Clinical Documentation: Connecting the Dots | Join Webinar & Earn 1 AAPC® CEURegister Now >>

Regular Price: $24.95

Ask An Expert Starting at $24.95
Have a medical coding or compliance question? Don’t sacrifice your valuable time to endless research. Choose Ask an Expert to get clear answers from the TCI SuperCoder team. And here’s a tip for the budget-conscious: Select the 12-question pack to get the best rate per question!

Browse Past Questions By Specialty

+View all

Medicare coverage of new CPT codes for 2020

Charlene Posted Wed 08th of January, 2020 15:12:43 PM
Since the Medicare Fee schedule is not finalized as of today, Jan 8, 2020, I don't have a source to know if the following codes are payable by Medicare: 64454, 64624, 64451, 64425. We have patients waiting to be scheduled for these procedures. Can you provide guidance as to Medicare's coverage?
SuperCoder Answered Thu 09th of January, 2020 03:49:58 AM

Hi Charlene,

Thank you for your question.

Yes, codes 64454, 64624, 64451, 64425 are payable by Medicare:

Kindly follow the below table to see the National Fee schedule for 2020:

 

CPT            MPFS Non-Facility           MPFS Facility

64451          $216.18                                   $82.65

64454          $218.34                                    $ 85.17

64624           $417.56                                   $152.66

64425           $115.13                                   $57.74

However, these are national fee schedule, to know the fee schedule for any particular state you may share the name of that state.

Feel free to ask for any further query.

Related Topics