Monday, July 26, 2010

Medicae reimbursement for SMALL INTESTINE ENDOSCOPY cpt 44360 - 44379

2010 Medicare GI Endoscopy Procedure Reimbursement Guide for SMALL INTESTINE ENDOSCOPY


SMALL INTESTINE ENDOSCOPY Ambulatory
Surgery Center
Outpatient
Hospital
Physician
Services
Code Procedure Description ASC Facility Fee
(National Medicare Avg)
APC Facility Fee
Schedule
(National Medicare Avg)²
Fee When
Procedure
Performed in
Hospital or ASC
(National Medicare Avg)³
Fee When
Procedure
Performed
in Office
(National Medicare Avg)³
44360  Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without  collection of specimen(s) by brushing or  washing (separate procedure)    $402.62    0142    $663.97    $155.52    NA*  
44361  …with biopsy, single or multiple    $402.62    0142    $663.97    $171.40    NA*  
44363  …with removal of foreign body    $402.62    0142    $663.97    $203.52    NA*  
44364  …with removal of tumor(s), polyp(s), or other lesion(s) by snare technique    $402.62    0142    $663.97    $219.39    NA*  
44365  …with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or  bipolar cautery    $402.62    0142    $663.97    $195.22    NA*  
44366  …with control of bleeding, (e.g., injection, bipolar cautery, unipoler cautery, laser, heater  probe, stapler, plasma coagulator)    $402.62    0142    $663.97    $258.00    NA*  
44369  …with ablation of tumor(s), polyp(s), orother lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or  snare technique    $402.62    0142    $663.97    $264.14    NA*  
44370  …with transendoscopic stent placement (includes predilation)    $1,116.19    0384    $1,785.67    $283.99    NA*  
44373  …with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube    $402.62    0142    $663.97    $204.24    NA*  
44376  Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; diagnostic, with or without  collection of specimen(s) by brushing or  washing (separate procedure)    $402.62    0142    $663.97    $301.67    NA*  
44377  …with biopsy, single or multiple    $402.62    0142    $663.97    $319.35    NA*  
44379  …with transendoscopic stent placement (includes predilation)    $1,116.19    0384    $1,785.67    $432.65    NA*  

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