Hepatology
What they do most for Medicare patients
| Service, sort | Times billed, sort |
|---|---|
| Bilirubin level, direct | 25 |
| Ultrasound exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 27 |
| Review by radiologist of image from tube placement into bile and pancreatic duct using an endoscope | 27 |
| Exam of common bile and/or pancreatic duct using a flexible endoscope | 27 |
| Blood test, thyroid stimulating hormone (tsh) | 30 |
| Administration of vaccine | 31 |
| Biopsy of lower large bowel using a flexible endoscope | 32 |
| Study of esophagus to assess movement | 32 |
| Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic | 34 |
| Administration of chemotherapy into vein, each additional hour | 36 |
| Administration of chemotherapy into vein, 1 hour or less | 36 |
| Infusion into a vein for therapy, prevention, or diagnosis, each additional hour | 37 |
| Injection of drug or substance under skin or into muscle | 38 |
| Critical care, each additional 30 minutes | 39 |
| Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 39 |
| Injection beneath lining of large bowel using a flexible endoscope | 40 |
| Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less | 41 |
| Pathology examination of tissue using a microscope, moderately high complexity | 42 |
| Ultrasonic guidance for needle placement | 42 |
| Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm | 46 |
| Insertion of stent into pancreatic or bile duct using a flexible endoscope | 47 |
| Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month | 48 |
| Administration of influenza virus vaccine | 61 |
| Hemoglobin a1c level | 61 |
| Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month | 66 |
| Blood typing for rh (d) antigen | 68 |
| Blood group typing (abo) | 69 |
| Removal of stone or debris from bile or pancreatic duct using a flexible endoscope | 70 |
| Blood test, lipids (cholesterol and triglycerides) | 76 |
| Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes | 80 |
| Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes | 81 |
| Insulin measurement, total | 83 |
| Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days | 83 |
| Drainage of fluid from abdominal cavity | 90 |
| Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by th | 101 |
| Review by radiologist of image from tube placement into bile duct using an endoscope | 102 |
| Drainage of fluid from abdominal cavity using imaging guidance | 136 |
| Management using the results of remote vital sign monitoring per calendar month, first 20 minutes | 145 |
| Ceruloplasmin (protein) level | 162 |
| Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies | 188 |
| Dilation of esophagus | 204 |
| Tying of dilated veins of stomach and/or esophagus using a flexible endoscope | 206 |
| Limited ultrasound scan of abdomen | 220 |
| Hepatitis c antibody measurement | 221 |
| Detection test by immunoassay technique for hepatitis b surface antigen | 228 |
| Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes | 239 |
| Measurement of hepatitis a antibody | 278 |
| Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | 280 |
| Diagnostic exam of large bowel using a flexible endoscope | 280 |
| Detection of infectious agent antibody, quantitative | 286 |
| Telephone medical discussion with physician, 11-20 minutes | 288 |
| Blood test, basic group of blood chemicals (calcium, total) | 289 |
| Iron level | 300 |
| Iron binding capacity | 300 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 318 |
| Colorectal cancer screening; colonoscopy on individual at high risk | 322 |
| Hospital discharge day management, more than 30 minutes | 322 |
| Administration of hepatitis b vaccine | 347 |
| Gammaglobulin (immune system protein) measurement | 376 |
| Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 386 |
| Established patient office or other outpatient visit, 10-19 minutes | 411 |
| Telehealth originating site facility fee | 436 |
| Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or | 458 |
| Complete ultrasound of abdomen and pelvis artery and vein blood flow | 520 |
| Telephone medical discussion with physician, 21-30 minutes | 522 |
| Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 567 |
| Alpha-fetoprotein (afp) level, serum | 597 |
| Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 602 |
| Liver function blood test panel | 618 |
| Hospital discharge day management, 30 minutes or less | 620 |
| Ferritin (blood protein) level | 706 |
| Critical care, first 30-74 minutes | 782 |
| New patient office or other outpatient visit, 30-44 minutes | 813 |
| Magnesium level | 898 |
| Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito | 938 |
| Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 983 |
| Blood test, comprehensive group of blood chemicals | 1,038 |
| Complete blood cell count (red cells, white blood cell, platelets), automated test | 1,083 |
| Blood test, clotting time | 1,123 |
| Glutamyltransferase (liver enzyme) level | 1,594 |
| Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 1,655 |
| Biopsy of large bowel using a flexible endoscope | 1,865 |
| Ultrasound scan of organ tissue for measuring elasticity | 1,987 |
| Special stained specimen slides to identify organisms including interpretation and report | 2,044 |
| Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 2,068 |
| Complete ultrasound scan of abdomen | 2,322 |
| Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 2,721 |
| Insertion of needle into vein for collection of blood sample | 3,494 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 3,512 |
| Special stained specimen slides to examine tissue including interpretation and report | 3,717 |
| New patient office or other outpatient visit, 60-74 minutes | 3,817 |
| New patient office or other outpatient visit, 45-59 minutes | 5,611 |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 5,823 |
| Measurement of liver stiffness | 7,028 |
| Pathology examination of tissue using a microscope, intermediate complexity | 7,670 |
| Established patient office or other outpatient visit, 20-29 minutes | 8,760 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 12,858 |
| Established patient office or other outpatient visit, 40-54 minutes | 19,619 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21,918 |
| Established patient office or other outpatient visit, 30-39 minutes | 34,723 |
Sources: Medicare Care Compare (hospitals and schools; Medicare-enrolled clinicians), CMS Medicare Physician & Other Practitioners 2023 (services), Medicare Part D Prescribers 2024 (drugs).