|
CPT Code |
Descriptor |
2020 Office Pay |
2021 Office Pay |
Change in Office Pay 2020-21 |
% Change in Office Pay 2020-21 |
67028 |
Intravitreal injection |
$103.22 |
$105.49 |
$2.28 |
2.2% |
67105 |
RD repair; photocoagulation |
$303.15 |
$278.41 |
-$24.74 |
-8.2% |
67110 |
RD repair by inj of air/gas |
$906.21 |
$836.84 |
-$69.37 |
-7.7% |
67141 |
Prophylaxis of RD, cryotherapy |
$535.93 |
$491.65 |
-$44.28 |
-8.3% |
67145 |
Prophylaxis of RD, photocoagulation |
$539.54 |
$493.59 |
-$45.95 |
-8.5% |
67210 |
Destruction of retinal lesion |
$528.71 |
$482.94 |
-$45.77 |
-8.7% |
67220 |
Destruction of choroidal lesion |
$544.59 |
$498.10 |
-$46.49 |
-8.5% |
67228 |
Treat. of extensive retinopathy |
$348.99 |
$317.77 |
-$31.22 |
-8.9% |
92002 |
Eye visit, new pt, intermediate |
$85.53 |
$80.97 |
-$4.56 |
-5.3% |
92004 |
Eye visit, new pt, comp ophth |
$152.66 |
$141.30 |
-$11.36 |
-7.4% |
92012 |
Eye visit, est pt, intermediate |
$89.86 |
$84.20 |
-$5.66 |
-6.3% |
92014 |
Eye visit, est pt, comp ophth |
$128.12 |
$119.04 |
-$9.08 |
-7.1% |
92134 |
SCODI retina |
$41.50 |
$38.39 |
-$3.11 |
-7.5% |
92201 |
EO w/ retinal drawing & scleral depress |
$25.62 |
$23.23 |
-$2.39 |
-9.3% |
92202 |
EO w/ optic nerve or macula drawing |
$16.24 |
$14.52 |
-$1.72 |
-10.6% |
99204 |
E/M, new pt, mod, 45-59 mins |
$167.09 |
$159.37 |
-$7.73 |
-4.6% |
99205 |
E/M, new pt, high, 60-74 mins |
$211.12 |
$210.66 |
-$0.46 |
-0.2% |
99214 |
E/M, est pt, mod, 30-39 mins |
$110.43 |
$122.91 |
$12.48 |
11.3% |
99215 |
E/M, est pt, high, 40-54 mins |
$148.33 |
$172.27 |
$23.94 |
16.1% |
92250 |
Fundus photography |
$45.83 |
$36.78 |
-$9.06 |
-19.8% |
92235 |
Fluorescein angiography |
$105.74 |
$111.62 |
$5.88 |
5.6% |
Comparison 2020 & 2021 Payments — Facility
|
CPT Code |
Descriptor |
2020 Facility Pay |
2021 Facility Pay |
Change in Facility Pay 2020-21 |
% Change in Facility Pay 2020-21 |
67028 |
Intravitreal injection |
$100.69 |
$85.17 |
-$15.52 |
-15.4% |
67036 |
Vitrectomy |
$918.12 |
$833.29 |
-$84.83 |
-9.2% |
67040 |
Vitrectomy w/ endolaser photocoag |
$1,062.48 |
$962.01 |
-$100.47 |
-9.5% |
67105 |
RD repair; photocoagulation |
$280.42 |
$255.83 |
-$24.59 |
-8.8% |
67108 |
RD repair with vitrectomy |
$1,222.35 |
$1,103.95 |
-$118.40 |
-9.7% |
67110 |
RD repair by inj of air/gas |
$829.70 |
$756.83 |
-$72.87 |
-8.8% |
67141 |
Prophylaxis of RD, cryotherapy |
$496.23 |
$451.65 |
-$44.59 |
-9.0% |
67145 |
Prophylaxis of RD, photocoagulation |
$507.06 |
$461.00 |
-$46.06 |
-9.1% |
67210 |
Destruction of retinal lesion |
$509.59 |
$463.26 |
-$46.32 |
-9.1% |
67220 |
Destruction of choroidal lesion |
$509.59 |
$463.26 |
-$46.32 |
-9.1% |
67228 |
Treat. of extensive retinopathy |
$311.81 |
$281.31 |
-$30.50 |
-9.8% |
92002 |
Eye visit, new pt, intermediate |
$48.36 |
$43.23 |
-$5.13 |
-10.6% |
92004 |
Eye visit, new pt, comp ophth |
$99.97 |
$88.72 |
-$11.25 |
-11.3% |
92012 |
Eye visit, est pt, intermediate |
$53.05 |
$47.10 |
-$5.95 |
-11.2% |
92014 |
Eye visit, est pt, comp ophth |
$80.48 |
$71.30 |
-$9.18 |
-11.4% |
92201 |
EO w/ retinal drawing & scleral depress |
$23.46 |
$20.97 |
-$2.49 |
-10.6% |
92202 |
EO w/ optic nerve or macula drawing |
$15.16 |
$13.55 |
-$1.61 |
-10.6% |
99204 |
E/M, new pt, mod, 45-59 mins |
$132.09 |
$127.75 |
-$4.34 |
-3.3% |
99205 |
E/M, new pt, high, 60-74 mins |
$172.51 |
$173.88 |
$1.38 |
0.8% |
99214 |
E/M, est pt, mod, 30-39 mins |
$80.48 |
$93.23 |
$12.75 |
15.8% |
99215 |
E/M, est pt, high, 40-54 mins |
$113.68 |
$137.75 |
$24.07 |
21.2% |