SCCT Reimbursement Chart July 2017
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Current Procedural Terminology (CPT) Codes

MPFS* Professional Component (PC) and Technical Component (TC) Payment 2017

Proposed MPFS PC and TC 2018

OPPS* TC Payment 2017

Proposed OPPS TC Payment 2018

75571 CT heart w/out contrast, with quantitative evaluation of coronary calcium

$102.28

TC = $72.85

PC = $29.43

$104.01

TC = $74.50

PC = $29.51

$59.84

APC 5521

$59.17

APC 5521

75572 CT heart w/contrast for evaluation of cardiac structure and morphology

$287.47

TC = $198.82

PC = $88.65

$288.28

TC = $199.74

PC = $88.54

$264.90

APC 5571

$227.35

APC 5571

75573 CT heart w/contrast for evaluation of cardiac structure and morphology (congenital heart disease)

$395.85

TC = $266.64

PC = $129.21

$394.45

TC = $265.25

PC = $129.20

$264.90

APC 5571

$227.35

APC 5571

75574 CT angiography heart, coronary arteries and bypass grafts w/contrast

$426.72

TC = $305.41

PC = $121.31

$429.01

TC =$307.72

PC = $121.29

$264.90

APC 5571

$227.35

APC 5571

75557 Cardiac MR imaging for structure and morphology w/out contrast

$324.43

TC = $206.00

PC = $118.43

$333.27

TC = $214.86

PC = $118.41

$225.81

APC 5523

$264.07

APC 5524

75559 Cardiac MR imaging for structure and morphology w/out contrast with stress imaging

$443.23

TC = $297.16

PC = $145.46

 

$448.80

TC = $303.04

PC = $145.76

$225.81

APC 5523

$472.98

APC 5525

75561 Cardiac MR imaging for structure and morphology w/out contrast, followed by contrast, and further sequences

$430.66

TC = $299.67

PC = $130.99

$439.08

TC = $307.72

PC = $131.36

$426.34

APC 5572

$339.14

APC 5572

75563 Cardiac MR imaging for structure and morphology w/out contrast, followed by contrast, and further sequences, with stress imaging

$513.21

TC = $363.19

PC = $150.02

$521.50

TC = $371.42

PC = $150.08

$656.63

APC 5573

$487.72

APC 5573

93350 Echocardiography rest and cardiovascular stress test w/interpretation and report

$243.47

TC = $174.14

PC = $72.32

$211.98

TC = $139.28

PC = $72.70

$449.50

APC 5524

$472.98

APC 5525

93351 Echocardiography rest and cardiovascular stress test w/interpretation and report including electrocardiographic monitoring with physician supervision

$273.90

TC =$187.61

PC = $86.29

$239.70

TC = $152.60

PC = $87.10

$449.50

APC 5524

$472.98

APC 5525

78452 Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

$494.56

TC = 414.17

PC = $80.39

$495.23

TC = $414.25

PC = $80.98

$1138.46

APC 5593

$1163.30

APC 5593

78453 Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

$318.34

TC = $267.74

PC = $50.60

$317.79

TC =$266.68

PC = $51.11

$1138.46

APC 5593

$1163.30

APC 5593

78454 Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

$457.96

TC = $389.77

PC = $68.19

$457.44

TC = $388.70

PC = $68.74

$1138.46

APC 5593

$1163.30

APC 5593

*2017 Final Medicare Physician Fee Schedule Rule and 2017 Final Hospital Outpatient Prospective Payment System Rule

 

 

 

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