Impact on CY 2021 Payment for Selected Procedures								
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility		
			CY 2020 2	CY 2021 3	% Change	CY 2020 2	CY 2021 3	% Change
11721		Debride nail 6 or more	$25.98 	$24.43 	-6%	$46.56 	$45.36 	-3%
17000		Destruct premalg lesion	$55.22 	$54.43 	-1%	$66.77 	$67.34 	1%
27130		Total hip arthroplasty	"$1,415.07 "	"$1,322.45 "	-7%	NA	NA	NA
27244		Treat thigh fracture	"$1,282.62 "	"$1,263.48 "	-2%	NA	NA	NA
27447		Total knee arthroplasty	"$1,413.27 "	"$1,320.70 "	-7%	NA	NA	NA
33533		Cabg arterial single	"$1,955.70 "	"$1,908.30 "	-2%	NA	NA	NA
35301		Rechanneling of artery	"$1,187.35 "	"$1,150.77 "	-3%	NA	NA	NA
43239		Egd biopsy single/multiple	$144.00 	$140.27 	-3%	$383.63 	$400.92 	5%
66821		After cataract laser surgery	$317.95 	$315.08 	-1%	$339.24 	$339.51 	0%
66984		Xcapsl ctrc rmvl w/o ecp	$557.58 	$548.17 	-2%	NA	NA	NA
67210		Treatment of retinal lesion	$509.59 	$501.41 	-2%	$528.71 	$522.35 	-1%
77427		Radiation tx management x5	$196.33 	$191.91 	-2%	$196.33 	$191.91 	-2%
88305	26	Tissue exam by pathologist	$39.34 	$37.68 	-4%	$39.34 	$37.68 	-4%
90471		Immunization admin	NA	NA	NA	$14.44 	$17.10 	18%
90935		Hemodialysis one evaluation	$75.07 	$73.28 	-2%	NA	NA	NA
92012		Eye exam establish patient	$53.05 	$51.64 	-3%	$89.86 	$91.07 	1%
92014		Eye exam&tx estab pt 1/>vst	$80.48 	$77.81 	-3%	$128.12 	$128.41 	0%
93000		Electrocardiogram complete	NA	NA	NA	$17.32 	$15.00 	-13%
93010		Electrocardiogram report	$8.66 	$8.37 	-3%	$8.66 	$8.37 	-3%
93015		Cardiovascular stress test	NA	NA	NA	$72.18 	$71.88 	0%
93307	26	Tte w/o doppler complete	$46.19 	$45.36 	-2%	$46.19 	$45.36 	-2%
93458	26	L hrt artery/ventricle angio	$308.93 	$299.38 	-3%	$308.93 	$299.38 	-3%
98941		Chiropract manj 3-4 regions	$35.37 	$34.20 	-3%	$41.50 	$40.48 	-3%
99203		Office o/p new low 30-44 min	$77.23 	$84.44 	9%	$109.35 	$113.75 	4%
99213		Office o/p est low 20-29 min	$52.33 	$68.04 	30%	$76.15 	$92.47 	21%
99214		Office o/p est mod 30-39 min	$80.48 	$100.49 	25%	$110.43 	$131.20 	19%
99222		Initial hospital care	$140.39 	$136.08 	-3%	NA	NA	NA
99223		Initial hospital care	$206.07 	$200.29 	-3%	NA	NA	NA
99231		Subsequent hospital care	$40.06 	$38.38 	-4%	NA	NA	NA
99232		Subsequent hospital care	$73.62 	$71.88 	-2%	NA	NA	NA
99233		Subsequent hospital care	$106.10 	$103.28 	-3%	NA	NA	NA
99236		Observ/hosp same date	$221.59 	$214.59 	-3%	NA	NA	NA
99239		Hospital discharge day	$108.99 	$106.42 	-2%	NA	NA	NA
99283		Emergency dept visit	$66.40 	$72.93 	10%	NA	NA	NA
99284		Emergency dept visit	$121.98 	$123.87 	2%	NA	NA	NA
99291		Critical care first hour	$226.64 	$220.87 	-3%	$284.75 	$282.98 	-1%
99292		Critical care addl 30 min	$114.04 	$110.96 	-3%	$125.95 	$123.87 	-2%
99348		Home visit est patient	NA	NA	NA	$85.53 	$83.74 	-2%
99350		Home visit est patient	NA	NA	NA	$182.61 	$178.65 	-2%
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA
								
1 CPT codes and descriptions are copyright 2020 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.								
2 Payments based on the 1/1/2020 - 12/31/2020 conversion factor of 36.0896.								
"3 Payments based on the 2021 conversion factor of 34.8931, which includes the budget neutrality adjustment."								
								
