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. Author manuscript; available in PMC: 2010 Jul 1.
Published in final edited form as: Gastrointest Endosc. 2009 May 24;70(1):96–10924. doi: 10.1016/j.gie.2008.08.040

Table A2-1.

Ambulatory surgery center (ASC) payment rates

CPT Code ASC Payment, $
 PFS*- Facility, $
 Total ASC (ASC payment + PFS), $
Medicare
(M)		 Beneficiary
(B)		 Total
(M+B)		 Medicare
(M)		 Beneficiary
(B)		 Total
(M+B)		 Beneficiary
(B)		 Medicare
(M)		 Total
(M+B)
Colonoscopy without polypectomy
45378 357 89 446 158 39 197 129 514 643
G0105 335 111 446 158 39 197 151 492 643
G0121 335 111 446 158 39 197 151 492 643
Colonoscopy with polypectomy
45380 357 89 446 188 47 235 136 545 681
45381 357 89 446 178 44 222 134 534 668
45382 357 89 446 239 60 299 149 596 745
45383 357 89 446 246 61 307 151 602 753
45384 357 89 446 198 49 247 139 554 693
45385 357 89 446 223 56 279 145 580 725
Pathology
88305 NA NA NA NA NA NA NA NA NA
*

Physician fee schedule