Pricing Updates for Percutaneous Ateriovenous Fistual (AVF) Creation

Published 04/13/2021

Palmetto GBA has completed a fee review for codes G2170 and G2171 under the Jurisdiction J contract. The fee is being retroactively changed effective July 1, 2020. Providers may adjust claims that paid between dates of service July 1, 2020, and March 31, 2021.

CPT Code G2170

State

Carrier

Locality

Fee Effective 07/01/20

Ala.

10112

00

$12,500.00

Ga.

10212

01

$12,500.00

Ga.

10212

99

$12,500.00

Tenn.

10312

35

$12,500.00

CPT Code G2171

State

Carrier

Locality

Fee Effective 07/01/20

Ala.

10112

00

$12,500.00

Ga.

10212

01

$12,500.00

Ga.

10212

99

$12,500.00

Tenn.

10312

35

$12,500.00

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.


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