APCs (Ambulatory Payment Classification) for outpatient hospital fee schedule for nerve injections 207,206,203,204 in 2015 have been deleted for 2015 and replaced with 5431-5432, 5441-5443
They took the epidural APC of 207 which was at 672.06 in 2015 and changed the epidurals to the new APC of 5442 of 585.17
The facets blocks 64490 64493 use to be in 2015 in the same APC as the epidural APC 207 they have now increased the facet block to APC 5443.
They have lower the payment amount for RF Facet procedures from around $1470.00 to their new APC 5431 at an amount of $1392.56
They have increase the amount of lysis one day 62264 of APC of 207 to the amount of APC 5443
They have decrease the amount of the lysis 2 day 62263 to the exact amount of the lysis one day APC 5443
| 5431 | Level 1 Nerve Procedures | T | 18.8886 | $1,392.56 |
| 5432 | Level 2 Nerve Procedures | T | 46.0736 | $3,396.78 |
| 5441 | Level 1 Nerve Injections | T | 3.0350 | $223.76 |
| 5442 | Level 2 Nerve Injections | T | 7.9372 | $585.17 |
| 5443 | Level 3 Nerve Injections | T | 11.1509 | $822.10 |
| 5431 | Level 1 Nerve Procedures | T | 18.8886 | $1,392.56 |
| 5432 | Level 2 Nerve Procedures | T | 46.0736 | $3,396.78 |
| 5441 | Level 1 Nerve Injections | T | 3.0350 | $223.76 |
| 5442 | Level 2 Nerve Injections | T | 7.9372 | $585.17 |
| 5443 | Level 3 Nerve Injections | T | 11.1509 | $822.10 |
| 2015
0203 |
Level IV Nerve Injections | T | 19.8190 | $1,470.03 |
| 0204 | Level I Nerve Injections | T | 2.8475 | $211.21 |
| 0205 | Level III Male Genital Procedures | T | 46.0590 | $3,416.33 |
| 0206 | Level II Nerve Injections | T | 5.0256 | $372.76 |
| 0207 | Level III Nerve Injections | T | 9.0607 | $672.06 |