Wiki Reimbursement rates

[Tntmom]

Good afternoon all. Can anyone tell me what the reimbursement rate is for CPT code 98967? I can not find it in the Fee Schedule or on the CMS website.

Thanks in advance,
Heather S.

 

[CodingKing]

Since this code is not used for Medicare payment you won't find on the rate for the code on the medicare physician fee schedule lookup. It is however on the RVU file so you would need to calculate the rate manually.


Non Facility

Work RVU - 0.25

PE RVU - 0.13

MP RVU - 0.01


Facility

Work RVU - 0.25

PE RVU - 0.10

MP RVU - 0.01


Rate unadjusted for locality is

Non Facility $14.00
Facility $12.92

 

[Tntmom]

Thank you so much! I really appreciate your input.