Impact on CY 2020 Payment for Selected Procedures								
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility		
			CY 2019 2	CY 2020 3	% Change	CY 2019 2	CY 2020 3	% Change
11721		Debride nail 6 or more	$25.59 	$25.98 	2%	$46.49 	$46.56 	0%
17000		Destruct premalg lesion	$55.14 	$55.22 	0%	$66.67 	$66.77 	0%
27130		Total hip arthroplasty	"$1,408.77 "	"$1,415.07 "	0%	NA	NA	NA
27244		Treat thigh fracture	"$1,279.75 "	"$1,282.62 "	0%	NA	NA	NA
27447		Total knee arthroplasty	"$1,408.05 "	"$1,413.27 "	0%	NA	NA	NA
33533		Cabg arterial single	"$1,949.35 "	"$1,955.70 "	0%	NA	NA	NA
35301		Rechanneling of artery	"$1,181.72 "	"$1,187.35 "	0%	NA	NA	NA
43239		Egd biopsy single/multiple	$145.96 	$144.00 	-1%	$367.24 	$383.63 	5%
66821		After cataract laser surgery	$318.95 	$317.95 	0%	$339.49 	$339.24 	0%
66984		Cataract surg w/iol 1 stage	$654.47 	$557.58 	-15%	NA	NA	NA
67210		Treatment of retinal lesion	$512.12 	$509.59 	0%	$530.50 	$528.71 	0%
77427		Radiation tx management x5	$193.53 	$196.33 	1%	$193.53 	$196.33 	1%
88305	26	Tissue exam by pathologist	$39.64 	$39.34 	-1%	$39.64 	$39.34 	-1%
90471		Immunization admin	NA	NA	NA	$16.94 	$14.44 	-15%
90935		Hemodialysis one evaluation	$74.60 	$75.07 	1%	NA	NA	NA
92012		Eye exam establish patient	$53.70 	$53.05 	-1%	$89.74 	$89.86 	0%
92014		Eye exam&tx estab pt 1/>vst	$81.09 	$80.48 	-1%	$128.66 	$128.12 	0%
93000		Electrocardiogram complete	NA	NA	NA	$17.30 	$17.32 	0%
93010		Electrocardiogram report	$8.65 	$8.66 	0%	$8.65 	$8.66 	0%
93015		Cardiovascular stress test	NA	NA	NA	$72.44 	$72.18 	0%
93307	26	Tte w/o doppler complete	$46.13 	$46.19 	0%	$46.13 	$46.19 	0%
93458	26	L hrt artery/ventricle angio	$311.74 	$308.93 	-1%	$311.74 	$308.93 	-1%
98941		Chiropract manj 3-4 regions	$35.32 	$35.37 	0%	$41.81 	$41.50 	-1%
99203		Office/outpatient visit new	$77.48 	$77.23 	0%	$109.92 	$109.35 	-1%
99213		Office/outpatient visit est	$51.90 	$52.33 	1%	$75.32 	$76.15 	1%
99214		Office/outpatient visit est	$80.01 	$80.48 	1%	$110.28 	$110.43 	0%
99222		Initial hospital care	$139.11 	$140.39 	1%	NA	NA	NA
99223		Initial hospital care	$205.42 	$206.07 	0%	NA	NA	NA
99231		Subsequent hospital care	$40.00 	$40.06 	0%	NA	NA	NA
99232		Subsequent hospital care	$73.88 	$73.62 	0%	NA	NA	NA
99233		Subsequent hospital care	$105.59 	$106.10 	0%	NA	NA	NA
99236		Observ/hosp same date	$220.92 	$221.59 	0%	NA	NA	NA
99239		Hospital discharge day	$108.84 	$108.99 	0%	NA	NA	NA
99283		Emergency dept visit	$63.07 	$66.40 	5%	NA	NA	NA
99284		Emergency dept visit	$119.65 	$121.98 	2%	NA	NA	NA
99291		Critical care first hour	$226.33 	$226.64 	0%	$281.83 	$284.75 	1%
99292		Critical care addl 30 min	$113.52 	$114.04 	0%	$124.70 	$125.95 	1%
99348		Home visit est patient	NA	NA	NA	$85.41 	$85.53 	0%
99350		Home visit est patient	NA	NA	NA	$182.00 	$182.61 	0%
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA
								
1 CPT codes and descriptions are copyright 2019 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.								
2 Payments based on the 1/1/2019 - 12/31/2019 conversion factor of 36.0391.								
"3 Payments based on the 2020 conversion factor of 36.0896, which includes the budget neutrality adjustment."								
								
