A family planning annual exam consists of a comprehensive health history and physical examination, including medical laboratory evaluations as indicated, an assessment of the client's problems and needs, and the implementation of an appropriate contraceptive management plan. The annual exam is allowed once per fiscal year, per client, per provider. Other family planning office or outpatient visits may be billed within the same year.
Title XIX Only
Procedure Code
Age
Fee for Title XIX
99204* With modifier FP
20 years of age or younger
$90.07
21 years of age or older
$81.24
99214* With modifier FP
20 years of age or younger
$52.86
21 years of age or older
$47.68
Title V and XX Only
Procedure Code
Fee for Title V or XX
99204 With modifier FP or 99214 With modifier FP
$48.28
$41.46
Texas Medicaid & Healthcare Partnership CPT only copyright 2008 American Medical Association. All rights reserved.
