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S0630 charge amount?

  1. #1
    Default S0630 charge amount?
    Medical Coding Books
    How much do you charge and/or the standard allowable for S0630?

  2. #2
    Default
    Yes, I have this question too.

  3. Default
    Are there any insurances that actually pay for this one? Typically we have always based fee schedules off of a percentage of what Medicare pays for services, but since they don't pay for this, another way to come up with fee pricing for some physicians is to find another service that requires the same amount of physician work, and try to come up with a fee that resembles that procedure.

  4. Default
    FeeName CPTCode Modifier Fees EffectiveDate TermDate
    2002 Facility Dallas RBRVS Eff 1/1/2002 S0630 0 1/1/2002 0:00 12/31/2002 0:00
    2002 Non Facility Dallas RBRVS Eff 1/1/2002 S0630 0 1/1/2002 0:00 12/31/2002 0:00
    2005 Dallas RBRVS Facility Eff 1/1/2005 S0630 0 1/1/2005 0:00 12/31/2005 0:00
    2005 Dallas RBRVS Non-facility Eff 1/1/2005 S0630 0 1/1/2005 0:00 12/31/2005 0:00
    2006 Dallas RBRVS Facility eff 1/1/06 S0630 0 1/1/2006 0:00 12/31/2006 0:00
    2006 Dallas RBRVS Non-Facility eff 1/1/06 S0630 0 1/1/2006 0:00 12/31/2006 0:00
    2007 Dallas RBRVS Facility Eff 1/1/07 S0630 0 1/1/2007 0:00 1/1/1900 0:00
    2007 Dallas RBRVS Non-Facility Eff 1/1/07 S0630 - 1/1/2007 0:00 1/1/1900 0:00
    2009 Dallas RBRVS Fac Eff 1-1-09 S0630 0 1/1/2009 0:00 1/1/1900 0:00
    2009 Dallas RBRVS Non Fac Eff 1-1-09 S0630 0 1/1/2009 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant HMO Fac 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant HMO fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant HMO Fac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant HMO non-fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant HMO NonFac eff 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant HMO NonFac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant PPO fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant PPO Fac eff 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant PPO Fac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant PPO non-fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant PPO NonFac 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS DallasCollinTarrant PPO NonFac8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS Other Cnty HMO Fac eff 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS Other Cnty HMO Fac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS Other Cnty HMO NonFac eff 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS Other Cnty HMO NonFac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS Other Cnty PPO Fac eff 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS Other Cnty PPO Fac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS Other Cnty PPO NonFac eff 7-1-08 S0630 Review Required 7/1/2008 0:00 1/1/1900 0:00
    BCBS Other Cnty PPO NonFac eff 8-15-09 S0630 20.44 8/15/2009 0:00 1/1/1900 0:00
    BCBS Other Counties HMO fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS Other Counties HMO non-fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS Other Counties PPO fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    BCBS Other Counties PPO non-fac eff 7-1-07 S0630 REVIEW REQUIRED 7/1/2007 0:00 1/1/1900 0:00
    Great West HMO, Open Access, POS & PPO eff 7-1-2008 S0630 25.51 7/1/2008 0:00 1/1/1900 0:00
    Great West HMO/POS/Open Access eff 7-1-07 S0630 32.75 7/1/2007 0:00 8/31/2007 0:00
    HealthSmart/NTHN AWP (Recvd 4-15-06) S0630 25% discount 1/1/1900 0:00 1/1/1900 0:00
    Multiplan Eff 8-1-08 S0630 65.00% 8/1/2008 0:00 1/1/1900 0:00

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