# DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Part 414

CMS-1582-PN

RIN 0938-AQ87

Medicare Program; Five-Year Review of Work Relative Value Units Under the Physician

Fee Schedule

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS

.

ACTION: Proposed notice.

SUMMARY : This proposed notice sets forth proposed revisions to work relative value units

(RVUs) and corresponding changes to the practi ce expense and malpractice RVUs affecting

payment for physicians' services. The statute requ ires that we review RVUs no less often than

every 5 years. This is our Fourth Five-Year Review of Work RVUs since we implemented the

physician fee schedule (PFS) on January 1, 1992. These revisions to work RVUs are proposed to

be effective for services furnished beginning Janu ary 1, 2012. These revisions reflect changes in

medical practice and coding that affect the relative amount of physician work required to

perform each service as required by the statute. The Fourth Five-Year Review of Work includes

services that were submitted through public comment and by th e Medicare contractor medical

directors (CMDs), as well as a number of potentially misvalued codes identified by CMS (that is,

Harvard valued codes and codes wi th Site-of-Service anomalies).

DATE: To be assured consideration, comments mu st be received at one of the addresses

provided below, no later than 5 p.m. on J u l y 2 5

, 2 0 1 1

.

ADDRESSES: In commenting, please refer to file co de CMS-1582-PN. Because of staff and

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resource limitations, we ca nnot accept comments by facsimile (FAX) transmission.

You may submit comments in one of four ways (please choose only one of the ways

listed)

1. Electronically . You may submit electronic comments on this regulation to

http://www.regulations.gov . Follow the "Submit a comment" instructions.

2. By regular mail . You may mail written comments to the following address ONLY:

Centers for Medicare & Medicaid Services,

Department of Health and Human Services,

Attention: CMS-1582-PN,

P.O. Box 8013,

Baltimore, MD 21244-8013.

Please allow sufficient time for mailed comments to be received before the close of the

comment period.

3. By express or overnight mail . You may send written comments to the following

address ONLY:

Centers for Medicare & Medicaid Services,

Department of Health and Human Services,

Attention: CMS-1582-PN,

Mail Stop C4-26-05,

7500 Security Boulevard,

Baltimore, MD 21244-1850

.

4. By hand or courier . If you prefer, you may deli ver (by hand or courier) your

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written comments before the close of the comment period to either of the following addresses:

a. For delivery in Washington, DC--

Centers for Medicare & Medicaid Services,

Department of Health and Human Services,

Room 445-G, Hubert H. Humphrey Building,

200 Independence Avenue, SW.,

Washington, DC 20201

(Because access to the interior of the Hube rt H. Humphrey Building is not readily

available to persons without Federal government identification, commenters are encouraged to

leave their comments in the CMS drop slots located in the main lobby of the building. A stampin clock is available for persons wishing to reta in a proof of filing by st amping in and retaining

an extra copy of the comments being filed.)

b. For delivery in Baltimore, MD--

Centers for Medicare & Medicaid Services,

Department of Health and Human Services,

7500 Security Boulevard,

Baltimore, MD 21244-1850.

If you intend to deliver your comments to the Baltimore address, please call telephone

number (410) 786-9994 in advance to schedule your arrival with one of our staff members.

Comments mailed to the addresses indicated as appropriate for hand or courier delivery

may be delayed and received after the comment period.

For information on viewing public co mments, see the beginning of the

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"SUPPLEMENTARY INFORMATION" section.

FOR FURTHER INFORMATION CONTACT:

Erin Smith, (410) 786–4497, for issues related to physician payment and for all other issues not

identified below.

Elizabeth Truong, (410) 786-6005, or Sara Vitolo, (410) 786-5714, for issues related to work

RVUs.

Ryan Howe, (410) 786-3355, for i ssues related to PE RVUs.

SUPPLEMENTARY INFORMATION:

Inspection of Public Comments: All comments received before the close of the comment period

are available for viewing by the public, includi ng any personally identif iable or confidential

business information that is included in a comment. We post all comments received before the

close of the comment period on the following Web si te as soon as possible after they have been

received: http://regulations.gov . Follow the search instructions on that Web site to view public

comments.

Comments received timely will be also av ailable for public inspection as they are

received, generally beginning approximately 3 w eeks after publication of a document, at the

headquarters of the Centers for Medicare & Medicaid Services, 7500 Security Boulevard,

Baltimore, Maryland 21244, Monday through Friday of each week from 8:30 a.m. to 4 p.m. To

schedule an appointment to view public comments, phone 1-800-743-3951.

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Table of Contents

I. Background

A. History

B. Physician Fee Schedule Rulemaking

C. The Five-Year Review Process

1. Identification of CPT Codes for Review

2. Background on American Medical Association/ Specialty Society Rela tive Value Update

Committee (AMA RUC) Recommendations AMA RUC

3. Five-Year Review of Work Process

II. CMS Review of Five-Year Review Codes

A. CMS Analytical Approach

B. Summary of Proposed Work RV Us for Five-Year Review Codes

C. Code-Specific Discussions of Proposed Alternative Work RVUs

1. Drainage of Hematoma

2. Wound Repair

3. Skin Grafts

4. Destruction of Skin Lesions

5. Partial Mastectomy

6. Percutaneous Vert ebroplasty/Kyphoplasty

7. Closed Treatment of Distal Radial Fracture

8. Orthopaedic Surgery – Thigh/Knee

9. Treatment of Ankle Fracture

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10. Orthopaedic Surgery/Podiatry

11. Application of Cast and Strapping

12. Cardiothoracic Surgery

13. Vascular Surgery

14. Excise Parotid Gland/Lesion

15. Endoscopic Cholangiopancreatography

16. Sigmoidoscopy

17. Laparoscopic Cholecystectomy

18. Hernia Repair

19. Laparoscopic Hernia Repair

20. Urologic Procedures

21. Removal of Thyroid/Parathyroid

22. Implant Neuroelectrodes

23. Injection of Anesthetic Agent

24. Gastric Emptying Study

25. Nasopharyngoscopy

26. Cardiopulmonary Resuscitation

27. Osteopathic Manipulative Treatment

28. Observation Care

D. HCPAC-Recommended Work RVUs 

# --Excision of Nail

E. CPT Codes Identified through the Five-Year Review Process, but not Reviewed by CMS

1. CPT Codes Referred to CPT Editorial Board

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2. CPT Codes Withdrawn from the Five-Year Review

3. CPT Codes that are Interim Final for CY 2011

4. CPT Codes for Preventive Medicine Services

F. Resource-Based Practice Expense RVUs

1. Overview

2. Practice Expense Methodology

a. Direct Practice Expense

b. Indirect Practice Expe nse per Hour Data

c. Allocation of Practice Expense to Services

d. Facility and Nonfacility Costs

e. Services With Technical Com ponents and Professional Components

f. Practice Expense RVU Methodology

3. Practice Expense RVUs for Codes Included in the Five-Year Review

a. Changes to Direct Practice Expense Inputs

(1). Changes in Intra-service Physic ian Time in the Nonfacility Setting

(2). Changes in Hospital Discharge Mana gement Services in the Facility Setting

(3). Changes in the Number or Level of Po stoperative Office Visits in the Global Period

b. Changes in Components of the In direct Practice Expense Methodology

(1.) Work RVUs, Dir ect PE RVUs, and Clinic al Labor PE RVUs.

(2.) Physician Time

G. Malpractice RVUs

III. Budget Neutrality

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IV. Collection of Information Requirements

V. Regulatory Impact Analysis

A. Overall Impact

B. Anticipated Effects: Impact on Beneficiaries

C. Alternatives Considered

D. Accounting Statement and Table

E. Conclusion

Addendum A: Explanati on and Use of Addendum B

Addendum B: Relative Value Un its and Related Information

Addendum C: Codes With Work RVUs Subject to Comment

In addition, because of the many organizations and terms to which we refer by acronym

in this proposed notice, we are listing thes e acronyms and their corresponding terms in

alphabetical order below:

AAD American Academy of Dermatology

AAN American Academy of Neurology

AANEM American Association of Neuromus cular and Electrodiagnostic Medicine

AAFP American Academy of Family Physicians

AAGP American Association for Geriatric Psychiatry

AAHCP American Academy of Home Care Physicians

AANS American Association of Neurological Surgeons

AAO American Academy of Ophthalmology

AAO-HNS American Academy of Otol aryngology—Head and Neck Surgery

AAOA American Academy of Otolaryngic Allergy

AAOS American Academy of Orthopaedic Surgeons

AAP American Academy of Pediatrics

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AAPM American Academy of Pain Medicine

AAPMR American Academy of Physic al Medicine and Rehabilitation

AATS American Association for Thoracic Surgery

ACC American College of Cardiology

ACG American College of Gastroenterology

ACNS American Clinical Neurophysiology Society

ACOG American College of Obstetricians and Gynecologists

ACR American College of Radiology

ACS American College of Surgeons

AFROC Association of Freestand ing Radiation Oncology Centers

AGA American Gastroenterological Association

AGS American Geriatric Society

AK Actinic keratoses

AMA American Medical Association

AMDA American Medical Directors Association

AOA American Optometric Association

ASA American Society of Anesthesiologists

ASC Ambulatory surgical center

ASCRS American Society of Colon and Rectal Surgeons

ASGE American Society of Gastrointestinal Endoscopy

ASHA American Speech-Langu age-Hearing Association

ASPS American Society of Plastic Surgeons

ASSH American Society for Surgery of the Hand

ASTRO American Society for Therapeutic Radiology and Oncology

AUA American Urological Association

BBA 97 Balanced Budget Act of 1997 (Pub. L. 105-33)

BBRA [Medicare, Medicaid and State Child H ealth Insurance Program] Balanced Budget

Refinement Act of 1999 (Pub. L. 106-113)

BNF Budget neutrality factor

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CAPU Coalition for the Advancement of Prosthetic Urology

CF Conversion factor

CNS Congress of Neurological Surgeons

CPEP Clinical Practice Expert Panels

CPT Current Procedural Terminology

CY Calendar year

DRG Diagnosis-Related Group

E/M Evaluation and management

FR Federal Register

HCPAC Health Care Profe ssionals Advisory Committee

HCPCS Healthcare Common Procedure Coding System

HHS Health and Human Services

ICU Intensive care unit

IDTF Independent diagnostic testing facility

IWPUT Intra-service work per unit of time

JCAAI Joint Council of Allergy, Asthma, and Immunology

MMA Medicare Prescription Drug, Improve ment, and Modernization Act of 2003

(Pub. L. 108-173)

MMSV Minimum multi-specialty visit

MPC [the RUC’s] Multi-Specialty Points of Comparison

NCQDIS National Coalition of Qual ity Diagnostic Imaging Services

NPWP Non-physician work pool

NSQIP National Surgical Quality Improvement Program

PC Professional component

PE Practice Expense

PE/HR Practice expense per hour

PEAC Practice Expense Advisory Committee

PERC Practice Expense Review Committee

PFS Physician fee schedule

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RFA Regulatory Flexibility Act

RIA Regulatory impact analysis

RN Registered nurse

RUC [AMA's Specialty Society] Relative [Value] Update Committee

RVU Relative value unit

SMS [AMA’s] Socioeconomic Monitoring System

SNF Skilled nursing facility

STS Society of Thoracic Surgeons

SVS Society for Vascular Surgery

TC Technical component

VA [Department of] Veteran Affairs

CPT (Current Procedural Terminology) Copyright Notice

Throughout this proposed rule, we use CPT codes and descriptions to re fer to a variety of

services. We note that CPT codes and desc riptions are copyright 2010 American Medical

Association. All Rights Reserv ed. CPT is a registered trademark of the American Medical

Association (AMA). Appli cable FARS/DFARS apply.

I. Background

A. History

Since January 1, 1992, Medicare has paid for physicians’ services under section 1848 of

the Social Security Act (the Act), "Payment fo r Physicians' Services." Section 1848 of the Act

contains three major elements: (1) a fee schedul e for the payment of physicians' services; (2) a

sustainable growth rate for th e rates of increase in Medica re expenditures for physicians'

services; and (3) limits on the am ounts that nonparticipating physicia ns can charge be neficiaries.

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The Act requires that payments under the fee schedule be based on national uniform relative

value units (RVUs) based on the resources used in furnishing a service. Section 1848(c) of the

Act requires that national RVUs be establishe d for physician work, prac tice expense (PE), and

malpractice expense. In order to establish physician work, PE, and malpractice expense RVUs,

section 1848(c)(2)(K)(iii) of the Act (as added by section 3134 of the Patient Protection and

Affordable Care Act (Pub. L. 111-148) (hereinafter the "Affordable Care Act" ) also specifies that

the Secretary may use existing processes to receive recommendations on the review and

appropriate adjustment of potentially misvalued services. Section 1848(c )(2)(B)(i) of the Act

requires that we review RVUs no le ss often than every 5 years.

The statute also specifies a budget neutra lity requirement. Specifically, section

1848(c)(2)(B)(ii)(II) of the Act requires that increases or decreases in RVUs may not cause the

amount of expenditures under Part B for the year to differ more than $20 million from what it

would have been in the absence of these changes. If this threshold is exceeded, we are required

to make adjustments to preserve budget neutrality.

B. Physician Fee Schedule Rulemaking

On an annual basis, we publish regulations relating to updates to the RVUs and revisions

to the payment policies under the PFS. Most re cently, in the calendar year (CY) 2011 PFS final

rule with comment period that was published in the Federal Register on November 29, 2010

(75 FR 73170) (hereinafter referred to as the CY 2011 PFS final rule with comment period), we

finalized most of the CY 2010 interim physician work, PE, and malpractice RVUs; issued new

interim work, PE, and malpractice RVUs for ne w and revised codes for CY 2011; and finalized

several other payment polic ies related to the PFS. In the January 11, 2011 Federal Register

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(76 FR 1670), we published a correction notice that identif ied and corrected a number of

technical and typographical errors in the CY 2011 PFS final rule with comment period. The

provisions of the correction notice were effective January 1, 2010.

As noted previously, section 1848(c)(2)(B)(i) of the Act requires that we review RVUs

no less often than every 5 years. We implemented the PFS effective for services furnished

beginning January 1, 1992. The First Five-Y ear Review of Work was initiated in

December 1994, and was effective for services furnished beginning January 1, 1997. The

Second Five-Year Review of Wo rk was initiated in November 1999, and was effective for

services furnished beginning January 1, 2002. The Third Five-Year Review of Work was

initiated in November 2004, and was effective fo r services furnished beginning January 1, 2007.

The Fourth Five-Year Review of Work, the subj ect of this proposed notice, was initiated in

November 2009 and will be effective for serv ices furnished beginning January 1, 2012.

This proposed notice describes the Fourth Fi ve-Year Review of Work and sets forth

proposed revisions to work RVUs resulting from the latest Review. This proposed notice also

sets forth corresponding proposed changes to PE and malpractice RVUs affecting payment for

physicians' services. Proposed revisions of phys ician work RVUs in this proposed notice and

corresponding proposed changes to the PE and ma lpractice RVUs are subject to a 60-day public

comment period. We will review public comm ents, make adjustments to our proposals in

response to comments, as appropriate, and incl ude final values in the CY 2012 PFS final rule

with comment period, effective for services furnished beginning January 1, 2012.

We note that with each PFS rule, we provide a summary table ("Addendum B") of

physician work, PE, and malpractice RVUs by HCPC S code for all services under the PFS. For

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this proposed notice, to create Addendum B, we reta ined the current CY 2011 RVUs for most

codes and displayed new RVUs for only those code s involved in the Fourth Five-Year Review of

Work. PE RVUs for these Five-Year Review codes were calculated using CY 2009 Medicare

PFS utilization data in order to maintain consis tency with the current CY 2011 RVUs displayed

for all other services.

We note that the Addendum B that will a ppear in the upcoming CY 2012 PFS proposed

rule, where the annual updates to the RVUs and revisions to the payment policies under the PFS

are customarily proposed, will include PE RVUs r ecalculated using the most recently available

Medicare PFS utilization data and reflect othe r changes that would result from proposed

revisions to PFS payment policies for CY 2012 that also would be effective beginning

January 1, 2012.

C. The Five-Year Review Process

1. Identification of CPT Codes for Review

We initiated the Fourth Five-Year Review of Work by soliciting public comments in the

CY 2010 PFS final rule with comment period that was published in the Federal Register on

November 25, 2009 (74 FR 61738 and 61941) on potentially misvalued codes for all services. In

response to our solicitation of potentially misvalued codes, we received comments from

approximately 16 specialty groups, organizati ons, and individuals involving 113 Current

Procedural Terminology (CPT) codes. Ten a dditional codes were submitted by the Medicare

contractor medical directors (CMDs). Furthermor e, CMS identified 96 services that we believed

should be reviewed as part of the Fourth Five-Y ear Review of Work. Th ese services fall within

the two categories described in the CY 2010 PFS fi nal rule with comment period: 1) codes that

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were not previously reviewed by the AMA RUC, specifically, Harvard-valued codes with an

annual utilization of > 30,000 servic es, and 2) codes that are valued as being performed in the

inpatient setting, but that are now performed pred ominantly on an outpatient basis (codes with

Site-of-Service anomalies). For Site-of-Servi ce anomaly codes, we also applied additional

selection criteria. Specifically, the codes we selected for the F ourth Five-Year Review of Work

contained at least one inpatient hospital visit in their value and the most recently available

Medicare PFS claims data at that time showed a nnual allowed charges of greater than $1 million.

The following tables list the codes identified for the Fourth Five-Year Review of Work.

TABLE 1: HARVARD-VALUE D CODES WITH ANNUAL

UTILIZATION > 30,000 SERVICES

CPT

Code Mod Status

Indicator Short Descriptor CY 2010

Work RVU

10140 A Drainage of hematoma/fluid 1.58

10160 A Puncture drainage of lesion 1.25

11732 A Remove nail plate, add-on 0.57

11765 A Excision of nail fold, toe 0.74

11901 A Added skin lesions injection 0.80

12011 A Repair superficial wound(s) 1.81

12013 A Repair superficial wound(s) 2.04

12031 A Intmd wnd repair s/tr/ext 2.20

12051 A Intmd wnd repair face/mm 2.52

13101 A Repair of wound or lesion 3.96

15260 A Skin full graft een & lips 11.64

17250 A Chemical cautery, tissue 0.50

17271 A Destruction of skin lesions 1.54

17272 A Destruction of skin lesions 1.82

17280 A Destruction of skin lesions 1.22

25600 A Treat fracture radius/ulna 2.78

28285 A Repair of hammertoe 4.76

29125 A Apply forearm splint 0.59

29405 A Apply short leg cast 0.86

29515 A Application lower leg splint 0.73

29550 A Strapping of toes 0.47

29826 A Shoulder arthroscopy/surgery 9.16

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CPT

Code Mod Status

Indicator Short Descriptor CY 2010

Work RVU

29880 A Knee arthroscopy/surgery 9.45

29881 A Knee arthroscopy/surgery 8.71

32405 A Biopsy, lung or mediastinum 1.93

36010 A Place catheter in vein 2.43

36200 A Place catheter in aorta 3.02

36215 A Place catheter in artery 4.67

36216 A Place catheter in artery 5.27

36246 A Place catheter in artery 5.27

36247 A Place catheter in artery 6.29

36471 A Injection therapy of veins 1.65

36600 A Withdrawal of arterial blood 0.32

37620 A Revision of major vein 11.57

43262 A Endo cholangiopancreatograph 7.38

45331 A Sigmoidoscopy and biopsy 1.15

47000 A Needle biopsy of liver 1.90

47563* A Laparo cholecystectomy/graph 12.11

51705 A Change of bladder tube 1.05

52005 A Cystoscopy & ureter catheter 2.37

52310 A Cystoscopy and treatment 2.81

62284 A Injection for myelogram 1.54

64405 A N block inj, occipital 1.32

67810 A Biopsy of eyelid 1.48

69220 A Clean out mastoid cavity 0.83

78264 26 A Gastric emptying study 0.78

92070 A Fitting of contact lens 0.70

92120 A Tonography & eye evaluation 0.81

92511 A Nasopharyngoscopy 0.84

92950 A Heart/lung resuscitation cpr 3.79

93321 26 A Doppler echo exam, heart 0.15

98925 A Osteopathic manipulation 0.45

98928 A Osteopathic manipulation 1.03

98929 A Osteopathic manipulation 1.19

99218 A Observation care 1.28

99219 A Observation care 2.14

99220 A Observation care 2.99

*CPT code 47563 is also identified on the Site-of-Service anomaly list.

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TABLE 2: CODES SU BMITTED BY CONTRACTO R MEDICAL DIRECTORS

CPT

Code Mod Status

Indicator Short Descriptor CY 2010

Work RVU

11040 A Debride skin, partial 0.50

11041 A Debride skin, full 0.60

11042 A Debride skin/tissue 0.80

11043 A Debride tissue/muscle 3.14

11044 A Debride tissue/muscle/bone 4.26

88305 26 A Tissue exam by pathologist 0.75

88307 26 A Tissue exam by pathologist 1.59

88309 26 A Tissue exam by pathologist 2.8

95920 26 A Intraop nerve test add-on 2.11

94660 A Pos airway pressure, CPAP 0.76

TABLE 3: CODES SUBM ITTED BY COMMENTERS ON CY 2010 PFS FINAL RULE

CPT

Code Status

Indicator Short Descriptor CY 2010

Work RVU

21365 A Treat cheek bone fracture 16.77

21470 A Treat lower jaw fracture 17.54

32851 A Lung transplant, single 41.61

32852 A Lung transplant with bypass 45.48

32853 A Lung transplant, double 50.78

32854 A Lung transplant with bypass 54.74

33030 A Partial removal of heart sac 22.39

33031 A Partial removal of heart sac 25.38

33315 A Exploratory heart surgery 26.17

33412 A Replacement of aortic valve 43.94

33468 A Revision of tricuspid valve 32.94

33645 A Revision of heart veins 28.10

33647 A Repair heart septum defects 29.53

33692 A Repair of heart defects 31.54

33710 A Repair of heart defects 30.41

33875 A Thoracic aortic graft 35.78

33910 A Remove lung artery emboli 29.71

33916 A Surgery of great vessel 28.42

33935 R Transplantation, heart/lung 62.01

33975 A Implant ventricular device 20.97

33976 A Implant ventricular device 22.97

33977 A Remove ventricular device 20.28

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CPT

Code Status

Indicator Short Descriptor CY 2010

Work RVU

33978 A Remove ventricular device 22.72

33979 A Insert intracorporeal device 45.93

33980 A Remove intracorporeal device 65.20

33981 C Replace vad pump ext 0.00

33982 C Replace vad intra w/o bp 0.00

33983 C Replace vad intra w/bp 0.00

35188 A Repair blood vessel lesion 15.16

35612 A Artery bypass graft 16.82

35800 A Explore neck vessels 8.07

35840 A Explore abdominal vessels 10.96

35860 A Explore limb vessels 6.80

36470 A Injection therapy of vein 1.10

36471* A Injection therapy of veins 1.65

37140 A Revision of circulation 25.23

37145 A Revision of circulation 26.24

37160 A Revision of circulation 23.24

37180 A Revision of circulation 26.24

37181 A Splice spleen/kidney veins 28.37

42426 A Excise parotid gland/lesion 22.66

43425 A Repair esophagus opening 25.04

90801 A Psy dx interview 2.80

90802 A Intac psy dx interview 3.01

90804 A Psytx, office, 20-30 min 1.21

90805 A Psytx, off, 20-30 min w/e&m 1.37

90806 A Psytx, off, 45-50 min 1.86

90807 A Psytx, off, 45-50 min w/e&m 2.02

90808 A Psytx, office, 75-80 min 2.79

90809 A Psytx, off, 75-80, w/e&m 2.95

90810 A Intac psytx, off, 20-30 min 1.32

90811 A Intac psytx, 20-30, w/e&m 1.48

90812 A Intac psytx, off, 45-50 min 1.97

90813 A Intac psytx, 45-50 min w/e&m 2.13

90814 A Intac psytx, off, 75-80 min 2.90

90815 A Intac psytx, 75-80 w/e&m 3.06

90816 A Psytx, hosp, 20-30 min 1.25

90817 A Psytx, hosp, 20-30 min w/e&m 1.41

90818 A Psytx, hosp, 45-50 min 1.89

90819 A Psytx, hosp, 45-50 min 2.05

90821 A Psytx, hosp, 75-80 min 2.83

90822 A Psytx, hosp, 75-80 min w/e&m 2.99

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CPT

Code Status

Indicator Short Descriptor CY 2010

Work RVU

90823 A Intac psytx, hosp, 20-30 min 1.36

90824 A Intac psytx, hsp 20-30 w/e&m 1.52

90826 A Intac psytx, hosp, 45-50 min 2.01

90827 A Intac psytx, hsp 45-50 w/e&m 2.16

90828 A Intac psytx, hosp, 75-80 min 2.94

90829 A Intac psytx, hsp 75-80 w/e&m 3.10

90845 A Psychoanalysis 1.79

90846 R Family psytx w/o patient 1.83

90847 R Family psytx w/patient 2.21

90849 R Multiple family group psytx 0.59

90853 A Group psychotherapy 0.59

90857 A Intac group psytx 0.63

90862 A Medication management 0.95

90870 A Electroconvulsive therapy 1.88

90875 N Psychophysiological therapy 1.20

90876 N Psychophysiological therapy 1.90

90880 A Hypnotherapy 2.19

99026 N In-hospital on call service 0.00

99027 N Out-of-hosp on call service 0.00

99218* A Observation care 1.28

99219* A Observation care 2.14

99220* A Observation care 2.99

99288 B Direct advanced life support 0.00

99315 A Nursing fac discharge day 1.13

99316 A Nursing fac discharge day 1.50

99341 A Home visit, new patient 1.01

99342 A Home visit, new patient 1.52

99343 A Home visit, new patient 2.53

99344 A Home visit, new patient 3.38

99345 A Home visit, new patient 4.09

99347 A Home visit, est patient 1.00

99348 A Home visit, est patient 1.56

99349 A Home visit, est patient 2.33

99350 A Home visit, est patient 3.28

99381 N Init pm e/m, new pat, inf 1.19

99382 N Init pm e/m, new pat 1-4 yrs 1.36

99383 N Prev visit, new, age 5-11 1.36

99384 N Prev visit, new, age 12-17 1.53

99385 N Prev visit, new, age 18-39 1.53

99386 N Prev visit, new, age 40-64 1.88

# CMS-1582-PN 20

CPT

Code Status

Indicator Short Descriptor CY 2010

Work RVU

99387 N Init pm e/m, new pat 65+ yrs 2.06

99391 N Per pm reeval, est pat, inf 1.02

99392 N Prev visit, est, age 1-4 1.19

99393 N Prev visit, est, age 5-11 1.19

99394 N Prev visit, est, age 12-17 1.36

99395 N Prev visit, est, age 18-39 1.36

99396 N Prev visit, est, age 40-64 1.53

99397 N Per pm reeval est pat 65+ yr 1.71

99460 A Init nb em per day, hosp 1.17

99462 A Sbsq nb em per day, hosp 0.62

99463 A Same day nb discharge 1.50

*CPT code 36471, 99218, 99219, and 99220 are also identified on the Harvard-valued codes with annual

utilization > 30,000 services list.



# TABLE 4: CODES WITH SI TE-OF-SERVICE ANOMALIES

CPT Code Mod Status

Indicator Short Descriptor CY 2010

Work

RVU

15120 A Skn splt a-grft fac/nck/hf/g 11.16

15240 A Skin full grft face/genit/hf 10.41

15365 A Apply cult derm sub f/n/hf/g 4.30

15732 A Muscle-skin graft, head/neck 19.90

15740 A Island pedicle flap graft 11.80

19302 A P-mastectomy w/ln removal 13.99

22521 A Percut vertebroplasty lumb 8.65

22523 A Percut kyphoplasty, thor 9.26

27385 A Repair of thigh muscle 8.11

27530 A Treat knee fracture 4.09

27792 A Treatment of ankle fracture 9.71

28002 A Treatment of foot infection 5.93

28122 A Partial removal of foot bone 7.72

28715 A Fusion of foot bones 14.60

28820 A Amputation of toe 5.00

28825 A Partial amputation of toe 6.01

33411 A Replacement of aortic valve 62.07

36819 A Av fuse, uppr arm, basilic 14.47

36821 A Av fusion direct any site 12.11

42415 A Excise parotid gland/lesion 18.12

# CMS-1582-PN 21

CPT Code Mod Status

Indicator Short Descriptor CY 2010

Work

RVU

47563* A Laparo cholecystectomy/graph 12.11

49421 A Insert abdom drain, perm 5.90

49507 A Prp i/hern init block >5 yr 10.05

49587 A Rpr umbil hern, block > 5 yr 8.04

49652 A Lap vent/abd hernia repair 12.88

49653 A Lap vent/abd hern proc comp 16.21

49654 A Lap inc hernia repair 15.03

49655 A Lap inc hern repair comp 18.11

52630 A Remove prostate regrowth 7.73

52649 A Prostate laser enucleation 17.29

53440 A Male sling procedure 15.54

57288 A Repair bladder defect 12.13

60220 A Partial removal of thyroid 12.37

60240 A Removal of thyroid 16.22

60500 A Explore parathyroid glands 16.78

61885 A Insrt/redo neurostim 1 array 7.57

63655 A Implant neuroelectrodes 11.56

64626 A Destr paravertebrl nerve c/t 3.92

77427 A Radiation tx management, x5 3.70

*CPT code 47563 is also identified on the Harvard-va lued codes with annual utilization > 30,000 services

list.



# 2. Background on American Medical Associati on Specialty Society Relative Value Update

Committee (AMA RUC) Recommendations

Section 1848(c)(2)(K)(iii) of the Act (as added by section 3134 of the Affordable Care

Act) specifies that the Secretary may use exis ting processes to receive recommendations on the

review and appropriate adjustment of potentially misvalued services. In accordance with section

1848(c)(2)(K)(iii) of the Act, we develop and propose appropriate adju stments to the RVUs,

taking into account the recommendations provi ded by the AMA RUC, the Medicare Payment

Advisory Commission (MedPAC), and others. To respond to concerns expressed by MedPAC,

the Congress, and other stakeholders regarding the accuracy of values for services under the PFS,

# CMS-1582-PN 22

the AMA RUC has used an annual process to sy stematically identify, review, and provide CMS

with recommendations for revised work values fo r many existing potentially misvalued services.

In addition to providing recommendations to CM S for work RVUs, the AMA RUC also reviews

direct PE (clinical labor, medi cal supplies, and medical equipmen t) for individual services and

examines the many broad methodological issues relating to the development of PE RVUs.

For many years, the AMA RUC has provi ded CMS with recommendations on the

appropriate relative values for PFS services. The AMA RUC’s recommendations on physician

work RVUs have resulted in significant refi nements in physician work RVUs over the years. In

recent years CMS and the AMA RUC have taken increasingly significant steps to address

potentially misvalued codes. As MedPAC noted in its March 2009 Report to Congress, in the

intervening years since MedPAC made the in itial recommendations, "CMS and the AMA RUC

have taken several steps to impr ove the review process." In a ddition to the Fi ve-Year Reviews

of Work, over the past several years CMS and the AMA RUC have identified and reviewed a

number of potentially misvalued codes on an annu al basis based on various identification screens

for codes at risk for being misvalued, such as codes with high growth rates, codes that are

frequently billed together in one encounter, and codes that are va lued as inpatient services but

that are now predominantly performed as outpatient services. This annual review of work RVUs

and direct PE inputs for potenti ally misvalued codes was furthe r bolstered by the Affordable

Care Act mandate to examine potentially misv alued codes, with an emphasis on the following

categories specified in section 1848(c)(2)(K)(ii) (as added by s ection 3134 of the Affordable

Care Act):

• Codes and families of codes for which there has been the fastest growth.

# CMS-1582-PN 23

• Codes or families of codes that have experienced substantial changes in practice

expenses.

• Codes that are recently establishe d for new technologies or services.

• Multiple codes that are frequently b illed in conjunction with furnishing a single

service.

• Codes with low relative values, particularly those that are often billed multiple times

for a single treatment.

• Codes which have not been subject to re view since the implementation of the RBRVS

(the 'Harvard valued codes').

• Other codes determined to be appropriate by the Secretary. (For example, codes for

which there have been shifts in the Site-of-Serv ice (Site-of-Service anomalies), as well as codes

that qualify as "23-hour stay " outpatient services.)

As a result of the annual potentially misv alued code review, CMS has reviewed over 700

codes for work and PE RVU changes outside of the comprehensive Five-Year Review process

over the past several years and adopted appropria te work RVUs and direct PE inputs for these

services in the context of contemporary medical practice.

This Fourth Five-Year Review of Work a dvances the progress of our initiative to

examine potentially misvalued codes by identify ing and reviewing additional codes for CY 2012

in several of the categories specified in the Affordable Care Act, including a number of

Harvard-valued codes. As not ed previously, we typically di scuss the potentially misvalued

codes initiative in th e annual PFS proposed and final rule s (for CY 2011, at 75 FR 40065 through

40082 and 75 FR 73215 through 73216, re spectively). For example, we provided a detailed

# CMS-1582-PN 24

discussion of the prior reviews of potentially misvalued codes in the CY 2011 PFS final rule with

comment period (75 FR 73215 through73216). Furthermor e, in addition to the proposals in this

Five-Year Review of Work proposed notice, we pl an to continue our work examining potentially

misvalued codes for CY 2012 in the areas specifi ed by the Affordable Care Act and others

identified by the Secretary, consistent with the new legislative mandate on this issue. We will

provide a comprehensive update re garding our progress to date in evaluating and revising the

values for potentially misvalued codes, and discu ss our priorities and futu re plans to ensure the

accuracy of the relative values for all services paid under th e PFS in the forthcoming CY 2012

PFS proposed rule.

We greatly appreciate the considerable sustaine d efforts made by all members and staff of the

AMA RUC to date, and we look forward to cont inuing our collaborative work with the AMA

RUC toward our mutual goal of ensuring that CP T codes are appropriately valued under the PFS.

For codes used primarily by nonphysician practi tioners, the Health Care Professionals

Advisory Committee (HCPAC), a deliberative bo dy of nonphysician practitioners that also

convenes during the AMA RUC meeting, submits recommendations directly to CMS. The

HCPAC represents physician assistants, chiropr actors, nurses, occupational therapists,

optometrists, physical therapists, podiatrists, ps ychologists, audiologists, speech pathologists,

social workers, and registered dieticians. We greatly appreciate the efforts of the HCPAC as

well.

3. AMA RUC Five-Year Review of Work Process

After compiling the list of potentially misval ued codes to be reviewed in the Fourth

Five-Year Review of Work (Tables 1 through 4), we submitted the list to the AMA RUC.

# CMS-1582-PN 25

According to the AMA RUC’s Five-Year Revi ew timetable, upon receip t of the list of

codes from CMS, the AMA RUC sent Level of Inte rest (LOI) forms to all specialty societies and

the HCPAC so that the Five-Yea r Review codes could be review ed initially by the appropriate

specialty societies. To prepare for presentation s of the codes to the AMA RUC, most specialty

societies compiled data using a standard survey instrument wh ereby respondents compared the

surveyed service with similar "r eference" services for which ther e generally are well-established

work values. Respondents were asked to estimate : the work RVU for the survey code; the time

to perform the"pre-","intra-", a nd"post-" service activities; and the technical skill, risk, and

judgment involved with performing the service. Po st-service activities were broken down into

hospital and office visits and were assigned an appropriate evaluation and management (E/M)

code by the respondents for the t ypical service. Each specialty society was responsible for

selecting the physician sample size to be surveye d. In general, a minimum of 30 responses was

required by the AMA RUC for the survey to be cons idered adequate. It is our understanding that

the AMA RUC is currently reviewing its survey methodologies in order to improve the survey

instrument’s ability to provide valid and reliable data.

As part of the AMA RUC’s process, the sp ecialty societies also provided the AMA RUC

with a work RVU recommendation for each code under review. The AMA RUC met to hear the

presentations from the specialty societies for each code, deliberate as a group, and vote on the

work RVU, physician times, PE direct inputs (if applicable), and other as pects pertaining to the

valuation of a code. The AMA RUC then sent its recommendations to CMS. As we have stated

previously in conducting Five-Year Reviews, we retain the responsibil ity for analyzing any

comments and recommendations received from th e AMA RUC, developing the proposed notice,

# CMS-1582-PN 26

evaluating the comments on the proposed notice, and deciding whether and how to revise the

work RVUs for any given service.

II. CMS Review of Five-Year Review Codes

A. CMS Analytical Approach

We conducted a clinical review of ea ch code and reviewed the AMA RUC

recommendations for work RVU, time to perfor m the "pre-","intra-", and "post-" service

activities, as well as other compone nts of the service whic h contribute to the value. Our clinical

review generally includes, but is not limited to, a review of information provided by the AMA

RUC, medical literature, public comments, and comparative databa ses, as well as a comparison

with other codes within the Medi care PFS, consultation with other physicians and healthcare care

professionals within CMS and the Federal Gove rnment, and the clinical experience of the

physicians on the clinical team. We also asse ssed the methodology and data used to develop the

recommendations and the rationale for the reco mmendations. As we noted in the CY 2011 PFS

final rule with comment period (75 FR 73328 through 73329), the AMA RUC uses a variety of

methodologies and approaches to assign work RVUs, including building block, survey data,

crosswalk to key reference or similar codes, and magnitude estimation. The resource-based

relative value system (RBRVS) has incorporated in to it cross-specialty and cross-organ system

relativity. This RBRVS requires assessment of relati ve value and takes into account the clinical

intensity and time required to pe rform a service. In selectin g which methodological approach

will best determine the appropriate value for a service we consider the current physician work

and time values, AMA RUC recommended physician work and time values, and specialty

society physician work and time values, as well as the intensity of the serv ice, all relative to

# CMS-1582-PN 27

other services. In general, if we had con cerns regarding the AMA RUC’s application of a

particular methodology for a code, we assessed whether the recommended work RVUs were

appropriate by using alternative methodologies. For a full discussi on of our views and concerns

regarding the various methodologies, we refer readers to the CY 2011 PFS final rule with

comment period (75 FR 73328 through 73329). Du ring our clinical review to assess the

appropriate values for the codes included in the Fourth Five-Year Review, several recurring

scenarios emerged. We developed systematic a pproaches to address tw o particular areas of

concern.

The first area of concern pert ains to codes with Site-of-Service anomalies. These are

codes that were originally valued as inpatient services but current Medicare PFS claims data

show they are furnished predominantly as outpatient services. We noted that for nearly all of the

codes with Site-of-Service anomalies, the accomp anying survey data suggest they are "23 hour

stay" outpatient services. We discussed in the CY 2011 PFS final rule with comment period

(75 FR 73226 through 73227) the "23 hour stay serv ice," which is a term of art describing

services that typically have lengthy hospital outpatient recovery periods. For these 23 hour stay

services, the typical patient is commonly at the hospital for less than 24 hours, but often stays

overnight at the hospital. For example, if th e patient arrives at the hospital at 6 AM for a

scheduled surgical procedure that typically ha s a lengthy hospital outpati ent recovery period, the

patient may recover during the day and be ready to be discharged late in the evening without

having to stay overnight at the hospital. More commonly, however, if the patient arrives at the

hospital at noon for a surgical procedure that ty pically has a lengthy hosp ital outpatient recovery

period, the patient may stay at th e hospital overnight to recover and be discharged the following

# CMS-1582-PN 28

morning. On occasion, the patient may recover at the hospital for longer than a single night,

either because the patient requires an even l onger recovery period or th e surgery was performed

outside of usual business hours. Fo r example, if the patient arrive s at the hospital at 11 p.m. and

requires an unscheduled surgical procedure th at typically has a le ngthy hospital outpatient

recovery period, the patient may stay at the hosp ital overnight in preparation for surgery, have

the surgical procedure performed, and then stay through another night recovering at the hospital

before being discharged. In al l these cases, unless a treating phys ician has written an order to

admit the patient as an inpatient, the patient is co nsidered for Medicare purposes to be a hospital

outpatient, not an inpatient, and our claims data support that the typical 23 hour stay service is

billed as an outpatient service.

We believe that the values of the codes that fall into the 23 hour stay category, that is,

services that typically have lengthy hospital outpatient recove ry periods, should not reflect work

that is typically associated with an inpatient serv ice. For example, inpatient E/M visit codes such

as CPT codes 99231 (Level 1 subsequent hospita l care, per day); 99232 (Level 2 subsequent

hospital care, per day); and 99233 (Level 3 subsequent hospital care, per day), should not be

included at their full RVU value in the valuation of these services that typically have lengthy

hospital outpatient recovery periods . However, as we stated in the CY 2011 PFS final rule with

comment period (75 FR 73226 through 73227), we fi nd it is plausible that while the patient

receiving the outpatient 23 hour stay service remains a hospita l outpatient, the patient would

typically be cared for by a physic ian during that lengthy recovery period at the hospital. While

we do not believe that post-procedure hospital vis its would be at the inpatient level since the

typical case is an outpatient who would be ready to be discharg ed from the hospital in 23 hours

# CMS-1582-PN 29

or less, we believe it is generally appropriate to include the intra-service time of the inpatient

hospital visit in the immediate post-service time of the 23 hour stay code under review. In

addition, we indicated that we be lieve it is appropriate to include a half day, rather than a full

day, of a discharge day management service. While some commenters advocated for a deferral

on the issue of valuing 23 hour stay services, we note that a number of commenters supported

CMS' approach. Consequently, we finalized this policy in the CY 2011 PFS final rule with

comment period (75 FR 73226 through 73227) and encouraged the AMA RUC to apply this

methodology in developing the recommendations it provides to us for valuing 23 hour stay

codes, in order to ensure the consistent and ap propriate valuation of the physician work for these

services.

The AMA RUC reviewed a number of Site-of- Service anomaly codes during its February

2011 meeting, many of which are Site -of-Service anomaly codes that have been valued on an

interim basis since CY 2009. These Site-of-Se rvice anomaly codes typically have a lengthy

hospital outpatient recovery period and thus would be subject to th e policy previously described

for valuing the post-procedure physician care. CM S had requested that the AMA RUC re-review

them due to concerns over the methodology the AMA RUC used originally in valuing these

codes (74 FR 61777 and 75 FR 73221). Contrary to the 23 hour stay policy we finalized in the

CY 2011 PFS final rule with comment period (75 FR 73226 through 73227), as described above,

in the AMA RUC’s review of Site-of-Service an omaly codes for CY 2012 as part of this FiveYear Review, the AMA RUC often recommended re placing the hospital inpa tient post-operative

visit blocks in the current work values with blocks for subsequent observation care services,

specifically CPT codes 99224 (Level 1 subsequent observation care, per day) and 99225 (Level 2

# CMS-1582-PN 30

subsequent observation care, per day), which recently became e ffective under the PFS beginning

in CY 2011. The AMA RUC stated in its summar y recommendations to CMS, "Adjustments to

the allocation of post-operative vi sits are used as proxies and do not constitute changes to the

physician work relative value of the service wh ich was determined by magnitude estimation and

physician specialty survey data during the last RUC review." However, we note that the AMA

RUC generally recommended maintaining th e current interim va lue of the CY 2009

Site-of-Service anomaly codes while replacing th e inpatient hospital vis it code blocks with

subsequent observation care code blocks.

We continue to be concerned over the AM A RUC’s approach to valuing the physician

work for these Site-of-Service anomaly codes. We believe the appropriate methodology entails

accounting for the removal of the inpatient visit bl ocks in the work value for the Site-of-Service

anomaly code since these services are no longer typically furnishe d in the inpatient setting. We

do not believe it is appropriate to simply excha nge the inpatient post-operative visits in the

original value with subs equent observation care vi sits (which are appropri ately reported in cases

of nonsurgical hospital outpatient stays spanning 3 calendar days or longer), and maintain the

current work RVUs. Furthermore, instead of the half discharge day management service

included in past recommendations (CPT code 99238 (Hospital discharge day management; 30

minutes or less)), the AMA RUC generally recommended including a full observation care

discharge day management se rvice (CPT code 99217 (Obser vation care discharge day

management (this code is to be utilized by the physician to report all services provided to a

patient on discharge from “observati on status” if the discharge is on other than the initial date of

“observation status.”))) However, the AMA RUC indicated it is cu rrently assessing this code to

# CMS-1582-PN 31

revise the physician times. We do not believe it is appropriate to substitute a full day of CPT

code 99217 for the half day of CPT code 99238 that would be included in the work value for a

Site-of-Service anomaly code according to CMS’ established policy, especially given the AMA

RUC’s ongoing review of CPT code 99217.

Accordingly, where the data suggested a Site-of-Service anomaly code (more than

50 percent of the most recent Me dicare utilization is outpatient – based on PFS data from the

fourth quarter of CY 2009 and th e first three quarters of CY 2010 to represent the most recent

full 12 months of claims data available) rese mbles a 23 hour stay outpatient service and the

AMA RUC’s recommended value from the Five-Year Review continued to include inpatient

visits (or subsequent observati on care codes) in the post-operati ve period, we applied the policy

described above. That is, we consistently re moved any post-procedure inpatient visits or

subsequent observation care servic es included in the AMA RUC-recommended values for these

codes and adjusted physician times accordingly. We also consistently included the value of a

half day of a discharge management service.

An additional concern that arose in our clinical review of the codes relates to codes that

are typically billed with an E/M service on th e same day. The AMA RUC noted for a number of

codes that the service was typically billed with an additional E/M service on the same day;

however, it appears the AMA RUC di d not consistently account for this overlap in formulating

its time recommendations, an issue discussed on a CPT code-specific basis below. In cases

where a service is typically furnished with an E/M service on the same day, we believe it is

understood that there may be overlap between th e two services in some of the activities

conducted during the pre- and post-service times of the procedure code, and that these

# CMS-1582-PN 32

overlapping activities should not be counted twice. Accordi ngly, in cases where the most

recently available Medicare PFS claims data show the code is typically (g reater than 50 percent

of the time – based on PFS data from CY 2009) billed with an E/M visit on the same day, and

where we believe that the AMA RUC did not adequately account fo r overlapping activities in the

recommended value for the code, we systematically adjusted the physician times for the code to

account for the overlap. After clin ical review of the pre- and pos t-service work, we believe that

at least 1/3 of the physician time in both the pr e-service evaluation and post-service period is

duplicative of the E/M visit in this circumstan ce. Therefore, we ad justed the pre-service

evaluation portion of the pre- service time to 2/3 of the AMA RUC-recommended time.

Similarly, we also adjusted the post-service tim e to 2/3 of the AMA RUC-recommended time.

As noted in the CY 2011 proposed rule (75 FR 73328), in reviewing the AMA RUC

recommendations for valuing the work of new, revised, and potentially misvalued services, we

expend significant effort in evaluating whethe r the recommended values reflect the work

elements, such as time, mental effort, and pr ofessional judgment, technical skill and physical

effort, and stress due to risk, involved with furnis hing the service. Subjecting each of the codes

to a clinical review, we examin ed the pre-, post-, and intra-serv ice components of the work. In

cases where we disagreed with the AMA RU C’s recommended work RVU, we proposed

alternative values based on comparisons with ot her established reference codes with clinical

similarity or analogous physician times, or the 25th percentile or low valu e as indicated in the

physician survey, or, where applicable, employed the bui lding block approach.

Over the last several years our rate of acceptance of the AMA RUC recommendations has

been higher. However, in response to concer ns expressed by MedPAC, and other stakeholders

# CMS-1582-PN 33

regarding the accurate valuation of services under the PFS, we ha ve intensified our scrutiny of

the work valuations of new, revised, and poten tially misvalued codes. We note that most

recently, section 3134 of the Affordable Care Act added a new requirement, which specifies that

the Secretary shall establish a formal process to validate RVUs under the PFS. The validation

process may include validation of work elements (such as time, mental effort and professional

judgment, technical skill and physical effort, a nd stress due to risk) i nvolved with furnishing a

service and may include validation of the pre-, post-, and intra-servi ce components of work.

Furthermore, the Secretary is directed to va lidate a sampling of the work RVUs of codes

identified through any of the seven categories of potentially misvalued codes specified by section

1848(c)(2)(K)(ii) of the Act (as added by section 3134 of the Afford able Care Act). While we

are currently in the planning stage of devel oping a formal validation process, we have

incorporated, where appropriate, th e validation principles specified in the law in this Five-Year

Review process.

B. Summary of Proposed Work RV Us for Five-Year Review Codes

As stated previously, we sent the AMA RUC an initial list of 219 c odes for review. We

have encouraged the AMA RUC to review codes on a "family" basis rather than in isolation in

order to ensure that appropriate relativity in the system is retained. Consequently, the AMA

RUC included additional codes for review, result ing in a total of 290 codes for the Fourth

Five-Year Review of Work. Of those 290 codes, 53 were subsequent ly sent to the CPT Editorial

Panel to consider coding changes, 14 were not reviewed by the AMA RUC (and subsequently

not reviewed by CMS) because the specialty societ y that had originally re quested the review in

its public comments on the CY 2010 PFS final rule w ith comment period elected to withdraw the

# CMS-1582-PN 34

codes, 36 were not reviewed by the AMA RUC because their values were set as interim final in

the CY 2011 PFS final rule with comment period, and 14 were not reviewed by CMS because

they were noncovered services under Medicare. Therefore, the AMA RUC reviewed 173 of the

290 codes initially identified fo r this Fourth Five-Year Revi ew of Work, and provided the

recommendations to CMS that are addressed belo w in this proposed noti ce. A list of the

remaining codes that were identified for possibl e review through the Fi ve-Year Review process

but not reviewed can be found in section II.E. of this proposed notice. Up on clinical review, we

are proposing to accept 89 out of 173 (51 percent) of the AMA RUC recommendations for work

RVUs. In some cases, we also refined physicia n times for codes as deemed appropriate to

correspond with the proposed work RVUs. CM S’ decisions are summarized in Table 6.

In addition, the HCPAC submitted for CMS revi ew its recommendations to modify work

RVUs for five CPT codes under the Fourth Five -Year Review of Work. Of those five CPT

codes, three were not reviewed by CMS because the codes were withdrawn by the relevant

specialty society due to a low survey re sponse rate. We did not accept the HCPAC

recommendations for the two remaining CPT codes, as detailed in section II.D.1 of this proposed

notice.

TABLE 5: AMA RUC AND HCPAC RE COMMENDATIONS, AND PROPOSED

WORK RVUS FOR THE FOURTH FIVE -YEAR REVIEW OF THE RBRVS

CPT

Code Short Descriptor CY

2011

Work

RVU AMA

RUC/HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

10140 Drainage of hematoma/fluid 1.58 1.58 1.58 Agree x

10160 Puncture drainage of lesion 1.25 1.25 1.25 Agree

11732 Remove nail plate, a dd-on 0.57 0.48 0.44 Disagree x

11765 Excision of nail fold, toe 0.74 1.48 1.22 Disagree x

12031 Intmd wnd repair s/tr/ext 2.20 2.00 2.00 Agree

12032 Intmd wnd repair s/tr/ext 2.52 2.52 2.52 Agree

# CMS-1582-PN 35

CPT

Code Short Descriptor CY

2011

Work

RVU AMA

RUC/HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

12034 Intmd wnd repair s/tr/ext 2.97 2.97 2.97 Agree

12035 Intmd wnd repair s/tr/ext 3.47 3.60 3.50 Disagree

12036 Intmd wnd repair s/tr/e xt 4.09 4.50 4.23 Disagree x

12037 Intmd wnd repair s/tr/ext 4.71 5.25 5.00 Disagree

12041 Intmd wnd repair n-hf/genit 2.42 2.10 2.10 Agree

12042 Intmd wnd repair n-hg/genit 2.79 2.79 2.79 Agree

12044 Intmd wnd repair n-hg/genit 3.19 3.19 3.19 Agree

12045 Intmd wnd repair n-hg/genit 3.68 3.90 3.75 Disagree

12046 Intmd wnd repair n-hg/genit 4.29 4.60 4.30 Disagree x

12047 Intmd wnd repair n-hg/genit 4.69 5.50 4.95 Disagree x

12051 Intmd wnd repair face/ mm 2.52 2.33 2.33 Agree

12052 Intmd wnd repair face/ mm 2.87 2.87 2.87 Agree

12053 Intmd wnd repair face/ mm 3.17 3.17 3.17 Agree

12054 Intmd wnd repair, face/mm 3.50 3.50 3.50 Agree

12055 Intmd wnd repair face/ mm 4.47 4.65 4.50 Disagree x

12056 Intmd wnd repair face/ mm 5.28 5.50 5.30 Disagree x

12057 Intmd wnd repair face/ mm 6.00 6.28 6.00 Disagree x

13100 Repair of wound or lesion 3.17 3.17 3.17 Agree x

13101 Repair of wound or lesion 3.96 3.96 3.96 Agree x

15120 Skn splt a-grft fac/nck/hf/g 11.16 10.15 10.15 Agree

15121 Skn splt a-grft f/n/hf/g add 2.67 2.00 2.00 Agree

15260 Skin full graft een & lips 11.64 11.64 11.64 Agree

15732 Muscle-skin graft, head/neck 19.90 19.83 16.38 Disagree x

17250 Chemical cautery, tissue 0.50 0.50 0.50 Agree

17260 Destruction of skin lesions 0.96 0.96 0.96 Agree

17261 Destruction of skin lesions 1.22 1.22 1.22 Agree

17262 Destruction of skin lesions 1.63 1.63 1.63 Agree

17263 Destruction of skin lesions 1.84 1.84 1.84 Agree

17264 Destruction of skin lesions 1.99 1.99 1.99 Agree

17266 Destruction of skin lesions 2.39 2.39 2.39 Agree

17270 Destruction of skin lesions 1.37 1.37 1.37 Agree x

17271 Destruction of skin lesions 1.54 1.54 1.54 Agree x

17272 Destruction of skin lesions 1.82 1.82 1.82 Agree

17273 Destruction of skin lesions 2.10 2.10 2.10 Agree

17274 Destruction of skin lesions 2.64 2.64 2.64 Agree x

17276 Destruction of skin lesions 3.25 3.25 3.25 Agree

17280 Destruction of skin lesions 1.22 1.22 1.22 Agree

17281 Destruction of skin lesions 1.77 1.77 1.77 Agree

17282 Destruction of skin lesions 2.09 2.09 2.09 Agree

17283 Destruction of skin lesions 2.69 2.69 2.69 Agree

17284 Destruction of skin lesions 3.26 3.20 3.20 Agree

# CMS-1582-PN 36

CPT

Code Short Descriptor CY

2011

Work

RVU AMA

RUC/HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

17286 Destruction of skin lesions 4.48 4.48 4.48 Agree

19302 P-mastectomy w/ln removal 13.99 13.99 13.87 Disagree

22520 Percut vertebroplasty thor 9.22 9.22 9.22 Agree

22521 Percut vertebroplasty lu mb 8.65 8.65 8.01 Disagree

22522 Percut vertebroplasty addl 4.30 4.30 4.30 Agree

22523 Percut kyphoplasty, thor 9.26 9.26 8.62 Disagree

22524 Percut kyphoplasty, lumbar 8.86 8.86 8.22 Disagree

22525 Percut kyphoplasty, add-on 4.47 4.47 4.47 Agree

25600 Treat fracture radius/ulna 2.78 2.78 2.64 Disagree x

25605 Treat fracture radius/ulna 7.25 6.50 6.00 Disagree x

27385 Repair of thigh muscle 8.11 8.11 6.93 Disagree x

27530 Treat knee fracture 4.09 2.81 2.65 Disagree x

27792 Treatment of ankle fracture 9.71 9.71 8.75 Disagree x

28002 Treatment of foot infection 5.93 5.34 4.00 Disagree

28003 Treatment of foot infection 9.06 9.06 9.06 Agree

28120 Part removal of ankle/he el 8.27 8.27 7.31 Disagree x

28122 Partial removal of foot bone 7.72 7.72 6.76 Disagree x

28285 Repair of hammertoe 4.76 5.62 4.76 Disagree

28715 Fusion of foot bones 14.60 14.60 13.42 Disagree x

28820 Amputation of toe 5.00 7.00 5.82 Disagree x

28825 Partial amputation of to e 6.01 6.01 5.37 Disagree x

29125 Apply forearm splint 0.59 0.59 0.50 Disagree x

29126 Apply forearm splint 0.77 0.77 0.68 Disagree x

29405 Apply short leg cast 0.86 0.80 0.80 Agree

29425 Apply short leg cast 1.01 0.80 0.80 Agree

29515 Application lower leg sp lint 0.73 0.73 0.73 Agree x

32405 Biopsy, lung or mediastinum 1.93 1.93 1.93 Agree

32851 Lung transplant, single 41.61 63.00 59.64 Disagree

32852 Lung transplant with bypass 45.48 74.37 65.50 Disagree

32853 Lung transplant, double 50.78 90.00 84.48 Disagree

32854 Lung transplant with bypass 54.74 95.00 90.00 Disagree

33030 Partial removal of heart sac 22.39 39.50 36.00 Disagree

33031 Partial removal of heart sac 25.38 45.00 45.00 Agree

33120 Removal of heart lesion 27.45 42.88 38.45 Disagree

33315 Exploratory heart surgery 26.17 35.00 35.00 Agree

33411 Replacement of aortic valve 62.07 62.07 62.07 Agree

33412 Replacement of aortic va lve 43.94 60.00 59.00 Disagree

33468 Revision of tricuspid valv e 32.94 50.00 45.13 Disagree

33645 Revision of heart veins 28.10 33.00 31.30 Disagree

33647 Repair heart septum def ects 29.53 35.00 33.00 Disagree

33692 Repair of heart defect s 31.54 38.75 36.15 Disagree

# CMS-1582-PN 37

CPT

Code Short Descriptor CY

2011

Work

RVU AMA

RUC/HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

33710 Repair of heart defect s 30.41 43.00 37.50 Disagree

33875 Thoracic aortic graft 35.78 56.83 50.72 Disagree

33910 Remove lung artery emboli 29.71 52.33 48.21 Disagree

33916 Surgery of great vessel 28.42 78.00 78.00 Agree

33935 Transplantation, heart/lung 62.01 100.00 91.78 Disagree

33975 Implant ventricular device 20.97 25.00 25.00 Agree

33976 Implant ventricular device 22.97 30.75 30.75 Agree

33977 Remove ventricular devi ce 20.28 20.86 20.86 Agree

33978 Remove ventricular devi ce 22.72 25.00 25.00 Agree

33979 Insert intracorporeal device 45.93 37.50 37.50 Agree

33980 Remove intracorporeal device 65.20 40.00 33.50 Disagree

33981 Replace vad pump ext 0.00 16.11 16.11 Agree

33982 Replace vad intra w/o bp 0.00 37.86 37.86 Agree

33983 Replace vad intra w/bp 0.00 44.54 44.54 Agree

35188 Repair blood vessel lesi on 15.16 18.50 18.00 Disagree

35612 Artery bypass graft 16.82 22.00 20.35 Disagree

35800 Explore neck vessels 8.07 13.89 12.00 Disagree

35840 Explore abdominal vessels 10.96 21.19 20.75 Disagree

35860 Explore limb vessels 6.80 16.89 15.25 Disagree

36200 Place catheter in aorta 3.02 3.02 3.02 Agree

36246 Place catheter in artery 5.27 5.27 5.27 Agree

36247 Place catheter in artery 6.29 7.00 6.29 Disagree

36470 Injection therapy of vein 1.10 1.10 1.10 Agree

36471 Injection therapy of veins 1.65 1.65 1.65 Agree

36600 Withdrawal of arterial blood 0.32 0.32 0.32 Agree x

36819 Av fuse, uppr arm, basilic 14.47 14.47 13.29 Disagree x

36821 Av fusion direct any site 12.11 12.11 12.11 Agree

36825 Artery-vein autograft 15.13 15.13 14.17 Disagree x

37140 Revision of circulation 25.23 40.00 40.00 Agree

37145 Revision of circulation 26.24 37.00 37.00 Agree

37160 Revision of circulation 23.24 38.00 38.00 Agree

37180 Revision of circulation 26.24 36.50 36.50 Agree

37181 Splice spleen/kidney veins 28.37 40.00 40.00 Agree

42415 Excise parotid gland/le sion 18.12 18.12 17.16 Disagree x

42420 Excise parotid gland/le sion 21.00 21.00 19.53 Disagree x

43262 Endo cholangiopancreatograph 7.38 7.38 7.38 Agree x

43415 Repair esophagus wound 28.91 44.88 44.88 Agree

45331 Sigmoidoscopy and biopsy 1.15 1.15 1.15 Agree x

47563 Laparo cholecystectomy/gr aph 12.11 12.11 11.47 Disagree x

47564 Laparo cholecystectomy/e xplr 14.24 20.00 18.00 Disagree

49507 Prp i/hern init block >5 yr 10.05 10.05 9.09 Disagree x

# CMS-1582-PN 38

CPT

Code Short Descriptor CY

2011

Work

RVU AMA

RUC/HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

49521 Rerepair ing hernia, bloc ked 12.44 12.44 11.48 Disagree x

49587 Rpr umbil hern, block > 5 yr 8.04 8.04 7.08 Disagree x

49652 Lap vent/abd hernia repa ir 12.88 12.88 11.92 Disagree x

49653 Lap vent/abd hern proc co mp 16.21 16.21 14.94 Disagree x

49654 Lap inc hernia repair 15.03 15.03 13.76 Disagree x

49655 Lap inc hern repair comp 18.11 18.11 16.84 Disagree x

51705 Change of bladder tube 1.05 0.90 0.90 Agree

51710 Change of bladder tube 1.52 1.35 1.35 Agree x

52005 Cystoscopy & ureter catheter 2.37 2.37 2.37 Agree

52007 Cystoscopy and biopsy 3.02 3.02 3.02 Agree

52310 Cystoscopy and treatment 2.81 2.81 2.81 Agree

52315 Cystoscopy and treatment 5.20 5.20 5.20 Agree

52630 Remove prostate regrow th 7.73 7.73 6.55 Disagree x

52640 Relieve bladder contracture 4.79 4.79 4.79 Agree

52649 Prostate laser enuclea tion 17.29 15.20 14.56 Disagree x

53440 Male sling procedure 15.54 14.00 13.36 Disagree x

57287 Revise/remove sling repair 11.15 11.15 11.15 Agree

57288 Repair bladder defect 12.13 12.13 12.13 Agree

60220 Partial removal of thyr oid 12.37 12.37 11.19 Disagree x

60240 Removal of thyroid 16.22 16.22 15.04 Disagree x

60500 Explore parathyroid gla nds 16.78 16.78 15.60 Disagree x

62284 Injection for myelogram 1.54 1.54 1.54 Agree

63655 Implant neuroelectrode s 11.56 11.56 10.92 Disagree x

64405 N block inj, occipital 1.32 1.00 0.94 Disagree

69220 Clean out mastoid cavity 0.83 0.83 0.83 Agree

78264 Gastric emptying study 0.78 0.95 0.80 Disagree x

92511 Nasopharyngoscopy 0.84 0.61 0.61 Agree x

92950 Heart/lung resuscitation cpr 3.79 4.50 4.00 Disagree x

93321 Doppler echo exam, heart 0.15 0.15 0.15 Agree

94660 Pos airway pressure, cpap 0.76 0.76 0.76 Agree

98925 Osteopathic manipulati on 0.45 0.50 0.46 Disagree x

98926 Osteopathic manipulati on 0.65 0.75 0.71 Disagree x

98927 Osteopathic manipulati on 0.87 1.00 0.96 Disagree x

98928 Osteopathic manipulati on 1.03 1.25 1.21 Disagree x

98929 Osteopathic manipulati on 1.19 1.50 1.46 Disagree x

99218 Observation care 1.28 1.92 1.28 Disagree x

99219 Observation care 2.14 2.60 2.14 Disagree x

99220 Observation care 2.99 3.56 2.99 Disagree x

99234 Observ/hosp same date 2.56 2.56 1.92 Disagree x

99235 Observ/hosp same date 3.41 3.24 2.78 Disagree x

99236 Observ/hosp same date 4.26 4.20 3.63 Disagree x

# CMS-1582-PN 39

CPT

Code Short Descriptor CY

2011

Work

RVU AMA

RUC/HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

99315 Nursing fac discharge day 1.13 1.28 1.28 Agree

99316 Nursing fac discharge day 1.50 1.90 1.90 Agree

99460 Init nb em per day, hosp 1.17 1.92 1.92 Agree

99462 Sbsq nb em per day, hosp 0.62 0.84 0.84 Agree

99463 Same day nb discharge 1.50 2.13 2.13 AgreeCMS-1582-PN 40TABLE 6: FIVE-YEAR REVIEW CODES WITH CMS PROPOSED REFINEMENTSTO THE AMA RUC RECOMMENDED TIMEHCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921510140 Drainage of hematoma/fluid Current 1.58 7.0 0.0 0.0 16.0 7.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.010140 Drainage of hematoma/fluid RUC Rec 1.58 17.0 3.0 5.0 15.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.010140 Drainage of hematoma/fluid CMS Rec 1.58 7.0 3.0 5.0 15.010.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.011732 Remove nail plate add-on Current 0.57 0.0 0.0 0.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.011732 Remove nail plate add-on RUC Rec 0.48 0.0 1.0 1.0 10.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.011732 Remove nail plate add-on CMS Rec 0.44 0.0 1.0 1.0 10.0 1.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.011765 Excision of nail fold toe Current 0.74 7.0 0.0 0.0 24.0 7.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.011765 Excision of nail fold toe RUC Rec 1.48 17.0 1.0 5.0 15.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.011765 Excision of nail fold toe CMS Rec 1.22 11.0 1.0 5.0 15.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012036 Intmd wnd repair s/tr/ext Current 4.09 12.0 0.0 0.0 84.0 11.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012036 Intmd wnd repair s/tr/ext RUC Rec 4.50 13.0 3.0 5.0 75.0 12.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012036 Intmd wnd repair s/tr/ext CMS Rec 4.23 13.0 3.0 5.0 70.0 12.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012046 Intmd wnd repair n-hg/genit Current 4.29 12.0 0.0 0.0 90.0 11.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012046 Intmd wnd repair n-hg/genit RUC Rec 4.60 13.0 3.0 5.0 80.0 13.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012046 Intmd wnd repair n-hg/genit CMS Rec 4.30 9.0 3.0 5.0 80.0 9.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012047 Intmd wnd repair n-hg/genit Current 4.69 13.0 0.0 0.0 111.0 12.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012047 Intmd wnd repair n-hg/genit RUC Rec 5.50 13.0 3.0 5.0 100.0 15.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012047 Intmd wnd repair n-hg/genit CMS Rec 4.95 9.0 3.0 5.0 100.0 10.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012055 Intmd wnd repair face/mm Current 4.47 13.0 0.0 0.0 89.0 12.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012055 Intmd wnd repair face/mm RUC Rec 4.65 13.0 3.0 5.0 70.0 13.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012055 Intmd wnd repair face/mm CMS Rec 4.50 13.0 3.0 5.0 60.0 13.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012056 Intmd wnd repair face/mm Current 5.28 14.0 0.0 0.0 106.0 12.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012056 Intmd wnd repair face/mm RUC Rec 5.50 13.0 3.0 5.0 85.0 13.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012056 Intmd wnd repair face/mm CMS Rec 5.30 13.0 3.0 5.0 70.0 13.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.012057 Intmd wnd repair face/mm Current 6.00 15.0 0.0 0.0 131.0 13.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.012057 Intmd wnd repair face/mm RUC Rec 6.28 13.0 3.0 5.0 100.0 15.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.0CMS-1582-PN 41HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921512057 Intmd wnd repair face/mm CMS Rec 6.00 13.0 3.0 5.0 90.0 15.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.013100 Repair of wound or lesion Current 3.17 21.0 0.0 0.0 33.0 21.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.013100 Repair of wound or lesion RUC Rec 3.17 17.0 1.0 5.0 35.0 16.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.013100 Repair of wound or lesion CMS Rec3.17 21.0 0.0 0.033.0 21.0 0.0 0.00.0 0.0 0.0 0.00.0 0.0 0.0 0.01.0 0.0 0.0 0.013101 Repair of wound or lesion Current 3.96 21.0 0.0 0.0 53.0 21.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.013101 Repair of wound or lesion RUC Rec 3.96 17.0 1.0 5.0 56.0 18.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.013101 Repair of wound or lesion CMS Rec3.96 21.0 0.0 0.053.0 21.0 0.0 0.00.0 0.0 0.0 0.00.0 0.0 0.0 0.01.0 0.0 0.0 0.015732 Muscle-skin graft, head/neck Current 19.90 60.0 0.0 0.0 150.0 30.0 0.0 0.0 4.0 1.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.015732 Muscle-skin graft, head/neck RUC Rec 19.83 40.0 12.0 20.0 150.0 30.0 0.0 0.0 1.0 1.0 1.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 1.00.015732 Muscle-skin graft, head/neck CMS Rec 16.38 40.0 12.0 20.0150.0 60.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 1.00.017270 Destruction of skin lesions Current1.37 4.0 0.0 0.0 15.0 4.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017270 Destruction of skin lesions RUC Rec 1.37 7.0 0.0 2.0 15.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017270 Destruction of skin lesions CMS Rec 1.37 7.0 0.0 2.0 16.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017271 Destruction of skin lesions Current1.54 6.0 0.0 0.0 18.0 6.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017271 Destruction of skin lesions RUC Rec 1.54 7.0 0.0 2.0 19.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017271 Destruction of skin lesions CMS Rec 1.54 7.0 0.0 2.0 18.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017274 Destruction of skin lesions Current2.64 8.0 0.0 0.0 32.0 8.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017274 Destruction of skin lesions RUC Rec 2.64 7.0 0.0 2.0 32.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.017274 Destruction of skin lesions CMS Rec 2.64 7.0 0.0 2.0 33.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.025600 Treat fracture radius/ulna Current 2.78 13.0 0.0 0.0 25.0 12.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 3.0 0.0 0.0 0.025600 Treat fracture radius/ulna RUC Rec 2.78 7.0 0.0 0.0 15.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 5.0 0.0 0.0 0.025600 Treat fracture radius/ulna CMS Rec 2.64 5.0 0.0 0.0 15.0 7.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 5.0 0.0 0.0 0.025605 Treat fracture radius/ulna Current 7.25 22.0 0.0 15.0 35.0 23.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.5 0.0 0.025605 Treat fracture radius/ulna RUC Rec 6.50 14.0 1.0 5.0 30.0 20.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 4.0 1.0 0.0 0.025605 Treat fracture radius/ulna CMS Rec 6.00 14.0 1.0 5.0 30.0 13.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 4.0 1.0 0.0 0.027385 Repair of thigh muscle Current 8.11 22.0 0.0 25.0 66.0 19.0 0.0 0.0 1.5 0.0 0.0 1.0 0.0 0.0 0.0 0.0 3.5 0.0 0.0 0.027385 Repair of thigh muscle RUC Rec 8.11 33.0 9.0 15.0 60.0 20.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 3.0 1.0 0.0 0.027385 Repair of thigh muscle CMS Rec 6.93 33.0 9.0 15.0 60.0 30.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 3.0 1.0 0.0 0.0CMS-1582-PN 42HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921527530 Treat knee fracture Current 4.09 17.0 0.0 15.0 33.0 8.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 4.0 0.0 0.0 0.027530 Treat knee fracture RUC Rec 2.81 7.0 2.0 0.0 15.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.0 0.027530 Treat knee fracture CMS Rec 2.65 5.0 0.0 0.0 15.0 7.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.0 0.027792 Treatment of ankle fracture Current 9.71 40.0 10.0 15.0 60.0 20.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.027792 Treatment of ankle fracture RUC Rec 9.71 33.0 10.0 15.0 60.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 2.0 2.0 0.0 0.027792 Treatment of ankle fracture CMS Rec 8.75 33.0 10.0 15.0 60.0 30.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028120 Part removal of ankle/heel Current 8.27 33.0 10.0 15.0 50.0 20.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 3.0 2.0 0.0 0.028120 Part removal of ankle/heel RUC Rec 8.27 33.0 10.0 15.0 50.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 3.0 2.0 0.0 0.028120 Part removal of ankle/heel CMS Rec 7.31 33.0 10.0 15.0 50.0 30.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 3.0 2.0 0.0 0.028122 Partial removal of foot bone Current 7.72 33.0 10.0 15.0 50.0 20.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028122 Partial removal of foot bone RUC Rec 7.72 33.0 10.0 15.0 45.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 2.0 2.0 0.0 0.028122 Partial removal of foot bone CMS Rec 6.76 33.0 10.0 15.0 45.0 30.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028715 Fusion of foot bones Current 14.60 60.0 0.0 0.0 130.0 30.0 0.0 0.0 2.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.028715 Fusion of foot bones RUC Rec 14.60 40.0 3.0 15.0 125.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 4.0 0.0 0.028715 Fusion of foot bones CMS Rec 13.42 40.0 3.0 15.0 125.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 4.0 0.0 0.028820 Amputation of toe Current 5.00 22.0 0.0 25.0 42.0 16.0 0.0 0.0 3.5 0.0 0.0 1.0 0.0 0.0 0.0 0.0 3.5 0.0 0.0 0.028820 Amputation of toe RUC Rec 7.00 33.0 10.0 15.0 30.0 20.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028820 Amputation of toe CMS Rec 5.82 33.0 10.0 15.0 30.0 30.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028825 Partial amputation of toe Current 6.01 33.0 10.0 15.0 30.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028825 Partial amputation of toe RUC Rec 6.01 33.0 10.0 15.0 30.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.028825 Partial amputation of toe CMS Rec 5.37 33.0 10.0 15.0 30.0 20.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 2.0 0.0 0.029125 Apply forearm splint Current 0.59 6.0 0.0 0.0 21.0 7.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029125 Apply forearm splint RUC Rec 0.59 7.0 0.0 0.0 15.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029125 Apply forearm splint CMS Rec 0.50 5.0 0.0 0.0 15.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029126 Apply forearm splint Current 0.77 8.0 0.0 0.0 25.0 8.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029126 Apply forearm splint RUC Rec 0.77 7.0 0.0 0.0 30.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029126 Apply forearm splint CMS Rec 0.68 5.0 0.0 0.0 30.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029515 Application lower leg splint Current 0.73 9.0 0.0 0.0 22.010.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0CMS-1582-PN 43HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921529515 Application lower leg splint RUC Rec 0.73 7.0 0.0 0.0 15.05.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.029515 Application lower leg splint CMS Rec 0.73 5.0 0.0 0.0 15.03.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.033980 Remove intracorporeal device Current 65.20 178.0 0.0 0.0 360.0 80.0 4.0 3.0 2.0 9.0 2.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 3.0 0.033980 Remove intracorporeal device RUC Rec 40.00 60.0 15.0 20.0 300.0 90.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.033980 Remove intracorporeal device CMS Rec 33.50 60.0 15.0 20.0 300.0 90.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.00.036247 Place catheter in artery Current 6.290.0 0.0 0.0 86.00.0 0.0 0.0 0.00.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.036247 Place catheter in artery RUC Rec 7.0033.0 3.0 5.0 60.030.0 0.0 0.0 0.00.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.036247 Place catheter in artery CMS Rec 6.29 33.0 3.0 5.0 60.0 30.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.036600 Withdrawal of arterial blood Current 0.32 0.0 0.0 0.0 8.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.036600 Withdrawal of arterial blood RUC Rec 0.32 5.0 0.0 0.0 10.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.036600 Withdrawal of arterial blood CMS Rec 0.32 3.0 0.0 0.0 10.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.036819 Av fuse uppr arm basilic Current 14.47 55.0 0.0 0.0 120.015.0 0.0 0.0 1.00.0 0.0 1.0 0.00.0 0.0 0.0 1.0 1.0 0.0 0.036819 Av fuse uppr arm basilic RUC Rec 14.47 40.0 5.0 20.0 130.025.0 0.0 0.0 1.00.0 0.0 1.0 0.00.0 0.0 0.0 1.0 1.0 0.0 0.036819 Av fuse uppr arm basilic CMS Rec 13.29 40.0 5.0 20.0 130.035.0 0.0 0.0 0.00.0 0.0 0.5 0.00.0 0.0 0.0 1.0 1.0 0.0 0.036825 Artery-vein autograft Current 15.13 40.0 10.0 20.0 120.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.036825 Artery-vein autograft RUC Rec 15.13 40.0 10.0 20.0 120.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 1.0 2.0 0.0 0.036825 Artery-vein autograft CMS Rec 14.17 40.0 10.0 20.0 120.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.042415 Excise parotid gland/lesion Current 18.12 40.0 12.0 20.0 150.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.042415 Excise parotid gland/lesion RUC Rec 18.12 40.0 12.0 20.0 150.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 1.0 2.0 0.0 0.042415 Excise parotid gland/lesion CMS Rec 17.16 40.0 12.0 20.0 150.0 30.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.042420 Excise parotid gland/lesion Current 21.00 40.0 12.0 20.0 180.0 20.0 0.0 0.0 1.0 1.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.042420 Excise parotid gland/lesion RUC Rec 21.00 40.0 12.0 20.0 180.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 1.0 0.0 1.0 2.0 0.0 0.042420 Excise parotid gland/lesion CMS Rec 19.53 40.0 12.0 20.0 180.0 50.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.043262 Endo cholangiopancreatograph Current 7.38 25.0 0.0 25.0 75.0 28.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.043262 Endo cholangiopancreatograph RUC Rec 7.38 15.0 5.0 5.0 45.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.043262 Endo cholangiopancreatograph CMS Rec7.38 25.0 0.0 25.075.0 28.0 0.0 0.00.0 0.0 0.0 0.00.0 0.0 0.0 0.00.0 0.0 0.0 0.045331 Sigmoidoscopy and biopsy Current 1.15 7.0 0.0 0.0 18.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.045331 Sigmoidoscopy and biopsy RUC Rec 1.15 13.0 1.0 1.0 15.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0CMS-1582-PN 44HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921545331 Sigmoidoscopy and biopsy CMS Rec 1.15 5.0 5.0 5.0 10.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.047563 Laparo cholecystectomy/graph Current 12.11 32.0 0.0 25.0 143.0 29.0 0.0 0.0 0.5 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.5 0.0 0.0 0.047563 Laparo cholecystectomy/graph RUC Rec 12.11 40.0 10.0 15.0 90.0 25.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.047563 Laparo cholecystectomy/graph CMS Rec 11.47 40.0 10.0 15.0 90.0 25.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049507 Prp i/hern init block >5 yr Current 10.05 40.0 3.0 20.0 70.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049507 Prp i/hern init block >5 yr RUC Rec 10.05 40.0 3.0 20.0 70.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 1.0 1.0 0.0 0.049507 Prp i/hern init block >5 yr CMS Rec 9.09 40.0 3.0 20.0 70.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049521 Rerepair ing hernia, blocked Current 12.44 40.0 3.0 20.0 90.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049521 Rerepair ing hernia, blocked RUC Rec 12.44 40.0 3.0 20.0 90.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 1.0 1.0 0.0 0.049521 Rerepair ing hernia, blocked CMS Rec11.48 40.0 3.0 20.0 90.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049587 Rpr umbil hern, block > 5 yr Current 8.04 40.0 3.0 20.0 60.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049587 Rpr umbil hern, block > 5 yr RUC Rec 8.04 40.0 3.0 20.0 60.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 1.0 1.0 0.0 0.049587 Rpr umbil hern, block > 5 yr CMS Rec 7.08 40.0 3.0 20.0 60.040.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049652 Lap vent/abd hernia repair Current 12.88 45.0 15.0 15.0 90.030.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049652 Lap vent/abd hernia repair RUC Rec 12.88 40.0 15.0 15.0 90.030.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 1.0 0.0 0.0 1.0 1.0 0.0 0.049652 Lap vent/abd hernia repair CMS Rec 11.92 40.0 15.0 15.0 90.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049653 Lap vent/abd hern proc comp Current 16.21 45.0 15.0 15.0 120.0 30.0 0.0 0.0 1.0 1.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 1.0 0.0 0.049653 Lap vent/abd hern proc comp RUC Rec 16.2 40.0 15.0 15.0 120.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 2.0 0.0 0.0 2.0 1.0 0.0 0.049653 Lap vent/abd hern proc comp CMS Rec 14.94 40.0 15.0 15.0 120.0 50.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 1.0 0.0 0.049654 Lap inc hernia repair Current 15.03 45.0 15.0 15.0 120.0 30.0 0.0 0.0 1.0 1.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049654 Lap inc hernia repair RUC Rec 15.03 40.0 15.0 15.0 120.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 2.0 0.0 0.0 1.0 1.0 0.0 0.049654 Lap inc hernia repair CMS Rec 13.76 40.0 15.0 15.0 120.0 50.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.049655 Lap inc hern repair comp Current 18.11 50.0 15.0 15.0 150.0 30.0 0.0 0.0 1.0 1.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 1.0 0.0 0.049655 Lap inc hern repair comp RUC Rec 18.11 40.0 15.0 15.0 150.0 30.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 2.0 0.0 0.0 2.0 1.0 0.0 0.049655 Lap inc hern repair comp CMS Rec 16.84 40.0 15.0 15.0 150.0 50.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 1.0 0.0 0.051710 Change of bladder tube Current 1.52 13.0 0.0 0.0 26.0 11.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.051710 Change of bladder tube RUC Rec 1.35 7.0 10.0 0.0 15.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.051710 Change of bladder tube CMS Rec 1.35 7.0 5.0 0.0 15.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0CMS-1582-PN 45HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921552630 Remove prostate regrowth Current 7.73 23.0 0.0 25.0 49.020.0 0.0 0.0 1.5 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 1.5 0.0 0.052630 Remove prostate regrowth RUC Rec 7.73 33.0 5.0 15.0 60.025.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 2.0 1.0 0.0 0.052630 Remove prostate regrowth CMS Rec 6.55 33.0 5.0 15.0 60.0 35.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 2.0 1.0 0.0 0.052649 Prostate laser enucleation Current17.29 70.0 10.0 15.0 180.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.052649 Prostate laser enucleation RUC Rec 15.20 33.0 5.0 15.0 120.0 25.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.052649 Prostate laser enucleation CMS Rec 14.56 33.0 5.0 15.0 120.0 25.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.053440 Male sling procedure Current 15.54 58.0 0.0 0.0 100.0 30.0 0.0 0.0 0.0 2.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 4.0 0.0 0.053440 Male sling procedure RUC Rec 14.00 33.0 7.0 15.0 90.0 22.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.053440 Male sling procedure CMS Rec 13.36 33.0 7.0 15.0 90.0 22.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.060220 Partial removal of thyroid Current 12.37 62.5 0.0 0.0 90.0 25.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 1.0 0.0 0.060220 Partial removal of thyroid RUC Rec 12.37 40.0 12.0 20.0 90.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 2.0 0.0 0.060220 Partial removal of thyroid CMS Rec 11.19 40.0 12.0 20.0 90.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 0.0 2.0 0.0 0.060240 Removal of thyroid Current 16.22 34.0 0.0 25.0 159.0 27.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 1.0 1.0 0.0 0.0 0.060240 Removal of thyroid RUC Rec 16.22 40.0 12.0 20.0 150.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 0.0 2.0 0.0 0.060240 Removal of thyroid CMS Rec 15.04 40.0 12.0 20.0 150.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 0.0 2.0 0.0 0.060500 Explore parathyroid glands Current 16.78 40.0 0.0 25.0 138.0 22.0 0.0 0.0 3.5 0.0 0.0 1.0 0.0 0.0 0.0 0.0 3.0 0.0 0.0 0.060500 Explore parathyroid glands RUC Rec16.78 40.0 12.0 20.0 120.0 30.0 0.0 0.0 1.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.060500 Explore parathyroid glands CMS Rec 15.60 40.0 12.0 20.0 120.0 40.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.063655 Implant neuroelectrodes Current 11.6 33.0 15.0 15.0 90.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.063655 Implant neuroelectrodes RUC Rec 11.56 33.0 15.0 15.0 90.0 20.0 0.0 0.0 0.0 0.0 0.0 1.0 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.063655 Implant neuroelectrodes CMS Rec 10.92 33.0 15.0 15.0 90.0 20.0 0.0 0.0 0.0 0.0 0.0 0.5 0.0 0.0 0.0 0.0 1.0 2.0 0.0 0.078264 Gastric emptying study Current 0.78 0.0 0.0 0.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.078264 Gastric emptying study RUC Rec 0.95 5.0 0.0 0.0 12.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.078264 Gastric emptying study CMS Rec 0.80 5.0 0.0 0.0 12.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.092511 Nasopharyngoscopy Current 0.84 0.0 0.0 0.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.092511 Nasopharyngoscopy RUC Rec 0.61 6.0 0.0 5.0 5.0 5.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.092511 Nasopharyngoscopy CMS Rec 0.61 4.0 0.0 5.0 5.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.092950 Heart/lung resuscitation cpr Current 3.79 1.0 0.0 0.0 51.0 51.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0CMS-1582-PN 46HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921592950 Heart/lung resuscitation cpr RUC Rec 4.50 2.0 1.0 0.0 45.0 30.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.092950 Heart/lung resuscitation cpr CMS Rec 4.00 1.0 1.0 0.0 45.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098925 Osteopathic manipulation Current 0.450.0 0.0 0.0 13.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098925 Osteopathic manipulation RUC Rec 0.502.0 1.0 0.0 10.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098925 Osteopathic manipulation CMS Rec 0.46 1.0 1.0 0.0 10.0 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098926 Osteopathic manipulation Current 0.650.0 0.0 0.0 18.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098926 Osteopathic manipulation RUC Rec 0.752.0 1.0 0.0 15.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098926 Osteopathic manipulation CMS Rec 0.71 1.0 1.0 0.0 15.0 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098927 Osteopathic manipulation Current 0.870.0 0.0 0.0 25.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098927 Osteopathic manipulation RUC Rec 1.002.0 1.0 0.0 20.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098927 Osteopathic manipulation CMS Rec 0.96 1.0 1.0 0.0 20.0 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098928 Osteopathic manipulation Current 1.030.0 0.0 0.0 29.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098928 Osteopathic manipulation RUC Rec 1.252.0 1.0 0.0 25.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098928 Osteopathic manipulation CMS Rec 1.21 1.0 1.0 0.0 25.0 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098929 Osteopathic manipulation Current 1.190.0 0.0 0.0 33.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098929 Osteopathic manipulation RUC Rec 1.502.0 1.0 0.0 30.0 3.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.098929 Osteopathic manipulation CMS Rec 1.46 1.0 1.0 0.0 30.0 2.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099218 Initial observation care Current 1.28 0.0 0.0 0.0 40.0 0.0 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099218 Initial observation care RUC Rec 1.92 10.0 0.0 0.0 30.0 10.0 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099218 Initial observation care CMS Rec 1.28 10.0 0.0 0.0 25.0 10.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099219 Initial observation care Current 2.14 0.0 0.0 0.0 67.0 0.0 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099219 Initial observation care RUC Rec 2.60 10.0 0.0 0.0 40.0 14.5 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099219 Initial observation care CMS Rec 2.14 10.0 0.0 0.0 30.0 14.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099220 Initial observation care Current 2.99 0.0 0.0 0.0 90.0 0.0 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099220 Initial observation care RUC Rec 3.56 15.0 0.0 0.0 45.0 15.0 0.0 0.0 0.0 0.0 0.00.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099220 Initial observation care CMS Rec 2.99 15.0 0.0 0.0 40.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099234 Observ/hosp same date Current 2.56 10.0 0.0 0.0 60.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099234 Observ/hosp same date RUC Rec 2.56 14.0 0.0 0.0 40.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0CMS-1582-PN 47HCPCSCodeShort Descriptor Source Work RVU Pre-Service Evaluation Minutes Pre-Service Positioning Minutes Pre-Service Dress, Scrub, Wait Minutes Intra-Service Minutes Same Day Post-Service Minutes Critical Care, First Hou r 99291 Critical Care, Addl 30 Mins99292 Subsequent Hospital Care99231 Subsequent Hospital Care99232 Subsequent Hospital Care99233 Hospital Discharge Day99238 Hospital Discharge Day99239 Subsequent Observation Care- 99224 Subsequent Observation Care- 99225 Office/Outpatient Visit, Est99211 Office/Outpatient Visit, Est99212 Office/Outpatient Visit, Est99213 Office/Outpatient Visit, Est99214 Office/Outpatient Visit, Est9921599234 Observ/hosp same date CMS Rec 1.92 14.0 0.0 0.0 35.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099235 Observ/hosp same date Current 3.41 10.0 0.0 0.0 75.0 15.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099235 Observ/hosp same date RUC Rec 3.24 14.0 0.0 0.0 50.0 19.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099235 Observ/hosp same date CMS Rec 2.78 14.0 0.0 0.0 40.0 19.5 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099236 Observ/hosp same date Current 4.26 0.0 0.0 0.0 110.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099236 Observ/hosp same date RUC Rec 4.20 19.0 0.0 0.0 55.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.099236 Observ/hosp same date CMS Rec 3.63 19.0 0.0 0.0 50.0 20.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0 0.0

# CMS-1582-PN 48

C. Code-Specific Discussions of Proposed Alternative Work RVUs

1. Drainage of Hematoma

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUCRecommende

d Work RVU CMS

Recommende

d WRVU CMS

Work

RVU

Decision CMS

Refinement

s to Time

10140 Drainage of hematoma/fluid 1.58 1.58 1.58 Agree x

10160 Puncture drainage of lesion 1.25 1.25 1.25 Agree



# In the Fourth Five-Year Review, we iden tified CPT codes 10140 and 10160 as potentially

misvalued through the Harvard-Valued – Utilization > 30,000 screen.

For CPT code 10140 (Incision and drainage of he matoma, seroma or fluid collection), the

AMA RUC reviewed the survey results and determ ined that these data support maintaining the

current work RVU of 1.58 for this service. The AMA RUC believed that the current work RVU

for CPT code 10140 is appropriate and recommended a work RVU of 1.58.

We agree with the AMA RUC-recommende d work RVU for CPT code 10140 and are

proposing a work RVU of 1.58 for CY 2012, with a refinement to the time. We believe the

current pre-service evaluation time of 7 mi nutes is more appropriate than the AMA

RUC-recommended pre-service evaluation tim e of 17 minutes. CPT code 10160 (Puncture

aspiration of abscess, hematoma, bulla, or cyst) has the same description of typical pre-service

evaluation work and an AMA RUC-recommended pre-service evaluation time of 7 minutes.

After clinical review, we believe that 7 minutes accurately reflects th e time required to conduct

the pre-service evaluation work associated with this service. A complete list of CMS time

refinements can be found in Table 6.

2. Wound Repair

# CMS-1582-PN 49

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

WRVU CMS Work

RVU

Decision CMS

Refinements

to Time

12031 Intmd wnd repair s/tr/ext 2.20 2.00 2.00 Agree

12032 Intmd wnd repair s/tr/ext 2.52 2.52 2.52 Agree

12034 Intmd wnd repair s/tr/ext 2.97 2.97 2.97 Agree

12035 Intmd wnd repair s/tr/ext 3.47 3.60 3.50 Disagree

12036 Intmd wnd repair s/tr/e xt 4.09 4.50 4.23 Disagree x

12037 Intmd wnd repair s/tr/ext 4.71 5.25 5.00 Disagree

12041 Intmd wnd repair n-hf/genit 2.42 2.10 2.10 Agree

12042 Intmd wnd repair n-hg/genit 2.79 2.79 2.79 Agree

12044 Intmd wnd repair n-hg/genit 3.19 3.19 3.19 Agree

12045 Intmd wnd repair n-hg/genit 3.68 3.90 3.75 Disagree

12046 Intmd wnd repair n-hg/genit 4.29 4.60 4.30 Disagree x

12047 Intmd wnd repair n-hg/genit 4.69 5.50 4.95 Disagree x

12051 Intmd wnd repair face/ mm 2.52 2.33 2.33 Agree

12052 Intmd wnd repair face/ mm 2.87 2.87 2.87 Agree

12053 Intmd wnd repair face/ mm 3.17 3.17 3.17 Agree

12054 Intmd wnd repair, face/mm 3.50 3.50 3.50 Agree

12055 Intmd wnd repair face/ mm 4.47 4.65 4.50 Disagree x

12056 Intmd wnd repair face/ mm 5.28 5.50 5.30 Disagree x

12057 Intmd wnd repair face/ mm 6.00 6.28 6.00 Disagree x

13100 Repair of wound or lesion 3.17 3.17 3.17 Agree x

13101 Repair of wound or lesion 3.96 3.96 3.96 Agree x



# In the Fourth Five-Year Review, we identified CPT codes 12031, 12051, and 13101 as

potentially misvalued through the Harvard-Valu ed – Utilization > 30,000 screen. CPT codes

12032-12047, 12052-12057, and 13100 were added as part of the family of services for review.

In its review of this set of CPT codes, the AMA RUC determined that the original Harvard

values led to compression within these c ode families, which the AMA RUC recommended

correcting by reducing the relative values for th e smallest wound size repair codes and increasing

the relative values for the la rger wound size repair codes.

In general, the specialty society surveys of physicians furnishing these intermediate

wound repair codes confirmed that the work of pe rforming these services had not changed in the

past 5 years and that the complexity of patie nts requiring the services had also remained

# CMS-1582-PN 50

constant. Despite the survey findings, however , the survey median work RVUs were usually

somewhat higher than the curren t work RVUs for the larger wound size repair codes. For many

of these codes, the AMA RUC recommended the survey median values as the work RVUs for

these wound repair services, despite its comm on recommendation of the survey 25th percentile

values for codes in other families. In those cases discussed below where we disagreed with the

AMA RUC recommendations, we based our propos ed work RVU on the survey 25th percentile

value, which was also usually higher than the cu rrent work RVU for the larger wound size repair

codes. For the smaller wound size repair codes the AMA RUC recommended a lower work

RVU than the current work RVU, and we agreed . In this way, our proposals for the revised

work RVUs for the wound repair codes address concerns about compression in the original

Harvard-valued work RVUs within the family. Our proposed range of work RVUs for

intermediate wound repair codes in various body areas , while not as large as the range that would

have resulted from our adoption of the AMA RU C’s recommendations, nevertheless is greater

than the current range of work RVUs for the variety of wound sizes described by the repair

codes.

For CPT code 12035 (Repair, intermediate, wounds of scalp, axillae, trunk and/or

extremities (excluding hands and feet); 12.6 cm to 20.0 cm), the AMA RUC reviewed the survey

data from physicians who frequently perform this service and determined that the survey median

work RVU appropriately accounts for the work required for this service. The AMA RUC

recommended a work RVU of 3.60 for CPT code 12035.

We disagree with the AMA RUC-recommended work RVU for CPT code 12035 and

believe that the survey 25th percentile value of a work RVU of 3.50 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

# CMS-1582-PN 51

has not changed in the past 5 years (79 percent), a nd that there has been no change in complexity

among the patients requiring this service (82 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service and is consistent with the relativity

adjustments recommended by the AMA RUC. Theref ore, we are proposing an alternative work

RVU of 3.50 for CPT code 12035 for CY 2012.

For CPT code 12036 (Repair, intermediate, wounds of scalp, axillae, trunk and/or

extremities (excluding hands and feet); 20.1 cm to 30.0 cm), the AMA RUC reviewed the survey

data from physicians who frequently perform this service and determined that the survey median

work RVU appropriately accounts for the work required for this service. The AMA RUC

recommended a work RVU of 4.50 for CPT code 12036.

We disagree with the AMA RUC-recommended work RVU for CPT code 12036 and

believe that the survey 25th percentile value of a work RVU of 4.23 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

has not changed in the past 5 years (81 percent), a nd that there has been no change in complexity

among the patients requiring this service (84 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service and is consistent with the relativity

adjustments recommended by the AMA RUC. We are proposing an alte rnative work RVU of

4.23 for CPT code 12036 for CY 2012.

In addition to the work RVU adjustment for CPT code 12036, we are refining the time

associated with this code. We find an intra-service tim e of 70 minutes, the survey median, to be

more appropriate than the AM A RUC-recommended intra-service time of 75 minutes. Per the

survey, this time correctly captures the intra-serv ice time differential between this CPT code and

the key reference code. After c linical review, we believe that 70 minutes accurately reflects the

# CMS-1582-PN 52

time required to conduct the intra-service work associ ated with this service. A complete list of

CMS time refinements can be found in Table 6.

For CPT code 12037 (Repair, intermediate, wounds of scalp, axillae, trunk and/or

extremities (excluding hands and feet); over 30.0 cm), the AMA RUC reviewed the survey data

from physicians who frequently perform this se rvice and determined that the survey median

work RVU appropriately accounts for the work required for this service. The AMA RUC

recommended a work RVU of 5.25 for CPT code 12037.

We disagree with the AMA RUC-recommended work RVU for CPT code 12037 and

believe that the survey 25th percentile value of a work RVU of 5.00 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

has not changed in the past 5 years (81 percent), a nd that there has been no change in complexity

among the patients requiring this service (83 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service and is consistent with the relativity

adjustments recommended by the AMA RUC. Theref ore, we are proposing an alternative work

RVU of 5.00 for CPT code 12037 for CY 2012.

For CPT code 12045 (Repair, intermediate, w ounds of neck, hands, feet and/or external

genitalia; 12.6 cm to 20.0 cm), the AMA RUC re viewed the survey data from physicians who

frequently perform this service and determined that the survey median work RVU appropriately

accounts for the physician work required for this service. The AMA RUC recommended a work

RVU of 3.90 for CPT code 12045.

We disagree with the AMA RUC-recommended work RVU for CPT code 12045 and

believe that the survey 25th percentile value of a work RVU of 3.75 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

# CMS-1582-PN 53

has not changed in the past 5 years (80 percent), a nd that there has been no change in complexity

among the patients requiring this service (80 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service and is consistent with the relativity

adjustments recommended by the AMA RUC. Theref ore, we are proposing an alternative work

RVU of 3.75 for CPT code 12045 for CY 2012.

For CPT code 12046 (Repair, intermediate, wounds of neck, hands, feet and/or external

genitalia; 20.1 cm to 30.0 cm), the AMA RUC re viewed the survey data from physicians who

frequently perform this service and determined that the survey median work RVU appropriately

accounts for the work required for this servi ce. The AMA RUC recommended a work RVU of

4.60 for CPT code 12046.

We disagree with the AMA RUC-recommended work RVU for CPT code 12046 and

believe that the survey 25th percentile value of a work RVU of 4.30 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

has not changed in the past 5 years (79 percent), a nd that there has been no change in complexity

among the patients requiring this service (79 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service. Therefore, we are proposing an

alternative work RVU of 4.30 fo r CPT code 12046 for CY 2012.

In addition to the work RVU adjustment for CPT code 12046, we are refining the time

associated with this code. This service is typically performed on the same day as an E/M visit.

We believe some of the activ ities conducted during the pre- and post-service times of the

procedure code and the E/M visi t overlap and, therefore, shou ld not be counted twice in

developing the procedure’s work value. As descri bed in section II.A. of this proposed notice, to

account for this overlap, we reduced the pr e-service evaluation and post-service time by

# CMS-1582-PN 54

one-third. We believe that 9 mi nutes pre-service evaluation time and 9 minutes post-service time

accurately reflect the time required to conduct the work associated with this service. A complete

list of CMS time refinements can be found in Table 6.

For CPT code 12047 (Repair, intermediate, wounds of neck, hands, feet and/or external

genitalia; over 30.0 cm) the AMA RUC reviewed the survey data from physicians who

frequently perform this service and determined the survey median work RVU appropriately

accounts for the work required for this servi ce. The AMA RUC recommended a work RVU of

5.50 for CPT code 12046.

We disagree with the AMA RUC-recommended work RVU for CPT code 12047 and

believe that the survey 25th percentile value of a work RVU of 4.95 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

has not changed in the past 5 years (79 percent), a nd that there has been no change in complexity

among the patients requiring this service (79 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service. Therefore, we are proposing an

alternative work RVU of 4.95 fo r CPT code 12047 for CY 2012.

In addition to the work RVU adjustment for CPT code 12047, we are refining the time

associated with this code. R ecent Medicare PFS claims data show that this service typically is

performed on the same day as an E/M visit. We believe some of the activities conducted during

the pre- and post-service times of the procedure code and the E/ M visit overlap and, therefore,

should not be counted twice in de veloping the procedure’s work valu e. As described in section

II.A. of this proposed notice, to account for this overlap, we reduced the pre-service evaluation

and post service time by one-third. We believe that 9 minut es pre-service evaluation time and

10 minutes post-service time accurately reflect th e time required to conduct the work associated

# CMS-1582-PN 55

with this service. A complete list of CMS time refinements can be found in Table 6.

For CPT code 12055 (Repair, intermediate, w ounds of face, ears, eyelids, nose, lips

and/or mucous membranes; 12.6 cm to 20.0 cm), the AMA RUC reviewed the survey data from

physicians who frequently perform this service and determined that the survey median work

RVU appropriately accounts for the work require d to perform this service. The AMA RUC

recommended a work RVU of 4.65 for CPT code 12055.

We disagree with the AMA RUC-recommended work RVU for CPT code 12055 and

believe that the survey 25th percentile value of a work RVU of 4.50 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

has not changed in the past 5 years (79 percent), a nd that there has been no change in complexity

among the patients requiring this service (79 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service. Therefore, we are proposing an

alternative work RVU of 4.50 for CPT code 12055 for CY 2012.

In addition to the work RVU adjustment for CPT code 12055, we are refining the time

associated with this code. We find an intra-se rvice time of 60 minutes, the survey median and

intra-service time of the key reference code , to be more appropriate than the AMA

RUC-recommended intra-service ti me of 70 minutes. After clini cal review, we believe that

60 minutes accurately reflects the time required to conduct the intra- service work associated with

this service. A complete list of CMS tim e refinements can be found in Table 6.

For CPT code 12056 (Repair, intermediate, w ounds of face, ears, eyelids, nose, lips

and/or mucous membranes; 20.1 cm to 30.0 cm), the AMA RUC reviewed the survey data from

physicians who frequently perform this service and determined that the survey median work

RVU appropriately accounts for the work require d to perform this service. The AMA RUC

# CMS-1582-PN 56

recommended a work RVU of 5.50 for CPT code 12056.

We disagree with the AMA RUC-recommended work RVU for CPT code 12056 and

believe that the survey 25th percentile value of a work RVU of 5.30 is mo re appropriate for this

service. The majority of surv ey respondents indicated that the work of performing this service

has not changed in the past 5 years (80 percent), a nd that there has been no change in complexity

among the patients requiring this service (81 percent). We believe that the survey 25th percentile

value accurately reflects the work associated with this service. Therefore, we are proposing an

alternative work RVU of 5.30 for CPT code 12056 for CY 2012.

In addition to the work RVU adjustment for CPT code 12056, we are refining the time

associated with this code. We find an intra-service tim e of 70 minutes, the survey median, to be

more appropriate than the AMA RUC-recomme nded intra-service time of 85 minutes. After

clinical review, we believe that 70 minutes accura tely reflects the time required to conduct the

intra-service work associated with this service. A complete list of CMS time refinements can be

found in Table 6.

For CPT code 12057 (Repair, intermediate, w ounds of face, ears, eyelids, nose, lips

and/or mucous membranes; over 30.0 cm), the AMA RUC reviewed the survey data from

physicians who frequently perform this service and determined that the survey median work

RVU appropriately accounts for the work require d to perform this service. The AMA RUC

recommended a work RVU of 6.28 for CPT code 12057.

We disagree with the AMA RUC-recommended work RVU for CPT code 12057 and

believe that the survey 25th percentile value of a work RVU of 6.00 (the current value) is more

appropriate for this service. The majority of survey respondents indicat ed that the work of

performing this service has not changed in the past 5 years (80 percent), an d that there has been

# CMS-1582-PN 57

no change in complexity among the patients requiring this service (81 percent). We believe that

the survey 25th percentile value accurately reflects the work associated with this service.

Therefore, we are proposing an alternative work RVU of 6.00 for CPT code 12057 for CY 2012.

In addition to the work RVU adjustment for CPT code 12057, we are refining the time

associated with this code. We find an intra-service tim e of 90 minutes, the survey median, to be

more appropriate than the AMA RUC-recommende d intra-service time of 100 minutes. After

clinical review, we believe that 90 minutes accura tely reflects the time required to conduct the

intra-service work associated with this service. A complete list of CMS time refinements can be

found in Table 6.

For CPT code 13100 (Repair, complex, tr unk; 1.1 cm to 2.5 cm), the AMA RUC

reviewed the survey data from physicians who fr equently perform this service and agreed that

the current work RVU of 3.17 maintains the appropr iate relativity for this service. The AMA

RUC recommended a work R VU of 3.17 for CPT code 13100.

We note that the AMA RUC reviewed only two CPT codes in the complex wound repair

family. While at this time we agree with the AMA RUC-recommended work RVU for CPT

code 13100 and are proposing a work RVU of 3.17 for CY 2012, with a refinement to time, we

request that, in order to ensure consistency, the AMA RUC review th e entire set of codes in this

family and assess the appropriate gradation of the work RVUs in this family. The majority of

survey respondents indicated that the work of performing this serv ice has not changed in the past

5 years (89 percent), and that there has been no change in complexity among the patients

requiring this service (79 percent). We believe at this time that the current work RVU (3.17) and

current times accurately reflect the service.

For CPT code 13101 (Repair, complex, tr unk; 2.6 cm to 7.5 cm), the AMA RUC

# CMS-1582-PN 58

reviewed the survey data from physicians who fr equently perform this service and determined

that the current work RVU of 3.96 maintains the appropriate relativity for this service. The

AMA RUC recommended a work RVU of 3.96 for CPT code 13101. As we noted previously

for the other complex wound code, at this tim e we agree with the AMA RUC-recommended

work RVU for CPT code 13101 and are proposin g a work RVU of 3.96 for CY 2012, with a

refinement to time; however, we request that the AMA RUC review the entire set of codes in this

family. The majority of survey respondents indi cated that the work of performing this service

has not changed in the past 5 years (94 percent), a nd that there has been no change in complexity

among the patients requiring this service (79 percen t). We believe that the current work RVU

(3.96) and current times accurately reflect the service.

We are proposing to accept the values for CPT codes 13100 and 13101 on an interim

basis only, as we appreciate th at the AMA RUC reviewed only two CPT codes in the complex

wound repair family. We request that, in order to ensure consistency a nd appropriate gradation

in value of work, the AMA RUC review all of the codes in this family. Specifically, we request

that the AMA RUC review the remaining codes in the complex wound repair family for CY

2013, and we would maintain the values fo r CPT codes 13100 and 13101 interim for CY 2012

while the AMA RUC completes its review of other codes in the family. For CY 2013, the

revised work RVUs for all codes examined by the AMA RUC in the complex wound repair

family, including CPT codes 13100 and 13101, would be included as interim final work RVUs in

the CY 2013 PFS final rule with comment period, a nd their values would ultimately be finalized

for CY 2014.

3. Skin Grafts

# CMS-1582-PN 59

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommende

d Work RVU CMS

Work

RVU

Decision CMS

Refinement

s to Time

15120 Skn splt a-grft fac/nck/hf/g 11.16 10.15 10.15 Agree

15121 Skn splt a-grft f/n/hf/g add 2.67 2.00 2.00 Agree

15260 Skin full graft een & lips 11.64 11.64 11.64 Agree

15732 Muscle-skin graft, head/neck 19.90 19.83 16.38 Disagree x



# In the Fourth Five-Year Review, we iden tified CPT codes 15120 and 15732 as potentially

misvalued through the Site-of-Service Anomaly screen. CPT code 15121 was added as part of

the family of services for AMA RUC review. In addition, we identified CPT code 15260 as

potentially misvalued through the Harvard- Valued – Utilization > 30,000 screen.

For CPT code 15732 (Muscle, myocutaneous, or fasciocutaneous flap; head and neck (eg,

temporalis, masseter muscle, sternocleidomasto id, levator scapulae)) the AMA RUC reviewed

the survey results from physicians who frequen tly perform this servi ce and recommended that

this service be valued as a serv ice performed predominately in the facility setting, as the survey

data indicated that a majority of patients have an overnight stay. We note that it is unclear

whether respondents were offered the option to stat e that the typical pati ent is in the hospital

more than 24 hours, but not admitted as a hospi tal inpatient. The AMA RUC believes that this

service should not be performed in the outpati ent setting and that miscoding is the reason the

Medicare utilization data reflect outpatient settings as the dominant place of service for this code.

The AMA RUC and the surveyed specialties agreed that additional coding education needs to

take place.

The AMA RUC analyzed the survey’s estima ted physician work and agreed that these

data support the median work RVU of 19.83, for this service, which is slightly less than the

current value of 19.90. The AMA RUC recomme nded a work RVU of 19.83 for CPT code

# CMS-1582-PN 60

15732.

We disagree with the AMA RUC-recommended work RVU for CPT code 15732 and

believe that an alternative work RVU of 16.38 is mo re appropriate for this service. We are also

refining the time associated w ith this code. Although survey respondents and the AMA RUC

indicated that patients receiving this service are typically adm itted for more than 24 hours, the

most recent Medicare PFS claims data s how that CPT code 15732 is a code with a

Site-of-Service anomaly. Upon review, it is clear that this code is bei ng billed for services

furnished to hospital outpatients, and we have no reason to believe that miscoding is the main

reason that outpatient settings are the dominant place of service for this code in historical PFS

claims data. Therefore, in accordance with the policy discussed in section II.A. of this proposed

notice, we removed the inpatient hospital visit, reduced the discharge day management service to

one-half, and adjusted times. These adjust ments resulted in a work RVU of 16.38. We

understand the AMA RUC’s assertion that claims data indicating that this se rvice is performed in

an outpatient setting is the result of miscoding but, until the claims data i ndicate that this service

typically is performed in the i npatient setting (greater than 50 percent), we believe it is

inappropriate for the service to be valued incl uding inpatient E/M buildin g blocks. Therefore,

we are proposing an alternat ive work RVU of 16.38 for CPT code 15732 for CY 2012, with

refinements to the time. We will continue to mon itor Site-of-Service utilization for this code and

may consider reviewing the work RVU for this co de again in the future if utilization patterns

change. A complete list of CMS time refinement s can be found in Table 6.

4. Destruction of Skin Lesions

# CMS-1582-PN 61

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

17260 Destruction of skin lesions 0.96 0.96 0.96 Agree

17261 Destruction of skin lesions 1.22 1.22 1.22 Agree

17262 Destruction of skin lesions 1.63 1.63 1.63 Agree

17263 Destruction of skin lesions 1.84 1.84 1.84 Agree

17264 Destruction of skin lesions 1.99 1.99 1.99 Agree

17266 Destruction of skin lesions 2.39 2.39 2.39 Agree

17270 Destruction of skin lesions 1.37 1.37 1.37 Agree x

17271 Destruction of skin lesions 1.54 1.54 1.54 Agree x

17272 Destruction of skin lesions 1.82 1.82 1.82 Agree

17273 Destruction of skin lesions 2.10 2.10 2.10 Agree

17274 Destruction of skin lesions 2.64 2.64 2.64 Agree x

17276 Destruction of skin lesions 3.25 3.25 3.25 Agree

17280 Destruction of skin lesions 1.22 1.22 1.22 Agree

17281 Destruction of skin lesions 1.77 1.77 1.77 Agree

17282 Destruction of skin lesions 2.09 2.09 2.09 Agree

17283 Destruction of skin lesions 2.69 2.69 2.69 Agree

17284 Destruction of skin lesions 3.26 3.20 3.20 Agree

17286 Destruction of skin lesions 4.48 4.48 4.48 Agree



# In the Fourth Five-Year Review, we identified CPT codes 17271, 17272 and 17280 as

potentially misvalued through the Harvard-Valued - Utilization > 30,000 screen. The dominant

specialty for this family---dermatology---identifi ed several other codes in the family to be

reviewed concurrently with these services and submitted to the AMA RUC recommendations for

CPT codes 17260 through 17286. The AMA RUC determined that, with the exception of one

CPT code 17284, the survey data validated the curre nt values of the destruction of skin lesion

services. We agreed with this assessment , with a few refinements to physician time.

For CPT code 17270 (Destruction, malignant le sion (eg, laser surgery, electrosurgery,

cryosurgery, chemosurgery, surgical curettemen t), scalp, neck, hands, feet, genitalia; lesion

diameter 0.5 cm or less), the AMA RUC review ed the survey results from physicians who

frequently perform this service. The AMA RUC noted that the speci alty did not provide

# CMS-1582-PN 62

compelling evidence to change the current value of the service; therefore, the AMA RUC agreed

that the survey data support the current valu e of this service. The AMA RUC recommended a

work RVU of 1.37 for CPT code 17270.

As stated above, we agree with the AMA RUC-recommended work RVU for CPT code

17270 and are proposing a work RVU of 1.37 for CY 2012, with a refinement to the physician

time. After clinical review, we believe that an intra-service time of 16 minutes, the survey

median, accurately reflects the time required to conduct the intra-service work associated with

this service. A complete list of CMS time refinements can be found in Table 6.

For CPT code 17271 (Destruction, malignant le sion (eg, laser surgery, electrosurgery,

cryosurgery, chemosurgery, surgical curettemen t), scalp, neck, hands, feet, genitalia; lesion

diameter 0.6 to 1.0 cm) the AMA RUC reviewed the survey results from physicians who

frequently perform this service. The AMA RUC noted that the speci alty did not provide

compelling evidence to change the current value of the service; therefore, the AMA RUC agreed

that the survey data support the current valu e of this service. The AMA RUC recommended a

work RVU of 1.54 for CPT code 17271.

As previously stated, we agree with th e AMA RUC-recommended work RVU for CPT

code 17271 and are proposing a work RVU of 1. 54 for CY 2012, with a refinement to the

physician time. After clinical review, we believe that 18 minutes, the survey median, accurately

reflects the time required to conduc t the intra-service work associ ated with this service. A

complete list of CMS time refinements can be found in Table 6.

For CPT code 17274 (Destruction, malignant le sion (eg, laser surgery, electrosurgery,

cryosurgery, chemosurgery, surgical curettemen t), scalp, neck, hands, feet, genitalia; lesion

diameter 3.1 to 4.0 cm), the AMA RUC reviewed the survey results from physicians who

# CMS-1582-PN 63

frequently perform this service. The AMA RUC noted that the speci alty did not provide

compelling evidence to change the current value of the service; therefore, the AMA RUC agreed

that the survey data support the current valu e of this service. The AMA RUC recommended a

work RVU of 2.64 for CPT code 17274.

As stated above, we agree with the AMA RUC-recommended work RVU for CPT code

17274 and are proposing a work RVU of 2.64 for CY 2012, with a refinement to the physician

time. After clinical review, we believe that 33 minutes, the survey median, accurately reflects

the time required to conduct the intra-service work associated with this service. A complete list

of CMS time refinements can be found in Table 6.

5. Partial Mastectomy

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

WRVU CMS

Work

RVU

Decision CMS

Refinements

to Time

19302 P-mastectomy w/ln removal 13.99 13.99 13.87 Disagree



# In the Fourth Five-Year Review, we identi fied CPT code 19302 as potentially misvalued

through the Site-of-Service Anomaly screen.

For CPT code 19302 (Mastectomy, partial (e g, lumpectomy, tylectomy, quadrantectomy,

segmentectomy); with axillary lymphadenectomy) , the AMA RUC reviewed the survey results

and determined that the current work relative va lue for CPT code 19302 appropriately places this

service relative to other similar servi ces, specifically CP T code 38745 (Axillary

lymphadenectomy; complete) (work RVU = 13.87) which has similar work intensity and time.

The AMA RUC recommended a work RVU of 13.99 for CPT code 19302.

We disagree with the AMA RUC-recommended work RVU for CPT code 19302 and

# CMS-1582-PN 64

believe that a work RVU of 13.87 is more appropriat e for this service. Af ter clinical review, we

agree with the AMA RUC that CPT code 19302 is similar in work intensity and time to CPT

code 38745 (Axillary lymphadenectomy; co mplete) (work RVU = 13.87), which overlaps

significantly with CPT code 19302, and as such, we believe these two procedures should have

the same work RVU. Therefor e, we are proposing an alternat ive work RVU of 13.87 for CPT

code 19302 for CY 2012.

6. Percutaneous Vert ebroplasty/Kyphoplasty

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

WRVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

22520 Percut vertebroplasty thor 9.22 9.22 9.22 Agree

22521 Percut vertebroplasty lumb 8.65 8.65 8.01 Disagree

22522 Percut vertebroplasty addl 4.30 4.30 4.30 Agree

22523 Percut kyphoplasty, thor 9.26 9.26 8.62 Disagree

22524 Percut kyphoplasty, lumbar 8.86 8.86 8.22 Disagree

22525 Percut kyphoplasty, add-on 4.47 4.47 4.47 Agree



# In the Fourth Five-Year Review, we identi fied CPT codes 22521 as potentially misvalued

through the Site-of-Service Anomaly screen. CPT codes 22520, 22522, 22523, 22524 and 22525

were added as part of the family of services for AMA RUC review.

CPT codes: 22521 (Percutaneous vertebroplast y, 1 vertebral body, unila teral or bilateral

injection; lumbar); 22523 (Percutaneous vert ebral augmentation, incl uding cavity creation

(fracture reduction and bone biopsy included wh en performed) using mechanical device, 1

vertebral body, unilateral or bilateral cannulation (eg, kyphopla sty); thoracic); and 22524

(Percutaneous vertebral augmen tation, including cavity creati on (fracture reduction and bone

biopsy included when performed) using mechan ical device, 1 verteb ral body, unilateral or

bilateral cannulation (eg, kyphoplasty); lumbar) currently include one full discharge management

# CMS-1582-PN 65

day, a CPT code building block usua lly only appropriate for codes th at are typically performed in

the inpatient setting. As these CPT codes are typically performe d in the outpatient setting, the

AMA RUC recommended, and we agree, that the discharge management day should be reduced

by half. After reviewing the recent history of valu ing these codes, the AMA RUC asserted that it

believes that an inadvertent cl erical error led to these c odes showing one full discharge

management day in the documentation of their E/M blocks, rather than a half day, and that these

codes are actually currently va lued using only half a day bl ock. As such, the AMA RUC

concluded that the current work RVU for thes e codes should not be reduced to reflect the

removal of the half discharge day. The AMA RUC recommended maintaining the current work

RVU for the 6 CPT codes reviewed in this family.

After reviewing the documentation the AM A RUC provided and CMS records from

when the codes were last valued, we do not find compelling evidence that previously these codes

were valued to include only a half discharge management day. To the contrary, it appears as

though the codes were previously surveyed with one full discharge management day. According

to our established policy, we be lieve it would be a ppropriate to reduce the work RVU for these

codes by the value of the half discharge mana gement day and, therefore, we are removing 0.64

of a work RVU from each code. Therefore, we are proposing an alternative work RVU of 8.01

for CPT code 22521, 8.62 for CPT code 22523, and 8.22 for CPT code 22524 for CY 2012.

7. Closed Treatment of Distal Radial Fracture

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

25600 Treat fracture radius/ulna 2.78 2.78 2.64 Disagree x

25605 Treat fracture radius/ulna 7.25 6.50 6.00 Disagree x

# CMS-1582-PN 66

In the Fourth Five-Year Review, we iden tified CPT codes 25600 and 25605 as potentially

misvalued through the Harvard-Valued - Utilization > 30,000 screen.

For CPT code 25600 (Closed treatment of distal radial fracture (eg, Colles or Smith type)

or epiphyseal separation, includes closed treatmen t of fracture of ulnar st yloid, when performed;

without manipulation), the AMA RUC reviewed the survey results from physicians who

frequently perform this service. The AMA RU C reviewed the number of post-operative visits

recommended by the specialties and agreed that they were reflec tive of the service. The AMA

RUC believes that the survey data support the cu rrent value of this se rvice, and recommended a

work RVU of 2.78 for CPT code 25600.

We disagree with the AMA RUC-recommended work RVU for CPT code 25600 and

believe that a work RVU of 2.64 is more appropri ate for this service. We agree with the AMA

RUC that CPT code 25600 requires more work than key reference CPT code 26600, and find

that CPT code 27767 (Closed treatment of posteri or malleolus fracture; without manipulation)

(work RVU = 2.64) is similar in complexity and intensity to CPT code 25600. Therefore, we are

proposing an alternative work RVU of 2.64 for CPT code 25600 for CY 2012.

In addition to the work RVU adjustment for CPT code 25600, we are refining the time

associated with this code. This service typically is performed on the same day as an E/M visit.

We believe some of the activ ities conducted during the pre- and post-service times of the

procedure code and the E/M visi t overlap and, therefore, shou ld not be counted twice in

developing the procedure’s work value. As desc ribed earlier, to accoun t for this overlap, we

reduced the pre-service eval uation and post service time by one-third. We believe that 5 minutes

pre-service evaluation time and 7 minutes post-se rvice time accurately reflect the time required

to conduct the work associated w ith this service. A complete list of CMS time refinements can

# CMS-1582-PN 67

be found in Table 6.

For CPT code 25605 (Closed treatment of distal radial fracture (eg, Colles or Smith type)

or epiphyseal separation, includes closed treatmen t of fracture of ulnar st yloid, when performed;

with manipulation), the AMA RUC reviewed the survey results fr om physicians who frequently

perform this service. The AMA RUC revi ewed the number of post-operative visits

recommended by the specialties and determined that they are reflective of the service. Based on

comparisons to similar codes, the AMA RUC determined that a work RVU of 6.50, the survey’s

25th percentile, accurately refl ects the work required to perfor m this service. The AMA RUC

recommended a work RVU of 6.50 for CPT code 25605.

We disagree with the AMA RUC-recommended work RVU for CPT code 25605 and

believe that the survey low value of a work RVU of 6.00 is more appropriat e for this service.

We find CPT code 28113 (Ostectomy, complete exci sion; fifth metatarsal head) (work RVU =

6.11) to be similar in intensity and comp lexity to CPT code 25605, though CPT code 28113

includes higher intensity office visits than CP T code 25605. Therefore, we believe the survey

low correctly reflects relativity ac ross these services, and are proposing an alternative work RVU

of 6.00 for CPT code 25605 for CY 2012.

In addition to the work RVU adjustment for CPT code 25605, we are refining the time

associated with this code. R ecent Medicare PFS claims data show that this service is typically

performed on the same day as an E/M visit. We believe some of the activities conducted during

the pre- and post-service times of the procedure code and the E/ M visit overlap and, therefore,

should not be counted twice in developing th e procedure’s work value. In its time

recommendations to us, the AMA RUC accounted for duplicate E/M work associated with the

pre-service period, but not the post- service period. To account for this post-service overlap, we

# CMS-1582-PN 68

reduced the post-service time by one -third, a methodology described in detail in section II.A. of

this proposed notice. We believe that 13 minut es post-service time accurately reflect the time

required to conduct the work associated with this service. A complete list of CMS time

refinements can be found in Table 6.

8. Orthopaedic Surgery – Thigh/Knee

CPT

Code Short Descriptor CY 2011

Work RVU AMA RUC

Recommended

Work RVU CMS

Recommended

WRVU CMS

Work

RVU

Decision CMS

Refinements

to Time

27385 Repair of thigh muscle 8.11 8.11 6.93 Disagree x

27530 Treat knee fracture 4.09 2.81 2.65 Disagree x



# In the Fourth Five-Year Review, we iden tified CPT codes 27385 and 27530 as potentially

misvalued through the Site-of-Service Anomaly screen.

For CPT code 27385 (Suture of quadriceps or hamstring muscle rupture; primary), the

AMA RUC reviewed the survey results from physic ians who frequently perform this service and

determined that there was no compelling evidence that the work required to perform this service

has changed. The AMA RUC recommended that th is service be valued as a service performed

predominately in the facility setting, as the survey data indicated that half of patients have an

overnight stay. The AMA RUC recommende d a work RVU of 8.11 for CPT code 27385.

We disagree with the AMA RUC-recomme nded work RVU of 8.11 for CPT code 27385

and believe that a work RVU of 6.93 is more appr opriate for this service. We are also refining

the time associated with this code. We note th e data survey indicate th at of those respondents

who stated that they typically perform the procedure in the hosp ital, 19 percent (6 out of 32)

stated that the patient is "discharged the same da y," 31 percent (10 out of 32) stated the patient is

"kept overnight (less than 24 hours)," and 50 percen t (16 out of 32) stated the patient is "admitted

# CMS-1582-PN 69

(more than 24 hours)." These responses make no di stinction between the patient’s status as an

inpatient or outpatient of the hospital for stays of longer than 24 hours. As indicated by the most

recent Medicare PFS claims data, CPT code 27385 is a code with a Site-of-Service anomaly

since more than 50 percent of the Medicare utiliza tion is not inpatient. Th erefore, in accordance

with the policy discussed in section II.A. of th is proposed notice, we removed the hospital visit,

reduced the discharge day manageme nt service to one-half, and adjusted times. As a result, we

are proposing an alternative wo rk RVU of 6.93 with refinements to the time for CPT code 27385

for CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 27530 (Closed treatment of tibia l fracture, proximal (plateau); without

manipulation), the AMA RUC reviewed the survey responses from 33 (of 200 surveyed)

physicians. Based on comparisons to refere nce codes, the AMA RUC recommended a work

RVU of 2.81 for CPT code 27530.

We disagree with the AMA RUC-recommended work RVU for CPT code 27530 and

believe that a work RVU of 2.65 is more appropriat e for this service. We are also refining the

time associated with this code. Recent Medicare PFS claims data show that th is service is

typically performed on the same day as an E/M visit. We believe some of the activities

conducted during the pre- and post-service times of the procedure code and the E/M visit overlap

and, therefore, should not be c ounted twice in developing the pr ocedure’s work value. As

described earlier in section II.A. of this proposed notice, to account for this overlap, we reduced

the pre-service evaluation and post service time by one-third. We believe that 5 minutes

pre-service evaluation time and 7 minutes post-se rvice time accurately reflect the time required

to conduct the work associated with this service. We also removed the 2 minutes of pre-service

positioning time, as it does not appear from the vignette that positioning is required for a non-

# CMS-1582-PN 70

manipulated extremity.

In order to determine the appropriate work RVU for this service given the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU. For CPT code 27530, we removed a total of 7 minutes from the

AMA RUC-recommended pre- and post-service tim e, which amounts to the removal of 0.16 of a

work RVU. Therefore, we are proposing an a lternative work RVU of 2.6 5 with refinement in

time for CPT code 27530 for CY 2012. A complete list of CMS time refinements can be found

in Table 6. Additionally, we recommend that the AMA RUC examine all of the

non-manipulation fracture codes to determine if positioning time was incorporated into the work

RVU for the codes and, if so, whether the need for positioning time was documented.

9. Treatment of Ankle Fracture

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

27792 Treatment of ankle fracture 9.71 9.71 8.75 Disagree x



# In the Fourth Five-Year Review, we identi fied CPT code 27792 (Open treatment of distal

fibular fracture (lateral malleol us), includes internal fixation, when performed) as potentially

misvalued through the Site-of-Service Anomaly screen. For CPT code 27792, the AMA RUC

used magnitude estimation and recommended that th e current value of this service, 9.71 RVUs,

be maintained, and replaced the current inpatien t hospital E/M visit block with a subsequent

observation care service while maintaining a fu ll discharge day management service.

We disagree with the AMA RUC-recomme nded work RVU of 9.71 for CPT code 27792.

The AMA RUC indicated in its summary of r ecommendations that the survey data show

# CMS-1582-PN 71

100 percent (53 out of 53) of survey respondent s stated they perform the procedure "in the

hospital." Of those respondents who stated that they typically perfor m the procedure in the

hospital, 42 percent (22 out of 53) stated that the patient is "discharged the same day," 44 percent

(23 out of 53) stated the patient is "kept overnight (le ss than 24 hours)," and 13 percent (7 out of

53) stated the patient is "admitted (more than 24 hours)." These responses make no distinction

between the patient’s status as an inpatient or outpatient of the hospital for stays of longer than

24 hours. As indicated by the most recent Medi care PFS claims data, CPT code 27792 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we removed the su bsequent observation care service, reduced the

discharge day management service to one-half, and adjusted times. As a result, we are proposing

an alternative work RVU of 8.75 with refineme nts to the time for CPT code 27792 for CY 2012.

A complete list of CMS time refinements can be found in Table 6.

10. Orthopaedic Surgery/Podiatry

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

28002 Treatment of foot infection 5.93 5.34 4.00 Disagree

28003 Treatment of foot infection 9.06 9.06 9.06 Agree

28120 Part removal of ankle/heel 8.27 8.27 7.31 Disagree x

28122 Partial removal of foot bone 7.72 7.72 6.76 Disagree x

28285 Repair of hammertoe 4.76 5.62 4.76 Disagree

28715 Fusion of foot bones 14.60 14.60 13.42 Disagree x

28820 Amputation of toe 5.00 7.00 5.82 Disagree x

28825 Partial amputation of toe 6.01 6.01 5.37 Disagree x



# In the Fourth Five-Year Review, we identified CPT codes 28002, 28120, 28122, 28715,

28820, and 28825 as potentially misvalued through th e Site-of-Service Anomaly screen. CPT

code 28003 was added as part of the family of services for AMA RUC review. CMS also

# CMS-1582-PN 72

identified CPT code 28285 as potentially misval ued through the Harvard-Valued - Utilization >

30,000 screen.

For CPT code 28002 (Incision and drainage belo w fascia, with or without tendon sheath

involvement, foot; single bursal space), the AM A RUC reviewed the survey responses and

determined that CPT code 28002 should be decrease d to the survey 25th percentile work RVU.

The AMA RUC recommended a work RVU of 5.34 for CPT code 28002.

We disagree with the AMA RUC-recommended work RVU for CPT code 28002 and

believe that the survey low value of a work RVU of 4.00 is more appropriat e for this service.

We find CPT code 28002 to be closer to the complexity and intensity of CPT code 58353

(Endometrial ablation, thermal, without hysteroscopic guidance) (work RVU = 3.60) which has

similar times and lower-level visits to CPT c ode 28002. We believe that the survey low value

accurately reflects the work associ ated with this service and ar e proposing an alternative work

RVU of 4.00 for CPT code 28002 for CY 2012.

For CPT code 28120 (Partial excision (crateri zation, saucerization, sequestrectomy, or

diaphysectomy) bone (eg, osteomyelitis or bossing); talus or calcaneus), the AMA RUC used

magnitude estimation, recommended that the curre nt work RVU of 8.27 for this service be

maintained, and replaced the current inpatient hospital E/M visit block with a subsequent

observation care service while maintaining a fu ll discharge day management service.

We disagree with the AMA RUC-recomme nded work RVU of 8.27 for CPT code 28120.

The AMA RUC indicated in its summary of r ecommendations that the survey data show

87 percent (45 out of 52) of survey respondent s stated they perform the procedure "in the

hospital." Of those respondents who stated that they typically perfor m the procedure in the

hospital, 16 percent (7 out of 45) stated that the patient is "dis charged the same day," 18 percent

# CMS-1582-PN 73

(8 out of 45) stated the patient is "kept overnight (less than 24 hours)," and 67 percent (30 out of

45) stated the patient is "admitted (more than 24 hours)." These responses make no distinction

between the patient’s status as an inpatient or outpatient of the hospital for stays of longer than

24 hours. As indicated by the most recent Medi care PFS claims data, CPT code 28120 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we removed the su bsequent observation care service, reduced the

discharge day management service to one-half, and adjusted times. As a result, we are proposing

an alternative work RVU of 7.31 with refineme nts to the time for CPT code 28120 for CY 2012.

A complete list of CMS time refinements can be found in Table 6.

For CPT code 28122 (Partial excision (crateri zation, saucerization, sequestrectomy, or

diaphysectomy) bone (eg, osteomyelitis or bossing); tarsal or metatarsal bone, except talus or

calcaneus), the AMA RUC used magnitude estima tion, recommended that the current work RVU

of 7.56 for this service should be maintained for CY 2012, and replaced the current inpatient

hospital E/M visit block with a subsequent obs ervation care service while maintaining a full

discharge day management service.

We disagree with the AMA RUC-recomme nded work RVU of 7.56 for CPT code 28122.

The AMA RUC indicated in its summary of r ecommendations that the survey data show

83 percent (43 out of 52) of survey respondent s stated they perform the procedure "in the

hospital." Of those respondents who stated that they typically perfor m the procedure in the

hospital, 12 percent (5 out of 43) stated that the patient is "dis charged the same day," 30 percent

(13 out of 43) stated the patient is "kept overnight (l ess than 24 hours)," and 58 percent (23 out

of 43) stated the patient is "admitted (mor e than 24 hours)." These responses make no

distinction between the patient’s status as an i npatient or outpatient of the hospital for stays of

# CMS-1582-PN 74

longer than 24 hours. As indicated by the mo st recent Medicare PFS claims data, CPT code

28122 is a code with a Site-of-Service anomaly. Therefore, in accordance with the policy

discussed in section II.A. of th is proposed notice, we remove d the subsequent observation care

service, reduced the discharge day management se rvice to one-half, and adjusted times. As a

result, we are proposing an alternative work RV U of 6.76 with refinements to the time for CPT

code 28122 for CY 2012. A complete list of CM S time refinements can be found in Table 6.

For CPT code 28285 (Correction, hammertoe (eg, interphalangeal fusion, partial or total

phalangectomy)), the AMA RUC reviewed the survey responses and agreed that the appropriate

work RVU for CPT code 28285 is a work RVU of 5.62,crosswalked from CPT code 28675. The

AMA RUC recommended a work RVU of 5.62 for CPT code 28285.

We disagree with the AMA RUC-recommended work RVU for CPT code 28285 and

believe that a work RVU of 4.76, the current work RVU, is more appropriat e for this service.

The majority of survey respondents indicated that the work of performing this service has not

changed in the past 5 years (67 percent), and that there has been no change in complexity among

the patients requiring this service (81 percent). We believe that the current work RVU accurately

reflects the work associated with this service. Therefore, we are proposing an alternative work

RVU of 4.76 for CPT code 28675 for CY 2012.

For CPT code 28715 (Arthrodesis; triple), th e AMA RUC reviewed the survey responses

from 30 (of 150 surveyed) physicians for CPT code 28715 and determined that the current work

RVU of 14.60 maintains the co rrect relativity among simila r services. The AMA RUC

recommended that this service be valued as a service performed predominately in the facility

setting. The AMA RUC indicated th at since the typical patient is kept overnight, the AMA RUC

believes that one inpatient hospita l visit as well as one discharge day management service should

# CMS-1582-PN 75

be maintained in the post-operati ve visits for this service.

We disagree with the AMA RUC-recommended work RVU for CPT code 28715 and

believe that a work RVU of 13.42 is more appropri ate for this service. While the survey data

show 93 percent (28 out of 30) of survey respondents stated they perform the procedure "in the

hospital," of those respondents who stated that they typically perform the procedure in the

hospital, 7 percent (2 out of 28) stated that the patient is "disch arged the same day," 32 percent (9

out of 28) stated the patient is "kept overnight (less than 24 hours)," an d 61 percent (17 out of

28) stated the patient is "admitted (more than 24 hours)." These responses make no distinction

between the patient’s status as an inpatient or outpatient of the hospital for stays of longer than

24 hours. As indicated by the most recent Medi care PFS claims data, CPT code 28715 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we removed the inpatient hospital vi sit, reduced the discharge day

management service to one-half, and adjusted times . As a result, we are proposing an alternative

work RVU of 13.42 with refinements to the tim e for CPT code 28715 for CY 2012. A complete

list of CMS time refinements can be found in Table 6.

For CPT code 28820 (Amputation, toe; me tatarsophalangeal joint), the AMA RUC

reviewed the survey responses and determined that the survey median work RVU of 7.00

appropriately reflects the physician work required to perform this se rvice and mainta ins relativity

among similar services. Therefore, the AMA RUC recommended a work RVU of 7.00 for CPT

code 28820. In its recommendation to us fo r CPT code 28820, the AMA RUC included one

post-operative hospital visit and one full discharge management day.

We disagree with the AMA RUC-recommended work RVU for CPT code 28820 and

believe that a work RVU of 5.82 is more appropriat e for this service. The survey data for this

# CMS-1582-PN 76

code show that 87 percent of respondents indica ted that they perform this procedure in the

hospital, but without a distinc tion between the patient’s status as a hospital inpatient or

outpatient. Recent Medicare PFS clai ms data indicate that this serv ice is typically (greater than

50 percent) performed in the outpa tient setting. As we discussed in section II.A. of this proposed

notice, for codes with Site-of-Service anomalies where the service is typically performed in the

outpatient setting but valued with inpatient inpu ts, our policy is to remove any post-procedure

inpatient visits remaining in the values for th e codes, and adjust the physician times and work

RVU accordingly. Therefore, in accordance w ith this policy, we reduced the discharge

management day to half a day, elim inated the post-operative hospita l visit, and adjusted the time

and work RVU accordingly. As a result, we are proposing an alternative work RVU of 5.82 with

refinements to the time for CPT code 28820 for CY 2012. A complete list of CMS time

refinements can be found in Table 6.

For CPT code 28825 (Amputation, toe; inte rphalangeal joint), the AMA RUC used

magnitude estimation and ultimately recommended maintaining the current work RVU of 6.01,

while also maintaining a full disc harge day management service.

We disagree with the AMA RUC-recomme nded work RVU of 6.01 for CPT code 28825.

The AMA RUC indicated in its summary of r ecommendations that the survey data show

84 percent (37 out of 44) of survey respondent s stated they perform the procedure "in the

hospital." Of those respondents who stated that they typically perfor m the procedure in the

hospital, 36 percent (13 out of 37) stated that the patient is "discharged the same day," 11 percent

(4 out of 37) stated the patient is "kept overnight (less than 24 hours)," and 52 percent (19 out of

37) stated the patient is "admitted (more than 24 hours)." These responses make no distinction

between the patient’s status as an inpatient or outpatient of the hospital for stays of longer than

# CMS-1582-PN 77

24 hours. As indicated by the most recent Medi care PFS claims data, CPT code 28825 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we reduced the di scharge day management service to one-half, and

adjusted times. As a result, we are proposing an alternative work RVU of 5.37 with refinements

to the time for CPT code 28825 for CY 2012. A co mplete list of CMS time refinements can be

found in Table 6.

11. Application of Cast and Strapping

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

29125 Apply forearm splint 0.59 0.59 0.50 Disagree x

29126 Apply forearm splint 0.77 0.77 0.68 Disagree x

29405 Apply short leg cast 0.86 0.80 0.80 Agree

29425 Apply short leg cast 1.01 0.80 0.80 Agree

29515 Application lower leg splint 0.73 0.73 0.73 Agree x



# In the Fourth Five-Year Review, we identified CPT codes 29125, 29405 and 29515 as

potentially misvalued through the Harvard-Valu ed – Utilization > 30,000 screen. CPT codes

29126 and 29425 were added as part of the fa mily of services for AMA RUC review.

For CPT code 29125 (Application of short arm splint (forearm to hand); static), the AMA

RUC reviewed the survey results and determined that these data support maintaining the current

work RVU of 0.59 for this service. The AM A RUC recommended a work RVU of 0.59 for CPT

code 29125. In its recommendation to us, the AMA RUC also noted that th ere is typically an

E/M service furnished on the sa me day as this service.

We disagree with the AMA RUC-recommended work RVU for CPT code 29125 and

believe that a work RVU of 0.50 is more appropriat e for this service. We are also refining the

# CMS-1582-PN 78

time associated with this code. Recent Medicare PFS claims data affirm that this service is

typically performed on the same day as an E/M visit. We believe some of the activities

conducted during the pre- and post-service times of the procedure code and the E/M visit overlap

and, therefore, should not be c ounted twice in developing the pr ocedure’s work value. As

described earlier in section II.A. of this proposed notice, to account for this overlap, we reduced

the pre-service evaluation and post-service tim e by one-third. We believe that 5 minutes

pre-service evaluation time and 3 minutes post-se rvice time accurately reflect the time required

to conduct the work associated with this se rvice as described by the CPT code-associated

specialties to the AMA RUC.

In order to determine the appropriate work RVU for this service gi ven the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU. For CPT code 29125, we removed a total of 4 minutes from the

AMA RUC-recommended pre- and post-service tim e, which amounts to the removal of 0.09 of a

work RVU. Therefore, we are proposing an a lternative work RVU of 0.5 0 with refinement in

time for CPT code 29125 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

For CPT code 29126 (Application of short ar m splint (forearm to hand); dynamic), the

AMA RUC reviewed the survey results and determined that the median work RVU

overestimates the work value for this service a nd that there is no compelling evidence that the

physician work has recently changed. Therefor e, the AMA RUC recommended maintaining the

current work RVU of 0.77 for CPT code 29126. In its recommendation to us, the AMA RUC

noted that there is typically an E/M service fu rnished on the same day as this service.

We disagree with the AMA RUC-recommended work RVU for CPT code 29126 and

# CMS-1582-PN 79

believe that a work RVU of 0.68 is more appropriat e for this service. We are also refining the

time associated with this code. Recent Medicare PFS claims data affirm that this service is

typically performed on the same day as an E/M visit. We believe some of the activities

conducted during the pre- and post-service times of the procedure code and the E/M visit overlap

and, therefore, should not be c ounted twice in developing the pr ocedure’s work value. As

described earlier in section II.A. of this proposed notice, to account for this overlap, we reduced

the pre-service evaluation and post-service time by one-third. We believe that 5 minutes

pre-service evaluation time and 3 minutes post-se rvice time accurately reflect the time required

to conduct the work associated with this se rvice as described by the CPT code-associated

specialties to the AMA RUC.

In order to determine the appropriate work RVU for this service gi ven the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU. For CPT code 29126, we removed a total of 4 minutes from the

AMA RUC-recommended pre- and post-service tim e, which amounts to the removal of 0.09 of a

work RVU. Therefore, we are proposing an a lternative work RVU of 0.6 8 with refinement in

time for CPT code 29126 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

For CPT code 29515 (Application of short le g splint (calf to foot)), the AMA RUC

reviewed the survey results and determined that these data support maintaining the current work

RVU of 0.73 for this service. The AMA RU C recommended a work RVU of 0.73 for CPT code

29515. In its recommendation to us, the AMA RUC not ed that there is typically an E/M service

furnished on the same day as this service.

We agree with the AMA RUC-recommende d work RVU of 0.73 for CPT code 29515,

# CMS-1582-PN 80

with a refinement to time. Recent Medicare PFS clai ms data affirm that this service is typically

performed on the same day as an E/M visit. We believe some of the activities conducted during

the pre- and post-service times of the procedure code and the E/ M visit overlap and, therefore,

should not be counted twice in de veloping the procedure’s work valu e. As described earlier in

section II.A. of this proposed notice, to account for this over lap, we reduced the pre-service

evaluation and post-service time by one-third. We believe that 5 minutes pre-service evaluation

time and 3 minutes post-service time accurately reflect the time required to conduct the work

associated with this service as described by the CPT code-associated specialties to the AMA

RUC. Despite this reduction in time, afte r clinical review we believe that the AMA

RUC-recommended work RVU of 0. 73 accurately reflects the work associated with this service

and maintains appropriate relativi ty with similar services. Ther efore, we are proposing a work

RVU of 0.73 for CY 2012, with a refinement to the time.

12. Cardiothoracic Surgery

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

32851 Lung transplant, single 41.61 63.00 59.64 Disagree

32852 Lung transplant with bypass 45.48 74.37 65.50 Disagree

32853 Lung transplant, double 50.78 90.00 84.48 Disagree

32854 Lung transplant with bypass 54.74 95.00 90.00 Disagree

33030 Partial removal of heart sac 22.39 39.50 36.00 Disagree

33031 Partial removal of heart sac 25.38 45.00 45.00 Agree

33120 Removal of heart lesion 27.45 42.88 38.45 Disagree

33315 Exploratory heart surgery 26.17 35.00 35.00 Agree

33411 Replacement of aortic valve 62.07 62.07 62.07 Agree

33412 Replacement of aortic va lve 43.94 60.00 59.00 Disagree

33468 Revision of tricuspid valv e 32.94 50.00 45.13 Disagree

33645 Revision of heart veins 28.10 33.00 31.30 Disagree

33647 Repair heart septum def ects 29.53 35.00 33.00 Disagree

33692 Repair of heart defect s 31.54 38.75 36.15 Disagree

33710 Repair of heart defect s 30.41 43.00 37.50 Disagree

33875 Thoracic aortic graft 35.78 56.83 50.72 Disagree

# CMS-1582-PN 81

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

33910 Remove lung artery emboli 29.71 52.33 48.21 Disagree

33916 Surgery of great vessel 28.42 78.00 78.00 Agree

33935 Transplantation, heart/lung 62.01 100.00 91.78 Disagree

33975 Implant ventricular device 20.97 25.00 25.00 Agree

33976 Implant ventricular device 22.97 30.75 30.75 Agree

33977 Remove ventricular devi ce 20.28 20.86 20.86 Agree

33978 Remove ventricular devi ce 22.72 25.00 25.00 Agree

33979 Insert intracorporeal device 45.93 37.50 37.50 Agree

33980 Remove intracorporeal device 65.20 40.00 33.50 Disagree

33981 Replace vad pump ext 0.00 16.11 16.11 Agree

33982 Replace vad intra w/o bp 0.00 37.86 37.86 Agree

33983 Replace vad intra w/bp 0.00 44.54 44.54 Agree

36200 Place catheter in aorta 3.02 3.02 3.02 Agree

36246 Place catheter in artery 5.27 5.27 5.27 Agree

36247 Place catheter in artery 6.29 7.00 6.29 Disagree

36470 Injection therapy of vein 1.10 1.10 1.10 Agree

36471 Injection therapy of veins 1.65 1.65 1.65 Agree

36821 Av fusion direct any site 12.11 12.11 12.11 Agree

36825 Artery-vein autograft 15.13 15.13 14.17 Disagree x



# In the Fourth Five-Year Review, we iden tified CPT code 33411 (Replacement, aortic

valve; with aortic annulus en largement, noncoronary sinus) as potentially misvalued through the

Site-of-Service Anomaly screen. We included a number of servic es that were also identified by

the Society of Thoracic Surgeons (STS) in thei r public comments regarding candidate services

for the Fourth Five-Year Review, including vent ricular assist device (VAD) removal codes,

VAD insertion and replacement codes, lung tran splant codes, pulmonary artery embolectomy

codes, descending thoracic aorta repair codes, congenital cardiac code s and general thoracic

surgery CPT code 43415 (Suture of esophageal w ound or injury; transthoracic or transabdominal

approach). In its review of these cardiot horacic surgery codes, the AMA RUC recommended

increasing the work RVUs for most of the codes (often substantially), while recommending that

many of the service times be reduc ed. We also note that many of these codes have had the same

# CMS-1582-PN 82

work value since 1993, potentially historically supporting the longstand ing appropriateness of

the value from the perspective of interested specialties. While we discuss the proposed values

for each revised code below, we note that for most of the codes in this family (but not all) we

agreed with the AMA RUC that the work RVU s hould be increased, but believe that the survey

25th percentile work RVU reflected a clinically more appropriate increase than the work RVU

recommended by the AMA RUC.

Additionally, the AMA RUC recommended glob al period changes for several codes in

the category of cardiothoracic surgery. For CY 2012, we agree with the AMA RUCrecommended global period changes and work R VUs and are proposing the following: for CPT

code 33977 (Removal of ventricular assist device ; extracorporeal, single ventricle), a proposed

work RVU of 20.86 and global period change fr om 090 to XXX (a global period of XXX means

the concept does not apply); for CPT code 33978 (Removal of ventricular assist device;

extracorporeal, biventricular), a proposed work RVU of 25 and global period change from 090 to

XXX; for CPT code 36200 (Introduction of catheter, aorta), a proposed work RVU of 3.02 and

global period change from XXX to 000; for CPT code 36246 (Selective catheter placement,

arterial system; initial second order abdominal, pelv ic, or lower extremity artery branch, within a

vascular family), a proposed work RVU of 5.27 and a global period cha nge from XXX to 000;

and for CPT code 36821 (Arteriovenous anastomosi s, open; direct, any site (eg, cimino type)

(separate procedure)), a proposed work RVU of 12.11 and a global period change from XXX to

000.

For CPT code 32851 (Lung transplant, single; without cardiopulmonary bypass), the

AMA RUC reviewed the survey re sponses and determined that the survey 25th percentile work

RVU of 63.00 appropriately accounts for the physician work required to perform this service.

# CMS-1582-PN 83

We disagree with the AMA RUC-recommended work RVU for CPT code 32851 and

believe that a work RVU of 59.64 is more approp riate for this service. Comparing CPT code

33255 (Operative tissue ablation and reconstruction of atria, exte nsive (eg, maze procedure);

without cardiopulmonary bypass) (work RVU = 29.04) with CPT code 33256 (Operative tissue

ablation and reconstruction of atria, extensiv e (eg, maze procedure); with cardiopulmonary

bypass) (work RVU = 34.90), there is a differenc e in work RVU of 5.86. This difference in

work RVUs reflects the additional time and physic ian work performed while the patient is on

cardiopulmonary bypass. We believe that this is the appropriate interval in physician work

distinguishing CPT code 32852 (Lung transplant, single; with cardiopulmonary bypass), from

CPT code 32851 (Lung transplant, single; wit hout cardiopulmonary bypass). As we are

proposing a work RVU of 65.05 for CPT code 32852 (see below), we believe a work RVU of

59.64 accurately reflects the work associated w ith CPT code 32851 and maintains appropriate

relativity among similar services. Therefore, we ar e proposing an alternative work RVU of

59.64 for CPT code 32851 for CY 2012.

For CPT code 32852 (Lung transplant, single; with cardiopulmonary bypass), the AMA

RUC reviewed the survey responses and determin ed that the survey 25t h percentile work RVU

was too low and the median work RVU was too high. Therefore, the AMA RUC recommended

a work RVU of 74.37 for CPT code 32582.

We disagree with the AMA RUC-recommended work RVU for CPT code 32582 and

believe that the survey 25th percentile value of a work RVU of 65.50 is more appropriate for this

service. Therefore, we are proposing an alternative work RVU of 65.50 for CPT code 32582 for

CY 2012.

For CPT code 32853 (Lung transpla nt, double (bilateral sequential or en bloc); without

# CMS-1582-PN 84

cardiopulmonary bypass), the AMA RUC reviewed th e survey responses and determined that the

survey median work RVU of 90.00 appropriately accounts for the physician work required to

perform this service.

We disagree with the AMA RUC-recommended work RVU for CPT code 32853 and

believe that the survey 25th percentile value of 84.48 is more appropriate for this service as a

reflection of the time and intensity of the service in relation to other major surgical procedures.

Therefore, we are proposi ng an alternative work RVU of 84.48 for CPT code 32853 for

CY 2012.

For CPT code 32854 (Lung transp lant, double (bilatera l sequential or en bloc); with

cardiopulmonary bypass), the AMA RUC reviewed th e survey responses and determined that the

survey median work RVU of 95.00 appropriately accounts for the physician work required to

perform this service.

We disagree with the AMA RUC-recommended work RVU for CPT code 32854 and

believe that the survey 25th percentile value of 90.00 is more appropriate for this service. A

work RVU of 90.00 maintains the relativity be tween CPT code 32851 (Lung transplant, single;

without cardiopulmonary bypass) and CP T code 32854, which describes a double lung

transplant. We believe this work RVU reflects the increased intensity in total service for CPT

code 32584 when compared to CPT code 32851. Th erefore, we are prop osing an alternative

work RVU of 90.00 for CPT code 32854 for CY 2012.

For CPT code 33030 (Pericardiectomy, subtotal or complete; without cardiopulmonary

bypass), the AMA RUC review ed the survey responses and dete rmined that the survey median

work RVU of 39.50 for CPT code 33030 appropriatel y accounts for the work required to perform

this service.

# CMS-1582-PN 85

We disagree with the AMA RUC-recommended work RVU for CPT code 33030 and

believe that the survey 25th percentile value of 36.00 is more appropriate for this service.

Therefore, we are proposi ng an alternative work RVU of 36.00 for CPT code 33030 for

CY 2012.

For CPT code 33120 (Excision of intracardi ac tumor, resection with cardiopulmonary

bypass), the AMA RUC review ed the survey responses and dete rmined that the 25th percentile

work RVU for CPT code 33120 appropriately account s for the work required to perform this

service. The AMA RUC recommended a work RVU of 42.88 for CPT code 33120.

We disagree with the AMA RUC-recommended work RVU for CPT code 33120 and

believe that a work RVU of 38.45 is more appropri ate for this service. We compared CPT code

33120 with CPT code 33677 (Closure of multiple vent ricular septal defect s; with removal of

pulmonary artery band, with or without gusset) (work RVU = 38.45) and found the codes to be

the similar in complexity and intensity. We belie ve that a work RVU of 38.45 accurately reflects

the work associated with CPT code 33677 and pr operly maintains the relativity of similar

service. Therefore, we are proposing an alternative work RVU of 38.45 for CPT code 33120 for

CY 2012.

For CPT code 33412 (Replacement, aortic valve; with transventricular aortic annulus

enlargement (Konno procedure)), the AMA RUC review ed the survey responses and determined that

the survey median work RVU for CPT code 33412 a ppropriately accounts for the work required to

perform this service. The AMA RUC recomm ended a work RVU of 60.00 for CPT code 33412.

We disagree with the AMA RUC-recommended work RVU for CPT code 33412 and

believe that the survey 25th percentile value of 59.00 is more appropriate for this service.

Therefore, we are proposi ng an alternative work RVU of 59.00 for CPT code 33412 for

# CMS-1582-PN 86

CY 2012.

For CPT code 33468 (Tricuspid valve repositio ning and plication for Ebstein anomaly),

the AMA RUC reviewed the survey responses and determined that the survey median work RVU

for CPT code 33468 appropriately accounts for the wo rk required to perform this service. The

AMA RUC recommended a work R VU of 50.00 for CPT code 33468.

We disagree with the AMA RUC-recommended work RVU for CPT code 33468 and

believe that the survey 25th percentile value of 45.13 is more appropriate for this service.

Therefore, we are proposi ng an alternative work RVU of 45.13 for CPT code 33468 for

CY 2012.

For CPT code 33645 (Direct or patch closure, sinus venosus, with or without anomalous

pulmonary venous drainage), the AMA RUC reviewed survey responses and determined that the

survey median work RVU for CPT code 33645 appropriately accounts for the work required to

perform this service. The AMA RUC recomm ended a work RVU of 33.00 for CPT code 33645.

We disagree with the AMA RUC-recommended work RVU for CPT code 33645 and

believe that the survey 25th percentile value of 31.30 appropriately captur es the total work for

the service. Therefore, we are proposing an alternative wo rk RVU of 31.30 for CPT code 33645

for CY 2012.

For CPT code 33647 (Repair of atrial septal de fect and ventricular septal defect, with

direct or patch closure), the AMA RUC reviewed survey responses and determined that the

survey median work RVU for CPT code 33467 appropriately accounts for the work required to

perform this service. The AMA RUC recomm ended a work RVU of 35.00 for CPT code 33647.

We disagree with the AMA RUC-recommended work RVU for CPT code 33647 and

believe that the survey 25th percentile value of 33.00 is more appropriate for this service.

# CMS-1582-PN 87

Therefore, we are proposi ng an alternative work RVU of 33.00 for CPT code 33647 for

CY 2012.

For CPT code 33692 (Complete repair tetralogy of Fallot without pulmonary atresia), the

AMA RUC reviewed survey responses, determined that the survey median work RVU for CPT

code 33692 appropriately accounts for the wor k, and recommended a median work RVU of

38.75 for CPT code 33692.

We disagree with the AMA RUC-recommended work RVU for CPT code 33692 and

believe that the survey 25th percentile value of 36.15 is more appropriate for this service.

Therefore, we are proposi ng an alternative work RVU of 36.15 for CPT code 33692 for

CY 2012.

For CPT code 33710 (Repair sinus of Valsalva fistula, with cardiopulmonary bypass;

with repair of ventricular septal defect), th e AMA RUC reviewed survey response, determined

that the survey median work RVU for CPT code 33710 appropriately accounts for the work

required to perform this service, and reco mmended a work RVU of 43.00 for CPT code 33710.

We disagree with the AMA RUC-recommended work RVU for CPT code 33710 and

believe that the survey 25th percentile value of 37.50 is more appropriate for this service. We

believe the physician time and intensity for CP T code 33710 reflects the appropriate incremental

adjustment when compared to the reference service, CPT code 33405. Therefore, we are

proposing an alternative work RVU of 37.50 for CPT code 33710 for CY 2012.

For CPT code 33875 (Descending thoracic aorta gr aft, with or without bypass), the AMA

RUC reviewed survey responses and determined that the 25th percentile work RVU for code

33875 appropriately accounts for the work require d to perform this service. The AMA RUC

recommended a work RVU of 56.83 for CPT code 33875.

# CMS-1582-PN 88

We disagree with the AMA RUC-recommended work RVU for CPT code 33875 and

believe that a work RVU of 50.72 is more appropri ate for this service. We compared CPT code

33875 with CPT code 33465 (Replacement, tricus pid valve, with cardiopulmonary bypass)

(work RVU = 50.72) and believe that CPT c ode 33875 is similar to CPT code 33465, with

similar inpatient and outpatient work. We believe this work RVU corresponds better to the value

of the service than the survey 25th percentile work RVU. Therefore, we are proposing an

alternative work RVU of 50.72 for CPT code 33875 for CY 2012.

For CPT code 33910 (Pulmonary artery embolectomy; with cardiopulmonary bypass),

the AMA RUC reviewed survey responses. After reviewing the service, the AMA RUC

determined that it met the compelling evidence guidelines. The AMA RUC recommended a

work RVU of 52.33 for CPT code 33910.

We disagree with the AMA RUC-recommended work RVU for CPT code 33910 and

believe that a work RVU of 48.21 is more appropri ate for this service. We compared CPT code

33910 with CPT code 33542 (Myocardial resecti on (eg, ventricular aneurysmectomy)) (work

RVU = 48.21), and we recognize that CPT c ode 33542 is not an emergency service.

Nevertheless, this procedure requires cardiopu lmonary bypass and has physician time and visits

that are similar to CPT code 33910 and that are c onsistently necessary for the care required for

the patient. We believe that a work RVU of 48.21 accurately reflects the work associated with

CPT code 33910 and properly maintains the relativity for a similar service. Therefore, we are

proposing an alternative work RVU of 48.21 for CPT code 33910 for CY 2012.

For CPT code 33935 (Heart-lung transpla nt with recipient cardiectomypneumonectomy), the AMA RUC reviewed survey re sponses, determined that the survey median

work RVU appropriately accounts fo r the physician work required to perform this service, and

# CMS-1582-PN 89

recommended a work RVU of 100.00 for CPT code 33935.

We disagree with the AMA RUC-recommended work RVU for CPT code 33935 and

believe that the survey 25th percentile value of 91.78 is more appropriate for this service. We

believe this service is more intense and co mplex than CPT code 33945 and that the survey

25th percentile work RVU accurately reflects th e increased intensity and complexity when

compared to the reference CPT code 33945. Ther efore, we are proposing an alternative work

RVU of 91.78 for CPT code 33935 for CY 2012.

For CPT code 33980 (Removal of ventricular as sist device, implant able intracorporeal,

single ventricle), the AMA RUC reviewed the survey results and recommended the survey

median work RVU of 40.00. Additionally th e AMA RUC recommended a global period change

from 090 to XXX. We agree with the AMA RU C-recommended global period change from 90

to XXX. However, we disagree with the AMA RUC-recommended work RVU for CPT code

33980 and are proposing for CY 2012 an alternativ e work RVU of 33.50, which is the survey

25th percentile work RVU. We believe the wo rk RVU of 33.50 is more appropriate, given the

significant reduction in physician times and decreas e in the number and level of post-operative

visits that the AMA RUC included in the value of CPT code 33980.

For CPT code 36247 (Selective catheter placement, arterial system; initial third order or

more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family), the

AMA RUC considered the survey results and re commended the survey median work RVU of

7.00 for this service. Additionally, the AMA RUC recommended a global period change from

090 to XXX. We agree with the AMA RUC-r ecommended global period change from 90 to

XXX. However, we disagree with the AMA RUC-recommended work RVU of 7.00 for CPT

code 36247. We believe maintaining the curren t work RVU is more appropriate given the

# CMS-1582-PN 90

change to the global period. Accordingly we are proposing a work RVU of 6.29 for CPT code

36247 for CY 2012.

For CPT code 36825 (Creation of arteriovenous fi stula by other than direct arteriovenous

anastomosis (separate procedure); autogenous graf t), the AMA RUC considered the survey data

and ultimately recommended that the current wo rk RVU of this service, 15.13, be maintained.

We disagree with the AMA RUC-reco mmended work RVU of 15.13 for CPT code

36825. As indicated by the most recent Medicar e PFS claims data, CPT code 28122 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we removed the su bsequent observation care service, reduced the

discharge day management service to one-half, and adjusted times. As a result, we are proposing

an alternative work RVU of 14.17 with refi nements to the time for CPT code 36825 for

CY 2012. A complete list of CMS time refinements can be found in Table 6.

13. Vascular Surgery

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

35188 Repair blood vessel lesion 15.16 18.50 18.00 Disagree

35612 Artery bypass graft 16.82 22.00 20.35 Disagree

35800 Explore neck vessels 8.07 13.89 12.00 Disagree

35840 Explore abdominal vessels 10.96 21.19 20.75 Disagree

35860 Explore limb vessels 6.80 16.89 15.25 Disagree

36600 Withdrawal of arterial blood 0.32 0.32 0.32 Agree x

36819 Av fuse, uppr arm, basilic 14.47 14.47 13.29 Disagree x

37140 Revision of circulation 25.23 40.00 40.00 Agree

37145 Revision of circulation 26.24 37.00 37.00 Agree

37160 Revision of circulation 23.24 38.00 38.00 Agree

37180 Revision of circulation 26.24 36.50 36.50 Agree

37181 Splice spleen/kidney veins 28.37 40.00 40.00 Agree



# In the Fourth Five-Year Review, we identi fied CPT code 36819 as potentially misvalued

# CMS-1582-PN 91

through the Site-of-Service Anom aly screen, and we identified CPT code 36600 as potentially

misvalued through the Harvard-Valued – Utiliza tion > 30,000 screen. The Society for Vascular

Surgery submitted additional CPT codes to be included in the Fourth Five-Year Review,

including CPT codes 35188, 35612, 35800, 35840, 35860, 37140, 37145, 37160, 37180, and

38181.

The AMA RUC noted that it believed there is compelling evidence to change the work

values for CPT codes 35188, 35612, 35800, 35840, and 35860, since vascular surgery is one of

the predominant providers of these services and had not participated in the original Harvard

studies. In addition, the AMA RUC believes errors occurred in extr apolation of visits during the

Harvard study, and apparent rank order anomalies may emerge when comparing these services to

other vascular procedures.

For CPT code 35188 (Repair, acquired or trauma tic arteriovenous fistula; head and neck),

the AMA RUC reviewed the survey results from 25 (out of a sample size of 400) physicians and

recommended the survey median wo rk RVU of 18.50 for CPT code 35188.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 35188 and are

proposing for CY 2012 an alternative work RVU of 18.00, which is the survey 25th percentile

work RVU. We believe the work RVU of 18.00 is more appropriate, given the decrease in the

number and level of post-operative visits that the AMA RUC included in the value of CPT code

35188.

For CPT code 35612 (Bypass graft, with other than vein; subclavi an-subclavian), the

AMA RUC reviewed the survey results from 25 (out of a sample size of 400) physicians and

recommended a work RVU of 22.00 for CPT code 35612.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 35612 and are

# CMS-1582-PN 92

proposing for CY 2012 an alternative work RVU of 20.35, which is the survey 25th percentile

work RVU. We believe the work RVU of 20.35 is more appropriate, given the decrease in the

number and level of post-operative visits that the AMA RUC included in the value of CPT code

35612.

For CPT code 35800 (Exploration for postoperativ e hemorrhage, thrombosis or infection;

neck), the AMA RUC reviewed the survey resu lts from 34 (out of a sample size of 400)

physicians. Using magnitude estimation, the AM A RUC recommended that an appropriate work

RVU for CPT code 35800 would be between th e survey 25th percen tile (12.00 RVU) and

median (15.00 RVU) work value. Accordingl y, the AMA RUC recommended a work RVU of

13.89 for CPT code 35800.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 35800 and are

proposing for CY 2012 an alternative work RVU of 12.00, which is the survey 25th percentile

work RVU. We believe the work RVU of 12.00 is more appropriate, given that two of the key

reference codes to which this service has been compared have identical intra-service time

(60 minutes), but significan tly lower work RVUs.

For CPT code 35840 (Exploration for postoperativ e hemorrhage, thrombosis or infection;

abdomen), the AMA RUC reviewed the survey resu lts from 34 (out of a sample size of 400)

physicians. Using magnitude estimation, the AM A RUC recommended that an appropriate work

RVU for CPT code 35840 would be between th e survey 25th percen tile (19.25 RVU) and

median (22.30 RVU) work value. Accordingl y, the AMA RUC recommended a work RVU of

21.19 for CPT code 35840.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 35840 and are

proposing for CY 2012 an alternative work RVU of 20.75, which is between the survey

# CMS-1582-PN 93

25th percentile and median work RVU. We belie ve the work RVU of 20.75 is more appropriate

given the two reference codes to which this service has been compared.

For CPT code 35860 (Exploration for postoperativ e hemorrhage, thrombosis or infection;

extremity), the AMA RUC reviewed the survey re sults from 34 (out of a sample size of 400)

physicians. Using magnitude estimation, the AM A RUC recommended that an appropriate work

RVU for CPT code 35860 would be between th e survey 25th percen tile (15.25 RVUs) and

median work value (18.00 RVUs). Accordingl y, the AMA RUC recommended a work RVU of

16.89 for CPT code 35860.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 35860 and are

proposing for CY 2012 an alternative work RVU of 15.25, which is the survey 25th percentile

work RVU. We believe this work RVU maintain s appropriate relativity within the family of

related services for the explora tion of postoperative hemorrhage.

For CPT code 36600 (Arterial puncture, withdr awal of blood for diagnosis), the AMA

RUC reviewed the survey results from 38 (out of a sample size of 100) physicians and, based on

comparisons to reference codes, recommende d a work RVU of 0.32 for CPT code 36600.

We agree with the AMA RUC’s recommende d work RVU and are proposing a work

RVU of 0.32 for CPT code 36600 for CY 2012. In addition to the work RVU adjustment for

CPT code 36600, we are refining the time associat ed with this code. Recent Medicare PFS

claims data show that this service typically is performed on the same day as an E/M visit. We

believe some of the activities conducted during th e pre- and post-service times of the procedure

code and the E/M visit overlap and, therefore, should not be counted tw ice in developing the

procedure’s work value. As desc ribed in section II.A. of this pr oposed notice, to account for this

overlap, we reduced the pre-service evaluation and post-service time by one-third. We believe

# CMS-1582-PN 94

that 3 minutes pre-service eval uation time and 3 minutes post-service time accurately reflect the

time required to conduct the work associated with this service. A complete list of CMS time

refinements can be found in Table 6.

For CPT code 36819 (Arteriovenous anastomo sis, open; by upper arm basilic vein

transposition), which was identified as a code with a Site-of-Service anomaly, the AMA RUC

reviewed the survey results from 31 (out of a sample size of 400) physicians. The AMA RUC

indicated that it believes this service should be categorized as one being typically performed in

an inpatient hospital setting a nd recommended maintaining the cu rrent work RVU of 14.47.

We disagree with the AMA RUC-recommended work RVU for CPT code 36819. The

AMA RUC indicated in its summary of recommendati ons that the survey data show 97 percent

(30 out of 31) of survey responde nts stated they perform the pr ocedure "in the hospital." Of

those respondents who stated that they typically perform the pro cedure in the hospital, 33 percent

(10 out of 30) stated that the patient is "discharged the same day," 53 percent (16 out of 30)

stated the patient is "kept overnight (less than 24 hours)," and 13 percent (4 out of 30) stated the

patient is "admitted (more than 24 hours)." Th ese responses make no distinction between the

patient’s status as an inpatient or outpatient of the hospital for st ays of longer than 24 hours. As

we discussed in section II.A. of this proposed no tice, for codes with Site-of-Service anomalies,

our policy is to remove any post-procedure inpati ent visits remaining in the values for these

codes and adjust physician times acc ordingly. It is also our policy for codes with Site-of-Service

anomalies to consistently include the value of half of a discharge day management service and

adjust physician times accordingly. We are t hus proposing an alternative work RVU for

CY 2012 of 13.29 with refinements in time for CPT code 36819. A complete list of CMS time

refinements can be found in Table 6.

# CMS-1582-PN 95

14. Excise Parotid Gland/Lesion

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

42415 Excise parotid gland/lesion 18.12 18.12 17.16 Disagree x

42420 Excise parotid gland/lesion 21.00 21.00 19.53 Disagree x



# In the Fourth Five-Year Review, we id entified CPT codes 42415 and 42420 as Site-ofService anomaly codes.

For CPT code 42415 (Excision of parotid tumo r or parotid gland; lateral lobe, with

dissection and preservation of f acial nerve), the AMA RUC review ed the survey data and, based

on magnitude estimation, the AMA RUC recommende d that the current work RVU of this

service, 18.12, be maintained.

We disagree with the AMA RUC-reco mmended work RVU of 18.12 for CPT code

42415. As indicated by the most recent Medicar e PFS claims data, CPT code 42415 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we removed the su bsequent observation care service, reduced the

discharge day management service to one-half, and adjusted times. As a result, we are proposing

an alternative work RVU of 17.16 with refi nements to the time for CPT code 42415 for

CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 42420 (Excision of parotid tumor or parotid gland; to tal, with dissection

and preservation of facial nerve), the AMA RUC reviewed survey results and, based on

magnitude estimation, the AMA RUC recommended th at the current work R VU of this service,

21.00, be maintained.

We disagree with the AMA RUC-reco mmended work RVU of 21.00 for CPT code

# CMS-1582-PN 96

42420. As indicated by the most recent Medicar e PFS claims data, CPT code 42420 is a code

with a Site-of-Service anomaly. Therefore, in accordance with the policy discussed in section

II.A. of this proposed notice, we removed the su bsequent observation care service, reduced the

discharge day management service to one-half, and adjusted times. As a result, we are proposing

an alternative work RVU of 19.53with refineme nts to the time for CPT code 42420 for CY 2012.

A complete list of CMS time refinements can be found in Table 6.

15. Endoscopic Cholangiopancreatography

CPT

Code Short Descriptor CY 2011

Work RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

43262 Endo cholangiopancreatograph 7.38 7.38 7.38 Agree x



# In the Fourth Five-Year Review, we identi fied CPT code 43262 as potentially misvalued

through the Harvard Valued - Ut ilization > 30,000 screen.

For CPT code 43262 (Endoscopic retrograde cholangiopancreatography (ERCP); with

sphincterotomy/papillotomy), the AMA RUC reviewed the service and believes that the specialty

did not provide compelling evidence to change the current value of the service. Therefore, the

AMA RUC recommended maintaining the cu rrent work RVU of 7.38 for CPT code 43262.

We are proposing to maintain the curren t work RVU of 7.38 and the current physician

time for CPT code 43262 for CY 2012. Howeve r, we are requesting that the AMA RUC

undertake a comprehensive review of the entire family of ERCP codes, including the base CPT

code 43260, and provide CMS with work RVU r ecommendations. We note that based on a

preliminary review of the intra-service times for these codes, we are concerned the codes in this

family are potentially misvalued.

# CMS-1582-PN 97

16. Sigmoidoscopy

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

45331 Sigmoidoscopy and biopsy 1.15 1.15 1.15 Agree x



# In the Fourth Five-Year Review, CMS identified CPT code 45331 as potentially

misvalued through the Harvard-Valued - Utilization > 30,000 screen.

For CPT code 45331 (Sigmoidoscopy, flexible; with biopsy, single or multiple), the

AMA RUC reviewed the survey results and determ ined that the survey data support the current

value of this service. Taking into considerati on the 75th percentile of the survey results, the

AMA RUC recommended a pre-service time of 15 minutes, intra-service time of 15 minutes, and

post-service time of 10 minutes. Accordingl y, the AMA RUC recommended a work RVU of

1.15 for CPT code 45331.

We agree with the AMA RUC’s recommende d work RVU and are proposing a work

RVU of 1.15 for CPT code 45331 for CY 2012. However, while the AMA RUC recommended

pre-service times based on the 75t h percentile of the survey re sults, we believe it is more

appropriate to accept the median survey physician times. Accordingly, we are refining the times

to the following: 5 minutes for pre-evaluation; 5 minutes for pre-service other, 5 minutes for

pre- dress, scrub, and wait; 10 minutes intra-serv ice; and 10 minutes imme diate post-service. A

complete list of CMS time refinements can be found in Table 6.

# CMS-1582-PN 98

17. Laparoscopic Cholecystectomy

CPT Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

47563 Laparo cholecystectomy/graph 12.11 12.11 11.47 Disagree x

47564 Laparo cholecystectomy/explr 14.24 20.00 18.00 Disagree



# In the Fourth Five-Year Review, CMS identified CPT code 47563 as potentially

misvalued through the Harvard Valued - Uti lization > 30,000 screen and Site-of-Service

Anomaly screen. The AMA RUC reviewed CPT codes 47564 and 47563.

For CPT code 47563 (Laparoscopy, surgical; cholecystectomy with cholangiography),

the AMA RUC reviewed the survey results and r ecommended that this service be valued as a

service performed predominately in the facility setting, as the survey data indicated that a

majority of patients have an overnight stay. Because some respondents st ated that the typical

patient would be kept at ove rnight in the hospital, the AMA RUC recommended a full day

discharge management service be included in the value of the service. The AMA RUC

recommended maintaining the current work RVU of 12.11 for CPT code 47563.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 47563. While

the survey data show 95 percent (57 out of 60) of survey resp ondents stated they perform the

procedure "in the hospital," of those respondents who stated that they typically perform the

procedure in the hospital, 30 percen t (17 out of 57) stated that the patient is "discharged the same

day," 46 percent (26 out of 57) st ated the patient is "kept overn ight (less than 24 hours)," and

25 percent (14 out of 57) stated the patient is "admitted (more than 24 hours)." These responses

make no distinction between the patient’s status as an inpatient or outpatient of the hospital for

stays of longer than 24 hours. As we discussed in section II.A. of this proposed notice, for codes

# CMS-1582-PN 99

with Site-of-Service anomalies, our policy is to remove any post-procedure inpatient visits

remaining in the values for these codes and adju st physician times accordingly. It is also our

policy for codes with Site-of-Service anomalies to consistently include the value of half of a

discharge day management service, adjusting physician times accordingly. We are thus

proposing an alternative work RVU of 11.47 with refinements in time for CPT code 47563 for

CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 47564 (Laparoscopy, surgica l; cholecystectomy with exploration of

common duct), the AMA RUC reviewed the su rvey results and determined that the

25th survey percentile was a ppropriate for this service. Accordingly, the AMA RUC

recommended a work RVU of 20.00 for CPT code 47564.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 47564 and are

proposing for CY 2012 an alternative work RVU of 18.00, which is the survey low work RVU.

We are accepting the AMA RUC recommended median survey times and believe the work RVU

of 18.00 for CPT code 35860 is more appropr iate given the significant reduction in

recommended physician times in comparison to the current times.

18. Hernia Repair

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

49507 Prp i/hern init block >5 yr 10.05 10.05 9.09 Disagree x

49521 Rerepair ing hernia, blocked 12.44 12.44 11.48 Disagree x

49587 Rpr umbil hern, block > 5 yr 8.04 8.04 7.08 Disagree x



# In 2007, the AMA RUC’s Rela tivity Assessment Workgroup identified CPT codes 49507,

49521 and 49587 as poten tially misvalued through the Site-o f-Service Anomaly screen. The

# CMS-1582-PN 100

American College of Surgeons (ACS) survey ed these codes, and the AMA RUC issued

recommended work values for these codes to CMS for CY 2010. In the CY 2011 PFS final rule

with comment period (75 FR 73221), we reiterate d that in the CY 2010 PFS final rule with

comment period (74 FR 61776 throu gh 61778) we indicated that although we would accept the

AMA RUC valuations for these Site-of-Service anomaly codes on an interim basis through CY

2010, we had ongoing concerns about the metho dology used by the AMA RUC to review these

services. We requested that th e AMA RUC reexamine the Site-of- Service anomaly codes and use

the building block methodology to revalue the services (74 FR 62777 a nd 75 FR 73221). CPT

codes 49507, 49521, and 49587 were among thos e CY 2010 Site-of-Service anomaly codes, and

were reviewed again by the AM A RUC as a part of the Fourth Five-Year Review.

For CPT code 49507 (Repair ini tial inguinal hernia, age 5 year s or over; incarcerated or

strangulated), the AMA RUC used magnitude es timation and recommended a work RVU of 9.97

for CPT code 49507 for CY 2010, which was slightly higher than the survey 25th percentile

value. In CY 2010, while CMS adopted the AM A RUC-recommended work value on an interim

final basis and referred the serv ice back to the AMA RUC to be reexamined, the work RVU for

CPT code 49507 used under the PFS was increased to 10.05 based on the redi stribution of RVUs

that resulted from the CMS policy to no longe r recognize the CPT cons ultation codes. Upon

re-review for CY 2012 as part of the Fourth Five-Year Review of Work, the AMA RUC

determined that CPT code 49507 had been accurat ely valued in its recommendation for CY 2010

with support from reference services and speci alty survey data, and stated that it found no

compelling evidence to change the current physici an work value of this service. The AMA RUC

ultimately recommended that the current work RVU of 10.05 be maintained for CPT code 49507

for CY 2012.

# CMS-1582-PN 101

We disagree with the AMA RUC-reco mmended work RVU of 10.05 for CPT code

49507. The AMA RUC indicated in its summary of recommendations that the survey data show

Ninety-eight percent of survey respondents stated they perform the procedure "in the hospital."

Of those respondents who stated that they typi cally perform the procedure in the hospital,

17 percent stated that the patient is "discharged the same day," 40 percent stated the patient is

"kept overnight (less than 24 hours)," and 43 per cent stated the patient is "admitted (more than

24 hours)." These responses make no distinction be tween the patient’s status as an inpatient or

outpatient of the hospital for stays of longer than 24 hours. As indicated by the most recent PFS

claims data, CPT code 49507 is a code with a Site -of-Service anomaly. Therefore, in accordance

with the policy discussed in section II.A. of this proposed notice, we removed the subsequent

observation care service, reduced the discharg e day management service to one-half, and

adjusted times. As a result, we are proposing an alternative work RVU of 9.09 with refinements

to the time for CPT code 49507 for CY 2012. A co mplete list of CMS time refinements can be

found in Table 6.

For CPT code 49521 (Repair recurrent ingui nal hernia, any age; incarcerated or

strangulated), the AMA RUC used magnitude estimation and recommended a work RVU of

12.36 for CY 2010, which fell between the survey 25th percentile and median work value

estimates. In CY 2010, while CMS adopted the AMA RUC-recommended work value on an

interim final basis and referred the service back to the AMA RUC to be reexamined, the work

RVU for CPT code 49521 used under the PFS was in creased to 12.44 based on the redistribution

of RVUs that resulted from the CMS policy to no longer recognize the CP T consultation codes.

Upon re-review for CY 2012, the AMA RUC determined that CP T code 49521was accurately

valued in its recommendation for CY 2010, with support from reference services and specialty

# CMS-1582-PN 102

survey data, and stated that it found no compelling evidence to ch ange the current physician work

value of this service. The AMA RUC ultimatel y recommended that the current work RVU of

12.44 be maintained for CPT code 49521 in CY 2012.

We disagree with the AMA RUC-reco mmended work RVU of 12.44 for CPT code

49521. The AMA RUC indicated in its summary of recommendations that the survey data show

99 percent of survey respondents stated they perf orm the procedure "in the hospital." Of those

respondents who stated that they typically perform the procedur e in the hospital, 18 percent

stated that the patient is "discharged the same day," 37 percent stated the patient is "kept

overnight (less than 24 hours)," and 45 percent stated the patient is "admitted (more than

24 hours)." These responses make no distinction be tween the patient’s status as an inpatient or

outpatient of the hospital for stays of longer than 24 hours. As indicated by the most recent PFS

claims data, CPT code 49521 is a code with a Site -of-Service anomaly. Therefore, in accordance

with the policy discussed in section II.A. of this proposed notice, we removed the subsequent

observation care service, reduced the discharg e day management service to one-half, and

adjusted times. As a result, we are propos ing an alternative wo rk RVU of 11.48 with

refinements to the time for CPT code 49521 for CY 2012. A complete list of CMS time

refinements can be found in Table 6.

For CPT code 49587 (Repair umbilical hernia , age 5 years or over; incarcerated or

strangulated), the AMA RUC used magnitude es timation and recommended a work RVU of 7.96

for CY 2010, which was slightly below the survey 25th percentile physician wo rk value estimate.

Under the CY 2010 PFS, the work RVU for CPT code 49587 was increased to 8.04 based on the

redistribution of RVUs resulting from th e CMS policy to no longer recognize the CPT

consultation codes. Upon re-review for CY 2012, the AMA RUC determined that CPT code

# CMS-1582-PN 103

49587 was accurately valued in its CY 2010 recommendation, with support from reference

services and specialty survey data, and stated th at it found no compelling evidence to change the

current physician work value of this service. The AMA RUC ultimately recommended that the

current work RVU of 8.04 be maintained for CPT code 49587 for CY 2012.

We disagree with the AMA RUC-recommended work RVU of 8.04 for CPT code 49587.

The AMA RUC indicated in its summary of r ecommendations that the survey data show

100 percent of survey respondents st ated they perform the procedur e "in the hospital." Of those

respondents who stated that they typically perform the procedur e in the hospital, 30 percent

stated that the patient is "discharged the same day," 42 percent stated the patient is "kept

overnight (less than 24 hours)," and 29 percent stated the patient is "admitted (more than

24 hours)." These responses make no distinction be tween the patient’s status as an inpatient or

outpatient of the hospital for stays of longer than 24 hours. As indicated by the most recent PFS

claims data, CPT code 49587 is a code with a Site -of-Service anomaly. Therefore, in accordance

with the policy discussed in section II.A. of this proposed notice, we removed the subsequent

observation care service, reduced the discharg e day management service to one-half, and

adjusted times. As a result, we are proposing an alternative work RVU of 7.08 with refinements

to the time for CPT code 49587 for CY 2012. A co mplete list of CMS time refinements can be

found in Table 6.

19. Laparoscopic Hernia Repair

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

49652 Lap vent/abd hernia repair 12.88 12.88 11.92 Disagree x

49653 Lap vent/abd hern proc comp 16.21 16.21 14.94 Disagree x

49654 Lap inc hernia repair 15.03 15.03 13.76 Disagree x

# CMS-1582-PN 104

49655 Lap inc hern repair comp 18.11 18.11 16.84 Disagree x



# For CY 2009, the CPT Editorial Panel created six new CPT code s to describe the specific

levels of work associated with abdominal hern ia repairs that are performed frequently with

laparoscopic techniques. We accepted the AM A RUC’s original work RVU recommendation for

these services for CY 2009. Howe ver, we identified 4 of these laparoscopic hernia repair CPT

codes, specifically CPT codes 49652, 49653, 49654 and 49655, as potentially misvalued through

the Site-of-Service Anomaly screen, and requeste d that they be review ed by the AMA RUC for

Fourth Five-Year Review.

For CPT code 49652 (Laparoscopy, surgical, re pair, ventral, umbilical, spigelian or

epigastric hernia (includes mesh insertion, wh en performed); reducible), for CY 2009, the AMA

RUC used magnitude estimation and recommended the survey 25th perc entile work RVU of

12.80 for CPT code 49652 for CY 2009. CMS a ccepted this recommendation. For CY 2010, the

work RVU for CPT code 49652 was increased to 12.88 based on the redistribution of RVUs

resulting from the CMS policy to no longer r ecognize the CPT consultation codes. Upon

re-review for CY 2012, the AMA RUC determined that CPT code 49652 was accurately valued in

its recommendation for CY 2009, w ith support from reference servic es and specialty survey data,

and stated that it found no compelling evidence to change the current physicia n work value of this

service. The AMA RUC ultimately recommende d that the current work RVU of 12.88 be

maintained for CPT code 49652 for CY 2012.

We disagree with the AMA RUC-reco mmended work RVU of 12.88 for CPT code

49652. The AMA RUC indicated in its summary of recommendations that the survey data show

100 percent of survey respondents st ated they perform the procedur e "in the hospital." Of those

# CMS-1582-PN 105

respondents who stated that they typically perform the procedur e in the hospital, 16 percent

stated that the patient is "discharged the same day," 60 percent stated the patient is "kept

overnight (less than 24 hours)," and 24 percent stated the patient is "admitted (more than

24 hours)." These responses make no distinction be tween the patient’s status as an inpatient or

outpatient of the hospital for stays of longer than 24 hours. As indicated by the most recent PFS

claims data, CPT code 49652 is a code with a Site -of-Service anomaly. In its recommendation to

us, the AMA RUC asserted that Medicare claims data for this service are still new and may not

reflect accurate Medicare utilization for this procedur e. The most recent PFS claims data show that

outpatient utilization for this code is well above the Site-of-Service anomal y threshold of greater

than 50 percent, and we will continue to monitor th e data to ensure that th is CPT code, and all CPT

codes, are valued appropriately for their site-of-service. In accordance with the policy discussed

in section II.A. of this proposed notice, we re moved the subsequent observation care service,

reduced the discharge day manageme nt service to one-half, and adjusted times. As a result, we

are proposing an alternative work RVU of 11.92 with refinements to the time for CPT code

49652 for CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 49653 (Laparoscopy, surgical, re pair, ventral, umbilical, spigelian or

epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated), for

CY 2009, the AMA RUC used magnitude estim ation and recommended the survey 25th

percentile work RVU of 16.10 for CPT code 49653 for CY 2009. CMS accepted this

recommendation. For CY 2010, the work RVU for CPT code 49653was increased to 16.21

based on the redistribution of RV Us resulting from the CMS po licy to no longer recognize the

CPT consultation codes. Upon re-review for CY 2012, the AMA RUC determined that CPT code

49653 was accurately valued in its CY 2009 recommendation, with support from reference

# CMS-1582-PN 106

services and specialty survey data, and stated th at it found no compelling evidence to change the

current physician work value of this service. The AMA RUC ultimately recommended that the

current work RVU of 16.21 be maintained for CPT code 49653 for CY 2012.

We disagree with the AMA RUC-reco mmended work RVU of 16.21 for CPT code

49653. The AMA RUC indicated in its summary of recommendations that the survey data show

100 percent of survey respondents st ated they perform the procedur e "in the hospital." Of those

respondents who stated that they typically perform the procedure in the hospital, 9 percent stated

that the patient is "discharged th e same day," 16 percent stated the patient is "kept overnight (less

than 24 hours)," and 76 percent stated the pati ent is "admitted (more than 24 hours)." These

responses make no distinction between the patient’ s status as an inpatien t or outpatient of the

hospital for stays of longer than 24 hours. As indicated by the most recent PFS claims data, CPT

code 49653 is a code with a Site-of-Service a nomaly. In its recommendation to us, the AMA

RUC asserted that Medicare claims data for this service are still new and may not reflect accurate

Medicare utilization for this proc edure. The most recent PFS clai ms data show that outpatient

utilization for this code is well above the Site-o f-Service anomaly threshold of greater than 50

percent, and we will continue to monitor the data to ensure that this CPT code, a nd all CPT codes,

are valued appropriately for their site-of-service. In accordance with the policy discussed in

section II.A. of this proposed notice, we removed the subsequent observation care service,

reduced the discharge day manageme nt service to one-half, and adjusted times. As a result, we

are proposing an alternative work RVU of 14.94 with refinements to the time for CPT code

49653 for CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 49654 (Laparoscopy, surgical, re pair, incisional hern ia (includes mesh

insertion, when performed); reducible), for CY 2009 the AMA RUC used magnitude estimation

# CMS-1582-PN 107

and recommended the su rvey 25th percentile work RV U of 14.95 for CP T code 49654 for

CY 2009. We accepted this recommendation. For CY 2010, the work RVU for CPT code 49654

was increased to 15.03 based on the redistribution of RVUs resulting from the CMS policy to no

longer recognize the CPT consultation codes. Upon re-review for CY 2012, the AMA RUC

determined that CPT code 49654 was accurately valued in its CY 2009 recommendation, with

support from reference services and specialty surv ey data, and stated that it found no compelling

evidence to change the current physician work value of this service. The AMA RUC ultimately

recommended that the current work RVU of 15.03 be maintained for CPT code 49654 for

CY 2012.

We disagree with the AMA RUC-reco mmended work RVU of 15.03 for CPT code

49654. The AMA RUC indicated in its summary of recommendations that the survey data show

100 percent of survey respondents st ated they perform the procedur e "in the hospital." Of those

respondents who stated that they typically perform the procedur e in the hospital, 10 percent

stated that the patient is "discharged the same day," 33 percent stated the patient is "kept

overnight (less than 24 hours)," and 56 percent stated the patient is "admitted (more than

24 hours)." These responses make no distinction be tween the patient’s status as an inpatient or

outpatient of the hospital for stays of longer than 24 hours. As indicated by the most recent PFS

claims data, CPT code 49654 is a code with a Site -of-Service anomaly. In its recommendation to

us, the AMA RUC asserted that Medicare claims data for this service are still new and may not

reflect accurate Medicare utilization for this procedur e. The most recent PFS claims data show that

outpatient utilization for this code is well above the Site-of-Service anomal y threshold of greater

than 50 percent, and we will continue to monitor th e data to ensure that th is CPT code, and all CPT

codes, are valued appropriately for their site-of-service. In accordance with the policy discussed

# CMS-1582-PN 108

in section II.A. of this proposed notice, we re moved the subsequent observation care service,

reduced the discharge day manageme nt service to one-half, and adjusted times. As a result, we

are proposing an alternative work RVU of 13.76 with refinements to the time for CPT code

49654 for CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 49655 (Laparoscopy, surgical, re pair, incisional hern ia (includes mesh

insertion, when performed); incarcerated or strangulated), for CY 2009 the AMA RUC

crosswalked CPT code 49655 to CPT code 43280 (Laparosco py, surgical, esophagogastric

fundoplasty (eg, Nissen, Toupet procedures )) (work RVU = 18.10), and recommended a work

RVU of 18.00. We accepted this recommendatio n. For CY 2010, the work RVU for CPT code

49655 was increased to 18.11 based on the redistri bution of RVUs resulting from the CMS

policy to no longer recognize the CPT consulta tion codes. Upon re-review for CY 2012, the

AMA RUC decided that CPT code 49655 was accu rately valued in its CY 2009 recommendation,

with support from reference services and speci alty survey data, and stated that it found no

compelling evidence to change the current physici an work value of this service. The AMA RUC

ultimately recommended that the current work RVU of 18.11 be maintained for CPT code 49655

for CY 2012.

We disagree with the AMA RUC-reco mmended work RVU of 18.11 for CPT code

49655. The AMA RUC indicated in its summary of recommendations that the survey data show

100 percent of survey respondents st ated they perform the procedur e "in the hospital." Of those

respondents who stated that they typically perform the procedure in the hospital, 5 percent stated

that the patient is "discharged th e same day," 8 percent stated the patient is "kept overnight (less

than 24 hours)," and 87 percent stated the pati ent is "admitted (more than 24 hours)." These

responses make no distinction between the patient’ s status as an inpatien t or outpatient of the

# CMS-1582-PN 109

hospital for stays of longer than 24 hours. As indicated by the most recent PFS claims data, CPT

code 49655 is a code with a Site-of-Service a nomaly. In its recommendation to us, the AMA

RUC asserted that Medicare claims data for this service are still new and may not reflect accurate

Medicare utilization for this proc edure. The most recent PFS clai ms data show that outpatient

utilization for this code is above the Site-of-Service anom aly threshold of greater than 50 percent,

and we will continue to monitor the data to ensure that this CPT code, and all CPT codes, are

valued appropriately for their site-of-service. In accordance with the policy discussed in section

II.A. of this proposed notice, we removed the su bsequent observation care service, reduced the

discharge day management service to one-half, and adjusted times. As a result, we are proposing

an alternative work RVU of 16.84 with refi nements to the time for CPT code 49655 for

CY 2012. A complete list of CMS time refinements can be found in Table 6.

20. Urologic Procedures

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

51705 Change of bladder tube 1.05 0.90 0.90 Agree

51710 Change of bladder tube 1.52 1.35 1.35 Agree x

52005 Cystoscopy & ureter catheter 2.37 2.37 2.37 Agree

52007 Cystoscopy and biopsy 3.02 3.02 3.02 Agree

52310 Cystoscopy and treatment 2.81 2.81 2.81 Agree

52315 Cystoscopy and treatment 5.20 5.20 5.20 Agree

52630 Remove prostate regrowth 7.73 7.73 6.55 Disagree x

52640 Relieve bladder contracture 4.79 4.79 4.79 Agree

52649 Prostate laser enucleation 17.29 15.20 14.56 Disagree x

53440 Male sling procedure 15.54 14.00 13.36 Disagree x

57287 Revise/remove sling repair 11.15 11.15 11.15 Agree

57288 Repair bladder defect 12.13 12.13 12.13 Agree



# In the Fourth Five-Year Review, we identified CPT codes 51705, 52005 and 52310 as

potentially misvalued through the Harvard-Valu ed – Utilization > 30,000 screen. CPT codes

# CMS-1582-PN 110

51710, 52007 and 52315 were added as part of the fam ily of services for AMA RUC review. In

addition, we identified CPT codes 52630, 52649, 53440 and 57288 as potentially misvalued

through the Site-of-Service Anomaly screen. Th e specialty agreed to add CPT codes 52640 and

57287 as part of the family of services for AMA RUC review.

For CPT code 51710 (Change of cystostomy tube; complicated), the AMA RUC noted

that a request was sent to CMS to have the gl obal service period cha nged from a 10-day global

period (which includes RVUs for the same day pre-operative period and for a 10-day postoperative period) to a 0-day globa l period (which only includes RVUs for the same day pre- and

post-operative period). The AMA RUC indicated that in the standards of car e for this procedure,

there is no hospital time and there are no follow up visits. The AMA RUC also noted that while

the service was surveyed as a 10-day global, the respondents inadvertently included a hospital

visit, CPT code 99231(Subsequent hospital ca re), and overvalued the physician work.

Consequently, the AMA RUC did not use the su rvey results to value the code. Rather,

comparing the physician work within the family of services, the AMA RU C compared CPT code

51710 to CPT code 51705 (Change of cystostomy tube; simple) and recommended a work RVU

of 1.35 for CPT code 51710.

We agree with the AMA RUC’s recommende d work RVU and are proposing a work

RVU of 1.35 for CPT code 51710 for CY 2012. We al so agree to change the global period from

10 to zero days. However, we note that while we believe that changing a cystostomy tube in a

complicated patient may be more time consuming than in a patient that requires a simple

cystostomy tube change, we believe that the pr e-positioning time is unnecessarily high given the

recommended pre-positioning time of 5 minutes for CPT code 51705, which has an identical prepositioning work description. Hence, we are making refinements in time for CPT code 51710

# CMS-1582-PN 111

for CY 2012. A complete list of CMS time refinements can be found in Table 6.

For CPT code 52630 (Transurethral resectio n; residual or regrowth of obstructive

prostate tissue including c ontrol of postoperative bleeding, complete (vasectomy, meatotomy,

cystourethroscopy, urethral calibra tion and/or dilation, and intern al urethrotomy are included)),

the AMA RUC reviewed the survey results and r ecommended that this service be valued as a

service performed predominately in the facility setting, as the survey data indicated that a

majority of patients have an overnight stay. Be cause the majority of re spondents stated that the

typical patient would be kept at overnight in the hospital, th e AMA RUC recommended that one

inpatient hospital visit and a full day discharge management servic e be included in the value of

the service for CPT code 52630. The AMA RUC stated that it ultimately did not believe there

was compelling evidence to signal a recent chan ge in physician work. Accordingly, the AMA

RUC recommended maintaining the current work RVU of 7.73 for CPT code 52630.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 52630. While

the survey data show 93 percent (37 out of 40) of survey resp ondents stated they perform the

procedure "in the hospital," of those respondents who stated that they typically perform the

procedure in the hospital, 3 percent (1 out of 40) stated that the patient is "discharged the same

day," 43 percent (17 out of 40) st ated the patient is "kept overn ight (less than 24 hours)," and

54 percent (22 out of 40) stated the patient is "admitted (more than 24 hours)." These responses

make no distinction between the patient’s status as an inpatient or outpatient of the hospital for

stays of longer than 24 hours. As we discusse d in section II.A. of th is proposed notice, we

believe that the 23-hour stay issue encompasses several scenarios. The typical patient is

commonly in the hospital for less than 24 hours, wh ich often means the patient may indeed stay

overnight in the hospital. On occasion, the pati ent may stay longer than a single night in the

# CMS-1582-PN 112

hospital; however, in both cases, the patient is considered for Medicare purposes to be a hospital

outpatient, not an inpatient. Given that the mo st recent Medicare PFS claims data indicate this

service is typically (more than 50 percent of the time) furnishe d in the outpatient setting, we

believe it is appropriate to re move the post-procedure inpatient visit remaining in the AMA

RUC-recommended value and adjust the physicia n times accordingly. We also reduced the

discharge day management service to one-half. We are thus pr oposing an alternative work RVU

of 6.55 with refinements in time for CPT code 47563 for CY 2012. A complete list of CMS time

refinements can be found in Table 6.

For CPT code 52649 (Laser enucleation of th e prostate with morcellation, including

control of postoperative bleedi ng, complete (vasectomy, meatotom y, cystourethroscopy, urethral

calibration and/or dilation, inte rnal urethrotomy and transureth ral resection of prostate are

included if performed)), a Site-of-Service a nomaly code, the AMA RUC reviewed the survey

results of 16 (out of a sample size of 869) physicians. The AMA RUC recommended that this

service be valued as a service performed predominately in the f acility setting. Using magnitude

estimation, the AMA RUC agreed that the 25th per centile survey value, wh ich is lower than the

current work RVU, was appropriate. The AM A RUC ultimately recommended a work RVU of

15.20 for CPT code 52649.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 52649. While

the survey data show 94 percent (15 out of 16) of survey resp ondents stated they perform the

procedure "in the hospital," of those respondents who stated that they typically perform the

procedure in the hospital, 33 percen t (5 out of 16) stated that the patient is "discharged the same

day," 54 percent (9 out of 16) stated the patien t is "kept overnight (less than 24 hours)," and

13 percent (2 out of 16) stated the patient is "admitted (more than 24 hours)." These responses

# CMS-1582-PN 113

make no distinction between the patient’s status as an inpatient or outpatient of the hospital for

stays of longer than 24 hours. Nevertheless, th e survey data confirm th e most recent Medicare

PFS claims data which show that CPT code 52649 is a code with a Site-of-Service anomaly.

Accordingly, we applied our policy for a 23-hour stay service and reduced the discharge day

management service to one-half. We are pr oposing an alternative wo rk RVU of 14.56 with

refinements in time for CPT code 52649 for CY 2012. A complete list of CMS time refinements

can be found in Table 6.

For CPT code 53440 (Sling operation for correcti on of male urinary incontinence (eg,

fascia or synthetic)), the AMA RUC reviewed the su rvey results from 30 (out of a sample size of

717) physicians. The AMA RUC recommended that this service be valued as a service

performed predominately in the facility sett ing. Using magnitude estimation, the AMA RUC

agreed that the median survey value, which is lower than the current work RVU, was

appropriate. The AMA RUC ultimately reco mmended a work RVU of 14.00 for CPT code

53440.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 53440. While

the survey data show 97 percent (29 out of 30) of survey resp ondents stated they perform the

procedure "in the hospital," of those respondents who stated that they typically perform the

procedure in the hospital, 38 percen t (11 out of 30) stated that the patient is "discharged the same

day," 59 percent (18 out of 30) st ated the patient is "kept overn ight (less than 24 hours)," and

3 percent (1 out of 30) stated the patient is "admitted (more than 24 hours)." These responses

make no distinction between the patient’s status as an inpatient or outpatient of the hospital for

stays of longer than 24 hours. Nevertheless, th e survey data show that the vast majority of

responders indicated CPT code 53440 is typically performed in the hospital setting as an

# CMS-1582-PN 114

outpatient rather than an inpatient service. Th e survey data confirm th e most recent Medicare

PFS claims data which show that CPT code 53440 is a code with a Site-of-Service anomaly.

Accordingly, we applied our policy for a 23-hour stay service and reduced the discharge day

management service to one-half. We are pr oposing an alternative wo rk RVU of 13.36 with

refinements in time for CPT code 53440 for CY 2012. A complete list of CMS time refinements

can be found in Table 6.

21. Removal of Thyroid/Parathyroid

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

60220 Partial removal of thyroid 12.37 12.37 11.19 Disagree x

60240 Removal of thyroid 16.22 16.22 15.04 Disagree x

60500 Explore parathyroid glands 16.78 16.78 15.60 Disagree x



# In the Fourth Five-Year Review, we identified CPT codes 60220, 60240 and 60500 as

potentially misvalued through the S ite-of-Service Anomaly screen.

For CPT code 60220 (Total thyroid lob ectomy, unilateral; with or without

isthmusectomy), the AMA RUC reviewed the survey results from 35 (out of a sample size of

118) physicians. The AMA RUC recommended that this service be valued as a service

performed predominately in the f acility setting. The AMA RUC i ndicated that since the typical

patient is kept overnight, the AM A RUC believes that one inpatient hospital visit as well as one

discharge day management servi ce should be maintained in the post-operative visits for this

service. Using magnitude estimation, the AM A RUC recommended the current work RVU of

12.37 for CPT code 60220.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 60220. While

# CMS-1582-PN 115

the survey data show 97 percent (34 out of 35) of survey resp ondents stated they perform the

procedure "in the hospital," of those respondents who stated that they typically perform the

procedure in the hospital, 18 percen t (6 out of 34) stated that the patient is "discharged the same

day," 79 percent (27 out of 34) st ated the patient is "kept overn ight (less than 24 hours)," and

3 percent (1 out of 34) stated the patient is "admitted (more than 24 hours)." These responses

make no distinction between the patient’s status as an inpatient or outpatient of the hospital for

stays of longer than 24 hours. Nevertheless, the survey data show that the majority of responders

indicated CPT code 60220 is typically performed in the hospital setting as an outpatient rather

than an inpatient service. The survey data confirm the most recent Medicare PFS claims which

show that CPT code 60220 is a code with a Site -of-Service anomaly. A ccordingly, in applying

the policy for a 23-hour stay service, we remove d the hospital visit, reduced the discharge day

management service to one-half, and adjusted tim es. We are proposing an alternative work RVU

of 11.19 with refinements in time for CPT code 60220 for CY 2012. A complete list of CMS

time refinements can be found in Table 6.

For CPT code 60240 (Thyroidectomy, total or complete), the AMA RUC reviewed the

survey results from 35 (out of a sample size of 118) physicians. Using magnitude estimation, the

AMA RUC believed that maintaining the curren t work RVU is appropriate. The AMA RUC

ultimately recommended the current work RVU of 16.22 for CPT code 60240.

We disagree with the AMA RUC-recommended work RVU for CPT code 60220. Of the

97 percent of respondents that stated they perf orm the procedure "in th e hospital," 100 percent

stated that the patient is either "discharged the same day" or "kep t overnight (less than

24 hours).” The survey data confirm the most r ecent Medicare PFS claims data which show that

CPT code 60240 is a code with a Site-of-Servic e anomaly. Accordingly, we believe it is

# CMS-1582-PN 116

appropriate to remove the post-pr ocedure inpatient visit remaini ng in the value and adjust the

physician times accordingly. We also reduced th e discharge day management service to onehalf, consistent with our 23 hour stay service policy. We are pr oposing an alternative work RVU

of 15.04 with refinements in time for CPT code 60240 for CY 2012. A complete list of CMS

time refinements can be found in Table 6.

For CPT code 60500 (Parathyroidectomy or e xploration of parat hyroid(s);), the AMA

RUC reviewed the survey results from 35 (out of a sample size of 118) physicians. The AMA

RUC recommended that this service be valued as a service performed predominately in the

facility setting. The AMA RUC in dicated that since the typical patient is kept overnight, the

AMA RUC believes that one hospital visit as we ll as one discharge day management service

should be maintained in the post-operative visits for this service. Using magnitude estimation,

the AMA RUC ultimately recommended the current work RVU of 16.78 for CPT code 60500.

We disagree with the AMA RUC-recommende d work RVU for CPT code 60500. While

the survey data show 97 percent (34 out of 35) of survey resp ondents stated they perform the

procedure "in the hospital," of those respondents who stated that they typically perform the

procedure in the hospital, 18 percen t (6 out of 34) stated that the patient is "discharged the same

day," 44 percent (15 out of 34) st ated the patient is "kept overn ight (less than 24 hours)," and

38 percent (13 out of 34) stated the patient is "admitted (more than 24 hours)." These responses

make no distinction between the patient’s status as an inpatient or outpatient of the hospital for

stays of longer than 24 hours. Nevertheless, the survey data show that the majority of responders

indicated CPT code 60500 is typically performed in the hospital setting as an outpatient rather

than an inpatient service. The survey data confirm the most recent Medicare PFS claims data

which show that CPT code 60500 is a code with a Site-of-Service anomaly. Accordingly, we

# CMS-1582-PN 117

removed the hospital visit, reduced the discha rge day management service to one-half, and

adjusted times. We are proposing an alternativ e work RVU of 15.60 with refinements in time for

CPT code 60500 for CY 2012. A complete list of CMS time refinements can be found in Table

6.

22. Implant Neuroelectrodes

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

63655 Implant neuroelectrodes 11.56 11.56 10.92 Disagree x



# In the Fourth Five-Year Revi ew, CMS identified CPT code 63655 ( Laminectomy for

implantation of neurostimulator electrodes, pl ate/paddle, epidural) as potentially misvalued

through the Site-of-Service Anomaly screen. CY 2009 Medicare PFS claims data indicated that

for the typical case (greater than 50 percent), th is service was not performed in the inpatient

hospital setting and, therefore, we requested in the CYs 2010 a nd 2011 PFS final rules that the

AMA RUC review this service again.

For CPT code 63655 (Laminectomy for implan tation of neurostimulator electrodes,

plate/paddle, epidural), the associ ated specialty societies indicated that this service was recently

surveyed and reviewed by the AMA RUC in Ap ril 2009 and concluded th at there was no reason

to believe another survey would result in diffe rent data requiring a change in the AMA RUC's

previous discussion and recommendation. Accordingly, the AMA RUC recommended

maintaining the current work RVU of 11.56, as well as the current physician time components.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 63655. We

note that according to the survey data provi ded by the AMA RUC, of the 90 percent of

# CMS-1582-PN 118

respondents that stated they perform the procedur e "in the hospital," 18 percent stated that the

patient is "discharged the same day" and 55 perc ent stated that the patient was "kept overnight

(less than 24 hours)." Given that the most recently available Medi care PFS claims data continue

to show the typical case is not an inpatient, and that the surv ey data for this code suggest the

typical case is a 23 hour st ay service, we believe it is appropr iate to apply our established policy

and reduce the discharge day management servic e to one-half. We are thus proposing an

alternative work RVU of 10.92 with refineme nts in time for CPT code 63655 for CY 2012. A

complete list of CMS time refinements can be found in Table 6.

23. Injection of Anesthetic Agent

CPT

Code Short Descriptor CY 2011

Work RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

64405 N block inj, occipital 1.32 1.00 0.94 Disagree



# In the Fourth Five-Year Review, CMS identified CPT code 64405 as potentially

misvalued through the Harvard-Valued – Utilization > 30,000 screen.

For CPT code 64405 (Injection, anesthetic agen t; greater occipital nerve), the AMA RUC

reviewed the survey results and recommended the median survey work RVU of 1.00 for CPT

code 64405.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 64405. We

believe this code is comparable to the key reference CPT code 20526 (Injection, therapeutic (eg,

local anesthetic, corticostero id), carpal tunnel) (work R VU = 0.94). Accordingly, we are

proposing an alternative work RVU of 0.94 for CPT code 64405 for CY 2012.

24. Gastric Emptying Study

# CMS-1582-PN 119

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommende

d WRVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

78264 Gastric emptying study 0.78 0.95 0.80 Disagree x



# In the Fourth Five-Year Review, we identi fied CPT code 78264 as potentially misvalued

through the Harvard-Valued – Utilization > 30,000 screen.

For CPT code 78264 (Gastric emptying study) , the AMA RUC reviewed the survey

results and recommended the survey medi an work RVU of 0.95 for CPT code 78264.

We disagree with the AMA RUC-recomme nded work RVU for CPT code 78264. We

believe the 25th percentile survey value is mo re appropriate based on its similarity in the

physician work to other diagnostic tests. Acco rdingly, we are proposing an alternative work

RVU of 0.80 for CPT code 78264 for CY 2012.

25. Nasopharyngoscopy

CPT

Code Short Descriptor CY 2011

Work RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

92511 Nasopharyngoscopy 0.84 0.61 0.61 Agree x



# In the Fourth Five-Year Review, we identi fied CPT code 92511 as potentially misvalued

through the Harvard-Valued – Utilization > 30,000 screen.

For CPT code 92511 (Nasopharyngoscopy with e ndoscope (separate procedure)), the

AMA RUC reviewed the survey re sults of 30 (out of a sample size of 100) physicians. The

AMA RUC noted that there is typically an E/M serv ice furnished on the same day as this service.

AMA RUC indicated that it beli eves the survey data overestimated the physician work involved

in the surveyed code and recommended that for CPT code 92511, a direct work RVU crosswalk

# CMS-1582-PN 120

to CPT code 69210 (Removal impacted cerumen (separate procedure), 1 or both ears) was

appropriate. Accordingly, the AMA RUC reco mmended a work RVU of 0.61 for CPT code

92511.

We agree with the AMA RUC’s recommende d work RVU and are proposing a work

RVU of 0.61 for CPT code 92511 for CY 2012. However, while the AMA RUC noted that there

is typically an E/M service furnished on the same day as this service, we are concerned that the

times in the surveyed code were not adjusted to account for the overlap in times. The most

currently available Medicare PFS claims data continue to show that CPT code 92511 is

commonly billed with an E/M visit on the same da y; therefore, as described in section II.A. of

this proposed notice, to account for this overl ap, we reduced the pre-service evaluation and

post-service time by one-third. We believe that 4 minut es pre-service evaluation time and

3 minutes post-service time accurately reflect the time required to conduct the work associated

with this service. A complete list of CMS time refinements can be found in Table 6.

26. Cardiopulmonary Resuscitation

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommende

d Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

92950 Heart/lung resuscitation cpr 3.79 4.50 4.00 Disagree x



# In the Fourth Five-Year Review, CM S identified CPT code 92950 as potentially

misvalued through the Harvard-Valu ed – Utilization> 30,000 screen.

For CPT code 92950 (Cardiopulmonary resuscit ation (eg, in cardiac arrest)), the AMA

RUC reviewed the survey results recommended the median survey work RVU of 4.50 for CPT

code 92950.

# CMS-1582-PN 121

We disagree with the AMA RUC-recomme nded work RVU for CPT code 92950. We

recognize that patients that under go this service are very ill; howe ver, we do not believe that the

typical patient meets all the criteria for the critic al care codes. Furthermore, the most currently

available Medicare PFS claims data show that CPT code 92950 is typically performed on the

same day as an E/M visit. We believe some of the activities conduc ted during the pre- and

post-service times of the procedur e code and the E/M visit overlap and, therefore, should not be

counted twice in developing the procedure’s work va lue. As described in section II.A. of this

proposed notice, to account for this overlap, we reduced the pre-serv ice evaluation and post

service time by one-third. We believe that 1 minute pr e-service evaluation time and 20 minutes

post-service time accurately reflect the time require d to conduct the work associated with this

service. A complete list of CMS ti me refinements can be found in Table 6.

27. Osteopathic Manipulative Treatment

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

98925 Osteopathic manipulation 0.45 0.50 0.46 Disagree x

98926 Osteopathic manipulation 0.65 0.75 0.71 Disagree x

98927 Osteopathic manipulation 0.87 1.00 0.96 Disagree x

98928 Osteopathic manipulation 1.03 1.25 1.21 Disagree x

98929 Osteopathic manipulation 1.19 1.50 1.46 Disagree x



# In the Fourth Five-Year Review, we identified CPT codes 98925, 98928 and 98929 as

potentially misvalued through the Harvard-Valued – Utilization > 30,000 screen. Additionally,

the American Osteopathic Association identifi ed CPT codes 98926 and 98927 to be reviewed as

part of this family since these were also iden tified to be reviewed by the AMA RUC Relativity

Assessment Workgroup because these codes were identified through the Harvard-Valued –

Utilization > 100,000 screen.

# CMS-1582-PN 122

For CPT code 98925 (Osteopathic manipula tive treatment (OMT); 1-2 body regions

involved), the AMA RUC reviewed the survey re sults and, based on comparisons to reference

codes, recommended a work R VU of 0.50 for CPT code 98925.

We disagree with the AMA RUC-recomme nded work RVU of 0.50 for CPT code 98925

and believe that a work RVU of 0.46 is more appr opriate for this service. We are also refining

the time associated with this code. Recent PFS cl aims data show that th is service is typically

performed on the same day as an E/M visit. The AMA RUC considered this, and determined

that the work associated with the pre- and post- service time for CPT code 98925 is separate from

the work conducted during the E/M visit. Wh ile we understand that these services have

differences, we believe some of the activities conducted during the pre- and post-service times of

the osteopathic manipulative treatment code and the E/M visit overlap an d, therefore, should not

be counted twice in developing the procedure’s work value. As described earlier in section II.A.

of this proposed notice, to account for this ov erlap, we reduced the pre-service evaluation and

post-service time by 1/3. We believe that 1 minute of pre- service evaluation time and 2 minutes

post-service time accurately reflect the time require d to conduct the work associated with this

service.

In order to determine the appropriate work RVU for this service gi ven the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU of 0.50. For CPT code 98925, we removed a total of 2 minutes

from the AMA RUC-recommended pre- and post-s ervice times, which amounts to the removal

of .04 of a work RVU, resulting in a work RVU of 0.46. We noted that 70 percent of the survey

respondents indicated that the work of performing this service has not changed in the past 5 years

(current RVU = 0.45). We are proposing an alte rnative work RVU of 0.46, with refinement in

# CMS-1582-PN 123

time for CPT code 98925 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

For CPT code 98926 (Osteopathic manipula tive treatment (OMT); 3-4 body regions

involved), the AMA RUC reviewed the survey re sults and determined that the survey 25th

percentile work RVU of 0.75 provi des the appropriate incrementa l difference between this CPT

code and others in the family, considering th e additional intra-service time required for the

additional body regions involved. Therefore, the AMA RUC recommended a work RVU of 0.75

for CPT code 98926.

We disagree with the AMA RUC-recomme nded work RVU of 0.75 for CPT code 98926

and believe that a work RVU of 0.71 is more appr opriate for this service. We are also refining

the time associated with this code. Recent PFS cl aims data show that th is service is typically

performed on the same day as an E/M visit. The AMA RUC considered this, and determined

that the work associated with the pre- and post- service time for CPT code 98926 is separate from

the work conducted during the E/M visit. Wh ile we understand that these services have

differences, we believe some of the activities conducted during the pre- and post-service times of

the osteopathic manipulative treatment code and the E/M visit overlap an d, therefore, should not

be counted twice in developing the procedure’s work value. As described earlier in section II.A.

of this proposed notice, to account for this ov erlap, we reduced the pre-service evaluation and

post-service time by 1/3. We believe that 1 minute of pre- service evaluation time and 2 minutes

post-service time accurately reflect the time require d to conduct the work associated with this

service.

In order to determine the appropriate work RVU for this service given the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

# CMS-1582-PN 124

RUC-recommended work RVU of 0.75. For CPT code 98926, we removed a total of 2 minutes

from the AMA RUC-recommended pre- and post-s ervice times, which amounts to the removal

of .04 of a work RVU, resulting in a work RVU of 0.71. We noted that 81 percent of the survey

respondents indicated that the work of performing this service has not changed in the past 5 years

(current RVU = 0.65). We are proposing an alte rnative work RVU of 0.71, with refinement in

time for CPT code 98926 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

For CPT code 98927 (Osteopathic manipula tive treatment (OMT); 5-6 body regions

involved), the AMA RUC reviewed the survey re sults and determined that a work RVU of 1.00

provides the appropriate incrementa l difference between this CPT c ode and others in the family,

considering the additional intra- service time required for the additional body regions involved.

The AMA RUC stated that this value is supported by the survey 25th percentile work RVU of

0.97. The AMA RUC recommended a work RVU of 1.00 for CPT code 98927.

We disagree with the AMA RUC-recomme nded work RVU of 1.00 for CPT code 98927

and believe that a work RVU of 0.96 is more appr opriate for this service. We are also refining

the time associated with this code. Recent PFS cl aims data show that th is service is typically

performed on the same day as an E/M visit. The AMA RUC considered this, and determined

that the work associated with the pre- and post- service time for CPT code 98927 is separate from

the work conducted during the E/M visit. Wh ile we understand that these services have

differences, we believe some of the activities conducted during the pre- and post-service times of

the osteopathic manipulative treatment code and the E/M visit overlap an d, therefore, should not

be counted twice in developing the procedure’s work value. As described earlier in section II.A.

of this proposed notice, to account for this ov erlap, we reduced the pre-service evaluation and

# CMS-1582-PN 125

post-service time by 1/3. We believe that 1 minute of pre- service evaluation time and 2 minutes

post-service time accurately reflect the time require d to conduct the work associated with this

service.

In order to determine the appropriate work RVU for this service gi ven the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU of 1.00. For CPT code 98927, we removed a total of 2 minutes

from the AMA RUC-recommended pre- and post-s ervice times, which amounts to the removal

of .04 of a work RVU, resulting in a work RVU of 0.96. We noted that 77 percent of the survey

respondents indicated that the work of performing this service has not changed in the past 5 years

(current RVU = 0.87). We are proposing an alte rnative work RVU of 0.96, with refinement in

time for CPT code 98927 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

For CPT code 98928 (Osteopathic manipula tive treatment (OMT); 7-8 body regions

involved), the AMA RUC reviewed the survey re sults and determined that a work RVU of 1.25

provides the appropriate incrementa l difference between this CPT c ode and others in the family,

considering the additional intra- service time required for the additional body regions involved.

The AMA RUC stated that this value is supported by the survey 25th percentile work RVU of

1.29. The AMA RUC recommended a work RVU of 1.25 for CPT code 98928.

We disagree with the AMA RUC-recomme nded work RVU of 1.25 for CPT code 98928

and believe that a work RVU of 1.21 is more appr opriate for this service. We are also refining

the time associated with this code. Recent PFS cl aims data show that th is service is typically

performed on the same day as an E/M visit. The AMA RUC considered this, and determined

that the work associated with the pre- and post- service time for CPT code 98928 is separate from

# CMS-1582-PN 126

the work conducted during the E/M visit. Wh ile we understand that these services have

differences, we believe some of the activities conducted during the pre- and post-service times of

the osteopathic manipulative treatment code and the E/M visit overlap an d, therefore, should not

be counted twice in developing the procedure’s work value. As described earlier in section II.A.

of this proposed notice, to account for this ov erlap, we reduced the pre-service evaluation and

post-service time by 1/3. We believe that 1 minute of pre- service evaluation time and 2 minutes

post-service time accurately reflect the time require d to conduct the work associated with this

service.

In order to determine the appropriate work RVU for this service gi ven the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU of 1.25. For CPT code 98928, we removed a total of 2 minutes

from the AMA RUC-recommended pre- and post-s ervice times, which amounts to the removal

of .04 of a work RVU, resulting in a work RVU of 1.21. We noted that 67 percent of the survey

respondents indicated that the work of performing this service has not changed in the past 5 years

(current RVU = 1.03). We are proposing an alte rnative work RVU of 1.21, with refinement in

time for CPT code 98928 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

For CPT code 98929 (Osteopathic manipula tive treatment (OMT); 9-10 body regions

involved), the AMA RUC reviewed the survey re sults and determined that the survey 25th

percentile work RVU of 1.50 provi des the appropriate incrementa l difference between this CPT

code and others in the family, considering th e additional intra-service time required for the

additional body regions involved. The AMA RU C recommended a work RVU of 1.50 for CPT

code 98929.

# CMS-1582-PN 127

We disagree with the AMA RUC-recomme nded work RVU of 1.50 for CPT code 98929

and believe that a work RVU of 1.46 is more appr opriate for this service. We are also refining

the time associated with this code. Recent PFS cl aims data show that th is service is typically

performed on the same day as an E/M visit. The AMA RUC considered this, and determined

that the work associated with the pre- and post- service time for CPT code 98929 is separate from

the work conducted during the E/M visit. Wh ile we understand that these services have

differences, we believe some of the activities conducted during the pre- and post-service times of

the osteopathic manipulative treatment code and the E/M visit overlap an d, therefore, should not

be counted twice in developing the procedure’s work value. As described earlier in section II.A.

of this proposed notice, to account for this ov erlap, we reduced the pre-service evaluation and

post-service time by 1/3. We believe that 1 minute of pre- service evaluation time and 2 minutes

post-service time accurately reflect the time require d to conduct the work associated with this

service.

In order to determine the appropriate work RVU for this service gi ven the time changes,

we calculated the value of the extracted time and subtracted it from the AMA

RUC-recommended work RVU of 1.50. For CPT code 98929, we removed a total of 2 minutes

from the AMA RUC-recommended pre- and post-s ervice times, which amounts to the removal

of .04 of a work RVU, resulting in a work RVU of 1.46. We noted that 63 percent of the survey

respondents indicated that the work of performing this service has not changed in the past 5 years

(current RVU = 1.19). We are proposing an alte rnative work RVU of 1.46, with refinement in

time for CPT code 98929 for CY 2012. A complete list of CMS time refinements can be found

in Table 6.

# CMS-1582-PN 128

28. Observation Care

CPT

Code Short Descriptor CY 2011

Work

RVU AMA RUC

Recommended

WRVU CMS

Recommended

WRVU CMS

Work

RVU

Decision CMS

Refinements

to Time

99218 Observation care 1.28 1.92 1.28 Disagree x

99219 Observation care 2.14 2.60 2.14 Disagree x

99220 Observation care 2.99 3.56 2.99 Disagree x

99234 Observ/hosp same date 2.56 2.56 1.92 Disagree x

99235 Observ/hosp same date 3.41 3.24 2.78 Disagree x

99236 Observ/hosp same date 4.26 4.20 3.63 Disagree x



# In the Fourth Five-Year Review, CMS identified CPT codes 99218 through 99220 as

potentially misvalued through the Harvard-Valued – Utilization > 30,000 sc reen. The American

College of Physicians (ACEP) also submitted a public comment identifying CPT codes 99218

through 99220 to be reviewed in the Fourth Fi ve-Year Review. The American College of

Emergency Physicians (ACEP) also identifi ed CPT codes 99234 through 99236 as part of the

family of services for AMA RUC review.

For CPT codes 99218 (Level 1 initial observa tion care, per day), 99219 (Level 2 initial

observation care, per day), and 99220 (Level 3 initial observati on care, per day), the AMA RUC

believes that the patient population has changed fo r the initial observation care codes. The AMA

RUC also believes that a rank orde r anomaly exists within this fa mily of codes as the observation

care codes have an analogous relationship to the initial hospital care codes (99221 through

99223). In October 2009, the AMA RUC consider ed three new CPT codes for subsequent

observation care services and recommended a dir ect crosswalk to the corresponding level of

subsequent hospital care c odes (99231 through 99233) for th e work RVU. The AMA RUC

determined that similarly, the initial observat ion codes should be valued equivalently to the

corresponding initial ho spital care codes (99221 through 99223), which includes physician times

# CMS-1582-PN 129

and work RVUs. Accordingly, for CPT codes 99218-99220, the AMA RUC reviewed the

survey results and recommended work RVUs of 1.92 for code 99218, 2.60 for code 99219, and

3.56 for code 99220 for CY 2012.

We disagree with the AMA RUC-recommended work RVU for CPT code 99218, 99219,

and 99220. We agree with the AMA RUC that appropr iate relativity must be maintained within

and between the families of similar codes. However, we believe that while the work RVUs of

these initial observation care codes (99218, 99219, a nd 99220) should be greater than those of

the subsequent observation care codes (99224, 99225, and 99226), we do not believe the work

RVUs of the initial observation care codes (99218, 99219, and 99220) should be equivalent (or

close) to the initial hospital care codes (99221, 99222, and 99223). We note that in the CY 2011

PFS final rule with comment period (75 FR 73334), we reviewed the new subsequent

observation care codes, assigni ng the following work RVUs on an interim final basis for

CY 2011: 0.54 to CPT code 99224, 0.96 to CPT code 99225, and 1.44 to CPT code 99226.

These are all lower work RVUs than the subsequent hospital care codes (99224, 99225, and

99226). Furthermore, we noted that CMS has stated previously th at in only rare and exceptional

cases would reasonable and necessary outpatient obs ervation services span more than 48 hours.

In the majority of cases, the decision whether to discharge a patient from the hospital following

resolution of the reason for the observation care or to admit the patient as an inpatient can be

made in less than 48 hours, usually in less than 24 hours. Consequentl y, we believe that the

acuity level of the typical patient receiving outp atient observation servic es would generally be

lower than that of the inpatient level. We believe that if the patient's acuity level is determined to

be at the level of the inpatient, the patient should be admitted to the hospital as an inpatient. We

note that CMS has publicly stated in a recent letter to the AHA that "it is not in th e hospital's or

# CMS-1582-PN 130

the beneficiary's interest to extend observation care rather than either releasing the patient from

the hospital or admitting the patien t as an inpatient..." (75 FR 73334).

Consequently, we are not accepting the AMA RUC's recommendation to value the initial

observation care codes at (for CPT Codes 99218 and 99219), or close to (for CPT code 99220)

the level of initial hospital care services. In stead, we believe the work RVUs of the initial

observation care codes should reflect the modest differences in patient acuity between the

outpatient and inpatient settings. We compared th e current work RVUs of the initial observation

care codes to the interim final work RVUs of the subsequent observa tion care codes and found

that the current relativity existing between these codes is acceptable. We also believe that the

current work RVUs of the initial observation care codes maintain the proper rank order with the

initial hospital care se rvices. Therefore, we are proposing to maintain the following work RVUs

for the initial observation care codes for CY 2012: 1.28 for CPT code 99218, 2.14 for CPT code

99219, and 2.99 for CPT code 99220. We note we ar e accepting the survey median physician

times for these codes, as recommended by the AMA RUC. A complete list of CMS time

refinements can be found in Table 6.

For CPT codes 99234 (Level 1, observation or i npatient hospital care, for the evaluation

and management of a patient including admission and discharge on the same date); 99235 (Level

2, observation or inpatient hospital care, for the evaluation and management of a patient

including admission and discharg e on the same date ); and 99236 (Level 3 observation or

inpatient hospital care, for the evaluation and management of a patient including admission and

discharge on the same date ), the AMA RUC re viewed the survey results from 50 internal

medicine, family, geriatric, and emergency physicia ns. The specialty societies indicated and the

AMA RUC agreed that survey results appeared fl awed. The specialty societies determined that

# CMS-1582-PN 131

the inability to accurately survey the physician ti me and work required to perform this service

was due to the fact that observation same day ad mit/discharge services are typically performed

by hospitalists (primarily internis ts) or emergency physicians who work in shifts. Therefore, the

physician performing the admission is typically not the same physician who performs the

discharge and the survey respondents were not including the physician time and work for both

parts of the service.

Consequently, the AMA RUC used a simila r methodology as was established to value

these services in 1997, by taking the corresponding initia l observation care code of the same

level, for example, CPT code 99218 (AMA RUC -recommended work RVU = 1.92) plus half the

value of a hospital discharge day management service, CPT code 99238 (work RVU = 1.28).

Therefore, for CPT code 99234, the AMA RUC recommended maintaining the current work

RVU of 2.56, as using the aforementioned methodol ogy produces the same result. For CPT code

99235, the AMA RUC used the corresponding initi al observation care code, CPT code 99219

(AMA RUC- recommended work RVU = 2.6) plus half the value of a hospital discharge day

management service, CPT code 99238 (work RVU = 1.28) and recommended the work RVU of

3.24, using the aforementioned methodology. Fina lly, for CPT code 99236, the AMA RUC used

the corresponding initial obs ervation care code, CPT code 99220 (AMA RUC-recommended

work RVU = 2.6) plus half the value of a hospita l discharge day management service, CPT code

99238 (work RVU = 1.28) and recommended the wo rk RVU of 4.2, using the aforementioned

methodology.

We agree with the AMA RUC’s approach to valuing these ob servation same day

admit/discharge services; however, we believe that the values for CPT codes 99218, 99219, and

99220 that are incorporated should be the CMS propos ed values discussed above rather than the

# CMS-1582-PN 132

AMA RUC-recommended values. Therefore, using the proposed work RVU of 1.28 for CPT

code 99218 and consistent with the aforemen tioned methodology, we are proposing a work RVU

of 1.92 for CPT code 99234 for CY 2012. For CP T code 99235, using the proposed work RVU

of 2.14 for CPT code 99219 and applying the me thodology, we are proposing a work RVU of

2.78 for CY 2012. Finally, using the proposed work RVU of 2.99 for CPT code 99220 and

applying the methodology, we are proposing a work RVU of 3.63 for CPT code 99236 for CY

2012. We also made corresponding physician time changes. A complete list of CMS time

refinements can be found in Table 6.

D. HCPAC-Recommended Work RVUs

1. Excision of Nail

CPT

Code Short Descriptor CY 2011

WRVU AMA HCPAC

Recommended

Work RVU CMS

Recommended

Work RVU CMS

Work

RVU

Decision CMS

Refinements

to Time

11732 Remove nail plate, add-on 0.57 0.48 0.44 Disagree x

11765 Excision of nail fold, toe 0.74 1.48 1.22 Disagree x



# In the Fourth Five-Year Review, we iden tified CPT codes 11732 and 11765 as potentially

misvalued through Harvard-Valued- Utilization > 30,000 screen.

For CPT code 11723 (Avulsion of nail plate, pa rtial or complete, simple; each additional

nail plate (List separately in addition to code for primary procedure), the HCPAC reviewed the

survey data and determined that the survey 25th percentile work RVU with total time of

15 minutes, was appropriate for this service. The HCPAC recommended a work RVU of 0.48

for CPT code 11732.

We disagree with the HCPAC-recommended work RVU for CPT code 11723 and believe

that a work RVU of 0.44 is more appropriate fo r this service. We compared CPT code 11723 to

# CMS-1582-PN 133

MPC CPT code 92250 and determined that CPT 92250 was the more appropriate crosswalk.

Additionally, we find the HCPAC-recommended decrea se in work RVU to be too small, given

the recommended reduction in time. Therefore, we are proposing an a lternative work RVU of

0.44 for CPT code 11723 for CY 2012.

In addition to the work RVU adjustment for CPT code 11723, CMS is refining the time

associated with this code. While we agree wi th the stated rationale justifying the 2 minutes

pre-service time, we find the recommended 3 minu tes post-service time to be excessive. Upon

clinical review, we believe that 1 minute post- service time more accurate ly reflects the time

required to conduct the post-service work associated with this service. A complete list of CMS

time refinements can be found in Table 6.

For CPT code 11765 (Wedge excision of skin of nail fold (eg, for ingrown toenail)), the

HCPAC reviewed the survey results and determined that the survey median work RVU with total

time of 59 minutes was appropriate for this serv ice. The HCPAC recommended a work RVU of

1.48 for CPT code 11765.

We disagree with the HCPAC-recommended work RVU for CPT code 11765 and believe

that a work RVU of 1.22 is more appropriate . We compared CPT code 11765 with reference

CPT code 11422, as well as with CPT code 10060 (Incision and drainage of abscess (eg,

carbuncle, suppurative hidradenitis , cutaneous or subcutaneous abscess, cyst, furuncle, or

paronychia); simple or single) (work RVU = 1.22), and determined that CPT code 10060 was

more similar in intensity and complexity to CPT code 11765, and thus the better comparator

code for this service. Ther efore, we are proposing an alte rnative work RVU of 1.22 for CPT

code 11765.

In addition to the work RVU adjustment for CPT code 11765, CMS is refining the time

# CMS-1582-PN 134

associated with this code. This service is typically performed on the same day as an E/M visit.

We believe some of the activ ities conducted during the pre- and post-service times of the

procedure code and the E/M visi t overlap and, therefore, shou ld not be counted twice in

developing the procedure’s work value. As descri bed in section II.A. of this proposed notice, to

account for this overlap, we reduced the pr e-service evaluation and post-service time by onethird. We believe that 11 minutes pre-service evaluation time and 3 minutes post-service time

accurately reflect the time required to conduct the work associated with this service. A complete

list of CMS time refinements can be found in Table 6.

E. CPT Codes Identified through the Five-Year Review Process, but not Reviewed by CMS

1. CPT Codes Referred to CPT Editorial Panel

The following table lists the CPT codes that were subsequently sent to the CPT Editorial

Panel to consider coding changes. Therefore, the work RVUs for these codes are not addressed

in this Five-Year Review proposed notice.

CPT Code Short Descriptor CMS Review Status

15365 Apply cult derm sub f/n/hf/g Referred to CPT Editorial Panel

15740 Island pedicle flap graft Referred to CPT Editorial Panel

29590 Application of foot splint Referred to CPT Editorial Panel

29826 Shoulder arthroscopy/surgery Referred to CPT Editorial Panel

29880 Knee arthroscopy/surgery Referred to CPT Editorial Panel

29881 Knee arthroscopy/surgery Referred to CPT Editorial Panel

36010 Place catheter in vein Re ferred to CPT Editorial Panel

36215 Place catheter in artery Re ferred to CPT Editorial Panel

36216 Place catheter in artery Re ferred to CPT Editorial Panel

37620 Revision of major vein Referred to CPT Editorial Panel

47000 Needle biopsy of the liver Referred to CPT Editorial Panel

64622 Destr paravertebrl nerve l/s Referred to CPT Editorial Panel

64623 Destr paravertebral n add-on Referred to CPT Editorial Panel

64626 Destr paravertebrl nerve c /t Referred to CPT Editorial Panel

64627 Destr paravertebral n add-on Referred to CPT Editorial Panel

67810 Biopsy of eyelid Referred to CPT Editorial Panel

90801 Psy dx interview Referred to CPT Editorial Panel

90802 Intac psy dx interview Re ferred to CPT Editorial Panel

# CMS-1582-PN 135

CPT Code Short Descriptor CMS Review Status

90804 Psytx, office, 20-30 min Referred to CPT Editorial Panel

90805 Psytx, off, 20-30 min w/e&m Referred to CPT Editorial Panel

90806 Psytx, off, 45-50 min Referred to CPT Editorial Panel

90807 Psytx, off, 45-50 min w/e&m Referred to CPT Editorial Panel

90808 Psytx, office, 75-80 min Referred to CPT Editorial Panel

90809 Psytx, off, 75-80, w/e&m Referred to CPT Editorial Panel

90810 Intac psytx, off, 20-30 min Referred to CPT Editorial Panel

90811 Intac psytx, 20-30, w/e&m Referred to CPT Editorial Panel

90812 Intac psytx, off, 45-50 min Referred to CPT Editorial Panel

90813 Intac psytx, 45-50 min w/e&m Referred to CPT Editorial Panel

90814 Intac psytx, off, 75-80 min Referred to CPT Editorial Panel

90815 Intac psytx, 75-80 w/e&m Referred to CPT Editorial Panel

90816 Psytx, hosp, 20-30 min Referred to CPT Editorial Panel

90817 Psytx, hosp, 20-30 min w/e&m Referred to CPT Editorial Panel

90818 Psytx, hosp, 45-50 min Referred to CPT Editorial Panel

90819 Psytx, hosp, 45-50 min w/e&m Referred to CPT Editorial Panel

90821 Psytx, hosp, 75-80 min Referred to CPT Editorial Panel

90822 Psytx, hosp, 75-80 min w/e&m Referred to CPT Editorial Panel

90823 Intac psytx, hosp, 20-30 min Referred to CPT Editorial Panel

90824 Intac psytx, hsp 20-30 w/e&m Referred to CPT Editorial Panel

90826 Intac psytx, hosp, 45-50 min Referred to CPT Editorial Panel

90827 Intac psytx, hsp 45-50 w/e&m Referred to CPT Editorial Panel

90828 Intac psytx, hosp, 75-80 min Referred to CPT Editorial Panel

90829 Intac psytx, hsp 75-80 w/e&m Referred to CPT Editorial Panel

90845 Psychoanalysis Referred to CPT Editorial Panel

90846 Family psytx w/o patient Referred to CPT Editorial Panel

90847 Family psytx w/patient Referred to CPT Editorial Panel

90853 Group psychotherapy Referred to CPT Editorial Panel

90857 Intac group psytx Referred to CPT Editorial Panel

90862 Medication management Referred to CPT Editorial Panel

92070 Fitting of contact lens Re ferred to CPT Editorial Panel

92120 Tonography & eye evaluation Referred to CPT Editorial Panel

95920 Intraop nerve test add-on Referred to CPT Editorial Panel

99026 In-hospital on call service Referred to CPT Editorial Panel

99027 Out-of-hosp on call service Referred to CPT Editorial Panel



# 2. CPT Codes Withdrawn from the Five-Year Review

The following table lists the CPT codes that were subsequently withdrawn from the

Five-Year Review at the request of the medical specialty societies who submitted the codes for

review in their public comments on the CY 2010 PFS final rule with comment period and with

# CMS-1582-PN 136

the agreement of the AMA RUC. Therefore, th e work RVUs for these codes are not addressed

in this Five-Year Review proposed notice.

CPT Code Short Descriptor CMS Review Status

15240 Skin full grft face/gen it/hf Withdrawn from Review

21365 Treat cheek bone fractur e Withdrawn from Review

21470 Treat lower jaw fracture Withdrawn from Review

90849 Multiple family group psytx Withdrawn from Review

90875 Psychophysiological therapy Withdrawn from Review

90876 Psychophysiological therapy Withdrawn from Review

90880 Hypnotherapy Withdrawn from Review

99288 Direct advanced life support Withdrawn from Review

99341 Home visit, new patient Withdrawn from Review

99342 Home visit, new patient Withdrawn from Review

99343 Home visit, new patient Withdrawn from Review

99344 Home visit, new patient Withdrawn from Review

99345 Home visit, new patient Withdrawn from Review

99347 Home visit, est patient Withdrawn from Review

99348 Home visit, est patient Withdrawn from Review

99349 Home visit, est patient Withdrawn from Review

99350 Home visit, est patient Withdrawn from Review



# 3. CPT Codes that are Interim Final for CY 2011

The following table lists the CPT codes th at were identified by CMS through the

Five-Year Review process, but were recently addressed in the CY 2011 PFS final rule with

comment period. The RVUs for these codes are cu rrently interim final in CY 2011, were subject

to public comment on the CY 2011 PFS final rule w ith comment period, and will be finalized in

the CY 2012 PFS final rule with comment peri od. Two CPT codes on this list, 11040 and

11041, were deleted by the CPT Editorial Panel for CY 2011 and replaced by new CPT codes on

this list (11042 through 11047). Therefore, the wo rk RVUs for these code s are not addressed in

this Five-Year Review proposed notice.

CPT Code Short Descriptor CMS Review Status

11040 Debride skin, partial Deleted from CPT for CY 2011

11041 Debride skin, full Deleted from CPT for CY 2011

# CMS-1582-PN 137

CPT Code Short Descriptor CMS Review Status

11042 Deb subq tissue 20 sq cm/< Interim for CY 2011

11043 Deb musc/fascia 20 sq cm/< Interim for CY 2011

11044 Deb bone 20 sq cm/< Interim for CY 2011

11045 Deb subq tissue add-on Interim for CY 2011

11046 Deb musc/fascia add-on Interim for CY 2011

11047 Deb bone add-on Interim for CY 2011

11900 Injection into skin lesions Interim for CY 2011

11901 Added skin lesions injection Interim for CY 2011

12001 Repair superficial wound(s) Interim for CY 2011

12002 Repair superficial wound(s) Interim for CY 2011

12004 Repair superficial wound(s) Interim for CY 2011

12005 Repair superficial wound(s) Interim for CY 2011

12006 Repair superficial wound(s) Interim for CY 2011

12007 Repair superficial wound(s) Interim for CY 2011

12011 Repair superficial wound(s) Interim for CY 2011

12013 Repair superficial wound(s) Interim for CY 2011

12014 Repair superficial wound(s) Interim for CY 2011

12015 Repair superficial wound(s) Interim for CY 2011

12016 Repair superficial wound(s) Interim for CY 2011

12017 Repair superficial wound(s) Interim for CY 2011

12018 Repair superficial wound(s) Interim for CY 2011

29540 Strapping of ankle and/or ft Interim for CY 2011

29550 Strapping of toes Interim for CY 2011

49418 Insert tun ip cath perc Interim for CY 2011

49421 Ins tun ip cath for dial opn Interim for CY 2011

77427 Radiation tx management, x5 Interim for CY 2011

88300 Surgical path, gross Interim for CY 2011

88302 Tissue exam by pathologist Interim for CY 2011

88304 Tissue exam by pathologist Interim for CY 2011

88305 Tissue exam by pathologist Interim for CY 2011

88307 Tissue exam by pathologist Interim for CY 2011

88309 Tissue exam by pathologist Interim for CY 2011

90870 Electroconvulsive therapy Interim for CY 2011

61885 Insrt/redo neurostim 1 array Interim for CY 2011



# 4. CPT Codes for Preventive Medicine Services

The following table lists the CPT codes that were identified through the Five-Year

Review process by commenters on the CY 2010 PFS final rule with comment period, but are

preventive medicine services not co vered by Medicare under the PFS. The AMA

RUC-recommended RVUs associated with these codes are published in Addendum B of this

# CMS-1582-PN 138

proposed notice for public reference, but have not been reviewed by CMS. Therefore, the work

RVUs for these codes are not addr essed in this Five-Year Review proposed notice. We note that

Medicare covers a range of preventive services, including th e initial preventive physical

examination (IPPE) (“Welcome to Medicare Vis it”) and the annual welln ess visit (AWV), as

detailed in the PFS CY 2011 final rule with comment period (75 FR 73412).

CPT Code Short Descriptor CMS Review Status

99381 Init pm e/m, new pat, inf Preventive Medicine

99382 Init pm e/m, new pat 1-4 yrs Preventive Medicine

99383 Prev visit, new, age 5-11 Preventive Medicine

99384 Prev visit, new, age 12-17 Preventive Medicine

99385 Prev visit, new, age 18-39 Preventive Medicine

99386 Prev visit, new, age 40-64 Preventive Medicine

99387 Init pm e/m, new pat 65+ yrs Preventive Medicine

99391 Per pm reeval, est pat, inf Preventive Medicine

99392 Prev visit, est, age 1-4 Preventive Medicine

99393 Prev visit, est, age 5-11 Preventive Medicine

99394 Prev visit, est, age 12-17 Preventive Medicine

99395 Prev visit, est, age 18-39 Preventive Medicine

99396 Prev visit, est, age 40-64 Preventive Medicine

99397 Per pm reeval est pat 65+ yr Preventive Medicine



# F. Resource-Based Practice Expense RVUs

1. Overview

Practice expense (PE) is the portion of the re sources used in furnis hing the service that

reflects the general categories of physician and practitioner expe nses, such as office rent and

personnel wages but excluding malpractice expenses , as specified in section 1848(c)(1)(B) of the

Act. Section 121 of the Soci al Security Amendments of 1994 (Pub. L. 103-432), enacted on

October 31, 1994, required us to develop a me thodology for a resource-based system for

determining PE RVUs for each physician's service.

# CMS-1582-PN 139

This proposed notice sets forth proposed revi sions to work RVUs affecting payment for

physicians’ services. PE RVUs were not subject to similar review. However, the proposed work

RVU changes will have an impact on the develo pment of PE RVUs due to the methodology we

use to develop PE RVUs by looking at the di rect and indirect physic ian practice resources

involved in furnishing each service. Changes in work RVUs, changes in the intra-service

portions of the physician time, and changes in th e number or level of postoperative evaluation

and management (E/M) visits associated with th ese services and their global periods result in

corresponding changes to the direct PE inputs an d other components used in the development of

PE RVUs.

The sections that follow provide more detailed information about the methodology for

translating the resources involved in furnishing each service into service-specific PE RVUs and

the ways in which the revisions set forth in this proposed notice alter some of the inputs used in

that methodology. We also refer readers to th e CY 2010 PFS final rule with comment period

(74 FR 61743 through 61748) for a more detailed review of the PE methodology, including

examples.

2. Practice Expense Methodology

a. Direct Practice Expense

We use a "bottom-up" approach to determine the direct PE by adding the costs of the

resources (that is, the clinical staff, equipment, and supplies) typically involved in furnishing

each service. The costs of th e resources are calculated using the refined direct PE inputs

assigned to each CPT code in our PE data base, which are based on our review of

recommendations received from the American Medical Association's (AMA's) Relative Value

Update Committee (RUC). For a detailed explan ation of the bottom-up direct PE methodology,

# CMS-1582-PN 140

including examples, we refer readers to the Fi ve-Year Review of Work Relative Value Units

Under the PFS and Proposed Changes to the Practice Expense Met hodology proposed notice

(71 FR 37242) and the CY 2007 PFS final rule with comment period (71 FR 69629).

b. Indirect Practice Expense per Hour Data

We use survey data on indirect practice e xpenses incurred per hour worked (PE/HR) in

developing the indirect portion of the PE RVUs. Prior to CY 2010, we primarily used the

practice expense per hour (PE/HR) by specia lty that was obtained from the AMA's

Socioeconomic Monitoring Surveys (SMS). Th e AMA administered a new survey in CY 2007

and CY 2008, the Physician Practice Expense In formation Survey (PPIS), which was expanded

(relative to the SMS) to include nonphysicia n practitioners (NPPs) paid under the PFS.

The PPIS is a multispecialty, nationally repres entative, PE survey of both physicians and

NPPs using a consistent survey instrument and methods highly cons istent with those used for the

SMS and the supplemental surveys. The PPIS gathered information from 3,656 respondents

across 51 physician specialty and healthcare prof essional groups. We believe the PPIS is the

most comprehensive source of PE survey informati on available to date. Therefore, we used the

PPIS data to update the PE/HR data for almost a ll of the Medicare-recogn ized specialties that

participated in the survey for the CY 2010 PFS.

When we changed over to the PPIS data begi nning in CY 2010, we did not change the PE

RVU methodology itself or the manner in which th e PE/HR data are used in that methodology.

We only updated the PE/HR data based on the new su rvey. Furthermore, as we explained in the

CY 2010 PFS final rule with comment period (74 FR 61751), because of the magnitude of

payment reductions for some specialties resulting from the use of the PPIS data, we finalized a

4-year transition (75 percent old/25 percent new for CY 2010, 50 percent old/50 percent new for

# CMS-1582-PN 141

CY 2011, 25 percent old /75 percent new for CY 2012, and 100 percent new for CY 2013) from

the previous PE RVUs to the PE RVUs developed using the new PPIS data.

Section 303 of the Medicare Prescription Drug, Improvement, and Modernization Act of

2003 (MMA) (Pub. L. 108-173) added section 1848(c )(2)(H)(i) of the Act, which requires us to

use the medical oncology supplemental survey data submitted in 2003 for oncology drug

administration services. Therefore, th e PE/HR for medical oncology, hematology, and

hematology/oncology reflects the continued use of these supplemental survey data.

We do not use the PPIS data for reproductiv e endocrinology, sleep medicine, and spine

surgery since these specialties are not separately recognized by Medicare, nor do we have a

method to blend these data with Medi care-recognized specialty data.

Supplemental survey data on independent labs, from the College of American

Pathologists, were implemented for payments in CY 2005. Supplemental survey data from the

National Coalition of Quality Di agnostic Imaging Services (NC QDIS), representing independent

diagnostic testing facilities (ID TFs), were blended with supplem entary survey data from the

American College of Radiology (ACR) and impl emented for payments in CY 2007. Neither

IDTFs nor independent labs partic ipated in the PPIS. Therefore, we continue to use the PE/HR

that was developed from their supplemental survey data.

Consistent with our past practice, the previous indire ct PE/HR values from the

supplemental surveys for medical oncology, indepe ndent laboratories, and IDTFs were updated

to CY 2006 using the MEI to put them on a co mparable basis with the PPIS data.

Previously, we have established PE/HR valu es for certain specia lties without SMS or

supplemental survey data by cross- walking them to other similar specialties to estimate a proxy

PE/HR. For specialties that were part of the PPIS for which we previously used a crosswalked

# CMS-1582-PN 142

PE/HR, we instead use the PPIS-based PE/HR. We continue to use the previous crosswalks for

specialties that did not particip ate in the PPIS. However, be ginning in CY 2010 we changed the

PE/HR crosswalk for portable x-ray suppliers from radiology to IDTF, a more appropriate

crosswalk because these specialties are more simila r to each other with respect to physician time.

For registered dietician services, the pr oposed resource-based PE RVUs have been

calculated in accordance with the final policy th at crosswalks the specialty to the “All

Physicians'' PE/HR data, as adopted in the CY 2010 PFS final rule with comment period (74 FR

61752) and discussed again in more detail in the CY 2011 PFS final rule with comment period

(75 FR 73183).

As provided in the CY 2010 PFS final ru le with comment period (74 FR 61751),

CY 2012 is the third year of the 4 year transition to the PE RVUs calculated using the PPIS data.

Therefore, in general, the CY 2012 PE RVUs ar e a 25 percent/75 percent blend of the previous

PE RVUs based on the SMS and supplemental survey data and the new PE RVUS developed

using the PPIS data as described above. Note th at the reductions in th e PE RVUs for expensive

diagnostic imaging equipment attributable to th e change in the equipment utilization rate

assumption to 75 percent are not subject to the transition, as discussed in the CY 2011 PFS final

rule with comment period (75 FR 73189 through 73192).

Additionally, the PPIS PE RVU transition will not apply to CPT codes with changes in

global periods. As discussed in the CY 2011 PFS final rule with comment period

(75 FR 73183), we believe that a change in the gl obal period of a code results in the CPT code

describing a different service to which the previo us PE RVUs would no longer be relevant when

the code is reported for a service furnished with the new global period. The two CPT codes with

proposed changes in global period for CY 2012 ar e: 51705 (Change of cystostomy tube; simple)

# CMS-1582-PN 143

and 51710 (Change of cystostomy tube; complicated). The global period for each of these codes

changed from a 10-day to a 0-day global period.

c. Allocation of Practice Expense to Services

To establish PE RVUs for specific services, it is necessary to esta blish the direct and

indirect PE associated with each service.

(1) Direct Costs

The relative relationship between the direct co st portions of the PE RVUs for any two

services is determined by the relative relationshi p between the sum of the direct cost resources

(that is, the clinical staff, equi pment, and supplies) typically requi red to provide the services. The

costs of these resources are calcul ated from the refined direct PE inputs in our PE database. For

example, if one service has a di rect PE input cost sum of $400 and another service has a direct

PE input cost sum of $200, the di rect portion of the PE RVUs of the first service would be twice

as much as the direct portion of the PE RVUs for the second service.

(2) Indirect Costs

Section II.F.2.b. of this propos ed notice describes the curren t data sources for specialtyspecific indirect costs used in our PE calculations. We allocate the indirect costs to the code

level on the basis of the direct co sts specifically associated with a code and the greater of either

the clinical labor costs or th e physician work RVUs. We also incorporate the survey data

described earlier in the PE/HR discussion. The general approach to de veloping the indirect

portion of the PE RVUs is described below.

● For a given service, we use the direct por tion of the PE RVUs calculated as described

above and the average percentage th at direct costs represent of to tal costs (based on survey data)

across the specialties that perfor m the service to determine an in itial indirect allocator. For

# CMS-1582-PN 144

example, if the direct portion of the PE RVUs for a given servi ce were 2.00 and direct costs, on

average, represented 25 percent of total costs for the specialties that performed the service, the

initial indirect al locator would be 6.00 since 2.0 0 is 25 percent of 8.00.

● We then add the greater of the work R VUs or clinical labor portion of the direct

portion of the PE RVUs to this initial indirect allo cator. In our example, if this service had work

RVUs of 4.00 and the clinical labor portion of the direct PE RVUs was 1.50, we would add 6.00

plus 4.00 (since the 4.00 work RVUs are greater than the 1.50 clinical labor portion) to get an

indirect allocator of 10.0 0. In the absence of any further us e of the survey data, the relative

relationship between the indirect cost portions of the PE RVUs for any two services would be

determined by the relative relationship between thes e indirect cost allocator s. For example, if

one service had an indirect cost allocator of 10.00 and another service had an indirect cost

allocator of 5.00, the indirect portion of the PE RVUs of the first service w ould be twice as great

as the indirect portion of the PE RVUs for the second service.

● We next incorporate the specialty-specific indirect PE/HR data into the calculation.

As a relatively extreme example for the sake of simplicity, assume in our example above that,

based on the survey data, the average indirect cost of the specialties perf orming the first service

with an allocator of 10.00 was half of the average indir ect cost of the spec ialties performing the

second service with an indirect allocator of 5.00. In this case, the indirect portion of the PE

RVUs of the first service would be equa l to that of the second service.

d. Facility and Nonfacility Costs

For procedures that can be furnished in a physician's office, as well as in a hospital or

other facility setting, we estab lish two PE RVUs: facility an d nonfacility. The methodology for

calculating PE RVUs is the same for both the fa cility and nonfacility RVUs, but is applied

# CMS-1582-PN 145

independently to yield two separate PE RVUs. Because Medicare makes a separate payment to

the facility for its costs of furnishing a service, the facility PE RVUs are generally lower than the

nonfacility PE RVUs.

e. Services With Technical Com ponents and Professional Components

Diagnostic services are generally comp rised of two components, a professional

component (PC) and a technical component (TC), each of which may be performed

independently by different providers , or they may be performed together as a"global" service.

When services have PC and TC components that can be billed separately, the payment for the

global component equals the sum of the payment fo r the TC and PC. This is a result of using a

weighted average of the ratio of indirect to direct co sts across all the specialties that furnish the

global components, TCs, and PCs; that is , we apply the same weighted average

indirect percentage factor to a llocate indirect expenses to th e global components, PCs, and TCs

for a service. (The direct PE RVUs for the TC and PC sum to the gl obal under the bottom-up

methodology.)

f. Practice Expense RVU Methodology

For a more detailed description of the PE RVU methodology, we refer readers to the

CY 2010 PFS final rule with commen t period (74 FR 61745 through 61746).

(1) Setup File

First, we create a setup file for the PE me thodology. The setup file contains the direct

cost inputs, the utilization for each procedure co de at the specialty and facility/nonfacility place

of service level, and the specialty-specific PE/HR data from the surveys.

(2) Calculate the Direct Cost PE RVUs

Sum the costs of each direct input as follows:

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● Step 1: Sum the direct costs of the inputs for each service.

Apply a scaling adjustment to the direct inputs.

● Step 2: Calculate the curre nt aggregate pool of direct PE costs. This is the product of

the current aggregate PE (aggregate direct and indirect) RVUs, the CF, and the average direct

PE percentage from the survey data.

● Step 3: Calculate the aggreg ate pool of direct costs. Th is is the sum of the product of

the direct costs for each service from Step 1 and the utilization data for that service.

● Step 4: Using the results of Step 2 and St ep 3 calculate a direct PE scaling adjustment

so that the aggregate direct cost pool does not exceed the current aggregate direct cost pool and

apply it to the direct costs from Step 1 for each service.

● Step 5: Convert the results of Step 4 to an RVU scale fo r each service. To do this,

divide the results of Step 4 by the CF. Note that the actual value of the CF used in this

calculation does not influence the fi nal direct cost PE RVUs, as l ong as the same CF is used in

Steps 2 and 5. Different CFs will result in differe nt direct PE scaling factors, but this has no

effect on the final direct cost PE RVUs since ch anges in the CFs and cha nges in the associated

direct scaling factors offset one another.

(3) Create the Indirect Cost PE RVUs

Create indirect allocators as follows:

● Step 6: Based on the survey data, calculate direct and indirect PE percentages for each

physician specialty.

● Step 7: Calculate direct and indirect PE percentages at the service level by taking a

weighted average of the results of Step 6 for the sp ecialties that furnish the service. Note that for

# CMS-1582-PN 147

services with TCs and PCs, the direct and indire ct percentages for a given service do not vary by

the PC, TC, and global components.

● Step 8: Calculate the service level a llocators for the indirect PE RVUs based on

the percentages calculated in Step 7. The indirect PE RVUs are allocated based on the three

components: the direct PE RVUs, the c linical PE RVUs, and the work RVUs.

For most services the indirect allocator is: indirect percentage * (direct PE

RVUs/direct percentage) + work RVUs.

There are two situations where this formula is modified as follows:

● If the service is a global service (that is, a service with global, professional, and

technical components), then the indirect a llocator is: indirect percentage (direct

PE RVUs/direct percentage) + c linical PE RVUs + work RVUs.

● If the clinical labor PE RVUs exceed th e work RVUs (and the service is not a global

service), then the indirect allocator is: indirect percentage (direct

PE RVUs/direct percentage) + clinical PE RVUs.

(Note: For global services, th e indirect allocator is based on both the work RVUs and the

clinical labor PE RVUs. We do this to recognize that, for the PC service, indirect PEs will be

allocated using the work RVUs, and for the TC se rvice, indirect PEs will be allocated using the

direct PE RVUs and the clinical labor PE RVUs . This also allows the global component RVUs

to equal the sum of the PC and TC RVUs.)

Apply a scaling adjustment to the indirect allocators.

● Step 9: Calculate the current aggregat e pool of indirect PE RVUs by multiplying the

current aggregate pool of PE RVUs by the average i ndirect PE percentage from the survey data.

● Step 10: Calculate an a ggregate pool of indirect PE RVUs for all PFS services by

# CMS-1582-PN 148

adding the product of the indirect PE allocators for a service from Step 8 and the utilization data

for that service.

● Step 11: Using the results of Step 9 and Step 10, calculate an i ndirect PE adjustment

so that the aggregate indirect allocation does not exceed the av ailable aggregate indirect PE

RVUs and apply it to indirect alloca tors calculated in Step 8.

Calculate the indirect practice cost index.

● Step 12: Using the results of Step 11, calculate aggregate pools of specialty-specific

adjusted indirect PE allocators for all PFS servic es for a specialty by adding the product of the

adjusted indirect PE allocator for each servic e and the utilization data for that service.

● Step 13: Using the specialty-specific indi rect PE/HR data, calculate specialty-specific

aggregate pools of indirect PE for all PFS servic es for that specialty by adding the product of the

indirect PE/HR for the specialty, the physician time for the service, and the specialty's utilization

for the service across all services performed by the specialty.

● Step 14: Using the results of Step 12 and Step 13, calculate th e specialty-specific

indirect PE scaling factors.

● Step 15: Using the results of Step 14, calcu late an indirect practice cost index at the

specialty level by dividing each specialty-specific i ndirect scaling factor by the average indirect

scaling factor for the entire PFS.

● Step 16: Calculate the indirect practice co st index at the service level to ensure the

capture of all indirect costs. Calculate a weight ed average of the practice cost index values for

the specialties that furnish the service. (Note: For services with TCs and PCs, we calculate the

indirect practice cost index acro ss the global components, PCs, and TCs. Under this method, the

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indirect practice cost index fo r a given service (for example, echocardiogram) does not vary by

the PC, TC, and global component.)

● Step 17: Apply the servi ce level indirect practice cost index calculated in Step 16 to

the service level adjusted indirect allocators calculated in Step 11 to get the indirect PE RVUs.

(4) Calculate the Final PE RVUs

● Step 18: Add the direct PE RVUs from St ep 6 to the indirect PE RVUs from Step 17

and apply the final PE budget neutrality (BN) adjustment.

The final PE BN adjustment is calculated by comparing the results of Step 18 to the

current pool of PE RVUs. This final BN adju stment is required primarily because certain

specialties are excluded from the PE RVU calcula tion for ratesetting purposes, but all specialties

are included for purposes of calculating the fina l BN adjustment. (See"Specialties excluded

from ratesetting calculation" in this section.)

(5) Setup File Information

Specialties excluded from ratesetting calculation: For the purposes of calculating the PE

RVUs, we exclude certain specia lties, such as certain nonphysi cian practitioners paid at

a percentage of the PFS and low- volume specialties, from the calcu lation. These specialties are

included for the purposes of calcu lating the BN adjustment. They are displayed in Table 7.

TABLE 7: SPECIALT IES EXCLUDED FROM RAT ESETTING CALCULATION

Specialty

Code Specialty Description

42 Certified nurse midwife

49 Ambulatory surgical center

50 Nurse practitioner

51 Medical supply company with certified orthotist

52 Medical supply company with certified prosthetist

53 Medical supply company with certified prosthetist-orthotist

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Specialty

Code Specialty Description

54 Medical supply company not included in 51, 52, or 53.

55 Individual certified orthotist

56 Individual certified prosthestist

57 Individual certified prosthetist-orthotist

58 Individuals not included in 55, 56, or 57

59 Ambulance service supplier, e.g., private am bulance companies, funeral homes, etc.

60 Public health or welfare agencies

61 Voluntary health or charitable agencies

73 Mass immunization roster biller

74 Radiation therapy centers

87 All other suppliers (e.g., drug and department stores)

88 Unknown supplier/provider specialty

89 Certified clinical nurse specialist

95 Competitive Acquisition Program (CAP) Vendor

96 Optician

97 Physician assistant

A0 Hospital

A1 SNF

A2 Intermediate care nursing facility

A3 Nursing facility, other

A4 HHA

A5 Pharmacy

A6 Medical supply company with respiratory therapist

A7 Department store

1 Supplier of oxygen and/or oxygen related equipment

2 Pedorthic personnel

3 Medical supply company w ith pedorthic personnel

● Crosswalk certain low volume physician spec ialties: Crosswalk the utilization of

certain specialties with relatively low PFS u tilization to the associ ated specialties.

● Physical therapy utilization: Crosswalk the utilization associat ed with all physical

therapy services to the speci alty of physical therapy.

● Identify professional and technical services not identi fied under the usual TC and

26 modifiers: Flag the services that are PC a nd TC services, but do not use TC and 26 modifiers

(for example, electrocardiograms). This flag asso ciates the PC and TC with the associated global

# CMS-1582-PN 151

code for use in creating the indirect PE RVUs. For example, the professi onal service, CPT code

93010 (Electrocardiogram, routine ECG with at leas t 12 leads; interpretation and report only), is

associated with the global service, CPT code 93000 (Electrocardiogram, routine ECG with at

least 12 leads; with inte rpretation and report).

● Payment modifiers: Payment modifiers are accounted for in the creation of the

file. For example, services billed with the assist ant at surgery modifier ar e paid 16 percent of the

PFS amount for that service; ther efore, the utilizati on file is modified to only account for

16 percent of any service that contains the assistant at surgery modifier.

● Work RVUs: The setup file contains th e work RVUs from th is proposed notice.

(6) Equipment Cost Per Minute

The equipment cost per minute is calculated as:

(1/(minutes per year * usage)) * price * ((interest rate/(1-(1/((1 + interest rate)^ life of

equipment)))) + maintenance)

Where:

minutes per year = maximum minutes per year if usage were continuous (that is, usage =

1); generally 150,000 minutes.

usage = equipment utilization assumption; 0.75 for certain expensiv e diagnostic imaging

equipment (see 75 FR 73189 through 73192) and 0.5 for others.

price = price of the particular piece of equipment.

interest rate = 0.11.

life of equipment = useful life of th e particular piece of equipment.

maintenance = factor for maintenance; 0.05.

3. Practice Expense RVUs for Codes Included in the Five-Year Review

# CMS-1582-PN 152

Some direct PE inputs and ot her components of the PE methodology are directly affected

by the proposed revisions in work RVUs and physic ian time described in section II.C. of this

proposed notice. In the following discussion, we detail how changes in work RVUs, changes in

the intra-service portions of the physician tim e, and changes in the number or level of

postoperative visits associ ated with the global periods result in corresponding changes to direct

PE inputs and other components used in the development of PE RVUs.

a. Changes to Direct Practice Expense Inputs

Proposed changes in the intra-service portions of the physician time, and in the number or

level of postoperative visits with in the global periods associated w ith particular codes, result in

corresponding changes in the values of certain direct PE inputs (clinical labor time, equipment

time, and supply quantity). The following sections present the logic we used in making changes

in the direct PE inputs based on their associ ation with physician time. These changes are

included in the Five-Year Review of Work pr oposed notice direct PE database, which is

available on the CMS Web site under the dow nloads for this proposed notice at:

http://www.cms.gov/PhysicianFeeSched/

.

(1) Changes in Intra-service Physician Time in the Nonfacility Setting

Clinical Labor: For most codes valued in the nonfacility setting, a portion of the clinical

labor time allocated to the intra-service peri od reflects minutes assigned for assisting the

physician with the procedure. To the extent that we are proposing changes in the times

associated with the intra-servic e portion of such procedures, we have adjusted the corresponding

intra-service clinical labor mi nutes in the nonfacility setting.

Equipment Time: For equipment associated with the intra-service period in the

nonfacility setting, we generally allocate time based on the typical number of minutes a piece of

# CMS-1582-PN 153

equipment is being used and, therefore, not avai lable for use with another patient during that

period. In general, we allocate these minutes based on the descrip tion of typical clinical labor

activities. To the extent that we are proposing changes in the clin ical labor times associated with

the intra-service portion of procedures, we have adjusted the corresponding equipment minutes

associated with the codes.

(2) Changes in Hospital Discharge Manage ment Services in the Facility Setting

Clinical Labor: For most codes with 10 or 90 day global periods that are valued in the

facility setting, a portion of the clinical labor time allocated to the intra-service period in the

facility setting reflects minutes assigned for disc harge day management. To the extent that we

are proposing changes in the physician times associated with hospital discharge day

management, we have adjusted the corresponding intra-service clinical labor minutes in the

facility setting.

(3) Changes in the Number or Level of Po stoperative Office Visits in the Global Period

Clinical Labor: For codes valued with post- service physician office visits during a global

period, most of the clinical labor time allocate d to the post-service pe riod reflects a standard

number of minutes allocated for each of those vi sits. To the extent th at we are proposing a

change in the number or level of postoperative vis its, we have modified the clinical staff time in

the post-service period to reflect the change.

Equipment Time: For codes valued with post-service physician o ffice visits during a

global period, we allocate standard equipment for each of those visits. To the extent that we are

proposing a change in the number or level of postoperative visits a ssociated with a code, we have

adjusted the corresponding equipment minutes.

# CMS-1582-PN 154

Supplies: For codes valued with post-service physician office visits during a global

period, a certain number of supply items are allo cated for each of those office visits. To the

extent that we are proposing a ch ange in the number of postoperati ve visits, we have adjusted the

corresponding supply item quantities associated with the codes. We note that many supply items

associated with post-service physician office vi sits are allocated for each office visit (for

example, a minimum multi-specialty visit pack (SA048) in the proposed notice direct PE

database). For these supply items, the quanti ties in the proposed notice direct PE database

should reflect the proposed number of office visits associated with the code’s global period.

However, some supply items are associated with post-service physician office visits but are only

allocated once during the global period because th ey are typically used during only one of the

post-service office visits (for example, pac k, post-op incision care (sut ure) (SA054) in the

proposed notice direct PE database). For thes e supply items, the quant ities in the proposed

notice direct PE database refl ect that single quantity.

b. Changes in Components of the In direct Practice Expense Methodology

(1) Work RVUs, Direct PE RVUs , and Clinical Labor PE RVUs

In calculating the allocations fo r indirect PE RVUs, as we de scribe in section II.F.2.f. of

this proposed notice, we calculate the service le vel allocators for the indirect PEs based on the

three components: direct PE RVUs, clinical labor PE RVUs, and work RVUs. Therefore,

changes in the values of those components result in corresponding change s in the allocation of

indirect PE RVUs.

(2) Physician Time

Similarly, in creating the indirect practice cost index, as we de scribe in section II.F.2.f. of

this proposed notice, we calcula te specialty-specific aggregate pools of indirect PE for all PFS

# CMS-1582-PN 155

services for that specialty by adding the product of the indirect PE/HR for the specialty, the

physician time for the service, and the specialty's utilization for the serv ice across all services

performed by the specialty. Therefore, cha nges in the physician time result in corresponding

changes in the calculation of specialty-specifi c aggregate pools of i ndirect PE for all PFS

services for that specialty and. consequentl y, the allocation of i ndirect PE RVUs.

G. Malpractice RVUs

Section 1848(c) of the Act requi res that each service paid under the PFS be comprised of

three components: work, PE, and malpractic e. From 1992 to 1999, malpractice RVUs were

charge-based, using weighted specialty-specific malpracti ce expense percentages and 1991

average allowed charges. Malp ractice RVUs for new codes afte r 1991 were extrapolated from

similar existing codes or as a percentage of the corresponding work RVU. Section

1848(c)(2)(C)(iii) of the Act re quired us to implement resource-based malpractice RVUs for

services furnished beginning in 2000. Therefor e, initial implementation of resource-based

malpractice RVUs occurred in 2000.

The statute also requires that we review, a nd if necessary adjust, RVUs no less often than

every 5 years. The first review and update of resource-based malpract ice RVUs was addressed

in the CY 2005 PFS final rule with comment peri od (69 FR 66263). Minor modifications to the

methodology were addressed in the CY 2006 PFS final rule with comment period

(70 FR 70153). In the CY 2010 PFS final rule with comment period, we implemented the

second review and update of malpractice RVUs. For a discussion of the second review and

update of malpractice RVUs, see the CY 2010 P FS proposed rule (74 FR 33537) and final rule

with comment period (74 FR 61758).

As established in the CY 2011 PFS final rule with comment period (75 FR 73208),

# CMS-1582-PN 156

malpractice RVUs for new and revised codes eff ective before the next Five-Year Review (for

example, effective CY 2011 through CY 2014) are de termined by a direct cr osswalk to a similar

"source" code or a modified crosswalk to acc ount for differences in work RVU between the

new/revised code and the source code. For the modified crosswalk approach, we adjust the

malpractice RVU for the new/revised code to re flect the difference in work RVU between the

source code and the new/revised work value (or, if greater, the clinical la bor portion of the fully

implemented PE RVU) for the new code. For ex ample, if the proposed work RVU for a revised

code is 10 percent higher than the work RVU fo r its source code, the malpractice RVU for the

revised code would be increased by 10 percent over the source code RVU. This approach

presumes the same risk factor for the new/revi sed code and source code but uses the work RVU

for the new/revised code to adjust for risk-o f-service. The assigned malpractice RVUs for

new/revised codes effective between updates rema in in place until the ne xt Five-Year Review.

For this Fourth Five-Year Review, with the exception of 3 CPT codes (33981, 33982, and

33983), the source code for each code reviewed in the Five-Year Review is the code itself.

Under this usual circumstance, we calculated the revised malpractice RVU for these codes by

scaling the current malpractice RVU by the percent difference in work RVU between the current

(CY 2011) work RVU and the work RVU proposed in section II.C. of this proposed notice.

CPT codes 33981 (Replacement of extracorporeal ventricular assist device, single or

biventricular, pump(s), single or each pump); 33982 (Replacement of ventricular assist device

pump(s); implantable intracorp oreal, single ventricle, wit hout cardiopulmonary bypass); and

33983 (Replacement of ventricular assist device pump(s); impl antable intracorporeal, single

ventricle, with cardiopulmonary bypass) were pr eviously contractor-priced and do not have

current work RVUs. Therefore we applied the AMA RUC-recommended crosswalks to obtain

# CMS-1582-PN 157

the appropriate malpractice RVUs. The crossw alk source code for CPT code 33981 is CPT code

33976 (Insertion of ventricular assi st device; extracorporeal, bive ntricular), and the crosswalk

source for CPT code 33982 and 33983 is CPT code 33979 (Insertion of ventricular assist device,

implantable intracorporeal, sing le ventricle). Consistent with the methodology described above,

the malpractice RVUs for these three newly-va lued codes were developed by adjusting the

malpractice RVU of the source code for the di fference in work RVU between the source code

and the newly-valued code. All malpractice R VUs are listed in Adde ndum B of this proposed

notice.

H. Budget Neutrality

Section 1848(c)(2)(B)(ii) of th e Act requires that increases or decreases in RVUs for a

year may not cause the amount of expenditures fo r the year to differ by more than $20 million

from what expenditures would have been in the ab sence of these changes. If this threshold is

exceeded, we must make adjustments to preserve budget neutrality. We estimate that the net

effect on the PFS overall from the Fourth Five-Y ear Review changes disc ussed in this proposed

notice would be under $20 million for CY 2012, as compared to CY 2011, based on CY 2009

Medicare PFS utilization data. The current law estimate of the CY 2012 CF is $23.9396. Since

the net impact on the PFS is under the $20 million threshold, we will not apply a budget

neutrality adjustment to the CY 2012 conversion factor (CF). We note that additional changes to

PFS payment policies, including the establishment of interim and final RVUs for coding changes

that will be announced later this year, may resu lt in the application of budget-neutrality

adjustments for CY 2012.

# CMS-1582-PN 158

III. Response to Comments

Because of the large number of public comments we normally receive on Federal

Register documents, we are not able to acknowle dge or respond to them individually. We will

consider all comments received by the date and time specified in the "DATES" section of this

preamble, and we will respond to the comments in the CY 2012 PFS final rule with comment

period.

IV. Collection of Information Requirements

This document does not impose information co llection and recordkeeping requirements.

Consequently, it need not be reviewed by th e Office of Management and Budget under the

authority of the Paperwork Reduction Act of 1995 (44 U.S.C. Chapter 35)

V. Regulatory Impact Analysis

A. Overall Impact

We have examined the impact of this rule as required by Executive Order 12866 on

Regulatory Planning and Review (Septemb er 30, 1993), Executive Order 13563 on Improving

Regulation and Regulatory Review (February 2, 2011), the Regulatory Flexibility Act (RFA)

(September 19, 1980, Pub. L. 96-354), section 1102(b) of the Act, secti on 202 of the Unfunded

Mandates Reform Act of 1995 (March 22, 1995; Pub. L. 104-4), Executive Order 13132 on

Federalism (August 4, 1999) and the Congressi onal Review Act (5 U.S.C. 804(2)).

Executive Orders 12866 and 13563 direct agencies to assess all costs and benefits of

available regulatory alternatives and, if regulation is necessary, to select regulatory approaches

that maximize net benefits (including potential economic, environmental, public health and

safety effects, distributive impact s, and equity). A regulatory imp act analysis must be prepared

for major rules with economically significant e ffects ($100 million or more in any 1 year). We

# CMS-1582-PN 159

estimate that this proposed notice will redistri bute less than $100 million of PFS expenditures in

1 year. Therefore, we estimate that this rulemaking is not "economically significant" as

measured by the $100 million threshold, and henc e not a major rule under the Congressional

Review Act. Accordingly, we are not includi ng a formal regulatory impact analysis.

While we are not including a formal regulat ory impact analysis, we are providing the

following discussion for informational purposes. Of the CPT codes reviewed during the Fourth

Five-Year Review of Work, ther e are both proposed increases and decreases in work values and

changes in physician time. The changes in wo rk values and physician time values result in

corresponding changes to the PE and malpractice R VUs, as discussed in sections II.F.3. and II.G.

of this proposed notice. Overa ll, we estimate that the net e ffect on PFS spending would be under

$20 million for CY 2012, as compared to CY 2011. At the specialty level, this Five-Year

Review of Work is estimated to have no signifi cant impact based on the aggregate services that

each specialty performed during CY 2009. We not e that CY 2009 is the most recent year for

which complete PFS utilization data are available at the time of the analysis for this proposed

notice.

The RFA requires agencies to analyze options for regulatory relief of small entities, if a

rule has a significant impact on a substantial number of small entities. The great majority of

hospitals and most other health care providers and suppliers are sm all entities, either by being

nonprofit organizations or by meeting the SBA defi nition of a small business (having revenues of

less than $7.0 million to $34.5 million in any 1 year). For purposes of the RFA, physicians,

nonphysician practitioners (NPPs), a nd other suppliers, including i ndependent diagnostic testing

facilities (IDTFs), are considered small businesses if they generate revenues of $10 million or

less based on SBA size standards. Approximately 95 percent of physicians are considered to be

# CMS-1582-PN 160

small entities. There are over 1 million physicia ns, other practitioners, and medical suppliers

that receive Medicare payment under the PFS. Si nce we estimate that there are no significant

impacts at the specialty level due to the proposed changes in RVUs resulting from the Fourth

Five-Year Review of Work, the Se cretary has determined that this proposed notice will not have

a significant impact on the operations of a substa ntial number of small businesses or other small

entities. Therefore, the Secr etary has determined that this proposed notice will not have a

significant economic impact on a substant ial number of small entities.

In addition, section 1102(b) of th e Act requires us to prepare a regulatory impact analysis

if a rule may have a significant impact on the ope rations of a substantial number of small rural

hospitals. This analysis must conform to the pr ovisions of section 603 of the RFA. For purposes

of section 1102(b) of the Act, we define a small rural hospital as a hospital that is located outside

of a metropolitan statisti cal area and has fewer than 100 beds. We do not believe that there will

be significant impacts on small rural hospitals given the overall insignificant impact attributable

to proposed RVU changes resulting from this Five-Year Review of Wo rk. Therefore, the

Secretary has determined that this proposed not ice will not have a sign ificant impact on the

operations of a substantial number of small rural hospitals.

Section 202 of the Unfunded Mandates Reform Act of 1995 (UMRA) also requires that

agencies assess anticipated costs and benefits before issuing any rule whose mandates require

spending in any 1 year of $100 million in 1995 do llars, updated annually for inflation. In 2011,

that threshold is approximately $136 million. This proposed notice will not mandate any

requirements for State, local, or tr ibal governments in the aggregate, or by the private sector, of

$135 million. Medicare beneficiaries are considered to be part of the private sector and as a

result a more detailed discussion is presented on th e Impact of Beneficiaries in section V.C. of

# CMS-1582-PN 161

this proposed notice.

Executive Order 13132 establishes certain requirem ents that an agency must meet when it

promulgates a proposed rule (and subsequent fi nal rule) that imposes substantial direct

requirement costs on State and local governme nts, preempts State law, or otherwise has

Federalism implications. We have examined this proposed notice in accordance with Executive

Order 13132 and have determined that this regu lation would not have any substantial direct

effect on State or local government s, preempt States, or otherwise have a Federalism implication.

B. Anticipated Effects: Impact on Beneficiaries

Overall, we believe these changes would improve beneficiary access to reasonable and

necessary services since servic es would be more appropriately valued. The payment changes

could also affect beneficiary liability. Any ch anges in aggregate beneficiary liability from a

particular work RVU change would be negligible ; however, an individual beneficiary’s liability

would be a function of the coinsura nce (20 percent, if a pplicable, for the part icular service after

the beneficiary has met the deductible) and th e effect of the work RVU changes on the

calculation of the Medicare Part B payment rate for the service.

C. Alternatives Considered

This proposed notice discusses the propos ed revisions to the work RVUs and

corresponding changes to the PE and malpract ice RVUs under the PFS. The preamble provides

descriptions of the statutory pr ovisions that are addressed, identif ies those areas when discretion

has been exercised, presents rationale for our d ecisions, and where relevant, alternatives that

were considered.

D. Accounting Statement and Table

As required by OMB Circul ar A-4 (available at

# CMS-1582-PN 162

http://www.whitehouse.gov/sites/default/f iles/omb/assets/omb/circulars/a004/a-4.pdf ), in

Table 8, we have prepared an accounting st atement showing the estimated expenditures

associated with this proposed notice.

TABLE 8: ACCOUNTING STATEMENT:

CLASSIFICATION OF ESTIMATED EXPENDITURES

CATEGORY TRANSFERS

CY 2012 Annualized Monetized Tran sfers Estimated decrease in expenditures of approximately

$0.

From Whom To Whom? Federal Government to physicians, other

p ractitioners, and provide rs and suppliers who

receive payment under the Medicare PFS.

E. Conclusion

As stated previously, the Secretary determ ined that the economic impacts of this

proposed notice do not meet the le vel required by section 1102(b) of the Act or the RFA and,

therefore, we are not providing a regulatory impact analysis.

In accordance with the provisions of Ex ecutive Order 12866, this proposed notice was

reviewed by the Office of Management and Budget.

# CMS-1582-PN

(Catalog of Federal Domestic Assistance Prog ram No. 93.773, Medicare--Hospital Insurance;

and Program No. 93.774, Medicare--Supplem entary Medical Insurance Program)

Dated: March 31, 2011

__________________________________

Donald M. Berwick

Administrator,

Centers for Medicare & Medicaid Services.

Approved: April 28, 2011

__________________________________

Kathleen Sebelius

Secretary,

Department of Health and Human Services.

BILLING CODE 4120-01-P

# CMS-1582-PN 164

ADDENDUM A: EXPLANATION AN D USE OF ADDENDA, B, AND C

The Addenda on the following pages provide va rious data pertaining to the Medicare fee

schedule for physicians' services furnished in CY 2012. Addendum B c ontains the RVUs for

work, nonfacility PE, facility PE, and malpractice expense, and othe r information for all services

included in the PFS. We note that for this propos ed notice, to create A ddendum B, we retained

the current CY 2011 RVUs from the CY 2011 paym ent file for most codes and displayed new

RVUs for only those codes involved in the Fourth Five-Year Review of Work. PE RVUs for

these Five-Year Review codes we re calculated using CY 2009 Medica re utilization data in order

to maintain consistency with the current CY 2011 RVUs displayed for all other services.

Addendum C contains the list of CP T codes that were reviewed for the Fourth Five-Year Review

of Work.

(1) Addendum B: Relative Value Units and Rela ted Information Used in Determining Payments

for CY 2012 (Changes from CY 2011 for Services Reviewed in the Fourth Five-Year Review

Only)

In previous years, we have listed many serv ices in Addendum B that are not paid under

the PFS. To avoid publishing as many pages of codes for these services , we are not including

clinical laboratory codes or the alpha-numeric codes (Heal thcare Common Procedure Coding

System (HCPCS) codes not included in CPT) not paid under the PFS in Addendum B.

Addendum B contains the following informa tion for each CPT code and alpha-numeric

HCPCS code, except for: alpha-numeric code s beginning with B (ent eral and parenteral

therapy); E (durable medical equipment); K (temporary codes for nonphysicians' services or

items); or L (orthotics); and codes for anes thesiology. Please also note the following:

# CMS-1582-PN 165

• An "NA" in the "Nonfacility PE RVUs" column of Addendum B means that CMS has

not developed a PE RVU in the nonfacility se tting for the service b ecause it is typically

performed in the hospital (for example, an ope n heart surgery is gene rally performed in the

hospital setting and not a physician's office). If there is an "NA" in the nonfacility PE RVU

column, and the contractor determines that th is service can be perf ormed in the nonfacility

setting, the service will be paid at the facility PE RVU rate.

• Services that have an "NA" in the "F acility PE RVUs" column of Addendum B are

typically not paid under the PFS when provided in a facility setting. Th ese services (which

include "incident to" services and the technical portion of diagnostic test s) are generally paid

under either the hospital outpati ent prospective payment system or bundled into the hospital

inpatient prospective payment system payment. In some cases, these services may be paid in a

facility setting at the PFS rate (for example, therapy services), but th ere would be no payment

made to the practitioner under the PFS in these situations.

1. CPT/HCPCS code . This is the CPT or alpha-numeric HCPCS number for the service.

Alpha-numeric HCPCS codes are include d at the end of this Addendum.

2. Modifier . A modifier is shown if there is a technical component (modifier TC) and a

professional component (PC) (modifier-26) for the service. If there is a PC and a TC for the

service, Addendum B contains thre e entries for the code. A code for: the global values (both

professional and technical); modifier-26 (PC); and modifier TC. The global service is not

designated by a modifier, and physicians must b ill using the code without a modifier if the

physician furnishes both the PC and the TC of the service. Modifi er-53 is shown for a

discontinued procedure, for example, a colonoscopy that is not completed. There will be RVUs

# CMS-1582-PN 166

for a code with this modifier.

3. Status indicator . This indicator shows whether th e CPT/HCPCS code is included in

the PFS and whether it is separately payable if the service is covered. An explanation of types of

status indicators follows:

A = Active code. These codes are separately payabl e under the PFS if covered. There

will be RVUs for codes with this status. The presence of an "A" indicator does not mean that

Medicare has made a national coverage determina tion regarding the service. Contractors remain

responsible for coverage decisions in th e absence of a national Medicare policy.

B = Bundled code . Payments for covered services are always bundled into payment for

other services not specified. If RVUs are shown, they are not used for Medicare payment. If

these services are covered, payment for them is subsumed by the payment for the services to

which they are incident (for exam ple, a telephone call from a hosp ital nurse regarding care of a

patient).

C = Contractors price the code . Contractors establish RVUs and payment amounts for

these services, generally on an individual case basis following review of documentation, such as

an operative report.

E = Excluded from the PFS by regulation . These codes are for items and services that

CMS chose to exclude from the PFS by regulatio n. No RVUs are shown, and no payment may

be made under the PFS for these codes. Paym ent for them, when cove red, continues under

reasonable charge procedures.

I = Not valid for Medicare purposes . Medicare uses another code for the reporting of,

and the payment for these services. (Codes not subject to a 90 day grace period.)

# CMS-1582-PN 167

M = Measurement codes, used for reporting purposes only . There are no RVUs and no

payment amounts for these codes. CMS uses them to aid with performance measurement. No

separate payment is made. These codes should be billed with a zero (($0.00) charge and are

denied) on the MPFSDB.

N = Non-covered service . These codes are noncovered se rvices. Medicare payment may

not be made for these codes. If RVUs are s hown, they are not used for Medicare payment.

R = Restricted coverage . Special coverage instructions apply. If the service is covered

and no RVUs are shown, it is contractor-priced.

T = There are RVUs for these services, but they are only paid if there are no other

services payable under the PFS billed on the same date by the same provider . If any other

services payable under the PFS are billed on the sa me date by the same provider, these services

are bundled into the service(s) for which payment is made.

X = Statutory exclusion . These codes represent an item or service that is not within the

statutory definition of "physicia ns' services" for PFS payment purposes. No RVUs are shown for

these codes, and no payment may be made under the PFS, (for example, ambulance services and

clinical diagnostic la boratory services.)

4. Description of code . This is the code's short desc riptor, which is an abbreviated

version of the narrative de scription of the code.

5. Physician work RVUs . These are the RVUs for the physician work in CY 2011.

6. Fully implemented nonfacility PE RVUs . These are the fully implemented resourcebased PE RVUs for nonfacility settings.

7. CY 2011 transiti onal nonfacility PE RVUs . These are the CY 2011 resource-based PE

# CMS-1582-PN 168

RVUs for nonfacility settings.

8. Fully implemented facility PE RVUs . These are the fully implemented resource-based

PE RVUs for facility settings.

9. CY 2011 Transitional facility PE RVUs . These are the CY 2011 resource-based PE

RVUs for facility settings.

10. Malpractice expense RVUs . These are the RVUs for the malpractice expense for

CY 2011.

11. Global period . This indicator shows the number of days in the global period for the

code (0, 10, or 90 days). An explan ation of the alpha codes follows:

MMM = Code describes a service furnished in uncomplicated maternity cases, including

ante partum care, delivery, and postpartum care. The usual globa l surgical concept does not

apply. See the Physicians' Current Proce dural Terminology for sp ecific definitions.

XXX = The global concept does not apply.

YYY = The global period is to be set by th e contractor (for exam ple, unlisted surgery

codes).

ZZZ = Code related to another service that is always included in the global period of the

other service.

(2) Addendum C: Codes with Proposed RVUs Subject to Comment for Fourth Five-Year

Review of Work

Addendum C includes the columns and indi cators described above for Addendum B for

codes with proposed RVUs subject to comment for the Fourth Five-Year Review of Work.CMS-1582-PN 169ADDENDUM B. - RELATIVEVALUE UNITS AND RELATEDINFORMATION USED IN DETERMINING MEDICAREPAYMENTS FOR CY 2012 (CHANGES FROM CY 2011 FOR SERVICES REVIEWED IN THE FOURTH FIVE-YEARREVIEW ONLY)CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global0001F I Heart failure composite 0.00 0.00 0.00 0.00 0.00 0.00XXX0005F I Osteoarthritis composite 0.00 0.00 0.00 0.00 0.00 0.00 XXX0012F I Cap bacterial assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX0014F I Comp preop assess cat surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX0015F I Melan follow-up complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX0019T C Extracorp shock wv tx ms nos 0.00 0.00 0.00 0.00 0.00 0.00 XXX0030T C Antiprothrombin antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX0042T C Ct perfusion w/contrast cbf 0.00 0.00 0.00 0.00 0.00 0.00 XXX0048T C Implant ventricular device 0.00 0.00 0.00 0.00 0.00 0.00 XXX0050T C Removal circulation assist 0.00 0.00 0.00 0.00 0.00 0.00 XXX0051T C Implant total heart system 0.00 0.00 0.00 0.00 0.00 0.00 XXX0052T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX0053T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX0054T C Bone surgery using computer 0.00 0.000.00 0.000.00 0.00 XXX0055T C Bone surgery using computer 0.00 0.000.00 0.000.00 0.00 XXX0058T C Cryopreservation ovary tiss 0.00 0.00 0.00 0.00 0.00 0.00 XXX0059T C Cryopreservation oocyte 0.00 0.00 0.00 0.00 0.00 0.00 XXX0071T C U/s leiomyomata ablate <200 0.00 0.00 0.00 0.00 0.00 0.00 XXX0072T C U/s leiomyomata ablate >200 0.00 0.00 0.00 0.00 0.00 0.00 XXX0073T A Delivery comp imrt 0.00 13.27 15.29 NA NA 0.01 XXX0075T C Perq stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX0075T TC C Perq stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX0075T 26 C Perq stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 XXX0076T C S&i stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX0076T TC C S&i stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXXCMS-1582-PN 170CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global0076T 26 C S&i stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 XXX0078T C Endovascaort repr w/device 0.00 0.000.00 0.000.00 0.00 XXX0079T C Endovasc visc extnsn repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX0080T C Endovascaort repr rad s&i 0.00 0.000.00 0.000.00 0.00 XXX0081T C Endovasc visc extnsn s&i 0.00 0.00 0.00 0.00 0.00 0.00 XXX0085T N Breath test heart reject 0.00 0.00 0.00 0.00 0.00 0.00 XXX0092T C Artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX0095T C Artific diskectomy addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX0098T C Rev artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX0099T C Implant corneal ring 0.00 0.00 0.00 0.00 0.00 0.00 XXX0100T C Prosth retinareceive&gen 0.00 0.00 0.00 0.00 0.00 0.00 XXX0101T C Extracorp shockwv tx hi enrg 0.00 0.00 0.00 0.00 0.00 0.00 XXX0102T C Extracorp shockwv tx anesth 0.00 0.000.00 0.00 0.00 0.00 XXX0103T C Holotranscobalamin 0.00 0.00 0.00 0.00 0.00 0.00 XXX0106T C Touch quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX0107T C Vibrate quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX0108T C Cool quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX0109T C Heat quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX0110T C Nos quant sensory test 0.00 0.00 0.00 0.00 0.00 0.00 XXX0111T C Rbc membranes fatty acids 0.00 0.00 0.00 0.00 0.00 0.00 XXX0123T C Scleral fistulization 0.00 0.00 0.00 0.00 0.00 0.00 XXX0124T C Conjunctival drug placement 0.00 0.00 0.00 0.00 0.00 0.00 XXX0126T C Chd risk imt study 0.00 0.00 0.00 0.00 0.00 0.00 XXX0141T I Perq islet transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX0142T I Open islet transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX0143T I Laparoscopic islet transplnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX0155T C Lap impl gast curve electrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX0156T C Lap remv gast curve electrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX0157T C Open impl gastcurve electrd 0.00 0.000.00 0.00 0.00 0.00 XXX0158T C Open remv gast curve electrd 0.00 0.00 0.000.00 0.00 0.00 XXXCMS-1582-PN 171CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global0159T C Cad breast mri 0.00 0.00 0.00 NA NA 0.00 ZZZ0159T TC C Cad breast mri 0.00 0.00 0.00 NA NA 0.00 ZZZ0159T 26 C Cad breast mri 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0163T C Lumb artif diskectomy addl 0.00 0.00 0.00 0.00 0.00 0.00 YYY0164T C Remove lumb artif disc addl 0.00 0.00 0.00 0.00 0.00 0.00 YYY0165T C Revise lumb artif disc addl 0.00 0.00 0.00 0.00 0.00 0.00 YYY0166T C Tcath vsd close w/o bypass 0.00 0.00 0.00 0.00 0.00 0.00 XXX0167T C Tcath vsd close w/bypass 0.00 0.00 0.00 0.00 0.00 0.00 XXX0168T C Rhinophototx light app bilat 0.00 0.00 0.00 0.00 0.00 0.00 XXX0169T C Place stereo cath brain 0.00 0.00 0.00 0.00 0.00 0.00 XXX0171T C Lumbar spine proces distract 0.00 0.00 0.00 0.00 0.00 0.00 XXX0172T C Lumbar spine process addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX0173T C Iop monit io pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX0174T C Cad cxr with interp 0.00 0.00 0.00 0.00 0.00 0.00 XXX0175T C Cad cxr remote 0.00 0.00 0.00 0.00 0.00 0.00 XXX0178T C 64 lead ecg w/i&r 0.00 0.00 0.00 0.00 0.00 0.00 XXX0179T C 64 lead ecg w/tracing 0.00 0.00 0.00 0.00 0.00 0.00 XXX0180T C 64 lead ecg w/i&r only 0.00 0.00 0.00 0.00 0.00 0.00 XXX0181T C Corneal hysteresis 0.00 0.00 0.00 0.00 0.00 0.00 XXX0182T C Hdr elect brachytherapy 0.00 0.00 0.00 NA NA 0.00 XXX0182T TC C Hdr elect brachytherapy 0.00 0.00 0.00 NA NA 0.00 XXX0182T 26 C Hdr elect brachytherapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX0183T C Wound ultrasound 0.00 0.00 0.00 0.00 0.00 0.00 XXX0184T C Exc rectal tumor endoscopic 0.00 0.00 0.00 0.00 0.00 0.00 XXX0185T C Comptr probability analysis 0.00 0.000.00 0.00 0.00 0.00 XXX0186T C Suprachoroidal drug delivery 0.00 0.00 0.00 0.00 0.00 0.00 XXX0188T N Videoconf crit care 74 min 0.00 0.00 0.00 0.00 0.00 0.00 XXX0189T N Videoconf crit care addl 30 0.00 0.00 0.00 0.00 0.00 0.00 XXX0190T C Place intraoc radiation src 0.00 0.00 0.00 0.00 0.00 0.00 XXX0191T C Insert ant segment drain int 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 172CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global0192T C Insert ant segment drain ext 0.00 0.00 0.00 0.00 0.00 0.00 XXX0195T C Arthrod presac interbody 0.00 0.00 0.00 0.00 0.00 0.00 XXX0196T C Arthrod presac interbody eac 0.00 0.00 0.00 0.00 0.00 0.00 XXX0197T C Intrafraction track motion 0.00 0.00 0.00 0.00 0.00 0.00 XXX0198T C Ocular blood flow measure 0.00 0.00 0.00 0.00 0.00 0.00 XXX0199T C Physiologic tremor record 0.00 0.00 0.00 0.00 0.00 0.00 XXX0200T C Perq sacral augmt unilat inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX0201T C Perq sacral augmt bilat inj 0.00 0.00 0.00 0.00 0.00 0.00 XXX0202T C Post vert arthrplst 1 lumbar 0.00 0.00 0.00 0.00 0.00 0.00 XXX0205T C Inirs each vessel add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0206T C Remote algorithm analys ecg 0.00 0.00 0.00 0.00 0.00 0.00 XXX0207T C Clear eyelid gland w/heat0.00 0.00 0.00 0.00 0.00 0.00 XXX0208T C Audiometry air only 0.00 0.00 0.00 0.00 0.00 0.00 XXX0209T C Audiometry air & bone 0.00 0.00 0.00 0.00 0.00 0.00 XXX0210T C Speech audiometry threshold 0.00 0.00 0.00 0.00 0.00 0.00 XXX0211T C Speech audiom thresh & recog 0.00 0.00 0.00 0.00 0.00 0.00 XXX0212T C Compre audiometry evaluation 0.00 0.00 0.00 0.00 0.00 0.00 XXX0213T C Njx paravert w/us cer/thor 0.00 0.00 0.00 0.00 0.00 0.00 XXX0214T C Njx paravert w/us cer/thor 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0215T C Njx paravert w/us cer/thor 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0216T C Njx paravert w/us lumb/sac 0.00 0.00 0.00 0.00 0.00 0.00 XXX0217T C Njx paravert w/us lumb/sac 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0218T C Njx paravert w/us lumb/sac 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0219T C Plmt post facet implt cerv 0.00 0.00 0.00 0.00 0.00 0.00 XXX0220T C Plmt post facet implt thor 0.00 0.00 0.00 0.00 0.00 0.00 XXX0221T C Plmt post facet implt lumb 0.00 0.00 0.00 0.00 0.00 0.00 XXX0222T C Plmt post facet implt addl 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ0223T C Acoustic ecg w/i&r 0.00 0.00 0.00 0.00 0.00 0.00 XXX0224T C Acoustic ecg 1+ analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX0225T C Acoustic ecg analy & reprog 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 173CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global0226T C Anoscopy hra w/spec collect 0.00 0.00 0.00 0.00 0.00 0.00 XXX0227T C Anoscopy hra w/biopsy 0.00 0.00 0.00 0.00 0.00 0.00 XXX0228T C Njx tfrml eprl w/us cer/thor 0.00 0.00 0.00 0.00 0.00 0.00 XXX0229T C Njx tfrml eprl w/us cer/thor 0.00 0.00 0.00 0.00 0.00 0.00 XXX0230T C Njx tfrml eprl w/us lumb/sac 0.00 0.00 0.00 0.00 0.00 0.00 XXX0231T C Njx tfrml eprl w/us lumb/sac 0.00 0.00 0.00 0.00 0.00 0.00 XXX0232T C Njx platelet plasma 0.00 0.00 0.00 0.00 0.00 0.00 XXX0233T C Skin glycation spectroscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX0234T C Trluml perip athrc renal art 0.00 0.00 0.00 0.00 0.00 0.00 YYY0235T C Trluml perip athrc visceral 0.00 0.00 0.00 0.00 0.00 0.00 YYY0236T C Trluml perip athrc abd aorta 0.00 0.00 0.00 0.00 0.00 0.00 YYY0237T C Trluml perip athrc brchiocph 0.00 0.00 0.00 0.00 0.00 0.00 YYY0238T C Trluml peripathrc iliac art 0.00 0.000.00 0.00 0.00 0.00 YYY0239T C Bioimpedance spectroscopy 0.00 0.00 0.00 0.00 0.00 0.00 YYY0240T C Esoph motility3d topography 0.00 0.000.00 0.00 0.00 0.00 YYY0240T TC C Esoph motility3d topography 0.00 0.000.00 0.00 0.00 0.00 YYY0240T 26 C Esoph motility 3dtopography 0.00 0.00 0.00 0.00 0.00 0.00 YYY0241T C Esoph motilityw/stim/perf 0.00 0.00 0.00 0.00 0.00 0.00 YYY0241T TC C Esoph motilityw/stim/perf 0.00 0.00 0.00 0.00 0.00 0.00 YYY0241T 26 C Esoph motility w/stim/perf 0.00 0.00 0.00 0.00 0.00 0.00 YYY0242T C Gi tract transit & pres meas 0.00 0.00 0.00 0.00 0.00 0.00 YYY0242T TC C Gi tract transit & pres meas 0.00 0.00 0.00 0.00 0.00 0.00 YYY0242T 26 C Gi tract transit & pres meas 0.00 0.00 0.00 0.00 0.00 0.00 YYY0243T C Intm msr bronchodil wheeze 0.00 0.00 0.00 0.00 0.00 0.00 YYY0243T TC C Intm msr bronchodil wheeze 0.00 0.00 0.00 0.00 0.00 0.00 YYY0243T 26 C Intm msr bronchodil wheeze 0.00 0.00 0.00 0.00 0.00 0.00 YYY0244T C Cont msr bronchodil wheeze 0.00 0.00 0.00 0.00 0.00 0.00 YYY0244T TC C Cont msr bronchodil wheeze 0.00 0.00 0.00 0.00 0.00 0.00 YYY0244T 26 C Cont msr bronchodil wheeze 0.00 0.00 0.00 0.00 0.00 0.00 YYY0245T C Opn tx rib fx 1-2 ribs 0.00 0.00 0.00 0.00 0.00 0.00 YYYCMS-1582-PN 174CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global0246T C Opn tx rib fx 3-4 ribs 0.00 0.00 0.00 0.00 0.00 0.00 YYY0247T C Opn tx rib fx 5-6 ribs 0.00 0.00 0.00 0.00 0.00 0.00 YYY0248T C Opn tx rib fx 7+ ribs 0.00 0.00 0.00 0.00 0.00 0.00 YYY0249T C Ligation hemorrhoid w/us 0.00 0.00 0.00 0.00 0.00 0.00 YYY0250T C Insert bronchial valve 0.00 0.00 0.00 0.00 0.00 0.00 YYY0251T C Remov bronchial valve addl0.00 0.00 0.00 0.00 0.00 0.00 YYY0252T C Bronchscpc rmvl bronch valve 0.00 0.00 0.00 0.00 0.00 0.00 YYY0253T C Insert aqueous drain device 0.00 0.00 0.00 0.00 0.00 0.00 YYY0254T C Evasc rpr iliac art bifur 0.00 0.00 0.00 0.00 0.00 0.00 YYY0255T C Evasc rpr iliac art bifr s&i 0.00 0.00 0.00 0.00 0.00 0.00 YYY0255T TC C Evasc rpr iliac art bifr s&i 0.00 0.00 0.00 0.00 0.00 0.00 YYY0255T 26 C Evasc rpr iliac art bifr s&i 0.00 0.00 0.00 0.00 0.00 0.00 YYY0256T C Evasc aortic hrt valve 0.00 0.00 0.00 0.00 0.00 0.00 YYY0257T C Opn tthrc aortic hrt valve 0.00 0.00 0.00 0.00 0.00 0.00 YYY0258T C Aortic hrt valv w/o card byp 0.00 0.00 0.00 0.00 0.00 0.00 YYY0259T C Aortic hrt valve w/card byp 0.00 0.00 0.00 0.00 0.00 0.00 YYY0260T C Hypthrm bdy neonate 28d/< 0.00 0.00 0.00 0.00 0.00 0.00 YYY0261T C Hypthrm head neonate 28d/< 0.00 0.00 0.00 0.00 0.00 0.00 YYY0501F I Prenatal flow sheet 0.00 0.00 0.00 0.00 0.00 0.00 XXX0502F I Subsequent prenatal care 0.00 0.00 0.00 0.00 0.00 0.00 XXX0503F I Postpartum care visit 0.00 0.00 0.00 0.00 0.00 0.00 XXX0516F I Anemia plan of care docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX0519F I Pland chemo docd b/4 txmnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX0525F I Initial visit for episode 0.00 0.00 0.00 0.00 0.00 0.00 XXX0528F I Rcmnd flw-up 10 yrs docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX0535F I Dyspnea mngmnt plan docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX0545F I Follow up care plan mdd docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX1000F I Tobacco use assessed 0.00 0.00 0.00 0.00 0.00 0.00 XXX10021 A Fna w/o image 1.27 2.77 2.70 0.64 0.58 0.22 XXX10022 A Fna w/image 1.27 2.462.61 0.520.52 0.14 XXXCMS-1582-PN 175CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global1003F I Level of activity assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX10040 A Acne surgery 1.21 1.64 1.59 1.28 1.22 0.18 0101004F I Clin symp vol ovrld assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX10060 A Drainage of skin abscess 1.22 1.99 1.86 1.46 1.37 0.12 01010061 A Drainage of skin abscess 2.45 2.74 2.59 2.03 1.93 0.30 01010080 A Drainage of pilonidal cyst 1.22 3.60 3.48 1.58 1.46 0.20 01010081 A Drainage of pilonidal cyst 2.50 4.76 4.61 2.13 1.97 0.45 0101008F I Gi/renal risk assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX10120 A Remove foreign body 1.25 2.65 2.54 1.33 1.25 0.16 01010121 A Remove foreign body 2.74 4.79 4.52 2.36 2.21 0.41 01010140 A Drainage of hematoma/fluid 1.58 2.97 2.85 1.69 1.65 0.20 0101015F I Copd symptoms assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX10160 A Puncture drainage of lesion 1.25 2.40 2.32 1.41 1.37 0.16 01010180 A Complex drainage wound 2.30 4.33 4.11 2.49 2.38 0.48 0101018F I Assess dyspnea not present 0.00 0.00 0.00 0.00 0.00 0.00 XXX1019F I Assess dyspnea present 0.00 0.00 0.00 0.00 0.00 0.00 XXX1022F I Pneumo imm status assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX1026F I Co-morbid condition assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX1030F I Influenza imm status assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX1034F I Current tobacco smoker 0.00 0.00 0.00 0.00 0.00 0.00 XXX1035F I Smokeless tobacco user 0.00 0.00 0.00 0.00 0.00 0.00 XXX1050F I History of mole changes 0.00 0.00 0.00 0.00 0.00 0.00 XXX1055F I Visual funct status assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX1060F I Doc perm/cont/parox atr fib 0.00 0.00 0.00 0.00 0.00 0.00 XXX1061F I Doc lack perm+cont+parox fib 0.00 0.00 0.00 0.00 0.00 0.00 XXX1065F I Ischm stroke symp lt3 hrsb/4 0.00 0.00 0.00 0.00 0.00 0.00 XXX1066F I Ischm stroke symp ge3 hrsb/4 0.00 0.00 0.00 0.00 0.00 0.00 XXX1070F I Alarm symp assessed-absent 0.00 0.00 0.00 0.00 0.00 0.00 XXX1071F I Alarm symp assessed-1+ prsnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX11000 A Debride infected skin 0.60 0.92 0.88 0.21 0.22 0.05 000CMS-1582-PN 176CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global11001 A Debride infected skin add-on 0.30 0.29 0.29 0.10 0.11 0.03 ZZZ11004 A Debride genitalia & perineum 10.80 NA NA 4.70 4.53 1.89 00011005 A Debride abdom wall 14.24 NA NA 6.30 5.87 2.97 00011006 A Debride genit/per/abdom wall 13.10 NA NA 5.82 5.57 2.34 00011008 A Remove mesh from abd wall 5.00 NA NA 2.20 2.06 1.05 ZZZ11010 A Debride skin at fx site 4.19 9.41 8.91 3.48 3.27 0.76 01011011 A Debride skin musc at fx site 4.94 9.58 9.29 3.10 2.91 0.98 00011012 A Deb skin bone at fx site 6.87 12.44 12.23 4.66 4.44 1.31 00011042 A Deb subq tissue 20 sq cm/< 0.80 2.12 1.65 0.61 0.49 0.10 00011043 A Deb musc/fascia 20 sq cm/< 2.00 3.28 3.28 1.27 1.27 0.33 00011044 A Deb bone 20 sq cm/< 3.60 4.33 4.33 2.02 2.02 0.63 00011045 A Deb subq tissue add-on 0.33 0.51 0.51 0.13 0.13 0.07 ZZZ11046 A Deb musc/fascia add-on 0.70 0.76 0.76 0.30 0.30 0.12 ZZZ11047 A Deb bone add-on 1.20 1.18 1.18 0.53 0.53 0.22 ZZZ11055 R Trim skin lesion 0.43 1.00 0.95 0.13 0.14 0.03 00011056 R Trim skin lesions 2 to 4 0.61 1.09 1.04 0.18 0.20 0.04 00011057 R Trim skin lesions over 4 0.79 1.22 1.16 0.24 0.26 0.05 00011100 A Biopsy skin lesion 0.81 2.09 2.09 0.58 0.54 0.11 00011101 A Biopsy skin add-on 0.41 0.51 0.50 0.30 0.28 0.05 ZZZ1118F I Gerd symps assessed 12 month 0.00 0.00 0.00 0.00 0.00 0.00 XXX11200 A Removal of skin tags 0.82 1.60 1.53 1.21 1.14 0.11 01011201 A Remove skin tags add-on 0.29 0.24 0.22 0.18 0.16 0.04 ZZZ11300 A Shave skin lesion 0.51 1.44 1.41 0.33 0.30 0.07 00011301 A Shave skin lesion 0.85 1.77 1.74 0.59 0.54 0.11 00011302 A Shave skin lesion 1.05 2.07 2.04 0.74 0.68 0.14 00011303 A Shave skin lesion 1.24 2.44 2.39 0.86 0.78 0.18 00011305 A Shave skin lesion 0.67 1.32 1.27 0.26 0.27 0.05 00011306 A Shave skin lesion 0.99 1.71 1.66 0.52 0.51 0.11 00011307 A Shave skin lesion 1.14 2.03 1.99 0.68 0.65 0.14 00011308 A Shave skin lesion 1.41 2.14 2.07 0.70 0.68 0.14 000CMS-1582-PN 177CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global11310 A Shave skin lesion 0.73 1.66 1.63 0.49 0.45 0.10 00011311 A Shave skin lesion 1.05 1.94 1.91 0.74 0.68 0.14 00011312 A Shave skin lesion 1.20 2.26 2.23 0.86 0.79 0.18 00011313 A Shave skin lesion 1.62 2.68 2.62 1.14 1.04 0.24 0001134F I Epsd bk pain for =< 6 wks 0.00 0.00 0.00 0.00 0.00 0.00 XXX1135F I Epsd bk pain for > 6 wks 0.00 0.00 0.00 0.00 0.00 0.00 XXX1136F I Epsd bk pain for <= 12 wks 0.00 0.00 0.00 0.00 0.00 0.00 XXX1137F I Epsd bk pain for > 12 wks 0.00 0.00 0.00 0.00 0.00 0.00 XXX11400 A Exc tr-ext b9+marg 0.5 < cm 0.90 2.49 2.42 1.31 1.23 0.12 01011401 A Exc tr-ext b9+marg 0.6-1 cm 1.28 2.82 2.73 1.60 1.49 0.20 01011402 A Exc tr-ext b9+marg 1.1-2 cm 1.45 3.10 3.00 1.70 1.59 0.24 01011403 A Exc tr-ext b9+marg 2.1-3 cm 1.84 3.39 3.24 2.20 2.03 0.31 01011404 A Exc tr-ext b9+marg 3.1-4 cm 2.11 3.81 3.65 2.32 2.15 0.37 01011406 A Exc tr-ext b9+marg > 4.0 cm 3.52 4.88 4.55 3.09 2.79 0.67 01011420 A Exc h-f-nk-sp b9+marg 0.5 < 1.03 2.37 2.28 1.26 1.20 0.12 01011421 A Exc h-f-nk-sp b9+marg 0.6-1 1.47 2.88 2.77 1.61 1.52 0.22 01011422 A Exc h-f-nk-sp b9+marg 1.1-2 1.68 3.15 3.03 2.08 1.95 0.26 01011423 A Exc h-f-nk-sp b9+marg 2.1-3 2.06 3.50 3.37 2.29 2.14 0.33 01011424 A Exc h-f-nk-sp b9+marg 3.1-4 2.48 3.88 3.73 2.45 2.29 0.41 01011426 A Exc h-f-nk-sp b9+marg > 4 cm 4.09 4.93 4.67 3.36 3.10 0.71 01011440 A Exc face-mm b9+marg 0.5 < cm 1.05 2.65 2.58 1.81 1.71 0.16 01011441 A Exc face-mm b9+marg 0.6-1 cm 1.53 3.10 3.00 2.13 2.01 0.24 01011442 A Exc face-mm b9+marg 1.1-2 cm 1.77 3.43 3.32 2.28 2.15 0.29 01011443 A Exc face-mm b9+marg 2.1-3 cm 2.34 3.84 3.69 2.61 2.45 0.38 01011444 A Exc face-mm b9+marg 3.1-4 cm 3.19 4.56 4.35 3.11 2.88 0.52 01011446 A Exc face-mm b9+marg > 4 cm 4.80 5.93 5.50 4.19 3.80 0.80 01011450 A Removal sweat gland lesion 3.22 7.02 6.63 3.52 3.20 0.65 09011451 A Removal sweat gland lesion 4.43 8.40 8.09 4.16 3.82 0.90 09011462 A Removal sweat gland lesion 3.00 7.02 6.71 3.47 3.19 0.60 09011463 A Removal sweat gland lesion 4.43 8.61 8.39 4.31 3.99 0.88 090CMS-1582-PN 178CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global11470 A Removal sweat gland lesion 3.74 7.50 7.03 3.90 3.53 0.71 09011471 A Removal sweat gland lesion 4.89 8.89 8.40 4.49 4.07 0.91 0901150F I Doc pt rsk death w/in 1yr 0.00 0.00 0.00 0.00 0.00 0.00 XXX1151F I Doc no pt rsk death w/in 1yr 0.00 0.00 0.00 0.00 0.00 0.00 XXX1152F I Doc advncd dis comfort 1st 0.00 0.00 0.00 0.00 0.00 0.00 XXX1153F I Doc advncd dis cmfrt not 1st 0.00 0.00 0.00 0.00 0.00 0.00 XXX1157F I Advnc care plan in rcrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX1158F I Advnc care plan tlk docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX1159F I Med list docd in rcrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX11600 A Exc tr-ext mlg+marg 0.5 < cm 1.63 3.64 3.47 1.68 1.52 0.26 01011601 A Exc tr-ext mlg+marg 0.6-1 cm 2.07 4.28 4.14 2.11 1.96 0.31 01011602 A Exc tr-ext mlg+marg 1.1-2 cm 2.27 4.64 4.52 2.34 2.17 0.34 01011603 A Exc tr-ext mlg+marg 2.1-3 cm 2.82 5.05 4.86 2.67 2.44 0.42 01011604 A Exc tr-ext mlg+marg 3.1-4 cm 3.17 5.51 5.29 2.81 2.56 0.52 01011606 A Exc tr-ext mlg+marg > 4 cm 5.02 7.29 6.82 3.76 3.34 0.88 0101160F I Rvw meds by rx/dr in rcrd 0.00 0.00 0.00 0.00 0.00 0.00 XXX11620 A Exc h-f-nk-sp mlg+marg 0.5 < 1.64 3.71 3.56 1.73 1.57 0.26 01011621 A Exc h-f-nk-sp mlg+marg 0.6-1 2.08 4.32 4.18 2.14 1.99 0.31 01011622 A Exc h-f-nk-sp mlg+marg 1.1-2 2.41 4.74 4.62 2.43 2.27 0.37 01011623 A Exc h-f-nk-sp mlg+marg 2.1-3 3.11 5.25 5.05 2.85 2.61 0.49 01011624 A Exc h-f-nk-sp mlg+marg 3.1-4 3.62 5.75 5.50 3.07 2.81 0.60 01011626 A Exc h-f-nk-sp mlg+mar > 4 cm 4.61 6.64 6.33 3.54 3.26 0.80 01011640 A Exc face-mm malig+marg 0.5 < 1.67 3.88 3.74 1.83 1.69 0.26 01011641 A Exc face-mm malig+marg 0.6-1 2.17 4.46 4.36 2.25 2.12 0.33 01011642 A Exc face-mm malig+marg 1.1-2 2.62 4.96 4.85 2.59 2.43 0.39 01011643 A Exc face-mm malig+marg 2.1-3 3.42 5.49 5.30 3.07 2.84 0.54 01011644 A Exc face-mm malig+marg 3.1-4 4.34 6.62 6.36 3.66 3.38 0.71 01011646 A Exc face-mm mlg+marg > 4 cm 6.26 8.02 7.63 4.80 4.44 1.05 01011719 R Trim nail(s) 0.17 0.47 0.44 0.05 0.06 0.01 00011720 A Debride nail 1-5 0.32 0.58 0.55 0.10 0.10 0.03 000CMS-1582-PN 179CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global11721 A Debride nail 6 or more 0.54 0.67 0.65 0.16 0.18 0.04 00011730 A Removal of nail plate 1.10 1.65 1.58 0.33 0.36 0.08 00011732 A Remove nail plate add-on 0.44 0.56 0.57 0.12 0.14 0.03 ZZZ11740 A Drain blood from under nail 0.37 1.00 0.94 0.54 0.52 0.03 00011750 A Removal of nail bed 2.50 3.73 3.52 2.37 2.30 0.22 01011752 A Remove nail bed/finger tip 3.63 5.36 4.98 3.69 3.57 0.39 01011755 A Biopsy nail unit 1.31 2.48 2.39 0.93 0.93 0.11 00011760 A Repair of nail bed 1.63 4.69 4.30 2.03 1.94 0.26 01011762 A Reconstruction of nail bed 2.94 4.86 4.54 2.22 2.24 0.31 01011765 A Excision of nail fold toe 1.22 3.51 3.33 1.42 1.34 0.08 01011770 A Removal of pilonidal lesion 2.66 4.75 4.49 2.25 2.06 0.52 01011771 A Removal of pilonidal lesion 6.09 9.25 8.58 5.45 4.98 1.24 09011772 A Removal of pilonidal lesion 7.35 10.88 10.25 7.80 7.24 1.47 0901180F I Thromboemb risk assessed 0.00 0.00 0.00 0.00 0.00 0.00 XXX11900 A Injection into skin lesions 0.52 1.04 1.04 0.38 0.34 0.07 00011901 A Added skin lesions injection 0.80 1.17 1.15 0.59 0.54 0.11 00011920 R Correct skin color defects 1.61 3.11 3.20 1.58 1.48 0.31 00011921 R Correct skin color defects 1.93 3.58 3.60 1.84 1.71 0.37 00011922 R Correct skin color defects 0.49 1.22 1.20 0.35 0.31 0.08 ZZZ11950 R Therapy for contour defects 0.84 1.05 1.12 0.48 0.49 0.10 00011951 R Therapy for contour defects 1.19 1.50 1.50 0.74 0.69 0.24 00011952 R Therapy for contour defects 1.69 1.61 1.84 0.80 0.88 0.24 00011954 R Therapy for contour defects 1.85 2.55 2.49 1.38 1.23 0.35 00011960 A Insert tissue expander(s) 11.49 NA NA 12.99 13.02 1.84 09011970 A Replace tissue expander 8.01 NA NA 9.01 8.32 1.57 09011971 A Remove tissue expander(s) 3.41 9.46 9.44 5.35 5.08 0.64 09011975 N Insert contraceptive cap 1.48 2.13 2.11 0.65 0.64 0.10 XXX11976 R Removal of contraceptive cap 1.78 2.13 2.16 0.83 0.75 0.30 00011977 N Removal/reinsert contra cap 3.30 2.96 2.95 1.45 1.43 0.24 XXX11980 A Implant hormone pellet(s) 1.48 1.36 1.33 0.73 0.68 0.23 000CMS-1582-PN 180CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global11981 A Insert drug implant device 1.48 2.17 2.21 0.71 0.74 0.24 XXX11982 A Remove drug implant device 1.78 2.23 2.36 0.84 0.90 0.24 XXX11983 A Remove/insert drug implant 3.30 2.54 2.86 1.35 1.55 0.35 XXX12001 A Repair superficial wound(s) 0.84 1.51 1.83 0.37 0.64 0.14 00012002 A Repair superficial wound(s) 1.14 1.71 1.97 0.46 0.75 0.19 00012004 A Repair superficial wound(s) 1.44 1.91 2.24 0.55 0.85 0.24 00012005 A Repair superficial wound(s) 1.97 2.38 2.75 0.72 1.03 0.33 00012006 A Repair superficial wound(s) 2.39 2.86 3.30 0.90 1.27 0.41 00012007 A Repair superficial wound(s) 2.90 3.19 3.71 1.07 1.49 0.50 0001200F I Seizure type& frequ docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX12011 A Repair superficial wound(s) 1.07 1.86 2.11 0.43 0.68 0.19 00012013 A Repair superficial wound(s) 1.22 1.87 2.20 0.46 0.77 0.20 00012014 A Repair superficial wound(s) 1.57 2.07 2.46 0.57 0.89 0.26 00012015 A Repair superficial wound(s) 1.98 2.45 2.95 0.66 1.03 0.33 00012016 A Repair superficial wound(s) 2.68 2.91 3.44 0.91 1.29 0.46 00012017 A Repair superficial wound(s) 3.18 NA NA 0.76 1.34 0.56 00012018 A Repair superficial wound(s) 3.61 NA NA 0.85 1.77 0.64 00012020 A Closure of split wound 2.67 4.91 4.71 2.46 2.33 0.42 01012021 A Closure of split wound 1.89 2.62 2.44 1.93 1.80 0.31 01012031 A Intmd wnd repair s/tr/ext 2.00 4.66 4.53 2.24 2.16 0.32 01012032 A Intmd wnd repair s/tr/ext 2.52 6.02 5.95 2.91 2.83 0.38 01012034 A Intmd wnd repair s/tr/ext 2.97 5.67 5.50 2.65 2.55 0.50 01012035 A Intmd wnd repair s/tr/ext 3.50 7.03 6.82 2.97 2.87 0.65 01012036 A Intmd wnd repair s/tr/ext 4.23 7.26 7.03 3.26 3.14 0.81 01012037 A Intmd wnd repair s/tr/ext 5.00 8.02 7.77 3.74 3.62 0.96 01012041 A Intmd wnd repair n-hf/genit 2.10 4.69 4.56 2.24 2.17 0.32 01012042 A Intmd wnd repair n-hg/genit 2.79 5.30 5.21 2.77 2.67 0.41 01012044 A Intmd wnd repair n-hg/genit 3.19 6.76 6.49 2.64 2.54 0.52 01012045 A Intmd wnd repair n-hg/genit 3.75 7.24 6.94 3.58 3.32 0.64 01012046 A Intmd wnd repair n-hg/genit 4.30 8.55 8.21 4.02 3.77 0.84 010CMS-1582-PN 181CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global12047 A Intmd wnd repair n-hg/genit 4.95 9.57 9.07 4.24 4.01 0.96 01012051 A Intmd wnd repair face/mm 2.33 4.94 4.85 2.44 2.38 0.36 01012052 A Intmd wnd repair face/mm 2.87 5.38 5.35 2.79 2.78 0.42 01012053 A Intmd wnd repair face/mm 3.17 6.48 6.28 2.80 2.70 0.50 01012054 A Intmd wnd repair face/mm 3.50 6.71 6.48 2.71 2.62 0.59 01012055 A Intmd wnd repair face/mm 4.50 8.49 8.02 3.62 3.34 0.73 01012056 A Intmd wnd repair face/mm 5.30 10.36 9.70 5.38 4.85 0.67 01012057 A Intmd wnd repair face/mm 6.00 12.09 11.21 5.38 5.00 0.76 0101205F I Epi etiol synd rvwd and docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX1220F I Pt screened for depression 0.00 0.00 0.00 0.00 0.00 0.00 XXX13100 A Repair of wound or lesion 3.17 5.53 5.45 3.27 3.20 0.50 01013101 A Repair of wound or lesion 3.96 7.13 7.01 3.88 3.79 0.61 01013102 A Repair wound/lesion add-on 1.24 1.76 1.68 0.83 0.76 0.23 ZZZ13120 A Repair of wound or lesion 3.35 5.68 5.61 3.53 3.36 0.52 01013121 A Repair of wound or lesion 4.42 7.97 7.82 4.81 4.56 0.67 01013122 A Repair wound/lesion add-on 1.44 1.84 1.78 0.93 0.85 0.26 ZZZ13131 A Repair of wound or lesion 3.83 6.14 6.05 3.90 3.73 0.59 01013132 A Repair of wound or lesion 6.58 9.67 9.40 6.68 6.34 0.98 01013133 A Repair wound/lesion add-on 2.19 2.49 2.39 1.53 1.41 0.34 ZZZ13150 A Repair of wound or lesion 3.85 6.06 5.95 3.84 3.63 0.61 01013151 A Repair of wound or lesion 4.49 6.82 6.70 4.43 4.23 0.67 01013152 A Repair of wound or lesion 6.37 9.31 9.08 5.55 5.28 0.95 01013153 A Repair wound/lesion add-on 2.38 2.78 2.64 1.62 1.48 0.38 ZZZ13160 A Late closure of wound 12.04 NA NA 10.00 9.41 2.23 09014000 A Skin tissue rearrangement 6.37 10.96 10.64 7.72 7.38 1.13 09014001 A Skin tissue rearrangement 8.78 13.51 13.11 9.59 9.22 1.54 0901400F I Prkns diag rviewed 0.00 0.00 0.00 0.00 0.00 0.00 XXX14020 A Skin tissue rearrangement 7.22 12.28 11.94 8.83 8.50 1.21 09014021 A Skin tissue rearrangement 9.72 14.74 14.33 10.68 10.34 1.55 09014040 A Skin tissue rearrangement 8.60 12.92 12.54 9.45 9.12 1.32 090CMS-1582-PN 182CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global14041 A Skin tissue rearrangement 10.83 15.79 15.39 11.39 11.02 1.62 09014060 A Skin tissue rearrangement 9.23 12.64 12.18 9.92 9.50 1.42 09014061 A Skin tissue rearrangement 11.48 17.11 16.69 12.26 11.86 1.71 09014301 A Skin tissue rearrangement 12.65 17.47 17.47 12.25 12.25 2.14 09014302 A Skin tissue rearrange add-on 3.73 2.54 2.54 2.54 2.54 0.63 ZZZ14350 A Skin tissue rearrangement 11.05 NA NA 8.67 8.58 1.55 09015002 A Wound prep trk/arm/leg 3.65 5.83 5.48 2.59 2.36 0.65 00015003 A Wound prep addl 100 cm 0.80 1.23 1.17 0.42 0.38 0.16 ZZZ15004 A Wound prep f/n/hf/g 4.58 6.49 6.25 2.98 2.80 0.67 00015005 A Wnd prep f/n/hf/g addl cm 1.60 1.73 1.62 0.85 0.76 0.31 ZZZ15040 A Harvest cultured skin graft 2.00 5.03 4.99 1.46 1.37 0.37 00015050 A Skin pinch graft 5.57 10.46 9.77 7.09 6.64 0.90 09015100 A Skin splt grft trnk/arm/leg 9.90 13.60 13.24 9.76 9.22 1.95 09015101 A Skin splt grft t/a/l add-on 1.72 3.33 3.36 1.28 1.22 0.34 ZZZ15110 A Epidrm autogrft trnk/arm/leg 10.97 12.14 11.63 9.08 8.48 2.15 09015111 A Epidrm autogrft t/a/l add-on 1.85 1.22 1.23 0.90 0.88 0.38 ZZZ15115 A Epidrm a-grft face/nck/hf/g 11.28 12.84 12.01 9.83 9.13 1.85 09015116 A Epidrm a-grft f/n/hf/g addl 2.50 2.23 1.98 1.80 1.54 0.49 ZZZ15120 A Skn splt a-grft fac/nck/hf/g 10.15 13.51 13.44 9.09 9.07 1.76 09015121 A Skn splt a-grft f/n/hf/g add 2.00 3.76 3.90 1.58 1.60 0.37 ZZZ15130 A Derm autograft trnk/arm/leg 7.53 10.99 10.62 8.00 7.53 1.48 09015131 A Derm autograft t/a/l add-on 1.50 1.30 1.16 1.08 0.90 0.31 ZZZ15135 A Derm autograft face/nck/hf/g 11.03 13.27 12.41 10.27 9.58 1.88 09015136 A Derm autograft f/n/hf/g add 1.50 1.17 0.98 1.00 0.80 0.10 ZZZ15150 A Cult epiderm grft t/arm/leg 9.39 8.93 8.81 7.29 7.14 1.99 09015151 A Cult epiderm grft t/a/l addl 2.00 1.66 1.45 1.40 1.17 0.42 ZZZ15152 A Cult epiderm graft t/a/l +% 2.50 1.37 1.56 1.12 1.26 0.49 ZZZ15155 A Cult epiderm graft f/n/hf/g 10.14 6.90 7.90 5.54 6.52 0.76 09015156 A Cult epidrm grft f/n/hfg add 2.75 1.46 1.62 1.20 1.34 0.59 ZZZ15157 A Cult epiderm grft f/n/hfg +% 3.00 1.20 1.60 0.89 1.24 0.22 ZZZCMS-1582-PN 183CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global15170 A Acell graft trunk/arms/legs 5.99 6.07 5.56 4.26 3.80 1.09 09015171 A Acell graft t/arm/leg add-on 1.55 0.98 0.90 0.81 0.75 0.31 ZZZ15175 A Acellular graft f/n/hf/g 7.99 6.20 6.02 4.51 4.37 1.05 09015176 A Acell graft f/n/hf/g add-on 2.45 1.57 1.47 1.26 1.18 0.39 ZZZ15200 A Skin full graft trunk 9.15 13.84 13.04 9.57 8.81 1.65 09015201 A Skin full graft trunk add-on 1.32 2.80 2.74 0.90 0.80 0.26 ZZZ15220 A Skin full graft sclp/arm/leg 8.09 13.46 12.96 9.25 8.79 1.39 09015221 A Skin full graft add-on 1.19 2.61 2.58 0.79 0.73 0.23 ZZZ15240 A Skin full grft face/genit/hf 10.41 15.76 15.02 12.25 11.53 1.70 09015241 A Skin full graft add-on 1.86 3.33 3.20 1.29 1.18 0.33 ZZZ15260 A Skin full graft een & lips 11.64 16.71 16.21 12.42 12.08 1.77 09015261 A Skin full graft add-on 2.23 3.83 3.69 1.77 1.66 0.37 ZZZ15300 A Apply skinallogrft t/arm/lg 4.65 5.03 4.62 3.35 3.05 0.86 09015301 A Apply sknallogrft t/a/l addl 1.00 0.68 0.64 0.51 0.48 0.20 ZZZ15320 A Apply skin allogrft f/n/hf/g 5.36 4.96 4.77 3.16 3.07 0.73 09015321 A Aply sknallogrft f/n/hfg add 1.50 1.03 0.96 0.81 0.75 0.30 ZZZ15330 A Aply acell alogrft t/arm/leg 3.99 5.09 4.67 3.36 3.06 0.76 09015331 A Aply acell grft t/a/l add-on 1.00 0.75 0.67 0.59 0.53 0.20 ZZZ15335 A Apply acell graft f/n/hf/g 4.50 4.43 4.25 2.78 2.70 0.50 09015336 A Aply acell grft f/n/hf/g add 1.43 1.33 1.06 1.03 0.80 0.10 ZZZ15340 A Apply cult skin substitute 3.82 4.90 4.75 3.56 3.41 0.52 01015341 A Apply cult skin sub add-on 0.50 0.82 0.79 0.20 0.20 0.07 ZZZ15360 A Apply cult derm sub t/a/l 4.02 5.84 5.75 4.33 4.21 0.60 09015361 A Aply cult derm sub t/a/l add 1.15 0.50 0.57 0.34 0.40 0.20 ZZZ15365 A Apply cult derm sub f/n/hf/g 4.30 5.31 5.20 3.90 3.80 0.41 09015366 A Apply cult derm f/hf/g add 1.45 0.75 0.76 0.53 0.54 0.16 ZZZ15400 A Apply skin xenograft t/a/l 4.47 7.09 6.59 5.50 5.22 0.69 09015401 A Apply skn xenogrft t/a/l add 1.00 1.36 1.43 0.51 0.47 0.22 ZZZ15420 A Apply skin xgraft f/n/hf/g 4.98 7.29 7.11 5.78 5.61 0.67 09015421 A Apply skn xgrft f/n/hf/g add 1.50 1.69 1.58 0.82 0.74 0.30 ZZZCMS-1582-PN 184CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global15430 A Apply acellular xenograft 6.20 9.01 8.46 8.30 7.82 1.05 09015431 C Apply acellular xgraft add 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ15570 A Form skin pedicle flap 10.21 14.38 13.72 9.63 8.96 2.07 09015572 A Form skin pedicle flap 10.12 14.34 13.40 10.60 9.69 1.82 09015574 A Form skin pedicle flap 10.70 14.79 13.98 10.84 10.07 1.82 09015576 A Form skin pedicle flap 9.37 13.26 12.63 9.63 8.97 1.54 09015600 A Skin graft 2.01 6.96 7.04 3.76 3.61 0.38 09015610 A Skin graft 2.52 7.35 6.93 4.23 4.05 0.45 09015620 A Skin graft 3.75 8.47 8.37 5.39 5.09 0.61 09015630 A Skin graft 4.08 8.85 8.73 5.75 5.51 0.65 09015650 A Transfer skin pedicle flap 4.77 9.37 9.33 6.05 5.86 0.78 09015731 A Forehead flap w/vasc pedicle 14.38 17.56 16.62 14.38 13.43 2.41 09015732 A Muscle-skin graft head/neck 16.38 19.29 19.11 14.67 14.45 2.91 09015734 A Muscle-skin graft trunk 19.86 21.62 20.86 16.83 15.88 3.99 09015736 A Muscle-skin graft arm 17.04 19.62 18.94 14.86 13.81 3.36 09015738 A Muscle-skin graft leg 19.04 19.68 19.03 15.19 14.25 3.81 09015740 A Island pedicle flap graft 11.80 17.05 16.41 12.77 12.12 1.77 09015750 A Neurovascular pedicle graft 12.96 NA NA 12.47 11.71 2.29 09015756 A Free myo/skin flap microvasc 36.94 NA NA 28.89 26.52 6.36 09015757 A Free skin flap microvasc 37.15 NA NA 28.34 26.05 5.92 09015758 A Free fascial flap microvasc 36.90 NA NA 28.16 26.00 5.92 09015760 A Composite skin graft 9.86 14.16 13.44 10.26 9.57 1.58 09015770 A Derma-fat-fascia graft 8.96 NA NA 9.78 9.05 1.63 09015775 R Hair transplant punch grafts 3.95 3.83 4.16 1.99 1.97 0.29 00015776 R Hair transplant punch grafts 5.53 6.61 6.39 3.36 3.15 0.38 00015780 A Abrasion treatment of skin 8.73 14.13 14.03 8.59 8.61 1.20 09015781 A Abrasion treatment of skin 5.02 10.41 10.05 7.17 6.90 0.76 09015782 A Abrasion treatment of skin 4.44 10.78 11.04 6.37 6.58 0.63 09015783 A Abrasion treatment of skin 4.41 9.29 9.15 6.29 5.98 0.63 09015786 A Abrasion lesion single 2.08 4.70 4.62 1.74 1.67 0.33 010CMS-1582-PN 185CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global15787 A Abrasion lesions add-on 0.33 1.00 1.02 0.16 0.15 0.04 ZZZ15788 R Chemical peel face epiderm 2.09 11.08 10.58 5.05 4.77 0.35 09015789 R Chemical peel face dermal 4.91 10.71 10.75 7.11 6.91 0.68 09015792 R Chemical peel nonfacial 1.86 10.56 10.34 5.62 5.54 0.30 09015793 A Chemical peel nonfacial 3.96 9.95 9.62 6.49 6.17 0.56 09015819 A Plastic surgery neck 10.65 NA NA 7.58 8.13 2.10 09015820 A Revision of lower eyelid 6.27 9.43 8.81 7.98 7.33 1.24 09015821 A Revision of lower eyelid 6.84 10.02 9.24 8.37 7.59 1.33 09015822 A Revision of upper eyelid 4.62 7.72 7.21 6.29 5.77 0.82 09015823 A Revision of upper eyelid 6.81 10.11 9.75 8.45 8.13 1.27 09015824 R Removal of forehead wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 00015825 R Removal of neck wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 00015826 R Removal of brow wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 00015828 R Removal of face wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 00015829 R Removal of skin wrinkles 0.00 0.00 0.00 0.00 0.00 0.00 00015830 R Exc skin abd 17.11 NA NA 15.07 13.76 3.39 09015832 A Excise excessive skin tissue 12.85 NA NA 13.22 11.70 2.57 09015833 A Excise excessive skin tissue 11.90 NA NA 12.54 11.24 2.33 09015834 A Excise excessive skin tissue 12.17 NA NA 12.73 11.07 2.40 09015835 A Excise excessive skin tissue 12.99 NA NA 13.30 11.58 2.56 09015836 A Excise excessive skin tissue 10.61 NA NA 8.50 8.49 2.08 09015837 A Excise excessive skin tissue 9.55 14.45 12.61 10.00 8.91 2.01 09015838 A Excise excessive skin tissue 8.25 NA NA 8.16 7.62 1.06 09015839 A Excise excessive skin tissue 10.50 13.44 12.71 9.49 8.88 1.93 09015840 A Graft for face nerve palsy 14.99 NA NA 13.81 12.70 2.40 09015841 A Graft for face nerve palsy 25.99 NA NA 22.80 20.34 3.36 09015842 A Flap for face nerve palsy 41.01 NA NA 29.27 28.26 5.28 09015845 A Skin and muscle repair face 14.32 NA NA 14.17 12.58 1.84 09015847 C Exc skin abd add-on 0.00 0.00 0.00 0.00 0.00 0.00 YYY15850 B Removal of sutures 0.78 1.61 1.68 0.34 0.34 0.05 XXXCMS-1582-PN 186CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global15851 A Removal of sutures 0.86 1.84 1.77 0.42 0.37 0.12 00015852 A Dressing change not for burn 0.86 NA NA 0.41 0.38 0.14 00015860 A Test for blood flow in graft 1.95 NA NA 0.90 0.89 0.38 00015876 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 00015877 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 00015878 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 00015879 R Suction assisted lipectomy 0.00 0.00 0.00 0.00 0.00 0.00 00015920 A Removal of tail bone ulcer 8.29 NA NA 8.19 7.54 1.71 09015922 A Removal of tail bone ulcer 10.38 NA NA 11.51 10.18 2.03 09015931 A Remove sacrum pressure sore 10.07 NA NA 8.04 7.49 2.07 09015933 A Remove sacrum pressure sore 11.77 NA NA 10.89 10.14 2.41 09015934 A Remove sacrum pressure sore 13.68 NA NA 11.51 10.57 2.78 09015935 A Remove sacrum pressure sore 15.78 NA NA 13.93 13.04 3.18 09015936 A Remove sacrum pressure sore 13.16 NA NA 11.10 10.26 2.67 09015937 A Remove sacrum pressure sore 15.14 NA NA 13.34 12.33 3.06 09015940 A Remove hip pressure sore 10.20 NA NA 8.63 7.96 2.07 09015941 A Remove hip pressure sore 12.41 NA NA 12.07 11.34 2.48 09015944 A Remove hip pressure sore 12.44 NA NA 12.13 11.15 2.50 09015945 A Remove hip pressure sore 13.75 NA NA 13.57 12.47 2.74 09015946 A Remove hip pressure sore 24.12 NA NA 20.86 19.21 4.82 09015950 A Remove thigh pressure sore 8.03 NA NA 7.38 7.01 1.59 09015951 A Remove thigh pressure sore 11.58 NA NA 13.04 11.20 2.27 09015952 A Remove thigh pressure sore 12.31 NA NA 9.52 9.54 2.63 09015953 A Remove thigh pressure sore 13.57 NA NA 10.45 10.62 2.67 09015956 A Remove thigh pressure sore 16.79 NA NA 14.86 13.63 3.42 09015958 A Remove thigh pressure sore 16.75 NA NA 15.65 14.39 3.39 09015999 C Removal of pressure sore 0.00 0.00 0.00 0.00 0.00 0.00 YYY16000 A Initial treatment of burn(s) 0.89 1.02 0.97 0.39 0.34 0.12 00016020 A Dress/debrid p-thick burn s 0.80 1.56 1.48 0.82 0.75 0.11 00016025 A Dress/debrid p-thick burn m 1.85 2.26 2.13 1.33 1.22 0.31 000CMS-1582-PN 187CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global16030 A Dress/debrid p-thick burn l 2.08 2.86 2.71 1.52 1.40 0.37 00016035 A Incision of burn scab initi 3.74 NA NA 1.57 1.62 0.63 00016036 A Escharotomy addl incision 1.50 NA NA 0.67 0.65 0.27 ZZZ17000 A Destruct premalg lesion 0.65 1.63 1.61 0.94 0.90 0.08 01017003 A Destruct premalg les 2-14 0.07 0.12 0.13 0.05 0.05 0.01 ZZZ17004 A Destroy premlg lesions 15+ 1.85 2.92 2.94 1.85 1.83 0.27 01017106 A Destruction of skin lesions 3.69 5.85 5.76 4.02 3.92 0.53 09017107 A Destruction of skin lesions 4.79 7.37 7.43 4.94 4.98 0.73 09017108 A Destruction of skin lesions 7.49 10.06 9.70 6.85 6.65 1.31 09017110 A Destruct b9 lesion 1-14 0.70 2.40 2.41 1.28 1.23 0.08 01017111 A Destruct lesion 15 or more 0.97 2.72 2.71 1.46 1.41 0.12 01017250 A Chemical cautery tissue 0.50 1.74 1.68 0.51 0.49 0.07 00017260 A Destruction of skin lesions 0.96 1.69 1.67 0.99 0.95 0.12 01017261 A Destruction of skin lesions 1.22 2.84 2.80 1.34 1.31 0.18 01017262 A Destruction of skin lesions 1.63 3.30 3.24 1.62 1.58 0.23 01017263 A Destruction of skin lesions 1.84 3.53 3.48 1.75 1.71 0.26 01017264 A Destruction of skin lesions 1.99 3.76 3.70 1.83 1.78 0.29 01017266 A Destruction of skin lesions 2.39 4.09 4.03 2.06 2.00 0.34 01017270 A Destruction of skin lesions 1.37 2.87 2.81 1.41 1.37 0.20 01017271 A Destruction of skin lesions 1.54 3.06 3.01 1.56 1.52 0.23 01017272 A Destruction of skin lesions 1.82 3.41 3.37 1.75 1.71 0.26 01017273 A Destruction of skin lesions 2.10 3.73 3.67 1.92 1.87 0.30 01017274 A Destruction of skin lesions 2.64 4.20 4.14 2.24 2.19 0.37 01017276 A Destruction of skin lesions 3.25 4.63 4.55 2.58 2.51 0.48 01017280 A Destruction of skin lesions 1.22 2.75 2.70 1.32 1.28 0.18 01017281 A Destruction of skin lesions 1.77 3.23 3.17 1.71 1.67 0.26 01017282 A Destruction of skin lesions 2.09 3.64 3.59 1.92 1.88 0.30 01017283 A Destruction of skin lesions 2.69 4.14 4.09 2.30 2.25 0.38 01017284 A Destruction of skin lesions 3.20 4.57 4.53 2.60 2.55 0.44 01017286 A Destruction of skin lesions 4.48 5.50 5.39 3.35 3.28 0.67 010CMS-1582-PN 188CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global17311 A Mohs 1 stage h/n/hf/g 6.20 12.16 12.59 4.65 4.32 0.87 00017312 A Mohs addl stage 3.30 7.64 7.98 2.47 2.30 0.45 ZZZ17313 A Mohs 1 stage t/a/l 5.56 11.18 11.59 4.17 3.88 0.78 00017314 A Mohs addl stage t/a/l 3.06 7.08 7.40 2.29 2.13 0.42 ZZZ17315 A Mohs surg addl block 0.87 1.36 1.38 0.65 0.61 0.11 ZZZ17340 A Cryotherapy of skin 0.77 0.65 0.58 0.59 0.52 0.10 01017360 A Skin peel therapy 1.46 2.20 2.18 1.38 1.31 0.22 01017380 R Hair removal by electrolysis 0.00 0.00 0.00 0.00 0.00 0.00 00017999 C Skin tissue procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY19000 A Drainage of breast lesion 0.84 2.14 2.25 0.33 0.35 0.11 00019001 A Drain breast lesion add-on 0.42 0.29 0.31 0.16 0.17 0.05 ZZZ19020 A Incision of breast lesion 3.83 8.85 8.42 4.30 3.97 0.78 09019030 A Injection for breast x-ray 1.53 2.82 3.08 0.57 0.63 0.14 00019100 A Bx breast percut w/o image 1.27 2.76 2.65 0.55 0.50 0.26 00019101 A Biopsy of breast open 3.23 5.88 5.63 2.61 2.43 0.67 01019102 A Bx breast percut w/image 2.00 3.72 4.04 0.76 0.82 0.22 00019103 A Bx breast percut w/device 3.69 11.10 11.92 1.43 1.51 0.48 00019105 A Cryosurg ablate fa each 3.69 49.17 55.82 1.61 1.60 0.39 00019110 A Nipple exploration 4.44 8.71 8.16 4.68 4.28 0.93 09019112 A Excise breast duct fistula 3.81 8.58 8.09 4.50 4.13 0.80 09019120 A Removal of breast lesion 5.92 7.14 6.62 4.96 4.54 1.25 09019125 A Excision breast lesion 6.69 7.80 7.20 5.39 4.91 1.42 09019126 A Excision addl breast lesion 2.93 NA NA 1.27 1.16 0.63 ZZZ19260 A Removal of chest wall lesion 17.78 NA NA 14.15 13.56 3.96 09019271 A Revision of chest wall 22.19 NA NA 20.89 20.64 5.05 09019272 A Extensive chest wall surgery 25.17 NA NA 22.01 21.89 5.96 09019290 A Place needle wire breast 1.27 3.07 3.30 0.48 0.53 0.12 00019291 A Place needle wire breast 0.63 1.21 1.31 0.24 0.26 0.05 ZZZ19295 A Place breast clip percut 0.00 2.44 2.65 NA NA 0.01 ZZZ19296 A Place po breast cath for rad 3.63 108.19 111.86 1.89 1.75 0.73 000CMS-1582-PN 189CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global19297 A Place breast cath for rad 1.72 NA NA 0.75 0.69 0.35 ZZZ19298 A Place breast rad tube/caths 6.00 24.78 28.90 2.83 2.81 0.76 00019300 A Removal of breast tissue 5.31 8.53 8.19 5.53 5.07 1.13 09019301 A Partical mastectomy 10.13 NA NA 7.01 6.23 2.15 09019302 A P-mastectomy w/ln removal 13.87 NA NA 9.40 8.93 2.95 09019303 A Mast simple complete 15.85 NA NA 10.66 9.43 3.38 09019304 A Mast subq 7.95 NA NA 7.31 6.68 1.67 09019305 A Mast radical 17.46 NA NA 12.28 11.19 3.73 09019306 A Mast rad urban type 18.13 NA NA 13.42 12.11 3.87 09019307 A Mast mod rad 18.23 NA NA 13.22 12.02 3.87 09019316 A Suspension of breast 11.09 NA NA 10.17 9.46 2.19 09019318 A Reduction of large breast 16.03 NA NA 14.84 13.82 3.16 09019324 A Enlarge breast 6.80 NA NA 6.14 5.84 1.46 09019325 A Enlarge breast with implant 8.64 NA NA 9.41 8.71 1.69 09019328 A Removal of breast implant 6.48 NA NA 7.31 6.76 1.28 09019330 A Removal of implant material 8.54 NA NA 9.06 8.35 1.66 09019340 A Immediate breast prosthesis 13.99 NA NA 14.04 8.94 2.75 09019342 A Delayed breast prosthesis 12.63 NA NA 13.23 12.19 2.44 09019350 A Breast reconstruction 9.11 13.79 13.55 9.68 9.02 1.78 09019355 A Correct inverted nipple(s) 8.52 10.09 10.10 6.49 6.21 1.82 09019357 A Breast reconstruction 18.50 NA NA 23.69 21.46 3.62 09019361 A Breast reconstr w/lat flap 23.36 NA NA 24.33 21.92 4.60 09019364 A Breast reconstruction 42.58 NA NA 34.42 31.56 8.25 09019366 A Breast reconstruction 21.84 NA NA 15.66 14.35 4.46 09019367 A Breast reconstruction 26.80 NA NA 23.19 21.40 5.27 09019368 A Breast reconstruction 33.90 NA NA 28.01 25.53 6.67 09019369 A Breast reconstruction 31.31 NA NA 26.14 23.56 6.15 09019370 A Surgery of breast capsule 9.17 NA NA 10.00 9.24 1.80 09019371 A Removal of breast capsule 10.62 NA NA 11.33 10.47 2.07 09019380 A Revise breast reconstruction 10.41 NA NA 11.17 10.33 2.03 090CMS-1582-PN 190CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global19396 A Design custom breast implant 2.17 5.12 4.42 1.58 1.39 0.45 00019499 C Breast surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY20005 A I&d abscess subfascial 3.58 4.62 4.53 2.65 2.61 0.59 0102001F I Weight record 0.00 0.00 0.00 0.00 0.00 0.00 XXX2002F I Clin sign vol ovrld assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX2004F I Initial exam involved joints 0.00 0.00 0.00 0.00 0.00 0.00 XXX20100 A Explore wound neck 10.38 NA NA 5.73 5.13 1.96 01020101 A Explore wound chest 3.23 7.88 7.71 2.03 1.97 0.69 01020102 A Explore wound abdomen 3.98 9.25 8.94 2.78 2.57 0.80 01020103 A Explore wound extremity 5.34 10.58 10.17 4.13 3.91 0.99 01020150 A Excise epiphyseal bar 14.75 NA NA 12.53 11.25 2.93 0902018F I Hydration status assess 0.00 0.00 0.00 0.00 0.00 0.00 XXX20200 A Muscle biopsy 1.46 4.11 3.94 1.03 0.96 0.33 00020205 A Deep muscle biopsy 2.35 5.26 4.98 1.67 1.55 0.56 00020206 A Needle biopsy muscle 0.99 5.63 6.18 0.63 0.69 0.10 0002020F I Dilated fundus eval done 0.00 0.00 0.00 0.00 0.00 0.00 XXX20220 A Bone biopsy trocar/needle 1.27 2.93 3.40 0.74 0.82 0.11 00020225 A Bone biopsy trocar/needle 1.87 13.27 15.82 1.14 1.24 0.23 00020240 A Bone biopsy excisional 3.28 NA NA 2.84 2.76 0.52 01020245 A Bone biopsy excisional 8.95 NA NA 8.30 7.84 1.65 01020250 A Open bone biopsy 5.19 NA NA 4.96 4.68 1.22 01020251 A Open bone biopsy 5.72 NA NA 5.26 5.08 1.32 0102029F I Complete phys skin exam done 0.00 0.00 0.00 0.00 0.00 0.00 XXX2030F I H2o stat docd normal 0.00 0.00 0.00 0.00 0.00 0.00 XXX2031F I H2o stat docd dehydrated 0.00 0.00 0.00 0.00 0.00 0.00 XXX2044F I Doc mntl tst b/4 bk trxmnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX20500 A Injection of sinus tract 1.28 1.66 1.79 1.10 1.20 0.12 01020501 A Inject sinus tract for x-ray 0.76 2.52 2.79 0.28 0.32 0.07 0002050F I Wound char size etc docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX20520 A Removal of foreign body 1.90 3.61 3.43 2.09 1.98 0.30 010CMS-1582-PN 191CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global20525 A Removal of foreign body 3.54 9.64 9.46 3.23 3.06 0.64 01020526 A Ther injection carp tunnel 0.94 1.13 1.09 0.62 0.59 0.14 00020550 A Inj tendon sheath/ligament 0.75 0.85 0.82 0.40 0.37 0.08 00020551 A Inj tendon origin/insertion 0.75 0.91 0.85 0.44 0.41 0.08 00020552 A Inj trigger point 1/2 muscl 0.66 0.86 0.81 0.40 0.35 0.07 00020553 A Inject trigger points =/> 3 0.75 1.00 0.92 0.45 0.39 0.07 00020555 A Place ndl musc/tis for rt 6.00 NA NA 2.81 2.83 0.86 00020600 A Drain/inject joint/bursa 0.66 0.86 0.83 0.42 0.41 0.07 00020605 A Drain/inject joint/bursa 0.68 0.98 0.94 0.45 0.44 0.08 0002060F I Pt talk eval hlthwkr re mdd 0.00 0.00 0.00 0.00 0.00 0.00 XXX20610 A Drain/inject joint/bursa 0.79 1.43 1.35 0.58 0.55 0.12 00020612 A Aspirate/inj ganglion cyst 0.70 0.96 0.91 0.46 0.44 0.08 00020615 A Treatment of bone cyst 2.33 3.76 3.68 2.07 1.99 0.29 01020650 A Insert and remove bone pin 2.28 3.30 3.13 1.95 1.88 0.29 01020660 A Apply rem fixation device 4.00 NA NA 2.22 2.09 1.10 00020661 A Application of head brace 5.26 NA NA 7.74 7.33 1.65 09020662 A Application of pelvis brace 6.38 NA NA 4.72 5.59 0.61 09020663 A Application of thigh brace 5.74 NA NA 6.96 6.43 1.14 09020664 A Application of halo 10.06 NA NA 10.58 10.12 3.61 09020665 A Removal of fixation device 1.36 1.55 1.73 1.16 1.24 0.11 01020670 A Removal of support implant 1.79 8.78 9.12 2.29 2.23 0.30 01020680 A Removal of support implant 5.96 11.12 10.63 5.72 5.34 1.06 09020690 A Apply bone fixation device 8.78 NA NA 7.24 6.39 1.62 09020692 A Apply bone fixation device 16.27 NA NA 14.32 12.48 2.80 09020693 A Adjust bone fixation device 6.06 NA NA 6.36 6.14 1.08 09020694 A Remove bone fixation device 4.28 7.37 7.23 4.99 4.76 0.76 09020696 A Comp multiplane ext fixation 17.56 NA NA 15.44 12.64 1.25 09020697 A Comp ext fixate strut change 0.00 57.76 49.27 NA NA 0.01 00020802 A Replantation arm complete 42.62 NA NA 23.00 22.04 3.05 09020805 A Replant forearm complete 51.46 NA NA 17.98 22.17 10.14 090CMS-1582-PN 192CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global20808 A Replantation hand complete 63.09 NA NA 50.11 47.03 12.43 09020816 A Replantation digit complete 31.95 NA NA 26.83 27.11 3.99 09020822 A Replantation digit complete 26.66 NA NA 23.99 23.80 5.27 09020824 A Replantation thumb complete 31.95 NA NA 24.04 25.52 6.29 09020827 A Replantation thumb complete 27.48 NA NA 24.59 24.97 5.42 09020838 A Replantation foot complete 42.88 NA NA 23.42 23.57 3.06 09020900 A Removal of bone for graft 3.00 8.59 8.46 2.76 3.23 0.56 00020902 A Removal of bone for graft 4.58 NA NA 3.73 4.15 0.87 00020910 A Remove cartilage for graft 5.53 NA NA 6.28 6.13 0.71 09020912 A Remove cartilage for graft 6.54 NA NA 7.21 6.79 0.99 09020920 A Removal of fascia for graft 5.51 NA NA 5.86 5.58 0.69 09020922 A Removal of fascia for graft 6.93 8.97 9.24 6.19 6.25 1.28 09020924 A Removal of tendon for graft 6.68 NA NA 7.18 6.85 1.20 09020926 A Removal of tissue for graft 5.79 NA NA 5.96 5.80 1.17 09020930 B Sp bone algrft morsel add-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX20931 A Sp bone algrft struct add-on 1.81 NA NA 1.02 0.99 0.56 ZZZ20936 B Sp bone agrft local add-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX20937 A Sp bone agrft morsel add-on 2.79 NA NA 1.62 1.56 0.68 ZZZ20938 A Sp bone agrft struct add-on 3.02 NA NA 1.74 1.67 0.83 ZZZ20950 A Fluid pressure muscle 1.26 5.58 5.65 1.21 1.16 0.23 00020955 A Fibula bone graft microvasc 40.26 NA NA 30.82 28.46 6.67 09020956 A Iliac bone graft microvasc 41.18 NA NA 30.52 28.61 8.13 09020957 A Mt bone graft microvasc 42.61 NA NA 28.51 24.83 8.41 09020962 A Other bone graft microvasc 39.21 NA NA 33.05 30.31 7.73 09020969 A Bone/skin graft microvasc 45.43 NA NA 33.65 31.04 6.67 09020970 A Bone/skin graft iliac crest 44.58 NA NA 31.25 29.83 8.81 09020972 A Bone/skin graft metatarsal 44.51 NA NA 17.67 19.65 3.43 09020973 A Bone/skin graft great toe 47.27 NA NA 34.47 28.38 3.38 09020974 A Electrical bone stimulation 0.62 1.42 1.28 0.72 0.67 0.12 00020975 A Electrical bone stimulation 2.60 NA NA 2.09 2.01 0.59 000CMS-1582-PN 193CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global20979 A Us bone stimulation 0.62 0.84 0.82 0.29 0.29 0.08 00020982 A Ablate bone tumor(s) perq 7.27 88.57 97.10 3.05 3.30 0.80 00020985 A Cptr-asst dir ms px 2.50 NA NA 1.49 1.39 0.49 ZZZ20999 C Musculoskeletal surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY21010 A Incision of jaw joint 11.04 NA NA 9.51 8.76 1.42 09021011 A Exc face les sc < 2 cm 2.99 6.23 6.23 3.93 3.93 0.45 09021012 A Exc face les sbq 2+ cm 4.45 NA NA 5.02 5.02 0.72 09021013 A Exc face tum deep < 2 cm 5.42 8.70 8.70 5.63 5.63 0.82 09021014 A Exc face tum deep 2+ cm 7.13 NA NA 7.43 7.43 1.16 09021015 A Resect face tum < 2 cm 9.89 NA NA 9.46 7.56 1.86 09021016 A Resect face tum + cm 15.26 NA NA 13.01 13.01 2.91 09021025 A Excision of bone lower jaw 10.03 15.10 14.36 11.25 10.46 1.44 09021026 A Excision of facial bone(s) 5.70 11.70 11.09 8.38 7.90 0.83 09021029 A Contour of face bone lesion 8.39 13.15 12.43 9.52 8.88 1.65 09021030 A Excise max/zygoma b9 tumor 4.91 9.67 9.10 6.84 6.37 0.76 09021031 A Remove exostosis mandible 3.30 7.77 7.41 5.04 4.70 0.41 09021032 A Remove exostosis maxilla 3.34 7.92 7.55 4.92 4.57 0.42 09021034 A Excise max/zygoma mlg tumor 17.38 20.51 19.22 15.98 14.74 2.44 09021040 A Excise mandible lesion 4.91 9.80 9.22 6.92 6.37 0.75 09021044 A Removal of jaw bone lesion 12.80 NA NA 12.31 11.42 1.78 09021045 A Extensive jaw surgery 18.37 NA NA 16.65 15.34 2.52 09021046 A Remove mandible cyst complex 14.21 NA NA 17.33 15.96 1.82 09021047 A Excise lwr jaw cyst w/repair 20.07 NA NA 17.15 15.59 2.59 09021048 A Remove maxilla cyst complex 14.71 NA NA 17.74 16.11 1.89 09021049 A Excis uppr jaw cyst w/repair 19.32 NA NA 15.75 14.90 2.46 09021050 A Removal of jaw joint 11.76 NA NA 12.40 11.75 2.30 09021060 A Remove jaw joint cartilage 11.07 NA NA 11.65 10.65 2.34 09021070 A Remove coronoid process 8.62 NA NA 9.08 8.62 1.10 09021073 A Mnpj of tmj w/anesth 3.45 7.61 7.12 3.68 3.27 0.68 09021076 A Prepare face/oral prosthesis 13.40 14.99 13.26 10.44 9.11 1.70 010CMS-1582-PN 194CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global21077 A Prepare face/oral prosthesis 33.70 37.39 32.64 26.42 23.35 4.33 09021079 A Prepare face/oral prosthesis 22.31 25.68 22.81 17.65 15.48 2.87 09021080 A Prepare face/oral prosthesis 25.06 28.92 25.90 19.55 17.21 3.23 09021081 A Prepare face/oral prosthesis 22.85 26.78 23.93 17.80 15.73 2.95 09021082 A Prepare face/oral prosthesis 20.84 26.20 23.14 17.50 15.23 2.67 09021083 A Prepare face/oral prosthesis 19.27 25.56 22.66 16.33 14.18 1.37 09021084 A Prepare face/oral prosthesis 22.48 28.68 25.71 18.72 16.45 2.90 09021085 A Prepare face/oral prosthesis 8.99 12.59 10.82 7.20 6.36 3.35 01021086 A Prepare face/oral prosthesis 24.88 27.93 23.82 19.30 16.82 3.20 09021087 A Prepare face/oral prosthesis 24.88 27.71 23.72 18.95 16.67 3.20 09021088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 09021089 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 YYY21100 A Maxillofacial fixation 4.73 11.81 13.63 4.69 5.45 0.64 09021110 A Interdental fixation 5.99 16.65 15.73 13.03 12.24 0.76 09021116 A Injection jaw joint x-ray 0.81 3.32 3.41 0.38 0.35 0.05 00021120 A Reconstruction of chin 5.10 12.98 12.53 9.44 8.93 1.01 09021121 A Reconstruction of chin 7.81 15.00 14.05 11.18 10.44 0.54 09021122 A Reconstruction of chin 8.71 NA NA 11.73 11.12 0.61 09021123 A Reconstruction of chin 11.34 NA NA 15.49 13.41 0.80 09021125 A Augmentation lower jaw bone 10.80 74.00 75.92 11.43 10.28 2.14 09021127 A Augmentation lower jaw bone 12.44 96.07 94.49 13.18 11.83 1.59 09021137 A Reduction of forehead 10.24 NA NA 9.21 8.87 2.00 09021138 A Reduction of forehead 12.87 NA NA 12.30 11.39 1.82 09021139 A Reduction of forehead 15.02 NA NA 14.11 12.87 1.06 09021141 A Reconstruct midface lefort 19.57 NA NA 18.17 17.01 3.85 09021142 A Reconstruct midface lefort 20.28 NA NA 18.51 16.48 4.00 09021143 A Reconstruct midface lefort 21.05 NA NA 19.67 17.66 4.49 09021145 A Reconstruct midface lefort 23.94 NA NA 20.34 18.27 1.69 09021146 A Reconstruct midface lefort 24.87 NA NA 23.12 20.64 4.90 09021147 A Reconstruct midface lefort 26.47 NA NA 20.90 19.77 1.88 090CMS-1582-PN 195CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global21150 A Reconstruct midface lefort 25.96 NA NA 22.65 20.40 1.84 09021151 A Reconstruct midface lefort 29.02 NA NA 24.43 24.96 3.74 09021154 A Reconstruct midface lefort 31.29 NA NA 31.19 27.25 4.01 09021155 A Reconstruct midface lefort 35.22 NA NA 28.50 26.00 2.50 09021159 A Reconstruct midface lefort 43.14 NA NA 39.72 33.69 5.53 09021160 A Reconstruct midface lefort 47.19 NA NA 28.73 28.47 3.36 09021172 A Reconstruct orbit/forehead 28.20 NA NA 23.86 20.75 3.62 09021175 A Reconstruct orbit/forehead 33.56 NA NA 28.70 25.08 12.03 09021179 A Reconstruct entire forehead 22.65 NA NA 20.10 17.84 4.46 09021180 A Reconstruct entire forehead 25.58 NA NA 22.30 20.06 3.29 09021181 A Contour cranial bone lesion 10.28 NA NA 10.54 9.35 1.31 09021182 A Reconstruct cranial bone 32.58 NA NA 22.59 21.74 4.18 09021183 A Reconstruct cranial bone 35.70 NA NA 24.42 23.80 7.02 09021184 A Reconstruct cranial bone 38.62 NA NA 30.48 27.00 7.62 09021188 A Reconstruction of midface 23.15 NA NA 22.12 21.32 2.98 09021193 A Reconst lwr jaw w/o graft 18.90 NA NA 17.86 15.70 4.04 09021194 A Reconst lwr jaw w/graft 21.82 NA NA 17.50 16.51 2.80 09021195 A Reconst lwr jaw w/o fixation 19.16 NA NA 19.33 17.94 2.45 09021196 A Reconst lwr jaw w/fixation 20.83 NA NA 21.71 19.78 2.67 09021198 A Reconstr lwr jaw segment 15.71 NA NA 17.54 16.30 2.18 09021199 A Reconstr lwr jaw w/advance 16.73 NA NA 12.27 11.25 2.15 09021206 A Reconstruct upper jaw bone 15.59 NA NA 19.43 17.12 3.09 09021208 A Augmentation of facial bones 11.42 40.95 39.19 11.44 11.05 2.25 09021209 A Reduction of facial bones 7.82 15.66 15.11 10.65 10.03 1.54 09021210 A Face bone graft 11.69 52.78 50.02 12.81 11.50 1.51 09021215 A Lower jaw bone graft 12.23 100.91 95.64 13.08 11.74 2.40 09021230 A Rib cartilage graft 11.17 NA NA 10.20 9.54 2.19 09021235 A Ear cartilage graft 7.50 13.27 12.81 8.75 8.26 1.10 09021240 A Reconstruction of jaw joint 16.07 NA NA 15.56 14.19 2.04 09021242 A Reconstruction of jaw joint 14.59 NA NA 14.20 13.16 1.88 090CMS-1582-PN 196CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global21243 A Reconstruction of jaw joint 24.53 NA NA 23.17 21.08 3.16 09021244 A Reconstruction of lower jaw 13.62 NA NA 16.73 15.62 1.93 09021245 A Reconstruction of jaw 13.12 19.00 18.33 12.48 11.87 1.67 09021246 A Reconstruction of jaw 12.92 NA NA 10.74 10.07 1.65 09021247 A Reconstruct lower jaw bone 24.37 NA NA 19.67 18.76 4.82 09021248 A Reconstruction of jaw 12.74 18.55 17.16 12.86 11.56 1.63 09021249 A Reconstruction of jaw 18.77 24.30 22.21 17.84 15.61 2.40 09021255 A Reconstruct lower jaw bone 18.46 NA NA 19.71 19.79 2.35 09021256 A Reconstruction of orbit 17.66 NA NA 16.50 14.90 2.26 09021260 A Revise eye sockets 17.90 NA NA 21.70 19.86 1.27 09021261 A Revise eye sockets 34.07 NA NA 23.56 24.21 6.72 09021263 A Revise eye sockets 31.01 NA NA 22.22 22.29 2.20 09021267 A Revise eye sockets 20.69 NA NA 24.03 22.45 4.08 09021268 A Revise eye sockets 27.07 NA NA 20.50 21.64 5.34 09021270 A Augmentation cheek bone 10.63 17.21 15.63 10.57 9.26 1.51 09021275 A Revision orbitofacial bones 11.76 NA NA 11.79 10.58 2.30 09021280 A Revision of eyelid 7.13 NA NA 8.86 8.00 1.40 09021282 A Revision of eyelid 4.27 NA NA 6.34 5.83 0.78 09021295 A Revision of jaw muscle/bone 1.90 NA NA 2.89 2.91 0.37 09021296 A Revision of jaw muscle/bone 4.78 NA NA 5.91 6.37 0.61 09021299 C Cranio/maxillofacial surgery0.00 0.00 0.00 0.00 0.00 0.00 YYY21310 A Treatment of nose fracture 0.58 2.72 2.59 0.16 0.15 0.10 00021315 A Treatment of nose fracture 1.83 6.01 5.77 2.44 2.32 0.29 01021320 A Treatment of nose fracture 1.88 5.49 5.29 1.99 1.88 0.27 01021325 A Treatment of nose fracture 4.18 NA NA 9.11 9.02 0.67 09021330 A Treatment of nose fracture 5.79 NA NA 10.49 10.22 0.73 09021335 A Treatment of nose fracture 9.02 NA NA 11.81 11.34 1.22 09021336 A Treat nasal septal fracture 6.77 NA NA 11.87 11.39 0.91 09021337 A Treat nasal septal fracture 3.39 8.08 7.78 4.99 4.69 0.52 09021338 A Treat nasoethmoid fracture 6.87 NA NA 14.21 13.74 1.36 090CMS-1582-PN 197CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global21339 A Treat nasoethmoid fracture 8.50 NA NA 13.36 13.51 1.66 09021340 A Treatment of nose fracture 11.49 NA NA 10.10 9.93 1.48 09021343 A Treatment of sinus fracture 14.32 NA NA 17.05 16.77 2.83 09021344 A Treatment of sinus fracture 21.57 NA NA 22.00 19.88 7.74 09021345 A Treat nose/jaw fracture 9.06 13.05 12.81 8.72 8.53 1.17 09021346 A Treat nose/jaw fracture 11.45 NA NA 14.75 14.46 1.48 09021347 A Treat nose/jaw fracture 13.53 NA NA 18.39 17.21 1.71 09021348 A Treat nose/jaw fracture 17.52 NA NA 16.50 14.40 2.25 09021355 A Treat cheek bone fracture 4.45 8.45 8.01 5.14 4.71 0.56 01021356 A Treat cheek bone fracture 4.83 9.27 8.93 5.83 5.51 0.71 01021360 A Treat cheek bone fracture 7.19 NA NA 8.12 7.50 0.91 09021365 A Treat cheek bone fracture 16.77 NA NA 14.60 13.34 2.80 09021366 A Treat cheek bone fracture 18.60 NA NA 17.29 15.07 3.67 09021385 A Treat eye socket fracture 9.57 NA NA 10.14 9.74 1.22 09021386 A Treat eye socket fracture 9.57 NA NA 8.44 8.16 1.88 09021387 A Treat eye socket fracture 10.11 NA NA 10.45 9.99 1.97 09021390 A Treat eye socket fracture 11.23 NA NA 11.26 10.21 1.89 09021395 A Treat eye socket fracture 14.70 NA NA 13.68 12.08 1.88 09021400 A Treat eye socket fracture 1.50 3.79 3.60 2.78 2.62 0.27 09021401 A Treat eye socket fracture 3.68 9.52 9.47 4.59 4.41 0.72 09021406 A Treat eye socket fracture 7.42 NA NA 8.69 7.79 0.95 09021407 A Treat eye socket fracture 9.02 NA NA 9.18 8.47 1.59 09021408 A Treat eye socket fracture 12.78 NA NA 12.55 11.30 2.52 09021421 A Treat mouth roof fracture 6.02 15.22 14.66 11.93 11.43 1.18 09021422 A Treat mouth roof fracture 8.73 NA NA 10.25 9.63 1.13 09021423 A Treat mouth roof fracture 10.85 NA NA 12.35 11.20 2.14 09021431 A Treat craniofacial fracture 7.90 NA NA 12.48 12.36 1.55 09021432 A Treat craniofacial fracture 8.82 NA NA 11.29 10.12 1.71 09021433 A Treat craniofacial fracture 26.29 NA NA 18.87 18.31 5.19 09021435 A Treat craniofacial fracture 20.26 NA NA 16.14 15.53 2.60 090CMS-1582-PN 198CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global21436 A Treat craniofacial fracture 30.30 NA NA 27.24 24.22 5.97 09021440 A Treat dental ridge fracture 3.44 12.52 12.04 9.55 9.21 0.67 09021445 A Treat dental ridge fracture 6.26 15.50 14.99 11.49 11.03 0.80 09021450 A Treat lower jaw fracture 3.71 13.23 12.57 9.90 9.55 0.65 09021451 A Treat lower jaw fracture 5.65 16.56 15.59 12.67 12.03 0.72 09021452 A Treat lower jaw fracture 2.40 13.35 14.13 7.20 7.08 0.48 09021453 A Treat lower jaw fracture 6.64 19.09 17.96 15.44 14.71 1.05 09021454 A Treat lower jaw fracture 7.36 NA NA 8.72 8.03 0.93 09021461 A Treat lower jaw fracture 9.31 51.58 48.52 17.48 16.62 1.40 09021462 A Treat lower jaw fracture 11.01 53.07 50.40 18.68 17.55 1.42 09021465 A Treat lower jaw fracture 13.12 NA NA 13.70 12.26 2.59 09021470 A Treat lower jaw fracture 17.54 NA NA 16.63 15.09 2.90 09021480 A Reset dislocated jaw 0.61 2.01 1.97 0.26 0.24 0.10 00021485 A Reset dislocated jaw 4.77 15.22 14.36 11.91 11.28 0.61 09021490 A Repair dislocated jaw 12.95 NA NA 12.84 11.92 2.56 09021495 A Treat hyoid bone fracture 6.79 NA NA 13.77 12.98 0.86 09021497 A Interdental wiring 4.64 14.66 14.25 11.66 11.33 0.90 09021499 C Head surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY21501 A Drain neck/chest lesion 3.98 8.59 8.28 4.86 4.65 0.75 09021502 A Drain chest lesion 7.55 NA NA 5.71 5.85 1.61 09021510 A Drainage of bone lesion 6.20 NA NA 6.32 6.16 1.46 09021550 A Biopsy of neck/chest 2.11 5.19 5.09 2.29 2.23 0.30 01021552 A Exc neck les sc 3+ cm 6.49 NA NA 5.61 5.61 1.28 09021554 A Exc neck tum deep 5+ cm 11.13 NA NA 8.75 8.75 2.08 09021555 A Exc neck les sc < 3 cm 3.96 7.42 7.22 4.36 4.27 0.78 09021556 A Exc neck tum deep < 5 cm 7.66 NA NA 6.89 6.02 1.44 09021557 A Resect neck tum < 5 cm 14.75 NA NA 11.35 8.69 2.79 09021558 A Resect neck tum 5+ cm 21.58 NA NA 15.18 15.18 4.08 09021600 A Partial removal of rib 7.26 NA NA 8.08 7.67 1.57 09021610 A Partial removal of rib 15.91 NA NA 14.01 12.44 5.72 090CMS-1582-PN 199CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global21615 A Removal of rib 10.45 NA NA 6.49 6.64 2.46 09021616 A Removal of rib and nerves 12.69 NA NA 6.92 8.16 3.04 09021620 A Partial removal of sternum 7.28 NA NA 6.71 6.55 1.62 09021627 A Sternal debridement 7.30 NA NA 7.33 7.24 1.65 09021630 A Extensive sternum surgery 19.18 NA NA 14.84 14.23 4.04 09021632 A Extensive sternum surgery 19.68 NA NA 12.81 12.65 4.94 09021685 A Hyoid myotomy & suspension 15.26 NA NA 13.48 12.43 1.96 09021700 A Revision of neck muscle 6.31 NA NA 4.69 4.86 1.50 09021705 A Revision of neck muscle/rib 9.92 NA NA 4.71 5.67 2.34 09021720 A Revision of neck muscle 5.80 NA NA 5.84 5.30 2.07 09021725 A Revision of neck muscle 7.19 NA NA 7.42 6.99 1.42 09021740 A Reconstruction of sternum 17.57 NA NA 9.32 9.76 3.47 09021742 C Repair stern/nuss w/o scope 0.00 0.00 0.00 0.00 0.00 0.00 09021743 C Repair sternum/nuss w/scope 0.00 0.00 0.00 0.00 0.00 0.00 09021750 A Repair of sternum separation 11.40 NA NA 6.65 6.83 2.71 09021800 A Treatment of rib fracture 1.01 1.91 1.78 2.00 1.85 0.18 09021805 A Treatment of rib fracture 2.88 NA NA 4.21 4.14 0.67 09021810 A Treatment of rib fracture(s) 7.03 NA NA 7.23 6.62 1.63 09021820 A Treat sternum fracture 1.36 2.49 2.32 2.58 2.39 0.26 09021825 A Treat sternum fracture 7.76 NA NA 7.10 7.07 1.82 09021899 C Neck/chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY21920 A Biopsy soft tissue of back 2.11 5.12 5.06 2.41 2.29 0.34 01021925 A Biopsy soft tissue of back 4.63 7.34 6.94 4.82 4.48 0.93 09021930 A Exc back les sc < 3 cm 4.94 7.76 7.53 4.76 4.66 1.02 09021931 A Exc back les sc 3+ cm 6.88 NA NA 5.68 5.68 1.42 09021932 A Exc back tum deep < 5 cm 9.82 NA NA 8.05 8.05 2.08 09021933 A Exc back tum deep 5+ cm 11.13 NA NA 8.50 8.50 2.35 09021935 A Resect back tum < 5 cm 15.72 NA NA 11.67 11.36 3.21 09021936 A Resect back tum 5+ cm 22.55 NA NA 15.43 15.43 4.60 09022010 A I&d p-spine c/t/cerv-thor 12.75 NA NA 11.97 11.31 3.29 090CMS-1582-PN 200CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global22015 A I&d p-spine l/s/ls 12.64 NA NA 11.74 11.20 3.08 09022100 A Remove part of neck vertebra 11.00 NA NA 11.28 10.57 3.96 09022101 A Remove part thorax vertebra 11.08 NA NA 10.02 9.94 3.97 09022102 A Remove part lumbar vertebra 11.08 NA NA 10.72 10.26 2.67 09022103 A Remove extra spine segment 2.34 NA NA 1.36 1.31 0.64 ZZZ22110 A Remove part of neck vertebra 14.00 NA NA 13.05 12.36 5.04 09022112 A Remove part thorax vertebra 14.07 NA NA 12.88 11.84 5.05 09022114 A Remove part lumbar vertebra 14.07 NA NA 12.75 12.11 2.78 09022116 A Remove extra spine segment 2.32 NA NA 1.32 1.27 0.60 ZZZ22206 A Cut spine 3 col thor 37.18 NA NA 26.32 24.60 7.32 09022207 A Cut spine 3 col lumb 36.68 NA NA 26.02 24.34 9.20 09022208 A Cut spine 3 col addl seg 9.66 NA NA 5.60 5.25 2.59 ZZZ22210 A Revision of neck spine 25.38 NA NA 20.66 19.65 6.75 09022212 A Revision of thorax spine 20.99 NA NA 17.94 16.96 4.97 09022214 A Revision of lumbar spine 21.02 NA NA 17.90 17.06 5.12 09022216 A Revise extra spine segment 6.03 NA NA 3.50 3.38 1.51 ZZZ22220 A Revision of neck spine 22.94 NA NA 18.96 17.77 6.42 09022222 A Revision of thorax spine 23.09 NA NA 19.26 16.09 4.55 09022224 A Revision of lumbar spine 23.09 NA NA 18.80 17.71 5.38 09022226 A Revise extra spine segment 6.03 NA NA 3.47 3.34 1.58 ZZZ22305 A Treat spine process fracture 2.13 3.06 2.88 2.59 2.43 0.41 09022310 A Treat spine fracture 3.89 4.35 4.01 3.70 3.40 0.78 09022315 A Treat spine fracture 10.11 13.50 12.76 10.42 9.79 2.55 09022318 A Treat odontoid fx w/o graft 22.72 NA NA 18.20 17.36 7.68 09022319 A Treat odontoid fx w/graft 25.33 NA NA 20.03 18.76 9.11 09022325 A Treat spine fracture 19.87 NA NA 17.09 16.18 5.69 09022326 A Treat neck spine fracture 20.84 NA NA 17.09 16.22 6.30 09022327 A Treat thorax spine fracture 20.77 NA NA 17.81 16.67 5.62 09022328 A Treat each add spine fx 4.60 NA NA 2.61 2.51 1.36 ZZZ22505 A Manipulation of spine 1.87 NA NA 1.42 1.30 0.29 010CMS-1582-PN 201CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global22520 A Percut vertebroplasty thor 9.22 55.61 55.64 4.57 4.75 1.06 01022521 A Percut vertebroplasty lumb 8.01 55.13 55.03 4.24 4.45 0.94 01022522 A Percut vertebroplasty addl4.30 NA NA 1.75 1.81 0.54 ZZZ22523 A Percut kyphoplasty thor 8.62 NA NA 5.60 5.72 1.69 01022524 A Percut kyphoplasty lumbar 8.22 NA NA 5.44 5.55 1.61 01022525 A Percut kyphoplasty add-on4.47 NA NA 2.172.19 0.95 ZZZ22526 N Idet single level 6.10 58.74 54.88 3.48 2.92 0.54 01022527 N Idet 1 or more levels 3.03 50.43 46.21 1.33 1.02 0.24 ZZZ22532 A Lat thorax spine fusion 25.99 NA NA 19.82 18.75 7.57 09022533 A Lat lumbar spine fusion 24.79 NA NA 19.15 18.11 6.38 09022534 A Lat thor/lumb addl seg 5.99 NA NA 3.41 3.30 1.59 ZZZ22548 A Neck spine fusion 27.06 NA NA 21.72 20.26 9.72 09022551 A Neck spine fuse&remove addl 25.00 NA NA 18.57 18.57 7.57 09022552 A Addl neck spine fusion 6.50 NA NA 3.64 3.64 1.78 ZZZ22554 A Neck spine fusion 17.69 NA NA 14.64 14.22 5.47 09022556 A Thorax spine fusion 24.70 NA NA 18.56 17.70 6.63 09022558 A Lumbar spine fusion 23.53 NA NA 17.08 16.12 5.66 09022585 A Additional spinal fusion 5.52 NA NA 3.09 2.98 1.59 ZZZ22590 A Spine & skull spinal fusion 21.76 NA NA 18.18 17.30 7.05 09022595 A Neck spinal fusion 20.64 NA NA 17.48 16.62 6.57 09022600 A Neck spine fusion 17.40 NA NA 15.47 14.71 5.32 09022610 A Thorax spine fusion 17.28 NA NA 15.28 14.53 4.86 09022612 A Lumbar spine fusion 23.53 NA NA 17.97 17.15 6.23 09022614 A Spine fusion extra segment 6.43 NA NA 3.67 3.56 1.77 ZZZ22630 A Lumbar spine fusion 22.09 NA NA 17.60 16.84 6.27 09022632 A Spine fusion extra segment 5.22 NA NA 2.97 2.87 1.50 ZZZ22800 A Fusion of spine 19.50 NA NA 15.99 15.30 4.90 09022802 A Fusion of spine 32.11 NA NA 23.55 22.55 7.51 09022804 A Fusion of spine 37.50 NA NA 26.80 25.63 8.53 09022808 A Fusion of spine 27.51 NA NA 20.13 19.27 7.27 090CMS-1582-PN 202CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global22810 A Fusion of spine 31.50 NA NA 21.62 20.69 7.93 09022812 A Fusion of spine 34.25 NA NA 25.73 23.99 6.75 09022818 A Kyphectomy 1-2 segments 34.33 NA NA 24.74 23.17 6.76 09022819 A Kyphectomy 3 or more 39.38 NA NA 28.59 26.77 14.15 09022830 A Exploration of spinal fusion 11.22 NA NA 9.95 9.54 2.90 09022840 A Insert spine fixation device 12.52 NA NA 7.14 6.91 3.48 ZZZ22841 B Insert spine fixation device 0.00 0.00 0.00 0.00 0.00 0.00 XXX22842 A Insert spine fixation device 12.56 NA NA 7.18 6.95 3.44 ZZZ22843 A Insert spine fixation device 13.44 NA NA 7.74 7.43 3.50 ZZZ22844 A Insert spine fixation device 16.42 NA NA 9.58 9.31 3.69 ZZZ22845 A Insert spine fixation device 11.94 NA NA 6.73 6.50 3.66 ZZZ22846 A Insert spine fixation device 12.40 NA NA 6.99 6.76 3.77 ZZZ22847 A Insert spine fixation device 13.78 NA NA 7.68 7.48 4.95 ZZZ22848 A Insert pelv fixation device 5.99 NA NA 3.50 3.40 1.39 ZZZ22849 A Reinsert spinal fixation 19.17 NA NA 14.59 13.99 5.14 09022850 A Remove spine fixation device 9.82 NA NA 8.96 8.58 2.61 09022851 A Apply spine prosth device 6.70 NA NA 3.81 3.67 1.89 ZZZ22852 A Remove spine fixation device 9.37 NA NA 8.69 8.30 2.41 09022855 A Remove spine fixation device 15.86 NA NA 12.74 12.19 4.75 09022856 A Cerv artific diskectomy 24.05 NA NA 18.08 17.40 7.28 09022857 R Lumbar artif diskectomy 27.13 NA NA 16.12 16.47 5.78 09022861 A Revise cerv artific disc 33.36 NA NA 17.36 16.97 9.12 09022862 R Revise lumbar artif disc 32.63 NA NA 17.53 17.17 6.42 09022864 A Remove cerv artif disc 29.40 NA NA 21.67 18.37 8.04 09022865 R Remove lumb artif disc 31.75 NA NA 21.07 21.67 6.25 09022899 C Spine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY22900 A Exc back tum deep < 5 cm 8.32 NA NA 6.58 5.46 1.71 09022901 A Exc back tum deep 5+ cm 10.11 NA NA 7.36 7.36 2.10 09022902 A Exc abd les sc < 3 cm 4.42 7.72 7.72 4.93 4.93 0.71 09022903 A Exc abd les sc > 3 cm 6.39 NA NA 5.54 5.54 1.21 090CMS-1582-PN 203CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global22904 A Resect abd tum < 5 cm 16.69 NA NA 10.36 10.36 3.55 09022905 A Resect abd tum > 5 cm 21.58 NA NA 13.62 13.62 4.60 09022999 C Abdomen surgery procedure 0.00 0.000.00 0.00 0.00 0.00 YYY23000 A Removal of calcium deposits 4.48 11.32 10.62 5.56 5.23 0.86 09023020 A Release shoulder joint 9.36 NA NA 9.21 8.83 1.80 09023030 A Drain shoulder lesion 3.47 8.55 8.27 3.45 3.30 0.68 01023031 A Drain shoulder bursa 2.79 8.66 8.24 3.10 2.91 0.53 01023035 A Drain shoulder bone lesion 9.16 NA NA 9.17 8.88 1.80 09023040 A Exploratory shoulder surgery 9.75 NA NA 9.70 9.25 1.91 09023044 A Exploratory shoulder surgery 7.59 NA NA 7.79 7.49 1.50 09023065 A Biopsy shoulder tissues 2.30 3.70 3.58 2.35 2.23 0.38 01023066 A Biopsy shoulder tissues 4.30 10.45 9.94 5.13 4.85 0.84 09023071 A Exc shoulder les sc > 3 cm 5.91 NA NA 5.34 5.34 1.21 09023073 A Exc shoulder tum deep > 5 cm 10.13 NA NA 8.47 8.47 2.04 09023075 A Exc shoulder les sc < 3 cm 4.21 8.46 6.51 4.51 3.35 0.86 09023076 A Exc shoulder tum deep < 5 cm 7.41 NA NA 6.99 6.82 1.51 09023077 A Resect shoulder tum < 5 cm 17.66 NA NA 13.10 12.66 3.59 09023078 A Resect shoulder tum > 5 cm 22.55 NA NA 14.04 14.04 4.82 09023100 A Biopsy of shoulder joint 6.20 NA NA 7.34 6.91 1.22 09023101 A Shoulder joint surgery 5.72 NA NA 6.42 6.17 1.13 09023105 A Remove shoulder joint lining 8.48 NA NA 8.74 8.35 1.66 09023106 A Incision of collarbone joint 6.13 NA NA 7.30 6.77 1.21 09023107 A Explore treat shoulder joint 8.87 NA NA 8.99 8.59 1.71 09023120 A Partial removal collar bone 7.39 NA NA 8.41 7.98 1.46 09023125 A Removal of collar bone 9.64 NA NA 9.53 8.98 1.89 09023130 A Remove shoulder bone part 7.77 NA NA 8.72 8.31 1.52 09023140 A Removal of bone lesion 7.12 NA NA 6.98 6.55 1.42 09023145 A Removal of bone lesion 9.40 NA NA 9.39 8.91 1.85 09023146 A Removal of bone lesion 8.08 NA NA 8.71 8.06 1.59 09023150 A Removal of humerus lesion 8.91 NA NA 8.87 8.46 1.71 090CMS-1582-PN 204CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global23155 A Removal of humerus lesion 10.86 NA NA 10.59 10.04 2.14 09023156 A Removal of humerus lesion 9.11 NA NA 9.22 8.73 1.80 09023170 A Remove collar bone lesion 7.21 NA NA 7.94 7.21 1.42 09023172 A Remove shoulder blade lesion 7.31 NA NA 8.00 7.43 1.46 09023174 A Remove humerus lesion 10.05 NA NA 10.47 9.95 1.97 09023180 A Remove collar bone lesion 8.99 NA NA 9.09 8.94 1.81 09023182 A Remove shoulder blade lesion 8.61 NA NA 9.36 8.99 1.69 09023184 A Remove humerus lesion 9.90 NA NA 9.95 9.68 1.91 09023190 A Partial removal of scapula 7.47 NA NA 7.99 7.46 1.48 09023195 A Removal of head of humerus 10.36 NA NA 10.07 9.53 2.03 09023200 A Resect clavicle tumor 22.71 NA NA 18.34 14.19 4.48 09023210 A Resect scapula tumor 27.21 NA NA 21.02 15.85 5.36 09023220 A Resect prox humerus tumor 30.21 NA NA 22.49 17.29 5.96 09023330 A Remove shoulder foreign body 1.90 4.52 4.36 2.17 2.09 0.35 01023331 A Remove shoulder foreign body 7.63 NA NA 8.36 7.98 1.50 09023332 A Remove shoulder foreign body 12.37 NA NA 11.47 10.96 2.40 09023350 A Injection for shoulder x-ray 1.00 2.97 3.26 0.40 0.42 0.10 00023395 A Muscle transfer shoulder/arm 18.54 NA NA 16.23 15.44 3.59 09023397 A Muscle transfers 16.76 NA NA 14.10 13.42 3.31 09023400 A Fixation of shoulder blade 13.87 NA NA 12.38 11.82 2.74 09023405 A Incision of tendon & muscle 8.54 NA NA 8.37 8.06 1.66 09023406 A Incise tendon(s) & muscle(s) 11.01 NA NA 9.97 9.58 2.16 09023410 A Repair rotator cuff acute 11.39 NA NA 10.82 10.42 2.22 09023412 A Repair rotator cuff chronic 11.93 NA NA 11.14 10.76 2.31 09023415 A Release of shoulder ligament 9.23 NA NA 9.60 9.17 1.81 09023420 A Repair of shoulder 13.54 NA NA 12.68 12.17 2.65 09023430 A Repair biceps tendon 10.17 NA NA 10.03 9.47 1.97 09023440 A Remove/transplant tendon 10.64 NA NA 9.75 9.35 2.07 09023450 A Repair shoulder capsule 13.70 NA NA 11.87 11.32 2.71 09023455 A Repair shoulder capsule 14.67 NA NA 12.47 11.93 2.86 090CMS-1582-PN 205CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global23460 A Repair shoulder capsule 15.82 NA NA 13.65 13.05 3.13 09023462 A Repair shoulder capsule 15.72 NA NA 13.27 12.61 3.12 09023465 A Repair shoulder capsule 16.30 NA NA 13.86 13.21 3.21 09023466 A Repair shoulder capsule 15.80 NA NA 14.45 13.76 3.12 09023470 A Reconstruct shoulder joint 17.89 NA NA 14.75 14.12 3.51 09023472 A Reconstruct shoulder joint 22.65 NA NA 17.76 16.94 4.42 09023480 A Revision of collar bone 11.54 NA NA 10.66 10.13 2.26 09023485 A Revision of collar bone 13.91 NA NA 12.00 11.48 2.72 09023490 A Reinforce clavicle 12.16 NA NA 12.09 10.93 2.40 09023491 A Reinforce shoulder bones 14.54 NA NA 12.84 12.25 2.87 09023500 A Treat clavicle fracture 2.21 3.66 3.48 3.75 3.51 0.41 09023505 A Treat clavicle fracture 3.83 5.65 5.36 5.12 4.83 0.72 09023515 A Treat clavicle fracture 9.69 NA NA 10.05 9.36 1.89 09023520 A Treat clavicle dislocation 2.29 3.97 3.68 4.06 3.75 0.44 09023525 A Treat clavicle dislocation 3.79 6.89 5.98 5.83 5.13 0.73 09023530 A Treat clavicle dislocation 7.48 NA NA 7.99 7.19 1.48 09023532 A Treat clavicle dislocation 8.20 NA NA 8.67 8.25 1.61 09023540 A Treat clavicle dislocation 2.36 3.61 3.44 3.71 3.45 0.42 09023545 A Treat clavicle dislocation 3.43 5.40 5.08 4.58 4.31 0.60 09023550 A Treat clavicle dislocation 7.59 NA NA 7.85 7.52 1.47 09023552 A Treat clavicle dislocation 8.82 NA NA 9.00 8.59 1.70 09023570 A Treat shoulder blade fx 2.36 3.89 3.69 4.08 3.83 0.44 09023575 A Treat shoulder blade fx 4.23 6.62 6.17 5.92 5.50 0.83 09023585 A Treat scapula fracture 14.23 NA NA 12.35 11.43 2.76 09023600 A Treat humerus fracture 3.11 5.65 5.40 5.09 4.77 0.60 09023605 A Treat humerus fracture 5.06 7.54 7.20 6.48 6.16 0.98 09023615 A Treat humerus fracture 12.30 NA NA 11.67 11.03 2.40 09023616 A Treat humerus fracture 18.37 NA NA 15.25 14.80 3.58 09023620 A Treat humerus fracture 2.55 4.74 4.49 4.38 4.10 0.49 09023625 A Treat humerus fracture 4.10 6.19 5.89 5.48 5.20 0.78 090CMS-1582-PN 206CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global23630 A Treat humerus fracture 10.57 NA NA 10.63 9.84 2.07 09023650 A Treat shoulder dislocation 3.53 4.56 4.34 3.92 3.65 0.61 09023655 A Treat shoulder dislocation 4.76 NA NA 5.98 5.57 0.88 09023660 A Treat shoulder dislocation 7.66 NA NA 8.12 7.72 1.50 09023665 A Treat dislocation/fracture 4.66 6.80 6.47 6.02 5.72 0.88 09023670 A Treat dislocation/fracture 12.28 NA NA 11.40 10.53 2.40 09023675 A Treat dislocation/fracture 6.27 8.63 8.17 7.30 6.91 1.20 09023680 A Treat dislocation/fracture 13.15 NA NA 11.96 11.18 2.57 09023700 A Fixation of shoulder 2.57 NA NA 2.69 2.57 0.49 01023800 A Fusion of shoulder joint 14.73 NA NA 13.00 12.36 2.93 09023802 A Fusion of shoulder joint 18.42 NA NA 16.33 15.08 3.62 09023900 A Amputation of arm & girdle 20.72 NA NA 16.83 14.96 4.10 09023920 A Amputation at shoulder joint 16.23 NA NA 14.27 12.87 3.20 09023921 A Amputation follow-up surgery 5.72 NA NA 6.94 5.73 1.36 09023929 C Shoulder surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY23930 A Drainage of arm lesion 2.99 6.66 6.59 2.82 2.70 0.61 01023931 A Drainage of arm bursa 1.84 6.00 5.88 2.51 2.40 0.34 01023935 A Drain arm/elbow bone lesion 6.38 NA NA 7.40 6.94 1.24 09024000 A Exploratory elbow surgery 6.08 NA NA 6.88 6.52 1.17 09024006 A Release elbow joint 9.74 NA NA 9.62 9.12 1.82 09024065 A Biopsy arm/elbow soft tissue 2.13 5.03 4.91 2.56 2.44 0.34 01024066 A Biopsy arm/elbow soft tissue 5.35 11.40 10.86 5.72 5.33 1.08 09024071 A Exc arm/elbow les sc 3+ cm 5.70 NA NA 5.29 5.29 1.16 09024073 A Ex arm/elbow tum deep > 5 cm 10.13 NA NA 8.57 8.57 2.01 09024075 A Exc arm/elbow les sc < 3 cm 4.24 9.11 8.96 4.64 4.37 0.84 09024076 A Ex arm/elbow tum deep < 5 cm 7.41 NA NA 7.14 6.47 1.48 09024077 A Resect arm/elbow tum < 5 cm 15.72 NA NA 12.10 10.47 3.18 09024079 A Resect arm/elbow tum > 5 cm 20.61 NA NA 13.20 13.20 4.38 09024100 A Biopsy elbow joint lining 5.07 NA NA 6.23 5.81 1.01 09024101 A Explore/treat elbow joint 6.30 NA NA 7.28 6.94 1.21 090CMS-1582-PN 207CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global24102 A Remove elbow joint lining 8.26 NA NA 8.44 8.01 1.55 09024105 A Removal of elbow bursa 3.78 NA NA 5.74 5.41 0.72 09024110 A Remove humerus lesion 7.58 NA NA 8.30 7.88 1.50 09024115 A Remove/graft bone lesion 10.12 NA NA 9.82 9.24 1.99 09024116 A Remove/graft bone lesion 12.23 NA NA 11.07 10.51 2.41 09024120 A Remove elbow lesion 6.82 NA NA 7.53 7.10 1.29 09024125 A Remove/graft bone lesion 8.14 NA NA 8.64 8.10 1.59 09024126 A Remove/graft bone lesion 8.62 NA NA 8.92 8.47 1.69 09024130 A Removal of head of radius 6.42 NA NA 7.36 7.02 1.20 09024134 A Removal of arm bone lesion 10.22 NA NA 9.99 9.60 2.00 09024136 A Remove radius bone lesion 8.40 NA NA 8.65 7.76 1.65 09024138 A Remove elbow bone lesion 8.50 NA NA 9.76 9.25 1.66 09024140 A Partial removal of arm bone 9.55 NA NA 9.59 9.32 1.78 09024145 A Partial removal of radius 7.81 NA NA 8.19 8.02 1.54 09024147 A Partial removal of elbow 7.84 NA NA 9.09 8.81 1.51 09024149 A Radical resection of elbow 16.22 NA NA 15.86 14.84 2.98 09024150 A Resect distal humerus tumor 23.46 NA NA 18.67 14.97 4.63 09024152 A Resect radius tumor 19.99 NA NA 16.61 12.70 3.93 09024155 A Removal of elbow joint 12.09 NA NA 10.98 10.36 2.38 09024160 A Remove elbow joint implant 8.00 NA NA 8.51 8.07 1.50 09024164 A Remove radius head implant 6.43 NA NA 7.02 6.71 1.27 09024200 A Removal of arm foreign body 1.81 3.84 3.67 2.02 1.88 0.31 01024201 A Removal of arm foreign body 4.70 10.49 10.30 5.19 4.96 0.93 09024220 A Injection for elbow x-ray 1.31 2.99 3.31 0.57 0.59 0.12 00024300 A Manipulate elbow w/anesth 4.04 NA NA 7.20 6.84 0.72 09024301 A Muscle/tendon transfer 10.38 NA NA 9.90 9.47 2.03 09024305 A Arm tendon lengthening 7.62 NA NA 8.23 7.81 1.36 09024310 A Revision of arm tendon 6.12 NA NA 6.81 6.49 1.18 09024320 A Repair of arm tendon 10.86 NA NA 10.25 9.67 2.14 09024330 A Revision of arm muscles 9.79 NA NA 9.61 9.15 1.92 090CMS-1582-PN 208CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global24331 A Revision of arm muscles 10.95 NA NA 11.21 10.33 2.16 09024332 A Tenolysis triceps 7.91 NA NA 8.66 8.22 1.55 09024340 A Repair of biceps tendon 8.08 NA NA 8.53 8.14 1.58 09024341 A Repair arm tendon/muscle 9.49 NA NA 10.78 10.13 1.85 09024342 A Repair of ruptured tendon 10.86 NA NA 10.24 9.78 2.07 09024343 A Repr elbow lat ligmnt w/tiss 9.16 NA NA 10.05 9.58 1.67 09024344 A Reconstruct elbow lat ligmnt 15.21 NA NA 14.51 13.73 3.01 09024345 A Repr elbw med ligmnt w/tissu 9.16 NA NA 9.95 9.46 1.67 09024346 A Reconstruct elbow med ligmnt 15.21 NA NA 14.51 13.78 3.01 09024357 A Repair elbow perc 5.44 NA NA 6.69 6.40 1.03 09024358 A Repair elbow w/deb open 6.66 NA NA 7.62 7.24 1.25 09024359 A Repair elbow deb/attch open 8.98 NA NA 9.01 8.41 1.67 09024360 A Reconstruct elbow joint 12.67 NA NA 11.65 11.11 2.48 09024361 A Reconstruct elbow joint 14.41 NA NA 12.79 12.24 2.84 09024362 A Reconstruct elbow joint 15.32 NA NA 13.33 12.68 3.04 09024363 A Replace elbow joint 22.65 NA NA 18.11 17.03 4.21 09024365 A Reconstruct head of radius 8.62 NA NA 8.65 8.28 1.69 09024366 A Reconstruct head of radius 9.36 NA NA 9.16 8.73 1.77 09024400 A Revision of humerus 11.33 NA NA 10.83 10.37 2.19 09024410 A Revision of humerus 15.11 NA NA 13.48 12.62 2.99 09024420 A Revision of humerus 13.73 NA NA 13.08 12.45 2.71 09024430 A Repair of humerus 15.25 NA NA 13.47 12.66 2.95 09024435 A Repair humerus with graft 14.99 NA NA 14.27 13.47 2.93 09024470 A Revision of elbow joint 8.93 NA NA 9.21 8.21 1.77 09024495 A Decompression of forearm 8.41 NA NA 9.04 8.94 1.80 09024498 A Reinforce humerus 12.28 NA NA 11.15 10.66 2.41 09024500 A Treat humerus fracture 3.41 6.20 5.89 5.34 5.00 0.64 09024505 A Treat humerus fracture 5.39 8.14 7.77 6.85 6.52 1.05 09024515 A Treat humerus fracture 12.12 NA NA 11.62 11.07 2.34 09024516 A Treat humerus fracture 12.19 NA NA 11.08 10.58 2.38 090CMS-1582-PN 209CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global24530 A Treat humerus fracture 3.69 6.60 6.27 5.63 5.29 0.69 09024535 A Treat humerus fracture 7.11 9.58 9.16 8.30 7.90 1.37 09024538 A Treat humerus fracture 9.77 NA NA 10.35 9.92 1.92 09024545 A Treat humerus fracture 13.15 NA NA 12.04 11.27 2.56 09024546 A Treat humerus fracture 14.91 NA NA 13.27 12.72 2.90 09024560 A Treat humerus fracture 2.98 5.66 5.39 4.76 4.44 0.56 09024565 A Treat humerus fracture 5.78 8.64 7.99 7.44 6.83 1.14 09024566 A Treat humerus fracture 9.06 NA NA 10.35 9.81 1.80 09024575 A Treat humerus fracture 9.71 NA NA 10.15 9.70 1.88 09024576 A Treat humerus fracture 3.06 6.15 5.82 5.21 4.88 0.59 09024577 A Treat humerus fracture 6.01 8.84 8.24 7.58 7.01 1.18 09024579 A Treat humerus fracture 11.44 NA NA 11.21 10.64 2.20 09024582 A Treat humerus fracture 10.14 NA NA 11.75 11.03 1.99 09024586 A Treat elbow fracture 15.78 NA NA 13.64 13.02 3.05 09024587 A Treat elbow fracture 15.79 NA NA 13.78 13.07 2.93 09024600 A Treat elbow dislocation 4.37 5.24 5.08 4.46 4.22 0.76 09024605 A Treat elbow dislocation 5.64 NA NA 7.02 6.63 1.09 09024615 A Treat elbow dislocation 9.83 NA NA 9.50 9.07 1.84 09024620 A Treat elbow fracture 7.22 NA NA 7.76 7.39 1.36 09024635 A Treat elbow fracture 8.80 NA NA 9.47 9.98 1.67 09024640 A Treat elbow dislocation 1.25 2.35 2.13 1.18 1.07 0.23 01024650 A Treat radius fracture 2.31 4.76 4.53 4.18 3.90 0.42 09024655 A Treat radius fracture 4.62 7.09 6.83 6.08 5.80 0.86 09024665 A Treat radius fracture 8.36 NA NA 9.37 8.90 1.59 09024666 A Treat radius fracture 9.86 NA NA 10.04 9.56 1.86 09024670 A Treat ulnar fracture 2.69 5.17 4.93 4.40 4.13 0.50 09024675 A Treat ulnar fracture 4.91 7.45 7.13 6.38 6.08 0.93 09024685 A Treat ulnar fracture 8.37 NA NA 9.36 8.90 1.62 09024800 A Fusion of elbow joint 11.41 NA NA 11.02 10.07 2.25 09024802 A Fusion/graft of elbow joint 14.32 NA NA 12.75 12.08 2.83 090CMS-1582-PN 210CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global24900 A Amputation of upper arm 10.18 NA NA 9.59 8.97 2.01 09024920 A Amputation of upper arm 10.13 NA NA 9.67 8.93 1.99 09024925 A Amputation follow-up surgery 7.30 NA NA 7.99 7.57 1.44 09024930 A Amputation follow-up surgery 10.83 NA NA 10.09 9.34 2.14 09024931 A Amputate upper arm & implant 13.44 NA NA 8.38 8.14 0.95 09024935 A Revision of amputation 16.45 NA NA 7.55 8.53 3.24 09024940 C Revision of upper arm 0.00 0.00 0.00 0.00 0.00 0.00 09024999 C Upper arm/elbow surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY25000 A Incision of tendon sheath 3.55 NA NA 5.65 5.73 0.64 09025001 A Incise flexor carpi radialis 3.79 NA NA 5.67 5.31 0.67 09025020 A Decompress forearm 1 space 6.06 NA NA 9.85 9.56 1.06 09025023 A Decompress forearm 1 space 13.83 NA NA 16.15 15.54 2.74 09025024 A Decompress forearm 2 spaces 10.79 NA NA 10.23 9.72 2.12 09025025 A Decompress forearm 2 spaces 17.94 NA NA 15.21 13.97 3.54 09025028 A Drainage of forearm lesion 5.39 NA NA 8.78 8.54 1.03 09025031 A Drainage of forearm bursa 4.26 NA NA 5.12 5.41 0.83 09025035 A Treat forearm bone lesion 7.65 NA NA 8.16 8.76 1.48 09025040 A Explore/treat wrist joint 7.50 NA NA 7.81 7.58 1.36 09025065 A Biopsy forearm soft tissues 2.04 5.09 4.98 2.57 2.48 0.33 01025066 A Biopsy forearm soft tissues 4.27 NA NA 5.46 5.59 0.80 09025071 A Exc forearm les sc > 3 cm 5.91 NA NA 5.69 5.69 1.17 09025073 A Exc forearm tum deep 3+ cm 7.13 NA NA 7.47 7.47 1.36 09025075 A Exc forearm les sc < 3 cm 3.96 9.16 9.16 4.64 4.75 0.76 09025076 A Exc forearm tum deep < 3 cm 6.74 NA NA 7.25 7.01 1.28 09025077 A Resect forearm/wrist tum<3cm 12.93 NA NA 10.88 10.20 2.61 09025078 A Resect forearm/wrist tum3+cm 17.69 NA NA 11.93 11.93 3.78 09025085 A Incision of wrist capsule 5.64 NA NA 6.59 6.55 1.10 09025100 A Biopsy of wrist joint 4.02 NA NA 5.34 5.21 0.78 09025101 A Explore/treat wrist joint 4.83 NA NA 6.18 6.01 0.90 09025105 A Remove wrist joint lining 6.02 NA NA 7.15 7.02 1.10 090CMS-1582-PN 211CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global25107 A Remove wrist joint cartilage 7.70 NA NA 9.23 8.87 1.36 09025109 A Excise tendon forearm/wrist 6.94 NA NA 7.80 7.25 1.24 09025110 A Remove wrist tendon lesion 4.04 NA NA 5.20 5.36 0.75 09025111 A Remove wrist tendon lesion 3.53 NA NA 5.17 4.99 0.67 09025112 A Reremove wrist tendon lesion 4.67 NA NA 5.85 5.61 0.87 09025115 A Remove wrist/forearm lesion 10.09 NA NA 10.78 10.99 1.80 09025116 A Remove wrist/forearm lesion 7.56 NA NA 8.91 9.35 1.33 09025118 A Excise wrist tendon sheath 4.51 NA NA 5.95 5.78 0.80 09025119 A Partial removal of ulna 6.21 NA NA 7.26 7.17 1.22 09025120 A Removal of forearm lesion 6.27 NA NA 7.29 7.88 1.17 09025125 A Remove/graft forearm lesion 7.67 NA NA 8.36 8.91 1.51 09025126 A Remove/graft forearm lesion 7.74 NA NA 8.40 8.90 1.52 09025130 A Removal of wrist lesion 5.43 NA NA 6.85 6.64 0.99 09025135 A Remove & graft wrist lesion 7.08 NA NA 8.00 7.80 1.39 09025136 A Remove & graft wrist lesion 6.14 NA NA 7.19 6.98 1.21 09025145 A Remove forearm bone lesion 6.54 NA NA 7.43 8.00 1.28 09025150 A Partial removal of ulna 7.38 NA NA 8.00 7.88 1.36 09025151 A Partial removal of radius 7.68 NA NA 8.14 8.68 1.51 09025170 A Resect radius/ulnar tumor 22.21 NA NA 17.82 14.83 4.37 09025210 A Removal of wrist bone 6.12 NA NA 7.29 7.05 1.08 09025215 A Removal of wrist bones 8.14 NA NA 8.83 8.61 1.40 09025230 A Partial removal of radius 5.37 NA NA 6.49 6.29 0.90 09025240 A Partial removal of ulna 5.31 NA NA 6.43 6.37 0.91 09025246 A Injection for wrist x-ray 1.45 2.93 3.23 0.59 0.62 0.14 00025248 A Remove forearm foreign body 5.31 NA NA 5.79 6.07 1.05 09025250 A Removal of wrist prosthesis 6.77 NA NA 7.55 7.20 1.32 09025251 A Removal of wrist prosthesis 9.82 NA NA 9.62 9.17 1.93 09025259 A Manipulate wrist w/anesthes 4.04 NA NA 7.28 6.91 0.72 09025260 A Repair forearm tendon/muscle 8.04 NA NA 9.21 9.61 1.48 09025263 A Repair forearm tendon/muscle 8.04 NA NA 8.92 9.44 1.58 090CMS-1582-PN 212CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global25265 A Repair forearm tendon/muscle 10.10 NA NA 10.13 10.59 1.97 09025270 A Repair forearm tendon/muscle 6.17 NA NA 7.26 7.81 1.16 09025272 A Repair forearm tendon/muscle 7.21 NA NA 7.90 8.47 1.32 09025274 A Repair forearm tendon/muscle 8.94 NA NA 9.11 9.65 1.77 09025275 A Repair forearm tendon sheath 8.96 NA NA 9.28 8.89 1.77 09025280 A Revise wrist/forearm tendon 7.39 NA NA 8.06 8.57 1.28 09025290 A Incise wrist/forearm tendon 5.43 NA NA 6.50 7.64 0.98 09025295 A Release wrist/forearm tendon 6.72 NA NA 7.62 8.15 1.18 09025300 A Fusion of tendons at wrist 9.02 NA NA 9.48 9.17 1.78 09025301 A Fusion of tendons at wrist 8.59 NA NA 8.97 8.65 1.57 09025310 A Transplant forearm tendon 8.08 NA NA 8.90 9.32 1.39 09025312 A Transplant forearm tendon 9.82 NA NA 9.80 10.22 1.78 09025315 A Revise palsy hand tendon(s) 10.68 NA NA 10.14 10.65 2.10 09025316 A Revise palsy hand tendon(s) 12.90 NA NA 11.80 12.05 1.61 09025320 A Repair/revise wrist joint 12.75 NA NA 14.40 13.58 2.26 09025332 A Revise wrist joint 11.74 NA NA 11.30 10.70 2.18 09025335 A Realignment of hand 13.39 NA NA 8.58 10.00 0.95 09025337 A Reconstruct ulna/radioulnar 11.73 NA NA 12.76 12.17 2.01 09025350 A Revision of radius 9.09 NA NA 9.31 9.82 1.61 09025355 A Revision of radius 10.53 NA NA 10.17 10.66 2.07 09025360 A Revision of ulna 8.74 NA NA 9.00 9.57 1.65 09025365 A Revise radius & ulna 12.91 NA NA 11.81 12.08 2.55 09025370 A Revise radius or ulna 14.10 NA NA 13.10 13.30 2.78 09025375 A Revise radius & ulna 13.55 NA NA 12.19 12.60 0.95 09025390 A Shorten radius or ulna 10.70 NA NA 10.37 10.77 1.88 09025391 A Lengthen radius or ulna 14.28 NA NA 12.63 12.93 2.83 09025392 A Shorten radius & ulna 14.58 NA NA 12.80 13.12 2.90 09025393 A Lengthen radius & ulna 16.56 NA NA 15.42 14.99 3.28 09025394 A Repair carpal bone shorten 10.85 NA NA 10.32 9.80 2.14 09025400 A Repair radius or ulna 11.28 NA NA 10.61 11.08 2.07 090CMS-1582-PN 213CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global25405 A Repair/graft radius or ulna 15.01 NA NA 13.20 13.52 2.74 09025415 A Repair radius & ulna 13.80 NA NA 12.84 13.12 2.72 09025420 A Repair/graft radius & ulna 17.04 NA NA 14.52 14.84 3.38 09025425 A Repair/graft radius or ulna 13.72 NA NA 12.29 13.39 2.71 09025426 A Repair/graft radius & ulna 16.45 NA NA 13.92 13.13 3.24 09025430 A Vasc graft into carpal bone 9.71 NA NA 10.06 9.46 1.21 09025431 A Repair nonunion carpal bone 10.89 NA NA 10.43 9.82 2.15 09025440 A Repair/graft wrist bone 10.68 NA NA 10.26 9.89 1.89 09025441 A Reconstruct wrist joint 13.29 NA NA 13.13 12.09 1.65 09025442 A Reconstruct wrist joint 11.12 NA NA 11.04 10.46 1.39 09025443 A Reconstruct wrist joint 10.66 NA NA 10.45 10.01 2.10 09025444 A Reconstruct wrist joint 11.42 NA NA 11.82 10.88 0.80 09025445 A Reconstruct wrist joint 9.88 NA NA 9.78 9.29 1.80 09025446 A Wrist replacement 17.30 NA NA 14.88 14.04 2.95 09025447 A Repair wrist joint(s) 11.14 NA NA 11.54 10.83 1.96 09025449 A Remove wrist joint implant 14.94 NA NA 13.45 12.64 2.95 09025450 A Revision of wrist joint 8.06 NA NA 6.03 6.80 1.58 09025455 A Revision of wrist joint 9.71 NA NA 6.97 7.72 0.68 09025490 A Reinforce radius 9.73 NA NA 8.80 9.51 1.25 09025491 A Reinforce ulna 10.15 NA NA 9.84 10.35 1.99 09025492 A Reinforce radius and ulna 12.66 NA NA 11.77 12.08 2.48 09025500 A Treat fracture of radius 2.60 4.73 4.43 4.13 3.80 0.45 09025505 A Treat fracture of radius 5.45 8.10 7.75 6.98 6.64 1.03 09025515 A Treat fracture of radius 8.80 NA NA 9.33 8.88 1.67 09025520 A Treat fracture of radius 6.50 8.85 8.17 8.04 7.39 1.28 09025525 A Treat fracture of radius 10.55 NA NA 10.72 10.41 2.01 09025526 A Treat fracture of radius 13.15 NA NA 12.66 12.55 2.60 09025530 A Treat fracture of ulna 2.24 4.84 4.60 4.17 3.90 0.41 09025535 A Treat fracture of ulna 5.36 7.88 7.47 6.91 6.54 1.02 09025545 A Treat fracture of ulna 7.94 NA NA 8.96 8.59 1.51 090CMS-1582-PN 214CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global25560 A Treat fracture radius & ulna 2.59 4.81 4.53 4.11 3.78 0.48 09025565 A Treat fracture radius & ulna 5.85 8.26 7.91 6.94 6.62 1.10 09025574 A Treat fracture radius & ulna 8.80 NA NA 9.41 8.90 1.70 09025575 A Treat fracture radius/ulna 12.29 NA NA 12.08 11.47 2.34 09025600 A Treat fracture radius/ulna 2.64 6.27 5.82 5.76 5.24 0.49 09025605 A Treat fracture radius/ulna 6.00 8.67 8.57 7.73 7.64 1.15 09025606 A Treat fx distal radial 8.31 NA NA 9.66 9.35 1.61 09025607 A Treat fx rad extra-articul 9.56 NA NA 10.41 9.73 1.82 09025608 A Treat fx rad intra-articul 11.07 NA NA 11.32 10.58 2.07 09025609 A Treat fx radial 3+ frag 14.38 NA NA 14.14 13.18 2.69 09025622 A Treat wrist bone fracture 2.79 5.44 5.15 4.71 4.37 0.52 09025624 A Treat wrist bone fracture 4.77 7.69 7.42 6.57 6.28 0.88 09025628 A Treat wrist bone fracture 9.67 NA NA 9.98 9.46 1.74 09025630 A Treat wrist bone fracture 3.03 5.23 4.98 4.56 4.23 0.56 09025635 A Treat wrist bone fracture 4.61 7.72 7.17 6.63 5.96 0.90 09025645 A Treat wrist bone fracture 7.42 NA NA 7.95 7.57 1.47 09025650 A Treat wrist bone fracture 3.23 5.44 5.16 4.91 4.53 0.60 09025651 A Pin ulnar styloid fracture 5.82 NA NA 7.42 6.97 1.10 09025652 A Treat fracture ulnar styloid 8.06 NA NA 8.93 8.45 1.47 09025660 A Treat wrist dislocation 4.98 NA NA 5.90 5.67 0.90 09025670 A Treat wrist dislocation 8.09 NA NA 8.30 7.97 1.50 09025671 A Pin radioulnar dislocation 6.46 NA NA 7.97 7.51 1.27 09025675 A Treat wrist dislocation 4.89 6.82 6.50 5.81 5.51 0.87 09025676 A Treat wrist dislocation 8.29 NA NA 8.90 8.47 1.54 09025680 A Treat wrist fracture 6.23 NA NA 6.34 5.96 1.08 09025685 A Treat wrist fracture 10.09 NA NA 9.79 9.26 1.97 09025690 A Treat wrist dislocation 5.72 NA NA 7.27 6.77 1.14 09025695 A Treat wrist dislocation 8.51 NA NA 8.60 8.21 1.66 09025800 A Fusion of wrist joint 10.07 NA NA 9.91 9.57 1.81 09025805 A Fusion/graft of wrist joint 11.73 NA NA 11.10 10.79 2.30 090CMS-1582-PN 215CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global25810 A Fusion/graft of wrist joint 11.95 NA NA 11.82 11.24 2.12 09025820 A Fusion of hand bones 7.64 NA NA 9.16 8.76 1.37 09025825 A Fuse hand bones with graft 9.69 NA NA 11.08 10.56 1.69 09025830 A Fusion radioulnar jnt/ulna 10.88 NA NA 14.94 14.60 2.15 09025900 A Amputation of forearm 9.61 NA NA 9.72 9.92 1.82 09025905 A Amputation of forearm 9.59 NA NA 9.36 9.56 1.89 09025907 A Amputation follow-up surgery 8.09 NA NA 8.47 8.73 1.59 09025909 A Amputation follow-up surgery 9.31 NA NA 9.19 9.45 1.84 09025915 A Amputation of forearm 17.52 NA NA 10.13 12.55 3.10 09025920 A Amputate hand at wrist 9.03 NA NA 9.80 9.30 1.78 09025922 A Amputate hand at wrist 7.65 NA NA 6.20 6.81 0.53 09025924 A Amputation follow-up surgery 8.81 NA NA 7.63 8.10 1.71 09025927 A Amputation of hand 9.09 NA NA 12.86 12.25 1.80 09025929 A Amputation follow-up surgery 7.82 NA NA 8.90 7.79 1.54 09025931 A Amputation follow-up surgery 8.04 NA NA 9.96 10.43 1.70 09025999 C Forearm or wrist surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY26010 A Drainage of finger abscess 1.59 5.50 5.44 2.15 2.03 0.27 01026011 A Drainage of finger abscess 2.24 8.47 8.43 2.83 2.69 0.39 01026020 A Drain hand tendon sheath 5.08 NA NA 6.82 6.44 0.93 09026025 A Drainage of palm bursa 5.08 NA NA 6.45 6.09 0.91 09026030 A Drainage of palm bursa(s) 6.25 NA NA 7.22 6.82 1.16 09026034 A Treat hand bone lesion 6.63 NA NA 8.03 7.61 1.22 09026035 A Decompress fingers/hand 11.37 NA NA 11.82 10.92 2.23 09026037 A Decompress fingers/hand 7.57 NA NA 8.00 7.55 1.44 09026040 A Release palm contracture 3.46 NA NA 5.14 4.86 0.56 09026045 A Release palm contracture 5.73 NA NA 6.97 6.64 1.09 09026055 A Incise finger tendon sheath 3.11 12.26 12.42 5.39 5.07 0.56 09026060 A Incision of finger tendon 2.91 NA NA 4.43 4.20 0.54 09026070 A Explore/treat hand joint 3.81 NA NA 4.66 4.31 0.65 09026075 A Explore/treat finger joint 3.91 NA NA 4.93 4.63 0.67 090CMS-1582-PN 216CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global26080 A Explore/treat finger joint 4.47 NA NA 6.22 5.87 0.78 09026100 A Biopsy hand joint lining 3.79 NA NA 5.27 4.93 0.73 09026105 A Biopsy finger joint lining 3.83 NA NA 5.29 5.01 0.75 09026110 A Biopsy finger joint lining 3.65 NA NA 5.18 4.89 0.64 09026111 A Exc hand les sc > 1.5 cm 5.42 NA NA 6.06 6.06 0.99 09026113 A Exc hand tum deep > 1.5 cm 7.13 NA NA 7.96 7.96 1.25 09026115 A Exc hand les sc < 1.5 cm 3.96 9.88 11.38 5.15 5.26 0.71 09026116 A Exc hand tum deep < 1.5 cm 6.74 NA NA 7.72 7.26 1.20 09026117 A Exc hand tum ra < 3 cm 10.13 NA NA 10.48 9.25 1.85 09026118 A Exc hand tum ra > 3 cm 14.81 NA NA 14.22 14.22 2.94 09026121 A Release palm contracture 7.73 NA NA 8.62 8.17 1.40 09026123 A Release palm contracture 10.88 NA NA 12.02 11.24 1.92 09026125 A Release palm contracture 4.60 NA NA 2.94 2.77 0.82 ZZZ26130 A Remove wrist joint lining 5.59 NA NA 7.02 6.59 1.06 09026135 A Revise finger joint each 7.13 NA NA 7.97 7.55 1.27 09026140 A Revise finger joint each 6.34 NA NA 7.49 7.10 1.14 09026145 A Tendon excision palm/finger 6.49 NA NA 7.52 7.13 1.18 09026160 A Remove tendon sheath lesion 3.57 12.22 12.10 5.58 5.25 0.65 09026170 A Removal of palm tendon each 4.91 NA NA 6.24 5.92 0.86 09026180 A Removal of finger tendon 5.35 NA NA 6.75 6.44 0.90 09026185 A Remove finger bone 6.52 NA NA 8.38 7.87 1.28 09026200 A Remove hand bone lesion 5.65 NA NA 6.65 6.33 1.03 09026205 A Remove/graft bone lesion 7.93 NA NA 8.33 7.98 1.57 09026210 A Removal of finger lesion 5.32 NA NA 6.80 6.45 0.95 09026215 A Remove/graft finger lesion 7.27 NA NA 7.93 7.52 1.44 09026230 A Partial removal of hand bone 6.47 NA NA 7.20 6.85 1.13 09026235 A Partial removal finger bone 6.33 NA NA 7.26 6.86 1.10 09026236 A Partial removal finger bone 5.46 NA NA 6.61 6.28 0.98 09026250 A Extensive hand surgery 15.21 NA NA 13.76 10.62 3.01 09026260 A Resect prox finger tumor 11.16 NA NA 11.49 9.25 2.19 090CMS-1582-PN 217CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global26262 A Resect distal finger tumor 8.29 NA NA 8.86 7.46 1.62 09026320 A Removal of implant from hand 4.10 NA NA 5.45 5.16 0.71 09026340 A Manipulate finger w/anesth 2.80 NA NA 6.40 6.05 0.52 09026350 A Repair finger/hand tendon 6.21 NA NA 13.07 13.12 1.13 09026352 A Repair/graft hand tendon 7.87 NA NA 14.02 13.95 1.55 09026356 A Repair finger/hand tendon 10.62 NA NA 19.12 18.68 1.92 09026357 A Repair finger/hand tendon 8.77 NA NA 14.55 14.48 1.71 09026358 A Repair/graft hand tendon 9.36 NA NA 15.74 15.45 1.85 09026370 A Repair finger/hand tendon 7.28 NA NA 13.35 13.39 1.36 09026372 A Repair/graft hand tendon 9.01 NA NA 14.70 14.74 1.78 09026373 A Repair finger/hand tendon 8.41 NA NA 14.34 14.33 1.65 09026390 A Revise hand/finger tendon 9.43 NA NA 12.96 12.71 1.86 09026392 A Repair/graft hand tendon 10.50 NA NA 15.59 15.42 2.07 09026410 A Repair hand tendon 4.77 NA NA 10.53 10.60 0.87 09026412 A Repair/graft hand tendon 6.48 NA NA 12.07 12.05 1.16 09026415 A Excision hand/finger tendon 8.51 NA NA 10.23 10.41 1.17 09026416 A Graft hand or finger tendon 9.56 NA NA 14.31 12.69 1.88 09026418 A Repair finger tendon 4.47 NA NA 11.17 11.19 0.82 09026420 A Repair/graft finger tendon 6.94 NA NA 12.04 12.12 1.37 09026426 A Repair finger/hand tendon 6.32 NA NA 7.39 8.12 1.14 09026428 A Repair/graft finger tendon 7.40 NA NA 12.87 12.79 1.47 09026432 A Repair finger tendon 4.16 NA NA 9.36 9.36 0.73 09026433 A Repair finger tendon 4.70 NA NA 9.67 9.69 0.86 09026434 A Repair/graft finger tendon 6.26 NA NA 11.07 10.95 1.24 09026437 A Realignment of tendons 5.99 NA NA 10.91 10.81 1.03 09026440 A Release palm/finger tendon 5.16 NA NA 11.68 11.80 0.90 09026442 A Release palm & finger tendon 9.75 NA NA 16.49 16.12 1.74 09026445 A Release hand/finger tendon 4.45 NA NA 11.25 11.38 0.78 09026449 A Release forearm/hand tendon 8.59 NA NA 10.63 11.15 1.51 09026450 A Incision of palm tendon 3.79 NA NA 7.19 7.10 0.68 090CMS-1582-PN 218CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global26455 A Incision of finger tendon 3.76 NA NA 7.20 7.08 0.69 09026460 A Incise hand/finger tendon 3.58 NA NA 7.14 7.01 0.63 09026471 A Fusion of finger tendons 5.90 NA NA 10.83 10.69 1.03 09026474 A Fusion of finger tendons 5.49 NA NA 10.83 10.62 1.08 09026476 A Tendon lengthening 5.35 NA NA 10.73 10.42 1.06 09026477 A Tendon shortening 5.32 NA NA 10.46 10.36 1.02 09026478 A Lengthening of hand tendon 5.97 NA NA 10.86 10.86 1.09 09026479 A Shortening of hand tendon 5.91 NA NA 10.86 10.79 1.17 09026480 A Transplant hand tendon 6.90 NA NA 13.53 13.51 1.21 09026483 A Transplant/graft hand tendon 8.48 NA NA 14.27 14.26 1.57 09026485 A Transplant palm tendon 7.89 NA NA 13.99 13.99 1.40 09026489 A Transplant/graft palm tendon 9.86 NA NA 15.20 14.35 1.93 09026490 A Revise thumb tendon 8.60 NA NA 12.86 12.56 1.69 09026492 A Tendon transfer with graft 9.84 NA NA 13.78 13.54 1.93 09026494 A Hand tendon/muscle transfer 8.66 NA NA 12.75 12.58 1.69 09026496 A Revise thumb tendon 9.78 NA NA 13.51 13.22 1.65 09026497 A Finger tendon transfer 9.76 NA NA 13.40 13.20 1.92 09026498 A Finger tendon transfer 14.21 NA NA 16.39 16.05 2.80 09026499 A Revision of finger 9.17 NA NA 13.05 12.83 1.81 09026500 A Hand tendon reconstruction 6.13 NA NA 10.87 10.75 1.14 09026502 A Hand tendon reconstruction 7.31 NA NA 12.09 11.76 1.46 09026508 A Release thumb contracture 6.18 NA NA 11.02 10.82 1.10 09026510 A Thumb tendon transfer 5.60 NA NA 10.53 10.52 0.98 09026516 A Fusion of knuckle joint 7.32 NA NA 11.64 11.51 1.29 09026517 A Fusion of knuckle joints 9.08 NA NA 13.00 12.86 1.80 09026518 A Fusion of knuckle joints 9.27 NA NA 13.34 13.06 1.82 09026520 A Release knuckle contracture 5.47 NA NA 12.22 12.29 0.99 09026525 A Release finger contracture 5.50 NA NA 12.22 12.31 0.95 09026530 A Revise knuckle joint 6.88 NA NA 7.81 7.39 1.22 09026531 A Revise knuckle with implant 8.13 NA NA 9.02 8.51 1.39 090CMS-1582-PN 219CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global26535 A Revise finger joint 5.41 NA NA 6.05 5.53 0.83 09026536 A Revise/implant finger joint 6.56 NA NA 12.88 12.17 1.13 09026540 A Repair hand joint 6.60 NA NA 11.23 11.15 1.18 09026541 A Repair hand joint with graft 8.81 NA NA 12.77 12.65 1.52 09026542 A Repair hand joint with graft 6.95 NA NA 11.50 11.39 1.25 09026545 A Reconstruct finger joint 7.11 NA NA 11.83 11.63 1.27 09026546 A Repair nonunion hand 10.83 NA NA 16.11 15.66 1.85 09026548 A Reconstruct finger joint 8.22 NA NA 12.48 12.27 1.50 09026550 A Construct thumb replacement 21.68 NA NA 22.42 19.65 4.26 09026551 A Great toe-hand transfer 48.48 NA NA 28.76 30.75 9.55 09026553 A Single transfer toe-hand 48.17 NA NA 44.59 35.13 3.43 09026554 A Double transfer toe-hand 57.01 NA NA 32.81 34.07 4.06 09026555 A Positional change of finger 17.08 NA NA 19.68 19.23 3.38 09026556 A Toe joint transfer 49.75 NA NA 32.40 29.36 3.96 09026560 A Repair of web finger 5.52 NA NA 10.54 10.13 1.09 09026561 A Repair of web finger 11.10 NA NA 14.96 13.86 2.35 09026562 A Repair of web finger 16.68 NA NA 19.31 18.62 1.18 09026565 A Correct metacarpal flaw 6.91 NA NA 11.35 11.25 1.36 09026567 A Correct finger deformity 6.99 NA NA 11.39 11.31 1.24 09026568 A Lengthen metacarpal/finger 9.27 NA NA 14.85 14.71 1.82 09026580 A Repair hand deformity 19.75 NA NA 15.15 15.82 3.89 09026587 A Reconstruct extra finger 14.50 NA NA 14.76 12.47 3.10 09026590 A Repair finger deformity 18.67 NA NA 15.11 14.34 3.70 09026591 A Repair muscles of hand 3.38 NA NA 8.45 8.54 0.61 09026593 A Release muscles of hand 5.50 NA NA 10.82 10.71 0.93 09026596 A Excision constricting tissue 9.14 NA NA 11.29 10.60 1.81 09026600 A Treat metacarpal fracture 2.60 5.35 4.99 4.89 4.46 0.48 09026605 A Treat metacarpal fracture 3.03 5.70 5.43 4.93 4.64 0.56 09026607 A Treat metacarpal fracture 5.48 NA NA 6.93 6.35 1.06 09026608 A Treat metacarpal fracture 5.55 NA NA 7.47 7.14 1.03 090CMS-1582-PN 220CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global26615 A Treat metacarpal fracture 7.07 NA NA 8.71 8.00 1.29 09026641 A Treat thumb dislocation 4.13 5.42 5.33 4.64 4.50 0.72 09026645 A Treat thumb fracture 4.58 6.98 6.47 6.02 5.53 0.88 09026650 A Treat thumb fracture 5.35 NA NA 7.68 7.37 1.02 09026665 A Treat thumb fracture 7.94 NA NA 9.16 8.57 1.47 09026670 A Treat hand dislocation 3.83 5.04 4.80 4.25 3.95 0.67 09026675 A Treat hand dislocation 4.83 7.46 6.92 6.46 5.94 0.95 09026676 A Pin hand dislocation 5.74 NA NA 7.89 7.57 1.06 09026685 A Treat hand dislocation 7.07 NA NA 8.62 8.07 1.39 09026686 A Treat hand dislocation 8.17 NA NA 8.67 8.24 1.61 09026700 A Treat knuckle dislocation 3.83 4.66 4.41 4.17 3.86 0.65 09026705 A Treat knuckle dislocation 4.38 7.02 6.50 6.04 5.53 0.82 09026706 A Pin knuckle dislocation 5.31 NA NA 6.77 6.32 0.95 09026715 A Treat knuckle dislocation 7.03 NA NA 8.59 7.95 1.31 09026720 A Treat finger fracture each 1.76 3.56 3.38 3.19 2.96 0.33 09026725 A Treat finger fracture each 3.48 5.67 5.44 4.79 4.50 0.64 09026727 A Treat finger fracture each 5.42 NA NA 7.43 7.10 0.99 09026735 A Treat finger fracture each 7.42 NA NA 8.90 8.20 1.37 09026740 A Treat finger fracture each 2.07 4.19 3.94 3.81 3.55 0.35 09026742 A Treat finger fracture each 3.99 5.90 5.69 4.98 4.75 0.72 09026746 A Treat finger fracture each 9.80 NA NA 10.50 9.51 1.78 09026750 A Treat finger fracture each 1.80 3.11 2.96 3.12 2.90 0.33 09026755 A Treat finger fracture each 3.23 5.18 4.98 4.11 3.88 0.59 09026756 A Pin finger fracture each 4.58 NA NA 6.86 6.55 0.83 09026765 A Treat finger fracture each 5.86 NA NA 7.88 7.16 1.09 09026770 A Treat finger dislocation 3.15 4.09 3.88 3.58 3.31 0.54 09026775 A Treat finger dislocation 3.90 6.46 6.16 5.47 5.12 0.69 09026776 A Pin finger dislocation 4.99 NA NA 7.10 6.79 0.91 09026785 A Treat finger dislocation 6.60 NA NA 8.38 7.58 1.21 09026820 A Thumb fusion with graft 8.45 NA NA 12.62 12.51 1.66 090CMS-1582-PN 221CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global26841 A Fusion of thumb 7.35 NA NA 12.32 12.22 1.39 09026842 A Thumb fusion with graft 8.49 NA NA 12.67 12.58 1.66 09026843 A Fusion of hand joint 7.78 NA NA 11.97 11.84 1.54 09026844 A Fusion/graft of hand joint 8.98 NA NA 12.94 12.79 1.78 09026850 A Fusion of knuckle 7.14 NA NA 11.65 11.53 1.24 09026852 A Fusion of knuckle with graft 8.71 NA NA 12.90 12.67 1.47 09026860 A Fusion of finger joint 4.88 NA NA 10.45 10.39 0.84 09026861 A Fusion of finger jnt add-on 1.74 NA NA 1.10 1.03 0.31 ZZZ26862 A Fusion/graft of finger joint 7.56 NA NA 12.15 11.96 1.31 09026863 A Fuse/graft added joint 3.89 NA NA 2.32 2.25 0.75 ZZZ26910 A Amputate metacarpal bone 7.79 NA NA 11.54 11.32 1.50 09026951 A Amputation of finger/thumb 6.04 NA NA 11.62 11.21 1.14 09026952 A Amputation of finger/thumb 6.48 NA NA 11.03 10.94 1.21 09026989 C Hand/finger surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY26990 A Drainage of pelvis lesion 7.95 NA NA 8.91 8.49 1.58 09026991 A Drainage of pelvis bursa 7.06 12.18 11.81 7.15 6.74 1.39 09026992 A Drainage of bone lesion 13.48 NA NA 12.48 11.88 2.67 09027000 A Incision of hip tendon 5.74 NA NA 6.04 5.93 1.08 09027001 A Incision of hip tendon 7.14 NA NA 7.47 7.13 1.40 09027003 A Incision of hip tendon 7.81 NA NA 8.30 7.81 1.54 09027005 A Incision of hip tendon 10.07 NA NA 9.57 9.13 1.97 09027006 A Incision of hip tendons 10.11 NA NA 9.86 9.38 1.96 09027025 A Incision of hip/thigh fascia 12.89 NA NA 11.77 11.02 2.57 09027027 A Buttock fasciotomy 13.04 NA NA 11.40 10.35 0.91 09027030 A Drainage of hip joint 13.65 NA NA 11.52 11.09 2.67 09027033 A Exploration of hip joint 14.11 NA NA 12.19 11.64 2.78 09027035 A Denervation of hip joint 17.37 NA NA 14.47 12.68 3.43 09027036 A Excision of hip joint/muscle 14.38 NA NA 12.86 12.22 2.79 09027040 A Biopsy of soft tissues 2.92 6.35 6.39 2.44 2.43 0.48 01027041 A Biopsy of soft tissues 10.18 NA NA 7.96 7.78 1.81 090CMS-1582-PN 222CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27043 A Exc hip pelvis les sc > 3 cm 6.88 NA NA 5.68 5.68 1.42 09027045 A Exc hip/pelv tum deep > 5 cm 11.13 NA NA 8.79 8.79 2.26 09027047 A Exc hip/pelvis les sc < 3 cm 4.94 7.70 8.16 4.76 5.20 1.02 09027048 A Exc hip/pelv tum deep < 5 cm 8.85 NA NA 7.50 6.66 1.81 09027049 A Resect hip/pelv tum < 5 cm 21.55 NA NA 14.88 12.62 4.33 09027050 A Biopsy of sacroiliac joint 4.74 NA NA 6.14 5.27 0.93 09027052 A Biopsy of hip joint 7.42 NA NA 8.15 7.61 1.47 09027054 A Removal of hip joint lining 9.21 NA NA 9.30 8.84 1.81 09027057 A Buttock fasciotomy w/dbrdmt 14.91 NA NA 12.52 11.37 1.06 09027059 A Resect hip/pelv tum > 5 cm 29.35 NA NA 19.17 19.17 5.78 09027060 A Removal of ischial bursa 5.87 NA NA 6.70 6.01 1.17 09027062 A Remove femur lesion/bursa 5.75 NA NA 6.62 6.27 1.13 09027065 A Remove hip bone les super 6.55 NA NA 7.11 6.79 1.28 09027066 A Remove hip bone les deep 11.20 NA NA 10.76 10.22 2.20 09027067 A Remove/graft hip bone lesion 14.72 NA NA 13.25 12.61 2.91 09027070 A Part remove hip bone super 11.56 NA NA 11.47 10.95 2.27 09027071 A Part removal hip bone deep 12.39 NA NA 12.23 11.71 2.44 09027075 A Resect hip tumor 32.71 NA NA 23.19 22.51 6.44 09027076 A Resect hip tum incl acetabul 40.21 NA NA 28.11 22.44 7.93 09027077 A Resect hip tum w/innom bone 45.21 NA NA 31.64 28.61 8.91 09027078 A Rsect hip tum incl femur 32.21 NA NA 23.89 17.82 6.34 09027080 A Removal of tail bone 6.89 NA NA 6.83 6.36 1.42 09027086 A Remove hip foreign body 1.92 4.89 4.84 2.12 2.04 0.31 01027087 A Remove hip foreign body 8.83 NA NA 8.10 7.80 1.70 09027090 A Removal of hip prosthesis 11.69 NA NA 10.75 10.25 2.29 09027091 A Removal of hip prosthesis 24.35 NA NA 18.88 17.81 4.80 09027093 A Injection for hip x-ray 1.30 4.02 4.13 0.66 0.63 0.14 00027095 A Injection for hip x-ray 1.50 5.05 5.14 0.78 0.73 0.18 00027096 A Inject sacroiliac joint 1.40 4.14 3.91 0.68 0.56 0.12 00027097 A Revision of hip tendon 9.27 NA NA 9.16 8.51 1.82 090CMS-1582-PN 223CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27098 A Transfer tendon to pelvis 9.32 NA NA 9.44 8.21 1.84 09027100 A Transfer of abdominal muscle 11.35 NA NA 10.98 10.42 2.23 09027105 A Transfer of spinal muscle 12.04 NA NA 11.39 10.84 2.35 09027110 A Transfer of iliopsoas muscle 13.77 NA NA 12.42 11.65 2.72 09027111 A Transfer of iliopsoas muscle 12.60 NA NA 11.73 10.54 2.46 09027120 A Reconstruction of hip socket 19.25 NA NA 15.93 14.91 3.80 09027122 A Reconstruction of hip socket 16.09 NA NA 13.70 13.06 3.16 09027125 A Partial hip replacement 16.64 NA NA 14.02 13.24 3.28 09027130 A Total hip arthroplasty 21.79 NA NA 17.19 16.31 4.29 09027132 A Total hip arthroplasty 25.69 NA NA 19.69 18.74 5.06 09027134 A Revise hip joint replacement 30.28 NA NA 21.62 20.68 5.96 09027137 A Revise hip joint replacement 22.70 NA NA 17.20 16.41 4.46 09027138 A Revise hip joint replacement 23.70 NA NA 17.79 16.97 4.67 09027140 A Transplant femur ridge 12.78 NA NA 11.35 10.89 2.52 09027146 A Incision of hip bone 18.92 NA NA 15.86 14.77 3.74 09027147 A Revision of hip bone 22.07 NA NA 17.74 16.75 4.34 09027151 A Incision of hip bones 24.12 NA NA 18.96 16.93 4.76 09027156 A Revision of hip bones 26.23 NA NA 20.22 18.98 5.16 09027158 A Revision of pelvis 21.04 NA NA 16.90 15.69 4.15 09027161 A Incision of neck of femur 17.89 NA NA 14.94 14.27 3.51 09027165 A Incision/fixation of femur 20.29 NA NA 16.92 15.99 3.99 09027170 A Repair/graft femur head/neck 17.61 NA NA 14.22 13.53 3.47 09027175 A Treat slipped epiphysis 9.38 NA NA 8.65 8.19 1.85 09027176 A Treat slipped epiphysis 12.92 NA NA 11.92 11.25 2.56 09027177 A Treat slipped epiphysis 16.09 NA NA 14.06 13.32 3.17 09027178 A Treat slipped epiphysis 12.92 NA NA 11.92 11.16 2.56 09027179 A Revise head/neck of femur 13.97 NA NA 12.43 11.78 2.75 09027181 A Treat slipped epiphysis 16.18 NA NA 14.23 13.34 3.20 09027185 A Revision of femur epiphysis 9.79 NA NA 6.78 7.05 0.69 09027187 A Reinforce hip bones 14.23 NA NA 12.56 12.01 2.80 090CMS-1582-PN 224CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27193 A Treat pelvic ring fracture 6.09 6.64 6.28 6.82 6.43 1.20 09027194 A Treat pelvic ring fracture 10.20 NA NA 8.52 8.34 1.66 09027200 A Treat tail bone fracture 1.92 2.96 2.77 3.16 2.92 0.35 09027202 A Treat tail bone fracture 7.31 NA NA 7.82 8.75 1.46 09027215 I Treat pelvic fracture(s) 10.45 NA NA 6.55 7.37 0.73 09027216 I Treat pelvic ring fracture 15.73 NA NA 9.48 10.56 1.13 09027217 I Treat pelvic ring fracture 14.65 NA NA 9.01 10.18 1.05 09027218 I Treat pelvic ring fracture 20.93 NA NA 11.76 13.01 1.50 09027220 A Treat hip socket fracture 6.83 7.52 7.11 7.39 6.99 1.33 09027222 A Treat hip socket fracture 14.11 NA NA 12.22 11.68 2.76 09027226 A Treat hip wall fracture 15.57 NA NA 13.13 12.08 3.08 09027227 A Treat hip fracture(s) 25.41 NA NA 19.64 18.63 5.01 09027228 A Treat hip fracture(s) 29.33 NA NA 21.92 20.89 5.78 09027230 A Treat thigh fracture 5.81 7.00 6.66 6.91 6.53 1.14 09027232 A Treat thigh fracture 11.72 NA NA 8.85 8.46 2.25 09027235 A Treat thigh fracture 13.00 NA NA 11.63 11.08 2.56 09027236 A Treat thigh fracture 17.61 NA NA 14.78 13.95 3.47 09027238 A Treat thigh fracture 5.75 NA NA 6.63 6.30 1.13 09027240 A Treat thigh fracture 13.81 NA NA 12.00 11.41 2.69 09027244 A Treat thigh fracture 18.18 NA NA 15.15 14.29 3.57 09027245 A Treat thigh fracture 18.18 NA NA 15.17 14.68 3.57 09027246 A Treat thigh fracture 4.83 5.57 5.31 5.62 5.34 0.93 09027248 A Treat thigh fracture 10.78 NA NA 9.30 8.97 2.12 09027250 A Treat hip dislocation 3.82 NA NA 0.98 1.53 0.67 00027252 A Treat hip dislocation 11.03 NA NA 9.33 8.88 2.14 09027253 A Treat hip dislocation 13.58 NA NA 11.87 11.34 2.67 09027254 A Treat hip dislocation 18.94 NA NA 15.26 14.52 3.73 09027256 A Treat hip dislocation 4.28 3.52 3.42 1.78 1.85 0.75 01027257 A Treat hip dislocation 5.38 NA NA 3.57 3.39 0.98 01027258 A Treat hip dislocation 16.18 NA NA 13.86 13.11 3.20 090CMS-1582-PN 225CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27259 A Treat hip dislocation 23.26 NA NA 18.78 17.73 4.57 09027265 A Treat hip dislocation 5.24 NA NA 5.28 5.14 0.93 09027266 A Treat hip dislocation 7.78 NA NA 7.95 7.56 1.52 09027267 A Cltx thigh fx 5.50 NA NA 6.23 5.74 1.09 09027268 A Cltx thigh fx w/mnpj 7.12 NA NA 7.44 6.75 1.40 09027269 A Optx thigh fx 18.89 NA NA 14.53 13.34 3.70 09027275 A Manipulation of hip joint 2.32 NA NA 2.53 2.44 0.39 01027280 A Fusion of sacroiliac joint 14.64 NA NA 13.05 12.42 3.04 09027282 A Fusion of pubic bones 11.85 NA NA 11.28 10.10 2.31 09027284 A Fusion of hip joint 25.06 NA NA 18.77 16.60 4.95 09027286 A Fusion of hip joint 25.17 NA NA 19.59 18.64 4.97 09027290 A Amputation of leg at hip 24.55 NA NA 19.43 17.67 4.85 09027295 A Amputation of leg at hip 19.66 NA NA 14.42 13.64 4.01 09027299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY27301 A Drain thigh/knee lesion 6.78 11.38 11.03 6.71 6.35 1.37 09027303 A Drainage of bone lesion 8.63 NA NA 8.66 8.25 1.69 09027305 A Incise thigh tendon & fascia 6.18 NA NA 6.77 6.33 1.22 09027306 A Incision of thigh tendon 4.74 NA NA 5.35 5.20 0.93 09027307 A Incision of thigh tendons 6.06 NA NA 6.92 6.44 1.20 09027310 A Exploration of knee joint 10.00 NA NA 9.78 9.27 1.96 09027323 A Biopsy thigh soft tissues 2.33 5.21 5.06 2.59 2.49 0.41 01027324 A Biopsy thigh soft tissues 5.04 NA NA 5.52 5.20 1.05 09027325 A Neurectomy hamstring 7.20 NA NA 7.86 7.15 1.42 09027326 A Neurectomy popliteal 6.47 NA NA 7.43 6.77 1.27 09027327 A Exc thigh/knee les sc < 3 cm 3.96 8.45 7.92 4.42 4.45 0.80 09027328 A Exc thigh/knee tum deep <5cm 8.85 NA NA 7.75 6.48 1.81 09027329 A Resect thigh/knee tum < 5 cm 15.72 NA NA 12.26 11.56 3.18 09027330 A Biopsy knee joint lining 5.11 NA NA 6.11 5.68 0.95 09027331 A Explore/treat knee joint 6.02 NA NA 6.85 6.53 1.18 09027332 A Removal of knee cartilage 8.46 NA NA 8.88 8.46 1.65 090CMS-1582-PN 226CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27333 A Removal of knee cartilage 7.55 NA NA 8.29 7.87 1.50 09027334 A Remove knee joint lining 9.19 NA NA 9.31 8.82 1.81 09027335 A Remove knee joint lining 10.55 NA NA 10.08 9.63 2.07 09027337 A Exc thigh/knee les sc 3+ cm 5.91 NA NA 5.38 5.38 1.21 09027339 A Exc thigh/knee tum deep 5+cm 11.13 NA NA 9.09 9.09 2.26 09027340 A Removal of kneecap bursa 4.32 NA NA 5.76 5.47 0.84 09027345 A Removal of knee cyst 6.09 NA NA 6.91 6.62 1.20 09027347 A Remove knee cyst 6.73 NA NA 7.57 7.12 1.32 09027350 A Removal of kneecap 8.66 NA NA 8.98 8.56 1.69 09027355 A Remove femur lesion 8.00 NA NA 8.28 7.92 1.58 09027356 A Remove femur lesion/graft 10.09 NA NA 9.81 9.36 1.97 09027357 A Remove femur lesion/graft 11.16 NA NA 10.86 10.33 2.20 09027358 A Remove femur lesion/fixation 4.73 NA NA 2.82 2.72 0.91 ZZZ27360 A Partial removal leg bone(s) 11.46 NA NA 11.56 11.04 2.26 09027364 A Resect thigh/knee tum 5+ cm 24.49 NA NA 17.23 17.23 4.97 09027365 A Resect femur/knee tumor 32.21 NA NA 23.74 18.72 6.36 09027370 A Injection for knee x-ray 0.96 3.83 3.84 0.51 0.47 0.12 00027372 A Removal of foreign body 5.21 11.37 11.06 5.77 5.51 1.03 09027380 A Repair of kneecap tendon 7.45 NA NA 8.58 8.25 1.47 09027381 A Repair/graft kneecap tendon 10.76 NA NA 10.79 10.37 2.12 09027385 A Repair of thigh muscle 6.93 NA NA 8.72 8.54 1.36 09027386 A Repair/graft of thigh muscle 11.13 NA NA 11.34 10.86 2.19 09027390 A Incision of thigh tendon 5.53 NA NA 6.60 6.24 1.09 09027391 A Incision of thigh tendons 7.49 NA NA 8.10 7.69 1.48 09027392 A Incision of thigh tendons 9.63 NA NA 9.63 9.04 1.89 09027393 A Lengthening of thigh tendon 6.59 NA NA 7.06 6.78 1.29 09027394 A Lengthening of thigh tendons 8.79 NA NA 8.73 8.38 1.70 09027395 A Lengthening of thigh tendons 12.24 NA NA 11.51 10.97 2.41 09027396 A Transplant of thigh tendon 8.15 NA NA 8.49 8.11 1.61 09027397 A Transplants of thigh tendons 12.66 NA NA 12.13 11.45 2.48 090CMS-1582-PN 227CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27400 A Revise thigh muscles/tendons 9.33 NA NA 9.45 8.95 1.84 09027403 A Repair of knee cartilage 8.62 NA NA 8.70 8.32 1.67 09027405 A Repair of knee ligament 9.08 NA NA 9.21 8.80 1.80 09027407 A Repair of knee ligament 10.85 NA NA 10.57 9.77 2.14 09027409 A Repair of knee ligaments 13.71 NA NA 12.39 11.77 2.71 09027412 A Autochondrocyte implant knee 24.74 NA NA 19.87 18.79 4.89 09027415 A Osteochondral knee allograft 20.00 NA NA 17.22 16.19 3.93 09027416 A Osteochondral knee autograft 14.16 NA NA 12.36 11.50 2.79 09027418 A Repair degenerated kneecap 11.60 NA NA 10.87 10.41 2.26 09027420 A Revision of unstable kneecap 10.26 NA NA 9.91 9.47 2.00 09027422 A Revision of unstable kneecap 10.21 NA NA 9.88 9.44 1.99 09027424 A Revision/removal of kneecap 10.24 NA NA 9.82 9.43 2.00 09027425 A Lat retinacular release open 5.39 NA NA 6.74 6.42 1.06 09027427 A Reconstruction knee 9.79 NA NA 9.60 9.17 1.92 09027428 A Reconstruction knee 15.58 NA NA 14.53 13.77 3.09 09027429 A Reconstruction knee 17.54 NA NA 16.06 15.28 3.47 09027430 A Revision of thigh muscles 10.16 NA NA 9.84 9.39 1.99 09027435 A Incision of knee joint 10.88 NA NA 10.92 10.36 2.15 09027437 A Revise kneecap 8.93 NA NA 8.94 8.52 1.77 09027438 A Revise kneecap with implant 11.89 NA NA 10.83 10.30 2.33 09027440 A Revision of knee joint 11.09 NA NA 10.49 9.57 2.18 09027441 A Revision of knee joint 11.54 NA NA 10.76 9.78 2.26 09027442 A Revision of knee joint 12.37 NA NA 11.15 10.57 2.42 09027443 A Revision of knee joint 11.41 NA NA 10.68 10.15 2.25 09027445 A Revision of knee joint 18.66 NA NA 15.19 14.49 3.70 09027446 A Revision of knee joint 16.38 NA NA 13.48 12.93 3.23 09027447 A Total knee arthroplasty 23.25 NA NA 18.37 17.49 4.57 09027448 A Incision of thigh 11.60 NA NA 10.51 10.02 2.29 09027450 A Incision of thigh 14.61 NA NA 12.75 12.22 2.90 09027454 A Realignment of thigh bone 19.17 NA NA 16.01 14.94 3.78 090CMS-1582-PN 228CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27455 A Realignment of knee 13.36 NA NA 12.13 11.54 2.63 09027457 A Realignment of knee 14.03 NA NA 12.01 11.47 2.76 09027465 A Shortening of thigh bone 18.60 NA NA 15.32 14.19 3.69 09027466 A Lengthening of thigh bone 17.28 NA NA 14.47 13.87 3.42 09027468 A Shorten/lengthen thighs 19.97 NA NA 16.37 15.39 3.93 09027470 A Repair of thigh 17.14 NA NA 14.75 14.05 3.39 09027472 A Repair/graft of thigh 18.72 NA NA 15.45 14.79 3.70 09027475 A Surgery to stop leg growth 8.93 NA NA 6.31 7.18 1.77 09027477 A Surgery to stop leg growth 10.14 NA NA 9.68 9.21 1.99 09027479 A Surgery to stop leg growth 13.16 NA NA 11.73 11.19 0.93 09027485 A Surgery to stop leg growth 9.13 NA NA 9.00 8.59 1.81 09027486 A Revise/replace knee joint 21.12 NA NA 16.98 16.16 4.15 09027487 A Revise/replace knee joint 27.11 NA NA 20.50 19.56 5.34 09027488 A Removal of knee prosthesis 17.60 NA NA 14.90 14.16 3.47 09027495 A Reinforce thigh 16.54 NA NA 13.96 13.34 3.25 09027496 A Decompression of thigh/knee 6.78 NA NA 7.93 7.12 1.33 09027497 A Decompression of thigh/knee 7.79 NA NA 7.95 7.09 1.54 09027498 A Decompression of thigh/knee 8.66 NA NA 9.05 7.84 1.69 09027499 A Decompression of thigh/knee 9.43 NA NA 9.51 8.49 1.86 09027500 A Treatment of thigh fracture 6.30 7.73 7.33 6.67 6.28 1.22 09027501 A Treatment of thigh fracture 6.45 7.18 6.84 7.06 6.68 1.27 09027502 A Treatment of thigh fracture 11.36 NA NA 9.65 9.27 2.19 09027503 A Treatment of thigh fracture 11.27 NA NA 10.49 9.95 2.20 09027506 A Treatment of thigh fracture 19.65 NA NA 16.59 15.71 3.87 09027507 A Treatment of thigh fracture 14.48 NA NA 11.85 11.34 2.86 09027508 A Treatment of thigh fracture 6.20 7.98 7.62 7.14 6.77 1.20 09027509 A Treatment of thigh fracture 8.14 NA NA 9.37 8.99 1.59 09027510 A Treatment of thigh fracture 9.80 NA NA 8.80 8.51 1.88 09027511 A Treatment of thigh fracture 15.11 NA NA 11.90 11.57 2.98 09027513 A Treatment of thigh fracture 19.25 NA NA 14.35 14.02 3.80 090CMS-1582-PN 229CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27514 A Treatment of thigh fracture 14.60 NA NA 11.58 11.63 2.87 09027516 A Treat thigh fx growth plate 5.59 8.18 7.67 7.32 6.84 1.10 09027517 A Treat thigh fx growth plate 9.12 NA NA 9.43 8.95 1.80 09027519 A Treat thigh fx growth plate 13.25 NA NA 10.87 10.77 2.61 09027520 A Treat kneecap fracture 3.04 5.70 5.43 4.94 4.62 0.59 09027524 A Treat kneecap fracture 10.37 NA NA 10.00 9.55 2.03 09027530 A Treat knee fracture 2.65 5.74 5.77 5.10 5.10 0.51 09027532 A Treat knee fracture 7.55 9.17 8.71 8.13 7.71 1.48 09027535 A Treat knee fracture 13.41 NA NA 10.89 10.57 2.63 09027536 A Treat knee fracture 17.39 NA NA 14.88 14.10 3.43 09027538 A Treat knee fracture(s) 5.09 7.73 7.36 6.91 6.53 0.99 09027540 A Treat knee fracture 11.30 NA NA 10.72 10.36 2.22 09027550 A Treat knee dislocation 5.98 7.44 7.10 6.46 6.12 1.10 09027552 A Treat knee dislocation 8.18 NA NA 8.79 8.33 1.61 09027556 A Treat knee dislocation 13.00 NA NA 10.72 10.62 2.57 09027557 A Treat knee dislocation 15.90 NA NA 12.45 12.31 3.14 09027558 A Treat knee dislocation 18.39 NA NA 13.93 13.56 3.62 09027560 A Treat kneecap dislocation 3.99 6.34 5.95 5.62 5.10 0.76 09027562 A Treat kneecap dislocation 5.98 NA NA 7.10 6.53 1.18 09027566 A Treat kneecap dislocation 12.71 NA NA 11.36 10.85 2.50 09027570 A Fixation of knee joint 1.79 NA NA 2.30 2.18 0.34 01027580 A Fusion of knee 21.10 NA NA 17.83 17.04 4.15 09027590 A Amputate leg at thigh 13.47 NA NA 8.41 8.08 2.95 09027591 A Amputate leg at thigh 13.94 NA NA 10.13 9.91 2.91 09027592 A Amputate leg at thigh 10.98 NA NA 7.79 7.48 2.34 09027594 A Amputation follow-up surgery 7.29 NA NA 6.42 6.23 1.55 09027596 A Amputation follow-up surgery 11.29 NA NA 8.33 8.04 2.40 09027598 A Amputate lower leg at knee 11.22 NA NA 8.82 8.48 2.33 09027599 C Leg surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY27600 A Decompression of lower leg 6.03 NA NA 5.12 5.07 1.27 090CMS-1582-PN 230CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27601 A Decompression of lower leg 6.05 NA NA 5.98 5.76 1.27 09027602 A Decompression of lower leg 7.82 NA NA 5.66 5.63 1.74 09027603 A Drain lower leg lesion 5.23 9.60 9.17 5.51 5.21 1.01 09027604 A Drain lower leg bursa 4.59 8.60 8.11 4.68 4.49 0.78 09027605 A Incision of achilles tendon 2.92 6.53 6.78 2.19 2.26 0.34 01027606 A Incision of achilles tendon 4.18 NA NA 3.66 3.58 0.72 01027607 A Treat lower leg bone lesion 8.62 NA NA 8.11 7.72 1.58 09027610 A Explore/treat ankle joint 9.13 NA NA 8.71 8.32 1.63 09027612 A Exploration of ankle joint 8.15 NA NA 7.34 7.07 1.16 09027613 A Biopsy lower leg soft tissue 2.22 4.90 4.75 2.38 2.30 0.31 01027614 A Biopsy lower leg soft tissue 5.80 10.09 9.62 5.28 5.12 1.03 09027615 A Resect leg/ankle tum < 5 cm 15.72 NA NA 12.21 10.98 3.14 09027616 A Resect leg/ankle tum 5+ cm 19.63 NA NA 14.60 14.60 3.91 09027618 A Exc leg/ankle tum < 3 cm 3.96 8.32 8.04 4.38 4.57 0.73 09027619 A Exc leg/ankle tum deep <5 cm 6.91 NA NA 6.31 6.49 1.22 09027620 A Explore/treat ankle joint 6.15 NA NA 6.41 6.18 1.05 09027625 A Remove ankle joint lining 8.49 NA NA 7.31 7.15 1.27 09027626 A Remove ankle joint lining 9.10 NA NA 8.09 7.82 1.52 09027630 A Removal of tendon lesion 4.94 10.59 10.04 5.16 4.99 0.78 09027632 A Exc leg/ankle les sc 3+ cm 5.91 NA NA 5.33 5.33 1.13 09027634 A Exc leg/ankle tum deep 5+ cm 10.13 NA NA 8.13 8.13 1.80 09027635 A Remove lower leg bone lesion 8.03 NA NA 8.13 7.78 1.50 09027637 A Remove/graft leg bone lesion 10.31 NA NA 10.37 9.82 2.01 09027638 A Remove/graft leg bone lesion 10.99 NA NA 9.89 9.56 2.16 09027640 A Partial removal of tibia 12.24 NA NA 10.69 10.48 2.20 09027641 A Partial removal of fibula 9.84 NA NA 8.45 8.34 1.67 09027645 A Resect tibia tumor 27.21 NA NA 21.02 16.69 5.36 09027646 A Resect fibula tumor 23.21 NA NA 18.64 14.73 4.57 09027647 A Resect talus/calcaneus tum 20.26 NA NA 10.84 9.49 2.03 09027648 A Injection for ankle x-ray 0.96 3.62 3.64 0.49 0.46 0.12 000CMS-1582-PN 231CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27650 A Repair achilles tendon 9.21 NA NA 9.15 8.80 1.51 09027652 A Repair/graft achilles tendon 10.78 NA NA 8.57 8.50 1.51 09027654 A Repair of achilles tendon 10.53 NA NA 9.15 8.78 1.51 09027656 A Repair leg fascia defect 4.71 12.62 11.28 6.04 5.29 0.91 09027658 A Repair of leg tendon each 5.12 NA NA 5.28 5.13 0.78 09027659 A Repair of leg tendon each 7.10 NA NA 6.42 6.23 0.99 09027664 A Repair of leg tendon each 4.73 NA NA 5.37 5.15 0.75 09027665 A Repair of leg tendon each 5.57 NA NA 5.71 5.58 0.88 09027675 A Repair lower leg tendons 7.35 NA NA 6.16 6.08 1.02 09027676 A Repair lower leg tendons 8.73 NA NA 8.10 7.80 1.70 09027680 A Release of lower leg tendon 5.88 NA NA 6.04 5.77 0.98 09027681 A Release of lower leg tendons 7.05 NA NA 7.74 7.11 1.39 09027685 A Revision of lower leg tendon 6.69 11.82 11.01 6.23 6.06 0.91 09027686 A Revise lower leg tendons 7.75 NA NA 7.46 7.23 1.29 09027687 A Revision of calf tendon 6.41 NA NA 6.19 5.98 0.99 09027690 A Revise lower leg tendon 9.17 NA NA 8.52 8.08 1.32 09027691 A Revise lower leg tendon 10.49 NA NA 10.15 9.66 1.82 09027692 A Revise additional leg tendon 1.87 NA NA 1.05 1.01 0.34 ZZZ27695 A Repair of ankle ligament 6.70 NA NA 6.49 6.39 1.08 09027696 A Repair of ankle ligaments 8.58 NA NA 7.00 6.88 1.16 09027698 A Repair of ankle ligament 9.61 NA NA 8.08 7.83 1.51 09027700 A Revision of ankle joint 9.66 NA NA 6.78 6.67 1.20 09027702 A Reconstruct ankle joint 14.42 NA NA 12.13 11.77 2.65 09027703 A Reconstruction ankle joint 16.94 NA NA 13.72 13.29 3.18 09027704 A Removal of ankle implant 7.81 NA NA 7.97 7.49 1.42 09027705 A Incision of tibia 10.86 NA NA 9.91 9.47 2.01 09027707 A Incision of fibula 4.78 NA NA 6.33 6.00 0.90 09027709 A Incision of tibia & fibula 17.48 NA NA 14.60 13.27 3.38 09027712 A Realignment of lower leg 15.87 NA NA 14.05 13.30 3.14 09027715 A Revision of lower leg 15.50 NA NA 12.98 12.54 3.08 090CMS-1582-PN 232CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27720 A Repair of tibia 12.36 NA NA 11.37 10.91 2.40 09027722 A Repair/graft of tibia 12.45 NA NA 11.64 10.96 2.44 09027724 A Repair/graft of tibia 19.31 NA NA 15.06 14.39 3.80 09027725 A Repair of lower leg 17.41 NA NA 15.63 14.72 3.44 09027726 A Repair fibula nonunion 14.34 NA NA 12.08 10.88 2.78 09027727 A Repair of lower leg 14.84 NA NA 13.21 11.66 2.94 09027730 A Repair of tibia epiphysis 7.70 NA NA 8.15 7.74 1.52 09027732 A Repair of fibula epiphysis 5.46 NA NA 6.65 5.85 1.08 09027734 A Repair lower leg epiphyses 8.83 NA NA 8.91 7.76 0.63 09027740 A Repair of leg epiphyses 9.61 NA NA 6.73 7.08 1.89 09027742 A Repair of leg epiphyses 10.63 NA NA 8.98 8.07 2.08 09027745 A Reinforce tibia 10.49 NA NA 9.89 9.49 2.04 09027750 A Treatment of tibia fracture 3.37 6.01 5.72 5.23 4.93 0.64 09027752 A Treatment of tibia fracture 6.27 8.34 7.96 7.22 6.86 1.21 09027756 A Treatment of tibia fracture 7.45 NA NA 8.12 7.73 1.46 09027758 A Treatment of tibia fracture 12.54 NA NA 11.61 11.03 2.45 09027759 A Treatment of tibia fracture 14.45 NA NA 12.60 12.03 2.84 09027760 A Cltx medial ankle fx 3.21 5.87 5.60 5.07 4.77 0.59 09027762 A Cltx med ankle fx w/mnpj 5.47 7.57 7.30 6.45 6.20 1.01 09027766 A Optx medial ankle fx 7.89 NA NA 8.74 8.35 1.51 09027767 A Cltx post ankle fx 2.64 5.05 4.65 5.10 4.69 0.50 09027768 A Cltx post ankle fx w/mnpj 5.14 NA NA 6.78 6.10 1.02 09027769 A Optx post ankle fx 10.14 NA NA 9.81 8.80 1.99 09027780 A Treatment of fibula fracture 2.83 5.45 5.15 4.70 4.38 0.53 09027781 A Treatment of fibula fracture 4.59 6.95 6.61 6.11 5.78 0.87 09027784 A Treatment of fibula fracture 9.67 NA NA 9.84 9.15 1.88 09027786 A Treatment of ankle fracture 3.02 5.59 5.33 4.77 4.48 0.54 09027788 A Treatment of ankle fracture 4.64 6.86 6.58 5.87 5.61 0.84 09027792 A Treatment of ankle fracture 8.75 NA NA 8.97 8.79 1.66 09027808 A Treatment of ankle fracture 3.03 6.04 5.77 5.12 4.83 0.56 090CMS-1582-PN 233CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27810 A Treatment of ankle fracture 5.32 7.41 7.16 6.26 6.04 1.01 09027814 A Treatment of ankle fracture 10.62 NA NA 10.39 9.94 2.04 09027816 A Treatment of ankle fracture 3.07 5.60 5.28 4.70 4.39 0.54 09027818 A Treatment of ankle fracture 5.69 7.30 7.09 6.00 5.82 1.05 09027822 A Treatment of ankle fracture 11.21 NA NA 11.71 11.36 2.16 09027823 A Treatment of ankle fracture 13.16 NA NA 12.86 12.42 2.55 09027824 A Treat lower leg fracture 3.31 5.18 4.93 4.93 4.64 0.61 09027825 A Treat lower leg fracture 6.69 8.13 7.79 6.75 6.45 1.28 09027826 A Treat lower leg fracture 11.10 NA NA 11.72 11.08 2.14 09027827 A Treat lower leg fracture 14.79 NA NA 14.68 14.11 2.90 09027828 A Treat lower leg fracture 18.43 NA NA 16.80 16.06 3.59 09027829 A Treat lower leg joint 8.80 NA NA 9.84 9.24 1.69 09027830 A Treat lower leg dislocation 3.96 6.37 5.83 5.65 5.14 0.76 09027831 A Treat lower leg dislocation 4.73 NA NA 6.10 5.62 0.91 09027832 A Treat lower leg dislocation 10.17 NA NA 10.31 9.37 1.99 09027840 A Treat ankle dislocation 4.77 NA NA 4.94 4.68 0.83 09027842 A Treat ankle dislocation 6.46 NA NA 7.04 6.58 1.21 09027846 A Treat ankle dislocation 10.28 NA NA 9.63 9.26 1.95 09027848 A Treat ankle dislocation 11.68 NA NA 10.50 10.24 2.25 09027860 A Fixation of ankle joint 2.39 NA NA 2.36 2.32 0.39 01027870 A Fusion of ankle joint open 15.41 NA NA 12.92 12.40 2.80 09027871 A Fusion of tibiofibular joint 9.54 NA NA 9.26 8.87 1.85 09027880 A Amputation of lower leg 15.37 NA NA 9.50 9.03 3.32 09027881 A Amputation of lower leg 13.47 NA NA 10.24 9.97 2.80 09027882 A Amputation of lower leg 9.79 NA NA 6.68 6.63 2.15 09027884 A Amputation follow-up surgery 8.76 NA NA 7.00 6.77 1.86 09027886 A Amputation follow-up surgery 10.02 NA NA 7.90 7.66 2.14 09027888 A Amputation of foot at ankle 10.37 NA NA 8.15 8.11 1.93 09027889 A Amputation of foot at ankle 10.86 NA NA 7.04 7.02 2.41 09027892 A Decompression of leg 7.94 NA NA 7.00 6.64 1.63 090CMS-1582-PN 234CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global27893 A Decompression of leg 7.90 NA NA 8.60 7.58 1.67 09027894 A Decompression of leg 12.67 NA NA 10.44 9.97 2.67 09027899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY28001 A Drainage of bursa of foot 2.78 4.98 4.73 1.97 2.01 0.23 01028002 A Treatment of foot infection 4.00 6.94 7.03 3.19 3.47 0.45 01028003 A Treatment of foot infection 9.06 10.94 10.37 6.70 6.43 1.06 09028005 A Treat foot bone lesion 9.44 NA NA 7.11 7.03 1.02 09028008 A Incision of foot fascia 4.59 7.62 7.24 3.67 3.66 0.41 09028010 A Incision of toe tendon 2.97 3.63 3.47 2.97 2.91 0.27 09028011 A Incision of toe tendons 4.28 5.05 4.77 4.04 3.92 0.49 09028020 A Exploration of foot joint 5.15 9.85 9.15 4.83 4.68 0.67 09028022 A Exploration of foot joint 4.81 8.72 8.25 4.17 4.18 0.49 09028024 A Exploration of toe joint 4.52 8.25 7.86 3.91 3.97 0.42 09028035 A Decompression of tibia nerve 5.23 9.46 8.96 4.63 4.59 0.65 09028039 A Exc foot/toe tum sc > 1.5 cm 5.42 8.34 8.34 4.04 4.04 0.54 09028041 A Exc foot/toe tum deep 1.5cm+ 7.13 NA NA 5.27 5.27 0.73 09028043 A Exc foot/toe tum sc < 1.5 cm 3.96 7.50 6.49 3.52 3.48 0.39 09028045 A Exc foot/toe tum deep <1.5cm 5.45 8.86 8.42 4.53 4.30 0.56 09028046 A Resect foot/toe tumor < 3 cm 12.38 NA NA 8.52 7.91 1.66 09028047 A Resect foot/toe tumor > 3 cm 17.45 NA NA 8.52 8.52 1.33 09028050 A Biopsy of foot joint lining 4.39 7.69 7.69 3.55 3.81 0.39 09028052 A Biopsy of foot joint lining 4.06 8.03 7.57 3.66 3.65 0.49 09028054 A Biopsy of toe joint lining 3.57 7.11 7.05 3.11 3.31 0.27 09028055 A Neurectomy foot 6.29 NA NA 4.40 4.36 0.53 09028060 A Partial removal foot fascia 5.40 9.16 8.61 4.58 4.50 0.54 09028062 A Removal of foot fascia 6.69 9.92 9.48 4.80 4.76 0.60 09028070 A Removal of foot joint lining 5.24 9.87 8.99 4.77 4.55 0.56 09028072 A Removal of foot joint lining 4.72 9.77 9.16 4.67 4.66 0.64 09028080 A Removal of foot lesion 4.86 9.83 9.13 5.38 5.14 0.48 09028086 A Excise foot tendon sheath 4.92 10.22 9.77 5.01 4.91 0.72 090CMS-1582-PN 235CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global28088 A Excise foot tendon sheath 3.98 9.81 9.00 4.56 4.37 0.54 09028090 A Removal of foot lesion 4.55 8.70 8.17 4.08 4.01 0.48 09028092 A Removal of toe lesions 3.78 8.31 7.83 3.85 3.80 0.39 09028100 A Removal of ankle/heel lesion 5.83 10.80 10.32 5.41 5.29 0.76 09028102 A Remove/graft foot lesion 7.92 NA NA 8.50 7.78 0.61 09028103 A Remove/graft foot lesion 6.67 NA NA 4.44 4.90 0.50 09028104 A Removal of foot lesion 5.26 9.19 8.66 4.39 4.36 0.54 09028106 A Remove/graft foot lesion 7.35 NA NA 4.81 5.05 0.56 09028107 A Remove/graft foot lesion 5.73 8.96 9.07 4.16 4.46 0.42 09028108 A Removal of toe lesions 4.30 8.08 7.58 3.78 3.73 0.38 09028110 A Part removal of metatarsal 4.22 8.83 8.31 3.89 3.82 0.41 09028111 A Part removal of metatarsal 5.15 9.18 8.78 4.18 4.13 0.60 09028112 A Part removal of metatarsal 4.63 9.29 8.77 4.20 4.13 0.52 09028113 A Part removal of metatarsal 6.11 10.76 10.08 5.94 5.73 0.63 09028114 A Removal of metatarsal heads 12.00 17.97 16.85 11.25 10.73 1.65 09028116 A Revision of foot 9.14 12.17 11.31 6.86 6.61 0.95 09028118 A Removal of heel bone 6.13 10.43 9.81 5.33 5.21 0.75 09028119 A Removal of heel spur 5.56 9.25 8.68 4.56 4.47 0.53 09028120 A Part removal of ankle/heel 7.31 11.86 11.19 6.46 6.05 1.01 09028122 A Partial removal of foot bone 6.76 10.37 10.13 5.58 5.63 0.72 09028124 A Partial removal of toe 5.00 8.53 8.06 4.33 4.29 0.42 09028126 A Partial removal of toe 3.64 7.55 7.09 3.35 3.34 0.34 09028130 A Removal of ankle bone 9.50 NA NA 10.25 8.91 1.86 09028140 A Removal of metatarsal 7.14 9.84 9.56 5.22 5.23 0.90 09028150 A Removal of toe 4.23 8.09 7.63 3.79 3.74 0.42 09028153 A Partial removal of toe 3.80 7.96 7.42 3.69 3.57 0.37 09028160 A Partial removal of toe 3.88 8.10 7.59 3.75 3.72 0.38 09028171 A Resect tarsal tumor 16.41 NA NA 7.68 7.05 1.25 09028173 A Resect metatarsal tumor 14.16 NA NA 7.45 6.65 1.57 09028175 A Resect phalanx of toe tumor 8.29 NA NA 5.56 5.00 0.80 090CMS-1582-PN 236CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global28190 A Removal of foot foreign body 2.01 5.20 4.92 1.75 1.71 0.20 01028192 A Removal of foot foreign body 4.78 8.58 8.12 4.08 4.04 0.49 09028193 A Removal of foot foreign body 5.90 9.18 8.73 4.53 4.50 0.56 09028200 A Repair of foot tendon 4.74 8.77 8.24 4.09 4.06 0.45 09028202 A Repair/graft of foot tendon 7.07 9.48 9.34 4.73 4.85 0.64 09028208 A Repair of foot tendon 4.51 8.72 8.12 4.15 4.03 0.49 09028210 A Repair/graft of foot tendon 6.52 9.60 9.16 4.91 4.86 0.64 09028220 A Release of foot tendon 4.67 8.05 7.60 3.82 3.82 0.41 09028222 A Release of foot tendons 5.76 8.74 8.26 4.18 4.22 0.50 09028225 A Release of foot tendon 3.78 7.54 7.06 3.37 3.33 0.35 09028226 A Release of foot tendons 4.67 8.89 8.31 4.19 4.17 0.35 09028230 A Incision of foot tendon(s) 4.36 7.85 7.44 3.57 3.64 0.39 09028232 A Incision of toe tendon 3.51 7.60 7.15 3.41 3.43 0.34 09028234 A Incision of foot tendon 3.54 8.18 7.65 3.97 3.90 0.35 09028238 A Revision of foot tendon 7.96 11.09 10.44 5.78 5.65 0.86 09028240 A Release of big toe 4.48 7.94 7.58 3.65 3.72 0.44 09028250 A Revision of foot fascia 6.06 10.08 9.37 5.13 4.99 0.76 09028260 A Release of midfoot joint 8.19 11.47 10.49 6.32 6.02 1.03 09028261 A Revision of foot tendon 13.11 14.07 13.22 8.35 8.22 1.28 09028262 A Revision of foot and ankle 17.21 21.00 19.62 13.47 12.92 3.01 09028264 A Release of midfoot joint 10.65 16.92 14.59 10.17 9.12 0.82 09028270 A Release of foot contracture 4.93 9.04 8.39 4.49 4.39 0.50 09028272 A Release of toe joint each 3.92 7.27 6.87 3.27 3.26 0.31 09028280 A Fusion of toes 5.33 9.31 8.90 4.50 4.56 0.60 09028285 A Repair of hammertoe 4.76 9.32 8.80 4.63 4.46 0.45 09028286 A Repair of hammertoe 4.70 8.28 7.78 3.85 3.80 0.39 09028288 A Partial removal of foot bone 6.02 11.29 10.40 6.19 5.96 0.67 09028289 A Repair hallux rigidus 8.31 12.41 11.66 7.06 6.84 1.01 09028290 A Correction of bunion 5.83 10.77 10.01 5.23 5.14 0.69 09028292 A Correction of bunion 9.05 13.35 12.49 7.94 7.62 0.87 090CMS-1582-PN 237CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global28293 A Correction of bunion 11.48 18.18 17.20 8.63 8.38 0.95 09028294 A Correction of bunion 8.75 11.60 11.20 5.77 5.79 0.93 09028296 A Correction of bunion 8.35 11.87 11.37 6.35 6.29 0.76 09028297 A Correction of bunion 9.43 13.59 12.89 6.94 6.88 1.18 09028298 A Correction of bunion 8.13 12.21 11.43 6.03 5.90 0.87 09028299 A Correction of bunion 11.57 13.70 12.99 7.42 7.29 1.14 09028300 A Incision of heel bone 9.73 NA NA 8.42 8.12 1.61 09028302 A Incision of ankle bone 9.74 NA NA 9.63 8.68 1.92 09028304 A Incision of midfoot bones 9.41 13.22 12.24 7.13 6.84 1.21 09028305 A Incise/graft midfoot bones 10.77 NA NA 7.64 7.69 0.82 09028306 A Incision of metatarsal 6.00 11.36 10.59 5.31 5.12 0.83 09028307 A Incision of metatarsal 6.50 12.49 12.41 5.92 5.92 1.28 09028308 A Incision of metatarsal 5.48 10.39 9.67 5.03 4.84 0.61 09028309 A Incision of metatarsals 14.16 NA NA 10.56 9.96 2.10 09028310 A Revision of big toe 5.57 9.78 9.16 4.42 4.31 0.54 09028312 A Revision of toe 4.69 9.57 8.96 4.19 4.14 0.50 09028313 A Repair deformity of toe 5.15 9.77 9.10 4.88 4.91 0.69 09028315 A Removal of sesamoid bone 5.00 8.48 7.96 4.06 4.00 0.49 09028320 A Repair of foot bones 9.37 NA NA 7.47 7.34 1.39 09028322 A Repair of metatarsals 8.53 13.35 12.51 7.40 7.13 1.31 09028340 A Resect enlarged toe tissue 7.15 9.34 9.17 4.58 4.72 0.54 09028341 A Resect enlarged toe 8.72 10.41 10.08 5.25 5.33 0.67 09028344 A Repair extra toe(s) 4.40 7.81 8.08 3.63 3.94 0.34 09028345 A Repair webbed toe(s) 6.09 8.79 8.89 4.27 4.64 0.45 09028360 A Reconstruct cleft foot 14.92 NA NA 14.46 12.51 3.18 09028400 A Treatment of heel fracture 2.31 4.53 4.34 3.94 3.76 0.37 09028405 A Treatment of heel fracture 4.74 6.20 5.82 5.17 4.94 0.65 09028406 A Treatment of heel fracture 6.56 NA NA 7.81 7.54 1.17 09028415 A Treat heel fracture 16.19 NA NA 14.37 13.98 2.83 09028420 A Treat/graft heel fracture 17.52 NA NA 16.46 15.10 3.46 090CMS-1582-PN 238CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global28430 A Treatment of ankle fracture 2.22 4.25 4.04 3.53 3.31 0.35 09028435 A Treatment of ankle fracture 3.54 6.27 5.54 5.21 4.66 0.69 09028436 A Treatment of ankle fracture 4.90 NA NA 7.30 6.84 0.98 09028445 A Treat ankle fracture 15.76 NA NA 13.08 12.62 2.78 09028446 A Osteochondral talus autogrft 17.71 NA NA 15.45 14.26 3.50 09028450 A Treat midfoot fracture each 2.03 3.92 3.75 3.27 3.10 0.30 09028455 A Treat midfoot fracture each 3.24 4.97 4.68 4.13 3.98 0.44 09028456 A Treat midfoot fracture 2.86 NA NA 6.08 5.32 0.56 09028465 A Treat midfoot fracture each 8.80 NA NA 8.04 7.75 1.27 09028470 A Treat metatarsal fracture 2.03 3.80 3.65 3.22 3.06 0.33 09028475 A Treat metatarsal fracture 3.01 4.12 3.99 3.31 3.29 0.38 09028476 A Treat metatarsal fracture 3.60 NA NA 6.04 5.80 0.53 09028485 A Treat metatarsal fracture 7.44 NA NA 7.40 7.08 0.95 09028490 A Treat big toe fracture 1.17 2.82 2.66 2.26 2.14 0.16 09028495 A Treat big toe fracture 1.68 3.31 3.10 2.51 2.42 0.20 09028496 A Treat big toe fracture 2.48 9.83 9.43 4.01 3.83 0.35 09028505 A Treat big toe fracture 7.44 11.34 10.75 6.51 6.08 0.93 09028510 A Treatment of toe fracture 1.17 2.25 2.11 2.15 2.03 0.14 09028515 A Treatment of toe fracture 1.56 2.92 2.75 2.39 2.31 0.18 09028525 A Treat toe fracture 5.62 10.43 9.89 5.57 5.21 0.71 09028530 A Treat sesamoid bone fracture 1.11 2.17 2.03 1.79 1.72 0.11 09028531 A Treat sesamoid bone fracture 2.57 7.20 7.32 2.60 2.58 0.50 09028540 A Treat foot dislocation 2.19 3.52 3.33 2.95 2.85 0.22 09028545 A Treat foot dislocation 2.60 5.48 4.70 4.54 3.95 0.50 09028546 A Treat foot dislocation 3.40 12.53 10.94 5.85 5.25 0.67 09028555 A Repair foot dislocation 9.65 14.60 13.84 8.65 8.18 1.61 09028570 A Treat foot dislocation 1.76 2.85 2.84 2.19 2.26 0.12 09028575 A Treat foot dislocation 3.49 6.46 5.84 5.48 5.03 0.68 09028576 A Treat foot dislocation 4.60 NA NA 6.14 5.43 0.90 09028585 A Repair foot dislocation 11.13 14.46 13.66 8.73 8.51 1.65 090CMS-1582-PN 239CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global28600 A Treat foot dislocation 2.02 4.11 3.85 3.24 3.10 0.29 09028605 A Treat foot dislocation 2.89 4.96 4.61 4.19 3.97 0.56 09028606 A Treat foot dislocation 5.09 NA NA 5.70 5.42 0.84 09028615 A Repair foot dislocation 10.70 NA NA 11.03 10.50 1.77 09028630 A Treat toe dislocation 1.75 2.53 2.34 1.26 1.20 0.23 01028635 A Treat toe dislocation 1.96 3.09 2.89 1.82 1.76 0.22 01028636 A Treat toe dislocation 2.77 4.42 4.67 1.98 2.28 0.39 01028645 A Repair toe dislocation 7.44 10.81 9.96 5.98 5.63 0.80 09028660 A Treat toe dislocation 1.28 1.83 1.70 1.11 1.04 0.20 01028665 A Treat toe dislocation 1.97 2.38 2.24 1.73 1.69 0.24 01028666 A Treat toe dislocation 2.66 NA NA 3.08 2.77 0.52 01028675 A Repair of toe dislocation 5.62 10.64 10.21 5.77 5.48 0.75 09028705 A Fusion of foot bones 20.33 NA NA 14.90 14.40 3.46 09028715 A Fusion of foot bones 13.42 NA NA 12.12 11.74 2.28 09028725 A Fusion of foot bones 12.18 NA NA 9.57 9.21 1.88 09028730 A Fusion of foot bones 12.42 NA NA 10.86 10.35 1.92 09028735 A Fusion of foot bones 12.23 NA NA 9.70 9.31 1.78 09028737 A Revision of foot bones 11.03 NA NA 7.75 7.74 1.28 09028740 A Fusion of foot bones 9.29 14.62 13.90 8.17 7.83 1.36 09028750 A Fusion of big toe joint 8.57 14.51 13.99 8.04 7.78 1.31 09028755 A Fusion of big toe joint 4.88 9.36 8.90 4.32 4.27 0.52 09028760 A Fusion of big toe joint 9.14 13.36 12.43 7.18 6.89 1.05 09028800 A Amputation of midfoot 8.79 NA NA 6.55 6.47 1.31 09028805 A Amputation thru metatarsal 12.71 NA NA 7.80 7.53 2.14 09028810 A Amputation toe & metatarsal 6.64 NA NA 5.36 5.24 1.18 09028820 A Amputation of toe 5.82 10.40 10.02 5.24 4.99 0.85 09028825 A Partial amputation of toe 5.37 10.28 9.99 5.08 4.98 0.75 09028890 A High energy eswt plantar f 3.45 6.21 6.04 3.02 2.84 0.35 09028899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY29000 A Application of body cast 2.25 6.97 5.94 2.76 2.46 0.18 000CMS-1582-PN 240CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global29010 A Application of body cast 2.06 6.87 5.64 2.65 2.30 0.39 00029015 A Application of body cast 2.41 4.11 3.99 1.91 1.84 0.41 00029020 A Application of body cast 2.11 3.89 3.91 1.52 1.58 0.08 00029025 A Application of body cast 2.40 4.25 4.30 1.98 2.05 0.48 00029035 A Application of body cast 1.77 5.22 4.96 2.15 2.03 0.34 00029040 A Application of body cast 2.22 4.43 4.13 1.98 1.89 0.42 00029044 A Application of body cast 2.12 5.72 5.27 2.45 2.29 0.41 00029046 A Application of body cast 2.41 4.53 4.81 2.05 2.24 0.48 00029049 A Application of figure eight 0.89 1.80 1.58 1.01 0.85 0.18 00029055 A Application of shoulder cast 1.78 4.29 3.98 1.99 1.85 0.35 00029058 A Application of shoulder cast 1.31 1.23 1.38 0.79 0.80 0.23 00029065 A Application of long arm cast 0.87 1.74 1.66 0.99 0.94 0.16 00029075 A Application of forearm cast 0.77 1.68 1.60 0.93 0.88 0.14 00029085 A Apply hand/wrist cast 0.87 1.74 1.65 0.98 0.91 0.14 00029086 A Apply finger cast 0.62 1.55 1.41 0.81 0.74 0.08 00029105 A Apply long arm splint 0.87 1.49 1.43 0.75 0.70 0.14 00029125 A Apply forearm splint 0.50 1.31 1.27 0.58 0.56 0.08 00029126 A Apply forearm splint 0.68 1.49 1.42 0.65 0.63 0.10 00029130 A Application of finger splint 0.50 0.61 0.58 0.28 0.26 0.07 00029131 A Application of finger splint 0.55 0.88 0.83 0.37 0.34 0.08 00029200 A Strapping of chest 0.65 0.86 0.81 0.49 0.45 0.05 00029240 A Strapping of shoulder 0.71 0.88 0.87 0.51 0.49 0.05 00029260 A Strapping of elbow or wrist 0.55 0.90 0.86 0.51 0.47 0.05 00029280 A Strapping of hand or finger 0.51 0.91 0.87 0.52 0.47 0.04 00029305 A Application of hip cast 2.03 4.71 4.41 2.30 2.18 0.39 00029325 A Application of hip casts 2.32 5.14 4.82 2.54 2.41 0.45 00029345 A Application of long leg cast 1.40 2.29 2.18 1.34 1.28 0.27 00029355 A Application of long leg cast 1.53 2.32 2.18 1.38 1.31 0.29 00029358 A Apply long leg cast brace 1.43 2.94 2.73 1.39 1.31 0.29 00029365 A Application of long leg cast 1.18 2.17 2.06 1.21 1.16 0.23 000CMS-1582-PN 241CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global29405 A Apply short leg cast 0.80 1.50 1.47 0.86 0.84 0.11 00029425 A Apply short leg cast 0.80 1.41 1.42 0.77 0.78 0.10 00029435 A Apply short leg cast 1.18 2.04 1.96 1.11 1.08 0.23 00029440 A Addition of walker to cast 0.57 0.66 0.73 0.25 0.28 0.08 00029445 A Apply rigid leg cast 1.78 2.07 2.02 1.19 1.15 0.24 00029450 A Application of leg cast 2.08 1.91 1.88 1.06 1.10 0.22 00029505 A Application long leg splint 0.69 1.46 1.39 0.63 0.59 0.11 00029515 A Application lower leg splint 0.73 1.25 1.21 0.62 0.60 0.10 00029520 A Strapping of hip 0.54 0.85 0.83 0.47 0.46 0.04 00029530 A Strapping of knee 0.57 0.90 0.86 0.50 0.46 0.05 00029540 A Strapping of ankle and/or ft 0.32 0.62 0.62 0.32 0.34 0.03 00029550 A Strapping of toes 0.15 0.62 0.62 0.27 0.31 0.01 00029580 A Application of paste boot 0.55 0.92 0.88 0.44 0.43 0.07 00029581 A Apply multlay comprs lwr leg 0.60 2.03 2.03 0.27 0.27 0.07 00029590 A Application of foot splint 0.76 0.74 0.71 0.31 0.32 0.05 00029700 A Removal/revision of cast 0.57 1.25 1.19 0.36 0.34 0.10 00029705 A Removal/revision of cast 0.76 1.07 1.02 0.53 0.50 0.12 00029710 A Removal/revision of cast 1.34 2.02 1.86 0.92 0.85 0.27 00029715 A Removal/revision of cast 0.94 1.31 1.38 0.53 0.53 0.12 00029720 A Repair of body cast 0.68 1.61 1.51 0.51 0.48 0.12 00029730 A Windowing of cast 0.75 1.03 0.98 0.49 0.46 0.11 00029740 A Wedging of cast 1.12 1.30 1.29 0.59 0.59 0.18 00029750 A Wedging of clubfoot cast 1.26 1.46 1.40 0.78 0.74 0.26 00029799 C Casting/strapping procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY29800 A Jaw arthroscopy/surgery 6.84 NA NA 7.45 7.09 1.33 09029804 A Jaw arthroscopy/surgery 8.87 NA NA 9.14 8.47 1.74 09029805 A Shoulder arthroscopy dx 6.03 NA NA 6.77 6.47 1.18 09029806 A Shoulder arthroscopy/surgery 15.14 NA NA 13.55 12.96 2.98 09029807 A Shoulder arthroscopy/surgery 14.67 NA NA 13.42 12.79 2.87 09029819 A Shoulder arthroscopy/surgery 7.79 NA NA 8.13 7.78 1.52 090CMS-1582-PN 242CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global29820 A Shoulder arthroscopy/surgery 7.21 NA NA 7.42 7.12 1.40 09029821 A Shoulder arthroscopy/surgery 7.89 NA NA 8.12 7.78 1.55 09029822 A Shoulder arthroscopy/surgery 7.60 NA NA 7.96 7.64 1.50 09029823 A Shoulder arthroscopy/surgery 8.36 NA NA 8.62 8.28 1.63 09029824 A Shoulder arthroscopy/surgery 8.98 NA NA 9.31 8.90 1.77 09029825 A Shoulder arthroscopy/surgery 7.79 NA NA 8.07 7.74 1.52 09029826 A Shoulder arthroscopy/surgery 9.16 NA NA 8.87 8.52 1.80 09029827 A Arthroscop rotator cuff repr 15.59 NA NA 13.50 12.98 3.08 09029828 A Arthroscopy biceps tenodesis 13.16 NA NA 11.81 11.09 2.59 09029830 A Elbow arthroscopy 5.88 NA NA 6.45 6.16 1.17 09029834 A Elbow arthroscopy/surgery 6.42 NA NA 6.98 6.68 1.22 09029835 A Elbow arthroscopy/surgery 6.62 NA NA 7.14 6.82 1.29 09029836 A Elbow arthroscopy/surgery 7.72 NA NA 8.09 7.75 1.52 09029837 A Elbow arthroscopy/surgery 7.01 NA NA 7.36 7.04 1.36 09029838 A Elbow arthroscopy/surgery 7.88 NA NA 8.23 7.86 1.50 09029840 A Wrist arthroscopy 5.68 NA NA 6.58 6.28 1.13 09029843 A Wrist arthroscopy/surgery 6.15 NA NA 6.97 6.66 1.21 09029844 A Wrist arthroscopy/surgery 6.51 NA NA 7.17 6.77 1.18 09029845 A Wrist arthroscopy/surgery 7.69 NA NA 8.14 7.64 1.37 09029846 A Wrist arthroscopy/surgery 6.89 NA NA 7.44 7.06 1.22 09029847 A Wrist arthroscopy/surgery 7.22 NA NA 7.49 7.18 1.42 09029848 A Wrist endoscopy/surgery 6.39 NA NA 7.64 7.16 1.17 09029850 A Knee arthroscopy/surgery 8.27 NA NA 8.64 7.55 1.62 09029851 A Knee arthroscopy/surgery 13.26 NA NA 11.99 11.42 2.61 09029855 A Tibial arthroscopy/surgery 10.76 NA NA 10.54 10.08 2.12 09029856 A Tibial arthroscopy/surgery 14.28 NA NA 12.71 12.15 2.83 09029860 A Hip arthroscopy dx 9.00 NA NA 9.07 8.49 1.78 09029861 A Hip arthro w/fb removal 10.10 NA NA 9.73 9.14 1.97 09029862 A Hip arthr0 w/debridement 11.17 NA NA 11.04 10.44 2.19 09029863 A Hip arthr0 w/synovectomy 11.17 NA NA 10.98 10.36 2.20 090CMS-1582-PN 243CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global29866 A Autgrft implnt knee w/scope 14.67 NA NA 13.76 13.07 2.91 09029867 A Allgrft implnt knee w/scope 18.39 NA NA 16.26 15.30 3.62 09029868 A Meniscal trnspl knee w/scpe 25.10 NA NA 20.26 19.12 4.95 09029870 A Knee arthroscopy dx 5.19 10.79 10.79 6.02 5.73 1.02 09029871 A Knee arthroscopy/drainage 6.69 NA NA 7.27 6.92 1.31 09029873 A Knee arthroscopy/surgery 6.24 NA NA 8.02 7.64 1.22 09029874 A Knee arthroscopy/surgery 7.19 NA NA 7.45 7.10 1.40 09029875 A Knee arthroscopy/surgery 6.45 NA NA 7.01 6.70 1.27 09029876 A Knee arthroscopy/surgery 8.87 NA NA 8.97 8.50 1.74 09029877 A Knee arthroscopy/surgery 8.30 NA NA 8.63 8.18 1.62 09029879 A Knee arthroscopy/surgery 8.99 NA NA 9.02 8.56 1.77 09029880 A Knee arthroscopy/surgery 9.45 NA NA 9.31 8.84 1.85 09029881 A Knee arthroscopy/surgery 8.71 NA NA 8.87 8.41 1.70 09029882 A Knee arthroscopy/surgery 9.60 NA NA 9.37 8.86 1.89 09029883 A Knee arthroscopy/surgery 11.77 NA NA 10.97 10.50 2.30 09029884 A Knee arthroscopy/surgery 8.28 NA NA 8.60 8.15 1.62 09029885 A Knee arthroscopy/surgery 10.21 NA NA 10.20 9.66 2.00 09029886 A Knee arthroscopy/surgery 8.49 NA NA 8.77 8.31 1.66 09029887 A Knee arthroscopy/surgery 10.16 NA NA 10.11 9.58 1.99 09029888 A Knee arthroscopy/surgery 14.30 NA NA 12.47 11.90 2.80 09029889 A Knee arthroscopy/surgery 17.41 NA NA 15.61 14.86 3.42 09029891 A Ankle arthroscopy/surgery 9.67 NA NA 9.22 8.88 1.65 09029892 A Ankle arthroscopy/surgery 10.27 NA NA 6.15 7.18 2.01 09029893 A Scope plantar fasciotomy 6.32 11.00 10.39 5.77 5.59 0.50 09029894 A Ankle arthroscopy/surgery 7.35 NA NA 6.86 6.50 1.22 09029895 A Ankle arthroscopy/surgery 7.13 NA NA 6.39 6.15 1.13 09029897 A Ankle arthroscopy/surgery 7.32 NA NA 6.72 6.54 1.24 09029898 A Ankle arthroscopy/surgery 8.49 NA NA 7.24 7.00 1.29 09029899 A Ankle arthroscopy/surgery 15.41 NA NA 12.93 12.42 2.87 09029900 A Mcp joint arthroscopy dx 5.88 NA NA 7.56 6.83 0.41 090CMS-1582-PN 244CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global29901 A Mcp joint arthroscopy surg 6.59 NA NA 7.87 7.17 1.29 09029902 A Mcp joint arthroscopy surg 7.16 NA NA 5.74 6.24 2.57 09029904 A Subtalar arthro w/fb rmvl 8.65 NA NA 8.64 8.05 1.69 09029905 A Subtalar arthro w/exc 9.18 NA NA 9.54 8.89 1.81 09029906 A Subtalar arthro w/deb 9.65 NA NA 10.06 9.38 1.89 09029907 A Subtalar arthro w/fusion 12.18 NA NA 11.57 10.79 2.40 09029914 A Hip arthro w/femoroplasty 14.67 NA NA 12.74 12.74 2.91 09029915 A Hip arthro acetabuloplasty 15.00 NA NA 12.94 12.94 2.95 09029916 A Hip arthro w/labral repair 15.00 NA NA 12.94 12.94 2.95 09029999 C Arthroscopy of joint 0.00 0.00 0.00 0.00 0.00 0.00 YYY30000 A Drainage of nose lesion 1.48 5.13 5.04 1.90 1.80 0.22 01030020 A Drainage of nose lesion 1.48 5.24 4.99 1.94 1.83 0.20 0103006F I Cxr doc rev 0.00 0.00 0.00 0.00 0.00 0.00 XXX3008F I Body mass index docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX30100 A Intranasal biopsy 0.94 3.17 3.06 1.02 0.99 0.11 00030110 A Removal of nose polyp(s) 1.68 4.97 4.76 2.06 1.95 0.23 01030115 A Removal of nose polyp(s) 4.44 NA NA 7.97 7.62 0.56 09030117 A Removal of intranasal lesion 3.26 22.07 21.25 6.46 6.19 0.41 09030118 A Removal of intranasal lesion 9.92 NA NA 11.99 11.38 1.31 0903011F I Lipid panel doc rev 0.00 0.00 0.00 0.00 0.00 0.00 XXX30120 A Revision of nose 5.39 9.28 8.97 6.99 6.85 0.84 09030124 A Removal of nose lesion 3.20 NA NA 4.66 4.41 0.41 09030125 A Removal of nose lesion 7.30 NA NA 10.18 9.75 0.93 09030130 A Excise inferior turbinate 3.47 NA NA 7.46 7.17 0.44 09030140 A Resect inferior turbinate 3.57 NA NA 9.12 8.75 0.45 09030150 A Partial removal of nose 9.55 NA NA 12.31 11.98 1.42 0903015F I Cerv cancer screen docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX30160 A Removal of nose 9.99 NA NA 12.22 11.75 1.28 0903018F I Pre-prxd rsk et al docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX30200 A Injection treatment of nose 0.78 2.52 2.42 0.94 0.89 0.10 000CMS-1582-PN 245CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global30210 A Nasal sinus therapy 1.13 3.21 3.08 1.74 1.66 0.14 01030220 A Insert nasal septal button 1.59 7.20 6.89 2.01 1.91 0.22 01030300 A Remove nasal foreign body 1.09 5.51 5.41 2.52 2.40 0.14 01030310 A Remove nasal foreign body 2.01 NA NA 3.89 3.75 0.26 01030320 A Remove nasal foreign body 4.64 NA NA 8.36 8.03 0.60 0903035F I O2 saturation<=88% /pao<=55 0.00 0.00 0.00 0.00 0.00 0.00 XXX3037F I O2 saturation> 88% /pao>55 0.00 0.00 0.00 0.00 0.00 0.00 XXX30400 R Reconstruction of nose 10.86 NA NA 18.13 17.84 1.39 0903040F I Fev<40% predicted value 0.00 0.00 0.00 0.00 0.00 0.00 XXX30410 R Reconstruction of nose 14.00 NA NA 19.98 19.59 1.80 09030420 R Reconstruction of nose 16.90 NA NA 22.17 21.20 2.40 0903042F I Fev>=40% predicted value 0.00 0.00 0.00 0.00 0.00 0.00 XXX30430 R Revision of nose 8.24 NA NA 16.60 16.81 1.62 09030435 R Revision of nose 12.73 NA NA 22.18 21.08 1.63 09030450 R Revision of nose 19.66 NA NA 23.30 23.00 2.52 09030460 A Revision of nose 10.32 NA NA 10.59 10.24 2.01 09030462 A Revision of nose 20.28 NA NA 23.40 21.76 4.00 09030465 A Repair nasal stenosis 12.36 NA NA 15.66 14.83 1.74 09030520 A Repair of nasal septum 7.01 NA NA 10.94 10.21 0.90 09030540 A Repair nasal defect 7.92 NA NA 11.84 11.05 1.02 09030545 A Repair nasal defect 11.62 NA NA 12.24 13.07 0.82 09030560 A Release of nasal adhesions 1.31 6.53 6.39 2.67 2.59 0.18 01030580 A Repair upper jaw fistula 6.88 11.40 10.69 7.54 6.90 0.87 09030600 A Repair mouth/nose fistula 6.16 10.31 9.89 6.15 5.84 0.78 09030620 A Intranasal reconstruction 6.16 NA NA 11.59 11.17 0.88 09030630 A Repair nasal septum defect 7.29 NA NA 10.62 10.11 0.99 0903073F I Pre-surg eye measures docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX30801 A Ablate inf turbinate superf 1.14 5.44 5.32 2.79 2.67 0.14 01030802 A Ablate inf turbinate submuc 2.08 6.30 6.12 3.39 3.22 0.27 0103088F I Mdd mild 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 246CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global3089F I Mdd moderate 0.00 0.00 0.00 0.00 0.00 0.00 XXX30901 A Control of nosebleed 1.10 1.54 1.56 0.46 0.43 0.16 00030903 A Control of nosebleed 1.54 4.21 4.00 0.70 0.63 0.23 00030905 A Control of nosebleed 1.97 5.13 4.89 0.83 0.78 0.30 00030906 A Repeat control of nosebleed 2.45 5.55 5.33 1.30 1.21 0.33 0003090F I Mdd severe w/o psych 0.00 0.00 0.00 0.00 0.00 0.00 XXX30915 A Ligation nasal sinus artery 7.44 NA NA 9.07 8.57 0.99 0903091F I Mdd severe w/psych 0.00 0.00 0.00 0.00 0.00 0.00 XXX30920 A Ligation upper jaw artery 11.14 NA NA 12.75 11.93 1.46 09030930 A Ther fx nasal inf turbinate 1.31 NA NA 2.24 2.12 0.18 0103093F I Doc new diag 1st/addl mdd 0.00 0.00 0.00 0.00 0.00 0.00 XXX30999 C Nasal surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY31000 A Irrigation maxillary sinus 1.20 4.03 3.91 1.81 1.74 0.14 01031002 A Irrigation sphenoid sinus 1.96 NA NA 3.76 3.67 0.26 01031020 A Exploration maxillary sinus 3.07 10.77 10.60 7.17 6.92 0.39 09031030 A Exploration maxillary sinus 6.01 13.68 13.39 8.96 8.51 0.75 09031032 A Explore sinus remove polyps 6.69 NA NA 9.69 9.20 0.87 09031040 A Exploration behind upper jaw 9.77 NA NA 11.50 10.87 1.39 09031050 A Exploration sphenoid sinus 5.37 NA NA 8.55 8.29 0.68 09031051 A Sphenoid sinus surgery 7.25 NA NA 11.29 10.76 0.91 09031070 A Exploration of frontal sinus 4.40 NA NA 8.21 7.86 0.59 09031075 A Exploration of frontal sinus 9.51 NA NA 12.92 12.31 1.22 09031080 A Removal of frontal sinus 12.74 NA NA 16.83 15.63 1.63 09031081 A Removal of frontal sinus 14.19 NA NA 24.08 21.30 5.09 09031084 A Removal of frontal sinus 14.95 NA NA 18.13 17.51 1.92 09031085 A Removal of frontal sinus 15.64 NA NA 18.53 18.10 5.62 09031086 A Removal of frontal sinus 14.36 NA NA 17.78 16.79 1.85 09031087 A Removal of frontal sinus 14.57 NA NA 16.43 15.66 1.86 09031090 A Exploration of sinuses 11.17 NA NA 18.19 17.20 1.47 09031200 A Removal of ethmoid sinus 5.14 NA NA 10.57 10.15 0.73 090CMS-1582-PN 247CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global31201 A Removal of ethmoid sinus 8.60 NA NA 12.49 11.81 1.14 09031205 A Removal of ethmoid sinus 10.58 NA NA 14.55 13.61 1.59 09031225 A Removal of upper jaw 26.70 NA NA 26.67 24.55 3.55 09031230 A Removal of upper jaw 30.82 NA NA 28.72 26.37 3.96 09031231 A Nasal endoscopy dx 1.10 4.46 4.37 1.12 1.06 0.12 00031233 A Nasal/sinus endoscopy dx 2.18 5.47 5.34 1.75 1.64 0.29 00031235 A Nasal/sinus endoscopy dx 2.64 5.97 5.88 1.99 1.87 0.33 00031237 A Nasal/sinus endoscopy surg 2.98 6.37 6.22 2.23 2.07 0.38 00031238 A Nasal/sinus endoscopy surg 3.26 6.34 6.19 2.39 2.23 0.41 00031239 A Nasal/sinus endoscopy surg 9.33 NA NA 10.07 9.33 1.24 01031240 A Nasal/sinus endoscopy surg 2.61 NA NA 2.01 1.88 0.34 00031254 A Revision of ethmoid sinus 4.64 NA NA 3.21 2.99 0.60 00031255 A Removal of ethmoid sinus 6.95 NA NA 4.56 4.23 0.88 00031256 A Exploration maxillary sinus 3.29 NA NA 2.41 2.25 0.41 00031267 A Endoscopy maxillary sinus 5.45 NA NA 3.68 3.42 0.69 00031276 A Sinus endoscopy surgical 8.84 NA NA 5.66 5.24 1.14 00031287 A Nasal/sinus endoscopy surg 3.91 NA NA 2.77 2.58 0.50 00031288 A Nasal/sinus endoscopy surg 4.57 NA NA 3.17 2.95 0.60 00031290 A Nasal/sinus endoscopy surg 18.61 NA NA 14.39 13.40 2.64 01031291 A Nasal/sinus endoscopy surg 19.56 NA NA 15.10 14.04 3.14 01031292 A Nasal/sinus endoscopy surg 15.90 NA NA 12.74 11.88 2.04 01031293 A Nasal/sinus endoscopy surg 17.47 NA NA 13.73 12.79 2.23 01031294 A Nasal/sinus endoscopy surg 20.31 NA NA 15.40 14.31 2.61 01031295 A Sinus endo w/balloon dil 2.70 56.78 56.78 2.11 2.11 0.35 00031296 A Sinus endo w/balloon dil 3.29 108.31 108.31 2.45 2.45 0.42 00031297 A Sinus endo w/balloon dil 2.64 107.99 107.99 2.07 2.07 0.34 00031299 C Sinus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY31300 A Removal of larynx lesion 15.91 NA NA 20.47 19.36 2.03 0903130F I Upper gi endoscopy performed 0.00 0.00 0.00 0.00 0.00 0.00 XXX31320 A Diagnostic incision larynx 5.73 NA NA 13.21 12.77 0.72 090CMS-1582-PN 248CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global3132F I Doc ref upper gi endoscopy 0.00 0.00 0.00 0.00 0.00 0.00 XXX31360 A Removal of larynx 29.91 NA NA 29.73 26.91 3.92 09031365 A Removal of larynx 38.81 NA NA 34.91 31.53 5.08 09031367 A Partial removal of larynx 30.57 NA NA 32.73 30.31 3.97 09031368 A Partial removal of larynx 34.19 NA NA 36.00 33.45 4.38 09031370 A Partial removal of larynx 27.57 NA NA 31.95 29.81 3.54 09031375 A Partial removal of larynx 26.07 NA NA 30.43 28.33 3.36 09031380 A Partial removal of larynx 25.57 NA NA 30.14 28.03 3.29 09031382 A Partial removal of larynx 28.57 NA NA 32.54 30.17 3.69 09031390 A Removal of larynx & pharynx 42.51 NA NA 38.78 35.48 5.84 09031395 A Reconstruct larynx & pharynx 43.80 NA NA 42.53 39.07 5.63 09031400 A Revision of larynx 11.60 NA NA 17.10 16.47 1.50 0903140F I Upper gi endo shows barrtts 0.00 0.00 0.00 0.00 0.00 0.00 XXX3141F I Upper gi endo not barrtts 0.00 0.00 0.00 0.00 0.00 0.00 XXX31420 A Removal of epiglottis 11.43 NA NA 12.58 11.84 1.47 0903142F I Barium swallow test ordered 0.00 0.00 0.00 0.00 0.00 0.00 XXX31500 A Insert emergency airway 2.33 NA NA 0.64 0.60 0.31 00031502 A Change of windpipe airway 0.65 NA NA 0.34 0.32 0.07 00031505 A Diagnostic laryngoscopy 0.61 1.78 1.76 0.80 0.77 0.07 0003150F I Forceps esoph biopsy done 0.00 0.00 0.00 0.00 0.00 0.00 XXX31510 A Laryngoscopy with biopsy 1.92 4.13 4.05 1.54 1.44 0.26 00031511 A Remove foreign body larynx 2.16 3.83 3.75 1.41 1.36 0.31 00031512 A Removal of larynx lesion 2.07 3.93 3.82 1.70 1.57 0.27 00031513 A Injection into vocal cord 2.10 NA NA 1.71 1.60 0.27 00031515 A Laryngoscopy for aspiration 1.80 4.14 4.10 1.31 1.24 0.24 00031520 A Dx laryngoscopy newborn 2.56 NA NA 1.98 1.79 0.33 00031525 A Dx laryngoscopy excl nb 2.63 4.60 4.44 1.94 1.82 0.34 00031526 A Dx laryngoscopy w/oper scope 2.57 NA NA 1.98 1.86 0.33 00031527 A Laryngoscopy for treatment 3.27 NA NA 2.40 2.18 0.41 00031528 A Laryngoscopy and dilation 2.37 NA NA 1.81 1.68 0.31 000CMS-1582-PN 249CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global31529 A Laryngoscopy and dilation 2.68 NA NA 1.99 1.86 0.34 00031530 A Laryngoscopy w/fb removal 3.38 NA NA 2.32 2.15 0.44 00031531 A Laryngoscopy w/fb & op scope 3.58 NA NA 2.55 2.39 0.45 00031535 A Laryngoscopy w/biopsy 3.16 NA NA 2.32 2.16 0.41 00031536 A Laryngoscopy w/bx & op scope 3.55 NA NA 2.56 2.39 0.45 00031540 A Laryngoscopy w/exc of tumor 4.12 NA NA 2.89 2.69 0.53 00031541 A Larynscop w/tumr exc + scope 4.52 NA NA 3.13 2.91 0.59 00031545 A Remove vc lesion w/scope 6.30 NA NA 4.20 3.87 0.80 00031546 A Remove vc lesion scope/graft 9.73 NA NA 6.23 5.64 1.25 00031560 A Laryngoscop w/arytenoidectom 5.45 NA NA 3.64 3.36 0.69 00031561 A Larynscop remve cart + scop 5.99 NA NA 3.94 3.64 0.76 00031570 A Laryngoscope w/vc inj 3.86 5.87 5.78 2.71 2.52 0.53 00031571 A Laryngoscop w/vc inj + scope 4.26 NA NA 2.97 2.76 0.54 00031575 A Diagnostic laryngoscopy 1.10 2.20 2.17 1.11 1.05 0.12 00031576 A Laryngoscopy with biopsy 1.97 4.50 4.43 1.59 1.50 0.24 00031577 A Remove foreign body larynx 2.47 4.50 4.37 1.77 1.67 0.33 00031578 A Removal of larynx lesion 2.84 5.27 5.13 2.15 1.95 0.35 00031579 A Diagnostic laryngoscopy 2.26 3.83 3.81 1.80 1.68 0.30 00031580 A Revision of larynx 14.66 NA NA 20.52 19.36 1.88 09031582 A Revision of larynx 23.22 NA NA 31.32 30.12 2.99 09031584 A Treat larynx fracture 20.47 NA NA 22.91 21.64 2.63 09031587 A Revision of larynx 15.27 NA NA 13.55 12.38 1.95 09031588 A Revision of larynx 14.99 NA NA 17.86 16.86 1.93 09031590 A Reinnervate larynx 7.85 NA NA 17.85 17.46 1.02 09031595 A Larynx nerve surgery 8.84 NA NA 13.16 12.65 1.14 09031599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY31600 A Incision of windpipe 7.17 NA NA 3.64 3.43 1.27 00031601 A Incision of windpipe 4.44 NA NA 3.04 2.82 0.56 00031603 A Incision of windpipe 4.14 NA NA 2.01 1.86 0.69 00031605 A Incision of windpipe 3.57 NA NA 1.34 1.26 0.63 000CMS-1582-PN 250CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global31610 A Incision of windpipe 9.38 NA NA 10.93 10.34 1.32 09031611 A Surgery/speech prosthesis 6.00 NA NA 9.55 9.12 0.76 09031612 A Puncture/clear windpipe 0.91 1.44 1.37 0.44 0.40 0.11 00031613 A Repair windpipe opening 4.71 NA NA 8.12 7.81 0.72 09031614 A Repair windpipe opening 8.63 NA NA 13.04 12.30 1.18 09031615 A Visualization of windpipe 2.09 3.10 3.04 1.58 1.47 0.26 00031620 A Endobronchial us add-on 1.40 6.25 6.66 0.50 0.49 0.12 ZZZ31622 A Dx bronchoscope/wash 2.78 5.82 6.12 1.26 1.22 0.34 00031623 A Dx bronchoscope/brush 2.88 6.26 6.77 1.24 1.20 0.26 00031624 A Dx bronchoscope/lavage 2.88 5.73 6.12 1.26 1.21 0.26 00031625 A Bronchoscopy w/biopsy(s) 3.36 5.89 6.28 1.42 1.37 0.31 00031626 A Bronchoscopy w/markers 4.16 8.56 8.56 1.72 1.72 0.31 00031627 A Navigational bronchoscopy 2.00 35.28 35.28 0.88 0.88 0.14 ZZZ31628 A Bronchoscopy/lung bx each 3.80 6.78 7.55 1.56 1.50 0.30 00031629 A Bronchoscopy/needle bx each 4.09 12.40 13.68 1.68 1.61 0.34 00031630 A Bronchoscopy dilate/fx repr 3.81 NA NA 1.76 1.75 0.49 00031631 A Bronchoscopy dilate w/stent 4.36 NA NA 1.97 1.94 0.60 00031632 A Bronchoscopy/lung bx addl 1.03 0.98 1.00 0.37 0.35 0.07 ZZZ31633 A Bronchoscopy/needle bx addl 1.32 1.14 1.15 0.47 0.44 0.10 ZZZ31634 A Bronch w/balloon occlusion 4.00 48.76 48.76 1.75 1.75 0.33 00031635 A Bronchoscopy w/fb removal 3.67 5.77 6.15 1.59 1.55 0.39 00031636 A Bronchoscopy bronch stents 4.30 NA NA 1.82 1.82 0.56 00031637 A Bronchoscopy stent add-on 1.58 NA NA 0.61 0.59 0.11 ZZZ31638 A Bronchoscopy revise stent 4.88 NA NA 2.14 2.11 0.65 00031640 A Bronchoscopy w/tumor excise 4.93 NA NA 2.16 2.14 0.64 00031641 A Bronchoscopy treat blockage 5.02 NA NA 2.17 2.08 0.59 00031643 A Diag bronchoscope/catheter 3.49 NA NA 1.44 1.40 0.29 00031645 A Bronchoscopy clear airways 3.16 5.15 5.47 1.36 1.30 0.29 00031646 A Bronchoscopy reclear airway 2.72 4.85 5.15 1.19 1.15 0.26 00031656 A Bronchoscopy inj for x-ray 2.17 6.05 6.71 0.93 0.92 0.16 000CMS-1582-PN 251CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global31715 A Injection for bronchus x-ray 1.11 NA NA 0.37 0.39 0.08 00031717 A Bronchial brush biopsy 2.12 5.41 6.12 1.03 0.97 0.16 00031720 A Clearance of airways 1.06 NA NA 0.41 0.38 0.08 00031725 A Clearance of airways 1.96 NA NA 0.73 0.65 0.20 00031730 A Intro windpipe wire/tube 2.85 29.64 26.66 1.19 1.12 0.45 00031750 A Repair of windpipe 15.39 NA NA 23.62 22.58 2.27 09031755 A Repair of windpipe 17.54 NA NA 32.25 31.06 2.25 09031760 A Repair of windpipe 23.48 NA NA 12.32 12.74 5.48 09031766 A Reconstruction of windpipe 31.67 NA NA 14.61 14.95 7.40 09031770 A Repair/graft of bronchus 23.54 NA NA 11.15 11.40 5.50 09031775 A Reconstruct bronchus 24.59 NA NA 10.45 11.06 5.76 09031780 A Reconstruct windpipe 19.84 NA NA 13.47 12.69 3.23 09031781 A Reconstruct windpipe 24.85 NA NA 11.16 12.12 5.81 09031785 A Remove windpipe lesion 18.35 NA NA 12.13 11.33 2.61 09031786 A Remove windpipe lesion 25.42 NA NA 12.14 12.98 5.96 09031800 A Repair of windpipe injury 8.18 NA NA 11.98 11.44 1.05 09031805 A Repair of windpipe injury 13.42 NA NA 7.91 8.15 3.16 09031820 A Closure of windpipe lesion 4.64 7.85 7.49 4.74 4.46 0.67 09031825 A Repair of windpipe defect 7.07 10.23 9.75 6.69 6.30 0.99 09031830 A Revise windpipe scar 4.62 7.96 7.60 5.11 4.83 0.71 09031899 C Airways surgical procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY3200F I Barium swallow test not req 0.00 0.00 0.00 0.00 0.00 0.00 XXX32035 A Exploration of chest 11.29 NA NA 7.97 7.78 2.57 09032036 A Exploration of chest 12.30 NA NA 8.24 8.18 2.90 09032095 A Biopsy through chest wall 10.14 NA NA 6.57 6.57 2.34 09032100 A Exploration/biopsy of chest 16.16 NA NA 8.92 9.05 3.80 09032110 A Explore/repair chest 25.28 NA NA 13.25 13.05 5.74 09032120 A Re-exploration of chest 14.39 NA NA 8.61 8.67 3.40 09032124 A Explore chest free adhesions 15.45 NA NA 8.99 8.97 3.67 09032140 A Removal of lung lesion(s) 16.66 NA NA 9.34 9.39 3.89 090CMS-1582-PN 252CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global32141 A Remove/treat lung lesions 27.18 NA NA 12.96 12.70 6.40 09032150 A Removal of lung lesion(s) 16.82 NA NA 9.56 9.51 3.93 09032151 A Remove lung foreign body 16.94 NA NA 9.40 9.70 3.97 09032160 A Open chest heart massage 13.10 NA NA 7.50 7.36 2.99 09032200 A Drain open lung lesion 18.68 NA NA 11.41 11.23 4.29 09032201 A Drain percut lung lesion 3.99 21.19 22.83 1.48 1.66 0.38 00032215 A Treat chest lining 13.05 NA NA 8.03 8.12 3.05 09032220 A Release of lung 26.65 NA NA 15.16 15.34 6.30 09032225 A Partial release of lung 16.75 NA NA 9.48 9.51 3.92 0903230F I Note hring tst w/in 6 mon 0.00 0.00 0.00 0.00 0.00 0.00 XXX32310 A Removal of chest lining 15.28 NA NA 8.79 8.87 3.62 09032320 A Free/remove chest lining 27.25 NA NA 14.89 14.89 6.33 09032400 A Needle biopsy chest lining 1.76 2.30 2.48 0.65 0.69 0.18 00032402 A Open biopsy chest lining 8.97 NA NA 6.03 6.09 2.03 09032405 A Biopsy lung or mediastinum 1.93 0.66 0.71 0.66 0.71 0.18 00032420 A Puncture/clear lung 2.18 NA NA 0.82 0.87 0.24 00032421 A Thoracentesis for aspiration 1.54 2.65 2.89 0.58 0.60 0.14 00032422 A Thoracentesis w/tube insert 2.19 3.13 3.38 1.20 1.26 0.22 00032440 A Removal of lung 27.28 NA NA 13.83 14.21 6.36 09032442 A Sleeve pneumonectomy 56.47 NA NA 23.12 22.70 4.25 09032445 A Removal of lung 63.84 NA NA 28.12 27.27 14.94 09032480 A Partial removal of lung 25.82 NA NA 13.11 13.39 6.06 09032482 A Bilobectomy 27.44 NA NA 14.26 14.53 6.42 09032484 A Segmentectomy 25.38 NA NA 12.34 12.59 5.91 09032486 A Sleeve lobectomy 42.88 NA NA 18.59 18.57 10.14 09032488 A Completion pneumonectomy 42.99 NA NA 19.78 19.52 10.11 09032491 R Lung volume reduction 25.24 NA NA 13.48 13.99 5.88 09032500 A Partial removal of lung 24.64 NA NA 13.12 13.45 5.80 09032501 A Repair bronchus add-on 4.68 NA NA 1.70 1.76 1.09 ZZZ32503 A Resect apical lung tumor 31.74 NA NA 15.55 15.93 7.50 090CMS-1582-PN 253CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global32504 A Resect apical lung tum/chest 36.54 NA NA 16.81 17.67 8.52 09032540 A Removal of lung lesion 30.35 NA NA 14.79 14.66 7.10 09032550 A Insert pleural cath 4.17 17.43 18.58 1.85 1.93 0.69 00032551 A Insertion of chest tube 3.29 NA NA 1.29 1.34 0.52 00032552 A Remove lung catheter 2.53 2.42 2.42 1.75 1.75 0.60 01032553 A Ins mark thor for rt perq 3.80 13.57 13.57 1.53 1.53 0.88 00032560 A Treat pleurodesis w/agent 1.54 5.19 5.86 0.57 0.68 0.27 00032561 A Lyse chest fibrin init day 1.39 1.21 1.21 0.51 0.51 0.24 00032562 A Lyse chest fibrin subq day 1.24 1.07 1.07 0.46 0.46 0.23 00032601 A Thoracoscopy diagnostic 5.45 NA NA 2.63 2.69 1.27 00032602 A Thoracoscopy diagnostic 5.95 NA NA 2.82 2.88 1.36 00032603 A Thoracoscopy diagnostic 7.80 NA NA 3.42 3.55 1.95 00032604 A Thoracoscopy diagnostic 8.77 NA NA 3.76 3.95 2.04 00032605 A Thoracoscopy diagnostic 6.92 NA NA 3.11 3.19 1.62 00032606 A Thoracoscopy diagnostic 8.39 NA NA 3.71 3.82 1.93 00032650 A Thoracoscopy surgical 10.83 NA NA 6.78 6.94 2.48 09032651 A Thoracoscopy surgical 18.78 NA NA 10.07 9.85 4.31 09032652 A Thoracoscopy surgical 29.13 NA NA 14.37 14.17 6.72 09032653 A Thoracoscopy surgical 18.17 NA NA 9.59 9.45 4.12 09032654 A Thoracoscopy surgical 20.52 NA NA 10.42 10.27 4.65 09032655 A Thoracoscopy surgical 16.17 NA NA 9.00 8.94 3.77 09032656 A Thoracoscopy surgical 13.26 NA NA 7.80 7.97 3.01 09032657 A Thoracoscopy surgical 12.93 NA NA 7.78 7.95 3.04 09032658 A Thoracoscopy surgical 11.71 NA NA 6.99 7.32 2.75 09032659 A Thoracoscopy surgical 11.94 NA NA 7.34 7.58 2.80 09032660 A Thoracoscopy surgical 17.77 NA NA 9.31 9.67 4.45 09032661 A Thoracoscopy surgical 13.33 NA NA 7.56 7.88 3.13 09032662 A Thoracoscopy surgical 14.99 NA NA 8.49 8.79 3.50 09032663 A Thoracoscopy surgical 24.64 NA NA 11.97 12.24 5.74 09032664 A Thoracoscopy surgical 14.28 NA NA 7.90 8.12 3.36 090CMS-1582-PN 254CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global32665 A Thoracoscopy surgical 21.53 NA NA 10.63 10.70 4.60 0903268F I Psa/t/glsc docd b/4 txmnt 0.00 0.00 0.00 0.00 0.00 0.00 XXX32800 A Repair lung hernia 15.71 NA NA 8.98 9.01 3.69 09032810 A Close chest after drainage 14.95 NA NA 8.65 8.85 3.51 09032815 A Close bronchial fistula 50.03 NA NA 23.21 22.34 11.90 09032820 A Reconstruct injured chest 22.51 NA NA 12.28 12.87 5.28 09032850 X Donor pneumonectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX32851 A Lung transplant single 59.64 NA NA 25.28 25.80 14.05 09032852 A Lung transplant with bypass 65.50 NA NA 27.10 28.13 15.35 09032853 A Lung transplant double 84.48 NA NA 33.67 32.99 20.00 09032854 A Lung transplant with bypass 90.00 NA NA 35.65 35.47 21.21 09032855 C Prepare donor lung single 0.00 0.00 0.00 0.00 0.00 0.00 XXX32856 C Prepare donor lung double 0.00 0.00 0.00 0.00 0.00 0.00 XXX32900 A Removal of rib(s) 23.81 NA NA 13.07 12.70 5.48 09032905 A Revise & repair chest wall 23.29 NA NA 11.59 11.89 5.44 09032906 A Revise & repair chest wall 29.30 NA NA 13.71 14.14 6.87 0903290F I Pt=d(rh)- and unsensitized 0.00 0.00 0.00 0.00 0.00 0.00 XXX3291F I Pt=d(rh)+ or sensitized 0.00 0.00 0.00 0.00 0.00 0.00 XXX3292F I Hiv tstng asked/docd/revwd 0.00 0.00 0.00 0.00 0.00 0.00 XXX3293F I Abo rh blood typing docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX32940 A Revision of lung 21.34 NA NA 10.99 11.09 5.01 0903294F I Grp b strep screening docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX32960 A Therapeutic pneumothorax 1.84 1.75 1.91 0.83 0.86 0.42 00032997 A Total lung lavage 7.31 NA NA 2.42 2.35 0.91 00032998 A Perq rf ablate tx pul tumor 5.68 74.08 78.71 2.21 2.54 0.60 00032999 C Chest surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY33010 A Drainage of heart sac 2.24 NA NA 0.84 1.03 0.45 00033011 A Repeat drainage of heart sac 2.24 NA NA 0.87 0.99 0.49 00033015 A Incision of heart sac 8.52 NA NA 4.78 5.62 1.67 09033020 A Incision of heart sac 14.95 NA NA 8.18 8.24 3.51 090CMS-1582-PN 255CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33025 A Incision of heart sac 13.70 NA NA 7.33 7.49 3.25 09033030 A Partial removal of heart sac 36.00 NA NA 16.13 14.94 8.55 09033031 A Partial removal of heart sac 45.00 NA NA 19.22 17.47 10.83 09033050 A Removal of heart sac lesion 16.97 NA NA 9.62 9.60 3.97 09033120 A Removal of heart lesion 38.45 NA NA 15.81 15.24 9.20 09033130 A Removal of heart lesion 24.17 NA NA 11.90 12.22 6.04 09033140 A Heart revascularize (tmr) 28.34 NA NA 13.01 13.39 7.08 09033141 A Heart tmr w/other procedure 2.54 NA NA 0.93 1.09 0.61 ZZZ3317F I Path rpt malig cancer docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX3318F I Path rpt malig cancer docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX33202 A Insert epicard eltrd open 13.20 NA NA 7.08 7.40 3.16 09033203 A Insert epicard eltrd endo 13.97 NA NA 6.97 7.68 3.28 09033206 A Insertion of heart pacemaker 7.39 NA NA 4.34 5.20 1.62 09033207 A Insertion of heart pacemaker 8.05 NA NA 4.39 5.32 1.77 09033208 A Insertion of heart pacemaker 8.77 NA NA 4.66 5.66 1.92 09033210 A Insertion of heart electrode 3.30 NA NA 1.28 1.60 0.71 00033211 A Insertion of heart electrode 3.39 NA NA 1.30 1.56 0.75 00033212 A Insertion of pulse generator 5.52 NA NA 3.16 3.80 1.21 09033213 A Insertion of pulse generator 6.37 NA NA 3.47 4.24 1.40 09033214 A Upgrade of pacemaker system 7.84 NA NA 4.58 5.45 1.70 09033215 A Reposition pacing-defib lead 4.92 NA NA 2.88 3.51 1.08 09033216 A Insert 1 electrode pm-defib 5.87 NA NA 3.74 4.59 1.28 09033217 A Insert 2 electrode pm-defib 5.84 NA NA 3.75 4.55 1.28 09033218 A Repair lead pace-defib one 6.07 NA NA 4.03 4.85 1.32 09033220 A Repair lead pace-defib dual 6.15 NA NA 4.03 4.86 1.33 09033222 A Revise pocket pacemaker 5.10 NA NA 3.83 4.53 1.14 09033223 A Revise pocket for defib 6.55 NA NA 4.00 4.92 1.46 09033224 A Insert pacing lead & connect 9.04 NA NA 3.86 4.81 1.99 00033225 A L ventric pacing lead add-on 8.33 NA NA 3.25 4.13 1.82 ZZZ33226 A Reposition l ventric lead 8.68 NA NA 3.75 4.66 1.91 000CMS-1582-PN 256CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33233 A Removal of pacemaker system 3.39 NA NA 2.72 3.32 0.73 09033234 A Removal of pacemaker system 7.91 NA NA 4.53 5.52 1.74 09033235 A Removal pacemaker electrode 10.15 NA NA 6.12 7.40 2.25 09033236 A Remove electrode/thoracotomy 12.73 NA NA 7.86 8.15 3.18 09033237 A Remove electrode/thoracotomy 13.84 NA NA 7.58 8.69 3.24 09033238 A Remove electrode/thoracotomy 15.40 NA NA 9.34 9.57 3.69 09033240 A Insert pulse generator 7.64 NA NA 4.11 5.15 1.66 09033241 A Remove pulse generator 3.29 NA NA 2.42 3.01 0.71 09033243 A Remove eltrd/thoracotomy 23.57 NA NA 12.07 13.01 5.57 09033244 A Remove eltrd transven 13.99 NA NA 7.77 9.57 3.10 09033249 A Eltrd/insert pace-defib 15.17 NA NA 7.91 9.84 3.32 0903324F I Mri ct scan ord rvwd rqstd 0.00 0.00 0.00 0.00 0.00 0.00 XXX33250 A Ablate heart dysrhythm focus 25.90 NA NA 12.51 12.91 6.46 09033251 A Ablate heart dysrhythm focus 28.92 NA NA 14.11 14.27 7.01 09033254 A Ablate atria lmtd 23.71 NA NA 12.21 12.45 5.92 09033255 A Ablate atria w/o bypass ext 29.04 NA NA 13.97 14.77 7.25 09033256 A Ablate atria w/bypass exten 34.90 NA NA 16.09 17.04 8.75 09033257 A Ablate atria lmtd add-on 9.63 NA NA 5.82 6.00 2.31 ZZZ33258 A Ablate atria x10sv add-on 11.00 NA NA 6.34 6.55 2.63 ZZZ33259 A Ablate atria w/bypass add-on 14.14 NA NA 8.21 8.49 3.43 ZZZ3325F I Preop asses 4 cataract surg 0.00 0.00 0.00 0.00 0.00 0.00 XXX33261 A Ablate heart dysrhythm focus 28.92 NA NA 13.43 13.85 7.23 09033265 A Ablate atria lmtd endo 23.71 NA NA 11.84 12.22 5.65 09033266 A Ablate atria x10sv endo 33.04 NA NA 15.23 15.83 7.98 09033282 A Implant pat-active ht record 4.80 NA NA 3.43 4.24 1.05 09033284 A Remove pat-active ht record 3.14 NA NA 2.79 3.44 0.68 09033300 A Repair of heart wound 44.97 NA NA 19.17 18.53 10.74 09033305 A Repair of heart wound 76.93 NA NA 30.48 29.49 18.43 0903330F I Imaging study ordered (bkp) 0.00 0.00 0.00 0.00 0.00 0.00 XXX33310 A Exploratory heart surgery 20.34 NA NA 10.44 10.73 4.49 090CMS-1582-PN 257CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33315 A Exploratory heart surgery 35.00 NA NA 14.60 14.24 8.41 0903331F I Bk imaging tst not ordered 0.00 0.00 0.00 0.00 0.00 0.00 XXX33320 A Repair major blood vessel(s) 18.54 NA NA 9.52 9.78 4.30 09033321 A Repair major vessel 20.81 NA NA 10.55 10.78 4.87 09033322 A Repair major blood vessel(s) 24.42 NA NA 12.26 12.57 5.87 09033330 A Insert major vessel graft 25.29 NA NA 12.17 12.22 6.33 09033332 A Insert major vessel graft 24.56 NA NA 11.75 12.33 6.12 09033335 A Insert major vessel graft 33.91 NA NA 15.58 15.96 8.18 09033400 A Repair of aortic valve 41.50 NA NA 18.50 19.12 9.89 09033401 A Valvuloplasty open 24.63 NA NA 12.33 14.14 5.38 09033403 A Valvuloplasty w/cp bypass 25.61 NA NA 13.23 14.13 6.40 09033404 A Prepare heart-aorta conduit 31.37 NA NA 14.69 15.48 7.34 09033405 A Replacement of aortic valve 41.32 NA NA 18.83 19.65 9.92 09033406 A Replacement of aortic valve 52.68 NA NA 22.65 23.36 12.77 09033410 A Replacement of aortic valve 46.41 NA NA 20.63 21.04 11.15 09033411 A Replacement of aortic valve 62.07 NA NA 24.85 25.09 14.93 09033412 A Replacement of aortic valve 59.00 NA NA 22.90 22.61 14.77 09033413 A Replacement of aortic valve 59.87 NA NA 24.98 25.98 14.02 09033414 A Repair of aortic valve 39.37 NA NA 16.93 17.80 9.84 09033415 A Revision subvalvular tissue 37.27 NA NA 16.29 16.37 8.52 09033416 A Revise ventricle muscle 36.56 NA NA 17.07 17.20 8.81 09033417 A Repair of aortic valve 29.33 NA NA 14.56 15.13 7.04 09033420 A Revision of mitral valve 25.79 NA NA 15.71 13.64 3.54 09033422 A Revision of mitral valve 29.73 NA NA 14.39 14.95 7.42 09033425 A Repair of mitral valve 49.96 NA NA 21.93 21.63 11.99 09033426 A Repair of mitral valve 43.28 NA NA 19.61 20.20 10.41 09033427 A Repair of mitral valve 44.83 NA NA 19.50 20.46 10.78 09033430 A Replacement of mitral valve 50.93 NA NA 23.06 23.34 12.26 09033460 A Revision of tricuspid valve 44.70 NA NA 18.33 18.54 11.17 09033463 A Valvuloplasty tricuspid 57.08 NA NA 24.16 23.79 13.79 090CMS-1582-PN 258CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33464 A Valvuloplasty tricuspid 44.62 NA NA 19.99 19.86 10.74 09033465 A Replace tricuspid valve 50.72 NA NA 21.76 21.54 12.29 09033468 A Revision of tricuspid valve 45.13 NA NA 18.15 17.91 11.30 09033470 A Revision of pulmonary valve 21.54 NA NA 12.45 12.11 5.05 09033471 A Valvotomy pulmonary valve 22.96 NA NA 13.03 12.75 1.62 09033472 A Revision of pulmonary valve 23.06 NA NA 11.04 11.84 1.63 09033474 A Revision of pulmonary valve 39.40 NA NA 17.25 16.70 9.23 09033475 A Replacement pulmonary valve 42.40 NA NA 18.71 19.12 10.60 09033476 A Revision of heart chamber 26.57 NA NA 13.27 13.32 6.64 09033478 A Revision of heart chamber 27.54 NA NA 13.47 14.02 6.89 09033496 A Repair prosth valve clot 29.84 NA NA 14.15 14.62 6.98 09033500 A Repair heart vessel fistula 27.94 NA NA 13.22 13.73 6.98 09033501 A Repair heart vessel fistula 19.51 NA NA 9.87 10.11 4.89 09033502 A Coronary artery correction 21.85 NA NA 11.49 11.88 5.46 09033503 A Coronary artery graft 22.51 NA NA 11.53 13.49 4.93 09033504 A Coronary artery graft 25.46 NA NA 12.79 13.09 6.36 09033505 A Repair artery w/tunnel 38.40 NA NA 15.32 15.65 9.60 09033506 A Repair artery translocation 37.85 NA NA 22.85 20.01 8.87 09033507 A Repair art intramural 31.40 NA NA 13.42 14.26 7.35 09033508 A Endoscopic vein harvest 0.31 NA NA 0.11 0.12 0.07 ZZZ33510 A Cabg vein single 34.98 NA NA 16.23 16.97 8.41 09033511 A Cabg vein two 38.45 NA NA 17.68 18.43 9.25 09033512 A Cabg vein three 43.98 NA NA 19.73 20.43 10.60 09033513 A Cabg vein four 45.37 NA NA 20.10 20.53 10.97 09033514 A Cabg vein five 48.08 NA NA 20.98 21.75 11.54 09033516 A Cabg vein six or more 49.76 NA NA 21.68 22.62 12.43 09033517 A Cabg artery-vein single 3.61 NA NA 1.31 1.33 0.86 ZZZ33518 A Cabg artery-vein two 7.93 NA NA 2.89 2.88 1.91 ZZZ33519 A Cabg artery-vein three 10.49 NA NA 3.82 3.85 2.52 ZZZ3351F I Neg scrn dep symp by deptool 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 259CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33521 A Cabg artery-vein four 12.59 NA NA 4.60 4.67 3.05 ZZZ33522 A Cabg artery-vein five 14.14 NA NA 5.17 5.30 3.43 ZZZ33523 A Cabg art-vein six or more 16.08 NA NA 5.83 6.01 3.87 ZZZ3352F I No sig dep symp by dep tool0.00 0.00 0.000.00 0.00 0.00 XXX33530 A Coronary artery bypass/reop 10.13 NA NA 3.68 3.65 2.42 ZZZ33533 A Cabg arterial single 33.75 NA NA 15.61 16.52 8.13 09033534 A Cabg arterial two 39.88 NA NA 18.18 19.06 9.58 09033535 A Cabg arterial three 44.75 NA NA 19.95 20.82 10.75 09033536 A Cabg arterial four or more 48.43 NA NA 21.34 21.96 11.70 0903353F I Mild-mod dep symp by deptool 0.00 0.00 0.00 0.00 0.00 0.00 XXX33542 A Removal of heart lesion 48.21 NA NA 21.06 20.83 11.64 09033545 A Repair of heart damage 57.06 NA NA 24.16 24.08 13.68 09033548 A Restore/remodel ventricle 54.14 NA NA 23.96 24.76 13.11 0903354F I Clin sig dep sym by dep tool 0.00 0.00 0.00 0.00 0.00 0.00 XXX33572 A Open coronary endarterectomy 4.44 NANA 1.61 1.69 1.08 ZZZ33600 A Closure of valve 30.31 NA NA 14.64 14.96 7.08 09033602 A Closure of valve 29.34 NA NA 14.29 14.31 6.25 09033606 A Anastomosis/artery-aorta 31.53 NA NA 16.97 16.46 6.72 09033608 A Repair anomaly w/conduit 31.88 NA NA 15.19 15.98 7.46 09033610 A Repair by enlargement 31.40 NA NA 14.86 15.46 7.35 09033611 A Repair double ventricle 35.57 NA NA 15.36 16.04 8.90 09033612 A Repair double ventricle 36.57 NA NA 15.54 16.18 7.98 09033615 A Repair modified fontan 35.89 NA NA 16.21 17.26 8.41 09033617 A Repair single ventricle 39.09 NA NA 17.38 17.73 9.16 09033619 A Repair single ventricle 48.76 NA NA 25.72 23.63 11.42 09033620 A Apply r&l pulm art bands 30.00 NA NA 13.40 13.40 7.50 09033621 A Transthor cath for stent 16.18 NA NA 7.39 7.39 3.76 09033622 A Redo compl cardiac anomaly 64.00 NA NA 28.20 28.20 14.98 09033641 A Repair heart septum defect 29.58 NA NA 13.76 13.70 7.12 09033645 A Revision of heart veins 31.30 NA NA 13.46 13.55 7.82 090CMS-1582-PN 260CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33647 A Repair heart septum defects 33.00 NA NA 14.07 14.49 8.25 09033660 A Repair of heart defects 31.83 NA NA 20.04 17.56 7.96 09033665 A Repair of heart defects 34.85 NA NA 15.11 15.75 8.74 09033670 A Repair of heart chambers 36.63 NA NA 14.78 15.45 9.17 09033675 A Close mult vsd 35.95 NA NA 15.37 16.00 8.98 09033676 A Close mult vsd w/resection 36.95 NA NA 18.56 18.12 2.63 09033677 A Cl mult vsd w/rem pul band 38.45 NA NA 13.36 15.78 2.74 09033681 A Repair heart septum defect 32.34 NA NA 16.15 16.46 7.80 09033684 A Repair heart septum defect 34.37 NA NA 14.94 15.57 8.60 09033688 A Repair heart septum defect 34.75 NA NA 14.22 14.56 8.70 09033690 A Reinforce pulmonary artery 20.36 NA NA 13.21 12.29 4.76 09033692 A Repair of heart defects 36.15 NA NA 16.58 16.19 2.56 09033694 A Repair of heart defects 35.57 NA NA 15.19 16.18 8.90 09033697 A Repair of heart defects 37.57 NA NA 16.36 18.53 8.19 09033702 A Repair of heart defects 27.24 NA NA 13.21 13.52 6.81 09033710 A Repair of heart defects 37.50 NA NA 15.48 16.44 8.78 09033720 A Repair of heart defect 27.26 NA NA 13.08 13.71 6.38 09033722 A Repair of heart defect 29.21 NA NA 15.24 14.53 7.29 09033724 A Repair venous anomaly 27.63 NA NA 12.54 13.49 6.45 09033726 A Repair pul venous stenosis 37.12 NA NA 19.30 18.54 9.28 09033730 A Repair heart-vein defect(s) 36.14 NA NA 16.05 15.93 9.05 09033732 A Repair heart-vein defect 28.96 NA NA 14.16 14.68 7.24 09033735 A Revision of heart chamber 22.20 NA NA 11.66 11.92 5.57 09033736 A Revision of heart chamber 24.32 NA NA 12.40 12.86 6.07 09033737 A Revision of heart chamber 22.47 NA NA 11.41 11.89 5.27 09033750 A Major vessel shunt 22.22 NA NA 9.50 12.09 7.98 09033755 A Major vessel shunt 22.60 NA NA 11.92 11.96 4.94 09033762 A Major vessel shunt 22.60 NA NA 12.35 12.19 1.61 09033764 A Major vessel shunt & graft 22.60 NA NA 13.16 12.34 4.83 09033766 A Major vessel shunt 23.57 NA NA 11.15 12.55 5.13 090CMS-1582-PN 261CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33767 A Major vessel shunt 25.30 NA NA 11.88 12.05 6.33 09033768 A Cavopulmonary shunting8.00 NA NA 3.513.40 0.56 ZZZ33770 A Repair great vessels defect 39.07 NA NA 15.94 16.78 9.16 09033771 A Repair great vessels defect 40.63 NA NA 19.28 18.41 2.90 09033774 A Repair great vessels defect 31.73 NA NA 15.18 15.89 7.93 09033775 A Repair great vessels defect 32.99 NA NA 17.61 17.45 2.33 09033776 A Repair great vessels defect 34.75 NA NA 18.72 18.53 2.45 09033777 A Repair great vessels defect 34.17 NA NA 12.30 14.80 2.42 09033778 A Repair great vessels defect 42.75 NA NA 21.61 21.14 3.05 09033779 A Repair great vessels defect 43.23 NA NA 20.70 20.08 3.09 09033780 A Repair great vessels defect 43.90 NA NA 21.18 21.07 3.13 09033781 A Repair great vessels defect 43.21 NA NA 20.41 19.52 3.09 09033782 A Nikaidoh proc 60.08 NA NA 24.03 24.03 14.07 09033783 A Nikaidoh proc w/ostia implt 65.08 NA NA 25.79 25.79 15.24 09033786 A Repair arterial trunk 41.87 NA NA 17.27 18.27 2.98 09033788 A Revision of pulmonary artery 27.42 NA NA 12.49 13.26 1.93 09033800 A Aortic suspension 17.28 NA NA 8.48 8.59 4.31 09033802 A Repair vessel defect 18.37 NA NA 11.96 11.01 4.60 09033803 A Repair vessel defect 20.31 NA NA 9.68 9.78 5.08 09033813 A Repair septal defect 21.36 NA NA 12.33 13.02 5.01 09033814 A Repair septal defect 26.57 NA NA 13.18 13.72 6.64 09033820 A Revise major vessel 16.69 NA NA 8.71 9.16 4.18 09033822 A Revise major vessel 17.71 NA NA 10.09 10.08 1.25 09033824 A Revise major vessel 20.23 NA NA 11.80 11.56 4.74 09033840 A Remove aorta constriction 21.34 NA NA 13.25 12.10 5.34 09033845 A Remove aorta constriction 22.93 NA NA 11.91 13.02 5.73 09033851 A Remove aorta constriction 21.98 NA NA 18.42 15.11 5.48 09033852 A Repair septal defect 24.41 NA NA 11.77 12.41 6.10 09033853 A Repair septal defect 32.51 NA NA 15.25 16.71 8.14 09033860 A Ascending aortic graft 59.46 NA NA 24.99 25.06 14.25 090CMS-1582-PN 262CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33863 A Ascending aortic graft 58.79 NA NA 23.92 24.53 14.07 09033864 A Ascending aortic graft 60.08 NA NA 24.32 25.30 14.32 09033870 A Transverse aortic arch graft 46.06 NA NA 20.01 20.87 11.00 09033875 A Thoracic aortic graft 50.72 NA NA 22.33 20.86 12.12 09033877 A Thoracoabdominal graft 69.03 NA NA 26.54 26.18 16.35 09033880 A Endovasc taa repr incl subcl 34.58 NA NA 13.59 14.32 7.72 09033881 A Endovasc taa repr w/o subcl 29.58 NA NA 11.96 12.53 6.60 09033883 A Insert endovasc prosth taa 21.09 NA NA 9.12 9.52 4.70 09033884 A Endovasc prosth taa add-on8.20 NA NA 2.762.83 1.84 ZZZ33886 A Endovasc prosth delayed 18.09 NA NA 7.94 8.26 4.30 09033889 A Artery transpose/endovas taa 15.92 NA NA 5.46 5.49 3.78 00033891 A Car-car bp grft/endovas taa 20.00 NA NA 5.94 6.36 4.75 00033910 A Remove lung artery emboli 48.21 NA NA 20.26 18.80 12.04 09033915 A Remove lung artery emboli 24.95 NA NA 11.10 11.40 5.44 09033916 A Surgery of great vessel 78.00 NA NA 29.74 26.33 19.49 09033917 A Repair pulmonary artery 25.30 NA NA 12.87 14.10 5.92 09033920 A Repair pulmonary atresia 32.74 NA NA 14.50 15.15 8.18 09033922 A Transect pulmonary artery 24.22 NA NA 12.02 12.42 6.06 09033924 A Remove pulmonary shunt 5.49 NA NA 1.91 1.99 1.28 ZZZ33925 A Rpr pul art unifocal w/o cpb 31.30 NA NA 13.54 14.60 7.32 09033926 A Repr pul art unifocal w/cpb 44.73 NA NA 26.73 21.91 11.17 09033930 X Removal of donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX33933 C Prepare donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX33935 R Transplantation heart/lung 91.78 NA NA 36.50 34.78 22.94 09033940 X Removal of donor heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX33944 C Prepare donor heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX33945 R Transplantation of heart 89.50 NA NA 37.34 37.02 21.34 09033960 A External circulation assist 19.33 NA NA 7.10 7.08 3.82 00033961 A External circulation assist 10.91 NA NA 4.00 4.13 1.66 ZZZ33967 A Insert ia percut device 4.84 NA NA 1.87 2.34 1.08 000CMS-1582-PN 263CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global33968 A Remove aortic assist device 0.64 NA NA 0.25 0.28 0.14 00033970 A Aortic circulation assist 6.74 NA NA 2.49 2.84 1.57 00033971 A Aortic circulation assist 11.99 NA NA 6.70 7.20 2.80 09033973 A Insert balloon device 9.75 NA NA 3.65 4.17 2.26 00033974 A Remove intra-aortic balloon 15.03 NA NA 7.89 8.94 3.77 09033975 A Implant ventricular device 25.00 NA NA 8.47 8.38 5.95 XXX33976 A Implant ventricular device 30.75 NA NA 10.16 10.00 7.68 XXX33977 A Remove ventricular device 20.86 NA NA 8.16 9.14 4.96 XXX33978 A Remove ventricular device 25.00 NA NA 9.60 10.36 6.26 XXX33979 A Insert intracorporeal device 37.50 NA NA 12.55 13.82 8.98 XXX33980 A Remove intracorporeal device 33.50 NA NA 12.48 16.96 8.08 XXX33981 A Replace vad pump ext 16.11 NA NA 6.56 6.56 4.02 XXX33982 A Replace vad intra w/o bp 37.86 NA NA 15.43 15.43 9.07 XXX33983 A Replace vad intra w/bp 44.54 NA NA 18.15 18.15 10.67 XXX33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY34001 A Removal of artery clot 17.88 NA NA 8.81 8.60 4.07 09034051 A Removal of artery clot 16.99 NA NA 9.07 9.16 4.25 09034101 A Removal of artery clot 10.93 NA NA 5.65 5.69 2.46 09034111 A Removal of arm artery clot 10.93 NA NA 5.67 5.70 2.44 09034151 A Removal of artery clot 26.52 NA NA 11.75 11.58 5.97 09034201 A Removal of artery clot 19.48 NA NA 8.77 8.36 4.48 09034203 A Removal of leg artery clot 17.86 NA NA 8.43 8.51 4.11 09034401 A Removal of vein clot 26.52 NA NA 14.53 13.90 5.66 09034421 A Removal of vein clot 13.37 NA NA 6.83 6.86 2.97 09034451 A Removal of vein clot 28.52 NA NA 10.32 11.37 6.78 09034471 A Removal of vein clot 21.11 NA NA 12.18 10.41 4.50 09034490 A Removal of vein clot 10.91 NA NA 6.03 5.95 2.42 09034501 A Repair valve femoral vein 16.85 NA NA 7.48 8.24 4.00 09034502 A Reconstruct vena cava 28.07 NA NA 13.11 13.45 5.89 0903450F I Dyspnea scrnd no-mild dysp 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 264CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global34510 A Transposition of vein valve 19.91 NA NA 11.68 10.62 4.23 0903451F I Dyspnea scrnd mod-high dysp 0.00 0.00 0.00 0.00 0.00 0.00 XXX34520 A Cross-over vein graft 19.18 NA NA 7.66 8.35 4.55 0903452F I Dyspnea not screened 0.00 0.00 0.00 0.00 0.00 0.00 XXX34530 A Leg vein fusion 17.93 NA NA 7.59 8.30 3.82 09034800 A Endovas aaa repr w/sm tube 21.54 NA NA 9.02 9.52 4.57 09034802 A Endovas aaa repr w/2-p part 23.79 NA NA 10.09 10.50 5.09 09034803 A Endovas aaa repr w/3-p part 24.82 NA NA 10.18 10.53 5.34 09034804 A Endovas aaa repr w/1-p part 23.79 NA NA 10.07 10.49 5.14 09034805 A Endovas aaa repr w/long tube 22.67 NA NA 9.58 9.77 5.04 09034806 A Aneurysm presssensor add-on 2.06 NANA 0.69 0.74 0.45 ZZZ34808 A Endovas iliaca device addon 4.12 NA NA1.42 1.44 0.90 ZZZ34812 A Xpose for endoprosth femorl 6.74 NA NA 2.33 2.33 1.55 00034813 A Femoral endovas graft add-on 4.79 NA NA 1.61 1.61 1.10 ZZZ34820 A Xpose for endoprosth iliac 9.74 NA NA 3.33 3.39 2.18 00034825 A Endovasc extend prosth init 12.80 NA NA 6.25 6.54 2.75 09034826 A Endovasc extenprosth addl 4.12 NANA 1.43 1.48 0.88 ZZZ34830 A Open aortic tube prosth repr 35.23 NA NA 12.40 13.45 8.36 09034831 A Open aortoiliac prosth repr 37.98 NA NA 13.22 13.86 9.02 09034832 A Open aortofemor prosth repr 37.98 NA NA 13.22 14.33 9.02 09034833 A Xpose for endoprosth iliac 11.98 NA NA 4.38 4.48 2.79 00034834 A Xpose endoprosth brachial 5.34 NA NA 2.05 2.12 1.24 00034900 A Endovasc iliac repr w/graft 16.85 NA NA 7.60 7.93 3.58 0903491F I Hiv unsure baby of hiv+moms 0.00 0.00 0.00 0.00 0.00 0.00 XXX3497F I Cd4+ cell percentage <15% 0.00 0.00 0.00 0.00 0.00 0.00 XXX3498F I Cd4+ cell % >=15% (hiv) 0.00 0.00 0.00 0.00 0.00 0.00 XXX35001 A Repair defect of artery 20.81 NA NA 9.69 10.00 4.82 09035002 A Repair artery rupture neck 22.23 NA NA 8.53 9.52 4.75 09035005 A Repair defect of artery 19.29 NA NA 11.52 10.75 4.57 09035011 A Repair defect of artery 18.58 NA NA 8.66 8.62 4.22 090CMS-1582-PN 265CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global35013 A Repair artery rupture arm 23.23 NA NA 11.10 10.81 5.28 09035021 A Repair defect of artery 22.17 NA NA 8.74 9.93 5.20 09035022 A Repair artery rupture chest 25.70 NA NA 12.10 11.99 6.02 09035045 A Repair defect of arm artery 18.01 NA NA 9.15 8.80 4.00 09035081 A Repair defect of artery 33.53 NA NA 14.38 14.14 7.77 09035082 A Repair artery rupture aorta 42.09 NA NA 17.66 17.39 9.66 09035091 A Repair defect of artery 35.35 NA NA 13.33 13.62 8.19 09035092 A Repair artery rupture aorta 50.97 NA NA 19.63 19.62 11.79 09035102 A Repair defect of artery 36.53 NA NA 15.01 14.90 8.45 09035103 A Repair artery rupture groin 43.62 NA NA 17.28 17.32 9.99 0903510F I Doc tb scrng-rslts interpd 0.00 0.00 0.00 0.00 0.00 0.00 XXX35111 A Repair defect of artery 26.28 NA NA 14.43 13.01 5.61 09035112 A Repair artery rupture spleen 32.57 NA NA 17.32 15.60 6.94 09035121 A Repair defect of artery 31.52 NA NA 13.58 13.36 7.25 09035122 A Repair artery rupture belly 37.89 NA NA 13.19 14.50 8.08 09035131 A Repair defect of artery 26.40 NA NA 11.54 11.63 6.10 09035132 A Repair artery rupture groin 32.57 NA NA 11.61 12.57 7.44 0903513F I Hep b scrng docd as done 0.00 0.00 0.00 0.00 0.00 0.00 XXX35141 A Repair defect of artery 20.91 NA NA 9.30 9.35 4.83 09035142 A Repair artery rupture thigh 25.16 NA NA 10.96 11.09 5.78 0903514F I Hep c scrng docd as done 0.00 0.00 0.00 0.00 0.00 0.00 XXX35151 A Repair defect of artery 23.72 NA NA 10.35 10.42 5.47 09035152 A Repair artery rupture knee 27.66 NA NA 10.15 11.14 6.57 0903515F I Pt has docd immun to hep c 0.00 0.00 0.00 0.00 0.00 0.00 XXX35180 A Repair blood vessel lesion 15.10 NA NA 11.34 10.08 3.58 09035182 A Repair blood vessel lesion 31.71 NA NA 14.73 14.96 6.76 09035184 A Repair blood vessel lesion 18.82 NA NA 9.29 9.07 4.01 09035188 A Repair blood vessel lesion 18.00 NA NA 6.46 6.82 3.85 09035189 A Repair blood vessel lesion 29.98 NA NA 16.19 14.69 7.50 09035190 A Repair blood vessel lesion 13.42 NA NA 7.11 7.05 3.06 090CMS-1582-PN 266CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global35201 A Repair blood vessel lesion 16.93 NA NA 8.76 8.66 3.76 09035206 A Repair blood vessel lesion 13.84 NA NA 7.37 7.20 3.06 09035207 A Repair blood vessel lesion 10.94 NA NA 9.85 9.19 1.93 09035211 A Repair blood vessel lesion 24.58 NA NA 12.00 12.26 5.91 09035216 A Repair blood vessel lesion 36.61 NA NA 17.86 16.92 8.64 09035221 A Repair blood vessel lesion 26.62 NA NA 12.22 11.72 5.83 09035226 A Repair blood vessel lesion 15.30 NA NA 7.36 7.56 3.52 09035231 A Repair blood vessel lesion 21.16 NA NA 11.47 11.15 4.16 09035236 A Repair blood vessel lesion 18.02 NA NA 8.69 8.62 3.99 09035241 A Repair blood vessel lesion 25.58 NA NA 13.22 13.13 6.30 09035246 A Repair blood vessel lesion 28.23 NA NA 10.44 12.01 6.70 09035251 A Repair blood vessel lesion 31.91 NA NA 13.92 13.41 7.00 09035256 A Repair blood vessel lesion 19.06 NA NA 8.59 8.68 4.36 09035261 A Repair blood vessel lesion 18.96 NA NA 9.51 9.40 4.64 09035266 A Repair blood vessel lesion 15.83 NA NA 7.72 7.67 3.62 09035271 A Repair blood vessel lesion 24.58 NA NA 12.01 12.24 6.14 09035276 A Repair blood vessel lesion 25.83 NA NA 12.55 12.75 6.04 09035281 A Repair blood vessel lesion 30.06 NA NA 13.68 13.29 6.79 09035286 A Repair blood vessel lesion 17.19 NA NA 8.39 8.47 3.96 09035301 A Rechanneling of artery 19.61 NA NA 9.03 9.05 4.56 09035302 A Rechanneling of artery 21.35 NA NA 9.38 9.15 4.93 09035303 A Rechanneling of artery 23.60 NA NA 10.40 10.05 5.43 09035304 A Rechanneling of artery 24.60 NA NA 10.46 10.22 5.65 09035305 A Rechanneling of artery 23.60 NA NA 10.27 9.96 5.43 09035306 A Rechanneling of artery 9.25 NA NA 4.02 3.50 2.19 ZZZ35311 A Rechanneling of artery 28.60 NA NA 12.22 12.45 6.70 09035321 A Rechanneling of artery 16.59 NA NA 7.83 7.84 3.77 09035331 A Rechanneling of artery 27.72 NA NA 12.12 12.27 6.44 09035341 A Rechanneling of artery 26.21 NA NA 10.89 11.14 6.06 09035351 A Rechanneling of artery 24.61 NA NA 10.49 10.45 5.65 090CMS-1582-PN 267CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global35355 A Rechanneling of artery 19.86 NA NA 8.54 8.60 4.56 09035361 A Rechanneling of artery 30.24 NA NA 10.92 11.89 7.19 09035363 A Rechanneling of artery 32.35 NA NA 14.26 14.57 7.57 09035371 A Rechanneling of artery 15.31 NA NA 7.24 7.24 3.52 09035372 A Rechanneling of artery 18.58 NA NA 8.26 8.32 4.26 09035390 A Reoperation carotid add-on 3.19 NA NA 1.11 1.12 0.73 ZZZ35400 A Angioscopy 3.00 NA NA 1.01 1.05 0.68 ZZZ35450 A Repair arterial blockage 10.05 NA NA 3.80 3.91 2.25 00035452 A Repair arterial blockage 6.90 NA NA 2.78 2.80 1.58 00035458 A Repair arterial blockage 9.48 NA NA 3.78 3.78 2.14 00035460 A Repair venous blockage 6.03 NA NA 2.53 2.47 1.32 00035471 A Repair arterial blockage 10.05 60.97 74.92 3.97 4.78 1.99 00035472 A Repair arterial blockage 6.90 47.54 54.63 2.78 3.09 1.44 00035475 R Repair arterial blockage 9.48 53.95 57.34 3.76 4.08 1.52 00035476 A Repair venous blockage 6.03 42.20 44.78 2.51 2.70 0.83 00035500 A Harvest vein for bypass 6.44 NA NA 2.21 2.21 1.50 ZZZ35501 A Artery bypass graft 29.09 NA NA 14.22 13.89 6.70 09035506 A Artery bypass graft 25.33 NA NA 10.69 11.00 6.02 09035508 A Artery bypass graft 26.09 NA NA 12.28 12.11 6.52 09035509 A Artery bypass graft 28.09 NA NA 11.98 12.42 6.67 0903550F I Low rsk thromboembolism 0.00 0.00 0.00 0.00 0.00 0.00 XXX35510 A Artery bypass graft 24.39 NA NA 8.92 9.82 5.78 09035511 A Artery bypass graft 22.20 NA NA 12.92 11.62 5.28 09035512 A Artery bypass graft 23.89 NA NA 8.77 9.53 5.68 09035515 A Artery bypass graft 26.09 NA NA 9.93 10.13 6.19 09035516 A Artery bypass graft 24.21 NA NA 8.83 9.03 5.74 09035518 A Artery bypass graft 22.65 NA NA 8.27 9.29 5.38 0903551F I Intrmed rsk thromboembolism 0.00 0.00 0.00 0.00 0.00 0.00 XXX35521 A Artery bypass graft 24.13 NA NA 13.65 12.15 5.73 09035522 A Artery bypass graft 23.15 NA NA 10.14 10.20 5.48 090CMS-1582-PN 268CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global35523 A Artery bypass graft 24.13 NA NA 10.83 11.14 5.48 09035525 A Artery bypass graft 21.69 NA NA 9.76 9.67 4.83 09035526 A Artery bypass graft 31.55 NA NA 11.34 12.76 7.89 0903552F I Hgh risk forthromboembolism 0.00 0.000.00 0.00 0.00 0.00 XXX35531 A Artery bypass graft 39.11 NA NA 16.17 16.07 8.91 09035533 A Artery bypass graft 29.92 NA NA 16.16 14.60 7.10 09035535 A Artery bypass graft 38.13 NA NA 13.31 14.94 2.71 09035536 A Artery bypass graft 33.73 NA NA 11.96 12.80 8.02 09035537 A Artery bypass graft 41.88 NA NA 21.49 19.21 9.94 09035538 A Artery bypass graft 47.03 NA NA 23.78 21.43 11.16 09035539 A Artery bypass graft 44.11 NA NA 15.12 15.96 10.48 09035540 A Artery bypass graft 49.33 NA NA 20.90 19.93 11.35 09035548 A Artery bypass graft 22.68 NA NA 8.67 9.47 5.39 09035549 A Artery bypass graft 24.45 NA NA 16.06 13.75 5.21 09035551 A Artery bypass graft 27.83 NA NA 15.24 14.13 5.95 09035556 A Artery bypass graft 26.75 NA NA 11.63 11.46 6.14 09035558 A Artery bypass graft 23.13 NA NA 10.80 10.66 5.34 0903555F I Pt inr measurement performed 0.00 0.00 0.00 0.00 0.00 0.00 XXX35560 A Artery bypass graft 34.03 NA NA 12.05 13.22 8.08 09035563 A Artery bypass graft 26.12 NA NA 9.70 10.41 6.19 09035565 A Artery bypass graft 25.13 NA NA 11.01 11.06 5.74 09035566 A Artery bypass graft 32.35 NA NA 13.46 13.30 7.50 09035570 A Artery bypass graft 29.15 NA NA 10.74 12.05 2.07 09035571 A Artery bypass graft 25.52 NA NA 10.92 11.05 5.89 09035572 A Harvest femoropopliteal vein 6.81 NA NA 2.47 2.54 1.59 ZZZ35583 A Vein bypass graft 27.75 NA NA 11.99 11.76 6.36 09035585 A Vein bypass graft 32.35 NA NA 13.77 13.59 7.40 09035587 A Vein bypass graft 26.21 NA NA 11.66 11.67 6.04 09035600 A Harvest art for cabg add-on 4.94 NA NA 1.84 1.92 1.20 ZZZ35601 A Artery bypass graft 27.09 NA NA 13.22 12.78 6.34 090CMS-1582-PN 269CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global35606 A Artery bypass graft 22.46 NA NA 9.59 9.70 5.25 09035612 A Artery bypass graft 20.35 NA NA 7.50 7.72 4.84 09035616 A Artery bypass graft 21.82 NA NA 12.00 10.67 4.65 09035621 A Artery bypass graft 21.03 NA NA 9.07 9.13 4.87 09035623 A Bypass graft not vein 25.92 NA NA 14.42 12.88 6.14 09035626 A Artery bypass graft 29.14 NA NA 12.85 13.20 6.98 09035631 A Artery bypass graft 36.03 NA NA 14.10 14.29 8.42 09035632 A Artery bypass graft 36.13 NA NA 12.72 14.27 2.57 09035633 A Artery bypass graft 39.11 NA NA 15.01 15.99 2.78 09035634 A Artery bypass graft 35.33 NA NA 13.53 14.54 2.50 09035636 A Artery bypass graft 31.75 NA NA 16.96 15.22 7.54 09035637 A Artery bypass graft 33.05 NA NA 13.98 13.73 7.65 09035638 A Artery bypass graft 33.60 NA NA 14.43 14.21 7.83 09035642 A Artery bypass graft 18.94 NA NA 11.89 10.88 4.49 09035645 A Artery bypass graft 18.43 NA NA 10.87 9.68 4.61 09035646 A Artery bypass graft 32.98 NA NA 13.87 13.98 7.59 09035647 A Artery bypass graft 29.73 NA NA 12.91 12.91 6.90 09035650 A Artery bypass graft 20.16 NA NA 9.25 9.16 4.60 09035651 A Artery bypass graft 26.08 NA NA 9.68 10.77 5.58 09035654 A Artery bypass graft 26.28 NA NA 11.31 11.33 6.07 09035656 A Artery bypass graft 20.47 NA NA 9.23 9.23 4.71 09035661 A Artery bypass graft 20.35 NA NA 9.48 9.51 4.70 09035663 A Artery bypass graft 23.93 NA NA 10.23 10.44 5.47 09035665 A Artery bypass graft 22.35 NA NA 9.82 9.91 5.12 09035666 A Artery bypass graft 23.66 NA NA 11.24 11.32 5.44 09035671 A Artery bypass graft 20.77 NA NA 9.96 10.06 4.78 09035681 A Composite bypass graft 1.60 NA NA 0.56 0.56 0.37 ZZZ35682 A Composite bypass graft 7.19 NA NA 2.37 2.41 1.66 ZZZ35683 A Composite bypass graft 8.49 NA NA 2.52 2.70 2.00 ZZZ35685 A Bypass graft patency/patch 4.04 NA NA 1.37 1.37 0.93 ZZZCMS-1582-PN 270CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global35686 A Bypass graft/av fist patency 3.34 NA NA 1.13 1.17 0.75 ZZZ35691 A Arterial transposition 18.41 NA NA 7.23 7.94 4.37 09035693 A Arterial transposition 15.73 NA NA 7.01 7.75 3.74 09035694 A Arterial transposition 19.28 NA NA 8.52 8.58 4.57 09035695 A Arterial transposition 20.06 NA NA 7.72 8.39 4.76 09035697 A Reimplant artery each 3.00 NA NA 1.02 1.03 0.69 ZZZ35700 A Reoperation bypass graft 3.08 NA NA 1.06 1.07 0.71 ZZZ35701 A Exploration carotid artery 9.19 NA NA 6.54 6.15 1.80 09035721 A Exploration femoral artery 7.72 NA NA 4.72 4.82 1.74 0903572F I Pt consid poss risk fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX3573F I Pt not consid poss risk fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX35741 A Exploration popliteal artery 8.69 NA NA 5.30 5.21 1.93 09035761 A Exploration of artery/vein 5.93 NA NA 4.81 4.65 1.29 09035800 A Explore neck vessels 12.00 NA NA 7.27 6.71 2.53 09035820 A Explore chest vessels 36.89 NA NA 15.96 15.46 8.83 09035840 A Explore abdominal vessels 20.75 NA NA 10.33 9.24 4.45 09035860 A Explore limb vessels 15.25 NA NA 7.42 6.64 3.48 09035870 A Repair vessel graft defect 24.50 NA NA 13.79 12.26 5.81 09035875 A Removal of clot in graft 10.72 NA NA 5.71 5.68 2.44 09035876 A Removal of clot in graft 17.82 NA NA 8.10 8.09 4.08 09035879 A Revise graft w/vein 17.41 NA NA 8.04 8.05 4.01 09035881 A Revise graft w/vein 19.35 NA NA 8.65 8.79 4.49 09035883 A Revise graft w/nonauto graft 23.15 NA NA 9.99 9.71 5.34 09035884 A Revise graft w/vein 24.65 NA NA 8.93 9.26 5.84 09035901 A Excision graft neck 8.38 NA NA 5.59 5.60 1.91 09035903 A Excision graft extremity 9.53 NA NA 6.14 6.18 2.15 09035905 A Excision graft thorax 33.52 NA NA 11.90 12.93 7.96 09035907 A Excision graft abdomen 37.27 NA NA 15.18 15.07 8.59 09036000 A Place needle in vein 0.18 0.48 0.53 0.08 0.08 0.03 XXX36002 A Pseudoaneurysm injection trt 1.96 2.44 2.70 0.95 1.04 0.30 000CMS-1582-PN 271CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global36005 A Injection ext venography 0.95 8.54 9.19 0.35 0.40 0.14 00036010 A Place catheter in vein 2.43 11.95 13.93 0.88 0.95 0.35 XXX36011 A Place catheter in vein 3.14 21.52 23.82 1.17 1.25 0.44 XXX36012 A Place catheter in vein 3.51 21.16 22.54 1.29 1.44 0.52 XXX36013 A Place catheter in artery 2.52 19.50 21.22 0.94 1.01 0.45 XXX36014 A Place catheter in artery 3.02 20.49 22.01 1.12 1.27 0.33 XXX36015 A Place catheter in artery 3.51 21.82 23.68 1.29 1.46 0.37 XXX36100 A Establish access to artery 3.02 10.80 12.14 1.13 1.29 0.67 XXX36120 A Establish access to artery 2.01 10.39 11.10 0.71 0.75 0.33 XXX36140 A Establish access to artery 2.01 10.60 11.95 0.73 0.81 0.39 XXX36147 A Access av dial grft for eval 3.72 20.11 20.11 1.43 1.43 0.50 XXX36148 A Access av dial grft for proc 1.00 6.55 6.55 0.37 0.37 0.12 ZZZ36160 A Establish access to aorta 2.52 11.11 12.64 0.90 1.06 0.38 XXX36200 A Place catheter in aorta 3.02 12.93 13.90 0.98 1.05 0.60 00036215 A Place catheter in artery 4.67 26.51 29.00 1.80 2.05 0.82 XXX36216 A Place catheter in artery 5.27 29.29 31.75 2.08 2.33 0.93 XXX36217 A Place catheter in artery 6.29 50.61 54.62 2.53 2.79 1.06 XXX36218 A Place catheter in artery 1.01 4.16 4.57 0.40 0.44 0.16 ZZZ36245 A Place catheter in artery 4.67 26.43 30.85 1.78 2.14 0.87 XXX36246 A Place catheter in artery 5.27 22.83 25.31 1.78 1.94 0.98 00036247 A Place catheter in artery 6.29 41.60 44.68 2.11 2.30 1.18 00036248 A Place catheter in artery 1.01 3.20 3.65 0.36 0.42 0.16 ZZZ36260 A Insertion of infusion pump 9.91 NA NA 7.17 6.52 2.12 09036261 A Revision of infusion pump 5.63 NA NA 4.99 4.59 1.33 09036262 A Removal of infusion pump 4.11 NA NA 4.05 3.73 0.87 09036299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY36400 A Bl draw < 3 yrs fem/jugular 0.38 0.52 0.43 0.08 0.09 0.05 XXX36405 A Bl draw < 3 yrs scalp vein 0.31 0.35 0.35 0.13 0.12 0.05 XXX36406 A Bl draw < 3 yrs other vein 0.18 0.28 0.30 0.07 0.07 0.03 XXX36410 A Non-routine bl draw > 3 yrs 0.18 0.27 0.33 0.08 0.07 0.03 XXXCMS-1582-PN 272CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global36415 X Routine venipuncture 0.00 0.00 0.00 0.00 0.00 0.00 XXX36416 B Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX36420 A Vein access cutdown < 1 yr 1.01 NA NA 0.23 0.27 0.12 XXX36425 A Vein access cutdown > 1 yr 0.76 NA NA 0.34 0.31 0.11 XXX36430 A Blood transfusion service 0.00 0.90 1.02 NA NA 0.01 XXX36440 A Bl push transfuse 2 yr or < 1.03 NA NA 0.50 0.42 0.24 XXX36450 A Bl exchange/transfuse nb 2.23 NA NA 1.09 1.03 0.11 XXX36455 A Bl exchange/transfuse non-nb 2.43 NA NA 0.85 0.99 0.14 XXX36460 A Transfusion service fetal 6.58 NA NA 3.06 2.71 1.40 XXX36468 R Injection(s) spider veins 0.00 0.00 0.00 0.00 0.00 0.00 00036469 R Injection(s) spider veins 0.00 0.00 0.00 0.00 0.00 0.00 00036470 A Injection therapy of vein 1.10 3.24 3.15 1.25 1.13 0.22 01036471 A Injection therapy of veins 1.65 3.18 3.18 1.04 1.03 0.33 01036475 A Endovenous rf 1st vein 6.72 43.76 46.32 2.77 2.73 1.42 00036476 A Endovenous rf vein add-on3.38 7.57 7.80 1.23 1.22 0.72 ZZZ36478 A Endovenous laser 1st vein 6.72 31.30 35.01 2.72 2.76 1.32 00036479 A Endovenouslaser vein addon 3.38 7.788.22 1.28 1.26 0.65 ZZZ36481 A Insertion of catheter vein 6.98 53.44 29.48 3.00 3.00 0.88 00036500 A Insertion of catheter vein 3.51 NA NA 1.35 1.48 0.53 0003650F I Eeg ordered rvwd reqstd 0.00 0.00 0.00 0.00 0.00 0.00 XXX36510 A Insertion of catheter vein 1.09 1.52 1.81 0.53 0.50 0.24 00036511 A Apheresis wbc 1.74 NA NA 0.89 0.82 0.27 00036512 A Apheresis rbc 1.74 NA NA 0.87 0.84 0.16 00036513 A Apheresis platelets 1.74 NA NA 0.98 0.91 0.34 00036514 A Apheresis plasma 1.74 12.13 13.33 0.80 0.77 0.27 00036515 A Apheresis adsorp/reinfuse 1.74 50.11 55.17 0.88 0.78 0.24 00036516 A Apheresis selective 1.22 54.14 61.60 0.56 0.53 0.35 00036522 A Photopheresis 1.67 34.80 38.36 1.20 1.19 0.16 00036555 A Insert non-tunnel cv cath 2.68 4.66 5.07 0.66 0.74 0.22 00036556 A Insert non-tunnel cv cath 2.50 3.92 4.13 0.84 0.80 0.31 000CMS-1582-PN 273CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global36557 A Insert tunneled cv cath 5.14 22.62 21.59 3.58 3.36 1.09 01036558 A Insert tunneled cv cath 4.84 16.82 18.39 2.80 2.94 0.72 01036560 A Insert tunneled cv cath 6.29 31.86 30.60 4.10 3.82 0.59 01036561 A Insert tunneled cv cath 6.04 26.73 27.95 3.59 3.52 1.10 01036563 A Insert tunneled cv cath 6.24 30.35 29.76 3.87 3.64 1.31 01036565 A Insert tunneled cv cath 6.04 21.50 22.48 3.33 3.31 1.29 01036566 A Insert tunneled cv cath 6.54 140.45 124.76 3.70 3.58 1.27 01036568 A Insert picc cath 1.92 5.85 6.73 0.75 0.76 0.18 00036569 A Insert picc cath 1.82 4.95 5.65 0.73 0.79 0.18 00036570 A Insert picvad cath 5.36 24.17 27.56 2.98 3.20 0.49 01036571 A Insert picvad cath 5.34 30.28 31.38 3.34 3.25 1.02 01036575 A Repair tunneled cv cath 0.67 3.85 4.04 0.30 0.30 0.10 00036576 A Repair tunneled cv cath 3.24 7.11 7.32 2.05 2.06 0.56 01036578 A Replace tunneled cv cath 3.54 10.48 11.13 2.37 2.47 0.53 01036580 A Replace cvad cath 1.31 4.57 5.16 0.54 0.55 0.16 00036581 A Replace tunneled cv cath 3.48 17.51 18.82 1.96 2.12 0.44 01036582 A Replace tunneled cv cath 5.24 25.46 26.57 3.11 3.17 0.88 01036583 A Replace tunneled cv cath 5.29 32.29 30.01 3.66 3.43 1.14 01036584 A Replace picc cath 1.20 4.34 5.05 0.66 0.71 0.11 00036585 A Replace picvad cath 4.84 25.61 27.34 2.86 3.00 0.67 01036589 A Removal tunneled cv cath 2.28 2.27 2.35 1.54 1.57 0.37 01036590 A Removal tunneled cv cath 3.35 4.65 4.52 2.22 2.14 0.63 01036591 T Draw blood off venous device 0.00 0.61 0.67 NA NA 0.01 XXX36592 T Collect blood from picc 0.00 0.69 0.75 NA NA 0.01 XXX36593 A Declot vascular device 0.00 0.82 0.84 NA NA 0.01 XXX36595 A Mech remov tunneled cv cath 3.59 11.87 13.52 1.52 1.68 0.39 00036596 A Mech remov tunneled cv cath 0.75 2.88 3.18 0.48 0.52 0.10 00036597 A Reposition venous catheter 1.21 2.20 2.41 0.48 0.54 0.11 00036598 T Inj w/fluor eval cv device 0.74 2.31 2.55 0.27 0.67 0.07 00036600 A Withdrawal of arterial blood 0.32 0.55 0.55 0.11 0.10 0.03 XXXCMS-1582-PN 274CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global36620 A Insertion catheter artery 1.15 NA NA 0.29 0.25 0.10 00036625 A Insertion catheter artery 2.11 NA NA 0.71 0.70 0.42 00036640 A Insertion catheter artery 2.10 NA NA 1.40 1.29 0.42 00036660 A Insertion catheter artery 1.40 NA NA 0.68 0.53 0.34 00036680 A Insert needle bone cavity 1.20 NA NA 0.34 0.37 0.22 00036800 A Insertion of cannula 2.43 NA NA 2.01 2.00 0.42 00036810 A Insertion of cannula 3.96 NA NA 1.80 1.74 0.73 00036815 A Insertion of cannula 2.62 NA NA 1.46 1.42 0.56 00036818 A Av fuse uppr arm cephalic 11.89 NA NA 6.34 6.26 2.65 09036819 A Av fuse uppr arm basilic 13.29 NA NA 6.49 6.53 2.98 09036820 A Av fusion/forearm vein 14.47 NA NA 7.49 7.24 3.24 09036821 A Av fusion direct any site 12.11 NA NA 6.62 6.43 2.71 09036822 A Insertion of cannula(s) 5.57 NA NA 4.69 4.79 1.29 09036823 A Insertion of cannula(s) 22.98 NA NA 12.41 11.91 5.01 09036825 A Artery-vein autograft 14.17 NA NA 7.24 6.78 3.17 09036830 A Artery-vein nonautograft 12.03 NA NA 5.78 5.68 2.71 09036831 A Open thrombect av fistula 8.04 NA NA 4.43 4.34 1.80 09036832 A Av fistula revision open 10.53 NA NA 5.26 5.15 2.34 09036833 A Av fistula revision 11.98 NA NA 5.83 5.70 2.69 09036835 A Artery to vein shunt 7.51 NA NA 5.92 5.51 1.78 09036838 A Dist revas ligation hemo 21.69 NA NA 9.44 9.52 4.94 09036860 A External cannula declotting 2.01 3.79 3.71 1.04 0.94 0.26 00036861 A Cannula declotting 2.52 NA NA 1.61 1.62 0.48 00036870 A Percut thrombect av fistula 5.20 46.24 49.76 3.10 3.35 0.68 0903700F I Psych disorders assessed 0.00 0.00 0.00 0.00 0.00 0.00 XXX37140 A Revision of circulation 40.00 NA NA 19.84 17.69 8.53 09037145 A Revision of circulation 37.00 NA NA 18.52 17.00 8.07 09037160 A Revision of circulation 38.00 NA NA 19.03 16.85 8.13 09037180 A Revision of circulation 36.50 NA NA 18.38 16.57 7.80 09037181 A Splice spleen/kidney veins 40.00 NA NA 19.84 17.93 8.52 090CMS-1582-PN 275CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global37182 A Insert hepatic shunt (tips) 16.97 NA NA 6.31 7.31 1.62 00037183 A Remove hepatic shunt (tips) 7.99 151.60 151.60 2.99 3.52 0.73 00037184 A Prim art mech thrombectomy 8.66 54.42 61.00 3.55 3.90 1.51 00037185 A Prim art m-thrombect add-on 3.28 17.42 19.61 1.20 1.32 0.61 ZZZ37186 A Sec art m-thrombect add-on 4.92 34.22 40.44 1.80 2.08 0.95 ZZZ37187 A Venous mech thrombectomy 8.03 52.07 58.58 3.18 3.57 1.13 00037188 A Venous m-thrombectomy add-on 5.71 44.73 50.73 2.38 2.69 0.69 00037195 C Thrombolytic therapy stroke 0.00 0.00 0.00 0.00 0.00 0.00 XXX37200 A Transcatheter biopsy 4.55 NA NA 1.63 1.89 0.42 00037201 A Transcatheter therapy infuse 4.99 NA NA 2.48 2.75 0.76 00037202 A Transcatheter therapy infuse 5.67 NA NA 2.96 3.49 1.18 00037203 A Transcatheter retrieval 5.02 31.49 34.36 2.08 2.36 0.68 00037204 A Transcatheter occlusion 18.11 NA NA 6.50 7.32 2.22 00037205 A Transcath iv stent percut 8.27 107.98 118.17 3.04 3.63 1.57 00037206 A Transcath iv stent/perc addl 4.12 65.64 72.04 1.48 1.70 0.82 ZZZ37207 A Transcath iv stent open 8.27 NA NA 3.22 3.26 1.86 00037208 A Transcath iv stent/open addl 4.12 NA NA 1.41 1.42 0.93 ZZZ37209 A Change iv cath at thromb tx 2.27 NA NA 0.80 0.89 0.33 0003720F I Cognit impairment assessed 0.00 0.00 0.00 0.00 0.00 0.00 XXX37210 A Embolization uterine fibroid 10.60 88.25 94.83 3.99 4.66 1.02 00037215 R Transcath stent cca w/eps 19.68 NA NA 8.91 10.47 4.19 09037216 N Transcath stent cca w/o eps 18.95 NA NA 10.06 10.00 1.33 09037220 A Iliac revasc 8.15 83.53 83.53 3.02 3.02 1.67 00037221 A Iliac revasc w/stent 10.00 126.04 126.04 3.73 3.73 1.89 00037222 A Iliac revasc add-on 3.73 22.43 22.43 1.34 1.34 0.76 ZZZ37223 A Iliac revasc w/stent add-on 4.25 70.87 70.87 1.53 1.53 0.84 ZZZ37224 A Fem/popl revas w/tla 9.00 101.34 101.34 3.33 3.33 1.81 00037225 A Fem/popl revas w/ather 12.00 302.09 302.09 4.53 4.53 2.52 00037226 A Fem/popl revasc w/stent 10.49 253.23 253.23 3.91 3.91 1.29 00037227 A Fem/popl revasc stnt & ather 14.50 410.48 410.48 5.46 5.46 3.05 000CMS-1582-PN 276CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global37228 A Tib/per revasc w/tla 11.00 146.38 146.38 4.02 4.02 2.26 00037229 A Tib/per revasc w/ather 14.05 296.88 296.88 5.28 5.28 2.98 00037230 A Tib/per revasc w/stent 13.80 230.22 230.22 5.11 5.11 2.61 00037231 A Tib/per revasc stent & ather 15.00 377.88 377.88 5.55 5.55 2.84 00037232 A Tib/per revasc add-on 4.00 31.04 31.04 1.43 1.43 0.82 ZZZ37233 A Tibper revasc w/ather add-on 6.50 35.96 35.96 2.40 2.40 1.37 ZZZ37234 A Revsc opn/prq tib/pero stent 5.50 107.58 107.58 1.97 1.97 1.09 ZZZ37235 A Tib/per revasc stnt & ather 7.80 112.63 112.63 2.80 2.80 1.55 ZZZ37250 A Iv us first vessel add-on 2.10 NA NA 0.74 0.84 0.45 ZZZ37251 A Iv us each add vessel add-on 1.60 NA NA 0.53 0.58 0.35 ZZZ37500 A Endoscopy ligate perf veins 11.67 NA NA 7.12 7.15 2.63 09037501 C Vascular endoscopy procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY37565 A Ligation of neck vein 12.05 NA NA 7.63 7.16 2.57 09037600 A Ligation of neck artery 12.42 NA NA 7.10 6.88 2.55 09037605 A Ligation of neck artery 14.28 NA NA 7.51 7.36 3.39 09037606 A Ligation of neck artery 8.81 NA NA 4.32 4.86 1.88 09037607 A Ligation of a-v fistula 6.25 NA NA 4.09 4.01 1.37 09037609 A Temporal artery procedure 3.05 5.60 5.41 2.66 2.49 0.64 01037615 A Ligation of neck artery 7.80 NA NA 6.95 6.06 1.65 09037616 A Ligation of chest artery 18.97 NA NA 10.36 10.26 4.06 09037617 A Ligation of abdomen artery 23.79 NA NA 11.70 11.05 5.02 09037618 A Ligation of extremity artery 6.03 NA NA 4.50 4.39 1.32 09037620 A Revision of major vein 11.57 NA NA 5.99 6.52 1.70 09037650 A Revision of major vein 8.49 NA NA 4.07 4.72 1.88 09037660 A Revision of major vein 22.28 NA NA 12.20 11.10 4.75 09037700 A Revise leg vein 3.82 NA NA 3.14 3.11 0.84 09037718 A Ligate/strip short leg vein 7.13 NA NA 4.84 4.73 1.57 09037722 A Ligate/strip long leg vein 8.16 NA NA 5.11 4.98 1.81 09037735 A Removal of leg veins/lesion 10.90 NA NA 6.14 6.12 2.40 09037760 A Ligate leg veins radical 10.78 NA NA 7.44 6.71 2.29 090CMS-1582-PN 277CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global37761 A Ligate leg veins open 9.13 NA NA 6.18 6.18 1.96 09037765 A Stab phleb veins xtr 10-20 7.71 10.64 10.64 4.66 4.73 1.57 09037766 A Phleb veins - extrem 20+ 9.66 12.06 12.06 5.42 5.49 2.01 09037780 A Revision of leg vein 3.93 NA NA 3.24 3.22 0.86 09037785 A Ligate/divide/excise vein 3.93 5.96 6.01 3.26 3.24 0.86 09037788 A Revascularization penis 23.33 NA NA 12.80 13.68 4.98 09037790 A Penile venous occlusion 8.43 NA NA 4.99 5.26 0.82 09037799 C Vascular surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY38100 A Removal of spleen total 19.55 NA NA 10.74 9.63 4.08 09038101 A Removal of spleen partial 19.55 NA NA 11.02 9.81 4.16 09038102 A Removal of spleen total 4.79 NA NA 2.08 1.91 0.99 ZZZ38115 A Repair of ruptured spleen 21.88 NA NA 11.78 10.55 4.29 09038120 A Laparoscopy splenectomy 17.07 NA NA 10.70 9.78 3.61 09038129 C Laparoscope proc spleen 0.00 0.00 0.00 0.00 0.00 0.00 YYY38200 A Injection for spleen x-ray 2.64 NA NA 1.15 1.17 0.63 00038204 B Bl donor search management 2.00 NA NA 0.88 0.85 0.14 XXX38205 R Harvest allogenic stem cells 1.50 NA NA 0.80 0.77 0.08 00038206 R Harvest auto stem cells 1.50 NA NA 0.81 0.77 0.11 00038207 I Cryopreserve stem cells 0.89 NA NA 0.39 0.46 0.05 XXX38208 I Thaw preserved stem cells 0.56 NA NA 0.25 0.29 0.04 XXX38209 I Wash harvest stem cells 0.24 NA NA 0.11 0.13 0.01 XXX38210 I T-cell depletion of harvest 1.57 NA NA 0.69 0.82 0.10 XXX38211 I Tumor cell deplete of harvst 1.42 NA NA 0.62 0.74 0.10 XXX38212 I Rbc depletion of harvest 0.94 NA NA 0.41 0.49 0.05 XXX38213 I Platelet deplete of harvest 0.24 NA NA 0.11 0.13 0.01 XXX38214 I Volume deplete of harvest 0.81 NA NA 0.35 0.42 0.05 XXX38215 I Harvest stem cell concentrte 0.94 NA NA 0.41 0.49 0.05 XXX38220 A Bone marrow aspiration 1.082.92 3.26 0.630.62 0.11 XXX38221 A Bone marrow biopsy 1.372.94 3.36 0.790.78 0.08 XXX38230 R Bone marrow collection 4.85 NA NA 4.43 4.15 1.10 010CMS-1582-PN 278CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global38240 R Bone marrow/stem transplant 2.24 NANA 1.35 1.29 0.16 XXX38241 R Bone marrow/stem transplant 2.24 NANA 1.33 1.30 0.14 XXX38242 A Lymphocyte infuse transplant 1.71 NA NA 1.05 1.00 0.10 00038300 A Drainage lymph node lesion 2.36 5.27 5.24 2.69 2.61 0.41 01038305 A Drainage lymph node lesion 6.68 NA NA 5.68 5.47 1.33 09038308 A Incision of lymph channels 6.81 NA NA 5.15 4.81 1.46 09038380 A Thoracic duct procedure 8.46 NA NA 8.05 7.27 1.09 09038381 A Thoracic duct procedure 13.38 NA NA 7.63 7.77 3.14 09038382 A Thoracic duct procedure 10.65 NA NA 7.05 6.93 2.26 09038500 A Biopsy/removal lymph nodes 3.79 5.13 4.86 2.97 2.76 0.78 01038505 A Needle biopsy lymph nodes 1.14 2.32 2.44 0.84 0.89 0.12 00038510 A Biopsy/removal lymph nodes 6.74 7.59 7.16 4.78 4.40 1.21 01038520 A Biopsy/removal lymph nodes 7.03 NA NA 5.50 5.16 1.42 09038525 A Biopsy/removal lymph nodes 6.43 NA NA 5.10 4.69 1.36 09038530 A Biopsy/removal lymph nodes 8.34 NA NA 6.25 5.78 1.82 09038542 A Explore deep node(s) neck 7.95 NA NA 6.49 6.00 1.33 09038550 A Removal neck/armpit lesion 7.11 NA NA 6.36 5.78 1.52 09038555 A Removal neck/armpit lesion 15.59 NA NA 11.07 10.41 3.35 09038562 A Removal pelvic lymph nodes 11.06 NA NA 7.63 7.44 1.96 09038564 A Removal abdomen lymph nodes 11.38 NA NA 7.32 6.92 2.25 09038570 A Laparoscopy lymph node biop 9.34 NA NA 5.12 5.15 1.37 01038571 A Laparoscopy lymphadenectomy 14.76 NA NA 7.04 7.77 1.48 01038572 A Laparoscopy lymphadenectomy 16.94 NA NA 8.88 8.42 2.40 01038589 C Laparoscope proc lymphatic0.00 0.00 0.000.00 0.00 0.00 YYY38700 A Removal of lymph nodes neck 12.81 NA NA 10.13 9.14 1.77 09038720 A Removal of lymph nodes neck 21.95 NA NA 15.87 14.28 3.39 09038724 A Removal of lymph nodes neck 23.95 NA NA 17.57 15.58 3.35 09038740 A Remove armpit lymph nodes 10.70 NA NA 7.52 6.91 2.26 09038745 A Remove armpit lymph nodes 13.87 NA NA 9.21 8.42 2.95 09038746 A Remove thoracic lymph nodes 4.88 NA NA 1.79 1.86 1.14 ZZZCMS-1582-PN 279CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global38747 A Remove abdominal lymph nodes 4.88 NA NA 2.09 1.93 1.03 ZZZ38760 A Remove groin lymph nodes 13.62 NA NA 8.70 8.13 2.79 09038765 A Remove groin lymph nodes 21.91 NA NA 12.29 11.59 4.23 09038770 A Remove pelvis lymph nodes 14.06 NA NA 7.83 8.06 1.77 09038780 A Remove abdomen lymph nodes 17.70 NA NA 10.22 10.31 2.56 09038790 A Inject for lymphatic x-ray 1.29 NA NA 0.96 0.95 0.24 00038792 A Identify sentinel node 0.52 NA NA 0.59 0.59 0.08 00038794 A Access thoracic lymph duct 4.62 NA NA 3.42 3.78 0.42 09038900 A Io map of sent lymph node 2.50 1.01 1.01 1.01 1.01 0.53 ZZZ38999 C Blood/lymph system procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY39000 A Exploration of chest 7.57 NA NA 5.78 5.67 1.67 09039010 A Exploration of chest 13.19 NA NA 7.59 7.86 3.13 09039200 A Removal chest lesion 15.09 NA NA 7.99 8.14 3.54 09039220 A Removal chest lesion 19.55 NA NA 10.45 10.56 4.44 09039400 A Visualization of chest 8.05 NA NA 5.32 5.39 1.88 01039499 C Chest procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY39501 A Repair diaphragm laceration 13.98 NA NA 8.44 8.00 2.95 09039503 A Repair of diaphragm hernia 108.91 NA NA 51.96 45.81 23.23 09039540 A Repair of diaphragm hernia 14.57 NA NA 8.40 7.87 3.12 09039541 A Repair of diaphragm hernia 15.75 NA NA 9.20 8.55 3.40 09039545 A Revision of diaphragm 14.67 NA NA 8.75 8.82 3.42 09039560 A Resect diaphragm simple 13.06 NA NA 7.85 7.53 2.79 09039561 A Resect diaphragm complex 19.99 NA NA 12.98 12.38 4.38 09039599 C Diaphragm surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY4014F I Written discharge instr prvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4016F I Anti-inflm/anlgsc agent rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX4017F I Gi prophylaxis for nsaid rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX4018F I Therapy exercise joint rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX4019F I Doc recpt counsl vit d/calc+ 0.00 0.00 0.00 0.00 0.00 0.00 XXX4030F I Oxygen therapy rx 0.00 0.00 0.000.00 0.00 0.00 XXXCMS-1582-PN 280CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global4033F I Pulmonary rehab rec 0.00 0.00 0.00 0.00 0.00 0.00 XXX4035F I Influenza imm rec 0.00 0.00 0.00 0.00 0.00 0.00 XXX40490 A Biopsy of lip 1.22 2.39 2.40 0.89 0.82 0.18 00040500 A Partial excision of lip 4.47 10.00 9.65 5.96 5.66 0.67 09040510 A Partial excision of lip 4.82 8.98 8.62 5.38 5.02 0.71 09040520 A Partial excision of lip 4.79 9.18 8.92 5.46 5.13 0.75 09040525 A Reconstruct lip with flap 7.72 NA NA 7.95 7.50 1.27 09040527 A Reconstruct lip with flap 9.32 NA NA 8.62 8.35 1.20 0904052F I Hemodialysis via av fistula 0.00 0.00 0.00 0.00 0.00 0.00 XXX40530 A Partial removal of lip 5.54 9.85 9.56 5.99 5.67 0.86 0904053F I Hemodialysis via av graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX4054F I Hemodialysis via catheter 0.00 0.00 0.00 0.00 0.00 0.00 XXX4055F I Pt rcvng periton dialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX4056F I Approp oral rehyd recommd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4058F I Ped gastro ed given caregvr 0.00 0.00 0.00 0.00 0.00 0.00 XXX4060F I Psych svcs provided 0.00 0.00 0.00 0.00 0.00 0.00 XXX4062F I Pt referral psych docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4063F I Antidepres rxthxpy not rxd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4064F I Antidepressant rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX40650 A Repair lip 3.78 8.00 7.76 4.31 4.12 0.65 09040652 A Repair lip 4.43 9.24 9.02 5.50 5.23 0.76 09040654 A Repair lip 5.48 10.58 10.32 6.52 6.21 0.93 0904065F I Antipsychotic rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX4066F I Ect provided 0.00 0.00 0.00 0.000.00 0.00 XXX4067F I Pt referral for ect docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX40700 A Repair cleft lip/nasal 14.17 NA NA 14.32 12.51 1.82 09040701 A Repair cleft lip/nasal 17.23 NA NA 13.83 13.53 2.20 09040702 A Repair cleft lip/nasal 14.27 NA NA 9.10 9.15 1.02 09040720 A Repair cleft lip/nasal 14.72 NA NA 12.06 11.55 2.91 09040761 A Repair cleft lip/nasal 15.84 NA NA 14.86 13.47 3.13 090CMS-1582-PN 281CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global4077F I Doc t-pa admin considered 0.00 0.00 0.00 0.00 0.00 0.00 XXX40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY40800 A Drainage of mouth lesion 1.23 4.77 4.59 2.53 2.40 0.18 01040801 A Drainage of mouth lesion 2.63 6.36 6.06 3.74 3.51 0.37 01040804 A Removal foreign body mouth 1.30 4.92 4.69 2.50 2.38 0.16 01040805 A Removal foreign body mouth 2.79 6.53 6.26 3.71 3.51 0.35 01040806 A Incision of lip fold 0.31 2.71 2.73 0.52 0.57 0.04 00040808 A Biopsy of mouth lesion 1.01 4.39 4.24 2.13 2.04 0.12 01040810 A Excision of mouth lesion 1.36 4.60 4.42 2.35 2.22 0.18 01040812 A Excise/repair mouth lesion 2.37 5.89 5.60 3.32 3.10 0.31 01040814 A Excise/repair mouth lesion 3.52 7.55 7.15 5.28 4.96 0.48 09040816 A Excision of mouth lesion 3.77 7.83 7.44 5.40 5.08 0.52 09040818 A Excise oral mucosa for graft 2.83 7.24 7.10 4.86 4.79 0.37 09040819 A Excise lip or cheek fold 2.51 6.29 6.03 4.26 4.04 0.33 09040820 A Treatment of mouth lesion 1.34 6.30 6.20 3.64 3.57 0.18 01040830 A Repair mouth laceration 1.82 5.27 5.06 2.70 2.59 0.31 01040831 A Repair mouth laceration 2.57 6.92 6.57 3.76 3.61 0.42 01040840 R Reconstruction of mouth 9.15 15.68 14.07 9.87 8.71 1.18 09040842 R Reconstruction of mouth 9.15 14.06 13.06 9.42 8.27 1.18 09040843 R Reconstruction of mouth 12.79 17.17 15.94 10.01 9.08 2.52 09040844 R Reconstruction of mouth 16.80 22.30 20.94 15.99 14.35 3.32 09040845 R Reconstruction of mouth 19.36 22.53 21.30 15.86 14.77 2.48 09040899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY41000 A Drainage of mouth lesion 1.35 3.31 3.18 1.88 1.77 0.18 01041005 A Drainage of mouth lesion 1.31 5.08 5.04 2.40 2.30 0.16 01041006 A Drainage of mouth lesion 3.34 7.06 6.74 4.32 3.96 0.42 09041007 A Drainage of mouth lesion 3.20 7.10 6.87 3.95 3.76 0.41 09041008 A Drainage of mouth lesion 3.46 7.35 6.95 4.30 3.99 0.44 09041009 A Drainage of mouth lesion 3.71 7.80 7.36 4.71 4.39 0.48 09041010 A Incision of tongue fold 1.11 4.88 4.75 2.09 2.01 0.14 010CMS-1582-PN 282CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global41015 A Drainage of mouth lesion 4.08 8.76 8.07 5.91 5.42 0.52 09041016 A Drainage of mouth lesion 4.19 8.40 7.95 5.92 5.53 0.53 09041017 A Drainage of mouth lesion 4.19 8.51 8.06 5.95 5.57 0.53 09041018 A Drainage of mouth lesion 5.22 8.99 8.56 6.32 5.96 0.67 09041019 A Place needles h&n for rt 8.84 NA NA 4.21 4.27 0.72 00041100 A Biopsy of tongue 1.42 3.44 3.32 1.71 1.62 0.20 01041105 A Biopsy of tongue 1.47 3.47 3.32 1.77 1.65 0.20 01041108 A Biopsy of floor of mouth 1.10 3.20 3.06 1.53 1.44 0.14 01041110 A Excision of tongue lesion 1.56 4.62 4.43 2.28 2.15 0.22 01041112 A Excision of tongue lesion 2.83 6.83 6.51 4.51 4.25 0.37 09041113 A Excision of tongue lesion 3.29 7.24 6.88 4.82 4.52 0.42 09041114 A Excision of tongue lesion 8.82 NA NA 9.60 8.90 1.17 09041115 A Excision of tongue fold 1.79 5.26 5.10 2.60 2.41 0.23 01041116 A Excision of mouth lesion 2.52 7.08 6.74 3.88 3.66 0.34 09041120 A Partial removal of tongue 11.14 NA NA 19.24 18.61 1.48 09041130 A Partial removal of tongue 15.74 NA NA 21.95 20.82 2.08 09041135 A Tongue and neck surgery 30.14 NA NA 31.85 29.76 4.04 09041140 A Removal of tongue 29.15 NA NA 34.01 32.25 3.76 09041145 A Tongue removal neck surgery 37.93 NA NA 41.92 39.24 4.87 09041150 A Tongue mouth jaw surgery 29.86 NA NA 33.03 31.13 3.96 09041153 A Tongue mouth neck surgery 33.59 NA NA 34.94 32.58 4.41 09041155 A Tongue jaw & neck surgery 44.30 NA NA 41.46 37.99 5.92 09041250 A Repair tongue laceration 1.96 5.21 4.73 2.25 2.03 0.33 01041251 A Repair tongue laceration 2.32 5.43 4.73 2.52 2.28 0.30 01041252 A Repair tongue laceration 3.02 5.97 5.62 3.00 2.80 0.48 0104133F I Antihist/decong rx/recom 0.00 0.00 0.00 0.00 0.00 0.00 XXX4134F I No antihist/decong rx/recom 0.00 0.00 0.00 0.00 0.00 0.00 XXX4135F I Systemic corticosteroids rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX4136F I Syst corticosteroids not rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX41500 A Fixation of tongue 3.80 NA NA 9.36 9.04 0.49 090CMS-1582-PN 283CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global41510 A Tongue to lip surgery 3.51 NA NA 6.58 7.30 0.44 09041512 A Tongue suspension 6.86 NA NA 11.70 11.04 0.49 09041520 A Reconstruction tongue fold 2.83 7.25 6.95 4.57 4.34 0.35 09041530 A Tongue base vol reduction 4.51 90.54 90.03 7.58 7.21 0.31 0104155F I Hep a vac series prev recvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4157F I Hep b vac series prev recvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX41599 C Tongue and mouth surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY4163F I Pt couns 4 txmnt opt prost 0.00 0.00 0.00 0.00 0.00 0.00 XXX4167F I Hd bed tilted 1st day vent 0.00 0.00 0.00 0.00 0.00 0.00 XXX4168F I Pt care icu&vent w/in 24hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX4169F I No pt care icu/vent in 24hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX4174F I Couns potent glauc impct 0.00 0.00 0.00 0.00 0.00 0.00 XXX4176F I Talk re uv light pt/crgvr 0.00 0.00 0.00 0.00 0.00 0.00 XXX4178F I Antid glbln rcvd w/in 26wks 0.00 0.00 0.00 0.00 0.00 0.00 XXX41800 A Drainage of gum lesion 1.27 6.17 5.66 2.79 2.56 0.22 01041805 A Removal foreign body gum 1.34 5.71 5.49 3.56 3.42 0.18 01041806 A Removal foreign body jawbone 2.79 7.66 7.09 4.78 4.43 0.54 0104181F I Conformal radn thxpy rcvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX41820 R Excision gum each quadrant 0.00 0.00 0.00 0.00 0.00 0.00 00041821 R Excision of gum flap 0.00 0.00 0.00 0.00 0.00 0.00 00041822 R Excision of gum lesion 2.41 5.90 5.64 2.87 2.55 0.31 01041823 R Excision of gum lesion 3.77 8.48 8.16 5.57 5.21 0.48 09041825 A Excision of gum lesion 1.41 4.62 4.47 2.10 2.08 0.20 01041826 A Excision of gum lesion 2.41 6.56 6.00 3.71 3.39 0.31 01041827 A Excision of gum lesion 3.83 8.75 8.30 5.06 4.69 0.49 09041828 R Excision of gum lesion 3.14 5.64 5.27 3.03 2.75 0.39 0104182F I No conformal radn thxpy 0.00 0.00 0.00 0.00 0.00 0.00 XXX41830 R Removal of gum tissue 3.45 7.79 7.38 4.74 4.36 0.44 01041850 R Treatment of gum lesion 0.00 0.00 0.00 0.00 0.00 0.00 0004185F I Continuous ppi or h2ra rcvd 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 284CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global4186F I No cont ppi or h2ra rcvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX41870 R Gum graft 0.00 0.00 0.00 0.00 0.00 0.00 00041872 R Repair gum 3.01 7.37 7.16 4.51 4.30 0.60 09041874 R Repair tooth socket 3.19 7.47 7.10 4.17 3.86 0.39 0904188F I Approp ace/arb tstng done 0.00 0.00 0.00 0.00 0.00 0.00 XXX41899 C Dental surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY4189F I Approp digoxin tstng done 0.00 0.00 0.00 0.00 0.00 0.00 XXX4190F I Approp diuretic tstng done 0.00 0.00 0.00 0.00 0.00 0.00 XXX4191F I Approp anticonvuls tstng 0.00 0.00 0.00 0.00 0.00 0.00 XXX42000 A Drainage mouth roof lesion 1.28 3.25 3.15 1.75 1.63 0.16 01042100 A Biopsy roof of mouth 1.36 2.98 2.85 1.81 1.70 0.18 01042104 A Excision lesion mouth roof 1.69 4.57 4.31 2.36 2.19 0.23 01042106 A Excision lesion mouth roof 2.15 5.71 5.39 3.01 2.85 0.29 01042107 A Excision lesion mouth roof 4.56 8.74 8.28 5.45 5.08 0.59 0904210F I Ace/arb thxpy for >= 6 mons 0.00 0.00 0.00 0.00 0.00 0.00 XXX42120 A Remove palate/lesion 11.86 NA NA 16.98 15.97 1.57 09042140 A Excision of uvula 1.70 5.75 5.53 2.85 2.72 0.23 09042145 A Repair palate pharynx/uvula 9.78 NA NA 10.74 10.00 1.25 09042160 A Treatment mouth roof lesion 1.85 4.91 4.85 2.43 2.37 0.24 01042180 A Repair palate 2.55 3.99 4.00 2.38 2.39 0.33 01042182 A Repair palate 3.87 5.48 5.21 3.59 3.41 0.49 01042200 A Reconstruct cleft palate 12.53 NA NA 12.21 11.67 1.61 09042205 A Reconstruct cleft palate 13.66 NA NA 14.40 12.84 1.77 0904220F I Digoxin thxpy for >= 6 mons 0.00 0.00 0.00 0.00 0.00 0.00 XXX42210 A Reconstruct cleft palate 15.03 NA NA 13.70 13.28 2.97 09042215 A Reconstruct cleft palate 8.99 NA NA 11.47 10.57 1.78 0904221F I Diuretic thxpy for >= 6 mons 0.00 0.00 0.00 0.00 0.00 0.00 XXX42220 A Reconstruct cleft palate 7.16 NA NA 8.33 7.93 0.50 09042225 A Reconstruct cleft palate 9.77 NA NA 15.88 16.11 1.25 09042226 A Lengthening of palate 10.35 NA NA 15.73 15.52 1.32 090CMS-1582-PN 285CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global42227 A Lengthening of palate 9.90 NA NA 14.55 14.80 1.27 09042235 A Repair palate 8.01 NA NA 13.44 12.97 1.03 09042260 A Repair nose to lip fistula 10.22 13.43 12.71 8.96 8.34 1.31 09042280 A Preparation palate mold 1.59 3.08 2.86 1.57 1.36 0.34 01042281 A Insertion palate prosthesis 1.98 4.01 3.79 2.42 2.29 0.26 01042299 C Palate/uvula surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY42300 A Drainage of salivary gland 1.98 4.12 3.92 2.46 2.31 0.27 01042305 A Drainage of salivary gland 6.31 NA NA 6.07 5.68 0.86 0904230F I Anticonv thxpy for >= 6 mons 0.00 0.00 0.00 0.00 0.00 0.00 XXX42310 A Drainage of salivary gland 1.61 3.12 2.96 2.03 1.90 0.22 01042320 A Drainage of salivary gland 2.40 4.93 4.68 2.73 2.57 0.31 01042330 A Removal of salivary stone 2.26 4.50 4.30 2.54 2.37 0.30 01042335 A Removal of salivary stone 3.41 7.52 7.16 4.11 3.87 0.42 09042340 A Removal of salivary stone 4.72 8.77 8.36 5.06 4.75 0.61 09042400 A Biopsy of salivary gland 0.78 2.32 2.31 0.82 0.82 0.08 00042405 A Biopsy of salivary gland 3.34 5.24 5.07 3.16 2.98 0.42 01042408 A Excision of salivary cyst 4.66 8.64 8.18 4.91 4.55 0.60 09042409 A Drainage of salivary cyst 2.91 6.88 6.54 3.59 3.39 0.37 0904240F I Instr xrcz 4bk pn >12 weeks 0.00 0.00 0.00 0.00 0.00 0.00 XXX42410 A Excise parotid gland/lesion 9.57 NA NA 8.17 7.58 1.44 09042415 A Excise parotid gland/lesion 17.16 NA NA 12.66 12.31 2.29 09042420 A Excise parotid gland/lesion 19.53 NA NA 13.96 13.62 2.63 09042425 A Excise parotid gland/lesion 13.42 NA NA 10.61 9.89 1.84 09042426 A Excise parotid gland/lesion 22.66 NA NA 16.10 14.89 3.12 0904242F I Sprvsd xrcz bk pn >12 weeks 0.00 0.00 0.00 0.00 0.00 0.00 XXX42440 A Excise submaxillary gland 7.13 NA NA 6.34 5.88 0.95 09042450 A Excise sublingual gland 4.74 8.40 8.01 5.68 5.35 0.64 09042500 A Repair salivary duct 4.42 8.15 7.77 5.51 5.20 0.60 09042505 A Repair salivary duct 6.32 9.80 9.32 6.85 6.44 0.80 09042507 A Parotid duct diversion 6.25 NA NA 8.74 8.33 0.80 090CMS-1582-PN 286CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global42508 A Parotid duct diversion 9.33 NA NA 10.70 10.55 1.20 09042509 A Parotid duct diversion 11.76 NA NA 10.13 10.44 2.30 09042510 A Parotid duct diversion 8.35 NA NA 9.97 9.43 1.08 09042550 A Injection for salivary x-ray 1.25 2.42 2.74 0.47 0.52 0.11 00042600 A Closure of salivary fistula 4.94 9.08 8.72 5.21 4.94 0.64 0904260F I Wound srfc culturetech used 0.00 0.00 0.00 0.00 0.00 0.00 XXX4261F I Tech other than surfc cultr 0.00 0.00 0.00 0.00 0.00 0.00 XXX42650 A Dilation of salivary duct 0.77 1.67 1.59 0.94 0.89 0.10 0004265F I Wet-dry dressings rx recmd 0.00 0.00 0.00 0.00 0.00 0.00 XXX42660 A Dilation of salivary duct 1.13 1.97 1.87 1.13 1.05 0.14 00042665 A Ligation of salivary duct 2.63 6.59 6.27 3.42 3.24 0.34 0904266F I No wet-dry drssings rx recmd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4268F I Pt ed re comp thxpy rcvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX42699 C Salivary surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY4269F I Appropos mthd offloading rxd 0.00 0.00 0.00 0.00 0.00 0.00 XXX42700 A Drainage of tonsil abscess 1.67 3.84 3.69 2.27 2.17 0.23 01042720 A Drainage of throat abscess 6.31 6.84 6.40 5.04 4.65 0.83 01042725 A Drainage of throat abscess 12.41 NA NA 11.08 10.25 1.59 0904275F I Hep b vac inj admin/rcvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4279F I Pcp prophylaxis rxd 0.00 0.00 0.00 0.00 0.00 0.00 XXX42800 A Biopsy of throat 1.44 3.20 3.06 1.83 1.73 0.20 01042802 A Biopsy of throat 1.59 5.20 5.21 2.29 2.24 0.22 01042804 A Biopsy of upper nose/throat 1.29 4.50 4.46 2.04 1.98 0.16 01042806 A Biopsy of upper nose/throat 1.63 4.85 4.79 2.23 2.16 0.22 01042808 A Excise pharynx lesion 2.35 4.29 4.10 2.37 2.24 0.30 01042809 A Remove pharynx foreign body 1.86 3.04 2.91 1.90 1.77 0.27 01042810 A Excision of neck cyst 3.38 8.02 7.69 5.10 4.80 0.42 09042815 A Excision of neck cyst 7.31 NA NA 8.83 8.32 1.01 09042820 A Remove tonsils and adenoids 4.22 NA NA 4.23 3.96 0.53 09042821 A Remove tonsils and adenoids 4.36 NA NA 4.42 4.15 0.56 090CMS-1582-PN 287CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global42825 A Removal of tonsils 3.51 NA NA 4.13 3.91 0.44 09042826 A Removal of tonsils 3.45 NA NA 3.88 3.66 0.44 09042830 A Removal of adenoids 2.65 NA NA 3.41 3.22 0.34 09042831 A Removal of adenoids 2.81 NA NA 3.72 3.53 0.35 09042835 A Removal of adenoids 2.38 NA NA 2.58 2.66 0.30 09042836 A Removal of adenoids 3.26 NA NA 3.76 3.57 0.41 09042842 A Extensive surgery of throat 12.23 NA NA 16.75 15.65 1.58 09042844 A Extensive surgery of throat 17.78 NA NA 21.98 20.73 2.27 09042845 A Extensive surgery of throat 32.56 NA NA 31.77 29.54 4.18 09042860 A Excision of tonsil tags 2.30 NA NA 3.20 3.04 0.30 09042870 A Excision of lingual tonsil 5.52 NA NA 11.41 11.02 0.71 09042890 A Partial removal of pharynx 19.13 NA NA 21.85 20.24 2.52 09042892 A Revision of pharyngeal walls 26.03 NA NA 28.30 25.83 3.42 09042894 A Revision of pharyngeal walls 33.92 NA NA 34.51 31.75 4.42 09042900 A Repair throat wound 5.29 NA NA 4.56 4.24 0.68 01042950 A Reconstruction of throat 8.27 NA NA 14.73 14.28 1.14 09042953 A Repair throat esophagus 9.45 NA NA 18.18 18.03 1.31 09042955 A Surgical opening of throat 8.01 NA NA 13.95 13.29 1.03 09042960 A Control throat bleeding 2.38 NA NA 2.53 2.38 0.31 01042961 A Control throat bleeding 5.77 NA NA 6.49 6.10 0.73 09042962 A Control throat bleeding 7.40 NA NA 7.65 7.19 0.95 09042970 A Control nose/throat bleeding 5.82 NA NA 5.56 5.13 0.84 09042971 A Control nose/throat bleeding 6.60 NA NA 6.72 6.27 0.84 09042972 A Control nose/throat bleeding 7.59 NA NA 7.31 6.78 0.98 09042999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY4300F I Pt rcvng warf thxpy 0.00 0.00 0.00 0.00 0.00 0.00 XXX4301F I Pt not rcvng warf thxpy 0.00 0.00 0.00 0.00 0.00 0.00 XXX43020 A Incision of esophagus 8.23 NA NA 7.45 6.60 1.06 09043030 A Throat muscle surgery 7.99 NA NA 6.87 6.44 1.17 09043045 A Incision of esophagus 21.88 NA NA 12.19 12.36 5.12 090CMS-1582-PN 288CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global4305F I Pt ed re ft care inspct rcvd 0.00 0.00 0.00 0.00 0.00 0.00 XXX4306F I Pt tlk psych & rx opd addic 0.00 0.00 0.00 0.00 0.00 0.00 XXX43100 A Excision of esophagus lesion 9.66 NA NA 8.55 7.78 1.24 09043101 A Excision of esophagus lesion 17.07 NA NA 9.25 9.37 4.00 09043107 A Removal of esophagus 44.18 NA NA 22.68 22.09 9.87 09043108 A Removal of esophagus 82.87 NA NA 40.18 34.84 17.67 09043112 A Removal of esophagus 47.48 NA NA 22.60 22.52 10.77 09043113 A Removal of esophagus 80.06 NA NA 40.33 36.45 17.08 09043116 A Partial removal of esophagus 92.99 NA NA 58.31 47.38 11.94 09043117 A Partial removal of esophagus 43.65 NA NA 20.83 20.55 9.87 09043118 A Partial removal of esophagus 67.07 NA NA 33.31 29.22 14.30 09043121 A Partial removal of esophagus 51.43 NA NA 23.09 22.40 12.03 09043122 A Partial removal of esophagus 44.18 NA NA 22.65 21.55 9.64 09043123 A Partial removal of esophagus 83.12 NA NA 41.66 35.76 17.71 09043124 A Removal of esophagus 69.09 NA NA 36.43 32.16 16.18 09043130 A Removal of esophagus pouch 12.53 NA NA 9.62 9.05 1.99 09043135 A Removal of esophagus pouch 26.17 NA NA 13.16 12.63 5.97 09043200 A Esophagus endoscopy 1.59 4.53 4.57 1.38 1.31 0.23 00043201 A Esoph scope w/submucous inj 2.09 6.20 6.34 1.49 1.48 0.30 00043202 A Esophagus endoscopy biopsy 1.89 6.04 6.18 1.32 1.27 0.29 00043204 A Esoph scope w/sclerosis inj 3.76 NA NA 2.28 2.32 0.59 00043205 A Esophagus endoscopy/ligation 3.78 NA NA 2.40 2.39 0.56 0004320F I Pt talk psychsoc&rx oh dpnd 0.00 0.00 0.00 0.00 0.00 0.00 XXX43215 A Esophagus endoscopy 2.60 NA NA 1.67 1.62 0.41 00043216 A Esophagus endoscopy/lesion 2.40 3.65 3.38 1.59 1.55 0.35 00043217 A Esophagus endoscopy 2.90 7.64 7.80 1.81 1.74 0.49 00043219 A Esophagus endoscopy 2.80 NA NA 1.87 1.87 0.48 00043220 A Esoph endoscopy dilation 2.10 NA NA 1.44 1.40 0.31 00043226 A Esoph endoscopy dilation 2.34 NA NA 1.55 1.54 0.37 00043227 A Esoph endoscopy repair 3.59 NA NA 2.22 2.18 0.54 000CMS-1582-PN 289CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global43228 A Esoph endoscopy ablation 3.76 NA NA 2.38 2.35 0.59 00043231 A Esoph endoscopy w/us exam 3.19 NA NA 2.06 2.05 0.48 00043232 A Esoph endoscopy w/us fn bx 4.47 NA NA 2.73 2.72 0.69 00043234 A Upper gi endoscopy exam 2.01 5.77 5.93 1.32 1.27 0.34 00043235 A Uppr gi endoscopy diagnosis 2.39 5.71 6.01 1.61 1.60 0.37 00043236 A Uppr gi scope w/submuc inj 2.92 7.11 7.53 1.92 1.93 0.42 00043237 A Endoscopic us exam esoph 3.98 NA NA 2.49 2.50 0.60 00043238 A Uppr gi endoscopy w/us fn bx 5.02 NA NA 3.03 3.06 0.75 00043239 A Upper gi endoscopy biopsy 2.87 6.57 6.87 1.87 1.85 0.42 00043240 A Esoph endoscope w/drain cyst 6.85 NA NA 4.07 4.04 1.03 00043241 A Upper gi endoscopy with tube 2.59 NA NA 1.71 1.69 0.39 00043242 A Uppr gi endoscopy w/us fn bx 7.30 NA NA 4.36 4.35 1.08 00043243 A Upper gi endoscopy & inject 4.56 NA NA 2.80 2.80 0.68 00043244 A Upper gi endoscopy/ligation 5.04 NA NA 3.11 3.11 0.73 00043245 A Uppr gi scope dilate strictr 3.18 NA NA 2.00 1.97 0.50 00043246 A Place gastrostomy tube 4.32 NA NA 2.58 2.55 0.69 00043247 A Operative upper gi endoscopy 3.38 NA NA 2.14 2.12 0.52 00043248 A Uppr gi endoscopy/guide wire 3.15 NA NA 2.06 2.06 0.45 00043249 A Esoph endoscopy dilation 2.90 NA NA 1.90 1.90 0.42 0004324F I Pt queried prkns complic 0.00 0.00 0.00 0.00 0.00 0.00 XXX43250 A Upper gi endoscopy/tumor 3.20 NA NA 1.99 1.95 0.52 00043251 A Operative upper gi endoscopy 3.69 NA NA 2.32 2.30 0.56 00043255 A Operative upper gi endoscopy 4.81 NA NA 2.97 2.97 0.71 00043256 A Uppr gi endoscopy w/stent 4.34 NA NA 2.63 2.64 0.68 00043257 A Uppr gi scope w/thrml txmnt 5.50 NA NA 3.45 3.26 0.80 00043258 A Operative upper gi endoscopy 4.54 NA NA 2.81 2.80 0.68 00043259 A Endoscopic ultrasound exam 5.19 NA NA 3.19 3.19 0.75 0004325F I Med txmnt options rvwd w/pt 0.00 0.00 0.00 0.00 0.00 0.00 XXX43260 A Endo cholangiopancreatograph 5.95 NA NA 3.60 3.60 0.87 00043261 A Endo cholangiopancreatograph 6.26 NA NA 3.78 3.78 0.91 000CMS-1582-PN 290CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global43262 A Endo cholangiopancreatograph 7.38 NA NA 4.25 4.25 1.09 00043263 A Endo cholangiopancreatograph 7.28 NA NA 4.27 4.33 1.08 00043264 A Endo cholangiopancreatograph 8.89 NA NA 5.24 5.25 1.31 00043265 A Endo cholangiopancreatograph 10.00 NA NA 5.84 5.85 1.48 00043267 A Endo cholangiopancreatograph 7.38 NA NA 4.35 4.35 1.09 00043268 A Endo cholangiopancreatograph 7.38 NA NA 4.56 4.57 1.09 00043269 A Endo cholangiopancreatograph 8.20 NA NA 4.85 4.85 1.21 0004326F I Pt asked re symp auto dysfxn 0.00 0.00 0.00 0.00 0.00 0.00 XXX43271 A Endo cholangiopancreatograph 7.38 NA NA 4.39 4.39 1.09 00043272 A Endo cholangiopancreatograph 7.38 NA NA 4.43 4.40 1.09 00043273 A Endoscopic pancreatoscopy 2.24 NA NA 1.24 1.28 0.33 ZZZ43279 A Lap myotomy heller 22.10 NA NA 12.01 10.96 4.71 09043280 A Laparoscopy fundoplasty 18.10 NA NA 10.40 9.52 3.85 09043281 A Lap paraesophag hern repair 26.60 NA NA 14.10 14.10 5.66 09043282 A Lap paraesoph her rpr w/mesh 30.10 NA NA 15.61 15.61 6.38 09043283 A Lap esoph lengthening 2.95 NA NA 1.28 1.28 0.60 ZZZ43289 C Laparoscope proc esoph 0.00 0.00 0.00 0.00 0.00 0.00 YYY4328F I Pt asked re sleep disturb 0.00 0.00 0.00 0.00 0.00 0.00 XXX43300 A Repair of esophagus 9.33 NA NA 8.56 7.85 1.20 09043305 A Repair esophagus and fistula 18.10 NA NA 13.55 12.42 2.31 0904330F I Cnslng epi spec sfty issues 0.00 0.00 0.00 0.00 0.00 0.00 XXX43310 A Repair of esophagus 26.26 NA NA 12.44 12.78 6.14 09043312 A Repair esophagus and fistula 29.25 NA NA 12.29 13.17 6.86 09043313 A Esophagoplasty congenital 48.45 NA NA 26.00 23.58 11.35 09043314 A Tracheo-esophagoplasty cong 53.43 NA NA 23.14 24.78 6.87 09043320 A Fuse esophagus & stomach 23.31 NA NA 13.36 12.52 4.98 09043325 A Revise esophagus & stomach 22.60 NA NA 12.35 11.55 4.83 09043327 A Esoph fundoplasty lap 13.35 NA NA 8.12 8.12 2.84 09043328 A Esoph fundoplasty thor 19.91 NA NA 10.82 10.82 4.98 09043330 A Esophagomyotomy abdominal 22.19 NA NA 12.41 11.43 4.78 090CMS-1582-PN 291CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global43331 A Esophagomyotomy thoracic 23.06 NA NA 12.26 12.36 5.40 09043332 A Transab esoph hiat hern rpr 19.62 NA NA 11.02 11.02 4.18 09043333 A Transab esoph hiat hern rpr 21.46 NA NA 11.80 11.80 4.55 09043334 A Transthor diaphrag hern rpr 22.12 NA NA 11.39 11.39 4.71 09043335 A Transthor diaphrag hern rpr 23.97 NA NA 12.13 12.13 5.08 09043336 A Thorabd diaphr hern repair 25.81 NA NA 13.46 13.46 5.85 09043337 A Thorabd diaphr hern repair 27.65 NA NA 15.33 15.33 6.27 09043338 A Esoph lengthening 2.21 NA NA 1.30 1.30 0.50 ZZZ43340 A Fuse esophagus & intestine 22.99 NA NA 13.22 12.17 4.90 09043341 A Fuse esophagus & intestine 24.23 NA NA 14.80 14.11 5.68 09043350 A Surgical opening esophagus 19.49 NA NA 14.42 12.38 4.15 09043351 A Surgical opening esophagus 22.05 NA NA 11.96 12.18 5.16 09043352 A Surgical opening esophagus 17.81 NA NA 10.15 10.27 4.16 09043360 A Gastrointestinal repair 40.11 NA NA 18.71 18.95 9.40 09043361 A Gastrointestinal repair 45.68 NA NA 20.54 20.83 9.74 09043400 A Ligate esophagus veins 25.60 NA NA 14.35 15.61 3.77 09043401 A Esophagus surgery for veins 26.49 NA NA 12.50 12.33 5.65 09043405 A Ligate/staple esophagus 24.73 NA NA 15.88 14.52 5.28 0904340F I Cnslng chldbrng women epi 0.00 0.00 0.00 0.00 0.00 0.00 XXX43410 A Repair esophagus wound 16.41 NA NA 11.38 10.61 3.84 09043415 A Repair esophagus wound 44.88 NA NA 22.14 20.23 10.25 09043420 A Repair esophagus opening 16.78 NA NA 12.74 11.20 2.15 09043425 A Repair esophagus opening 25.04 NA NA 15.15 14.40 5.35 09043450 A Dilate esophagus 1.38 2.89 3.04 1.07 1.08 0.22 00043453 A Dilate esophagus 1.51 6.56 6.99 1.14 1.15 0.23 00043456 A Dilate esophagus 2.57 13.78 14.72 1.72 1.70 0.38 00043458 A Dilate esophagus 3.06 7.65 7.94 1.97 1.94 0.45 00043460 A Pressure treatment esophagus 3.79 NA NA 2.43 2.31 0.54 00043496 C Free jejunum flap microvasc 0.00 0.00 0.00 0.00 0.00 0.00 09043499 C Esophagus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYYCMS-1582-PN 292CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global43500 A Surgical opening of stomach 12.79 NA NA 7.91 7.22 2.71 09043501 A Surgical repair of stomach 22.60 NA NA 12.76 11.55 4.78 09043502 A Surgical repair of stomach 25.69 NA NA 14.34 12.92 5.47 09043510 A Surgical opening of stomach 15.14 NA NA 11.35 10.29 2.22 09043520 A Incision of pyloric muscle 11.29 NA NA 6.80 6.52 2.50 09043605 A Biopsy of stomach 13.72 NA NA 8.63 7.68 2.87 09043610 A Excision of stomach lesion 16.34 NA NA 9.48 8.59 3.46 09043611 A Excision of stomach lesion 20.38 NA NA 11.74 10.67 4.30 09043620 A Removal of stomach 34.04 NA NA 17.55 15.97 7.25 09043621 A Removal of stomach 39.53 NA NA 19.86 17.83 8.41 09043622 A Removal of stomach 40.03 NA NA 20.28 18.12 8.55 09043631 A Removal of stomach partial 24.51 NA NA 13.61 12.36 5.20 09043632 A Removal of stomach partial 35.14 NA NA 18.15 15.96 7.42 09043633 A Removal of stomach partial 33.14 NA NA 17.31 15.31 7.00 09043634 A Removal of stomach partial 36.64 NA NA 19.10 16.89 7.81 09043635 A Removal of stomach partial 2.06 NA NA 0.88 0.80 0.42 ZZZ43640 A Vagotomy & pylorus repair 19.56 NA NA 11.52 10.39 4.12 09043641 A Vagotomy & pylorus repair 19.81 NA NA 11.78 10.53 4.22 09043644 A Lap gastric bypass/roux-en-y 29.40 NA NA 16.12 14.69 6.22 09043645 A Lap gastr bypass incl smll i 31.53 NA NA 17.07 15.51 6.74 09043647 C Lap impl electrode antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY43648 C Lap revise/remv eltrd antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY43651 A Laparoscopy vagus nerve 10.13 NA NA 7.14 6.53 2.16 09043652 A Laparoscopy vagus nerve 12.13 NA NA 8.01 7.30 2.59 09043653 A Laparoscopy gastrostomy 8.48 NA NA 6.63 6.06 1.81 09043659 C Laparoscope proc stom 0.00 0.00 0.00 0.00 0.00 0.00 YYY43752 A Nasal/orogastric w/stent 0.81 NA NA 0.32 0.33 0.08 00043753 A Tx gastro intub w/asp 0.45 NA NA 0.13 0.13 0.03 00043754 A Dx gastr intub w/asp spec 0.45 1.83 1.83 0.44 0.44 0.04 00043755 A Dx gastr intub w/asp specs 0.94 2.52 2.52 0.68 0.68 0.08 000CMS-1582-PN 293CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global43756 A Dx duod intub w/asp spec 0.77 5.60 5.60 0.71 0.71 0.05 00043757 A Dx duod intub w/asp specs 1.26 6.92 6.92 0.87 0.87 0.08 00043760 A Change gastrostomy tube 0.90 12.27 10.85 0.41 0.43 0.14 00043761 A Reposition gastrostomy tube 2.01 1.21 1.30 0.83 0.87 0.24 00043770 A Lap place gastr adj device 18.00 NA NA 11.50 10.49 3.81 09043771 A Lap revise gastr adj device 20.79 NA NA 12.74 11.58 4.44 09043772 A Lap rmvl gastr adj device 15.70 NA NA 9.47 8.67 3.36 09043773 A Lap replace gastr adj device 20.79 NA NA 12.72 11.58 4.44 09043774 A Lap rmvl gastr adj all parts 15.76 NA NA 9.48 8.69 3.36 09043775 N Lap sleeve gastrectomy 21.56 NA NA 12.08 12.08 4.60 XXX43800 A Reconstruction of pylorus 15.43 NA NA 8.98 8.20 3.31 09043810 A Fusion of stomach and bowel 16.88 NA NA 9.84 8.85 3.59 09043820 A Fusion of stomach and bowel 22.53 NA NA 12.74 11.26 4.76 09043825 A Fusion of stomach and bowel 21.76 NA NA 12.66 11.37 4.64 09043830 A Place gastrostomy tube 10.85 NA NA 7.68 7.04 2.23 09043831 A Place gastrostomy tube 8.49 NA NA 7.29 6.71 1.81 09043832 A Place gastrostomy tube 17.34 NA NA 10.37 9.63 3.58 09043840 A Repair of stomach lesion 22.83 NA NA 12.89 11.42 4.82 09043842 N V-band gastroplasty 21.03 NA NA 11.62 11.21 1.50 09043843 A Gastroplasty w/o v-band 21.21 NA NA 12.44 11.14 4.52 09043845 A Gastroplasty duodenal switch 33.30 NA NA 18.30 16.35 7.06 09043846 A Gastric bypass for obesity 27.41 NA NA 15.51 14.06 5.80 09043847 A Gastric bypass incl small i 30.28 NA NA 17.05 15.17 6.45 09043848 A Revision gastroplasty 32.75 NA NA 18.02 16.27 6.94 09043850 A Revise stomach-bowel fusion 27.58 NA NA 15.16 13.54 5.88 09043855 A Revise stomach-bowel fusion 28.69 NA NA 15.64 14.11 6.11 09043860 A Revise stomach-bowel fusion 27.89 NA NA 15.02 13.64 5.88 09043865 A Revise stomach-bowel fusion 29.05 NA NA 15.80 14.22 6.19 09043870 A Repair stomach opening 11.44 NA NA 7.40 6.72 2.35 09043880 A Repair stomach-bowel fistula 27.18 NA NA 14.78 13.40 5.70 090CMS-1582-PN 294CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global43881 C Impl/redo electrd antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY43882 C Revise/remove electrd antrum 0.00 0.00 0.00 0.00 0.00 0.00 YYY43886 A Revise gastric port open 4.64 NA NA 5.04 4.61 0.99 09043887 A Remove gastric port open 4.32 NA NA 4.40 4.06 0.91 09043888 A Change gastric port open 6.44 NA NA 5.79 5.31 1.37 09043999 C Stomach surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY44005 A Freeing of bowel adhesion 18.46 NA NA 10.36 9.39 3.84 0904400F I Rehab thxpy options w/pt 0.00 0.00 0.00 0.00 0.00 0.00 XXX44010 A Incision of small bowel 14.26 NA NA 8.58 7.79 3.01 09044015 A Insert needle cath bowel 2.62 NA NA 1.10 1.03 0.56 ZZZ44020 A Explore small intestine 16.22 NA NA 9.43 8.52 3.40 09044021 A Decompress small bowel 16.31 NA NA 9.55 8.69 3.44 09044025 A Incision of large bowel 16.51 NA NA 9.56 8.65 3.43 09044050 A Reduce bowel obstruction 15.52 NA NA 9.13 8.27 3.24 09044055 A Correct malrotation of bowel 25.63 NA NA 13.63 12.29 5.42 09044100 A Biopsy of bowel 2.01 NA NA 1.08 1.09 0.31 00044110 A Excise intestine lesion(s) 14.04 NA NA 8.38 7.61 2.90 09044111 A Excision of bowel lesion(s) 16.52 NA NA 9.45 8.56 3.44 09044120 A Removal of small intestine 20.82 NA NA 11.39 10.25 4.33 09044121 A Removal of small intestine 4.44 NA NA 1.92 1.75 0.90 ZZZ44125 A Removal of small intestine 20.03 NA NA 11.20 10.11 4.07 09044126 A Enterectomy w/o taper cong 42.23 NA NA 22.46 20.01 9.00 09044127 A Enterectomy w/taper cong 49.30 NA NA 25.44 22.71 10.51 09044128 A Enterectomy cong add-on 4.44 NA NA 1.93 1.76 0.93 ZZZ44130 A Bowel to bowel fusion 22.11 NA NA 12.57 11.08 4.56 09044132 R Enterectomy cadaver donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX44133 R Enterectomy live donor 0.00 0.00 0.00 0.00 0.00 0.00 XXX44135 R Intestine transplnt cadaver 0.00 0.00 0.00 0.00 0.00 0.00 XXX44136 R Intestine transplant live 0.00 0.00 0.00 0.00 0.00 0.00 XXX44137 C Remove intestinal allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 295CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global44139 A Mobilization of colon 2.23 NA NA 0.97 0.88 0.44 ZZZ44140 A Partial removal of colon 22.59 NA NA 12.83 11.64 4.64 09044141 A Partial removal of colon 29.91 NA NA 18.40 16.41 6.18 09044143 A Partial removal of colon 27.79 NA NA 16.23 14.70 5.74 09044144 A Partial removal of colon 29.91 NA NA 16.86 15.04 6.18 09044145 A Partial removal of colon 28.58 NA NA 15.44 13.98 5.66 09044146 A Partial removal of colon 35.30 NA NA 21.14 18.96 6.87 09044147 A Partial removal of colon 33.69 NA NA 17.71 15.45 6.78 09044150 A Removal of colon 30.18 NA NA 19.56 17.64 6.12 09044151 A Removal of colon/ileostomy 34.92 NA NA 21.61 19.50 7.44 09044155 A Removal of colon/ileostomy 34.42 NA NA 21.36 19.13 6.46 09044156 A Removal of colon/ileostomy 37.42 NA NA 23.53 21.16 7.99 09044157 A Colectomy w/ileoanal anast 35.70 NA NA 21.71 19.62 7.62 09044158 A Colectomy w/neo-rectum pouch 36.70 NA NA 21.99 19.90 7.83 09044160 A Removal of colon 20.89 NA NA 11.98 10.80 4.26 09044180 A Lap enterolysis 15.27 NA NA 9.02 8.25 3.17 09044186 A Lap jejunostomy 10.38 NA NA 6.82 6.33 2.22 09044187 A Lap ileo/jejuno-stomy 17.40 NA NA 12.24 11.17 3.31 09044188 A Lap colostomy 19.35 NA NA 13.36 12.18 3.84 09044202 A Lap enterectomy 23.39 NA NA 13.23 11.99 4.85 09044203 A Lap resect s/intestine addl 4.44 NA NA 1.91 1.73 0.93 ZZZ44204 A Laparo partial colectomy 26.42 NA NA 14.49 13.08 5.23 09044205 A Lap colectomy part w/ileum 22.95 NA NA 12.71 11.49 4.50 09044206 A Lap part colectomy w/stoma 29.79 NA NA 16.79 15.17 6.06 09044207 A L colectomy/coloproctostomy 31.92 NA NA 16.79 15.08 6.18 09044208 A L colectomy/coloproctostomy 33.99 NA NA 19.27 17.39 6.40 09044210 A Laparo total proctocolectomy 30.09 NA NA 17.88 16.14 5.81 09044211 A Lap colectomy w/proctectomy 37.08 NA NA 22.36 19.92 7.92 09044212 A Laparo total proctocolectomy 34.58 NA NA 20.70 18.72 6.37 09044213 A Lap mobil splenic fl add-on 3.50 NA NA 1.52 1.37 0.67 ZZZCMS-1582-PN 296CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global44227 A Lap close enterostomy 28.62 NA NA 15.58 14.08 5.84 09044238 C Laparoscope proc intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY44300 A Open bowel to skin 13.75 NA NA 8.48 7.74 2.91 09044310 A Ileostomy/jejunostomy 17.59 NA NA 10.16 9.20 3.46 09044312 A Revision of ileostomy 9.43 NA NA 6.44 6.04 1.71 09044314 A Revision of ileostomy 16.74 NA NA 10.18 9.35 3.16 09044316 A Devise bowel pouch 23.59 NA NA 13.55 12.17 5.04 09044320 A Colostomy 19.91 NA NA 11.91 10.78 4.07 09044322 A Colostomy with biopsies 13.32 NA NA 13.37 12.23 2.84 09044340 A Revision of colostomy 9.28 NA NA 7.35 6.66 1.88 09044345 A Revision of colostomy 17.22 NA NA 10.80 9.77 3.44 09044346 A Revision of colostomy 19.63 NA NA 11.86 10.67 3.88 09044360 A Small bowel endoscopy 2.59 NA NA 1.75 1.76 0.38 00044361 A Small bowel endoscopy/biopsy 2.87 NA NA 1.91 1.92 0.41 00044363 A Small bowel endoscopy 3.49 NA NA 2.23 2.19 0.52 00044364 A Small bowel endoscopy 3.73 NA NA 2.37 2.37 0.54 00044365 A Small bowel endoscopy 3.31 NA NA 2.14 2.13 0.49 00044366 A Small bowel endoscopy 4.40 NA NA 2.77 2.77 0.64 00044369 A Small bowel endoscopy 4.51 NA NA 2.83 2.82 0.65 00044370 A Small bowel endoscopy/stent 4.79 NA NA 3.17 3.14 0.69 00044372 A Small bowel endoscopy 4.40 NA NA 2.63 2.58 0.69 00044373 A Small bowel endoscopy 3.49 NA NA 2.15 2.15 0.53 00044376 A Small bowel endoscopy 5.25 NA NA 3.09 3.06 0.82 00044377 A Small bowel endoscopy/biopsy 5.52 NA NA 3.32 3.32 0.82 00044378 A Small bowel endoscopy 7.12 NA NA 4.26 4.23 1.05 00044379 A S bowel endoscope w/stent 7.46 NA NA 4.67 4.59 1.09 00044380 A Small bowel endoscopy 1.05 NA NA 0.84 0.85 0.14 00044382 A Small bowel endoscopy 1.27 NA NA 1.00 1.01 0.20 00044383 A Ileoscopy w/stent 2.94 NA NA 1.61 1.78 0.33 00044385 A Endoscopy of bowel pouch 1.82 5.35 5.37 1.11 1.08 0.26 000CMS-1582-PN 297CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global44386 A Endoscopy bowel pouch/biop 2.12 7.63 7.81 1.38 1.31 0.33 00044388 A Colonoscopy 2.82 6.94 7.00 1.75 1.69 0.45 00044389 A Colonoscopy with biopsy 3.13 7.89 8.14 1.96 1.92 0.49 00044390 A Colonoscopy for foreign body 3.82 9.15 9.29 2.44 2.31 0.56 00044391 A Colonoscopy for bleeding 4.31 9.51 10.02 2.61 2.58 0.65 00044392 A Colonoscopy & polypectomy 3.81 8.37 8.46 2.20 2.12 0.63 00044393 A Colonoscopy lesion removal 4.83 9.28 9.35 2.84 2.75 0.76 00044394 A Colonoscopy w/snare 4.42 9.49 9.77 2.62 2.57 0.69 00044397 A Colonoscopy w/stent 4.70 NA NA 2.93 2.88 0.68 00044500 A Intro gastrointestinal tube 0.49 NA NA 0.19 0.20 0.04 00044602 A Suture small intestine 24.72 NA NA 12.40 10.85 5.10 09044603 A Suture small intestine 28.16 NA NA 14.53 12.74 5.76 09044604 A Suture large intestine 18.16 NA NA 9.73 8.79 3.72 09044605 A Repair of bowel lesion 22.08 NA NA 12.49 11.30 4.56 09044615 A Intestinal stricturoplasty 18.16 NA NA 10.32 9.35 3.73 09044620 A Repair bowel opening 14.43 NA NA 8.68 7.80 2.83 09044625 A Repair bowel opening 17.28 NA NA 9.91 8.90 3.36 09044626 A Repair bowel opening 27.90 NA NA 14.50 13.09 5.70 09044640 A Repair bowel-skin fistula 24.20 NA NA 12.92 11.68 4.89 09044650 A Repair bowel fistula 25.12 NA NA 13.18 12.03 5.06 09044660 A Repair bowel-bladder fistula 23.91 NA NA 12.10 11.88 3.85 09044661 A Repair bowel-bladder fistula 27.35 NA NA 13.92 12.99 5.10 09044680 A Surgical revision intestine 17.96 NA NA 10.22 9.25 3.84 09044700 A Suspend bowel w/prosthesis 17.48 NA NA 9.94 8.96 3.04 09044701 A Intraop colon lavage add-on 3.10 NA NA 1.33 1.21 0.59 ZZZ44715 C Prepare donor intestine 0.00 0.00 0.00 0.00 0.00 0.00 XXX44720 A Prep donor intestine/venous 5.00 NA NA 2.17 2.12 0.35 XXX44721 A Prep donor intestine/artery 7.00 NA NA 3.07 2.81 1.50 XXX44799 C Unlisted procedure intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY44800 A Excision of bowel pouch 12.05 NA NA 8.21 7.53 2.44 090CMS-1582-PN 298CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global44820 A Excision of mesentery lesion 13.73 NA NA 8.46 7.75 2.83 09044850 A Repair of mesentery 12.11 NA NA 7.73 6.97 2.52 09044899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY44900 A Drain app abscess open 12.57 NA NA 7.87 7.09 2.64 09044901 A Drain app abscess percut 3.37 21.42 24.04 1.25 1.38 0.35 00044950 A Appendectomy 10.60 NA NA 6.32 5.76 2.23 09044955 A Appendectomyadd-on 1.53 NA NA0.67 0.62 0.31 ZZZ44960 A Appendectomy 14.50 NA NA 8.51 7.68 3.08 09044970 A Laparoscopy appendectomy 9.45 NA NA 6.42 5.83 1.97 09044979 C Laparoscope proc app 0.00 0.00 0.00 0.00 0.00 0.00 YYY45000 A Drainage of pelvic abscess 6.30 NA NA 5.12 4.72 1.09 09045005 A Drainage of rectal abscess 2.02 5.29 5.06 2.24 2.09 0.38 01045020 A Drainage of rectal abscess 8.56 NA NA 6.67 5.99 1.62 09045100 A Biopsy of rectum 4.04 NA NA 4.06 3.71 0.72 09045108 A Removal of anorectal lesion 5.12 NA NA 4.68 4.23 1.09 09045110 A Removal of rectum 30.76 NA NA 18.81 16.99 5.83 09045111 A Partial removal of rectum 18.01 NA NA 11.06 9.98 3.55 09045112 A Removal of rectum 33.18 NA NA 17.35 15.54 6.08 09045113 A Partial proctectomy 33.22 NA NA 18.91 17.01 7.08 09045114 A Partial removal of rectum 30.79 NA NA 16.91 15.03 6.57 09045116 A Partial removal of rectum 27.72 NA NA 15.56 13.72 3.96 09045119 A Remove rectum w/reservoir 33.48 NA NA 19.23 17.10 5.87 09045120 A Removal of rectum 26.40 NA NA 15.41 13.85 5.63 09045121 A Removal of rectum and colon 29.08 NA NA 16.57 14.85 6.19 09045123 A Partial proctectomy 18.86 NA NA 11.45 10.12 3.17 09045126 A Pelvic exenteration 49.10 NA NA 26.61 24.86 10.47 09045130 A Excision of rectal prolapse 18.50 NA NA 11.03 9.76 3.13 09045135 A Excision of rectal prolapse 22.36 NA NA 13.89 12.30 4.76 09045136 A Excise ileoanal reservior 30.82 NA NA 18.96 17.10 4.41 09045150 A Excision of rectal stricture 5.85 NA NA 5.14 4.72 0.83 090CMS-1582-PN 299CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global45160 A Excision of rectal lesion 16.33 NA NA 10.26 9.32 3.48 09045171 A Exc rect tum transanal part 8.13 NA NA 8.03 8.03 1.51 09045172 A Exc rect tum transanal full 12.13 NA NA 9.76 9.76 2.23 09045190 A Destruction rectal tumor 10.42 NA NA 8.23 7.41 1.86 09045300 A Proctosigmoidoscopy dx 0.80 2.58 2.42 0.68 0.60 0.12 00045303 A Proctosigmoidoscopy dilate 1.50 24.62 24.08 0.99 0.86 0.26 00045305 A Proctosigmoidoscopy w/bx 1.25 4.07 3.88 0.90 0.81 0.23 00045307 A Proctosigmoidoscopy fb 1.70 4.23 3.99 1.07 0.93 0.33 00045308 A Proctosigmoidoscopy removal 1.40 4.35 4.00 0.97 0.85 0.26 00045309 A Proctosigmoidoscopy removal 1.50 4.44 4.26 1.02 0.97 0.27 00045315 A Proctosigmoidoscopy removal 1.80 4.84 4.55 1.14 1.07 0.33 00045317 A Proctosigmoidoscopy bleed 2.00 4.42 4.11 1.23 1.07 0.33 00045320 A Proctosigmoidoscopy ablate 1.78 4.25 4.17 1.14 1.08 0.31 00045321 A Proctosigmoidoscopy volvul 1.75 NA NA 1.16 1.07 0.33 00045327 A Proctosigmoidoscopy w/stent 2.00 NA NA 1.44 1.31 0.42 00045330 A Diagnostic sigmoidoscopy 0.96 2.92 2.95 0.79 0.76 0.14 00045331 A Sigmoidoscopy and biopsy 1.15 3.59 3.63 0.94 0.93 0.18 00045332 A Sigmoidoscopy w/fb removal 1.79 6.22 6.35 1.26 1.22 0.29 00045333 A Sigmoidoscopy & polypectomy 1.79 6.34 6.44 1.24 1.21 0.29 00045334 A Sigmoidoscopy for bleeding 2.73 NA NA 1.80 1.79 0.39 00045335 A Sigmoidoscopy w/submuc inj 1.46 5.79 5.75 1.08 1.06 0.23 00045337 A Sigmoidoscopy & decompress 2.36 NA NA 1.56 1.51 0.38 00045338 A Sigmoidoscopy w/tumr remove 2.34 6.44 6.65 1.56 1.54 0.35 00045339 A Sigmoidoscopy w/ablate tumr 3.14 6.26 6.23 1.99 1.97 0.48 00045340 A Sig w/balloon dilation 1.89 11.28 11.19 1.30 1.27 0.30 00045341 A Sigmoidoscopy w/ultrasound 2.60 NA NA 1.74 1.73 0.38 00045342 A Sigmoidoscopy w/us guide bx 4.05 NA NA 2.56 2.54 0.60 00045345 A Sigmoidoscopy w/stent 2.92 NA NA 1.89 1.87 0.44 00045355 A Surgical colonoscopy 3.51 NA NA 2.09 1.98 0.59 00045378 A Diagnostic colonoscopy 3.69 7.12 7.37 2.26 2.22 0.59 000CMS-1582-PN 300CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global45378 53 A Diagnostic colonoscopy 0.96 2.92 2.95 0.79 0.76 0.14 00045379 A Colonoscopy w/fb removal 4.68 9.23 9.46 2.82 2.73 0.72 00045380 A Colonoscopy and biopsy 4.43 8.48 8.82 2.72 2.69 0.67 00045381 A Colonoscopy submucous inj 4.19 8.35 8.73 2.59 2.57 0.63 00045382 A Colonoscopy/control bleeding 5.68 11.11 11.71 3.43 3.42 0.84 00045383 A Lesion removal colonoscopy 5.86 9.75 9.95 3.37 3.28 0.91 00045384 A Lesion remove colonoscopy 4.69 8.16 8.36 2.76 2.70 0.73 00045385 A Lesion removal colonoscopy 5.30 9.23 9.59 3.18 3.14 0.80 00045386 A Colonoscopy dilate stricture 4.57 13.55 14.17 2.73 2.68 0.72 00045387 A Colonoscopy w/stent 5.90 NA NA 3.62 3.57 0.88 00045391 A Colonoscopy w/endoscope us 5.09 NA NA 3.09 3.06 0.73 00045392 A Colonoscopy w/endoscopic fnb 6.54 NA NA 3.89 3.85 1.02 00045395 A Lap removal of rectum 33.00 NA NA 20.59 18.65 5.99 09045397 A Lap remove rectum w/pouch 36.50 NA NA 21.94 19.65 6.02 09045400 A Laparoscopic proc 19.44 NA NA 11.50 10.36 3.57 09045402 A Lap proctopexy w/sig resect 26.51 NA NA 14.58 13.07 4.82 09045499 C Laparoscope proc rectum 0.00 0.00 0.00 0.00 0.00 0.00 YYY45500 A Repair of rectum 7.73 NA NA 6.60 5.92 1.21 09045505 A Repair of rectum 8.36 NA NA 7.60 6.78 1.51 09045520 A Treatment of rectal prolapse 0.55 3.74 3.42 0.57 0.52 0.07 00045540 A Correct rectal prolapse 18.12 NA NA 10.39 9.33 3.12 09045541 A Correct rectal prolapse 14.85 NA NA 10.27 9.19 2.59 09045550 A Repair rectum/remove sigmoid 24.80 NA NA 14.60 13.03 4.48 09045560 A Repair of rectocele 11.50 NA NA 7.52 7.15 1.80 09045562 A Exploration/repair of rectum 17.98 NA NA 11.84 10.87 3.38 09045563 A Exploration/repair of rectum 26.38 NA NA 16.98 15.24 5.63 09045800 A Repair rect/bladder fistula 20.31 NA NA 11.90 11.49 3.39 09045805 A Repair fistula w/colostomy 23.32 NA NA 15.16 13.63 4.98 09045820 A Repair rectourethral fistula 20.37 NA NA 12.43 11.70 1.96 09045825 A Repair fistula w/colostomy 24.17 NA NA 15.49 14.40 3.46 090CMS-1582-PN 301CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global45900 A Reduction of rectal prolapse 2.99 NA NA 2.43 2.22 0.56 01045905 A Dilation of anal sphincter 2.35 NA NA 2.22 2.08 0.41 01045910 A Dilation of rectal narrowing 2.85 NA NA 2.44 2.33 0.48 01045915 A Remove rectal obstruction 3.19 5.71 5.43 2.93 2.72 0.52 01045990 A Surg dx exam anorectal 1.80 NA NA 1.09 1.02 0.31 00045999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY46020 A Placement of seton 3.00 4.50 4.07 3.36 3.03 0.54 01046030 A Removal of rectal marker 1.26 2.55 2.34 1.19 1.08 0.23 01046040 A Incision of rectal abscess 5.37 8.96 8.32 5.71 5.25 1.05 09046045 A Incision of rectal abscess 5.87 NA NA 5.70 5.13 1.17 09046050 A Incision of anal abscess 1.24 4.22 3.94 1.39 1.27 0.24 01046060 A Incision of rectal abscess 6.37 NA NA 6.43 5.78 1.18 09046070 A Incision of anal septum 2.79 NA NA 3.81 3.48 0.20 09046080 A Incision of anal sphincter 2.52 4.20 3.87 1.74 1.58 0.49 01046083 A Incise external hemorrhoid 1.45 3.31 3.31 1.44 1.38 0.24 01046200 A Removal of anal fissure 3.59 8.46 7.69 5.22 4.77 0.63 09046220 A Excise anal ext tag/papilla 1.61 4.03 3.75 1.61 1.47 0.30 01046221 A Ligation of hemorrhoid(s) 2.36 4.98 4.60 2.83 2.60 0.41 01046230 A Removal of anal tags 2.62 4.81 4.48 2.03 1.85 0.48 01046250 A Remove ext hem groups 2+ 4.25 8.22 7.67 4.18 3.82 0.82 09046255 A Remove int/ext hem 1 group 4.96 8.61 8.11 4.48 4.11 0.95 09046257 A Remove in/ex hem grp & fiss 5.76 NA NA 5.59 5.02 1.08 09046258 A Remove in/ex hem grp w/fistu 6.41 NA NA 6.07 5.43 1.37 09046260 A Remove in/ex hem groups 2+ 6.73 NA NA 5.99 5.39 1.27 09046261 A Remove in/ex hem grps & fiss 7.76 NA NA 6.48 5.82 1.39 09046262 A Remove in/ex hem grps w/fist 7.91 NA NA 6.98 6.28 1.44 09046270 A Remove anal fist subq 4.92 8.74 8.05 5.59 5.04 0.98 09046275 A Remove anal fist inter 5.42 9.09 8.30 5.74 5.18 0.98 09046280 A Remove anal fist complex 6.39 NA NA 6.26 5.62 1.13 09046285 A Remove anal fist 2 stage 5.42 9.05 8.11 5.78 5.15 0.91 090CMS-1582-PN 302CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global46288 A Repair anal fistula 7.81 NA NA 7.01 6.28 1.33 09046320 A Removal of hemorrhoid clot 1.64 3.34 3.10 1.35 1.22 0.30 01046500 A Injection into hemorrhoid(s) 1.69 4.79 4.37 1.83 1.68 0.29 01046505 A Chemodenervation anal musc 3.18 4.58 4.27 3.31 3.03 0.59 01046600 A Diagnostic anoscopy 0.55 1.86 1.79 0.57 0.51 0.08 00046604 A Anoscopy and dilation 1.03 15.86 14.88 0.77 0.72 0.16 00046606 A Anoscopy and biopsy 1.20 4.93 4.82 0.86 0.78 0.23 00046608 A Anoscopy remove for body 1.30 5.09 4.91 0.86 0.80 0.24 00046610 A Anoscopy remove lesion 1.28 4.95 4.82 0.90 0.83 0.24 00046611 A Anoscopy 1.30 3.55 3.42 0.93 0.85 0.23 00046612 A Anoscopy remove lesions 1.50 5.76 5.67 1.01 0.96 0.31 00046614 A Anoscopy control bleeding 1.00 2.49 2.48 0.77 0.76 0.14 00046615 A Anoscopy 1.50 2.39 2.36 1.01 0.97 0.29 00046700 A Repair of anal stricture 9.81 NA NA 7.93 7.05 1.63 09046705 A Repair of anal stricture 7.43 NA NA 6.20 5.99 0.52 09046706 A Repr of anal fistula w/glue 2.44 NA NA 2.08 1.94 0.42 01046707 A Repair anorectal fist w/plug 6.39 NA NA 6.50 6.50 0.90 09046710 A Repr per/vag pouch sngl proc 17.14 NA NA 11.54 10.77 3.67 09046712 A Repr per/vag pouch dbl proc 36.45 NA NA 22.11 19.91 2.59 09046715 A Rep perf anoper fistu 7.62 NA NA 6.35 5.84 0.53 09046716 A Rep perf anoper/vestib fistu 17.54 NA NA 13.74 14.45 1.24 09046730 A Construction of absent anus 30.65 NA NA 19.17 18.42 2.18 09046735 A Construction of absent anus 36.14 NA NA 21.57 20.71 2.57 09046740 A Construction of absent anus 33.90 NA NA 22.50 20.20 7.23 09046742 A Repair of imperforated anus 40.14 NA NA 25.12 22.89 8.56 09046744 A Repair of cloacal anomaly 58.94 NA NA 35.23 30.46 8.42 09046746 A Repair of cloacal anomaly 65.44 NA NA 34.55 33.54 4.64 09046748 A Repair of cloacal anomaly 71.42 NA NA 33.37 33.62 5.08 09046750 A Repair of anal sphincter 12.15 NA NA 8.60 7.84 1.97 09046751 A Repair of anal sphincter 9.30 NA NA 6.95 6.89 1.57 090CMS-1582-PN 303CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global46753 A Reconstruction of anus 8.89 NA NA 6.97 6.28 1.51 09046754 A Removal of suture from anus 3.01 5.20 4.86 3.39 3.01 0.42 01046760 A Repair of anal sphincter 17.45 NA NA 12.49 11.12 2.48 09046761 A Repair of anal sphincter 15.29 NA NA 10.15 9.09 2.42 09046762 A Implant artificial sphincter 14.82 NA NA 10.44 9.42 2.12 09046900 A Destruction anal lesion(s) 1.91 4.74 4.45 1.89 1.76 0.30 01046910 A Destruction anal lesion(s) 1.91 4.88 4.68 1.70 1.59 0.34 01046916 A Cryosurgery anal lesion(s) 1.91 4.54 4.51 2.15 2.04 0.27 01046917 A Laser surgery anal lesions 1.91 10.92 10.84 1.73 1.61 0.33 01046922 A Excision of anal lesion(s) 1.91 5.37 5.06 1.74 1.60 0.35 01046924 A Destruction anal lesion(s) 2.81 11.99 11.68 2.24 2.05 0.45 01046930 A Destroy internal hemorrhoids 1.61 3.92 4.12 2.40 2.48 0.26 09046940 A Treatment of anal fissure 2.35 3.93 3.57 1.65 1.49 0.37 01046942 A Treatment of anal fissure 2.07 3.83 3.48 1.52 1.37 0.33 01046945 A Remove by ligat int hem grp 2.21 6.14 5.73 3.91 3.69 0.38 09046946 A Remove by ligat int hem grps 2.63 5.84 5.60 3.47 3.32 0.44 09046947 A Hemorrhoidopexy by stapling 5.57 NA NA 4.66 4.21 1.09 09046999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY47000 A Needle biopsy of liver 1.90 8.17 8.05 0.74 0.81 0.20 00047001 A Needle biopsy liver add-on 1.90 NA NA 0.82 0.75 0.38 ZZZ47010 A Open drainage liver lesion 19.40 NA NA 12.14 11.31 3.96 09047011 A Percut drain liver lesion 3.69 NA NA 1.35 1.54 0.35 00047015 A Inject/aspirate liver cyst 18.50 NA NA 12.12 10.94 3.93 09047100 A Wedge biopsy of liver 12.91 NA NA 9.44 8.64 2.69 09047120 A Partial removal of liver 39.01 NA NA 22.08 20.15 8.26 09047122 A Extensive removal of liver 59.48 NA NA 30.18 27.54 12.64 09047125 A Partial removal of liver 53.04 NA NA 27.38 24.99 11.20 09047130 A Partial removal of liver 57.19 NA NA 29.04 26.56 12.04 09047133 X Removal of donor liver 0.00 0.00 0.00 0.00 0.00 0.00 XXX47135 R Transplantation of liver 83.64 NA NA 44.70 40.62 17.71 090CMS-1582-PN 304CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global47136 R Transplantation of liver 70.74 NA NA 37.44 34.72 15.09 09047140 A Partial removal donor liver 59.40 NA NA 34.31 30.99 12.67 09047141 A Partial removal donor liver 71.50 NA NA 38.33 35.51 5.08 09047142 A Partial removal donor liver 79.44 NA NA 43.89 39.70 16.93 09047143 C Prep donor liver whole 0.00 0.00 0.00 0.00 0.00 0.00 XXX47144 C Prep donor liver 3-segment 0.00 0.00 0.00 0.00 0.00 0.00 09047145 C Prep donor liver lobe split 0.00 0.00 0.00 0.00 0.00 0.00 XXX47146 A Prep donor liver/venous 6.00 NA NA 2.61 2.37 1.28 XXX47147 A Prep donor liver/arterial 7.00 NA NA 3.05 2.77 1.48 XXX47300 A Surgery for liver lesion 18.14 NA NA 11.81 10.67 3.84 09047350 A Repair liver wound 22.49 NA NA 13.66 12.45 4.70 09047360 A Repair liver wound 31.31 NA NA 17.98 16.23 6.67 09047361 A Repair liver wound 52.60 NA NA 26.61 24.32 10.70 09047362 A Repair liver wound 23.54 NA NA 14.60 13.08 4.94 09047370 A Laparo ablate liver tumor rf 20.80 NA NA 11.88 10.86 4.22 09047371 A Laparo ablate liver cryosurg 20.80 NA NA 12.20 11.35 4.44 09047379 C Laparoscope procedure liver 0.00 0.00 0.00 0.00 0.00 0.00 YYY47380 A Open ablate liver tumor rf 24.56 NA NA 13.32 12.30 4.95 09047381 A Open ablate liver tumor cryo 24.88 NA NA 11.31 11.53 5.31 09047382 A Percut ablate liver rf 15.22 119.61 119.61 6.19 7.14 1.48 01047399 C Liver surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY47400 A Incision of liver duct 36.36 NA NA 20.18 18.26 7.74 09047420 A Incision of bile duct 22.03 NA NA 13.28 12.09 4.67 09047425 A Incision of bile duct 22.31 NA NA 13.63 12.30 4.76 09047460 A Incise bile duct sphincter 20.52 NA NA 12.85 12.05 4.37 09047480 A Incision of gallbladder 13.25 NA NA 9.86 8.99 2.75 09047490 A Incision of gallbladder 4.76 NA NA 4.30 5.55 0.44 01047500 A Injection for liver x-rays 1.96 NA NA 0.71 0.81 0.20 00047505 A Injection for liver x-rays 0.76 NA NA 0.28 0.31 0.07 00047510 A Insert catheter bile duct 8.03 NA NA 4.86 5.44 0.80 090CMS-1582-PN 305CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global47511 A Insert bile duct drain 10.77 NA NA 5.14 5.86 1.02 09047525 A Change bile duct catheter 1.54 12.30 13.46 0.81 1.22 0.14 00047530 A Revise/reinsert bile tube 6.05 33.50 35.96 3.64 4.08 0.61 09047550 A Bile duct endoscopy add-on3.02 NA NA 1.311.21 0.63 ZZZ47552 A Biliary endoscopy thru skin 6.03 NA NA 2.59 2.92 0.63 00047553 A Biliary endoscopy thru skin 6.34 NA NA 2.33 2.62 0.63 00047554 A Biliary endoscopy thru skin 9.05 NA NA 4.05 4.14 1.51 00047555 A Biliary endoscopy thru skin 7.55 NA NA 2.70 3.13 0.71 00047556 A Biliary endoscopy thru skin 8.55 NA NA 3.09 3.56 0.80 00047560 A Laparoscopy w/cholangio 4.88 NA NA 2.12 1.95 1.05 00047561 A Laparo w/cholangio/biopsy 5.17 NA NA 2.54 2.33 1.10 00047562 A Laparoscopic cholecystectomy 11.76 NA NA 8.05 7.29 2.48 09047563 A Laparo cholecystectomy/graph 11.47 NA NA 7.20 6.95 2.43 09047564 A Laparo cholecystectomy/explr 18.00 NA NA 11.01 9.95 3.84 09047570 A Laparo cholecystoenterostomy 12.56 NA NA 7.83 7.15 2.67 09047579 C Laparoscope proc biliary 0.00 0.00 0.00 0.00 0.00 0.00 YYY47600 A Removal of gallbladder 17.48 NA NA 11.10 9.94 3.70 09047605 A Removal of gallbladder 15.98 NA NA 9.88 8.98 3.40 09047610 A Removal of gallbladder 20.92 NA NA 12.03 10.92 4.45 09047612 A Removal of gallbladder 21.21 NA NA 12.10 10.97 4.50 09047620 A Removal of gallbladder 23.07 NA NA 13.12 11.85 4.94 09047630 A Remove bile duct stone 9.65 NA NA 5.25 5.69 1.21 09047700 A Exploration of bile ducts 16.50 NA NA 11.24 10.30 3.52 09047701 A Bile duct revision 28.73 NA NA 16.84 16.14 6.11 09047711 A Excision of bile duct tumor 25.90 NA NA 15.11 13.72 5.48 09047712 A Excision of bile duct tumor 33.72 NA NA 18.74 16.89 7.20 09047715 A Excision of bile duct cyst 21.55 NA NA 13.45 12.09 4.60 09047720 A Fuse gallbladder & bowel 18.34 NA NA 11.87 10.77 3.88 09047721 A Fuse upper gi structures 21.99 NA NA 13.64 12.28 4.70 09047740 A Fuse gallbladder & bowel 21.23 NA NA 13.31 11.95 4.52 090CMS-1582-PN 306CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global47741 A Fuse gallbladder & bowel 24.21 NA NA 14.61 13.16 5.16 09047760 A Fuse bile ducts and bowel 38.32 NA NA 20.91 18.45 8.11 09047765 A Fuse liver ducts & bowel 52.19 NA NA 27.49 23.76 11.13 09047780 A Fuse bile ducts and bowel 42.32 NA NA 22.54 19.83 8.98 09047785 A Fuse bile ducts and bowel 56.19 NA NA 28.80 25.09 11.99 09047800 A Reconstruction of bile ducts 26.17 NA NA 15.43 13.93 5.59 09047801 A Placement bile duct support 17.60 NA NA 9.96 10.36 2.44 09047802 A Fuse liver duct & intestine 24.93 NA NA 15.21 13.74 5.32 09047900 A Suture bile duct injury 22.44 NA NA 13.44 12.24 4.72 09047999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY48000 A Drainage of abdomen 31.95 NA NA 16.91 15.62 6.18 09048001 A Placement of drain pancreas 39.69 NA NA 20.84 18.80 8.48 09048020 A Removal of pancreatic stone 19.09 NA NA 11.88 10.79 4.08 09048100 A Biopsy of pancreas open 14.46 NA NA 8.97 8.17 2.99 09048102 A Needle biopsy pancreas 4.70 10.21 10.77 1.97 2.24 0.44 01048105 A Resect/debride pancreas 49.26 NA NA 25.74 23.11 10.30 09048120 A Removal of pancreas lesion 18.41 NA NA 10.69 9.69 3.91 09048140 A Partial removal of pancreas 26.32 NA NA 14.71 13.33 5.58 09048145 A Partial removal of pancreas 27.39 NA NA 15.49 13.91 5.83 09048146 A Pancreatectomy 30.60 NA NA 18.84 16.93 6.52 09048148 A Removal of pancreatic duct 20.39 NA NA 12.45 11.18 4.34 09048150 A Partial removal of pancreas 52.84 NA NA 28.42 25.92 11.23 09048152 A Pancreatectomy 48.65 NA NA 27.12 24.53 10.38 09048153 A Pancreatectomy 52.79 NA NA 28.39 25.86 11.21 09048154 A Pancreatectomy 48.88 NA NA 27.22 24.53 10.43 09048155 A Removal of pancreas 29.45 NA NA 18.27 16.62 6.27 09048160 N Pancreas removal/transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX48400 A Injection intraop add-on 1.95 NA NA 0.85 0.86 0.29 ZZZ48500 A Surgery of pancreatic cyst 18.16 NA NA 12.18 10.98 3.87 09048510 A Drain pancreatic pseudocyst 17.19 NA NA 11.52 10.48 3.59 090CMS-1582-PN 307CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global48511 A Drain pancreatic pseudocyst 3.99 21.76 23.36 1.47 1.67 0.38 00048520 A Fuse pancreas cyst and bowel 18.15 NA NA 10.60 9.63 3.84 09048540 A Fuse pancreas cyst and bowel 21.94 NA NA 11.92 10.91 4.67 09048545 A Pancreatorrhaphy 22.23 NA NA 13.13 11.71 4.75 09048547 A Duodenal exclusion 30.38 NA NA 16.67 14.91 6.46 09048548 A Fuse pancreas and bowel 28.09 NA NA 15.58 14.15 5.97 09048550 X Donor pancreatectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX48551 C Prep donor pancreas 0.00 0.00 0.00 0.00 0.00 0.00 XXX48552 A Prep donor pancreas/venous 4.30 NA NA 1.87 1.73 0.90 XXX48554 R Transpl allograft pancreas 37.80 NA NA 30.03 27.54 7.89 09048556 A Removal allograft pancreas 19.47 NA NA 14.07 12.79 4.15 09048999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY49000 A Exploration of abdomen 12.54 NA NA 7.81 7.23 2.57 09049002 A Reopening of abdomen 17.63 NA NA 9.92 8.81 3.66 09049010 A Exploration behind abdomen 16.06 NA NA 8.86 8.34 3.20 09049020 A Drain abdominal abscess 26.67 NA NA 15.35 14.00 5.42 09049021 A Drain abdominal abscess 3.37 21.01 22.71 1.24 1.40 0.31 00049040 A Drain open abdom abscess 16.52 NA NA 9.94 9.08 3.39 09049041 A Drain percut abdom abscess 3.99 21.44 22.83 1.46 1.66 0.38 00049060 A Drain open retrop abscess 18.53 NA NA 10.54 9.90 3.69 09049061 A Drain percut retroper absc 3.69 21.09 22.59 1.35 1.54 0.34 00049062 A Drain to peritoneal cavity 12.22 NA NA 7.47 7.05 2.46 09049080 A Puncture peritoneal cavity 1.35 2.96 3.34 0.53 0.58 0.12 00049081 A Removal of abdominal fluid 1.26 3.30 3.39 0.57 0.58 0.16 00049180 A Biopsy abdominal mass 1.73 2.63 2.94 0.64 0.72 0.16 00049203 A Exc abd tum 5 cm or less 20.13 NA NA 11.54 10.70 3.93 09049204 A Exc abd tum over 5 cm 26.13 NA NA 14.14 13.06 5.08 09049205 A Exc abd tum over 10 cm 30.13 NA NA 15.90 14.65 6.03 09049215 A Excise sacral spine tumor 37.81 NA NA 20.70 18.69 7.54 09049220 A Multiple surgery abdomen 15.79 NA NA 9.73 8.93 3.39 090CMS-1582-PN 308CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global49250 A Excision of umbilicus 9.01 NA NA 6.50 5.98 1.84 09049255 A Removal of omentum 12.56 NA NA 8.35 7.71 2.55 09049320 A Diag laparo separate proc 5.14 NA NA 3.55 3.34 1.03 01049321 A Laparoscopy biopsy 5.44 NA NA 3.75 3.50 1.13 01049322 A Laparoscopy aspiration 6.01 NA NA 3.87 3.65 1.16 01049323 A Laparo drain lymphocele 10.23 NA NA 6.88 6.36 2.14 09049324 A Lap insert tunnel ip cath 6.32 NA NA 4.11 3.81 1.33 01049325 A Lap revision perm ip cath 6.82 NA NA 4.31 3.98 1.47 01049326 A Lap w/omentopexy add-on3.50 NA NA 1.461.32 0.73 ZZZ49327 A Lap ins device for rt 2.38 NA NA 1.03 1.03 0.48 ZZZ49329 C Laparo proc abdm/per/oment 0.00 0.00 0.00 0.00 0.00 0.00 YYY49400 A Air injection into abdomen 1.88 1.80 2.52 0.70 0.77 0.24 00049402 A Remove foreign body adbomen 14.09 NA NA 8.53 7.78 2.90 09049411 A Ins mark abd/pel for rt perq 3.82 11.19 11.19 1.65 1.65 0.35 00049412 A Ins device for rt guide open 1.50 NA NA 0.63 0.63 0.30 ZZZ49418 A Insert tun ip cath perc 4.21 39.87 39.87 2.07 2.07 0.63 00049419 A Insert tun ip cath w/port 7.08 NA NA 4.78 4.59 1.22 09049421 A Ins tun ip cath for dial opn 4.21 NA NA 1.90 2.89 0.83 00049422 A Remove tunneled ip cath 6.29 NA NA 3.83 3.61 1.29 01049423 A Exchange drainage catheter 1.46 14.12 15.21 0.56 0.65 0.12 00049424 A Assess cyst contrast inject 0.76 3.33 3.65 0.31 0.35 0.07 00049425 A Insert abdomen-venous drain 12.22 NA NA 7.54 7.18 2.67 09049426 A Revise abdomen-venous shunt 10.41 NA NA 6.44 6.14 2.07 09049427 A Injection abdominal shunt 0.89 NA NA 0.34 0.38 0.10 00049428 A Ligation of shunt 6.87 NA NA 4.51 4.34 1.47 01049429 A Removal of shunt 7.44 NA NA 4.63 4.31 1.59 01049435 A Insert subq exten to ip cath 2.25 NA NA 0.89 0.81 0.45 ZZZ49436 A Embedded ip cath exit-site 2.72 NA NA 2.21 2.09 0.59 01049440 A Place gastrostomy tube perc 4.18 25.02 27.42 2.00 2.16 0.48 01049441 A Place duod/jej tube perc 4.77 28.18 30.24 2.29 2.44 0.54 010CMS-1582-PN 309CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global49442 A Place cecostomy tube perc 4.00 21.69 25.46 2.01 2.04 0.37 01049446 A Change g-tube to g-j perc 3.31 24.16 26.04 1.22 1.39 0.31 00049450 A Replace g/c tube perc 1.36 17.07 19.67 0.51 0.54 0.12 00049451 A Replace duod/jej tube perc 1.84 18.23 19.39 0.69 0.78 0.20 00049452 A Replace g-j tube perc 2.86 21.85 23.51 1.06 1.21 0.27 00049460 A Fix g/colon tube w/device 0.96 19.46 22.28 0.38 0.40 0.10 00049465 A Fluoro exam of g/colon tube 0.62 4.12 4.42 0.23 0.26 0.05 00049491 A Rpr hern preemie reduc 12.53 NA NA 8.36 7.53 2.67 09049492 A Rpr ing hern premie blocked 15.43 NA NA 9.71 8.82 3.29 09049495 A Rpr ing hernia baby reduc 6.20 NA NA 4.62 4.11 1.32 09049496 A Rpr ing hernia baby blocked 9.42 NA NA 6.77 6.14 2.20 09049500 A Rpr ing hernia init reduce 5.84 NA NA 3.94 3.99 1.24 09049501 A Rpr ing hernia init blocked 9.36 NA NA 6.59 5.99 1.99 09049505 A Prp i/hern init reduc >5 yr 7.96 NA NA 5.80 5.31 1.66 09049507 A Prp i/hern init block >5 yr 9.09 NA NA 6.27 6.05 1.92 09049520 A Rerepair ing hernia reduce 9.99 NA NA 6.67 6.10 2.10 09049521 A Rerepair ing hernia blocked 11.48 NA NA 7.22 6.95 2.41 09049525 A Repair ing hernia sliding 8.93 NA NA 6.20 5.68 1.86 09049540 A Repair lumbar hernia 10.74 NA NA 7.14 6.49 2.26 09049550 A Rpr rem hernia init reduce 8.99 NA NA 6.22 5.69 1.89 09049553 A Rpr fem hernia init blocked 9.92 NA NA 6.73 6.14 2.10 09049555 A Rerepair fem hernia reduce 9.39 NA NA 6.38 5.85 1.97 09049557 A Rerepair fem hernia blocked 11.62 NA NA 7.46 6.81 2.45 09049560 A Rpr ventral hern init reduc 11.92 NA NA 7.53 6.88 2.48 09049561 A Rpr ventral hern init block 15.38 NA NA 9.10 8.26 3.24 09049565 A Rerepair ventrl hern reduce 12.37 NA NA 7.90 7.19 2.60 09049566 A Rerepair ventrl hern block 15.53 NA NA 9.20 8.35 3.29 09049568 A Hernia repair w/mesh 4.88 NA NA 2.12 1.93 1.03 ZZZ49570 A Rpr epigastric hern reduce 6.05 NA NA 4.96 4.55 1.28 09049572 A Rpr epigastric hern blocked 7.87 NA NA 5.76 5.22 1.65 090CMS-1582-PN 310CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global49580 A Rpr umbil hern reduc < 5 yr 4.47 NA NA 4.37 3.98 0.95 09049582 A Rpr umbil hern block < 5 yr 7.13 NA NA 5.62 5.11 1.52 09049585 A Rpr umbil hern reduc > 5 yr 6.59 NA NA 5.18 4.75 1.37 09049587 A Rpr umbil hern block > 5 yr 7.08 NA NA 5.45 5.25 1.49 09049590 A Repair spigelian hernia 8.90 NA NA 6.21 5.67 1.88 09049600 A Repair umbilical lesion 11.55 NA NA 7.68 7.15 2.45 09049605 A Repair umbilical lesion 87.09 NA NA 42.03 39.02 18.58 09049606 A Repair umbilical lesion 19.00 NA NA 10.70 9.76 4.06 09049610 A Repair umbilical lesion 10.91 NA NA 7.18 6.64 2.31 09049611 A Repair umbilical lesion 9.34 NA NA 6.01 6.12 0.65 09049650 A Lap ing hernia repair init 6.36 NA NA 4.97 4.56 1.33 09049651 A Lap ing hernia repair recur 8.38 NA NA 6.35 5.79 1.78 09049652 A Lap vent/abd hernia repair 11.92 NA NA 7.52 7.25 0.83 09049653 A Lap vent/abd hern proc comp 14.94 NA NA 9.31 8.97 1.07 09049654 A Lap inc hernia repair 13.76 NA NA 8.30 8.01 0.97 09049655 A Lap inc hern repair comp 16.84 NA NA 10.06 9.68 1.19 09049656 A Lap inc hernia repair recur 15.08 NA NA 9.11 8.26 1.08 09049657 A Lap inc hern recur comp 22.11 NA NA 12.65 11.44 1.57 09049659 C Laparo proc hernia repair 0.00 0.00 0.00 0.00 0.00 0.00 YYY49900 A Repair of abdominal wall 12.41 NA NA 9.26 8.57 2.55 09049904 A Omental flap extra-abdom 22.35 NA NA 15.80 15.78 4.75 09049905 A Omental flap intra-abdom 6.54 NA NA 2.80 2.59 1.24 ZZZ49906 C Free omental flap microvasc 0.00 0.00 0.00 0.00 0.00 0.00 09049999 C Abdomen surgery procedure 0.00 0.000.00 0.00 0.00 0.00 YYY50010 A Exploration of kidney 12.28 NA NA 7.75 7.91 1.80 09050020 A Renal abscess open drain 18.08 NA NA 10.76 10.77 2.41 09050021 A Renal abscess percut drain 3.37 22.47 24.20 1.23 1.39 0.31 00050040 A Drainage of kidney 16.68 NA NA 8.76 9.77 1.69 09050045 A Exploration of kidney 16.82 NA NA 8.87 9.78 1.62 0905005F I Pt counsld on exam for moles 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 311CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global50060 A Removal of kidney stone 20.95 NA NA 10.49 11.72 2.01 09050065 A Incision of kidney 22.32 NA NA 11.02 12.06 2.16 09050070 A Incision of kidney 21.85 NA NA 10.84 12.20 2.12 09050075 A Removal of kidney stone 27.09 NA NA 13.11 14.72 2.63 09050080 A Removal of kidney stone 15.74 NA NA 8.22 9.23 1.55 09050081 A Removal of kidney stone 23.50 NA NA 11.72 13.12 2.31 09050100 A Revise kidney blood vessels 17.45 NA NA 7.23 8.32 3.73 09050120 A Exploration of kidney 17.21 NA NA 8.96 9.90 1.66 09050125 A Explore and drain kidney 17.82 NA NA 11.06 11.06 1.71 09050130 A Removal of kidney stone 18.82 NA NA 9.71 10.83 1.82 09050135 A Exploration of kidney 20.59 NA NA 10.35 11.51 1.99 09050200 A Renal biopsy perq 2.63 14.10 14.10 1.29 1.42 0.31 00050205 A Renal biopsy open 12.29 NA NA 7.61 7.20 2.40 0905020F I Txmnts 2 main dr by 1 mon 0.00 0.00 0.00 0.00 0.00 0.00 XXX50220 A Remove kidney open 18.68 NA NA 9.83 10.65 2.25 09050225 A Removal kidney open complex 21.88 NA NA 11.01 12.00 2.38 09050230 A Removal kidney open radical 23.81 NA NA 11.45 12.73 2.45 09050234 A Removal of kidney & ureter 24.05 NA NA 11.80 13.10 2.44 09050236 A Removal of kidney & ureter 26.94 NA NA 13.47 15.08 2.64 09050240 A Partial removal of kidney 24.21 NA NA 12.28 13.66 2.42 09050250 A Cryoablate renal mass open 22.22 NA NA 11.33 12.79 2.18 09050280 A Removal of kidney lesion 17.09 NA NA 9.19 10.03 1.86 09050290 A Removal of kidney lesion 16.15 NA NA 10.34 9.85 1.57 09050300 X Remove cadaver donor kidney 0.00 0.00 0.00 0.00 0.00 0.00 XXX50320 A Remove kidney living donor 22.43 NA NA 15.42 15.33 3.88 09050323 C Prep cadaver renal allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX50325 C Prep donor renal graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX50327 A Prep renal graft/venous 4.00 NA NA 1.69 1.60 0.78 XXX50328 A Prep renal graft/arterial 3.50 NA NA 1.48 1.41 0.67 XXX50329 A Prep renal graft/ureteral 3.34 NA NA 1.37 1.42 0.48 XXXCMS-1582-PN 312CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global50340 A Removal of kidney 14.04 NA NA 11.01 10.06 3.01 09050360 A Transplantation of kidney 40.90 NA NA 27.10 24.82 8.30 09050365 A Transplantation of kidney 46.13 NA NA 29.69 27.41 9.84 09050370 A Remove transplanted kidney 18.88 NA NA 12.95 11.93 3.76 09050380 A Reimplantation of kidney 30.11 NA NA 22.76 21.93 6.41 09050382 A Change ureter stent percut 5.50 27.93 31.69 2.07 2.37 0.52 00050384 A Remove ureter stent percut 5.00 21.93 26.02 1.85 2.14 0.48 00050385 A Change stent via transureth 4.44 28.05 31.98 1.97 2.30 0.42 00050386 A Remove stent via transureth 3.30 18.06 20.40 1.55 1.80 0.31 00050387 A Change ext/int ureter stent 2.00 13.45 15.28 0.72 0.84 0.20 00050389 A Remove renal tube w/fluoro 1.10 7.06 8.52 0.41 0.46 0.10 00050390 A Drainage of kidney lesion 1.96 NA NA 0.71 0.81 0.18 00050391 A Instll rx agnt into rnal tub 1.96 1.43 1.65 0.79 0.88 0.20 00050392 A Insert kidney drain 3.37 NA NA 1.55 1.76 0.31 00050393 A Insert ureteral tube 4.15 NA NA 1.83 2.09 0.38 00050394 A Injection for kidney x-ray 0.76 1.98 2.26 0.60 0.68 0.07 00050395 A Create passage to kidney 3.37 NA NA 1.58 1.80 0.33 00050396 A Measure kidney pressure 2.09 NA NA 1.09 1.25 0.20 00050398 A Change kidney tube 1.46 12.69 14.24 0.57 0.65 0.12 00050400 A Revision of kidney/ureter 21.27 NA NA 10.67 11.80 2.10 09050405 A Revision of kidney/ureter 25.86 NA NA 12.63 14.07 2.50 09050500 A Repair of kidney wound 21.22 NA NA 11.99 11.61 4.52 09050520 A Close kidney-skin fistula 18.88 NA NA 9.68 10.66 1.84 09050525 A Repair renal-abdomen fistula 24.39 NA NA 14.15 13.88 5.20 09050526 A Repair renal-abdomen fistula 26.31 NA NA 14.18 13.71 1.86 09050540 A Revision of horseshoe kidney 21.10 NA NA 10.55 11.44 2.03 09050541 A Laparo ablate renal cyst 16.86 NA NA 8.51 9.46 1.70 09050542 A Laparo ablate renal mass 21.36 NA NA 10.86 12.11 2.10 09050543 A Laparo partial nephrectomy 27.41 NA NA 13.65 15.24 2.72 09050544 A Laparoscopy pyeloplasty 23.37 NA NA 11.03 12.36 2.31 090CMS-1582-PN 313CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global50545 A Laparo radical nephrectomy 25.06 NA NA 11.93 13.33 2.55 09050546 A Laparoscopic nephrectomy 21.87 NA NA 11.17 12.36 2.30 09050547 A Laparo removal donor kidney 26.34 NA NA 16.33 15.84 4.83 09050548 A Laparo remove w/ureter 25.36 NA NA 11.84 13.27 2.50 09050549 C Laparoscope proc renal 0.00 0.00 0.00 0.00 0.00 0.00 YYY50551 A Kidney endoscopy 5.59 4.25 4.92 2.56 2.88 0.54 00050553 A Kidney endoscopy 5.98 4.54 5.11 2.68 2.99 0.65 00050555 A Kidney endoscopy & biopsy 6.52 4.76 5.47 2.93 3.28 0.63 00050557 A Kidney endoscopy & treatment 6.61 4.85 5.60 2.96 3.33 0.64 00050561 A Kidney endoscopy & treatment 7.58 5.44 6.27 3.34 3.76 0.75 00050562 A Renal scope w/tumor resect 10.90 NA NA 5.15 5.84 1.06 09050570 A Kidney endoscopy 9.53 NA NA 4.06 4.60 0.91 00050572 A Kidney endoscopy 10.33 NA NA 4.38 4.96 1.01 00050574 A Kidney endoscopy & biopsy 11.00 NA NA 4.64 5.25 1.08 00050575 A Kidney endoscopy 13.96 NA NA 5.80 6.56 1.36 00050576 A Kidney endoscopy & treatment 10.97 NA NA 4.63 5.24 1.06 00050580 A Kidney endoscopy & treatment 11.84 NA NA 4.97 5.56 1.16 00050590 A Fragmenting of kidney stone 9.77 11.22 15.32 5.80 6.47 0.95 09050592 A Perc rf ablate renal tumor 6.80 76.33 94.06 3.15 3.55 0.64 01050593 A Perc cryo ablate renal tum 9.13 115.17 129.65 4.21 4.30 0.86 01050600 A Exploration of ureter 17.17 NA NA 8.72 9.64 1.66 09050605 A Insert ureteral support 16.79 NA NA 9.37 9.48 2.65 0905060F I Fndngs mammo 2pt w/in 3 days 0.00 0.00 0.00 0.00 0.00 0.00 XXX50610 A Removal of ureter stone 17.25 NA NA 8.82 9.85 1.66 09050620 A Removal of ureter stone 16.43 NA NA 8.50 9.49 1.59 0905062F I Mammo result com to pt 5 day 0.00 0.00 0.00 0.00 0.00 0.00 XXX50630 A Removal of ureter stone 16.21 NA NA 8.41 9.18 1.57 09050650 A Removal of ureter 18.82 NA NA 9.72 10.78 1.89 09050660 A Removal of ureter 21.02 NA NA 10.52 11.65 2.03 09050684 A Injection for ureter x-ray 0.76 2.14 3.61 0.62 0.68 0.07 000CMS-1582-PN 314CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global50686 A Measure ureter pressure 1.51 2.62 2.62 1.03 1.11 0.22 00050688 A Change of ureter tube/stent 1.20 NA NA 0.99 1.11 0.11 01050690 A Injection for ureter x-ray 1.16 1.48 1.70 0.76 0.85 0.10 00050700 A Revision of ureter 16.69 NA NA 8.82 9.76 1.62 09050715 A Release of ureter 20.64 NA NA 11.58 11.27 3.01 09050722 A Release of ureter 17.95 NA NA 10.50 10.02 3.05 09050725 A Release/revise ureter 20.20 NA NA 12.10 11.96 1.95 09050727 A Revise ureter 8.28 NA NA 5.65 6.21 0.84 09050728 A Revise ureter 12.18 NA NA 7.06 7.66 1.18 09050740 A Fusion of ureter & kidney 20.07 NA NA 11.40 11.21 4.29 09050750 A Fusion of ureter & kidney 21.22 NA NA 10.59 11.92 2.04 09050760 A Fusion of ureters 20.07 NA NA 10.57 11.19 2.67 09050770 A Splicing of ureters 21.22 NA NA 10.59 11.25 2.04 09050780 A Reimplant ureter in bladder 19.95 NA NA 10.32 11.21 2.31 09050782 A Reimplant ureter in bladder 19.66 NA NA 9.98 10.83 4.19 09050783 A Reimplant ureter in bladder 20.70 NA NA 12.32 11.93 2.00 09050785 A Reimplant ureter in bladder 22.23 NA NA 11.14 12.31 2.25 09050800 A Implant ureter in bowel 16.41 NA NA 9.07 9.95 1.74 09050810 A Fusion of ureter & bowel 22.61 NA NA 11.81 12.09 4.83 09050815 A Urine shunt to intestine 22.26 NA NA 11.45 12.71 2.16 09050820 A Construct bowel bladder 24.07 NA NA 12.18 13.18 2.65 09050825 A Construct bowel bladder 30.68 NA NA 14.97 16.51 3.17 09050830 A Revise urine flow 33.77 NA NA 15.95 17.42 3.29 09050840 A Replace ureter by bowel 22.39 NA NA 11.50 12.82 2.18 09050845 A Appendico-vesicostomy 22.46 NA NA 11.97 13.31 2.18 09050860 A Transplant ureter to skin 17.08 NA NA 8.97 9.93 1.65 09050900 A Repair of ureter 15.04 NA NA 8.47 9.03 1.47 09050920 A Closure ureter/skin fistula 15.81 NA NA 8.48 9.44 1.54 09050930 A Closure ureter/bowel fistula 20.19 NA NA 10.19 10.69 4.30 09050940 A Release of ureter 15.93 NA NA 8.52 9.38 1.55 090CMS-1582-PN 315CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global50945 A Laparoscopy ureterolithotomy 17.97 NA NA 8.88 9.90 1.74 09050947 A Laparo new ureter/bladder 25.78 NA NA 12.38 13.66 2.50 09050948 A Laparo new ureter/bladder 23.82 NA NA 11.36 12.80 2.30 09050949 C Laparoscope proc ureter 0.00 0.00 0.00 0.00 0.00 0.00 YYY50951 A Endoscopy of ureter 5.83 4.45 5.16 2.66 3.00 0.56 00050953 A Endoscopy of ureter 6.23 4.66 5.38 3.14 3.54 0.61 00050955 A Ureter endoscopy & biopsy 6.74 4.91 5.91 3.35 3.79 0.65 00050957 A Ureter endoscopy & treatment 6.78 4.96 5.71 3.02 3.40 0.65 00050961 A Ureter endoscopy & treatment 6.04 4.53 5.24 2.73 3.09 0.59 00050970 A Ureter endoscopy 7.13 NA NA 3.13 3.53 0.68 00050972 A Ureter endoscopy & catheter 6.88 NA NA 3.03 3.40 0.67 00050974 A Ureter endoscopy & biopsy 9.16 NA NA 3.92 4.44 0.88 00050976 A Ureter endoscopy & treatment 9.03 NA NA 3.87 4.36 0.87 00050980 A Ureter endoscopy & treatment 6.84 NA NA 3.01 3.41 0.65 0005100F I Rsk fx ref w/n 24 hrs xray 0.00 0.00 0.00 0.00 0.00 0.00 XXX51020 A Incise & treat bladder 7.69 NA NA 5.19 5.78 0.78 09051030 A Incise & treat bladder 7.81 NA NA 5.14 5.56 0.75 09051040 A Incise & drain bladder 4.49 NA NA 3.46 3.90 0.44 09051045 A Incise bladder/drain ureter 7.81 NA NA 5.56 5.85 1.06 09051050 A Removal of bladder stone 7.97 NA NA 5.04 5.62 0.78 09051060 A Removal of ureter stone 9.95 NA NA 6.05 6.76 0.98 09051065 A Remove ureter calculus 9.95 NA NA 5.97 6.65 0.98 09051080 A Drainage of bladder abscess 6.71 NA NA 4.53 5.01 0.65 09051100 A Drain bladder by needle 0.78 0.95 1.02 0.31 0.33 0.08 00051101 A Drain bladder by trocar/cath 1.02 2.45 2.70 0.44 0.45 0.12 00051102 A Drain bl w/cath insertion 2.70 3.49 4.01 1.31 1.49 0.29 00051500 A Removal of bladder cyst 11.05 NA NA 7.92 7.56 1.08 09051520 A Removal of bladder lesion 10.21 NA NA 6.15 6.70 0.99 09051525 A Removal of bladder lesion 15.42 NA NA 8.23 9.17 1.57 09051530 A Removal of bladder lesion 13.71 NA NA 7.97 8.45 1.65 090CMS-1582-PN 316CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global51535 A Repair of ureter lesion 13.90 NA NA 7.58 8.27 1.33 09051550 A Partial removal of bladder 17.23 NA NA 9.18 9.88 2.14 09051555 A Partial removal of bladder 23.18 NA NA 11.68 12.71 2.60 09051565 A Revise bladder & ureter(s) 23.68 NA NA 12.05 13.12 2.42 09051570 A Removal of bladder 27.46 NA NA 13.47 14.60 2.80 09051575 A Removal of bladder & nodes 34.18 NA NA 16.07 17.94 3.35 09051580 A Remove bladder/revise tract 35.37 NA NA 16.93 18.97 3.44 09051585 A Removal of bladder & nodes 39.64 NA NA 18.60 20.85 3.85 09051590 A Remove bladder/revise tract 36.33 NA NA 16.93 18.83 3.67 09051595 A Remove bladder/revise tract 41.32 NA NA 19.09 21.29 4.11 09051596 A Remove bladder/create pouch 44.26 NA NA 20.67 23.09 4.34 09051597 A Removal of pelvic structures 42.86 NA NA 20.33 22.31 4.53 09051600 A Injection for bladder x-ray 0.88 4.21 4.81 0.34 0.38 0.08 00051605 A Preparation for bladder xray 0.64 NA NA 0.42 0.47 0.05 00051610 A Injection for bladder x-ray 1.05 1.87 2.16 0.71 0.78 0.10 00051700 A Irrigation of bladder 0.88 1.39 1.62 0.36 0.39 0.08 00051701 A Insert bladder catheter 0.50 0.99 1.21 0.26 0.28 0.05 00051702 A Insert temp bladder cath 0.50 1.43 1.72 0.33 0.36 0.05 00051703 A Insert bladder cath complex 1.47 2.07 2.50 0.78 0.87 0.14 00051705 A Change of bladder tube 0.90 1.59 1.59 0.51 0.51 0.09 00051710 A Change of bladder tube 1.35 1.21 1.21 0.83 0.83 0.12 00051715 A Endoscopic injection/implant 3.73 4.16 4.72 1.79 1.94 0.39 00051720 A Treatment of bladder lesion 1.50 1.48 1.76 0.72 0.83 0.14 00051725 A Simple cystometrogram 1.51 3.62 4.57 NA NA 0.13 00051725 TC A Simple cystometrogram 0.00 2.99 3.91 NA NA 0.01 00051725 26 A Simple cystometrogram 1.51 0.63 0.66 0.63 0.66 0.12 00051726 A Complex cystometrogram 1.71 5.69 7.19 NA NA 0.17 00051726 TC A Complex cystometrogram 0.00 4.98 6.43 NA NA 0.03 00051726 26 A Complex cystometrogram 1.71 0.71 0.76 0.71 0.76 0.14 00051727 A Cystometrogram w/up 2.11 6.68 6.68 NA NA 0.23 000CMS-1582-PN 317CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global51727 TC A Cystometrogram w/up 0.00 5.78 5.78 NA NA 0.01 00051727 26 A Cystometrogram w/up 2.11 0.90 0.90 0.90 0.90 0.22 00051728 A Cystometrogram w/vp 2.11 6.63 6.63 NA NA 0.19 00051728 TC A Cystometrogram w/vp 0.00 5.76 5.76 NA NA 0.01 00051728 26 A Cystometrogram w/vp 2.11 0.87 0.87 0.87 0.87 0.18 00051729 A Cystometrogram w/vp&up 2.51 7.02 7.02 NA NA 0.25 00051729 TC A Cystometrogram w/vp&up 0.00 5.96 5.96 NA NA 0.01 00051729 26 A Cystometrogram w/vp&up 2.51 1.06 1.06 1.06 1.06 0.24 00051736 A Urine flow measurement 0.17 0.66 0.85 NA NA 0.02 XXX51736 TC A Urine flow measurement 0.00 0.59 0.67 NA NA 0.01 XXX51736 26 A Urine flow measurement 0.17 0.07 0.18 0.07 0.18 0.01 XXX51741 A Electro-uroflowmetry first 0.17 0.75 1.08 NA NA 0.02 XXX51741 TC A Electro-uroflowmetry first 0.00 0.68 0.77 NA NA 0.01 XXX51741 26 A Electro-uroflowmetry first 0.17 0.07 0.31 0.07 0.31 0.01 XXX51784 A Anal/urinary muscle study 1.53 3.90 4.40 NA NA 0.13 00051784 TC A Anal/urinary muscle study 0.00 3.26 3.73 NA NA 0.01 00051784 26 A Anal/urinary muscle study 1.53 0.64 0.67 0.64 0.67 0.12 00051785 A Anal/urinary muscle study 1.53 4.50 5.00 NA NA 0.13 00051785 TC A Anal/urinary muscle study 0.00 3.85 4.32 NA NA 0.01 00051785 26 A Anal/urinary muscle study 1.53 0.65 0.68 0.65 0.68 0.12 00051792 A Urinary reflex study 1.10 4.96 5.65 NA NA 0.11 00051792 TC A Urinary reflex study 0.00 4.49 5.16 NA NA 0.01 00051792 26 A Urinary reflex study 1.10 0.47 0.49 0.47 0.49 0.10 00051797 A Intraabdominal pressure test 0.80 2.27 3.12 NA NA 0.06 ZZZ51797 TC A Intraabdominal pressure test 0.00 1.94 2.73 NA NA 0.01 ZZZ51797 26 A Intraabdominal pressure test 0.80 0.33 0.39 0.33 0.39 0.05 ZZZ51798 A Us urine capacity measure 0.00 0.50 0.57 NA NA 0.01 XXX51800 A Revision of bladder/urethra 18.89 NA NA 9.89 10.94 1.95 09051820 A Revision of urinary tract 19.59 NA NA 10.27 10.89 1.89 09051840 A Attach bladder/urethra 11.36 NA NA 6.78 7.02 1.50 090CMS-1582-PN 318CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global51841 A Attach bladder/urethra 13.68 NA NA 7.92 8.14 1.84 09051845 A Repair bladder neck 10.15 NA NA 6.05 6.53 1.20 09051860 A Repair of bladder wound 12.60 NA NA 7.68 7.94 1.85 09051865 A Repair of bladder wound 15.80 NA NA 8.71 9.38 1.92 09051880 A Repair of bladder opening 7.87 NA NA 4.97 5.34 0.99 09051900 A Repair bladder/vagina lesion 14.63 NA NA 8.34 8.84 1.42 09051920 A Close bladder-uterus fistula 13.41 NA NA 7.61 8.18 1.29 09051925 A Hysterectomy/bladder repair 17.53 NA NA 11.65 11.30 2.97 09051940 A Correction of bladder defect 30.66 NA NA 14.62 15.48 2.98 09051960 A Revision of bladder & bowel 25.40 NA NA 12.83 14.25 2.65 09051980 A Construct bladder opening 12.57 NA NA 7.07 7.83 1.22 09051990 A Laparo urethral suspension 13.36 NA NA 7.43 7.64 1.77 09051992 A Laparo sling operation 14.87 NA NA 8.51 8.39 2.23 09051999 C Laparoscope proc bla 0.00 0.00 0.00 0.00 0.00 0.00 YYY52000 A Cystoscopy 2.23 3.29 3.83 1.25 1.37 0.23 00052001 A Cystoscopy removal of clots 5.44 4.68 5.49 2.51 2.80 0.53 00052005 A Cystoscopy & ureter catheter 2.37 5.14 5.54 1.23 1.31 0.24 00052007 A Cystoscopy and biopsy 3.02 9.47 10.69 1.46 1.57 0.30 0005200F I Eval appros surg thxpy epi 0.00 0.00 0.00 0.00 0.00 0.00 XXX52010 A Cystoscopy & duct catheter 3.02 7.18 8.60 1.55 1.65 0.30 00052204 A Cystoscopy w/biopsy(s) 2.59 7.35 9.64 1.32 1.46 0.26 00052214 A Cystoscopy and treatment 3.70 13.84 14.60 1.75 2.31 0.35 00052224 A Cystoscopy and treatment 3.14 13.13 18.84 1.53 1.72 0.31 00052234 A Cystoscopy and treatment 4.62 NA NA 2.18 2.46 0.44 00052235 A Cystoscopy and treatment 5.44 NA NA 2.53 2.85 0.53 00052240 A Cystoscopy and treatment 9.71 NA NA 4.20 4.75 0.95 00052250 A Cystoscopy and radiotracer 4.49 NA NA 2.22 2.48 0.45 00052260 A Cystoscopy and treatment 3.91 NA NA 1.90 2.11 0.39 00052265 A Cystoscopy and treatment 2.94 6.98 8.90 1.57 1.66 0.35 00052270 A Cystoscopy & revise urethra 3.36 6.23 8.00 1.66 1.87 0.33 000CMS-1582-PN 319CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global52275 A Cystoscopy & revise urethra 4.69 8.28 10.76 2.18 2.46 0.45 00052276 A Cystoscopy and treatment 4.99 NA NA 2.35 2.64 0.49 00052277 A Cystoscopy and treatment 6.16 NA NA 2.86 3.18 0.60 00052281 A Cystoscopy and treatment 2.60 4.54 5.77 1.39 1.60 0.27 00052282 A Cystoscopy implant stent 6.39 NA NA 2.92 3.25 0.65 00052283 A Cystoscopy and treatment 3.73 3.82 4.41 1.85 2.05 0.37 00052285 A Cystoscopy and treatment 3.60 3.99 4.61 1.81 2.00 0.37 00052290 A Cystoscopy and treatment 4.58 NA NA 2.17 2.45 0.44 00052300 A Cystoscopy and treatment 5.30 NA NA 2.54 2.80 0.56 00052301 A Cystoscopy and treatment 5.50 NA NA 2.59 2.92 0.53 00052305 A Cystoscopy and treatment 5.30 NA NA 2.41 2.70 0.52 00052310 A Cystoscopy and treatment 2.81 3.78 4.08 1.29 1.38 0.29 00052315 A Cystoscopy and treatment 5.20 5.98 6.62 2.22 2.39 0.50 00052317 A Remove bladder stone 6.71 15.10 19.72 2.89 3.27 0.65 00052318 A Remove bladder stone 9.18 NA NA 3.92 4.42 0.88 00052320 A Cystoscopy and treatment 4.69 NA NA 2.13 2.39 0.45 00052325 A Cystoscopy stone removal 6.15 NA NA 2.71 3.05 0.60 00052327 A Cystoscopy inject material 5.18 NA NA 2.05 2.32 0.52 00052330 A Cystoscopy and treatment 5.03 8.33 14.31 2.26 2.54 0.49 00052332 A Cystoscopy and treatment 2.60 10.78 11.89 1.39 1.61 0.26 00052334 A Create passage to kidney 4.82 NA NA 2.26 2.55 0.48 00052341 A Cysto w/ureter stricture tx 5.35 NA NA 2.63 2.99 0.52 00052342 A Cysto w/up stricture tx 5.85 NA NA 2.82 3.22 0.56 00052343 A Cysto w/renal stricture tx 6.55 NA NA 3.10 3.53 0.64 00052344 A Cysto/uretero stricture tx 7.05 NA NA 3.44 3.90 0.68 00052345 A Cysto/uretero w/up stricture 7.55 NA NA 3.64 4.13 0.72 00052346 A Cystouretero w/renal strict 8.58 NA NA 4.03 4.59 0.83 00052351 A Cystouretero & or pyeloscope 5.85 NA NA 2.83 3.18 0.56 00052352 A Cystouretero w/stone remove 6.87 NA NA 3.31 3.73 0.67 00052353 A Cystouretero w/lithotripsy 7.96 NA NA 3.74 4.22 0.76 000CMS-1582-PN 320CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global52354 A Cystouretero w/biopsy 7.33 NA NA 3.50 3.94 0.71 00052355 A Cystouretero w/excise tumor 8.81 NA NA 4.08 4.60 0.86 00052400 A Cystouretero w/congen repr 8.69 NA NA 4.49 5.11 0.84 09052402 A Cystourethro cut ejacul duct 5.27 NA NA 2.11 2.39 0.50 00052450 A Incision of prostate 7.78 NA NA 5.16 5.75 0.75 09052500 A Revision of bladder neck 8.14 NA NA 5.30 5.93 0.78 09052601 A Prostatectomy (turp) 15.26 NA NA 8.04 8.68 1.50 09052630 A Remove prostate regrowth 6.55 NA NA 4.32 4.57 0.64 09052640 A Relieve bladder contracture 4.79 NA NA 3.80 3.89 0.45 09052647 A Laser surgery of prostate 11.30 36.89 48.67 6.53 7.27 1.10 09052648 A Laser surgery of prostate 12.15 37.46 49.21 6.86 7.64 1.20 09052649 A Prostate laser enucleation 14.56 NA NA 7.50 8.55 1.41 09052700 A Drainage of prostate abscess 7.49 NA NA 4.65 5.08 0.72 09053000 A Incision of urethra 2.33 NA NA 1.74 1.96 0.24 01053010 A Incision of urethra 4.45 NA NA 3.65 4.08 0.42 09053020 A Incision of urethra 1.77 NA NA 0.91 1.01 0.18 00053025 A Incision of urethra 1.13 NA NA 0.83 0.81 0.07 00053040 A Drainage of urethra abscess 6.55 NA NA 4.26 4.73 0.64 09053060 A Drainage of urethra abscess 2.68 2.39 2.44 1.89 1.85 0.44 01053080 A Drainage of urinary leakage 6.92 NA NA 4.64 5.42 0.67 09053085 A Drainage of urinary leakage 11.18 NA NA 6.69 6.81 1.46 09053200 A Biopsy of urethra 2.59 1.68 1.85 1.32 1.43 0.27 00053210 A Removal of urethra 13.72 NA NA 7.68 8.43 1.32 09053215 A Removal of urethra 16.85 NA NA 8.74 9.81 1.63 09053220 A Treatment of urethra lesion 7.63 NA NA 4.93 5.41 0.73 09053230 A Removal of urethra lesion 10.44 NA NA 6.28 6.87 1.17 09053235 A Removal of urethra lesion 10.99 NA NA 6.44 7.27 1.06 09053240 A Surgery for urethra pouch 7.08 NA NA 4.61 5.21 0.68 09053250 A Removal of urethra gland 6.52 NA NA 4.82 5.14 1.42 09053260 A Treatment of urethra lesion 3.03 2.50 2.73 1.94 2.05 0.35 010CMS-1582-PN 321CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global53265 A Treatment of urethra lesion 3.17 2.79 3.17 1.96 2.13 0.34 01053270 A Removal of urethra gland 3.14 2.65 2.78 2.11 2.14 0.53 01053275 A Repair of urethra defect 4.57 NA NA 2.65 3.00 0.45 01053400 A Revise urethra stage 1 14.13 NA NA 7.98 8.84 1.42 09053405 A Revise urethra stage 2 15.66 NA NA 8.41 9.47 1.52 09053410 A Reconstruction of urethra 17.68 NA NA 9.34 10.44 1.71 09053415 A Reconstruction of urethra 20.70 NA NA 10.44 11.65 2.04 09053420 A Reconstruct urethra stage 1 15.17 NA NA 8.01 8.31 1.48 09053425 A Reconstruct urethra stage 2 17.07 NA NA 8.75 9.89 1.65 09053430 A Reconstruction of urethra 17.43 NA NA 9.19 9.84 1.97 09053431 A Reconstruct urethra/bladder 21.18 NA NA 10.65 11.88 2.04 09053440 A Male sling procedure 13.36 NA NA 7.02 7.86 1.31 09053442 A Remove/revise male sling 13.49 NA NA 8.09 8.91 1.31 09053444 A Insert tandem cuff 14.19 NA NA 7.68 8.62 1.37 09053445 A Insert uro/ves nck sphincter 15.39 NA NA 8.77 9.88 1.51 09053446 A Remove uro sphincter 11.02 NA NA 6.67 7.50 1.09 09053447 A Remove/replace ur sphincter 14.28 NA NA 8.01 9.02 1.40 09053448 A Remov/replc ur sphinctr comp 23.44 NA NA 11.86 13.30 2.26 09053449 A Repair uro sphincter 10.56 NA NA 6.29 7.05 1.05 09053450 A Revision of urethra 6.77 NA NA 4.47 5.01 0.65 09053460 A Revision of urethra 7.75 NA NA 4.85 5.44 0.73 09053500 A Urethrlys transvag w/ scope 13.00 NA NA 7.59 8.25 1.50 09053502 A Repair of urethra injury 8.26 NA NA 5.14 5.67 0.80 09053505 A Repair of urethra injury 8.26 NA NA 5.12 5.74 0.80 09053510 A Repair of urethra injury 10.96 NA NA 6.42 7.20 1.06 09053515 A Repair of urethra injury 14.22 NA NA 7.70 8.57 1.37 09053520 A Repair of urethra defect 9.48 NA NA 5.84 6.53 0.91 09053600 A Dilate urethra stricture 1.21 1.07 1.25 0.55 0.62 0.11 00053601 A Dilate urethra stricture 0.98 1.23 1.44 0.50 0.56 0.08 00053605 A Dilate urethra stricture 1.28 NA NA 0.50 0.56 0.12 000CMS-1582-PN 322CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global53620 A Dilate urethra stricture 1.62 1.55 1.87 0.79 0.89 0.16 00053621 A Dilate urethra stricture 1.35 1.63 1.97 0.64 0.72 0.12 00053660 A Dilation of urethra 0.71 1.21 1.41 0.44 0.48 0.07 00053661 A Dilation of urethra 0.72 1.17 1.38 0.40 0.44 0.07 00053665 A Dilation of urethra 0.76 NA NA 0.31 0.33 0.08 00053850 A Prostatic microwave thermotx 10.08 43.20 58.11 5.58 6.22 0.99 09053852 A Prostatic rf thermotx 10.83 40.73 54.81 6.31 7.02 1.06 09053855 A Insert prost urethral stent 1.64 19.26 19.26 0.64 0.64 0.16 00053860 A Transurethral rf treatment 3.97 38.32 38.32 2.23 2.23 0.68 09053899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY54000 A Slitting of prepuce 1.59 2.44 2.91 1.38 1.53 0.14 01054001 A Slitting of prepuce 2.24 2.80 3.29 1.58 1.75 0.23 01054015 A Drain penis lesion 5.36 NA NA 3.08 3.47 0.56 01054050 A Destruction penis lesion(s) 1.29 2.39 2.42 1.66 1.64 0.16 01054055 A Destruction penis lesion(s) 1.25 2.00 2.15 1.31 1.36 0.14 01054056 A Cryosurgery penis lesion(s) 1.29 2.71 2.68 1.86 1.81 0.18 01054057 A Laser surg penis lesion(s) 1.29 2.45 2.75 1.32 1.42 0.12 01054060 A Excision of penis lesion(s) 1.98 2.92 3.36 1.61 1.74 0.22 01054065 A Destruction penis lesion(s) 2.47 3.64 3.73 2.37 2.31 0.31 01054100 A Biopsy of penis 1.90 3.61 3.77 1.68 1.62 0.24 00054105 A Biopsy of penis 3.54 3.68 4.35 2.33 2.63 0.35 01054110 A Treatment of penis lesion 10.92 NA NA 6.27 7.00 1.06 09054111 A Treat penis lesion graft 14.42 NA NA 7.64 8.59 1.40 09054112 A Treat penis lesion graft 16.98 NA NA 8.87 10.00 1.63 09054115 A Treatment of penis lesion 6.95 5.44 6.12 4.72 5.25 0.67 09054120 A Partial removal of penis 11.01 NA NA 6.39 7.14 1.09 09054125 A Removal of penis 14.56 NA NA 7.83 8.72 1.48 09054130 A Remove penis & nodes 21.84 NA NA 11.06 12.41 2.12 09054135 A Remove penis & nodes 28.17 NA NA 13.54 15.22 2.74 09054150 A Circumcision w/regionl block 1.90 2.33 2.83 0.80 0.86 0.23 000CMS-1582-PN 323CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global54160 A Circumcision neonate 2.53 3.44 4.12 1.43 1.61 0.24 01054161 A Circum 28 days or older 3.32 NA NA 2.09 2.34 0.34 01054162 A Lysis penil circumic lesion 3.32 3.71 4.42 2.17 2.38 0.33 01054163 A Repair of circumcision 3.32 NA NA 2.71 3.01 0.33 01054164 A Frenulotomy of penis 2.82 NA NA 2.48 2.77 0.29 01054200 A Treatment of penis lesion 1.11 1.82 2.11 1.20 1.36 0.10 01054205 A Treatment of penis lesion 8.97 NA NA 5.69 6.45 0.86 09054220 A Treatment of penis lesion 2.42 3.05 3.64 1.29 1.43 0.26 00054230 A Prepare penis study 1.34 1.30 1.48 0.86 0.96 0.12 00054231 A Dynamic cavernosometry 2.04 1.79 2.03 1.17 1.32 0.20 00054235 A Penile injection 1.19 1.29 1.44 0.84 0.93 0.11 00054240 A Penis study 1.31 1.43 1.60 NA NA 0.09 00054240 TC A Penis study 0.00 0.92 1.03 NA NA 0.01 00054240 26 A Penis study 1.31 0.51 0.57 0.51 0.57 0.08 00054250 A Penis study 2.22 1.15 1.32 NA NA 0.15 00054250 TC A Penis study 0.00 0.28 0.34 NA NA 0.01 00054250 26 A Penis study 2.22 0.87 0.98 0.87 0.98 0.14 00054300 A Revision of penis 11.20 NA NA 6.49 7.37 1.09 09054304 A Revision of penis 13.28 NA NA 7.39 8.42 1.28 09054308 A Reconstruction of urethra 12.62 NA NA 7.86 8.45 1.22 09054312 A Reconstruction of urethra 14.51 NA NA 8.92 9.62 1.40 09054316 A Reconstruction of urethra 18.05 NA NA 10.51 11.30 1.74 09054318 A Reconstruction of urethra 12.43 NA NA 7.93 8.50 0.87 09054322 A Reconstruction of urethra 13.98 NA NA 7.54 8.59 1.36 09054324 A Reconstruction of urethra 17.55 NA NA 9.16 10.46 1.69 09054326 A Reconstruction of urethra 17.02 NA NA 9.06 9.72 1.65 09054328 A Revise penis/urethra 16.89 NA NA 9.01 10.06 1.63 09054332 A Revise penis/urethra 18.37 NA NA 9.59 10.86 1.78 09054336 A Revise penis/urethra 21.62 NA NA 12.42 12.29 2.10 09054340 A Secondary urethral surgery 9.71 NA NA 5.98 6.61 0.93 090CMS-1582-PN 324CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global54344 A Secondary urethral surgery 17.06 NA NA 10.07 10.84 1.65 09054348 A Secondary urethral surgery 18.32 NA NA 16.75 14.62 1.29 09054352 A Reconstruct urethra/penis 26.13 NA NA 22.73 19.75 2.55 09054360 A Penis plastic surgery 12.78 NA NA 7.08 8.06 1.24 09054380 A Repair penis 14.18 NA NA 7.84 8.92 1.37 09054385 A Repair penis 16.56 NA NA 9.02 11.01 2.42 09054390 A Repair penis and bladder 22.77 NA NA 12.73 12.41 2.20 09054400 A Insert semi-rigid prosthesis 9.17 NA NA 5.42 6.12 0.88 09054401 A Insert self-contd prosthesis 10.44 NA NA 7.59 8.52 1.03 09054405 A Insert multi-comp penis pros 14.52 NA NA 7.79 8.73 1.42 09054406 A Remove muti-comp penis pros 12.89 NA NA 7.24 8.11 1.25 09054408 A Repair multi-comp penis pros 13.91 NA NA 7.88 8.79 1.37 09054410 A Remove/replace penis prosth 15.18 NA NA 8.52 9.58 1.48 09054411 A Remov/replc penis pros comp 18.35 NA NA 9.96 11.10 1.78 09054415 A Remove self-contd penis pros 8.88 NA NA 5.66 6.33 0.86 09054416 A Remv/repl penis contain pros 12.08 NA NA 7.49 8.35 1.18 09054417 A Remv/replc penis pros compl 16.10 NA NA 8.67 9.69 1.57 09054420 A Revision of penis 12.39 NA NA 7.03 7.94 1.21 09054430 A Revision of penis 11.06 NA NA 6.57 7.42 1.08 09054435 A Revision of penis 6.81 NA NA 4.66 5.25 0.65 09054440 C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 09054450 A Preputial stretching 1.12 0.80 0.95 0.47 0.54 0.10 00054500 A Biopsy of testis 1.31 NA NA 0.75 0.84 0.12 00054505 A Biopsy of testis 3.50 NA NA 2.28 2.59 0.34 01054512 A Excise lesion testis 9.33 NA NA 5.49 6.07 0.93 09054520 A Removal of testis 5.30 NA NA 3.66 4.02 0.61 09054522 A Orchiectomy partial 10.25 NA NA 6.00 6.46 1.01 09054530 A Removal of testis 8.46 NA NA 5.43 6.08 0.87 09054535 A Extensive testis surgery 13.19 NA NA 7.32 7.97 1.28 09054550 A Exploration for testis 8.41 NA NA 5.14 5.68 0.82 090CMS-1582-PN 325CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global54560 A Exploration for testis 12.10 NA NA 6.82 7.21 1.18 09054600 A Reduce testis torsion 7.64 NA NA 4.84 5.40 0.73 09054620 A Suspension of testis 5.21 NA NA 3.05 3.45 0.50 01054640 A Suspension of testis 7.73 NA NA 5.45 5.86 0.87 09054650 A Orchiopexy (fowler-stephens) 12.39 NA NA 7.21 7.91 1.21 09054660 A Revision of testis 5.74 NA NA 4.09 4.54 0.54 09054670 A Repair testis injury 6.65 NA NA 4.50 5.01 0.64 09054680 A Relocation of testis(es) 14.04 NA NA 7.65 8.38 1.36 09054690 A Laparoscopy orchiectomy 11.70 NA NA 6.42 6.63 2.48 09054692 A Laparoscopy orchiopexy 13.74 NA NA 7.19 8.09 1.32 09054699 C Laparoscope proc testis 0.00 0.00 0.00 0.00 0.00 0.00 YYY54700 A Drainage of scrotum 3.47 NA NA 2.39 2.61 0.39 01054800 A Biopsy of epididymis 2.33 NA NA 2.06 1.81 0.33 00054830 A Remove epididymis lesion 6.01 NA NA 4.24 4.68 0.63 09054840 A Remove epididymis lesion 5.27 NA NA 3.57 4.01 0.52 09054860 A Removal of epididymis 6.95 NA NA 4.58 5.11 0.68 09054861 A Removal of epididymis 9.70 NA NA 5.89 6.56 0.93 09054865 A Explore epididymis 5.77 NA NA 4.10 4.55 0.56 09054900 A Fusion of spermatic ducts 14.20 NA NA 7.85 7.99 1.02 09054901 A Fusion of spermatic ducts 19.10 NA NA 11.13 11.82 1.36 09055000 A Drainage of hydrocele 1.43 1.78 2.06 0.91 0.99 0.14 00055040 A Removal of hydrocele 5.45 NA NA 3.83 4.24 0.61 09055041 A Removal of hydroceles 8.54 NA NA 5.49 6.06 0.90 09055060 A Repair of hydrocele 6.15 NA NA 4.31 4.74 0.67 09055100 A Drainage of scrotum abscess 2.45 3.40 3.86 2.11 2.27 0.30 01055110 A Explore scrotum 6.33 NA NA 4.37 4.78 0.68 09055120 A Removal of scrotum lesion 5.72 NA NA 4.08 4.49 0.61 09055150 A Removal of scrotum 8.14 NA NA 5.38 5.91 0.86 09055175 A Revision of scrotum 5.87 NA NA 4.17 4.60 0.60 09055180 A Revision of scrotum 11.78 NA NA 7.28 7.94 1.29 090CMS-1582-PN 326CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global55200 A Incision of sperm duct 4.55 7.31 9.18 3.11 3.42 0.44 09055250 A Removal of sperm duct(s) 3.37 7.28 8.94 2.94 3.24 0.33 09055300 A Prepare sperm duct x-ray 3.50 NA NA 1.67 1.72 0.34 00055400 A Repair of sperm duct 8.61 NA NA 5.12 5.79 0.83 09055450 A Ligation of sperm duct 4.43 5.35 6.44 2.66 2.92 0.42 01055500 A Removal of hydrocele 6.22 NA NA 4.65 4.78 0.88 09055520 A Removal of sperm cord lesion 6.66 NA NA 5.36 4.98 1.36 09055530 A Revise spermatic cord veins 5.75 NA NA 3.96 4.39 0.63 09055535 A Revise spermatic cord veins 7.19 NA NA 4.66 5.14 0.69 09055540 A Revise hernia & sperm veins 8.30 NA NA 6.09 5.66 1.65 09055550 A Laparo ligate spermatic vein 7.20 NA NA 4.60 4.99 0.69 09055559 C Laparo proc spermatic cord 0.00 0.00 0.00 0.00 0.00 0.00 YYY55600 A Incise sperm duct pouch 7.01 NA NA 4.60 5.15 0.68 09055605 A Incise sperm duct pouch 8.76 NA NA 6.18 6.21 0.84 09055650 A Remove sperm duct pouch 12.65 NA NA 7.12 7.84 1.22 09055680 A Remove sperm pouch lesion 5.67 NA NA 3.86 4.15 0.54 09055700 A Biopsy of prostate 2.58 3.35 4.03 1.27 1.38 0.26 00055705 A Biopsy of prostate 4.61 NA NA 2.74 3.09 0.45 01055706 A Prostate saturation sampling 6.28 NA NA 3.99 4.67 0.44 01055720 A Drainage of prostate abscess 7.73 NA NA 4.72 5.26 0.73 09055725 A Drainage of prostate abscess 10.05 NA NA 6.29 6.93 0.98 09055801 A Removal of prostate 19.80 NA NA 10.35 11.43 1.92 09055810 A Extensive prostate surgery 24.29 NA NA 12.00 13.32 2.48 09055812 A Extensive prostate surgery 29.89 NA NA 14.50 16.20 2.91 09055815 A Extensive prostate surgery 32.95 NA NA 15.70 17.59 3.20 09055821 A Removal of prostate 15.76 NA NA 8.35 9.33 1.55 09055831 A Removal of prostate 17.19 NA NA 8.90 9.96 1.66 09055840 A Extensive prostate surgery 24.63 NA NA 12.28 13.74 2.41 09055842 A Extensive prostate surgery 26.49 NA NA 13.01 14.57 2.60 09055845 A Extensive prostate surgery 30.67 NA NA 14.46 16.18 3.04 090CMS-1582-PN 327CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global55860 A Surgical exposure prostate 15.84 NA NA 8.27 9.28 1.52 09055862 A Extensive prostate surgery 20.04 NA NA 10.21 11.50 1.93 09055865 A Extensive prostate surgery 24.57 NA NA 12.23 13.76 2.38 09055866 A Laparo radical prostatectomy 32.06 NA NA 15.90 17.57 3.18 09055870 A Electroejaculation 2.58 2.22 2.50 1.34 1.53 0.26 00055873 A Cryoablate prostate 13.60 171.44 171.44 7.46 10.53 1.36 09055875 A Transperi needle place pros 13.46 NA NA 7.57 8.45 1.29 09055876 A Place rt device/marker pros 1.73 1.97 2.26 1.04 1.19 0.16 00055899 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY55920 A Place needles pelvic for rt 8.31 NA NA 4.05 4.11 0.80 00055970 N Sex transformation m to f 0.00 0.00 0.00 0.00 0.00 0.00 XXX55980 N Sex transformation f to m 0.00 0.00 0.00 0.00 0.00 0.00 XXX56405 A I & d of vulva/perineum 1.49 1.49 1.49 1.47 1.45 0.26 01056420 A Drainage of gland abscess 1.44 1.87 1.98 1.05 1.05 0.24 01056440 A Surgery for vulva lesion 2.89 NA NA 2.11 2.06 0.49 01056441 A Lysis of labial lesion(s) 2.02 1.92 2.03 1.77 1.83 0.29 01056442 A Hymenotomy 0.68 NA NA 0.63 0.64 0.11 00056501 A Destroy vulva lesions sim 1.58 1.99 2.02 1.56 1.54 0.27 01056515 A Destroy vulva lesion/s compl 3.08 3.09 3.05 2.42 2.31 0.50 01056605 A Biopsy of vulva/perineum 1.10 1.15 1.17 0.56 0.52 0.18 00056606 A Biopsy of vulva/perineum 0.55 0.47 0.48 0.26 0.24 0.08 ZZZ56620 A Partial removal of vulva 7.53 NA NA 6.26 6.03 1.27 09056625 A Complete removal of vulva 9.68 NA NA 6.83 6.50 1.62 09056630 A Extensive vulva surgery 14.80 NA NA 9.43 8.79 2.56 09056631 A Extensive vulva surgery 18.99 NA NA 11.73 10.94 3.21 09056632 A Extensive vulva surgery 21.86 NA NA 14.04 12.95 3.70 09056633 A Extensive vulva surgery 19.62 NA NA 11.91 11.05 3.32 09056634 A Extensive vulva surgery 20.66 NA NA 12.73 11.77 3.50 09056637 A Extensive vulva surgery 24.75 NA NA 14.43 13.36 4.18 09056640 A Extensive vulva surgery 24.78 NA NA 13.65 12.74 4.18 090CMS-1582-PN 328CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global56700 A Partial removal of hymen 2.84 NA NA 2.28 2.24 0.48 01056740 A Remove vagina gland lesion 4.88 NA NA 3.26 3.12 0.83 01056800 A Repair of vagina 3.93 NA NA 2.66 2.61 0.64 01056805 A Repair clitoris 19.88 NA NA 11.30 10.79 3.38 09056810 A Repair of perineum 4.29 NA NA 2.83 2.74 0.69 01056820 A Exam of vulva w/scope 1.50 1.51 1.51 0.82 0.77 0.26 00056821 A Exam/biopsy of vulva w/scope 2.05 1.94 1.96 1.08 1.01 0.34 00057000 A Exploration of vagina 3.02 NA NA 2.16 2.13 0.50 01057010 A Drainage of pelvic abscess 6.84 NA NA 5.05 4.88 1.16 09057020 A Drainage of pelvic fluid 1.50 1.05 1.03 0.73 0.67 0.26 00057022 A I & d vaginal hematoma pp 2.73 NA NA 1.88 1.80 0.45 01057023 A I & d vag hematoma non-ob 5.18 NA NA 3.33 3.20 0.87 01057061 A Destroy vag lesions simple 1.30 1.80 1.85 1.38 1.38 0.22 01057065 A Destroy vag lesions complex 2.66 2.56 2.57 2.02 1.97 0.44 01057100 A Biopsy of vagina 1.20 1.20 1.20 0.60 0.55 0.20 00057105 A Biopsy of vagina 1.74 1.92 1.97 1.66 1.67 0.29 01057106 A Remove vagina wall partial 7.50 NA NA 5.71 5.52 1.21 09057107 A Remove vagina tissue part 24.56 NA NA 13.86 12.94 4.15 09057109 A Vaginectomy partial w/nodes 28.40 NA NA 15.55 14.40 4.80 09057110 A Remove vagina wall complete 15.48 NA NA 9.08 8.63 2.59 09057111 A Remove vagina tissue compl 28.40 NA NA 15.55 14.69 4.80 09057112 A Vaginectomy w/nodes compl 30.52 NA NA 9.59 11.96 2.42 09057120 A Closure of vagina 8.28 NA NA 5.70 5.55 1.36 09057130 A Remove vagina lesion 2.46 2.38 2.43 1.90 1.88 0.41 01057135 A Remove vagina lesion 2.70 2.52 2.55 2.02 1.98 0.44 01057150 A Treat vagina infection 0.55 0.69 0.78 0.25 0.24 0.08 00057155 A Insert uteri tandems/ovoids 3.37 5.99 5.99 1.66 1.66 0.30 00057156 A Ins vag brachytx device 1.87 2.38 2.38 0.99 0.99 0.16 00057160 A Insert pessary/other device 0.89 1.20 1.24 0.41 0.38 0.14 00057170 A Fitting of diaphragm/cap 0.91 0.75 0.87 0.41 0.38 0.14 000CMS-1582-PN 329CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global57180 A Treat vaginal bleeding 1.63 2.19 2.28 1.25 1.25 0.27 01057200 A Repair of vagina 4.42 NA NA 3.76 3.70 0.71 09057210 A Repair vagina/perineum 5.71 NA NA 4.31 4.24 0.91 09057220 A Revision of urethra 4.85 NA NA 3.91 3.86 0.80 09057230 A Repair of urethral lesion 6.30 NA NA 4.52 4.53 1.06 09057240 A Repair bladder & vagina 11.50 NA NA 6.88 6.66 1.63 09057250 A Repair rectum & vagina 11.50 NA NA 7.05 6.50 1.86 09057260 A Repair of vagina 14.44 NA NA 8.39 7.76 2.34 09057265 A Extensive repair of vagina 15.94 NA NA 9.05 8.53 2.57 09057267 A Insert mesh/pelvic flr addon 4.88 NA NA 2.17 2.13 0.72 ZZZ57268 A Repair of bowel bulge 7.57 NA NA 5.64 5.51 1.22 09057270 A Repair of bowel pouch 13.67 NA NA 8.18 7.79 2.25 09057280 A Suspension of vagina 16.72 NA NA 9.41 9.15 2.60 09057282 A Colpopexy extraperitoneal 7.97 NA NA 5.77 5.72 1.24 09057283 A Colpopexy intraperitoneal 11.66 NA NA 7.23 6.97 1.92 09057284 A Repair paravag defect open 14.33 NA NA 8.03 7.98 2.16 09057285 A Repair paravag defect vag 11.60 NA NA 6.93 6.75 1.80 09057287 A Revise/remove sling repair 11.15 NA NA 7.21 7.38 1.47 09057288 A Repair bladder defect 12.13 NA NA 7.11 7.23 1.59 09057289 A Repair bladder & vagina 12.80 NA NA 7.28 7.69 1.24 09057291 A Construction of vagina 8.64 NA NA 9.07 7.51 1.47 09057292 A Construct vagina with graft 14.01 NA NA 8.37 8.13 2.34 09057295 A Revise vag graft via vagina 7.82 NA NA 5.30 5.33 1.20 09057296 A Revise vag graft open abd 16.56 NA NA 9.44 8.94 2.79 09057300 A Repair rectum-vagina fistula 8.71 NA NA 6.48 6.01 1.52 09057305 A Repair rectum-vagina fistula 15.35 NA NA 9.60 8.75 2.97 09057307 A Fistula repair & colostomy 17.17 NA NA 10.99 9.90 3.67 09057308 A Fistula repair transperine 10.59 NA NA 7.40 6.81 1.80 09057310 A Repair urethrovaginal lesion 7.65 NA NA 5.02 5.48 0.73 09057311 A Repair urethrovaginal lesion 8.91 NA NA 5.51 6.01 0.86 090CMS-1582-PN 330CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global57320 A Repair bladder-vagina lesion 8.88 NA NA 5.76 6.10 1.05 09057330 A Repair bladder-vagina lesion 13.21 NA NA 7.15 7.72 1.28 09057335 A Repair vagina 20.02 NA NA 11.66 11.27 3.39 09057400 A Dilation of vagina 2.27 NA NA 1.36 1.34 0.38 00057410 A Pelvic examination 1.75 NA NA 1.18 1.14 0.29 00057415 A Remove vaginal foreign body 2.49 NA NA 1.89 1.88 0.37 01057420 A Exam of vagina w/scope 1.60 1.56 1.56 0.87 0.81 0.26 00057421 A Exam/biopsy of vag w/scope 2.20 2.04 2.04 1.15 1.07 0.37 00057423 A Repair paravag defect lap 16.08 NA NA 8.92 8.63 2.72 09057425 A Laparoscopy surg colpopexy 17.03 NA NA 9.62 9.17 2.67 09057426 A Revise prosth vag graft lap 14.30 NA NA 8.32 8.32 2.41 09057452 A Exam of cervix w/scope 1.50 1.46 1.47 1.02 0.97 0.24 00057454 A Bx/curett of cervix w/scope 2.33 1.86 1.84 1.40 1.33 0.38 00057455 A Biopsy of cervix w/scope 1.99 1.91 1.91 1.04 0.98 0.33 00057456 A Endocerv curettage w/scope 1.85 1.83 1.84 0.98 0.92 0.31 00057460 A Bx of cervix w/scope leep 2.83 4.89 5.30 1.63 1.55 0.48 00057461 A Conz of cervix w/scope leep 3.43 5.28 5.67 1.71 1.60 0.59 00057500 A Biopsy of cervix 1.20 2.28 2.45 0.88 0.84 0.20 00057505 A Endocervical curettage 1.19 1.58 1.62 1.32 1.32 0.20 01057510 A Cauterization of cervix 1.90 1.69 1.69 1.27 1.22 0.31 01057511 A Cryocautery of cervix 1.95 2.02 2.03 1.67 1.64 0.33 01057513 A Laser surgery of cervix 1.95 1.97 1.98 1.67 1.65 0.33 01057520 A Conization of cervix 4.11 4.21 4.27 3.33 3.28 0.68 09057522 A Conization of cervix 3.67 3.50 3.52 2.97 2.92 0.63 09057530 A Removal of cervix 5.27 NA NA 4.15 4.07 0.87 09057531 A Removal of cervix radical 29.95 NA NA 17.20 15.82 5.06 09057540 A Removal of residual cervix 13.29 NA NA 8.05 7.62 2.23 09057545 A Remove cervix/repair pelvis 14.10 NA NA 8.42 7.97 2.35 09057550 A Removal of residual cervix 6.34 NA NA 4.82 4.71 1.08 09057555 A Remove cervix/repair vagina 9.94 NA NA 6.52 6.23 1.66 090CMS-1582-PN 331CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global57556 A Remove cervix repair bowel 9.36 NA NA 6.12 6.03 1.46 09057558 A D&c of cervical stump 1.72 1.69 1.70 1.39 1.36 0.29 01057700 A Revision of cervix 4.35 NA NA 4.16 4.15 0.72 09057720 A Revision of cervix 4.61 NA NA 3.81 3.75 0.76 09057800 A Dilation of cervical canal 0.77 0.88 0.88 0.56 0.54 0.12 00058100 A Biopsy of uterus lining 1.53 1.45 1.46 0.87 0.82 0.26 00058110 A Bx done w/colposcopy add-on 0.77 0.55 0.54 0.36 0.33 0.12 ZZZ58120 A Dilation and curettage 3.59 3.43 3.32 2.36 2.26 0.61 01058140 A Myomectomy abdom method 15.79 NA NA 9.24 8.66 2.80 09058145 A Myomectomy vag method 8.91 NA NA 5.97 5.73 1.50 09058146 A Myomectomy abdom complex 20.34 NA NA 11.25 10.61 3.44 09058150 A Total hysterectomy 17.31 NA NA 9.93 9.27 2.94 09058152 A Total hysterectomy 21.86 NA NA 12.19 11.46 3.74 09058180 A Partial hysterectomy 16.60 NA NA 9.56 8.98 2.80 09058200 A Extensive hysterectomy 23.10 NA NA 12.86 11.92 3.89 09058210 A Extensive hysterectomy 30.91 NA NA 17.15 15.82 5.27 09058240 A Removal of pelvis contents 49.33 NA NA 26.84 24.85 8.33 09058260 A Vaginal hysterectomy 14.15 NA NA 8.49 8.05 2.38 09058262 A Vag hyst including t/o 15.94 NA NA 9.30 8.79 2.69 09058263 A Vag hyst w/t/o & vag repair 17.23 NA NA 9.90 9.36 2.91 09058267 A Vag hyst w/urinary repair 18.36 NA NA 10.49 9.90 3.12 09058270 A Vag hyst w/enterocele repair 15.30 NA NA 8.82 8.35 2.57 09058275 A Hysterectomy/revise vagina 17.03 NA NA 9.85 9.32 2.90 09058280 A Hysterectomy/revise vagina 18.33 NA NA 10.50 9.87 3.08 09058285 A Extensive hysterectomy 23.38 NA NA 12.52 11.73 3.93 09058290 A Vag hyst complex 20.27 NA NA 11.22 10.57 3.43 09058291 A Vag hyst incl t/o complex 22.06 NA NA 12.05 11.38 3.73 09058292 A Vag hyst t/o & repair compl 23.35 NA NA 12.64 11.89 3.93 09058293 A Vag hyst w/uro repair compl 24.33 NA NA 13.10 12.27 4.11 09058294 A Vag hyst w/enterocele compl 21.55 NA NA 11.81 11.06 3.66 090CMS-1582-PN 332CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global58300 N Insert intrauterine device 1.01 0.94 1.04 0.44 0.44 0.07 XXX58301 A Remove intrauterine device 1.27 1.32 1.35 0.59 0.54 0.22 00058321 A Artificial insemination 0.92 1.18 1.23 0.42 0.40 0.05 00058322 A Artificial insemination 1.10 1.24 1.28 0.51 0.47 0.18 00058323 A Sperm washing 0.23 0.19 0.25 0.11 0.10 0.04 00058340 A Catheter for hysterography 0.88 2.33 2.62 0.71 0.72 0.12 00058345 A Reopen fallopian tube 4.70 NA NA 2.94 2.84 0.78 01058346 A Insert heyman uteri capsule 7.56 NA NA 4.70 4.73 0.63 09058350 A Reopen fallopian tube 1.06 1.57 1.63 1.09 1.10 0.18 01058353 A Endometr ablate thermal 3.60 23.80 27.59 2.40 2.33 0.61 01058356 A Endometrial cryoablation 6.41 45.11 51.43 3.06 2.85 1.08 01058400 A Suspension of uterus 7.14 NA NA 4.93 4.89 1.08 09058410 A Suspension of uterus 13.80 NA NA 8.22 7.77 2.31 09058520 A Repair of ruptured uterus 13.48 NA NA 8.07 7.58 2.90 09058540 A Revision of uterus 15.71 NA NA 9.17 8.62 2.65 09058541 A Lsh uterus 250 g or less 14.70 NA NA 8.97 8.39 2.46 09058542 A Lsh w/t/o ut 250 g or less 16.56 NA NA 9.84 9.18 2.80 09058543 A Lsh uterus above 250 g 16.87 NA NA 10.00 9.30 2.86 09058544 A Lsh w/t/o uterus above 250 g 18.37 NA NA 10.68 9.89 3.12 09058545 A Laparoscopic myomectomy 15.55 NA NA 8.89 8.37 2.67 09058546 A Laparo-myomectomy complex 19.94 NA NA 10.88 10.23 3.39 09058548 A Lap radical hyst 31.63 NA NA 17.80 16.09 5.32 09058550 A Laparo-asst vag hysterectomy 15.10 NA NA 9.05 8.58 2.56 09058552 A Laparo-vag hyst incl t/o 16.91 NA NA 9.87 9.33 2.87 09058553 A Laparo-vag hyst complex 20.06 NA NA 10.99 10.30 3.40 09058554 A Laparo-vag hyst w/t/o compl 23.11 NA NA 12.84 12.01 3.93 09058555 A Hysteroscopy dx sep proc 3.33 4.95 4.10 1.87 1.76 0.56 00058558 A Hysteroscopy biopsy 4.74 6.06 5.06 2.55 2.41 0.80 00058559 A Hysteroscopy lysis 6.16 NA NA 3.21 3.02 1.05 00058560 A Hysteroscopy resect septum 6.99 NA NA 3.60 3.38 1.18 000CMS-1582-PN 333CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global58561 A Hysteroscopy remove myoma 9.99 NA NA 4.99 4.67 1.67 00058562 A Hysteroscopy remove fb 5.20 5.99 5.01 2.73 2.58 0.87 00058563 A Hysteroscopy ablation 6.16 39.03 44.84 3.21 3.02 1.05 00058565 A Hysteroscopy sterilization 7.12 43.73 48.34 4.75 4.58 1.20 09058570 A Tlh uterus 250 g or less 15.88 NA NA 9.55 8.90 2.69 09058571 A Tlh w/t/o 250 g or less 17.69 NA NA 10.56 9.73 3.01 09058572 A Tlh uterus over 250 g 20.09 NA NA 11.55 10.65 3.40 09058573 A Tlh w/t/o uterus over 250 g 23.11 NA NA 13.10 11.97 3.89 09058578 C Laparo proc uterus 0.00 0.00 0.00 0.00 0.00 0.00 YYY58579 C Hysteroscope procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY58600 A Division of fallopian tube 5.91 NA NA 4.07 3.90 1.01 09058605 A Division of fallopian tube 5.28 NA NA 3.74 3.62 0.88 09058611 A Ligate oviduct(s) add-on 1.45 NA NA 0.67 0.62 0.24 ZZZ58615 A Occlude fallopian tube(s) 3.94 NA NA 2.73 2.71 0.67 01058660 A Laparoscopy lysis 11.59 NA NA 6.73 6.33 2.04 09058661 A Laparoscopy remove adnexa 11.35 NA NA 6.21 5.83 1.93 01058662 A Laparoscopy excise lesions 12.15 NA NA 7.10 6.72 2.07 09058670 A Laparoscopy tubal cautery 5.91 NA NA 4.09 3.94 1.01 09058671 A Laparoscopy tubal block 5.91 NA NA 4.08 3.93 1.01 09058672 A Laparoscopy fimbrioplasty 12.91 NA NA 7.23 6.81 2.18 09058673 A Laparoscopy salpingostomy 14.04 NA NA 7.85 7.43 2.35 09058679 C Laparo proc oviduct-ovary 0.00 0.00 0.00 0.00 0.00 0.00 YYY58700 A Removal of fallopian tube 12.95 NA NA 8.09 7.58 2.41 09058720 A Removal of ovary/tube(s) 12.16 NA NA 7.50 7.08 2.15 09058740 A Adhesiolysis tube ovary 14.90 NA NA 8.90 8.45 2.64 09058750 A Repair oviduct 15.64 NA NA 9.04 8.56 2.64 09058752 A Revise ovarian tube(s) 15.64 NA NA 8.81 8.57 1.10 09058760 A Fimbrioplasty 13.93 NA NA 8.24 7.87 2.34 09058770 A Create new tubal opening 14.77 NA NA 8.57 7.88 2.48 09058800 A Drainage of ovarian cyst(s) 4.62 4.08 4.12 3.55 3.51 0.76 090CMS-1582-PN 334CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global58805 A Drainage of ovarian cyst(s) 6.42 NA NA 4.52 4.46 1.09 09058820 A Drain ovary abscess open 4.70 NA NA 4.60 4.19 0.78 09058822 A Drain ovary abscess percut 11.81 NA NA 7.36 7.14 2.52 09058823 A Drain pelvic abscess percut 3.37 21.52 23.12 1.26 1.39 0.38 00058825 A Transposition ovary(s) 11.78 NA NA 7.55 7.05 1.97 09058900 A Biopsy of ovary(s) 6.59 NA NA 5.42 4.95 1.40 09058920 A Partial removal of ovary(s) 11.95 NA NA 7.22 6.81 2.00 09058925 A Removal of ovarian cyst(s) 12.43 NA NA 7.71 7.25 2.23 09058940 A Removal of ovary(s) 8.22 NA NA 5.85 5.47 1.54 09058943 A Removal of ovary(s) 19.52 NA NA 11.19 10.39 3.52 09058950 A Resect ovarian malignancy 18.37 NA NA 11.08 10.32 3.25 09058951 A Resect ovarian malignancy 24.26 NA NA 13.64 12.60 4.18 09058952 A Resect ovarian malignancy 27.29 NA NA 15.46 14.29 4.74 09058953 A Tah rad dissect for debulk 34.13 NA NA 18.76 17.30 5.88 09058954 A Tah rad debulk/lymph remove 37.13 NA NA 20.19 18.63 6.36 09058956 A Bso omentectomy w/tah 22.80 NA NA 13.29 12.38 3.99 09058957 A Resect recurrent gyn mal 26.22 NA NA 14.99 13.65 4.80 09058958 A Resect recur gyn mal w/lym 29.22 NA NA 16.35 14.95 4.94 09058960 A Exploration of abdomen 15.79 NA NA 9.50 8.92 2.76 09058970 A Retrieval of oocyte 3.52 2.56 2.51 1.98 1.83 0.26 00058974 C Transfer of embryo 0.00 0.00 0.00 0.00 0.00 0.00 00058976 A Transfer of embryo 3.82 2.99 3.03 2.07 2.07 0.27 00058999 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY59000 A Amniocentesis diagnostic 1.30 2.01 2.12 0.79 0.76 0.37 00059001 A Amniocentesis therapeutic 3.00 NA NA 1.64 1.63 0.86 00059012 A Fetal cord puncture prenatal 3.44 NA NA 1.79 1.69 0.99 00059015 A Chorion biopsy 2.20 1.85 1.83 1.21 1.15 0.63 00059020 A Fetal contract stress test 0.66 1.22 1.21 NA NA 0.17 00059020 TC A Fetal contract stress test 0.00 0.91 0.93 NA NA 0.01 00059020 26 A Fetal contract stress test 0.66 0.31 0.28 0.31 0.28 0.16 000CMS-1582-PN 335CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global59025 A Fetal non-stress test 0.53 0.75 0.73 NA NA 0.13 00059025 TC A Fetal non-stress test 0.00 0.50 0.50 NA NA 0.01 00059025 26 A Fetal non-stress test 0.53 0.25 0.23 0.25 0.23 0.12 00059030 A Fetal scalp blood sample 1.99 NA NA 0.87 0.82 0.12 00059050 A Fetal monitor w/report 0.89 NA NA 0.41 0.38 0.26 XXX59051 A Fetal monitor/interpret only 0.74 NA NA 0.34 0.31 0.22 XXX59070 A Transabdom amnioinfus w/us 5.24 5.72 5.80 2.70 2.64 1.51 00059072 A Umbilical cord occlud w/us 8.99 NA NA 4.34 4.20 2.59 00059074 A Fetal fluid drainage w/us 5.24 5.89 5.56 3.00 2.75 1.51 00059076 A Fetal shunt placement w/us 8.99 NA NA 4.34 4.03 2.59 00059100 A Remove uterus lesion 13.37 NA NA 8.18 7.70 3.84 09059120 A Treat ectopic pregnancy 12.67 NA NA 7.85 7.48 3.66 09059121 A Treat ectopic pregnancy 12.74 NA NA 7.79 7.43 3.67 09059130 A Treat ectopic pregnancy 15.08 NA NA 8.88 8.37 1.08 09059135 A Treat ectopic pregnancy 14.92 NA NA 8.62 8.54 1.06 09059136 A Treat ectopic pregnancy 14.25 NA NA 8.43 7.97 4.10 09059140 A Treat ectopic pregnancy 5.94 NA NA 4.46 4.26 0.41 09059150 A Treat ectopic pregnancy 12.29 NA NA 7.59 7.20 3.54 09059151 A Treat ectopic pregnancy 12.11 NA NA 7.22 6.87 3.48 09059160 A D & c after delivery 2.76 2.55 2.71 1.73 1.76 0.78 01059200 A Insert cervical dilator 0.79 1.10 1.16 0.37 0.34 0.23 00059300 A Episiotomy or vaginal repair 2.41 2.64 2.64 1.44 1.33 0.68 00059320 A Revision of cervix 2.48 NA NA 1.47 1.40 0.69 00059325 A Revision of cervix 4.06 NA NA 2.20 2.08 0.29 00059350 A Repair of uterus 4.94 NA NA 2.29 2.05 1.42 00059400 A Obstetrical care 28.69 NA NA 20.58 19.32 7.99 MMM59409 A Obstetrical care 12.82 NA NA 6.00 5.63 3.55 MMM59410 A Obstetrical care 16.07 NA NA 7.99 7.37 4.45 MMM59412 A Antepartum manipulation1.53 NA NA 0.880.87 0.44 MMM59414 A Deliver placenta 1.44NA NA 0.67 0.65 0.41 MMMCMS-1582-PN 336CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global59425 A Antepartum care only 5.63 5.32 5.28 2.61 2.42 1.55 MMM59426 A Antepartum care only 9.96 9.69 9.62 4.61 4.28 2.69 MMM59430 A Care after delivery 2.202.26 1.84 1.020.99 0.60 MMM59510 A Cesarean delivery 31.80 NA NA 22.58 21.50 9.06 MMM59514 A Cesarean delivery only14.39 NA NA 6.74 6.50 4.08 MMM59515 A Cesarean delivery 19.15 NA NA 10.02 9.21 5.43 MMM59525 A Remove uterus after cesarean 8.53 NA NA 3.96 3.65 2.44 ZZZ59610 A Vbac delivery 30.22 NA NA 21.22 20.09 8.70 MMM59612 A Vbac delivery only 14.35 NA NA 6.67 6.33 4.12 MMM59614 A Vbac care after delivery 17.60 NA NA 8.62 7.88 5.05 MMM59618 A Attempted vbac delivery32.26 NA NA 22.73 21.98 9.28 MMM59620 A Attempted vbac delivery only 14.86 NA NA 6.90 6.88 4.27 MMM59622 A Attempted vbacafter care 19.63 NA NA 10.27 9.74 5.65 MMM59812 A Treatment of miscarriage 4.44 3.85 3.76 3.24 3.12 1.25 09059820 A Care of miscarriage 4.84 5.06 5.09 4.45 4.38 1.39 09059821 A Treatment of miscarriage 5.09 4.86 4.87 4.19 4.10 1.47 09059830 A Treat uterus infection 6.59 NA NA 4.72 4.59 1.89 09059840 R Abortion 3.01 2.66 2.60 2.41 2.37 0.80 01059841 R Abortion 5.65 4.26 4.13 3.68 3.51 1.62 01059850 R Abortion 5.90 NA NA 3.94 3.93 0.41 09059851 R Abortion 5.92 NA NA 4.42 4.32 1.69 09059852 R Abortion 8.23 NA NA 5.99 6.01 0.59 09059855 R Abortion 6.43 NA NA 4.31 4.16 1.85 09059856 R Abortion 7.79 NA NA 4.80 4.61 2.23 09059857 R Abortion 9.33 NA NA 5.42 5.37 0.65 09059866 R Abortion (mpr) 3.99 NA NA 2.15 2.07 0.29 00059870 A Evacuate mole of uterus 6.57 NA NA 5.71 5.69 1.89 09059871 A Remove cerclage suture 2.13 NA NA 1.34 1.28 0.61 00059897 C Fetal invas px w/us 0.00 0.00 0.00 0.00 0.00 0.00 YYY59898 C Laparo proc ob care/deliver 0.00 0.00 0.00 0.00 0.00 0.00 YYYCMS-1582-PN 337CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global59899 C Maternity care procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY60000 A Drain thyroid/tongue cyst 1.81 2.84 2.73 2.36 2.27 0.24 0106005F I Care level rationale doc 0.00 0.00 0.00 0.00 0.00 0.00 XXX60100 A Biopsy of thyroid 1.56 1.48 1.58 0.61 0.65 0.16 00060200 A Remove thyroid lesion 10.02 NA NA 8.22 7.64 1.70 09060210 A Partial thyroid excision 11.23 NA NA 8.10 7.42 2.07 09060212 A Partial thyroid excision 16.43 NA NA 11.36 10.26 3.06 09060220 A Partial removal of thyroid 11.19 NA NA 8.04 7.80 1.94 09060225 A Partial removal of thyroid 14.79 NA NA 10.67 9.78 2.64 09060240 A Removal of thyroid 15.04 NA NA 9.66 9.30 2.74 09060252 A Removal of thyroid 22.01 NA NA 14.08 12.86 3.88 09060254 A Extensive thyroid surgery 28.42 NA NA 18.34 16.76 4.53 09060260 A Repeat thyroid surgery 18.26 NA NA 11.87 10.85 3.13 09060270 A Removal of thyroid 23.20 NA NA 13.98 13.11 4.38 09060271 A Removal of thyroid 17.62 NA NA 11.38 10.50 3.01 09060280 A Remove thyroid duct lesion 6.16 NA NA 6.50 6.07 0.84 09060281 A Remove thyroid duct lesion 8.82 NA NA 8.18 7.46 1.14 09060300 A Aspir/inj thyroid cyst 0.97 2.17 2.18 0.38 0.39 0.11 0006040F I Appro rad ds dvcs techs docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX60500 A Explore parathyroid glands 15.60 NA NA 10.06 9.68 3.01 09060502 A Re-explore parathyroids 21.15 NA NA 13.36 12.20 4.15 09060505 A Explore parathyroid glands 23.06 NA NA 14.68 13.56 4.33 09060512 A Autotransplant parathyroid 4.44 NA NA 2.09 1.89 0.83 ZZZ60520 A Removal of thymus gland 17.16 NA NA 10.49 9.84 3.47 09060521 A Removal of thymus gland 19.18 NA NA 10.37 10.62 4.53 09060522 A Removal of thymus gland 23.48 NA NA 12.47 12.64 5.46 09060540 A Explore adrenal gland 18.02 NA NA 10.18 10.21 3.04 09060545 A Explore adrenal gland 20.93 NA NA 11.56 11.30 3.69 09060600 A Remove carotid body lesion 25.09 NA NA 12.87 12.44 5.31 09060605 A Remove carotid body lesion 31.96 NA NA 18.71 16.77 4.11 090CMS-1582-PN 338CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global60650 A Laparoscopy adrenalectomy 20.73 NA NA 11.09 10.69 3.74 09060659 C Laparo proc endocrine 0.00 0.00 0.00 0.00 0.00 0.00 YYY60699 C Endocrine surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY6070F I Pt asked/cnsld aed effects 0.00 0.00 0.00 0.00 0.00 0.00 XXX6080F I Pt/caregiver queried falls 0.00 0.00 0.00 0.00 0.00 0.00 XXX6090F I Pt/caregiver counsel safety 0.00 0.00 0.00 0.00 0.00 0.00 XXX61000 A Remove cranial cavity fluid 1.58 NA NA 1.53 1.46 0.14 00061001 A Remove cranial cavity fluid 1.49 NA NA 1.32 1.36 0.53 00061020 A Remove brain cavity fluid 1.51 NA NA 2.08 1.98 0.50 00061026 A Injection into brain canal 1.69 NA NA 1.69 1.67 0.38 00061050 A Remove brain canal fluid 1.51 NA NA 1.37 1.42 0.12 00061055 A Injection into brain canal 2.10 NA NA 1.55 1.61 0.29 00061070 A Brain canal shunt procedure 0.89 NA NA 1.39 1.36 0.20 00061105 A Twist drill hole 5.45 NA NA 6.30 5.88 1.92 09061107 A Drill skull for implantation 4.99 NA NA 2.76 2.66 1.78 00061108 A Drill skull for drainage 11.64 NA NA 11.17 10.51 4.14 09061120 A Burr hole for puncture 9.60 NA NA 9.16 8.60 3.46 09061140 A Pierce skull for biopsy 17.23 NA NA 14.16 13.48 6.11 09061150 A Pierce skull for drainage 18.90 NA NA 14.82 13.98 6.78 09061151 A Pierce skull for drainage 13.49 NA NA 11.33 10.60 4.85 09061154 A Pierce skull & remove clot 17.07 NA NA 14.59 13.80 6.10 09061156 A Pierce skull for drainage 17.45 NA NA 13.44 12.87 6.26 09061210 A Pierce skull implant device 5.83 NA NA 3.22 3.10 2.08 00061215 A Insert brain-fluid device 5.85 NA NA 6.97 6.59 2.07 09061250 A Pierce skull & explore 11.49 NA NA 10.22 9.51 4.12 09061253 A Pierce skull & explore 13.49 NA NA 10.12 9.56 1.71 09061304 A Open skull for exploration 23.41 NA NA 17.52 16.63 8.15 09061305 A Open skull for exploration 28.64 NA NA 21.25 20.15 10.28 09061312 A Open skull for drainage 30.17 NA NA 21.27 20.19 10.79 09061313 A Open skull for drainage 28.09 NA NA 21.13 20.05 10.03 090CMS-1582-PN 339CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global61314 A Open skull for drainage 25.90 NA NA 19.46 18.43 9.27 09061315 A Open skull for drainage 29.65 NA NA 21.55 20.56 10.66 09061316 A Implt cran bone flap to abdo 1.39 NA NA 0.77 0.73 0.49 ZZZ61320 A Open skull for drainage 27.42 NA NA 19.72 18.89 9.69 09061321 A Open skull for drainage 30.53 NA NA 22.30 20.83 10.97 09061322 A Decompressive craniotomy 34.26 NA NA 24.55 22.94 12.24 09061323 A Decompressive lobectomy 35.06 NA NA 24.23 22.69 12.45 09061330 A Decompress eye socket 25.30 NA NA 19.33 17.48 9.09 09061332 A Explore/biopsy eye socket 28.60 NA NA 20.61 18.89 10.26 09061333 A Explore orbit/remove lesion 29.27 NA NA 23.18 20.44 10.51 09061334 A Explore orbit/remove object 19.60 NA NA 14.21 12.81 7.02 09061340 A Subtemporal decompression 20.11 NA NA 15.88 14.92 7.23 09061343 A Incise skull (press relief) 31.86 NA NA 22.52 21.47 11.35 09061345 A Relieve cranial pressure 29.23 NA NA 21.38 20.32 10.49 09061440 A Incise skull for surgery 28.66 NA NA 21.06 19.93 10.28 09061450 A Incise skull for surgery 27.69 NA NA 19.98 18.85 9.94 09061458 A Incise skull for brain wound 28.84 NA NA 20.96 20.01 10.25 09061460 A Incise skull for surgery 30.24 NA NA 21.94 20.46 10.85 09061470 A Incise skull for surgery 27.62 NA NA 19.94 18.91 9.91 09061480 A Incise skull for surgery 28.05 NA NA 14.41 14.71 1.97 09061490 A Incise skull for surgery 27.22 NA NA 19.72 18.80 9.79 09061500 A Removal of skull lesion 19.18 NA NA 15.26 14.35 5.78 09061501 A Remove infected skull bone 16.35 NA NA 13.65 12.78 4.67 09061510 A Removal of brain lesion 30.83 NA NA 23.35 22.26 11.01 09061512 A Remove brain lining lesion 37.14 NA NA 25.91 24.76 13.28 09061514 A Removal of brain abscess 27.23 NA NA 19.80 18.97 9.72 09061516 A Removal of brain lesion 26.58 NA NA 19.56 18.63 9.23 09061517 A Implt brain chemotx add-on 1.38 NA NA 0.76 0.73 0.49 ZZZ61518 A Removal of brain lesion 39.89 NA NA 28.33 26.99 14.30 09061519 A Remove brain lining lesion 43.43 NA NA 29.48 28.12 15.49 090CMS-1582-PN 340CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global61520 A Removal of brain lesion 57.09 NA NA 37.72 35.97 17.97 09061521 A Removal of brain lesion 46.99 NA NA 31.73 30.05 16.86 09061522 A Removal of brain abscess 31.54 NA NA 22.66 21.59 11.32 09061524 A Removal of brain lesion 29.89 NA NA 21.74 20.51 10.74 09061526 A Removal of brain lesion 54.08 NA NA 36.11 33.50 19.41 09061530 A Removal of brain lesion 45.56 NA NA 30.47 28.51 16.37 09061531 A Implant brain electrodes 16.41 NA NA 14.13 13.40 5.89 09061533 A Implant brain electrodes 21.46 NA NA 16.43 15.57 7.69 09061534 A Removal of brain lesion 23.01 NA NA 17.91 17.00 8.26 09061535 A Remove brain electrodes 13.15 NA NA 11.88 11.25 4.72 09061536 A Removal of brain lesion 37.72 NA NA 26.11 24.95 13.54 09061537 A Removal of brain tissue 36.45 NA NA 24.52 22.79 13.01 09061538 A Removal of brain tissue 39.45 NA NA 26.53 24.53 14.18 09061539 A Removal of brain tissue 34.28 NA NA 24.19 22.81 12.30 09061540 A Removal of brain tissue 31.43 NA NA 22.70 21.64 11.28 09061541 A Incision of brain tissue 30.94 NA NA 22.33 21.14 11.11 09061542 A Removal of brain tissue 33.16 NA NA 20.39 20.88 11.90 09061543 A Removal of brain tissue 31.31 NA NA 22.54 21.06 11.23 09061544 A Remove & treat brain lesion 27.36 NA NA 19.80 17.16 9.83 09061545 A Excision of brain tumor 46.43 NA NA 32.41 30.64 16.66 09061546 A Removal of pituitary gland 33.44 NA NA 23.72 22.46 11.99 09061548 A Removal of pituitary gland 23.37 NA NA 16.80 15.91 6.67 09061550 A Release of skull seams 15.59 NA NA 10.51 10.57 1.10 09061552 A Release of skull seams 20.40 NA NA 11.39 12.76 1.46 09061556 A Incise skull/sutures 24.09 NA NA 15.82 15.64 8.66 09061557 A Incise skull/sutures 23.31 NA NA 18.54 17.77 8.37 09061558 A Excision of skull/sutures 26.50 NA NA 14.21 16.17 9.51 09061559 A Excision of skull/sutures 34.02 NA NA 25.34 24.32 2.41 09061563 A Excision of skull tumor 28.44 NA NA 20.66 19.67 10.21 09061564 A Excision of skull tumor 34.74 NA NA 24.90 23.76 12.45 090CMS-1582-PN 341CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global61566 A Removal of brain tissue 32.45 NA NA 23.27 22.30 11.64 09061567 A Incision of brain tissue 37.00 NA NA 26.52 25.48 13.30 09061570 A Remove foreign body brain 26.51 NA NA 19.86 18.62 9.51 09061571 A Incise skull for brain wound 28.42 NA NA 20.93 19.95 10.19 09061575 A Skull base/brainstem surgery 36.56 NA NA 25.46 23.50 13.12 09061576 A Skull base/brainstem surgery 55.31 NA NA 43.49 42.09 7.10 09061580 A Craniofacial approach skull 34.51 NA NA 34.24 31.81 5.89 09061581 A Craniofacial approach skull 39.13 NA NA 38.38 35.43 5.04 09061582 A Craniofacial approach skull 35.14 NA NA 42.42 39.60 12.62 09061583 A Craniofacial approach skull 38.50 NA NA 34.81 33.29 12.94 09061584 A Orbitocranial approach/skull 37.70 NA NA 34.50 32.92 12.70 09061585 A Orbitocranial approach/skull 42.57 NA NA 38.65 35.04 15.28 09061586 A Resect nasopharynx skull 27.48 NA NA 34.97 31.16 9.87 09061590 A Infratemporal approach/skull 47.04 NA NA 38.39 35.52 8.45 09061591 A Infratemporal approach/skull 47.02 NA NA 38.04 35.53 9.60 09061592 A Orbitocranial approach/skull 43.08 NA NA 36.78 35.27 14.51 09061595 A Transtemporal approach/skull 33.74 NA NA 30.62 28.83 7.15 09061596 A Transcochlear approach/skull 39.43 NA NA 31.43 29.50 5.06 09061597 A Transcondylar approach/skull 40.82 NA NA 31.11 29.89 14.66 09061598 A Transpetrosal approach/skull 36.53 NA NA 34.68 30.82 13.11 09061600 A Resect/excise cranial lesion 30.01 NA NA 28.72 26.70 6.22 09061601 A Resect/excise cranial lesion 31.14 NA NA 29.74 28.27 10.17 09061605 A Resect/excise cranial lesion 32.57 NA NA 29.59 27.47 4.95 09061606 A Resect/excise cranial lesion 42.05 NA NA 33.65 32.50 13.68 09061607 A Resect/excise cranial lesion 40.93 NA NA 31.82 29.85 14.69 09061608 A Resect/excise cranial lesion 45.54 NA NA 35.89 34.28 15.38 09061609 A Transect artery sinus 9.88 NA NA 4.33 4.43 3.55 ZZZ61610 A Transect artery sinus 29.63 NA NA 16.50 15.68 10.64 ZZZ61611 A Transect artery sinus 7.41 NA NA 3.25 3.55 0.52 ZZZ61612 A Transect artery sinus 27.84 NA NA 12.20 12.79 1.96 ZZZCMS-1582-PN 342CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global61613 A Remove aneurysm sinus 45.03 NA NA 36.84 34.66 16.17 09061615 A Resect/excise lesion skull 35.77 NA NA 29.44 28.31 4.60 09061616 A Resect/excise lesion skull 46.74 NA NA 38.15 36.19 14.41 09061618 A Repair dura 18.69 NA NA 14.66 13.80 5.76 09061619 A Repair dura 22.10 NA NA 16.55 15.51 6.33 09061623 A Endovasc tempory vessel occl 9.95 NA NA 4.46 4.68 1.85 00061624 A Transcath occlusion cns 20.12 NA NA 8.75 9.10 3.77 00061626 A Transcath occlusion non-cns 16.60 NA NA 6.42 7.07 2.14 00061630 R Intracranial angioplasty 22.07 NA NA 11.18 11.59 4.18 XXX61635 R Intracran angioplsty w/stent 24.28 NA NA 12.09 12.54 4.07 XXX61640 N Dilate ic vasospasm init 12.32 NA NA 5.40 5.23 0.87 00061641 N Dilate ic vasospasm add-on 4.33 NA NA 1.90 1.84 0.31 ZZZ61642 N Dilate ic vasospasm add-on 8.66 NA NA 3.79 3.67 0.61 ZZZ61680 A Intracranial vessel surgery 32.55 NA NA 23.42 22.40 11.68 09061682 A Intracranial vessel surgery 63.41 NA NA 39.62 37.99 22.76 09061684 A Intracranial vessel surgery 41.64 NA NA 28.75 27.01 14.94 09061686 A Intracranial vessel surgery 67.50 NA NA 43.58 41.67 24.24 09061690 A Intracranial vessel surgery 31.34 NA NA 22.88 21.65 11.26 09061692 A Intracranial vessel surgery 54.59 NA NA 35.83 33.97 19.60 09061697 A Brain aneurysm repr complx 63.40 NA NA 41.00 38.60 22.52 09061698 A Brain aneurysm repr complx 69.63 NA NA 44.77 41.53 24.99 09061700 A Brain aneurysm repr simple 50.62 NA NA 33.89 32.61 18.06 09061702 A Inner skull vessel surgery 60.04 NA NA 39.43 36.78 21.54 09061703 A Clamp neck artery 18.80 NA NA 15.03 14.33 6.75 09061705 A Revise circulation to head 38.10 NA NA 26.32 24.49 13.68 09061708 A Revise circulation to head 37.20 NA NA 22.49 20.59 3.08 09061710 A Revise circulation to head 31.29 NA NA 16.07 17.11 6.52 09061711 A Fusion of skull arteries 38.23 NA NA 26.32 24.90 13.72 09061720 A Incise skull/brain surgery 17.62 NA NA 14.00 12.53 6.33 09061735 A Incise skull/brain surgery 22.35 NA NA 14.95 14.10 8.02 090CMS-1582-PN 343CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global61750 A Incise skull/brain biopsy 19.83 NA NA 15.13 14.39 7.06 09061751 A Brain biopsy w/ct/mr guide 18.79 NA NA 15.51 14.78 6.70 09061760 A Implant brain electrodes 22.39 NA NA 16.86 15.52 8.03 09061770 A Incise skull for treatment 23.19 NA NA 17.10 15.60 8.19 09061781 A Scan proc cranial intra 3.75 NA NA 2.13 2.13 1.25 ZZZ61782 A Scan proc cranial extra 3.18 NA NA 1.80 1.80 0.87 ZZZ61783 A Scan proc spinal 3.75 NA NA 2.13 2.13 1.25 ZZZ61790 A Treat trigeminal nerve 11.60 NA NA 10.40 9.62 4.07 09061791 A Treat trigeminal tract 15.41 NA NA 12.61 11.88 5.20 09061796 A Srs cranial lesion simple 13.93 NA NA 11.36 9.90 4.63 09061797 A Srs cran les simple addl 3.48 NA NA 1.93 1.79 1.16 ZZZ61798 A Srs cranial lesion complex 19.85 NA NA 14.63 11.56 6.60 09061799 A Srs cran les complex addl 4.81 NA NA 2.66 2.47 1.59 ZZZ61800 A Apply srs headframe add-on 2.25 NA NA 1.58 1.47 0.73 ZZZ61850 A Implant neuroelectrodes 13.34 NA NA 8.19 9.14 4.80 09061860 A Implant neuroelectrodes 22.26 NA NA 16.58 15.80 7.99 09061863 A Implant neuroelectrode 20.71 NA NA 16.62 15.92 7.40 09061864 A Implant neuroelectrde addl 4.49 NA NA 2.50 2.41 1.61 ZZZ61867 A Implant neuroelectrode 33.03 NA NA 23.53 22.45 11.83 09061868 A Implant neuroelectrde addl 7.91 NA NA 4.39 4.24 2.84 ZZZ61870 A Implant neuroelectrodes 16.34 NA NA 13.13 12.60 5.87 09061875 A Implant neuroelectrodes 16.46 NA NA 13.20 12.49 1.17 09061880 A Revise/remove neuroelectrode 6.95 NA NA 7.41 6.92 2.46 09061885 A Insrt/redo neurostim 1 array 6.05 NA NA 7.19 7.79 2.07 09061886 A Implant neurostim arrays 9.93 NA NA 11.55 10.83 3.52 09061888 A Revise/remove neuroreceiver 5.23 NA NA 4.66 4.52 1.71 01062000 A Treat skull fracture 13.93 NA NA 11.79 10.06 5.01 09062005 A Treat skull fracture 17.63 NA NA 14.00 13.08 6.33 09062010 A Treatment of head injury 21.43 NA NA 16.65 15.65 7.69 09062100 A Repair brain fluid leakage 23.53 NA NA 17.14 16.18 7.51 090CMS-1582-PN 344CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global62115 A Reduction of skull defect 22.91 NA NA 12.93 11.57 1.62 09062116 A Reduction of skull defect 25.02 NA NA 19.04 18.12 8.98 09062117 A Reduction of skull defect 28.35 NA NA 20.28 19.42 3.66 09062120 A Repair skull cavity lesion 24.59 NA NA 23.61 22.72 3.17 09062121 A Incise skull repair 23.03 NA NA 19.50 18.71 8.27 09062140 A Repair of skull defect 14.55 NA NA 11.88 11.23 4.75 09062141 A Repair of skull defect 16.07 NA NA 12.80 12.16 5.31 09062142 A Remove skull plate/flap 11.83 NA NA 10.52 9.98 4.08 09062143 A Replace skull plate/flap 14.15 NA NA 11.80 11.17 5.01 09062145 A Repair of skull & brain 20.09 NA NA 14.95 14.29 7.21 09062146 A Repair of skull with graft 17.28 NA NA 13.81 12.84 6.21 09062147 A Repair of skull with graft 20.67 NA NA 15.70 14.78 7.40 09062148 A Retr bone flap to fix skull 2.00 NA NA 1.11 1.05 0.71 ZZZ62160 A Neuroendoscopy add-on 3.00 NA NA 1.66 1.61 1.08 ZZZ62161 A Dissect brain w/scope 21.23 NA NA 16.48 15.67 7.62 09062162 A Remove colloid cyst w/scope 26.80 NA NA 20.14 19.27 9.61 09062163 A Neuroendoscopy w/fb removal 16.53 NA NA 14.04 13.44 5.92 09062164 A Remove brain tumor w/scope 29.43 NA NA 22.50 20.93 10.57 09062165 A Remove pituit tumor w/scope 23.23 NA NA 17.27 16.38 6.37 09062180 A Establish brain cavity shunt 22.58 NA NA 17.19 16.36 8.11 09062190 A Establish brain cavity shunt 12.17 NA NA 10.96 10.35 4.37 09062192 A Establish brain cavity shunt 13.35 NA NA 11.14 10.51 4.63 09062194 A Replace/irrigate catheter 5.78 NA NA 6.53 5.26 0.45 01062200 A Establish brain cavity shunt 19.29 NA NA 14.93 14.18 6.93 09062201 A Brain cavity shunt w/scope 16.04 NA NA 14.07 13.29 5.73 09062220 A Establish brain cavity shunt 14.10 NA NA 11.46 10.79 4.83 09062223 A Establish brain cavity shunt 14.05 NA NA 12.44 11.84 4.85 09062225 A Replace/irrigate catheter 6.19 NA NA 7.00 6.55 2.20 09062230 A Replace/revise brain shunt 11.43 NA NA 9.65 9.17 3.97 09062252 A Csf shunt reprogram 0.74 1.42 1.71 NA NA 0.25 XXXCMS-1582-PN 345CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global62252 TC A Csf shunt reprogram 0.00 1.01 1.32 NA NA 0.01 XXX62252 26 A Csf shunt reprogram 0.74 0.41 0.39 0.41 0.39 0.24 XXX62256 A Remove brain cavity shunt 7.38 NA NA 7.75 7.32 2.63 09062258 A Replace brain cavity shunt 15.64 NA NA 12.38 11.82 5.43 09062263 A Epidural lysis mult sessions 6.54 15.62 13.80 5.75 4.70 0.52 01062264 A Epidural lysis on single day 4.42 8.05 7.37 2.54 2.07 0.35 01062267 A Interdiscal perq aspir dx 3.00 3.80 3.96 1.37 1.39 0.30 00062268 A Drain spinal cord cyst 4.73 2.03 5.19 2.52 2.45 0.45 00062269 A Needle biopsy spinal cord 5.01 1.91 5.59 2.30 2.26 0.56 00062270 A Spinal fluid tap diagnostic 1.37 2.85 2.97 0.71 0.72 0.23 00062272 A Drain cerebro spinal fluid 1.35 4.06 3.99 0.84 0.82 0.33 00062273 A Inject epidural patch 2.15 2.75 2.58 1.08 0.93 0.20 00062280 A Treat spinal cord lesion 2.63 6.72 6.39 1.92 1.64 0.50 01062281 A Treat spinal cord lesion 2.66 4.02 4.70 1.73 1.48 0.27 01062282 A Treat spinal canal lesion 2.33 5.88 6.01 1.69 1.49 0.29 01062284 A Injection for myelogram 1.54 3.93 4.15 0.77 0.80 0.18 00062287 A Percutaneous diskectomy 9.03 NA NA 6.87 6.32 0.82 09062290 A Inject for spine disk x-ray 3.00 6.63 6.47 1.91 1.72 0.30 00062291 A Inject for spine disk x-ray 2.91 6.32 6.04 1.88 1.66 0.27 00062292 A Injection into disk lesion 9.24 NA NA 8.47 6.03 0.75 09062294 A Injection into spinal artery 12.87 NA NA 4.61 6.31 1.02 09062310 A Inject spine c/t 1.91 5.13 4.71 1.19 0.97 0.16 00062311 A Inject spine l/s (cd) 1.54 4.35 4.16 0.99 0.84 0.12 00062318 A Inject spine w/cath c/t 2.04 4.96 4.77 0.83 0.72 0.16 00062319 A Inject spine w/cath l/s (cd) 1.87 2.97 3.53 0.86 0.74 0.16 00062350 A Implant spinal canal cath 6.05 NA NA 4.93 4.37 1.05 01062351 A Implant spinal canal cath 11.66 NA NA 10.84 10.06 3.39 09062355 A Remove spinal canal catheter 4.35 NA NA 4.01 3.58 0.73 01062360 A Insert spine infusion device 4.33 NA NA 4.16 3.65 0.87 01062361 A Implant spine infusion pump 5.65 NA NA 4.93 4.67 1.10 010CMS-1582-PN 346CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global62362 A Implant spine infusion pump 6.10 NA NA 5.08 4.65 1.22 01062365 A Remove spine infusion device 4.65 NA NA 4.41 4.01 0.88 01062367 A Analyze spine infusion pump 0.48 0.72 0.65 0.23 0.19 0.05 XXX62368 A Analyze spine infusion pump 0.75 1.00 0.88 0.37 0.30 0.07 XXX63001 A Removal of spinal lamina 17.61 NA NA 13.65 12.91 5.69 09063003 A Removal of spinal lamina 17.74 NA NA 13.72 13.00 5.63 09063005 A Removal of spinal lamina 16.43 NA NA 13.66 13.02 5.08 09063011 A Removal of spinal lamina 15.91 NA NA 12.71 11.88 4.01 09063012 A Removal of spinal lamina 16.85 NA NA 13.47 12.90 5.10 09063015 A Removal of spinal lamina 20.85 NA NA 16.41 15.62 7.01 09063016 A Removal of spinal lamina 22.03 NA NA 16.58 15.67 6.78 09063017 A Removal of spinal lamina 17.33 NA NA 14.34 13.65 5.57 09063020 A Neck spine disk surgery 16.20 NA NA 13.56 12.92 5.06 09063030 A Low back disk surgery 13.18 NA NA 11.84 11.25 3.87 09063035 A Spinal disk surgery add-on3.15 NA NA 1.79 1.73 0.88 ZZZ63040 A Laminotomy single cervical 20.31 NA NA 15.40 14.67 6.27 09063042 A Laminotomy single lumbar 18.76 NA NA 14.91 14.21 5.20 09063043 C Laminotomy addl cervical 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ63044 C Laminotomy addl lumbar 0.000.00 0.00 0.000.00 0.00 ZZZ63045 A Removal of spinal lamina 17.95 NA NA 14.28 13.60 5.73 09063046 A Removal of spinal lamina 17.25 NA NA 13.77 13.11 5.14 09063047 A Removal of spinal lamina 15.37 NA NA 13.04 12.45 4.41 09063048 A Remove spinal lamina add-on 3.47 NA NA 1.97 1.89 1.01 ZZZ63050 A Cervical laminoplasty 22.01 NA NA 17.34 16.20 7.91 09063051 A C-laminoplasty w/graft/plate 25.51 NA NA 18.70 17.68 7.24 09063055 A Decompress spinal cord 23.55 NA NA 17.47 16.67 7.66 09063056 A Decompress spinal cord 21.86 NA NA 16.27 15.46 6.19 09063057 A Decompress spine cord add-on 5.25 NA NA 2.99 2.87 1.51 ZZZ63064 A Decompress spinal cord 26.22 NA NA 18.85 17.85 7.95 09063066 A Decompress spine cord add-on 3.26 NA NA 1.82 1.77 1.17 ZZZCMS-1582-PN 347CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global63075 A Neck spine disk surgery 19.60 NA NA 15.34 14.72 6.11 09063076 A Neck spine disk surgery 4.04 NA NA 2.28 2.20 1.25 ZZZ63077 A Spine disk surgery thorax 22.88 NA NA 16.23 15.43 5.87 09063078 A Spine disk surgery thorax 3.28 NA NA 1.86 1.78 0.75 ZZZ63081 A Removal of vertebral body 26.10 NA NA 19.10 18.18 7.89 09063082 A Remove vertebral body add-on 4.36 NA NA 2.47 2.38 1.31 ZZZ63085 A Removal of vertebral body 29.47 NA NA 19.44 18.57 7.93 09063086 A Remove vertebral body add-on 3.19 NA NA 1.71 1.67 0.87 ZZZ63087 A Removal of vertebral body 37.53 NA NA 24.39 23.34 9.73 09063088 A Remove vertebral body add-on 4.32 NA NA 2.47 2.37 1.06 ZZZ63090 A Removal of vertebral body 30.93 NA NA 21.02 19.88 7.20 09063091 A Remove vertebral body add-on 3.03 NA NA 1.69 1.62 0.68 ZZZ63101 A Removal of vertebral body 34.10 NA NA 24.88 23.63 10.63 09063102 A Removal of vertebral body 34.10 NA NA 24.52 23.31 8.60 09063103 A Remove vertebral body add-on 4.82 NA NA 2.74 2.66 1.29 ZZZ63170 A Incise spinal cord tract(s) 22.21 NA NA 17.42 16.18 7.98 09063172 A Drainage of spinal cyst 19.76 NA NA 15.26 14.44 7.08 09063173 A Drainage of spinal cyst 24.31 NA NA 18.59 17.66 8.75 09063180 A Revise spinal cord ligaments 20.53 NA NA 16.48 14.93 7.36 09063182 A Revise spinal cord ligaments 22.82 NA NA 17.76 15.09 8.19 09063185 A Incise spinal column/nerves 16.49 NA NA 13.29 12.41 5.92 09063190 A Incise spinal column/nerves 18.89 NA NA 14.84 14.06 4.29 09063191 A Incise spinal column/nerves 18.92 NA NA 15.43 12.18 3.74 09063194 A Incise spinal column & cord 22.10 NA NA 16.08 15.35 2.84 09063195 A Incise spinal column & cord 21.64 NA NA 16.56 15.47 7.77 09063196 A Incise spinal column & cord 25.27 NA NA 13.43 15.23 1.80 09063197 A Incise spinal column & cord 24.08 NA NA 18.46 17.46 8.66 09063198 A Incise spinal column & cord 29.90 NA NA 15.68 14.78 2.12 09063199 A Incise spinal column & cord 31.47 NA NA 16.36 17.88 2.23 09063200 A Release of spinal cord 21.44 NA NA 16.53 15.63 7.58 090CMS-1582-PN 348CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global63250 A Revise spinal cord vessels 43.86 NA NA 29.53 27.81 15.75 09063251 A Revise spinal cord vessels 44.64 NA NA 30.42 28.87 16.03 09063252 A Revise spinal cord vessels 44.63 NA NA 30.41 28.81 16.03 09063265 A Excise intraspinal lesion 23.82 NA NA 17.97 17.11 8.08 09063266 A Excise intraspinal lesion 24.68 NA NA 18.33 17.41 8.40 09063267 A Excise intraspinal lesion 19.45 NA NA 15.36 14.64 6.26 09063268 A Excise intraspinal lesion 20.02 NA NA 16.25 15.10 7.19 09063270 A Excise intraspinal lesion 29.80 NA NA 21.69 20.47 10.71 09063271 A Excise intraspinal lesion 29.92 NA NA 21.50 20.44 10.57 09063272 A Excise intraspinal lesion 27.50 NA NA 19.95 19.02 9.47 09063273 A Excise intraspinal lesion 26.47 NA NA 19.84 18.21 9.50 09063275 A Biopsy/excise spinal tumor 25.86 NA NA 19.04 18.08 8.82 09063276 A Biopsy/excise spinal tumor 25.69 NA NA 19.02 18.06 8.71 09063277 A Biopsy/excise spinal tumor 22.39 NA NA 17.05 16.18 7.00 09063278 A Biopsy/excise spinal tumor 22.12 NA NA 17.42 16.24 7.95 09063280 A Biopsy/excise spinal tumor 30.29 NA NA 22.05 21.14 10.83 09063281 A Biopsy/excise spinal tumor 29.99 NA NA 22.00 20.99 10.67 09063282 A Biopsy/excise spinal tumor 28.15 NA NA 20.88 19.97 9.95 09063283 A Biopsy/excise spinal tumor 26.76 NA NA 20.46 19.27 9.60 09063285 A Biopsy/excise spinal tumor 38.05 NA NA 26.47 24.99 13.66 09063286 A Biopsy/excise spinal tumor 37.62 NA NA 26.16 24.95 13.20 09063287 A Biopsy/excise spinal tumor 40.08 NA NA 27.88 26.35 14.40 09063290 A Biopsy/excise spinal tumor 40.82 NA NA 27.88 26.53 14.66 09063295 A Repair of laminectomy defect 5.25 NA NA 2.92 2.73 1.88 ZZZ63300 A Removal of vertebral body 26.80 NA NA 19.39 18.43 8.68 09063301 A Removal of vertebral body 31.57 NA NA 23.14 20.98 11.34 09063302 A Removal of vertebral body 31.15 NA NA 22.90 20.88 11.17 09063303 A Removal of vertebral body 33.55 NA NA 23.78 21.57 12.03 09063304 A Removal of vertebral body 33.85 NA NA 24.41 22.98 12.14 09063305 A Removal of vertebral body 36.24 NA NA 25.65 23.12 13.01 090CMS-1582-PN 349CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global63306 A Removal of vertebral body 35.55 NA NA 15.84 19.22 12.77 09063307 A Removal of vertebral body 34.96 NA NA 24.65 22.97 12.56 09063308 A Remove vertebral body add-on 5.24 NA NA 2.90 2.81 1.57 ZZZ63600 A Remove spinal cord lesion 15.12 NA NA 10.44 8.18 1.58 09063610 A Stimulation of spinal cord 8.72 2.03 15.88 2.40 2.32 0.68 00063615 A Remove lesion of spinal cord 17.32 NA NA 13.45 12.20 6.21 09063620 A Srs spinal lesion 15.60 NA NA 12.14 10.29 5.19 09063621 A Srs spinal lesion addl 4.00 NA NA 2.23 2.06 1.32 ZZZ63650 A Implant neuroelectrodes 7.20 NA NA 5.25 4.37 0.64 01063655 A Implant neuroelectrodes 10.92 NA NA 10.35 10.00 3.42 09063661 A Remove spine eltrd perq aray 5.08 11.80 11.80 3.93 3.93 0.71 01063662 A Remove spine eltrd plate 11.00 NA NA 8.54 8.54 1.55 09063663 A Revise spine eltrd perq aray 7.75 16.29 16.29 5.27 5.27 1.09 01063664 A Revise spine eltrd plate 11.52 NA NA 8.80 8.80 1.61 09063685 A Insrt/redo spine n generator 6.05 NA NA 5.09 4.52 1.10 01063688 A Revise/remove neuroreceiver 5.30 NA NA 4.73 4.24 1.01 01063700 A Repair of spinal herniation 17.47 NA NA 14.96 13.80 6.26 09063702 A Repair of spinal herniation 19.41 NA NA 16.04 15.19 6.97 09063704 A Repair of spinal herniation 22.43 NA NA 18.71 16.88 8.04 09063706 A Repair of spinal herniation 25.35 NA NA 20.34 19.02 9.12 09063707 A Repair spinal fluid leakage 12.65 NA NA 11.02 10.38 3.50 09063709 A Repair spinal fluid leakage 15.65 NA NA 12.68 12.05 4.50 09063710 A Graft repair of spine defect 15.40 NA NA 12.72 12.08 4.86 09063740 A Install spinal shunt 12.63 NA NA 10.97 10.60 4.26 09063741 A Install spinal shunt 9.12 NA NA 7.57 6.67 2.19 09063744 A Revision of spinal shunt 8.94 NA NA 8.06 7.36 3.06 09063746 A Removal of spinal shunt 7.33 NA NA 7.81 7.17 2.63 09064400 A N block inj trigeminal 1.11 2.17 2.03 0.78 0.67 0.18 00064402 A N block inj facial 1.25 1.99 1.88 0.78 0.71 0.18 00064405 A N block inj occipital 0.94 1.76 1.68 0.70 0.67 0.19 000CMS-1582-PN 350CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global64408 A N block inj vagus 1.41 2.20 2.04 1.24 1.10 0.16 00064410 A N block inj phrenic 1.43 2.73 2.60 0.75 0.70 0.33 00064412 A N block inj spinal accessor 1.18 3.25 3.01 0.92 0.80 0.20 00064413 A N block inj cervical plexus 1.40 2.00 1.89 0.83 0.72 0.20 00064415 A N block inj brachial plexus 1.48 1.89 2.01 0.36 0.39 0.11 00064416 A N block cont infuse b plex 1.81 NA NA 0.43 0.44 0.14 00064417 A N block inj axillary 1.44 2.24 2.23 0.56 0.50 0.11 00064418 A N block inj suprascapular 1.32 2.69 2.59 0.83 0.72 0.12 00064420 A N block inj intercost sng 1.18 2.00 2.70 0.76 0.66 0.12 00064421 A N block inj intercost mlt 1.68 2.63 3.87 0.96 0.82 0.20 00064425 A N block inj ilio-ing/hypogi 1.75 2.07 1.89 0.95 0.82 0.20 00064430 A N block inj pudendal 1.46 2.25 2.60 0.78 0.84 0.14 00064435 A N block inj paracervical 1.45 2.35 2.46 0.79 0.77 0.24 00064445 A N block inj sciatic sng 1.48 2.29 2.29 0.54 0.58 0.16 00064446 A N blk inj sciatic cont inf 1.81 NA NA 0.44 0.48 0.14 00064447 A N block inj fem single 1.50 1.89 1.89 0.36 0.33 0.11 00064448 A N block inj fem cont inf 1.63 NA NA 0.39 0.41 0.12 00064449 A N block inj lumbar plexus 1.81 NA NA 0.51 0.52 0.14 00064450 A N block other peripheral 1.27 1.72 1.63 0.67 0.64 0.11 00064455 A N block inj plantar digit 0.75 0.58 0.61 0.24 0.26 0.08 00064479 A Inj foramen epidural c/t 2.29 4.75 5.25 1.54 1.30 0.27 00064480 A Inj foramen epidural add-on 1.20 2.36 2.34 0.63 0.59 0.18 ZZZ64483 A Inj foramen epidural l/s 1.75 4.46 5.17 1.27 1.12 0.15 00064484 A Inj foramen epidural add-on 1.00 1.60 2.05 0.52 0.48 0.08 ZZZ64490 A Inj paravert f jnt c/t 1 lev 1.82 3.76 3.76 1.26 1.26 0.20 00064491 A Inj paravert f jnt c/t 2 lev 1.16 1.59 1.59 0.58 0.58 0.11 ZZZ64492 A Inj paravert f jnt c/t 3 lev 1.16 1.62 1.62 0.61 0.61 0.11 ZZZ64493 A Inj paravert f jnt l/s 1 lev 1.52 3.49 3.49 1.10 1.10 0.14 00064494 A Inj paravert f jnt l/s 2 lev 1.00 1.50 1.50 0.49 0.49 0.08 ZZZ64495 A Inj paravert f jnt l/s 3 lev 1.00 1.54 1.54 0.51 0.51 0.08 ZZZCMS-1582-PN 351CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global64505 A N block spenopalatine gangl 1.36 1.44 1.42 1.01 0.95 0.10 00064508 A N block carotid sinus s/p 1.12 0.50 1.71 0.94 0.84 0.24 00064510 A N block stellate ganglion 1.22 2.48 2.65 0.90 0.73 0.10 00064517 A N block inj hypogas plxs 2.20 2.98 2.72 1.35 1.14 0.18 00064520 A N block lumbar/thoracic 1.35 4.32 4.16 1.01 0.84 0.11 00064530 A N block inj celiac pelus 1.58 4.05 3.97 1.06 0.94 0.14 00064550 A Apply neurostimulator 0.18 0.29 0.27 0.08 0.07 0.01 00064553 A Implant neuroelectrodes 2.36 3.38 3.32 2.00 1.96 0.38 01064555 A Implant neuroelectrodes 2.32 3.00 3.34 1.71 1.79 0.26 01064560 A Implant neuroelectrodes 2.41 4.83 4.17 2.49 2.19 0.16 01064561 A Implant neuroelectrodes 7.15 14.80 20.79 3.86 4.15 0.78 01064565 A Implant neuroelectrodes 1.81 3.30 3.13 1.80 1.61 0.24 01064566 A Neuroeltrd stim post tibial 0.60 3.15 3.15 0.23 0.23 0.05 00064568 A Inc for vagus n elect impl 9.00 NA NA 8.64 8.64 1.25 09064569 A Revise/repl vagus n eltrd 11.00 NA NA 4.49 4.49 3.16 09064570 A Remove vagus n eltrd 9.10 NA NA 4.05 4.05 3.27 09064575 A Implant neuroelectrodes 4.42 NA NA 4.19 3.57 0.44 09064577 A Implant neuroelectrodes 4.69 NA NA 2.74 3.52 1.67 09064580 A Implant neuroelectrodes 4.19 NA NA 3.91 3.81 0.88 09064581 A Implant neuroelectrodes 12.20 NA NA 6.00 7.02 1.58 09064585 A Revise/remove neuroelectrode 2.11 4.73 6.20 1.88 2.09 0.27 01064590 A Insrt/redo pn/gastr stimul 2.45 4.73 5.68 1.95 2.21 0.29 01064595 A Revise/rmv pn/gastr stimul 1.78 4.94 6.35 1.69 1.91 0.22 01064600 A Injection treatment of nerve 3.49 8.21 8.05 2.80 2.45 0.53 01064605 A Injection treatment of nerve 5.65 15.88 12.95 4.82 3.92 0.44 01064610 A Injection treatment of nerve 7.20 12.97 12.07 5.24 4.98 2.15 01064611 A Chemodenerv saliv glands 1.03 1.63 1.63 1.35 1.35 0.29 01064612 A Destroy nerve face muscle 2.01 2.51 2.38 2.18 1.93 0.65 01064613 A Destroy nerve neck muscle 2.01 2.29 2.23 1.92 1.68 0.59 01064614 A Destroy nerve extrem musc 2.20 2.58 2.53 2.08 1.85 0.42 010CMS-1582-PN 352CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global64620 A Injection treatment of nerve 2.89 3.06 3.85 2.12 1.81 0.29 01064622 A Destr paravertebrl nerve l/s 3.05 6.94 6.55 2.50 2.07 0.26 01064623 A Destr paravertebral n add-on 0.99 2.76 2.61 0.51 0.40 0.08 ZZZ64626 A Destr paravertebrl nerve c/t 3.92 8.13 7.47 3.65 3.03 0.34 01064627 A Destr paravertebral n add-on 1.16 3.95 3.77 0.60 0.47 0.10 ZZZ64630 A Injection treatment of nerve 3.05 3.15 3.24 2.16 2.14 0.34 01064632 A N block inj common digit 1.23 1.17 1.17 0.72 0.74 0.10 01064640 A Injection treatment of nerve 2.81 3.26 3.36 1.93 1.90 0.24 01064650 A Chemodenerv eccrine glands 0.70 2.59 1.89 0.42 0.37 0.11 00064653 A Chemodenerv eccrine glands 0.88 2.92 2.11 0.47 0.44 0.24 00064680 A Injection treatment of nerve 2.67 6.45 6.26 2.03 1.83 0.30 01064681 A Injection treatment of nerve 3.78 6.48 6.91 1.70 1.78 0.30 01064702 A Revise finger/toe nerve 6.26 NA NA 7.50 6.77 1.06 09064704 A Revise hand/foot nerve 4.69 NA NA 4.32 4.23 0.54 09064708 A Revise arm/leg nerve 6.36 NA NA 7.07 6.60 1.16 09064712 A Revision of sciatic nerve 8.07 NA NA 7.22 6.69 1.33 09064713 A Revision of arm nerve(s) 11.40 NA NA 9.01 8.52 2.34 09064714 A Revise low back nerve(s) 10.55 NA NA 8.63 7.42 1.71 09064716 A Revision of cranial nerve 6.99 NA NA 7.94 7.46 1.13 09064718 A Revise ulnar nerve at elbow 7.26 NA NA 8.87 8.26 1.48 09064719 A Revise ulnar nerve at wrist 4.97 NA NA 5.96 5.62 0.93 09064721 A Carpal tunnel surgery 4.97 6.71 6.37 6.64 6.31 0.98 09064722 A Relieve pressure on nerve(s) 4.82 NA NA 4.80 4.39 0.84 09064726 A Release foot/toe nerve 4.27 NA NA 3.55 3.45 0.39 09064727 A Internal nerve revision 3.10 NA NA 1.89 1.77 0.60 ZZZ64732 A Incision of brow nerve 4.89 NA NA 6.30 5.63 1.77 09064734 A Incision of cheek nerve 5.55 NA NA 7.12 6.15 0.71 09064736 A Incision of chin nerve 5.23 NA NA 5.95 5.56 1.88 09064738 A Incision of jaw nerve 6.36 NA NA 7.57 6.53 2.27 09064740 A Incision of tongue nerve 6.22 NA NA 6.98 6.46 0.80 090CMS-1582-PN 353CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global64742 A Incision of facial nerve 6.85 NA NA 7.07 6.27 0.87 09064744 A Incise nerve back of head 5.72 NA NA 6.76 5.75 2.04 09064746 A Incise diaphragm nerve 6.56 NA NA 4.76 4.86 1.54 09064752 A Incision of vagus nerve 7.69 NA NA 6.03 5.65 1.81 09064755 A Incision of stomach nerves 15.05 NA NA 9.08 8.25 3.21 09064760 A Incision of vagus nerve 7.59 NA NA 5.99 5.32 1.61 09064761 A Incision of pelvis nerve 7.04 NA NA 5.41 5.09 1.01 09064763 A Incise hip/thigh nerve 7.56 NA NA 5.88 6.28 1.61 09064766 A Incise hip/thigh nerve 9.47 NA NA 7.05 6.93 0.91 09064771 A Sever cranial nerve 8.15 NA NA 7.51 7.32 1.05 09064772 A Incision of spinal nerve 7.84 NA NA 7.64 7.15 1.81 09064774 A Remove skin nerve lesion 5.80 NA NA 5.61 5.25 1.05 09064776 A Remove digit nerve lesion 5.60 NA NA 5.27 4.94 0.84 09064778 A Digit nerve surgery add-on3.11 NA NA 2.241.93 0.61 ZZZ64782 A Remove limb nerve lesion 6.86 NA NA 5.74 5.43 0.91 09064783 A Limb nerve surgery add-on3.71 NA NA 2.572.27 0.45 ZZZ64784 A Remove nerve lesion 10.62 NA NA 9.45 8.72 2.00 09064786 A Remove sciatic nerve lesion 16.25 NA NA 13.01 12.05 3.21 09064787 A Implant nerve end 4.29 NA NA 2.27 2.25 0.68 ZZZ64788 A Remove skin nerve lesion 5.24 NA NA 5.65 5.24 1.08 09064790 A Removal of nerve lesion 12.10 NA NA 10.28 9.51 2.75 09064792 A Removal of nerve lesion 15.86 NA NA 12.16 11.73 5.69 09064795 A Biopsy of nerve 3.01 NA NA 2.14 1.99 0.82 00064802 A Remove sympathetic nerves 10.37 NA NA 8.81 6.86 0.82 09064804 A Remove sympathetic nerves 15.91 NA NA 6.59 6.80 1.27 09064809 A Remove sympathetic nerves 14.71 NA NA 10.77 9.05 1.17 09064818 A Remove sympathetic nerves 11.34 NA NA 6.74 6.20 2.07 09064820 A Remove sympathetic nerves 10.74 NA NA 10.47 9.62 1.91 09064821 A Remove sympathetic nerves 9.33 NA NA 9.42 8.96 1.84 09064822 A Remove sympathetic nerves 9.33 NA NA 9.42 8.81 1.84 090CMS-1582-PN 354CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global64823 A Remove sympathetic nerves 10.94 NA NA 10.38 9.58 2.15 09064831 A Repair of digit nerve 9.16 NA NA 9.76 9.09 1.63 09064832 A Repair nerve add-on 5.65 NA NA 3.70 3.43 1.01 ZZZ64834 A Repair of hand or foot nerve 10.81 NA NA 9.76 9.07 1.85 09064835 A Repair of hand or foot nerve 11.73 NA NA 10.32 9.68 2.30 09064836 A Repair of hand or foot nerve 11.73 NA NA 10.32 9.70 2.30 09064837 A Repair nerve add-on 6.25 NA NA 3.73 3.61 0.76 ZZZ64840 A Repair of leg nerve 14.02 NA NA 11.17 10.55 1.08 09064856 A Repair/transpose nerve 15.07 NA NA 12.74 11.86 2.84 09064857 A Repair arm/leg nerve 15.82 NA NA 13.11 12.26 2.91 09064858 A Repair sciatic nerve 17.82 NA NA 15.85 14.44 3.51 09064859 A Nerve surgery 4.25 NA NA 3.06 2.71 0.83 ZZZ64861 A Repair of arm nerves 20.89 NA NA 12.41 12.89 4.12 09064862 A Repair of low back nerves 21.09 NA NA 16.77 14.47 7.57 09064864 A Repair of facial nerve 13.41 NA NA 11.08 10.31 1.70 09064865 A Repair of facial nerve 16.09 NA NA 16.04 15.42 2.04 09064866 A Fusion of facial/other nerve 16.83 NA NA 14.65 14.74 2.16 09064868 A Fusion of facial/other nerve 14.90 NA NA 14.51 13.79 1.91 09064870 A Fusion of facial/other nerve 17.08 NA NA 12.14 10.94 4.00 09064872 A Subsequent repair of nerve 1.99 NA NA 1.19 1.16 0.26 ZZZ64874 A Repair & revise nerve add-on 2.98 NA NA 2.07 1.83 0.37 ZZZ64876 A Repair nerve/shorten bone 3.37 NA NA 1.88 1.73 0.65 ZZZ64885 A Nerve graft head or neck 17.60 NA NA 13.83 13.03 2.25 09064886 A Nerve graft head or neck 20.82 NA NA 15.77 15.10 2.67 09064890 A Nerve graft hand or foot 16.24 NA NA 13.01 12.40 3.20 09064891 A Nerve graft hand or foot 17.35 NA NA 15.51 13.80 3.43 09064892 A Nerve graft arm or leg 15.74 NA NA 12.71 12.03 3.12 09064893 A Nerve graft arm or leg 16.87 NA NA 14.11 12.85 3.35 09064895 A Nerve graft hand or foot 20.39 NA NA 17.70 15.47 4.01 09064896 A Nerve graft hand or foot 21.96 NA NA 15.88 15.41 7.89 090CMS-1582-PN 355CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global64897 A Nerve graft arm or leg 19.38 NA NA 15.51 14.35 3.82 09064898 A Nerve graft arm or leg 20.97 NA NA 16.27 15.43 4.14 09064901 A Nerve graft add-on 10.20 NA NA 7.34 6.38 2.00 ZZZ64902 A Nerve graft add-on 11.81 NA NA 8.50 7.32 2.31 ZZZ64905 A Nerve pedicle transfer 15.11 NA NA 12.98 12.04 2.98 09064907 A Nerve pedicle transfer 20.03 NA NA 10.97 12.38 1.42 09064910 A Nerve repair w/allograft 11.39 NA NA 11.45 10.66 1.97 09064911 A Neurorraphy w/vein autograft 14.39 NA NA 14.24 12.74 2.84 09064999 C Nervous system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY65091 A Revise eye 7.26 NA NA 10.39 9.65 1.44 09065093 A Revise eye with implant 7.04 NA NA 10.39 9.75 1.39 09065101 A Removal of eye 8.30 NA NA 12.21 11.32 1.63 09065103 A Remove eye/insert implant 8.84 NA NA 12.59 11.63 1.74 09065105 A Remove eye/attach implant 9.93 NA NA 13.71 12.63 1.95 09065110 A Removal of eye 15.70 NA NA 18.29 16.70 2.00 09065112 A Remove eye/revise socket 18.51 NA NA 21.16 19.32 2.35 09065114 A Remove eye/revise socket 19.65 NA NA 21.96 19.94 2.52 09065125 A Revise ocular implant 3.27 9.14 8.98 4.82 4.45 0.64 09065130 A Insert ocular implant 8.42 NA NA 11.94 11.00 1.65 09065135 A Insert ocular implant 8.60 NA NA 12.07 11.14 1.67 09065140 A Attach ocular implant 9.46 NA NA 13.03 12.03 1.22 09065150 A Revise ocular implant 6.43 NA NA 9.61 9.02 0.45 09065155 A Reinsert ocular implant 10.10 NA NA 13.48 12.44 1.97 09065175 A Removal of ocular implant 7.40 NA NA 10.90 10.10 0.95 09065205 A Remove foreign body from eye 0.71 0.82 0.77 0.51 0.45 0.10 00065210 A Remove foreign body from eye 0.84 1.08 1.00 0.67 0.58 0.12 00065220 A Remove foreign body from eye 0.71 0.87 0.81 0.45 0.40 0.11 00065222 A Remove foreign body from eye 0.93 1.18 1.09 0.71 0.62 0.14 00065235 A Remove foreign body from eye 9.01 NA NA 10.91 9.74 1.24 09065260 A Remove foreign body from eye 12.54 NA NA 14.32 12.85 0.88 090CMS-1582-PN 356CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global65265 A Remove foreign body from eye 14.34 NA NA 15.91 14.23 3.08 09065270 A Repair of eye wound 1.95 5.30 5.21 1.99 1.78 0.27 01065272 A Repair of eye wound 4.62 9.23 8.75 5.24 4.66 0.33 09065273 A Repair of eye wound 5.16 NA NA 5.55 4.95 0.37 09065275 A Repair of eye wound 6.29 9.78 8.83 6.71 5.84 0.86 09065280 A Repair of eye wound 9.10 NA NA 9.62 8.59 1.80 09065285 A Repair of eye wound 14.71 NA NA 14.44 12.73 2.60 09065286 A Repair of eye wound 6.63 12.80 12.19 7.29 6.47 0.90 09065290 A Repair of eye socket wound 6.53 NA NA 7.25 6.49 1.28 09065400 A Removal of eye lesion 7.50 11.41 10.50 9.38 8.43 1.03 09065410 A Biopsy of cornea 1.47 2.48 2.35 1.46 1.30 0.31 00065420 A Removal of eye lesion 4.36 9.83 9.46 6.16 5.64 0.56 09065426 A Removal of eye lesion 6.05 11.95 11.36 7.36 6.62 0.83 09065430 A Corneal smear 1.47 1.73 1.58 1.44 1.28 0.22 00065435 A Curette/treat cornea 0.92 1.31 1.21 1.04 0.94 0.16 00065436 A Curette/treat cornea 4.82 6.02 5.44 5.60 5.01 0.84 09065450 A Treatment of corneal lesion 3.47 5.57 5.14 5.48 5.04 0.48 09065600 A Revision of cornea 4.20 6.78 6.25 5.45 4.86 0.60 09065710 A Corneal transplant 14.45 NA NA 16.63 14.92 1.97 09065730 A Corneal transplant 16.35 NA NA 18.14 16.21 2.23 09065750 A Corneal transplant 16.90 NA NA 17.81 15.89 2.16 09065755 A Corneal transplant 16.79 NA NA 17.74 15.83 2.29 09065756 A Corneal trnspl endothelial 16.84 NA NA 16.51 14.50 1.20 09065757 C Prep corneal endo allograft 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ65760 N Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 XXX65765 N Revision of cornea 0.00 0.00 0.00 0.00 0.00 0.00 XXX65767 N Corneal tissue transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX65770 A Revise cornea with implant 19.74 NA NA 19.79 17.60 7.08 09065771 N Radial keratotomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX65772 A Correction of astigmatism 5.09 7.48 6.88 6.29 5.66 0.65 090CMS-1582-PN 357CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global65775 A Correction of astigmatism 6.91 NA NA 8.55 7.73 0.49 09065778 A Cover eye w/membrane 1.19 35.56 35.56 0.84 0.84 0.18 01065779 A Cover eye w/membrane stent 3.92 28.93 28.93 4.07 4.07 0.56 01065780 A Ocular reconst transplant 10.73 NA NA 14.12 12.89 1.39 09065781 A Ocular reconst transplant 18.14 NA NA 19.36 17.39 1.28 09065782 A Ocular reconst transplant 15.43 NA NA 16.92 15.23 3.06 09065800 A Drainage of eye 1.91 2.24 2.06 1.76 1.57 0.27 00065805 A Drainage of eye 1.91 2.63 2.46 1.78 1.57 0.34 00065810 A Drainage of eye 5.82 NA NA 7.43 6.67 0.84 09065815 A Drainage of eye 6.00 11.60 11.04 7.37 6.62 1.06 09065820 A Relieve inner eye pressure 8.91 NA NA 11.98 10.99 0.63 09065850 A Incision of eye 11.39 NA NA 12.20 10.94 1.99 09065855 A Laser surgery of eye 3.99 5.46 5.05 4.37 3.93 0.63 01065860 A Incise inner eye adhesions 3.59 5.04 4.68 3.54 3.17 1.32 09065865 A Incise inner eye adhesions 5.77 NA NA 7.44 6.82 0.39 09065870 A Incise inner eye adhesions 7.39 NA NA 9.16 8.29 1.29 09065875 A Incise inner eye adhesions 7.81 NA NA 9.82 8.89 1.08 09065880 A Incise inner eye adhesions 8.36 NA NA 10.20 9.20 0.60 09065900 A Remove eye lesion 12.51 NA NA 14.52 13.09 0.88 09065920 A Remove implant of eye 9.99 NA NA 12.09 10.88 1.29 09065930 A Remove blood clot from eye 8.39 NA NA 9.48 8.57 1.48 09066020 A Injection treatment of eye 1.64 3.49 3.35 2.04 1.85 0.11 01066030 A Injection treatment of eye 1.30 3.25 3.15 1.80 1.64 0.18 01066130 A Remove eye lesion 7.83 11.53 10.80 8.17 7.31 1.66 09066150 A Glaucoma surgery 10.53 NA NA 13.97 12.63 0.73 09066155 A Glaucoma surgery 10.52 NA NA 13.96 12.62 0.73 09066160 A Glaucoma surgery 12.39 NA NA 15.28 13.75 0.87 09066165 A Glaucoma surgery 10.24 NA NA 13.77 12.45 0.72 09066170 A Glaucoma surgery 15.02 NA NA 18.61 16.71 1.92 09066172 A Incision of eye 18.86 NA NA 23.57 21.13 2.41 090CMS-1582-PN 358CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global66174 A Translum dil eye canal 12.85 NA NA 13.79 13.79 2.27 09066175 A Trnslum dil eye canal w/stnt 13.60 NA NA 14.31 14.31 4.87 09066180 A Implant eye shunt 16.30 NA NA 16.48 14.61 2.12 09066185 A Revise eye shunt 9.58 NA NA 11.43 10.24 1.67 09066220 A Repair eye lesion 9.21 NA NA 11.61 10.31 1.27 09066225 A Repair/graft eye lesion 12.63 NA NA 13.54 12.04 2.48 09066250 A Follow-up surgery of eye 7.10 13.58 12.91 8.51 7.62 1.40 09066500 A Incision of iris 3.83 NA NA 6.00 5.57 0.27 09066505 A Incision of iris 4.22 NA NA 6.56 6.08 0.30 09066600 A Remove iris and lesion 10.12 NA NA 13.14 11.79 0.76 09066605 A Removal of iris 14.22 NA NA 15.47 13.73 1.02 09066625 A Removal of iris 5.30 NA NA 6.71 6.09 0.72 09066630 A Removal of iris 7.28 NA NA 8.68 7.78 1.22 09066635 A Removal of iris 7.37 NA NA 8.74 7.84 0.52 09066680 A Repair iris & ciliary body 6.39 NA NA 8.07 7.26 1.36 09066682 A Repair iris & ciliary body 7.33 NA NA 10.42 9.42 1.46 09066700 A Destruction ciliary body 5.14 7.41 6.79 5.89 5.28 0.49 09066710 A Ciliary transsleral therapy 5.14 7.16 6.56 5.89 5.27 1.02 09066711 A Ciliary endoscopic ablation 7.93 NA NA 10.08 9.05 0.56 09066720 A Destruction ciliary body 5.00 8.13 7.46 6.77 6.15 0.68 09066740 A Destruction ciliary body 5.14 7.06 6.47 5.89 5.30 0.35 09066761 A Revision of iris 3.00 5.22 5.82 3.61 4.44 0.45 01066762 A Revision of iris 5.38 7.88 7.22 6.56 5.89 0.68 09066770 A Removal of inner eye lesion 6.13 8.60 7.85 7.40 6.64 0.42 09066820 A Incision secondary cataract 4.01 NA NA 6.88 6.51 0.67 09066821 A After cataract laser surgery 3.42 5.75 5.31 5.23 4.79 0.53 09066825 A Reposition intraocular lens 9.01 NA NA 12.18 11.18 1.17 09066830 A Removal of lens lesion 9.47 NA NA 10.56 9.42 0.67 09066840 A Removal of lens material 9.18 NA NA 10.37 9.24 1.81 09066850 A Removal of lens material 10.55 NA NA 11.71 10.44 1.46 090CMS-1582-PN 359CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global66852 A Removal of lens material 11.41 NA NA 12.32 10.98 2.00 09066920 A Extraction of lens 10.13 NA NA 11.06 9.86 0.71 09066930 A Extraction of lens 11.61 NA NA 12.47 11.10 0.82 09066940 A Extraction of lens 10.37 NA NA 11.58 10.33 1.74 09066982 A Cataract surgery complex 15.02 NA NA 14.64 13.01 2.33 09066983 A Cataract surg w/iol 1 stage 10.43 NA NA 10.36 9.25 0.83 09066984 A Cataract surg w/iol 1 stage 10.52 NA NA 10.81 9.68 1.65 09066985 A Insert lens prosthesis 9.98 NA NA 11.63 10.38 1.29 09066986 A Exchange lens prosthesis 12.26 NA NA 13.26 11.94 1.57 09066990 A Ophthalmic endoscope add-on 1.51 NA NA 1.06 0.91 0.10 ZZZ66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY67005 A Partial removal of eye fluid 5.89 NA NA 7.33 6.60 1.25 09067010 A Partial removal of eye fluid 7.06 NA NA 8.14 7.30 0.98 09067015 A Release of eye fluid 7.14 NA NA 9.08 8.25 0.99 09067025 A Replace eye fluid 8.11 12.09 11.18 9.62 8.61 1.44 09067027 A Implant eye drug system 11.62 NA NA 12.26 10.93 2.03 09067028 A Injection eye drug 1.44 1.42 2.14 1.37 1.52 0.20 00067030 A Incise inner eye strands 6.11 NA NA 8.73 7.92 0.42 09067031 A Laser surgery eye strands 4.47 6.37 5.83 5.52 4.96 0.59 09067036 A Removal of inner eye fluid 13.32 NA NA 13.66 12.15 1.82 09067039 A Laser treatment of retina 16.74 NA NA 17.91 16.01 2.97 09067040 A Laser treatment of retina 19.61 NA NA 20.32 18.09 2.69 09067041 A Vit for macular pucker 19.25 NA NA 18.09 15.81 2.64 09067042 A Vit for macular hole 22.38 NA NA 20.28 17.66 3.09 09067043 A Vit for membrane dissect 23.24 NA NA 21.60 18.87 4.10 09067101 A Repair detached retina 8.80 13.06 11.95 10.12 9.03 1.55 09067105 A Repair detached retina 8.53 11.62 10.58 9.55 8.52 1.17 09067107 A Repair detached retina 16.71 NA NA 17.47 15.50 2.95 09067108 A Repair detached retina 22.89 NA NA 22.31 19.69 3.14 09067110 A Repair detached retina 10.25 14.00 12.82 11.51 10.25 1.31 090CMS-1582-PN 360CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global67112 A Rerepair detached retina 18.75 NA NA 18.57 16.40 2.57 09067113 A Repair retinal detach cplx 25.35 NA NA 23.82 20.82 3.48 09067115 A Release encircling material 6.11 NA NA 7.86 7.07 0.78 09067120 A Remove eye implant material 7.10 11.18 10.38 8.55 7.66 1.40 09067121 A Remove eye implant material 12.25 NA NA 13.28 11.80 2.16 09067141 A Treatment of retina 6.15 8.47 7.71 7.51 6.73 1.09 09067145 A Treatment of retina 6.32 8.42 7.64 7.63 6.83 0.86 09067208 A Treatment of retinal lesion 7.65 9.14 8.22 8.57 7.65 0.53 09067210 A Treatment of retinal lesion 9.45 9.91 8.84 9.31 8.21 1.40 09067218 A Treatment of retinal lesion 20.36 NA NA 18.64 16.41 1.46 09067220 A Treatment of choroid lesion 14.39 15.38 13.76 14.04 12.39 2.55 09067221 R Ocular photodynamic ther 3.45 4.56 4.34 2.61 2.28 0.48 00067225 A Eye photodynamic ther add-on 0.47 0.37 0.33 0.33 0.28 0.03 ZZZ67227 A Treatment of retinal lesion 7.53 9.55 8.65 8.49 7.58 0.53 09067228 A Treatment of retinal lesion 13.82 18.46 17.42 15.95 14.18 2.10 09067229 A Tr retinal les preterm inf 16.30 NA NA 15.55 13.92 1.17 09067250 A Reinforce eye wall 9.61 NA NA 12.20 11.17 1.62 09067255 A Reinforce/graft eye wall 10.17 NA NA 13.31 12.20 1.99 09067299 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY67311 A Revise eye muscle 7.77 NA NA 9.00 8.08 1.31 09067312 A Revise two eye muscles 9.66 NA NA 10.32 9.19 1.91 09067314 A Revise eye muscle 8.79 NA NA 10.08 9.01 1.48 09067316 A Revise two eye muscles 10.93 NA NA 11.55 10.25 2.15 09067318 A Revise eye muscle(s) 9.12 NA NA 10.66 9.53 0.64 09067320 A Revise eye muscle(s) add-on 5.40 NA NA 3.76 3.17 0.38 ZZZ67331 A Eye surgery follow-up add-on 5.13 NA NA 3.54 2.98 0.86 ZZZ67332 A Rerevise eye muscles add-on 5.56 NA NA 3.89 3.26 0.93 ZZZ67334 A Revise eye muscle w/suture 5.05 NA NA 3.54 2.97 0.35 ZZZ67335 A Eye suture during surgery 2.49 NA NA 1.73 1.49 0.41 ZZZ67340 A Revise eye muscle add-on 6.00 NA NA 4.21 3.54 0.42 ZZZCMS-1582-PN 361CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global67343 A Release eye tissue 8.47 NA NA 9.84 8.82 1.66 09067345 A Destroy nerve of eye muscle 3.01 3.55 3.21 2.92 2.59 0.80 01067346 A Biopsy eye muscle 2.87 NA NA 2.78 2.47 0.61 00067399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY67400 A Explore/biopsy eye socket 11.20 NA NA 14.76 13.59 2.07 09067405 A Explore/drain eye socket 9.20 NA NA 12.89 11.95 1.18 09067412 A Explore/treat eye socket 10.30 NA NA 13.44 12.47 1.86 09067413 A Explore/treat eye socket 10.24 NA NA 13.59 12.60 2.00 09067414 A Explr/decompress eye socket 17.94 NA NA 19.25 17.12 2.29 09067415 A Aspiration orbital contents 1.76 NA NA 1.24 1.04 0.24 00067420 A Explore/treat eye socket 21.87 NA NA 23.51 21.29 4.31 09067430 A Explore/treat eye socket 15.29 NA NA 19.53 17.91 1.09 09067440 A Explore/drain eye socket 14.84 NA NA 18.84 17.26 1.91 09067445 A Explr/decompress eye socket 19.12 NA NA 20.21 18.14 3.77 09067450 A Explore/biopsy eye socket 15.41 NA NA 19.61 17.96 1.97 09067500 A Inject/treat eye socket 1.44 0.89 0.83 0.70 0.62 0.11 00067505 A Inject/treat eye socket 1.27 1.24 1.08 1.04 0.85 0.26 00067515 A Inject/treat eye socket 1.40 1.33 1.13 1.13 0.93 0.26 00067550 A Insert eye socket implant 11.77 NA NA 15.18 13.95 2.30 09067560 A Revise eye socket implant 12.18 NA NA 15.50 14.15 1.57 09067570 A Decompress optic nerve 14.40 NA NA 17.39 16.11 5.16 09067599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY67700 A Drainage of eyelid abscess 1.40 5.84 5.82 1.84 1.67 0.23 01067710 A Incision of eyelid 1.07 4.97 5.01 1.64 1.51 0.22 01067715 A Incision of eyelid fold 1.27 5.14 5.13 1.77 1.63 0.26 01067800 A Remove eyelid lesion 1.41 2.13 1.97 1.50 1.35 0.24 01067801 A Remove eyelid lesions 1.91 2.61 2.40 1.85 1.65 0.37 01067805 A Remove eyelid lesions 2.27 3.35 3.10 2.37 2.12 0.44 01067808 A Remove eyelid lesion(s) 4.60 NA NA 5.71 5.15 0.90 09067810 A Biopsy of eyelid 1.48 4.51 4.56 1.08 0.98 0.22 000CMS-1582-PN 362CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global67820 A Revise eyelashes 0.71 0.70 0.65 0.79 0.72 0.11 00067825 A Revise eyelashes 1.43 2.14 2.00 1.96 1.80 0.27 01067830 A Revise eyelashes 1.75 5.51 5.44 2.12 1.92 0.34 01067835 A Revise eyelashes 5.70 NA NA 6.61 5.96 1.13 09067840 A Remove eyelid lesion 2.09 5.45 5.37 2.36 2.13 0.34 01067850 A Treat eyelid lesion 1.74 4.24 4.22 2.10 1.99 0.24 01067875 A Closure of eyelid by suture 1.35 3.34 3.28 1.38 1.24 0.24 00067880 A Revision of eyelid 4.60 8.09 7.61 5.72 5.15 0.82 09067882 A Revision of eyelid 6.02 9.63 8.99 7.22 6.49 1.18 09067900 A Repair brow defect 6.82 10.96 10.33 7.48 6.76 1.22 09067901 A Repair eyelid defect 7.59 13.29 11.69 8.57 7.65 1.50 09067902 A Repair eyelid defect 9.82 NA NA 10.54 9.20 1.93 09067903 A Repair eyelid defect 6.51 9.99 9.57 7.09 6.47 1.27 09067904 A Repair eyelid defect 7.97 12.36 11.51 8.81 7.80 1.52 09067906 A Repair eyelid defect 6.93 NA NA 7.36 6.61 0.49 09067908 A Repair eyelid defect 5.30 8.41 7.84 6.59 6.09 1.05 09067909 A Revise eyelid defect 5.57 9.25 8.77 6.69 6.11 1.10 09067911 A Revise eyelid defect 7.50 NA NA 8.29 7.31 1.40 09067912 A Correction eyelid w/implant 6.36 17.97 17.92 7.44 6.82 0.93 09067914 A Repair eyelid defect 3.75 6.96 6.67 4.33 3.92 0.68 09067915 A Repair eyelid defect 3.26 6.26 6.06 3.84 3.51 0.45 09067916 A Repair eyelid defect 5.48 9.43 8.94 6.62 6.03 0.95 09067917 A Repair eyelid defect 6.19 10.06 9.49 7.13 6.46 1.16 09067921 A Repair eyelid defect 3.47 6.74 6.48 4.13 3.73 0.68 09067922 A Repair eyelid defect 3.14 6.07 5.88 3.69 3.38 0.42 09067923 A Repair eyelid defect 6.05 9.70 9.12 7.02 6.35 1.13 09067924 A Repair eyelid defect 5.93 10.28 9.76 6.66 6.01 1.13 09067930 A Repair eyelid wound 3.65 6.45 6.15 3.14 2.79 0.71 01067935 A Repair eyelid wound 6.36 10.14 9.55 6.11 5.48 1.25 09067938 A Remove eyelid foreign body 1.38 5.23 5.20 1.86 1.70 0.22 010CMS-1582-PN 363CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global67950 A Revision of eyelid 5.99 9.90 9.39 7.01 6.40 1.10 09067961 A Revision of eyelid 5.86 10.08 9.56 6.90 6.28 1.10 09067966 A Revision of eyelid 8.97 12.45 11.44 9.52 8.39 1.70 09067971 A Reconstruction of eyelid 10.01 NA NA 10.35 9.29 1.96 09067973 A Reconstruction of eyelid 13.13 NA NA 13.11 11.75 2.59 09067974 A Reconstruction of eyelid 13.10 NA NA 13.08 11.70 2.59 09067975 A Reconstruction of eyelid 9.35 NA NA 9.91 8.91 1.84 09067999 C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 YYY68020 A Incise/drain eyelid lining 1.42 1.91 1.76 1.68 1.53 0.20 01068040 A Treatment of eyelid lesions 0.85 0.97 0.88 0.65 0.56 0.16 00068100 A Biopsy of eyelid lining 1.35 3.28 3.23 1.40 1.26 0.20 00068110 A Remove eyelid lining lesion 1.82 4.36 4.23 2.34 2.13 0.35 01068115 A Remove eyelid lining lesion 2.41 6.10 5.97 2.75 2.48 0.31 01068130 A Remove eyelid lining lesion 5.10 9.77 9.34 6.44 5.86 0.35 09068135 A Remove eyelid lining lesion 1.89 2.48 2.27 2.33 2.12 0.26 01068200 A Treat eyelid by injection 0.49 0.69 0.64 0.49 0.43 0.08 00068320 A Revise/graft eyelid lining 6.64 13.36 12.70 8.46 7.62 1.29 09068325 A Revise/graft eyelid lining 8.63 NA NA 9.87 8.84 1.69 09068326 A Revise/graft eyelid lining 8.42 NA NA 9.71 8.69 1.65 09068328 A Revise/graft eyelid lining 9.45 NA NA 10.52 9.44 1.86 09068330 A Revise eyelid lining 5.78 10.90 10.36 7.14 6.42 1.14 09068335 A Revise/graft eyelid lining 8.46 NA NA 9.70 8.68 1.66 09068340 A Separate eyelid adhesions 4.97 10.03 9.58 6.21 5.58 0.99 09068360 A Revise eyelid lining 5.17 9.46 8.98 6.32 5.70 1.02 09068362 A Revise eyelid lining 8.61 NA NA 9.82 8.77 1.69 09068371 A Harvest eye tissue alograft 5.09 NA NA 6.47 5.90 0.35 01068399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY68400 A Incise/drain tear gland 1.74 5.94 5.87 1.95 1.83 0.34 01068420 A Incise/drain tear sac 2.35 6.40 6.28 2.38 2.20 0.30 01068440 A Incise tear duct opening 0.99 1.84 1.82 1.76 1.63 0.20 010CMS-1582-PN 364CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global68500 A Removal of tear gland 12.77 NA NA 14.60 13.07 2.99 09068505 A Partial removal tear gland 12.69 NA NA 14.54 13.18 2.48 09068510 A Biopsy of tear gland 4.60 7.73 7.43 3.69 3.18 0.90 00068520 A Removal of tear sac 8.78 NA NA 10.45 9.48 1.14 09068525 A Biopsy of tear sac 4.42 NA NA 3.10 2.65 0.86 00068530 A Clearance of tear duct 3.70 8.02 7.87 3.55 3.19 0.72 01068540 A Remove tear gland lesion 12.18 NA NA 13.89 12.48 1.57 09068550 A Remove tear gland lesion 15.16 NA NA 16.82 15.03 1.93 09068700 A Repair tear ducts 7.87 NA NA 9.08 8.14 1.54 09068705 A Revise tear duct opening 2.11 4.38 4.25 2.55 2.31 0.41 01068720 A Create tear sac drain 9.96 NA NA 11.27 10.16 1.66 09068745 A Create tear duct drain 9.90 NA NA 11.42 10.29 1.95 09068750 A Create tear duct drain 10.10 NA NA 11.97 10.80 1.97 09068760 A Close tear duct opening 1.78 3.74 3.62 2.30 2.10 0.34 01068761 A Close tear duct opening 1.41 2.66 2.54 1.91 1.76 0.22 01068770 A Close tear system fistula 8.29 NA NA 9.37 7.92 1.62 09068801 A Dilate tear duct opening 1.00 2.44 2.34 1.99 1.88 0.16 01068810 A Probe nasolacrimal duct 2.15 4.52 4.28 3.07 2.89 0.39 01068811 A Probe nasolacrimal duct 2.45 NA NA 3.32 3.04 0.48 01068815 A Probe nasolacrimal duct 3.30 8.97 8.72 3.92 3.56 0.59 01068816 A Probe nl duct w/balloon 3.06 17.02 16.27 3.98 3.59 0.60 01068840 A Explore/irrigate tear ducts 1.30 2.25 2.08 1.95 1.75 0.24 01068850 A Injection for tear sac x-ray 0.80 0.83 0.89 0.70 0.74 0.07 00068899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY69000 A Drain external ear lesion 1.50 3.78 3.65 1.89 1.77 0.22 01069005 A Drain external ear lesion 2.16 3.98 3.83 2.34 2.21 0.29 01069020 A Drain outer ear canal lesion 1.53 5.22 5.10 2.59 2.50 0.20 01069090 N Pierce earlobes 0.00 0.00 0.00 0.00 0.00 0.00 XXX69100 A Biopsy of external ear 0.81 2.02 2.11 0.59 0.55 0.11 00069105 A Biopsy of external ear canal 0.85 3.24 3.18 0.99 0.94 0.10 000CMS-1582-PN 365CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global69110 A Remove external ear partial 3.53 9.56 9.41 5.77 5.64 0.53 09069120 A Removal of external ear 4.14 NA NA 7.49 7.17 0.60 09069140 A Remove ear canal lesion(s) 8.14 NA NA 17.26 16.74 1.05 09069145 A Remove ear canal lesion(s) 2.70 8.84 8.50 4.54 4.33 0.35 09069150 A Extensive ear canal surgery 13.61 NA NA 16.15 15.52 1.95 09069155 A Extensive ear/neck surgery 23.35 NA NA 24.86 23.53 3.01 09069200 A Clear outer ear canal 0.77 2.78 2.73 0.88 0.81 0.10 00069205 A Clear outer ear canal 1.21 NA NA 1.72 1.64 0.16 01069210 A Remove impacted ear wax 0.61 0.85 0.79 0.32 0.28 0.07 00069220 A Clean out mastoid cavity 0.83 3.27 3.19 0.95 0.92 0.10 00069222 A Clean out mastoid cavity 1.45 4.97 4.87 2.53 2.45 0.18 01069300 R Revise external ear 6.69 13.36 12.17 7.06 6.57 0.86 YYY69310 A Rebuild outer ear canal 10.97 NA NA 20.48 19.83 1.44 09069320 A Rebuild outer ear canal 17.18 NA NA 27.10 26.20 2.20 09069399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY69400 A Inflate middle ear canal 0.83 3.48 3.34 0.96 0.91 0.10 00069401 A Inflate middle ear canal 0.63 1.89 1.79 0.80 0.76 0.07 00069405 A Catheterize middle ear canal 2.68 4.90 4.67 2.89 2.72 0.34 01069420 A Incision of eardrum 1.38 4.20 4.09 2.12 2.02 0.18 01069421 A Incision of eardrum 1.78 NA NA 2.55 2.46 0.23 01069424 A Remove ventilating tube 0.85 2.89 2.84 0.95 0.89 0.10 00069433 A Create eardrum opening 1.57 4.23 4.10 2.20 2.09 0.22 01069436 A Create eardrum opening 2.01 NA NA 2.65 2.56 0.26 01069440 A Exploration of middle ear 7.71 NA NA 12.32 11.70 0.99 09069450 A Eardrum revision 5.69 NA NA 10.16 9.67 0.72 09069501 A Mastoidectomy 9.21 NA NA 12.02 11.35 1.18 09069502 A Mastoidectomy 12.56 NA NA 15.51 14.66 1.69 09069505 A Remove mastoid structures 13.17 NA NA 21.72 20.91 1.70 09069511 A Extensive mastoid surgery 13.70 NA NA 22.03 21.24 1.77 09069530 A Extensive mastoid surgery 20.38 NA NA 27.47 26.27 2.61 090CMS-1582-PN 366CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global69535 A Remove part of temporal bone 37.42 NA NA 39.37 37.20 5.23 09069540 A Remove ear lesion 1.25 4.86 4.76 2.45 2.38 0.16 01069550 A Remove ear lesion 11.15 NA NA 19.04 18.36 1.44 09069552 A Remove ear lesion 19.81 NA NA 25.62 24.44 2.55 09069554 A Remove ear lesion 35.97 NA NA 36.94 34.02 4.61 09069601 A Mastoid surgery revision 13.45 NA NA 16.90 15.97 1.71 09069602 A Mastoid surgery revision 13.76 NA NA 17.82 16.86 1.77 09069603 A Mastoid surgery revision 14.20 NA NA 22.33 21.60 1.82 09069604 A Mastoid surgery revision 14.20 NA NA 18.08 17.23 1.82 09069605 A Mastoid surgery revision 18.69 NA NA 26.48 25.40 2.40 09069610 A Repair of eardrum 4.47 6.68 6.46 3.94 3.71 0.59 01069620 A Repair of eardrum 6.03 14.07 13.72 8.09 7.72 0.76 09069631 A Repair eardrum structures 10.05 NA NA 15.64 14.87 1.29 09069632 A Rebuild eardrum structures 12.96 NA NA 18.34 17.42 1.66 09069633 A Rebuild eardrum structures 12.31 NA NA 17.91 17.02 1.59 09069635 A Repair eardrum structures 13.51 NA NA 21.93 21.06 1.74 09069636 A Rebuild eardrum structures 15.43 NA NA 24.57 23.64 1.97 09069637 A Rebuild eardrum structures 15.32 NA NA 24.54 23.60 2.00 09069641 A Revise middle ear & mastoid 12.89 NA NA 17.27 16.39 1.67 09069642 A Revise middle ear & mastoid 17.06 NA NA 21.72 20.58 2.19 09069643 A Revise middle ear & mastoid 15.59 NA NA 19.87 18.81 2.00 09069644 A Revise middle ear & mastoid 17.23 NA NA 25.55 24.59 2.22 09069645 A Revise middle ear & mastoid 16.71 NA NA 25.32 24.34 2.18 09069646 A Revise middle ear & mastoid 18.37 NA NA 26.24 25.14 2.35 09069650 A Release middle ear bone 9.80 NA NA 13.54 12.69 1.25 09069660 A Revise middle ear bone 12.03 NA NA 14.84 14.04 1.55 09069661 A Revise middle ear bone 15.92 NA NA 19.09 18.09 2.00 09069662 A Revise middle ear bone 15.60 NA NA 17.87 16.89 2.00 09069666 A Repair middle ear structures 9.89 NA NA 13.58 12.83 1.28 09069667 A Repair middle ear structures 9.90 NA NA 13.56 12.86 1.28 090CMS-1582-PN 367CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global69670 A Remove mastoid air cells 11.73 NA NA 15.66 14.80 1.51 09069676 A Remove middle ear nerve 9.69 NA NA 14.46 13.79 1.24 09069700 A Close mastoid fistula 8.37 NA NA 11.53 11.05 1.08 09069710 N Implant/replace hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX69711 A Remove/repair hearing aid 10.62 NA NA 14.42 13.74 1.36 09069714 A Implant temple bone w/stimul 14.45 NA NA 16.69 15.76 1.86 09069715 A Temple bne implnt w/stimulat 18.96 NA NA 19.53 18.35 2.42 09069717 A Temple bone implant revision 15.43 NA NA 17.30 16.51 1.97 09069718 A Revise temple bone implant 19.21 NA NA 19.68 18.51 2.45 09069720 A Release facial nerve 14.71 NA NA 19.37 18.35 1.89 09069725 A Release facial nerve 27.64 NA NA 26.81 25.02 3.55 09069740 A Repair facial nerve 16.27 NA NA 17.55 16.53 2.08 09069745 A Repair facial nerve 17.02 NA NA 18.98 17.98 2.18 09069799 C Middle ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY69801 A Incise inner ear 2.06 3.61 3.61 1.57 6.59 0.27 00069802 A Incise inner ear 13.50 NA NA 16.70 15.78 1.71 09069805 A Explore inner ear 14.71 NA NA 15.84 14.84 1.89 09069806 A Explore inner ear 12.63 NA NA 14.73 13.92 1.63 09069820 A Establish inner ear window 10.52 NA NA 14.36 13.71 1.36 09069840 A Revise inner ear window 10.44 NA NA 12.68 13.62 0.73 09069905 A Remove inner ear 11.26 NA NA 15.38 14.64 1.46 09069910 A Remove inner ear & mastoid 13.91 NA NA 15.57 14.71 1.80 09069915 A Incise inner ear nerve 22.77 NA NA 21.76 20.27 2.97 09069930 A Implant cochlear device 17.73 NA NA 17.65 16.73 2.27 09069949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY69950 A Incise inner ear nerve 27.63 NA NA 28.74 25.02 3.55 09069955 A Release facial nerve 29.42 NA NA 27.87 26.04 3.78 09069960 A Release inner ear canal 29.42 NA NA 26.28 24.42 3.78 09069970 A Remove inner ear lesion 32.41 NA NA 29.61 27.67 4.16 09069979 C Temporal bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYYCMS-1582-PN 368CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global69990 R Microsurgery add-on 3.46 NA NA 1.93 1.86 1.16 ZZZ70010 A Contrast x-ray of brain 1.19 0.80 2.38 0.80 2.38 0.22 XXX70010 TC A Contrast x-ray of brain 0.00 0.00 2.69 NA NA 0.01 XXX70010 26 A Contrast x-ray of brain 1.19 0.00 0.42 0.00 0.42 0.15 XXX70015 A Contrast x-ray of brain 1.19 3.01 3.09 NA NA 0.08 XXX70015 TC A Contrast x-ray of brain 0.00 2.56 2.59 NA NA 0.01 XXX70015 26 A Contrast x-ray of brain 1.19 0.45 0.50 0.45 0.50 0.07 XXX70030 A X-ray eye for foreign body 0.17 0.63 0.66 NA NA 0.02 XXX70030 TC A X-ray eye for foreign body 0.00 0.57 0.59 NA NA 0.01 XXX70030 26 A X-ray eye for foreign body 0.17 0.06 0.07 0.06 0.07 0.01 XXX70100 A X-ray exam of jaw 0.18 0.80 0.78 NA NA 0.02 XXX70100 TC A X-ray exam of jaw 0.00 0.72 0.70 NA NA 0.01 XXX70100 26 A X-ray exam of jaw 0.18 0.08 0.08 0.08 0.08 0.01 XXX70110 A X-ray exam of jaw 0.25 0.85 0.90 NA NA 0.02 XXX70110 TC A X-ray exam of jaw 0.00 0.75 0.80 NA NA 0.01 XXX70110 26 A X-ray exam of jaw 0.25 0.10 0.10 0.10 0.10 0.01 XXX70120 A X-ray exam of mastoids 0.18 0.84 0.84 NA NA 0.02 XXX70120 TC A X-ray exam of mastoids 0.00 0.76 0.76 NA NA 0.01 XXX70120 26 A X-ray exam of mastoids 0.18 0.08 0.08 0.08 0.08 0.01 XXX70130 A X-ray exam of mastoids 0.34 1.28 1.30 NA NA 0.02 XXX70130 TC A X-ray exam of mastoids 0.00 1.14 1.16 NA NA 0.01 XXX70130 26 A X-ray exam of mastoids 0.34 0.14 0.14 0.14 0.14 0.01 XXX70134 A X-ray exam of middle ear 0.34 0.95 1.01 NA NA 0.02 XXX70134 TC A X-ray exam of middle ear 0.00 0.82 0.87 NA NA 0.01 XXX70134 26 A X-ray exam of middle ear 0.34 0.13 0.14 0.13 0.14 0.01 XXX70140 A X-ray exam of facial bones 0.19 0.66 0.69 NA NA 0.02 XXX70140 TC A X-ray exam of facial bones 0.00 0.56 0.60 NA NA 0.01 XXX70140 26 A X-ray exam of facial bones 0.19 0.10 0.09 0.10 0.09 0.01 XXX70150 A X-ray exam of facial bones 0.26 0.94 0.99 NA NA 0.02 XXX70150 TC A X-ray exam of facial bones 0.00 0.83 0.88 NA NA 0.01 XXXCMS-1582-PN 369CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global70150 26 A X-ray exam of facial bones 0.26 0.11 0.11 0.11 0.11 0.01 XXX70160 A X-ray exam of nasal bones 0.17 0.76 0.79 NA NA 0.02 XXX70150 TC A X-ray exam of nasal bones 0.00 0.69 0.72 NA NA 0.01 XXX70160 26 A X-ray exam of nasal bones 0.17 0.07 0.07 0.07 0.07 0.01 XXX70170 C X-ray exam of tear duct 0.00 0.00 0.00 NA NA 0.00 XXX70170 TC C X-ray exam of tear duct 0.00 0.00 0.00 NA NA 0.00 XXX70170 26 A X-ray exam of tear duct 0.30 0.11 0.12 0.11 0.12 0.03 XXX70190 A X-ray exam of eye sockets 0.21 0.80 0.83 NA NA 0.02 XXX70190 TC A X-ray exam of eye sockets 0.00 0.71 0.74 NA NA 0.01 XXX70190 26 A X-ray exam of eye sockets 0.21 0.09 0.09 0.09 0.09 0.01 XXX70200 A X-ray exam of eye sockets 0.28 0.94 1.01 NA NA 0.02 XXX70200 TC A X-ray exam of eye sockets 0.00 0.83 0.89 NA NA 0.01 XXX70200 26 A X-ray exam of eye sockets 0.28 0.11 0.12 0.11 0.12 0.01 XXX7020F I Mammo assess cat in dbase 0.00 0.00 0.00 0.00 0.00 0.00 XXX70210 A X-ray exam of sinuses 0.17 0.71 0.73 NA NA 0.02 XXX70210 TC A X-ray exam of sinuses 0.00 0.63 0.65 NA NA 0.01 XXX70210 26 A X-ray exam of sinuses 0.17 0.08 0.08 0.08 0.08 0.01 XXX70220 A X-ray exam of sinuses 0.25 0.85 0.88 NA NA 0.02 XXX70220 TC A X-ray exam of sinuses 0.00 0.74 0.78 NA NA 0.01 XXX70220 26 A X-ray exam of sinuses 0.25 0.11 0.10 0.11 0.10 0.01 XXX70240 A X-ray exam pituitary saddle 0.19 0.64 0.67 NA NA 0.02 XXX70240 TC A X-ray exam pituitary saddle 0.00 0.56 0.59 NA NA 0.01 XXX70240 26 A X-ray exam pituitary saddle 0.19 0.08 0.08 0.08 0.08 0.01 XXX70250 A X-ray exam of skull 0.24 0.81 0.84 NA NA 0.02 XXX70250 TC A X-ray exam of skull 0.00 0.70 0.73 NA NA 0.01 XXX70250 26 A X-ray exam of skull 0.24 0.11 0.11 0.11 0.11 0.01 XXX70260 A X-ray exam of skull 0.34 0.99 1.04 NA NA 0.02 XXX70260 TC A X-ray exam of skull 0.00 0.84 0.90 NA NA 0.01 XXX70260 26 A X-ray exam of skull 0.34 0.15 0.14 0.15 0.14 0.01 XXX70300 A X-ray exam of teeth 0.10 0.31 0.31 NA NA 0.02 XXXCMS-1582-PN 370CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global70300 TC A X-ray exam of teeth 0.00 0.24 0.25 NA NA 0.01 XXX70300 26 A X-ray exam of teeth 0.10 0.07 0.06 0.07 0.06 0.01 XXX70310 A X-ray exam of teeth 0.16 0.97 0.93 NA NA 0.02 XXX70310 TC A X-ray exam of teeth 0.00 0.86 0.84 NA NA 0.01 XXX70310 26 A X-ray exam of teeth 0.16 0.11 0.09 0.11 0.09 0.01 XXX70320 A Full mouth x-ray of teeth 0.22 1.25 1.25 NA NA 0.02 XXX70320 TC A Full mouth x-ray of teeth 0.00 1.12 1.14 NA NA 0.01 XXX70320 26 A Full mouth x-ray of teeth 0.22 0.13 0.11 0.13 0.11 0.01 XXX70328 A X-ray exam of jaw joint 0.18 0.69 0.72 NA NA 0.02 XXX70328 TC A X-ray exam of jaw joint 0.00 0.61 0.64 NA NA 0.01 XXX70328 26 A X-ray exam of jaw joint 0.18 0.08 0.08 0.08 0.08 0.01 XXX70330 A X-ray exam of jaw joints 0.24 1.12 1.17 NA NA 0.02 XXX70330 TC A X-ray exam of jaw joints 0.00 1.01 1.06 NA NA 0.01 XXX70330 26 A X-ray exam of jaw joints 0.24 0.11 0.11 0.11 0.11 0.01 XXX70332 A X-ray exam of jaw joint 0.54 1.87 1.95 NA NA 0.04 XXX70332 TC A X-ray exam of jaw joint 0.00 1.56 1.68 NA NA 0.01 XXX70332 26 A X-ray exam of jaw joint 0.54 0.31 0.27 0.31 0.27 0.03 XXX70336 A Magnetic image jaw joint 1.48 8.91 11.75 NA NA 0.09 XXX70336 TC A Magnetic image jaw joint 0.00 8.37 11.15 NA NA 0.01 XXX70336 26 A Magnetic image jaw joint 1.48 0.54 0.60 0.54 0.60 0.08 XXX70350 A X-ray head for orthodontia 0.17 0.44 0.44 NA NA 0.02 XXX70350 TC A X-ray head for orthodontia 0.00 0.32 0.34 NA NA 0.01 XXX70350 26 A X-ray head for orthodontia 0.17 0.12 0.10 0.12 0.10 0.01 XXX70355 A Panoramic x-ray of jaws0.20 0.39 0.42NA NA 0.02 XXX70355 TC A Panoramic x-ray of jaws0.00 0.27 0.32NA NA 0.01 XXX70355 26 A Panoramic x-ray of jaws 0.20 0.12 0.10 0.12 0.10 0.01 XXX70360 A X-ray exam of neck 0.17 0.60 0.63 NA NA 0.02 XXX70360 TC A X-ray exam of neck 0.00 0.53 0.56 NA NA 0.01 XXX70360 26 A X-ray exam of neck 0.17 0.07 0.07 0.07 0.07 0.01 XXX70370 A Throat x-ray & fluoroscopy 0.32 2.14 2.07 NA NA 0.02 XXXCMS-1582-PN 371CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global70370 TC A Throat x-ray & fluoroscopy 0.00 2.00 1.93 NA NA 0.01 XXX70370 26 A Throat x-ray & fluoroscopy 0.32 0.14 0.14 0.14 0.14 0.01 XXX70371 A Speech evaluation complex 0.84 1.76 1.91 NA NA 0.04 XXX70371 TC A Speech evaluation complex 0.00 1.41 1.57 NA NA 0.01 XXX70371 26 A Speech evaluation complex 0.84 0.35 0.34 0.35 0.34 0.03 XXX70373 A Contrast x-ray of larynx 0.44 1.92 1.97 NA NA 0.02 XXX70373 TC A Contrast x-ray of larynx 0.00 1.74 1.80 NA NA 0.01 XXX70373 26 A Contrast x-ray of larynx 0.44 0.18 0.17 0.18 0.17 0.01 XXX70380 A X-ray exam of salivary gland 0.17 1.00 0.98 NA NA 0.02 XXX70380 TC A X-ray exam ofsalivary gland 0.00 0.89 0.89 NA NA 0.01 XXX70380 26 A X-ray exam of salivary gland 0.17 0.11 0.09 0.11 0.09 0.01 XXX70390 A X-ray exam of salivary duct 0.38 2.47 2.59 NA NA 0.04 XXX70390 TC A X-ray exam of salivary duct 0.00 2.32 2.43 NA NA 0.01 XXX70390 26 A X-ray exam of salivary duct 0.38 0.15 0.16 0.15 0.16 0.03 XXX70450 A Ct head/brain w/o dye 0.85 3.84 4.91 NA NA 0.05 XXX70450 TC A Ct head/brain w/o dye 0.00 3.52 4.56 NA NA 0.01 XXX70450 26 A Ct head/brain w/o dye 0.85 0.32 0.35 0.32 0.35 0.04 XXX70460 A Ct head/brain w/dye 1.13 5.04 6.38 NA NA 0.06 XXX70460 TC A Ct head/brain w/dye 0.00 4.61 5.91 NA NA 0.01 XXX70460 26 A Ct head/brain w/dye 1.13 0.43 0.47 0.43 0.47 0.05 XXX70470 A Ct head/brain w/o & w/dye 1.27 6.15 7.81 NA NA 0.08 XXX70470 TC A Ct head/brain w/o & w/dye 0.00 5.67 7.28 NA NA 0.01 XXX70470 26 A Ct head/brain w/o & w/dye 1.27 0.48 0.53 0.48 0.53 0.07 XXX70480 A Ct orbit/ear/fossa w/o dye 1.28 6.63 7.94 NA NA 0.08 XXX70480 TC A Ct orbit/ear/fossa w/o dye 0.00 6.14 7.41 NA NA 0.01 XXX70480 26 A Ct orbit/ear/fossa w/o dye 1.28 0.49 0.53 0.49 0.53 0.07 XXX70481 A Ct orbit/ear/fossa w/dye 1.38 7.75 9.33 NA NA 0.09 XXX70481 TC A Ct orbit/ear/fossa w/dye 0.00 7.23 8.76 NA NA 0.01 XXX70481 26 A Ct orbit/ear/fossa w/dye 1.38 0.52 0.57 0.52 0.57 0.08 XXX70482 A Ct orbit/ear/fossa w/o&w/dye 1.45 8.68 10.65 NA NA 0.09 XXXCMS-1582-PN 372CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global70482 TC A Ct orbit/ear/fossa w/o&w/dye 0.00 8.14 10.06 NA NA 0.01 XXX70482 26 A Ct orbit/ear/fossa w/o&w/dye 1.45 0.54 0.59 0.54 0.59 0.08 XXX70486 A Ct maxillofacial w/o dye1.14 5.38 6.55NA NA 0.06 XXX70486 TC A Ct maxillofacial w/o dye0.00 4.93 6.07NA NA 0.01 XXX70486 26 A Ct maxillofacial w/o dye 1.14 0.45 0.48 0.45 0.48 0.05 XXX70487 A Ct maxillofacial w/dye1.30 6.50 7.96NA NA 0.08 XXX70487 TC A Ct maxillofacial w/dye0.00 6.01 7.42NA NA 0.01 XXX70487 26 A Ct maxillofacial w/dye 1.300.49 0.54 0.490.54 0.07 XXX70488 A Ct maxillofacial w/o & w/dye 1.42 8.00 9.84NA NA 0.09 XXX70488 TC A Ct maxillofacial w/o & w/dye 0.00 7.47 9.26NA NA 0.01 XXX70488 26 A Ct maxillofacial w/o & w/dye1.42 0.53 0.58 0.53 0.58 0.08 XXX70490 A Ct soft tissue neck w/o dye 1.28 5.03 6.24 NA NA 0.08 XXX70490 TC A Ct soft tissue neck w/o dye 0.00 4.55 5.71 NA NA 0.01 XXX70490 26 A Ct soft tissue neck w/o dye 1.28 0.48 0.53 0.48 0.53 0.07 XXX70491 A Ct soft tissue neck w/dye 1.38 6.25 7.69 NA NA 0.08 XXX70491 TC A Ct soft tissue neck w/dye 0.00 5.72 7.12 NA NA 0.01 XXX70491 26 A Ct soft tissue neck w/dye 1.38 0.53 0.57 0.53 0.57 0.07 XXX70492 A Ct sft tsue nck w/o & w/dye 1.45 7.66 9.51 NA NA 0.09 XXX70492 TC A Ct sft tsue nck w/o & w/dye 0.00 7.12 8.92 NA NA 0.01 XXX70492 26 A Ct sft tsue nck w/o & w/dye 1.45 0.54 0.59 0.54 0.59 0.08 XXX70496 A Ct angiography head 1.75 12.53 15.69 NA NA 0.11 XXX70496 TC A Ct angiography head 0.00 11.88 14.96 NA NA 0.01 XXX70496 26 A Ct angiography head 1.750.65 0.73 0.650.73 0.10 XXX70498 A Ct angiography neck 1.75 13.03 15.99 NA NA 0.11 XXX70498 TC A Ct angiography neck 0.00 12.38 15.26 NA NA 0.01 XXX70498 26 A Ct angiography neck 1.75 0.65 0.73 0.65 0.73 0.10 XXX70540 A Mri orbit/face/neck w/o dye 1.35 10.31 13.33 NA NA 0.09 XXX70540 TC A Mri orbit/face/neck w/o dye 0.00 9.81 12.78 NA NA 0.01 XXX70540 26 A Mri orbit/face/neck w/o dye 1.35 0.50 0.55 0.50 0.55 0.08 XXX70542 A Mri orbit/face/neck w/dye 1.62 11.58 14.78 NA NA 0.11 XXXCMS-1582-PN 373CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global70542 TC A Mri orbit/face/neck w/dye 0.00 10.98 14.12 NA NA 0.01 XXX70542 26 A Mri orbit/face/neck w/dye 1.62 0.60 0.66 0.60 0.66 0.10 XXX70543 A Mri orbt/fac/nck w/o & w/dye 2.15 13.89 19.29 NA NA 0.13 XXX70543 TC A Mri orbt/fac/nck w/o & w/dye 0.00 13.10 18.42 NA NA 0.01 XXX70543 26 A Mri orbt/fac/nck w/o & w/dye 2.15 0.79 0.87 0.79 0.87 0.12 XXX70544 A Mr angiography head w/o dye 1.20 11.92 14.87 NA NA 0.08 XXX70544 TC A Mr angiography head w/o dye 0.00 11.47 14.38 NA NA 0.01 XXX70544 26 A Mr angiography head w/o dye 1.20 0.45 0.49 0.45 0.49 0.07 XXX70545 A Mr angiography head w/dye 1.20 11.80 14.77 NA NA 0.08 XXX70545 TC A Mr angiography head w/dye 0.00 11.36 14.28 NA NA 0.01 XXX70545 26 A Mr angiography head w/dye 1.20 0.44 0.49 0.44 0.49 0.07 XXX70546 A Mr angiograph head w/o&w/dye 1.80 18.05 23.36 NA NA 0.12 XXX70546 TC A Mr angiograph head w/o&w/dye 0.00 17.38 22.62 NA NA 0.01 XXX70546 26 A Mr angiograph head w/o&w/dye 1.80 0.67 0.74 0.67 0.74 0.11 XXX70547 A Mr angiography neck w/o dye 1.20 11.91 14.84 NA NA 0.08 XXX70547 TC A Mr angiography neck w/o dye 0.00 11.46 14.35 NA NA 0.01 XXX70547 26 A Mr angiography neck w/o dye 1.20 0.45 0.49 0.45 0.49 0.07 XXX70548 A Mr angiography neck w/dye 1.20 12.72 15.64 NA NA 0.08 XXX70548 TC A Mr angiography neck w/dye 0.00 12.27 15.15 NA NA 0.01 XXX70548 26 A Mr angiography neck w/dye 1.20 0.45 0.49 0.45 0.49 0.07 XXX70549 A Mr angiograph neck w/o&w/dye 1.80 18.06 23.38 NA NA 0.11 XXX70549 TC A Mr angiograph neck w/o&w/dye 0.00 17.39 22.64 NA NA 0.01 XXX70549 26 A Mr angiograph neck w/o&w/dye 1.80 0.67 0.74 0.67 0.74 0.10 XXX70551 A Mri brain w/o dye 1.48 10.79 13.71 NA NA 0.09 XXX70551 TC A Mri brain w/o dye 0.00 10.24 13.10 NA NA 0.01 XXX70551 26 A Mri brain w/o dye 1.48 0.55 0.61 0.55 0.61 0.08 XXX70552 A Mri brain w/dye 1.78 11.92 15.15 NA NA 0.12 XXX70552 TC A Mri brain w/dye 0.00 11.25 14.41 NA NA 0.01 XXX70552 26 A Mri brain w/dye 1.78 0.67 0.74 0.67 0.74 0.11 XXX70553 A Mri brain w/o & w/dye 2.36 13.68 18.91 NA NA 0.15 XXXCMS-1582-PN 374CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global70553 TC A Mri brain w/o & w/dye 0.00 12.80 17.94 NA NA 0.01 XXX70553 26 A Mri brain w/o & w/dye 2.36 0.88 0.97 0.88 0.97 0.14 XXX70554 A Fmri brain by tech 2.11 12.01 14.61 NA NA 0.13 XXX70554 TC A Fmri brain by tech 0.00 11.20 13.72 NA NA 0.01 XXX70554 26 A Fmri brain by tech 2.11 0.81 0.89 0.81 0.89 0.12 XXX70555 C Fmri brain by phys/psych 0.00 0.00 0.00 NA NA 0.00 XXX70555 TC C Fmri brain by phys/psych 0.00 0.00 0.00 NA NA 0.00 XXX70555 26 A Fmri brain by phys/psych 2.54 0.92 1.06 0.92 1.06 0.24 XXX70557 C Mri brain w/o dye 0.00 0.00 0.00 NA NA 0.00 XXX70557 TC C Mri brain w/o dye 0.00 0.00 0.00 NA NA 0.00 XXX70557 26 A Mri brain w/o dye 2.90 1.62 1.50 1.62 1.50 1.05 XXX70558 C Mri brain w/dye 0.00 0.00 0.00 NA NA 0.00 XXX70558 TC C Mri brain w/dye 0.00 0.00 0.00 NA NA 0.00 XXX70558 26 A Mri brain w/dye 3.20 1.20 1.33 1.20 1.33 0.30 XXX70559 C Mri brain w/o & w/dye 0.00 0.00 0.00 NA NA 0.00 XXX70559 TC C Mri brain w/o & w/dye 0.00 0.00 0.00 NA NA 0.00 XXX70559 26 A Mri brain w/o & w/dye 3.20 1.24 1.38 1.24 1.38 0.30 XXX71010 A Chest x-ray 0.18 0.46 0.50 NA NA 0.02 XXX71010 TC A Chest x-ray 0.00 0.39 0.43 NA NA 0.01 XXX71010 26 A Chest x-ray 0.18 0.07 0.07 0.07 0.07 0.01 XXX71015 A Chest x-ray 0.21 0.62 0.66 NA NA 0.02 XXX71015 TC A Chest x-ray 0.00 0.54 0.58 NA NA 0.01 XXX71015 26 A Chest x-ray 0.21 0.08 0.08 0.08 0.08 0.01 XXX71020 A Chest x-ray 0.22 0.62 0.68 NA NA 0.02 XXX71020 TC A Chest x-ray 0.00 0.53 0.59 NA NA 0.01 XXX71020 26 A Chest x-ray 0.22 0.09 0.09 0.09 0.09 0.01 XXX71021 A Chest x-ray 0.27 0.79 0.84 NA NA 0.02 XXX71021 TC A Chest x-ray 0.00 0.67 0.73 NA NA 0.01 XXX71021 26 A Chest x-ray 0.27 0.12 0.11 0.12 0.11 0.01 XXX71022 A Chest x-ray 0.31 1.00 1.05 NA NA 0.02 XXXCMS-1582-PN 375CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global71022 TC A Chest x-ray 0.00 0.87 0.92 NA NA 0.01 XXX71022 26 A Chest x-ray 0.31 0.13 0.13 0.13 0.13 0.01 XXX71023 A Chest x-ray andfluoroscopy 0.38 1.60 1.65 NA NA 0.02 XXX71023 TC A Chest x-ray andfluoroscopy 0.00 1.45 1.48 NA NA 0.01 XXX71023 26 A Chest x-ray and fluoroscopy 0.38 0.15 0.17 0.15 0.17 0.01 XXX71030 A Chest x-ray 0.31 0.96 1.04 NA NA 0.02 XXX71030 TC A Chest x-ray 0.00 0.84 0.91 NA NA 0.01 XXX71030 26 A Chest x-ray 0.31 0.12 0.13 0.12 0.13 0.01 XXX71034 A Chest x-ray andfluoroscopy 0.46 1.90 2.15 NA NA 0.02 XXX71034 TC A Chest x-ray andfluoroscopy 0.00 1.72 1.93 NA NA 0.01 XXX71034 26 A Chest x-ray and fluoroscopy 0.46 0.18 0.22 0.18 0.22 0.01 XXX71035 A Chest x-ray 0.18 0.81 0.85 NA NA 0.02 XXX71035 TC A Chest x-ray 0.00 0.74 0.77 NA NA 0.01 XXX71035 26 A Chest x-ray 0.18 0.07 0.08 0.07 0.08 0.01 XXX71040 A Contrast x-ray of bronchi 0.58 2.15 2.26 NA NA 0.02 XXX71040 TC A Contrast x-ray of bronchi 0.00 1.94 2.03 NA NA 0.01 XXX71040 26 A Contrast x-ray of bronchi 0.58 0.21 0.23 0.21 0.23 0.01 XXX71060 A Contrast x-ray of bronchi 0.74 3.22 3.39 NA NA 0.05 XXX71060 TC A Contrast x-ray of bronchi 0.00 2.94 3.09 NA NA 0.01 XXX71060 26 A Contrast x-ray of bronchi 0.74 0.28 0.30 0.28 0.30 0.04 XXX71090 C X-ray & pacemaker insertion 0.00 0.00 0.00 NA NA 0.00 XXX71090 TC C X-ray & pacemaker insertion 0.00 0.00 0.00 NA NA 0.00 XXX71090 26 A X-ray & pacemaker insertion 0.54 0.21 0.26 0.21 0.26 0.04 XXX71100 A X-ray exam of ribs 0.22 0.68 0.72 NA NA 0.02 XXX71100 TC A X-ray exam of ribs 0.00 0.59 0.63 NA NA 0.01 XXX71100 26 A X-ray exam of ribs 0.22 0.09 0.09 0.09 0.09 0.01 XXX71101 A X-ray exam of ribs/chest 0.27 0.84 0.88 NA NA 0.02 XXX71101 TC A X-ray exam of ribs/chest 0.00 0.73 0.77 NA NA 0.01 XXX71101 26 A X-ray exam of ribs/chest 0.27 0.11 0.11 0.11 0.11 0.01 XXX71110 A X-ray exam of ribs 0.27 0.88 0.92 NA NA 0.02 XXXCMS-1582-PN 376CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global71110 TC A X-ray exam of ribs 0.00 0.76 0.81 NA NA 0.01 XXX71110 26 A X-ray exam of ribs 0.27 0.12 0.11 0.12 0.11 0.01 XXX71111 A X-ray exam of ribs/chest 0.32 1.17 1.22 NA NA 0.02 XXX71111 TC A X-ray exam of ribs/chest 0.00 1.04 1.09 NA NA 0.01 XXX71111 26 A X-ray exam of ribs/chest 0.32 0.13 0.13 0.13 0.13 0.01 XXX71120 A X-ray exam of breastbone 0.20 0.67 0.73 NA NA 0.02 XXX71120 TC A X-ray exam of breastbone 0.00 0.59 0.65 NA NA 0.01 XXX71120 26 A X-ray exam of breastbone 0.20 0.08 0.08 0.08 0.08 0.01 XXX71130 A X-ray exam of breastbone 0.22 0.81 0.87 NA NA 0.02 XXX71130 TC A X-ray exam of breastbone 0.00 0.72 0.78 NA NA 0.01 XXX71130 26 A X-ray exam of breastbone 0.22 0.09 0.09 0.09 0.09 0.01 XXX71250 A Ct thorax w/o dye 1.00 4.94 6.35 NA NA 0.06 XXX71250 TC A Ct thorax w/o dye 0.00 4.57 5.90 NA NA 0.01 XXX71250 26 A Ct thorax w/o dye 1.00 0.37 0.45 0.37 0.45 0.05 XXX71260 A Ct thorax w/dye 1.24 6.21 7.87 NA NA 0.08 XXX71260 TC A Ct thorax w/dye 0.00 5.74 7.35 NA NA 0.01 XXX71260 26 A Ct thorax w/dye 1.24 0.47 0.52 0.47 0.52 0.07 XXX71270 A Ct thorax w/o & w/dye 1.38 7.69 9.82 NA NA 0.08 XXX71270 TC A Ct thorax w/o & w/dye 0.00 7.18 9.25 NA NA 0.01 XXX71270 26 A Ct thorax w/o & w/dye 1.38 0.51 0.57 0.51 0.57 0.07 XXX71275 A Ct angiography chest 1.92 9.41 12.00 NA NA 0.12 XXX71275 TC A Ct angiography chest 0.00 8.70 11.20 NA NA 0.01 XXX71275 26 A Ct angiography chest 1.92 0.71 0.80 0.71 0.80 0.11 XXX71550 A Mri chest w/o dye 1.46 11.97 15.14 NA NA 0.09 XXX71550 TC A Mri chest w/o dye 0.00 11.43 14.55 NA NA 0.01 XXX71550 26 A Mri chest w/o dye 1.46 0.54 0.59 0.54 0.59 0.08 XXX71551 A Mri chest w/dye 1.73 13.53 16.97 NA NA 0.11 XXX71551 TC A Mri chest w/dye 0.00 12.88 16.27 NA NA 0.01 XXX71551 26 A Mri chest w/dye 1.73 0.65 0.70 0.65 0.70 0.10 XXX71552 A Mri chest w/o & w/dye 2.26 16.63 22.39 NA NA 0.13 XXXCMS-1582-PN 377CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global71552 TC A Mri chest w/o & w/dye 0.00 15.79 21.45 NA NA 0.01 XXX71552 26 A Mri chest w/o & w/dye 2.26 0.84 0.94 0.84 0.94 0.12 XXX71555 R Mri angio chest w or w/o dye 1.81 11.54 14.47 NA NA 0.11 XXX71555 TC R Mri angio chest w or w/o dye 0.00 10.86 13.71 NA NA 0.01 XXX71555 26 R Mri angio chest w or w/o dye 1.81 0.68 0.76 0.68 0.76 0.10 XXX72010 A X-ray exam of spine 0.45 1.76 1.71 NA NA 0.04 XXX72010 TC A X-ray exam of spine 0.00 1.55 1.52 NA NA 0.01 XXX72010 26 A X-ray exam of spine 0.45 0.21 0.19 0.21 0.19 0.03 XXX72020 A X-ray exam of spine 0.15 0.50 0.54 NA NA 0.02 XXX72020 TC A X-ray exam of spine 0.00 0.44 0.47 NA NA 0.01 XXX72020 26 A X-ray exam of spine 0.15 0.06 0.07 0.06 0.07 0.01 XXX72040 A X-ray exam of neck spine 0.22 0.89 0.90 NA NA 0.04 XXX72040 TC A X-ray exam of neck spine 0.00 0.79 0.80 NA NA 0.01 XXX72040 26 A X-ray exam of neck spine 0.22 0.10 0.10 0.10 0.10 0.03 XXX72050 A X-ray exam of neck spine 0.31 1.16 1.22 NA NA 0.04 XXX72050 TC A X-ray exam of neck spine 0.00 1.04 1.09 NA NA 0.01 XXX72050 26 A X-ray exam of neck spine 0.31 0.12 0.13 0.12 0.13 0.03 XXX72052 A X-ray exam of neck spine 0.36 1.54 1.59 NA NA 0.04 XXX72052 TC A X-ray exam of neck spine 0.00 1.39 1.44 NA NA 0.01 XXX72052 26 A X-ray exam of neck spine 0.36 0.15 0.15 0.15 0.15 0.03 XXX72069 A X-ray exam of trunk spine 0.22 0.85 0.85 NA NA 0.04 XXX72069 TC A X-ray exam of trunk spine 0.00 0.75 0.75 NA NA 0.01 XXX72069 26 A X-ray exam of trunk spine 0.22 0.10 0.10 0.10 0.10 0.03 XXX72070 A X-ray exam of thoracic spine 0.22 0.72 0.77 NA NA 0.02 XXX72070 TC A X-ray exam of thoracic spine 0.00 0.62 0.67 NA NA 0.01 XXX72070 26 A X-ray exam of thoracic spine 0.22 0.10 0.10 0.10 0.10 0.01 XXX72072 A X-ray exam of thoracic spine 0.22 0.81 0.88 NA NA 0.02 XXX72072 TC A X-ray exam of thoracic spine 0.00 0.73 0.79 NA NA 0.01 XXX72072 26 A X-ray exam of thoracic spine 0.22 0.08 0.09 0.08 0.09 0.01 XXX72074 A X-ray exam of thoracic spine 0.22 1.01 1.08 NA NA 0.02 XXXCMS-1582-PN 378CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global72074 TC A X-ray exam of thoracic spine 0.00 0.92 0.99 NA NA 0.01 XXX72074 26 A X-ray exam of thoracic spine 0.22 0.09 0.09 0.09 0.09 0.01 XXX72080 A X-ray exam of trunk spine 0.22 0.80 0.83 NA NA 0.04 XXX72080 TC A X-ray exam of trunk spine 0.00 0.70 0.73 NA NA 0.01 XXX72080 26 A X-ray exam of trunk spine 0.22 0.10 0.10 0.10 0.10 0.03 XXX72090 A X-ray exam of trunk spine 0.28 1.14 1.14 NA NA 0.05 XXX72090 TC A X-ray exam of trunk spine 0.00 1.01 1.01 NA NA 0.01 XXX72090 26 A X-ray exam of trunk spine 0.28 0.13 0.13 0.13 0.13 0.04 XXX72100 A X-ray exam of lower spine 0.22 0.94 0.95 NA NA 0.04 XXX72100 TC A X-ray exam of lower spine 0.00 0.84 0.85 NA NA 0.01 XXX72100 26 A X-ray exam of lower spine 0.22 0.10 0.10 0.10 0.10 0.03 XXX72110 A X-ray exam of lower spine 0.31 1.25 1.30 NA NA 0.04 XXX72110 TC A X-ray exam of lower spine 0.00 1.12 1.17 NA NA 0.01 XXX72110 26 A X-ray exam of lower spine 0.31 0.13 0.13 0.13 0.13 0.03 XXX72114 A X-ray exam of lower spine 0.36 1.77 1.80 NA NA 0.05 XXX72114 TC A X-ray exam of lower spine 0.00 1.61 1.64 NA NA 0.01 XXX72114 26 A X-ray exam of lower spine 0.36 0.16 0.16 0.16 0.16 0.04 XXX72120 A X-ray exam of lower spine 0.22 1.28 1.27 NA NA 0.04 XXX72120 TC A X-ray exam of lower spine 0.00 1.17 1.17 NA NA 0.01 XXX72120 26 A X-ray exam of lower spine 0.22 0.11 0.10 0.11 0.10 0.03 XXX72125 A Ct neck spine w/o dye 1.00 4.99 6.39 NA NA 0.06 XXX72125 TC A Ct neck spine w/o dye 0.00 4.62 5.94 NA NA 0.01 XXX72125 26 A Ct neck spine w/o dye 1.00 0.37 0.45 0.37 0.45 0.05 XXX72126 A Ct neck spine w/dye 1.22 6.22 7.87 NA NA 0.08 XXX72126 TC A Ct neck spine w/dye 0.00 5.77 7.37 NA NA 0.01 XXX72126 26 A Ct neck spine w/dye 1.22 0.45 0.50 0.45 0.50 0.07 XXX72127 A Ct neck spine w/o & w/dye 1.27 7.66 9.76 NA NA 0.08 XXX72127 TC A Ct neck spine w/o & w/dye 0.00 7.19 9.24 NA NA 0.01 XXX72127 26 A Ct neck spine w/o & w/dye 1.27 0.47 0.52 0.47 0.52 0.07 XXX72128 A Ct chest spine w/o dye 1.00 4.98 6.38 NA NA 0.06 XXXCMS-1582-PN 379CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global72128 TC A Ct chest spine w/o dye 0.00 4.61 5.93 NA NA 0.01 XXX72128 26 A Ct chest spine w/o dye 1.00 0.37 0.45 0.37 0.45 0.05 XXX72129 A Ct chest spine w/dye 1.22 6.25 7.89 NA NA 0.08 XXX72129 TC A Ct chest spine w/dye 0.00 5.79 7.38 NA NA 0.01 XXX72129 26 A Ct chest spine w/dye 1.22 0.46 0.51 0.46 0.51 0.07 XXX72130 A Ct chest spine w/o & w/dye 1.27 7.66 9.77 NA NA 0.08 XXX72130 TC A Ct chest spine w/o & w/dye 0.00 7.19 9.25 NA NA 0.01 XXX72130 26 A Ct chest spine w/o & w/dye 1.27 0.47 0.52 0.47 0.52 0.07 XXX72131 A Ct lumbar spine w/o dye 1.00 4.97 6.36 NA NA 0.06 XXX72131 TC A Ct lumbar spine w/o dye 0.00 4.59 5.91 NA NA 0.01 XXX72131 26 A Ct lumbar spine w/o dye 1.00 0.38 0.45 0.38 0.45 0.05 XXX72132 A Ct lumbar spine w/dye 1.22 6.22 7.87 NA NA 0.08 XXX72132 TC A Ct lumbar spine w/dye 0.00 5.77 7.36 NA NA 0.01 XXX72132 26 A Ct lumbar spine w/dye 1.22 0.45 0.51 0.45 0.51 0.07 XXX72133 A Ct lumbar spine w/o & w/dye 1.27 7.65 9.76 NA NA 0.08 XXX72133 TC A Ct lumbar spine w/o & w/dye 0.00 7.18 9.24 NA NA 0.01 XXX72133 26 A Ct lumbar spine w/o & w/dye 1.27 0.47 0.52 0.47 0.52 0.07 XXX72141 A Mri neck spine w/o dye 1.60 9.32 12.08 NA NA 0.11 XXX72141 TC A Mri neck spine w/o dye 0.00 8.71 11.42 NA NA 0.01 XXX72141 26 A Mri neck spine w/o dye 1.60 0.61 0.66 0.61 0.66 0.10 XXX72142 A Mri neck spine w/dye 1.92 12.02 15.21 NA NA 0.12 XXX72142 TC A Mri neck spine w/dye 0.00 11.29 14.42 NA NA 0.01 XXX72142 26 A Mri neck spine w/dye 1.92 0.73 0.79 0.73 0.79 0.11 XXX72146 A Mri chest spine w/o dye 1.60 9.33 12.28 NA NA 0.11 XXX72146 TC A Mri chest spine w/o dye 0.00 8.73 11.62 NA NA 0.01 XXX72146 26 A Mri chest spine w/o dye 1.60 0.60 0.66 0.60 0.66 0.10 XXX72147 A Mri chest spine w/dye 1.92 10.48 13.52 NA NA 0.12 XXX72147 TC A Mri chest spine w/dye 0.00 9.75 12.72 NA NA 0.01 XXX72147 26 A Mri chest spine w/dye 1.92 0.73 0.80 0.73 0.80 0.11 XXX72148 A Mri lumbar spine w/o dye 1.48 9.26 12.21 NA NA 0.11 XXXCMS-1582-PN 380CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global72148 TC A Mri lumbar spine w/o dye 0.00 8.70 11.60 NA NA 0.01 XXX72148 26 A Mri lumbar spine w/o dye 1.48 0.56 0.61 0.56 0.61 0.10 XXX72149 A Mri lumbar spine w/dye 1.78 11.81 15.07 NA NA 0.12 XXX72149 TC A Mri lumbar spine w/dye 0.00 11.13 14.33 NA NA 0.01 XXX72149 26 A Mri lumbar spine w/dye 1.78 0.68 0.74 0.68 0.74 0.11 XXX72156 A Mri neck spine w/o & w/dye 2.57 13.48 18.69 NA NA 0.17 XXX72156 TC A Mri neck spine w/o & w/dye 0.00 12.52 17.63 NA NA 0.01 XXX72156 26 A Mri neck spine w/o & w/dye 2.57 0.96 1.06 0.96 1.06 0.16 XXX72157 A Mri chest spine w/o & w/dye 2.57 12.37 17.42 NA NA 0.17 XXX72157 TC A Mri chest spine w/o & w/dye 0.00 11.41 16.36 NA NA 0.01 XXX72157 26 A Mri chest spine w/o & w/dye 2.57 0.96 1.06 0.96 1.06 0.16 XXX72158 A Mri lumbar spine w/o & w/dye 2.36 13.35 18.56 NA NA 0.17 XXX72158 TC A Mri lumbar spine w/o & w/dye 0.00 12.46 17.59 NA NA 0.01 XXX72158 26 A Mri lumbar spine w/o & w/dye 2.36 0.89 0.97 0.89 0.97 0.16 XXX72159 R Mr angio spine w/o&w/dye 1.80 13.63 16.23 NA NA 0.08 XXX72159 TC R Mr angio spine w/o&w/dye 0.00 12.84 15.45 NA NA 0.01 XXX72159 26 R Mr angio spine w/o&w/dye 1.80 0.79 0.78 0.79 0.78 0.07 XXX72170 A X-ray exam of pelvis 0.17 0.57 0.60 NA NA 0.04 XXX72170 TC A X-ray exam of pelvis 0.00 0.49 0.52 NA NA 0.01 XXX72170 26 A X-ray exam of pelvis 0.17 0.08 0.08 0.08 0.08 0.03 XXX72190 A X-ray exam of pelvis 0.21 0.99 1.00 NA NA 0.04 XXX72190 TC A X-ray exam of pelvis 0.00 0.89 0.90 NA NA 0.01 XXX72190 26 A X-ray exam of pelvis 0.21 0.10 0.10 0.10 0.10 0.03 XXX72191 A Ct angiograph pelv w/o&w/dye 1.81 8.94 11.52 NA NA 0.13 XXX72191 TC A Ct angiograph pelv w/o&w/dye 0.00 8.27 10.77 NA NA 0.01 XXX72191 26 A Ct angiograph pelv w/o&w/dye 1.81 0.67 0.75 0.67 0.75 0.12 XXX72192 A Ct pelvis w/o dye 1.09 4.69 6.03 NA NA 0.06 XXX72192 TC A Ct pelvis w/o dye 0.00 4.28 5.58 NA NA 0.01 XXX72192 26 A Ct pelvis w/o dye 1.09 0.41 0.45 0.41 0.45 0.05 XXX72193 A Ct pelvis w/dye 1.16 5.87 7.46 NA NA 0.08 XXXCMS-1582-PN 381CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global72193 TC A Ct pelvis w/dye 0.00 5.44 6.98 NA NA 0.01 XXX72193 26 A Ct pelvis w/dye 1.16 0.43 0.48 0.43 0.48 0.07 XXX72194 A Ct pelvis w/o & w/dye 1.22 7.78 9.84 NA NA 0.08 XXX72194 TC A Ct pelvis w/o & w/dye 0.00 7.33 9.34 NA NA 0.01 XXX72194 26 A Ct pelvis w/o & w/dye 1.22 0.45 0.50 0.45 0.50 0.07 XXX72195 A Mri pelvis w/o dye 1.46 10.67 13.63 NA NA 0.11 XXX72195 TC A Mri pelvis w/o dye 0.00 10.12 13.03 NA NA 0.01 XXX72195 26 A Mri pelvis w/o dye 1.46 0.55 0.60 0.55 0.60 0.10 XXX72196 A Mri pelvis w/dye 1.73 11.76 14.99 NA NA 0.11 XXX72196 TC A Mri pelvis w/dye 0.00 11.11 14.27 NA NA 0.01 XXX72196 26 A Mri pelvis w/dye 1.73 0.65 0.72 0.65 0.72 0.10 XXX72197 A Mri pelvis w/o & w/dye 2.26 14.17 19.54 NA NA 0.13 XXX72197 TC A Mri pelvis w/o & w/dye 0.00 13.33 18.61 NA NA 0.01 XXX72197 26 A Mri pelvis w/o & w/dye 2.26 0.84 0.93 0.84 0.93 0.12 XXX72198 A Mr angio pelvis w/o & w/dye 1.80 11.52 14.41 NA NA 0.11 XXX72198 TC A Mr angio pelvis w/o & w/dye 0.00 10.86 13.67 NA NA 0.01 XXX72198 26 A Mr angio pelvis w/o & w/dye 1.80 0.66 0.74 0.66 0.74 0.10 XXX72200 A X-ray exam sacroiliac joints 0.17 0.65 0.69 NA NA 0.02 XXX72200 TC A X-ray exam sacroiliac joints 0.00 0.58 0.62 NA NA 0.01 XXX72200 26 A X-ray exam sacroiliac joints 0.17 0.07 0.07 0.07 0.07 0.01 XXX72202 A X-ray exam sacroiliac joints 0.19 0.76 0.82 NA NA 0.02 XXX72202 TC A X-ray exam sacroiliac joints 0.00 0.69 0.74 NA NA 0.01 XXX72202 26 A X-ray exam sacroiliac joints 0.19 0.07 0.08 0.07 0.08 0.01 XXX72220 A X-ray exam of tailbone 0.17 0.63 0.68 NA NA 0.02 XXX72220 TC A X-ray exam of tailbone 0.00 0.56 0.61 NA NA 0.01 XXX72220 26 A X-ray exam of tailbone 0.17 0.07 0.07 0.07 0.07 0.01 XXX72240 A Contrast x-ray of neck spine 0.91 2.73 3.31 NA NA 0.06 XXX72240 TC A Contrast x-ray of neck spine 0.00 2.38 2.93 NA NA 0.01 XXX72240 26 A Contrast x-ray of neck spine 0.91 0.35 0.38 0.35 0.38 0.05 XXX72255 A Contrast x-ray thorax spine 0.91 2.65 3.06 NA NA 0.05 XXXCMS-1582-PN 382CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global72255 TC A Contrast x-ray thorax spine 0.00 2.28 2.69 NA NA 0.01 XXX72255 26 A Contrast x-ray thorax spine 0.91 0.37 0.37 0.37 0.37 0.04 XXX72265 A Contrast x-ray lower spine 0.83 2.75 3.20 NA NA 0.05 XXX72265 TC A Contrast x-ray lower spine 0.00 2.42 2.85 NA NA 0.01 XXX72265 26 A Contrast x-ray lower spine 0.83 0.33 0.35 0.33 0.35 0.04 XXX72270 A Contrast x-ray spine 1.33 4.24 4.94 NA NA 0.08 XXX72270 TC A Contrast x-ray spine 0.00 3.73 4.39 NA NA 0.01 XXX72270 26 A Contrast x-ray spine 1.33 0.51 0.55 0.51 0.55 0.07 XXX72275 A Epidurography 0.76 2.68 2.49 NA NA 0.05 XXX72275 TC A Epidurography 0.00 2.30 2.17 NA NA 0.01 XXX72275 26 A Epidurography 0.76 0.38 0.32 0.38 0.32 0.04 XXX72285 A X-ray c/t spine disk 1.16 2.26 3.14 NA NA 0.06 XXX72285 TC A X-ray c/t spine disk 0.00 1.66 2.63 NA NA 0.01 XXX72285 26 A X-ray c/t spine disk 1.16 0.60 0.51 0.60 0.51 0.05 XXX72291 C Perq verte/sacroplsty fluor 0.00 0.00 0.00 NA NA 0.00 XXX72291 TC C Perq verte/sacroplsty fluor 0.00 0.00 0.00 NA NA 0.00 XXX72291 26 A Perq verte/sacroplsty fluor 1.31 0.60 0.61 0.60 0.61 0.22 XXX72292 C Perq verte/sacroplsty ct 0.00 0.00 0.00 NA NA 0.00 XXX72292 TC C Perq verte/sacroplsty ct 0.00 0.00 0.00 NA NA 0.00 XXX72292 26 A Perq verte/sacroplsty ct 1.38 0.58 0.62 0.58 0.62 0.20 XXX72295 A X-ray of lower spine disk 0.83 2.12 2.96 NA NA 0.05 XXX72295 TC A X-ray of lower spine disk 0.00 1.70 2.59 NA NA 0.01 XXX72295 26 A X-ray of lower spine disk 0.83 0.42 0.37 0.42 0.37 0.04 XXX73000 A X-ray exam of collar bone 0.16 0.66 0.67 NA NA 0.02 XXX73000 TC A X-ray exam of collar bone 0.00 0.58 0.60 NA NA 0.01 XXX73000 26 A X-ray exam of collar bone 0.16 0.08 0.07 0.08 0.07 0.01 XXX73010 A X-ray exam of shoulder blade 0.17 0.70 0.70 NA NA 0.04 XXX73010 TC A X-ray exam ofshoulder blade 0.00 0.620.62 NA NA 0.01 XXX73010 26 A X-ray exam of shoulder blade 0.17 0.08 0.08 0.08 0.08 0.03 XXX73020 A X-ray exam of shoulder 0.15 0.52 0.53 NA NA 0.02 XXXCMS-1582-PN 383CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global73020 TC A X-ray exam of shoulder 0.00 0.45 0.47 NA NA 0.01 XXX73020 26 A X-ray exam of shoulder 0.15 0.07 0.06 0.07 0.06 0.01 XXX73030 A X-ray exam of shoulder 0.18 0.68 0.70 NA NA 0.04 XXX73030 TC A X-ray exam of shoulder 0.00 0.59 0.61 NA NA 0.01 XXX73030 26 A X-ray exam of shoulder 0.18 0.09 0.09 0.09 0.09 0.03 XXX73040 A Contrast x-ray of shoulder 0.54 2.46 2.60 NA NA 0.05 XXX73040 TC A Contrast x-ray of shoulder 0.00 2.24 2.37 NA NA 0.01 XXX73040 26 A Contrast x-ray of shoulder 0.54 0.22 0.23 0.22 0.23 0.04 XXX73050 A X-ray exam of shoulders 0.20 0.91 0.90 NA NA 0.04 XXX73050 TC A X-ray exam of shoulders 0.00 0.81 0.80 NA NA 0.01 XXX73050 26 A X-ray exam of shoulders 0.20 0.10 0.10 0.10 0.10 0.03 XXX73060 A X-ray exam of humerus 0.17 0.65 0.68 NA NA 0.02 XXX73060 TC A X-ray exam of humerus 0.00 0.57 0.60 NA NA 0.01 XXX73060 26 A X-ray exam of humerus 0.17 0.08 0.08 0.08 0.08 0.01 XXX73070 A X-ray exam of elbow 0.15 0.65 0.67 NA NA 0.02 XXX73070 TC A X-ray exam of elbow 0.00 0.58 0.60 NA NA 0.01 XXX73070 26 A X-ray exam of elbow 0.15 0.07 0.07 0.07 0.07 0.01 XXX73080 A X-ray exam of elbow 0.17 0.77 0.82 NA NA 0.02 XXX73080 TC A X-ray exam of elbow 0.00 0.70 0.75 NA NA 0.01 XXX73080 26 A X-ray exam of elbow 0.17 0.07 0.07 0.07 0.07 0.01 XXX73085 A Contrast x-ray of elbow 0.54 2.21 2.31 NA NA 0.04 XXX73085 TC A Contrast x-ray of elbow 0.00 1.96 2.07 NA NA 0.01 XXX73085 26 A Contrast x-ray of elbow 0.54 0.25 0.24 0.25 0.24 0.03 XXX73090 A X-ray exam of forearm 0.16 0.62 0.65 NA NA 0.02 XXX73090 TC A X-ray exam of forearm 0.00 0.55 0.58 NA NA 0.01 XXX73090 26 A X-ray exam of forearm 0.16 0.07 0.07 0.07 0.07 0.01 XXX73092 A X-ray exam of arm infant 0.16 0.76 0.73 NA NA 0.02 XXX73092 TC A X-ray exam of arm infant 0.00 0.69 0.66 NA NA 0.01 XXX73092 26 A X-ray exam of arm infant 0.16 0.07 0.07 0.07 0.07 0.01 XXX73100 A X-ray exam of wrist 0.16 0.73 0.72 NA NA 0.04 XXXCMS-1582-PN 384CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global73100 TC A X-ray exam of wrist 0.00 0.65 0.64 NA NA 0.01 XXX73100 26 A X-ray exam of wrist 0.16 0.08 0.08 0.08 0.08 0.03 XXX73110 A X-ray exam of wrist 0.17 0.89 0.89 NA NA 0.02 XXX73110 TC A X-ray exam of wrist 0.00 0.81 0.81 NA NA 0.01 XXX73110 26 A X-ray exam of wrist 0.17 0.08 0.08 0.08 0.08 0.01 XXX73115 A Contrast x-ray of wrist 0.54 2.66 2.64 NA NA 0.05 XXX73115 TC A Contrast x-ray of wrist 0.00 2.41 2.39 NA NA 0.01 XXX73115 26 A Contrast x-ray of wrist 0.54 0.25 0.25 0.25 0.25 0.04 XXX73120 A X-ray exam of hand 0.16 0.62 0.64 NA NA 0.02 XXX73120 TC A X-ray exam of hand 0.00 0.55 0.57 NA NA 0.01 XXX73120 26 A X-ray exam of hand 0.16 0.07 0.07 0.07 0.07 0.01 XXX73130 A X-ray exam of hand 0.17 0.75 0.76 NA NA 0.02 XXX73130 TC A X-ray exam of hand 0.00 0.67 0.69 NA NA 0.01 XXX73130 26 A X-ray exam of hand 0.17 0.08 0.07 0.08 0.07 0.01 XXX73140 A X-ray exam of finger(s) 0.13 0.81 0.78 NA NA 0.02 XXX73140 TC A X-ray exam of finger(s) 0.00 0.75 0.72 NA NA 0.01 XXX73140 26 A X-ray exam of finger(s) 0.13 0.06 0.06 0.06 0.06 0.01 XXX73200 A Ct upper extremity w/o dye 1.00 4.93 6.17 NA NA 0.08 XXX73200 TC A Ct upper extremity w/o dye 0.00 4.56 5.74 NA NA 0.01 XXX73200 26 A Ct upper extremity w/o dye 1.00 0.37 0.43 0.37 0.43 0.07 XXX73201 A Ct upper extremity w/dye 1.16 6.15 7.61 NA NA 0.08 XXX73201 TC A Ct upper extremity w/dye 0.00 5.71 7.13 NA NA 0.01 XXX73201 26 A Ct upper extremity w/dye 1.16 0.44 0.48 0.44 0.48 0.07 XXX73202 A Ct uppr extremity w/o&w/dye 1.22 8.09 10.02 NA NA 0.08 XXX73202 TC A Ct uppr extremity w/o&w/dye 0.00 7.63 9.52 NA NA 0.01 XXX73202 26 A Ct uppr extremity w/o&w/dye 1.22 0.46 0.50 0.46 0.50 0.07 XXX73206 A Ct angio upr extrm w/o&w/dye 1.81 8.48 10.93 NA NA 0.09 XXX73206 TC A Ct angio upr extrm w/o&w/dye 0.00 7.81 10.17 NA NA 0.01 XXX73206 26 A Ct angio upr extrm w/o&w/dye 1.81 0.67 0.76 0.67 0.76 0.08 XXX73218 A Mri upper extremity w/o dye 1.35 10.93 13.86 NA NA 0.08 XXXCMS-1582-PN 385CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global73218 TC A Mri upper extremity w/o dye 0.00 10.40 13.30 NA NA 0.01 XXX73218 26 A Mri upper extremity w/o dye 1.35 0.53 0.56 0.53 0.56 0.07 XXX73219 A Mri upper extremity w/dye 1.62 11.43 14.82 NA NA 0.11 XXX73219 TC A Mri upper extremity w/dye 0.00 10.82 14.15 NA NA 0.01 XXX73219 26 A Mri upper extremity w/dye 1.62 0.61 0.67 0.61 0.67 0.10 XXX73220 A Mri uppr extremity w/o&w/dye 2.15 14.21 19.58 NA NA 0.13 XXX73220 TC A Mri uppr extremity w/o&w/dye 0.00 13.40 18.69 NA NA 0.01 XXX73220 26 A Mri uppr extremity w/o&w/dye 2.15 0.81 0.89 0.81 0.89 0.12 XXX73221 A Mri joint upr extrem w/o dye 1.35 10.12 12.95 NA NA 0.11 XXX73221 TC A Mri joint upr extrem w/o dye 0.00 9.59 12.38 NA NA 0.01 XXX73221 26 A Mri joint upr extrem w/o dye 1.35 0.53 0.57 0.53 0.57 0.10 XXX73222 A Mri joint upr extrem w/dye 1.62 10.75 13.97 NA NA 0.11 XXX73222 TC A Mri joint upr extrem w/dye 0.00 10.14 13.30 NA NA 0.01 XXX73222 26 A Mri joint upr extrem w/dye 1.62 0.61 0.67 0.61 0.67 0.10 XXX73223 A Mri joint upr extr w/o&w/dye 2.15 13.25 18.47 NA NA 0.13 XXX73223 TC A Mri joint upr extr w/o&w/dye 0.00 12.43 17.59 NA NA 0.01 XXX73223 26 A Mri joint upr extr w/o&w/dye 2.15 0.82 0.88 0.82 0.88 0.12 XXX73225 R Mr angio upr extr w/o&w/dye 1.73 13.60 16.01 NA NA 0.08 XXX73225 TC R Mr angio upr extr w/o&w/dye 0.00 12.84 15.26 NA NA 0.01 XXX73225 26 R Mr angio upr extr w/o&w/dye 1.73 0.76 0.75 0.76 0.75 0.07 XXX73500 A X-ray exam of hip 0.17 0.58 0.59 NA NA 0.04 XXX73500 TC A X-ray exam of hip 0.00 0.50 0.51 NA NA 0.01 XXX73500 26 A X-ray exam of hip 0.17 0.08 0.08 0.08 0.08 0.03 XXX73510 A X-ray exam of hip 0.21 0.89 0.90 NA NA 0.04 XXX73510 TC A X-ray exam of hip 0.00 0.79 0.80 NA NA 0.01 XXX73510 26 A X-ray exam of hip 0.21 0.10 0.10 0.10 0.10 0.03 XXX73520 A X-ray exam of hips 0.26 0.89 0.91 NA NA 0.04 XXX73520 TC A X-ray exam of hips 0.00 0.77 0.80 NA NA 0.01 XXX73520 26 A X-ray exam of hips 0.26 0.12 0.11 0.12 0.11 0.03 XXX73525 A Contrast x-ray of hip 0.54 2.37 2.38 NA NA 0.05 XXXCMS-1582-PN 386CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global73525 TC A Contrast x-ray of hip 0.00 2.11 2.13 NA NA 0.01 XXX73525 26 A Contrast x-ray of hip 0.54 0.26 0.25 0.26 0.25 0.04 XXX73530 C X-ray exam of hip 0.00 0.00 0.00 NA NA 0.00 XXX73530 TC C X-ray exam of hip 0.00 0.00 0.00 NA NA 0.00 XXX73530 26 A X-ray exam of hip 0.29 0.11 0.12 0.11 0.12 0.03 XXX73540 A X-ray exam of pelvis & hips 0.20 1.03 0.97 NA NA 0.04 XXX73540 TC A X-ray exam of pelvis & hips 0.00 0.93 0.88 NA NA 0.01 XXX73540 26 A X-ray exam of pelvis & hips 0.20 0.10 0.09 0.10 0.09 0.03 XXX73542 A X-ray exam sacroiliac joint 0.59 1.85 1.81 NA NA 0.04 XXX73542 TC A X-ray exam sacroiliac joint 0.00 1.56 1.56 NA NA 0.01 XXX73542 26 A X-ray exam sacroiliac joint 0.59 0.29 0.25 0.29 0.25 0.03 XXX73550 A X-ray exam of thigh 0.17 0.62 0.64 NA NA 0.04 XXX73550 TC A X-ray exam of thigh 0.00 0.54 0.57 NA NA 0.01 XXX73550 26 A X-ray exam of thigh 0.17 0.08 0.07 0.08 0.07 0.03 XXX73560 A X-ray exam of knee 1 or 2 0.17 0.69 0.70 NA NA 0.04 XXX73560 TC A X-ray exam of knee 1 or 2 0.00 0.61 0.62 NA NA 0.01 XXX73560 26 A X-ray exam of knee 1 or 2 0.17 0.08 0.08 0.08 0.08 0.03 XXX73562 A X-ray exam of knee 3 0.18 0.87 0.87 NA NA 0.04 XXX73562 TC A X-ray exam of knee 3 0.00 0.78 0.78 NA NA 0.01 XXX73562 26 A X-ray exam of knee 3 0.18 0.09 0.09 0.09 0.09 0.03 XXX73564 A X-ray exam knee 4 or more0.22 1.00 0.99NA NA 0.04 XXX73564 TC A X-ray exam knee 4 or more 0.00 0.900.89 NA NA 0.01 XXX73564 26 A X-ray exam knee 4or more 0.22 0.10 0.10 0.10 0.10 0.03 XXX73565 A X-ray exam of knees 0.17 0.83 0.80 NA NA 0.04 XXX73565 TC A X-ray exam of knees 0.00 0.74 0.71 NA NA 0.01 XXX73565 26 A X-ray exam of knees 0.17 0.09 0.09 0.09 0.09 0.03 XXX73580 A Contrast x-ray of knee joint 0.54 3.42 3.30 NA NA 0.06 XXX73580 TC A Contrast x-ray of knee joint 0.00 3.13 3.03 NA NA 0.01 XXX73580 26 A Contrast x-ray of knee joint 0.54 0.29 0.27 0.29 0.27 0.05 XXX73590 A X-ray exam of lower leg 0.17 0.60 0.63 NA NA 0.02 XXXCMS-1582-PN 387CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global73590 TC A X-ray exam of lower leg 0.00 0.53 0.56 NA NA 0.01 XXX73590 26 A X-ray exam of lower leg 0.17 0.07 0.07 0.07 0.07 0.01 XXX73592 A X-ray exam of leg infant 0.16 0.79 0.74 NA NA 0.02 XXX73592 TC A X-ray exam of leg infant 0.00 0.71 0.67 NA NA 0.01 XXX73592 26 A X-ray exam of leg infant 0.16 0.08 0.07 0.08 0.07 0.01 XXX73600 A X-ray exam of ankle 0.16 0.65 0.66 NA NA 0.02 XXX73600 TC A X-ray exam of ankle 0.00 0.58 0.59 NA NA 0.01 XXX73600 26 A X-ray exam of ankle 0.16 0.07 0.07 0.07 0.07 0.01 XXX73610 A X-ray exam of ankle 0.17 0.78 0.77 NA NA 0.02 XXX73610 TC A X-ray exam of ankle 0.00 0.70 0.70 NA NA 0.01 XXX73610 26 A X-ray exam of ankle 0.17 0.08 0.07 0.08 0.07 0.01 XXX73615 A Contrast x-ray of ankle 0.54 2.51 2.49 NA NA 0.05 XXX73615 TC A Contrast x-ray of ankle 0.00 2.24 2.24 NA NA 0.01 XXX73615 26 A Contrast x-ray of ankle 0.54 0.27 0.25 0.27 0.25 0.04 XXX73620 A X-ray exam of foot 0.16 0.63 0.63 NA NA 0.02 XXX73620 TC A X-ray exam of foot 0.00 0.57 0.57 NA NA 0.01 XXX73620 26 A X-ray exam of foot 0.16 0.06 0.06 0.06 0.06 0.01 XXX73630 A X-ray exam of foot 0.17 0.72 0.75 NA NA 0.02 XXX73630 TC A X-ray exam of foot 0.00 0.65 0.68 NA NA 0.01 XXX73630 26 A X-ray exam of foot 0.17 0.07 0.07 0.07 0.07 0.01 XXX73650 A X-ray exam of heel 0.16 0.65 0.65 NA NA 0.02 XXX73650 TC A X-ray exam of heel 0.00 0.58 0.58 NA NA 0.01 XXX73650 26 A X-ray exam of heel 0.16 0.07 0.07 0.07 0.07 0.01 XXX73660 A X-ray exam of toe(s) 0.13 0.73 0.72 NA NA 0.02 XXX73660 TC A X-ray exam of toe(s) 0.00 0.67 0.67 NA NA 0.01 XXX73660 26 A X-ray exam of toe(s) 0.13 0.06 0.05 0.06 0.05 0.01 XXX73700 A Ct lower extremity w/o dye 1.00 4.94 6.18 NA NA 0.08 XXX73700 TC A Ct lower extremity w/o dye 0.00 4.57 5.75 NA NA 0.01 XXX73700 26 A Ct lower extremity w/o dye 1.00 0.37 0.43 0.37 0.43 0.07 XXX73701 A Ct lower extremity w/dye 1.16 6.23 7.69 NA NA 0.08 XXXCMS-1582-PN 388CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global73701 TC A Ct lower extremity w/dye 0.00 5.80 7.21 NA NA 0.01 XXX73701 26 A Ct lower extremity w/dye 1.16 0.43 0.48 0.43 0.48 0.07 XXX73702 A Ct lwr extremity w/o&w/dye 1.22 8.16 10.08 NA NA 0.08 XXX73702 TC A Ct lwr extremity w/o&w/dye 0.00 7.70 9.57 NA NA 0.01 XXX73702 26 A Ct lwr extremity w/o&w/dye 1.22 0.46 0.51 0.46 0.51 0.07 XXX73706 A Ct angio lwr extr w/o&w/dye 1.90 9.53 12.10 NA NA 0.12 XXX73706 TC A Ct angio lwr extr w/o&w/dye 0.00 8.82 11.30 NA NA 0.01 XXX73706 26 A Ct angio lwr extr w/o&w/dye 1.90 0.71 0.80 0.71 0.80 0.11 XXX73718 A Mri lower extremity w/o dye 1.35 10.64 13.54 NA NA 0.09 XXX73718 TC A Mri lower extremity w/o dye 0.00 10.13 12.99 NA NA 0.01 XXX73718 26 A Mri lower extremity w/o dye 1.35 0.51 0.55 0.51 0.55 0.08 XXX73719 A Mri lower extremity w/dye 1.62 11.55 14.77 NA NA 0.11 XXX73719 TC A Mri lower extremity w/dye 0.00 10.95 14.11 NA NA 0.01 XXX73719 26 A Mri lower extremity w/dye 1.62 0.60 0.66 0.60 0.66 0.10 XXX73720 A Mri lwr extremity w/o&w/dye 2.15 14.26 19.60 NA NA 0.13 XXX73720 TC A Mri lwr extremity w/o&w/dye 0.00 13.46 18.72 NA NA 0.01 XXX73720 26 A Mri lwr extremity w/o&w/dye 2.15 0.80 0.88 0.80 0.88 0.12 XXX73721 A Mri jnt of lwr extre w/o dye 1.35 10.38 13.22 NA NA 0.11 XXX73721 TC A Mri jnt of lwr extre w/o dye 0.00 9.85 12.66 NA NA 0.01 XXX73721 26 A Mri jnt of lwr extre w/o dye 1.35 0.53 0.56 0.53 0.56 0.10 XXX73722 A Mri joint of lwr extr w/dye 1.62 11.08 14.22 NA NA 0.12 XXX73722 TC A Mri joint of lwr extr w/dye 0.00 10.46 13.54 NA NA 0.01 XXX73722 26 A Mri joint of lwr extr w/dye 1.62 0.62 0.68 0.62 0.68 0.11 XXX73723 A Mri joint lwr extr w/o&w/dye 2.15 13.24 18.43 NA NA 0.13 XXX73723 TC A Mri joint lwr extr w/o&w/dye 0.00 12.43 17.55 NA NA 0.01 XXX73723 26 A Mri joint lwr extr w/o&w/dye 2.15 0.81 0.88 0.81 0.88 0.12 XXX73725 R Mr ang lwr ext w or w/o dye 1.82 11.56 14.43 NA NA 0.11 XXX73725 TC R Mr ang lwr ext w or w/o dye 0.00 10.89 13.68 NA NA 0.01 XXX73725 26 R Mr ang lwr ext w or w/o dye 1.82 0.67 0.75 0.67 0.75 0.10 XXX74000 A X-ray exam of abdomen 0.18 0.49 0.54 NA NA 0.02 XXXCMS-1582-PN 389CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74000 TC A X-ray exam of abdomen 0.00 0.42 0.47 NA NA 0.01 XXX74000 26 A X-ray exam of abdomen 0.18 0.07 0.07 0.07 0.07 0.01 XXX74010 A X-ray exam of abdomen 0.23 0.84 0.88 NA NA 0.02 XXX74010 TC A X-ray exam of abdomen 0.00 0.75 0.79 NA NA 0.01 XXX74010 26 A X-ray exam of abdomen 0.23 0.09 0.09 0.09 0.09 0.01 XXX74020 A X-ray exam of abdomen 0.27 0.85 0.90 NA NA 0.02 XXX74020 TC A X-ray exam of abdomen 0.00 0.75 0.79 NA NA 0.01 XXX74020 26 A X-ray exam of abdomen 0.27 0.10 0.11 0.10 0.11 0.01 XXX74022 A X-ray exam series abdomen 0.32 1.02 1.09 NA NA 0.02 XXX74022 TC A X-ray exam series abdomen 0.00 0.90 0.96 NA NA 0.01 XXX74022 26 A X-ray exam series abdomen 0.32 0.12 0.13 0.12 0.13 0.01 XXX74150 A Ct abdomen w/o dye 1.19 4.71 6.03 NA NA 0.08 XXX74150 TC A Ct abdomen w/o dye 0.00 4.27 5.54 NA NA 0.01 XXX74150 26 A Ct abdomen w/o dye 1.19 0.44 0.49 0.44 0.49 0.07 XXX74160 A Ct abdomen w/dye 1.27 6.83 8.52 NA NA 0.08 XXX74160 TC A Ct abdomen w/dye 0.00 6.35 7.99 NA NA 0.01 XXX74160 26 A Ct abdomen w/dye 1.27 0.48 0.53 0.48 0.53 0.07 XXX74170 A Ct abdomen w/o & w/dye 1.40 9.35 11.55 NA NA 0.09 XXX74170 TC A Ct abdomen w/o & w/dye 0.00 8.82 10.97 NA NA 0.01 XXX74170 26 A Ct abdomen w/o & w/dye 1.40 0.53 0.58 0.53 0.58 0.08 XXX74175 A Ct angio abdom w/o & w/dye 1.90 9.56 12.26 NA NA 0.13 XXX74175 TC A Ct angio abdom w/o & w/dye 0.00 8.86 11.47 NA NA 0.01 XXX74175 26 A Ct angio abdom w/o & w/dye 1.90 0.70 0.79 0.70 0.79 0.12 XXX74176 A Ct abd & pelvis w/o contrast 1.74 4.52 4.52 NA NA 0.11 XXX74176 TC A Ct abd & pelvis w/o contrast 0.00 3.87 3.87 NA NA 0.01 XXX74176 26 A Ct abd & pelvis w/o contrast 1.74 0.65 0.65 0.65 0.65 0.10 XXX74177 A Ct abdomen&pelvis w/contrast 1.82 8.08 8.08 NA NA 0.11 XXX74177 TC A Ct abdomen&pelvis w/contrast 0.00 7.39 7.39 NA NA 0.01 XXX74177 26 A Ct abdomen&pelvis w/contrast 1.82 0.69 0.69 0.69 0.69 0.10 XXX74178 A Ct abd&pelv 1+ section/regns 2.01 10.53 10.53 NA NA 0.13 XXXCMS-1582-PN 390CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74178 TC A Ct abd&pelv 1+ section/regns 0.00 9.77 9.77 NA NA 0.01 XXX74178 26 A Ct abd&pelv 1+ section/regns 2.01 0.76 0.76 0.76 0.76 0.12 XXX74181 A Mri abdomen w/o dye 1.46 9.29 12.05 NA NA 0.09 XXX74181 TC A Mri abdomen w/o dye 0.00 8.75 11.45 NA NA 0.01 XXX74181 26 A Mri abdomen w/o dye 1.46 0.54 0.60 0.54 0.60 0.08 XXX74182 A Mri abdomen w/dye 1.73 13.12 16.56 NA NA 0.11 XXX74182 TC A Mri abdomen w/dye 0.00 12.48 15.85 NA NA 0.01 XXX74182 26 A Mri abdomen w/dye 1.73 0.64 0.71 0.64 0.71 0.10 XXX74183 A Mri abdomen w/o & w/dye 2.26 14.23 19.57 NA NA 0.13 XXX74183 TC A Mri abdomen w/o & w/dye 0.00 13.39 18.65 NA NA 0.01 XXX74183 26 A Mri abdomen w/o & w/dye 2.26 0.84 0.92 0.84 0.92 0.12 XXX74185 R Mri angio abdom w orw/o dye 1.80 11.51 14.38 NA NA 0.11 XXX74185 TC R Mri angio abdom w orw/o dye 0.00 10.85 13.64 NA NA 0.01 XXX74185 26 R Mri angio abdom w orw/o dye 1.80 0.66 0.74 0.66 0.74 0.10 XXX74190 C X-ray exam of peritoneum 0.00 0.00 0.00 NA NA 0.00 XXX74190 TC C X-ray exam of peritoneum 0.00 0.00 0.00 NA NA 0.00 XXX74190 26 A X-ray exam of peritoneum 0.48 0.17 0.20 0.17 0.20 0.04 XXX74210 A Contrst x-ray exam of throat 0.36 1.84 1.94 NA NA 0.02 XXX74210 TC A Contrst x-ray exam of throat 0.00 1.71 1.79 NA NA 0.01 XXX74210 26 A Contrst x-ray exam of throat 0.36 0.13 0.15 0.13 0.15 0.01 XXX74220 A Contrast x-ray esophagus 0.46 2.09 2.17 NA NA 0.04 XXX74220 TC A Contrast x-ray esophagus 0.00 1.92 1.98 NA NA 0.01 XXX74220 26 A Contrast x-ray esophagus 0.46 0.17 0.19 0.17 0.19 0.03 XXX74230 A Cine/vid x-ray throat/esoph 0.53 2.04 2.14 NA NA 0.04 XXX74230 TC A Cine/vid x-ray throat/esoph 0.00 1.84 1.92 NA NA 0.01 XXX74230 26 A Cine/vid x-ray throat/esoph 0.53 0.20 0.22 0.20 0.22 0.03 XXX74235 C Remove esophagus obstruction 0.00 0.00 0.00 NA NA 0.00 XXX74235 TC C Remove esophagus obstruction 0.00 0.00 0.00 NA NA 0.00 XXX74235 26 A Remove esophagus obstruction 1.19 0.66 0.63 0.66 0.63 0.10 XXX74240 A X-ray exam upper gi tract0.69 2.52 2.57NA NA 0.05 XXXCMS-1582-PN 391CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74240 TC A X-ray exam upper gi tract 0.00 2.252.28 NA NA 0.01 XXX74240 26 A X-ray examupper gi tract 0.69 0.270.29 0.27 0.29 0.04 XXX74241 A X-ray exam upper gi tract0.69 2.70 2.78NA NA 0.04 XXX74241 TC A X-ray exam upper gi tract 0.00 2.442.50 NA NA 0.01 XXX74241 26 A X-ray examupper gi tract 0.69 0.260.28 0.26 0.28 0.03 XXX74245 A X-ray exam upper gi tract0.91 4.10 4.27NA NA 0.06 XXX74245 TC A X-ray exam upper gi tract 0.00 3.763.89 NA NA 0.01 XXX74245 26 A X-ray examupper gi tract 0.91 0.340.38 0.34 0.38 0.05 XXX74246 A Contrst x-ray uppr gi tract 0.69 2.91 3.02 NA NA 0.05 XXX74246 TC A Contrst x-ray uppr gi tract 0.00 2.65 2.73 NA NA 0.01 XXX74246 26 A Contrst x-ray uppr gi tract 0.69 0.26 0.29 0.26 0.29 0.04 XXX74247 A Contrst x-ray uppr gi tract 0.69 3.35 3.44 NA NA 0.05 XXX74247 TC A Contrst x-ray uppr gi tract 0.00 3.09 3.15 NA NA 0.01 XXX74247 26 A Contrst x-ray uppr gi tract 0.69 0.26 0.29 0.26 0.29 0.04 XXX74249 A Contrst x-ray uppr gi tract 0.91 4.52 4.68 NA NA 0.06 XXX74249 TC A Contrst x-ray uppr gi tract 0.00 4.18 4.30 NA NA 0.01 XXX74249 26 A Contrst x-ray uppr gi tract 0.91 0.34 0.38 0.34 0.38 0.05 XXX74250 A X-ray exam of small bowel 0.47 2.59 2.64 NA NA 0.04 XXX74250 TC A X-ray exam of small bowel 0.00 2.41 2.45 NA NA 0.01 XXX74250 26 A X-ray exam of small bowel 0.47 0.18 0.19 0.18 0.19 0.03 XXX74251 A X-ray exam of small bowel 0.69 10.56 10.08 NA NA 0.05 XXX74251 TC A X-ray exam of small bowel 0.00 10.30 9.79 NA NA 0.01 XXX74251 26 A X-ray exam of small bowel 0.69 0.26 0.29 0.26 0.29 0.04 XXX74260 A X-ray exam of small bowel 0.50 8.72 8.39 NA NA 0.04 XXX74260 TC A X-ray exam of small bowel 0.00 8.53 8.19 NA NA 0.01 XXX74260 26 A X-ray exam of small bowel 0.50 0.19 0.20 0.19 0.20 0.03 XXX74261 A Ct colonography dx 2.40 12.70 12.70 NA NA 0.13 XXX74261 TC A Ct colonography dx 0.00 11.80 11.80 NA NA 0.01 XXX74261 26 A Ct colonography dx 2.40 0.90 0.90 0.90 0.90 0.12 XXX74262 A Ct colonography dx w/dye 2.50 14.27 14.27 NA NA 0.15 XXXCMS-1582-PN 392CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74262 TC A Ct colonography dx w/dye 0.00 13.33 13.33 NA NA 0.01 XXX74262 26 A Ct colonography dx w/dye 2.50 0.94 0.94 0.94 0.94 0.14 XXX74263 N Ct colonography screening 2.28 20.09 20.09 NA NA 0.13 XXX74263 TC N Ct colonography screening 0.00 19.09 19.09 NA NA 0.01 XXX74263 26 N Ct colonography screening 2.28 1.00 1.00 1.00 1.00 0.12 XXX74270 A Contrast x-ray exam of colon 0.69 3.73 3.79 NA NA 0.05 XXX74270 TC A Contrast x-ray exam of colon 0.00 3.47 3.50 NA NA 0.01 XXX74270 26 A Contrast x-ray exam of colon 0.69 0.26 0.29 0.26 0.29 0.04 XXX74280 A Contrast x-ray exam of colon 0.99 5.15 5.23 NA NA 0.06 XXX74280 TC A Contrast x-ray exam of colon 0.00 4.78 4.82 NA NA 0.01 XXX74280 26 A Contrast x-ray exam of colon 0.99 0.37 0.41 0.37 0.41 0.05 XXX74283 A Contrast x-ray exam of colon 2.02 3.75 3.98 NA NA 0.06 XXX74283 TC A Contrast x-ray exam of colon 0.00 2.97 3.14 NA NA 0.01 XXX74283 26 A Contrast x-ray exam of colon 2.02 0.78 0.84 0.78 0.84 0.05 XXX74290 A Contrast x-ray gallbladder 0.32 1.66 1.68 NA NA 0.02 XXX74290 TC A Contrast x-ray gallbladder 0.00 1.54 1.55 NA NA 0.01 XXX74290 26 A Contrast x-ray gallbladder 0.32 0.12 0.13 0.12 0.13 0.01 XXX74291 A Contrast x-rays gallbladder 0.20 1.76 1.67 NA NA 0.02 XXX74291 TC A Contrast x-rays gallbladder 0.00 1.68 1.59 NA NA 0.01 XXX74291 26 A Contrast x-rays gallbladder 0.20 0.08 0.08 0.08 0.08 0.01 XXX74300 C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX74300 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX74300 26 A X-ray bile ducts/pancreas 0.36 0.14 0.15 0.14 0.15 0.03 XXX74301 C X-rays at surgery add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ74301 TC C X-rays at surgery add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ74301 26 A X-rays at surgery add-on 0.21 0.08 0.09 0.08 0.09 0.03 ZZZ74305 C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX74305 TC C X-ray bile ducts/pancreas 0.00 0.00 0.00 NA NA 0.00 XXX74305 26 A X-ray bile ducts/pancreas 0.42 0.15 0.17 0.15 0.17 0.04 XXX74320 A Contrast x-ray of bile ducts 0.54 2.25 2.62 NA NA 0.04 XXXCMS-1582-PN 393CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74320 TC A Contrast x-ray of bile ducts 0.00 2.05 2.39 NA NA 0.01 XXX74320 26 A Contrast x-ray of bile ducts 0.54 0.20 0.23 0.20 0.23 0.03 XXX74327 A X-ray bile stone removal 0.70 3.16 3.25 NA NA 0.13 XXX74327 TC A X-ray bile stone removal 0.00 2.90 2.96 NA NA 0.01 XXX74327 26 A X-ray bile stone removal 0.70 0.26 0.29 0.26 0.29 0.12 XXX74328 C X-ray bile duct endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX74328 TC C X-ray bile duct endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX74328 26 A X-ray bile duct endoscopy 0.70 0.29 0.31 0.29 0.31 0.05 XXX74329 C X-ray for pancreas endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX74329 TC C X-ray for pancreas endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX74329 26 A X-ray for pancreas endoscopy 0.70 0.29 0.31 0.29 0.31 0.05 XXX74330 C X-ray bile/panc endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX74330 TC C X-ray bile/panc endoscopy 0.00 0.00 0.00 NA NA 0.00 XXX74330 26 A X-ray bile/panc endoscopy 0.90 0.36 0.39 0.36 0.39 0.07 XXX74340 C X-ray guide for gi tube0.00 0.00 0.00NA NA 0.00 XXX74340 TC C X-ray guide for gi tube0.00 0.00 0.00NA NA 0.00 XXX74340 26 A X-ray guide for gi tube 0.540.21 0.23 0.210.23 0.04 XXX74355 C X-ray guide intestinal tube 0.00 0.00 0.00 NA NA 0.00 XXX74355 TC C X-ray guide intestinal tube 0.00 0.00 0.00 NA NA 0.00 XXX74355 26 A X-ray guide intestinal tube 0.76 0.31 0.33 0.31 0.33 0.07 XXX74360 C X-ray guide gi dilation 0.00 0.00 0.00 NA NA 0.00 XXX74360 TC C X-ray guide gi dilation 0.00 0.00 0.00 NA NA 0.00 XXX74360 26 A X-ray guide gi dilation 0.54 0.28 0.28 0.28 0.28 0.04 XXX74363 C X-ray bile duct dilation 0.00 0.00 0.00 NA NA 0.00 XXX74363 TC C X-ray bile duct dilation 0.00 0.00 0.00 NA NA 0.00 XXX74363 26 A X-ray bile duct dilation 0.88 0.32 0.37 0.32 0.37 0.08 XXX74400 A Contrst x-ray urinary tract 0.49 2.64 2.78 NA NA 0.04 XXX74400 TC A Contrst x-ray urinary tract 0.00 2.46 2.58 NA NA 0.01 XXX74400 26 A Contrst x-ray urinary tract 0.49 0.18 0.20 0.18 0.20 0.03 XXX74410 A Contrst x-ray urinary tract 0.49 2.64 2.88 NA NA 0.04 XXXCMS-1582-PN 394CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74410 TC A Contrst x-ray urinary tract 0.00 2.46 2.67 NA NA 0.01 XXX74410 26 A Contrst x-ray urinary tract 0.49 0.18 0.21 0.18 0.21 0.03 XXX74415 A Contrst x-ray urinary tract 0.49 3.34 3.50 NA NA 0.04 XXX74415 TC A Contrst x-ray urinary tract 0.00 3.16 3.30 NA NA 0.01 XXX74415 26 A Contrst x-ray urinary tract 0.49 0.18 0.20 0.18 0.20 0.03 XXX74420 C Contrst x-ray urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX74420 TC C Contrst x-ray urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX74420 26 A Contrst x-ray urinary tract 0.36 0.14 0.15 0.14 0.15 0.03 XXX74425 C Contrst x-ray urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX74425 TC C Contrst x-ray urinary tract 0.00 0.00 0.00 NA NA 0.00 XXX74425 26 A Contrst x-ray urinary tract 0.36 0.13 0.15 0.13 0.15 0.03 XXX74430 A Contrast x-ray bladder 0.32 0.82 1.46 NA NA 0.02 XXX74430 TC A Contrast x-ray bladder 0.00 0.70 1.33 NA NA 0.01 XXX74430 26 A Contrast x-ray bladder 0.32 0.12 0.13 0.12 0.13 0.01 XXX74440 A X-ray male genital tract 0.38 2.02 2.14 NA NA 0.04 XXX74440 TC A X-ray male genital tract 0.00 1.87 1.98 NA NA 0.01 XXX74440 26 A X-ray male genital tract 0.38 0.15 0.16 0.15 0.16 0.03 XXX74445 C X-ray exam of penis 0.00 0.00 0.00 NA NA 0.00 XXX74445 TC C X-ray exam of penis 0.00 0.00 0.00 NA NA 0.00 XXX74445 26 A X-ray exam of penis 1.14 0.45 0.50 0.45 0.50 0.10 XXX74450 C X-ray urethra/bladder 0.00 0.00 0.00 NA NA 0.00 XXX74450 TC C X-ray urethra/bladder 0.00 0.00 0.00 NA NA 0.00 XXX74450 26 A X-ray urethra/bladder 0.33 0.12 0.14 0.12 0.14 0.03 XXX74455 A X-ray urethra/bladder 0.33 2.10 2.30 NA NA 0.02 XXX74455 TC A X-ray urethra/bladder 0.00 1.97 2.16 NA NA 0.01 XXX74455 26 A X-ray urethra/bladder 0.33 0.13 0.14 0.13 0.14 0.01 XXX74470 C X-ray exam of kidney lesion 0.00 0.00 0.00 NA NA 0.00 XXX74470 TC C X-ray exam of kidney lesion 0.00 0.00 0.00 NA NA 0.00 XXX74470 26 A X-ray exam of kidney lesion 0.54 0.20 0.23 0.20 0.23 0.04 XXX74475 A X-ray control cath insert 0.54 2.23 2.73 NA NA 0.04 XXXCMS-1582-PN 395CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global74475 TC A X-ray control cath insert 0.00 2.03 2.50 NA NA 0.01 XXX74475 26 A X-ray control cath insert 0.54 0.20 0.23 0.20 0.23 0.03 XXX74480 A X-ray control cath insert 0.54 2.23 2.74 NA NA 0.04 XXX74480 TC A X-ray control cath insert 0.00 2.03 2.51 NA NA 0.01 XXX74480 26 A X-ray control cath insert 0.54 0.20 0.23 0.20 0.23 0.03 XXX74485 A X-ray guide gu dilation 0.54 2.27 2.69 NA NA 0.04 XXX74485 TC A X-ray guide gu dilation 0.00 2.07 2.46 NA NA 0.01 XXX74485 26 A X-ray guide gu dilation 0.54 0.20 0.23 0.20 0.23 0.03 XXX74710 A X-ray measurement of pelvis 0.34 0.68 0.81 NA NA 0.02 XXX74710 TC A X-ray measurement of pelvis 0.00 0.55 0.67 NA NA 0.01 XXX74710 26 A X-ray measurement of pelvis 0.34 0.13 0.14 0.13 0.14 0.01 XXX74740 A X-ray female genital tract 0.38 1.84 1.94 NA NA 0.02 XXX74740 TC A X-ray female genital tract 0.00 1.69 1.78 NA NA 0.01 XXX74740 26 A X-ray female genital tract 0.38 0.15 0.16 0.15 0.16 0.01 XXX74742 C X-ray fallopian tube 0.00 0.00 0.00 NA NA 0.00 XXX74742 TC C X-ray fallopian tube 0.00 0.00 0.00 NA NA 0.00 XXX74742 26 A X-ray fallopian tube 0.61 0.24 0.25 0.24 0.25 0.05 XXX74775 C X-ray exam ofperineum 0.00 0.00 0.00 NA NA 0.00 XXX74775 TC C X-ray exam ofperineum 0.00 0.00 0.00 NA NA 0.00 XXX74775 26 A X-ray exam ofperineum 0.62 0.23 0.260.23 0.26 0.05 XXX75557 A Cardiac mri for morph 2.35 8.11 10.76 NA NA 0.11 XXX75557 TC A Cardiac mri for morph 0.00 7.22 9.71 NA NA 0.01 XXX75557 26 A Cardiac mri for morph 2.35 0.89 1.05 0.89 1.05 0.10 XXX75559 A Cardiac mri w/stress img 2.95 11.64 16.04 NA NA 0.13 XXX75559 TC A Cardiac mri w/stress img 0.00 10.52 14.66 NA NA 0.01 XXX75559 26 A Cardiac mri w/stress img 2.95 1.12 1.38 1.12 1.38 0.12 XXX75561 A Cardiac mri for morph w/dye 2.60 11.36 15.18 NA NA 0.12 XXX75561 TC A Cardiac mri for morph w/dye 0.00 10.37 14.01 NA NA 0.01 XXX75561 26 A Cardiac mri for morph w/dye 2.60 0.99 1.17 0.99 1.17 0.11 XXX75563 A Card mri w/stress img & dye 3.00 13.55 18.67 NA NA 0.12 XXXCMS-1582-PN 396CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75563 TC A Card mri w/stress img & dye 0.00 12.38 17.21 NA NA 0.01 XXX75563 26 A Card mri w/stress img & dye 3.00 1.17 1.46 1.17 1.46 0.11 XXX75565 A Card mri veloc flow mapping0.25 1.92 1.92NA NA 0.02 ZZZ75565 TC A Card mri veloc flow mapping0.00 1.81 1.81NA NA 0.01 ZZZ75565 26 A Card mri veloc flow mapping0.25 0.11 0.11 0.11 0.11 0.01 ZZZ75571 A Ct hrt w/o dye w/ca test 0.58 2.55 2.55 NA NA 0.02 XXX75571 TC A Ct hrt w/o dye w/ca test 0.00 2.33 2.33 NA NA 0.01 XXX75571 26 A Ct hrt w/o dye w/ca test 0.58 0.22 0.22 0.22 0.22 0.01 XXX75572 A Ct hrt w/3d image 1.75 6.82 6.82 NA NA 0.06 XXX75572 TC A Ct hrt w/3d image 0.00 6.15 6.15 NA NA 0.01 XXX75572 26 A Ct hrt w/3d image 1.75 0.67 0.67 0.67 0.67 0.05 XXX75573 A Ct hrt w/3d image congen 2.55 9.10 9.10 NA NA 0.09 XXX75573 TC A Ct hrt w/3d image congen 0.00 8.11 8.11 NA NA 0.01 XXX75573 26 A Ct hrt w/3d image congen 2.55 0.99 0.99 0.99 0.99 0.08 XXX75574 A Ct angio hrt w/3d image 2.40 10.63 10.63 NA NA 0.09 XXX75574 TC A Ct angio hrt w/3d image 0.00 9.71 9.71 NA NA 0.01 XXX75574 26 A Ct angio hrt w/3d image 2.40 0.92 0.92 0.92 0.92 0.08 XXX75600 A Contrast x-ray exam of aorta 0.49 5.43 7.45 NA NA 0.04 XXX75600 TC A Contrast x-ray exam of aorta 0.00 5.25 7.22 NA NA 0.01 XXX75600 26 A Contrast x-ray exam of aorta 0.49 0.18 0.23 0.18 0.23 0.03 XXX75605 A Contrast x-ray exam of aorta 1.14 3.18 5.13 NA NA 0.08 XXX75605 TC A Contrast x-ray exam of aorta 0.00 2.76 4.63 NA NA 0.01 XXX75605 26 A Contrast x-ray exam of aorta 1.14 0.42 0.50 0.42 0.50 0.07 XXX75625 A Contrast x-ray exam of aorta 1.14 3.27 5.11 NA NA 0.11 XXX75625 TC A Contrast x-ray exam of aorta 0.00 2.86 4.64 NA NA 0.01 XXX75625 26 A Contrast x-ray exam of aorta 1.14 0.41 0.47 0.41 0.47 0.10 XXX75630 A X-ray aorta leg arteries 1.79 3.51 5.51 NA NA 0.11 XXX75630 TC A X-ray aorta leg arteries 0.00 2.85 4.75 NA NA 0.01 XXX75630 26 A X-ray aorta leg arteries 1.79 0.66 0.76 0.66 0.76 0.10 XXX75635 A Ct angio abdominal arteries 2.40 10.15 13.46 NA NA 0.15 XXXCMS-1582-PN 397CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75635 TC A Ct angio abdominal arteries 0.00 9.26 12.43 NA NA 0.03 XXX75635 26 A Ct angio abdominal arteries 2.40 0.89 1.03 0.89 1.03 0.12 XXX75650 A Artery x-rays head & neck 1.49 3.44 5.30 NA NA 0.11 XXX75650 TC A Artery x-rays head & neck 0.00 2.89 4.67 NA NA 0.01 XXX75650 26 A Artery x-rays head & neck 1.49 0.55 0.63 0.55 0.63 0.10 XXX75658 A Artery x-rays arm 1.31 4.05 5.67 NA NA 0.09 XXX75658 TC A Artery x-rays arm 0.00 3.59 5.16 NA NA 0.01 XXX75658 26 A Artery x-rays arm 1.31 0.46 0.51 0.46 0.51 0.08 XXX75660 A Artery x-rays head & neck 1.31 4.16 5.81 NA NA 0.05 XXX75660 TC A Artery x-rays head & neck 0.00 3.63 5.24 NA NA 0.01 XXX75660 26 A Artery x-rays head & neck 1.31 0.53 0.57 0.53 0.57 0.04 XXX75662 A Artery x-rays head & neck 1.66 5.05 6.77 NA NA 0.10 XXX75662 TC A Artery x-rays head & neck 0.00 4.38 6.01 NA NA 0.03 XXX75662 26 A Artery x-rays head & neck 1.66 0.67 0.76 0.67 0.76 0.07 XXX75665 A Artery x-rays head & neck 1.31 4.39 6.05 NA NA 0.12 XXX75665 TC A Artery x-rays head & neck 0.00 3.87 5.48 NA NA 0.01 XXX75665 26 A Artery x-rays head & neck 1.31 0.52 0.57 0.52 0.57 0.11 XXX75671 A Artery x-rays head & neck 1.66 5.24 6.93 NA NA 0.13 XXX75671 TC A Artery x-rays head & neck 0.00 4.59 6.21 NA NA 0.03 XXX75671 26 A Artery x-rays head & neck 1.66 0.65 0.72 0.65 0.72 0.10 XXX75676 A Artery x-rays neck 1.31 4.03 5.75 NA NA 0.12 XXX75676 TC A Artery x-rays neck 0.00 3.52 5.19 NA NA 0.01 XXX75676 26 A Artery x-rays neck 1.31 0.51 0.56 0.51 0.56 0.11 XXX75680 A Artery x-rays neck 1.66 4.56 6.36 NA NA 0.11 XXX75680 TC A Artery x-rays neck 0.00 3.92 5.64 NA NA 0.01 XXX75680 26 A Artery x-rays neck 1.66 0.64 0.72 0.64 0.72 0.10 XXX75685 A Artery x-rays spine 1.31 4.12 5.81 NA NA 0.09 XXX75685 TC A Artery x-rays spine 0.00 3.60 5.24 NA NA 0.01 XXX75685 26 A Artery x-rays spine 1.31 0.52 0.57 0.52 0.57 0.08 XXX75705 A Artery x-rays spine 2.18 4.44 6.14 NA NA 0.08 XXXCMS-1582-PN 398CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75705 TC A Artery x-rays spine 0.00 3.59 5.20 NA NA 0.01 XXX75705 26 A Artery x-rays spine 2.18 0.85 0.94 0.85 0.94 0.07 XXX75710 A Artery x-rays arm/leg 1.14 3.92 5.69 NA NA 0.06 XXX75710 TC A Artery x-rays arm/leg 0.00 3.50 5.22 NA NA 0.01 XXX75710 26 A Artery x-rays arm/leg 1.14 0.42 0.47 0.42 0.47 0.05 XXX75716 A Artery x-rays arms/legs 1.31 4.70 6.53 NA NA 0.13 XXX75716 TC A Artery x-rays arms/legs 0.00 4.22 5.99 NA NA 0.03 XXX75716 26 A Artery x-rays arms/legs 1.31 0.48 0.54 0.48 0.54 0.10 XXX75722 A Artery x-rays kidney 1.14 3.54 5.46 NA NA 0.08 XXX75722 TC A Artery x-rays kidney 0.00 3.12 4.96 NA NA 0.01 XXX75722 26 A Artery x-rays kidney 1.14 0.42 0.50 0.42 0.50 0.07 XXX75724 A Artery x-rays kidneys 1.49 4.21 6.35 NA NA 0.08 XXX75724 TC A Artery x-rays kidneys 0.00 3.64 5.63 NA NA 0.03 XXX75724 26 A Artery x-rays kidneys 1.49 0.57 0.72 0.57 0.72 0.05 XXX75726 A Artery x-rays abdomen 1.14 3.84 5.61 NA NA 0.09 XXX75726 TC A Artery x-rays abdomen 0.00 3.43 5.14 NA NA 0.01 XXX75726 26 A Artery x-rays abdomen 1.14 0.41 0.47 0.41 0.47 0.08 XXX75731 A Artery x-rays adrenal gland 1.14 3.81 5.75 NA NA 0.05 XXX75731 TC A Artery x-rays adrenal gland 0.00 3.38 5.22 NA NA 0.01 XXX75731 26 A Artery x-rays adrenal gland 1.14 0.43 0.53 0.43 0.53 0.04 XXX75733 A Artery x-rays adrenals 1.31 4.45 6.61 NA NA 0.07 XXX75733 TC A Artery x-rays adrenals 0.00 3.94 5.97 NA NA 0.03 XXX75733 26 A Artery x-rays adrenals 1.31 0.51 0.64 0.51 0.64 0.04 XXX75736 A Artery x-rays pelvis 1.14 3.76 5.61 NA NA 0.06 XXX75736 TC A Artery x-rays pelvis 0.00 3.35 5.13 NA NA 0.01 XXX75736 26 A Artery x-rays pelvis 1.14 0.41 0.48 0.41 0.48 0.05 XXX75741 A Artery x-rays lung 1.31 3.26 5.07 NA NA 0.09 XXX75741 TC A Artery x-rays lung 0.00 2.79 4.52 NA NA 0.01 XXX75741 26 A Artery x-rays lung 1.31 0.47 0.55 0.47 0.55 0.08 XXX75743 A Artery x-rays lungs 1.66 3.64 5.47 NA NA 0.11 XXXCMS-1582-PN 399CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75743 TC A Artery x-rays lungs 0.00 3.04 4.77 NA NA 0.01 XXX75743 26 A Artery x-rays lungs 1.66 0.60 0.70 0.60 0.70 0.10 XXX75746 A Artery x-rays lung 1.14 3.62 5.40 NA NA 0.08 XXX75746 TC A Artery x-rays lung 0.00 3.19 4.92 NA NA 0.01 XXX75746 26 A Artery x-rays lung 1.14 0.43 0.48 0.43 0.48 0.07 XXX75756 A Artery x-rays chest 1.14 3.80 5.77 NA NA 0.23 XXX75756 TC A Artery x-rays chest 0.00 3.39 5.23 NA NA 0.01 XXX75756 26 A Artery x-rays chest 1.14 0.41 0.54 0.41 0.54 0.22 XXX75774 A Artery x-ray each vessel 0.36 2.50 4.30 NA NA 0.04 ZZZ75774 TC A Artery x-ray each vessel 0.00 2.37 4.15 NA NA 0.01 ZZZ75774 26 A Artery x-ray each vessel 0.36 0.13 0.15 0.13 0.15 0.03 ZZZ75791 A Av dialysis shunt imaging 1.71 7.84 7.84 NA NA 0.11 XXX75791 TC A Av dialysis shunt imaging 0.00 7.22 7.22 NA NA 0.01 XXX75791 26 A Av dialysis shunt imaging 1.71 0.62 0.62 0.62 0.62 0.10 XXX75801 C Lymph vessel x-ray arm/leg 0.00 0.00 0.00 NA NA 0.00 XXX75801 TC C Lymph vessel x-ray arm/leg 0.00 0.00 0.00 NA NA 0.00 XXX75801 26 A Lymph vessel x-ray arm/leg 0.81 0.35 0.33 0.35 0.33 0.18 XXX75803 C Lymph vessel x-ray arms/legs 0.00 0.00 0.00 NA NA 0.00 XXX75803 TC C Lymph vessel x-ray arms/legs 0.00 0.00 0.00 NA NA 0.00 XXX75803 26 A Lymph vessel x-ray arms/legs 1.17 0.44 0.49 0.44 0.49 0.10 XXX75805 C Lymph vessel x-ray trunk 0.00 0.00 0.00 NA NA 0.00 XXX75805 TC C Lymph vessel x-ray trunk 0.00 0.00 0.00 NA NA 0.00 XXX75805 26 A Lymph vessel x-ray trunk 0.81 0.30 0.34 0.30 0.34 0.07 XXX75807 C Lymph vessel x-ray trunk 0.00 0.00 0.00 NA NA 0.00 XXX75807 TC C Lymph vessel x-ray trunk 0.00 0.00 0.00 NA NA 0.00 XXX75807 26 A Lymph vessel x-ray trunk 1.17 0.45 0.50 0.45 0.50 0.10 XXX75809 A Nonvascular shunt x-ray 0.47 2.49 2.38 NA NA 0.04 XXX75809 TC A Nonvascular shunt x-ray 0.00 2.30 2.18 NA NA 0.01 XXX75809 26 A Nonvascular shunt x-ray 0.47 0.19 0.20 0.19 0.20 0.03 XXX75810 C Vein x-ray spleen/liver 0.00 0.00 0.00 NA NA 0.00 XXXCMS-1582-PN 400CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75810 TC C Vein x-ray spleen/liver 0.00 0.00 0.00 NA NA 0.00 XXX75810 26 A Vein x-ray spleen/liver 1.14 0.43 0.49 0.43 0.49 0.10 XXX75820 A Vein x-ray arm/leg 0.70 2.88 2.96 NA NA 0.05 XXX75820 TC A Vein x-ray arm/leg 0.00 2.62 2.66 NA NA 0.01 XXX75820 26 A Vein x-ray arm/leg 0.70 0.26 0.30 0.26 0.30 0.04 XXX75822 A Vein x-ray arms/legs 1.06 3.36 3.41 NA NA 0.08 XXX75822 TC A Vein x-ray arms/legs 0.00 2.97 2.98 NA NA 0.01 XXX75822 26 A Vein x-ray arms/legs 1.06 0.39 0.43 0.39 0.43 0.07 XXX75825 A Vein x-ray trunk 1.14 3.10 4.86 NA NA 0.09 XXX75825 TC A Vein x-ray trunk 0.00 2.69 4.41 NA NA 0.01 XXX75825 26 A Vein x-ray trunk 1.14 0.41 0.45 0.41 0.45 0.08 XXX75827 A Vein x-ray chest 1.14 3.27 4.94 NA NA 0.08 XXX75827 TC A Vein x-ray chest 0.00 2.86 4.50 NA NA 0.01 XXX75827 26 A Vein x-ray chest 1.14 0.41 0.44 0.41 0.44 0.07 XXX75831 A Vein x-ray kidney 1.14 3.20 4.97 NA NA 0.25 XXX75831 TC A Vein x-ray kidney 0.00 2.80 4.51 NA NA 0.01 XXX75831 26 A Vein x-ray kidney 1.14 0.40 0.46 0.40 0.46 0.24 XXX75833 A Vein x-ray kidneys 1.49 3.83 5.56 NA NA 0.09 XXX75833 TC A Vein x-ray kidneys 0.00 3.32 4.99 NA NA 0.01 XXX75833 26 A Vein x-ray kidneys 1.49 0.51 0.57 0.51 0.57 0.08 XXX75840 A Vein x-ray adrenal gland 1.14 3.05 4.85 NA NA 0.25 XXX75840 TC A Vein x-ray adrenal gland 0.00 2.67 4.42 NA NA 0.01 XXX75840 26 A Vein x-ray adrenal gland 1.14 0.38 0.43 0.38 0.43 0.24 XXX75842 A Vein x-ray adrenal glands 1.49 3.80 5.58 NA NA 0.09 XXX75842 TC A Vein x-ray adrenal glands 0.00 3.24 4.96 NA NA 0.01 XXX75842 26 A Vein x-ray adrenal glands 1.49 0.56 0.62 0.56 0.62 0.08 XXX75860 A Vein x-ray neck 1.14 3.18 5.06 NA NA 0.09 XXX75860 TC A Vein x-ray neck 0.00 2.76 4.56 NA NA 0.01 XXX75860 26 A Vein x-ray neck 1.14 0.42 0.50 0.42 0.50 0.08 XXX75870 A Vein x-ray skull 1.14 3.15 4.99 NA NA 0.08 XXXCMS-1582-PN 401CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75870 TC A Vein x-ray skull 0.00 2.72 4.52 NA NA 0.01 XXX75870 26 A Vein x-ray skull 1.14 0.43 0.47 0.43 0.47 0.07 XXX75872 A Vein x-ray skull 1.14 6.71 7.16 NA NA 0.08 XXX75872 TC A Vein x-ray skull 0.00 6.08 6.57 NA NA 0.01 XXX75872 26 A Vein x-ray skull 1.14 0.63 0.59 0.63 0.59 0.07 XXX75880 A Vein x-ray eye socket 0.70 5.52 4.32 NA NA 0.05 XXX75880 TC A Vein x-ray eye socket 0.00 5.18 4.00 NA NA 0.01 XXX75880 26 A Vein x-ray eye socket 0.70 0.34 0.32 0.34 0.32 0.04 XXX75885 A Vein x-ray liver 1.44 3.29 5.11 NA NA 0.09 XXX75885 TC A Vein x-ray liver 0.00 2.77 4.51 NA NA 0.01 XXX75885 26 A Vein x-ray liver 1.44 0.52 0.60 0.52 0.60 0.08 XXX75887 A Vein x-ray liver 1.44 3.38 5.19 NA NA 0.06 XXX75887 TC A Vein x-ray liver 0.00 2.85 4.58 NA NA 0.01 XXX75887 26 A Vein x-ray liver 1.44 0.53 0.61 0.53 0.61 0.05 XXX75889 A Vein x-ray liver 1.14 3.21 4.98 NA NA 0.08 XXX75889 TC A Vein x-ray liver 0.00 2.80 4.51 NA NA 0.01 XXX75889 26 A Vein x-ray liver 1.14 0.41 0.47 0.41 0.47 0.07 XXX75891 A Vein x-ray liver 1.14 3.21 4.99 NA NA 0.08 XXX75891 TC A Vein x-ray liver 0.00 2.80 4.52 NA NA 0.01 XXX75891 26 A Vein x-ray liver 1.14 0.41 0.47 0.41 0.47 0.07 XXX75893 A Venous sampling by catheter 0.54 2.94 4.70 NA NA 0.02 XXX75893 TC A Venous sampling by catheter 0.00 2.74 4.48 NA NA 0.01 XXX75893 26 A Venous sampling by catheter 0.54 0.20 0.22 0.20 0.22 0.01 XXX75894 C X-rays transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX75894 TC C X-rays transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX75894 26 A X-rays transcath therapy 1.31 0.48 0.54 0.48 0.54 0.16 XXX75896 C X-rays transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX75896 TC C X-rays transcath therapy 0.00 0.00 0.00 NA NA 0.00 XXX75896 26 A X-rays transcath therapy 1.31 0.48 0.56 0.48 0.56 0.16 XXX75898 C Follow-up angiography 0.00 0.00 0.00 NA NA 0.00 XXXCMS-1582-PN 402CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75898 TC C Follow-up angiography 0.000.00 0.00 NA NA 0.00 XXX75898 26 A Follow-up angiography 1.65 0.62 0.71 0.62 0.71 0.20 XXX75900 C Intravascular cath exchange 0.00 0.00 0.00NA NA 0.00 XXX75900 TC C Intravascularcath exchange 0.00 0.000.00 NA NA 0.00 XXX75900 26 A Intravascular cathexchange 0.49 0.17 0.20 0.17 0.20 0.05 XXX75901 A Remove cva device obstruct 0.49 4.56 4.41 NA NA 0.04 XXX75901 TC A Remove cva device obstruct 0.00 4.38 4.21 NA NA 0.01 XXX75901 26 A Remove cva device obstruct 0.49 0.18 0.20 0.18 0.20 0.03 XXX75902 A Remove cva lumen obstruct 0.39 1.76 1.84 NA NA 0.05 XXX75902 TC A Remove cva lumen obstruct 0.00 1.62 1.69 NA NA 0.01 XXX75902 26 A Remove cva lumen obstruct 0.39 0.14 0.15 0.14 0.15 0.04 XXX75940 C X-ray placement vein filter 0.00 0.00 0.00 NA NA 0.00 XXX75940 TC C X-ray placement vein filter 0.00 0.00 0.00 NA NA 0.00 XXX75940 26 A X-ray placement vein filter 0.54 0.19 0.21 0.19 0.21 0.07 XXX75945 C Intravascular us 0.00 0.00 0.00 NA NA 0.00 XXX75945 TC C Intravascular us 0.00 0.00 0.00 NA NA 0.00 XXX75945 26 A Intravascular us 0.40 0.14 0.16 0.14 0.16 0.05 XXX75946 C Intravascular us add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ75946 TC C Intravascular us add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ75946 26 A Intravascular us add-on 0.40 0.13 0.15 0.13 0.15 0.07 ZZZ75952 C Endovasc repairabdom aorta 0.00 0.000.00 NA NA 0.00 XXX75952 TC C Endovascrepair abdom aorta 0.00 0.00 0.00 NA NA 0.00 XXX75952 26 A Endovasc repair abdom aorta 4.49 1.54 1.64 1.54 1.64 0.86 XXX75953 C Abdom aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX75953 TC C Abdom aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX75953 26 A Abdom aneurysm endovas rpr 1.36 0.470.50 0.470.50 0.27 XXX75954 C Iliac aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX75954 TC C Iliac aneurysm endovas rpr 0.00 0.00 0.00 NA NA 0.00 XXX75954 26 A Iliac aneurysm endovas rpr 2.25 0.79 0.83 0.79 0.83 0.41 XXX75956 C Xray endovasc thor ao repr0.00 0.00 0.00NA NA 0.00 XXXCMS-1582-PN 403CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75956 TC C Xray endovasc thor ao repr 0.00 0.000.00 NA NA 0.00 XXX75956 26 A Xray endovasc thor ao repr 7.00 2.34 2.54 2.34 2.54 1.44 XXX75957 C Xray endovasc thor ao repr0.00 0.00 0.00NA NA 0.00 XXX75957 TC C Xray endovasc thor ao repr 0.00 0.000.00 NA NA 0.00 XXX75957 26 A Xray endovasc thor ao repr 6.00 2.02 2.18 2.02 2.18 1.21 XXX75958 C Xray place prox ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX75958 TC C Xray place prox ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX75958 26 A Xray place prox ext thor ao 4.00 1.33 1.42 1.33 1.42 0.82 XXX75959 C Xray place dist ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX75959 TC C Xray place dist ext thor ao 0.00 0.00 0.00 NA NA 0.00 XXX75959 26 A Xray place dist ext thor ao 3.50 1.05 1.19 1.05 1.19 0.83 XXX75960 A Transcath iv stent rs&i 0.82 2.69 4.84 NA NA 0.06 XXX75960 TC A Transcath iv stent rs&i 0.00 2.39 4.50 NA NA 0.01 XXX75960 26 A Transcath iv stent rs&i 0.82 0.30 0.34 0.30 0.34 0.05 XXX75961 A Retrieval broken catheter 4.24 4.76 6.38 NA NA 0.28 XXX75961 TC A Retrieval broken catheter 0.00 3.25 4.65 NA NA 0.01 XXX75961 26 A Retrieval broken catheter 4.24 1.51 1.73 1.51 1.73 0.27 XXX75962 A Repair arterial blockage 0.54 3.44 5.69 NA NA 0.04 XXX75962 TC A Repair arterial blockage 0.00 3.25 5.47 NA NA 0.01 XXX75962 26 A Repair arterial blockage 0.54 0.19 0.22 0.19 0.22 0.03 XXX75964 A Repair artery blockage each 0.36 2.34 3.50 NA NA 0.05 ZZZ75964 TC A Repair artery blockage each 0.00 2.21 3.36 NA NA 0.01 ZZZ75964 26 A Repair artery blockage each 0.36 0.13 0.14 0.13 0.14 0.04 ZZZ75966 A Repair arterial blockage 1.31 3.70 6.15 NA NA 0.08 XXX75966 TC A Repair arterial blockage 0.00 3.22 5.57 NA NA 0.01 XXX75966 26 A Repair arterial blockage 1.31 0.48 0.58 0.48 0.58 0.07 XXX75968 A Repair artery blockage each 0.36 2.20 3.45 NA NA 0.02 ZZZ75968 TC A Repair artery blockage each 0.00 2.07 3.29 NA NA 0.01 ZZZ75968 26 A Repair artery blockage each 0.36 0.13 0.16 0.13 0.16 0.01 ZZZ75970 C Vascular biopsy 0.00 0.00 0.00 NA NA 0.00 XXXCMS-1582-PN 404CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global75970 TC C Vascular biopsy 0.00 0.00 0.00 NA NA 0.00 XXX75970 26 A Vascular biopsy 0.83 0.30 0.35 0.30 0.35 0.07 XXX75978 A Repair venous blockage 0.54 3.62 5.70 NA NA 0.04 XXX75978 TC A Repair venous blockage 0.00 3.42 5.49 NA NA 0.01 XXX75978 26 A Repair venous blockage 0.54 0.20 0.210.20 0.21 0.03 XXX75980 C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX75980 TC C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX75980 26 A Contrast xray exam bile duct 1.44 0.52 0.60 0.52 0.60 0.12 XXX75982 C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX75982 TC C Contrast xray exam bile duct 0.00 0.00 0.00 NA NA 0.00 XXX75982 26 A Contrast xray exam bile duct 1.44 0.52 0.60 0.52 0.60 0.12 XXX75984 A Xray control catheter change 0.72 2.45 2.63 NA NA 0.05 XXX75984 TC A Xray control catheter change 0.00 2.19 2.33 NA NA 0.01 XXX75984 26 A Xray control catheter change 0.72 0.26 0.30 0.26 0.30 0.04 XXX75989 A Abscess drainage under x-ray 1.19 2.37 2.76 NA NA 0.06 XXX75989 TC A Abscess drainage under x-ray 0.00 1.93 2.27 NA NA 0.01 XXX75989 26 A Abscess drainage under x-ray 1.19 0.44 0.49 0.44 0.49 0.05 XXX76000 A Fluoroscope examination 0.17 1.30 2.10 NA NA 0.02 XXX76000 TC A Fluoroscope examination 0.00 1.23 2.03 NA NA 0.01 XXX76000 26 A Fluoroscope examination 0.17 0.07 0.07 0.07 0.07 0.01 XXX76001 C Fluoroscope exam extensive 0.00 0.00 0.00 NA NA 0.00 XXX76001 TC C Fluoroscope exam extensive 0.00 0.00 0.00 NA NA 0.00 XXX76001 26 A Fluoroscope exam extensive 0.67 0.30 0.30 0.30 0.30 0.08 XXX76010 A X-ray nose to rectum 0.18 0.56 0.62 NA NA 0.02 XXX76010 TC A X-ray nose to rectum 0.00 0.49 0.54 NA NA 0.01 XXX76010 26 A X-ray nose to rectum 0.18 0.07 0.08 0.07 0.08 0.01 XXX76080 A X-ray exam of fistula 0.54 1.15 1.27 NA NA 0.04 XXX76080 TC A X-ray exam of fistula 0.00 0.95 1.04 NA NA 0.01 XXX76080 26 A X-ray exam of fistula 0.54 0.20 0.23 0.20 0.23 0.03 XXX76098 A X-ray exam breast specimen 0.16 0.33 0.39 NA NA 0.02 XXXCMS-1582-PN 405CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76098 TC A X-ray exam breast specimen 0.00 0.27 0.32 NA NA 0.01 XXX76098 26 A X-ray exam breast specimen 0.16 0.06 0.07 0.06 0.07 0.01 XXX76100 A X-ray exam of body section 0.58 2.33 2.99 NA NA 0.06 XXX76100 TC A X-ray exam of body section 0.00 2.02 2.71 NA NA 0.01 XXX76100 26 A X-ray exam of body section 0.58 0.31 0.28 0.31 0.28 0.05 XXX76101 A Complex body section x-ray 0.58 3.72 4.55 NA NA 0.09 XXX76101 TC A Complex body section x-ray 0.00 3.31 4.22 NA NA 0.01 XXX76101 26 A Complex body section x-ray 0.58 0.41 0.33 0.41 0.33 0.08 XXX76102 A Complex body section x-rays 0.58 5.19 6.32 NA NA 0.11 XXX76102 TC A Complex body section x-rays 0.00 4.77 5.99 NA NA 0.01 XXX76102 26 A Complex body section x-rays 0.58 0.42 0.33 0.42 0.33 0.10 XXX76120 A Cine/video x-rays 0.38 1.73 1.85 NA NA 0.04 XXX76120 TC A Cine/video x-rays 0.00 1.58 1.70 NA NA 0.01 XXX76120 26 A Cine/video x-rays 0.38 0.15 0.15 0.15 0.15 0.03 XXX76125 C Cine/video x-rays add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ76125 TC C Cine/video x-rays add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ76125 26 A Cine/video x-rays add-on 0.27 0.11 0.13 0.11 0.13 0.03 ZZZ76140 I X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 XXX76376 A 3d render w/o postprocess 0.20 1.45 1.90 NA NA 0.02 XXX76376 TC A 3d render w/o postprocess 0.00 1.37 1.81 NA NA 0.01 XXX76376 26 A 3d render w/o postprocess 0.20 0.08 0.09 0.08 0.09 0.01 XXX76377 A 3d rendering w/postprocess 0.79 1.42 1.92 NA NA 0.05 XXX76377 TC A 3d rendering w/postprocess 0.00 1.12 1.59 NA NA 0.01 XXX76377 26 A 3d rendering w/postprocess 0.79 0.30 0.33 0.30 0.33 0.04 XXX76380 A Cat scan follow-up study 0.98 3.70 4.57 NA NA 0.05 XXX76380 TC A Cat scan follow-up study 0.00 3.32 4.16 NA NA 0.01 XXX76380 26 A Cat scan follow-up study 0.98 0.38 0.41 0.38 0.41 0.04 XXX76390 N Mr spectroscopy 1.40 11.89 12.50 NA NA 0.06 XXX76390 TC N Mr spectroscopy 0.00 11.28 11.91 NA NA 0.01 XXX76390 26 N Mr spectroscopy 1.40 0.61 0.59 0.61 0.59 0.05 XXXCMS-1582-PN 406CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76496 C Fluoroscopic procedure 0.00 0.00 0.00 NA NA 0.00 XXX76496 TC C Fluoroscopic procedure 0.00 0.00 0.00 NA NA 0.00 XXX76496 26 C Fluoroscopic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX76497 C Ct procedure 0.00 0.00 0.00 NA NA 0.00 XXX76497 TC C Ct procedure 0.00 0.00 0.00 NA NA 0.00 XXX76497 26 C Ct procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX76498 C Mri procedure 0.00 0.00 0.00 NA NA 0.00 XXX76498 TC C Mri procedure 0.00 0.00 0.00 NA NA 0.00 XXX76498 26 C Mri procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX76499 C Radiographic procedure 0.00 0.00 0.00 NA NA 0.00 XXX76499 TC C Radiographic procedure 0.00 0.00 0.00 NA NA 0.00 XXX76499 26 C Radiographic procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX76506 A Echo exam of head 0.63 2.82 2.89 NA NA 0.05 XXX76506 TC A Echo exam of head 0.00 2.58 2.63 NA NA 0.01 XXX76506 26 A Echo exam of head 0.63 0.24 0.26 0.24 0.26 0.04 XXX76510 A Ophth us b & quant a 1.55 3.24 3.11 NA NA 0.27 XXX76510 TC A Ophth us b & quant a 0.00 2.16 2.18 NA NA 0.01 XXX76510 26 A Ophth us b & quant a 1.55 1.08 0.93 1.08 0.93 0.26 XXX76511 A Ophth us quant a only 0.94 1.94 1.97 NA NA 0.02 XXX76511 TC A Ophth us quant a only 0.00 1.30 1.42 NA NA 0.01 XXX76511 26 A Ophth us quant a only 0.94 0.64 0.55 0.64 0.55 0.01 XXX76512 A Ophth us b w/non-quant a 0.94 1.68 1.73 NA NA 0.05 XXX76512 TC A Ophth us b w/non-quant a 0.00 1.05 1.18 NA NA 0.01 XXX76512 26 A Ophth us b w/non-quant a 0.94 0.63 0.55 0.63 0.55 0.04 XXX76513 A Echo exam of eye water bath 0.66 1.94 1.91 NA NA 0.02 XXX76513 TC A Echo exam of eye water bath 0.00 1.57 1.58 NA NA 0.01 XXX76513 26 A Echo exam of eye water bath 0.66 0.37 0.33 0.37 0.33 0.01 XXX76514 A Echo exam of eye thickness 0.17 0.24 0.22 NA NA 0.02 XXX76514 TC A Echo exam of eye thickness 0.00 0.13 0.12 NA NA 0.01 XXX76514 26 A Echo exam of eye thickness 0.17 0.11 0.10 0.11 0.10 0.01 XXXCMS-1582-PN 407CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76516 A Echo exam of eye 0.54 1.61 1.56 NA NA 0.02 XXX76516 TC A Echo exam of eye 0.00 1.25 1.25 NA NA 0.01 XXX76516 26 A Echo exam of eye 0.54 0.36 0.31 0.36 0.31 0.01 XXX76519 A Echo exam of eye 0.54 1.77 1.72 NA NA 0.04 XXX76519 TC A Echo exam of eye 0.00 1.40 1.40 NA NA 0.01 XXX76519 26 A Echo exam of eye 0.54 0.37 0.32 0.37 0.32 0.03 XXX76529 A Echo exam of eye 0.57 1.63 1.56 NA NA 0.04 XXX76529 TC A Echo exam of eye 0.00 1.23 1.22 NA NA 0.01 XXX76529 26 A Echo exam of eye 0.57 0.40 0.34 0.40 0.34 0.03 XXX76536 A Us exam of head and neck 0.56 2.88 2.90 NA NA 0.04 XXX76536 TC A Us exam of head and neck 0.00 2.66 2.67 NA NA 0.01 XXX76536 26 A Us exam of head and neck 0.56 0.22 0.23 0.22 0.23 0.03 XXX76604 A Us exam chest 0.55 1.90 2.01 NA NA 0.04 XXX76604 TC A Us exam chest 0.00 1.70 1.79 NA NA 0.01 XXX76604 26 A Us exam chest 0.55 0.20 0.22 0.20 0.22 0.03 XXX76645 A Us exam breast(s) 0.54 2.20 2.25 NA NA 0.05 XXX76645 TC A Us exam breast(s) 0.00 2.00 2.03 NA NA 0.01 XXX76645 26 A Us exam breast(s) 0.54 0.20 0.22 0.20 0.22 0.04 XXX76700 A Us exam abdom complete 0.81 3.16 3.30 NA NA 0.05 XXX76700 TC A Us exam abdom complete 0.00 2.85 2.97 NA NA 0.01 XXX76700 26 A Us exam abdom complete 0.81 0.31 0.33 0.31 0.33 0.04 XXX76705 A Echo exam of abdomen 0.59 2.43 2.53 NA NA 0.04 XXX76705 TC A Echo exam of abdomen 0.00 2.21 2.29 NA NA 0.01 XXX76705 26 A Echo exam of abdomen 0.59 0.22 0.24 0.22 0.24 0.03 XXX76770 A Us exam abdo back wall comp 0.74 2.99 3.16 NA NA 0.05 XXX76770 TC A Us exam abdo back wall comp 0.00 2.71 2.86 NA NA 0.01 XXX76770 26 A Us exam abdo back wall comp 0.74 0.28 0.30 0.28 0.30 0.04 XXX76775 A Us exam abdo back wall lim 0.58 2.45 2.68 NA NA 0.04 XXX76775 TC A Us exam abdo back wall lim 0.00 2.23 2.43 NA NA 0.01 XXX76775 26 A Us exam abdo back wall lim 0.58 0.22 0.25 0.22 0.25 0.03 XXXCMS-1582-PN 408CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76776 A Us exam k transpl w/doppler0.76 3.54 3.67NA NA 0.05 XXX76776 TC A Us exam k transpl w/doppler0.00 3.26 3.36NA NA 0.01 XXX76776 26 A Us exam k transpl w/doppler 0.76 0.28 0.31 0.28 0.31 0.04 XXX76800 A Us exam spinal canal 1.13 2.91 2.76 NA NA 0.05 XXX76800 TC A Us exam spinal canal 0.00 2.41 2.31 NA NA 0.01 XXX76800 26 A Us exam spinal canal 1.13 0.50 0.45 0.50 0.45 0.04 XXX76801 A Ob us < 14 wks single fetus 0.99 2.62 2.82 NA NA 0.04 XXX76801 TC A Ob us < 14 wks single fetus 0.00 2.21 2.40 NA NA 0.01 XXX76801 26 A Ob us < 14 wks single fetus 0.99 0.41 0.42 0.41 0.42 0.03 XXX76802 A Ob us < 14 wks addl fetus 0.83 1.08 1.20 NA NA 0.04 ZZZ76802 TC A Ob us < 14 wks addl fetus 0.00 0.73 0.85 NA NA 0.01 ZZZ76802 26 A Ob us < 14 wks addl fetus 0.83 0.35 0.35 0.35 0.35 0.03 ZZZ76805 A Ob us >/= 14 wks sngl fetus 0.99 3.23 3.38 NA NA 0.04 XXX76805 TC A Ob us >/= 14 wks sngl fetus 0.00 2.81 2.96 NA NA 0.01 XXX76805 26 A Ob us >/= 14 wks sngl fetus 0.99 0.42 0.42 0.42 0.42 0.03 XXX76810 A Ob us >/= 14 wks addl fetus 0.98 1.80 1.87 NA NA 0.04 ZZZ76810 TC A Ob us >/= 14 wks addl fetus 0.00 1.38 1.46 NA NA 0.01 ZZZ76810 26 A Ob us >/= 14 wks addl fetus 0.98 0.42 0.41 0.42 0.41 0.03 ZZZ76811 A Ob us detailed sngl fetus 1.90 3.42 3.75 NA NA 0.06 XXX76811 TC A Ob us detailed sngl fetus 0.00 2.56 2.94 NA NA 0.01 XXX76811 26 A Ob us detailed sngl fetus 1.90 0.86 0.81 0.86 0.81 0.05 XXX76812 A Ob us detailed addl fetus 1.78 4.32 4.21 NA NA 0.06 ZZZ76812 TC A Ob us detailed addl fetus 0.00 3.51 3.46 NA NA 0.01 ZZZ76812 26 A Ob us detailed addl fetus 1.78 0.81 0.75 0.81 0.75 0.05 ZZZ76813 A Ob us nuchal meas 1 gest 1.18 2.40 2.52 NA NA 0.05 XXX76813 TC A Ob us nuchal meas 1 gest 0.00 1.86 2.03 NA NA 0.01 XXX76813 26 A Ob us nuchal meas 1 gest 1.18 0.54 0.49 0.54 0.49 0.04 XXX76814 A Ob us nuchal meas add-on 0.99 1.34 1.36 NA NA 0.04 XXX76814 TC A Ob us nuchal meas add-on 0.00 0.88 0.95 NA NA 0.01 XXX76814 26 A Ob us nuchal meas add-on 0.99 0.46 0.41 0.46 0.41 0.03 XXXCMS-1582-PN 409CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76815 A Ob us limited fetus(s) 0.65 1.92 2.03 NA NA 0.02 XXX76815 TC A Ob us limited fetus(s) 0.00 1.65 1.76 NA NA 0.01 XXX76815 26 A Ob us limited fetus(s) 0.65 0.27 0.27 0.27 0.27 0.01 XXX76816 A Ob us follow-up per fetus 0.85 2.55 2.57 NA NA 0.04 XXX76816 TC A Ob us follow-up per fetus 0.00 2.17 2.21 NA NA 0.01 XXX76816 26 A Ob us follow-up per fetus 0.85 0.38 0.36 0.38 0.36 0.03 XXX76817 A Transvaginal us obstetric 0.75 2.15 2.27 NA NA 0.04 XXX76817 TC A Transvaginal us obstetric 0.00 1.84 1.96 NA NA 0.01 XXX76817 26 A Transvaginal us obstetric 0.75 0.31 0.31 0.31 0.31 0.03 XXX76818 A Fetal biophys profile w/nst 1.05 2.45 2.53 NA NA 0.04 XXX76818 TC A Fetal biophys profile w/nst 0.00 1.97 2.08 NA NA 0.01 XXX76818 26 A Fetal biophys profile w/nst 1.05 0.48 0.45 0.48 0.45 0.03 XXX76819 A Fetal biophys profil w/o nst 0.77 1.76 1.91 NA NA 0.04 XXX76819 TC A Fetal biophys profil w/o nst 0.00 1.42 1.58 NA NA 0.01 XXX76819 26 A Fetal biophys profil w/o nst 0.77 0.34 0.33 0.34 0.33 0.03 XXX76820 A Umbilical artery echo 0.50 0.66 0.86NA NA 0.02 XXX76820 TC A Umbilical artery echo 0.00 0.43 0.65NA NA 0.01 XXX76820 26 A Umbilical artery echo 0.500.23 0.21 0.230.21 0.01 XXX76821 A Middle cerebral artery echo 0.70 2.02 2.14 NA NA 0.04 XXX76821 TC A Middle cerebral artery echo 0.00 1.70 1.84 NA NA 0.01 XXX76821 26 A Middle cerebral artery echo 0.70 0.32 0.30 0.32 0.30 0.03 XXX76825 A Echo exam of fetal heart 1.67 4.64 4.70 NA NA 0.05 XXX76825 TC A Echo exam of fetal heart 0.00 3.91 4.00 NA NA 0.01 XXX76825 26 A Echo exam of fetal heart 1.67 0.73 0.70 0.73 0.70 0.04 XXX76826 A Echo exam of fetal heart 0.83 2.90 2.83 NA NA 0.04 XXX76826 TC A Echo exam of fetal heart 0.00 2.54 2.49 NA NA 0.01 XXX76826 26 A Echo exam of fetal heart 0.83 0.36 0.34 0.36 0.34 0.03 XXX76827 A Echo exam of fetal heart 0.58 1.17 1.36 NA NA 0.02 XXX76827 TC A Echo exam of fetal heart 0.00 0.92 1.12 NA NA 0.01 XXX76827 26 A Echo exam of fetal heart 0.58 0.25 0.24 0.25 0.24 0.01 XXXCMS-1582-PN 410CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76828 A Echo exam of fetal heart 0.56 0.73 0.86 NA NA 0.02 XXX76828 TC A Echo exam of fetal heart 0.00 0.48 0.62 NA NA 0.01 XXX76828 26 A Echo exam of fetal heart 0.56 0.25 0.24 0.25 0.24 0.01 XXX76830 A Transvaginal us non-ob 0.69 2.88 2.97 NA NA 0.04 XXX76830 TC A Transvaginal us non-ob 0.00 2.60 2.68 NA NA 0.01 XXX76830 26 A Transvaginal us non-ob 0.69 0.28 0.29 0.28 0.29 0.03 XXX76831 A Echo exam uterus 0.72 2.89 2.95 NA NA 0.04 XXX76831 TC A Echo exam uterus 0.00 2.57 2.65 NA NA 0.01 XXX76831 26 A Echo exam uterus 0.72 0.32 0.30 0.32 0.30 0.03 XXX76856 A Us exam pelvic complete 0.69 2.85 2.96 NA NA 0.04 XXX76856 TC A Us exam pelvic complete 0.00 2.58 2.67 NA NA 0.01 XXX76856 26 A Us exam pelvic complete 0.69 0.27 0.29 0.27 0.29 0.03 XXX76857 A Us exam pelvic limited 0.38 2.33 2.58 NA NA 0.04 XXX76857 TC A Us exam pelvic limited 0.00 2.18 2.41 NA NA 0.01 XXX76857 26 A Us exam pelvic limited 0.38 0.15 0.17 0.15 0.17 0.03 XXX76870 A Us exam scrotum 0.64 2.85 2.98 NA NA 0.05 XXX76870 TC A Us exam scrotum 0.00 2.61 2.71 NA NA 0.01 XXX76870 26 A Us exam scrotum 0.64 0.24 0.27 0.24 0.27 0.04 XXX76872 A Us transrectal 0.69 3.04 3.42 NA NA 0.05 XXX76872 TC A Us transrectal 0.00 2.77 3.11 NA NA 0.01 XXX76872 26 A Us transrectal 0.69 0.27 0.31 0.27 0.31 0.04 XXX76873 A Echograp trans r pros study 1.55 3.39 3.63 NA NA 0.09 XXX76873 TC A Echograp trans r pros study 0.00 2.74 2.96 NA NA 0.01 XXX76873 26 A Echograp trans r pros study 1.55 0.65 0.67 0.65 0.67 0.08 XXX76881 A Us xtr non-vasc complete 0.59 2.75 2.75 NA NA 0.05 XXX76881 TC A Us xtr non-vasc complete 0.00 2.53 2.53 NA NA 0.01 XXX76881 26 A Us xtr non-vasc complete 0.59 0.22 0.22 0.22 0.22 0.04 XXX76882 A Us xtr non-vasc lmtd 0.41 0.44 0.44 NA NA 0.04 XXX76882 TC A Us xtr non-vasc lmtd 0.00 0.29 0.29 NA NA 0.01 XXX76882 26 A Us xtr non-vasc lmtd 0.41 0.15 0.15 0.15 0.15 0.03 XXXCMS-1582-PN 411CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76885 A Us exam infant hips dynamic 0.74 3.49 3.51 NA NA 0.05 XXX76885 TC A Us exam infant hips dynamic 0.00 3.20 3.20 NA NA 0.01 XXX76885 26 A Us exam infant hips dynamic 0.74 0.29 0.31 0.29 0.31 0.04 XXX76886 A Us exam infant hips static 0.62 3.03 2.77 NA NA 0.02 XXX76886 TC A Us exam infant hips static 0.00 2.73 2.49 NA NA 0.01 XXX76886 26 A Us exam infant hips static 0.62 0.30 0.28 0.30 0.28 0.01 XXX76930 A Echo guide cardiocentesis 0.67 1.63 1.99 NA NA 0.02 XXX76930 TC A Echo guide cardiocentesis 0.00 1.37 1.67 NA NA 0.01 XXX76930 26 A Echo guide cardiocentesis 0.67 0.26 0.32 0.26 0.32 0.01 XXX76932 C Echo guide for heart biopsy 0.00 0.00 0.00 NA NA 0.00 XXX76932 TC C Echo guide for heart biopsy 0.00 0.00 0.00 NA NA 0.00 XXX76932 26 A Echo guide for heart biopsy 0.67 0.26 0.33 0.26 0.33 0.04 XXX76936 A Echo guide for artery repair 1.99 6.26 6.95 NA NA 0.24 XXX76936 TC A Echo guide for artery repair 0.00 5.55 6.15 NA NA 0.01 XXX76936 26 A Echo guide for artery repair 1.99 0.71 0.80 0.71 0.80 0.23 XXX76937 A Us guide vascular access 0.30 0.67 0.69 NA NA 0.04 ZZZ76937 TC A Us guide vascular access 0.00 0.56 0.57 NA NA 0.01 ZZZ76937 26 A Us guide vascular access 0.30 0.11 0.12 0.11 0.12 0.03 ZZZ76940 C Us guide tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX76940 TC C Us guide tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX76940 26 A Us guide tissue ablation 2.00 0.79 0.82 0.79 0.82 0.29 XXX76941 C Echo guide for transfusion 0.00 0.00 0.00 NA NA 0.00 XXX76941 TC C Echo guide for transfusion 0.00 0.00 0.00 NA NA 0.00 XXX76941 26 A Echo guide for transfusion 1.34 0.62 0.58 0.62 0.58 0.11 XXX76942 A Echo guide for biopsy 0.67 4.96 5.11 NA NA 0.05 XXX76942 TC A Echo guide for biopsy 0.00 4.70 4.83 NA NA 0.01 XXX76942 26 A Echo guide for biopsy 0.67 0.26 0.28 0.26 0.28 0.04 XXX76945 C Echo guide villus sampling 0.00 0.000.00 NA NA 0.00 XXX76945 TC C Echo guide villus sampling 0.00 0.000.00 NA NA 0.00 XXX76945 26 A Echo guide villussampling 0.67 0.31 0.290.31 0.29 0.04 XXXCMS-1582-PN 412CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global76946 A Echo guide for amniocentesis 0.38 0.52 0.72 NA NA 0.02 XXX76946 TC A Echo guide for amniocentesis 0.00 0.35 0.56 NA NA 0.01 XXX76946 26 A Echo guide for amniocentesis 0.38 0.17 0.16 0.17 0.16 0.01 XXX76948 A Echo guide ova aspiration 0.38 0.53 0.72 NA NA 0.04 XXX76948 TC A Echo guide ova aspiration 0.00 0.36 0.56 NA NA 0.01 XXX76948 26 A Echo guide ova aspiration 0.38 0.17 0.16 0.17 0.16 0.03 XXX76950 A Echo guidance radiotherapy 0.58 1.27 1.42 NA NA 0.04 XXX76950 TC A Echo guidance radiotherapy 0.00 1.02 1.17 NA NA 0.01 XXX76950 26 A Echo guidance radiotherapy 0.58 0.25 0.25 0.25 0.25 0.03 XXX76965 A Echo guidance radiotherapy 1.34 1.18 2.06 NA NA 0.09 XXX76965 TC A Echo guidance radiotherapy 0.00 0.63 1.47 NA NA 0.01 XXX76965 26 A Echo guidance radiotherapy 1.34 0.55 0.59 0.55 0.59 0.08 XXX76970 A Ultrasound exam follow-up 0.40 2.56 2.39 NA NA 0.05 XXX76970 TC A Ultrasound exam follow-up 0.00 2.39 2.23 NA NA 0.01 XXX76970 26 A Ultrasound exam follow-up 0.40 0.17 0.16 0.17 0.16 0.04 XXX76975 C Gi endoscopic ultrasound 0.00 0.00 0.00 NA NA 0.00 XXX76975 TC C Gi endoscopic ultrasound 0.00 0.00 0.00 NA NA 0.00 XXX76975 26 A Gi endoscopic ultrasound 0.81 0.40 0.39 0.40 0.39 0.08 XXX76977 A Us bone density measure 0.05 0.14 0.24 NA NA 0.02 XXX76977 TC A Us bone density measure 0.00 0.12 0.22 NA NA 0.01 XXX76977 26 A Us bone density measure 0.05 0.02 0.02 0.02 0.02 0.01 XXX76998 C Us guide intraop 0.00 0.00 0.00 NA NA 0.00 XXX76998 TC C Us guide intraop 0.00 0.00 0.00 NA NA 0.00 XXX76998 26 A Us guide intraop 1.20 0.47 0.47 0.47 0.47 0.26 XXX76999 C Echo examination procedure 0.00 0.00 0.00 NA NA 0.00 XXX76999 TC C Echo examination procedure 0.00 0.00 0.00 NA NA 0.00 XXX76999 26 C Echo examination procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX77001 A Fluoroguide for vein device 0.38 2.99 2.96 NA NA 0.04 ZZZ77001 TC A Fluoroguide for vein device 0.00 2.85 2.80 NA NA 0.01 ZZZ77001 26 A Fluoroguide for vein device 0.38 0.14 0.16 0.14 0.16 0.03 ZZZCMS-1582-PN 413CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77002 A Needle localization by xray 0.54 1.65 1.65 NA NA 0.04 XXX77002 TC A Needle localization by xray 0.00 1.40 1.41 NA NA 0.01 XXX77002 26 A Needle localization by xray 0.54 0.25 0.24 0.25 0.24 0.03 XXX77003 A Fluoroguide for spine inject 0.60 1.24 1.20 NA NA 0.04 XXX77003 TC A Fluoroguide for spine inject 0.00 0.95 0.96 NA NA 0.01 XXX77003 26 A Fluoroguide for spine inject 0.60 0.29 0.24 0.29 0.24 0.03 XXX77011 A Ct scan for localization 1.21 5.36 12.98 NA NA 0.05 XXX77011 TC A Ct scan for localization 0.00 4.82 12.44 NA NA 0.01 XXX77011 26 A Ct scan for localization 1.21 0.54 0.54 0.54 0.54 0.04 XXX77012 A Ct scan for needle biopsy 1.16 2.46 3.61 NA NA 0.05 XXX77012 TC A Ct scan for needle biopsy 0.00 2.03 3.13 NA NA 0.01 XXX77012 26 A Ct scan for needle biopsy 1.16 0.43 0.48 0.43 0.48 0.04 XXX77013 C Ct guide for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX77013 TC C Ct guide for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX77013 26 A Ct guide for tissue ablation 3.99 1.45 1.65 1.45 1.65 0.37 XXX77014 A Ct scan for therapy guide 0.85 4.51 4.75 NA NA 0.05 XXX77014 TC A Ct scan for therapy guide 0.00 4.14 4.39 NA NA 0.01 XXX77014 26 A Ct scan for therapy guide 0.85 0.37 0.36 0.37 0.36 0.04 XXX77021 A Mr guidance for needle place 1.50 9.78 11.16 NA NA 0.13 XXX77021 TC A Mr guidance for needle place 0.00 9.22 10.54 NA NA 0.01 XXX77021 26 A Mr guidance for needle place 1.50 0.56 0.62 0.56 0.62 0.12 XXX77022 C Mri for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX77022 TC C Mri for tissue ablation 0.00 0.00 0.00 NA NA 0.00 XXX77022 26 A Mri for tissue ablation 4.24 1.64 1.73 1.64 1.73 0.38 XXX77031 A Stereotact guide for brst bx 1.59 2.02 3.04 NA NA 0.13 XXX77031 TC A Stereotact guide for brst bx 0.00 1.41 2.39 NA NA 0.01 XXX77031 26 A Stereotact guide for brst bx 1.59 0.61 0.65 0.61 0.65 0.12 XXX77032 A Guidance for needle breast 0.56 0.87 1.05 NA NA 0.04 XXX77032 TC A Guidance for needle breast 0.00 0.66 0.82 NA NA 0.01 XXX77032 26 A Guidance for needle breast 0.56 0.21 0.23 0.21 0.23 0.03 XXXCMS-1582-PN 414CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77051 A Computer dx mammogram add-on 0.06 0.20 0.26 NA NA 0.02 ZZZ77051 TC A Computer dx mammogram add-on 0.00 0.18 0.24 NA NA 0.01 ZZZ77051 26 A Computer dx mammogram add-on 0.06 0.02 0.02 0.02 0.02 0.01 ZZZ77052 A Comp screen mammogram add-on 0.06 0.20 0.26 NA NA 0.02 ZZZ77052 TC A Comp screen mammogram add-on 0.00 0.18 0.24 NA NA 0.01 ZZZ77052 26 A Comp screen mammogram add-on 0.06 0.02 0.02 0.02 0.02 0.01 ZZZ77053 A X-ray of mammary duct 0.36 1.26 1.62 NA NA 0.02 XXX77053 TC A X-ray of mammary duct 0.00 1.13 1.47 NA NA 0.01 XXX77053 26 A X-ray of mammary duct 0.36 0.13 0.15 0.13 0.15 0.01 XXX77054 A X-ray of mammary ducts 0.45 1.74 2.22 NA NA 0.04 XXX77054 TC A X-ray of mammary ducts 0.00 1.57 2.03 NA NA 0.01 XXX77054 26 A X-ray of mammary ducts 0.45 0.17 0.19 0.17 0.19 0.03 XXX77055 A Mammogram one breast 0.70 1.70 1.80 NA NA 0.05 XXX77055 TC A Mammogram one breast 0.00 1.44 1.51 NA NA 0.01 XXX77055 26 A Mammogram one breast 0.70 0.26 0.29 0.26 0.29 0.04 XXX77056 A Mammogram both breasts 0.87 2.22 2.33 NA NA 0.06 XXX77056 TC A Mammogram both breasts 0.00 1.89 1.97 NA NA 0.01 XXX77056 26 A Mammogram both breasts 0.87 0.33 0.36 0.33 0.36 0.05 XXX77057 A Mammogram screening 0.70 1.50 1.64 NA NA 0.05 XXX77057 TC A Mammogram screening 0.00 1.24 1.35 NA NA 0.01 XXX77057 26 A Mammogram screening 0.70 0.26 0.29 0.26 0.29 0.04 XXX77058 A Mri one breast 1.63 16.03 20.59 NA NA 0.11 XXX77058 TC A Mri one breast 0.00 15.43 19.92 NA NA 0.01 XXX77058 26 A Mri one breast 1.63 0.60 0.67 0.60 0.67 0.10 XXX77059 A Mri both breasts 1.63 15.93 21.43 NA NA 0.11 XXX77059 TC A Mri both breasts 0.00 15.33 20.76 NA NA 0.01 XXX77059 26 A Mri both breasts 1.63 0.60 0.67 0.60 0.67 0.10 XXX77071 A X-ray stress view 0.41 1.03 0.90 1.03 0.90 0.07 XXX77072 A X-rays for bone age 0.19 0.46 0.49 NA NA 0.02 XXX77072 TC A X-rays for bone age 0.00 0.38 0.41 NA NA 0.01 XXXCMS-1582-PN 415CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77072 26 A X-rays for bone age 0.19 0.08 0.08 0.08 0.08 0.01 XXX77073 A X-rays bone length studies 0.27 0.81 0.84 NA NA 0.05 XXX77073 TC A X-rays bone length studies 0.00 0.67 0.71 NA NA 0.01 XXX77073 26 A X-rays bone length studies 0.27 0.14 0.13 0.14 0.13 0.04 XXX77074 A X-rays bone survey limited 0.45 1.48 1.58 NA NA 0.04 XXX77074 TC A X-rays bone survey limited 0.00 1.31 1.39 NA NA 0.01 XXX77074 26 A X-rays bone survey limited 0.45 0.17 0.19 0.17 0.19 0.03 XXX77075 A X-rays bone survey complete 0.54 2.35 2.46 NA NA 0.04 XXX77075 TC A X-rays bone survey complete 0.00 2.15 2.24 NA NA 0.01 XXX77075 26 A X-rays bone survey complete 0.54 0.20 0.22 0.20 0.22 0.03 XXX77076 A X-rays bone survey infant 0.70 2.25 2.22 NA NA 0.05 XXX77076 TC A X-rays bone survey infant 0.00 1.98 1.95 NA NA 0.01 XXX77076 26 A X-rays bone survey infant 0.70 0.27 0.27 0.27 0.27 0.04 XXX77077 A Joint survey single view 0.31 0.82 0.89 NA NA 0.05 XXX77077 TC A Joint survey single view 0.00 0.67 0.75 NA NA 0.01 XXX77077 26 A Joint survey single view 0.31 0.15 0.14 0.15 0.14 0.04 XXX77078 A Ct bone density axial 0.25 3.54 4.38 NA NA 0.02 XXX77078 TC A Ct bone density axial 0.00 3.44 4.28 NA NA 0.01 XXX77078 26 A Ct bone density axial 0.25 0.10 0.10 0.10 0.10 0.01 XXX77079 A Ct bone density peripheral 0.22 0.92 1.26 NA NA 0.02 XXX77079 TC A Ct bone density peripheral 0.00 0.82 1.17 NA NA 0.01 XXX77079 26 A Ct bone density peripheral 0.22 0.10 0.09 0.10 0.09 0.01 XXX77080 A Dxa bone density axial 0.23 2.50 2.50 NA NA 0.14 XXX77080 TC A Dxa bone density axial 0.00 2.42 2.42 NA NA 0.13 XXX77080 26 A Dxa bone density axial 0.23 0.08 0.08 0.08 0.08 0.01 XXX77081 A Dxa bone density/peripheral 0.22 0.55 0.62 NA NA 0.02 XXX77081 TC A Dxa bone density/peripheral 0.00 0.55 0.55 NA NA 0.01 XXX77081 26 A Dxa bone density/peripheral 0.22 0.06 0.06 0.06 0.06 0.01 XXX77082 A Dxa bone density vert fx 0.13 0.64 0.64 NA NA 0.05 XXX77082 TC A Dxa bone density vert fx 0.00 0.59 0.59 NA NA 0.04 XXXCMS-1582-PN 416CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77082 26 A Dxa bone density vert fx 0.13 0.05 0.05 0.05 0.05 0.01 XXX77083 A Radiographic absorptiometry 0.20 0.47 0.52 NA NA 0.02 XXX77083 TC A Radiographic absorptiometry 0.00 0.38 0.44 NA NA 0.01 XXX77083 26 A Radiographic absorptiometry 0.20 0.09 0.08 0.09 0.08 0.01 XXX77084 A Magnetic image bone marrow 1.60 10.98 13.88 NA NA 0.11 XXX77084 TC A Magnetic image bone marrow 0.00 10.38 13.21 NA NA 0.01 XXX77084 26 A Magnetic image bone marrow 1.60 0.60 0.67 0.60 0.67 0.10 XXX77261 A Radiation therapy planning 1.39 0.66 0.64 0.66 0.64 0.10 XXX77262 A Radiation therapy planning 2.11 0.93 0.92 0.93 0.92 0.18 XXX77263 A Radiation therapy planning 3.14 1.38 1.36 1.38 1.36 0.26 XXX77280 A Set radiation therapy field 0.70 4.53 4.82 NA NA 0.04 XXX77280 TC A Set radiation therapy field 0.00 4.22 4.52 NA NA 0.01 XXX77280 26 A Set radiation therapy field 0.70 0.31 0.30 0.31 0.30 0.03 XXX77285 A Set radiation therapy field 1.05 8.23 8.64 NA NA 0.06 XXX77285 TC A Set radiation therapy field 0.00 7.77 8.19 NA NA 0.01 XXX77285 26 A Set radiation therapy field 1.05 0.46 0.45 0.46 0.45 0.05 XXX77290 A Set radiation therapy field 1.56 13.68 13.96 NA NA 0.08 XXX77290 TC A Set radiation therapy field 0.00 12.99 13.29 NA NA 0.01 XXX77290 26 A Set radiation therapy field 1.56 0.69 0.67 0.69 0.67 0.07 XXX77295 A Set radiation therapy field 4.56 7.92 11.78 NA NA 0.28 XXX77295 TC A Set radiation therapy field 0.00 5.91 9.83 NA NA 0.04 XXX77295 26 A Set radiation therapy field 4.56 2.01 1.95 2.01 1.95 0.24 XXX77299 C Radiation therapy planning 0.00 0.00 0.00 NA NA 0.00 XXX77299 TC C Radiation therapy planning 0.00 0.00 0.00 NA NA 0.00 XXX77299 26 C Radiation therapy planning 0.00 0.00 0.00 0.00 0.00 0.00 XXX77300 A Radiation therapy dose plan 0.62 1.25 1.40 NA NA 0.04 XXX77300 TC A Radiation therapy dose plan 0.00 0.98 1.13 NA NA 0.01 XXX77300 26 A Radiation therapy dose plan 0.62 0.27 0.27 0.27 0.27 0.03 XXX77301 A Radiotherapy dose plan imrt 7.99 44.85 52.84 NA NA 0.63 XXX77301 TC A Radiotherapy dose plan imrt 0.00 41.34 49.42 NA NA 0.22 XXXCMS-1582-PN 417CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77301 26 A Radiotherapy dose plan imrt 7.99 3.51 3.42 3.51 3.42 0.41 XXX77305 A Teletx isodose plan simple 0.70 0.98 1.22 NA NA 0.04 XXX77305 TC A Teletx isodose plan simple 0.00 0.67 0.92 NA NA 0.01 XXX77305 26 A Teletx isodose plan simple 0.70 0.31 0.30 0.31 0.30 0.03 XXX77310 A Teletx isodose plan intermed 1.05 1.37 1.66 NA NA 0.06 XXX77310 TC A Teletx isodose plan intermed 0.00 0.91 1.21 NA NA 0.01 XXX77310 26 A Teletx isodose plan intermed 1.05 0.46 0.45 0.46 0.45 0.05 XXX77315 A Teletx isodose plan complex 1.56 2.26 2.56 NA NA 0.08 XXX77315 TC A Teletx isodose plan complex 0.00 1.57 1.89 NA NA 0.01 XXX77315 26 A Teletx isodose plan complex 1.56 0.69 0.67 0.69 0.67 0.07 XXX77321 A Special teletx port plan 0.95 1.62 2.15 NA NA 0.05 XXX77321 TC A Special teletx port plan 0.00 1.20 1.75 NA NA 0.01 XXX77321 26 A Special teletx port plan 0.95 0.42 0.40 0.42 0.40 0.04 XXX77326 A Brachytx isodose calc simp 0.93 3.08 3.27 NA NA 0.07 XXX77326 TC A Brachytx isodose calc simp 0.00 2.67 2.88 NA NA 0.03 XXX77326 26 A Brachytx isodose calc simp 0.93 0.41 0.39 0.41 0.39 0.04 XXX77327 A Brachytx isodose calc interm 1.39 4.23 4.56 NA NA 0.10 XXX77327 TC A Brachytx isodose calc interm 0.00 3.62 3.97 NA NA 0.03 XXX77327 26 A Brachytx isodose calc interm 1.39 0.61 0.59 0.61 0.59 0.07 XXX77328 A Brachytx isodose plan compl 2.09 5.44 5.94 NA NA 0.14 XXX77328 TC A Brachytx isodose plan compl 0.00 4.52 5.05 NA NA 0.04 XXX77328 26 A Brachytx isodose plan compl 2.09 0.92 0.89 0.92 0.89 0.10 XXX77331 A Special radiation dosimetry 0.87 0.90 0.94 NA NA 0.05 XXX77331 TC A Special radiation dosimetry 0.00 0.52 0.56 NA NA 0.01 XXX77331 26 A Special radiation dosimetry 0.87 0.38 0.38 0.38 0.38 0.04 XXX77332 A Radiation treatment aid(s) 0.54 1.62 1.74 NA NA 0.04 XXX77332 TC A Radiation treatment aid(s) 0.00 1.38 1.51 NA NA 0.01 XXX77332 26 A Radiation treatment aid(s) 0.54 0.24 0.23 0.24 0.23 0.03 XXX77333 A Radiation treatment aid(s) 0.84 0.61 0.87 NA NA 0.05 XXX77333 TC A Radiation treatment aid(s) 0.00 0.24 0.51 NA NA 0.01 XXXCMS-1582-PN 418CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77333 26 A Radiation treatment aid(s) 0.84 0.37 0.36 0.37 0.36 0.04 XXX77334 A Radiation treatment aid(s) 1.24 2.87 3.22 NA NA 0.06 XXX77334 TC A Radiation treatment aid(s) 0.00 2.32 2.69 NA NA 0.01 XXX77334 26 A Radiation treatment aid(s) 1.24 0.55 0.53 0.55 0.53 0.05 XXX77336 A Radiation physics consult 0.00 1.13 1.53 NA NA 0.01 XXX77338 A Design mlc device for imrt 4.29 9.55 9.55 NA NA 0.27 XXX77338 TC A Design mlc device for imrt 0.00 7.66 7.66 NA NA 0.04 XXX77338 26 A Design mlc device for imrt 4.29 1.89 1.89 1.89 1.89 0.23 XXX77370 A Radiation physics consult 0.00 3.01 3.39 NA NA 0.04 XXX77371 C Srs multisource 0.00 0.00 0.00 0.00 0.00 0.00 XXX77372 A Srs linear based 0.00 22.83 25.02 NA NA 0.05 XXX77373 A Sbrt delivery 0.00 42.95 46.74 NA NA 0.07 XXX77399 C External radiation dosimetry 0.00 0.00 0.00 NA NA 0.00 XXX77399 TC C External radiation dosimetry 0.00 0.00 0.00 NA NA 0.00 XXX77399 26 C External radiation dosimetry 0.00 0.00 0.00 0.00 0.00 0.00 XXX77401 A Radiation treatment delivery 0.00 0.53 0.74 NA NA 0.01 XXX77402 A Radiation treatment delivery 0.00 5.86 5.18 NA NA 0.01 XXX77403 A Radiation treatment delivery 0.00 3.79 3.85 NA NA 0.01 XXX77404 A Radiation treatment delivery 0.00 4.24 4.28 NA NA 0.01 XXX77406 A Radiation treatment delivery 0.00 4.28 4.32 NA NA 0.01 XXX77407 A Radiation treatment delivery 0.00 7.96 7.51 NA NA 0.01 XXX77408 A Radiation treatment delivery 0.00 5.21 5.24 NA NA 0.01 XXX77409 A Radiation treatment delivery 0.00 5.84 5.83 NA NA 0.01 XXX77411 A Radiation treatment delivery 0.00 5.81 5.80 NA NA 0.01 XXX77412 A Radiation treatment delivery 0.00 6.86 6.84 NA NA 0.01 XXX77413 A Radiation treatment delivery 0.00 6.90 6.89 NA NA 0.01 XXX77414 A Radiation treatment delivery 0.00 7.78 7.71 NA NA 0.01 XXX77416 A Radiation treatment delivery 0.00 7.83 7.75 NA NA 0.01 XXX77417 A Radiology port film(s) 0.00 0.36 0.43 NA NA 0.01 XXX77418 A Radiation tx delivery imrt 0.00 13.27 15.29 NA NA 0.01 XXXCMS-1582-PN 419CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77421 A Stereoscopic x-ray guidance 0.39 2.44 2.83 NA NA 0.02 XXX77421 TC A Stereoscopic x-ray guidance 0.00 2.27 2.66 NA NA 0.01 XXX77421 26 A Stereoscopic x-ray guidance 0.39 0.17 0.17 0.17 0.17 0.01 XXX77422 A Neutron beam tx simple 0.00 5.30 5.85 NA NA 0.01 XXX77423 A Neutron beam tx complex 0.00 7.49 7.44 NA NA 0.01 XXX77427 A Radiation tx management x5 3.37 1.69 1.67 1.69 1.67 0.27 XXX77431 A Radiation therapy management 1.81 0.98 0.96 0.98 0.96 0.14 XXX77432 A Stereotactic radiation trmt 7.92 3.51 3.46 3.51 3.46 0.65 XXX77435 A Sbrt management 13.00 5.87 5.85 5.87 5.87 1.08 XXX77470 A Special radiation treatment 2.09 2.15 3.75 NA NA 0.11 XXX77470 TC A Special radiation treatment 0.00 1.23 2.85 NA NA 0.01 XXX77470 26 A Special radiation treatment 2.09 0.92 0.90 0.92 0.90 0.10 XXX77499 C Radiation therapy management 0.00 0.00 0.00 NA NA 0.00 XXX77499 TC C Radiation therapy management 0.00 0.00 0.00 NA NA 0.00 XXX77499 26 C Radiation therapy management 0.00 0.00 0.00 0.00 0.00 0.00 XXX77520 C Proton trmt simple w/o comp 0.00 0.00 0.00 0.00 0.00 0.00 XXX77522 C Proton trmt simple w/comp 0.00 0.00 0.00 0.00 0.00 0.00 XXX77523 C Proton trmt intermediate 0.00 0.00 0.00 0.00 0.00 0.00 XXX77525 C Proton treatment complex 0.00 0.00 0.00 0.00 0.00 0.00 XXX77600 R Hyperthermia treatment 1.56 10.37 10.34 NA NA 0.10 XXX77600 TC R Hyperthermia treatment 0.00 9.68 9.67 NA NA 0.03 XXX77600 26 R Hyperthermia treatment 1.56 0.69 0.67 0.69 0.67 0.07 XXX77605 R Hyperthermia treatment 2.09 30.32 24.92 NA NA 0.41 XXX77605 TC R Hyperthermia treatment 0.00 29.41 24.10 NA NA 0.03 XXX77605 26 R Hyperthermia treatment 2.09 0.91 0.82 0.91 0.82 0.38 XXX77610 R Hyperthermia treatment 1.56 27.81 23.31 NA NA 0.10 XXX77610 TC R Hyperthermia treatment 0.00 27.13 22.68 NA NA 0.03 XXX77610 26 R Hyperthermia treatment 1.56 0.68 0.63 0.68 0.63 0.07 XXX77615 R Hyperthermia treatment 2.09 26.22 26.37 NA NA 0.17 XXX77615 TC R Hyperthermia treatment 0.00 25.29 25.48 NA NA 0.07 XXXCMS-1582-PN 420CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77615 26 R Hyperthermia treatment 2.09 0.93 0.89 0.93 0.89 0.10 XXX77620 R Hyperthermia treatment 1.56 14.18 12.52 NA NA 0.08 XXX77620 TC R Hyperthermia treatment 0.00 13.50 11.90 NA NA 0.04 XXX77620 26 R Hyperthermia treatment 1.56 0.68 0.62 0.68 0.62 0.04 XXX77750 A Infuse radioactive materials 5.00 5.10 5.09 NA NA 0.29 09077750 TC A Infuse radioactive materials 0.00 2.91 2.96 NA NA 0.03 09077750 26 A Infuse radioactive materials 5.00 2.19 2.13 2.19 2.13 0.26 09077761 A Apply intrcav radiat simple 3.85 6.65 6.75 NA NA 0.24 09077761 TC A Apply intrcav radiat simple 0.00 4.98 5.14 NA NA 0.04 09077761 26 A Apply intrcav radiat simple 3.85 1.67 1.61 1.67 1.61 0.20 09077762 A Apply intrcav radiat interm 5.76 8.25 8.46 NA NA 0.35 09077762 TC A Apply intrcav radiat interm 0.00 5.74 6.01 NA NA 0.05 09077762 26 A Apply intrcav radiat interm 5.76 2.51 2.45 2.51 2.45 0.30 09077763 A Apply intrcav radiat compl 8.66 11.22 11.45 NA NA 0.51 09077763 TC A Apply intrcav radiat compl 0.00 7.45 7.77 NA NA 0.07 09077763 26 A Apply intrcav radiat compl 8.66 3.77 3.68 3.77 3.68 0.44 09077776 A Apply interstit radiat simpl 4.70 7.08 7.36 NA NA 0.36 09077776 TC A Apply interstit radiat simpl 0.00 5.00 5.36 NA NA 0.05 09077776 26 A Apply interstit radiat simpl 4.70 2.08 2.00 2.08 2.00 0.31 09077777 A Apply interstit radiat inter 7.52 8.74 9.15 NA NA 0.54 09077777 TC A Apply interstit radiat inter 0.00 5.43 5.86 NA NA 0.05 09077777 26 A Apply interstit radiat inter 7.52 3.31 3.29 3.31 3.29 0.49 09077778 A Apply interstit radiat compl 11.32 12.47 12.78 NA NA 0.68 09077778 TC A Apply interstit radiat compl 0.00 7.56 7.97 NA NA 0.08 09077778 26 A Apply interstit radiat compl 11.32 4.91 4.81 4.91 4.81 0.60 09077785 A Hdr brachytx 1 channel 1.42 5.55 4.95 NA NA 0.10 XXX77785 TC A Hdr brachytx 1 channel 0.00 4.93 4.34 NA NA 0.03 XXX77785 26 A Hdr brachytx 1 channel 1.42 0.62 0.61 0.62 0.61 0.07 XXX77786 A Hdr brachytx 2-12 channel 3.25 12.34 13.35 NA NA 0.21 XXX77786 TC A Hdr brachytx 2-12 channel 0.00 10.91 12.00 NA NA 0.05 XXXCMS-1582-PN 421CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global77786 26 A Hdr brachytx 2-12 channel 3.25 1.43 1.35 1.43 1.35 0.16 XXX77787 A Hdr brachytx over 12 chan 4.89 21.83 21.58 NA NA 0.34 XXX77787 TC A Hdr brachytx over 12 chan 0.00 19.67 19.45 NA NA 0.08 XXX77787 26 A Hdr brachytx over 12 chan 4.89 2.16 2.13 2.16 2.13 0.26 XXX77789 A Apply surface radiation 1.14 2.10 2.07 NA NA 0.06 00077789 TC A Apply surface radiation 0.00 1.58 1.57 NA NA 0.01 00077789 26 A Apply surface radiation 1.14 0.52 0.50 0.52 0.50 0.05 00077790 A Radiation handling 1.05 1.58 1.58 NA NA 0.05 XXX77790 TC A Radiation handling 0.00 1.12 1.13 NA NA 0.01 XXX77790 26 A Radiation handling 1.05 0.46 0.45 0.46 0.45 0.04 XXX77799 C Radium/radioisotope therapy 0.00 0.00 0.00 NA NA 0.00 XXX77799 TC C Radium/radioisotope therapy 0.00 0.00 0.00 NA NA 0.00 XXX77799 26 C Radium/radioisotope therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX78000 A Thyroid single uptake 0.19 1.79 1.91 NA NA 0.02 XXX78000 TC A Thyroid single uptake 0.00 1.73 1.83 NA NA 0.01 XXX78000 26 A Thyroid single uptake 0.19 0.06 0.08 0.06 0.08 0.01 XXX78001 A Thyroid multiple uptakes 0.26 2.31 2.42 NA NA 0.04 XXX78001 TC A Thyroid multiple uptakes 0.00 2.22 2.31 NA NA 0.03 XXX78001 26 A Thyroid multiple uptakes 0.26 0.09 0.11 0.09 0.11 0.01 XXX78003 A Thyroid suppress/stimul 0.33 1.93 2.01 NA NA 0.02 XXX78003 TC A Thyroid suppress/stimul 0.00 1.81 1.87 NA NA 0.01 XXX78003 26 A Thyroid suppress/stimul 0.33 0.12 0.14 0.12 0.14 0.01 XXX78006 A Thyroid imaging with uptake 0.49 6.30 6.39 NA NA 0.06 XXX78006 TC A Thyroid imaging with uptake 0.00 6.13 6.19 NA NA 0.03 XXX78006 26 A Thyroid imaging with uptake 0.49 0.17 0.20 0.17 0.20 0.03 XXX78007 A Thyroid image mult uptakes 0.50 6.69 5.19 NA NA 0.06 XXX78007 TC A Thyroid image mult uptakes 0.00 6.51 4.99 NA NA 0.03 XXX78007 26 A Thyroid image mult uptakes 0.50 0.18 0.20 0.18 0.20 0.03 XXX78010 A Thyroid imaging 0.39 4.32 4.36 NA NA 0.04 XXX78010 TC A Thyroid imaging 0.00 4.18 4.21 NA NA 0.03 XXXCMS-1582-PN 422CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78010 26 A Thyroid imaging 0.39 0.14 0.15 0.14 0.15 0.01 XXX78011 A Thyroid imaging with flow 0.45 4.54 4.78 NA NA 0.06 XXX78011 TC A Thyroid imaging with flow 0.00 4.37 4.59 NA NA 0.03 XXX78011 26 A Thyroid imaging with flow 0.45 0.17 0.19 0.17 0.19 0.03 XXX78015 A Thyroid met imaging 0.67 5.41 5.60 NA NA 0.07 XXX78015 TC A Thyroid met imaging 0.00 5.19 5.34 NA NA 0.03 XXX78015 26 A Thyroid met imaging 0.67 0.22 0.26 0.22 0.26 0.04 XXX78016 A Thyroid met imaging/studies 0.82 7.11 8.09 NA NA 0.06 XXX78016 TC A Thyroid met imaging/studies 0.00 6.97 7.83 NA NA 0.03 XXX78016 26 A Thyroid met imaging/studies 0.82 0.14 0.26 0.14 0.26 0.03 XXX78018 A Thyroid met imaging body 0.86 7.89 8.45 NA NA 0.07 XXX78018 TC A Thyroid met imaging body 0.00 7.61 8.12 NA NA 0.03 XXX78018 26 A Thyroid met imaging body 0.86 0.28 0.33 0.28 0.33 0.04 XXX78020 A Thyroid met uptake 0.60 1.66 1.90 NA NA 0.04 ZZZ78020 TC A Thyroid met uptake 0.00 1.49 1.68 NA NA 0.01 ZZZ78020 26 A Thyroid met uptake 0.60 0.17 0.22 0.17 0.22 0.03 ZZZ78070 A Parathyroid nuclear imaging 0.82 3.39 3.99 NA NA 0.07 XXX78070 TC A Parathyroid nuclear imaging 0.00 3.11 3.66 NA NA 0.03 XXX78070 26 A Parathyroid nuclear imaging 0.82 0.28 0.33 0.28 0.33 0.04 XXX78075 A Adrenal nuclear imaging 0.74 11.16 11.72 NA NA 0.08 XXX78075 TC A Adrenal nuclear imaging 0.00 10.93 11.44 NA NA 0.04 XXX78075 26 A Adrenal nuclear imaging 0.74 0.23 0.28 0.23 0.28 0.04 XXX78099 C Endocrine nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX78099 TC C Endocrine nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX78099 26 C Endocrine nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX78102 A Bone marrow imaging ltd0.55 4.06 4.29NA NA 0.06 XXX78102 TC A Bone marrow imaging ltd 0.00 3.894.08 NA NA 0.03 XXX78102 26 A Bone marrow imaging ltd 0.550.17 0.21 0.170.21 0.03 XXX78103 A Bone marrow imaging mult 0.75 5.245.64 NA NA 0.07 XXX78103 TC A Bone marrow imaging mult 0.00 5.025.36 NA NA 0.03 XXXCMS-1582-PN 423CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78103 26 A Bone marrow imaging mult 0.75 0.22 0.28 0.22 0.28 0.04 XXX78104 A Bone marrow imaging body 0.80 5.956.47 NA NA 0.07 XXX78104 TC A Bone marrow imaging body 0.00 5.706.16 NA NA 0.03 XXX78104 26 A Bone marrow imaging body 0.80 0.25 0.31 0.25 0.31 0.04 XXX78110 A Plasma volume single 0.19 2.17 2.21 NA NA 0.04 XXX78110 TC A Plasma volume single 0.00 2.10 2.13 NA NA 0.03 XXX78110 26 A Plasma volume single 0.19 0.07 0.08 0.07 0.08 0.01 XXX78111 A Plasma volume multiple 0.22 1.80 2.32 NA NA 0.04 XXX78111 TC A Plasma volume multiple 0.00 1.76 2.24 NA NA 0.03 XXX78111 26 A Plasma volume multiple 0.22 0.04 0.08 0.04 0.08 0.01 XXX78120 A Red cell mass single 0.23 2.13 2.32 NA NA 0.04 XXX78120 TC A Red cell mass single 0.00 2.04 2.22 NA NA 0.03 XXX78120 26 A Red cell mass single 0.23 0.09 0.10 0.09 0.10 0.01 XXX78121 A Red cell mass multiple 0.32 2.24 2.61 NA NA 0.04 XXX78121 TC A Red cell mass multiple 0.00 2.12 2.48 NA NA 0.03 XXX78121 26 A Red cell mass multiple 0.32 0.12 0.13 0.12 0.13 0.01 XXX78122 A Blood volume 0.45 2.08 2.82 NA NA 0.04 XXX78122 TC A Blood volume 0.00 1.95 2.65 NA NA 0.03 XXX78122 26 A Blood volume 0.45 0.13 0.17 0.13 0.17 0.01 XXX78130 A Red cell survival study 0.61 3.57 3.88 NA NA 0.08 XXX78130 TC A Red cell survival study 0.00 3.34 3.62 NA NA 0.04 XXX78130 26 A Red cell survival study 0.61 0.23 0.26 0.23 0.26 0.04 XXX78135 A Red cell survival kinetics 0.64 9.25 9.40 NA NA 0.07 XXX78135 TC A Red cell survival kinetics 0.00 9.00 9.13 NA NA 0.03 XXX78135 26 A Red cell survival kinetics 0.64 0.25 0.27 0.25 0.27 0.04 XXX78140 A Red cell sequestration 0.61 2.89 3.42 NA NA 0.07 XXX78140 TC A Red cell sequestration 0.00 2.67 3.17 NA NA 0.03 XXX78140 26 A Red cell sequestration 0.61 0.22 0.25 0.22 0.25 0.04 XXX78185 A Spleen imaging 0.40 5.39 5.48 NA NA 0.04 XXX78185 TC A Spleen imaging 0.00 5.24 5.31 NA NA 0.03 XXXCMS-1582-PN 424CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78185 26 A Spleen imaging 0.40 0.15 0.17 0.15 0.17 0.01 XXX78190 A Platelet survival kinetics 1.09 9.52 9.98 NA NA 0.07 XXX78190 TC A Platelet survival kinetics 0.00 9.09 9.54 NA NA 0.03 XXX78190 26 A Platelet survival kinetics 1.09 0.43 0.44 0.43 0.44 0.04 XXX78191 A Platelet survival 0.61 3.59 4.53 NA NA 0.08 XXX78191 TC A Platelet survival 0.00 3.36 4.28 NA NA 0.04 XXX78191 26 A Platelet survival 0.61 0.23 0.25 0.23 0.25 0.04 XXX78195 A Lymph system imaging 1.20 8.83 9.08 NA NA 0.10 XXX78195 TC A Lymph system imaging 0.00 8.42 8.60 NA NA 0.03 XXX78195 26 A Lymph system imaging 1.20 0.41 0.48 0.41 0.48 0.07 XXX78199 C Blood/lymph nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78199 TC C Blood/lymph nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78199 26 C Blood/lymph nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX78201 A Liver imaging 0.44 4.90 4.96 NA NA 0.07 XXX78201 TC A Liver imaging 0.00 4.75 4.80 NA NA 0.03 XXX78201 26 A Liver imaging 0.44 0.15 0.16 0.15 0.16 0.04 XXX78202 A Liver imaging with flow 0.51 5.02 5.41 NA NA 0.04 XXX78202 TC A Liver imaging with flow 0.00 4.88 5.23 NA NA 0.03 XXX78202 26 A Liver imaging with flow 0.51 0.14 0.18 0.14 0.18 0.01 XXX78205 A Liver imaging (3d) 0.71 5.16 5.92 NA NA 0.07 XXX78205 TC A Liver imaging (3d) 0.00 4.93 5.64 NA NA 0.03 XXX78205 26 A Liver imaging (3d) 0.71 0.23 0.28 0.23 0.28 0.04 XXX78206 A Liver image (3d) with flow 0.96 8.68 9.21 NA NA 0.07 XXX78206 TC A Liver image (3d) with flow 0.00 8.36 8.83 NA NA 0.03 XXX78206 26 A Liver image (3d) with flow 0.96 0.32 0.38 0.32 0.38 0.04 XXX78215 A Liver and spleen imaging 0.49 4.86 5.11 NA NA 0.06 XXX78215 TC A Liver and spleen imaging 0.00 4.69 4.91 NA NA 0.03 XXX78215 26 A Liver and spleen imaging 0.49 0.17 0.20 0.17 0.20 0.03 XXX78216 A Liver & spleen image/flow 0.57 2.72 3.22 NA NA 0.06 XXX78216 TC A Liver & spleen image/flow 0.00 2.53 3.00 NA NA 0.03 XXXCMS-1582-PN 425CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78216 26 A Liver & spleen image/flow 0.57 0.19 0.22 0.19 0.22 0.03 XXX78220 A Liver function study 0.49 3.00 3.49 NA NA 0.04 XXX78220 TC A Liver function study 0.00 2.83 3.30 NA NA 0.03 XXX78220 26 A Liver function study 0.49 0.17 0.19 0.17 0.19 0.01 XXX78223 A Hepatobiliary imaging 0.84 8.70 8.83 NA NA 0.07 XXX78223 TC A Hepatobiliary imaging 0.00 8.40 8.49 NA NA 0.03 XXX78223 26 A Hepatobiliary imaging 0.84 0.30 0.34 0.30 0.34 0.04 XXX78230 A Salivary gland imaging 0.45 4.27 4.38 NA NA 0.06 XXX78230 TC A Salivary gland imaging 0.00 4.10 4.20 NA NA 0.03 XXX78230 26 A Salivary gland imaging 0.45 0.17 0.18 0.17 0.18 0.03 XXX78231 A Serial salivary imaging 0.52 2.85 3.23 NA NA 0.04 XXX78231 TC A Serial salivary imaging 0.00 2.66 3.02 NA NA 0.03 XXX78231 26 A Serial salivary imaging 0.52 0.19 0.21 0.19 0.21 0.01 XXX78232 A Salivary gland function exam 0.47 2.13 2.93 NA NA 0.06 XXX78232 TC A Salivary gland function exam 0.00 2.05 2.78 NA NA 0.03 XXX78232 26 A Salivary gland function exam 0.47 0.08 0.15 0.08 0.15 0.03 XXX78258 A Esophageal motility study 0.74 5.67 5.92 NA NA 0.06 XXX78258 TC A Esophageal motility study 0.00 5.41 5.61 NA NA 0.03 XXX78258 26 A Esophageal motility study 0.74 0.26 0.31 0.26 0.31 0.03 XXX78261 A Gastric mucosa imaging 0.69 6.28 6.60 NA NA 0.07 XXX78261 TC A Gastric mucosa imaging 0.00 6.02 6.31 NA NA 0.03 XXX78261 26 A Gastric mucosa imaging 0.69 0.26 0.29 0.26 0.29 0.04 XXX78262 A Gastroesophageal reflux exam 0.68 6.17 6.49 NA NA 0.04 XXX78262 TC A Gastroesophageal reflux exam 0.00 5.93 6.22 NA NA 0.03 XXX78262 26 A Gastroesophageal reflux exam 0.68 0.24 0.27 0.24 0.27 0.01 XXX78264 A Gastric emptying study 0.80 7.60 7.61 NA NA 0.07 XXX78264 TC A Gastric emptying study 0.00 7.34 7.33 NA NA 0.03 XXX78264 26 A Gastric emptying study 0.80 0.26 0.28 0.26 0.28 0.04 XXX78267 X Breath tst attain/anal c-14 0.00 0.00 0.00 0.00 0.00 0.00 XXX78268 X Breath test analysis c-14 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 426CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78270 A Vit b-12 absorption exam 0.20 2.07 2.17 NA NA 0.02 XXX78270 TC A Vit b-12 absorption exam 0.00 1.99 2.09 NA NA 0.01 XXX78270 26 A Vit b-12 absorption exam 0.20 0.08 0.08 0.08 0.08 0.01 XXX78271 A Vit b-12 absrp exam int fac 0.20 2.29 2.30 NA NA 0.02 XXX78271 TC A Vit b-12 absrp exam int fac 0.00 2.20 2.22 NA NA 0.01 XXX78271 26 A Vit b-12 absrp exam int fac 0.20 0.09 0.08 0.09 0.08 0.01 XXX78272 A Vit b-12 absorp combined 0.27 2.19 2.37 NA NA 0.04 XXX78272 TC A Vit b-12 absorp combined 0.00 2.09 2.27 NA NA 0.03 XXX78272 26 A Vit b-12 absorp combined 0.27 0.10 0.10 0.10 0.10 0.01 XXX78278 A Acute gi blood loss imaging 0.99 8.75 9.10 NA NA 0.08 XXX78278 TC A Acute gi blood loss imaging 0.00 8.40 8.70 NA NA 0.03 XXX78278 26 A Acute gi blood loss imaging 0.99 0.35 0.40 0.35 0.40 0.05 XXX78282 C Gi protein loss exam 0.00 0.00 0.00 NA NA 0.00 XXX78282 TC C Gi protein loss exam 0.00 0.00 0.00 NA NA 0.00 XXX78282 26 A Gi protein loss exam 0.38 0.14 0.16 0.14 0.16 0.03 XXX78290 A Meckels divert exam 0.68 8.66 8.71 NA NA 0.07 XXX78290 TC A Meckels divert exam 0.00 8.42 8.43 NA NA 0.03 XXX78290 26 A Meckels divert exam 0.68 0.24 0.28 0.24 0.28 0.04 XXX78291 A Leveen/shunt patency exam0.88 6.27 6.48NA NA 0.08 XXX78291 TC A Leveen/shunt patency exam0.00 5.97 6.13NA NA 0.03 XXX78291 26 A Leveen/shunt patency exam 0.880.30 0.35 0.300.35 0.05 XXX78299 C Gi nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX78299 TC C Gi nuclear procedure 0.00 0.00 0.00 NA NA 0.00 XXX78299 26 C Gi nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX78300 A Bone imaging limited area 0.62 4.35 4.51 NA NA 0.06 XXX78300 TC A Bone imaging limited area 0.00 4.12 4.25 NA NA 0.03 XXX78300 26 A Bone imaging limited area 0.62 0.23 0.26 0.23 0.26 0.03 XXX78305 A Bone imaging multiple areas 0.83 5.71 5.95 NA NA 0.07 XXX78305 TC A Bone imaging multiple areas 0.00 5.41 5.62 NA NA 0.03 XXX78305 26 A Bone imaging multiple areas 0.83 0.300.33 0.300.33 0.04 XXXCMS-1582-PN 427CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78306 A Bone imaging whole body 0.86 6.12 6.53 NA NA 0.07 XXX78306 TC A Bone imaging whole body 0.00 5.82 6.18 NA NA 0.03 XXX78306 26 A Bone imaging whole body 0.86 0.30 0.35 0.30 0.35 0.04 XXX78315 A Bone imaging 3 phase 1.02 8.709.06 NA NA 0.08 XXX78315 TC A Bone imaging 3 phase 0.00 8.358.65 NA NA 0.03 XXX78315 26 A Bone imaging 3 phase 1.02 0.35 0.41 0.35 0.41 0.05 XXX78320 A Bone imaging (3d) 1.045.30 6.07 NA NA 0.08 XXX78320 TC A Bone imaging (3d) 0.00 4.965.66 NA NA 0.03 XXX78320 26 A Bone imaging (3d) 1.04 0.34 0.41 0.34 0.41 0.05 XXX78350 N Bone mineral single photon 0.22 0.680.73 NA NA 0.02 XXX78350 TC N Bone mineral single photon 0.00 0.580.64 NA NA 0.01 XXX78350 26 N Bone mineral single photon0.22 0.10 0.09 0.10 0.09 0.01 XXX78351 N Bone mineral dual photon 0.30 0.130.13 0.13 0.13 0.01 XXX78399 C Musculoskeletal nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78399 TC C Musculoskeletal nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78399 26 C Musculoskeletal nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX78414 C Non-imaging heart function 0.00 0.00 0.00 NA NA 0.00 XXX78414 TC C Non-imaging heart function 0.00 0.00 0.00 NA NA 0.00 XXX78414 26 A Non-imaging heart function 0.45 0.20 0.18 0.20 0.18 0.03 XXX78428 A Cardiac shunt imaging 0.78 4.37 4.87 NA NA 0.06 XXX78428 TC A Cardiac shunt imaging 0.00 4.09 4.52 NA NA 0.03 XXX78428 26 A Cardiac shunt imaging 0.78 0.28 0.35 0.28 0.35 0.03 XXX78445 A Vascular flow imaging 0.49 4.29 4.51 NA NA 0.04 XXX78445 TC A Vascular flow imaging 0.00 4.14 4.32 NA NA 0.03 XXX78445 26 A Vascular flow imaging 0.49 0.15 0.19 0.15 0.19 0.01 XXX78451 A Ht muscle image spect sing 1.38 8.58 8.58 NA NA 0.08 XXX78451 TC A Ht muscle image spect sing 0.00 8.07 8.07 NA NA 0.03 XXX78451 26 A Ht muscle image spect sing 1.38 0.51 0.51 0.51 0.51 0.05 XXX78452 A Ht muscle image spect mult 1.62 12.35 12.35 NA NA 0.09 XXX78452 TC A Ht muscle image spect mult 0.00 11.73 11.73 NA NA 0.04 XXXCMS-1582-PN 428CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78452 26 A Ht muscle image spect mult 1.62 0.62 0.62 0.62 0.62 0.05 XXX78453 A Ht muscle image planar sing 1.00 7.55 7.55 NA NA 0.08 XXX78453 TC A Ht muscle image planar sing 0.00 7.18 7.18 NA NA 0.03 XXX78453 26 A Ht muscle image planar sing 1.00 0.37 0.37 0.37 0.37 0.05 XXX78454 A Ht musc image planar mult 1.34 11.03 11.03 NA NA 0.09 XXX78454 TC A Ht musc image planar mult 0.00 10.53 10.53 NA NA 0.04 XXX78454 26 A Ht musc image planar mult 1.34 0.50 0.50 0.50 0.50 0.05 XXX78456 A Acute venous thrombus image 1.00 8.759.36 NA NA 0.06 XXX78456 TC A Acute venous thrombus image 0.00 8.388.89 NA NA 0.03 XXX78456 26 A Acute venous thrombus image 1.00 0.37 0.47 0.37 0.47 0.03 XXX78457 A Venous thrombosis imaging 0.77 4.67 4.91 NA NA 0.07 XXX78457 TC A Venous thrombosis imaging 0.00 4.40 4.60 NA NA 0.03 XXX78457 26 A Venous thrombosis imaging 0.77 0.27 0.31 0.27 0.31 0.04 XXX78458 A Ven thrombosis images bilat 0.90 4.07 4.80 NA NA 0.08 XXX78458 TC A Ven thrombosis images bilat 0.00 3.86 4.49 NA NA 0.03 XXX78458 26 A Ven thrombosis images bilat 0.90 0.21 0.31 0.21 0.31 0.05 XXX78459 C Heart muscle imaging (pet) 0.00 0.00 0.00 NA NA 0.00 XXX78459 TC C Heart muscle imaging (pet) 0.00 0.00 0.00 NA NA 0.00 XXX78459 26 A Heart muscle imaging (pet) 1.50 0.45 0.62 0.45 0.62 0.10 XXX78466 A Heart infarct image 0.69 4.17 4.57 NA NA 0.06 XXX78466 TC A Heart infarct image 0.00 3.91 4.26 NA NA 0.03 XXX78466 26 A Heart infarct image 0.69 0.26 0.31 0.26 0.31 0.03 XXX78468 A Heart infarct image (ef) 0.80 4.85 5.59 NA NA 0.06 XXX78468 TC A Heart infarct image (ef) 0.00 4.54 5.21 NA NA 0.03 XXX78468 26 A Heart infarct image (ef) 0.80 0.31 0.38 0.31 0.38 0.03 XXX78469 A Heart infarct image (3d) 0.92 6.07 6.61 NA NA 0.06 XXX78469 TC A Heart infarct image (3d) 0.00 5.67 6.16 NA NA 0.03 XXX78469 26 A Heart infarct image (3d) 0.92 0.40 0.45 0.40 0.45 0.03 XXX78472 A Gated heart planar single 0.98 5.54 6.37 NA NA 0.07 XXX78472 TC A Gated heart planar single 0.00 5.19 5.94 NA NA 0.03 XXXCMS-1582-PN 429CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78472 26 A Gated heart planar single 0.98 0.35 0.43 0.35 0.43 0.04 XXX78473 A Gated heart multiple 1.47 6.86 8.25 NA NA 0.08 XXX78473 TC A Gated heart multiple 0.00 6.31 7.58 NA NA 0.03 XXX78473 26 A Gated heart multiple 1.47 0.55 0.67 0.55 0.67 0.05 XXX78481 A Heart first pass single 0.98 4.20 5.17 NA NA 0.04 XXX78481 TC A Heart first pass single 0.00 3.82 4.69 NA NA 0.01 XXX78481 26 A Heart first pass single 0.98 0.38 0.48 0.38 0.48 0.03 XXX78483 A Heart first pass multiple 1.47 5.53 7.04 NA NA 0.08 XXX78483 TC A Heart first pass multiple 0.00 4.96 6.31 NA NA 0.03 XXX78483 26 A Heart first pass multiple 1.47 0.57 0.73 0.57 0.73 0.05 XXX78491 C Heart image (pet) single 0.00 0.00 0.00 NA NA 0.00 XXX78491 TC C Heart image (pet) single 0.00 0.00 0.00 NA NA 0.00 XXX78491 26 A Heart image (pet) single 1.50 0.49 0.65 0.49 0.65 0.10 XXX78492 C Heart image (pet) multiple 0.00 0.00 0.00 NA NA 0.00 XXX78492 TC C Heart image (pet) multiple 0.00 0.00 0.00 NA NA 0.00 XXX78492 26 A Heart image (pet) multiple 1.87 0.65 0.86 0.65 0.86 0.12 XXX78494 A Heart image spect 1.19 5.56 6.64 NA NA 0.07 XXX78494 TC A Heart image spect 0.00 5.09 6.09 NA NA 0.03 XXX78494 26 A Heart image spect 1.19 0.47 0.55 0.47 0.55 0.04 XXX78496 A Heart first pass add-on 0.50 0.74 1.86 NA NA 0.02 ZZZ78496 TC A Heart first pass add-on 0.00 0.55 1.63 NA NA 0.01 ZZZ78496 26 A Heart first pass add-on 0.50 0.19 0.23 0.19 0.23 0.01 ZZZ78499 C Cardiovascular nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78499 TC C Cardiovascular nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78499 26 C Cardiovascular nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX78580 A Lung perfusion imaging 0.74 5.12 5.46 NA NA 0.06 XXX78580 TC A Lung perfusion imaging 0.00 4.87 5.16 NA NA 0.03 XXX78580 26 A Lung perfusion imaging 0.74 0.25 0.30 0.25 0.30 0.03 XXX78584 A Lung v/q image single breath 0.99 3.01 3.43 NA NA 0.08 XXX78584 TC A Lung v/q image single breath 0.00 2.65 3.02 NA NA 0.03 XXXCMS-1582-PN 430CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78584 26 A Lung v/q image single breath 0.99 0.36 0.41 0.36 0.41 0.05 XXX78585 A Lung v/q imaging 1.09 8.75 9.23 NA NA 0.08 XXX78585 TC A Lung v/q imaging 0.00 8.37 8.79 NA NA 0.03 XXX78585 26 A Lung v/q imaging 1.09 0.38 0.44 0.38 0.44 0.05 XXX78586 A Aerosol lung image single 0.40 4.31 4.46 NA NA 0.04 XXX78586 TC A Aerosol lung image single 0.00 4.16 4.30 NA NA 0.03 XXX78586 26 A Aerosol lung image single 0.40 0.15 0.16 0.15 0.16 0.01 XXX78587 A Aerosol lung image multiple 0.49 5.33 5.59 NA NA 0.06 XXX78587 TC A Aerosol lung image multiple 0.00 5.17 5.40 NA NA 0.03 XXX78587 26 A Aerosol lung image multiple 0.49 0.16 0.19 0.16 0.19 0.03 XXX78588 A Perfusion lung image 1.09 8.82 8.91NA NA 0.08 XXX78588 TC A Perfusion lung image 0.00 8.44 8.47NA NA 0.03 XXX78588 26 A Perfusion lung image 1.090.38 0.44 0.380.44 0.05 XXX78591 A Vent image 1 breath 1 proj 0.40 4.34 4.52 NA NA 0.04 XXX78591 TC A Vent image 1 breath 1 proj 0.00 4.19 4.35 NA NA 0.03 XXX78591 26 A Vent image 1 breath 1 proj 0.40 0.15 0.17 0.15 0.17 0.01 XXX78593 A Vent image 1 proj gas 0.49 4.94 5.22 NA NA 0.06 XXX78593 TC A Vent image 1 proj gas 0.00 4.77 5.02 NA NA 0.03 XXX78593 26 A Vent image 1 proj gas 0.49 0.17 0.20 0.17 0.20 0.03 XXX78594 A Vent image mult proj gas 0.53 5.14 5.79 NA NA 0.06 XXX78594 TC A Vent image mult proj gas 0.00 4.98 5.59 NA NA 0.03 XXX78594 26 A Vent image mult proj gas 0.53 0.16 0.20 0.16 0.20 0.03 XXX78596 A Lung differential function 1.27 8.99 9.63 NA NA 0.07 XXX78596 TC A Lung differential function 0.00 8.56 9.15 NA NA 0.03 XXX78596 26 A Lung differential function 1.27 0.43 0.48 0.43 0.48 0.04 XXX78599 C Respiratory nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78599 TC C Respiratory nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78599 26 C Respiratory nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX78600 A Brain image < 4 views 0.44 4.57 4.81 NA NA 0.04 XXX78600 TC A Brain image < 4 views 0.00 4.41 4.62 NA NA 0.03 XXXCMS-1582-PN 431CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78600 26 A Brain image < 4 views 0.44 0.16 0.19 0.16 0.19 0.01 XXX78601 A Brain image w/flow < 4 views 0.51 5.42 5.71 NA NA 0.06 XXX78601 TC A Brain image w/flow < 4 views 0.00 5.24 5.51 NA NA 0.03 XXX78601 26 A Brain image w/flow < 4 views 0.51 0.18 0.20 0.18 0.20 0.03 XXX78605 A Brain image 4+ views 0.53 4.89 5.22 NA NA 0.06 XXX78605 TC A Brain image 4+ views 0.00 4.69 4.99 NA NA 0.03 XXX78605 26 A Brain image 4+ views 0.53 0.20 0.23 0.20 0.23 0.03 XXX78606 A Brain image w/flow 4 + views 0.64 8.71 8.85 NA NA 0.04 XXX78606 TC A Brain image w/flow 4 + views 0.00 8.48 8.59 NA NA 0.03 XXX78606 26 A Brain image w/flow 4 + views 0.64 0.23 0.26 0.23 0.26 0.01 XXX78607 A Brain imaging (3d) 1.23 8.66 9.37 NA NA 0.08 XXX78607 TC A Brain imaging (3d) 0.00 8.27 8.90 NA NA 0.03 XXX78607 26 A Brain imaging (3d) 1.23 0.39 0.47 0.39 0.47 0.05 XXX78608 C Brain imaging (pet) 0.00 0.00 0.00 NA NA 0.00 XXX78608 TC C Brain imaging (pet) 0.00 0.00 0.00 NA NA 0.00 XXX78608 26 A Brain imaging (pet) 1.50 0.48 0.58 0.48 0.58 0.11 XXX78609 N Brain imaging (pet) 1.50 0.66 0.63 NA NA 0.10 XXX78609 TC N Brain imaging (pet) 0.00 0.00 0.00 NA NA 0.00 XXX78609 26 N Brain imaging (pet) 1.50 0.66 0.63 0.66 0.63 0.10 XXX78610 A Brain flow imaging only 0.30 4.47 4.88 NA NA 0.04 XXX78610 TC A Brain flow imaging only 0.00 4.36 4.75 NA NA 0.03 XXX78610 26 A Brain flow imaging only 0.30 0.11 0.13 0.11 0.13 0.01 XXX78630 A Cerebrospinal fluid scan 0.68 8.83 9.16 NA NA 0.06 XXX78630 TC A Cerebrospinal fluid scan 0.00 8.59 8.88 NA NA 0.03 XXX78630 26 A Cerebrospinal fluid scan 0.68 0.24 0.28 0.24 0.28 0.03 XXX78635 A Csf ventriculography 0.61 8.84 8.79 NA NA 0.04 XXX78635 TC A Csf ventriculography 0.00 8.61 8.53 NA NA 0.03 XXX78635 26 A Csf ventriculography 0.61 0.23 0.26 0.23 0.26 0.01 XXX78645 A Csf shunt evaluation 0.57 8.49 8.68 NA NA 0.06 XXX78645 TC A Csf shunt evaluation 0.00 8.30 8.45 NA NA 0.03 XXXCMS-1582-PN 432CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78645 26 A Csf shunt evaluation 0.57 0.19 0.23 0.19 0.23 0.03 XXX78647 A Cerebrospinal fluid scan 0.90 8.76 9.25 NA NA 0.08 XXX78647 TC A Cerebrospinal fluid scan 0.00 8.47 8.91 NA NA 0.03 XXX78647 26 A Cerebrospinal fluid scan 0.90 0.29 0.34 0.29 0.34 0.05 XXX78650 A Csf leakage imaging 0.61 8.69 9.02 NA NA 0.07 XXX78650 TC A Csf leakage imaging 0.00 8.49 8.78 NA NA 0.03 XXX78650 26 A Csf leakage imaging 0.61 0.20 0.24 0.20 0.24 0.04 XXX78660 A Nuclear exam of tear flow 0.53 4.63 4.62 NA NA 0.06 XXX78660 TC A Nuclear exam of tear flow 0.00 4.41 4.39 NA NA 0.03 XXX78660 26 A Nuclear exam of tear flow 0.53 0.22 0.23 0.22 0.23 0.03 XXX78699 C Nervous system nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78699 TC C Nervous system nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78699 26 C Nervous system nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX78700 A Kidney imagingmorphol 0.45 4.394.68 NA NA 0.06 XXX78700 TC A Kidney imagingmorphol 0.00 4.234.49 NA NA 0.03 XXX78700 26 A Kidney imaging morphol 0.45 0.16 0.190.16 0.19 0.03 XXX78701 A Kidney imaging with flow0.49 5.42 5.72NA NA 0.06 XXX78701 TC A Kidney imaging with flow0.00 5.25 5.52NA NA 0.03 XXX78701 26 A Kidney imaging with flow 0.49 0.17 0.20 0.17 0.20 0.03 XXX78707 A K flow/funct image w/o drug 0.96 5.45 5.97 NA NA 0.07 XXX78707 TC A K flow/funct image w/o drug 0.00 5.13 5.59 NA NA 0.03 XXX78707 26 A K flow/funct image w/o drug 0.96 0.32 0.38 0.32 0.38 0.04 XXX78708 A K flow/funct image w/drug 1.21 3.35 4.03 NA NA 0.08 XXX78708 TC A K flow/funct image w/drug 0.00 2.94 3.54 NA NA 0.03 XXX78708 26 A K flow/funct image w/drug 1.21 0.41 0.49 0.41 0.49 0.05 XXX78709 A K flow/funct image multiple 1.41 8.92 9.28 NA NA 0.10 XXX78709 TC A K flow/funct image multiple 0.00 8.44 8.72 NA NA 0.03 XXX78709 26 A K flow/funct image multiple 1.41 0.48 0.56 0.48 0.56 0.07 XXX78710 A Kidney imaging(3d) 0.66 5.03 5.85 NA NA 0.04 XXX78710 TC A Kidney imaging(3d) 0.00 4.83 5.60 NA NA 0.03 XXXCMS-1582-PN 433CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78710 26 A Kidney imaging(3d) 0.66 0.20 0.250.20 0.25 0.01 XXX78725 A Kidney function study 0.38 2.48 2.60NA NA 0.04 XXX78725 TC A Kidney function study 0.00 2.34 2.45NA NA 0.03 XXX78725 26 A Kidney function study 0.380.14 0.15 0.140.15 0.01 XXX78730 A Urinary bladder retention 0.15 1.80 2.03 NA NA 0.02 ZZZ78730 TC A Urinary bladder retention 0.00 1.74 1.95 NA NA 0.01 ZZZ78730 26 A Urinary bladder retention 0.15 0.06 0.08 0.06 0.08 0.01 ZZZ78740 A Ureteral reflux study 0.57 5.84 5.89 NA NA 0.06 XXX78740 TC A Ureteral reflux study 0.00 5.62 5.64 NA NA 0.03 XXX78740 26 A Ureteral reflux study 0.57 0.22 0.25 0.22 0.25 0.03 XXX78761 A Testicular imaging w/flow 0.71 5.24 5.48 NA NA 0.07 XXX78761 TC A Testicular imaging w/flow 0.00 4.97 5.18 NA NA 0.03 XXX78761 26 A Testicular imaging w/flow 0.71 0.27 0.30 0.27 0.30 0.04 XXX78799 C Genitourinary nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78799 TC C Genitourinary nuclear exam 0.00 0.00 0.00 NA NA 0.00 XXX78799 26 C Genitourinary nuclear exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX78800 A Tumor imaging limited area 0.66 4.51 4.78 NA NA 0.07 XXX78800 TC A Tumor imaging limited area 0.00 4.27 4.52 NA NA 0.03 XXX78800 26 A Tumor imaging limited area 0.66 0.24 0.26 0.24 0.26 0.04 XXX78801 A Tumor imaging mult areas 0.79 6.27 6.58 NA NA 0.07 XXX78801 TC A Tumor imaging mult areas 0.00 5.98 6.26 NA NA 0.03 XXX78801 26 A Tumor imaging mult areas 0.79 0.29 0.32 0.29 0.32 0.04 XXX78802 A Tumor imaging whole body 0.86 8.12 8.69 NA NA 0.07 XXX78802 TC A Tumor imaging whole body 0.00 7.84 8.35 NA NA 0.03 XXX78802 26 A Tumor imaging whole body 0.86 0.28 0.34 0.28 0.34 0.04 XXX78803 A Tumor imaging (3d) 1.09 8.34 9.17 NA NA 0.08 XXX78803 TC A Tumor imaging (3d) 0.00 8.01 8.75 NA NA 0.03 XXX78803 26 A Tumor imaging (3d) 1.09 0.33 0.42 0.33 0.42 0.05 XXX78804 A Tumor imaging whole body 1.07 14.79 15.92 NA NA 0.10 XXX78804 TC A Tumor imaging whole body 0.00 14.44 15.50 NA NA 0.05 XXXCMS-1582-PN 434CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78804 26 A Tumor imaging whole body 1.07 0.35 0.42 0.35 0.42 0.05 XXX78805 A Abscess imaging ltd area 0.73 4.29 4.63 NA NA 0.07 XXX78805 TC A Abscess imaging ltd area 0.00 4.04 4.34 NA NA 0.03 XXX78805 26 A Abscess imaging ltd area 0.73 0.25 0.29 0.25 0.29 0.04 XXX78806 A Abscess imaging whole body 0.86 8.35 9.03 NA NA 0.07 XXX78806 TC A Abscess imaging whole body 0.00 8.07 8.69 NA NA 0.03 XXX78806 26 A Abscess imaging whole body 0.86 0.28 0.34 0.28 0.34 0.04 XXX78807 A Nuclear localization/abscess 1.09 8.33 9.16 NA NA 0.07 XXX78807 TC A Nuclear localization/abscess 0.00 8.01 8.75 NA NA 0.03 XXX78807 26 A Nuclear localization/abscess 1.09 0.32 0.41 0.32 0.41 0.04 XXX78808 A Iv inj ra drug dx study 0.18 0.89 1.06 NA NA 0.03 XXX78811 C Pet image ltd area 0.00 0.00 0.00 NA NA 0.00 XXX78811 TC C Pet image ltd area 0.00 0.00 0.00 NA NA 0.00 XXX78811 26 A Pet image ltd area 1.54 0.54 0.63 0.54 0.63 0.18 XXX78812 C Pet image skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX78812 TC C Pet image skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX78812 26 A Pet image skull-thigh 1.93 0.66 0.78 0.66 0.78 0.16 XXX78813 C Pet image full body 0.00 0.00 0.00 NA NA 0.00 XXX78813 TC C Pet image full body 0.00 0.00 0.00 NA NA 0.00 XXX78813 26 A Pet image full body 2.00 0.72 0.82 0.72 0.82 0.18 XXX78814 C Pet image w/ct lmtd 0.00 0.00 0.00 NA NA 0.00 XXX78814 TC C Pet image w/ct lmtd 0.00 0.00 0.00 NA NA 0.00 XXX78814 26 A Pet image w/ct lmtd 2.20 0.73 0.87 0.73 0.87 0.20 XXX78815 C Pet image w/ct skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX78815 TC C Pet image w/ct skull-thigh 0.00 0.00 0.00 NA NA 0.00 XXX78815 26 A Pet image w/ct skull-thigh 2.44 0.83 0.98 0.83 0.98 0.22 XXX78816 C Pet image w/ct full body 0.00 0.00 0.00 NA NA 0.00 XXX78816 TC C Pet image w/ct full body 0.00 0.00 0.00 NA NA 0.00 XXX78816 26 A Pet image w/ct full body 2.50 0.80 0.98 0.80 0.98 0.22 XXX78999 C Nuclear diagnostic exam 0.00 0.00 0.00 NA NA 0.00 XXXCMS-1582-PN 435CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global78999 TC C Nuclear diagnostic exam 0.00 0.00 0.00 NA NA 0.00 XXX78999 26 C Nuclear diagnostic exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX79005 A Nuclear rx oral admin 1.80 1.91 2.32 NA NA 0.08 XXX79005 TC A Nuclear rx oral admin 0.00 1.26 1.60 NA NA 0.01 XXX79005 26 A Nuclear rx oral admin 1.80 0.65 0.72 0.65 0.72 0.07 XXX79101 A Nuclear rx iv admin 1.96 2.24 2.71 NA NA 0.08 XXX79101 TC A Nuclear rx iv admin 0.00 1.34 1.74 NA NA 0.01 XXX79101 26 A Nuclear rx iv admin 1.96 0.90 0.97 0.90 0.97 0.07 XXX79200 A Nuclear rx intracav admin 1.99 2.43 2.82 NA NA 0.12 XXX79200 TC A Nuclear rx intracav admin 0.00 1.67 1.98 NA NA 0.01 XXX79200 26 A Nuclear rx intracav admin 1.99 0.76 0.84 0.76 0.84 0.11 XXX79300 C Nuclr rx interstit colloid 0.00 0.00 0.00 NA NA 0.00 XXX79300 TC C Nuclr rx interstit colloid 0.00 0.00 0.00 NA NA 0.00 XXX79300 26 A Nuclr rx interstit colloid 1.60 0.61 0.66 0.61 0.66 0.14 XXX79403 A Hematopoietic nuclear tx 2.25 2.87 3.61 NA NA 0.14 XXX79403 TC A Hematopoietic nuclear tx 0.00 2.07 2.68 NA NA 0.03 XXX79403 26 A Hematopoietic nuclear tx 2.25 0.80 0.93 0.80 0.93 0.11 XXX79440 A Nuclear rx intra-articular 1.99 2.38 2.58 NA NA 0.06 XXX79440 TC A Nuclear rx intra-articular 0.00 1.46 1.66 NA NA 0.01 XXX79440 26 A Nuclear rx intra-articular 1.99 0.92 0.92 0.92 0.92 0.05 XXX79445 C Nuclear rx intra-arterial 0.00 0.00 0.00 NA NA 0.00 XXX79445 TC C Nuclear rx intra-arterial 0.00 0.00 0.00 NA NA 0.00 XXX79445 26 A Nuclear rx intra-arterial 2.40 0.76 0.94 0.76 0.94 0.20 XXX79999 C Nuclear medicine therapy 0.00 0.00 0.00 NA NA 0.00 XXX79999 TC C Nuclear medicine therapy 0.00 0.00 0.00 NA NA 0.00 XXX79999 26 C Nuclear medicine therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX80500 A Lab pathology consultation 0.37 0.18 0.21 0.12 0.14 0.03 XXX80502 A Lab pathology consultation 1.33 0.46 0.48 0.41 0.43 0.07 XXX83020 26 A Hemoglobin electrophoresis 0.37 0.18 0.17 0.18 0.17 0.03 XXX83912 26 A Genetic examination 0.37 0.15 0.14 0.15 0.14 0.03 XXXCMS-1582-PN 436CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global84165 26 A Protein e-phoresis serum 0.37 0.18 0.16 0.18 0.16 0.03 XXX84166 26 A Protein e-phoresis/urine/csf 0.37 0.18 0.16 0.18 0.16 0.03 XXX84181 26 A Western blot test 0.37 0.18 0.17 0.18 0.17 0.03 XXX84182 26 A Protein western blot test 0.37 0.17 0.16 0.17 0.16 0.03 XXX85060 A Blood smear interpretation 0.45 0.22 0.20 0.22 0.20 0.03 XXX85097 A Bone marrow interpretation 0.94 1.36 1.53 0.39 0.39 0.05 XXX85390 26 A Fibrinolysins screen 0.37 0.19 0.18 0.19 0.18 0.03 XXX85396 A Clotting assay whole blood 0.37 NA NA 0.17 0.16 0.03 XXX85576 26 A Blood platelet aggregation 0.37 0.18 0.17 0.18 0.17 0.03 XXX86077 A Physician blood bank service 0.94 0.55 0.51 0.46 0.42 0.05 XXX86078 A Physician blood bank service 0.94 0.55 0.52 0.46 0.43 0.05 XXX86079 A Physician blood bank service 0.94 0.54 0.52 0.45 0.43 0.05 XXX86255 26 A Fluorescent antibody screen 0.37 0.18 0.17 0.18 0.17 0.03 XXX86256 26 A Fluorescent antibody titer 0.37 0.18 0.17 0.18 0.17 0.01 XXX86320 26 A Serum immunoelectrophoresis 0.37 0.18 0.17 0.18 0.17 0.01 XXX86325 26 A Other immunoelectrophoresis 0.37 0.18 0.16 0.18 0.16 0.01 XXX86327 26 A Immunoelectrophoresis assay 0.42 0.21 0.20 0.21 0.20 0.03 XXX86334 26 A Immunofix e-phoresis serum 0.37 0.18 0.17 0.18 0.17 0.03 XXX86335 26 A Immunfix e-phorsis/urine/csf 0.37 0.18 0.16 0.18 0.16 0.03 XXX86485 C Skin test candida 0.00 0.00 0.00 0.00 0.00 0.00 XXX86486 A Skin test nos antigen 0.00 0.13 0.14 NA NA 0.01 XXX86490 A Coccidioidomycosis skin test 0.00 0.17 0.19 NA NA 0.01 XXX86510 A Histoplasmosis skin test 0.00 0.16 0.18 NA NA 0.01 XXX86580 A Tb intradermal test 0.00 0.20 0.21 NA NA 0.01 XXX87164 26 A Dark field examination 0.37 0.18 0.17 0.18 0.17 0.03 XXX87207 26 A Smear special stain 0.37 0.19 0.17 0.19 0.17 0.03 XXX88104 A Cytopath fl nongyn smears0.56 1.36 1.34NA NA 0.02 XXX88104 TC A Cytopath fl nongyn smears0.00 1.11 1.10NA NA 0.01 XXX88104 26 A Cytopath fl nongyn smears 0.56 0.25 0.24 0.25 0.24 0.01 XXX88106 A Cytopath fl nongyn filter0.56 1.74 1.77NA NA 0.02 XXXCMS-1582-PN 437CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global88106 TC A Cytopath fl nongyn filter0.00 1.49 1.54NA NA 0.01 XXX88106 26 A Cytopath fl nongyn filter 0.56 0.25 0.23 0.25 0.23 0.01 XXX88107 A Cytopath fl nongyn sm/fltr 0.76 2.07 2.15NA NA 0.04 XXX88107 TC A Cytopath fl nongyn sm/fltr 0.00 1.73 1.82NA NA 0.01 XXX88107 26 A Cytopath fl nongyn sm/fltr 0.76 0.34 0.33 0.34 0.33 0.03 XXX88108 A Cytopath concentrate tech0.56 1.58 1.64NA NA 0.02 XXX88108 TC A Cytopath concentrate tech0.00 1.34 1.41NA NA 0.01 XXX88108 26 A Cytopath concentrate tech 0.56 0.24 0.23 0.24 0.23 0.01 XXX88112 A Cytopath cell enhance tech1.18 1.67 1.79NA NA 0.05 XXX88112 TC A Cytopath cell enhance tech0.00 1.21 1.35NA NA 0.01 XXX88112 26 A Cytopath cell enhance tech 1.18 0.46 0.44 0.46 0.44 0.04 XXX88120 A Cytp urne 3-5 probes ea spec 1.20 12.17 12.17 NA NA 0.06 XXX88120 TC A Cytp urne 3-5 probes ea spec 0.00 11.86 11.86 NA NA 0.03 XXX88120 26 A Cytp urne 3-5 probes ea spec 1.20 0.31 0.31 0.31 0.31 0.03 XXX88121 A Cytp urine 3-5 probes cmptr 1.00 10.30 10.30 NA NA 0.04 XXX88121 TC A Cytp urine 3-5 probes cmptr 0.00 9.96 9.96 NA NA 0.01 XXX88121 26 A Cytp urine 3-5 probes cmptr 1.00 0.34 0.34 0.34 0.34 0.03 XXX88125 A Forensic cytopathology 0.26 0.35 0.37 NA NA 0.02 XXX88125 TC A Forensic cytopathology 0.00 0.23 0.25 NA NA 0.01 XXX88125 26 A Forensic cytopathology 0.26 0.12 0.12 0.12 0.12 0.01 XXX88141 A Cytopath c/v interpret 0.420.42 0.40 0.420.40 0.03 XXX88160 A Cytopath smear other source0.50 1.08 1.08NA NA 0.02 XXX88160 TC A Cytopath smearother source 0.00 0.860.87 NA NA 0.01 XXX88160 26 A Cytopath smear other source 0.50 0.22 0.21 0.22 0.21 0.01 XXX88161 A Cytopath smear other source0.50 1.00 1.08NA NA 0.02 XXX88161 TC A Cytopath smearother source 0.00 0.810.89 NA NA 0.01 XXX88161 26 A Cytopath smear other source 0.50 0.19 0.19 0.19 0.19 0.01 XXX88162 A Cytopath smear other source0.76 1.38 1.50NA NA 0.04 XXX88162 TC A Cytopath smearother source 0.00 1.091.20 NA NA 0.01 XXX88162 26 A Cytopath smear other source 0.76 0.29 0.30 0.29 0.30 0.03 XXXCMS-1582-PN 438CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global88172 A Cytp dx eval fna 1st ea site 0.60 0.74 0.87 NA NA 0.02 XXX88172 TC A Cytp dx eval fna 1st ea site 0.00 0.46 0.60 NA NA 0.01 XXX88172 26 A Cytp dx eval fna 1st ea site 0.60 0.28 0.27 0.28 0.27 0.01 XXX88173 A Cytopath eval fna report1.39 2.54 2.61NA NA 0.05 XXX88173 TC A Cytopath eval fna report0.00 1.94 2.03NA NA 0.01 XXX88173 26 A Cytopath eval fna report 1.39 0.60 0.58 0.60 0.58 0.04 XXX88177 A Cytp c/v auto thin lyr addl 0.42 0.38 0.38 NA NA 0.02 ZZZ88177 TC A Cytp c/v auto thin lyr addl 0.00 0.18 0.18 NA NA 0.01 ZZZ88177 26 A Cytp c/v auto thin lyr addl 0.42 0.20 0.20 0.20 0.20 0.01 ZZZ88182 A Cell marker study 0.77 2.06 2.23 NA NA 0.06 XXX88182 TC A Cell marker study 0.00 1.85 2.01 NA NA 0.03 XXX88182 26 A Cell marker study 0.77 0.21 0.22 0.21 0.22 0.03 XXX88184 A Flowcytometry/ tc 1 marker 0.00 2.29 2.46 NA NA 0.01 XXX88185 A Flowcytometry/tc add-on 0.00 1.39 1.47 NA NA 0.01 ZZZ88187 A Flowcytometry/read 2-8 1.36 0.59 0.55 0.59 0.55 0.08 XXX88188 A Flowcytometry/read 9-15 1.69 0.76 0.68 0.76 0.68 0.10 XXX88189 A Flowcytometry/read 16 & > 2.23 0.70 0.69 0.70 0.69 0.12 XXX88199 C Cytopathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX88199 TC C Cytopathology procedure0.00 0.00 0.00NA NA 0.00 XXX88199 26 C Cytopathology procedure 0.000.00 0.00 0.000.00 0.00 XXX88291 A Cyto/molecular report 0.52 0.31 0.31 0.31 0.31 0.03 XXX88299 C Cytogenetic study 0.000.00 0.00 0.000.00 0.00 XXX88300 A Surgical path gross 0.08 0.71 0.69 NA NA 0.02 XXX88300 TC A Surgical path gross 0.00 0.67 0.65 NA NA 0.01 XXX88300 26 A Surgical path gross 0.08 0.04 0.04 0.04 0.04 0.01 XXX88302 A Tissue exam by pathologist 0.13 1.40 1.42 NA NA 0.02 XXX88302 TC A Tissue exam by pathologist 0.00 1.34 1.37 NA NA 0.01 XXX88302 26 A Tissue exam by pathologist 0.13 0.06 0.05 0.06 0.05 0.01 XXX88304 A Tissue exam by pathologist 0.22 1.44 1.60 NA NA 0.02 XXX88304 TC A Tissue exam by pathologist 0.00 1.34 1.51 NA NA 0.01 XXXCMS-1582-PN 439CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global88304 26 A Tissue exam by pathologist 0.22 0.10 0.09 0.10 0.09 0.01 XXX88305 A Tissue exam by pathologist 0.75 2.18 2.35 NA NA 0.02 XXX88305 TC A Tissue exam by pathologist 0.00 1.86 2.04 NA NA 0.01 XXX88305 26 A Tissue exam by pathologist 0.75 0.32 0.31 0.32 0.31 0.01 XXX88307 A Tissue exam by pathologist 1.59 5.07 5.02 NA NA 0.05 XXX88307 TC A Tissue exam by pathologist 0.00 4.32 4.31 NA NA 0.01 XXX88307 26 A Tissue exam by pathologist 1.59 0.75 0.71 0.75 0.71 0.04 XXX88309 A Tissue exam by pathologist 2.80 7.35 7.18 NA NA 0.11 XXX88309 TC A Tissue exam by pathologist 0.00 6.02 5.97 NA NA 0.03 XXX88309 26 A Tissue exam by pathologist 2.80 1.33 1.21 1.33 1.21 0.08 XXX88311 A Decalcify tissue 0.24 0.30 0.29 NA NA 0.02 XXX88311 TC A Decalcify tissue 0.00 0.19 0.19 NA NA 0.01 XXX88311 26 A Decalcify tissue 0.24 0.11 0.10 0.11 0.10 0.01 XXX88312 A Special stains group 1 0.54 2.52 2.58 NA NA 0.02 XXX88312 TC A Special stains group 1 0.00 2.30 2.36 NA NA 0.01 XXX88312 26 A Special stains group 1 0.54 0.22 0.22 0.22 0.22 0.01 XXX88313 A Special stains group 2 0.24 1.95 2.03 NA NA 0.02 XXX88313 TC A Special stains group 2 0.00 1.86 1.94 NA NA 0.01 XXX88313 26 A Special stains group 2 0.24 0.09 0.09 0.09 0.09 0.01 XXX88314 A Histochemical stains add-on 0.45 1.99 2.18 NA NA 0.02 XXX88314 TC A Histochemical stains add-on 0.00 1.78 1.98 NA NA 0.01 XXX88314 26 A Histochemical stains add-on 0.45 0.21 0.20 0.21 0.20 0.01 XXX88318 A Chemical histochemistry 0.42 3.18 2.99 NA NA 0.02 XXX88318 TC A Chemical histochemistry 0.00 2.99 2.81 NA NA 0.01 XXX88318 26 A Chemical histochemistry 0.42 0.19 0.18 0.19 0.18 0.01 XXX88319 A Enzyme histochemistry 0.53 3.56 3.74 NA NA 0.04 XXX88319 TC A Enzyme histochemistry 0.00 3.32 3.52 NA NA 0.01 XXX88319 26 A Enzyme histochemistry 0.53 0.24 0.22 0.24 0.22 0.03 XXX88321 A Microslide consultation 1.63 0.96 0.94 0.71 0.66 0.10 XXX88323 A Microslide consultation 1.83 2.17 2.32 NA NA 0.05 XXXCMS-1582-PN 440CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global88323 TC A Microslide consultation 0.00 1.57 1.72 NA NA 0.01 XXX88323 26 A Microslide consultation 1.83 0.60 0.60 0.60 0.60 0.04 XXX88325 A Comprehensive review of data 2.50 3.28 3.25 1.27 1.14 0.12 XXX88329 A Path consult introp 0.67 0.84 0.82 0.32 0.30 0.04 XXX88331 A Path consult intraop 1 bloc 1.19 1.52 1.48 NA NA 0.02 XXX88331 TC A Path consult intraop 1 bloc 0.00 0.93 0.93 NA NA 0.01 XXX88331 26 A Path consult intraop 1 bloc 1.19 0.59 0.55 0.59 0.55 0.01 XXX88332 A Path consult intraop addl 0.59 0.59 0.58 NA NA 0.02 XXX88332 TC A Path consult intraop addl 0.00 0.31 0.32 NA NA 0.01 XXX88332 26 A Path consult intraop addl 0.59 0.28 0.26 0.28 0.26 0.01 XXX88333 A Intraop cyto path consult 1 1.20 1.59 1.55 NA NA 0.05 XXX88333 TC A Intraop cyto path consult 1 0.00 1.03 1.02 NA NA 0.01 XXX88333 26 A Intraop cyto path consult 1 1.20 0.56 0.53 0.56 0.53 0.04 XXX88334 A Intraop cyto path consult 2 0.73 1.00 0.96 NA NA 0.04 XXX88334 TC A Intraop cyto path consult 2 0.00 0.65 0.64 NA NA 0.01 XXX88334 26 A Intraop cyto path consult 2 0.73 0.35 0.32 0.35 0.32 0.03 XXX88342 A Immunohistochemistry 0.85 2.11 2.17 NA NA 0.04 XXX88342 TC A Immunohistochemistry 0.00 1.77 1.84 NA NA 0.01 XXX88342 26 A Immunohistochemistry 0.85 0.34 0.33 0.34 0.33 0.03 XXX88346 A Immunofluorescent study 0.86 2.02 2.12 NA NA 0.02 XXX88346 TC A Immunofluorescent study 0.00 1.67 1.78 NA NA 0.01 XXX88346 26 A Immunofluorescent study 0.86 0.35 0.34 0.35 0.34 0.01 XXX88347 A Immunofluorescent study 0.86 1.27 1.39 NA NA 0.02 XXX88347 TC A Immunofluorescent study 0.00 1.03 1.14 NA NA 0.01 XXX88347 26 A Immunofluorescent study 0.86 0.24 0.25 0.24 0.25 0.01 XXX88348 A Electron microscopy 1.51 17.88 18.41 NA NA 0.12 XXX88348 TC A Electron microscopy 0.00 17.27 17.81 NA NA 0.08 XXX88348 26 A Electron microscopy 1.51 0.61 0.60 0.61 0.60 0.04 XXX88349 A Scanning electron microscopy 0.76 10.52 9.74 NA NA 0.07 XXX88349 TC A Scanning electron microscopy 0.00 10.14 9.39 NA NA 0.04 XXXCMS-1582-PN 441CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global88349 26 A Scanning electron microscopy 0.76 0.38 0.35 0.38 0.35 0.03 XXX88355 A Analysis skeletal muscle 1.85 3.22 4.38 NA NA 0.06 XXX88355 TC A Analysis skeletal muscle 0.00 2.68 3.82 NA NA 0.01 XXX88355 26 A Analysis skeletal muscle 1.85 0.54 0.56 0.54 0.56 0.05 XXX88356 A Analysis nerve 3.02 4.49 5.13 NA NA 0.18 XXX88356 TC A Analysis nerve 0.00 3.92 4.43 NA NA 0.04 XXX88356 26 A Analysis nerve 3.02 0.57 0.70 0.57 0.70 0.14 XXX88358 A Analysis tumor 0.95 1.16 1.21 NA NA 0.04 XXX88358 TC A Analysis tumor 0.00 0.91 0.95 NA NA 0.01 XXX88358 26 A Analysis tumor 0.95 0.25 0.26 0.25 0.26 0.03 XXX88360 A Tumor immunohistochem/manual 1.10 2.40 2.49 NA NA 0.04 XXX88360 TC A Tumor immunohistochem/manual 0.00 1.98 2.08 NA NA 0.01 XXX88360 26 A Tumor immunohistochem/manual 1.10 0.42 0.41 0.42 0.41 0.03 XXX88361 A Tumor immunohistochem/comput 1.18 3.01 3.23 NA NA 0.05 XXX88361 TC A Tumor immunohistochem/comput 0.00 2.57 2.81 NA NA 0.01 XXX88361 26 A Tumor immunohistochem/comput 1.18 0.44 0.42 0.44 0.42 0.04 XXX88362 A Nerve teasing preparations 2.17 6.03 6.00 NA NA 0.14 XXX88362 TC A Nerve teasing preparations 0.00 5.10 5.12 NA NA 0.04 XXX88362 26 A Nerve teasing preparations 2.17 0.93 0.88 0.93 0.88 0.10 XXX88363 A Xm archive tissue molec anal 0.37 0.72 0.72 0.10 0.10 0.03 XXX88365 A Insitu hybridization (fish) 1.20 3.56 3.63 NA NA 0.04 XXX88365 TC A Insitu hybridization (fish) 0.00 3.09 3.18 NA NA 0.01 XXX88365 26 A Insitu hybridization (fish) 1.20 0.47 0.45 0.47 0.45 0.03 XXX88367 A Insitu hybridization auto 1.30 6.06 6.18 NA NA 0.06 XXX88367 TC A Insitu hybridization auto 0.00 5.61 5.74 NA NA 0.01 XXX88367 26 A Insitu hybridization auto 1.30 0.45 0.44 0.45 0.44 0.05 XXX88368 A Insitu hybridization manual 1.40 4.81 5.02 NA NA 0.05 XXX88368 TC A Insitu hybridization manual 0.00 4.45 4.63 NA NA 0.01 XXX88368 26 A Insitu hybridization manual 1.40 0.36 0.39 0.36 0.39 0.04 XXX88371 26 A Protein western blot tissue 0.37 0.18 0.16 0.18 0.16 0.03 XXXCMS-1582-PN 442CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global88372 26 A Protein analysis w/probe 0.37 0.18 0.17 0.18 0.17 0.03 XXX88380 A Microdissection laser 1.56 2.60 3.54 NA NA 0.05 XXX88380 TC A Microdissection laser 0.00 2.15 3.01 NA NA 0.01 XXX88380 26 A Microdissection laser 1.56 0.45 0.53 0.45 0.53 0.04 XXX88381 A Microdissection manual 1.18 2.80 4.20 NA NA 0.04 XXX88381 TC A Microdissection manual 0.00 2.55 3.84 NA NA 0.01 XXX88381 26 A Microdissection manual 1.18 0.25 0.36 0.25 0.36 0.03 XXX88384 C Eval molecular probes 11-50 0.00 0.00 0.00 NA NA 0.00 XXX88384 TC C Eval molecular probes 11-50 0.00 0.00 0.00 NA NA 0.00 XXX88384 26 C Eval molecular probes 11-50 0.00 0.00 0.00 0.00 0.00 0.00 XXX88385 A Eval molecul probes 51-250 1.50 15.08 15.33 NA NA 0.07 XXX88385 TC A Eval molecul probes 51-250 0.00 14.71 14.94 NA NA 0.03 XXX88385 26 A Eval molecul probes 51-250 1.50 0.37 0.39 0.37 0.39 0.04 XXX88386 A Eval molecul probes 251-500 1.88 13.86 16.89 NA NA 0.08 XXX88386 TC A Eval molecul probes 251-500 0.00 13.51 16.28 NA NA 0.03 XXX88386 26 A Eval molecul probes 251-500 1.88 0.35 0.61 0.35 0.61 0.05 XXX88387 A Tiss exam molecular study 0.62 0.55 0.55 NA NA 0.02 XXX88387 TC A Tiss exam molecular study 0.00 0.25 0.25 NA NA 0.01 XXX88387 26 A Tiss exam molecular study 0.62 0.30 0.30 0.30 0.30 0.01 XXX88388 A Tiss ex molecul study add-on 0.45 0.22 0.22 NA NA 0.02 XXX88388 TC A Tiss ex molecul study add-on 0.00 0.12 0.12 NA NA 0.01 XXX88388 26 A Tiss ex molecul study add-on 0.45 0.10 0.10 0.10 0.10 0.01 XXX88399 C Surgical pathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX88399 TC C Surgical pathology procedure 0.00 0.00 0.00 NA NA 0.00 XXX88399 26 C Surgical pathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX89049 A Chct for mal hyperthermia 1.40 5.80 6.00 0.40 0.45 0.10 XXX89060 26 A Exam synovial fluid crystals 0.37 0.18 0.17 0.18 0.17 0.03 XXX89220 A Sputum specimen collection 0.00 0.44 0.46 NA NA 0.01 XXX89230 A Collect sweat for test 0.00 0.06 0.08 NA NA 0.01 XXX89240 C Pathology lab procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 443CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global90281 I Human ig im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90283 I Human ig iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX90284 X Human ig sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90287 I Botulinum antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 XXX90288 I Botulism ig iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX90291 I Cmv ig iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX90296 E Diphtheria antitoxin 0.00 0.00 0.00 0.00 0.00 0.00 XXX90371 E Hep b ig im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90375 E Rabies ig im/sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90376 E Rabies ig heat treated 0.00 0.00 0.00 0.00 0.00 0.00 XXX90378 X Rsv mab im 50mg 0.00 0.00 0.00 0.00 0.00 0.00 XXX90384 I Rh ig full-dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90385 E Rh ig minidose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90386 I Rh ig iv 0.00 0.00 0.00 0.00 0.00 0.00 XXX90389 I Tetanus ig im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90393 E Vaccina ig im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90396 E Varicella-zoster ig im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90399 I Immune globulin 0.00 0.00 0.00 0.00 0.00 0.00 XXX90460 A Imadm any route 1st vac/tox 0.17 0.50 0.50 NA NA 0.01 XXX90461 A Inadm any route addl vac/tox 0.15 0.20 0.18 NA NA 0.01 ZZZ90471 A Immunization admin 0.17 0.50 0.50 NA NA 0.01 XXX90472 A Immunization admin each add 0.15 0.20 0.18 NA NA 0.01 ZZZ90473 R Immune admin oral/nasal 0.17 0.50 0.50 NA NA 0.01 XXX90474 R Immune admin oral/nasal addl 0.15 0.20 0.18 NA NA 0.01 ZZZ90476 E Adenovirus vaccine type 4 0.00 0.00 0.00 0.00 0.00 0.00 XXX90477 E Adenovirus vaccine type 7 0.00 0.00 0.00 0.00 0.00 0.00 XXX90581 E Anthrax vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90585 E Bcg vaccine percut 0.00 0.00 0.00 0.00 0.00 0.00 XXX90586 E Bcg vaccine intravesical 0.00 0.00 0.00 0.00 0.00 0.00 XXX90632 E Hep a vaccine adult im 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 444CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global90633 E Hep a vacc ped/adol 2 dose 0.00 0.00 0.00 0.00 0.00 0.00 XXX90634 E Hep a vacc ped/adol 3 dose 0.00 0.00 0.00 0.00 0.00 0.00 XXX90636 E Hep a/hep b vacc adult im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90644 X Meningoccl hib vac 4 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90645 E Hib vaccine hboc im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90646 E Hib vaccine prp-d im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90647 E Hib vaccine prp-omp im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90648 E Hib vaccine prp-t im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90649 E Hpv vaccine 4 valent im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90650 E Hpv vaccine 2 valent im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90654 X Flu vaccine no preserv, id 0.00 0.00 0.00 0.00 0.00 0.00 XXX90655 X Flu vaccine no preserv 6-35m 0.00 0.00 0.00 0.00 0.00 0.00 XXX90656 X Flu vaccine no preserv 3 & > 0.00 0.00 0.00 0.00 0.00 0.00 XXX90657 X Flu vaccine 3 yrs im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90658 I Flu vaccine 3 yrs & > im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90660 X Flu vaccine nasal 0.00 0.00 0.00 0.00 0.00 0.00 XXX90661 X Flu vacc cell cult prsv free 0.00 0.00 0.00 0.00 0.00 0.00 XXX90662 X Flu vacc prsv free inc antig 0.00 0.00 0.00 0.00 0.00 0.00 XXX90664 X Flu vacc pandemic intranasal 0.00 0.00 0.00 0.00 0.00 0.00 XXX90665 E Lyme disease vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90666 X Flu vac pandem prsrv free im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90667 X Flu vac pandemic adjuvant im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90668 X Flu vac pandemic splt im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90669 X Pneumococcal vacc 7 val im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90670 X Pneumococcal vacc 13 val im0.00 0.00 0.00 0.00 0.00 0.00 XXX90675 E Rabies vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90676 E Rabies vaccine id 0.00 0.00 0.00 0.00 0.00 0.00 XXX90680 E Rotovirus vacc 3 dose oral 0.00 0.00 0.00 0.00 0.00 0.00 XXX90681 E Rotavirus vacc 2 dose oral 0.00 0.00 0.00 0.00 0.00 0.00 XXX90690 E Typhoid vaccine oral 0.000.00 0.00 0.000.00 0.00 XXXCMS-1582-PN 445CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global90691 E Typhoid vaccine im 0.000.00 0.00 0.000.00 0.00 XXX90692 E Typhoid vaccine h-p sc/id 0.00 0.00 0.00 0.00 0.00 0.00 XXX90693 E Typhoid vaccine akd sc 0.000.00 0.00 0.000.00 0.00 XXX90696 E Dtap-ipv vacc 4-6 yr im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90698 E Dtap-hib-ip vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90700 E Dtap vaccine < 7 yrs im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90701 E Dtp vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90702 E Dt vaccine < 7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90703 E Tetanus vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90704 E Mumps vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90705 E Measles vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90706 E Rubella vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90707 E Mmr vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90708 E Measles-rubella vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90710 E Mmrv vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90712 E Oral poliovirus vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXX90713 E Poliovirus ipv sc/im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90714 E Td vaccine no prsrv >/= 7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90715 E Tdap vaccine >7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90716 E Chicken pox vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90717 E Yellow fever vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90718 E Td vaccine > 7 im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90719 E Diphtheria vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90720 E Dtp/hib vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90721 E Dtap/hib vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90723 I Dtap-hep b-ipv vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90725 E Cholera vaccine injectable 0.00 0.00 0.00 0.00 0.00 0.00 XXX90727 E Plague vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90732 X Pneumococcal vaccine 0.000.00 0.00 0.000.00 0.00 XXX90733 E Meningococcal vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 446CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global90734 E Meningococcal vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90735 E Encephalitis vaccine sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90736 E Zoster vacc sc 0.00 0.00 0.00 0.00 0.00 0.00 XXX90738 I Inactivated je vacc im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90740 X Hepb vacc ill pat 3 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90743 X Hep b vacc adol 2 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90744 X Hepb vacc ped/adol 3 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90746 X Hep b vaccine adult im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90747 X Hepb vacc ill pat 4 dose im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90748 I Hep b/hib vaccine im 0.00 0.00 0.00 0.00 0.00 0.00 XXX90749 E Vaccine toxoid 0.00 0.00 0.00 0.00 0.00 0.00 XXX90801 A Psy dx interview 2.80 1.55 1.62 0.60 0.72 0.11 XXX90802 A Intac psy dx interview 3.01 1.82 1.79 0.78 0.84 0.12 XXX90804 A Psytx office 20-30 min 1.21 0.56 0.61 0.18 0.25 0.04 XXX90805 A Psytx off 20-30 min w/e&m 1.37 0.70 0.70 0.28 0.32 0.05 XXX90806 A Psytx off 45-50 min 1.86 0.46 0.57 0.25 0.37 0.07 XXX90807 A Psytx off 45-50 min w/e&m 2.02 0.83 0.84 0.41 0.47 0.08 XXX90808 A Psytx office 75-80 min 2.79 0.63 0.79 0.43 0.59 0.10 XXX90809 A Psytx off 75-80 w/e&m 2.95 1.02 1.06 0.64 0.71 0.12 XXX90810 A Intac psytx off 20-30 min 1.32 0.47 0.55 0.21 0.27 0.05 XXX90811 A Intac psytx 20-30 w/e&m 1.48 0.86 0.84 0.32 0.36 0.07 XXX90812 A Intac psytx off 45-50 min 1.97 0.57 0.70 0.26 0.39 0.07 XXX90813 A Intac psytx 45-50 min w/e&m 2.13 0.97 0.98 0.43 0.50 0.08 XXX90814 A Intac psytx off 75-80 min 2.90 0.73 0.94 0.38 0.62 0.11 XXX90815 A Intac psytx 75-80 w/e&m 3.06 1.35 1.29 0.82 0.81 0.14 XXX90816 A Psytx hosp 20-30 min 1.25 0.26 0.26 0.26 0.35 0.04 XXX90817 A Psytx hosp 20-30 min w/e&m 1.41 0.41 0.41 0.41 0.44 0.05 XXX90818 A Psytx hosp 45-50 min 1.89 0.34 0.34 0.34 0.48 0.07 XXX90819 A Psytx hosp 45-50 min w/e&m 2.05 0.55 0.55 0.55 0.59 0.08 XXX90821 A Psytx hosp 75-80 min 2.83 0.48 0.48 0.48 0.67 0.10 XXXCMS-1582-PN 447CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global90822 A Psytx hosp 75-80 min w/e&m 2.99 0.74 0.74 0.74 0.81 0.12 XXX90823 A Intac psytx hosp 20-30 min 1.36 0.29 0.29 0.29 0.37 0.04 XXX90824 A Intac psytx hsp 20-30 w/e&m 1.52 0.43 0.43 0.43 0.47 0.07 XXX90826 A Intac psytx hosp 45-50 min 2.01 0.38 0.38 0.38 0.51 0.07 XXX90827 A Intac psytx hsp 45-50 w/e&m 2.16 0.56 0.56 0.56 0.61 0.08 XXX90828 A Intac psytx hosp 75-80 min 2.94 0.51 0.51 0.51 0.71 0.10 XXX90829 A Intac psytx hsp 75-80 w/e&m 3.10 0.75 0.75 0.75 0.83 0.12 XXX90845 A Psychoanalysis 1.79 0.43 0.48 0.350.41 0.07 XXX90846 R Family psytx w/o patient 1.83 0.49 0.58 0.40 0.50 0.07 XXX90847 R Family psytx w/patient 2.21 0.70 0.80 0.43 0.56 0.08 XXX90849 R Multiple family group psytx 0.59 0.38 0.38 0.22 0.25 0.03 XXX90853 A Group psychotherapy 0.59 0.32 0.32 0.25 0.25 0.03 XXX90857 A Intac group psytx 0.63 0.44 0.42 0.30 0.28 0.03 XXX90862 A Medication management 0.95 0.73 0.71 0.32 0.33 0.04 XXX90865 A Narcosynthesis 2.84 1.76 1.69 0.70 0.79 0.11 XXX90867 C Tcranial magn stim tx plan 0.00 0.00 0.00 0.00 0.00 0.00 YYY90868 C Tcranial magn stim tx deli 0.00 0.00 0.00 0.00 0.00 0.00 YYY90870 A Electroconvulsive therapy 2.50 2.32 2.30 0.57 0.56 0.11 00090875 N Psychophysiological therapy 1.20 0.83 0.86 0.53 0.52 0.08 XXX90876 N Psychophysiological therapy 1.90 1.12 1.15 0.83 0.82 0.12 XXX90880 A Hypnotherapy 2.19 0.52 0.69 0.360.47 0.08 XXX90882 N Environmental manipulation 0.00 0.00 0.00 0.00 0.00 0.00 XXX90885 B Psy evaluation of records 0.97 0.43 0.42 0.43 0.42 0.07 XXX90887 B Consultation with family 1.48 0.98 0.98 0.65 0.64 0.10 XXX90889 B Preparation of report 0.00 0.00 0.00 0.00 0.00 0.00 XXX90899 C Psychiatric service/therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX90901 A Biofeedback train any meth 0.41 0.70 0.66 0.19 0.17 0.01 00090911 A Biofeedback peri/uro/rectal 0.89 1.47 1.61 0.37 0.38 0.07 00090935 A Hemodialysis one evaluation 1.48 NA NA 0.57 0.64 0.08 00090937 A Hemodialysis repeated eval 2.11 NA NA 0.82 0.92 0.11 000CMS-1582-PN 448CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global90940 X Hemodialysis access study 0.00 0.00 0.00 0.00 0.00 0.00 XXX90945 A Dialysis one evaluation 1.56 NA NA 0.86 0.79 0.08 00090947 A Dialysis repeated eval 2.52 NA NA 0.97 1.01 0.15 00090951 A Esrd serv 4 visits p mo <2 18.46 8.00 8.64 8.00 8.64 1.02 XXX90952 C Esrd serv 2-3 vsts p mo <2 0.00 0.00 0.00 0.00 0.00 0.00 XXX90953 C Esrd serv 1 visit p mo <2 0.00 0.00 0.00 0.00 0.00 0.00 XXX90954 A Esrd serv 4 vsts p mo 2-11 15.98 6.92 6.71 6.92 6.71 0.90 XXX90955 A Esrd srv 2-3 vsts p mo 2-11 8.79 4.07 4.05 4.07 4.05 0.49 XXX90956 A Esrd srv 1 visit p mo 2-11 5.95 2.97 2.86 2.97 2.86 0.34 XXX90957 A Esrd srv 4 vsts p mo 12-19 12.52 5.60 5.63 5.60 5.63 0.72 XXX90958 A Esrd srv 2-3 vsts p mo 12-19 8.34 3.97 3.96 3.97 3.96 0.48 XXX90959 A Esrd serv 1 vst p mo 12-19 5.50 2.83 2.70 2.83 2.70 0.31 XXX90960 A Esrd srv 4 visits p mo 20+ 5.18 2.79 2.90 2.79 2.90 0.31 XXX90961 A Esrd srv 2-3 vsts p mo 20+ 4.26 2.44 2.38 2.44 2.38 0.26 XXX90962 A Esrd serv 1 visit p mo 20+ 3.15 2.01 1.81 2.01 1.81 0.20 XXX90963 A Esrd home pt serv p mo <2 10.56 4.76 4.91 4.76 4.91 0.60 XXX90964 A Esrd home pt serv p mo 2-11 9.14 4.21 3.99 4.21 3.99 0.52 XXX90965 A Esrd home pt serv p mo 12-19 8.69 4.04 3.83 4.04 3.83 0.49 XXX90966 A Esrd home pt serv p mo 20+ 4.26 2.43 2.34 2.43 2.34 0.26 XXX90967 A Esrd home pt serv p day <2 0.35 0.16 0.19 0.16 0.19 0.01 XXX90968 A Esrd home pt srv p day 2-11 0.30 0.14 0.14 0.14 0.14 0.01 XXX90969 A Esrd home pt srv p day 12-19 0.29 0.14 0.14 0.14 0.14 0.01 XXX90970 A Esrd home pt serv p day 20+ 0.14 0.08 0.08 0.08 0.08 0.01 XXX90989 X Dialysis training complete 0.00 0.00 0.00 0.00 0.00 0.00 XXX90993 X Dialysis training incompl 0.00 0.00 0.00 0.00 0.00 0.00 XXX90997 A Hemoperfusion 1.84 NA NA 0.68 0.68 0.10 00090999 C Dialysis procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX91010 A Esophagus motility study 1.28 3.72 4.16 NA NA 0.08 00091010 TC A Esophagus motility study 0.00 3.03 3.48 NA NA 0.01 00091010 26 A Esophagus motility study 1.28 0.69 0.68 0.69 0.68 0.07 000CMS-1582-PN 449CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global91013 A Esophgl motil w/stim/perfus 0.18 0.48 0.48 NA NA 0.02 ZZZ91013 TC A Esophgl motil w/stim/perfus 0.00 0.38 0.38 NA NA 0.01 ZZZ91013 26 A Esophgl motil w/stim/perfus 0.18 0.10 0.10 0.10 0.10 0.01 ZZZ91020 A Gastric motility studies 1.44 5.22 5.46 NA NA 0.08 00091020 TC A Gastric motility studies 0.00 4.44 4.70 NA NA 0.01 00091020 26 A Gastric motility studies 1.44 0.78 0.76 0.78 0.76 0.07 00091022 A Duodenal motility study 1.44 3.45 3.89 NA NA 0.06 00091022 TC A Duodenal motility study 0.00 2.65 3.08 NA NA 0.01 00091022 26 A Duodenal motility study 1.44 0.80 0.81 0.80 0.81 0.05 00091030 A Acid perfusion of esophagus 0.91 3.01 3.19 NA NA 0.05 00091030 TC A Acid perfusion of esophagus 0.00 2.50 2.68 NA NA 0.01 00091030 26 A Acid perfusion of esophagus 0.91 0.51 0.51 0.51 0.51 0.04 00091034 A Gastroesophageal reflux test 0.97 4.37 4.80 NA NA 0.05 00091034 TC A Gastroesophageal reflux test 0.00 3.85 4.29 NA NA 0.01 00091034 26 A Gastroesophageal reflux test 0.97 0.52 0.51 0.52 0.51 0.04 00091035 A G-esoph reflx tst w/electrod 1.59 11.97 12.65 NA NA 0.08 00091035 TC A G-esoph reflx tst w/electrod 0.00 11.11 11.80 NA NA 0.01 00091035 26 A G-esoph reflx tst w/electrod 1.59 0.86 0.85 0.86 0.85 0.07 00091037 A Esoph imped function test 0.97 3.58 3.77 NA NA 0.08 00091037 TC A Esoph imped function test 0.00 3.06 3.24 NA NA 0.01 00091037 26 A Esoph imped function test 0.97 0.52 0.53 0.52 0.53 0.07 00091038 A Esoph imped funct test > 1h 1.10 11.95 7.64 NA NA 0.06 00091038 TC A Esoph imped funct test > 1h 0.00 11.35 7.04 NA NA 0.01 00091038 26 A Esoph imped funct test > 1h 1.10 0.60 0.60 0.60 0.60 0.05 00091040 A Esoph balloon distension tst 0.97 7.06 9.08 NA NA 0.04 00091040 TC A Esoph balloon distension tst 0.00 6.68 8.61 NA NA 0.01 00091040 26 A Esoph balloon distension tst 0.97 0.38 0.47 0.38 0.47 0.03 00091065 A Breath hydrogen test 0.20 2.35 2.12 NA NA 0.02 00091065 TC A Breath hydrogen test 0.00 2.24 2.02 NA NA 0.01 00091065 26 A Breath hydrogen test 0.20 0.11 0.10 0.11 0.10 0.01 000CMS-1582-PN 450CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global91110 A Gi tract capsule endoscopy 3.64 21.52 23.27 NA NA 0.17 XXX91110 TC A Gi tract capsule endoscopy 0.00 19.51 21.27 NA NA 0.01 XXX91110 26 A Gi tract capsule endoscopy 3.64 2.01 2.00 2.01 2.00 0.16 XXX91111 A Esophageal capsule endoscopy 1.00 19.37 20.63 NA NA 0.05 XXX91111 TC A Esophageal capsule endoscopy 0.00 18.82 20.07 NA NA 0.01 XXX91111 26 A Esophageal capsule endoscopy 1.00 0.55 0.56 0.55 0.56 0.04 XXX91117 A Colon motility 6 hr study 2.45 1.36 1.36 1.63 1.63 0.38 00091120 A Rectal sensation test 0.97 9.06 10.27 NA NA 0.09 XXX91120 TC A Rectal sensation test 0.00 8.62 9.85 NA NA 0.01 XXX91120 26 A Rectal sensation test 0.97 0.44 0.42 0.44 0.42 0.08 XXX91122 A Anal pressure record 1.77 4.43 4.85 NA NA 0.11 00091122 TC A Anal pressure record 0.00 3.65 4.08 NA NA 0.01 00091122 26 A Anal pressure record 1.77 0.78 0.77 0.78 0.77 0.10 00091132 A Electrogastrography 0.52 3.59 3.60 NA NA 0.04 XXX91132 TC A Electrogastrography 0.00 3.32 3.32 NA NA 0.01 XXX91132 26 A Electrogastrography 0.52 0.27 0.28 0.27 0.28 0.03 XXX91133 A Electrogastrography w/test 0.66 4.37 4.37 NA NA 0.05 XXX91133 TC A Electrogastrography w/test 0.00 4.00 4.00 NA NA 0.01 XXX91133 26 A Electrogastrography w/test 0.66 0.37 0.37 0.37 0.37 0.04 XXX91299 C Gastroenterology procedure 0.00 0.00 0.00 NA NA 0.00 XXX91299 TC C Gastroenterology procedure 0.00 0.00 0.00 NA NA 0.00 XXX91299 26 C Gastroenterology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX92002 A Eye exam new patient 0.88 1.36 1.27 0.49 0.43 0.07 XXX92004 A Eye exam new patient 1.82 2.36 2.18 1.05 0.91 0.12 XXX92012 A Eye exam established pat 0.92 1.47 1.36 0.60 0.50 0.07 XXX92014 A Eye exam & treatment 1.42 2.06 1.89 0.89 0.75 0.10 XXX92015 N Refraction 0.38 0.18 0.38 0.17 0.16 0.03 XXX92018 A New eye exam & treatment 2.50 NA NA 1.65 1.42 0.16 XXX92019 A Eye exam & treatment 1.31 NA NA 0.67 0.59 0.07 XXX92020 A Special eye evaluation 0.37 0.40 0.37 0.24 0.21 0.03 XXXCMS-1582-PN 451CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92025 A Corneal topography 0.35 0.71 0.66 NA NA 0.02 XXX92025 TC A Corneal topography 0.00 0.48 0.46 NA NA 0.01 XXX92025 26 A Corneal topography 0.35 0.23 0.20 0.23 0.20 0.01 XXX92060 A Special eye evaluation 0.69 1.13 1.05 NA NA 0.04 XXX92060 TC A Special eye evaluation 0.00 0.70 0.67 NA NA 0.01 XXX92060 26 A Special eye evaluation 0.69 0.43 0.38 0.43 0.38 0.03 XXX92065 A Orthoptic/pleoptic training 0.37 1.13 1.04 NA NA 0.02 XXX92065 TC A Orthoptic/pleoptic training 0.00 0.98 0.90 NA NA 0.01 XXX92065 26 A Orthoptic/pleoptic training 0.37 0.15 0.14 0.15 0.14 0.01 XXX92070 A Fitting of contact lens 0.70 1.29 1.23 0.43 0.37 0.04 XXX92081 A Visual field examination(s) 0.30 1.02 1.09 NA NA 0.04 XXX92081 TC A Visual field examination(s) 0.00 0.85 0.93 NA NA 0.01 XXX92081 26 A Visual field examination(s) 0.30 0.17 0.16 0.17 0.16 0.03 XXX92082 A Visual field examination(s) 0.40 1.50 1.54 NA NA 0.05 XXX92082 TC A Visual field examination(s) 0.00 1.27 1.33 NA NA 0.01 XXX92082 26 A Visual field examination(s) 0.40 0.23 0.21 0.23 0.21 0.04 XXX92083 A Visual field examination(s) 0.50 2.05 1.94 NA NA 0.04 XXX92083 TC A Visual field examination(s) 0.00 1.73 1.66 NA NA 0.01 XXX92083 26 A Visual field examination(s) 0.50 0.32 0.28 0.32 0.28 0.03 XXX92100 A Serial tonometry exam(s) 0.92 1.81 1.70 0.55 0.47 0.05 XXX92120 A Tonography & eye evaluation 0.81 1.40 1.32 0.47 0.41 0.05 XXX92130 A Water provocation tonography 0.81 1.66 1.57 0.51 0.45 0.04 XXX92132 A Cmptr ophth dx img ant segmt 0.35 0.68 0.68 NA NA 0.04 XXX92132 TC A Cmptr ophth dx img ant segmt 0.00 0.44 0.44 NA NA 0.01 XXX92132 26 A Cmptr ophth dx img ant segmt 0.35 0.24 0.24 0.24 0.24 0.03 XXX92133 A Cmptr ophth img optic nerve 0.50 0.77 0.77 NA NA 0.04 XXX92133 TC A Cmptr ophth img optic nerve 0.00 0.44 0.44 NA NA 0.01 XXX92133 26 A Cmptr ophth img optic nerve 0.50 0.33 0.33 0.33 0.33 0.03 XXX92134 A Cptr ophth dx img post segmt 0.50 0.77 0.77 NA NA 0.04 XXX92134 TC A Cptr ophth dx img post segmt 0.00 0.44 0.44 NA NA 0.01 XXXCMS-1582-PN 452CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92134 26 A Cptr ophth dx img post segmt 0.50 0.33 0.33 0.33 0.33 0.03 XXX92136 A Ophthalmic biometry 0.54 1.95 1.88 NA NA 0.02 XXX92136 TC A Ophthalmic biometry 0.00 1.57 1.56 NA NA 0.01 XXX92136 26 A Ophthalmic biometry 0.54 0.38 0.32 0.38 0.32 0.01 XXX92140 A Glaucoma provocative tests 0.50 1.26 1.20 0.28 0.24 0.03 XXX92225 A Special eye exam initial 0.38 0.39 0.34 0.24 0.21 0.03 XXX92226 A Special eye exam subsequent 0.33 0.38 0.33 0.22 0.19 0.01 XXX92227 A Remote dx retinal imaging 0.00 0.33 0.33 NA NA 0.01 XXX92228 A Remote retinal imaging mgmt 0.30 0.56 0.56 NA NA 0.02 XXX92228 TC A Remote retinal imaging mgmt 0.00 0.36 0.36 NA NA 0.01 XXX92228 26 A Remote retinal imaging mgmt 0.30 0.20 0.20 0.20 0.20 0.01 XXX92230 A Eye exam with photos 0.60 1.01 1.05 0.36 0.31 0.04 XXX92235 A Eye exam with photos 0.81 3.09 2.99 NA NA 0.04 XXX92235 TC A Eye exam with photos 0.00 2.52 2.50 NA NA 0.01 XXX92235 26 A Eye exam with photos 0.81 0.57 0.49 0.57 0.49 0.03 XXX92240 A Icg angiography 1.10 5.85 5.87 NA NA 0.04 XXX92240 TC A Icg angiography 0.00 5.08 5.21 NA NA 0.01 XXX92240 26 A Icg angiography 1.10 0.77 0.66 0.77 0.66 0.03 XXX92250 A Eye exam with photos 0.44 1.73 1.70 NA NA 0.02 XXX92250 TC A Eye exam with photos 0.00 1.47 1.47 NA NA 0.01 XXX92250 26 A Eye exam with photos 0.44 0.26 0.23 0.26 0.23 0.01 XXX92260 A Ophthalmoscopy/dynamometry 0.20 0.33 0.31 0.13 0.11 0.01 XXX92265 A Eye muscle evaluation 0.81 1.58 1.47 NA NA 0.02 XXX92265 TC A Eye muscle evaluation 0.00 1.02 1.03 NA NA 0.01 XXX92265 26 A Eye muscle evaluation 0.81 0.56 0.44 0.56 0.44 0.01 XXX92270 A Electro-oculography 0.81 1.73 1.72 NA NA 0.04 XXX92270 TC A Electro-oculography 0.00 1.34 1.36 NA NA 0.01 XXX92270 26 A Electro-oculography 0.81 0.39 0.36 0.39 0.36 0.03 XXX92275 A Electroretinography 1.01 3.38 3.11 NA NA 0.05 XXX92275 TC A Electroretinography 0.00 2.69 2.52 NA NA 0.01 XXXCMS-1582-PN 453CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92275 26 A Electroretinography 1.01 0.69 0.59 0.69 0.59 0.04 XXX92283 A Color vision examination 0.17 1.31 1.24 NA NA 0.02 XXX92283 TC A Color vision examination 0.00 1.22 1.16 NA NA 0.01 XXX92283 26 A Color vision examination 0.17 0.09 0.08 0.09 0.08 0.01 XXX92284 A Dark adaptation eye exam 0.24 1.40 1.48 NA NA 0.02 XXX92284 TC A Dark adaptation eye exam 0.00 1.29 1.38 NA NA 0.01 XXX92284 26 A Dark adaptation eye exam 0.24 0.11 0.10 0.11 0.10 0.01 XXX92285 A Eye photography 0.05 0.49 0.75 NA NA 0.02 XXX92285 TC A Eye photography 0.00 0.46 0.69 NA NA 0.01 XXX92285 26 A Eye photography 0.05 0.03 0.06 0.03 0.06 0.01 XXX92286 A Internal eye photography 0.66 2.80 2.81 NA NA 0.02 XXX92286 TC A Internal eye photography 0.00 2.38 2.45 NA NA 0.01 XXX92286 26 A Internal eye photography 0.66 0.42 0.36 0.42 0.36 0.01 XXX92287 A Internal eye photography 0.81 2.66 2.57 0.56 0.47 0.04 XXX92310 N Contact lens fitting 1.17 1.49 1.50 0.51 0.51 0.08 XXX92311 A Contact lens fitting 1.08 1.81 1.67 0.56 0.49 0.08 XXX92312 A Contact lens fitting 1.26 2.10 1.90 0.64 0.57 0.05 XXX92313 A Contact lens fitting 0.92 1.99 1.81 0.58 0.49 0.05 XXX92314 N Prescription of contact lens 0.69 1.51 1.50 0.30 0.30 0.04 XXX92315 A Prescription of contact lens 0.45 1.69 1.57 0.22 0.19 0.04 XXX92316 A Prescription of contact lens 0.68 2.31 2.04 0.48 0.39 0.04 XXX92317 A Prescription of contact lens 0.45 1.67 1.59 0.18 0.17 0.01 XXX92325 A Modification of contact lens 0.00 1.07 0.98 NA NA 0.01 XXX92326 A Replacement of contact lens 0.00 0.92 1.04 NA NA 0.01 XXX92340 N Fitting of spectacles 0.37 0.60 0.64 0.16 0.16 0.03 XXX92341 N Fitting of spectacles 0.47 0.65 0.69 0.21 0.20 0.03 XXX92342 N Fitting of spectacles 0.53 0.67 0.72 0.23 0.23 0.04 XXX92352 B Special spectacles fitting 0.37 0.75 0.78 0.16 0.16 0.03 XXX92353 B Special spectacles fitting 0.50 0.81 0.83 0.22 0.21 0.03 XXX92354 B Special spectacles fitting 0.00 0.35 1.66 NA NA 0.01 XXXCMS-1582-PN 454CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92355 B Special spectacles fitting 0.00 0.55 1.16 NA NA 0.01 XXX92358 B Eye prosthesis service 0.00 0.29 0.41 NA NA 0.01 XXX92370 N Repair & adjust spectacles 0.32 0.53 0.56 0.14 0.14 0.03 XXX92371 B Repair & adjust spectacles 0.00 0.30 0.37 NA NA 0.01 XXX92499 C Eye service or procedure 0.00 0.00 0.00 NA NA 0.00 XXX92499 TC C Eye service or procedure 0.00 0.00 0.00 NA NA 0.00 XXX92499 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX92502 A Ear and throat examination 1.51 NA NA 1.36 1.27 0.07 00092504 A Ear microscopy examination 0.18 0.70 0.70 0.10 0.10 0.01 XXX92506 A Speech/hearing evaluation 0.86 4.10 4.01 NA NA 0.05 XXX92507 A Speech/hearing therapy 1.30 0.69 1.05 NA NA 0.07 XXX92508 A Speech/hearing therapy 0.33 0.24 0.45 NA NA 0.01 XXX92511 A Nasopharyngoscopy 0.61 3.50 3.55 0.81 0.81 0.03 00092512 A Nasal function studies 0.55 1.22 1.23 0.30 0.27 0.03 XXX92516 A Facial nerve function test 0.43 1.60 1.54 0.24 0.23 0.03 XXX92520 A Laryngeal function studies 0.75 1.37 1.20 0.48 0.42 0.04 XXX92526 A Oral function therapy 1.34 0.77 1.36 NA NA 0.07 XXX92531 B Spontaneous nystagmus study 0.00 0.00 0.00 0.000.00 0.00 XXX92532 B Positional nystagmus test 0.00 0.00 0.00 0.00 0.00 0.00 XXX92533 B Caloric vestibular test 0.00 0.00 0.00 0.00 0.00 0.00 XXX92534 B Optokinetic nystagmus test 0.00 0.00 0.00 0.00 0.00 0.00 XXX92540 A Basic vestibular evaluation 1.50 1.31 1.31 NA NA 0.05 XXX92540 TC A Basic vestibular evaluation 0.00 0.54 0.54 NA NA 0.01 XXX92540 26 A Basic vestibular evaluation 1.50 0.77 0.77 0.77 0.77 0.04 XXX92541 A Spontaneous nystagmus test 0.40 0.45 0.92 NA NA 0.02 XXX92541 TC A Spontaneous nystagmus test 0.00 0.25 0.73 NA NA 0.01 XXX92541 26 A Spontaneous nystagmus test 0.40 0.200.19 0.200.19 0.01 XXX92542 A Positional nystagmus test 0.33 0.42 0.98 NA NA 0.02 XXX92542 TC A Positional nystagmus test 0.00 0.25 0.82 NA NA 0.01 XXX92542 26 A Positional nystagmus test 0.33 0.17 0.16 0.17 0.16 0.01 XXXCMS-1582-PN 455CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92543 A Caloric vestibular test 0.10 0.30 0.54 NA NA 0.02 XXX92543 TC A Caloric vestibular test 0.00 0.25 0.49 NA NA 0.01 XXX92543 26 A Caloric vestibular test 0.10 0.05 0.05 0.05 0.05 0.01 XXX92544 A Optokinetic nystagmus test 0.26 0.37 0.81 NA NA 0.02 XXX92544 TC A Optokinetic nystagmus test 0.00 0.24 0.69 NA NA 0.01 XXX92544 26 A Optokinetic nystagmus test 0.26 0.13 0.12 0.13 0.12 0.01 XXX92545 A Oscillating tracking test 0.23 0.35 0.77 NA NA 0.02 XXX92545 TC A Oscillating tracking test 0.00 0.23 0.66 NA NA 0.01 XXX92545 26 A Oscillating tracking test 0.23 0.12 0.11 0.12 0.11 0.01 XXX92546 A Sinusoidal rotational test 0.29 2.59 2.46 NA NA 0.02 XXX92546 TC A Sinusoidal rotational test 0.00 2.45 2.33 NA NA 0.01 XXX92546 26 A Sinusoidal rotational test 0.29 0.14 0.13 0.14 0.13 0.01 XXX92547 A Supplemental electrical test0.00 0.15 0.14 0.15 0.14 0.01 ZZZ92548 A Posturography 0.50 2.65 2.49 NA NA 0.02 XXX92548 TC A Posturography 0.00 2.39 2.25 NA NA 0.01 XXX92548 26 A Posturography 0.50 0.26 0.24 0.26 0.24 0.01 XXX92550 A Tympanometry & reflex thresh0.35 0.25 0.25NA NA 0.01 XXX92551 N Pure tone hearing test air 0.00 0.31 0.33 NA NA 0.01 XXX92552 A Pure tone audiometry air 0.00 0.81 0.74 NA NA 0.01 XXX92553 A Audiometry air & bone 0.00 0.98 0.94 NA NA 0.01 XXX92555 A Speech threshold audiometry 0.00 0.58 0.54 NA NA 0.01 XXX92556 A Speech audiometry complete 0.00 0.92 0.84 NA NA 0.01 XXX92557 A Comprehensive hearing test 0.60 0.460.56 0.33 0.44 0.03 XXX92559 N Group audiometric testing 0.00 0.00 0.00 0.00 0.00 0.00 XXX92560 N Bekesy audiometry screen 0.00 0.00 0.00 0.00 0.00 0.00 XXX92561 A Bekesy audiometry diagnosis 0.00 1.03 0.95 NA NA 0.01 XXX92562 A Loudness balance test 0.00 1.12 0.92 NA NA 0.01 XXX92563 A Tone decay hearing test 0.00 0.800.72 NA NA 0.01 XXX92564 A Sisi hearing test 0.00 0.69 0.65 NA NA 0.01 XXX92565 A Stenger test pure tone 0.00 0.37 0.37 NA NA 0.01 XXXCMS-1582-PN 456CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92567 A Tympanometry 0.20 0.20 0.24 0.110.16 0.01 XXX92568 A Acoustic refl threshold tst 0.29 0.16 0.19 0.16 0.18 0.01 XXX92570 A Acoustic immitance testing 0.55 0.36 0.36 0.30 0.30 0.03 XXX92571 A Filtered speech hearing test 0.00 0.65 0.58 NA NA 0.01 XXX92572 A Staggered spondaic word test 0.00 1.27 0.92 NA NA 0.01 XXX92575 A Sensorineural acuity test 0.00 1.73 1.44 NA NA 0.01 XXX92576 A Synthetic sentence test 0.00 0.89 0.77 NA NA 0.01 XXX92577 A Stenger test speech 0.00 0.44 0.47 NA NA 0.01 XXX92579 A Visual audiometry (vra) 0.70 0.56 0.55 0.41 0.43 0.03 XXX92582 A Conditioning play audiometry 0.00 1.69 1.50 NA NA 0.01 XXX92583 A Select picture audiometry 0.00 1.06 1.04 NA NA 0.01 XXX92584 A Electrocochleography 0.00 1.88 1.95 NA NA 0.01 XXX92585 A Auditor evoke potent compre 0.50 3.06 2.81 NA NA 0.02 XXX92585 TC A Auditor evoke potent compre 0.00 2.79 2.57 NA NA 0.01 XXX92585 26 A Auditor evoke potent compre 0.50 0.27 0.24 0.27 0.24 0.01 XXX92586 A Auditor evoke potent limit 0.00 2.20 2.06 NA NA 0.01 XXX92587 A Evoked auditory test 0.13 0.87 0.94 NA NA 0.02 XXX92587 TC A Evoked auditory test 0.00 0.80 0.87 NA NA 0.01 XXX92587 26 A Evoked auditory test 0.13 0.07 0.07 0.07 0.07 0.01 XXX92588 A Evoked auditory test 0.36 1.62 1.57 NA NA 0.02 XXX92588 TC A Evoked auditory test 0.00 1.42 1.39 NA NA 0.01 XXX92588 26 A Evoked auditory test 0.36 0.20 0.18 0.20 0.18 0.01 XXX92590 N Hearing aid exam one ear 0.00 0.00 0.00 0.00 0.00 0.00 XXX92591 N Hearing aid exam both ears 0.00 0.00 0.00 0.00 0.00 0.00 XXX92592 N Hearing aid check one ear 0.00 0.00 0.00 0.00 0.00 0.00 XXX92593 N Hearing aid check both ears 0.00 0.00 0.00 0.00 0.00 0.00 XXX92594 N Electro hearng aid test one 0.00 0.00 0.00 0.00 0.00 0.00 XXX92595 N Electro hearng aid tst both 0.00 0.00 0.00 0.00 0.00 0.00 XXX92596 A Ear protector evaluation 0.00 1.23 1.16 NA NA 0.01 XXX92597 A Oral speech device eval 1.26 0.80 1.55 NA NA 0.07 XXXCMS-1582-PN 457CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92601 A Cochlear implt f/up exam < 7 2.30 1.51 1.88 1.01 1.40 0.11 XXX92602 A Reprogram cochlear implt < 7 1.30 1.02 1.28 0.57 0.86 0.07 XXX92603 A Cochlear implt f/up exam 7 > 2.25 1.86 1.83 1.22 1.30 0.11 XXX92604 A Reprogram cochlear implt 7 > 1.25 1.21 1.18 0.67 0.75 0.05 XXX92605 B Eval for nonspeech device rx 0.00 0.00 0.00 0.00 0.00 0.00 XXX92606 B Non-speech device service 1.40 0.93 0.93 0.61 0.61 0.07 XXX92607 A Ex for speech device rx 1hr 1.85 1.49 3.24 NA NA 0.10 XXX92608 A Ex for speech device rx addl0.70 0.67 0.80NA NA 0.04 ZZZ92609 A Use of speech device service 1.50 1.03 1.84 NA NA 0.07 XXX92610 A Evaluate swallowing function 1.30 0.92 1.72 0.67 0.67 0.07 XXX92611 A Motion fluoroscopy/swallow 1.34 1.09 1.92 NA NA 0.08 XXX92612 A Endoscopy swallow tst (fees) 1.27 3.60 3.57 0.71 0.66 0.07 XXX92613 A Endoscopy swallow tst (fees) 0.71 0.39 0.38 0.39 0.37 0.04 XXX92614 A Laryngoscopic sensory test 1.27 3.09 3.03 0.73 0.67 0.07 XXX92615 A Eval laryngoscopy sense tst 0.63 0.37 0.34 0.37 0.34 0.03 XXX92616 A Fees w/laryngeal sense test 1.88 3.96 3.94 1.04 0.97 0.10 XXX92617 A Interprt fees/laryngeal test 0.79 0.44 0.41 0.44 0.41 0.04 XXX92620 A Auditory function 60 min 1.50 1.16 0.86 0.88 0.71 0.07 XXX92621 A Auditory function + 15 min 0.35 0.28 0.20 0.18 0.15 0.01 ZZZ92625 A Tinnitus assessment 1.15 0.83 0.66 0.62 0.55 0.05 XXX92626 A Eval aud rehab status 1.40 1.11 1.00 0.74 0.81 0.07 XXX92627 A Eval aud status rehab add-on 0.33 0.29 0.26 0.17 0.20 0.01 ZZZ92630 I Aud rehab pre-ling hear loss 0.00 0.00 0.00 0.00 0.00 0.00 XXX92633 I Aud rehab postling hear loss 0.00 0.00 0.00 0.00 0.00 0.00 XXX92640 A Aud brainstem implt programg 1.76 1.22 0.78 0.90 0.62 0.37 XXX92700 C Ent procedure/service 0.00 0.00 0.00 0.00 0.00 0.00 XXX92950 A Heart/lung resuscitation cpr 4.00 4.39 4.31 1.08 1.06 0.32 00092953 A Temporary external pacing 0.23 NA NA 0.07 0.09 0.01 00092960 A Cardioversion electric ext 2.25 3.63 4.70 1.13 1.40 0.14 00092961 A Cardioversion electric int 4.59 NA NA 2.03 2.47 0.44 000CMS-1582-PN 458CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global92970 A Cardioassist internal 3.51 NA NA 1.36 1.52 0.24 00092971 A Cardioassist external 1.77 NA NA 0.82 1.04 0.11 00092973 A Percut coronary thrombectomy 3.28 NA NA 1.28 1.64 0.71 ZZZ92974 A Cath place cardio brachytx 3.00 NA NA 1.17 1.51 0.65 ZZZ92975 A Dissolve clot heart vessel 7.24 NA NA 2.87 3.62 1.58 00092977 A Dissolve clot heart vessel 0.00 1.43 2.69 NA NA 0.03 XXX92978 C Intravasc us heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ92978 TC C Intravasc us heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ92978 26 A Intravasc us heart add-on 1.80 0.70 0.90 0.70 0.90 0.12 ZZZ92979 C Intravasc us heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ92979 TC C Intravasc us heart add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ92979 26 A Intravasc us heart add-on 1.44 0.56 0.72 0.56 0.72 0.10 ZZZ92980 A Insert intracoronary stent 14.82 NA NA 5.96 7.64 3.24 00092981 A Insert intracoronary stent 4.16 NA NA 1.62 2.08 0.90 ZZZ92982 A Coronary artery dilation 10.96 NA NA 4.46 5.70 2.38 00092984 A Coronary artery dilation 2.97 NA NA 1.16 1.48 0.64 ZZZ92986 A Revision of aortic valve 22.85 NA NA 11.68 14.58 4.98 09092987 A Revision of mitral valve 23.63 NA NA 11.91 15.00 5.14 09092990 A Revision of pulmonary valve 18.27 NA NA 9.72 11.80 3.99 09092992 C Revision of heart chamber 0.00 0.00 0.00 0.00 0.00 0.00 09092993 C Revision of heart chamber 0.00 0.00 0.00 0.00 0.00 0.00 09092995 A Coronary atherectomy 12.07 NA NA 4.89 6.27 2.63 00092996 A Coronary atherectomy add-on3.26 NA NA 1.281.64 0.71 ZZZ92997 A Pul art balloon repr percut 11.98 NA NA 4.81 5.61 2.61 00092998 A Pul art balloon repr percut 5.99 NA NA 2.32 2.86 1.31 ZZZ93000 A Electrocardiogram complete 0.17 0.32 0.39 NA NA 0.02 XXX93005 A Electrocardiogram tracing 0.00 0.25 0.31 NA NA 0.01 XXX93010 A Electrocardiogram report 0.17 0.07 0.08 0.07 0.08 0.01 XXX93015 A Cardiovascular stress test 0.75 1.58 1.94 NA NA 0.03 XXX93016 A Cardiovascular stress test 0.45 0.18 0.22 0.18 0.22 0.01 XXXCMS-1582-PN 459CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93017 A Cardiovascular stress test 0.00 1.28 1.58 NA NA 0.01 XXX93018 A Cardiovascular stress test 0.30 0.12 0.14 0.12 0.14 0.01 XXX93024 A Cardiac drug stress test 1.17 1.90 2.22 NA NA 0.05 XXX93024 TC A Cardiac drug stress test 0.00 1.44 1.66 NA NA 0.01 XXX93024 26 A Cardiac drug stress test 1.17 0.46 0.56 0.46 0.56 0.04 XXX93025 A Microvolt t-wave assess 0.75 3.68 4.89 NA NA 0.04 XXX93025 TC A Microvolt t-wave assess 0.00 3.38 4.52 NA NA 0.01 XXX93025 26 A Microvolt t-wave assess 0.75 0.30 0.37 0.30 0.37 0.03 XXX93040 A Rhythm ecg with report 0.15 0.19 0.22 NA NA 0.02 XXX93041 A Rhythm ecg tracing 0.00 0.14 0.16 NA NA 0.01 XXX93042 A Rhythm ecg report 0.15 0.05 0.06 0.05 0.06 0.01 XXX93224 A Ecg monit/reprt up to 48 hrs 0.52 1.98 2.53 NA NA 0.03 XXX93225 A Ecg monit/reprt up to 48 hrs 0.00 0.72 0.91 NA NA 0.01 XXX93226 A Ecg monit/reprt up to 48 hrs 0.00 1.02 1.35 NA NA 0.01 XXX93227 A Ecg monit/reprt up to 48 hrs 0.52 0.24 0.27 0.24 0.27 0.01 XXX93228 A Remote 30 day ecg rev/report 0.52 0.21 0.21 0.21 0.21 0.03 XXX93229 A Remote 30 day ecg tech supp 0.00 20.04 20.04 NA NA 0.01 XXX93268 A Ecg record/review 0.52 5.67 6.83 NA NA 0.03 XXX93270 A Remote 30 day ecg rev/report 0.00 0.24 0.44 NA NA 0.01 XXX93271 A Ecg/monitoring and analysis 0.00 5.23 6.16 NA NA 0.01 XXX93272 A Ecg/review interpret only 0.52 0.20 0.23 0.20 0.23 0.01 XXX93278 A Ecg/signal-averaged 0.25 0.61 0.76 NA NA 0.02 XXX93278 TC A Ecg/signal-averaged 0.00 0.50 0.65 NA NA 0.01 XXX93278 26 A Ecg/signal-averaged 0.25 0.11 0.11 0.11 0.11 0.01 XXX93279 A Pm device progr eval sngl 0.65 0.71 0.86 NA NA 0.04 XXX93279 TC A Pm device progr eval sngl 0.00 0.45 0.53 NA NA 0.01 XXX93279 26 A Pm device progr eval sngl 0.65 0.26 0.33 0.26 0.33 0.03 XXX93280 A Pm device progr eval dual 0.77 0.80 1.02 NA NA 0.04 XXX93280 TC A Pm device progr eval dual 0.00 0.50 0.62 NA NA 0.01 XXX93280 26 A Pm device progr eval dual 0.77 0.30 0.40 0.30 0.40 0.03 XXXCMS-1582-PN 460CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93281 A Pm device progr eval multi 0.90 0.94 1.19 NA NA 0.04 XXX93281 TC A Pm device progr eval multi 0.00 0.59 0.72 NA NA 0.01 XXX93281 26 A Pm device progr eval multi 0.90 0.35 0.47 0.35 0.47 0.03 XXX93282 A Icd device prog eval 1 sngl 0.85 0.85 1.07 NA NA 0.04 XXX93282 TC A Icd device prog eval 1 sngl 0.00 0.52 0.64 NA NA 0.01 XXX93282 26 A Icd device prog eval 1 sngl 0.85 0.33 0.43 0.33 0.43 0.03 XXX93283 A Icd device progr eval dual1.15 1.05 1.31NA NA 0.05 XXX93283 TC A Icd device progr eval dual0.00 0.60 0.74NA NA 0.01 XXX93283 26 A Icd device progr eval dual 1.15 0.45 0.57 0.45 0.57 0.04 XXX93284 A Icd device progr eval mult 1.25 1.17 1.49 NA NA 0.05 XXX93284 TC A Icd device progr eval mult 0.00 0.68 0.84 NA NA 0.01 XXX93284 26 A Icd device progr eval mult 1.25 0.49 0.65 0.49 0.65 0.04 XXX93285 A Ilr device eval progr 0.52 0.60 0.76 NA NA 0.02 XXX93285 TC A Ilr device eval progr 0.00 0.40 0.49 NA NA 0.01 XXX93285 26 A Ilr device eval progr 0.52 0.20 0.27 0.20 0.27 0.01 XXX93286 A Pre-op pm device eval 0.30 0.41 0.46 NA NA 0.02 XXX93286 TC A Pre-op pm device eval 0.00 0.29 0.34 NA NA 0.01 XXX93286 26 A Pre-op pm device eval 0.30 0.12 0.12 0.12 0.12 0.01 XXX93287 A Pre-op icd device eval 0.45 0.50 0.55 NA NA 0.02 XXX93287 TC A Pre-op icd device eval 0.00 0.32 0.37 NA NA 0.01 XXX93287 26 A Pre-op icd device eval 0.45 0.18 0.18 0.18 0.18 0.01 XXX93288 A Pm device eval in person 0.43 0.58 0.72 NA NA 0.02 XXX93288 TC A Pm device eval in person 0.00 0.41 0.50 NA NA 0.01 XXX93288 26 A Pm device eval in person 0.43 0.17 0.22 0.17 0.22 0.01 XXX93289 A Icd device interrogate 0.92 0.86 1.05 NA NA 0.04 XXX93289 TC A Icd device interrogate 0.00 0.50 0.62 NA NA 0.01 XXX93289 26 A Icd device interrogate 0.92 0.36 0.43 0.36 0.43 0.03 XXX93290 A Icm device eval 0.43 0.41 0.45 NA NA 0.02 XXX93290 TC A Icm device eval 0.00 0.24 0.28 NA NA 0.01 XXX93290 26 A Icm device eval 0.43 0.17 0.17 0.17 0.17 0.01 XXXCMS-1582-PN 461CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93291 A Ilr device interrogate 0.43 0.54 0.67 NA NA 0.02 XXX93291 TC A Ilr device interrogate 0.00 0.37 0.45 NA NA 0.01 XXX93291 26 A Ilr device interrogate 0.43 0.17 0.22 0.17 0.22 0.01 XXX93292 A Wcd device interrogate 0.43 0.45 0.56 NA NA 0.02 XXX93292 TC A Wcd device interrogate 0.00 0.28 0.34 NA NA 0.01 XXX93292 26 A Wcd device interrogate 0.43 0.17 0.22 0.17 0.22 0.01 XXX93293 A Pm phone r-strip device eval 0.32 1.14 1.31 NA NA 0.02 XXX93293 TC A Pm phone r-strip device eval 0.00 1.02 1.17 NA NA 0.01 XXX93293 26 A Pm phone r-strip device eval 0.32 0.12 0.14 0.12 0.14 0.01 XXX93294 A Pm device interrogate remote 0.65 0.25 0.33 0.25 0.33 0.04 XXX93295 A Icd device interrogat remote 1.29 0.50 0.64 0.50 0.64 0.08 XXX93296 A Pm/icd remote tech serv 0.00 0.69 0.95 NA NA 0.01 XXX93297 A Icm device interrogat remote 0.52 0.20 0.21 0.20 0.21 0.03 XXX93298 A Ilr device interrogat remote 0.52 0.20 0.27 0.20 0.27 0.03 XXX93299 C Icm/ilr remote tech serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX93303 A Echo transthoracic 1.30 4.23 4.84 NA NA 0.05 XXX93303 TC A Echo transthoracic 0.00 3.70 4.23 NA NA 0.01 XXX93303 26 A Echo transthoracic 1.30 0.53 0.61 0.53 0.61 0.04 XXX93304 A Echo transthoracic 0.75 2.86 3.16 NA NA 0.04 XXX93304 TC A Echo transthoracic 0.00 2.56 2.82 NA NA 0.01 XXX93304 26 A Echo transthoracic 0.75 0.30 0.34 0.30 0.34 0.03 XXX93306 A Tte w/doppler complete 1.30 4.01 5.50 NA NA 0.05 XXX93306 TC A Tte w/doppler complete 0.00 3.49 4.85 NA NA 0.01 XXX93306 26 A Tte w/doppler complete 1.30 0.52 0.65 0.52 0.65 0.04 XXX93307 A Tte w/o doppler complete 0.92 2.27 3.40 NA NA 0.04 XXX93307 TC A Tte w/o doppler complete 0.00 1.89 2.95 NA NA 0.01 XXX93307 26 A Tte w/o doppler complete 0.92 0.38 0.45 0.38 0.45 0.03 XXX93308 A Tte f-up or lmtd 0.53 2.16 2.55 NA NA 0.02 XXX93308 TC A Tte f-up or lmtd 0.00 1.95 2.29 NA NA 0.01 XXX93308 26 A Tte f-up or lmtd 0.53 0.21 0.26 0.21 0.26 0.01 XXXCMS-1582-PN 462CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93312 A Echo transesophageal 2.20 6.57 7.23 NA NA 0.10 XXX93312 TC A Echo transesophageal 0.00 5.78 6.26 NA NA 0.03 XXX93312 26 A Echo transesophageal 2.20 0.79 0.97 0.79 0.97 0.07 XXX93313 A Echo transesophageal 0.95 NA NA 0.23 0.20 0.07 XXX93314 A Echo transesophageal 1.25 6.59 7.08 NA NA 0.07 XXX93314 TC A Echo transesophageal 0.00 6.12 6.52 NA NA 0.03 XXX93314 26 A Echo transesophageal 1.25 0.47 0.56 0.47 0.56 0.04 XXX93315 C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX93315 TC C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX93315 26 A Echo transesophageal 2.78 1.04 1.28 1.04 1.28 0.23 XXX93316 A Echo transesophageal 0.95 NA NA 0.28 0.30 0.07 XXX93317 C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX93317 TC C Echo transesophageal 0.00 0.00 0.00 NA NA 0.00 XXX93317 26 A Echo transesophageal 1.83 0.67 0.73 0.67 0.73 0.23 XXX93318 C Echo transesophageal intraop 0.00 0.00 0.00 NA NA 0.00 XXX93318 TC C Echo transesophageal intraop 0.00 0.00 0.00 NA NA 0.00 XXX93318 26 A Echo transesophageal intraop 2.20 0.77 0.87 0.77 0.87 0.31 XXX93320 A Doppler echo exam heart 0.38 0.88 1.44 NA NA 0.02 ZZZ93320 TC A Doppler echo exam heart 0.00 0.73 1.26 NA NA 0.01 ZZZ93320 26 A Doppler echo exam heart 0.38 0.15 0.18 0.15 0.18 0.01 ZZZ93321 A Doppler echo exam heart 0.15 0.52 0.61 NA NA 0.02 ZZZ93321 TC A Doppler echo exam heart 0.00 0.47 0.55 NA NA 0.01 ZZZ93321 26 A Doppler echo exam heart 0.15 0.05 0.06 0.05 0.06 0.01 ZZZ93325 A Doppler color flow add-on 0.07 0.47 0.96 NA NA 0.02 ZZZ93325 TC A Doppler color flow add-on 0.00 0.44 0.93 NA NA 0.01 ZZZ93325 26 A Doppler color flow add-on 0.07 0.03 0.03 0.03 0.03 0.01 ZZZ93350 A Stress tte only 1.46 4.18 4.67 NA NA 0.06 XXX93350 TC A Stress tte only 0.00 3.60 3.94 NA NA 0.01 XXX93350 26 A Stress tte only 1.46 0.58 0.73 0.58 0.73 0.05 XXX93351 A Stress tte complete 1.75 4.74 5.46 NA NA 0.08 XXXCMS-1582-PN 463CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93351 TC A Stress tte complete 0.00 4.05 4.56 NA NA 0.03 XXX93351 26 A Stress tte complete 1.75 0.69 0.90 0.69 0.90 0.05 XXX93352 A Admin ecg contrast agent 0.19 0.71 0.87 NA NA 0.01 ZZZ93451 A Right heart cath 2.72 19.13 19.13 NA NA 0.62 00093451 TC A Right heart cath 0.00 18.07 18.07 NA NA 0.03 00093451 26 A Right heart cath 2.72 1.06 1.06 1.06 1.06 0.59 00093452 A Left hrt cath w/ventrclgrphy 4.75 19.11 19.11 NA NA 1.09 00093452 TC A Left hrt cath w/ventrclgrphy 0.00 17.26 17.26 NA NA 0.03 00093452 26 A Left hrt cath w/ventrclgrphy 4.75 1.85 1.85 1.85 1.85 1.06 00093453 A R&l hrt cath w/ventriclgrphy 6.24 25.00 25.00 NA NA 1.41 00093453 TC A R&l hrt cath w/ventriclgrphy 0.00 22.57 22.57 NA NA 0.04 00093453 26 A R&l hrt cath w/ventriclgrphy 6.24 2.43 2.43 2.43 2.43 1.37 00093454 A Coronary artery angio s&i 4.79 19.85 19.85 NA NA 1.09 00093454 TC A Coronary artery angio s&i 0.00 17.98 17.98 NA NA 0.03 00093454 26 A Coronary artery angio s&i 4.79 1.87 1.87 1.87 1.87 1.06 00093455 A Coronary art/grft angio s&i 5.54 23.23 23.23 NA NA 1.25 00093455 TC A Coronary art/grft angio s&i 0.00 21.07 21.07 NA NA 0.04 00093455 26 A Coronary art/grft angio s&i 5.54 2.16 2.16 2.16 2.16 1.21 00093456 A R hrt coronary artery angio 6.15 24.68 24.68 NA NA 1.37 00093456 TC A R hrt coronary artery angio 0.00 22.28 22.28 NA NA 0.04 00093456 26 A R hrt coronary artery angio 6.15 2.40 2.40 2.40 2.40 1.33 00093457 A R hrt art/grft angio 6.89 28.06 28.06 NA NA 1.54 00093457 TC A R hrt art/grft angio 0.00 25.37 25.37 NA NA 0.04 00093457 26 A R hrt art/grft angio 6.89 2.69 2.69 2.69 2.69 1.50 00093458 A L hrt artery/ventricle angio 5.85 23.87 23.87 NA NA 1.33 00093458 TC A L hrt artery/ventricle angio 0.00 21.59 21.59 NA NA 0.04 00093458 26 A L hrt artery/ventricle angio 5.85 2.28 2.28 2.28 2.28 1.29 00093459 A L hrt art/grft angio 6.60 26.22 26.22 NA NA 1.47 00093459 TC A L hrt art/grft angio 0.00 23.65 23.65 NA NA 0.04 00093459 26 A L hrt art/grft angio 6.60 2.57 2.57 2.57 2.57 1.43 000CMS-1582-PN 464CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93460 A R&l hrt art/ventricle angio 7.35 27.72 27.72 NA NA 1.63 00093460 TC A R&l hrt art/ventricle angio 0.00 24.85 24.85 NA NA 0.04 00093460 26 A R&l hrt art/ventricle angio 7.35 2.87 2.87 2.87 2.87 1.59 00093461 A R&l hrt art/ventricle angio 8.10 32.13 32.13 NA NA 1.82 00093461 TC A R&l hrt art/ventricle angio 0.00 28.97 28.97 NA NA 0.05 00093461 26 A R&l hrt art/ventricle angio 8.10 3.16 3.16 3.16 3.16 1.77 00093462 A L hrt cath trnsptl puncture 3.73 1.47 1.47 1.47 1.47 0.80 ZZZ93463 A Drug admin & hemodynmic meas 2.00 0.79 0.79 0.79 0.79 0.39 ZZZ93464 A Exercise w/hemodynamic meas 1.80 5.26 5.26 NA NA 0.36 ZZZ93464 TC A Exercise w/hemodynamic meas 0.00 4.61 4.61 NA NA 0.01 ZZZ93464 26 A Exercise w/hemodynamic meas 1.80 0.65 0.65 0.65 0.65 0.35 ZZZ93503 A Insert/place heart catheter 2.91 NA NA 0.77 0.77 0.27 00093505 A Biopsy of heart lining 4.37 17.36 18.38 NA NA 0.86 00093505 TC A Biopsy of heart lining 0.00 15.65 16.22 NA NA 0.03 00093505 26 A Biopsy of heart lining 4.37 1.71 2.16 1.71 2.16 0.83 00093530 C Rt heart cath congenital 0.00 NA NA NA NA 0.00 00093530 TC C Rt heart cath congenital 0.00 NA NA NA NA 0.00 00093530 26 A Rt heart cath congenital 4.22 1.67 2.05 1.67 2.05 0.91 00093531 C R & l heart cath congenital 0.00 NA NA NA NA 0.00 00093531 TC C R & l heart cath congenital 0.00 NA NA NA NA 0.00 00093531 26 A R & l heart cath congenital 8.34 3.29 3.96 3.29 3.96 1.82 00093532 C R & l heart cath congenital 0.00 NA NA NA NA 0.00 00093532 TC C R & l heart cath congenital 0.00 NA NA NA NA 0.00 00093532 26 A R & l heart cath congenital 9.99 3.88 4.62 3.88 4.62 2.18 00093533 C R & l heart cath congenital 0.00 NA NA NA NA 0.00 00093533 TC C R & l heart cath congenital 0.00 NA NA NA NA 0.00 00093533 26 A R & l heart cath congenital 6.69 2.59 3.12 2.59 3.12 1.47 00093561 C Cardiac output measurement 0.00 NA NA NA NA 0.00 00093561 TC C Cardiac output measurement 0.00 NA NA NA NA 0.00 00093561 26 A Cardiac output measurement 0.50 0.20 0.19 0.20 0.19 0.04 000CMS-1582-PN 465CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93562 C Cardiac output measurement 0.00 NA NA NA NA 0.00 00093562 TC C Cardiac output measurement 0.00 NA NA NA NA 0.00 00093562 26 A Cardiac output measurement 0.16 0.06 0.05 0.06 0.05 0.01 00093563 A Inject congenital card cath 1.11 0.44 0.44 0.44 0.44 0.10 ZZZ93564 A Inject hrt congntl art/grft 1.13 0.44 0.44 0.44 0.44 0.11 ZZZ93565 A Inject l ventr/atrial angio 0.86 0.33 0.33 0.33 0.33 0.08 ZZZ93566 A Inject r ventr/atrial angio 0.86 4.04 4.04 0.33 0.33 0.08 ZZZ93567 A Inject suprvlv aortography 0.97 3.06 3.06 0.38 0.38 0.08 ZZZ93568 A Inject pulm art hrt cath 0.88 3.54 3.54 0.34 0.34 0.08 ZZZ93571 C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ93571 TC C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ93571 26 A Heart flow reserve measure 1.80 0.70 0.89 0.70 0.89 0.11 ZZZ93572 C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ93572 TC C Heart flow reserve measure 0.00 NA NA NA NA 0.00 ZZZ93572 26 A Heart flow reserve measure 1.44 0.56 0.69 0.56 0.69 0.11 ZZZ93580 A Transcath closure of asd 17.97 NA NA 7.38 9.19 3.92 00093581 A Transcath closure of vsd 24.39 NA NA 9.79 11.53 5.32 00093600 C Bundle of his recording 0.00 0.00 0.00 NA NA 0.00 00093600 TC C Bundle of his recording 0.00 0.00 0.00 NA NA 0.00 00093600 26 A Bundle of his recording 2.12 0.83 1.04 0.83 1.04 0.45 00093602 C Intra-atrial recording 0.00 0.00 0.00 NA NA 0.00 00093602 TC C Intra-atrial recording 0.00 0.00 0.00 NA NA 0.00 00093602 26 A Intra-atrial recording 2.12 0.82 1.03 0.82 1.03 0.45 00093603 C Right ventricular recording 0.00 0.00 0.00 NA NA 0.00 00093603 TC C Right ventricular recording 0.00 0.00 0.00 NA NA 0.00 00093603 26 A Right ventricular recording 2.12 0.82 1.03 0.82 1.03 0.45 00093609 C Map tachycardia add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ93609 TC C Map tachycardia add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ93609 26 A Map tachycardia add-on 4.99 1.95 2.47 1.95 2.47 1.09 ZZZ93610 C Intra-atrial pacing 0.00 0.00 0.00 NA NA 0.00 000CMS-1582-PN 466CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93610 TC C Intra-atrial pacing 0.00 0.00 0.00 NA NA 0.00 00093610 26 A Intra-atrial pacing 3.02 1.17 1.45 1.17 1.45 0.65 00093612 C Intraventricular pacing 0.00 0.00 0.00 NA NA 0.00 00093612 TC C Intraventricular pacing 0.00 0.00 0.00 NA NA 0.00 00093612 26 A Intraventricular pacing 3.02 1.16 1.43 1.16 1.43 0.65 00093613 A Electrophys map 3d add-on 6.99 NA NA 2.73 3.48 1.52 ZZZ93615 C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 00093615 TC C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 00093615 26 A Esophageal recording 0.99 0.39 0.48 0.39 0.48 0.05 00093616 C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 00093616 TC C Esophageal recording 0.00 0.00 0.00 NA NA 0.00 00093616 26 A Esophageal recording 1.49 0.35 0.39 0.35 0.39 0.11 00093618 C Heart rhythm pacing 0.00 0.00 0.00 NA NA 0.00 00093618 TC C Heart rhythm pacing 0.00 0.00 0.00 NA NA 0.00 00093618 26 A Heart rhythm pacing 4.25 1.65 2.13 1.65 2.13 0.91 00093619 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 00093619 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 00093619 26 A Electrophysiology evaluation 7.31 2.85 3.70 2.85 3.70 1.59 00093620 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 00093620 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 00093620 26 A Electrophysiology evaluation 11.57 4.52 5.79 4.52 5.79 2.52 00093621 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ93621 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ93621 26 A Electrophysiology evaluation 2.10 0.82 1.04 0.82 1.04 0.45 ZZZ93622 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ93622 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 ZZZ93622 26 A Electrophysiology evaluation 3.10 1.21 1.51 1.21 1.51 0.67 ZZZ93623 C Stimulation pacing heart 0.00 0.00 0.00 NA NA 0.00 ZZZ93623 TC C Stimulation pacing heart 0.00 0.00 0.00 NA NA 0.00 ZZZ93623 26 A Stimulation pacing heart 2.85 1.11 1.41 1.11 1.41 0.63 ZZZCMS-1582-PN 467CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93624 C Electrophysiologic study 0.00 0.00 0.00 NA NA 0.00 00093624 TC C Electrophysiologic study 0.00 0.00 0.00 NA NA 0.00 00093624 26 A Electrophysiologic study 4.80 1.86 2.43 NA NA 1.05 00093631 C Heart pacing mapping 0.00 0.00 0.00 NA NA 0.00 00093631 TC C Heart pacing mapping 0.00 0.00 0.00 NA NA 0.00 00093631 26 A Heart pacing mapping 7.59 2.76 3.07 2.76 3.07 1.81 00093640 C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 00093640 TC C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 00093640 26 A Evaluation heart device 3.51 1.38 1.74 1.38 1.74 0.76 00093641 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 00093641 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 00093641 26 A Electrophysiology evaluation 5.92 2.31 2.94 2.31 2.94 1.29 00093642 A Electrophysiology evaluation 4.88 5.69 7.50 NA NA 0.21 00093642 TC A Electrophysiology evaluation 0.00 3.78 5.02 NA NA 0.03 00093642 26 A Electrophysiology evaluation 4.88 1.91 2.48 1.91 2.48 0.18 00093650 A Ablate heart dysrhythm focus 10.49 NA NA 4.37 5.51 2.27 00093651 A Ablate heart dysrhythm focus 16.23 NA NA 6.34 8.05 3.54 00093652 A Ablate heart dysrhythm focus 17.65 NA NA 6.92 8.78 3.85 00093660 A Tilt table evaluation 1.89 2.36 2.87 NA NA 0.08 00093660 TC A Tilt table evaluation 0.00 1.61 1.93 NA NA 0.01 00093660 26 A Tilt table evaluation 1.89 0.75 0.94 0.75 0.94 0.07 00093662 C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ93662 26 A Intracardiac ecg (ice) 2.80 1.09 1.38 1.09 1.38 0.20 ZZZ93668 N Peripheral vascular rehab 0.00 0.51 0.54 NA NA 0.01 XXX93701 A Bioimpedance cv analysis 0.00 0.65 0.78 NA NA 0.01 XXX93720 A Total body plethysmography 0.17 1.22 1.25 NA NA 0.02 XXX93721 A Plethysmography tracing 0.00 1.16 1.19 NA NA 0.01 XXX93722 A Plethysmography report 0.17 0.06 0.06 0.06 0.06 0.01 XXX93724 A Analyze pacemaker system 4.88 2.66 3.77 NA NA 0.19 000CMS-1582-PN 468CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93724 TC A Analyze pacemaker system 0.00 0.72 1.35 NA NA 0.01 00093724 26 A Analyze pacemaker system 4.88 1.94 2.42 1.94 2.42 0.18 00093740 B Temperature gradient studies 0.16 0.07 0.07 0.07 0.07 0.03 XXX93740 TC B Temperature gradient studies 0.00 NA NA NA NA 0.01 XXX93740 26 B Temperature gradient studies 0.16 0.00 0.05 0.00 0.05 0.01 XXX93745 C Set-up cardiovert-defibrill 0.00 0.00 0.00NA NA 0.00 XXX93745 TC C Set-up cardiovert-defibrill 0.00 0.00 0.00NA NA 0.00 XXX93745 26 C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 XXX93750 A Interrogation vad in person 0.92 0.54 0.54 0.34 0.34 0.05 XXX93770 B Measurevenous pressure 0.16 0.070.07 0.07 0.07 0.03 XXX93770 TC B Measure venous pressure 0.00 NA NA NA NA 0.01 XXX93770 26 B Measure venous pressure 0.16 0.00 0.05 0.00 0.05 0.01 XXX93784 A Ambulatory bp monitoring 0.38 1.12 1.42 NA NA 0.03 XXX93786 A Ambulatory bp recording 0.00 0.82 0.91 NA NA 0.01 XXX93788 A Ambulatory bp analysis 0.00 0.14 0.34 NA NA 0.01 XXX93790 A Review/report bp recording 0.38 0.16 0.17 0.16 0.17 0.01 XXX93797 A Cardiac rehab 0.18 0.30 0.34 0.08 0.09 0.01 00093798 A Cardiac rehab/monitor 0.28 0.40 0.46 0.12 0.14 0.01 00093799 C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX93799 TC C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX93799 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX93875 A Extracranial study 0.22 2.73 2.87 NA NA 0.02 XXX93875 TC A Extracranial study 0.00 2.64 2.78 NA NA 0.01 XXX93875 26 A Extracranial study 0.22 0.09 0.09 0.09 0.09 0.01 XXX93880 A Extracranial study 0.60 6.23 6.72 NA NA 0.05 XXX93880 TC A Extracranial study 0.00 6.00 6.47 NA NA 0.01 XXX93880 26 A Extracranial study 0.60 0.23 0.25 0.23 0.25 0.04 XXX93882 A Extracranial study 0.40 4.56 4.65 NA NA 0.06 XXX93882 TC A Extracranial study 0.00 4.41 4.50 NA NA 0.01 XXX93882 26 A Extracranial study 0.40 0.15 0.15 0.15 0.15 0.05 XXXCMS-1582-PN 469CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93886 A Intracranial study 0.94 9.10 8.76 NA NA 0.05 XXX93886 TC A Intracranial study 0.00 8.68 8.36 NA NA 0.01 XXX93886 26 A Intracranial study 0.94 0.42 0.40 0.42 0.40 0.04 XXX93888 A Intracranial study 0.62 5.36 5.54 NA NA 0.05 XXX93888 TC A Intracranial study 0.00 5.10 5.28 NA NA 0.01 XXX93888 26 A Intracranial study 0.62 0.26 0.26 0.26 0.26 0.04 XXX93890 A Tcd vasoreactivity study 1.00 6.74 6.92 NA NA 0.05 XXX93890 TC A Tcd vasoreactivity study 0.00 6.32 6.51 NA NA 0.01 XXX93890 26 A Tcd vasoreactivity study 1.00 0.42 0.41 0.42 0.41 0.04 XXX93892 A Tcd emboli detect w/o inj 1.15 8.61 8.19 NA NA 0.06 XXX93892 TC A Tcd emboli detect w/o inj 0.00 8.10 7.71 NA NA 0.01 XXX93892 26 A Tcd emboli detect w/o inj 1.15 0.51 0.48 0.51 0.48 0.05 XXX93893 A Tcd emboli detect w/inj 1.15 9.45 8.61 NA NA 0.06 XXX93893 TC A Tcd emboli detect w/inj 0.00 8.93 8.12 NA NA 0.01 XXX93893 26 A Tcd emboli detect w/inj 1.15 0.52 0.49 0.52 0.49 0.05 XXX93922 A Upr/l xtremity art 2 levels 0.25 2.38 2.98 NA NA 0.02 XXX93922 TC A Upr/l xtremity art 2 levels 0.00 2.28 2.88 NA NA 0.01 XXX93922 26 A Upr/l xtremity art 2 levels 0.25 0.10 0.10 0.10 0.10 0.01 XXX93923 A Upr/lxtr art stdy 3+ lvls 0.45 3.63 4.53 NA NA 0.05 XXX93923 TC A Upr/lxtr art stdy 3+ lvls 0.00 3.46 4.35 NA NA 0.01 XXX93923 26 A Upr/lxtr art stdy 3+ lvls 0.45 0.17 0.18 0.17 0.18 0.04 XXX93924 A Lwr xtr vasc stdy bilat 0.50 4.70 5.73 NA NA 0.05 XXX93924 TC A Lwr xtr vasc stdy bilat 0.00 4.51 5.53 NA NA 0.01 XXX93924 26 A Lwr xtr vasc stdy bilat 0.50 0.19 0.20 0.19 0.20 0.04 XXX93925 A Lower extremity study 0.58 8.08 8.67 NA NA 0.07 XXX93925 TC A Lower extremity study 0.00 7.86 8.44 NA NA 0.03 XXX93925 26 A Lower extremity study 0.58 0.22 0.23 0.22 0.23 0.04 XXX93926 A Lower extremity study 0.39 5.34 5.61 NA NA 0.06 XXX93926 TC A Lower extremity study 0.00 5.20 5.46 NA NA 0.01 XXX93926 26 A Lower extremity study 0.39 0.14 0.15 0.14 0.15 0.05 XXXCMS-1582-PN 470CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93930 A Upper extremity study 0.46 6.46 6.83 NA NA 0.05 XXX93930 TC A Upper extremity study 0.00 6.29 6.65 NA NA 0.01 XXX93930 26 A Upper extremity study 0.46 0.17 0.18 0.17 0.18 0.04 XXX93931 A Upper extremity study 0.31 4.29 4.56 NA NA 0.04 XXX93931 TC A Upper extremity study 0.00 4.18 4.44 NA NA 0.01 XXX93931 26 A Upper extremity study 0.31 0.11 0.12 0.11 0.12 0.03 XXX93965 A Extremity study 0.35 3.11 3.34 NA NA 0.04 XXX93965 TC A Extremity study 0.00 2.98 3.20 NA NA 0.01 XXX93965 26 A Extremity study 0.35 0.13 0.14 0.13 0.14 0.03 XXX93970 A Extremity study 0.68 6.46 6.84 NA NA 0.08 XXX93970 TC A Extremity study 0.00 6.21 6.57 NA NA 0.01 XXX93970 26 A Extremity study 0.68 0.25 0.27 0.25 0.27 0.07 XXX93971 A Extremity study 0.45 4.21 4.49 NA NA 0.05 XXX93971 TC A Extremity study 0.00 4.04 4.31 NA NA 0.01 XXX93971 26 A Extremity study 0.45 0.17 0.18 0.17 0.18 0.04 XXX93975 A Vascular study 1.80 8.52 9.22 NA NA 0.17 XXX93975 TC A Vascular study 0.00 7.85 8.49 NA NA 0.03 XXX93975 26 A Vascular study 1.80 0.67 0.73 0.67 0.73 0.14 XXX93976 A Vascular study 1.21 4.72 5.11 NA NA 0.09 XXX93976 TC A Vascular study 0.00 4.27 4.61 NA NA 0.01 XXX93976 26 A Vascular study 1.21 0.45 0.50 0.45 0.50 0.08 XXX93978 A Vascular study 0.65 6.06 6.42 NA NA 0.08 XXX93978 TC A Vascular study 0.00 5.82 6.16 NA NA 0.01 XXX93978 26 A Vascular study 0.65 0.24 0.26 0.24 0.26 0.07 XXX93979 A Vascular study 0.44 4.21 4.46 NA NA 0.05 XXX93979 TC A Vascular study 0.00 4.05 4.29 NA NA 0.01 XXX93979 26 A Vascular study 0.44 0.16 0.17 0.16 0.17 0.04 XXX93980 A Penile vascular study 1.25 3.51 3.86 NA NA 0.08 XXX93980 TC A Penile vascular study 0.00 3.02 3.32 NA NA 0.01 XXX93980 26 A Penile vascular study 1.25 0.49 0.54 0.49 0.54 0.07 XXXCMS-1582-PN 471CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global93981 A Penile vascular study 0.44 2.69 3.07 NA NA 0.04 XXX93981 TC A Penile vascular study 0.00 2.52 2.89 NA NA 0.01 XXX93981 26 A Penile vascular study 0.44 0.17 0.18 0.17 0.18 0.03 XXX93982 R Aneurysm pressure sens study 0.30 0.87 0.92NA NA 0.05 XXX93990 A Doppler flow testing 0.25 5.87 5.90 NA NA 0.05 XXX93990 TC A Doppler flow testing 0.00 5.78 5.81 NA NA 0.01 XXX93990 26 A Doppler flow testing 0.25 0.09 0.09 0.09 0.09 0.04 XXX94002 A Vent mgmt inpat init day 1.99 NA NA 0.60 0.52 0.16 XXX94003 A Vent mgmt inpat subq day 1.37 NA NA 0.49 0.45 0.10 XXX94004 A Vent mgmt nf per day 1.00 NA NA 0.36 0.33 0.07 XXX94005 B Home vent mgmt supervision 1.50 1.09 1.09 NA NA 0.10 XXX94010 A Breathing capacity test 0.17 0.83 0.85 NA NA 0.02 XXX94010 TC A Breathing capacity test 0.00 0.76 0.78 NA NA 0.01 XXX94010 26 A Breathing capacity test 0.17 0.07 0.07 0.07 0.07 0.01 XXX94011 A Spirometry up to 2 yrs old 2.00 NA NA 0.77 0.77 0.14 XXX94012 A Spirmtry w/brnchdil inf-2 yr 3.10 NA NA 1.16 1.16 0.23 XXX94013 A Meas lung vol thru 2 yrs 0.66 NA NA 0.22 0.22 0.04 XXX94014 A Patient recorded spirometry 0.52 0.83 0.90 NA NA 0.02 XXX94015 A Patient recorded spirometry 0.00 0.64 0.71 NA NA 0.01 XXX94016 A Review patient spirometry 0.52 0.19 0.19 0.19 0.19 0.01 XXX94060 A Evaluation of wheezing 0.31 1.43 1.46 NA NA 0.02 XXX94060 TC A Evaluation of wheezing 0.00 1.31 1.35 NA NA 0.01 XXX94060 26 A Evaluation of wheezing 0.31 0.12 0.11 0.12 0.11 0.01 XXX94070 A Evaluation of wheezing 0.60 1.10 1.12 NA NA 0.04 XXX94070 TC A Evaluation of wheezing 0.00 0.87 0.91 NA NA 0.01 XXX94070 26 A Evaluation of wheezing 0.60 0.23 0.21 0.23 0.21 0.03 XXX94150 B Vital capacity test 0.07 0.61 0.62 NA NA 0.02 XXX94150 TC B Vital capacity test 0.00 0.58 0.59 NA NA 0.01 XXX94150 26 B Vital capacity test 0.07 0.03 0.03 0.03 0.03 0.01 XXX94200 A Lung function test (mbc/mvv) 0.11 0.57 0.58 NA NA 0.02 XXXCMS-1582-PN 472CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global94200 TC A Lung function test (mbc/mvv) 0.00 0.53 0.54 NA NA 0.01 XXX94200 26 A Lung function test (mbc/mvv) 0.11 0.04 0.04 0.04 0.04 0.01 XXX94240 A Residual lung capacity 0.26 0.86 0.90 NA NA 0.02 XXX94240 TC A Residual lung capacity 0.00 0.77 0.81 NA NA 0.01 XXX94240 26 A Residual lung capacity 0.26 0.09 0.09 0.09 0.09 0.01 XXX94250 A Expired gas collection 0.11 0.57 0.62 NA NA 0.02 XXX94250 TC A Expired gas collection 0.00 0.53 0.58 NA NA 0.01 XXX94250 26 A Expired gas collection 0.11 0.04 0.04 0.04 0.04 0.01 XXX94260 A Thoracic gas volume 0.13 0.78 0.81 NA NA 0.02 XXX94260 TC A Thoracic gas volume 0.00 0.73 0.77 NA NA 0.01 XXX94260 26 A Thoracic gas volume 0.13 0.05 0.04 0.05 0.04 0.01 XXX94350 A Lung nitrogen washout curve 0.26 0.69 0.74 NA NA 0.02 XXX94350 TC A Lung nitrogen washout curve 0.00 0.59 0.65 NA NA 0.01 XXX94350 26 A Lung nitrogen washout curve 0.26 0.10 0.09 0.10 0.09 0.01 XXX94360 A Measure airflow resistance 0.26 0.99 1.03 NA NA 0.02 XXX94360 TC A Measure airflow resistance 0.00 0.90 0.94 NA NA 0.01 XXX94360 26 A Measure airflow resistance 0.26 0.09 0.09 0.09 0.09 0.01 XXX94370 A Breath airway closing volume 0.26 0.69 0.73 NA NA 0.02 XXX94370 TC A Breath airway closing volume 0.00 0.59 0.64 NA NA 0.01 XXX94370 26 A Breath airway closing volume 0.26 0.10 0.09 0.10 0.09 0.01 XXX94375 A Respiratory flow volume loop 0.31 0.78 0.80 NA NA 0.02 XXX94375 TC A Respiratory flow volume loop 0.00 0.66 0.69 NA NA 0.01 XXX94375 26 A Respiratory flow volume loop 0.31 0.12 0.11 0.12 0.11 0.01 XXX94400 A Co2 breathing response curve 0.40 1.13 1.16 NA NA 0.02 XXX94400 TC A Co2 breathing response curve 0.00 0.99 1.02 NA NA 0.01 XXX94400 26 A Co2 breathing response curve 0.40 0.14 0.14 0.14 0.14 0.01 XXX94450 A Hypoxia response curve 0.40 1.47 1.32 NA NA 0.02 XXX94450 TC A Hypoxia response curve 0.00 1.30 1.17 NA NA 0.01 XXX94450 26 A Hypoxia response curve 0.40 0.17 0.15 0.17 0.15 0.01 XXX94452 A Hast w/report 0.31 1.29 1.36 NA NA 0.02 XXXCMS-1582-PN 473CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global94452 TC A Hast w/report 0.00 1.18 1.26 NA NA 0.01 XXX94452 26 A Hast w/report 0.31 0.11 0.10 0.11 0.10 0.01 XXX94453 A Hast w/oxygen titrate 0.40 1.77 1.87NA NA 0.02 XXX94453 TC A Hast w/oxygen titrate 0.00 1.63 1.73NA NA 0.01 XXX94453 26 A Hast w/oxygen titrate 0.400.14 0.14 0.140.14 0.01 XXX94610 A Surfactant admin thru tube 1.16 0.56 0.51 0.56 0.51 0.07 XXX94620 A Pulmonary stress test/simple 0.64 0.88 1.19 NA NA 0.04 XXX94620 TC A Pulmonary stress test/simple 0.00 0.65 0.96 NA NA 0.01 XXX94620 26 A Pulmonary stress test/simple 0.64 0.23 0.23 0.23 0.23 0.03 XXX94621 A Pulm stress test/complex 1.42 3.11 3.31 NA NA 0.06 XXX94621 TC A Pulm stress test/complex 0.00 2.58 2.76 NA NA 0.01 XXX94621 26 A Pulm stress test/complex 1.42 0.53 0.55 0.53 0.55 0.05 XXX94640 A Airway inhalation treatment 0.00 0.49 0.46NA NA 0.01 XXX94642 C Aerosol inhalation treatment 0.00 0.00 0.00 0.00 0.00 0.00 XXX94644 A Cbt 1st hour 0.00 1.21 1.17 NA NA 0.01 XXX94645 A Cbt each addl hour 0.00 0.40 0.42 NA NA 0.01 XXX94660 A Pos airway pressure cpap 0.76 0.98 0.96 0.28 0.27 0.05 XXX94662 A Neg press ventilation cnp 0.76 NA NA 0.26 0.25 0.05 XXX94664 A Evaluate pt use of inhaler 0.00 0.47 0.46 NA NA 0.01 XXX94667 A Chest wall manipulation 0.00 0.67 0.65 NA NA 0.01 XXX94668 A Chest wall manipulation 0.00 0.64 0.63 NA NA 0.01 XXX94680 A Exhaled air analysis o2 0.26 1.35 1.45 NA NA 0.02 XXX94680 TC A Exhaled air analysis o2 0.00 1.24 1.35 NA NA 0.01 XXX94680 26 A Exhaled air analysis o2 0.26 0.11 0.10 0.11 0.10 0.01 XXX94681 A Exhaled air analysis o2/co2 0.20 1.20 1.46 NA NA 0.02 XXX94681 TC A Exhaled air analysis o2/co2 0.00 1.12 1.39 NA NA 0.01 XXX94681 26 A Exhaled air analysis o2/co2 0.20 0.08 0.07 0.08 0.07 0.01 XXX94690 A Exhaled air analysis 0.07 1.31 1.43 NA NA 0.02 XXX94690 TC A Exhaled air analysis 0.00 1.28 1.40 NA NA 0.01 XXX94690 26 A Exhaled air analysis 0.07 0.03 0.03 0.03 0.03 0.01 XXXCMS-1582-PN 474CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global94720 A Monoxide diffusing capacity0.26 1.18 1.26NA NA 0.02 XXX94720 TC A Monoxide diffusing capacity0.00 1.09 1.17NA NA 0.01 XXX94720 26 A Monoxide diffusing capacity 0.26 0.09 0.09 0.09 0.09 0.01 XXX94725 A Membrane diffusion capacity 0.26 1.16 1.48 NA NA 0.02 XXX94725 TC A Membrane diffusion capacity 0.00 1.06 1.38 NA NA 0.01 XXX94725 26 A Membrane diffusion capacity 0.26 0.10 0.10 0.10 0.10 0.01 XXX94750 A Pulmonary compliance study 0.23 2.04 2.04 NA NA 0.02 XXX94750 TC A Pulmonary compliance study 0.00 1.95 1.96 NA NA 0.01 XXX94750 26 A Pulmonary compliance study 0.23 0.09 0.08 0.09 0.08 0.01 XXX94760 T Measure blood oxygen level 0.00 0.08 0.07 NA NA 0.01 XXX94761 T Measure blood oxygen level 0.00 0.12 0.12 NA NA 0.01 XXX94762 A Measure blood oxygen level 0.00 0.29 0.58 NA NA 0.01 XXX94770 A Exhaled carbon dioxide test 0.15 0.07 0.50 0.07 0.50 0.03 XXX94770 TC A Exhaled carbon dioxide test 0.00 0.00 0.74 NA NA 0.01 XXX94770 26 A Exhaled carbon dioxide test 0.15 0.00 0.04 0.00 0.04 0.01 XXX94772 C Breath recording infant 0.00 0.00 0.00 NA NA 0.00 XXX94772 TC C Breath recording infant 0.00 0.00 0.00 NA NA 0.00 XXX94772 26 C Breath recording infant 0.00 0.00 0.00 0.00 0.00 0.00 XXX94774 C Ped home apnea rec compl 0.00 0.00 0.00 0.00 0.00 0.00 YYY94775 C Ped home apnea rec hk-up 0.00 0.00 0.00 0.00 0.00 0.00 YYY94776 C Ped home apnea rec downld 0.00 0.00 0.00 0.00 0.00 0.00 YYY94777 C Ped home apnea rec report 0.00 0.00 0.00 0.00 0.00 0.00 YYY94799 C Pulmonary service/procedure 0.00 0.00 0.00 NA NA 0.00 XXX94799 TC C Pulmonary service/procedure 0.00 0.00 0.00 NA NA 0.00 XXX94799 26 C Pulmonary service/procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX95004 A Percut allergy skin tests 0.01 0.17 0.17 NA NA 0.01 XXX95010 A Percut allergy titrate test 0.15 0.38 0.38 NA NA 0.01 XXX95012 A Exhaled nitric oxide meas 0.00 0.55 0.60 NA NA 0.01 XXX95015 A Id allergy titrate-drug/bug 0.15 0.29 0.26 0.07 0.07 0.01 XXX95024 A Id allergy test drug/bug 0.01 0.19 0.20 NA NA 0.01 XXXCMS-1582-PN 475CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95027 A Id allergy titrate-airborne 0.01 0.11 0.12 NA NA 0.01 XXX95028 A Id allergy test-delayed type 0.00 0.37 0.36 NA NA 0.01 XXX95044 A Allergy patch tests 0.00 0.15 0.17 NA NA 0.01 XXX95052 A Photo patch test 0.00 0.17 0.20 NA NA 0.01 XXX95056 A Photosensitivity tests 0.00 1.23 1.19 NA NA 0.01 XXX95060 A Eye allergy tests 0.00 0.90 0.83 0.90 0.83 0.01 XXX95065 A Nose allergy test 0.00 0.72 0.71 0.72 0.71 0.01 XXX95070 A Bronchial allergy tests 0.00 0.80 1.11 NA NA 0.01 XXX95071 A Bronchial allergy tests 0.00 1.23 1.49 NA NA 0.01 XXX95075 A Ingestion challenge test 0.95 0.90 0.90 0.44 0.42 0.04 XXX95115 A Immunotherapy one injection 0.00 0.26 0.29 NA NA 0.01 XXX95117 A Immunotherapy injections 0.00 0.31 0.36 NA NA 0.01 XXX95120 I Immunotherapy one injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX95125 I Immunotherapy many antigens 0.00 0.00 0.00 0.00 0.00 0.00 XXX95130 I Immunotherapy insect venom 0.00 0.000.00 0.000.00 0.00 XXX95131 I Immunotherapy insect venoms 0.00 0.000.00 0.000.00 0.00 XXX95132 I Immunotherapy insect venoms 0.00 0.000.00 0.000.00 0.00 XXX95133 I Immunotherapy insect venoms 0.00 0.000.00 0.000.00 0.00 XXX95134 I Immunotherapy insect venoms 0.00 0.000.00 0.000.00 0.00 XXX95144 A Antigen therapy services 0.06 0.30 0.30 0.03 0.03 0.01 XXX95145 A Antigen therapy services 0.06 0.55 0.49 0.03 0.03 0.01 XXX95146 A Antigen therapy services 0.06 1.06 0.91 0.03 0.03 0.01 XXX95147 A Antigen therapy services 0.06 0.95 0.85 0.03 0.03 0.01 XXX95148 A Antigen therapy services 0.06 1.45 1.26 0.03 0.03 0.01 XXX95149 A Antigen therapy services 0.06 1.97 1.70 0.03 0.03 0.01 XXX95165 A Antigen therapy services 0.06 0.30 0.30 0.03 0.03 0.01 XXX95170 A Antigen therapy services 0.06 0.21 0.22 0.03 0.03 0.01 XXX95180 A Rapid desensitization 2.01 1.94 2.07 0.99 1.02 0.07 XXX95199 C Allergy immunology services 0.00 0.00 0.00 0.00 0.00 0.00 XXX95250 A Glucose monitoring cont 0.00 4.35 4.35 NA NA 0.01 XXXCMS-1582-PN 476CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95251 A Gluc monitor cont phys i&r 0.85 0.39 0.34 0.39 0.34 0.04 XXX95800 A Slp stdy unattended 1.054.95 4.95 NA NA 0.05 XXX95800 TC A Slp stdy unattended 0.00 4.33 4.33 NA NA 0.01 XXX95800 26 A Slp stdy unattended 1.05 0.62 0.62 0.62 0.62 0.04 XXX95801 A Slp stdy unatnd w/anal 1.00 1.80 1.80NA NA 0.05 XXX95801 TC A Slp stdy unatnd w/anal 0.00 1.331.33 NA NA 0.01 XXX95801 26 A Slp stdy unatnd w/anal 1.00 0.47 0.47 0.47 0.47 0.04 XXX95803 A Actigraphy testing 0.90 3.83 3.83 NA NA 0.05 XXX95803 TC A Actigraphy testing 0.00 3.39 3.39 NA NA 0.01 XXX95803 26 A Actigraphy testing 0.90 0.44 0.44 0.44 0.44 0.04 XXX95805 A Multiple sleep latency test 1.20 10.13 10.80 NA NA 0.08 XXX95805 TC A Multiple sleep latency test 0.00 9.65 10.22 NA NA 0.04 XXX95805 26 A Multiple sleep latency test 1.20 0.48 0.58 0.48 0.58 0.04 XXX95806 A Sleep study unatt&resp efft 1.25 3.494.03 NA NA 0.08 XXX95806 TC A Sleep study unatt&resp efft 0.00 3.003.48 NA NA 0.03 XXX95806 26 A Sleep study unatt&resp efft 1.25 0.49 0.55 0.49 0.55 0.05 XXX95807 A Sleep study attended1.28 10.76 12.40 NA NA 0.15 XXX95807 TC A Sleep studyattended 0.00 10.29 11.87 NA NA 0.10 XXX95807 26 A Sleep study attended 1.28 0.47 0.53 0.47 0.53 0.05 XXX95808 A Polysomnography 1-3 1.74 16.46 17.21 NA NA 0.17 XXX95808 TC A Polysomnography 1-3 0.00 15.73 16.37 NA NA 0.10 XXX95808 26 A Polysomnography 1-3 1.74 0.73 0.84 0.73 0.84 0.07 XXX95810 A Polysomnography 4 or more 2.50 14.54 17.72 NA NA 0.21 XXX95810 TC A Polysomnography 4 or more 0.00 13.58 16.63 NA NA 0.11 XXX95810 26 A Polysomnography 4 or more 2.50 0.96 1.09 0.96 1.09 0.10 XXX95811 A Polysomnography w/cpap 2.60 15.27 19.22 NA NA 0.23 XXX95811 TC A Polysomnography w/cpap 0.00 14.28 18.07 NA NA 0.12 XXX95811 26 A Polysomnography w/cpap 2.60 0.99 1.15 0.99 1.15 0.11 XXX95812 A Eeg 41-60 minutes 1.08 9.75 8.12 NA NA 0.07 XXX95812 TC A Eeg 41-60 minutes 0.00 9.23 7.65 NA NA 0.03 XXXCMS-1582-PN 477CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95812 26 A Eeg 41-60 minutes 1.08 0.52 0.47 0.52 0.47 0.04 XXX95813 A Eeg over 1 hour 1.73 9.75 8.61 NA NA 0.11 XXX95813 TC A Eeg over 1 hour 0.00 8.95 7.87 NA NA 0.04 XXX95813 26 A Eeg over 1 hour 1.73 0.80 0.74 0.80 0.74 0.07 XXX95816 A Eeg awake and drowsy 1.08 8.99 7.43 NA NA 0.08 XXX95816 TC A Eeg awake and drowsy 0.00 8.47 6.95 NA NA 0.03 XXX95816 26 A Eeg awake and drowsy 1.08 0.52 0.48 0.52 0.48 0.05 XXX95819 A Eeg awake and asleep 1.08 10.45 8.43 NA NA 0.07 XXX95819 TC A Eeg awake and asleep 0.00 9.93 7.95 NA NA 0.03 XXX95819 26 A Eeg awake and asleep 1.08 0.52 0.48 0.52 0.48 0.04 XXX95822 A Eeg coma or sleep only 1.08 9.27 7.81 NA NA 0.07 XXX95822 TC A Eeg coma or sleep only 0.00 8.75 7.33 NA NA 0.03 XXX95822 26 A Eeg coma or sleep only 1.08 0.52 0.48 0.52 0.48 0.04 XXX95824 C Eeg cerebral death only 0.00 0.00 0.00 NA NA 0.00 XXX95824 TC C Eeg cerebral death only 0.00 0.00 0.00 NA NA 0.00 XXX95824 26 A Eeg cerebral death only 0.74 0.35 0.32 0.35 0.32 0.05 XXX95827 A Eeg all night recording 1.08 19.27 15.25 NA NA 0.13 XXX95827 TC A Eeg all night recording 0.00 18.75 14.78 NA NA 0.08 XXX95827 26 A Eeg all night recording 1.08 0.52 0.47 0.52 0.47 0.05 XXX95829 A Surgery electrocorticogram 6.20 42.49 37.55 NA NA 0.21 XXX95829 TC A Surgery electrocorticogram 0.00 39.49 34.81 NA NA 0.05 XXX95829 26 A Surgery electrocorticogram 6.20 3.00 2.74 3.00 2.74 0.16 XXX95830 A Insert electrodes for eeg 1.70 3.85 3.77 0.74 0.70 0.14 XXX95831 A Limb muscle testing manual 0.28 0.57 0.54 0.14 0.13 0.03 XXX95832 A Hand muscle testing manual 0.29 0.57 0.50 0.17 0.14 0.03 XXX95833 A Body muscle testing manual 0.47 0.61 0.60 0.16 0.18 0.01 XXX95834 A Body muscle testing manual 0.60 0.81 0.73 0.26 0.24 0.03 XXX95851 A Range of motion measurements 0.16 0.34 0.34 0.06 0.06 0.01 XXX95852 A Range of motion measurements 0.11 0.34 0.31 0.05 0.05 0.01 XXX95857 A Cholinesterase challenge 0.53 0.92 0.81 0.30 0.27 0.04 XXXCMS-1582-PN 478CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95860 A Muscle test one limb 0.96 1.84 1.66 NA NA 0.04 XXX95860 TC A Muscle test one limb 0.00 1.34 1.19 NA NA 0.01 XXX95860 26 A Muscle test one limb 0.96 0.50 0.47 0.50 0.47 0.03 XXX95861 A Muscle test 2 limbs 1.54 2.58 2.26 NA NA 0.06 XXX95861 TC A Muscle test 2 limbs 0.00 1.79 1.52 NA NA 0.01 XXX95861 26 A Muscle test 2 limbs 1.54 0.79 0.74 0.79 0.74 0.05 XXX95863 A Muscle test 3 limbs 1.87 3.16 2.71 NA NA 0.08 XXX95863 TC A Muscle test 3 limbs 0.00 2.22 1.85 NA NA 0.01 XXX95863 26 A Muscle test 3 limbs 1.87 0.94 0.86 0.94 0.86 0.07 XXX95864 A Muscle test 4 limbs 1.99 3.34 3.05 NA NA 0.08 XXX95864 TC A Muscle test 4 limbs 0.00 2.34 2.12 NA NA 0.01 XXX95864 26 A Muscle test 4 limbs 1.99 1.00 0.93 1.00 0.93 0.07 XXX95865 A Muscle test larynx 1.57 2.06 1.90 NA NA 0.05 XXX95865 TC A Muscle test larynx 0.00 1.22 1.12 NA NA 0.01 XXX95865 26 A Muscle test larynx 1.57 0.84 0.78 0.84 0.78 0.04 XXX95866 A Muscle test hemidiaphragm 1.25 2.01 1.74 NA NA 0.06 XXX95866 TC A Muscle test hemidiaphragm 0.00 1.41 1.16 NA NA 0.01 XXX95866 26 A Muscle test hemidiaphragm 1.25 0.60 0.58 0.60 0.58 0.05 XXX95867 A Muscle test cran nerv unilat 0.79 1.73 1.53 NA NA 0.04 XXX95867 TC A Muscle test cran nerv unilat 0.00 1.32 1.15 NA NA 0.01 XXX95867 26 A Muscle test cran nerv unilat 0.79 0.41 0.38 0.41 0.38 0.03 XXX95868 A Muscle test cran nerve bilat 1.18 2.25 1.97 NA NA 0.05 XXX95868 TC A Muscle test cran nerve bilat 0.00 1.65 1.42 NA NA 0.01 XXX95868 26 A Muscle test cran nerve bilat 1.18 0.60 0.55 0.60 0.55 0.04 XXX95869 A Muscle test thor paraspinal 0.37 1.62 1.33 NA NA 0.02 XXX95869 TC A Muscle test thor paraspinal 0.00 1.43 1.15 NA NA 0.01 XXX95869 26 A Muscle test thor paraspinal 0.37 0.19 0.18 0.19 0.18 0.01 XXX95870 A Muscle test nonparaspinal 0.37 1.60 1.29 NA NA 0.02 XXX95870 TC A Muscle test nonparaspinal 0.00 1.41 1.12 NA NA 0.01 XXX95870 26 A Muscle test nonparaspinal 0.37 0.19 0.17 0.19 0.17 0.01 XXXCMS-1582-PN 479CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95872 A Muscle test one fiber 2.88 2.58 2.23 NA NA 0.12 XXX95872 TC A Muscle test one fiber 0.00 1.20 1.02 NA NA 0.01 XXX95872 26 A Muscle test one fiber 2.88 1.38 1.21 1.38 1.21 0.11 XXX95873 A Guide nerv destr elec stim 0.37 1.60 1.32 NA NA 0.02 ZZZ95873 TC A Guide nerv destr elec stim 0.00 1.39 1.12 NA NA 0.01 ZZZ95873 26 A Guide nerv destr elec stim 0.37 0.21 0.20 0.21 0.20 0.01 ZZZ95874 A Guide nerv destr needle emg 0.37 1.53 1.24 NA NA 0.02 ZZZ95874 TC A Guide nerv destr needle emg 0.00 1.33 1.06 NA NA 0.01 ZZZ95874 26 A Guide nerv destr needle emg 0.37 0.20 0.18 0.20 0.18 0.01 ZZZ95875 A Limb exercise test 1.10 2.21 1.93 NA NA 0.06 XXX95875 TC A Limb exercise test 0.00 1.68 1.44 NA NA 0.01 XXX95875 26 A Limb exercise test 1.10 0.53 0.49 0.53 0.49 0.05 XXX95900 A Motor nerve conduction test 0.42 1.44 1.33 NA NA 0.02 XXX95900 TC A Motor nerve conduction test 0.00 1.22 1.13 NA NA 0.01 XXX95900 26 A Motor nerve conduction test 0.42 0.22 0.20 0.22 0.20 0.01 XXX95903 A Motor nerve conduction test 0.60 1.54 1.41 NA NA 0.04 XXX95903 TC A Motor nerve conduction test 0.00 1.25 1.14 NA NA 0.01 XXX95903 26 A Motor nerve conduction test 0.60 0.29 0.27 0.29 0.27 0.03 XXX95904 A Sense nerve conduction test 0.34 1.28 1.20 NA NA 0.02 XXX95904 TC A Sense nerve conduction test 0.00 1.11 1.04 NA NA 0.01 XXX95904 26 A Sense nerve conduction test 0.34 0.17 0.16 0.17 0.16 0.01 XXX95905 A Motor/sens nrve conduct test 0.05 2.41 2.41 NA NA 0.02 XXX95905 TC A Motor/sens nrve conduct test 0.00 2.38 2.38 NA NA 0.01 XXX95905 26 A Motor/sens nrve conduct test 0.05 0.03 0.03 0.03 0.03 0.01 XXX95920 A Intraop nerve test add-on 2.11 2.69 2.46 NA NA 0.09 ZZZ95920 TC A Intraop nerve test add-on 0.00 1.66 1.51 NA NA 0.01 ZZZ95920 26 A Intraop nerve test add-on 2.11 1.03 0.95 1.03 0.95 0.08 ZZZ95921 A Autonomic nerv function test 0.90 1.53 1.41 NA NA 0.04 XXX95921 TC A Autonomic nerv function test 0.00 1.12 1.03 NA NA 0.01 XXX95921 26 A Autonomic nerv function test 0.90 0.41 0.38 0.41 0.38 0.03 XXXCMS-1582-PN 480CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95922 A Autonomic nerv function test 0.96 2.09 1.90 NA NA 0.04 XXX95922 TC A Autonomic nerv function test 0.00 1.66 1.49 NA NA 0.01 XXX95922 26 A Autonomic nerv function test 0.96 0.43 0.41 0.43 0.41 0.03 XXX95923 A Autonomic nerv function test 0.90 3.92 3.31 NA NA 0.05 XXX95923 TC A Autonomic nerv function test 0.00 3.48 2.91 NA NA 0.01 XXX95923 26 A Autonomic nerv function test 0.90 0.44 0.40 0.44 0.40 0.04 XXX95925 A Somatosensory testing 0.54 4.92 4.05 NA NA 0.02 XXX95925 TC A Somatosensory testing 0.00 4.66 3.81 NA NA 0.01 XXX95925 26 A Somatosensory testing 0.54 0.26 0.24 0.26 0.24 0.01 XXX95926 A Somatosensory testing 0.54 4.65 3.89 NA NA 0.04 XXX95926 TC A Somatosensory testing 0.00 4.40 3.65 NA NA 0.01 XXX95926 26 A Somatosensory testing 0.54 0.25 0.24 0.25 0.24 0.03 XXX95927 A Somatosensory testing 0.54 4.05 3.63 NA NA 0.02 XXX95927 TC A Somatosensory testing 0.00 3.79 3.38 NA NA 0.01 XXX95927 26 A Somatosensory testing 0.54 0.26 0.25 0.26 0.25 0.01 XXX95928 A C motor evoked uppr limbs 1.50 6.22 5.28 NA NA 0.10 XXX95928 TC A C motor evoked uppr limbs 0.00 5.49 4.62 NA NA 0.03 XXX95928 26 A C motor evoked uppr limbs 1.50 0.73 0.66 0.73 0.66 0.07 XXX95929 A C motor evoked lwr limbs 1.50 6.67 5.69 NA NA 0.10 XXX95929 TC A C motor evoked lwr limbs 0.00 5.94 5.02 NA NA 0.03 XXX95929 26 A C motor evoked lwr limbs 1.50 0.73 0.67 0.73 0.67 0.07 XXX95930 A Visual evoked potential test 0.35 4.08 3.55 NA NA 0.02 XXX95930 TC A Visual evoked potential test 0.00 3.90 3.39 NA NA 0.01 XXX95930 26 A Visual evoked potential test 0.35 0.18 0.16 0.18 0.16 0.01 XXX95933 A Blink reflex test 0.59 1.78 1.55 NA NA 0.04 XXX95933 TC A Blink reflex test 0.00 1.49 1.28 NA NA 0.01 XXX95933 26 A Blink reflex test 0.59 0.29 0.27 0.29 0.27 0.03 XXX95934 A H-reflex test 0.51 1.30 1.12 NA NA 0.02 XXX95934 TC A H-reflex test 0.00 1.05 0.88 NA NA 0.01 XXX95934 26 A H-reflex test 0.51 0.25 0.24 0.25 0.24 0.01 XXXCMS-1582-PN 481CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95936 A H-reflex test 0.55 0.90 0.79 NA NA 0.02 XXX95936 TC A H-reflex test 0.00 0.63 0.54 NA NA 0.01 XXX95936 26 A H-reflex test 0.55 0.27 0.25 0.27 0.25 0.01 XXX95937 A Neuromuscular junction test 0.65 1.39 1.20 NA NA 0.05 XXX95937 TC A Neuromuscular junction test 0.00 1.08 0.91 NA NA 0.01 XXX95937 26 A Neuromuscular junction test 0.65 0.31 0.29 0.31 0.29 0.04 XXX95950 A Ambulatory eeg monitoring 1.51 7.11 6.35 NA NA 0.10 XXX95950 TC A Ambulatory eeg monitoring 0.00 6.38 5.69 NA NA 0.03 XXX95950 26 A Ambulatory eeg monitoring 1.51 0.73 0.66 0.73 0.66 0.07 XXX95951 C Eeg monitoring/videorecord 0.00 0.00 0.00 NA NA 0.00 XXX95951 TC C Eeg monitoring/videorecord 0.00 0.00 0.00 NA NA 0.00 XXX95951 26 A Eeg monitoring/videorecord 5.99 2.90 2.65 2.90 2.65 0.48 XXX95953 A Eeg monitoring/computer 3.08 9.01 8.89 NA NA 0.18 XXX95953 TC A Eeg monitoring/computer 0.00 7.52 7.50 NA NA 0.03 XXX95953 26 A Eeg monitoring/computer 3.08 1.49 1.39 1.49 1.39 0.15 XXX95954 A Eeg monitoring/giving drugs 2.45 7.96 6.53 NA NA 0.15 XXX95954 TC A Eeg monitoring/giving drugs 0.00 7.08 5.74 NA NA 0.04 XXX95954 26 A Eeg monitoring/giving drugs 2.45 0.88 0.79 0.88 0.79 0.11 XXX95955 A Eeg during surgery 1.01 4.61 3.88 NA NA 0.05 XXX95955 TC A Eeg during surgery 0.00 4.13 3.45 NA NA 0.01 XXX95955 26 A Eeg during surgery 1.01 0.48 0.43 0.48 0.43 0.04 XXX95956 A Eeg monitor technol attended 3.61 32.06 25.78 NA NA 0.32 XXX95956 TC A Eeg monitor technol attended 0.00 30.41 24.33 NA NA 0.16 XXX95956 26 A Eeg monitor technol attended 3.61 1.65 1.45 1.65 1.45 0.16 XXX95957 A Eeg digital analysis 1.98 9.70 7.88 NA NA 0.11 XXX95957 TC A Eeg digital analysis 0.00 8.76 7.01 NA NA 0.01 XXX95957 26 A Eeg digital analysis 1.98 0.94 0.87 0.94 0.87 0.10 XXX95958 A Eeg monitoring/function test 4.24 10.43 8.85 NA NA 0.26 XXX95958 TC A Eeg monitoring/function test 0.00 8.47 7.01 NA NA 0.04 XXX95958 26 A Eeg monitoring/function test 4.24 1.96 1.84 1.96 1.84 0.22 XXXCMS-1582-PN 482CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global95961 A Electrode stimulation brain 2.97 4.97 4.27 NA NA 0.15 XXX95961 TC A Electrode stimulation brain 0.00 3.50 2.91 NA NA 0.01 XXX95961 26 A Electrode stimulation brain 2.97 1.47 1.36 1.47 1.36 0.14 XXX95962 A Electrode stim brain add-on 3.21 3.76 3.29 NA NA 0.15 ZZZ95962 TC A Electrode stim brain add-on 0.00 2.19 1.86 NA NA 0.01 ZZZ95962 26 A Electrode stim brain add-on 3.21 1.57 1.43 1.57 1.43 0.14 ZZZ95965 C Meg spontaneous 0.00 0.00 0.00 NA NA 0.00 XXX95965 TC C Meg spontaneous 0.00 0.00 0.00 NA NA 0.00 XXX95965 26 A Meg spontaneous 7.99 3.88 3.69 3.88 3.69 0.64 XXX95966 C Meg evoked single 0.00 0.00 0.00 NA NA 0.00 XXX95966 TC C Meg evoked single 0.00 0.00 0.00 NA NA 0.00 XXX95966 26 A Meg evoked single 3.99 1.94 1.85 1.94 1.85 0.31 XXX95967 C Meg evoked each addl 0.00 0.00 0.00 NA NA 0.00 ZZZ95967 TC C Meg evoked each addl 0.00 0.00 0.00 NA NA 0.00 ZZZ95967 26 A Meg evoked each addl 3.49 1.69 1.56 1.69 1.56 0.29 ZZZ95970 A Analyze neurostim no prog 0.45 1.40 1.24 0.21 0.19 0.04 XXX95971 A Analyze neurostim simple 0.78 0.82 0.85 0.34 0.33 0.07 XXX95972 A Analyze neurostim complex 1.50 1.55 1.49 0.70 0.64 0.14 XXX95973 A Analyze neurostim complex 0.92 0.86 0.76 0.46 0.39 0.08 ZZZ95974 A Cranial neurostim complex 3.00 2.49 2.18 1.41 1.28 0.26 XXX95975 A Cranial neurostim complex 1.70 1.28 1.12 0.82 0.75 0.12 ZZZ95978 A Analyze neurostim brain/1h 3.50 3.10 2.71 1.72 1.56 0.38 XXX95979 A Analyz neurostim brain addon 1.64 1.24 1.10 0.81 0.73 0.14 ZZZ95980 A Io anal gast n-stim init 0.80 NA NA 0.44 0.37 0.16 XXX95981 A Io anal gast n-stim subsq 0.30 0.60 0.57 0.20 0.17 0.03 XXX95982 A Io ga n-stim subsq w/reprog 0.65 0.80 0.70 0.36 0.30 0.05 XXX95990 A Spin/brain pump refil & main 0.00 2.47 2.19 NA NA 0.03 XXX95991 A Spin/brain pump refil & main 0.77 2.63 2.28 0.36 0.29 0.05 XXX95992 A Canalith repositioning proc 0.75 0.46 0.45 0.33 0.32 0.05 XXX95999 C Neurological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 483CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global96000 A Motion analysis video/3d 1.80 NA NA 0.93 0.77 0.11 XXX96001 A Motion test w/ft press meas2.15 NA NA 0.65 0.68 0.12 XXX96002 A Dynamic surface emg 0.41 NA NA 0.20 0.18 0.03 XXX96003 A Dynamic fine wire emg 0.37 NA NA 0.18 0.15 0.03 XXX96004 A Phys review of motion tests 2.14 1.03 1.00 1.03 1.00 0.14 XXX96020 C Functional brain mapping 0.00 0.00 0.00 NA NA 0.00 XXX96020 TC C Functional brain mapping 0.00 0.00 0.00 NA NA 0.00 XXX96020 26 A Functional brain mapping 3.43 1.28 1.45 1.28 1.45 0.31 XXX96040 B Geneticcounseling 30 min0.00 1.23 1.29NA NA 0.03 XXX96101 A Psycho testing by psych/phys 1.86 0.48 0.51 0.28 0.40 0.07 XXX96102 A Psycho testing by technician 0.50 1.73 1.43 0.17 0.16 0.03 XXX96103 A Psycho testing admin by comp 0.51 1.30 1.11 0.19 0.18 0.03 XXX96105 A Assessment of aphasia 1.75 0.84 1.35 NA NA 0.04 XXX96110 A Developmental test lim 0.00 0.24 0.23 NA NA 0.01 XXX96111 A Developmental test extend 2.60 0.84 0.93 0.67 0.79 0.16 XXX96116 A Neurobehavioral status exam1.86 0.70 0.72 0.55 0.56 0.10 XXX96118 A Neuropsych tst by psych/phys 1.86 0.69 0.93 0.26 0.38 0.07 XXX96119 A Neuropsych testing by tec 0.55 1.39 1.51 0.09 0.12 0.01 XXX96120 A Neuropsych tst admin w/comp 0.51 2.07 1.88 0.18 0.17 0.03 XXX96125 A Cognitive test by hc pro 1.70 1.04 0.99 NA NA 0.07 XXX96150 A Assess hlth/behave init 0.50 0.07 0.11 0.07 0.10 0.01 XXX96151 A Assess hlth/behave subseq 0.48 0.08 0.11 0.07 0.10 0.01 XXX96152 A Intervene hlth/behave indiv 0.46 0.07 0.10 0.06 0.09 0.01 XXX96153 A Intervene hlth/behave group 0.10 0.02 0.03 0.02 0.02 0.01 XXX96154 A Interv hlth/behav fam w/pt 0.45 0.07 0.10 0.06 0.09 0.01 XXX96155 N Interv hlth/behav fam no pt 0.44 0.19 0.20 0.19 0.19 0.03 XXX96360 A Hydration iv infusion init 0.17 1.33 1.48 NA NA 0.03 XXX96361 A Hydrate iv infusion add-on 0.09 0.31 0.35 NA NA 0.01 ZZZ96365 A Ther/proph/diag iv inf init 0.21 1.71 1.85 NA NA 0.03 XXX96366 A Ther/proph/diag iv inf addon 0.18 0.42 0.45 NA NA 0.01 ZZZCMS-1582-PN 484CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global96367 A Tx/proph/dg addl seq iv inf 0.19 0.65 0.77 NA NA 0.01 ZZZ96368 A Ther/diag concurrent inf 0.17 0.35 0.39 NA NA 0.01 ZZZ96369 A Sc ther infusion up to 1 hr 0.21 4.82 4.79 NA NA 0.03 XXX96370 A Sc ther infusion addl hr 0.18 0.26 0.26 NA NA 0.01 ZZZ96371 A Sc ther infusion reset pump 0.00 2.25 2.35 NA NA 0.01 ZZZ96372 A Ther/proph/diag inj sc/im 0.17 0.50 0.50 NA NA 0.01 XXX96373 A Ther/proph/diag inj ia 0.17 0.38 0.38 NA NA 0.01 XXX96374 A Ther/proph/diag inj iv push 0.18 1.29 1.43 NA NA 0.03 XXX96375 A Tx/pro/dx inj new drug addon 0.10 0.48 0.56 NA NA 0.01 ZZZ96376 X Tx/pro/dx inj same drug adon 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ96379 C Ther/prop/diag inj/inf proc 0.00 0.00 0.00 0.00 0.00 0.00 XXX96401 A Chemo anti-neopl sq/im 0.21 1.76 1.89 NA NA 0.04 XXX96402 A Chemo hormon antineopl sq/im 0.19 0.67 0.83 NA NA 0.01 XXX96405 A Chemo intralesional up to 7 0.52 1.78 1.98 0.37 0.34 0.03 00096406 A Chemo intralesional over 7 0.80 2.35 2.64 0.50 0.45 0.04 00096409 A Chemo iv push sngl drug 0.24 2.64 3.03 NA NA 0.05 XXX96411 A Chemo iv push addl drug 0.20 1.42 1.63 NA NA 0.03 ZZZ96413 A Chemo iv infusion 1 hr 0.28 3.42 3.98 NA NA 0.05 XXX96415 A Chemo iv infusion addl hr 0.19 0.62 0.72 NA NA 0.01 ZZZ96416 A Chemo prolong infuse w/pump 0.21 3.85 4.47 NA NA 0.07 XXX96417 A Chemo iv infus each addl seq 0.21 1.63 1.89 NA NA 0.03 ZZZ96420 A Chemo ia push tecnique 0.17 2.57 2.96 NA NA 0.08 XXX96422 A Chemo ia infusion up to 1 hr 0.17 4.25 4.91 NA NA 0.08 XXX96423 A Chemo ia infuse each addl hr 0.17 1.89 2.14 NA NA 0.04 ZZZ96425 A Chemotherapy infusion method 0.17 4.55 5.02 NA NA 0.10 XXX96440 A Chemotherapy intracavitary 2.37 19.85 18.54 1.51 1.45 0.54 00096446 A Chemotx admn prtl cavity 0.37 4.77 4.77 0.19 0.19 0.07 XXX96450 A Chemotherapy into cns 1.53 3.37 4.21 0.75 0.88 0.11 00096521 A Refill/maint portable pump0.21 3.35 3.66NA NA 0.05 XXX96522 A Refill/maint pump/resvr syst0.21 2.70 3.01NA NA 0.05 XXXCMS-1582-PN 485CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global96523 T Irrig drug delivery device 0.04 0.61 0.70 NA NA 0.01 XXX96542 A Chemotherapy injection 0.75 2.37 2.95 0.45 0.50 0.04 XXX96549 C Chemotherapy unspecified 0.00 0.00 0.00 0.00 0.00 0.00 XXX96567 A Photodynamic tx skin 0.00 3.76 3.84 NA NA 0.01 XXX96570 A Photodynmc tx 30 min add-on 1.10 0.44 0.47 0.44 0.47 0.18 ZZZ96571 A Photodynamic tx addl 15 min 0.55 0.19 0.21 0.19 0.21 0.04 ZZZ96900 A Ultraviolet light therapy 0.00 0.57 0.60 NA NA 0.01 XXX96902 B Trichogram 0.41 0.20 0.20 0.18 0.18 0.03 XXX96904 R Whole body photography 0.00 1.82 1.99 NA NA 0.01 XXX96910 A Photochemotherapy with uv-b 0.00 1.98 2.03 NA NA 0.01 XXX96912 A Photochemotherapy with uv-a 0.00 2.55 2.61 NA NA 0.01 XXX96913 A Photochemotherapy uv-a or b 0.00 3.59 3.63 NA NA 0.01 XXX96920 A Laser tx skin < 250 sq cm 1.15 3.81 3.91 0.85 0.79 0.04 00096921 A Laser tx skin 250-500 sq cm 1.17 3.94 3.90 0.85 0.76 0.04 00096922 A Laser tx skin > 500 sq cm 2.10 5.07 5.17 1.55 1.38 0.08 00096999 C Dermatological procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX97001 A Pt evaluation 1.20 0.92 0.88 NA NA 0.05 XXX97002 A Pt re-evaluation 0.60 0.58 0.55 NA NA 0.03 XXX97003 A Ot evaluation 1.20 1.23 1.10 NA NA 0.05 XXX97004 A Ot re-evaluation 0.60 0.89 0.80 NA NA 0.03 XXX97005 I Athletic train eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX97006 I Athletic train reeval 0.00 0.00 0.00 0.00 0.00 0.00 XXX97010 B Hot or cold packs therapy 0.06 0.10 0.09 NA NA 0.01 XXX97012 A Mechanical traction therapy 0.25 0.20 0.19 NA NA 0.01 XXX97014 I Electric stimulation therapy 0.18 0.26 0.24 NA NA 0.01 XXX97016 A Vasopneumatic device therapy 0.18 0.35 0.32 NA NA 0.01 XXX97018 A Paraffin bath therapy 0.06 0.23 0.21 NA NA 0.01 XXX97022 A Whirlpool therapy 0.17 0.47 0.42 NA NA 0.01 XXX97024 A Diathermy eg microwave 0.06 0.12 0.11 NA NA 0.01 XXX97026 R Infrared therapy 0.06 0.10 0.09 NA NA 0.01 XXXCMS-1582-PN 486CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global97028 A Ultraviolet therapy 0.08 0.12 0.11 NA NA 0.01 XXX97032 A Electrical stimulation 0.25 0.28 0.26 NA NA 0.01 XXX97033 A Electric current therapy 0.26 0.63 0.56 NA NA 0.01 XXX97034 A Contrast bath therapy 0.21 0.29 0.26 NA NA 0.01 XXX97035 A Ultrasound therapy 0.21 0.14 0.13 NA NA 0.01 XXX97036 A Hydrotherapy 0.28 0.63 0.57 NA NA 0.01 XXX97039 C Physical therapy treatment 0.00 0.00 0.00 0.00 0.00 0.00 XXX97110 A Therapeutic exercises 0.45 0.45 0.41 NA NA 0.01 XXX97112 A Neuromuscular reeducation 0.45 0.49 0.45 NA NA 0.01 XXX97113 A Aquatic therapy/exercises 0.44 0.760.69 NA NA 0.01 XXX97116 A Gait training therapy 0.40 0.39 0.36 NA NA 0.01 XXX97124 A Massage therapy 0.35 0.38 0.35 NA NA 0.01 XXX97139 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX97140 A Manual therapy 0.43 0.41 0.38 NA NA 0.01 XXX97150 A Group therapeutic procedures 0.27 0.31 0.28 NA NA 0.01 XXX97530 A Therapeutic activities 0.44 0.54 0.50 NA NA 0.01 XXX97532 A Cognitive skills development 0.44 0.31 0.29 NA NA 0.01 XXX97533 A Sensory integration 0.44 0.38 0.36 NA NA 0.01 XXX97535 A Self care mngment training 0.45 0.53 0.49 NA NA 0.01 XXX97537 A Community/work reintegration 0.45 0.40 0.37 NA NA 0.01 XXX97542 A Wheelchair mngment training 0.45 0.41 0.38 NA NA 0.01 XXX97545 R Work hardening 0.00 0.00 0.00 0.00 0.00 0.00 XXX97546 R Work hardening add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ97597 A Rmvl devital tis 20 cm/< 0.51 1.56 1.56 0.15 0.15 0.05 00097598 A Rmvl devital tis addl 20 cm< 0.24 0.44 0.44 0.07 0.07 0.03 ZZZ97602 B Wound(s) care non-selective 0.00 0.00 0.00 0.00 0.00 0.00 XXX97605 A Neg press wound tx < 50 cm 0.55 0.57 0.53 0.16 0.17 0.08 XXX97606 A Neg press wound tx > 50 cm 0.60 0.59 0.54 0.17 0.18 0.10 XXX97750 A Physical performance test 0.45 0.47 0.44 NA NA 0.03 XXX97755 A Assistive technology assess 0.62 0.39 0.36 NA NA 0.03 XXXCMS-1582-PN 487CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global97760 A Orthotic mgmt and training 0.45 0.60 0.55 NA NA 0.03 XXX97761 A Prosthetic training 0.45 0.46 0.43 NA NA 0.03 XXX97762 A C/o for orthotic/prosth use 0.25 1.05 0.93 NA NA 0.01 XXX97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX97802 A Medical nutrition indiv in 0.53 0.42 0.38 0.36 0.32 0.03 XXX97803 A Med nutrition indiv subseq 0.45 0.37 0.34 0.31 0.28 0.03 XXX97804 A Medical nutrition group 0.25 0.18 0.15 0.17 0.15 0.01 XXX97810 N Acupunct w/o stimul 15 min 0.60 0.41 0.41 0.26 0.26 0.04 XXX97811 N Acupunct w/o stimul addl 15m 0.50 0.27 0.27 0.22 0.21 0.03 ZZZ97813 N Acupunct w/stimul 15 min 0.65 0.43 0.44 0.28 0.28 0.04 XXX97814 N Acupunct w/stimul addl 15m 0.55 0.32 0.32 0.24 0.24 0.04 ZZZ98925 A Osteopathic manipulation 0.46 0.43 0.41 0.20 0.18 0.03 00098926 A Osteopathic manipulation 0.71 0.57 0.54 0.29 0.27 0.03 00098927 A Osteopathic manipulation 0.96 0.71 0.67 0.36 0.35 0.04 00098928 A Osteopathic manipulation 1.21 0.82 0.78 0.45 0.43 0.06 00098929 A Osteopathic manipulation 1.46 1.00 0.93 0.54 0.51 0.09 00098940 A Chiropractic manipulation 0.45 0.30 0.29 0.16 0.15 0.01 00098941 A Chiropractic manipulation 0.65 0.39 0.36 0.23 0.23 0.03 00098942 A Chiropractic manipulation 0.87 0.47 0.44 0.31 0.30 0.03 00098943 N Chiropractic manipulation 0.40 0.28 0.28 0.18 0.17 0.03 XXX98960 B Self-mgmt educ & train 1 pt 0.00 0.73 0.76 NA NA 0.01 XXX98961 B Self-mgmt educ/train 2-4 pt 0.00 0.35 0.36 NA NA 0.01 XXX98962 B Self-mgmt educ/train 5-8 pt 0.00 0.25 0.27 NA NA 0.01 XXX98966 N Hc pro phone call 5-10 min 0.25 0.15 0.15 0.11 0.10 0.01 XXX98967 N Hc pro phone call 11-20 min 0.50 0.26 0.25 0.22 0.21 0.03 XXX98968 N Hc pro phone call 21-30 min 0.75 0.36 0.35 0.33 0.32 0.05 XXX98969 N Online service by hc pro 0.00 0.00 0.00 0.00 0.00 0.00 XXX99000 B Specimen handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX99001 B Specimen handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX99002 B Device handling 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 488CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99024 B Postop follow-up visit 0.00 0.00 0.00 0.00 0.00 0.00 XXX99026 N In-hospital on call service 0.00 0.00 0.00 0.00 0.00 0.00 XXX99027 N Out-of-hosp on call service 0.00 0.00 0.00 0.00 0.00 0.00 XXX99050 B Medical services after hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX99051 B Med serv eve/wkend/holiday 0.00 0.00 0.00 0.00 0.00 0.00 XXX99053 B Med serv 10pm-8am 24 hr fac 0.00 0.00 0.00 0.00 0.00 0.00 XXX99056 B Med service out of office 0.00 0.00 0.00 0.00 0.00 0.00 XXX99058 B Office emergency care 0.00 0.00 0.00 0.00 0.00 0.00 XXX99060 B Out of office emerg med serv 0.00 0.00 0.00 0.00 0.00 0.00 XXX99070 B Special supplies 0.00 0.00 0.00 0.00 0.00 0.00 XXX99071 B Patient education materials 0.00 0.00 0.00 0.00 0.00 0.00 XXX99075 N Medical testimony 0.00 0.00 0.00 0.00 0.00 0.00 XXX99078 B Group health education 0.00 0.00 0.00 0.00 0.00 0.00 XXX99080 B Special reports or forms 0.00 0.00 0.00 0.00 0.00 0.00 XXX99082 C Unusual physician travel 0.00 0.00 0.00 0.00 0.00 0.00 XXX99090 B Computer data analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX99091 B Collect/review data from pt 1.10 0.48 0.47 NA NA 0.07 XXX99100 B Special anesthesia service 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ99116 B Anesthesia with hypothermia 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ99135 B Special anesthesia procedure 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ99140 B Emergency anesthesia 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ99143 C Mod cs by same phys < 5 yrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX99144 C Mod cs by same phys 5 yrs + 0.00 0.00 0.00 0.00 0.00 0.00 XXX99145 C Mod cs by same phys add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ99148 C Mod cs diff phys < 5 yrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX99149 C Mod cs diff phys 5 yrs + 0.00 0.00 0.00 0.00 0.00 0.00 XXX99150 C Mod cs diff phys add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ99170 A Anogenital exam child 1.75 2.18 2.38 0.86 0.91 0.12 00099172 N Ocular function screen 0.00 0.00 0.00 0.00 0.00 0.00 XXX99173 N Visual acuity screen 0.00 0.07 0.07 NA NA 0.01 XXXCMS-1582-PN 489CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99174 N Ocular photoscreening 0.00 0.78 0.81 NA NA 0.01 XXX99175 A Induction of vomiting 0.00 0.66 0.71 NA NA 0.01 XXX99183 A Hyperbaric oxygen therapy 2.34 3.67 3.52 0.99 0.89 0.26 XXX99190 X Special pump services 0.00 0.00 0.00 0.00 0.00 0.00 XXX99191 X Special pump services 0.00 0.00 0.00 0.00 0.00 0.00 XXX99192 X Special pump services 0.00 0.00 0.00 0.00 0.00 0.00 XXX99195 A Phlebotomy 0.00 2.61 2.49 NA NA 0.05 XXX99199 C Special service/proc/report 0.00 0.00 0.00 0.00 0.00 0.00 XXX99201 A Office/outpatient visit new 0.48 0.73 0.69 0.26 0.24 0.04 XXX99202 A Office/outpatient visit new 0.93 1.16 1.09 0.49 0.44 0.07 XXX99203 A Office/outpatient visit new 1.42 1.57 1.47 0.72 0.64 0.14 XXX99204 A Office/outpatient visit new 2.43 2.14 2.00 1.20 1.06 0.23 XXX99205 A Office/outpatient visit new 3.17 2.51 2.36 1.49 1.34 0.27 XXX99211 A Office/outpatient visit est 0.18 0.37 0.39 0.08 0.08 0.01 XXX99212 A Office/outpatient visit est 0.48 0.72 0.70 0.24 0.22 0.04 XXX99213 A Office/outpatient visit est 0.97 1.05 0.99 0.47 0.41 0.07 XXX99214 A Office/outpatient visit est 1.50 1.48 1.41 0.71 0.63 0.10 XXX99215 A Office/outpatient visit est 2.11 1.90 1.80 1.00 0.90 0.14 XXX99217 A Observation care discharge 1.28 NA NA 0.73 0.68 0.08 XXX99218 A Initial observation caree 1.28 NA NA 0.54 0.52 0.08 XXX99219 A Initial observation care 2.14 NA NA 0.92 0.88 0.14 XXX99220 A Initial observation care 2.99 NA NA 1.26 1.21 0.20 XXX99221 A Initial hospital care 1.92 NA NA 0.86 0.76 0.18 XXX99222 A Initial hospital care 2.61 NA NA 1.20 1.06 0.22 XXX99223 A Initial hospital care 3.86 NA NA 1.77 1.56 0.29 XXX99224 A Subsequent observation care 0.54 NA NA 0.24 0.24 0.04 XXX99225 A Subsequent observation care 0.96 NA NA 0.44 0.44 0.05 XXX99226 A Subsequent observation care 1.44 NA NA 0.65 0.65 0.08 XXX99231 A Subsequent hospital care 0.76 NA NA 0.34 0.32 0.05 XXX99232 A Subsequent hospital care 1.39 NA NA 0.63 0.57 0.08 XXXCMS-1582-PN 490CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99233 A Subsequent hospital care 2.00 NA NA 0.90 0.81 0.12 XXX99234 A Observ/hosp same date 1.92 NA NA 0.81 0.86 0.17 XXX99235 A Observ/hosp same date 2.78 NA NA 1.19 1.20 0.19 XXX99236 A Observ/hosp same date 3.63 NA NA 1.52 1.52 0.25 XXX99238 A Hospital discharge day 1.28 NA NA 0.74 0.68 0.07 XXX99239 A Hospital discharge day 1.90 NA NA 1.09 0.97 0.11 XXX99241 I Office consultation 0.64 0.66 0.66 0.24 0.24 0.07 XXX99242 I Office consultation 1.34 1.10 1.10 0.51 0.51 0.14 XXX99243 I Office consultation 1.88 1.46 1.46 0.71 0.71 0.18 XXX99244 I Office consultation 3.02 1.96 1.96 1.14 1.14 0.22 XXX99245 I Office consultation 3.77 2.30 2.30 1.38 1.38 0.29 XXX99251 I Inpatient consultation 1.00 NA NA 0.32 0.32 0.07 XXX99252 I Inpatient consultation 1.50 NA NA 0.52 0.52 0.12 XXX99253 I Inpatient consultation 2.27 NA NA 0.84 0.84 0.15 XXX99254 I Inpatient consultation 3.29 NA NA 1.23 1.23 0.18 XXX99255 I Inpatient consultation 4.00 NA NA 1.44 1.44 0.24 XXX99281 A Emergency dept visit 0.45 NA NA 0.14 0.13 0.03 XXX99282 A Emergency dept visit 0.88 NA NA 0.27 0.24 0.07 XXX99283 A Emergency dept visit 1.34 NA NA 0.39 0.36 0.10 XXX99284 A Emergency dept visit 2.56 NA NA 0.67 0.62 0.22 XXX99285 A Emergency dept visit 3.80 NA NA 0.91 0.88 0.30 XXX99288 B Direct advanced life support 0.00 0.00 0.00 0.00 0.00 0.00 XXX99291 A Critical care first hour 4.50 3.02 2.94 1.67 1.55 0.34 XXX99292 A Critical care addl 30 min 2.25 1.12 1.07 0.84 0.78 0.18 ZZZ99304 A Nursing facility care init 1.64 0.94 0.81 0.94 0.81 0.14 XXX99305 A Nursing facility care init 2.35 1.27 1.09 1.27 1.09 0.20 XXX99306 A Nursing facility care init 3.06 1.58 1.34 1.58 1.34 0.23 XXX99307 A Nursing fac care subseq 0.76 0.49 0.44 0.49 0.44 0.04 XXX99308 A Nursing fac care subseq 1.16 0.76 0.68 0.76 0.68 0.07 XXX99309 A Nursing fac care subseq 1.55 0.99 0.88 0.99 0.88 0.08 XXXCMS-1582-PN 491CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99310 A Nursing fac care subseq 2.35 1.41 1.23 1.41 1.23 0.14 XXX99315 A Nursing fac discharge day 1.28 0.74 0.68 0.74 0.68 0.08 XXX99316 A Nursing fac discharge day 1.90 1.01 0.92 1.01 0.92 0.10 XXX99318 A Annual nursing fac assessmnt 1.71 0.98 0.84 0.98 0.84 0.10 XXX99324 A Domicil/r-home visit new pat 1.01 0.54 0.54 NA NA 0.07 XXX99325 A Domicil/r-home visit new pat 1.52 0.72 0.72 NA NA 0.10 XXX99326 A Domicil/r-home visit new pat 2.63 1.31 1.18 NA NA 0.16 XXX99327 A Domicil/r-home visit new pat 3.46 1.74 1.54 NA NA 0.22 XXX99328 A Domicil/r-home visit new pat 4.09 1.99 1.77 NA NA 0.24 XXX99334 A Domicil/r-home visit est pat 1.07 0.62 0.58 NA NA 0.07 XXX99335 A Domicil/r-home visit est pat 1.72 0.94 0.84 NA NA 0.10 XXX99336 A Domicil/r-home visit est pat 2.46 1.31 1.15 NA NA 0.14 XXX99337 A Domicil/r-home visit est pat 3.58 1.83 1.59 NA NA 0.23 XXX99339 B Domicil/r-home care supervis 1.25 0.91 0.91 NA NA 0.08 XXX99340 B Domicil/r-home care supervis 1.80 1.22 1.22 NA NA 0.12 XXX99341 A Home visit new patient 1.01 0.52 0.53 NA NA 0.07 XXX99342 A Home visit new patient 1.52 0.70 0.71 NA NA 0.11 XXX99343 A Home visit new patient 2.53 1.15 1.11 NA NA 0.18 XXX99344 A Home visit new patient 3.38 1.74 1.53 NA NA 0.22 XXX99345 A Home visit new patient 4.09 2.05 1.81 NA NA 0.26 XXX99347 A Home visit est patient 1.00 0.55 0.53 NA NA 0.07 XXX99348 A Home visit est patient 1.56 0.80 0.76 NA NA 0.10 XXX99349 A Home visit est patient 2.33 1.26 1.11 NA NA 0.14 XXX99350 A Home visit est patient 3.28 1.69 1.49 NA NA 0.22 XXX99354 A Prolonged service office 1.77 1.00 0.93 0.81 0.75 0.11 ZZZ99355 A Prolonged service office 1.77 0.96 0.90 0.78 0.72 0.11 ZZZ99356 A Prolonged service inpatient 1.71 NA NA 0.85 0.75 0.11 ZZZ99357 A Prolonged service inpatient 1.71 NA NA 0.85 0.76 0.11 ZZZ99358 B Prolong service w/o contact 2.10 0.96 0.93 0.96 0.93 0.14 XXX99359 B Prolong serv w/o contact add 1.00 0.47 0.46 0.47 0.46 0.07 ZZZCMS-1582-PN 492CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99360 X Physician standby services 1.20 NA NA 0.53 0.51 0.08 XXX99363 B Anticoag mgmt init 1.65 1.86 1.89 0.72 0.70 0.11 XXX99364 B Anticoag mgmt subseq 0.63 0.57 0.57 0.28 0.27 0.04 XXX99366 B Team conf w/pat by hc pro 0.82 0.38 0.37 0.36 0.35 0.05 XXX99367 B Team conf w/o pat by phys 1.10 NA NA 0.48 0.47 0.07 XXX99368 B Team conf w/o pat by hc pro 0.72 NA NA 0.32 0.30 0.04 XXX99374 B Home health care supervision 1.10 0.85 0.85 0.48 0.47 0.07 XXX99375 I Home health care supervision 1.73 1.19 1.28 0.76 0.88 0.11 XXX99377 B Hospice care supervision 1.10 0.85 0.85 0.48 0.47 0.07 XXX99378 I Hospice care supervision 1.73 1.19 1.34 0.76 0.94 0.11 XXX99379 B Nursing fac care supervision 1.10 0.85 0.85 0.48 0.47 0.07 XXX99380 B Nursing fac care supervision 1.73 1.19 1.19 0.76 0.75 0.11 XXX99381 N Init pm e/m new pat inf 1.50 1.56 1.54 0.61 0.58 0.10 XXX99382 N Init pm e/m new pat 1-4 yrs 1.60 1.6 1.59 0.65 0.63 0.09 XXX99383 N Prev visit new age 5-11 1.70 1.63 1.61 0.69 0.66 0.10 XXX99384 N Prev visit new age 12-17 2.00 1.75 1.72 0.81 0.77 0.13 XXX99385 N Prev visit new age 18-39 1.92 1.72 1.69 0.78 0.74 0.13 XXX99386 N Prev visit new age 40-64 2.33 1.89 1.86 0.95 0.9 0.15 XXX99387 N Init pm e/m new pat 65+ yrs 2.50 2.07 2.04 1.02 0.98 0.17 XXX99391 N Per pm reeval est pat inf 1.37 1.38 1.34 0.56 0.52 0.09 XXX99392 N Prev visit est age 1-4 1.50 1.43 1.4 0.61 0.58 0.10 XXX99393 N Prev visit est age 5-11 1.50 1.42 1.39 0.61 0.58 0.10 XXX99394 N Prev visit est age 12-17 1.70 1.5 1.46 0.69 0.66 0.10 XXX99395 N Prev visit est age 18-39 1.75 1.53 1.49 0.71 0.67 0.10 XXX99396 N Prev visit est age 40-64 1.90 1.59 1.55 0.77 0.74 0.12 XXX99397 N Per pm reeval est pat 65+ yr 2.00 1.76 1.72 0.81 0.79 0.13 XXX99401 N Preventive counseling indiv 0.48 0.52 0.55 0.21 0.21 0.03 XXX99402 N Preventive counseling indiv 0.98 0.74 0.78 0.43 0.42 0.07 XXX99403 N Preventive counseling indiv 1.46 0.95 0.99 0.64 0.63 0.10 XXX99404 N Preventive counseling indiv 1.95 1.17 1.21 0.85 0.84 0.12 XXXCMS-1582-PN 493CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99406 A Behav chng smoking 3-10 min 0.24 0.160.15 0.10 0.10 0.01 XXX99407 A Behav chng smoking > 10 min 0.50 0.270.25 0.22 0.20 0.03 XXX99408 N Audit/dast 15-30 min 0.65 0.34 0.33 0.28 0.28 0.04 XXX99409 N Audit/dast over 30 min 1.30 0.62 0.60 0.57 0.55 0.08 XXX99411 N Preventive counseling group 0.15 0.30 0.30 0.07 0.06 0.01 XXX99412 N Preventive counseling group 0.25 0.34 0.34 0.11 0.11 0.01 XXX99420 N Health risk assessment test 0.00 0.28 0.29 NA NA 0.01 XXX99429 N Unlisted preventive service 0.00 0.00 0.00 0.00 0.00 0.00 XXX99441 N Phone e/m by phys 5-10 min 0.25 0.15 0.15 0.11 0.10 0.01 XXX99442 N Phone e/m by phys 11-20 min 0.50 0.26 0.25 0.22 0.21 0.03 XXX99443 N Phone e/m by phys 21-30 min 0.75 0.36 0.35 0.33 0.32 0.05 XXX99444 N Online e/m by phys 0.00 0.00 0.00 0.00 0.00 0.00 XXX99450 N Basic life disability exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX99455 R Work related disability exam 0.00 0.000.00 0.00 0.00 0.00 XXX99456 R Disability examination 0.000.00 0.00 0.000.00 0.00 XXX99460 A Init nb em per day hosp 1.92 NA NA 0.84 0.73 0.08 XXX99461 A Init nb em per day non-fac 1.26 1.44 1.34 0.55 0.53 0.08 XXX99462 A Sbsq nb em per day hosp 0.84 NA NA 0.37 0.33 0.05 XXX99463 A Same day nb discharge 2.13 NA NA 1.09 0.98 0.11 XXX99464 A Attendance at delivery 1.50 NA NA 0.59 0.54 0.07 XXX99465 A Nb resuscitation 2.93 NA NA 0.68 0.93 0.22 XXX99466 A Ped crit care transport 4.79 NA NA 2.23 1.98 1.02 XXX99467 A Ped crit care transport addl 2.40 NA NA 1.05 0.95 0.14 ZZZ99468 A Neonate crit care initial 18.46 NA NA 7.38 6.47 1.52 XXX99469 A Neonate crit care subsq 7.99 NA NA 3.50 3.11 0.42 XXX99471 A Ped critical care initial 15.98 NA NA 6.39 5.94 0.87 XXX99472 A Ped critical care subsq 7.99 NA NA 3.28 3.00 0.48 XXX99475 A Ped crit care age 2-5 init 11.25 4.51 4.00 4.51 4.00 0.86 XXX99476 A Ped crit care age 2-5 subsq 6.75 2.89 2.49 2.89 2.49 0.52 XXX99477 A Init day hosp neonate care 7.00 NA NA 3.07 2.79 0.38 XXXCMS-1582-PN 494CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2Global99478 A Ic lbw inf < 1500 gm subsq 2.75 NA NA 1.10 1.11 0.18 XXX99479 A Ic lbw inf 1500-2500 g subsq 2.50 NA NA 1.22 1.05 0.16 XXX99480 A Ic inf pbw 2501-5000 g subsq 2.40 NA NA 0.96 0.90 0.16 XXX99499 C Unlisted e&m service 0.00 0.00 0.00 0.00 0.00 0.00 XXX99500 I Home visit prenatal 0.00 0.00 0.00 0.00 0.00 0.00 XXX99501 I Home visit postnatal 0.00 0.00 0.00 0.00 0.00 0.00 XXX99502 I Home visit nb care 0.00 0.00 0.00 0.00 0.00 0.00 XXX99503 I Home visit resp therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX99504 I Home visit mech ventilator 0.00 0.00 0.00 0.00 0.00 0.00 XXX99505 I Home visit stoma care 0.00 0.00 0.00 0.00 0.00 0.00 XXX99506 I Home visit im injection 0.00 0.00 0.00 0.00 0.00 0.00 XXX99507 I Home visit cath maintain 0.00 0.00 0.00 0.00 0.00 0.00 XXX99509 I Home visit day life activity 0.00 0.00 0.00 0.00 0.00 0.00 XXX99510 I Home visit sing/m/fam couns 0.00 0.00 0.00 0.00 0.00 0.00 XXX99511 I Home visit fecal/enema mgmt 0.00 0.00 0.00 0.00 0.00 0.00 XXX99512 I Home visit for hemodialysis 0.00 0.00 0.00 0.00 0.00 0.00 XXX99600 I Home visit nos 0.00 0.00 0.00 0.00 0.00 0.00 XXX99601 I Home infusion/visit 2 hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX99602 I Home infusion each addtl hr 0.00 0.00 0.00 0.00 0.00 0.00 XXX99605 X Mtms by pharm np 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXX99606 X Mtms by pharm est 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXX99607 X Mtms by pharm addl 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXXA4641 C Radiopharm dx agent noc 0.00 0.00 0.00 0.00 0.00 0.00 XXXA4642 C In111 satumomab 0.00 0.00 0.00 0.00 0.00 0.00 XXXA4890 R Repair/maint cont hemo equip 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9500 C Tc99m sestamibi 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9501 C Technetium tc-99m teboroxime 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9502 C Tc99m tetrofosmin 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9503 C Tc99m medronate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9504 C Tc99m apcitide 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 495CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalA9505 C Tl201 thallium 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9507 C In111 capromab 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9508 C I131 iodobenguate, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9509 C Iodine i-123 sod iodide mil 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9510 C Tc99m disofenin 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9512 C Tc99m pertechnetate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9516 C Iodine i-123 sod iodide mic 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9517 C I131 iodide cap, rx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9521 C Tc99m exametazime 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9524 C I131 serum albumin, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9526 C Nitrogen n-13 ammonia 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9527 C Iodine i-125 sodium iodide 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9528 C Iodine i-131 iodide cap, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9529 C I131 iodide sol, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9530 C I131 iodide sol, rx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9531 C I131 max 100uci 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9532 C I125 serum albumin, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9536 C Tc99m depreotide 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9537 C Tc99m mebrofenin 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9538 C Tc99m pyrophosphate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9539 C Tc99m pentetate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9540 C Tc99m maa 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9541 C Tc99m sulfur colloid 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9542 C In111 ibritumomab, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9543 C Y90 ibritumomab, rx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9544 C I131 tositumomab, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9545 C I131 tositumomab, rx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9546 C Co57/58 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9547 C In111 oxyquinoline 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9548 C In111 pentetate 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 496CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalA9550 C Tc99m gluceptate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9551 C Tc99m succimer 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9552 C F18 fdg 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9553 C Cr51 chromate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9554 C I125 iothalamate, dx 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9555 C Rb82 rubidium 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9556 C Ga67 gallium0.00 0.00 0.000.00 0.00 0.00 XXXA9557 C Tc99m bicisate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9558 C Xe133 xenon 10mci 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9559 C Co57 cyano 0.00 0.00 0.00 0.000.00 0.00 XXXA9560 C Tc99m labeled rbc 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9561 C Tc99m oxidronate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9562 C Tc99m mertiatide 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9563 C P32 na phosphate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9564 C P32 chromic phosphate 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9566 C Tc99m fanolesomab 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9567 C Technetium tc-99m aerosol 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9568 C Technetium tc99m arcitumomab 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9569 C Technetium tc-99m auto wbc 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9570 C Indium in-111 auto wbc 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9571 C Indium in-111 auto platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9572 C Indium in-111 pentetreotide 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9580 C Sodium fluoride f-18 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9600 C Sr89 strontium 0.00 0.00 0.00 0.00 0.00 0.00 XXXA9699 C Radiopharm rx agent noc 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0008 X Admin influenza virus vac 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0009 X Admin pneumococcal vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0010 X Admin hepatitis b vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0027 X Semen analysis 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0101 A Ca screen;pelvic/breast exam 0.45 0.61 0.60 0.32 0.32 0.03 XXXCMS-1582-PN 497CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0102 A Prostate ca screening; dre 0.17 0.37 0.39 0.08 0.08 0.01 XXXG0103 X Psa screening 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0104 A Ca screen;flexi sigmoidscope 0.96 2.92 2.95 0.79 0.76 0.14 000G0105 A Colorectal scrn; hi risk ind 3.69 7.12 7.37 2.26 2.22 0.59 000G0105 53 A Colorectal scrn; hi risk ind 0.96 2.92 2.95 0.79 0.76 0.14 000G0106 A Colon ca screen;barium enema 0.99 5.15 5.23 NA NA 0.04 XXXG0106 TC A Colon ca screen;barium enema 0.00 4.78 4.82 NA NA 0.01 XXXG0106 26 A Colon ca screen;barium enema 0.99 0.37 0.41 0.37 0.41 0.03 XXXG0108 A Diab manage trn per indiv 0.90 0.55 0.66 NA NA 0.05 XXXG0109 A Diab manage trn ind/group 0.25 0.15 0.29 NA NA 0.01 XXXG0117 T Glaucoma scrn hgh risk direc 0.45 1.02 0.97 NA NA 0.03 XXXG0118 T Glaucoma scrn hgh risk direc 0.17 0.86 0.82 NA NA 0.01 XXXG0120 A Colon ca scrn; barium enema 0.99 5.15 5.23 NA NA 0.04 XXXG0120 TC A Colon ca scrn; barium enema 0.00 4.78 4.82 NA NA 0.01 XXXG0120 26 A Colon ca scrn; barium enema 0.99 0.37 0.41 0.37 0.41 0.03 XXXG0121 A Colon ca scrn not hi rsk ind 3.69 7.12 7.37 2.26 2.22 0.59 000G0121 53 A Colon ca scrn not hi rsk ind 0.96 2.92 2.95 0.79 0.76 0.14 000G0122 N Colon ca scrn; barium enema 0.99 7.14 6.87 NA NA 0.05 XXXG0122 TC N Colon ca scrn; barium enema 0.00 6.71 6.44 NA NA 0.01 XXXG0122 26 N Colon ca scrn; barium enema 0.99 0.43 0.43 0.43 0.43 0.04 XXXG0123 X Screen cerv/vag thin layer 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0124 A Screen c/v thin layer by md 0.42 0.42 0.40 0.42 0.40 0.03 XXXG0127 R Trim nail(s) 0.17 0.47 0.45 0.05 0.06 0.01 000G0128 R Corf skilled nursing service 0.08 0.20 0.19 NA NA 0.01 XXXG0130 A Single energy x-ray study 0.22 0.72 0.74 NA NA 0.02 XXXG0130 TC A Single energy x-ray study 0.00 0.62 0.65 NA NA 0.01 XXXG0130 26 A Single energy x-ray study 0.22 0.10 0.09 0.10 0.09 0.01 XXXG0141 A Scr c/v cyto,autosys and md0.42 0.42 0.40 0.42 0.40 0.03 XXXG0143 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0144 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXXCMS-1582-PN 498CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0145 X Scr c/v cyto,thinlayer,rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0147 X Scr c/v cyto, automated sys 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0148 X Scr c/v cyto, autosys, rescr 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0157 E Hhc pt assistant ea 15 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0158 E Hhc ot assistant ea 15 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0159 E Hhc pt maint ea 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0160 E Hhc occup therapy ea 15 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0161 E Hhc slp ea 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0162 E Hhc rn e&m plan svs, 15 min 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0163 E Hhc lpn/rn obs/asses ea 15 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0164 E Hhc lis nurse train ea 15 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0166 A Extrnl counterpulse, per tx 0.07 3.85 4.41 NA NA 0.03 XXXG0168 A Wound closure by adhesive 0.45 2.13 2.06 0.30 0.28 0.03 000G0173 X Linear acc stereo radsur com 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0175 X Opps service,sched team conf 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0176 X Opps/php;activity therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0177 X Opps/php; train & educ serv 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0179 A Md recertification hha pt 0.45 0.68 0.71 NA NA 0.03 XXXG0180 A Md certification hha patient 0.67 0.80 0.85 NA NA 0.04 XXXG0181 A Home health care supervision 1.73 1.27 1.24 NA NA 0.10 XXXG0182 A Hospice care supervision 1.73 1.28 1.28 NA NA 0.10 XXXG0186 C Dstry eye lesn,fdr vssl tech 0.00 0.00 0.00 0.00 0.00 0.00 YYYG0202 A Screeningmammographydigital 0.70 3.33 3.38 NA NA 0.05 XXXG0202 TC A Screeningmammographydigital 0.00 3.05 3.09 NA NA 0.01 XXXG0202 26 A Screeningmammographydigital 0.70 0.28 0.29 0.28 0.29 0.04 XXXG0204 A Diagnosticmammographydigital 0.87 4.04 4.01 NA NA 0.06 XXXG0204 TC A Diagnosticmammographydigital 0.00 3.69 3.66 NA NA 0.01 XXXG0204 26 A Diagnosticmammographydigital 0.87 0.35 0.35 0.35 0.35 0.05 XXXG0206 A Diagnosticmammographydigital 0.70 3.17 3.16 NA NA 0.05 XXXG0206 TC A Diagnosticmammographydigital 0.00 2.89 2.87 NA NA 0.01 XXXCMS-1582-PN 499CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0206 26 A Diagnosticmammographydigital 0.70 0.28 0.29 0.28 0.29 0.04 XXXG0219 N Pet img wholbod melano nonco 0.00 0.00 0.00 NA NA 0.00 XXXG0219 TC N Pet img wholbod melano nonco 0.00 0.00 0.00 NA NA 0.00 XXXG0219 26 N Pet img wholbod melano nonco 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0235 N Pet not otherwise specified 0.00 0.00 0.00 NA NA 0.00 XXXG0235 TC N Pet not otherwise specified 0.00 0.00 0.00 NA NA 0.00 XXXG0235 26 N Pet not otherwise specified 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0237 A Therapeutic procd strg endur 0.00 0.25 0.29 NA NA 0.01 XXXG0238 A Oth resp proc, indiv 0.00 0.26 0.31 NA NA 0.01 XXXG0239 A Oth resp proc, group 0.00 0.31 0.34 NA NA 0.01 XXXG0245 R Initial foot exam pt lops 0.88 1.16 1.09 0.49 0.44 0.05 XXXG0246 R Followup eval of foot pt lop 0.45 0.72 0.70 0.24 0.22 0.03 XXXG0247 R Routine footcare pt w lops 0.50 1.56 1.16 0.15 0.18 0.04 ZZZG0248 R Demonstrate use home inr mon 0.00 3.22 4.11 NA NA 0.01 XXXG0249 R Provide inr test mater/equip 0.00 3.01 3.63 NA NA 0.01 XXXG0250 R Md inr test revie inter mgmt 0.18 0.07 0.08 NA NA 0.01 XXXG0251 E Linear acc based stero radio 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0252 N Pet imaging initial dx 0.00 0.00 0.00 NA NA 0.00 XXXG0252 TC N Pet imaging initial dx 0.00 0.00 0.00 NA NA 0.00 XXXG0252 26 N Pet imaging initial dx 1.50 0.66 0.70 0.66 0.70 0.10 XXXG0255 N Current percep threshold tst 0.00 0.00 0.00 NA NA 0.00 XXXG0255 TC N Current percep threshold tst 0.00 0.00 0.00 NA NA 0.00 XXXG0255 26 N Current percep threshold tst 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0257 E Unsched dialysis esrd pt hos 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0259 E Inject for sacroiliac joint 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0260 E Inj for sacroiliac jt anesth 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0268 A Removal of impacted wax md 0.61 0.91 0.86 0.36 0.31 0.03 000G0269 B Occlusive device in vein art 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0270 A Mnt subs tx for change dx 0.45 0.37 0.34 0.31 0.28 0.03 XXXG0271 A Group mnt 2 or more 30 mins 0.25 0.18 0.15 0.17 0.15 0.01 XXXCMS-1582-PN 500CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0275 A Renal angio, cardiac cath 0.25 NA NA 0.10 0.13 0.01 ZZZG0278 A Iliac art angio,cardiac cath 0.25 NA NA 0.10 0.13 0.01 ZZZG0281 A Elec stim unattend for press 0.18 0.20 0.18 NA NA 0.01 XXXG0282 N Elect stim wound care not pd 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0283 A Elec stim other than wound 0.18 0.20 0.18 NA NA 0.01 XXXG0288 A Recon, cta for surg plan 0.00 0.99 2.55 NA NA 0.01 XXXG0289 A Arthro, loose body + chondro 1.48 NA NA 0.88 0.85 0.29 ZZZG0290 E Drug-eluting stents, single 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0291 E Drug-eluting stents,each add 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0293 E Non-cov surg proc,clin trial 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0294 E Non-cov proc, clinical trial 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0295 N Electromagnetic therapy onc 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0302 X Pre-op service lvrs complete 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0303 X Pre-op service lvrs 10-15dos 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0304 X Pre-op service lvrs 1-9 dos 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0305 X Post op service lvrs min 6 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0306 X Cbc/diffwbc w/o platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0307 X Cbc without platelet 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0328 X Fecal blood scrn immunoassay 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0329 A Electromagntic tx for ulcers 0.06 0.22 0.20 NA NA 0.01 XXXG0333 X Dispense fee initial 30 day 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0337 X Hospice evaluation preelecti 1.42 0.62 0.62 0.62 0.62 0.10 XXXG0339 C Robot lin-radsurg com, first 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0340 C Robt lin-radsurg fractx 2-5 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0341 A Percutaneous islet celltrans 6.98 53.44 29.48 3.00 3.83 0.49 000G0342 A Laparoscopy islet cell trans 11.92 NA NA 7.83 7.14 0.84 090G0343 A Laparotomy islet cell transp 19.85 NA NA 13.28 12.09 1.40 090G0364 A Bone marrow aspirate &biopsy 0.16 0.19 0.190.09 0.09 0.01 ZZZG0365 A Vessel mapping hemo access 0.25 5.87 5.90 NA NA 0.04 XXXG0365 TC A Vessel mapping hemo access 0.00 5.78 5.81 NA NA 0.01 XXXCMS-1582-PN 501CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0365 26 A Vessel mapping hemo access 0.25 0.09 0.09 0.09 0.09 0.03 XXXG0372 A Md service required for pmd 0.17 0.08 0.12 0.08 0.07 0.01 XXXG0378 X Hospital observation per hr 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0379 X Direct refer hospital observ 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0389 A Ultrasound exam aaa screen 0.58 2.45 2.68 NA NA 0.04 XXXG0389 TC A Ultrasound exam aaa screen 0.00 2.23 2.43 NA NA 0.01 XXXG0389 26 A Ultrasound exam aaa screen 0.58 0.22 0.25 0.22 0.25 0.03 XXXG0396 A Alcohol/subs interv 15-30mn 0.65 0.32 0.28 0.27 0.23 0.04 XXXG0397 A Alcohol/subs interv >30 min 1.30 0.79 0.61 0.74 0.56 0.08 XXXG0398 C Home sleep test/type 2 porta 0.00 0.00 0.00 NA NA 0.00 XXXG0398 TC C Home sleep test/type 2 porta 0.00 0.00 0.00 NA NA 0.00 XXXG0398 26 C Home sleep test/type 2 porta 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0399 C Home sleep test/type 3 porta 0.00 0.00 0.00 NA NA 0.00 XXXG0399 TC C Home sleep test/type 3 porta 0.00 0.00 0.00 NA NA 0.00 XXXG0399 26 C Home sleep test/type 3 porta 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0400 C Home sleep test/type 4 porta 0.00 0.00 0.00 NA NA 0.00 XXXG0400 TC C Home sleep test/type 4 porta 0.00 0.00 0.00 NA NA 0.00 XXXG0400 26 C Home sleep test/type 4 porta 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0402 A Initial preventive exam 2.43 2.19 1.80 1.15 1.15 0.12 XXXG0403 A Ekg for initial prevent exam 0.17 0.32 0.39 NA NA 0.02 XXXG0404 A Ekg tracing for initial prev 0.00 0.25 0.31 NA NA 0.01 XXXG0405 A Ekg interpret & report preve 0.17 0.07 0.08 0.07 0.06 0.01 XXXG0406 A Telhealth inpt consult 15min 0.76 NA NA 0.34 0.32 0.05 XXXG0407 A Telheath inpt consult 25min 1.39 NA NA 0.63 0.57 0.08 XXXG0408 A Telhealth inpt consult 35min 2.00 NA NA 0.90 0.81 0.12 XXXG0409 A Corf related serv 15 mins ea 0.00 0.29 0.29 NA NA 0.01 XXXG0410 X Grp psych partial hosp 45-50 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0411 X Inter active grp psych parti 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0412 A Open tx iliac spine uni/bil 10.45 NA NA 9.22 8.73 2.04 090G0413 A Pelvic ring fracture uni/bil 15.73 NA NA 12.75 12.22 3.06 090CMS-1582-PN 502CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0414 A Pelvic ring fx treat int fix 14.65 NA NA 12.59 12.00 2.86 090G0415 A Open tx post pelvic fxcture 20.93 NA NA 16.35 15.34 4.21 090G0416 A Sat biopsy prostate 1-20 spc 3.09 13.96 13.96 NA NA 0.12 XXXG0416 TC A Sat biopsy prostate 1-20 spc 0.00 12.14 12.14 NA NA 0.01 XXXG0416 26 A Sat biopsy prostate 1-20 spc 3.09 1.82 1.82 1.82 1.82 0.11 XXXG0417 A Sat biopsy prostate 21-40 5.86 27.26 27.26 NA NA 0.25 XXXG0417 TC A Sat biopsy prostate 21-40 0.00 23.71 23.71 NA NA 0.01 XXXG0417 26 A Sat biopsy prostate 21-40 5.86 3.55 3.55 3.55 3.55 0.24 XXXG0418 A Sat biopsy prostate 41-60 10.30 46.56 46.56 NA NA 0.42 XXXG0418 TC A Sat biopsy prostate 41-60 0.00 40.50 40.50 NA NA 0.01 XXXG0418 26 A Sat biopsy prostate 41-60 10.30 6.06 6.06 6.06 6.06 0.41 XXXG0419 A Sat biopsy prostate: >60 11.61 55.86 55.86 NA NA 0.46 XXXG0419 TC A Sat biopsy prostate: >60 0.00 48.60 48.60 NA NA 0.01 XXXG0419 26 A Sat biopsy prostate: >60 11.61 7.26 7.26 7.26 7.26 0.45 XXXG0420 A Ed svc ckd ind per session 2.12 1.02 1.02 NA NA 0.11 XXXG0421 A Ed svc ckd grp per session 0.50 0.24 0.24 NA NA 0.03 XXXG0422 A Intens cardiac rehab w/exerc 1.06 0.91 0.91 0.91 0.91 0.06 XXXG0423 A Intens cardiac rehab no exer 1.06 0.91 0.91 0.91 0.91 0.06 XXXG0424 A Pulmonary rehab w exer 0.28 0.59 0.59 0.12 0.12 0.03 XXXG0425 A Inpt telehealth consult 30m 1.92 NA NA 0.86 0.86 0.18 XXXG0426 A Inpt telehealth consult 50m 2.61 NA NA 1.20 1.20 0.22 XXXG0427 A Inpt telehealth con 70/>m 3.86 NA NA 1.77 1.77 0.29 XXXG0428 N Collagen meniscus implant 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0429 A Dermal filler injection(s) 1.19 1.19 1.19 0.56 0.56 0.24 000G0431 X Drug screen multip class 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0432 X Eia hiv-1/hiv-2 screen 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0433 X Elisa hiv-1/hiv-2 screen 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0434 X Drug screen multi drug class 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0435 X Oral hiv-1/hiv-2 screen 0.00 0.00 0.00 0.00 0.00 0.00 XXXG0436 A Tobacco-use counsel 3-10 min 0.24 0.16 0.16 0.10 0.10 0.01 XXXCMS-1582-PN 503CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG0437 A Tobacco-use counsel>10min 0.50 0.30 0.30 0.24 0.24 0.03 XXXG0438 A Ppps, initial visit 2.43 2.19 2.19 NA NA 0.12 XXXG0439 A Ppps, subseq visit 1.50 1.63 1.63 NA NA 0.03 XXXG0440 A Skin/dermal subs init 25or< 2.22 2.71 2.71 1.01 1.01 0.27 000G0441 A Skin/dermal subs each additi 0.50 0.82 0.82 0.20 0.20 0.07 000G3001 X Admin + supply, tositumomab 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9001 X Mccd, initial rate 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9002 X Mccd,maintenance rate 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9003 X Mccd, risk adj hi, initial 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9004 X Mccd, risk adj lo, initial 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9005 X Mccd, risk adj, maintenance 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9006 X Mccd, home monitoring 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9007 X Mccd, sch team conf 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9008 X Mccd,phys coor-care ovrsght 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9009 X Mccd, risk adj, level 3 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9010 X Mccd, risk adj, level 4 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9011 X Mccd, risk adj, level 5 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9012 X Other specified case mgmt 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9013 N Esrd demo bundle level i 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9014 N Esrd demo bundle-level ii 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9016 N Demo-smoking cessation coun 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9017 X Amantadine hcl 100mg oral 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9018 X Zanamivir,inhalation pwd 10m 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9019 X Oseltamivir phosphate 75mg 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9020 X Rimantadine hcl 100mg oral 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9033 X Amantadine hcl oral brand 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9034 X Zanamivir, inhpwdr, brand 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9035 X Oseltamivir phosp, brand 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9036 X Rimantadine hcl, brand 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9041 A Low vision rehab occupationa 0.69 0.28 0.28 0.28 0.28 0.04 XXXCMS-1582-PN 504CPT1/HCPCSMod Status DescriptionPhysicianWorkRVUs2FullyImplementedNonFacilityPERVUs2Year2011TransitionalNonFacilityPERVUs2FullyImplementedFacilityPERVUs2Year2011TransitionalFacilityPERVUs2MalPracticeRVUs2GlobalG9042 A Low vision rehab orient/mobi 0.25 0.25 0.25 0.25 0.25 0.01 XXXG9043 A Low vision lowvision therapi 0.25 0.25 0.25 0.25 0.25 0.01 XXXG9044 A Low vision rehabilate teache 0.24 0.19 0.19 0.19 0.19 0.01 XXXG9140 X Frontier extended stay demo 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9141 X Influenza a h1n1,admin w cou 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9142 X Influenza a h1n1, vaccine 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9143 X Warfarin respon genetic test 0.00 0.00 0.00 0.00 0.00 0.00 XXXG9147 N Outpt iv insulin tx any mea 0.00 0.00 0.00 0.00 0.00 0.00 XXXM0064 A Visit for drug monitoring 0.37 1.07 0.99 0.08 0.09 0.01 XXXP3001 A Screening pap smear by phys 0.42 0.42 0.40 0.42 0.40 0.03 XXXQ0035 A Cardiokymography 0.17 0.31 0.35 NA NA 0.02 XXXQ0035 TC A Cardiokymography 0.00 0.25 0.29 NA NA 0.01 XXXQ0035 26 A Cardiokymography 0.17 0.06 0.06 0.06 0.06 0.01 XXXQ0091 A Obtaining screen pap smear 0.37 0.87 0.88 0.17 0.15 0.03 XXXQ0092 A Set up port xray equipment 0.00 0.64 0.59 0.64 0.59 0.01 XXXQ3001 C Brachytherapy radioelements 0.00 0.00 0.00 0.00 0.00 0.00 XXXQ3014 X Telehealth facility fee 0.00 0.00 0.00 0.00 0.00 0.00 XXXR0070 C Transport portable x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXXR0075 C Transport port x-ray multipl 0.00 0.00 0.00 0.00 0.00 0.00 XXXR0076 B Transport portable ekg 0.00 0.00 0.00 0.00 0.00 0.00 XXXV5299 R Hearing service 0.00 0.00 0.00 0.00 0.00 0.00 XXX1 CPT codes and descriptors only are copyright 2011 American Medical Association. All Rights Reserved. Applicable FARS/DFARSapply.2 If values are reflected for codes not payable by Medicare, please note that thesevalues have been established as a courtesyto the general public and are not used for Medicarepayment.

# CMS-1582-PN 505

ADDENDUM C. - CODES WITH PROPOSED RVUS SUBJECT TO COMMENT FOR

FOURTH FIVE-YEAR REVIEW OF WORK

CPT 1 

# /

HCPCS Mod Status Description Physician

Work

RVUs 2 

# Fully

Implemented

NonFacility

PE

RVUs 2 

# Year

2011

Transitional

NonFacility

PE

RVUs 2 

# Fully

Implemented

Facility

PE

RVUs 2 

# Year

2011

Transitional

Facility

PE

RVUs 2 

# MalPractice

RVUs 2 

# Global

10140 A Drainage of hematoma/fluid 1.58 2.97 2.85 1.69 1.65 0.20 010

10160 A Puncture drainage of lesion 1.25 2.40 2.32 1.41 1.37 0.16 010

11732 A Remove nail plate add-on 0.44 0.56 0.57 0.12 0.14 0.03 ZZZ

11765 A Excision of nail fold toe 1.22 3.51 3.33 1.42 1.34 0.08 010

12031 A Intmd wnd repair s/tr/ext 2.00 4.66 4.53 2.24 2.16 0.32 010

12032 A Intmd wnd repair s/tr/ext 2.52 6.02 5.95 2.91 2.83 0.38 010

12034 A Intmd wnd repair s/tr/ext 2.97 5.67 5.50 2.65 2.55 0.50 010

12035 A Intmd wnd repair s/tr/ext 3.50 7.03 6.82 2.97 2.87 0.65 010

12036 A Intmd wnd repair s/tr/ext 4.23 7.26 7.03 3.26 3.14 0.81 010

12037 A Intmd wnd repair s/tr/ext 5.00 8.02 7.77 3.74 3.62 0.96 010

12041 A Intmd wnd repair n-hf/genit 2.10 4.69 4.56 2.24 2.17 0.32 010

12042 A Intmd wnd repair n-hg/genit 2.79 5.30 5.21 2.77 2.67 0.41 010

12044 A Intmd wnd repair n-hg/genit 3.19 6.76 6.49 2.64 2.54 0.52 010

12045 A Intmd wnd repair n-hg/genit 3.75 7.24 6.94 3.58 3.32 0.64 010

12046 A Intmd wnd repair n-hg/genit 4.30 8.55 8.21 4.02 3.77 0.84 010

12047 A Intmd wnd repair n-hg/genit 4.95 9.57 9.07 4.24 4.01 0.96 010

12051 A Intmd wnd repair face/mm 2.33 4.94 4.85 2.44 2.38 0.36 010

12052 A Intmd wnd repair face/mm 2.87 5.38 5.35 2.79 2.78 0.42 010

12053 A Intmd wnd repair face/mm 3.17 6.48 6.28 2.80 2.70 0.50 010

12054 A Intmd wnd repair face/mm 3.50 6.71 6.48 2.71 2.62 0.59 010

12055 A Intmd wnd repair face/mm 4.50 8.49 8.02 3.62 3.34 0.73 010

12056 A Intmd wnd repair face/mm 5.30 10.36 9.70 5.38 4.85 0.67 010

12057 A Intmd wnd repair face/mm 6.00 12.09 11.21 5.38 5.00 0.76 010

13100 A Repair of wound or lesion 3.17 5.53 5.45 3.27 3.20 0.50 010

13101 A Repair of wound or lesion 3.96 7.13 7.01 3.88 3.79 0.61 010

15120 A Skn splt a-grft fac/nck/hf/g 10.15 13.51 13.44 9.09 9.07 1.76 090

15121 A Skn splt a-grft f/n/hf/g add 2.00 3.76 3.90 1.58 1.60 0.37 ZZZ

15260 A Skin full graft een & lips 11.64 16.71 16.21 12.42 12.08 1.77 090

15732 A Muscle-skin graft head/neck 16.38 19.29 19.11 14.67 14.45 2.91 090

17250 A Chemical cautery tissue 0.50 1.74 1.68 0.51 0.49 0.07 000

17260 A Destruction of skin lesions 0.96 1.69 1.67 0.99 0.95 0.12 010

17261 A Destruction of skin lesions 1.22 2.84 2.80 1.34 1.31 0.18 010

17262 A Destruction of skin lesions 1.63 3.30 3.24 1.62 1.58 0.23 010

17263 A Destruction of skin lesions 1.84 3.53 3.48 1.75 1.71 0.26 010

17264 A Destruction of skin lesions 1.99 3.76 3.70 1.83 1.78 0.29 010

17266 A Destruction of skin lesions 2.39 4.09 4.03 2.06 2.00 0.34 010

17270 A Destruction of skin lesions 1.37 2.87 2.81 1.41 1.37 0.20 010

# CMS-1582-PN 506

CPT 1 

# /

HCPCS Mod Status Description Physician

Work

RVUs 2 

# Fully

Implemented

NonFacility

PE

RVUs 2 

# Year

2011

Transitional

NonFacility

PE

RVUs 2 

# Fully

Implemented

Facility

PE

RVUs 2 

# Year

2011

Transitional

Facility

PE

RVUs 2 

# MalPractice

RVUs 2 

# Global

17271 A Destruction of skin lesions 1.54 3.06 3.01 1.56 1.52 0.23 010

17272 A Destruction of skin lesions 1.82 3.41 3.37 1.75 1.71 0.26 010

17273 A Destruction of skin lesions 2.10 3.73 3.67 1.92 1.87 0.30 010

17274 A Destruction of skin lesions 2.64 4.20 4.14 2.24 2.19 0.37 010

17276 A Destruction of skin lesions 3.25 4.63 4.55 2.58 2.51 0.48 010

17280 A Destruction of skin lesions 1.22 2.75 2.70 1.32 1.28 0.18 010

17281 A Destruction of skin lesions 1.77 3.23 3.17 1.71 1.67 0.26 010

17282 A Destruction of skin lesions 2.09 3.64 3.59 1.92 1.88 0.30 010

17283 A Destruction of skin lesions 2.69 4.14 4.09 2.30 2.25 0.38 010

17284 A Destruction of skin lesions 3.20 4.57 4.53 2.60 2.55 0.44 010

17286 A Destruction of skin lesions 4.48 5.50 5.39 3.35 3.28 0.67 010

19302 A P-mastectomy w/ln removal 13.87 NA NA 9.40 8.93 2.95 090

22520 A Percut vertebroplasty thor 9.22 55.61 55.64 4.57 4.75 1.06 010

22521 A Percut vertebroplasty lumb 8.01 55.13 55.03 4.24 4.45 0.94 010

22522 A Percut vertebroplasty addl 4.30 NA NA 1.75 1.81 0.54 ZZZ

22523 A Percut kyphoplasty thor 8.62 NA NA 5.60 5.72 1.69 010

22524 A Percut kyphoplasty lumbar 8.22 NA NA 5.44 5.55 1.61 010

22525 A Percut kyphoplasty add-on 4.47 NA NA 2.17 2.19 0.95 ZZZ

25600 A Treat fracture radius/ulna 2.64 6.27 5.82 5.76 5.24 0.49 090

25605 A Treat fracture radius/ulna 6.00 8.67 8.57 7.73 7.64 1.15 090

27385 A Repair of thigh muscle 6.93 NA NA 8.72 8.54 1.36 090

27530 A Treat knee fracture 2.65 5.74 5.77 5.10 5.10 0.51 090

27792 A Treatment of ankle fracture 8.75 NA NA 8.97 8.79 1.66 090

28002 A Treatment of foot infection 4.00 6.94 7.03 3.19 3.47 0.45 010

28003 A Treatment of foot infection 9.06 10.94 10.37 6.70 6.43 1.06 090

28120 A Part removal of ankle/heel 7.31 11.86 11.19 6.46 6.05 1.01 090

28122 A Partial removal of foot bone 6.76 10.37 10.13 5.58 5.63 0.72 090

28285 A Repair of hammertoe 4.76 9.32 8.80 4.63 4.46 0.45 090

28715 A Fusion of foot bones 13.42 NA NA 12.12 11.74 2.28 090

28820 A Amputation of toe 5.82 10.40 10.02 5.24 4.99 0.85 090

28825 A Partial amputation of toe 5.37 10.28 9.99 5.08 4.98 0.75 090

29125 A Apply forearm splint 0.50 1.31 1.27 0.58 0.56 0.08 000

29126 A Apply forearm splint 0.68 1.49 1.42 0.65 0.63 0.10 000

29405 A Apply short leg cast 0.80 1.50 1.47 0.86 0.84 0.11 000

29425 A Apply short leg cast 0.80 1.41 1.42 0.77 0.78 0.10 000

29515 A Application lower leg splint 0.73 1.25 1.21 0.62 0.60 0.10 000

32405 A Biopsy lung or mediastinum 1.93 0.66 0.71 0.66 0.71 0.18 000

32851 A Lung transplant single 59.64 NA NA 25.28 25.80 14.05 090

32852 A Lung transplant with bypass 65.50 NA NA 27.10 28.13 15.35 090

32853 A Lung transplant double 84.48 NA NA 33.67 32.99 20.00 090

# CMS-1582-PN 507

CPT 1 

# /

HCPCS Mod Status Description Physician

Work

RVUs 2 

# Fully

Implemented

NonFacility

PE

RVUs 2 

# Year

2011

Transitional

NonFacility

PE

RVUs 2 

# Fully

Implemented

Facility

PE

RVUs 2 

# Year

2011

Transitional

Facility

PE

RVUs 2 

# MalPractice

RVUs 2 

# Global

32854 A Lung transplant with bypass 90.00 NA NA 35.65 35.47 21.21 090

33030 A Partial removal of heart sac 36.00 NA NA 16.13 14.94 8.55 090

33031 A Partial removal of heart sac 45.00 NA NA 19.22 17.47 10.83 090

33120 A Removal of heart lesion 38.45 NA NA 15.81 15.24 9.20 090

33315 A Exploratory heart surgery 35.00 NA NA 14.60 14.24 8.41 090

33411 A Replacement of aortic valve 62.07 NA NA 24.85 25.09 14.93 090

33412 A Replacement of aortic valve 59.00 NA NA 22.90 22.61 14.77 090

33468 A Revision of tricuspid valve 45.13 NA NA 18.15 17.91 11.30 090

33645 A Revision of heart veins 31.30 NA NA 13.46 13.55 7.82 090

33647 A Repair heart septum defects 33.00 NA NA 14.07 14.49 8.25 090

33692 A Repair of heart defects 36.15 NA NA 16.58 16.19 2.56 090

33710 A Repair of heart defects 37.50 NA NA 15.48 16.44 8.78 090

33875 A Thoracic aortic graft 50.72 NA NA 22.33 20.86 12.12 090

33910 A Remove lung artery emboli 48.21 NA NA 20.26 18.80 12.04 090

33916 A Surgery of great vessel 78.00 NA NA 29.74 26.33 19.49 090

33935 R Transplantation heart/lung 91.78 NA NA 36.50 34.78 22.94 090

33975 A Implant ventricular device 25.00 NA NA 8.47 8.38 5.95 XXX

33976 A Implant ventricular device 30.75 NA NA 10.16 10.00 7.68 XXX

33977 A Remove ventricular device 20.86 NA NA 8.16 9.14 4.96 XXX

33978 A Remove ventricular device 25.00 NA NA 9.60 10.36 6.26 XXX

33979 A Insert intracorporeal device 37.50 NA NA 12.55 13.82 8.98 XXX

33980 A Remove intracorporeal device 33.50 NA NA 12.48 16.96 8.08 XXX

33981 A Replace vad pump ext 16.11 NA NA 6.56 6.56 4.02 XXX

33982 A Replace vad intra w/o bp 37.86 NA NA 15.43 15.43 9.07 XXX

33983 A Replace vad intra w/bp 44.54 NA NA 18.15 18.15 10.67 XXX

35188 A Repair blood vessel lesion 18.00 NA NA 6.46 6.82 3.85 090

35612 A Artery bypass graft 20.35 NA NA 7.50 7.72 4.84 090

35800 A Explore neck vessels 12.00 NA NA 7.27 6.71 2.53 090

35840 A Explore abdominal vessels 20.75 NA NA 10.33 9.24 4.45 090

35860 A Explore limb vessels 15.25 NA NA 7.42 6.64 3.48 090

36200 A Place catheter in aorta 3.02 12.93 13.90 0.98 1.05 0.60 000

36246 A Place catheter in artery 5.27 22.83 25.31 1.78 1.94 0.98 000

36247 A Place catheter in artery 6.29 41.60 44.68 2.11 2.30 1.18 000

36470 A Injection therapy of vein 1.10 3.24 3.15 1.25 1.13 0.22 010

36471 A Injection therapy of veins 1.65 3.18 3.18 1.04 1.03 0.33 010

36600 A Withdrawal of arterial blood 0.32 0.55 0.55 0.11 0.10 0.03 XXX

36819 A Av fuse uppr arm basilic 13.29 NA NA 6.49 6.53 2.98 090

36821 A Av fusion direct any site 12.11 NA NA 6.62 6.43 2.71 090

36825 A Artery-vein autograft 14.17 NA NA 7.24 6.78 3.17 090

37140 A Revision of circulation 40.00 NA NA 19.84 17.69 8.53 090

# CMS-1582-PN 508

CPT 1 

# /

HCPCS Mod Status Description Physician

Work

RVUs 2 

# Fully

Implemented

NonFacility

PE

RVUs 2 

# Year

2011

Transitional

NonFacility

PE

RVUs 2 

# Fully

Implemented

Facility

PE

RVUs 2 

# Year

2011

Transitional

Facility

PE

RVUs 2 

# MalPractice

RVUs 2 

# Global

37145 A Revision of circulation 37.00 NA NA 18.52 17.00 8.07 090

37160 A Revision of circulation 38.00 NA NA 19.03 16.85 8.13 090

37180 A Revision of circulation 36.50 NA NA 18.38 16.57 7.80 090

37181 A Splice spleen/kidney veins 40.00 NA NA 19.84 17.93 8.52 090

42415 A Excise parotid gland/lesion 17.16 NA NA 12.66 12.31 2.29 090

42420 A Excise parotid gland/lesion 19.53 NA NA 13.96 13.62 2.63 090

43262 A Endo cholangiopancreatograph 7.38 NA NA 4.25 4.25 1.09 000

43415 A Repair esophagus wound 44.88 NA NA 22.14 20.23 10.25 090

45331 A Sigmoidoscopy and biopsy 1.15 3.59 3.63 0.94 0.93 0.18 000

47563 A Laparo cholecystectomy/graph 11.47 NA NA 7.20 6.95 2.43 090

47564 A Laparo cholecystectomy/explr 18.00 NA NA 11.01 9.95 3.84 090

49507 A Prp i/hern init block >5 yr 9.09 NA NA 6.27 6.05 1.92 090

49521 A Rerepair ing hernia blocked 11.48 NA NA 7.22 6.95 2.41 090

49587 A Rpr umbil hern block > 5 yr 7.08 NA NA 5.45 5.25 1.49 090

49652 A Lap vent/abd hernia repair 11.92 NA NA 7.52 7.25 0.83 090

49653 A Lap vent/abd hern proc comp 14.94 NA NA 9.31 8.97 1.07 090

49654 A Lap inc hernia repair 13.76 NA NA 8.30 8.01 0.97 090

49655 A Lap inc hern repair comp 16.84 NA NA 10.06 9.68 1.19 090

51705 A Change of bladder tube 0.90 1.59 1.59 0.51 0.51 0.09 000

51710 A Change of bladder tube 1.35 1.21 1.21 0.83 0.83 0.12 000

52005 A Cystoscopy & ureter catheter 2.37 5.14 5.54 1.23 1.31 0.24 000

52007 A Cystoscopy and biopsy 3.02 9.47 10.69 1.46 1.57 0.30 000

52310 A Cystoscopy and treatment 2.81 3.78 4.08 1.29 1.38 0.29 000

52315 A Cystoscopy and treatment 5.20 5.98 6.62 2.22 2.39 0.50 000

52630 A Remove prostate regrowth 6.55 NA NA 4.32 4.57 0.64 090

52640 A Relieve bladder contracture 4.79 NA NA 3.80 3.89 0.45 090

52649 A Prostate laser enucleation 14.56 NA NA 7.50 8.55 1.41 090

53440 A Male sling procedure 13.36 NA NA 7.02 7.86 1.31 090

57287 A Revise/remove sling repair 11.15 NA NA 7.21 7.38 1.47 090

57288 A Repair bladder defect 12.13 NA NA 7.11 7.23 1.59 090

60220 A Partial removal of thyroid 11.19 NA NA 8.04 7.80 1.94 090

60240 A Removal of thyroid 15.04 NA NA 9.66 9.30 2.74 090

60500 A Explore parathyroid glands 15.60 NA NA 10.06 9.68 3.01 090

62284 A Injection for myelogram 1.54 3.93 4.15 0.77 0.80 0.18 000

63655 A Implant neuroelectrodes 10.92 NA NA 10.35 10.00 3.42 090

64405 A N block inj occipital 0.94 1.76 1.68 0.70 0.67 0.19 000

69220 A Clean out mastoid cavity 0.83 3.27 3.19 0.95 0.92 0.10 000

78264 A Gastric emptying study 0.80 7.60 7.61 NA NA 0.07 XXX

78264 TC A Gastric emptying study 0.00 7.34 7.33 NA NA 0.03 XXX

78264 26 A Gastric emptying study 0.80 0.26 0.28 0.26 0.28 0.04 XXX

# CMS-1582-PN 509

CPT 1 

# /

HCPCS Mod Status Description Physician

Work

RVUs 2 

# Fully

Implemented

NonFacility

PE

RVUs 2 

# Year

2011

Transitional

NonFacility

PE

RVUs 2 

# Fully

Implemented

Facility

PE

RVUs 2 

# Year

2011

Transitional

Facility

PE

RVUs 2 

# MalPractice

RVUs 2 

# Global

92511 A Nasopharyngoscopy 0.61 3.50 3.55 0.81 0.81 0.03 000

92950 A Heart/lung resuscitation cpr 4.00 4.39 4.31 1.08 1.06 0.32 000

93321 A Doppler echo exam heart 0.15 0.52 0.61 NA NA 0.02 ZZZ

93321 TC A Doppler echo exam heart 0.00 0.47 0.55 NA NA 0.01 ZZZ

93321 26 A Doppler echo exam heart 0.15 0.05 0.06 0.05 0.06 0.01 ZZZ

94660 A Pos airway pressure cpap 0.76 0.98 0.96 0.28 0.27 0.05 XXX

98925 A Osteopathic manipulation 0.46 0.43 0.41 0.20 0.18 0.03 000

98926 A Osteopathic manipulation 0.71 0.57 0.54 0.29 0.27 0.03 000

98927 A Osteopathic manipulation 0.96 0.71 0.67 0.36 0.35 0.04 000

98928 A Osteopathic manipulation 1.21 0.82 0.78 0.45 0.43 0.06 000

98929 A Osteopathic manipulation 1.46 1.00 0.93 0.54 0.51 0.09 000

99218 A Initial observation caree 1.28 NA NA 0.54 0.52 0.08 XXX

99219 A Initial observation care 2.14 NA NA 0.92 0.88 0.14 XXX

99220 A Initial observation care 2.99 NA NA 1.26 1.21 0.20 XXX

99234 A Observ/hosp same date 1.92 NA NA 0.81 0.86 0.17 XXX

99235 A Observ/hosp same date 2.78 NA NA 1.19 1.20 0.19 XXX

99236 A Observ/hosp same date 3.63 NA NA 1.52 1.52 0.25 XXX

99315 A Nursing fac discharge day 1.28 0.74 0.68 0.74 0.68 0.08 XXX

99316 A Nursing fac discharge day 1.90 1.01 0.92 1.01 0.92 0.10 XXX

99460 A Init nb em per day hosp 1.92 NA NA 0.84 0.73 0.08 XXX

99462 A Sbsq nb em per day hosp 0.84 NA NA 0.37 0.33 0.05 XXX

99463 A Same day nb discharge 2.13 NA NA 1.09 0.98 0.11 XXX

1 

# CPT codes and descriptors only are copyright 2011 American Medical Association. All Rights Reserved. Applicable

FARS/DFARS apply.

2 

# If values are reflected for codes not pa yable by Medicare, please note that these values have been established as a courtesy t o

the general public and are not used for Medicare payment.

[FR Doc. 2011-13052 Filed 05/24/2011 at 4:15 pm; Publication Date: 06/06/2011]