Reimbursement

Procedure Description

ASC
Payment3

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

$1627.28

$365.59

5183

$2,771.28

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

$1647.85

$315.42

5183

$2,771.28

$1,341

Procedure Description

ASC
Payment3

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);

$1,975.91

$387.60

5192

$4,953.91

$2,875.24

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

$2,481.16

$464.83

5193

$9,908.48

$4,182.94

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

$6,556.04

$536.65

5194

$15,939.97

$10,182.24

Venous Mechanical Thrombectomy

37187

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

$1,986.73

$411.78

5192

$4,953.91

$3,102.97

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

$1,671.76

$292.33

5183

$2,771.28

$1,341.23

Procedure Description

ASC
Payment3

Non-Facility

Facility

Code

Payment

60100

Biopsy thyroid, percutaneous core needle

$114.76

$81.20

5071

$610.01

$53.77

Pleura Biopsy

32400

Biopsy, pleura; percutaneous needle

$164.57

$89.50

5072

$1,372.60

$576.39

Lung Biopsy

32405

Biopsy, lung or mediastinum, percutaneous needle

$408.53

$93.47

5072

$1,372.60

$576.39

Lymph Node Biopsy

38505

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

$128.12

$72.90

5072

$1,372.60

$576.39

Liver Biopsy

47000

Biopsy of liver, needle; percutaneous

$319.39

$92.39

5072

$1,372.60

$576.39

47001

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

$109.71

$109.71

N/A

N/A

Packaged

Retroperitoneum or Abdomen Biopsy

49180

Biopsy, abdominal or retroperitoneal mass, percutaneous needle

$175.40

$87.70

5072

$1,372.60

$576.39

Pancreas Biopsy

48102

Biopsy of pancreas, percutaneous needle

$555.78

$249.74

5072

$1,372.60

$576.39

Kidney Biopsy

50200

Renal biopsy; percutaneous by trocar or needle

$558.31

$133.53

5072

$1,372.60

$576.39

Prostate Biopsy

55700

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

$255.88

$136.06

5373

$1,771.55

$789.71

55706

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

$387.96

$387.96

5373

$1,771.55

$789.71

Muscle Biopsy

20206

Biopsy, muscle, percutaneous needle

$243.97

$61.27

5072

$1,372.60

$576.39

Fine Needle Aspiration

10021

Fine needle aspiration, without imaging guidance; first lesion

$101.05

$57.74

5052

$319.51

$59.19

10004

Fine needle aspiration, without imaging guidance; each additional lesion

$53.41

$45.11

N/A

N/A

N/A

10005

Fine needle aspiration, including ultrasound guidance; first lesion

$132.45

$74.71

N/A

N/A

$75.07

10006

Fine needle aspiration, including ultrasound guidance; each additional lesion

$61.35

$51.25

N/A

N/A

N/A

10007

Fine needle aspiration, including fluoroscopic guidance; first lesion

$304.24

$97.08

N/A

N/A

$232.42

10008

Fine needle aspiration, including fluoroscopic guidance; each additional lesion

$172.87

$63.52

N/A

N/A

N/A

10009

Fine needle aspiration, including Computed Tomography guidance; first lesion

$480.71

$118.37

N/A

N/A

$308.23

10010

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

$289.44

$85.89

N/A

N/A

N/A

10011

Fine needle aspiration, including Magnetic Resonance guidance; first lesion

N/A

N/A

N/A

N/A

N/A

10012

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

N/A

N/A

N/A

N/A

N/A

Procedure Description

ASC
Payment3

Non-Facility

Facility

Code

Payment

37200

Transcatheter biopsy

$227.36

$227.36

5184

$4,596.19

$2,321.81

75970

Transcatheter biopsy, radiological supervision and interpretation

$0

$0

N/A

N/A

Packaged

Catheter Placement

36011

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

$890.33

$164.93

N/A

N/A

Packaged

Description

ASC
Payment3

Non-Facility

Facility

Code

Payment

32554

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

$228.45

$93.47

5181

$630.51

$318.59

32555

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

$319

$116

5181

$630.51

$318.59

32556

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

$687

$128

5302

$1,557.40

$663.06

32557

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

$633.37

$158.79

5182

$1,631.13

$579.91

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

$1292.01

$278.61

5341

$3,109.34

$1,377.21

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

$1,468.49

$388.68

5341

$3,109.34

$1,377.21

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

$1,017.37

$204.99

5341

$3,109.34

$1,377.21

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

$716.38

$138.58

5341

$3,109.34

$1,377.21

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

$462.31

$100.69

5301

$785.92

$397.12

Peritoneal Drainage

49082

Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance

$210.04

$77.23

5301

$785.92

$397.12

49083

Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance

$308.93

$112.24

5301

$785.92

$397.12

49406

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

$906.93

$205.71

5072

$1,372.60

$576.39

49407

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

$745.25

$218.34

5072

$1,372.60

$576.39

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

$913.07

$215.09

5373

$1,771.55

$789.71

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

$578.52

$103.94

5373

$1,771.55

$789.71

Other Drainage

49405

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

$907.29

$206.07

5072

$1,372.60

N/A

75984

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

$100.69

$100.69

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

$123.79

$123.79

N/A

N/A

Packaged

Procedure Description

ASC
Payment3

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

$625.79

$173.95

5072

$1,372.60

$576.39

+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

$504.53

$87.34

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

$619.30

$164.57

5072

$1,372.60

$576.39

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

$490.82

$81.20

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

$944.83

$190.55

5072

$1,372.60

$576.39

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

$751.02

$94.92

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

$251.54

$104.66

5071

$53.77

Packaged

19282

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

$177.56

$52.69

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

$279.33

$105.74

5071

$53.77

Packaged

19284

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

$212.93

$53.77

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

$468.44

$89.86

5071

$53.77

Packaged

19286

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

$399.87

$45.47

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

$797.58

$134.25

5071

$53.77

Packaged

19288

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

$634.46

$67.49

N/A

N/A

Packaged

Procedure Description

ASC
Payment3

Non-Facility

Facility

Code

Payment

93505

Endomyocardial biopsy

$727.57

$727.57

5183

$2,771.28

N/A

Procedure Description

Physician Fee1

APC2

ASC
Payment3

Non-Facility

Facility

Code

Payment

36558

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

$836.20

$272.48

5183

$2,771.28

$1,341.23

36581

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

$826.81

$191.27

5183

$2,771.28

$1,341.23

36589

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

$171.79

$143.28

5181

$630.51

$318.59