REGULATORY REVIEW


High Volume (>1,000 per year) Procedures in the HOPD Setting that Are Not Covered by Medicare in the ASC Setting


HCPCS 19307 22551 22612 23470 27524 35903 57425 58260 60240 60500 63030 63042 63047 63056


Short Descriptor Mast mod rad


Neck spine fuse&remov bel c2 Lumbar spine fusion


Reconstruct shoulder joint Treat kneecap fracture Excision graft extremity


Laparoscopy surg colpopexy Vaginal hysterectomy Removal of thyroid


Explore parathyroid glands Low back disk surgery


Laminotomy single lumbar Remove spine lamina 1 lmbr Decompress spinal cord lmbr


2014 Rate $ 3,586.79 $4,003.31 $ 4,003.31 $ 9,732.07 $ 4,124.82 $ 2,846.69 $ 3,648.49 $ 2,522.58 $ 3,973.43 $ 3,564.69 $ 4,003.31 $ 4,003.31 $ 4,003.31 $ 4,003.31


2011 Volume 5,003 2,086 1,123 1,136 1,530 2,155 1,785 2,000 5,528 9,500


11,964 2,269


11,539 1,297


ASC FOCUS JUNE/JULY 2014


29


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38