Effective for dates of service on or after January 1, 2008, the following reimbursement rates have changed:
· Procedure code 5-80047 has a reimbursement rate of $ 30.51.
· Procedure code 5-82610 has a reimbursement rate of $ 19.00.
· Procedure code 5-83993 has a reimbursement rate of $ 27.42.
· Procedure code 5-84704 has a reimbursement rate of $ 12.20.
· Procedure code 5-86356 has a reimbursement rate of $ 37.41.
· Procedure code 5-86486 has a reimbursement rate of $4.30 (0.15 relative value units (RVUs), $28.640 conversion factor).
· Procedure code 5-87500 has a reimbursement rate of $ 49.04.
· Procedure code 5-87809 has a reimbursement rate of $ 16.76.
Claims submitted with these procedure codes and dates of service on or after January 1, 2008 will be reprocessed, and payments will be adjusted accordingly. No action on the part of the provider is necessary.
For more information, call the TMHP Contact Center at 1-800-925-9126.