tci Part B Insider - 2004 Issue 44

Neurology: Don't Let Docs Provide Stroke Care For Free

Neurologists confused by non-paying t-PA code One sure way to throw away valuable reimbursement: Bill for t-PA by itself. CPT 37195 (Thrombolysis, cerebral, by intravenous infusion) carries 8.08 relative value units, but none of those are assigned to "physician work." The code only covers the facility's expense for t-PA administration.Neurologists very frequently ask how to handle this quandary, reports Mark Nuwer, a neurologist who represents the AAN on the American Medical Association's CPT Advisory Committee.Faced with this tricky situation, some neurologists have tried to bill 37201 (Transcatheter thrombolysis) instead, because that code contains physician work...

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