From
the patients point
of view, catching
one cancer that
would otherwise
have been missed
or catching one
cancer a whole
year earlier more
than justifies
the cost of a Computer
Aided Detection
(CAD) system.
CAD has become
an accepted
standard of
care and we
believe that
facilities
not offering
CAD may start
losing patient
volume, since
our install
sites tell
us that patients
are often attracted
to their site
because they
offer digital
mammography
and CAD..
Even
with CAD
dropping in
2008, it still
does not take
long to justify
the cost of
the CAD purchase.
As an example,
a site screens
4 patients
an hour, 5
days a week,
and 200 days
a year equals
4,000 patients
a year. Reimbursement
in an Outpatient
center for
mammography
CAD in 2007
is $14.02 per
patient. That’s
$56,080 a year
that the center
would not have
received if
it hadn’t
done CAD, plus
the additional
cost of doing
two independent
reads versus
the cost of
CAD. This all
translates
to better patient
care, reduced
costs, and
the ability
to break even
in less than
a year. The
2007 Medicare,
national payment
averages are
shown below.
2007 Medicare
Part B Physician
Fee Schedule
National
Averages
For Mammography
Services Provided
in Freestanding
Imaging Centers
and Physicians’ Offices
2006
CPT Code |
2007
CPT Code |
Description |
National
Payment Average |
2006 |
2007 |
76082 |
77052 |
Computer
aided detection, diagnostic |
19.71 |
17.43 |
|
|
Technical
Component |
16.30 |
14.02 |
|
|
Professional
Fee |
3.41 |
3.41 |
76083 |
77051 |
Computer
aided detection, screening |
19.71 |
17.43 |
|
|
Technical
Component |
16.30 |
14.02 |
|
|
Professional
Fee |
3.41 |
3.41 |
2007 Medicare
HOPPS Fee Schedule
National Averages
For Mammography
Services Provided
in Hospital
Outpatient
Departments
(Covers Technical
Component Due
to Hospital
Only)
2006
CPT Code |
2007
CPT Code |
Description |
National
Payment Average |
2006 |
2007 |
76082 |
77052 |
Computer
aided detection, diagnostic |
16.30 |
14.02 |
76083 |
77051 |
Computer
aided detection, screening |
16.30 |
14.02 |
|