Medicare Phyician Fee Schedule

Comparison of 2013 Final RVUs and Published 2014 RVUs

HCPCS
10021

Mod Status Description

A
Fna w/o image

2014 Total NF
Payment(Does not
2013 Total NF include -20.1% SGR
Payment2
update)3

Total NF
Payment
Percent
Change

$154.12

$149.71

-3%

10022

Fna w/image

$141.20

$140.44

-1%

36430

Blood transfusion service

$34.70

$33.86

-2%

36440

Bl push transfuse 2 yr/<

$59.20

$59.17

0%

36450

Bl exchange/transfuse nb

$107.17

$110.50

3%

36455

Bl exchange/transfuse non-nb

$113.30

$115.84

2%

36460

Transfusion service fetal

$367.11

$375.34

2%

36511

Apheresis wbc

$96.63

$97.67

1%

36512

Apheresis rbc

$93.22

$96.24

3%

36513

Apheresis platelets

$99.35

$101.94

3%

36514

Apheresis plasma

$551.85

$522.91

-5%

36515

Apheresis adsorp/reinfuse

$2,231.91

$2,077.01

-7%

36516

Apheresis selective

$2,176.79

$2,032.46

-7%

38205

Harvest allogeneic stem cell

$80.29

$82.70

3%

38206

Harvest auto stem cells

$82.00

$84.12

3%

38207

Cryopreserve stem cells

$44.23

$45.63

3%

38208

Thaw preserved stem cells

$28.24

$29.23

4%

38209

Wash harvest stem cells

$11.91

$12.12

2%

38210

T-cell depletion of harvest

$78.59

$80.91

3%

38211

Tumor cell deplete of harvst

$71.45

$73.78

3%

38212

Rbc depletion of harvest

$46.61

$48.12

3%

38213

Platelet deplete of harvest

$11.91

$12.12

2%

38214

Volume deplete of harvest

$40.49

$41.70

3%

38215

Harvest stem cell concentrte

$46.61

$48.12

3%

38220

Bone marrow aspiration

$165.01

$161.11

-2%

38221

Bone marrow biopsy

$167.73

$166.82

-1%

38230

Bone marrow harvest allogen

$208.22

$214.94

3%

80500

Lab pathology consultation

$20.41

$21.03

3%

80502

Lab pathology consultation

$65.32

$68.08

4%

83020

26

Hemoglobin electrophoresis

$20.07

$19.25

-4%

84165

26

Protein e-phoresis serum

$20.07

$19.25

-4%

84166

26

Protein e-phoresis/urine/csf

$20.07

$19.25

-4%

84181

26

Western blot test

$20.07

$19.25

-4%

84182

26

Protein western blot test

$18.37

$19.25

5%

85060

Blood smear interpretation

$24.16

$24.59

2%

85097

Bone marrow interpretation

$86.08

$85.90

0%

Fibrinolysins screen i&r

$20.07

$19.25

-4%

Clotting assay whole blood

$20.07

$20.32

1%

Blood platelet aggregation

$20.07

$19.25

-4%

86077

Phys blood bank serv xmatch

$53.42

$54.54

2%

86078

Phys blood bank serv reactj

$53.76

$54.54

1%

86079

Phys blood bank serv authrj

$53.42

$54.18

1%

Cell enumeration phys interp

$33.68

$34.93

4%

85390

26

85396
85576

86153

26

26

86255

26

Fluorescent antibody screen

$20.07

$19.25

-4%

86256

26

Fluorescent antibody titer

$19.05

$18.54

-3%

86320

26

Serum immunoelectrophoresis

$18.37

$18.54

1%

86325

26

Other immunoelectrophoresis

$18.71

$18.54

-1%

86327

26

Immunoelectrophoresis assay

$22.80

$21.74

-5%

86334

26

Immunofix e-phoresis serum

$19.73

$19.25

-2%

86335

26

Immunfix e-phorsis/urine/csf

$20.07

$19.25

-4%

87164

26

Dark field examination

$19.05

$19.25

1%

87207

26

Smear special stain

$20.07

$19.25

-4%

Cytopath fl nongyn smears

88104

$76.21

$73.78

-3%

88104

26

Cytopath fl nongyn smears

$28.58

$29.23

2%

88104

TC

Cytopath fl nongyn smears

$47.63

$44.56

-6%

Cytopath fl nongyn filter

$85.40

$84.12

-1%

88106
88106

26

Cytopath fl nongyn filter

$19.05

$19.60

3%

88106

TC

Cytopath fl nongyn filter

$66.34

$64.52

-3%

Cytopath concentrate tech

$78.93

$78.42

-1%

$22.11

$22.81

3%

88108
88108

26

Cytopath concentrate tech

88108

TC

Cytopath concentrate tech

$56.82

$55.61

-2%

Cytopath cell enhance tech

$109.55

$62.73

-43%

$58.18

$28.16

-52%

88112
88112

26

Cytopath cell enhance tech

88112

TC

Cytopath cell enhance tech

$51.37

$34.58

-33%

Cytp urne 3-5 probes ea spec

$620.92

$615.58

-1%

88120
88120

26

Cytp urne 3-5 probes ea spec

$56.48

$58.81

4%

88120

TC

Cytp urne 3-5 probes ea spec

$564.44

$556.77

-1%

Cytp urine 3-5 probes cmptr

$557.98

$532.53

-5%

88121
88121

26

Cytp urine 3-5 probes cmptr

$49.33

$50.62

3%

88121

TC

Cytp urine 3-5 probes cmptr

$508.64

$481.91

-5%

Forensic cytopathology

$22.46

$22.10

-2%

$12.93

$13.19

2%

88125
88125

26

Forensic cytopathology

88125

TC

Forensic cytopathology

$9.53

$8.91

-6%

88141

Cytopath c/v interpret

$31.64

$31.72

0%

88160

Cytopath smear other source

$63.62

$64.16

1%

88160

26

Cytopath smear other source

$25.52

$26.38

3%

88160

TC

Cytopath smear other source

$38.11

$37.78

-1%

Cytopath smear other source

$60.56

$58.46

-3%

88161
88161

26

Cytopath smear other source

$24.50

$25.31

3%

88161

TC

Cytopath smear other source

$36.06

$33.15

-8%

Cytopath smear other source

$96.29

$95.88

0%

88162
88162

26

Cytopath smear other source

$39.13

$40.28

3%

88162

TC

Cytopath smear other source

$57.16

$55.61

-3%
-1%

88172

Cytp dx eval fna 1st ea site

$54.78

$54.18

88172

26

Cytp dx eval fna 1st ea site

$35.38

$36.00

2%

88172

TC

Cytp dx eval fna 1st ea site

$19.39

$18.18

-6%
-3%

88173

Cytopath eval fna report

$150.04

$146.14

88173

26

Cytopath eval fna report

$70.09

$71.65

2%

88173

TC

Cytopath eval fna report

$79.95

$74.50

-7%
0%

88177

Cytp fna eval ea addl

$29.60

$29.59

88177

26

Cytp fna eval ea addl

$21.77

$22.10

1%

88177

TC

Cytp fna eval ea addl

$7.83

$7.49

-4%

88182

Cell marker study

$109.21

$109.43

0%

88182

26

Cell marker study

$35.04

$36.71

5%

88182

TC

Cell marker study

$74.17

$72.71

-2%

88184

Flowcytometry/ tc 1 marker

$88.80

$87.33

-2%

88185

Flowcytometry/tc add-on

$54.10

$53.47

-1%

88187

Flowcytometry/read 2-8

$68.73

$71.29

4%

88188

Flowcytometry/read 9-15

$87.78

$89.82

2%

88189

Flowcytometry/read 16 & >

$106.49

$110.14

3%

88291

Cyto/molecular report

$30.62

$31.01

1%

88300

Surgical path gross

$14.63

$14.61

0%

88300

26

Surgical path gross

$4.42

$4.63

5%

88300

TC

Surgical path gross

$10.21

$9.98

-2%

Tissue exam by pathologist

$30.96

$29.94

-3%

88302
88302

26

Tissue exam by pathologist

$6.80

$7.13

5%

88302

TC

Tissue exam by pathologist

$24.16

$22.81

-6%

Tissue exam by pathologist

$44.57

$43.13

-3%

88304
88304

26

Tissue exam by pathologist

$11.23

$11.41

2%

88304

TC

Tissue exam by pathologist

$33.34

$31.72

-5%

Tissue exam by pathologist

$70.09

$70.22

0%

$36.74

$38.14

4%

88305
88305

26

Tissue exam by pathologist

88305

TC

Tissue exam by pathologist

$33.34

$32.08

-4%

Tissue exam by pathologist

$297.36

$286.94

-4%

88307
88307

26

Tissue exam by pathologist

$82.00

$83.76

2%

88307

TC

Tissue exam by pathologist

$215.37

$203.17

-6%

Tissue exam by pathologist

$449.44

$436.65

-3%

88309
88309

26

Tissue exam by pathologist

$144.94

$148.28

2%

88309

TC

Tissue exam by pathologist

$304.51

$288.36

-5%

Decalcify tissue

$20.41

$20.32

0%

$12.25

$12.48

2%

88311
88311

26

Decalcify tissue

88311

TC

Decalcify tissue

$8.17

$7.84

-4%

Special stains group 1

$97.65

$94.10

-4%

88312
88312

26

Special stains group 1

$26.54

$27.45

3%

88312

TC

Special stains group 1

$71.11

$66.66

-6%

Special stains group 2

$67.71

$65.59

-3%

88313
88313

26

Special stains group 2

$11.91

$12.12

2%

88313

TC

Special stains group 2

$55.80

$53.47

-4%

Histochemical stains add-on

$80.97

$77.71

-4%

88314
88314

26

Histochemical stains add-on

$22.46

$22.81

2%

88314

TC

Histochemical stains add-on

$58.52

$54.89

-6%

Enzyme histochemistry

$87.44

$85.55

-2%

88319
88319

26

Enzyme histochemistry

$27.22

$28.16

3%

88319

TC

Enzyme histochemistry

$60.22

$57.39

-5%

Microslide consultation

$93.22

$94.81

2%

88321
88323

Microslide consultation

$141.54

$146.86

4%

88323

26

Microslide consultation

$83.02

$87.69

6%

88323

TC

Microslide consultation

$58.52

$59.17

1%

88325

Comprehensive review of data

$210.26

$211.73

1%

88329

Path consult introp

$57.50

$57.03

-1%

88331

Path consult intraop 1 bloc

$99.69

$98.38

-1%

88331

26

Path consult intraop 1 bloc

$61.24

$62.38

2%

88331

TC

Path consult intraop 1 bloc

$38.45

$36.00

-6%
0%

88332

Path consult intraop addl

$43.55

$43.49

88332

26

Path consult intraop addl

$30.28

$31.01

2%

88332

TC

Path consult intraop addl

$13.27

$12.48

-6%
-1%

88333

Intraop cyto path consult 1

$105.13

$104.08

88333

26

Intraop cyto path consult 1

$62.26

$63.45

2%

88333

TC

Intraop cyto path consult 1

$42.87

$40.63

-5%
-1%

88334

Intraop cyto path consult 2

$65.66

$64.87

88334

26

Intraop cyto path consult 2

$38.45

$39.21

2%

88334

TC

Intraop cyto path consult 2

$27.22

$25.66

-6%

88342

Immunohisto antibody slide

$115.34

$0.00

-100%

88342

26

Immunohisto antibody slide

$42.19

$0.00

-100%

88342

TC

Immunohisto antibody slide

$73.15

$0.00

-100%

88346

Immunofluorescent study

$109.21

$105.86

-3%

88346

26

Immunofluorescent study

$41.85

$42.77

2%

88346

TC

Immunofluorescent study

$67.37

$63.09

-6%

88347

Immunofluorescent study

$79.27

$88.40

12%

88347

26

Immunofluorescent study

$38.11

$41.70

9%

88347

TC

Immunofluorescent study

$41.17

$46.69

13%

88348

Electron microscopy

$725.37

$698.99

-4%

88348

26

Electron microscopy

$74.17

$76.28

3%

88348

TC

Electron microscopy

$651.20

$622.71

-4%

88349

Scanning electron microscopy

$437.54

$406.70

-7%

88349

26

Scanning electron microscopy

$40.15

$40.99

2%

88349

TC

Scanning electron microscopy

$397.39

$365.71

-8%

88355

Analysis skeletal muscle

$182.70

$175.37

-4%

88355

26

Analysis skeletal muscle

$82.68

$84.12

2%

88355

TC

Analysis skeletal muscle

$100.03

$91.25

-9%

88356

Analysis nerve

$277.63

$278.38

0%

88356

26

Analysis nerve

$127.93

$133.31

4%

88356

TC

Analysis nerve

$149.70

$145.07

-3%

88358

Analysis tumor

$82.00

$83.05

1%

88358

26

Analysis tumor

$43.55

$45.27

4%

88358

TC

Analysis tumor

$38.45

$37.78

-2%

88360

Tumor immunohistochem/manual

$127.25

$129.39

2%

88360

26

Tumor immunohistochem/manual

$52.40

$54.54

4%

88360

TC

Tumor immunohistochem/manual

$74.85

$74.85

0%

88361

Tumor immunohistochem/comput

$156.51

$157.19

0%

88361

26

Tumor immunohistochem/comput

$57.16

$59.17

4%

88361

TC

Tumor immunohistochem/comput

$99.35

$98.02

-1%

Nerve teasing preparations

88362

$311.99

$306.54

-2%

88362

26

Nerve teasing preparations

$109.21

$112.99

3%

88362

TC

$202.78

$193.55

-5%

Nerve teasing preparations

88363

Xm archive tissue molec anal

$56.82

$22.10

-61%

88365

Insitu hybridization (fish)

$178.62

$176.44

-1%

88365

26

Insitu hybridization (fish)

$58.18

$59.88

3%

88365

TC

Insitu hybridization (fish)

$120.44

$116.56

-3%

Insitu hybridization auto

$258.23

$254.50

-1%

88367

88367

26

Insitu hybridization auto

$59.88

$62.38

4%

88367

TC

Insitu hybridization auto

$198.35

$192.12

-3%

$232.04

$231.33

0%

88368

Insitu hybridization manual

88368

26

Insitu hybridization manual

$61.58

$64.52

5%

88368

TC

Insitu hybridization manual

$170.46

$166.82

-2%

88371

26

Protein western blot tissue

$19.39

$19.25

-1%

88372

26

Protein analysis w/probe

$15.99

$19.25

20%

Optical endomicroscpy interp

$0.00

$0.00

#DIV/0!

$189.63

20%

88375
88380

Microdissection laser

$157.87

88380

26

Microdissection laser

$71.79

$79.84

11%

88380

TC

Microdissection laser

$86.08

$109.79

28%

88381

Microdissection manual

$153.10

$160.04

5%

88381

26

Microdissection manual

$51.03

$54.89

8%

88381

TC

Microdissection manual

$102.07

$105.15

3%

88387

Tiss exam molecular study

$33.68

$35.64

6%

88387

26

Tiss exam molecular study

$27.56

$29.23

6%

88387

TC

Tiss exam molecular study

$6.12

$6.42

5%

88388

Tiss ex molecul study add-on

$33.00

$32.79

-1%

88388

26

Tiss ex molecul study add-on

$23.48

$23.88

2%

88388

TC

Tiss ex molecul study add-on

$9.53

$8.91

-6%

89060

26

Exam synovial fluid crystals

$19.73

$19.25

-2%

G0141

Scr c/v cyto,autosys and md

$31.64

$31.72

0%

G0364

Bone marrow aspirate &biopsy

$12.25

$12.48

2%

G0416

Sat biopsy 10-20

$670.93

$648.02

-3%

G0416

26

Sat biopsy 10-20

$182.02

$183.57

1%

G0416

TC

Sat biopsy 10-20

$488.91

$464.45

-5%

G0417

Sat biopsy prostate 21-40

$1,305.12

$1,260.04

-3%

G0417

26

Sat biopsy prostate 21-40

$350.44

$352.88

1%

G0417

TC

Sat biopsy prostate 21-40

$954.69

$907.16

-5%

G0418

Sat biopsy prostate 41-60

$2,238.37

$2,161.84

-3%

G0418

26

Sat biopsy prostate 41-60

$608.33

$612.73

1%

G0418

TC

Sat biopsy prostate 41-60

$1,630.04

$1,549.11

-5%

G0419

Sat biopsy prostate: >60

$2,658.90

$2,565.70

-4%

G0419

26

Sat biopsy prostate: >60

$702.57

$706.83

1%

G0419

TC

Sat biopsy prostate: >60

$1,956.32

$1,858.87

-5%

G0452

26

Molecular pathology interpr

$18.71

$19.25

3%

Immunohisto/cyto chem 1st st

$0.00

$88.04

100%

G0461
G0461

TC

Immunohisto/cyto chem 1st st

$0.00

$57.39

100%

G0461

26

Immunohisto/cyto chem 1st st

$0.00

$30.65

100%

Immunohisto/cyto chem add

$0.00

$68.08

100%

G0462
G0462

TC

Immunohisto/cyto chem add

$0.00

$55.61

100%

G0462

26

Immunohisto/cyto chem add

$0.00

$12.48

100%

Screening pap smear by phys

$31.64

$31.72

0%

P3001

1 CPT codes and descriptions are copyright 2013 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply.
2 Payments based on the 2013 conversion factor of 34.0230.
3 Payments based on the 2013 conversion factor of 34.0230, adjusted to 35.6446 to include the budget neutrality adjustment.
Unless Congress acts when it returns in December, physicians face a 20.1 percent cut in the Medicare conversion factor due to the
Sustainable Growth Rate (SGR). When adjustments to the relative value scale are combined with the conversion factor change, the net
reduction in payment rates will be about 24 percent.