2006 proposed fee schedule - American Society of Clinical Oncology

following the consideration of public comments, these
figures may change.
338
TABLE 34--Impact of Proposed Rule on Payment For Selected
Procedures
Non-Facility Facility
%
%
HCPCS MOD DESCRIPTION
Debride nail, 6
Old New Change Old New Change
11721
or more
Destroy
benign/premlg
$39.79 $38.77 -3% $31.08 $29.60 -5%
17000
lesion
Total hip
$60.64 $62.54 3% $44.34 $44.39 0%
27130
arthroplasty
Treat thigh
N/A N/A N/A $1,396.14 $1,321.88 -5%
27244
fracture
Total knee
N/A N/A N/A $1,134.65 $1,073.62 -5%
27447
arthroplasty
CABG, arterial,
N/A N/A N/A $1,507.94 $1,427.92 -5%
33533
single
Rechanneling of
N/A N/A N/A $1,923.30 $1,813.54 -6%
35301
artery
Upper GI
endoscopy,
N/A N/A N/A $1,128.59 $1,072.23 -5%
43239
biopsy
After cataract
$333.50 $336.27 1% $162.20 $159.18 -2%
66821
laser surgery
Cataract surg
$248.23 $233.25 -6% $230.42 $216.83 -6%
66984
w/iol, 1 stage
Treatment of
N/A N/A N/A $684.05 $649.50 -5%
67210
retinal lesion $599.54 $568.15 -5% $573.39 $544.48 -5%
71010 Chest x-ray $28.04 $25.68 -8% N/A N/A N/A
71010 26 Chest x-ray
Mammogram,
$9.47 $9.17 -3% $9.47 $9.17 -3%
76091
both breasts
Mammogram,
$97.40 $101.39 4% N/A N/A N/A
76091 26 both breasts
Mammogram,
$45.10 $43.77 -3% $45.10 $43.77 -3%
76092
screening
Mammogram,
$85.65 $83.77 -2% N/A N/A N/A
76092 26 screening
Radiation tx
$36.38 $35.33 -3% $36.38 $35.33 -3%
77427
management, x5
Heart image
$172.05 $168.64 -2% $172.05 $166.10 -3%
78465 26 (3d), multiple
Tissue exam by
$77.31 $74.92 -3% $77.31 $74.92 -3%
88305 26 pathologist $42.07 $40.14 -5% $42.07 $40.14 -5%
90801 Psy dx interview
Medication
$153.11 $147.29 -4% $144.01 $137.12 -5%
90862
management $51.92 $50.31 -3% $48.89 $46.77 -4%