Upstate Medicare Division -
2007 Fee Schedule - Revised 7-13-07

#	These amounts apply when service is performed in a facility setting.
C	The payment for the technical component is capped at the OPPS amount.
	Limiting charge applies to unassigned claims by non-participating providers.
	All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2006 by the American Medical Association.

Medical Services - M Codes

NOTE	PROCEDURE	MOD	PAR AMOUNT	NON-PAR AMOUNT	LIMITING CHARGE
	M0064		29.48	28.01	32.21
#	M0064		16.59	15.76	18.12

Pathology and Laboratory Services - P Codes

NOTE	PROCEDURE	MOD	PAR AMOUNT	NON-PAR AMOUNT	LIMITING CHARGE
	P3001		22.22	21.11	24.28

Q Codes (Temporary)

NOTE	PROCEDURE	MOD	PAR AMOUNT	NON-PAR AMOUNT	LIMITING CHARGE
	Q0035		21.07	20.02	23.02
	Q0035	TC	13.04	12.39	14.25
	Q0035	26	8.03	7.63	8.77
	Q0091		37.04	35.19	40.47
#	Q0091		17.54	16.66	19.16
	Q0092		12.44	11.82	13.59

Diagnostic Radiology Services - R Codes

NOTE	PROCEDURE	MOD	PAR AMOUNT	NON-PAR AMOUNT	LIMITING CHARGE
	R0070		163.15	154.99	178.24
	R0075		163.15	154.99	178.24

© 1998-2008 Upstate Medicare Division. All rights reserved.
Privacy Policy | Web Site Satisfaction Survey