Reimbursement

Procedure Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

37193

Retrieval (removal) of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed

$1562

$367

5183

$2,642

N/A

37197

Transcatheter retrieval, percutaneous, of intravascular foreign body (eg, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed

$1481

$316

5183

$2,642

$1,299

Procedure Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

36904

Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural thrombolytic injection(s);

$1,849

$388

5192

$4,679

$2,525

36905

Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural thrombolytic injection(s); with transluminal balloon angioplasty, peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the angioplasty

$2,344

$466

5193

$9,669

$4,480

36906

Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis, dialysis circuit, any method, including all imaging and radiological supervision and interpretation, diagnostic angiography, fluoroscopic guidance, catheter placement(s), and intraprocedural thrombolytic injection(s);with transcatheter placement of intravascular stent(s), peripheral dialysis segment, including all imaging and radiological supervision and interpretation necessary to perform the stenting, and all angioplasty within the peripheral dialysis circuit

$6,949

$538

5194

$15,355

$6,924

Venous Mechanical Thrombectomy

37187

Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance

$2,025

$411

5192

$4,679

$2,524

37188

Percutaneous transluminal mechanical thrombectomy, vein(s), including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance, repeat treatment on subsequent day during course of thrombolytic therapy

$1,708

$293

5183

$2,642

$1,299

Procedure Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

60100

Biopsy thyroid, percutaneous core needle

$116

$82

5071

$579

$54

Pleura Biopsy

32400

Biopsy, pleura; percutaneous needle

$154

$90

5072

$1,376

$543

Lung Biopsy

32405

Biopsy, lung or mediastinum, percutaneous needle

$401

$94

5072

$1,376

$543

Lymph Node Biopsy

38505

Biopsy or excision of lymph node(s); by needle, superficial (eg, cervical, inguinal, axillary)

$129

$73

5072

$1,376

$543

Liver Biopsy

47000

Biopsy of liver, needle; percutaneous

$314

$93

5072

$1,376

$543

47001

Biopsy of liver, needle; when done for indicated purpose at time of other major procedure

$109

$109

N/A

N/A

Packaged

Retroperitoneum or Abdomen Biopsy

49180

Biopsy, abdominal or retroperitoneal mass, percutaneous needle

$168

$89

5072

$1,376

$543

Pancreas Biopsy

48102

Biopsy of pancreas, percutaneous needle

$545

$251

5072

$1,376

$543

Kidney Biopsy

50200

Renal biopsy; percutaneous by trocar or needle

$550

$134

5072

$1,376

$543

Prostate Biopsy

55700

Biopsy, prostate; needle or punch, single or multiple, any approach

$257

$136

5373

$1,740

$780

55706

Biopsies, prostate, needle, transperineal, stereotactic template guided saturation sampling, including imaging guidance

$388

$388

5373

$1,740

$1,206

Muscle Biopsy

20206

Biopsy, muscle, percutaneous needle

$241

$61

5072

$1,376

$543

Fine Needle Aspiration

10021

Fine needle aspiration, without imaging guidance; first lesion

$125

$72

5052

$314

$73

+10004

Fine needle aspiration, without imaging guidance; each additional lesion

*NEW Code for 2019*

10005

Fine needle aspiration, including ultrasound guidance; first lesion

*NEW Code for 2019*

+10006

Fine needle aspiration, including ultrasound guidance; each additional lesion

*NEW Code for 2019*

10007

Fine needle aspiration, including fluoroscopic guidance; first lesion

*NEW Code for 2019*

+10008

Fine needle aspiration, including fluoroscopic guidance; each additional lesion

*NEW Code for 2019*

10009

Fine needle aspiration, including Computed Tomography guidance; first lesion

*NEW Code for 2019*

+10010

Fine needle aspiration, including Computed Tomography guidance; each additional lesion

*NEW Code for 2019*

10011

Fine needle aspiration, including Magnetic Resonance guidance; first lesion

*NEW Code for 2019*

+10012

Fine needle aspiration, including Magnetic Resonance guidance; each additional lesion

*NEW Code for 2019*

Procedure Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

37200

Transcatheter biopsy

$227

$227

5184

$4,377

$2,222

75970

Transcatheter biopsy, radiological supervision and interpretation

$41

$41

N/A

N/A

Packaged

Catheter Placement

36011

Selective catheter placement, venous system; first order branch (eg, renal vein, jugular vein)

$847

$164

N/A

N/A

Packaged

Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

32554

Thoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance

$208

$93

5181

$620

$319

32555

Thoracentesis, needle or catheter, aspiration of the pleural space; with imaging guidance

$297

$116

5181

$620

$319

32556

Pleural drainage, percutaneous, with insertion of indwelling catheter; without imaging guidance

$572

$127

5302

$1,483

$627

32557

Pleural drainage, percutaneous, with insertion of indwelling catheter; with imaging guidance

$523

$158

5182

$1,094

$512

Biliary Drainage

47533

Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; external

$126

$280

5341

$2,947

$1,333

47534

Placement of biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation; internal-external

$1,506

$390

5341

$2,947

$1,333

47535

Conversion of external biliary drainage catheter to internal-external biliary drainage catheter, percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

$1,040

$207

5341

$2,947

$1,333

47536

Exchange of biliary drainage catheter (eg, external, internal-external, or conversion of internal-external to external only), percutaneous, including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

$705

$139

5341

$2,947

$1,333

47537

Removal of biliary drainage catheter, percutaneous, requiring fluoroscopic guidance (eg, with concurrent indwelling biliary stents), including diagnostic cholangiography when performed, imaging guidance (eg, fluoroscopy), and all associated radiological supervision and interpretation

$375

$101

5301

$762

$387

Peritoneal Drainage

49082

Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance

$200

$77

5301

$762

$387

49083

Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance

$302

$113

5301

$762

$387

49406

Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous

$826

$206

5072

$1,376

$543

49407

Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal

$668

$219

5072

$1,376

$543

Nephrostomy Drainage

50432

Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

$791

$216

5373

$1,740

$780

50435

Exchange nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (eg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation

$483

$105

5373

$1,740

$780

Other Drainage

49405

Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous

$824

$206

5072

$1,376

N/A

75984

Change of percutaneous tube or drainage catheter with contrast monitoring (eg, genitourinary system, abscess), radiological supervision and interpretation

$108

$108

N/A

N/A

Packaged

75989

Radiological guidance (ie, fluoroscopy, ultrasound, or computed tomography), for percutaneous drainage (eg, abscess, specimen collection), with placement of catheter, radiological supervision and interpretation

$124

$124

N/A

N/A

Packaged

Procedure Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

19081

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance

$707

$175

5072

$1,376

$543

+19082

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance

$584

$88

N/A

N/A

Packaged

19083

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance

$687

$164

5072

$1,376

$543

+19084

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance

$560

$82

N/A

N/A

Packaged

19085

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance

$1,027

$190

5072

$1,376

$543

+19086

Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance

$832

$96

N/A

N/A

Packaged

Breast Localization Device

19281

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance

$246

$105

5071

$579

Packaged

+19282

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance

$171

$53

N/A

N/A

Packaged

19283

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance

$278

$105

5071

$579

Packaged

+19284

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance

$209

$54

N/A

N/A

Packaged

19285

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance

$530

$90

5071

$579

Packaged

+19286

Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance

$464

$45

N/A

N/A

Packaged

19287

Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including Magnetic Resonance guidance

$879

$134

5071

$579

Packaged

+19288

Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including Magnetic Resonance guidance

$711

$67

N/A

N/A

Packaged

Procedure Description

ASC
Payment10

Non-Facility

Facility

Code

Payment

93505

Endomyocardial biopsy

$719

$719

5183

$2,642

N/A

Procedure Description

Physician Fee8

APC9

ASC
Payment10

Non-Facility

Facility

Code

Payment

36558

Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older

$731

$273

5183

$2,642

$1,299

36581

Replacement, complete, of a tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access

$722

$191

5183

$2,642

$1,299

36589

Removal of tunneled central venous catheter, without subcutaneous port or pump

$168

$142

5181

$620

$319