Thursday, September 23, 2010

What is and A-Code ?




A-Codes: relate to emergent and non-emergent transportation services; miscellaneous medical and surgical supplies including dressings, ostomy and urinary supplies, some diabetic and DME supplies; also includes radiopharmaceutical diagnostic agents.

Please note:
ReimbursementCodes.com contains information for radiopharmaceuticals, ostomy, wound care and some diabetic medical supplies (needles, syringes, etc.) only.


Reimb Code
Description
Effective Date
Code Price
Code Price-5%
A9516
Iodine I-123 sodium iodide, diagnostic, per 100 microcuries, up to 999 microcuries (Code Price is per 100 microcuries)
08/1/09
$141.01
$133.96


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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