Thursday, August 26, 2010

CPT Code: 82272 with payaple DX CODE

CPT Code: 82272 Fecal Occult Blood Test 


Frequency Limitations: Patients who are taking non-steroidal anti-inflammatory drugs and have a history of GI bleeding but no other signs, symptoms, or complaints associated with GI blood loss: once every 3 months

ICD-9 Codes are associated with CPT code 82272 in this policy.


003.0 Salmonella gastroenteritis
003.1 Salmonella septicemia
004.0 Shigella dysenteriae, infection by group A Shigella
004.1 Shigella flexneri, infection by group B Shigella
004.2 Shigella boydii, infection by group C Shigella
004.3 Shigella sonnei, infection by group D Shigella
004.8 Other specified shigella infections
004.9 Shigellosis, unspecified
005.0 Staphylococcal food poisoning
005.1 Botulism food poisoning
.... 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