Migrating treatment of the same symptomatic patient from OR to office can reduce costs:
Treatment of Comparable Patients with Combined Maxillary and Anterior Ethmoid Disease, Including Post-Procedure Care
2015 National Average Cost to Medicare for FESS using CPT 31254-50, 31256-50, 31237-50: HOPD Procedure Surgeon fee of $573 + Anesthesiologist fee of $416 + HOPD payment of $5,023 + bilateral post-op debridement fee of $396 (through 3-31-2015).
2015 National Average Cost to Medicare for office procedure using CPT 31295-50, 31231: Office Procedure Surgeon fee of $3,137 + bilateral post-op nasal endoscopy fee of $214 (through 3-31-2015). Medicare office reimbursement fee covers all costs to perform a procedure performed in the office setting (supplies, equipment, labor, time and overhead). Medicare shows the unilateral rate on their website and the bilateral rate is calculated based on the 50% rule for multiple procedures.
Balloon sinus dilation delivers value across the healthcare system. Explore: