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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.

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