Dr. Terence F Duffy Md

5 S Main St Suite 1

Sugarloaf PA 18249

570 887-7246

Physical Medicine And Rehabilitation Internal Medicine Pain Management

Medical School: Other - 1984

Accepts Medicare: Yes

Participates In eRX: Yes

Participates In PQRS: No

Participates In EHR: Yes

License #: MD040009L

NPI: 1740232362

Taxonomy Codes:

208VP0014X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Terence F Duffy is associated with these group practices

Terence F. Duffy, M.D. & Associates Inc

Chs Professional Practice, P.C.

Procedure Pricing

HCPCS Code	Description	Average Price	Average Price Allowed By Medicare
HCPCS Code:64490	Description:Inj paravert f jnt c/t 1 lev	Average Price:$864.29	Average Price Allowed By Medicare:$139.03
HCPCS Code:64494	Description:Inj paravert f jnt l/s 2 lev	Average Price:$643.88	Average Price Allowed By Medicare:$69.11
HCPCS Code:64495	Description:Inj paravert f jnt l/s 3 lev	Average Price:$625.63	Average Price Allowed By Medicare:$68.67
HCPCS Code:64493	Description:Inj paravert f jnt l/s 1 lev	Average Price:$639.49	Average Price Allowed By Medicare:$120.61
HCPCS Code:J7323	Description:Euflexxa inj per dose	Average Price:$650.25	Average Price Allowed By Medicare:$151.32
HCPCS Code:64636	Description:Destroy l/s facet jnt addl	Average Price:$482.53	Average Price Allowed By Medicare:$66.42
HCPCS Code:64494	Description:Inj paravert f jnt l/s 2 lev	Average Price:$491.94	Average Price Allowed By Medicare:$97.46
HCPCS Code:64491	Description:Inj paravert f jnt c/t 2 lev	Average Price:$377.14	Average Price Allowed By Medicare:$78.15
HCPCS Code:64493	Description:Inj paravert f jnt l/s 1 lev	Average Price:$491.94	Average Price Allowed By Medicare:$194.56
HCPCS Code:64635	Description:Destroy lumb/sac facet jnt	Average Price:$474.83	Average Price Allowed By Medicare:$254.07
HCPCS Code:62311	Description:Inject spine l/s (cd)	Average Price:$300.00	Average Price Allowed By Medicare:$85.60
HCPCS Code:64483	Description:Inj foramen epidural l/s	Average Price:$275.00	Average Price Allowed By Medicare:$109.01
HCPCS Code:64484	Description:Inj foramen epidural add-on	Average Price:$200.00	Average Price Allowed By Medicare:$51.70
HCPCS Code:20552	Description:Inj trigger point 1/2 muscl	Average Price:$180.00	Average Price Allowed By Medicare:$51.56
HCPCS Code:27096	Description:Inject sacroiliac joint	Average Price:$315.48	Average Price Allowed By Medicare:$192.79
HCPCS Code:62311	Description:Inject spine l/s (cd)	Average Price:$300.00	Average Price Allowed By Medicare:$196.23
HCPCS Code:20610	Description:Drain/inject joint/bursa	Average Price:$170.43	Average Price Allowed By Medicare:$74.17
HCPCS Code:95934	Description:H-reflex test	Average Price:$150.00	Average Price Allowed By Medicare:$84.44
HCPCS Code:95900	Description:Motor nerve conduction test	Average Price:$124.86	Average Price Allowed By Medicare:$60.12
HCPCS Code:95903	Description:Motor nerve conduction test	Average Price:$135.00	Average Price Allowed By Medicare:$70.74
HCPCS Code:95904	Description:Sense nerve conduction test	Average Price:$116.13	Average Price Allowed By Medicare:$53.05
HCPCS Code:99232	Description:Subsequent hospital care	Average Price:$125.22	Average Price Allowed By Medicare:$68.39
HCPCS Code:99213	Description:Office/outpatient visit est	Average Price:$123.85	Average Price Allowed By Medicare:$67.70
HCPCS Code:99204	Description:Office/outpatient visit new	Average Price:$200.37	Average Price Allowed By Medicare:$155.52
HCPCS Code:99215	Description:Office/outpatient visit est	Average Price:$175.00	Average Price Allowed By Medicare:$134.97
HCPCS Code:99214	Description:Office/outpatient visit est	Average Price:$140.00	Average Price Allowed By Medicare:$100.25
HCPCS Code:99231	Description:Subsequent hospital care	Average Price:$72.60	Average Price Allowed By Medicare:$37.41
HCPCS Code:99238	Description:Hospital discharge day	Average Price:$100.00	Average Price Allowed By Medicare:$68.00
HCPCS Code:99205	Description:Office/outpatient visit new	Average Price:$225.00	Average Price Allowed By Medicare:$193.42
HCPCS Code:95886	Description:Musc test done w/n test comp	Average Price:$104.78	Average Price Allowed By Medicare:$78.37
HCPCS Code:77003	Description:Fluoroguide for spine inject	Average Price:$45.00	Average Price Allowed By Medicare:$29.34
HCPCS Code:J3301	Description:Triamcinolone acet inj NOS	Average Price:$10.03	Average Price Allowed By Medicare:$1.69
HCPCS Code:99223	Description:Initial hospital care	Average Price:$200.00	Average Price Allowed By Medicare:$191.88
HCPCS Code:77003	Description:Fluoroguide for spine inject	Average Price:$45.00	Average Price Allowed By Medicare:$37.50

HCPCS Code Definitions

64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)
J7323: Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose
64493: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level
62311: Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal)
64493: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level
62311: Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal)
J3301: Injection, triamcinolone acetonide, not otherwise specified, 10 mg
27096: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
20610: Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
20552: Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)
64483: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level
99238: Hospital discharge day management; 30 minutes or less
64495: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)
99232: Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
99204: Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 45 minutes are spent face-to-face with the patient and/or family.
77003: Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)
77003: Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)
64636: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)
64635: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint
95886: Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure)
99213: Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99205: Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99231: Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
99215: Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
99223: Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99214: Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
64491: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)
64490: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level
64484: Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)