As of April 1st, 2020, payment rates for certain plastic surgery, neurosurgery, neurology, and critical care fee items were altered. On the July remittance statement, you’ll find adjustment code 80 which includes a retroactive payment for claims that were paid according to the old rates.
The following fee items have been amended, so if you’ve billed for them expect to recieve the new rates soon.
Plastic Surgery
| Fee Item | Previous Rate | New Rate |
| 06047 | $304.13 | $432.00 |
| 06048 | $388.27 | $648.00 |
| 06049 | $7.42 | $8.00 |
| 06051 | $250.72 | $310.00 |
| 06050 | $432.65 | $440.00 |
| 06052 | $312.18 | $440.00 |
| 06053 | $416.93 | $648.00 |
| 61050 | $791.96 | $822.93 |
| 61158 | $765.60 | $955.00 |
| 61334 | $325.00 | $346.00 |
Neurosurgery
| Fee Item | Previous Rate | New Rate |
| 03136 | $2,435.78 | $2,731.29 |
| 03144 | $1,998.14 | $2,255.16 |
| 03147 | $2,078.06 | $2,480.37 |
| 03155 | $948.86 | $1,202.45 |
| 03156 | $1,524.64 | $2,003.94 |
| 03157 | $1,874.56 | $2,204.84 |
Neurology
| Fee Item | Previous Rate | New Rate |
| 00406 | $72.24 | $84.08 |
| 00407 | $70.60 | $82.25 |
| 00408 | $71.80 | $83.57 |
| 00405 | $81.88 | $94.16 |
| 00441 | $201.37 | $215.58 |
| 00476 | $72.24 | $84.08 |
| 00477 | $70.60 | $82.25 |
| 00478 | $71.80 | $83.57 |
| 40441 | $201.37 | $215.58 |
Critical Care
| Fee Item | Previous Rate | New Rate |
| 01422 | $152.26 | $157.11 |
Keeping up to date on payment amendments will ensure you’re getting paid properly and any financial records are organized. If you have any questions, please don’t hesitate to get in touch with our team.
This article offers general information only and is not intended as legal, financial or other professional advice. A professional advisor should be consulted regarding your specific situation. While information presented is believed to be factual and current, its accuracy is not guaranteed and it should not be regarded as a complete analysis of the subjects discussed. All expressions of opinion reflect the judgment of the author(s) as of the date of publication and are subject to change. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBC Ventures Inc. or its affiliates.
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