93351 Echo rest and $273.90 $239.70 $239.04 $449.50 $472.98 $486.66 cv stress test TC $187.61 TC $152.60 TC $151.92 APC 5524 APC 5525 APC 5524 w/interp and report PC $86.29 PC $87.10 PC $87.12 including electrocardiographic monitoring w/ physician supervision 78452 MPI, $494.56 $495.23 $500.39 $1138.46 $1163.30 $1202.60 tomographic TC $414.17 TC $414.25 TC $419.39 APC 5593 APC 5593 APC 5593 (SPECT) (inc. PC $80.39 PC $80.98 PC $81.00 attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection 78453 Myocardial $318.34 $317.79 $320.76 $1138.46 $1163.30 1202.60 perfusion imaging, TC $267.74 TC $266.68 TC $270.36 APC 5593 APC 5593 APC 5593 planar (inc. PC $50.60 PC $51.11 PC$50.40 qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) 78454 MPI, planar $457.96 $457.44 $461.15 $1138.46 $1163.30 1202.60 (inc. qualitative or TC $389.77 TC $388.70 TC $393.11 APC 5593 APC 5593 APC 5593 quantitative wall PC $68.19 PC $68.74 PC $68.04 motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at
93351 Echo rest and cv stress test w/interp and report including electrocardiographic monitoring w/ physician supervision $273.90 TC $187.61 PC $86.29 $239.70 TC $152.60 PC $87.10 $239.04 TC $151.92 PC $87.12 $449.50 APC 5524 $472.98 APC 5525 $486.66 APC 5524 78452 MPI, tomographic (SPECT) (inc. attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection $494.56 TC $414.17 PC $80.39 $495.23 TC $414.25 PC $80.98 $500.39 TC $419.39 PC $81.00 $1138.46 APC 5593 $1163.30 APC 5593 $1202.60 APC 5593 78453 Myocardial perfusion imaging, planar (inc. qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) $318.34 TC $267.74 PC $50.60 $317.79 TC $266.68 PC $51.11 $320.76 TC $270.36 PC$50.40 $1138.46 APC 5593 $1163.30 APC 5593 1202.60 APC 5593 78454 MPI, planar (inc. qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at $457.96 TC $389.77 PC $68.19 $457.44 TC $388.70 PC $68.74 $461.15 TC $393.11 PC $68.04 $1138.46 APC 5593 $1163.30 APC 5593 1202.60 APC 5593
2018_Final_MPFS_and_OPPS_ch.docx