Here are 21 statistics on Medicare facility fees and Medicare fee schedule physician payments for colonoscopies performed in ASCs and HOPDs in 2013, according to the American College of Gastroenterology.
Facility fees and physician payment
Diagnostic colonoscopy (HCPCS 45378)
• ASC: $380.16
• HOPD: $677.49
• Physician: $216.15
Colonoscopy and biopsy (HCPCS 45380)
• ASC: $380.16
• HOPD: $677.49
• Physician: $258. 51
Colonoscopy and submucous inj. (HCPCS 45831)
• ASC: $380.16
• HOPD: $677.49
• Physician: $245.18
Colonoscopy/control bleeding (HCPCS 45382)
• ASC: $370.50
• HOPD: $677.49
• Physician: $329.23
Lesion removal colonoscopy (HCPCS 45383)
• ASC: $380.16
• HOPD: $677.49
• Physician: $334.24
Lesion removal colonoscopy (HCPCS 45384)
• ASC: $380.16
• HOPD: $677.49
• Physician: $269.52
Lesion removal colonoscopy (HCPCS 45385)
• ASC: $380.16
• HOPD: $677.49
• Physician: $306.55
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At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.