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CPT 99452

99452 Interprof tel/internet/EHR referral by reque

Reported by 3 hospitals in the network under the per diem methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated per diem rate paid per day of care.

National pricing summary

Low

$18

Average

$45

Median

$58

High

$58

Hospitals reporting this code

#HospitalLocation
1Dukes Health System LLCPeru, IN$16$18$18$142—
2Lutheran Musculoskeletal Center LLCFort Wayne, IN$21$58$58$89—
3Dupont Hospital LLCWayne, IN$22$58$58$80—

Look up this code directly

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