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Code Information

43250 - CPT® Code

CPT Code information is available to subscribers and includes the CPT code number, short description, long description, guidelines and more. CPT code information is copyright by the AMA.

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Code History

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My Notes

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Coding Tips

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Fees

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 (Hospital, etc.)

Modifier	Medicare Allowed	150%	200%	My Fee
(none)	$192.31	$288.47	$384.62	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$192.31	$##.##	$##.##

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)	$192.31	$288.47	$384.62	(your fee)

Modifier	Allowed	Medicare 80%	Patient Pays
(none)	$192.31	$##.##	$##.##

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 5.65 (Hospital, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	3.2	1.93	0.52	5.65

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

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Practitioner Work Component: 3.2

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

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	3.2

Practice Expense: 1.93

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

Item	Purchase Price	Expected Life	Total Time
NO EQUIPMENT	$##.##	## years	## min

Item	Unit Price	Quantity	Unit	Amount
NO SUPPLIES	$##.##	##		$##.##

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	1.93

Malpractice Component: 0.52

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	0.52

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Non-Facility 5.65 (Office, etc.)

RVU Components (by modifier)

Modifier	Work	Practice Expense	Malpractice Expense	Total
(none)	3.2	1.93	0.52	5.65

Note: Subscribers will see the calculated values below.

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Practitioner Work Component: 3.2

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

Modifier	National Unadjusted Work RVU	Work GPCI	Adjusted Work RVU
(none)	##.##	##.##	3.2

Practice Expense: 1.93

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

Item	Purchase Price	Expected Life	Total Time
NO EQUIPMENT	$##.##	## years	## min

Item	Unit Price	Quantity	Unit	Amount
NO SUPPLIES	$##.##	##		$##.##

Modifier	National Unadjusted PE RVU	PE GPCI	Adjusted PE RVU
(none)	##.##	##.##	1.93

Malpractice Component: 0.52

Modifier	National Unadjusted MP RVU	MP GPCI	Adjusted MP RVU
(none)	##.##	##.##	0.52

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CPT^{^®} Code Set - 43250

2007

1999

1993

Coder Pink Sheets

Part B News

Answer Books

Questions? Suggestions? Problems? Tell us!

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Or

CPT® Code Set - 43250

2007

1999

1993

Coder Pink Sheets

Part B News

Answer Books

Questions? Suggestions? Problems? Tell us!

CPT^{^®} Code Set - 43250