Impact on CY 2021 Payment for Selected Procedures								
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility		
			CY 2019 2	CY 2020 3	% Change	CY 2019 2	CY 2020 3	% Change
11721		Debride nail 6 or more	$25.98 	$22.58 	-13%	$46.56 	$41.94 	-10%
17000		Destruct premalg lesion	$55.22 	$51.29 	-7%	$66.77 	$63.23 	-5%
27130		Total hip arthroplasty	"$1,415.07 "	"$1,222.03 "	-14%	NA	NA	NA
27244		Treat thigh fracture	"$1,282.62 "	"$1,168.48 "	-9%	NA	NA	NA
27447		Total knee arthroplasty	"$1,413.27 "	"$1,220.41 "	-14%	NA	NA	NA
33533		Cabg arterial single	"$1,955.70 "	"$1,772.07 "	-9%	NA	NA	NA
35301		Rechanneling of artery	"$1,187.35 "	"$1,068.79 "	-10%	NA	NA	NA
43239		Egd biopsy single/multiple	$144.00 	$130.01 	-10%	$383.63 	$372.29 	-3%
66821		After cataract laser surgery	$317.95 	$292.28 	-8%	$339.24 	$315.19 	-7%
66984		Xcapsl ctrc rmvl w/o ecp	$557.58 	$505.84 	-9%	NA	NA	NA
67210		Treatment of retinal lesion	$509.59 	$463.26 	-9%	$528.71 	$482.94 	-9%
77427		Radiation tx management x5	$196.33 	$175.82 	-10%	$196.33 	$175.82 	-10%
88305	26	Tissue exam by pathologist	$39.34 	$34.52 	-12%	$39.34 	$34.52 	-12%
90471		Immunization admin	NA	NA	NA	$14.44 	$28.39 	97%
90935		Hemodialysis one evaluation	$75.07 	$67.75 	-10%	NA	NA	NA
92012		Eye exam establish patient	$53.05 	$47.10 	-11%	$89.86 	$84.20 	-6%
92014		Eye exam&tx estab pt 1/>vst	$80.48 	$71.30 	-11%	$128.12 	$119.04 	-7%
93000		Electrocardiogram complete	NA	NA	NA	$17.32 	$13.87 	-20%
93010		Electrocardiogram report	$8.66 	$7.74 	-11%	$8.66 	$7.74 	-11%
93015		Cardiovascular stress test	NA	NA	NA	$72.18 	$68.07 	-6%
93307	26	Tte w/o doppler complete	$46.19 	$41.62 	-10%	$46.19 	$41.62 	-10%
93458	26	L hrt artery/ventricle angio	$308.93 	$280.02 	-9%	$308.93 	$280.02 	-9%
98941		Chiropract manj 3-4 regions	$35.37 	$31.62 	-11%	$41.50 	$37.42 	-10%
99203		Office/outpatient visit new	$77.23 	$78.07 	1%	$109.35 	$106.14 	-3%
99213		Office/outpatient visit est	$52.33 	$63.23 	21%	$76.15 	$86.78 	14%
99214		Office/outpatient visit est	$80.48 	$93.23 	16%	$110.43 	$122.91 	11%
99222		Initial hospital care	$140.39 	$126.46 	-10%	NA	NA	NA
99223		Initial hospital care	$206.07 	$186.47 	-10%	NA	NA	NA
99231		Subsequent hospital care	$40.06 	$36.45 	-9%	NA	NA	NA
99232		Subsequent hospital care	$73.62 	$66.78 	-9%	NA	NA	NA
99233		Subsequent hospital care	$106.10 	$95.49 	-10%	NA	NA	NA
99236		Observ/hosp same date	$221.59 	$199.69 	-10%	NA	NA	NA
99239		Hospital discharge day	$108.99 	$99.04 	-9%	NA	NA	NA
99283		Emergency dept visit	$66.40 	$67.42 	2%	NA	NA	NA
99284		Emergency dept visit	$121.98 	$115.17 	-6%	NA	NA	NA
99291		Critical care first hour	$226.64 	$205.18 	-10%	$284.75 	$264.86 	-7%
99292		Critical care addl 30 min	$114.04 	$102.59 	-10%	$125.95 	$115.17 	-9%
99348		Home visit est patient	NA	NA	NA	$85.53 	$78.07 	-9%
99350		Home visit est patient	NA	NA	NA	$182.61 	$167.75 	-8%
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA
								
1 CPT codes and descriptions are copyright 2020 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.								
2 Payments based on the 1/1/2020 - 12/31/2020 conversion factor of 36.0896.								
"3 Payments based on the projected 2021 conversion factor of 32.2605, which includes the budget neutrality adjustment."								
								
