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116 new payable codes in 2005
The following is a sample of the codes that are new in Medicare’s 2005 physician fee schedule, published in the Nov. 15 Federal Register. This list was first published by Part B News (www.partbnews.com). All payments listed are for the office setting and went in to effect on Jan. 1st.
|
|
Code |
Description |
In-office payment |
Code |
Description |
In-office payment |
|
11004 |
Debride genitalia & perineum |
$563.91 |
88185 |
Flowcytometry/tc, add-on |
$25.01 |
|
11005 |
Debride abdom wall |
$768.18 |
88187 |
Flowcytometry/read, 2-8 |
$68.97 |
|
11006 |
Debride genit/per/abdom wall |
$710.20 |
88188 |
Flowcytometry/read, 9-15 |
$86.03 |
|
11008 |
Remove mesh from abd wall |
$289.16 |
88189 |
Flowcytometry/read, 16 & > |
$113.31 |
|
19296 |
Place po breast cath for rad |
$4,903.18 |
88360 |
Tumor immunohistochem/manual |
$110.28 |
|
19297 |
Place breast cath for rad |
$95.88 |
88367 |
Insitu hybridization, auto |
$209.57 |
|
19298 |
Place breast rad tube/caths |
$1,841.44 |
88368 |
Insitu hybridization, manual |
$190.25 |
|
27412 |
Autochondrocyte implant knee |
$1,605.34 |
90465 |
Immune admin 1 inj, < 8 yrs |
$18.57 |
|
27415 |
Osteochondral knee allograft |
$1,340.43 |
90466 |
Immune admin addl inj, < 8 y |
$10.99 |
|
29866 |
Autgrft implnt, knee w/scope |
$1,046.35 |
91034 |
Gastroesophageal reflux test |
$239.89 |
|
29867 |
Allgrft implnt, knee w/scope |
$1,249.86 |
91035 |
G-esoph reflx tst w/electrod |
$474.10 |
|
29868 |
Meniscal trnspl, knee w/scpe |
$1,694.40 |
91037 |
Esoph imped function test |
$152.35 |
|
31545 |
Remove vc lesion w/scope |
$384.28 |
91038 |
Esoph imped funct test > 1h |
$130.37 |
|
31546 |
Remove vc lesion scope/graft |
$586.65 |
91040 |
Esoph balloon distension tst |
$463.11 |
|
31620 |
Endobronchial us add-on |
$270.97 |
91120 |
Rectal sensation test |
$457.04 |
|
31636 |
Bronchoscopy, bronch stents |
$241.41 |
92620 |
Auditory function, 60 min |
$45.48 |
|
31637 |
Bronchoscopy, stent add-on |
$86.03 |
92621 |
Auditory function, + 15 min |
$11.75 |
|
31638 |
Bronchoscopy, revise stent |
$267.94 |
92625 |
Tinnitus assessment |
$44.72 |
|
32019 |
Insert pleural catheter |
$930.38 |
93890 |
Tcd, vasoreactivity study |
$240.65 |
|
34803 |
Endovas aaa repr w/3-p part |
$1,371.89 |
93892 |
Tcd, emboli detect w/o inj |
$256.19 |
|
36475 |
Endovenous rf, 1st vein |
$2,216.25 |
93893 |
Tcd, emboli detect w/inj |
$251.26 |
|
36476 |
Endovenous rf, vein add-on |
$433.55 |
94452 |
Hast w/report |
$51.92 |
|
36478 |
Endovenous laser, 1st vein |
$2,041.16 |
94453 |
Hast w/oxygen titrate |
$73.90 |
|
36479 |
Endovenous laser vein addon |
$437.72 |
95928 |
C motor evoked, uppr limbs |
$174.71 |
|
36818 |
Av fuse, uppr arm, cephalic |
$736.35 |
95929 |
C motor evoked, lwr limbs |
$181.91 |
|
Source: PBN analysis of 2005 Medicare physician fee schedule. Payments based on national, par. rates |
