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| Average Charge and Payment Data for 9 Upper-GI Procedures Commonly Performed in ASCs |
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| Written by Stephanie Wasek | |
| Friday, 22 August 2008 | |
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Here is the average 2007 Medicare sub charge (submitted charges divided by allowed services), average allow charge (Medicare-allowed charges divided by allowed services, including co-pays and deductibles paid by patient), and average payment (Medicare payments divided by allowed services, not including co-pays and deductibles paid by patient) for nine upper-GI procedures commonly performed in ASCs.
1. Upper stomach-intestine scope, simple (CPT 43234)
2. Upper stomach-intestine scope for diagnosis (CPT 43235)
3. Stomach-intestine scope, inject intestine wall (CPT 43236)
4. Upper stomach-intestine scope for biopsy (CPT 43239)
5. Stomach-intestine scope ultrasound guided biopsy (CPT 43242)
6. Stomach-intestine scope for foreign body removal (CPT 43247)
7. Stomach-intestine scope with ultrasound exam (CPT 43259)
8. Scope of upper small intestine (CPT 44360)
9. Scope of upper small intestine with biopsy (CPT 44361) |
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