Updated Practice Expense Values for Swan- Ganz Catheters

Chicago — (September 3, 2009) 

CMS has issued its October Update to the 2009 Medicare Physician Fee Schedule Database. This update includes an increase in the Practice Expense Relative Value Units (PE RVUs) assigned to CPT® code 93503 – Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposes. – when performed in a facility setting. CMS determines payment for this and other non-anesthesia services using the Resource Based Relative Value System (RBRVS) under which RVUs are assigned for work, practice expense and professional liability. These values are geographically adjusted and the resulting sum is multiplied by a conversion factor that remains constant.

The PE RVUs for code 93503 will increase from 0.00 to 0.75 RVUs. Before geographic adjustments are factored in, these additional PE RVUS will result in an increase in payment of approximately $27.05 (0.75* $36.07). Per CMS, the change will be implemented on Oct. 5 and will be effective for services provided on and after January 1, 2009. Per the CMS Transmittal, contractors will not be required to review their files and retroactively pay past claims but are instructed that they shall adjust claims brought to their attention.

For complete information see:

CMS Medlearn Matters notice

CMS Transmittal 1810


Founded in 1905, the American Society of Anesthesiologists (ASA) is an educational, research and scientific society with more than 52,000 members organized to raise and maintain the standards of the medical practice of anesthesiology. ASA is committed to ensuring physician anesthesiologists evaluate and supervise the medical care of patients before, during and after surgery to provide the highest quality and safest care every patient deserves.

For more information on the field of anesthesiology, visit the American Society of Anesthesiologists online at asahq.org. To learn more about the role physician anesthesiologists play in ensuring patient safety, visit asahq.org/WhenSecondsCount. Join the ANESTHESIOLOGYTM 2014 social conversation today. Like ASA on Facebook, follow ASALifeline on Twitter and use the hashtag #ANES2014.



American Society of Anesthesiologists