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What are the ASC facility and Hospital OP facility fees for 76881 and 76882

Steven Posted Thu 10th of January, 2013 04:49:50 AM

'76881' '76882' I'm interested in the ASC and Hospital facility fees

SuperCoder Answered Thu 10th of January, 2013 19:50:08 PM

76881- Both have same fees of $124.52 as of today.
76882- Both have same fees of $35.38 as of today.

Steven Posted Mon 14th of January, 2013 15:19:45 PM

Thanks for your reply!

This appears to be a change from 2012. If I had it right, last year the fees were vastly different between physician and facility payments. 2012 Hospital outpatient facility payment and ASC payments for 76881 = $96.31 and $55.57 respectively, and for 76882 = $62.92 and $10.55 respectively. Did this change, or did I have it wrong for 2012?

Also, can I look up ASC and hospital outpatient facility payments with the Radiology or Orthopedic coder?

SuperCoder Answered Mon 14th of January, 2013 19:55:33 PM

Thanks,

Let us cross check and we will get back to you soon.

SuperCoder Answered Tue 15th of January, 2013 10:14:36 AM

For 76881:
National Facility Rate in ASC in 2013: $55.73
National Physician Rate (per PFS): $130.36

Medicare payment rate in Hosp. OutPt in 2013 (APC payment system): $99.32
Nat'l unadjusted copay: $37.23 ; Min unadjusted copay: $19.87

For 76882:
National Facility Rate in ASC in 2013: $8.25
National Physician Rate (per PFS): $88.50

Medicare payment rate in Hosp. OutPt in 2013 (APC payment system): $64.57
Nat'l unadjusted copay: $22.26 ; Min unadjusted copay: $12.92

SuperCoder does provide ASC and APC payment information (for ASC and Hospital OutPt. facility). These information are exclusively available in OutPatient Facility Coder pack (a Coder pack specific for OutPatient Facility coders). The tool can be accessed through that product, not through Radiology / Orthopedic Coder packs.

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