Monday, August 23, 2010

CPT Code: 82270 Fecal Occult Blood Test

CPT Code: 82270 Fecal Occult Blood Test 

Frequency Limitations: 
Screening fecal occult blood tests are covered at a frequency of once every 12 months for beneficiaries who have attained age 50. A written order from the beneficiary's attending physician is required. Attending physician means a doctor or medicine or osteopathy who is fully knowledgeable about the beneficiary's medical condition, and who would be responsible for using the test results in the overall management of the beneficiary's specific medical problem.


1 ICD-9 Codes are associated with CPT code 82270 in this policy.


Contact local Medicare Contractor for guidance
.... and many more.  
Labels: ,

0 comments:

Post a Comment

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