Effective September 24, 2009 for dates of service on or after July 1, 2009, some of the benefit changes will be reversed. Affected claims will be reprocessed, and payments will be adjusted accordingly. No further action on the part of the provider is necessary.
Cardiac Catheterization
Procedure codes 93501, 93505, 93508, 95310, 93511, 93514, 93524, 93526, 93527, 93528, 93529, 93530, and 93531 may be reimbursed as follows:
|
Type of Service |
Changes |
|
Surgery |
May be reimbursed to physicians and radiological and physiological laboratories in the office setting.
May be reimbursed to ambulatory surgical centers. |
|
Technical component |
May be reimbursed to radiological and physiological laboratories in the office setting. |
|
Professional interpretation component |
May be reimbursed to physicians in the office, inpatient hospital, or outpatient hospital setting. |
Transthoracic Echocardiogram and Doppler Echocardiography
Procedure codes 93303, 93304, 93307, 93308, 93320, 93321, and 93325 may be reimbursed as follows:
|
Type of Service |
Changes |
|
Radiology service total component |
May be reimbursed to physicians and radiological and physiological laboratories in the office setting.
May be reimbursed to outpatient hospitals. |
|
Professional interpretation component |
May be reimbursed to physicians in the office, inpatient hospital, or outpatient hospital setting. |
|
Technical component |
May be reimbursed to radiological and physiological laboratories in the office setting. |