Tuesday, June 29, 2010

Sample payment amount for Fluoroscopic Imaging Procedures

 2007 Medicare Reimbursement for Selected Fluoroscopic Imaging Procedures
(Reflects National Rates, Unadjusted For Locality)


CPT/HCPCS Code Medicare
Reimbursement
Component
Hospital
Inpatient
Department
Hospital
Outpatient
Department
IDTF or
Physician
Office
CPT 77002
Fluoroscopic guidance for
needle placement (eg, biopsy,
aspiration, injection,
localization device)
Technical  DRG Packaged $49.65
Professional  $25.39 $25.39 $25.39
Total DRG + $25.39 NA $75.04





CPT 77003
Fluoroscopic guidance and
localization of needle or
catheter tip for spine or
paraspinous diagnostic or
therapeutic injection procedures
(epidural, transforaminal
epidural, subarachnoid,
paravertebral facet joint,
paravertebral facet joint nerve
or sacroiliac joint), including
neurolytic agent destruction
Technical  DRG Packaged $45.48
Professional  $27.29 $27.29 $27.29
Total DRG + $27.29 NA $72.77

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