Impact on CY 2023 Payment for Selected Procedures								
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility		
			CY 2022 2	CY 2023 3	% Change	CY 2022 2	CY 2023 3	% Change
11721		Debride nail 6 or more	$24.22 	$22.82 	-6%	$44.99 	$43.33 	-4%
17000		Destruct premalg lesion	$55.72 	$54.25 	-3%	$68.87 	$67.15 	-3%
27130		Total hip arthroplasty	"$1,315.73 "	"$1,279.77 "	-3%	NA	NA	NA
27244		Treat thigh fracture	"$1,258.97 "	"$1,224.20 "	-3%	NA	NA	NA
27447		Total knee arthroplasty	"$1,314.34 "	"$1,277.78 "	-3%	NA	NA	NA
33533		Cabg arterial single	"$1,901.26 "	"$1,835.80 "	-3%	NA	NA	NA
35301		Rechanneling of artery	"$1,147.20 "	"$1,105.12 "	-4%	NA	NA	NA
43239		Egd biopsy single/multiple	$139.81 	$134.96 	-4%	$402.47 	$376.75 	-6%
66821		After cataract laser surgery	$312.84 	$305.64 	-2%	$337.41 	$328.79 	-3%
66984		Xcapsl ctrc rmvl w/o ecp	$544.70 	$530.89 	-3%	NA	NA	NA
67210		Treatment of retinal lesion	$498.68 	$485.58 	-3%	$518.75 	$504.10 	-3%
77427		Radiation tx management x5	$192.76 	$188.87 	-2%	$192.76 	$188.87 	-2%
88305	26	Tissue exam by pathologist	$37.37 	$36.05 	-4%	$37.37 	$36.05 	-4%
90471		Immunization admin	NA	NA	NA	$16.96 	$19.18 	13%
90935		Hemodialysis one evaluation	$73.02 	$69.79 	-4%	NA	NA	NA
92012		Eye exam establish patient	$51.22 	$48.62 	-5%	$90.67 	$87.66 	-3%
92014		Eye exam&tx estab pt 1/>vst	$77.17 	$73.76 	-4%	$128.39 	$124.04 	-3%
93000		Electrocardiogram complete	NA	NA	NA	$14.53 	$14.22 	-2%
93010		Electrocardiogram report	$8.31 	$7.94 	-4%	$8.31 	$7.94 	-4%
93015		Cardiovascular stress test	NA	NA	NA	$72.33 	$69.46 	-4%
93307	26	Tte w/o doppler complete	$44.64 	$41.35 	-7%	$44.64 	$41.35 	-7%
93458	26	L hrt artery/ventricle angio	$298.31 	$275.54 	-8%	$298.31 	$275.54 	-8%
98941		Chiropract manj 3-4 regions	$34.26 	$33.08 	-4%	$40.14 	$39.03 	-3%
99203		Office o/p new low 30-44 min	$84.44 	$80.71 	-4%	$113.85 	$109.82 	-4%
99213		Office o/p est low 20-29 min	$67.48 	$64.50 	-4%	$92.05 	$88.65 	-4%
99214		Office o/p est mod 30-39 min	$98.97 	$95.26 	-4%	$129.77 	$125.69 	-3%
99222		Initial hospital care	$135.31 	$127.68 	-6%	NA	NA	NA
99223		Initial hospital care	$198.29 	$171.01 	-14%	NA	NA	NA
99231		Subsequent hospital care	$38.76 	$48.29 	25%	NA	NA	NA
99232		Subsequent hospital care	$71.29 	$77.73 	9%	NA	NA	NA
99233		Subsequent hospital care	$102.43 	$115.77 	13%	NA	NA	NA
99236		Observ/hosp same date	$211.79 	$204.75 	-3%	NA	NA	NA
99239		Hospital discharge day	$105.20 	$111.47 	6%	NA	NA	NA
99283		Emergency dept visit	$73.02 	$69.79 	-4%	NA	NA	NA
99284		Emergency dept visit	$123.20 	$119.41 	-3%	NA	NA	NA
99291		Critical care first hour	$219.06 	$210.70 	-4%	$282.39 	$270.90 	-4%
99292		Critical care addl 30 min	$110.05 	$105.52 	-4%	$123.20 	$118.09 	-4%
99348		Home visit est patient	NA	NA	NA	$83.05 	$74.76 	-10%
99350		Home visit est patient	NA	NA	NA	$177.53 	$181.26 	2%
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA
								
1 CPT codes and descriptions are copyright 2022 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.								
2 Payments based on the 1/1/2022 - 12/31/2022 conversion factor of 34.6062								
"3 Payments based on the 2023 conversion factor of 33.0775, which includes the budget neutrality adjustment."								
								
