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Reimbursement for '76882'

Cathy Posted Thu 06th of January, 2011 19:39:53 PM

I was shocked when I saw how Medicare has deleted the code '76880', and replaced it with '76881' for Complete, and '76882' for Limited. The reimbursement for the technical componsnet (TC) for '76882' is only $9.54!! Can this possibly be correct?

SuperCoder Answered Fri 07th of January, 2011 06:09:35 AM

The reimbursement for CPT code 76882 for Global is $30.24, PC/26 is $20.05, and TC is $10.19 according to Medicare 2011 fee schedule.

Cathy Posted Fri 07th of January, 2011 18:43:05 PM

Agreed. But my issue is that it certainly seems low.
The complete, '76881' reimburses at $109.30, $27.88, & $81.42 respectively. The limited is inordinately lower than the other ultrasound procedures but still requires time and equipment.
Do you know the rationale for the low fee for the limited?

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