Sunday, March 21, 2021

A few Links About CPT and its Fees

Overview article at Pubmed

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3865623/

open access Dotson 2013.

Google search might be:
ama cpt codes royalties  (no parentheses)

https://www.google.com/search?q=ama+cpt+codes+royalties

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I don't know how much BCBS, or CMS, or Medicaid, or other payers pay for CPT.


It may be available somewhere on Google, but I couldn't find.


We do know top line, AMA FEES total $337M relative to budget of $400M.

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Just looking at some google results physician fees are $20 per head, so with 1M physicians, that would be the first $20M.   If that's correct, you would infer by the math that payer fees are most of their revenue.

By the way, easily found publicly, CAP has revenue of like $250M (not that much less than AMA at 400M) and CAP revenue is 95% clia fees.

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No prices of PAYERS but some public links at the national AMA ASSN itself



Some outside links





"AMA membership declines"

Publications

Dotson P (2013) Adv Wound Care 2:583-7.  CPT Codes, What are they, why are they necessary, how are they developed?

Hirsch JA et al. (2015) J Neurointerv Surg 7:309-12 [A BMJ journal]  Current procedural terminology: A primer.  $37.

Deeken-Draisey A et al. (2018) Arch path lab med 142:1524-32.   Current Procedural Terminology Coding for Surgical Pathology: A Review and One Academic Center's Experience With Pathologist-Verified Coding.  [may be open access]

(Note to self, file names as:
2013 AWC 2_583 CPT Codes Where when Dotson zcpt 5p.pdf
2018 APLM 142_1524 CPT for Surg Path Verified Coding 8pp zCPT.pdf
2015 CPT A PRIMER Hirsch zcpt.pdf)

Forbes 2011





    

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