Thursday, August 12, 2010

INFECTIOUS AGENT ANTIGEN CPT code

Changes in the 1998 CPT

INFECTIOUS AGENT ANTIGEN DETECTION BY ENZYME IMMUNOASSAY TECHNIQUE, qualitative or semiquantitative, multistep method
  • 87301 Adenovirus enteric types 40/41
  • 87320 Chlamydia trachomatis
  • 87324 Clostridium difficile toxin A
  • 87328 Cryptosporidum/giardia
  • 87332 Cytomegalovirus
  • 87335 Escherichia coli 0157
  • 87340 Hepatitis B surface antigen
  • 87350 Hepatitis Be antigen
  • 87380 Hepatitis: delta agent
  • 87385 Histoplasma capsulatum
  • 87390 HIV-1
  • 87391 HIV-2
  • 87420 Respiratory syncytial virus
  • 87425 Rotavirus
  • 87449 Streptococcus: group A
  • 87449 Multistep method: not otherwise specified
  • 87450 Single-step method: not otherwise specified
INFECTIOUS AGENT DETECTION BY IMMUNOASSAY WITH DIRECT OPTICAL OBSERVATION
  • 87810 Chlamydia trachomatis
  • 87850 Neisseria gonorrhea
  • 87880 Streptococcus: group A
  • 87899 Agent not otherwise specified
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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