Tuesday, November 15, 2011

CPT CODES - Cardiology codes


DESCRIPTION
CODE
Cardiovascular Stress Test ? Using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress with physician supervision, interpretation and report
93015
Physician supervision only, without interpretation and report
93016
Tracing only, without interpretation and report
93017
Interpretation and report only
93018
Microvolt T-wave Alternans Testing ? Microvolt T-wave alternans for assessment of ventricular arrhythmias
93025
Holter Testing ? Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage with visual superimposition scanning; includes recording, scanning analysis with report, physician review and interpretation
93224
Recording (includes hook-up, recording and disconnection)
93225
Scanning analysis with report
93226
Physician review and interpretation
93227
Holter Testing ? Electrocardiographic monitoring for 24 hours by continuous original ECG waveform recording and storage without superimposition scanning, utilizing a device capable of producing a full miniaturized printout; includes recording, microprocessor-based analysis with report, physician review and interpretation
93230
Recording (includes hook-up, recording and disconnection)
93231
Microprocessor-based analysis with report
93232
Physician review and interpretation
93233
ECG ? At least 12 leads, with interpretation and report
93000
Tracing only, without interpretation and report
93005
Interpretation and report only
93010
Rhythm ECG ? One to three leads, with interpretation and report
93040
Tracing only, without interpretation and report
93041
Interpretation and report only
93042
Spirometry ? Including graphic report, total and timed forced vital capacity (FVC)
94010
Bronchospasm evaluation: spirometry as in 94010, before and after bronchodilator (aerosol or parenteral) or exercise
94060
Prolonged postexposure evaluation of bronchospasm with multiple spirometric determinations after test dose of bronchodilator (aerosol only) antigen, exercise, cold air, methocholine or other chemical agent, with spirometry as in
94010
94070
Vital Capacity, total (separate procedure)
94150
Maximum breathing capacity, maximal voluntary ventilation (MVV)
94200
Respiratory flow volume loop
94375
Aerosol or vapor inhalations for sputum mobilization, bronchodilation, or sputum induction for diagnostic purposes
94664
Pulse Oximetry ? Multiple determinations (e.g., during exercise)
94761
Noninvasive ear or pulse oximetry for oxygen saturation by continuous overnight monitoring
94762
ABP Monitoring ? Utilizing a system such as magnetic tape and/or computer disk for 24 hours or longer; including recording, scanning analysis, interpretation and report
93784
Recording only
93786
Scanning analysis with report
93788
Physician review with interpretation and report
93790
Courtesy, Quality America, Inc. 2006
TYPICAL PROCEDURE
REIMBURSEMENT RANGE
Exercise Stress
$100-$275
Microvolt T-wave Alternans
$192-$375
Holter
$143-$325
Electrocardiography
$25-$60
Spirometry
$35-$75
Pulse Oximetry
$17-$40
A B P Monitoring
$75-$225

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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