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2011 Medicare Part B Reimbursement Schedule

CPT Code: 93922 Non-invasive physiologic studies of upper or lower extremity arteries, single level, bilateral CPT Code: 93923 Non-invasive physiologic studies of upper or lower extremity arteries, multiple levels or with provocative functional maneuvers, complete bilateral study. CPT Code: 93924 Non-invasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, complete bilateral study. Diagnosis for Procedure Code 93922 and 93923 ICD-9 Codes: Note: At this time, arterial exams must be considered "medically necessary" in order to seek reimbursement. 250 Diabetes 250.70 Diabetes 250.71 Diabetes 250.72 Diabetes 250.73 Diabetes

Mellitus Mellitus Mellitus Mellitus

with with with with

Peripheral Circulatory Peripheral Circulatory Peripheral Circulatory Peripheral Circulatory

Disorders Disorders Disorders Disorders

Type Type Type Type

II or unspecified type not stated as uncontrolled I not stated as uncontrolled II or unspecified type uncontrolled I uncontrolled 442 Other Aneurysm 442.3 Of artery of lower extremity 443 Other Peripheral Vascular Disease 443.9 Peripheral vascular disease, unspecified

440 Atherosclerosis 440.2 Of Native arteries of the extremities 440.21 Atherosclerosis of the extremities with intermittent claudication 440.22 Atherosclerosis of the extremities with rest pain 440.23 Atherosclerosis of the extremities with ulceration 440.24 Atherosclerosis of the extremities with gangrene 440.29 Atherosclerosis of the extremities, other

Call Newman Medical for a complete list of ICD 9 codes.

LOCATION Alabama Alaska Arizona Arkansas California-Ventura California-Los Angeles California-Anaheim/Santa Ana California-Marin/Napa/Solano California-San Francisco California-San Mateo California-Oakland/Berkley California-Santa Clara California-Rest of California Colorado Connecticut Delaware

Medicare Reimbursement CPT Code 93922 $102.78 $123.75 $108.64 $102.25 $135.88 $132.84 $138.02 $137.94 $153.34 $152.99 $139.49 $142.11 $118.15 $109.95 $127.77 $114.46 CPT Code 93923 $158.94 $192.11 $168.14 $158.11 $209.46 $204.89 $212.77 $212.46 $235.94 $235.41 $214.86 $218.89 $182.38 $170.02 $197.41 $176.85 CPT Code 93924 $198.48 $239.18 $209.91 $197.44 $262.21 $256.39 $266.36 $266.09 $295.72 $295.05 $269.08 $274.14 $228.06 $212.37 $246.78 $221.01

Newman Medical provides general reimbursement information related to the diagnosis of peripheral arterial disease as an overview for our customers. It is important to understand that reimbursement is a complex process and requirements are subject to change without notice. It is the responsibility of the healthcare provider to determine and submit appropriate codes, charges and modifiers for services that are rendered. Prior to filing any claims, customers are advised to contact their third-party payers for specific coverage, coding and payment information. Newman Medical makes no promise or guarantee of reimbursement by Medicare or any other third-party payer. All rates were obtained from www.trailblazerhealth.com.

Newman Medical | 42 Sherwood Terrace, Suite 2 | Lake Bluff, IL 60044 | 800.267.5549 | [email protected]

2011 Medicare Part B Reimbursement Schedule

LOCATION Florida-Ft. Lauderdale Florida-Miami Florida-Rest of Florida Georgia-Atlanta Georgia-Rest of Georgia Hawaii Idaho Illinois-Chicago Illinois-Suburban Chicago Illinois-East St. Louis Illinois-Rest of Illinois Indiana Iowa Kansas Kentucky Louisiana-New Orleans Louisiana-Rest of Louisiana Maine-Southern Maine Maine-Rest of Maine Maryland-Baltimore/Surrounding Maryland-Rest of Maryland Massachusetts-Metropolitan Boston Massachusetts-Rest of Massachusetts Michigan-Detroit Michigan-Rest of Michigan Minnesota Mississippi Missouri-Metro St. Louis Missouri-Metro Kansas City Missouri-Rest of Missouri Montana Nebraska Nevada New Hampshire New Jersey-Northern New Jersey New Jersey-Rest of New Jersey New Mexico Medicare Reimbursement CPT Code $115.33 $119.06 $108.42 $111.01 $104.57 $130.26 $104.36 $117.62 $116.72 $107.15 $104.64 $105.80 $103.36 $104.07 $103.30 $112.20 $103.82 $113.08 $104.77 $119.19 $111.71 $134.55 $120.48 $113.88 $106.42 $109.31 $103.09 $107.23 $107.83 $101.62 $110.35 $104.16 $114.78 $114.85 $131.77 $123.40 $105.09 CPT Code $179.10 $185.35 $169.29 $171.73 $161.92 $200.84 $161.40 $182.58 $180.97 $166.50 $162.29 $163.61 $159.80 $161.08 $159.93 $173.56 $160.74 $174.66 $162.04 $184.37 $172.81 $207.47 $186.06 $176.80 $164.87 $168.72 $159.60 $166.08 $167.09 $157.52 170.71 $160.91 $177.62 $177.40 $203.52 $190.75 $162.84 CPT Code 93924 $223.24 $230.76 $209.78 $214.45 $202.06 $251.38 $201.55 $227.63 $225.76 $207.42 $202.35 $204.33 $199.58 $201.06 $199.63 $216.76 $200.60 $218.31 $202.35 $230.30 $215.82 $259.68 $232.63 $220.38 $205.71 $210.95 $199.18 $207.25 $208.46 $196.44 $213.18 $201.05 $221.80 $221.75 $254.57 $238.36 $203.15

Newman Medical provides general reimbursement information related to the diagnosis of peripheral arterial disease as an overview for our customers. It is important to understand that reimbursement is a complex process and requirements are subject to change without notice. It is the responsibility of the healthcare provider to determine and submit appropriate codes, charges and modifiers for services that are rendered. Prior to filing any claims, customers are advised to contact their third-party payers for specific coverage, coding and payment information. Newman Medical makes no promise or guarantee of reimbursement by Medicare or any other third-party payer. All rates were obtained from www.trailblazerhealth.com.

Newman Medical | 42 Sherwood Terrace, Suite 2 | Lake Bluff, IL 60044 | 800.267.5549 | [email protected]

2011 Medicare Part B Reimbursement Schedule

LOCATION New York-Manhattan New York-NYC Suburbs/Long Islan New York-Poughkeepsie/N NYC Suburbs New York-Queens New York-Rest of New York North Carolina North Dakota Ohio Oklahoma Oregon-Portland Oregon-Rest of Oregon Pennsylvania-Metro Philadelphia Pennsylvania-Rest of Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas-Brazoria Texas-Dallas Texas-Galveston Texas-Houston Texas-Beaumont Texas-Fort Worth Texas-Austin Texas-Rest of Texas Utah Vermont Virgin Islands Virginia Washington-Seattle/King Co. Washington-Rest of Washington Washington D.C.-DC Metro Area West Virginia Wisconsin Wyoming Medicare Reimbursement CPT Code $137.68 $139.22 $117.99 $134.65 $106.43 $106.14 $110.05 $106.63* $102.81 $111.76 $106.87 $119.48 $106.24 $94.22 $117.08 $105.21* $110.03 $104.56 $107.25 $110.58 $108.97 $109.80 $104.13 $108.58 $109.82 $104.61 $105.70 $110.03 $109.82 $107.99 $109.36 $113.44 $132.96 $101.70* $106.62 $110.46 CPT Code $212.58 $215.02 $182.40 $208.08 $164.50 $164.17 $169.97 $165.29* $159.11 $172.63 $165.20 $185.11 $164.61 $145.77 $182.21 $162.63* $169.92 $161.70 $166.16 $171.14 $168.76 $170.08 $161.43 $168.07 $169.89 $162.02 $163.77 $170.04 $169.99 $166.99 $169.13 $174.48 $205.33 $157.83* $164.78 $170.99 CPT Code 93924 $265.88 $268.91 $227.91 $260.13 $205.50 $205.01 $212.44 $206.17* $198.60 $215.76 $206.36 $231.03 $205.37 $181.92 $227.06 $203.15* $212.39 $201.93 $207.30 $213.67 $210.62 $212.24 $201.33 $209.81 $212.16 $202.17 $204.32 $212.95 $212.22 $208.57 $211.23 $214.57 $256.77 $196.71* $205.86 $213.46

Newman Medical provides general reimbursement information related to the diagnosis of peripheral arterial disease as an overview for our customers. It is important to understand that reimbursement is a complex process and requirements are subject to change without notice. It is the responsibility of the healthcare provider to determine and submit appropriate codes, charges and modifiers for services that are rendered. Prior to filing any claims, customers are advised to contact their third-party payers for specific coverage, coding and payment information. Newman Medical makes no promise or guarantee of reimbursement by Medicare or any other third-party payer. All rates were obtained from www.trailblazerhealth.com.

Newman Medical | 42 Sherwood Terrace, Suite 2 | Lake Bluff, IL 60044 | 800.267.5549 | [email protected]

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Microsoft Word - State by State Reimbursement.docx