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Home My WebLink AboutAgenda - 09-15-2015 - 6b 1 ORANGE COUNTY BOARD OF COMMISSIONERS ACTION AGENDA ITEM ABSTRACT Meeting Date: September 15, 2015 Action Agenda Item No. 6-b SUBJECT: Health Department Fee Schedule Changes DEPARTMENT: Health PUBLIC HEARING: (Y/N) No ATTACHMENT(S): INFORMATION CONTACT: Personal Health Fee Schedule Dr. Colleen Bridger, 919-245-2412 Environmental Fee Schedule Rebecca Crawford, 919-245-2414 PURPOSE: To adopt multiple revised Personal Health and Environmental Health fees approved by the Board of Health at its August 26, 2015 meeting. BACKGROUND: The Health Department reviews fee schedules on an annual basis through the budget approval process. However, the State and private vaccine distributors have since increased rates and medical clinic providers wish to make use of new or more descriptive procedure codes. In addition, the Department would like to eliminate Environmental Health well water testing fees for medical referrals. The proposed changes are detailed below and in the attachments. Personal Health Personal Health requests the addition of new fees for multiple procedures codes. These procedures may have been in use at other times under different procedure codes or are more descriptive than current procedure codes that are in use. The division also requests to charge fees for new vaccine types and brands on the market. Finally, Personal Health requests to increase the fees for multiple vaccines that have increased in cost since the last fee changes, which in many cases occurred in 2009 and 2012. Environmental Health Environmental Health and Personal Health request to eliminate fees for all well water testing that is requested by a medical professional. This will allow clients in the Newborn/Postpartum Homevisiting Program that are on well water to have the water tested at no charge. FINANCIAL IMPACT: Personal Health 95% of Personal Health clients will not be affected by these fee changes as only 5% of self-pay patients pay the full cost for procedures. Per Health Department policy, these services are 2 provided to Orange County residents with no insurance coverage on an income based sliding fee scale. The increased fees will allow the Health Department to be reimbursed by Medicaid, Medicare, and private insurers at higher rates to more fully recover the cost of purchasing vaccines, drugs, and administering procedures. The proposed changes, as approved by the Board of Health at its August 26, 2015 meeting, are listed on the attached Personal Health fee schedule. Environmental Health Environmental Health has determined that approximately 95% of clients whose medical professional refers them to have their well water tested qualify for Medicaid or have a low enough income to pay $0 on the medical clinic sliding fee scales. Income at these levels makes paying for the necessary tests cost prohibitive. The average well water test for bacteria, inorganics, heavy metals and nitrate/nitrite totals $110. Additional testing for Volatile Organic Compounds (VOCs), pesticides and petroleum are $110 per sample (if requested by the medical professional). Environmental Health receives an average of 24 medical referrals per year. These are typically for the full well panel. The cost of these referred tests will be absorbed within the Environmental Health budget. The proposed changes, as approved by the Board of Health at its August 26, 2015 meeting, are listed on the attached Environmental Health fee schedule. SOCIAL JUSTICE IMPACT: The following two Orange County Social Justice Goals are applicable to this agenda item: GOAL: ENSURE ECONOMIC SELF-SUFFICIENCY The creation and preservation of infrastructure, policies, programs and funding necessary for residents to provide shelter, food, clothing and medical care for themselves and their dependents. GOAL: CREATE A SAFE COMMUNITY The reduction of risks from vehicle/traffic accidents, childhood and senior injuries, gang activity, substance abuse and domestic violence. RECOMMENDATION(S): The Manager recommends that the Board approve the revised fees as requested. 3 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE PERSONAL HEALTH SERVICES+NUTRITION Requested Fee CPT Code Change for FY Last Description Current Fee 2015-16 Revision Personal Health 10060 Drainage of Skin Abscess $117.00 2009 10061 Drainage of Skin Abscess $200.00 2009 10080 JDrainage of Pilonidal Cyst $195.00 2009 10120 Remove Foreign Body $133.00 2009 10140 Drainage ofHematoma/Fluid $147.00 2009 10160 Puncture Drainage of Lesion $94.00 2008 11000 Debride Infected Skin $56.00 2009 11055 Paring of corn/callus(1 lesion) $46.00 2009 11200 Remove Skin Tags $89.00 2007 11719 Trim Nail(s) $22.00 2008 11720 Debride Nail 1-5 $33.00 2008 11730 Avulsion of Nail Plate $97.00 2011 11740 Drain Blood from Under Nail $56.00 2009 11976 Norplant(Remove) $223.00 2008 11981 Insertion,non-biodegradable drug $250.00 2012 11982 Removal,non-biodegradable drug $154.00 2009 11983 Removal,with reinsertion,non-biodegradable drug $234.00 2009 12001 Repair Superficial Wound(s)2.5cm or less $171.00 2008 12002 Repair Superficial Wound(s)2.6-7.5cm $184.00 2009 16000 Initial Bum(s)Treatment $84.00 2009 16020 Dsg and/or debridement,small $97.00 2009 17000 Destroy Benign/Premal Lesion $72.00 2009 17003 Destroy Lesions,2-14 $18.00 2009 17110 DestructLesion(s),1-14 $109.00 2009 17250 Chem.Cant of granulation tissue $79.00 2009 20550 Inject Single Tendon-Ligament-Cyst $72.00 2009 20551 Inject Single Tendon Orgin?Insertion $67.00 2009 20552 Inject Single-Multi Trigger Pts,1-2 Muscles $67.00 2008 20553 Inject Single-Multi Trigger Pts,3+Muscles $78.00 2009 20600 Drain/Inject,Small Joint or Bursa $67.00 2008 20605 Drain/Inject,Intermediate Joint or Bursa $72.00 2007 20610 Drain/Inject,Major Joint or Bursa $84.00 2009 26010 Drain Finger Abscess,Simple $329.00 2009 29130 Apply Finger Splint,Static $44.00 2009 30300 Remove foreign body intranasal $244.00 2009 30901 Control Nosebleed $123.00 2009 36415 Lab:Venipuncture $18.00 2009 36416 Capillary Puncture $15.00 2012 46083 Incise External Hemmorrhoids $184.00 2009 46600 Diagnostic Anoscopy $100.00 2009 51701 Insertion of non-dwelling bladder cath $94.00 2009 54050 Destroy Lesion(Male) $315.00 2012 56405 Incision/Drainage of Vulva or Perineum $140.00 2009 56420 Incision/Drainage of Gland Abscess $173.00 2009 56501 Destroy Lesions(Female) $260.00 2012 57170 Diaphragm Fit $95.00 2009 57452 Colposcopy of the cervix(without biopsy) $160.00 2012 57454 Colposcopy of the cervix,with biopsy and endocervical cur, $208.00 2012 57455 Colposcopy of the cervix,with biopsy $193.00 2012 57456 Colposcopy of the cervix,with endocervical curettage $183.00 2012 58300 Insert Intrauterine Device(IUD) $160.00 2012 58301 IUD Removal $200.00 2012 59025 Fetal Non Stress $90.00 2012 59425 Antepartum package 4-6 visits $1,900.44 2014 59426 Antepartum package 7+visits $3,408.75 2014 Page 1 of 6 4 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE PERSONAL HEALTH SERVICES+NUTRITION Requested Fee CPT Code Change for FY Last Description Current Fee 2015-16 Revision 59430 Postpartum care only $175.00 2012 64435 Paracervical Block $176.00 2008 65205 IRemove Foreign Body from External Eye $67.00 2007 69200 Remove Foreign Body from Outer Ear Canal $140.00 2006 69210 Remove Ear Wax $67.00 2006 80061 Lipid Panel(Fasting)-UNC Lab $18.00 2006 80101 Urine Toxicology Screen(UNC Lab) $160.88 2010 80178 Lithium Level(UNC Lab) $9.46 2011 81000 U/A(W/Micro) $28.00 2006 81002 U/A(Dipstick Only) $18.00 2006 81025 Pregnancy Test $15.00 2012 82040 Albumin Serum(UNC Lab Test) $6.00 2006 82044 Urine Micro-Albumin(UNC Lab) $4.18 2010 82150 Amylase(UNC Rate) $9.00 2006 82239 Bile Acid Test $93.00 2006 82247 Total Bilirubin(UNC Lab Test) $7.00 2006 82248 Direct Bilirubin(UNC Lab Test) $7.00 2006 82251 Neonatal Bilirubin(UNC Lab Test) $9.00 2006 82270 Hemoccult $11.00 2008 82306 Vitamin D 25(UNC Lab) $71.00 2011 82310 Ca(UNC Lab Test) $7.00 2008 82374 CO2(UNC Lab Test) $6.22 2014 82435 CL(UNC Lab Test) $6.00 2007 82465 Total Cholesterol(UNC Lab Test) $6.00 2006 82565 CREAT(UNC Lab Test) $7.00 2007 82607 B 12(UNC Lab Test) $21.00 2006 82728 Ferritin(UNC Lab Test) $19.00 2006 82746 Folate(UNC Lab Test) $20.00 2006 82772 Fecal occult blood,single spec. $10.00 2006 82784 Iga(UNC Lab) $13.58 2010 82947 GLU(UNC Lab Test) $5.00 2006 82952 GGT 3 HR $25.00 2012 82977 GGT(UNC Lab Test) $11.00 2006 83001 FSH(UNC Lab Test) $25.00 2006 83002 Luteinizing Hormone*UNC rate $25.00 2006 83516 Ttg(UNC Lab $16.85 2010 83540 Iron Profile(FE):IBC(UNC Lab Test) $9.00 2006 83615 LDH(UNC Lab Test) $8.00 2006 83690 Lipase(UNC Rate) $9.00 2006 83718 Lipid Panel(Non-Fasting)HDL(UNC Lab Test) $11.00 2006 83721 LDL(UNC Lab Test) $13.00 2006 84075 ALK PROS(UNC Lab Test) $7.00 2006 84132 K(UNC Lab Test) $6.00 2006 84146 Prolactin(UNC Lab) $27.00 2006 84153 PSA Screen(UNC Lab) $25.00 2006 84153 PSA Diagnostic(UNC Lab) $25.00 2006 84155 'IT-Serum(UNC Lab Test) $5.00 2007 84156 'IT-Urine(UNC Lab Test) $5.00 2006 84295 NA(UNC Lab Test) $6.12 2014 84436 Thyroxine(T4)-(UNC Lab Test) $8.00 2006 84439 Free T4(UNC Lab Test) $12.00 2006 84443 TSH(UNC Lab Test) $22.00 2006 84450 SGOT,AST(UNC Lab Test) 1 $7.00 2006 84460 SGPT,ALT(UNC Lab Test) $7.00 2008 84466 11ron Profile/Tranferrin:%Saturation(UNC Lab Test) $17.00 2006 Page 2 of 6 5 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE PERSONAL HEALTH SERVICES+NUTRITION Requested Fee CPT Code Change for FY Last Description Current Fee 2015-16 Revision 84478 TRIG(UNC Lab Test) $8.00 2006 84479 T3U(UNC Lab Test) $8.00 2006 84481 lFree T3(UNC Lab) $42.00 2010 84520 BUN(UNC Lab Test) $5.01 2014 84550 Uric Acid(UNC Lab Test) $6.00 2006 84702 QUANT HCG/Serum(UNC Lab Test) $12.00 2006 85025 CBC with Diff(UNC Lab Test) $10.00 2006 85027 CBC w/o Diff(UNC Lab Test) $9.00 2006 85611 Prothrombin Time(UNC Lab) $5.00 2006 85651 SED Rate(UNC Lab Test) $4.51 2014 86038 ANA(anti-nuclear antibody)titer(UNC Rate) $16.00 2006 86039 Confirmation,if ANA+(UNC Rate) $15.00 2008 86308 MONO Spot(UNC Lab Test) $7.00 2006 86430 RA Factors-Qual(UNC Lab Test) $7.00 2006 86431 RA Factors-Quan(UNC Lab Test) $7.00 2006 86580 PPD $17.00 2012 86677 H.Pyloric(UNC Lab Test) $20.00 2011 86706 Hepatitis B Surface Antibody(UNC Lab) $15.38 2011 86757 RMSF(Convalescent)(UNC Rate) $27.00 2009 86762 Rubella(UNC Lab Test) $20.00 2009 86787 Varicella Immune Status Test*UNC rate $17.00 2008 86803 Hep C Antibody(UNC Lab) $20.00 2007 86804 Hepatitis C RIBA(UNC Lab Test) $16.00 2009 86870 Antibody Identification(UNC Lab Test) $21.00 2010 86900 ABO Group(UNC Lab Test) $4.00 2009 86901 RH Type(UNC Lab Test) $7.00 2009 87070 Other Bacterial Culture(UNC Lab Test) $12.00 2008 87081 Throat Culture(UNC Lab Test) $8.00 2008 87086 Urine Culture(UNC Lab Test) $11.00 2006 87101 Culture,Fungal Dermatology Screen(UNC Lab) $10.00 2008 87184 ID&Sensitivity(UNC Lab Test) $9.00 2008 87205 STAT Male Smear $22.00 2008 87206 Fungal Direct Test(FDIR)(UNC Lab Test) $7.00 2008 87210 Wet Mount $18.00 2009 87269 Parasitology Test#9807-Giardia(UNC Lab Test) $16.00 2009 87272 Parasitology Test#9807-Cryptosporidium(UNC Lab) $16.00 2009 87340 HBsAG(UNC Lab Test) $13.00 2009 87420 RSV(Respiratory Syncytial Virus)Antigen Screen(UNC Lab) $16.00 2008 87880 Streptococcus Group A Assay W/Optic(UNC Lab) $20.00 2009 88175 Cytopath C/V Auto Fluid Redo $35.00 2012 90460 Admin Fee(1 vaccine)to children by RN or higher $15.70 2012 90461 Admin Fee(2 vaccines)to children by RN or higher $8.84 2012 90470 Administration ofH1N1 Vaccine $18.00 2010 90471 Admin Fee(1 vaccine) $18.00 2012 90472 Admin Fee(2+vaccines) $18.00 2012 Page 3 of 6 6 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE PERSONAL HEALTH SERVICES+NUTRITION Requested Fee CPT Code Change for FY Last Description Current Fee 2015-16 Revision 90473 hmmunization Adm.-Intranasal/Oral $13.71 2014 90474 Immunization Adm.-Intranasal/Oral Additional $13.71 2014 90620 IMeningococcal Group B(Bexsero) New $177.00 90621 Meningococcal Group B(Trumenba) New $248.00 90632 Hep A-Adult $45.00 2012 90633 Hep A(Ped/Adol) $25.00 2010 90636 Twinrix New $102.00 90647 PedVaXHIS Self Pa $40.00 2012 90648 HIB Vaccine $26.00 2012 90649 Gardasil $136.00 $162.00 2012 90651 BPV 9(Gardasil 9) New $180.00 90654 Intradermal flu vaccine $20.00 2012 90655 Preservative free influenza vaccine 6-35 mo $16 $17.00 2011 90656 Preservative free influenza vaccine $18.00 2012 90657 Influenza Split 6-35 mo. $14.00 2009 90658 Influenza Split 3yr and Above $15.00 2012 90660 hifluenza Virus Vaccine Live for Intranasal $23.00 2012 90662 hifluenza-high dose(65+) $40.00 2012 90669 Prevnar(PCV7)-Pneumococcal Vaccine $116.00 2009 90670 Prevnar(PCV13)-Pneumococcal Vaccine $130.00 $167.00 2012 Intranasal administration of live quadrivalent 90672 influenza vaccine New $26.00 90675 Rabies(M) $237.00 $269.00 2009 90676 Rabies vaccine,for intradermal use New $212.00 90680 Rotateq(Rotavirus Vaccine) $99.00 2009 90681 Rotarix New $124.00 90685 Influenza vac quadrivalent prsry free 6-35 mo IM New $16.00 90686 Influenza vac 4 valent prsry free 3 yrs plus IM New $18.00 90696 Kinrix(DTaP/IPV) $52.00 2012 90698 Pentacel(DTaP/IPV/Hlb) New $95.00 90700 Dtap Vaccine(Pediatric)Self Pay $32.00 2012 90702 Diptheria tetanus toxoid absorbed>7yr IM New $40.00 90707 Adult MMR $56.00 $66.00 2009 90713 Inactived Polio Vaccine(IPV) $31.00 2009 90714 Td(pres.free) New $35.00 90715 Tdap Vaccine $39.49 2014 90716 Varicella vaccine $89.00 $111.00 2008 90723 Pediarix(DTaP/Hep B/IPV) New $91.00 90732 Immunization:Pneumococcal-State $65.00 $80.00 2012 90733 Meningococcal Vaccine,Subcutaneous/Jet $100.00 2008 90734 Menactra Meningococcal Vaccine $106.87 $127.00 2014 90736 Zostavax vaccine $179.00 $207.00 2007 90744 Pediatric Hep B Vaccine Self Pay $30.00 2012 90746 Immunization:Hep B(20+yrs) $58.00 2007 90760 IV Infusion Up to One Hour $140.00 2007 90772 Therapeutic prophylactic/diagonostic injection $23.00 2008 90801 Psychiatric Diagnostic Interview Exam $151.00 2008 90802 Psychiatric Diag Interview Exam,Interactive $161.00 2009 90804 Psychother,Indiv,Insight,20-30 min. $65.00 2009 90806 Psychother,Indiv,Insight,45-50 min. $97.00 2007 90808 Psychother,Indiv,Insight,75-80 min. $146.00 2008 90810 Psychother,Indiv,Interac,20-30 min. $70.00 2007 90812 Psychother,Indiv,Interac,45-50 min. $103.00 2009 90814 Psychother,Indiv,Interac,75-80 min. $152.00 2009 90846 IPsychotherapy,Family,w/o Patient $95.00 2009 90847 IPsychotherapy,Family,(Conjoint)W/Pt Present $115.00 2009 Page 4 of 6 7 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE PERSONAL HEALTH SERVICES+NUTRITION Requested Fee CPT Code Change for FY Last Description Current Fee 2015-16 Revision 90853 Psychotherapy,Group $32.00 2009 91781 IV infusion Each Additional Hour up to Eight $39.00 2009 92551 jAudiometry $18.00 2008 92587 OAE(Limited) $100.00 2012 93000 Electrocardiogram,Complete $33.00 2009 93005 Electrocardiogram,Tracing Only $22.00 2009 94640 Airway Inhalation Treatment $22.00 2009 94664 Aerosol/Vapor Inhalation Treatment $22.00 2009 94760 Pulse Oxygen $8.00 2009 96110 Developmental Test $23.00 2012 96152 Health&Behavior Intervention $55.00 2012 96372 Ther/Proph/Diag inj/SC/lM $60.00 2012 97802 Medical Nutrition Therapy/luitial 15 min.Unit $30.00 2009 97803 Medical Nutrition Therapy/Re-Assess 15 min.Unit $30.00 2009 97804 Medical Nutrition Therapy-Group(2 or more) $15.00 2011 99000 Lab:Handling Fee $11.00 2009 99070 Special Supplies $18.00 2009 99173 Vision $7.00 2009 99175 Induction of Vomiting $67.00 2009 99201 New Office/Outpt Tx Brief E&M $110.00 2009 99202 New Office/Outpt Tx Expanded Prob Focused E&M $165.00 2009 99203 New Office/Outpt Tx Detailed E&M $200.00 2009 99204 New Office/Outpt Tx Moderate Complex E&M $335.00 2009 99205 New Office/Outpt Tx High Complex E&M $405.00 2009 99211 Estab Offic/Outpt Tx Brief E&M $60.00 2012 99212 Estab Office/Outpt Tx Prob Focused E&M $100.00 2012 99213 Estab Office/Outpt Tx Expanded Focused E&M $150.00 2012 99214 Estab Office/Outpt Tx Detailed E&M $225.00 2012 99215 Estab Office/Outpt Tx Comprehensive E&M $305.00 2012 99381 Preventive/New Pt<1 yr. $255.00 2012 99382 Preventive/New Pt 1-4 yrs. $270.00 2012 99383 Preventive/New Pt 5-11 yrs. $275.00 2012 99384 Preventive/New Pt 12-17 yrs. $235.00 2012 99385 Preventive/New Pt 18-39 yrs. $235.00 2012 99386 Preventive/New Pt 40-64 yrs. $267.00 2009 99387 Preventive/New Pt 65+yrs. $242.00 2008 99391 Preventive/Estab Pt<1 yr. $225.00 2012 99392 Preventive/Estab Pt 1-4 yrs. $225.00 2012 99393 Preventive/Estab Pt 5-11 yrs. $200.00 2012 99394 Preventive/Estab Pt 12-17 yrs. $205.00 2012 99395 Preventive/Estab Pt 18-39 yrs. $225.00 2012 99396 Preventive/Estab Pt 40-64 yrs. $220.00 2012 99397 Preventive/Estab Pt 65+yrs. $212.00 2004 99406 Tobacco Use Cessation Counseling-Intermediate $10.66 $13.00 2012 99407 Tobacco Use Cessation Counseling-Intensive $22.10 $32.00 2012 99420 Health Check Autism Assessment $9.20 2015 Recoding Education Classes $30.00/hr 2010 Recoding Consultant Services(Health Educators) $20.00/hr 2010 Recoding Patient Education(non Physician) $35.00/unit 2012 Recoding Health Risk Appraisal $12.00 2004 82465QW Cholesterol $11.00 2011 82947QW Glucose(Random) $18.00 2006 82950QW O'Sullivan 1 $28.00 2007 82951QW OGTT(3 HR) $50.00 2006 83036QW lHemoglobin A1C $21.00 1 2006 Page 5 of 6 8 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE PERSONAL HEALTH SERVICES+NUTRITION Requested Fee CPT Code Change for FY Last Description Current Fee 2015-16 Revision 85018QW Hemoglobin $11.00 2009 88175-90 Pap,Thin Prep(State Lab) $18.38 2012 D0145 Oral Evaluation G3 yrs with counseling $55.00 2012 D1206 Topical Fluoride Appl $47.00 2012 Recode Employee Varicella Titer(UNC Lab) $78.00 2009 Recode Employee Measles(Rubeola)Titer $48.00 2009 Recode Employee Mumps Titer $50.00 2009 Recode Employee Rubella Titer $75.00 2009 00008 Adm of Influenza Vaccine $18.00 2009 00008 Admin.Influenza Vaccine-Medicare $18.00 2009 00009 Adm of Pneumococcal Vaccine $18.00 2009 00009 Admin.Pneumococcal Vaccine-Medicare $18.00 2009 New DSME Minimum Fee $20.00 2015 60108 DSME/DSMT Individual Assessment $22.00 2010 60109 DSME/DSMTGroup Class $12.00 2010 60270 Additional MD requested MNT indiv-Medicare $25.00 2010 60271 Additional MD requested MNT group-Medicare $13.00 2010 110001 Alcohol and/or drug assessment New $20.00 H0031 Mental health assessment,by non-physician New $22.00 J1055 Depo Provera Injection $40.00 2012 J1050 Injection,medroxyprogesterone acetate,1 mg New $0.67 J1200 Diphenhydramine HCL/Benadryl up to 50mg $6.00 2009 J1725 Injection hydroxyprogesterone caproate,1 mg New $3.00 J2550 Promethazine_mg $8.00 2009 J2790 Rhogam Injection $88.00 2012 J3420 B-12 Injection $6.00 2009 J3490 17 Alpha-hydroxprogesterone $21.00 2012 J7300 Paragard ND $390.00 2012 J7301 Skyla IUD $0.00 $726.00 J7302 Mirena IUD $745.23 2014 J7303 Nuvaring $57.00 2008 J7307 Implanon $698.99 2014 J0696 Ceftriaxone Sodium/Rocephin per 250mg $22.00 2008 Recoded Sports Physical $44.00 2008 Recoded Camp Physical $44.00 2009 Recoded College Physical $44.00 2009 Recoded I-693 Form $0.00 2015 Recoded Primary Care Minimum Fee $20.00 2012 Recoded MNT Minimum Fee $20.00 2012 Recoded Adult Medicaid Co-pay $3.00 2010 Q2037 Fluvirin Vacc,3 yrs&>,IM New $31.00 Q2038 Fluzone Vacc,3 yrs&>,IM New $40.00 S0280 PMII Risk Screening New $50.00 S4993 Oral Contraceptive Pills $5.00 2012 S9465 Diabetic management program,dietitian visit $35.00 2011 S9470 Nutritional counseling,dietitian visit $35.00 2011 T1002 RN Services up to 15 min. $21.00 2005 S9442 Birthing classes 8.69/1 hr block 2013 90714 TD Vaccine $35.00 2013 **UNC and State Lab Fees in BOLD are established by reference lab and not by OCHD **"No Code and Recode"represent local use codes that can be billed,however are not recognized by ICD-10. Page 6 of 6 9 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE ENVIRONMENTAL HEALTH Requested Fee Change for FY Last Description Current Fee 2015-16 Revision Environmental Health Soil Analysis/ImprovementPermit Single Family Units<600 Gallons per day. Less than 2 acres $390.00 2015 $390+$85 per 600 GPD or fraction of Single Family Units>600 Gallons per day additional WW flow>600 GPD 2015 Fee increases by 50%over the total permit fee Non-domestic WW of a comparably sized domestic WW system 2006 Authorization to construct WW system Single Family Units<600 Gallons per day. Less than 2 acres $290.00 2015 $290+$180 per 600 GPD or fraction of Single Family Units>600 Gallons per day additional WW flow>600 GPD 2015 Double fee for comparably sized domestic Non-domestic WW WW system 2006 Other Misc.Activities Improvement permit(lot w/existing home) $350.00 2006 Permit Site Revision $140.00 2015 Existing System Inspection $140.00 2015 Existing System Authorizations(Office authorization,no field visit required) $25.00 2015 Mobile Home Park 1 to 25 spaces $140.00 2015 26 to 50 spaces $195.00 2015 51 and over spaces $250.00 2015 ME Space Reinspection $85.00 2015 Septic Tank Manufacturer Yard Inspection $280.00 2015 Septic Tank Contractor Registration Fee- New contractor(one time) $225.00 2015 Septic Tank Contractor Fee-Annual Renewal $30.00 2015 Failed Inspection/Reinspection $40.00 2015 Septic Tank Contractor Education Class Fee 1 $50.00 2006 WTMP Initial inspection $140.00 2015 Follow-up inspection $85.00 2015 Wells and Water Samples Well permits $480.00 2015 Abandoned Well Permit Refund(if original Mr well abandoned within 30 days of construction) -$280.00 2015 Permit Site Review Revisions $140.00 2015 Microhiology Total Coliform P/A $60.00 2015 Total Coliform MPN $65.00 2015 Fecal Coliform $65.00 2015 Fecal Coliform/Streptococcus $85.00 2015 Enterococcus,MPN $65.00 2015 Iron Bacteria $65.00 2015 Sulfur/Sulfate-Reducing $75.00 2015 Pseudomonas-MTF or MPN $65.00 2015 10 ORANGE COUNTY HEALTH DEPARTMENT FEE SCHEDULE ENVIRONMENTAL HEALTH Requested Fee Change for FY Last Description Current Fee 2015-16 Revision Heterotrophic Plate Count $60.00 2015 Inorganic Chemistry Full Inorganic Panel $110.00 2015 Metals Panel $95.00 2015 Individual Metals $80.00 2015 Anions-FI,CI,Sulf $65.00 2015 Disinfection By-products $65.00 2015 Fluoride-Physician,Dentist request $25.00 2015 Nitrate/Nitrite $65.00 2015 Arsenic Speciation $65.00 2015 Organic Chemistry Pesticides $110.00 2015 Herbicides $110.00 2015 Petroleum Products $110.00 2015 Volitile Organic Chemicals $110.00 2015 New Well Full Well Panel included in well permit 2015 Existing Well Full Well Panel $110.00 2015 Requested by a Medical Professional Total Coliform P/A $60.00 $0.00 2015 Nitrate/Nitrite $65.00 $0.00 2015 Full Inorganic Panel $110.00 $0.00 2015 Existing Well Full Well Panel $110.00 $0.00 2015 Pesticides $110.00 $0.00 2015 Herbicides $110.00 $0.00 2015 Petroleum Products $110.00 $0.00 2015 Volatile Organic Chemicals $110.00 $0.00 2015 Fluoride-Physician,Dentist request $25.00 $0.00 2015 Radon Air Sample Kit-Radon $20.00 2010 Tattoo Parlors Tattoo Artist Annual Permit fee $250.00 2010 Swimming Pools Swimming Pool Inspection $250.00 2010 Plan Review-Swimming Pools $250.00 2010 Food Service Plan review and permit fee-Temporary Food Establishment $75.00 2010 Plan Review-Food Service Establishment $250.00 2010