The 2015 national average Medicare payment level for G9157 is $97.97 (based on 2.74 RVUs). Professional services associated with EDM are separately payable under the Medicare Physician Fee Schedule (MPFS). Medicare adjusts professional payment based on regional differences in practice costs, thus payment may vary based on physician location. Other payers, including private payers, may base their payments on Medicare payment rates.
Physicians Fee Schedule
Disclaimer: This information is provided by Deltex Medical as a guide for coding procedures and services involving Esophageal Doppler Monitoring. It is not intended to increase or maximize reimbursement by any payer. This information is intended to assist providers in accurately obtaining coverage and reimbursement for their health care services. Deltex makes no express or implied warranty or guarantee (i) that the list of codes and narratives is complete or error-free, (ii) that the use of this information will prevent differences of opinions or disputes with payers, (iii) that these codes will be covered, or (iv) that the provider will be guaranteed reimbursement. Providers assume full responsibility for all reimbursement decisions or actions. We strongly suggest you consult your payer organizations with regard to coverage and reimbursement policies.