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ULTRASOUND   MEDICARE REIMBURSEMENT
CPT CODE PROCEDURE AVERAGE
ECHO Bill Three Codes .
93307 2D ECHO 205.56
93320 PW/CW DOPPLER 90.27
93325 COLOR FLOW 111.68
.
                       Total
407.51
STRESS ECHO Bill Two Codes .
93015 ECG STRESS TEST 110.33
93350 STRESS ECHO 120.69
.
                       Total
231.02
FETAL ECHO Bill Three Codes .
76825 FETAL ECHO 144.03
76827 FETAL DOPPLER 103.55
93325 COLOR FLOW 111.68
.
                      Total
359.26
PROSTATE BIOPSY Bill Three Codes .
55700 PROSTATE BIOPSY 124.88
76872 TRANSRECTAL EXAM 91.04
76942 NEEDLE BIOPSY 90.04
.
                       Total
305.96

CPT Codes

ABP Monitoring

Electrocardiography

Exercise Stress Testing

Holter

Microvolt T-wave Alternans

Spirometry


figures listed in this section are for reference only all amounts subject to change.

 

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OB/GYN EXAMS OB/GYN EXAMS .
76805 PREGNANT UTERUS 124.46
76830 TRANSVAGINAL 90.88
76645 BREAST 65.61
.
                       Total
280.95
VASCULAR EXAMS VASCULAR EXAMS .
93380 CAROTID 174.77
93886 TRANSCRANIAL DOPP. 207.68
93925 LOWER EXTREMITY 174.75
93930 UPPER EXTREMITY 179.64
93970 VENOUS 194.65
93975 ABDOMINAL DUPLEX 256.76
93978 AORTA IVC. DUPLEX 182.45
GENERAL EXAMS GENERAL EXAMS .
76536 THYROID 80.12
76700 ABDOMINAL 112.36
76705 ABD. SINGLE ORGAN 81.38
76870 SCROTUM 87.65
76872 PROSTATE TRANSRECTAL 91.04
93312 T.E.E. 262.01
76770 RETROPERITINEAL 109.08
CPT Codes
CPT-4 Codes and Definitions Source - American Medical Association
Figures are taken from MDSI  http://www.mdsi.org/CPT/cptcat.htm#holt
Physicians should contact their insurance carriers individually.
Holter Monitoring
Test CPT Fee
ECG monitoring for 24 hours with super-imposition scanning; includes recording, scanning analysis with report, physician review, and interpretation. 93224 152.62
Recording 93225 45.48
Scanning analysis with report 93226 80.05
Physician review and interpretation 93227 27.09
ECG monitoring for 24 hours without super-imposition scanning; includes recording, microprocessor-based analysis with report, physician review, and interpretation. 93230 162.09
Recording 93231 55.56
Microprocessor-based analysis with report 93232 $79.34
Physician review and interpretation 93233 27.09
Spirometry Tests
Test CPT Fee
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate, and/or maximal voluntary ventilation. 94010 37.091
Bronchospasm evaluation: spirometry as in 94010, before and after bronchodilator or exercise 94060 62.88
Multiple spirometric determinations after bronchodilator with spirometry as in 94010 94070 85.25
Spirometry, slow vital capacity 94150 -
Maximum breathing capacity, max. vol. vent 94200 17.04
Respiratory flow volume loop 94375 28.99
Aerosol or vapor inhalations; intitial 94664 20.38
Subsequent 94665 17.87
Bone Mineral Density Tests
Test CPT Fee
Ultrasound tests, each 15 minutes 97035 10.24
Pulse Oximetry
Test CPT Fee
Pulse Oximetry, single determination 94760 4.34
Pulse Oximetry, multiple determinations 94761 6.83
Exercise Testing
Test CPT Fee
Cardiovascular stress test, treadmill or bicycle exercise, continuous ECG monitoring and/or pharmacological stress; with physician supervision, with interpretation and report 93015 100.16
Physician supervision only, without interpretation and report 93016 23.13
Tracing only, without interpretation and report 93017 61.05
Interpretation and report only 93018 15.53
Resting ECG
Test CPT Fee
Routine ECG with at least 12 leads; with interpretation and report 93000 25.41
Tracing only, without interpretation and report 93005 16.38
Interpretation and report only 93010 9.02
Rhythm ECG, one to three leads; with interpretation and report 93040 13.39
Tracing only without interpretation and report 93041 5.45
Interpretation and report only 93042 7.93
Electronic analysis of dual-chamber pacemaker system; without reprogramming 93731 42.02
With reprogramming 93732 66.97
Electronic analysis of single chamber pacemaker system; without reprogramming 93734 32.61
With reprogramming 93735 55.01
Ambulatory Blood Pressure (ABP)
Test CPT Fee
ABP monitoring, 24 hours, including recording, scanning analysis, interpretation and report 93784 39.92
Fetal Monitoring
Test CPT Fee
Fetal non-stress test. 59025 8.75
Cardiac Output Determination
via bioimpedence for Dash Monitor w/ Printer & RAC 2A
Test CPT Fee
Cardiac Output Determination via bioimpedence 93701 33
Microvolt T-Wave Alternans Testing
Test CPT Fee
Microvolt T-Wave Alternans Testing 93025 390

 

 

 
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