Developmental Evaluation Center fee schedule
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This document lists procedure codes, modifiers, and the associated reimbursement rates and effective date for the South Carolina Developmental Evaluation Center program; it affects providers billing these specific codes to South Carolina Department of Health and Human Services.
No material clinical or coverage changes in this revision.
Reimbursement / Fee Schedule Details
Fee schedule entries
Reimbursement amounts by code and modifier:
Procedure Codes, Modifiers, and Effective Date
| T1023 | Developmental Evaluation Center service |
| T1023-GT | Same service with GT modifier |
| T1023-TF | Same service with TF modifier |
| T1024 | Developmental Evaluation Center service |
| T1024-GT | Same service with GT modifier |
| T1024-TF | Same service with TF modifier |
| G9004 | Ancillary code listed on fee schedule |
| G9011 | Ancillary code listed on fee schedule |
Billing and Provider Impact
Billing: fee schedule provides rates and effective date; no prior authorization specified
The fee schedule lists specific procedure codes, modifier variants, reimbursement rates, and an effective date but does not state any prior authorization, documentation, or denial criteria. Bill the listed codes with the appropriate modifier and rate effective 7/1/2024; no prior authorization requirement is specified in this schedule.
- Use the exact procedure code and modifier as listed (e.g., T1023, T1023‑GT, T1023‑TF, T1024, T1024‑GT, T1024‑TF, G9004, G9011).
- Apply the listed rate for the code/modifier combination (e.g., T1023/T1024 00 or GT = $126.90; TF = $113.98; G9004/G9011 = $17.63).
- All listed rates are effective 7/1/2024; submit claims using the effective-date rates.
- The schedule contains reimbursement information only and does not specify prior authorization, required documentation, or denial rules—providers should follow standard agency submission and documentation practices or consult other policy sections if authorization guidance is needed.
Modifier Definitions
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