Impact on CY 2019 Payment for Selected Procedures								
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility		
			CY 2018 2	CY 2019 3	% Change	CY 2018 2	CY 2019 3	% Change
11721		Debride nail 6 or more	$25.56 	$24.87 	-3%	$46.44 	$45.78 	-1%
17000		Destruct premalg lesion	$54.36 	$52.99 	-3%	$67.68 	$64.16 	-5%
27130		Total hip arthroplasty	"$1,409.74 "	"$1,413.38 "	0%	NA	NA	NA
27244		Treat thigh fracture	"$1,278.71 "	"$1,283.61 "	0%	NA	NA	NA
27447		Total knee arthroplasty	"$1,408.30 "	"$1,411.57 "	0%	NA	NA	NA
33533		Cabg arterial single	"$1,946.14 "	"$1,965.24 "	1%	NA	NA	NA
35301		Rechanneling of artery	"$1,186.91 "	"$1,189.53 "	0%	NA	NA	NA
43239		Egd biopsy single/multiple	$146.16 	$148.87 	2%	$352.08 	$380.29 	8%
66821		After cataract laser surgery	$319.32 	$319.01 	0%	$338.40 	$338.84 	0%
66984		Cataract surg w/iol 1 stage	$656.27 	$654.96 	0%	NA	NA	NA
67210		Treatment of retinal lesion	$514.07 	$511.86 	0%	$531.71 	$530.96 	0%
77427		Radiation tx management x5	$191.16 	$190.32 	0%	$191.16 	$190.32 	0%
88305	26	Tissue exam by pathologist	$39.96 	$39.29 	-2%	$39.96 	$39.29 	-2%
90471		Immunization admin	NA	NA	NA	$20.88 	$16.94 	-19%
90935		Hemodialysis one evaluation	$74.16 	$74.62 	1%	NA	NA	NA
92012		Eye exam establish patient	$54.00 	$53.35 	-1%	$89.28 	$89.76 	1%
92014		Eye exam&tx estab pt 1/>vst	$81.36 	$80.38 	-1%	$128.52 	$128.69 	0%
93000		Electrocardiogram complete	NA	NA	NA	$17.28 	$17.66 	2%
93010		Electrocardiogram report	$8.64 	$8.65 	0%	$8.64 	$8.65 	0%
93015		Cardiovascular stress test	NA	NA	NA	$72.72 	$72.45 	0%
93307	26	Tte w/o doppler complete	$46.08 	$46.50 	1%	$46.08 	$46.50 	1%
93458	26	L hrt artery/ventricle angio	$311.04 	$312.88 	1%	$311.04 	$312.88 	1%
98941		Chiropract manj 3-4 regions	$35.28 	$34.60 	-2%	$41.76 	$42.17 	1%
99203		Office/outpatient visit new	$78.12 	$102.37 	31%	$109.80 	$134.45 	22%
99213		Office/outpatient visit est	$52.20 	$65.60 	26%	$74.16 	$91.92 	24%
99214		Office/outpatient visit est	$79.92 	$65.60 	-18%	$109.44 	$91.92 	-16%
99222		Initial hospital care	$139.32 	$140.94 	1%	NA	NA	NA
99223		Initial hospital care	$206.64 	$210.15 	2%	NA	NA	NA
99231		Subsequent hospital care	$39.96 	$40.37 	1%	NA	NA	NA
99232		Subsequent hospital care	$74.16 	$75.70 	2%	NA	NA	NA
99233		Subsequent hospital care	$106.20 	$108.14 	2%	NA	NA	NA
99236		Observ/hosp same date	$222.48 	$228.53 	3%	NA	NA	NA
99239		Hospital discharge day	$109.80 	$113.55 	3%	NA	NA	NA
99283		Emergency dept visit	$63.00 	$63.80 	1%	NA	NA	NA
99284		Emergency dept visit	$119.52 	$120.39 	1%	NA	NA	NA
99291		Critical care first hour	$226.80 	$229.25 	1%	$279.36 	$287.65 	3%
99292		Critical care addl 30 min	$113.76 	$114.27 	0%	$124.92 	$125.80 	1%
99348		Home visit est patient	NA	NA	NA	$85.68 	$87.59 	2%
99350		Home visit est patient	NA	NA	NA	$182.16 	$188.16 	3%
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA
								
1 CPT codes and descriptions are copyright 2018 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.								
2 Payments based on the 1/1/2018 - 12/31/2018 conversion factor of 35.9996.								
"3 Payments based on the 2019 conversion factor of 36.0463, which includes the budget neutrality adjustment."								
								
