CPT 17311 - FindACode.com

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Fees

Calculated for UT (84043)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

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Facility (Hospital, etc.)

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$371.03	$556.54	$742.05	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$371.03	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

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Non-Facility (Office, etc.)

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$631.88	$947.82	$1,263.76	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$631.88	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

Modifier	Allowed	Medicare 80%	Patient Pays	Limiting Charge (Amount Billed)
(none)	$##.##	$##.##	$##.##	$##.##

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APC Fee Information

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RVUs - Relative Value Units

Calculated for UT (84043)

* Note: Medicare may or may NOT reimburse you for this code. The fees provided below are based on values established by CMS/Medicare. Please check with your local Medicare contact on whether this code is eligible for reimbursement.

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Facility 10.91 (Hospital, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	6.2	3.75	0.96	10.91

Note: Subscribers with the Hospital/Facility product will see calculated values below.

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Practitioner Work Component: 6.2

Pre-Service	Intra-Service	Post-Service	Total Time*
##	##	##	## min

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	6.2

Practice Expense: 3.75

Clinical Labor - Direct Expense

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time*
Histotechnologist	.37 / min	## min	## min	## min	## min
RN/LPN/MTA	.37 / min	## min	## min	## min	## min

* Total Time may be greater than the displayed components.

Equipment - Direct Expense

Item	Purchase Price	Expected Life	Total Time
camera, digital system, 12 megapixel (medical grade)	$##.##	## years	## min
light, surgical	$##.##	## years	## min
mayo stand	$##.##	## years	## min
table, power	$##.##	## years	## min
grossing station w-heavy duty disposal	$##.##	## years	## min
hood, fume	$##.##	## years	## min
microscope, compound	$##.##	## years	## min
cryostat	$##.##	## years	## min
cryosurgery system, non-ophthalmic	$##.##	## years	## min
electrosurgical generator, up to 120 watts	$##.##	## years	## min
instrument pack, medium (00 and up)	$##.##	## years	## min
loupes, surgical, prism, up to 8.0x	$##.##	## years	## min
suction machine (Gomco)	$##.##	## years	## min

Supplies - Direct Expense

Item	Unit Price	Quantity	Unit	Amount
pack, cleaning, surgical instruments	$##.##	##	pack	$##.##
pack, minimum multi-specialty visit	$##.##	##	pack	$##.##
cap, surgical	$##.##	##	item	$##.##
drape, sterile, fenestrated 16in x 29in	$##.##	##	item	$##.##
drape, sterile, for Mayo stand	$##.##	##	item	$##.##
drape-towel, sterile 18in x 26in	$##.##	##	item	$##.##
gloves, sterile	$##.##	##	pair	$##.##
gown, staff, impervious	$##.##	##	item	$##.##
mask, surgical, with face shield	$##.##	##	item	$##.##
underpad 2ft x 3ft (Chux)	$##.##	##	item	$##.##
needle, 18-27g	$##.##	##	item	$##.##
needle, 30g	$##.##	##	item	$##.##
syringe 10-12ml	$##.##	##	item	$##.##
gas, liquid nitrogen	$##.##	##	ml	$##.##
tubing, suction, non-latex (6ft) with Poole tip (1)	$##.##	##	item	$##.##
blade, microtome	$##.##	##	item	$##.##
blade, surgical hair clipper	$##.##	##	item	$##.##
cautery, monopolar, pencil-handpiece	$##.##	##	item	$##.##
cautery, patient ground pad w-cord	$##.##	##	item	$##.##
curette, dermal	$##.##	##	item	$##.##
scalpel with blade, surgical (#10-20)	$##.##	##	item	$##.##
suture, vicryl, 3-0 to 6-0, p, ps	$##.##	##	item	$##.##
adhesive liquid (Mastisol) (0.67ml uou)	$##.##	##	item	$##.##
adhesive remover, liquid (Detachol) (0.67ml uou)	$##.##	##	item	$##.##
applicator, cotton-tipped, non-sterile 6in	$##.##	##	item	$##.##
bandage, Kling, non-sterile 2in	$##.##	##	item	$##.##
dressing, 12-7mm (Gelfoam)	$##.##	##	item	$##.##
dressing, 3in x 4in (Telfa, Release)	$##.##	##	item	$##.##
dressing, eye pad (Opticlude)	$##.##	##	item	$##.##
gauze, sterile 4in x 4in (10 pack uou)	$##.##	##	item	$##.##
tape, surgical occlusive 1in (Blenderm)	$##.##	##	inch	$##.##
tape, foam, elastic, 2in (Microfoam)	$##.##	##	inch	$##.##
lidocaine 1% w-epi inj (Xylocaine w-epi)	$##.##	##	ml	$##.##
water, sterile for irrigation (250-1000ml uou)	$##.##	##	item	$##.##
bacitracin oint (15gm uou)	$##.##	##	item	$##.##
hydrogen peroxide	$##.##	##	ml	$##.##
povidone surgical scrub (Betadine)	$##.##	##	ml	$##.##
anatomical drawings (for treatment recording)	$##.##	##	item	$##.##
map, Moh's surgery (per sheet)	$##.##	##	item	$##.##
measuring tape, paper	$##.##	##	item	$##.##
patient education booklet	$##.##	##	item	$##.##
skin marking pen, sterile (Skin Skribe)	$##.##	##	item	$##.##
cover slip, glass	$##.##	##	item	$##.##
histology freezing spray (Freeze-It)	$##.##	##	oz	$##.##
mounting media (Histomount)	$##.##	##	ml	$##.##
OCT Tissue-Tek	$##.##	##	ml	$##.##
slide container (for 20 microscope slides)	$##.##	##	item	$##.##
slide, microscope	$##.##	##	item	$##.##
stain, frozen section, H&E (1ml per slide)	$##.##	##	ml	$##.##
scrub brush (impregnated)	$##.##	##	item	$##.##

Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.

PE RVU Components (by modifier)

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	3.75

Malpractice Component: 0.96

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	0.96

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Non-Facility 18.57 (Office, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	6.2	11.41	0.96	18.57

Note: Subscribers will see the calculated values below.

Find-A-Code subscribers: Sign In to your account to see this information.

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Practitioner Work Component: 6.2

Pre-Service	Intra-Service	Post-Service	Total Time*
##	##	##	## min

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	6.2

Practice Expense: 11.41

Clinical Labor (Non-Facility)- Direct Expense

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time*
Histotechnologist	.37 / min	## min	## min	## min	## min
RN/LPN/MTA	.37 / min	## min	## min	## min	## min

* Total Time may be greater than the displayed components.

Equipment (Non-Facility)- Direct Expense

Item	Purchase Price	Expected Life	Total Time
camera, digital system, 12 megapixel (medical grade)	$##.##	## years	## min
light, surgical	$##.##	## years	## min
mayo stand	$##.##	## years	## min
table, power	$##.##	## years	## min
grossing station w-heavy duty disposal	$##.##	## years	## min
hood, fume	$##.##	## years	## min
microscope, compound	$##.##	## years	## min
cryostat	$##.##	## years	## min
cryosurgery system, non-ophthalmic	$##.##	## years	## min
electrosurgical generator, up to 120 watts	$##.##	## years	## min
instrument pack, medium (00 and up)	$##.##	## years	## min
loupes, surgical, prism, up to 8.0x	$##.##	## years	## min
suction machine (Gomco)	$##.##	## years	## min

Supplies (Non-Facility)- Direct Expense

Item	Unit Price	Quantity	Unit	Amount
pack, cleaning, surgical instruments	$##.##	##	pack	$##.##
pack, minimum multi-specialty visit	$##.##	##	pack	$##.##
cap, surgical	$##.##	##	item	$##.##
drape, sterile, fenestrated 16in x 29in	$##.##	##	item	$##.##
drape, sterile, for Mayo stand	$##.##	##	item	$##.##
drape-towel, sterile 18in x 26in	$##.##	##	item	$##.##
gloves, sterile	$##.##	##	pair	$##.##
gown, staff, impervious	$##.##	##	item	$##.##
mask, surgical, with face shield	$##.##	##	item	$##.##
underpad 2ft x 3ft (Chux)	$##.##	##	item	$##.##
needle, 18-27g	$##.##	##	item	$##.##
needle, 30g	$##.##	##	item	$##.##
syringe 10-12ml	$##.##	##	item	$##.##
gas, liquid nitrogen	$##.##	##	ml	$##.##
tubing, suction, non-latex (6ft) with Poole tip (1)	$##.##	##	item	$##.##
blade, microtome	$##.##	##	item	$##.##
blade, surgical hair clipper	$##.##	##	item	$##.##
cautery, monopolar, pencil-handpiece	$##.##	##	item	$##.##
cautery, patient ground pad w-cord	$##.##	##	item	$##.##
curette, dermal	$##.##	##	item	$##.##
scalpel with blade, surgical (#10-20)	$##.##	##	item	$##.##
suture, vicryl, 3-0 to 6-0, p, ps	$##.##	##	item	$##.##
adhesive liquid (Mastisol) (0.67ml uou)	$##.##	##	item	$##.##
adhesive remover, liquid (Detachol) (0.67ml uou)	$##.##	##	item	$##.##
applicator, cotton-tipped, non-sterile 6in	$##.##	##	item	$##.##
bandage, Kling, non-sterile 2in	$##.##	##	item	$##.##
dressing, 12-7mm (Gelfoam)	$##.##	##	item	$##.##
dressing, 3in x 4in (Telfa, Release)	$##.##	##	item	$##.##
dressing, eye pad (Opticlude)	$##.##	##	item	$##.##
gauze, sterile 4in x 4in (10 pack uou)	$##.##	##	item	$##.##
tape, surgical occlusive 1in (Blenderm)	$##.##	##	inch	$##.##
tape, foam, elastic, 2in (Microfoam)	$##.##	##	inch	$##.##
lidocaine 1% w-epi inj (Xylocaine w-epi)	$##.##	##	ml	$##.##
water, sterile for irrigation (250-1000ml uou)	$##.##	##	item	$##.##
bacitracin oint (15gm uou)	$##.##	##	item	$##.##
hydrogen peroxide	$##.##	##	ml	$##.##
povidone surgical scrub (Betadine)	$##.##	##	ml	$##.##
anatomical drawings (for treatment recording)	$##.##	##	item	$##.##
map, Moh's surgery (per sheet)	$##.##	##	item	$##.##
measuring tape, paper	$##.##	##	item	$##.##
patient education booklet	$##.##	##	item	$##.##
skin marking pen, sterile (Skin Skribe)	$##.##	##	item	$##.##
cover slip, glass	$##.##	##	item	$##.##
histology freezing spray (Freeze-It)	$##.##	##	oz	$##.##
mounting media (Histomount)	$##.##	##	ml	$##.##
OCT Tissue-Tek	$##.##	##	ml	$##.##
slide container (for 20 microscope slides)	$##.##	##	item	$##.##
slide, microscope	$##.##	##	item	$##.##
stain, frozen section, H&E (1ml per slide)	$##.##	##	ml	$##.##
scrub brush (impregnated)	$##.##	##	item	$##.##

Indirect Expenses (clerical,overhead, and other) are also included in the practice expense.

PE RVU Components (by modifier)

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	11.41

Malpractice Component: 0.96

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CPT^{^®} Code Set - 17311