Facility fee decrease for implants (63685)

[lmsanscafe]

Has there been a cut in facility fee reimbursement for IPG implants (CPT 63685)? Searching for the medicare amount now indicates it's around $9k, whereas even a few weeks ago it was around $29k. Any insight from those who may know more would be appreciated.

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[SC Tian]

No change as far as i know.

 

[BobBarker]

No, it hasn’t changed. These things don’t change mid year.

 

[DrMDAware]

Someone bookmark this thread where we talk about how there be NOT been cuts…

 

[Agast]

Are you getting push back on scheduling a Medicare IPG replacement? The ASC can try to work something out with the vendor. I recall when I first started the surgery center said they would be doing the IPG at a loss. The batteries are just priced really high.

 

[BobBarker]

IPG exchange best done at the hospital.

 

[SC Tian]

 

[SC Tian]

ipg is around $18,000, still quite profitable for a 30 minutes surgery

 

[po_boy]

Where can I find facility fees online?

 

[bedrock]

Where can I find facility fees online?

ASIPP

 

[po_boy]

ASIPP

Please pardon my ignorance. I see "non-facility (office)" vs "facility (ASC/hospital)". Aren't both of these considered "professional fees"? Isn't there another fee that is paid to the ASC aka the "facility fee"?

 

[RoloTomassi]

Please pardon my ignorance. I see "non-facility (office)" vs "facility (ASC/hospital)". Aren't both of these considered "professional fees"? Isn't there another fee that is paid to the ASC aka the "facility fee"?

You're looking at the pro fee pdf. This is the ASC one:

https://asipp.org/wp-content/uploads/2020/10/2020-Final-ASC-Fee-Schedule.2.pdf