State-mandated changes to physical exam billing
Iredell County
Summary
The state is ending flat-fee billing for medical evaluations, so the health department must bill CPT codes for DOT and employment physicals and route kids' school/daycare physicals through the Child Health clinic. Families that don't qualify for the sliding fee scale could pay up to $600 for a full check-up, and staff can't give an up-front cost anymore.
At a glance
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Last discussed Aug 13, 2026.
Impact analysis
New $65 fee code; DOT physicals drop slightly and employment physicals rise slightly; families ineligible for sliding fee could face roughly $600 for a child's full check-up.
The department avoids losing revenue by billing lab and draw fees on DOT physicals.
Families who don't qualify for sliding-fee help face much higher costs for children's school and daycare physicals starting October 5.
Mentions & discussions (1)
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