Monday, August 23, 2010

Alpha-fetoprotein - CPT CODE 82105 WITH valid DX code

CPT Code: 82105 Alpha-fetoprotein 

ICD-9 Codes are associated with CPT code 82105 in this policy.


070.22 Viral hepatitis B with hepatic coma, chronic, without hepatitis delta
070.23 Viral hepatitis B with hepatic coma, chronic, with hepatitis delta
070.32 Viral hepatitis B without hepatic coma, chronic, without hepatitis delta
070.33 Viral hepatitis B without hepatic coma, chronic, with hepatitis delta
070.44 Chronic hepatitis C with hepatic coma
070.54 Chronic hepatitis C without hepatic coma
095.3 Syphilis of liver
121.1 Clonorchiasis
121.3 Fascioliasis
155.0 Malignant neoplasm, liver, primary
.... and many more. 
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Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.


Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)


Medicare Physician Fee Schedule Payment Rates Formula


The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download