Friday, November 7, 2014

New Fees for Procedure Code 75946


Current Procedural Terminology (Procedure code) defines 75946 as: “Intravascular ultrasound (non-coronary vessel), radiological supervision and interpretation; each additional non-coronary vessel (list separately in addition to code for primary procedure”

During a routine review of Contractor Priced codes, the fees for this code were reviewed for both JL and JH. Fees have been developed, for 2014 dates of service, for this code based on the Procedure code descriptors and the Contractor Medical Director’s review of the following factors:

The amount and complexity of work that goes into performing the service; 

The usual overhead costs to the physician associated with providing the service such as rent, equipment, personnel expenses, and supplies; 

The cost to the physician to obtain professional liability or malpractice insurance as it relates to specific procedures; and

The following fees for procedure code 75946 will be implemented November 27, 2014 and will be effective for dates of service on and after January 1, 2014.




Locality Name
75946
75946 TC
75946-26
PA01
Metropolitan Philadelphia, PA
$113.23
$91.18
$22.05
PA99
Rest of PA
$103.59
$83.32
$20.27
NJ01
Northern NJ
$111.59
$89.74
$21.85
NJ99
Southern NJ
$109.17
$87.80
$21.37
MD01
Baltimore/Surrounding Counties, MD
$110.59
$88.98
$21.61
MD99
Rest of Maryland
$105.53
$84.85
$20.68
DE01
Delaware
$104.05
$83.63
$20.42
DC02
DC + MD/VA Suburbs
$114.45
$92.08
$22.37
TX31
Austin, TX
$101.04
$81.18
$19.86
TX20
Beaumont, TX
$101.52
$81.62
$19.90
TX09
Brazoria, TX
$104.18
$83.75
$20.43
TX11
Dallas, TX
$102.66
$82.49
$20.17
TX28
Fort Worth, TX
$101.27
$81.37
$19.90
TX15
Galveston, TX
$104.91
$84.35
$20.56
TX18
Houston, TX
$104.45
$83.97
$20.48
TX99
Rest of TX
$100.08
$80.42
$19.66
CO04
Colorado
$104.12
$83.72
$20.40
NM97
Oklahoma
$103.97
$83.55
$20.32
OK98
New Mexico
$98.76
$79.35
$19.41
LA01
New Orleans, LA
$106.12
$85.38
$20.74
LA99
Rest of Louisiana
$101.73
$81.80
$19.93
MS01
Mississippi
$98.29
$78.14
$19.15
AR13
Arkansas
$94.52
$75.85
$18.67

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