November 26, 2021 Update: Clinical Psychologist (and Physician) and Social Worker Fee schedule, Medicare in Wisconsin, 2022. Source: https://www.ngsmedicare.com/web/ngs/fee-schedule-lookup?lob=96664&state=97006®ion=93624
| National Government Services, Inc. – Wisconsin (00) | |||||
| 2022 Clinical Psych & Social Worker Fee Schedule | |||||
| CODE | CP FEE | CP FAC FEE (#) | CSW 75% FEE | CSW 75% FAC FEE (#) |
EFFECTIVE DATE
|
| 90785 | $14.04 | $12.45 | $10.53 | $9.34 |
01/01/2022
|
| 90791 | $168.51 | $145.72 | $126.38 | $109.29 |
01/01/2022
|
| 90832 | $73.01 | $64.78 | $54.76 | $48.59 |
01/01/2022
|
| 90834 | $96.41 | $85.33 | $72.31 | $64.00 |
01/01/2022
|
| 90837 | $142.05 | $125.60 | $106.54 | $94.20 |
01/01/2022
|
| 90839 | $135.47 | $120.28 | $101.60 | $90.21 |
01/01/2022
|
| 90840 | $66.37 | $59.40 | $49.78 | $44.55 |
01/01/2022
|
| 90845 | $91.07 | $81.26 | $68.30 | $60.95 |
01/01/2022
|
| 90846 | $92.61 | $91.98 | $69.46 | $68.99 |
01/01/2022
|
| 90847 | $95.97 | $95.65 | $71.98 | $71.74 |
01/01/2022
|
| 90849 | $33.00 | $26.67 | $24.75 | $20.00 |
01/01/2022
|
| 90853 | $25.72 | $22.55 | $19.29 | $16.91 |
01/01/2022
|
| 90880 | $100.43 | $85.24 | $75.32 | $63.93 |
01/01/2022
|
| # = this amount applies when service is performed in a FACILITY setting | |||||
2022 Fee Schedule Clinical Psychologist, Top Ten Psychologist Utilization (2019)
| HCPCS | 2022 ACTUAL WISCONSIN | 2022 ESTIMATED NATIONAL | 2021 WISCONSIN |
CHANGE WI 2021-2022
|
| 90834 | $96.41 | $99.43 | $99.80 | -3.40% |
| 90837 | $142.05 | $146.79 | $147.41 | -3.64% |
| 90832 | $73.01 | $74.91 | $75.61 | -3.44% |
| 90791 | $168.51 | $174.00 | $174.88 | -3.64% |
| 96137 | $37.49 | $40.31 | $39.92 | -6.09% |
| 96139 | $32.70 | $35.94 | $34.95 | -6.44% |
| 96133 | $96.08 | $110.10 | $100.57 | -4.46% |
| 96132 | $123.82 | $128.31 | $128.49 | -3.63% |
| 90853 | $25.72 | $26.54 | $26.71 | -3.71% |
| 90785 | $14.04 | $14.44 | $14.58 | -3.70% |
Fee schedule availability for your jurisdiction (Medicare Administrative Contractor)
| AVAILABLE | URL | |
| CGS | YES | |
| FSCO | YES | |
| NGS | YES | |
| NORIDIAN | YES | |
| NOVITAS | YES | |
| PALMETTO | NO | |
| WPS | YES |
November 18, 2021: Here are estimates of the National Payment Amounts in Medicare for 2022 for the top 10 most frequently billed psychologist services, based on 2019 utilization. The estimates assume (1) no change between now and implementation in the 2022 “final rule” Conversion Factor (CF) of $33.59, decreased by 3.7% from the 2021 value of $34,89, and (2) no changes in the RVUs for these procedures from 2021.
| HCPCS | 2022 | 2021 |
| 90834 | $99.43 | $103.28 |
| 90837 | $146.79 | $152.48 |
| 90832 | $74.91 | $77.81 |
| 90791 | $174.00 | $180.75 |
| 96137 | $40.31 | $41.87 |
| 96139 | $35.94 | $37.34 |
| 96133 | $100.10 | $103.98 |
| 96132 | $128.31 | $133.29 |
| 90853 | $26.54 | $27.57 |
| 90785 | $14.44 | $15.00 |