CPT 43201 - FindACode.com

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Fees

Calculated for Na (00000)

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* 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)	$130.70	$196.06	$261.41	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$130.70	$##.##	$##.##

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)	$315.53	$473.29	$631.06	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$315.53	$##.##	$##.##

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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RVUs - Relative Value Units

Calculated for Na (00000)

Click Here and update your Location/Bookmarks/Fee Schedules to see geographic-specific data below.

* 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 3.84 (Hospital, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	2.09	1.45	0.3	3.84

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

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Practitioner Work Component: 2.09

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

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	2.09

Practice Expense: 1.45

Clinical Labor - Direct Expense

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time*
RN/LPN/MTA	.37 / min	## min	## min	## min	## min
RN	.51 / min	## min	## min	## min	## min

* Total Time may be greater than the displayed components.

Equipment - Direct Expense

Item	Purchase Price	Expected Life	Total Time
light, surgical	$##.##	## years	## min
stretcher, endoscopy	$##.##	## years	## min
table, instrument, mobile	$##.##	## years	## min
table, power	$##.##	## years	## min
ECG, 3-channel (with SpO2, NIBP, temp, resp)	$##.##	## years	## min
IV infusion pump	$##.##	## years	## min
video system, endoscopy (processor, digital capture, monitor, printer, cart)	$##.##	## years	## min
videoscope, gastroscopy	$##.##	## years	## min

Supplies - Direct Expense

Item	Unit Price	Quantity	Unit	Amount
kit, needle-free injection system	$##.##	##	kit	$##.##
pack, moderate sedation	$##.##	##	pack	$##.##
pack, minimum multi-specialty visit	$##.##	##	pack	$##.##
cap, surgical	$##.##	##	item	$##.##
gloves, non-sterile	$##.##	##	pair	$##.##
mask, surgical, with face shield	$##.##	##	item	$##.##
shoe covers, surgical	$##.##	##	pair	$##.##
needle, variceal injection	$##.##	##	item	$##.##
syringe 5-6ml	$##.##	##	item	$##.##
bite block	$##.##	##	item	$##.##
canister, suction	$##.##	##	item	$##.##
electrode, ECG (single)	$##.##	##	item	$##.##
nasal cannula	$##.##	##	item	$##.##
basin, irrigation	$##.##	##	item	$##.##
basin, emesis	$##.##	##	item	$##.##
lubricating jelly (K-Y) (5gm uou)	$##.##	##	item	$##.##
cleaning brush, endoscope	$##.##	##	item	$##.##
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)	##.##	##.##	1.45

Malpractice Component: 0.3

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	0.3

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Non-Facility 9.27 (Office, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	2.09	6.88	0.3	9.27

Note: Subscribers will see the calculated values below.

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Practitioner Work Component: 2.09

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

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	2.09

Practice Expense: 6.88

Clinical Labor (Non-Facility)- Direct Expense

Staff	Staff Rate	Pre Time	Intra Time	Post Time	Total Time*
RN/LPN/MTA	.37 / min	## min	## min	## min	## min
RN	.51 / 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
light, surgical	$##.##	## years	## min
stretcher, endoscopy	$##.##	## years	## min
table, instrument, mobile	$##.##	## years	## min
table, power	$##.##	## years	## min
ECG, 3-channel (with SpO2, NIBP, temp, resp)	$##.##	## years	## min
IV infusion pump	$##.##	## years	## min
video system, endoscopy (processor, digital capture, monitor, printer, cart)	$##.##	## years	## min
videoscope, gastroscopy	$##.##	## years	## min

Supplies (Non-Facility)- Direct Expense

Item	Unit Price	Quantity	Unit	Amount
kit, needle-free injection system	$##.##	##	kit	$##.##
pack, moderate sedation	$##.##	##	pack	$##.##
pack, minimum multi-specialty visit	$##.##	##	pack	$##.##
cap, surgical	$##.##	##	item	$##.##
gloves, non-sterile	$##.##	##	pair	$##.##
mask, surgical, with face shield	$##.##	##	item	$##.##
shoe covers, surgical	$##.##	##	pair	$##.##
needle, variceal injection	$##.##	##	item	$##.##
syringe 5-6ml	$##.##	##	item	$##.##
bite block	$##.##	##	item	$##.##
canister, suction	$##.##	##	item	$##.##
electrode, ECG (single)	$##.##	##	item	$##.##
nasal cannula	$##.##	##	item	$##.##
basin, irrigation	$##.##	##	item	$##.##
basin, emesis	$##.##	##	item	$##.##
lubricating jelly (K-Y) (5gm uou)	$##.##	##	item	$##.##
cleaning brush, endoscope	$##.##	##	item	$##.##
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)	##.##	##.##	6.88

Malpractice Component: 0.3

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CPT^{^®} Code Set - 43201

2010

2008

Coder Pink Sheets

Part B News

Answer Books

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Or

CPT® Code Set - 43201

2010

2008

Coder Pink Sheets

Part B News

Answer Books

Questions? Suggestions? Problems? Tell us!

CPT^{^®} Code Set - 43201