American Academy of Orthopaedic Surgeons
Off-campus PBDs that bill the modifier “PN” already receive a PFS-equivalent payment rate. In CY 2019, for an individual Medicare beneficiary, the standard unadjusted Medicare OPPS proposed payment for G0463 is approximately $116, with a $23 average copayment. The proposed PFS-equivalent rate would be approximately $46 with copayment of $9. ................
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