2021 CMS Tissue Marking National Payment

Please note: this information is being provided as a courtesy. It is believed to be correct at the time of posting; however, this information does change and is variable based on multiple factors. Please verify all codes and reimbursements based upon your specific situation. Best practice is to contact the patient’s insurer to verify and understand their coverage before performing a procedure. Your coding staff and/or payer/s should be consulted as they will know the specifics for your situation. Endo Surgical Source accepts no responsibility for how this information is used. The responsibility of correct coding is with the provider.

Note: Individual provider payment will vary

Please note: this information is being provided as a courtesy. It is believed to be correct at the time of posting; however, this information does change and is variable based on multiple factors. Please verify all codes and reimbursements based upon your specific situation. Best practice is to contact the patient’s insurer to verify and understand their coverage before performing a procedure. Your coding staff and/or payer/s should be consulted as they will know the specifics for your situation. Endo Surgical Source accepts no responsibility for how this information is used. The responsibility of correct coding is with the provider.

Note: Individual provider payment will vary

Please note: this information is being provided as a courtesy. It is believed to be correct at the time of posting; however, this information does change and is variable based on multiple factors. Please verify all codes and reimbursements based upon your specific situation. Best practice is to contact the patient’s insurer to verify and understand their coverage before performing a procedure. Your coding staff and/or payer/s should be consulted as they will know the specifics for your situation. Endo Surgical Source accepts no responsibility for how this information is used. The responsibility of correct coding is with the provider.

Note: Individual provider payment will vary

Please note: this information is being provided as a courtesy. It is believed to be correct at the time of posting; however, this information does change and is variable based on multiple factors. Please verify all codes and reimbursements based upon your specific situation. Best practice is to contact the patient’s insurer to verify and understand their coverage before performing a procedure. Your coding staff and/or payer/s should be consulted as they will know the specifics for your situation. Endo Surgical Source accepts no responsibility for how this information is used. The responsibility of correct coding is with the provider.

Note: Individual provider payment will vary

Colonoscopy with Polyp Removal, Snare
(CPT 45382)

If Tissue Marking is Additionally Done
(CPT 45381)

Physician (Facility)

$258
Work RVU: 4.57

+ $16 (Total $274)
Work RVU 0.30; Total Work RVU: 4.87

ASC

$527

+ $263 (Total $790)

Hospital Outpatient

$1037

+ $518 (Total $1555)