Jennifer Posted Wed 27th of July, 2016 14:09:01 PM
I'm to reimburse a provider at a percentage of Medicare allowable rate for code 23410. I'm not positive I'm looking at this right as the hospital charged just over $10K for that code, and am looking for confirmation as to the base medicare allowable for this code. Is my system telling me medicare allows payment of $9K? Please help. I want to make sure I am reimbursing the right amount.
SuperCoder Answered Thu 28th of July, 2016 03:15:51 AM
Medicare OPPS reimbursement for CPT code 23410 is $4969.26 as per Q3, 2016 Medicare OPPS fee schedule.