2010 Reimbursement Coding References
This Medicare coding reference table is designed for use as a guideline only to offer billing examples for reimbursement for procedures utilizing the Advansor TF™.
Current Procedural Terminology (CPT) is copyright 2008 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.
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Note: The payment amounts indicated are based upon data elements made available by CMS on October 30, 2009, published in display document CMS — 1414 — FC dated November 18, 2009. CMS may make adjustments to any or all of the data inputs from time to time. All CPT codes are copyright AMA.
3
Facility — refers to a procedure being performed in a hospital or ASC.
4
Non-Facility — refers to a procedure being performed in a physician office
5
Federal Register / Vol. 74, No 250 / Thursday, December 31, 2009.
6
Note: The payment amounts indicated are estimates only based up data elements derived from various CMS sources. These sources include CMS — 1414 — FC, and the OPPS hospital-specific file, both published on 11/18/09. Actual payment may vary based on various hospital-specific factors not reflected in the source data. Actual payment may also vary based on adjustments that CMS may make from time to time.
7
Place of Service code. Indicator on claim of where the service was performed.
The information contained in this table was current at the time it was uploaded to the website. The codes and values are subject to frequent change without notice. The information contained in this table is provided for informational purposes only and represents no statement, promise or guarantee by Del Palma Orthopedics, LLC. concerning levels of reimbursement or charge. We strongly recommend that you consult your payor organization with regard to its reimbursement policies.