Proposed 2013 Medicare physician fee schedule for top 10 Anesthesia & Pain codes

The proposed 2013 Medicare physician fee schedule contains a 27% pay cut for the top 10 anesthesia codes. The following chart provides a snapshot of how the reimbursement for anesthesia and pain management practices will be effected in 2013 for 10 of the most commonly billed codes unless Congress takes action to halt the pay cut.

The codes were selected based on the most recent utilization data for anesthesia and pain management specialists. The fees shown are for services performed by a participating physician in a non-facility setting. They have not been adjusted for locality.

Code

Description

2012   Fee

2013   Fee

20610

Drain/inject joint/bursa

$69.78

$50.58

27096

S/I Joint Injection

$171.55

$124.34

62310

Inject spine cervical/thoracic

$246.77

$178.87

64483

Inj foramen epidural l/s

$242.01

$175.41

64493

Inj paravert f  jnt l/s 1 level

$181.08

$131.25

77003

Fluoroscopic guidance

$64.67

$46.88

99203

Office visit – new patient

$105.18

$76.23

99204

Office/outpatient visit new

$160.66

$116.45

99213

Office/outpatient visit est

$70.46

$51.07

99214

Office/outpatient visit est

$104.16

$75.49

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