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Top 100 ENT CPT Codes for 2016

Top 100 ENT CPT Codes for 2016

2016 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 2014 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 2016 Medicare Physician Fee Schedule (MPFS).  The chart also provides 2016 Part B MPFS payment rate information for each service, as well as any fluctuation that occurred from 2015 to 2016 in RVUs.  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 Health Policy.

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2016 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 2014 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 2016 Medicare Physician Fee Schedule (MPFS).  The chart also provides 2016 payment rate information for services provided by physicians in the hospital outpatient setting, as well as any fluctuation that occurred from 2015 to 2016 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 Health Policy.

Access the chart