/15) Archived May 5, 2015	Fee Schedules Medicine (XLS 114KB)
2015 - 1 (04/01/14) Archived May 5, 2015	Procedure Codes Medicine and Drugs (PDF 667KB)
2015 - 1 (04/01/14) Archived May 5, 2015	Procedure Codes Radiology (PDF 294KB)
2015 - 1 (04/01/14) Archived May 5, 2015	Procedure Codes Surgery (PDF 1,724KB)
2015 - 1 (04/01/11) Archived May 5, 2015	Procedure Codes Anesthesia (PDF 96KB)
2014 - 2 (04/01/14) Archived March 10, 2015	Fee Schedules Radiology (XLS 148KB)
2014 - 3 (09/01/14) Archived December 31, 2014	Fee Schedules Medicine (XLS 125KB)
2014 - 2 (04/01/14) Archived December 31, 2014	Fee Schedules Drugs and Drug Administration (XLS 175KB)
2014 - 2 (04/01/14) Archived December 31, 2014	Fee Schedules Surgery (XLS 825KB)
2010 - 1 (11/18/10) Archived December 31, 2014	Fee Schedules Anesthesia (XLS 71KB)
2014 - 2 (04/01/14) Archived August 29, 2014	Fee Schedules Medicine (XLS 130KB)
2013 - 2 (01/01/13) Archived May 23, 2014	Primary Care Rate Increase Fee Schedule (XLSX 38KB)
2014 - 1 (04/01/14) Archived May 12, 2014	Procedure Codes: Medicine and Drugs (PDF 645KB)
2014 - 1 (01/01/14) Archived April 4, 2014	Fee Schedules: Fee Schedules Drugs (XLS 173KB) Fee Schedules Medicine (XLS 130KB) Fee Schedules Radiology (XLS 148KB) Fee Schedules Surgery (XLS 791KB)
2013 - 2 (04/01/13) Archived April 4, 2014	Procedure Codes: Procedure Codes Medicine and Drugs (PDF 688KB) Procedure Codes Radiology (PDF 266KB) Procedure Codes Surgery (PDF 1763KB)
2013 - 3 (4/01/13) Archived January 2, 2014	Fee Schedules: Fee Schedules Drugs (XLS 173KB) Fee Schedules Medicine (XLS 128KB) Fee Schedules Radiology (XLS 148KB) Fee Schedules Surgery (XLS 786KB)
2013 - 4 (05/01/13) Archived October 8, 2013	Primary Care Rate Increase FAQs (PDF 169KB)
2013 - 1 (01/01/13) Archived June 26, 2013	Primary Care Rate Increase Fee Schedule (XLSX 34KB)	Added a tab with a key for the regions.
2013 - 2 (1/01/13) Archived April 9, 2013	Fee Schedules: Fee Schedules Drugs (XLS 163KB) Fee Schedules Medicine (XLS 138KB) Fee Schedules Radiology (XLS 147KB) Fee Schedules Surgery (XLS 836KB)
2013 - 1 (1/01/13) Archived April 9, 2013	Procedure Codes: Procedure Codes Medicine and Drugs (PDF 644KB) Procedure Codes Radiology (PDF 264KB) Procedure Codes Surgery (PDF 1.75MB)
2012 - 2 (04/01/12) Archived January 2, 2013	Fee Schedules: Fee Schedules Drugs (XLS 119KB) Fee Schedules Medicine (XLS 130KB) Fee Schedules Radiology (XLS 151KB) Fee Schedules Surgery (XLS 885KB)
2011 - 1 (4/01/11) Archived April 4, 2012	Procedure Codes: Procedure Codes Medicine and Drugs (PDF 657KB) Procedure Codes Radiology (PDF 275KB) Procedure Codes Surgery (PDF 1.71MB)
2012 - 1 (01/01/12) Archived April 4, 2012	Fee Schedules: Fee Schedules Drugs (XLS 128KB) Fee Schedules Medicine (XLS 117KB) Fee Schedules Radiology (XLS 150KB) Fee Schedules Surgery (XLS 877KB)
2011 - 2 (04/01/11) Archived December 29, 2011	Fee Schedules: Fee Schedules Drugs (XLS 114KB) Fee Schedules Medicine (XLS 124KB) Fee Schedules Surgery (XLS 879KB)
2011 - 3 (07/01/11) Archived December 29, 2011	Fee Schedules Radiology (XLS 149KB)
2011 - 2 (04/01/11) Archived June 30, 2011	Fee Schedules Radiology (XLS 143KB)
2010 - 2 (12/23/10) Archived June 20, 2011	150003 Billing Guidelines (PDF 6.46MB)
2010 - 1 (4/01/10) Archived April 4, 2011	Procedure Codes: Procedure Codes Radiology (PDF 336KB) Procedure Codes Surgery (PDF 2.15MB)
2011 - 1 (01/01/11) Archived April 4, 2011	Fee Schedules: Fee Schedules Radiology (XLS 136KB) Fee Schedules Surgery (XLS 874KB)
2011 - 1 (01/01/11) Archived April 1, 2011	Fee Schedules: Fee Schedules Medicine (XLS 122KB) Fee Schedules Drugs (XLS 111KB)
2010 - 1 (11/18/10) Archived April 1, 2011	Procedure Codes Anesthesia (PDF 111KB)
2010 - 1 (04/01/10) Archived April 1, 2011	Procedure Codes Medicine and Drugs (PDF 973KB)
2010 - 1 (11/18/10) Archived January 12, 2011	150003 Billing Guidelines (PDF 6.09MB)
2010 - 2 (10/01/10) Archived January 5, 2011	Fee Schedules Drugs (XLS 112KB)
2010 - 1 (4/01/10) Archived January 5, 2011	Fee Schedules: Fee Schedules Medicine (XLS 132KB) Fee Schedules Radiology (XLS 142KB) Fee Schedules Surgery (XLS 951KB)
2010 - 02 (07/01/10) Archived November 17, 2010	150002 Billing Guidelines (PDF 1.98MB)
2010 - 1 (4/01/10) Archived September 30, 2010	Fee Schedules Drugs (XLS 109KB)
2010 - 01 (05/31/10) Archived July 29, 2010	150002 Billing Guidelines (PDF 2.34MB)
2009 - 3 (12/01/09) Archived July 19, 2010	150002 Billing Guidelines (PDF 852KB)
2009 - 1 (4/01/09) Archived April 1, 2010	Fee Schedules: Fee Schedules Medicine (XLS 130k) Fee Schedules Drugs (XLS 260k) Fee Schedules Radiology (XLS 155k) Fee Schedules Surgery (XLS 1.02MB)
2009 - 1 (4/01/09) Archived April 1, 2010	Procedure Codes: Procedure Codes Medicine (PDF 294k) Procedure Codes Drugs (PDF 148k) Procedure Codes Radiology (PDF 242k) Procedure Codes Surgery (PDF 853k)
2009 - 2 (10/01/09) Archived December 3, 2009	150002 Billing Guidelines (PDF 1.48MB)
2009 - 1 (1/29/08) Archived September 23, 2009	150002 Billing Guidelines (PDF 1.30MB)
2009 - 1 (1/02/09) Archived May 7, 2009	150001 Billing Guidelines (PDF 441KB)
2008 - 1 (5/15/08) Archived April 1, 2009	Procedure Codes: Procedure Codes Medicine (PDF 413k) Procedure Codes Drugs (PDF 71k) Procedure Codes Radiology (PDF 140k) Procedure Codes Surgery (PDF 764k)
2009 - 1 (12/22/08) Archived April 1, 2009	Fee Schedules: Fee Schedules Medicine (XLS 118k) Fee Schedules Drugs (XLS 101k) Fee Schedules Surgery (XLS 933k)
2008 - 4 (11/11/08) Archived January 05, 2009	Billing Guidelines (PDF 1.03MB)
2009 - 1 (12/08) Archived December 11, 2008	Fee Schedules Radiology (XLS 187k)
2008 - 3 (6/4/08) Archived December 4, 2008	Billing Guidelines (PDF 465KB)
2008 - 1 (5/21/08) Archived November 25, 2008	Fee Schedules: Fee Schedules Medicine (XLS 99k) Fee Schedules Drugs (XLS 89k) Fee Schedules Radiology (XLS 116k) Fee Schedules Surgery (XLS 740k)
2006 - 1 (11/21/06) Archived August 4, 2008	Prior Approval Guidelines (PDF 124KB)
2008 - 2 (1/30/08) Archived July 24, 2008	Billing Guidelines (PDF 462KB)
2006 - 1 (4/06) Archived May 21, 2008	Procedure Codes & Fee Schedule (PDF 1.3MB) Update - 1/1/2007 (PDF 49KB) Update - 4/1/2007 (PDF 17KB) Update - 1/1/2008 (PDF 32KB) Update - 4/2/2008 (PDF 29KB)
2008 - 1 (2/15) Archived May 14, 2008	Policy Guidelines (PDF 338KB)
2004 - 1 (1/05) Archived February 29, 2008	Policy Guidelines (PDF 617KB)
2008 - 1 (1/16) Archived February 6, 2008	Billing Guidelines (PDF 463KB)
2007 - 1 (5/07) Archived January 18, 2008	Billing Guidelines (PDF 491KB)
2007 - 1 Archived October 5, 2007	Procedure Codes & Fee Schedule Update (PDF 17KB)
2006 - 1 (5/06) Archived July 11, 2007	Billing Guidelines (PDF 537KB)
2004 - 1	Prior Approval Guidelines (PDF 150KB)
2005 - 1	Billing Guidelines (PDF 560KB)
2005 - 1 (4/05)	Procedure Codes & Fee Schedule (PDF 1.3MB)