Top 100 ENT CPT Codes for 2013

Top 100 ENT CPT Codes for 2013

2013 Top 100 ENT Codes Billed in a Physician Office

This chart contains a list of the 100 most frequently reported CPT Codes, by providers with sub-specialty designation "4 – Otolaryngology" within the Medicare enrollment database, within the physician office site of service.  Volumes are based on 2011 Medicare claims data, as this is the most current claims data available.  The chart contains CPT codes and their associated code short code descriptor, physician work relative value units (RVUs), non-facility RVUs, and malpractice RVUs associated with each CPT code under the 2013 Medicare Physician Fee Schedule (MPFS).  The chart also provides global periods and 2013 Part B MPFS payment rate information for each service, as well as any fluctuation that occurred from 2012 to 2013 in RVUs and global payment rates.  Members should note that the payment rates reflect national Medicare MPFS rates and may vary for individual providers based on their locality and geographic payment adjustments.  Members with questions related to this material can contact Academy Health Policy Staff, Jenna Minton at: jminton@entnet.org.

2013 Top 100 ENT Codes Billed in the Hospital Outpatient Department

This chart contains a list of the 100 most frequently reported CPT Codes, by providers with sub-specialty designation "4 – Otolaryngology" within the Medicare enrollment database, within the hospital outpatient site of service.  Volumes are based on 2011 Medicare claims data, as this is the most current claims data available.  The chart contains CPT codes and their associated code short code descriptor, physician work relative value units (RVUs), non-facility RVUs, and malpractice RVUs associated with each CPT code under the 2013 Medicare Physician Fee Schedule (MPFS).  The chart also provides global periods and 2013 payment rate information for services provided by physicians in the hospital outpatient setting, as well as any fluctuation that occurred from 2012 to 2013 in RVUs and facility payment rates.  Members should note that the payment rates reflect national Medicare rates and may vary for individual providers based on their locality and geographic payment adjustments.  Members with questions related to this material can contact Academy Health Policy Staff, Jenna Minton at: jminton@entnet.org.

2013 Hospital Outpatient Prospective Payment System (HOPPS) Information for Common ENT Services

This chart contains a list of commonly provided ENT services in the hospital outpatient site of service and provides the status indicator for the CPT code, HOPPS payment rate (the technical rate paid to the hospital when billed in that site of service), and the Ambulatory Payment Classification (APC) group the service is associated with.  Members with questions related to this material can contact Academy Health Policy Staff, Jenna Minton at: jminton@entnet.org.