Read 2011-Non-Facility-Medicare-Reimbursements-12-29-2010c.pdf text version

2011 CPT CODE 46930 NON-FACILITY MEDICARE REIMBURSEMENTS

CPT CODE 99203 Office or other outpatient visit for evaluation and management of a new patient.

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

CPT CODE 99213

CPT CODE 46600

CPT CODE 46930

Destruction of internal Office or other outpatient Anoscopy diagnostic with hemorrhoid(s) by thermal visit for evaluation and or without specimen by energy (infrared coagulamanagement of an estabbrushing or washing. tion, cautery, radiofrelished patient. quency).

REIMBURSEMENT $183.50 $235.45 $182.63 $192.55 $229.06 $230.99 $232.88 $201.34 $232.24 $226.88 $253.33 $235.36 $252.92 $193.50 STATE Connecticut Dist. of Columbia Delaware Florida - Rest of Florida Florida - Fort Lauderdale Florida - Miami Georgia - Rest of Georgia Georgia - Atlanta Hawaii/Guam Iowa Idaho Illinois - Chicago Illinois - Suburban Chicago Illinois - East St. Louis REIMBURSEMENT $222.73 $227.92 $200.92 $197.70 $207.63 $220.70 $187.79 $197.74 $215.14 $184.11 $185.80 $215.02 $210.80 $196.88

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STATE Illinois - Rest of Illinois Indiana Kansas Kentucky Louisiana - New Orleans Louisiana - Rest of Louisiana Massachusetts - Rest of Massachusetts Massachusetts - Metropolitan Boston Maryland - Rest of Maryland Maryland - Baltimore/Surrounding Counties Maine - Souther Maine Maine - Rest of Maine Michigan - Detroit Michigan - Rest of Michigan Minnesota Missouri - Metropolitan Kansas City Missouri - Rest of Missouri Missouri - Metropolitan St. Louis Mississippi Montana North Carolina North Dakota Nebraska New Hampshire New Jersey - Northern NJ

REIMBURSEMENT $190.26 $188.52 $185.75 $184.98 $201.95 $187.84 $209.09 $234.48 $194.48 $205.27 $196.23 $186.08 $210.22 $192.17 $190.20 $194.34 $184.93 $192.63 $185.69 $184.35 $189.15 $182.09 $184.21 $197.84 $230.41

STATE New Jersey - Rest of NJ New Mexico Nevada New York - Poughkpsie/N NYC Suburbs New York - NYC Suburbs/ Long Island New York - Queens New York - Rest of NY New York - Manhattan Ohio Oklahoma Oregon - Rest of Oregon Oregon - Portland Pennsylvania - Metropolitan Philadelphia Pennsylvania - Rest of Pennsylvania Puerto Rico - Puerto Rico Puerto Rico - Virgin Islands Rhode Island South Carolina South Dakota Tennessee Texas - Rest of Texas Texas - Dallas Texas - Austin Texas - Fort Worth Texas - Beaumont

REIMBURSEMENT $216.24 $190.18 $200.62 $206.14 $238.82 $231.08 $187.43 $239.19 $193.47 $184.16 $188.15 $194.90 $214.43 $192.28 $171.36 $195.29 $208.73 $186.66 $183.82 $186.63 $189.18 $197.97 $195.27 $194.31 $190.89

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STATE Texas - Houston Texas - Galveston Texas - Brazoria Utah Virginia Vermont Washington - Seattle (King County) Washington - Rest of Washington Wisconsin West Virginia Wyoming

REIMBURSEMENT $199.12 $195.49 $194.15 $190.73 $190.49 $191.91 $206.37 $192.82 $187.32 $187.81 $185.47

Modifiers -58, -76 & -77 May Be Added To Codes 46600 & 46930. Some ICD 9 Codes Associated With CPT Codes 99203, 99213, 46600 & 46930: 455.0 Internal hemorrhoids without mention of complication 455.1 Internal thrombosed hemorrhoids 455.2 Internal hemorrhoids with other complication 455.6 Unspecified hemorrhoids without mention of complication 455.7 Unspecified thrombosed hemorrhoids 455.8 Unspecified hemorroids with other complication 569.3 Rectal bleeding A4550 Surgical tray This information was obtained from www.AMA-ASSN.com Ultroid® Technologies, Inc. is not responsible for the contents of the information provided. Every effort was made to ensure the accuracy of this data. Ultroid® Technologies, Inc. disclaims any implied or expressed guarantee of payment to physicians. Requirements and payment amounts vary between Medicare providers. CPT is a trademark of the American Medical Association.

Ultroid® Technologies, Inc. 204 37th Avenue North, #433 St. Petersburg, FL 33706 (877) 858-0555 www.Ultroid.com [email protected] Page 3 of 3

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