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Cost-Effectiveness of Ultrasound-Guided Liver Biopsy

table 6

Cost-Effectiveness of Ultrasound-Guided Liver Biopsy
Code Cost Item Allowed Charges ($)
Estimated cost of minor complication (outpatient treatment)
Emergency Department visit 79
CPT 99283  Physician's fee (20 min) 60
CPT 74022  Radiograph (facility and physician) 63
CPT 76705  Abdominal ultrasonography (limited) 299
Medication (analgesic) 13
Laboratory tests
CPT 85007    Complete blood count 24
CPT 81001    Urinalysis 25
Total 562
Estimated cost of major complication
DRG 452  Complication of procedure 4,546
CPT 99222  Initial hospital service, new or established, level 2  83
CPT 99232  Subsequent hospital service, new or established, level 2, 3.5 d 135
CPT 99238  Hospital discharge day management 43
Total 4,808
CPT 47000  Percutaneous liver biopsy 125
Facility fee 215
CPT 88304  Pathology fee 31
Total 372
CPT 47000  Percutaneous liver biopsy 125
Facility fee 215
CPT 76942  Ultrasound guidance 93
CPT 88304  Pathology fee 31
Total
464
NOTE. Facility fee is billed by the hospital.

Abbreviations: CPT, current procedural terminology (used for payment of physician services); DRG, diagnosis related group (used for hospital reimbursement).

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