Transcription of CY 2018 Medicare Fee Schedule Changes (National Estimates)
1 CY 2018 Medicare Fee Schedule Changes (National Estimates). 2018 2017 2018 2018 2017 2018 FINAL 2017 FINAL Percent 2018 2017 FINAL FINAL 2018 2017 FINAL 2017 FINAL FINAL FINAL Medicare Medicare Difference Final FINAL Non- Non- FINAL FINAL 2018 FINAL 2017 FINAL Total Non- Total Non- Total Total Facility Facility (FINAL. CPT/ Work Work Facility Facility Facility Facility PE Malpractice Malpractice Facility Facility Facility Facility Payment Payment (CF 2018 vs. HCPCS Mod Description RVUs RVUs PE RVUs PE RVUs PE RVUs RVUs RVUs RVUs RVUs RVUs RVUs RVUs (CF ) ) Final 2017 ). 43180 Esophagoscopy rigid trnso NA NA NA NA $ $ -1%. 43191 Esophagoscopy rigid trnso dx NA NA NA NA $ $ 0%. 43192 Esophagoscp rig trnso inject NA NA NA NA $ $ -1%. 43193 Esophagoscp rig trnso biopsy NA NA NA NA $ $ -1%.
2 43194 Esophagoscp rig trnso rem fb NA NA NA NA $ $ 0%. 43195 Esophagoscopy rigid balloon NA NA NA NA $ $ 0%. 43196 Esophagoscp guide wire dilat NA NA NA NA $ $ -1%. 43197 Esophagoscopy flex dx brush $ $ -1%. 43198 Esophagosc flex trnsn biopsy $ $ -1%. 43200 Esophagoscopy flexible brush $ $ 0%. 43201 Esoph scope w/submucous inj $ $ 0%. 43202 Esophagoscopy flex biopsy $ $ 0%. 43204 Esoph scope w/sclerosis inj NA NA NA NA $ $ 0%. 43205 Esophagus endoscopy/ligation NA NA NA NA $ $ 0%. 43206 Esoph optical endomicroscopy $ $ 0%. 43211 Esophagoscop mucosal resect NA NA NA NA $ $ 0%. 43212 Esophagoscop stent placement NA NA NA NA $ $ 0%. 43213 Esophagoscopy retro balloon $ $ 0%. 43214 Esophagosc dilate balloon 30 NA NA NA NA $ $ 0%. 43215 Esophagoscopy flex remove fb $ $ 0%. 43216 Esophagoscopy lesion removal $ $ -1%.
3 43217 Esophagoscopy snare les remv $ $ 0%. 43220 Esophagoscopy balloon <30mm $ $ 0%. 43226 Esoph endoscopy dilation $ $ 0%. 43227 Esophagoscopy control bleed $ $ 0%. 43229 Esophagoscopy lesion ablate $ $ 0%. 43231 Esophagoscop ultrasound exam $ $ 0%. 43232 Esophagoscopy w/us needle bx $ $ 1%. 43233 Egd balloon dil esoph30 mm/> NA NA NA NA $ $ 1%. 43235 Egd diagnostic brush wash $ $ 0%. 43236 Uppr gi scope w/submuc inj $ $ 0%. 43237 Endoscopic us exam esoph NA NA NA NA $ $ 1%. 43238 Egd us fine needle bx/aspir NA NA NA NA $ $ 0%. 43239 Egd biopsy single/multiple $ $ 0%. 43240 Egd w/transmural drain cyst NA NA NA NA $ $ 0%. 43241 Egd tube/cath insertion NA NA NA NA $ $ 0%. CY 2018 Medicare Fee Schedule Changes (National Estimates). 2018 2017 2018 2018 2017 2018 FINAL 2017 FINAL Percent 2018 2017 FINAL FINAL 2018 2017 FINAL 2017 FINAL FINAL FINAL Medicare Medicare Difference Final FINAL Non- Non- FINAL FINAL 2018 FINAL 2017 FINAL Total Non- Total Non- Total Total Facility Facility (FINAL.)
4 CPT/ Work Work Facility Facility Facility Facility PE Malpractice Malpractice Facility Facility Facility Facility Payment Payment (CF 2018 vs. HCPCS Mod Description RVUs RVUs PE RVUs PE RVUs PE RVUs RVUs RVUs RVUs RVUs RVUs RVUs RVUs (CF ) ) Final 2017 ). 43242 Egd us fine needle bx/aspir NA NA NA NA $ $ 0%. 43243 Egd injection varices NA NA NA NA $ $ 0%. 43244 Egd varices ligation NA NA NA NA $ $ 0%. 43245 Egd dilate stricture $ $ 0%. 43246 Egd place gastrostomy tube NA NA NA NA $ $ 0%. 43247 Egd remove foreign body $ $ 1%. 43248 Egd guide wire insertion $ $ 0%. 43249 Esoph egd dilation <30 mm $ $ 0%. 43250 Egd cautery tumor polyp $ $ 0%. 43251 Egd remove lesion snare $ $ 1%. 43252 Egd optical endomicroscopy $ $ 0%. 43253 Egd us transmural injxn/mark NA NA NA NA $ $ 0%. 43254 Egd endo mucosal resection NA NA NA NA $ $ 0%.
5 43255 Egd control bleeding any $ $ 0%. 43257 Egd w/thrml txmnt gerd NA NA NA NA $ $ 0%. 43259 Egd us exam duodenum/jejunum NA NA NA NA $ $ 0%. 43260 Ercp w/specimen collection NA NA NA NA $ $ 0%. 43261 Endo cholangiopancreatograph NA NA NA NA $ $ 0%. 43262 Endo cholangiopancreatograph NA NA NA NA $ $ 0%. 43263 Ercp sphincter pressure meas NA NA NA NA $ $ 0%. 43264 Ercp remove duct calculi NA NA NA NA $ $ 0%. 43265 Ercp lithotripsy calculi NA NA NA NA $ $ 0%. 43266 Egd endoscopic stent place NA NA NA NA $ $ 0%. 43270 Egd lesion ablation $ $ 0%. 43273 Endoscopic pancreatoscopy NA NA NA NA $ $ 0%. 43274 Ercp duct stent placement NA NA NA NA $ $ 0%. 43275 Ercp remove forgn body duct NA NA NA NA $ $ 0%. 43276 Ercp stent exchange w/dilate NA NA NA NA $ $ 0%. 43277 Ercp ea duct/ampulla dilate NA NA NA NA $ $ 0%.
6 43278 Ercp lesion ablate w/dilate NA NA NA NA $ $ 0%. 44322 Colostomy with biopsies NA NA NA NA $1, $1, 1%. 44340 Revision of colostomy NA NA NA NA $ $ 0%. 44345 Revision of colostomy NA NA NA NA $1, $1, 0%. 44346 Revision of colostomy NA NA NA NA $1, $1, 0%. 44360 Small bowel endoscopy NA NA NA NA $ $ 0%. 44361 Small bowel endoscopy/biopsy NA NA NA NA $ $ 0%. CY 2018 Medicare Fee Schedule Changes (National Estimates). 2018 2017 2018 2018 2017 2018 FINAL 2017 FINAL Percent 2018 2017 FINAL FINAL 2018 2017 FINAL 2017 FINAL FINAL FINAL Medicare Medicare Difference Final FINAL Non- Non- FINAL FINAL 2018 FINAL 2017 FINAL Total Non- Total Non- Total Total Facility Facility (FINAL. CPT/ Work Work Facility Facility Facility Facility PE Malpractice Malpractice Facility Facility Facility Facility Payment Payment (CF 2018 vs.))
7 HCPCS Mod Description RVUs RVUs PE RVUs PE RVUs PE RVUs RVUs RVUs RVUs RVUs RVUs RVUs RVUs (CF ) ) Final 2017 ). 44363 Small bowel endoscopy NA NA NA NA $ $ 0%. 44364 Small bowel endoscopy NA NA NA NA $ $ 0%. 44365 Small bowel endoscopy NA NA NA NA $ $ 1%. 44366 Small bowel endoscopy NA NA NA NA $ $ 0%. 44369 Small bowel endoscopy NA NA NA NA $ $ 0%. 44370 Small bowel endoscopy/stent NA NA NA NA $ $ 0%. 44372 Small bowel endoscopy NA NA NA NA $ $ 0%. 44373 Small bowel endoscopy NA NA NA NA $ $ 0%. 44376 Small bowel endoscopy NA NA NA NA $ $ 0%. 44377 Small bowel endoscopy/biopsy NA NA NA NA $ $ 0%. 44378 Small bowel endoscopy NA NA NA NA $ $ 0%. 44379 S bowel endoscope w/stent NA NA NA NA $ $ 0%. 44380 Small bowel endoscopy br/wa $ $ 1%. 44381 Small bowel endoscopy br/wa $ $ -1%.
8 44382 Small bowel endoscopy $ $ 0%. 44384 Small bowel endoscopy NA NA NA NA $ $ 1%. 44385 Endoscopy of bowel pouch $ $ 0%. 44386 Endoscopy bowel pouch/biop $ $ 0%. 44388 Colonoscopy thru stoma spx $ $ 1%. 44388 53 Colonoscopy thru stoma spx $ $ 0%. 44389 Colonoscopy with biopsy $ $ 0%. 44390 Colonoscopy for foreign body $ $ 0%. 44391 Colonoscopy for bleeding $ $ 0%. 44392 Colonoscopy & polypectomy $ $ 1%. 44394 Colonoscopy w/snare $ $ 0%. 44401 Colonoscopy with ablation $ $ 0%. 44402 Colonoscopy w/stent plcmt NA NA NA NA $ $ 1%. 44403 Colonoscopy w/resection NA NA NA NA $ $ 1%. 44404 Colonoscopy w/injection $ $ 1%. 44405 Colonoscopy w/dilation $ $ 0%. 44406 Colonoscopy w/ultrasound NA NA NA NA $ $ 0%. 44407 Colonoscopy w/ndl aspir/bx NA NA NA NA $ $ 1%. 44408 Colonoscopy w/decompression NA NA NA NA $ $ 0%.
9 44500 Intro gastrointestinal tube NA NA NA NA $ $ 0%. 45300 Proctosigmoidoscopy dx $ $ 0%. 45303 Proctosigmoidoscopy dilate $ $ -1%. CY 2018 Medicare Fee Schedule Changes (National Estimates). 2018 2017 2018 2018 2017 2018 FINAL 2017 FINAL Percent 2018 2017 FINAL FINAL 2018 2017 FINAL 2017 FINAL FINAL FINAL Medicare Medicare Difference Final FINAL Non- Non- FINAL FINAL 2018 FINAL 2017 FINAL Total Non- Total Non- Total Total Facility Facility (FINAL. CPT/ Work Work Facility Facility Facility Facility PE Malpractice Malpractice Facility Facility Facility Facility Payment Payment (CF 2018 vs. HCPCS Mod Description RVUs RVUs PE RVUs PE RVUs PE RVUs RVUs RVUs RVUs RVUs RVUs RVUs RVUs (CF ) ) Final 2017 ). 45305 Proctosigmoidoscopy w/bx $ $ 0%. 45307 Proctosigmoidoscopy fb $ $ -1%. 45308 Proctosigmoidoscopy removal $ $ 0%.
10 45309 Proctosigmoidoscopy removal $ $ 0%. 45315 Proctosigmoidoscopy removal $ $ 1%. 45317 Proctosigmoidoscopy bleed $ $ 0%. 45320 Proctosigmoidoscopy ablate $ $ 1%. 45321 Proctosigmoidoscopy volvul NA NA NA NA $ $ 2%. 45327 Proctosigmoidoscopy w/stent NA NA NA NA $ $ 4%. 45330 Diagnostic sigmoidoscopy $ $ 0%. 45331 Sigmoidoscopy and biopsy $ $ 0%. 45332 Sigmoidoscopy w/fb removal $ $ 0%. 45333 Sigmoidoscopy & polypectomy $ $ 0%. 45334 Sigmoidoscopy for bleeding $ $ 0%. 45335 Sigmoidoscopy w/submuc inj $ $ 0%. 45337 Sigmoidoscopy & decompress NA NA NA NA $ $ 0%. 45338 Sigmoidoscopy w/tumr remove $ $ 0%. 45340 Sig w/tndsc balloon dilation $ $ 0%. 45341 Sigmoidoscopy w/ultrasound NA NA NA NA $ $ 0%. 45342 Sigmoidoscopy w/us guide bx NA NA NA NA $ $ 0%. 45346 Sigmoidoscopy w/ablation $ $ 0%.
