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2006 Pain Physician Medicare Fee Schedule |
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Contributed by AlgosDoc
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QUICK REFERENCE 2006 Medicare Pain Physician Fees
Zygapophyseal Joint and Medial Branch Nerve Injections
CPT
| Description
| Office
| ASC
| Hospital
| 64475
| Single lumbar Z-joint or 2 adjacent medial branch blocks
| 319
| 81
| 81
| 64476
| 2nd lumbar z-joint or 3rd adjacent medial branch block
| 121
| 49
| 49
| 64470
| Cerv/Thoracic Single Z-Joint or 2 adjacent medial branch blocks
| 349
| 101
| 101
| 64472
| 2nd joint or 3rd nerve block
| 141
| 69
| 69
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Sacroiliac Injections
CPT
| Description
| Office
| ASC
| Hospital
| 27096
| IA SI Injection with fluoroscopy
| 221
| 69
| 69
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Disc Procedures
CPT
| Description
| Office
| ASC
| Hospital
| 62290
| Lumbar discography each level
| 394
| 175
| 175
| 62291
| Cervical discography ea level
| 345
| 167
| 167
| 62287
| Percutaneous decompression lumb
| -
| 539
| 539
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RF or Cryoneurolysis
CPT
| Description
| Office
| ASC
| Hospital
| 64622
| Lumbar Z-Joint RF (1st nerve)
| 415
| 172
| 172
| 64623
| Each additional nerve
| 152
| 48
| 48
| 64626
| Cerv/Thor Z-Joint RF (1st nerve)
| 427
| 207
| 207
| 64627
| Each additional nerve
| 219
| 57
| 57
| 64999
| Pulsed RF Any Location
| -
| -
| -
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Muscle, Tendon, Bursa, Joint Injections CPT
| Description
| Office
| ASC
| Hospital
| 11900
| Scar Infiltration
| 45
| 29
| 29
| 20550
| Ligament, Tendon Sheath
| 59
| 41
| 59
| 20551
| Tendon Insertion
| 57
| 44
| 57
| 20552
| 1-2 Muscle Group TPI
| 54
| 34
| 54
| 20553
| 3 or more muscle group TPI
| 61
| 38
| 61
| 20600
| Sm Joint Inj (digits)
| 53
| 41
| 53
| 20605
| Wrist/Elbow/Ankle Intermediate Joint or Bursa Injection
| 58
| 42
| 58
| 20610
| Knee/Hip/Shoulder Joint or Bursa Injection; Troch Bursa Injection
| 70
| 50
| 70
| 25246
| Wrist arthrography
| 192
| 80
| 80
| 27093
| Hip Arthrography no anesthesia
| 224
| 72
| 72
| 27095
| Hip Arthrography with Anesthesia
| 280
| 82
| 82
| 27370
| Knee Arthrography
| 182
| 54
| 54
| 27648
| Ankle Arthrography
| 176
| 53
| 53
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Sympathetic Blocks
64505
| Sphenopalatine Ganglion
| 102
| 80
| 80
| 64510
| Stellate Ganglion
| 140
| 68
| 68
| 64530
| Celiac Plexus
| 232
| 88
| 88
| 64520
| Lumbar Sympathetic
| 245
| 75
| 75
| 64517
| Hypogastric Plexus
| 191
| 121
| 121
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Neurolysis/Adhesiolysis
CPT
| Description
| Office
| ASC
| Hospital
| 64612
| Botox Facial Muscles
| 172
| 129
| 125
| 64613
| Botox Cervical Muscles
| 189
| 125
| 125
| 64614
| Botox Lumbar Muscles
| 210
| 137
| 137
| 64680
| Celiac Plexus Neurolytic
| 360
| 160
| 160
| 64681
| Sup Hypogast Plex Neurolytic
| 497
| 222
| 222
| 62263
| Percutaneous Lysis Epidural Adhesions 3 day
| 729
| 369
| 369
| 62264
| 1 day
| 471
| 232
| 232
| 64640
| Periph Nerve Neurolysis
| 274
| 184
| 184
| 64620
| Intercostal neurolysis (eg cryo)
| 307
| 166
| 166
| 64630
| Pudendal neurolysis
| 226
| 175
| 175
| 64600
| Trigeminal peripheral neurolysis
| 499
| 206
| 206
| 64610
| V2 or V3 neurolysis @foramen
| 668
| 472
| 472
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Spinal Cord Stimulation
CPT
| Description
| Office
| ASC
| Hospital
| 63650
| Percutaneous Implant Stim Array
| 396?
| 396
| 396
| 63660
| Revision/Removal Stim Array
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| 400
| 400
| 63685
| Implant Stim Generator
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| 462
| 462
| 63688
| Revision/Removal Generator
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| 371
| 371
| 95970
| Electronic analysis
| 50
| 24
| 24
| 95971
| With reprogramming
| 58
| 41
| 41
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Intrathecal Infusion Pumps
CPT
| Description
| Office
| ASC
| Hospital
| 62350
| Implant Catheter
| 446
| 446
| 446
| 62355
| Remove Implanted Catheter
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| 354
| 354
| 62361
| Implant non-programmable
pump
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| 384
| 384
| 62362
| Implant programmable pump
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| 477
| 477
| 62365
| Remove implanted pump
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| 373
| 373
| 62367
| Analysis without reprogram
| 42
| 23
| 42
| 62368
| Analysis with reprogram
| 57
| 37
| 57
| 95990
| Refill pump non physician
| 59
| 59
| 59
| 95991
| Refill pump physician
| 87
| 38
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| 62360
| Reservoir Implant for epidural or IT infusion
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| 214
| 214
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Peripheral Nerve Injections Office Based Fees/ Fluoroscopy Use in Office CPT
| Description
| Fee
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| CPT
| Description
| Fee
| 64400
| Trigem Br Inj
| 117
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| 64447
| Femoral Inj
| 77
| 64405
| Gr Occipital
| 108
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| 64448
| Femoral Cath
| 152
| 64415
| Brach Plexus
| 166
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| 64449
| Lumbar Plexus
| 156
| 64416
| BrachPlxCath
| 174
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| 64450
| Other Periph N
| 100
| 64418
| Suprascapular
| 152
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| 20526
| Carpal Tunnel
| 76
| 64420
| Intercostal (1)
| 195
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| 62318
| Catheter Epidural or SA Cerv/Thoracic
| 299
| 64421
| Intercostal (>1)
| 299
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| 62319
| Catheter Epidural or SA Lumb
| 264
| 64425
| Ilioinguinal
| 135
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| 64425
| Iliohypogastric
| 135
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| 76000
| Fluoro exam<1 hr
| 61
| 64430
| Pudendal
| 154
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| 76003
| Non-spinal needle placement fluoro
| 80
| 64445
| Sciatic Injection
| 161
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| 76005
| Spinal needle placement fluoro
| 82
| 64446
| Sciatic Catheter
| 170
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| 72275
| Epidurography
| 126
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Miscellaneous Procedures/ E&M Fees
CPT
| Description
| Office Fee
| 62270
| Lumbar Puncture diagnostic
| 159
| 62272
| Lumbar Puncture therapeutic
| 195
| 22520
| Vertebroplasty thoracic
| 2745
| 22521
| Vertebroplasty lumbar
| 2500
| 99144
| Moderate Sedation Provided by Injectionist
| 103
| 90774
| IV drug administration for pain management (push or infusion) 1st drug administered
| 52
| 90775
| IV drug administration for pain management (push or infusion) 2nd drug administered
| 24
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| 99241
| Consultation Office Level 1
| 50
| 99242
| Consultation Office Level 2
| 92
| 99243
| Consultation Office Level 3
| 123
| 99244
| Consultation Office Level 4
| 173
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| 99201
| New patient non-referred Level 1
| 37
| 99202
| New patient non referred Level 2
| 65
| 99203
| New patient non referred Level 3
| 97
| 99204
| New patient non referred Level 4
| 137
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| 99211
| Follow up Patient Level 1
| 22
| 99212
| Follow up Patient Level 2
| 39
| 99213
| Follow up Patient Level 3
| 53
| 99214
| Follow up Patient Level 4
| 89
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Epidural Injections
CPT
| Description
| Office
| ASC
| Hospital
| 64483
| L/S TFESI
| 376
| 108
| 108
| 64484
| 2nd Level
| 178
| 67
| 67
| 62311
| L Interlaminar/Caudal
| 249
| 83
| 83
| 62310
| C/T Interlaminar
| 260
| 102
| 102
| 64479
| C/T TFESI
| 373
| 122
| 122
| 64480
| 2nd Level
| 170
| 80
| 80
| 62273
| EPIDURAL BLOOD PATCH
| 189
| 113
| 113
| 76005
| Spinal fluoroscopy for procedures
| 81
| 29
| 29
| 72275
| Epidurogram separate procedure
| 126
| 38
| 38
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Last Updated ( Thursday, 08 June 2006 )
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