Monday, September 7, 2015

New Fees for Procedure Code 75946


Current Procedural Terminology (CPT) defines 75946 as: “Intravascular ultrasound (non-coronary vessel), radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to code for primary procedure”

During a routine review of Contractor Priced codes, the fees for this code were reviewed for both JL and JH. Fees have been developed, for 2014 dates of service, for this code based on the CPT code descriptors and the Contractor Medical Director’s review of the following factors:
The amount and complexity of work that goes into performing the service;
The usual overhead costs to the physician associated with providing the service such as rent, equipment, personnel expenses, and supplies;
The cost to the physician to obtain professional liability or malpractice insurance as it relates to specific procedures; and
The following fees for procedure code 75946 will be implemented November 27, 2014 and will be effective for dates of service on and after January 1, 2014.

                                                 
Locality Name7594675946 TC75946-26


PA01

                                  Metropolitan





Philadelphia, PA $113.23 $91.18 $22.05
PA99 Rest of PA $103.59 $83.32 $20.27
NJ01 Northern NJ $111.59 $89.74 $21.85
NJ99 Southern NJ $109.17 $87.80 $21.37
MD01 Baltimore/Surrounding Counties, MD $110.59 $88.98 $21.61
MD99 Rest of Maryland $105.53 $84.85 $20.68
DE01 Delaware $104.05 $83.63 $20.42
DC02 DC + MD/VA Suburbs $114.45 $92.08 $22.37
TX31 Austin, TX $101.04 $81.18 $19.86
TX20 Beaumont, TX $101.52 $81.62 $19.90
TX09 Brazoria, TX $104.18 $83.75 $20.43
TX11 Dallas, TX $102.66 $82.49 $20.17
TX28 Fort Worth, TX $101.27 $81.37 $19.90
TX15 Galveston, TX $104.91 $84.35 $20.56
TX18 Houston, TX $104.45 $83.97 $20.48
TX99 Rest of TX $100.08 $80.42 $19.66
CO04 Colorado $104.12 $83.72 $20.40
NM97 Oklahoma $103.97 $83.55 $20.32
OK98 New Mexico $98.76 $79.35 $19.41
LA01 New Orleans, LA $106.12 $85.38 $20.74
LA99 Rest of Louisiana $101.73 $81.80 $19.93
MS01 Mississippi $98.29 $78.14 $19.15
AR13 Arkansas $94.52 $75.85 $18.67

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