Table 1. Changes in Medicare Fee Schedule Payments and Ambulatory Surgical Center Facility Fees
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TABLE #1. Changes in Medicare Fee Schedule (MFS) Payments and Ambulatory Surgical Center (ASC) Facility Fees |
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| CPT CODE | DESCRIPTION | 1998 | 1999 | 1998-1999 | ||||||
| Facility Fee | MFS Payment in ASC or Hospital | MFS Payment in Office | Facility Fee | MFS Payment in ASC or Hospital | MFS Payment in Office | ASC Hospital MFS Payments | Office MFS Payment | |||
| 62270 | Single puncture, lumbar, diagnostic | $314 | $69.71 | $69.71 | $101 | $58.33 | $67.14 | -16% | -4% | |
| 62272 | Drain spinal fluid | $314 | $90.98 | $90.98 | $101 | $75.21 | $82.91 | -17% | -9% | |
| 62273 | Injection, lumbar epidural of blood or clot patch | $314 | $129.51 | $129.51 | $241 | $118.50 | $133.91 | -8% | 3% | |
| 62274 | Injection of anesthetic substance, diagnostic or therapeutic subarachnoid or subdural, singular | $314 | $98.69 | $98.69 | $241 | $116.30 | $158.49 | 18% | 61% | |
| 62275 | Injection of anesthetic substance, diagnostic or therapeutic, epidural, cervical, thoracic, singular | $314 | $94.29 | $94.29 | $241 | $117.03 | $151.15 | 24% | 60% | |
| 62276 | Injection of anesthetic substance, diagnostic or therapeutic, subarachnoid or subdural, differential | $314 | $128.41 | $128.41 | $241 | $136.84 | $152.62 | 7% | 19% | |
| 62277 | Injection of anesthetic substance, diagnostic or therapeutic, subarachnoid or subdural, continuous | $314 | $118.13 | $118.13 | $241 | $133.54 | $220.49 | 13% | 87% | |
| 62278 | Injection of anesthetic substance, diagnostic or therapeutic, epidural, lumbar, caudal, singular | $341 | $100.89 | $100.89 | $241 | $144.18 | $120.70 | 43% | 20% | |
| 62279 | Injection of anesthetic substance, diagnostic or therapeutic, epidural, lumbar, caudal, continuous | $341 | $96.85 | $96.85 | $241 | $108.23 | $132.81 | 12% | 37% | |
| 62280 | Injection of neurolytic substance, subarachnoid | $314 | $127.67 | $127.67 | $241 | $156.29 | $185.64 | 22% | 45% | |
| 62281 | Injection of neurolytic substance, epidural, cervical, or thoracic | $139.78 | $139.78 | $241 | $158.86 | $194.44 | 14% | 39% | ||
| 62282 | Injection of neurolytic substance, epidural/ lumbar/ caudal | $314 | $162.52 | $162.52 | $241 | $151.89 | $237.37 | -7% | 46% | |
| 62288 | Injection of subarachnoid, non-anesthetic, contrast, neurolytic solutions, subarachnoid | $314 | $113.73 | $113.73 | $241 | $122.54 | $163.63 | 8% | 44% | |
| 62289 | Injection into spinal canal | $314 | $110.06 | $110.06 | $241 | $114.46 | $159.96 | 4% | 45% | |
| 62298 | Injection into spinal canal | $123.64 | $123.64 | $241 | $131.34 | $175.37 | 6% | 42% | ||
| 62350 | Remove spinal catheter | $422 | $417.50 | $417.50 | $391 | $410.16 | -2% | |||
| 62351 | Implant spinal catheter | $422 | $611.21 | $611.21 | $643.50 | 5% | ||||
| 62355 | Implant spinal catheter | $352.93 | $352.93 | $391 | $307.81 | -13% | ||||
| 62360 | Insert spine infusion pump | $422 | $149.32 | $149.32 | $841 | $188.21 | 26% | |||
| 62361 | Insert spine infusion device | $422 | $325.78 | $325.78 | $841 | $323.95 | -1% | |||
| 62362 | Remove spine infusion device | $422 | $424.47 | $424.47 | $841 | $437.68 | 3% | |||
| 62365 | Insert spine infusion device | $422 | $351.10 | $351.10 | $391 | $329.45 | -6% | |||
| 62367 | Analyze spine infusion pump | $422 | $33.02 | $33.02 | $23.85 | $23.85 | -28% | -28% | ||
| 62368 | Analyze spine infusion pump | $422 | $51.73 | $51.73 | $37.42 | $37.42 | -28% | -28% | ||
| 63650 | Implant neuroelectrodes | $422 | $597.27 | $597.27 | $391 | $416.40 | -30% | |||
| 63655 | Revise or remove neuroelectrodes | $926.35 | $926.35 | $778.14 | -16% | |||||
| 63660 | Implant neuroelectrodes | $314 | $531.97 | $531.97 | $391 | $401.36 | -25% | |||
| 63685 | Revise or remove neuroreceiver | $422 | $570.12 | $570.12 | $841 | $446.48 | -22% | |||
| 63688 | Implant neuroreceiver | $314 | $461.53 | $461.53 | $391 | $363.94 | -21% | |||
| 63690 | Analysis of neuroreceiver | $31.55 | $42.19 | $29.72 | $32.28 | -6% | -23% | |||
| 63691 | Analysis of neuroreceiver | $35.40 | $42.92 | $40.72 | $33.02 | 15% | -23% | |||
| 64400 | Introduction or injection of anesthetic agent, trigeminal nerve, any division or branch | $51.36 | $60.17 | $80.35 | $95.39 | 56% | 59% | |||
| 64402 | Injection of anesthetic agent, facial nerve | $71.91 | $71.91 | $92.82 | $152.72 | 29% | 114% | |||
| 64405 | Injection of anesthetic agent, greater occipital nerve | $62.74 | $74.48 | $87.32 | $105.66 | 39% | 42% | |||
| 64408 | Injection of anesthetic agent, vagus nerve | $74.84 | $93.92 | $105.66 | $117.40 | 41% | 25% | |||
| 64410 | Injection of anesthetic agent, phrenic nerve | $314 | $84.01 | $84.01 | $97.96 | $110.80 | 17% | 32% | ||
| 64412 | Injection of anesthetic agent, spinal accessory nerve | $57.60 | $68.97 | $81.45 | $101.99 | 41% | 48% | |||
| 64413 | Injection of anesthetic agent, cervical plexus | $67.87 | $81.45 | $97.22 | $118.13 | 43% | 45% | |||
| 64415 | Injection of anesthetic agent, brachial plexus | $314 | $66.40 | $66.40 | $97.96 | $112.63 | 48% | 70% | ||
| 64417 | Injection of anesthetic agent, axillary nerve | $81.45 | $81.45 | $98.32 | $111.16 | 21% | 36% | |||
| 64418 | Injection of anesthetic agent, suprascapular nerve | $67.69 | $83.28 | $88.05 | $104.19 | 30% | 25% | |||
| 64420 | Injection of anesthetic agent, intercostal nerve, single | $314 | $69.34 | $69.34 | $81.81 | $99.79 | 18% | 44% | ||
| 64421 | Injection of anesthetic agent, intercostal nerve, multiple, regional block | $314 | $98.32 | $98.32 | $110.43 | $127.30 | 12% | 29% | ||
| 64425 | Injection of anesthetic agent, ilioinguinal, iliohypogastric nerves | $88.78 | $88.78 | $107.13 | $120.33 | 21% | 36% | |||
| 64430 | Injection of anesthetic agent, pudendal nerve | $314 | $83.65 | $83.65 | $100.52 | $135.01 | 26% | 61% | ||
| 64435 | Injection of anesthetic agent, paracervical (uterine) nerve | $65.12 | $73.74 | $114.46 | $138.68 | 76% | 88% | |||
| 64440 | Introduction or injection of paravertebral nerve, single vertebral level | $66.95 | $81.45 | $133.17 | $131.71 | 99% | 62% | |||
| 64441 | Injection of anesthetic agent, paravertebral nerve, multiple levels | $88.60 | $107.13 | $115.93 | $154.09 | 31% | 44% | |||
| 64442 | Injection for nerve block | $314 | $101.26 | $101.26 | $106.39 | $145.65 | 5% | 44% | ||
| 64443 | injection for nerve block | $314 | $63.47 | $63.47 | $89.52 | $120.33 | 41% | 90% | ||
| 64445 | Injection of anesthetic agent, sciatic nerve | $65.49 | $74.48 | $92.82 | $111.16 | 42% | 49% | |||
| 64450 | Injection of anesthetic agent, other peripheral nerve or branch | $58.15 | $67.87 | $85.11 | $85.11 | 46% | 25% | |||
| 64505 | Injection of anesthetic agent, sphenopalatine ganglion | $63.47 | $74.84 | $93.92 | $109.70 | 48% | 47% | |||
| 64508 | Injection of anesthetic agent, carotid sinus | $63.10 | $82.18 | $96.12 | $106.03 | 52% | 29% | |||
| 64510 | Injection of anesthetic agent, stellate ganglion | $314 | $77.41 | $77.41 | $89.88 | $103.83 | 16% | 34% | ||
| 64520 | Injection of anesthetic agent, lumbar or thoracic | $314 | $82.18 | $82.18 | $96.12 | $130.24 | 17% | 58% | ||
| 64530 | Injection of anesthetic agent, celiac plexus, with or without radiologic monitoring | $314 | $111.16 | $111.16 | $115.93 | $182.34 | 4% | 64% | ||
| 64600 | Injection treatment of nerve | $314 | $191.14 | $191.14 | $201.78 | $214.25 | 6% | 12% | ||
| 64605 | Injection treatinent of nerve | $314 | $275.15 | $275.15 | $302.67 | $378.61 | 10% | 38% | ||
| 64610 | Injection treatment of nerve | $314 | $578.56 | $578.56 | $467.03 | -19% | ||||
| 64612 | Destroy nerve, face muscle | $104.74 | $131.34 | $155.19 | $166.56 | 48% | 27% | |||
| 64613 | Destroy nerve, spine muscle | $104.74 | $131.34 | $121.43 | $123.27 | 16% | -6% | |||
| 64620 | Destruction by neurolytic agent, intercostal nerve | $314 | $147.85 | $147.85 | $165.09 | $179.77 | 12% | 22% | ||
| 64622 | Injection treatment of nerve | $314 | $189.67 | $189.67 | $180.13 | $245.07 | -5% | 29%> | ||
| 64623 | Injection treatment of nerve | $314 | $73.74 | $73.74 | $84.01 | $118.87 | 14% | 61% | ||
| 64630 | Destruction by neurolytic agent, pudendal nerve | $442 | $187.84 | $187.84 | $176.47 | $208.02 | -6% | 11% | ||
| 64640 | Destruction by neurolytic agent, other peripheral nerve or branch | $138.31 | $138.31 | $175.73 | $197.01 | 27% | 42% | |||
| 64680 | Injection treatment of nerve | $442 | $168.03 | $168.03 | $168.03 | $168.39 | 0% | 0% | ||
| 93503 | Insertion and placement of flow-directed catheter for monitoring purposes | $206.92 | $206.92 | $146.38 | $161.79 | -29% | -22% | |||