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
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.