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2018 Radiology Reimbursements (Professional Services): Cheat Sheet

December 23, 2017 by Catherine Montgomery

Lately, we brought readers the Division of Workers’ Compensation (DWC)’s recent updates to the Physician fee schedule for evaluation & management and surgery. Today, we take a look at the new reimbursements for radiology services, effective January 1, 2018.

On January 16, we will host a comprehensive webinar covering all the changes to the OMFS. In the meantime, refer to the chart below for quick and easy reference. As always, DaisyBill clients can rest assured that our OMFS Calculator will include the most recent available reimbursement rates.

Radiology Reimbursements

Below, the radiology billing codes our providers used most frequently in 2017 are listed in ascending order. Most services will see a modest increase of less than 2%, with the exception of CPT Code 73100 for an x-ray examination of the wrist, which rises by over 5% to $12.02.

Billing Code

Description

Reimbursement (Non-Facility) December 2017

Reimbursement (Non-Facility)     January 2018  

Reimbursement Difference

Percent Change

72040

X-ray exam neck spine 2-3 vw

$15.20

$15.38

$0.18

+1.17%

72070

X-ray exam thorac spine 2vws

$15.20

$15.38

$0.18

+1.17%

72100

X-ray exam l-s spine 2/3 vws

$15.20

$15.38

$0.18

+1.17%

 

72110

X-ray exam l-2 spine 4/>vws

$21.24

$21.47

$0.23

+1.07%

 

72148

Mri lumbar spine w/o dye

$100.60

$101.16

$0.56

+.55%

72170

X-ray exam of pelvis

$11.84

$11.97

$0.13

+1.09%

73020

X-ray exam of shoulder

$10.91

$11.02

$0.11

+1%

73030

X-ray exam of shoulder

$12.82

$12.96

$0.14

+1.08%

73100

 X-ray exam of wrist

$11.37

$12.02

$0.65

+5.41%

73110

 X-ray exam of wrist

$11.84

$11.97

$0.13

+1.09%

73120

X-ray exam of hand

$11.37

$11.50

$0.13

+1.13%

73130

X-ray exam of hand

$11.84

$11.97

$0.13

+1.09%

73221

Mri joint upr extrem w/o dye

$92.18

$92.66

$0.48

+.52%

73560

X-ray exam of knee 1 or 2

$11.37

$11.50

$0.13

+1.13%

73562

X-ray exam of knee 3

$12.82

$12.96

$0.14

+1.08%

73564

X-ray exam knee 4 or more

$15.20

$15.38

$0.18

+1.17%

73610

X-ray exam of ankle

$11.84

$11.97

$0.13

+1.09%

73721

Mri jnt of lwr extre w/o dye

$91.66

$92.66

$1.00

+1.08%

76881

Us compl joint r-t w/img

$42.66

$43.14

$0.48

+1.11%

 

As always, we’ll keep our readers up to date on any changes to the OMFS, as well as any other important developments in work comp billing and payment for 2018. Subscribe to the blog, and remember to sign up for our comprehensive OMFS webinar. Together, we’ll make work comp work for providers in 2018.


We update our DaisyBill OMFS Calculator – one of the six products offered through our Work Comp Wizard – every time the Division of Workers’ Compensation (DWC) adjusts the workers’ comp fee schedule. That means that our clients never have to worry about outdated reimbursements.

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