Impact on NPRM 2018 Payment for Selected Procedures											
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility					
			CY 20172	CY 20183	% Change	CY 20172	CY 20183	% Change			
11721		Debride nail 6 or more	$25.48 	$25.88 	2%	$45.58 	$46.75 	3%			
17000		Destruct premalg lesion	$54.55 	$53.94 	-1%	$67.83 	$66.18 	-2%			
27130		Total hip arthroplasty	"$1,403.61 "	"$1,413.91 "	1%	NA	NA	NA			
27244		Treat thigh fracture	"$1,273.69 "	"$1,283.21 "	1%	NA	NA	NA			
27447		Total knee arthroplasty	"$1,402.89 "	"$1,412.84 "	1%	NA	NA	NA			
33533		Cabg arterial single	"$1,945.89 "	"$1,925.42 "	-1%	NA	NA	NA			
35301		Rechanneling of artery	"$1,191.15 "	"$1,178.86 "	-1%	NA	NA	NA			
43239		Egd biopsy single/multiple	$146.43 	$143.08 	-2%	$349.20 	$346.42 	-1%			
66821		After cataract laser surgery	$316.18 	$318.33 	1%	$334.84 	$337.05 	1%			
66984		Cataract surg w/iol 1 stage	$651.02 	$655.66 	1%	NA	NA	NA			
67210		Treatment of retinal lesion	$509.26 	$512.88 	1%	$526.85 	$530.52 	1%			
77427		Radiation tx management x5	$189.13 	$194.11 	3%	$189.13 	$194.11 	3%			
88305	26	Tissue exam by pathologist	$39.84 	$40.31 	1%	$39.84 	$40.31 	1%			
90471		Immunization admin	NA	NA	NA	$25.84 	$20.87 	-19%			
90935		Hemodialysis one evaluation	$73.21 	$74.08 	1%	NA	NA	NA			
92012		Eye exam establish patient	$53.83 	$53.63 	0%	$86.49 	$88.90 	3%			
92014		Eye exam&tx estab pt 1/>vst	$81.47 	$81.30 	0%	$125.25 	$127.73 	2%			
93000		Electrocardiogram complete	NA	NA	NA	$17.23 	$17.28 	0%			
93010		Electrocardiogram report	$8.61 	$8.64 	0%	$8.61 	$8.64 	0%			
93015		Cardiovascular stress test	NA	NA	NA	$77.52 	$71.62 	-8%			
93307	26	Tte w/o doppler complete	$45.94 	$46.43 	1%	$45.94 	$46.43 	1%			
93458	26	L hrt artery/ventricle angio	$310.44 	$277.36 	-11%	$310.44 	$277.36 	-11%			
98941		Chiropract manj 3-4 regions	$35.17 	$35.27 	0%	$41.27 	$41.75 	1%			
99203		Office/outpatient visit new	$77.88 	$77.98 	0%	$109.46 	$109.66 	0%			
99213		Office/outpatient visit est	$51.68 	$52.49 	2%	$73.93 	$74.44 	1%			
99214		Office/outpatient visit est	$79.67 	$79.82 	0%	$108.74 	$109.69 	1%			
99222		Initial hospital care	$138.89 	$140.20 	1%	NA	NA	NA			
99223		Initial hospital care	$205.64 	$208.15 	1%	NA	NA	NA			
99231		Subsequent hospital care	$39.84 	$39.91 	0%	NA	NA	NA			
99232		Subsequent hospital care	$73.21 	$74.06 	1%	NA	NA	NA			
99233		Subsequent hospital care	$105.87 	$106.78 	1%	NA	NA	NA			
99236		Observ/hosp same date	$221.07 	$224.33 	1%	NA	NA	NA			
99239		Hospital discharge day	$109.10 	$111.09 	2%	NA	NA	NA			
99283		Emergency dept visit	$62.81 	$62.54 	0%	NA	NA	NA			
99284		Emergency dept visit	$119.15 	$118.62 	0%	NA	NA	NA			
99291		Critical care first hour	$226.82 	$226.12 	0%	$278.14 	$277.59 	0%			
99292		Critical care addl 30 min	$113.77 	$112.88 	-1%	$124.53 	$124.04 	0%			
99348		Home visit est patient	NA	NA	NA	$85.42 	$86.28 	1%			
99350		Home visit est patient	NA	NA	NA	$180.52 	$182.65 	1%			
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA			
											
1 CPT codes and descriptions are copyright 2017 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.											
2 Payments based on the 2017 conversion factor of 35.8887.											
"3 Payments based on the 2018 conversion factor of 35.9903, which includes the budget neutrality adjustment."											
