Escolar Documentos
Profissional Documentos
Cultura Documentos
HCPCS
10021
2014 Total NF
Payment(Does not
2013 Total NF include -20.1% SGR
Payment2
update)3
Total NF
Payment
Percent
Change
$154.12
$149.71
-3%
10022
Fna w/image
$141.20
$140.44
-1%
36430
$34.70
$33.86
-2%
36440
$59.20
$59.17
0%
36450
Bl exchange/transfuse nb
$107.17
$110.50
3%
36455
Bl exchange/transfuse non-nb
$113.30
$115.84
2%
36460
$367.11
$375.34
2%
36511
Apheresis wbc
$96.63
$97.67
1%
36512
Apheresis rbc
$93.22
$96.24
3%
36513
Apheresis platelets
$99.35
$101.94
3%
36514
Apheresis plasma
$551.85
$522.91
-5%
36515
Apheresis adsorp/reinfuse
$2,231.91
$2,077.01
-7%
36516
Apheresis selective
$2,176.79
$2,032.46
-7%
38205
$80.29
$82.70
3%
38206
$82.00
$84.12
3%
38207
$44.23
$45.63
3%
38208
$28.24
$29.23
4%
38209
$11.91
$12.12
2%
38210
$78.59
$80.91
3%
38211
$71.45
$73.78
3%
38212
$46.61
$48.12
3%
38213
$11.91
$12.12
2%
38214
$40.49
$41.70
3%
38215
$46.61
$48.12
3%
38220
$165.01
$161.11
-2%
38221
$167.73
$166.82
-1%
38230
$208.22
$214.94
3%
80500
$20.41
$21.03
3%
80502
$65.32
$68.08
4%
83020
26
Hemoglobin electrophoresis
$20.07
$19.25
-4%
84165
26
$20.07
$19.25
-4%
84166
26
Protein e-phoresis/urine/csf
$20.07
$19.25
-4%
84181
26
$20.07
$19.25
-4%
84182
26
$18.37
$19.25
5%
85060
$24.16
$24.59
2%
85097
$86.08
$85.90
0%
$20.07
$19.25
-4%
$20.07
$20.32
1%
$20.07
$19.25
-4%
86077
$53.42
$54.54
2%
86078
$53.76
$54.54
1%
86079
$53.42
$54.18
1%
$33.68
$34.93
4%
85390
26
85396
85576
86153
26
26
86255
26
$20.07
$19.25
-4%
86256
26
$19.05
$18.54
-3%
86320
26
Serum immunoelectrophoresis
$18.37
$18.54
1%
86325
26
Other immunoelectrophoresis
$18.71
$18.54
-1%
86327
26
Immunoelectrophoresis assay
$22.80
$21.74
-5%
86334
26
$19.73
$19.25
-2%
86335
26
Immunfix e-phorsis/urine/csf
$20.07
$19.25
-4%
87164
26
$19.05
$19.25
1%
87207
26
$20.07
$19.25
-4%
88104
$76.21
$73.78
-3%
88104
26
$28.58
$29.23
2%
88104
TC
$47.63
$44.56
-6%
$85.40
$84.12
-1%
88106
88106
26
$19.05
$19.60
3%
88106
TC
$66.34
$64.52
-3%
$78.93
$78.42
-1%
$22.11
$22.81
3%
88108
88108
26
88108
TC
$56.82
$55.61
-2%
$109.55
$62.73
-43%
$58.18
$28.16
-52%
88112
88112
26
88112
TC
$51.37
$34.58
-33%
$620.92
$615.58
-1%
88120
88120
26
$56.48
$58.81
4%
88120
TC
$564.44
$556.77
-1%
$557.98
$532.53
-5%
88121
88121
26
$49.33
$50.62
3%
88121
TC
$508.64
$481.91
-5%
Forensic cytopathology
$22.46
$22.10
-2%
$12.93
$13.19
2%
88125
88125
26
Forensic cytopathology
88125
TC
Forensic cytopathology
$9.53
$8.91
-6%
88141
$31.64
$31.72
0%
88160
$63.62
$64.16
1%
88160
26
$25.52
$26.38
3%
88160
TC
$38.11
$37.78
-1%
$60.56
$58.46
-3%
88161
88161
26
$24.50
$25.31
3%
88161
TC
$36.06
$33.15
-8%
$96.29
$95.88
0%
88162
88162
26
$39.13
$40.28
3%
88162
TC
$57.16
$55.61
-3%
-1%
88172
$54.78
$54.18
88172
26
$35.38
$36.00
2%
88172
TC
$19.39
$18.18
-6%
-3%
88173
$150.04
$146.14
88173
26
$70.09
$71.65
2%
88173
TC
$79.95
$74.50
-7%
0%
88177
$29.60
$29.59
88177
26
$21.77
$22.10
1%
88177
TC
$7.83
$7.49
-4%
88182
$109.21
$109.43
0%
88182
26
$35.04
$36.71
5%
88182
TC
$74.17
$72.71
-2%
88184
Flowcytometry/ tc 1 marker
$88.80
$87.33
-2%
88185
Flowcytometry/tc add-on
$54.10
$53.47
-1%
88187
Flowcytometry/read 2-8
$68.73
$71.29
4%
88188
Flowcytometry/read 9-15
$87.78
$89.82
2%
88189
$106.49
$110.14
3%
88291
Cyto/molecular report
$30.62
$31.01
1%
88300
$14.63
$14.61
0%
88300
26
$4.42
$4.63
5%
88300
TC
$10.21
$9.98
-2%
$30.96
$29.94
-3%
88302
88302
26
$6.80
$7.13
5%
88302
TC
$24.16
$22.81
-6%
$44.57
$43.13
-3%
88304
88304
26
$11.23
$11.41
2%
88304
TC
$33.34
$31.72
-5%
$70.09
$70.22
0%
$36.74
$38.14
4%
88305
88305
26
88305
TC
$33.34
$32.08
-4%
$297.36
$286.94
-4%
88307
88307
26
$82.00
$83.76
2%
88307
TC
$215.37
$203.17
-6%
$449.44
$436.65
-3%
88309
88309
26
$144.94
$148.28
2%
88309
TC
$304.51
$288.36
-5%
Decalcify tissue
$20.41
$20.32
0%
$12.25
$12.48
2%
88311
88311
26
Decalcify tissue
88311
TC
Decalcify tissue
$8.17
$7.84
-4%
$97.65
$94.10
-4%
88312
88312
26
$26.54
$27.45
3%
88312
TC
$71.11
$66.66
-6%
$67.71
$65.59
-3%
88313
88313
26
$11.91
$12.12
2%
88313
TC
$55.80
$53.47
-4%
$80.97
$77.71
-4%
88314
88314
26
$22.46
$22.81
2%
88314
TC
$58.52
$54.89
-6%
Enzyme histochemistry
$87.44
$85.55
-2%
88319
88319
26
Enzyme histochemistry
$27.22
$28.16
3%
88319
TC
Enzyme histochemistry
$60.22
$57.39
-5%
Microslide consultation
$93.22
$94.81
2%
88321
88323
Microslide consultation
$141.54
$146.86
4%
88323
26
Microslide consultation
$83.02
$87.69
6%
88323
TC
Microslide consultation
$58.52
$59.17
1%
88325
$210.26
$211.73
1%
88329
$57.50
$57.03
-1%
88331
$99.69
$98.38
-1%
88331
26
$61.24
$62.38
2%
88331
TC
$38.45
$36.00
-6%
0%
88332
$43.55
$43.49
88332
26
$30.28
$31.01
2%
88332
TC
$13.27
$12.48
-6%
-1%
88333
$105.13
$104.08
88333
26
$62.26
$63.45
2%
88333
TC
$42.87
$40.63
-5%
-1%
88334
$65.66
$64.87
88334
26
$38.45
$39.21
2%
88334
TC
$27.22
$25.66
-6%
88342
$115.34
$0.00
-100%
88342
26
$42.19
$0.00
-100%
88342
TC
$73.15
$0.00
-100%
88346
Immunofluorescent study
$109.21
$105.86
-3%
88346
26
Immunofluorescent study
$41.85
$42.77
2%
88346
TC
Immunofluorescent study
$67.37
$63.09
-6%
88347
Immunofluorescent study
$79.27
$88.40
12%
88347
26
Immunofluorescent study
$38.11
$41.70
9%
88347
TC
Immunofluorescent study
$41.17
$46.69
13%
88348
Electron microscopy
$725.37
$698.99
-4%
88348
26
Electron microscopy
$74.17
$76.28
3%
88348
TC
Electron microscopy
$651.20
$622.71
-4%
88349
$437.54
$406.70
-7%
88349
26
$40.15
$40.99
2%
88349
TC
$397.39
$365.71
-8%
88355
$182.70
$175.37
-4%
88355
26
$82.68
$84.12
2%
88355
TC
$100.03
$91.25
-9%
88356
Analysis nerve
$277.63
$278.38
0%
88356
26
Analysis nerve
$127.93
$133.31
4%
88356
TC
Analysis nerve
$149.70
$145.07
-3%
88358
Analysis tumor
$82.00
$83.05
1%
88358
26
Analysis tumor
$43.55
$45.27
4%
88358
TC
Analysis tumor
$38.45
$37.78
-2%
88360
Tumor immunohistochem/manual
$127.25
$129.39
2%
88360
26
Tumor immunohistochem/manual
$52.40
$54.54
4%
88360
TC
Tumor immunohistochem/manual
$74.85
$74.85
0%
88361
Tumor immunohistochem/comput
$156.51
$157.19
0%
88361
26
Tumor immunohistochem/comput
$57.16
$59.17
4%
88361
TC
Tumor immunohistochem/comput
$99.35
$98.02
-1%
88362
$311.99
$306.54
-2%
88362
26
$109.21
$112.99
3%
88362
TC
$202.78
$193.55
-5%
88363
$56.82
$22.10
-61%
88365
$178.62
$176.44
-1%
88365
26
$58.18
$59.88
3%
88365
TC
$120.44
$116.56
-3%
$258.23
$254.50
-1%
88367
88367
26
$59.88
$62.38
4%
88367
TC
$198.35
$192.12
-3%
$232.04
$231.33
0%
88368
88368
26
$61.58
$64.52
5%
88368
TC
$170.46
$166.82
-2%
88371
26
$19.39
$19.25
-1%
88372
26
$15.99
$19.25
20%
$0.00
$0.00
#DIV/0!
$189.63
20%
88375
88380
Microdissection laser
$157.87
88380
26
Microdissection laser
$71.79
$79.84
11%
88380
TC
Microdissection laser
$86.08
$109.79
28%
88381
Microdissection manual
$153.10
$160.04
5%
88381
26
Microdissection manual
$51.03
$54.89
8%
88381
TC
Microdissection manual
$102.07
$105.15
3%
88387
$33.68
$35.64
6%
88387
26
$27.56
$29.23
6%
88387
TC
$6.12
$6.42
5%
88388
$33.00
$32.79
-1%
88388
26
$23.48
$23.88
2%
88388
TC
$9.53
$8.91
-6%
89060
26
$19.73
$19.25
-2%
G0141
$31.64
$31.72
0%
G0364
$12.25
$12.48
2%
G0416
$670.93
$648.02
-3%
G0416
26
$182.02
$183.57
1%
G0416
TC
$488.91
$464.45
-5%
G0417
$1,305.12
$1,260.04
-3%
G0417
26
$350.44
$352.88
1%
G0417
TC
$954.69
$907.16
-5%
G0418
$2,238.37
$2,161.84
-3%
G0418
26
$608.33
$612.73
1%
G0418
TC
$1,630.04
$1,549.11
-5%
G0419
$2,658.90
$2,565.70
-4%
G0419
26
$702.57
$706.83
1%
G0419
TC
$1,956.32
$1,858.87
-5%
G0452
26
$18.71
$19.25
3%
$0.00
$88.04
100%
G0461
G0461
TC
$0.00
$57.39
100%
G0461
26
$0.00
$30.65
100%
$0.00
$68.08
100%
G0462
G0462
TC
$0.00
$55.61
100%
G0462
26
$0.00
$12.48
100%
$31.64
$31.72
0%
P3001
1 CPT codes and descriptions are copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply.
2 Payments based on the 2013 conversion factor of 34.0230.
3 Payments based on the 2013 conversion factor of 34.0230, adjusted to 35.6446 to include the budget neutrality adjustment.
Unless Congress acts when it returns in December, physicians face a 20.1 percent cut in the Medicare conversion factor due to the
Sustainable Growth Rate (SGR). When adjustments to the relative value scale are combined with the conversion factor change, the net
reduction in payment rates will be about 24 percent.