MSP Billing Codes

Specialty: Diagnostic And Selected Therapeutic Procedures

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Code Description Fee

Allergy, patch and photopatch tests

00765 Annual maximum (scratch or intracutaneous tests) $34.40
00767 Patch testing (extra) (annual maximum, 80 tests) per test $1.96
00769 Photopatch test, annual maximum $56.69
00768 Photopatch test, per test $5.66
00763 Scratch test - children under 5 years $2.32
00762 Scratch test, per antigen $1.06

Cardio-vascular Diagnostic Procedures

00839 Direct intra-coronary streptokinase thrombolysis $361.78
00814 Dye dilution studies, extra, by duly qualified specialist $55.52
00813 Ergonovine provocative testing for coronary artery spasm $79.14
00816 Hydrogen ion study $28.96

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00810 Right heart catheterization, by duly qualified specialist $165.44
00812 Selective angiocardiogram, extra, by duly qualified specialist $55.52
00830 Trans-septal left heart catheterization $235.58

Diagnostic Procedures Involving Visualization by Instrumentation

00704 Cystoscopy to include dilation & panendoscopy $95.37
00705 Cystoscopy with catheterization of ureters $111.51

Diagnostic Procedures Utilizing Radiological Equipment

00724 Air insufflation - presacral $39.17
00748 Bone biopsy, under local/regional anaesthetic $63.99
00730 Catheterization of bronchi for bronchogram $27.48
00857 Cholangiogram percutaneous transhepatic $113.54
00732 Cysto-urethrogram, voiding $19.74
00729 Fluoroscopy of chest by internist or pediatrician - procedural fee $11.11
00733 Intra-osseous venogram $59.58
00811 Joint injection, aspiration or arthogram $53.31
00734 Lymphangiography or lymphography - surgical $130.97
00721 Myelogram diagnostic $44.19
00728 Orthodiagram diagnostic $11.87
00727 Salpingogram diagnostic $77.95
00723 Sialogram or galactograms injection $48.85

Evoked Response Procedures

00985 Brainstem auditory evoked response $48.66
00987 Somatosensory evoked response - upper and lower $64.10
00986 Somatosensory evoked response - upper extremity $37.08
00988 Visual evoked response $71.89

Examination Under Anesthesia When Done as Independent Procedure

00771 Retinal examination under anaesthesia $20.08
00771 Retinal examination under anaesthesia $20.08

Gynecological

00787 Amniocentesis, transabdominal $87.80
00784 Cervical punch biopsy $19.23
00794 Chorionic villus sampling $120.73
00807 Diagnostic hysteroscopy $152.83
00808 Diagnostic hysteroscopy with biopsy(s) $203.77
00819 Diagnostic vaginoscopy under ga $152.83
00785 Endometrial biopsy $44.57
00776 Fetal scalp sampling $100.09
00790 Foetal heart monitoring - interpretation only $17.61
00783 Huhners test $44.57
00775 Hydrotubation $44.57
00815 Laparoscopic biopsies/lysis of adhesions $62.32
00782 Needle aspiration of pouch of douglas $35.33
00786 Pelvic exam with aspiration pouch of douglas $47.09

Needle Biopsy Procedures

00743 Breast lesion, non-palpable localizing $125.53
00740 Liver biopsy $109.61
00739 Percutaneous lung or mediastinal biopsy $111.09
00747 Prostate biopsy $32.47
00742 Renal biopsy $111.09
00741 Splenic biopsy $109.61

Percutaneous Coronary Interventions

00890 Aortogram abdominal $116.28
00897 Aortogram thoracic $167.15
00892 Arteriogram - carotid percutaneous, unilateral $114.91
00891 Arteriogram - carotid percutaneous; bilateral $172.79
00894 Arteriogram - cerebral $193.71
00893 Arteriogram - femoral or axillary $88.98
00896 Arteriography pulmonary $141.15
00898 Balloon septostomy $338.65
00885 Digital angiography - peripheral injection $46.99
00919 Impedance plethysmography - professional fee $6.89
00920 Impedance plethysmography - technical fee $34.55
00880 Portal pressures - hepatic vein wedge pressure $65.89
00881 Portal pressures - percutaneous, splenic $52.73
00871 Pulse tracing - intravascular, including both arterial and venous $55.52
00843 Selective arteriography of abdominal branch $100.98
00847 Selective arteriography of thoracic aortic branch $163.73
00856 Selective cath. of vena cava or iliac - others $60.04
00855 Selective catheterization, vena cava or iliac -1st $90.31
11917 Two-night polysomnography - professional fee $251.10
11918 Two-night polysomnography - technical fee $774.04
00854 Venacavogram - inferior $116.28
00853 Venacavogram - superior $24.26
00889 Ventriculogram through previous ventricular access $128.22
00888 Ventriculogram, with no ventricular access device $256.42

Pulmonary Investigative and Function Studies

00958 Exercise induced asthma - professional fee $22.35
00959 Exercise induced asthma - technical fee $32.95
00930 Peak expiratory flow rate $5.57
00970 Precipitin tests - professional fee $11.16
00971 Precipitin tests - technical fee $27.05

Puncture Procedure for Obtaining Body Fluids

00761 Bursa or cyst - puncture procedure $14.65
00752 Cisternal puncture $38.41

Therapeutic Procedures Utilizing Radiological Equipment

00982 Angioplasty, percutaneous transluminal $405.54
00977 Antegrade pyelogram $106.23
00738 Biliary calculi - removal by burhenne technique $206.05
10913 Cerebral arterial balloon occlusion tolerance test $798.88
10905 Cerebral intra-arterial thrombolysis $1,312.16
10917 Complex diagnostic neuroangiography after 4 hours $293.72
10916 Complex diagnostic neuroangiography for the assess $1,174.82
00997 Detachable balloon embolization $1,312.16
10922 Embolization mgmtof epistaxis w/o vascular lesion $628.08
00995 Embolization of brain and spinal cord avm's $2,098.46
00998 Embolization of head, neck and spinal vascular $1,618.27
00981 Embolization, therapeutic radiological $425.44
10915 Endovascular obliteration of aneurysms using gugli $1,997.22
00984 Exchange of previously inserted cath. or dilator $126.89
00994 Extra-corp. shock wave biliary lithotripsy $167.11
00989 Extra-corporeal shock wave lithotripsy $136.64
10907 Image-guide percutaneous vertebroplasty-each add. $84.25
10906 Image-guided percutaneous vertebroplasty-1st level $365.04
10920 Intracorporeal stent placement-extra $129.56
10919 Intravascular stent placement-extra $129.56
00983 Percutaneous abdominal abscess drainage $277.00
10914 Percutaneous balloon angioplasty for cerebral $1,026.79
10903 Percutaneous hemodialysis graft thrombolysis $589.66
10908 Percutaneous image-guid tumour ablation-1st lesion $530.20
10901 Percutaneous image-guided catheter directed thromb $589.66
10909 Percutaneous intravascular/intracorporeal medical $393.12
00978 Percutaneous nephrostomy, procedural fee $301.15
00979 Percutaneous nephrostomy, with dilatation $401.45
10918 Percutaneous sclerotherapy of head and neck vascul $469.94
10904 Percutaneous transcatheter arterial chemo-emboliz $589.66
10902 Peripherally inserted image-guided central venous $112.32
00746 Reduction of intussusception using hydrostatic $97.49
10911 Selective salpingography/fallopian tube recanaliza $393.12
00980 Transhepatic biliary drainage, radiological $425.44
10921 Transjugular intrahepatic porto-systemic shunt(tip $1,113.42
10912 Transjugular liver/renal biopsy $393.12
00921 Varicocele +/or uterine artery embolization unilat $464.98
00925 Varicocele and/or uterine artery embolization $674.52

Urological

00793 Cysto-ureterogram - professional fee $6.26
00792 Cysto-ureterogram - technical fee $12.52
00878 Cystometry/pelvic floor emg $66.24
00803 Loopogram $54.70
00799 Transurethral ureterorenoscopy to include c&p $158.13
00800 Transurethral ureterorenoscopy with x-ray control $384.37
00874 Urethral profilometry (water or gas) $19.77
00802 Urethrogram $39.53
00875 Uroflowimetry $31.64
00876 Video uro-dynamics (full study) $200.16

The information presented on this page is 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. No endorsement of any third parties or their advice, opinions, information, products or services is expressly given or implied by RBCx or its affiliates.

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