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 |