# Thursday,

June 29, 2006



# Part II



# Department of

Health and Human

Services

Centers for Medicare & Medicaid Services

Medicare Program; Five-Year Review of

Work Relative Value Units Under the

Physician Fee Schedule and Proposed

Changes to the Practice Expense

Methodology; Notice


# 37170 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

**DEPARTMENT OF HEALTH AND**

**HUMAN SERVICES**

**Centers for Medicare & Medicaid**

**Services**

**[CMS–1512–PN]**

**RIN 0938–AO22**



# Medicare Program; Five-Year Review

**of Work Relative Value Units Under the**

**Physician Fee Schedule and Proposed**

**Changes to the Practice Expense**

**Methodology**

**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) affecting

payment for physicians’ services. The

statute requires that we review RVUs no

less often than every 5 years. This is our

third 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 January 1, 2007. These

revisions reflect changes in medical

practice, coding changes, new data on

relative value components, and the

addition of new procedures that affect

the relative amount of physician work

required to perform each service as

required by the statute. In addition, we

are proposing revisions to our

methodology for calculating practice

expense (PE) RVUs, including changes

based on supplemental survey data for

PE. This revised methodology would be

used to establish payment for services

beginning January 1, 2007.

**DATES** 

# : To be assured consideration,

comments must be received at one of

the addresses provided below, no later

than 5 p.m. on Monday, August 21,

2006.

**ADDRESSES** 

# : In commenting, please refer

to file code CMS–1512–PN. Because of

staff and resource limitations, we cannot

accept comments by facsimile (FAX)

transmission.

You may submit comments in one of

four ways (no duplicates, please):

1. Electronically. You may submit

electronic comments on specific issues

in this regulation to http://

www.cms.hhs.gov/eRulemaking. Click

on the link ‘‘Submit electronic

comments on CMS regulations with an

open comment period.’’ (Attachments

should be in Microsoft Word,

WordPerfect, or Excel; however, we

prefer Microsoft Word.) 2. By regular mail. You may mail

written comments (one original and two

copies) to the following address ONLY:

Centers for Medicare & Medicaid

Services, Department of Health and

Human Services, Attention: CMS–1512–

PN, P.O. Box 8014, Baltimore, MD

21244–8014.

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 (one

original and two copies) to the following

address ONLY:

Centers for Medicare & Medicaid

Services, Department of Health and

Human Services, Attention: CMS–1512–

PN, Mail Stop C4–26–05, 7500 Security

Boulevard, Baltimore, MD 21244–1850.

4. By hand or courier. If you prefer,

you may deliver (by hand or courier)

your written comments (one original

and two copies) before the close of the

comment period to one of the following

addresses. If you intend to deliver your

comments to the Baltimore address,

please call telephone number (410) 786–

7195 in advance to schedule your

arrival with one of our staff members.

Room 445–G, Hubert H. Humphrey

Building, 200 Independence Avenue,

SW., Washington, DC 20201; or 7500

Security Boulevard, Baltimore, MD

21244–1850.

(Because access to the interior of the

HHH 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 stamp-in clock

is available for persons wishing to retain

a proof of filing by stamping in and

retaining an extra copy of the comments

being filed.)

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

comments, see the beginning of the

**SUPPLEMENTARY INFORMATION** 

# section.

**FOR FURTHER INFORMATION CONTACT** 

# : Diane Milstead, (410) 786–3355, or

Gaysha Brooks, (410) 786–9649

**SUPPLEMENTARY INFORMATION** 

# : Submitting Comments: We welcome

comments from the public on the

proposed work RVUs set forth in

Addendum C, the proposed practice

expense methodology, and other issues

set forth in this proposed notice to assist

us in fully considering issues and

developing policies. You can assist us

by referencing the file code CMS–1512–

PN and the specific ‘‘issue identifier’’

that precedes the section on which you

choose to comment. Inspection of Public Comments: All

comments received before the close of

the comment period are available for

viewing by the public, including any

personally identifiable 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

site as soon as possible after they are

received: http://www.cms.hhs.gov/

eRulemaking. Click on the link

‘‘Electronic Comments on CMS

Regulations’’ on that Web site to view

public comments.

Comments received timely will be

available for public inspection as they

are received, generally beginning

approximately 3 weeks 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.

Information on the PFS can be found

on the CMS homepage. You can access

this data by using the following

directions:

1. Go to the following Web site

http://www.cms.hhs.gov/

PhysicianFeeSched/.

2. Select ‘‘Physician Fee Schedule

Federal Regulation Notices.’’

To assist readers in referencing

sections contained in this preamble, we

are providing the following table of

contents.

Table of Contents

I. Background

A. Legislative History

B. Published Changes to the Physician Fee

Schedule

C. Current Proposed Notice

D. The 5-Year Review Process

II. Discussion of Comments and Decisions

A. Review of Comments

B. Discussion of Comments by Clinical

Area

1. Dermatology and Plastic Surgery

2. Orthopedic Surgery

3. Gynecology, Urology, Pain Medicine,

and Neurosurgery

4. Radiology, Pathology, and Other

Miscellaneous Services

5. Evaluation and Management Services

6. Cardiothoracic Surgery

7. General, Colorectal and Vascular Surgery

8. Otolaryngology and Ophthalmology

9. HCPAC Codes

C. Other Issues Under the 5-Year Review

1. Anesthesia Services

2. Discussion of Post-Operative Visits

Included in the Global Surgical Packages

3. Codes Referred to CPT Editorial Panel

from Five-Year Review of Work Relative

Value Units

4. Budget Neutrality


# 37171 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

5. Effect on Practice Expense Inputs

Stemming From the 5-Year Review

6. Nature and Format of Comments on

Work RVUs

D. Resource-Based Practice Expense (PE)

RVUs

1. Current Methodology

2. PE Proposed Methodology for CY 2006

3. Modifications to PE Proposals

III. Collection of Information Requirements

IV. Response to Comments

V. Regulatory Impact Analysis

Addendum A: Explanation and Use of

Addendum B

Addendum B: Relative Value Units 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 these acronyms and their

corresponding terms in alphabetical order

below:

AAD American Academy of Dermatology

AAN American Academy of Neurology

AANEM American Association of

Neuromuscular 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

Otolaryngology-Head and Neck Surgery

AAOA American Academy of Otolaryngic

Allergy

AAOS American Academy of Orthopaedic

Surgeons

AAP American Academy of Pediatrics

AAPM American Academy of Pain

Medicine

AAPMR American Academy of Physical

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 Freestanding

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-Language-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

Health Insurance Program] Balanced

Budget Refinement Act of 1999 (Pub. L.

106

– 113)

BNF Budget neutrality factor

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 Professionals 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,

Improvement, 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 Quality

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

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] Veterans Affairs



# I. Background

[If you choose to comment on issues

in this section, please include the

caption ‘‘ BACKGROUND ’’ at the

beginning of your comments.]

A. Legislative History

Since January 1, 1992, Medicare has

paid for physicians ’ services under section 1848 of the Social Security Act

(the Act), ‘‘ Payment for Physicians ’

Services. ’’ Section 1848 of the Act

contains three major elements: (1) A fee

schedule for the payment of physicians ’

services; (2) a sustainable growth rate

for the rates of increase in Medicare

expenditures for physicians ’ services;

and (3) limits on the amounts that

nonparticipating physicians can charge

beneficiaries. 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 established for physician work,

practice expense (PE), and malpractice

expense.

Section 1848(c)(2)(B)(ii)(II) of the Act

provides that adjustments in RVUs may

not cause total physician fee schedule

(PFS) payments for the year to differ by

more than $20 million from the amount

that would have been paid had the

adjustments not been made. If this

tolerance is exceeded, we must make

adjustments to the conversion factors

(CFs) to preserve budget neutrality.

B. Published Changes to the Physician

Fee Schedule

On an annual basis, we publish

regulations relating to updates to the

RVUs and revisions to the payment

policies under the PFS. In the Calendar

Year (CY) 2006 Physician Fee Schedule

final rule with comment period that

appeared in the Federal Register on November 21, 2005 (70 FR 70116)

(hereinafter referred to as the CY 2006

PFS final rule with comment period),

we finalized the CY 2005 interim

physician work RVUs, issued new

interim work RVUs for new and revised

codes for CY 2006, and finalized several

other payment policies related to the

PFS. This final rule with comment also

discussed the status of the third 5-Year

Review of work RVUs.

C. Current Proposed Notice

This proposed notice sets forth

proposed revisions to work RVUs

affecting payment for physicians ’

services. 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 5-Year Review of work

was initiated in December 1994 and was

effective for services furnished

beginning January 1, 1997. The second

5-Year Review of work was initiated in

November 1999 and was effective for

services furnished beginning January 1

2002. The third 5-Year Review of work

was initiated in November 2004.


# 37172 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

Revisions of physician work RVUs

proposed in this proposed notice are

subject to a 60-day public comment

period. We will review public

comments, make adjustments to our

proposals in response to comments, as

appropriate, and include revised values

in our CY 2007 Physician Fee Schedule

final rule with comment period,

effective for services furnished

beginning January 1, 2007.

D. The 5-Year Review Process

We initiated the third 5-Year Review

by soliciting public comments on

potentially misvalued work RVUs for all

services in the CY 2005 Physician Fee

Schedule final rule with comment

period that appeared in the Federal

Register on November 15, 2004 (69 FR

66370) and provided a 60-day comment

period.

We received comments from

approximately 35 specialty groups,

organizations, and individuals involving

over 500 Current Procedural

Terminology (CPT) and Healthcare

Common Procedure Coding System

(HCPCS) codes. As explained in the CY

2006 PFS final rule with comment

period (70 FR 70283), we shared these

comments with the American Medical

Association (AMA) Specialty Society

Relative Value Update Committee

(RUC). The RUC was formed in

November 1991 and grew out of a series

of discussions between the AMA and

major national medical specialty

societies. The work of the RUC is

supported by the RUC Advisory

Committee, which is made up of

representatives of 100 specialty societies

in the AMA ’ s House of Delegates.

The RUC currently makes annual

recommendations to us on RVUs for

new and revised CPT codes. The RUC

also provided recommendations on

changes to the work RVUs for existing

codes during the previous 5-Year

Reviews. We believe that the RUC ’ s participation was beneficial because the

RUC is experienced in recommending

RVUs for the codes that have been

added to or revised by the CPT Editorial

Panel since we implemented the PFS in

1992. By virtue of its multispecialty

membership and consultation with

specialty societies, the RUC involves the

medical community in formulating its

recommendations. For codes used

primarily by nonphysician practitioners,

the Health Care Professionals Advisory

Committee (HCPAC), a companion to

the RUC, has made recommendations to

us.

As we stated in the previous 5-Year

Reviews, we retain the responsibility for

analyzing any comments and

recommendations received, developing the proposed rule, evaluating the

comments on the proposed rule, and

deciding whether and how to revise the

work RVUs for any given service.

After we sent the RUC the comments

we received on potentially misvalued

services, as well as a list of

approximately 160 services that we had

identified as being potentially

misvalued, the RUC identified the

specialty societies that expressed

interest in making presentations

concerning those services. To prepare

for presentations to the RUC, most

specialty societies compiled data using

a standard survey instrument whereby

respondents compared the surveyed

service with similar ‘‘ reference ’’ services

that have established, agreed upon work

values. Respondents were asked to

estimate: the work for the survey code;

the time to perform the ‘‘ pre- ’’

,

‘‘ intra- ’’ , and ‘‘ post- ’’ service activities;

and the technical skill, risk, and

judgment involved with performing the

service. Post-service activities were

broken down into hospital and office

visits and were assigned an appropriate

evaluation and management (E/M) code

by the respondent. Each specialty

society selected the physician sample

that was surveyed. A minimum of 30

responses was required by the RUC for

the survey to be considered adequate.

For this 5-Year Review, the RUC

permitted a specialty society to use a

‘‘ minisurvey ’’ for some codes if the

number of codes a specialty society was

reviewing was extremely high. These

minisurveys required less information

from the respondent, but were similar in

design. In addition, the RUC approved

the use of information from the National

Surgical Quality Improvement Program

(NSQIP) database and the Society of

Thoracic Surgeons (STS) national

database in the valuation of some

services.

The NSQIP was started by the

Department of Veterans Affairs (VA) for

quality improvement purposes in 1991

with 128 VA medical centers, but now

includes a large volume of surgical

procedures from non-VA medical

centers as well. The total number of

cases for VA and non-VA medical

centers is greater than one million. The

NSQIP database contains pre-, intra-,

and post-operative data, including intraservice times and length of stay data.

The STS National database is a

voluntary reporting system for the

collection of outcomes data related to

thoracic surgical services. This database

currently contains over two million

patient records collected from more

than 450 practices (from 1995 through

2004). Over 70 percent of the hospitals

currently performing heart surgeries in the U.S. reportedly participate in this

database.

Some specialty societies used a

‘‘ building-block ’’ approach to validate

the survey results for surgical services.

In constructing the building blocks, a

service is divided into pre-, intra-, and

post-service components. The preservice component consists of all

services furnished before the physician

makes the skin incision (for example,

pre-operative evaluation and scrubbing);

the intra-service component consists of

the ‘‘ skin-to-skin ’’ time; and the postservice component includes immediate

post-surgery services and subsequent

hospital and office visits. Each

component (or building block) is then

assigned work RVUs. Pre-service and

intra-service work RVUs are based on

time and the intensity of the activities,

and post-service work is based on the

specified E/M service for each postoperative visit. These three values are

then summed to compute ‘‘ buildingblock ’’ work RVUs.

The results of the surveys were

reviewed and organized by the specialty

societies and then presented to the RUC.

The RUC used eight workgroups,

comprised of RUC members, to evaluate

a series of clinically related codes based

on the survey results and additional

discussion. The workgroups also

evaluated the relative work (time and

intensity) for each service compared to

other services on the fee schedule. The

workgroups submitted their

recommendations to the full RUC,

which then considered the workgroup

reports and then sent the final RUC

recommendations to us.

II. Discussion of Comments and

Decisions

A. Review of Comments

As previously stated, we sent the RUC

a list of codes for review. The RUC

submitted work RVU recommendations

for these codes, with the exception of

the codes that were withdrawn or

referred to the CPT Editorial Panel for

further review or action, and one CPT

code (32020) for which no specialty

society expressed an interest in

conducting a survey. In the future, we

will consider an alternative method to

re-evaluate codes when no specialties

express an interest in conducting a

survey and we would appreciate

suggestions from commenters on what

alternative methods could be used.

We analyzed all of the RUC

recommendations by evaluating the

methodology used by each workgroup to

develop the recommendations, the

recommended work RVUs, and the

rationale for the recommendations.


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When appropriate and feasible, if we

had concerns about the application of a

particular methodology, we assessed

whether the recommended work RVUs

were appropriate by using alternative

methodologies.

In conducting our review of the RUC

recommendations we considered

whether: (1) The code was part of a

completed survey process; (2) the

methodology used by the specialty

society followed the standard RUC

process; (3) the survey respondents

stated the work had or had not changed

in the past 5 years; (4) databases (for

example, STS, NSQIP, and Medicare

diagnosis-related group (DRG)) were

used in lieu of the standard RUC

methodology or as a supplement to the

standard methodology; and (5) the intraservice work per unit of time (IWPUT)

calculation was used to determine work

RVUs in lieu of the standard RUC

process. (The IWPUT is derived from

components of the ‘‘ building-block ’’

approach, described above, and is used

as a measure of service intensity.)

Although CMS recognizes that the work

values of codes may change over time,

it is the responsibility of the specialty

society to present compelling evidence

that a code is misvalued.

We have some concerns that many of

the codes that were reviewed in the

second 5-Year Review have been

brought back again for further

consideration. The main purpose of the

5-Year Review is to identify those

services that need to be revalued

because the work involved in

performing the service has changed.

Since there have been three

opportunities for specialties to have

services that are believed to be

undervalued reviewed, we expect that,

for the most part, only those services

where there is compelling evidence of a

change in the work will be considered

for further review. However, because

there has been little incentive for

specialties to bring codes that may be

overvalued for review, such services

will still need to be identified for the

next 5-Year Review.

Table 1, Five-Year Review of Work

Relative Value Units, lists the codes

reviewed during the 5-Year Review.

This table includes the following

information: • CPT/HCPCS Code. This is the CPT

or alphanumeric HCPCS code for a

service.

• Modifier. A modifier -26 is shown if

the work RVUs represent the

professional component of the service.

• Description. This is an abbreviated

version of the narrative description of

the code.

• 2005 Work RVU. The work RVUs

that appeared in the CY 2005 Physician

Fee Schedule final rule with comment

period are shown for each reviewed

code.

• Requested Work RVU. This column

identifies the work RVUs requested by

the commenting specialty society or

individual commenter. If we received

more than one comment on a code, the

code is listed more than once with the

recommended RVUs. If the commenters

did not recommend specific RVUs, we

indicate this by ‘‘ N/A ’’ . A ‘‘ WD ’’

(withdrawal) indicates that the

commenter withdrew the request for

review of a code and chose not to

pursue review of the code under the 5-

Year Review and that no RUC

recommendation was received.

• RUC Recommendation. This

column identifies the work RVUs

recommended by the RUC. ‘‘ CPT ’’

indicates that the RUC referred this code

to the AMA CPT Editorial Panel for

review and clarification and

recommended maintaining the current

work RVUs. An ‘‘ (a) ’’ indicates the

commenting specialty society withdrew

the proposal, and therefore, the RUC

recommends maintaining the current

work RVUs. A ‘‘ (b) ’’ in this column

indicates there was no RUC

recommendation.

HCPAC Recommendation. This

column identifies the work RVUs

recommended by the HCPAC. An ‘‘ (a) ’’

indicates that the commenting specialty

society withdrew the proposal;

therefore, the HCPAC recommends

maintaining the current work RVUs. A

‘‘ (b) ’’ in this column indicates there was

no HCPAC recommendation.

• CMS Proposal. This column

indicates whether we agreed with the

RUC recommendation ( ‘‘ Agree ’’ ); we are

instead proposing to maintain the

present work RVUs ( ‘‘ Disagree ’’ ); we are

proposing work RVUs higher than the

RUC recommendation ( ‘‘ Disagree/+ ’’ ); or we are proposing work RVUs that are

less than the RUC recommendation

( ‘‘ Disagree/- ’’ ). Codes for which we did

not accept the RUC recommendation are

discussed in greater detail following

Table 1. A ‘‘ (c) ’’ in this column

indicates that in the absence of a RUC/

HCPAC recommendation we are

proposing to maintain the present work

RVUs.

• Proposed base work RVU. This

column contains the 2007 proposed

work RVUs. The proposed work RVUs

for surgical services with a 10- or 90-day

global period do not include the

application of the RUC-recommended

work values for E/M services. However,

the additional work value attributed to

the increase for E/M services included

as part of the global period is reflected

in the work RVUs contained in

Addenda B and C of this proposed rule.

( Note: ** denotes codes that were

deleted for 2006.)

The following is a summary of our

response to the RUC-recommended

work RVUs for the 5-Year Review of

work. We sent the RUC approximately

709 codes to review. The RUC referred

136 codes to the CPT Editorial Panel for

review and 151 codes were withdrawn

by the specialty societies. We accepted

the RUC ’ s recommended work RVUs for

299 of the services reviewed and

disagreed with the RUC ’ s recommended

work RVUs for 123 of the services

reviewed. Of the 123 services for which

we did not accept the RUC ’ s recommended work RVUs, we increased

the work RVUs for 3 services,

recommended maintaining the current

work RVUs for 48 services, and

decreased the work RVUs for 72

services. ( Note: 12 CPT codes for

nursing facility and rest home services

that were referred to the AMA CPT

Editorial Panel were deleted for 2007.)

Additionally, the HCPAC reviewed a

total of 7 services as part of the 5-Year

Review. Of the 7 services reviewed by

the HCPAC, we accepted the HCPAC

recommendations for 1 service,

recommended maintaining the current

work RVU for 1 service, decreased the

work RVUs for 4 services, and 1 code

was withdrawn by the specialty society.

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B. Discussion of Comments by Clinical

Area

1. Dermatology and Plastic Surgery

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

– DERMATOLOGY AND

PLASTIC SURGERY ’’ at the beginning

of your comments.] a. Hidradenitis

The American Society of Plastic

Surgeons (ASPS) submitted the

hidradenitis services (CPT codes 11450,

11451, 11462, 11463, 11470 and 11471)

as undervalued but, based on the very

low response rate to the survey they

conducted the ASPS withdrew these

codes from the 5-Year Review.

b. Craniofacial Surgery

The ASPS originally requested that 10

craniofacial reconstruction and fracture codes be reviewed. ASPS conducted a

standard RUC survey for these services

and, based on the low survey response

rate, withdrew the following six CPT

codes from the 5-Year Review: 21365,

21366, 21432, 21435, 21436, and 21470.

ASPS presented survey data for the

remaining four CPT codes listed in

Table 2 to the RUC indicating there is

compelling evidence that these codes

had been valued based on an incorrect

assumption regarding the value of the

bone graft portion of each service.



# T ABLE 

# 2

CPT code Descriptor

21145 ..................... Reconstruction midface, LeFort I; single piece, segment movement in any direction, requiring bone gra fts (includes obtaining autografts).

21146 ..................... Reconstruction midface, LeFort I; two pieces, segment movement in any direction, requiring bone graft s (includes obtaining autografts) (e.g., ungrafted unilateral alveolar cleft).

21147 ..................... Reconstruction midface, LeFort I; three or more pieces, segment movement in any direction, requiring bone grafts (includes obtaining autografts) (e.g., ungrafted bilateral alveolar cleft or multiple osteotomies).

21395 ..................... Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obta ining graft).



# RUC Recommendations

The RUC agreed that the appropriate

increment of work for the bone graft

should be 50 percent of CPT code

20902, Bone graft, any donor area;

major or large (7.54 work RVUs × 50

percent = 3.77 work RVUs). The RUC

recommended that this increment of

3.77 be used and added to the base code

for each of these services.

The RUC-recommended work RVUs

for these CPT codes are as follows: 21145 = 21.84 work RVUs; 21146 =

22.55 work RVUs, 21147 = 23.32 work

RVUs; and 21395 = 13.88 work RVUs.

CMS Proposed Valuation

We agree with the RUC

recommendations for craniofacial

surgery services.

c. Other Plastic Surgery Services

ASPS initially submitted five

additional services for review (see Table 3). However, the specialty society was

unable to obtain an adequate survey

response rate for these codes and

withdrew them from the RUC review. In

addition, the RUC recommended that

CPT code 15831 should be referred to

the CPT Editorial Panel for review to

capture the new population of patients

using this service.



# T ABLE 

# 3

CPT code Descriptor

11960 ..................... Insertion of tissue expander(s) for other than breast, including subsequent expansion.

15831 ..................... Excision, excessive skin and subcutaneous tissue (including lipectomy); abdomen (abdominoplasty).

19361 ..................... Breast reconstruction with latissimus dorsi flap, with or without prosthetic implant.

43496 ..................... Free jejunum transfer with microvascular anastomosis.

49906 ..................... Free omental flap with microvascular anastomosis.



# We submitted four plastic surgery

services for the 5-Year Review as

services that had never been reviewed by the RUC (see Table 4). In addition,

CPT code 15732 was submitted as it had

been valued as an inpatient service and it is now performed as an outpatient

service.



# T ABLE 

# 4

CPT code Descriptor

15100 ..................... Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children (except 15050).

15240 ..................... Full thickness graft, free, including direct closure of donor site, forehead, cheeks, chin, mouth, ne ck, axillae, genitalia,

hands, and/or feet; 20 sq cm or less.

15732 ..................... Muscle, myocutaneous, or fasciocutaneous flap; head and neck (e.g., temporalis, masseter muscle, ster nocleidomastoid,

levator scapulae).

15734 ..................... Muscle, myocutaneous, or fasciocutaneous flap; trunk.


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RUC Recommendations

The RUC was convinced that the

survey data validated the current

valuation of CPT codes 15100, 15240,

and 15734. The RUC recommended that

the current work RVUs be maintained

for these CPT codes as follows: 15100 =

9.04 work RVUs; 15240 = 9.03 work

RVUs; and 15734 = 17.76 work RVUs.

The RUC reviewed and discussed the

issue concerning the change in setting

from inpatient to outpatient for CPT

code 15732 and determined that this

code describes two disparate procedures; therefore, the RUC

recommended that this CPT code be

forwarded to the CPT Editorial Panel for

review.

CMS Proposed Valuation

We agree with the RUC

recommendations for these plastic

surgery services.

d. Other Dermatology Services

The American Academy of

Dermatology (AAD) and a

pharmaceutical company submitted

CPT code 96567, Photodynamic therapy by external application of light to

destroy premalignant and/or malignant

lesions of the skin and adjacent mucosa

(e.g., lip) by activation of photosensitive

drug(s), each phototherapy exposure

session, for the 5-Year Review but,

subsequent to discussions with the RUC

regarding the need for potential CPT

revisions, withdrew the code from the 5-

Year Review.

We submitted the CPT codes for

integumentary services in Table 5 for

review because they had never been

previously reviewed by the RUC.



# T ABLE 

# 5

CPT code Descriptor

11100 ..................... Biopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwi se listed; single

lesion.

12052 ..................... Layer closure of wounds of face, ears, eyelids, nose, lips and/or mucous membranes; 2.6 cm to 5.0 cm.

13121 ..................... Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm.

14040 ..................... Adjacent tissue transfer or rearrangement, forehead, cheeks, chin, mouth, neck, axillae, genitalia, h ands and/or feet; defect 10 sq cm or less.

14060 ..................... Adjacent tissue transfer or rearrangement, eyelids, nose, ears and/or lips; defect 10 sq cm or less.

17003 ..................... Destruction (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), a ll benign or

premalignant lesions (e.g., actinic keratoses) other than skin tags or cutaneous vascular proliferative lesions; second

through 14 lesions, each (List separately in addition to code for first lesion).

17262 ..................... Destruction, malignant lesion (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgic al curettement), trunk,

arms or legs; lesion diameter 1.1 to 2.0 cm.

17281 ..................... Destruction, malignant lesion (e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery, surgic al curettement), face,

ears, eyelids, nose, lips, mucous membrane; lesion diameter 0.6 to 1.0 cm.



# We requested that CPT code 17003 be

reviewed because we believe that

advances in technology have likely

resulted in a modification to the

physician work required to accomplish

the procedure. In discussions at the

RUC meeting, we noted that new

Medicare coverage policies related to

actinic keratoses (AK) have increased

the reporting of this service to describe

cryosurgical destruction of AK.

Standard RUC surveys were conducted

for all of these services.

RUC Recommendations

Based on a review of the survey data,

the RUC was convinced that the survey

data validated the current valuation of

the following services and

recommended the work RVUs for these

CPT codes be maintained as follows:

11100 = 0.81 work RVUs; 12052 = 2.77

work RVUs; 13121 = 4.32 work RVUs;

14040 = 7.86 work RVUs; 14060 = 8.49

work RVUs; 17262 = 1.58 work RVUs;

and 17281 = 1.72 work RVUs.

For CPT code 17003, the RUC

reviewed previous and current survey

data and agreed that the application of

cryosurgery to each lesion requires no

more than two minutes of physician

time. Therefore, the RUC recommended

a work RVU of 0.07 for CPT code 17003.

The RUC determined that the revision to the work RVUs for CPT code 17003

created a rank order anomaly in this

family of codes. In addition to referring

codes in this family to the CPT Editorial

Panel to clarify the code descriptors, the

RUC in February 2006 also

recommended a change to the work

RVUs for CPT code 17004, Destruction

(e.g., laser surgery, electrosurgery,

cryosurgery, chemosurgery, surgical

curettement), all benign or premalignant

lesions (e.g., actinic keratoses) other

than skin tags or cutaneous vascular

proliferative lesions; 15 or more lesions.

This was based on the understanding

that when rank order anomalies were

identified, the specialty could bring

these additional codes forward for

consideration for re-evaluation under

the 5-Year Review at the next RUC

meeting (that is, February 2006).

A standard RUC survey was

conducted for this code and based on

the survey responses, the specialty

society recommended a change in the

intra-service work descriptions to reflect

a greater time based on their belief that

the destruction of premalignant lesions

requires more time than benign lesions.

Thus, the intra-service period for CPT

code 17004 was changed to 20 minutes

which is twice as much as the time

associated with the destruction of

benign lesion in CPT code 17111, Destruction (e.g., laser surgery,

electrosurgery, cryosurgery,

chemosurgery, surgical curettement), of

flat warts, molluscum contagiosum, or

milia; 15 or more lesions, of 10 minutes.

The RUC agreed to this time change and

recommended work RVUs of 1.80 for

CPT code 17004.

CMS Proposed Valuation

We are in agreement with the RUCrecommended work RVUs for these

services with the exception of CPT code

17004. For CPT code 17004, we believe

that the work associated with benign

and premalignant lesions is comparable

and, therefore, the work RVUs for CPT

code 17004 should be more similar to

that of CPT code 17111, which is 0.92.

Based on our proposed valuation of

17003 (the code used for 2

– 14 lesions),

of 0.07 work RVUs, the 14th lesion

would equal 0.91 work RVUs (0.07 × 13

lesions) plus 0.6 work RVUs for the

initial lesion, that is, base code CPT

code 17000, which is billed once in

conjunction with 17003. We are

proposing to value CPT code 17004, for

15 or more lesions, at 1.58 work RVUs

by adding the 0.07 work RVU increment

of 17003 and the 0.6 work RVUs for the

base code, CPT code 17000, which is

not billed in conjunction with CPT code

17004.


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e. Mohs Surgery

We referred the Mohs surgery codes

for review because this family of services has never been surveyed and

reviewed by the RUC (see Table 6).



# T ABLE 

# 6

CPT code Descriptor

17304 ..................... Chemosurgery (Mohs micrographic technique), including removal of all gross tumor, surgical excision o f tissue specimens,

mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and complete

histopathologic preparation including the first routine stain (e.g., hematoxylin and eosin, toluidine blue); first stage, fresh

tissue technique, up to 5 specimens.

17305 ..................... Chemosurgery (Mohs micrographic technique), including removal of all gross tumor, surgical excision o f tissue specimens,

mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and complete

histopathologic preparation including the first routine stain (e.g., hematoxylin and eosin, toluidine blue); second stage,

fixed or fresh tissue, up to 5 specimens).



# The specialty society conducted

surveys to collect data for these two

codes. The workgroup then reviewed

the history of these services, including

the fact that the nomenclature for these

services is not consistent with other

integumentary coding conventions in

CPT and that the RUC had previously

indicated that the specialty society

should work with the CPT Editorial

Panel to redefine these services.

RUC Recommendations

The RUC recommended that these

CPT codes be referred to the CPT

Editorial Panel.

CMS Proposed Valuation

We will maintain the current

valuation for these services pending the

results of the review of the CPT

Editorial Panel.

f. Excision of Lesions

We submitted all of the excision of

lesion codes for review, noting that

these services should be surveyed and reviewed by the RUC (see Table 7

— benign: CPT codes 11400 through

11446, and malignant: CPT codes 11600

through 11646).

The work RVUs for the codes

predominantly performed by the

surgical specialties (CPT codes

representing services to excise larger

lesions) were all valued, with the

exception of two CPT codes, by

acceptable RUC surveys. However, there

were no acceptable RUC surveys for the

18 services predominantly performed by

the dermatologists (CPT codes

representing services to excise smaller

lesions) due to incomplete surveys and

low response rates.

RUC Recommendations

The RUC agreed that the primary

difference in the work between the

family of codes for excision of benign

lesions versus those codes for excision

of malignant lesions (see Table 7) is in

the pre-evaluation time (that is,

additional planning, and discussions

with the patient), the intensity of the intra-service time, and the level of postoperative visit.

The workgroup used the RUC surveys

to determine the work RVUs for those

services performed by the surgeons and

then applied the building-block

approach using the IWPUT values of the

codes primarily performed by the

surgical specialties to derive IWPUT

values and corresponding work RVUs

for the CPT codes primarily performed

by dermatology. (The IWPUT is derived

by dividing the intra-service work by

the intra-service time, and is used to

measure the relative intensity of the

work between services.)

As a result of the application of the

building-block methodology to the

codes without RUC acceptable surveys,

the RUC recommended that 24 codes

retain their current work RVUs, 5 codes

have decreased work RVUs, and 7 codes

have increased work RVUs. The specific

RUC recommendations for these CPT

codes are presented in Table 7.


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**BILLING CODE 4120**

**– 01** 

**– C** 



# CMS Proposed Valuation

We are in agreement with the RUC

recommendations for the excision of

lesions services. 2. Orthopedic Surgery

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

— ORTHOPEDIC

SURGERY ’’ at the beginning of your

comments.] a. Tumor Procedures

The American Academy of

Orthopaedic Surgeons (AAOS)

submitted CPT codes in the following

three families of tumor procedures for

review. (See Table 8, Table 9, and Table

10.)



# T ABLE 

# 8.—F AMILY 

# 1—E XCISION OF 

# D EEP 

# S OFT 

# T ISSUE 

# M ASS

CPT code Description

21556 ..................... Excision tumor, soft tissue of neck or thorax; deep, subfascial, intramuscular

23076 ..................... Excision, soft tissue tumor, shoulder area; deep, subfascial, or intramuscular.

24076 ..................... Excision, tumor, soft tissue of upper arm or elbow area; deep (subfascial or intramuscular).

25076 ..................... Excision, tumor, soft tissue of forearm and/or wrist area; deep (subfascial or intramuscular).

27048 ..................... Excision, tumor, pelvis and hip area; deep, subfascial, intramuscular.

27328 ..................... Excision, tumor, thigh or knee area, deep, subfascial, or intramuscular.

27619 ..................... Excision, tumor, leg or ankle area; deep (subfascial or intramuscular).

28045 ..................... Excision, tumor, foot; deep, subfascial, intramuscular.



# T ABLE 

# 9.—F AMILY 

# 2—R ADICAL 

# R ESECTION OF 

# S OFT 

# T ISSUE 

# S ARCOMA

CPT code Description

24077 ..................... Radical resection of tumor (e.g., malignant neoplasm), soft tissue of upper arm or elbow area.

25077 ..................... Radical resection of tumor (e.g., malignant neoplasm), soft tissue of forearm and/or wrist area.

27049 ..................... Radical resection of tumor, soft tissue of pelvis and hip area (e.g., malignant neoplasm).

27329 ..................... Radical resection of tumor (e.g., malignant neoplasm), soft tissue of thigh or knee area.

27615 ..................... Radical resection of tumor (e.g., malignant neoplasm), soft tissue of leg or ankle area).



# T ABLE 

# 10.—F AMILY 

# 3—R ADICAL 

# R ESECTION OF 

# B ONE 

# S ARCOMA

CPT code Description

21935 ..................... Radical resection of tumor (e.g., malignant neoplasm), soft tissue of back or flank.

23200 ..................... Radical resection for tumor; clavicle.

23210 ..................... Radical resection for tumor; scapula.

23220 ..................... Radical resection of bone tumor, proximal humerus.

24150 ..................... Radical resection for tumor, shaft or distal humerus.

24151 ..................... Radical resection for tumor, shaft or distal humerus; with autograft (includes obtaining graft).


# 37196 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 10.

— F AMILY 

# 3

— R ADICAL 

# R ESECTION OF 

# B ONE 

# S ARCOMA



# — Continued

CPT code Description

24152 ..................... Radical resection for tumor, radial head or neck.

24153 ..................... Radical resection for tumor, radial head or neck; with autograft (includes obtaining graft).

25170 ..................... Radical resection for tumor, radius or ulna.

27076 ..................... Radical resection of tumor or infection; ilium, including acetabulum, both pubic rami, or ischium and acetabulum.

27078 ..................... Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur.

27365 ..................... Radical resection of tumor, bone, femur or knee.

27645 ..................... Radical resection of tumor, bone; tibia.

27646 ..................... Radical resection of tumor, bone; fibula.

27647 ..................... Radical resection of tumor; talus or calcaneus.



# The specialty subsequently withdrew

CPT codes 21935, 24151, and 24153

from the 5-Year Review. A minisurvey

methodology was used for all three

families of codes.

RUC Recommendations

Based on a review of the survey

results for the codes in Families 1 and

2, the RUC recommended referring these

codes to the CPT Editorial Panel for

clarification. The RUC indicated that the

survey data from the specialty society

described a hospitalized patient as the typical patient. However, our data

indicates that the typical patient is not

hospitalized and that this inconsistency

could be the result of ambiguous CPT

descriptors.

For the services in Family 3, the RUC

discussion focused on the issue of

whether there may also be different

patient populations covered by each of

these codes.

The RUC also recommended referring

the codes in Family 3 to the CPT

Editorial Panel for clarification. CMS Proposed Valuation

We will maintain the current

valuation for these services pending the

results of the review by the CPT

Editorial Panel.

b. Trauma Procedures

The AAOS submitted the following

trauma procedure codes for review (see

Table 11). Standard RUC surveys of

these services were conducted.



# T ABLE 

# 11

CPT code Description

20680 ..................... Removal of implant; deep (e.g., buried wire, pin, screw, metal band, nail, rod or plate).

20692 ..................... Application of a multiplane (pins or wires in more than one plane), unilateral, external fixation sys tem (e.g., Ilizarov,

Monticelli type).

24430 ..................... Repair of nonunion or malunion, humerus; without graft (e.g., compression technique).

27465 ..................... Osteoplasty, femur; shortening (excluding 64876).

27470 ..................... Repair, nonunion or malunion, femur, distal to head and neck; without graft (e.g., compression techni que).

27472 ..................... Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogeneous bone gr aft (includes obtaining graft).

27709 ..................... Osteotomy; tibia and fibula.

27720 ..................... Repair of nonunion or malunion, tibia; without graft, (e.g., compression technique).



# RUC Recommendations

Based on a review of the compelling

evidence, the RUC made the following

recommendations.

For CPT code 20680, the RUC agreed

that the intra-operative time for this

code is misvalued based on the

significant changes in physician work

for the removal of deep implants due to

changes in technology. Using the

survey ’ s 25th percentile value for the

work RVUs along with the 25th

percentile value for intra-service time,

and adjusting for the fact that this

procedure is typically performed in an

outpatient setting, the RUC

recommended a work RVU of 5.86 for

this service.

For CPT code 24430, the workgroup

did not believe that the current work

value for CPT code 24430 accounts for

all the work typically involved with this

service. This is based on the survey ’ s physician time and visit data and a comparison to CPT code 24515, Open

treatment of humeral shaft fracture with

plate/screws, with or without cerclage

, which is a less complex procedure than

CPT code 24430. The RUC

recommended a work RVU of 14.00 and

an intra-service time of 102 minutes for

this service, which was the 25th

percentile for work of the survey data.

Based on a comparison to CPT code

27506, Open treatment of femoral shaft

fracture, with or without external

fixation, with insertion of

intramedullary implant, with or without

and/or locking screws , the workgroup

determined that the current work RVUs

for CPT code 27465, do not fully

account for the work typically involved

in shortening the femur because it

typically includes the insertion of an

intermedullary nail. However, the

workgroup believed that CPT code

27465 should be valued lower than the

reference service code, CPT code 27454, Osteotomy, multiple, with realignment

on intramedullary rod, femoral shaft

(e.g., Sofield type procedure) , which has

a work RVU of 17.53, and is a greater

intensity procedure. The RUCrecommended work RVU for CPT code

27645 was 17.50, based on the median

of the survey data.

Based on a review of the survey data,

the workgroup did not believe that there

was compelling evidence to change the

work RVU for CPT code 27470.

Therefore, the RUC recommended that

the current work RVU of 16.05 be

maintained for this service. However,

the workgroup also recommended using

the new survey times as they believed

the Harvard times from the original

Harvard relative value study, which was

used to establish RVUs at the outset of

the Medicare PFS, are inflated.

For CPT code 27709, Osteotomy; tibia

and fibula , the RUC reviewed the survey

time and compared this service to CPT


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code 27705, Osteomy, tibia , which has

a work RVU of 10.36. The RUC

recommended a work RVU of 16.50 for

CPT code 27709 which would place the

code in proper rank order with CPT

code 27705.

The RUC recommended the referral of

CPT codes 20692, 27472, and 27720 to

the CPT Editorial Panel to clarify

whether these 90-day global period

codes should be exempt from modifier 51. (Modifier 51 denotes that a multiple

procedure was performed.) The RUC

was concerned that attempting to value

these codes would lead to double

counting some of the work.

The RUC-recommended valuation for

these CPT codes was as follows: 20680

= 5.86 work RVUs; 24430 = 14.00 work

RVUs; 27465 = 17.50 work RVUs; 27470

= 16.05 work RVUs; and 27709 = 16.50

work RVUs. CMS Proposed Valuation

We are in agreement with the RUCrecommended work values for these

trauma services.

c. Total Elbow and General Procedures

AAOS submitted the following elbow

athroplasty service for review (see Table

12).



# T ABLE 

# 12

CPT code Description

24363 ..................... Arthroplasty, elbow; with distal humerus and proximal ulnar prosthetic replacement (e.g., total elbow ).



# In addition, we submitted the

following CPT codes, in Table 13, for

review.



# T ABLE 

# 13

CPT code Description

20600 ..................... Arthrocentesis, aspiration and/or injection; small joint or bursa (e.g., fingers, toes).

20610 ..................... Arthrocentesis, aspiration and/or injection; major joint or bursa (e.g., shoulder, hip, knee joint, s ubacromial bursa).

29075 ..................... Application, cast; elbow to finger (short arm).



# Standard RUC surveys of these

services were conducted.

RUC Recommendations

The RUC recommended maintaining

the current work RVUs for CPT codes

20600, 20610, and 29075 because of the

low response rate for the surveys and

the lack of compelling evidence for

changing the work value.

Based on a review of the survey data

and information provided by the

presenting specialty societies, AAOS and the American Society of Shoulder

and Elbow Surgeons, the RUC

concluded that the CPT code 24363

should be valued the same as CPT code

23472, Arthroplasty, glenohumeral

joint; total shoulder (glenoid and

proximal humeral replacement (e.g.,

total shoulder) , and recommended a

work RVU of 21.07 to maintain

appropriate rank-order alignment with

this family of codes. The RUCrecommended valuation for these CPT codes was as follows: 20600 = 0.66 work

RVUs; 20610 = 0.79 work RVUs; 24363

= 21.07 work RVUs; and 29075 = 0.77

work RVUs.

CMS Proposed Valuation

We agree with the RUC-recommended

work RVUs for these elbow and general

procedure services.

d. Wrist, Hand and Finger

We submitted the CPT codes in Table

14 for review.



# T ABLE 

# 14

CPT code Description

25447 ..................... Arthroplasty, interposition, intercarpal or carpometacarpal joints.

26055 ..................... Tendon sheath incision (e.g., for trigger finger).

26160 ..................... Excision of lesion of tendon sheath or joint capsule (e.g., cyst, mucous cyst, or ganglion), hand or finger.

26600 ..................... Closed treatment of metacarpal fracture, single; without manipulation, each bone.

26951 ..................... Amputation, finger or thumb, primary or secondary, any joint or phalanx, single, including neurectomi es; with direct closure. 64721 ..................... Neuroplasty and/or transposition; median nerve at carpal tunnel.



# CPT code 64702, Neuroplasty; digital,

one or both, same digit , was submitted

by the American Society for Surgery of

the Hand (ASSH) with the rationale that

this code is based on inaccurate Harvard

physician times that are low compared

to other hand surgery codes. Standard

RUC surveys of these services were

conducted. RUC Recommendations

Based on a review of the survey data,

the RUC recommended that the current

work RVUs be maintained for CPT

codes 25447, 26055, 26160, and 64721.

For CPT code 26600, the workgroup

examined the survey data presented by

the specialty society and agreed that the

current work value of 1.96 RVUs may

not fully reflect the value of all postoperative visits that are the current

standard of care and that the CPT code

most frequently cited as a reference

code (CPT code 26720, Closed treatment

of phalangeal shaft fracture, proximal

or middle phalanx, finger or thumb;

without manipulation, each ), also

understates the number of postoperative visits. The workgroup

validated the survey median value of

2.40 work RVUs by performing a


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building-block calculation that added

the value of an additional post-operative

visit (CPT code 99212 at 0.43 work

RVUs) to the current work value for CPT

code 26600 of 1.96 for a total of 2.39

work RVUs. Since this value was almost

identical to the median survey value of

2.40, the RUC recommended accepting

this median value for the work RVUs for

CPT code 26600.

For CPT code 26951, the RUC

workgroup agreed that the current value

of 4.58 work RVUs for this code creates

a rank order anomaly when compared to

the reference code (CPT code 26185,

Sesamoidectomy, thumb or finger

(separate procedure)) , which has a work

RVU of 5.24. Based on a review of

survey data, the RUC recommended that CPT code 26951 should be assigned

work RVUs of 5.25 (the 25th percentile

survey value) but that the survey

median intra-service time of 45 minutes

should be used since that is equal to the

reference code.

For CPT code 64702, the RUC

workgroup agreed that the current value

for this service of 4.22 work RVUs does

not include the number of postoperative days typically associated with

this procedure. The workgroup believed

that adding the work RVUs (1.3 work

RVUs) associated with two additional

outpatient visits, represented by CPT

code 99213, produces an appropriate

work RVU for this service and also

places CPT code 64702 in the proper

rank order with the reference service. The RUC recommended 5.52 work

RVUs for CPT code 64702.

The RUC-recommended work RVUs

for these CPT codes are as follows:

25447 = 10.35 work RVUs; 26055 = 2.69

work RVUs; 26160 = 3.15 work RVUs;

26600 = 2.40 work RVUs; 26951 = 5.25

work RVUs; 64702 = 5.52 work RVUs;

and 64721 = 4.28 work RVUs.

CMS Proposed Valuation

We are in agreement with the RUCrecommended work values for wrist,

hand and finger services.

e. Total Joint and Hip Fracture

We submitted three CPT codes for

review (see Table 15).



# T ABLE 

# 15

CPT code Description

27130 ..................... Arthroplasty, acetabular and proximal femoral prosthetic replacement (total hip arthroplasty), with o r without autograft or

allograft.

27236 ..................... Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement.

27447 ..................... Arthroplasty, knee, condyle and plateau; medial AND lateral compartments with or without patella resu rfacing (total knee

arthroplasty).



# The specialty society did not submit

surveys for these codes, which is the

accepted RUC method, for the RUC ’ s consideration of changes to current

work RVUs. Instead the specialty

society developed proposed values for

these services based on data obtained

from the VA NSQIP database and the

Medicare DRG database. The specialty

society did survey its membership to

obtain the data, but did not provide the

workgroup or the RUC with this

information, stating the vignettes did

not describe a typical patient for this

series of codes. Thus, the survey data for

these codes was not available for the

RUC workgroup to review at its August

2005 meeting.

The RUC requested that the specialty

society survey its members on these

three codes so that survey data could be

used to evaluate the codes at the

September 2005 RUC meeting. The

specialty society used survey data, as

well as NSQIP data and Medicare DRG

data, to evaluate pre-service and intraservice times for these codes. The

workgroup, as well as the RUC, was

uncomfortable with mixing data from

three separate sources in lieu of the

established and accepted methodology

of the RUC. The specialty society

maintained the NSQIP data was more

accurate than the survey data.

RUC Recommendations

The RUC did not find any compelling

evidence to change the current work RVUs assigned to these services. Based

on a review of the data, the RUC

recommended maintaining the current

work RVUs of 20.09 for CPT code

27130, 15.58 for CPT code 27236 and

21.45 for CPT code 27447, but also

recommended using the new physician

time data for each of these services.

CMS Proposed Valuation

For these three CPT codes (27130,

27236,and 27447), the specialty society

used NSQIP and Medicare DRG data

instead of the standard RUC survey

methodology to create an intra-service

time. Medicare DRG data has not been

used by CMS or the RUC to evaluate

new or existing CPT codes. CPT code

27130 has never been reviewed by the

RUC. It currently has 20.09 work RVUs

which is based on the following Harvard

time data: pre-service time of 68

minutes, intra-service time of 128

minutes, post-service time of 36 minutes

and eight hospital days. We believe that

this service can be compared to CPT

codes 43641, Vagotomy including

pyloroplasty, with or without

gastrostomy; parietal cell (highly

selective) , and 60260, Thyroidectomy,

removal of all remaining thyroid tissue

following previous removal of a portion

of thyroid. Both codes were reviewed by

the RUC during the second 5-Year

Review. CPT code 43641 has 60 minutes

pre-service time, 150 minutes intraservice time, 30 minutes post-service

time, and 6 hospital days, resulting in work RVUs of 17.24. CPT code 60260

has 60 minutes pre-service time, 145

minutes intra-service time and 30

minutes post-service time with 2

hospital days, resulting in work RVUs of

17.44. We believe CPT code 27130 is

similar in work and intensity to CPT

code 43641, and if one removes 2

hospital days (code 99231), this would

result in a work RVU of 15.96.

Therefore, we recommend a work RVU

of 15.96 for CPT code 27130.

CPT code 27236 has never been

reviewed by the RUC. It has a preservice time of 74 minutes, an intraservice time of 89 minutes, a postservice time of 27 minutes, 100 minutes

for hospital days, and 57 minutes for

office visits for a total time of 347

minutes based on the Harvard time data,

resulting in work RVUs of 15.58. We

believe CPT codes 34421,

Thrombectomy, direct or with catheter;

vena cava, iliac, femoropopliteal vein,

by leg incision , and 47600,

Cholecystectomy , which were included

in the second 5-Year Review, are similar

in work intensity and time to CPT code

27236. CPT code 34421 has a preservice time of 70 minutes, an intraservice time of 95 minutes, a postservice time of 221 minutes, and total

time of 386 minutes, resulting in work

RVUs of 11.98. CPT code 47600 has a

pre-service time of 75 minutes, an intraservice time of 80 minutes, and a postservice time of 194 minutes for a total

time of 349 minutes, resulting in work


# 37199 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

RVUs of 13.56. We propose a work RVU

of 12.77 for CPT code 27236, which is

the median value for these two codes

and maintains relativity within this

family of codes.

CPT Code 27447 has never been

reviewed by the RUC. It has 21.45 work

RVUs, which is based on the following

Harvard time data: pre-service time of

60 minutes, intra-service time 139

minutes, post-service time of 37

minutes, 118 minutes for hospital days,

and 54 minutes for office visits for a

total time of 408 minutes. We believe this service is comparable to CPT code

35671, Bypass graft, with other than

vein; popliteal-tibial or -peroneal artery

, which was reviewed during the second

5-Year Review. This service has a preservice time of 70 minutes, an intraservice time of 135 minutes, and a postservice time of 206 minutes for a total

time of 411 minutes, resulting in work

RVUs of 19.30. We believe CPT code

27447 is similar in work intensity and

time to CPT code 35671 and propose

work RVUs of 19.30 for CPT code

27447. f. Additional Fracture Codes

The AAOS also submitted the

following CPT codes listed in Table 16

and the ASSH submitted CPT code

25620. However, the specialty societies

believed clarification was needed for the

CPT descriptor for these services, as

there was a question whether the

current valuation for these codes

includes the application of internal and

external fixation to a fracture site.



# T ABLE 

# 16

CPT code Description

23515 ..................... Open treatment of clavicle fracture, with or without internal or external fixation.

23585 ..................... Open treatment of scapular fracture (body, glenoid or acromion) with or without internal fixation.

23615 ..................... Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal o r external fixation, with

or without repair of tuberosity(s).

23616 ..................... Open treatment of proximal humeral (surgical or anatomical neck) fracture, with or without internal o r external fixation, with

or without repair of tuberosity(s); with proximal humeral prosthetic replacement.

23630 ..................... Open treatment of greater humeral tuberosity fracture, with or without internal or external fixation.

23670 ..................... Open treatment of shoulder dislocation, with fracture of greater humeral tuberosity, with or without internal or external fixation.

23680 ..................... Open treatment of shoulder dislocation, with surgical or anatomical neck fracture, with or without in ternal or external fixation.

24545 ..................... Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or extern al fixation; without

intercondylar extension.

24546 ..................... Open treatment of humeral supracondylar or transcondylar fracture, with or without internal or extern al fixation; with

intercondylar extension.

24575 ..................... Open treatment of humeral epicondylar fracture, medial of lateral, with or without internal or extern al fixation.

24579 ..................... Open treatment of humeral condylar fracture, medial or lateral, with or without internal or external fixation.

24635 ..................... Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial

head), with or without internal or external fixation.

24665 ..................... Open treatment of radial head or neck fracture, with or without internal fixation or radial head exci sion.

24685 ..................... Open treatment of ulnar fracture proximal end (olecranon process), with or without internal or extern al fixation.

25515 ..................... Open treatment of radial shaft fracture, with or without internal or external fixation.

25526 ..................... Open treatment of radial shaft fracture, with internal and/or external fixation and open treatment, w ith or without internal or

external fixation of distal radioulnar joint (Galeazzi fracture/dislocation), includes repair of triangular fibrocartilage complex.

25545 ..................... Open treatment of ulnar shaft fracture, with or without internal or external fixation.

25574 ..................... Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius OR ulna.

25575 ..................... Open treatment of radial AND ulnar shaft fractures, with internal or external fixation; of radius AND ulna.

25620 ..................... Open treatment of distal radial fracture (e.g., Colles or Smith type) or epiphyseal separation, with or without fracture of

ulnar styloid, with or without internal or external fixation.

25628 ..................... Open treatment of carpal scaphoid (navicular) fracture, with or without internal or external fixation

. 26615 ..................... Open treatment of metacarpal fracture, single, with or without internal or external fixation, each bo ne. 26665 ..................... Open treatment of carpometacarpal fracture dislocation, thumb (Bennett fracture), with or without int ernal or external fixation.

26685 ..................... Open treatment of carpometacarpal dislocation, other than thumb, with or without internal or external fixation, each joint.

26715 ..................... Open treatment of metacarpophalangeal dislocation, single, with or without internal or external fixat ion.

26735 ..................... Open treatment of phalangeal shaft fracture, proximal or middle phalanx, finger or thumb, with or wit hout internal or external fixation, each.

26746 ..................... Open treatment of articular fracture, involving metacarpophalangeal or interphalangeal joint, with or without internal or external fixation, each.

26765 ..................... Open treatment of distal phalangeal fracture, finger or thumb, with or without internal or external f ixation, each.

26785 ..................... Open treatment of interphalangeal joint dislocation, with or without internal or external fixation, s ingle.

27248 ..................... Open treatment of greater trochanteric fracture, with or without internal of external fixation.

27511 ..................... Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, wi th or without internal

or external fixation.

27513 ..................... Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, with or without internal or

external fixation.

27514 ..................... Open treatment of femoral fracture, distal end, medial of lateral condyle, with or without internal o r external fixation.

27519 ..................... Open treatment of distal femoral epiphyseal separation, with or without internal or external fixation

. 27535 ..................... Open treatment of tibial fracture, proximal (plateau); unicondylar, with or without internal of exter nal fixation.

27540 ..................... Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without i nternal or external fixation.

27556 ..................... Open treatment of knee dislocation, with or without internal or external fixation; without primary li gamentous repair of augmentation/reconstruction.

27766 ..................... Open treatment of medial malleolus fracture, with or without internal or external fixation.

27784 ..................... Open treatment of proximal fibula or shaft fracture, with or without internal or external fixation.


# 37200 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 16

— Continued

CPT code Description

27792 ..................... Open treatment of distal fibular fracture (lateral malleolus), with or without internal or external f ixation.

27814 ..................... Open treatment of bimalleolar ankle fracture, with or without internal or external fixation.

27822 ..................... Open treatment of trimalleolar ankle fracture, with or without internal or external fixation, medial and/or lateral malleolus;

without fixation of posterior lip.

27826 ..................... Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon o r tibial plafond), with internal or external fixation; of fibula only.

27827 ..................... Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon o r tibial plafond), with internal or external fixation; of tibia only.

27828 ..................... Open treatment of fracture of weight bearing articular surface/portion of distal tibia (e.g., pilon o r tibial plafond), with internal or external fixation; of both tibia and fibula.

27829 ..................... Open treatment of distal tibiofibular joint (syndesmosis) disruption, with or without internal or ext ernal fixation.

27832 ..................... Open treatment of proximal tibiofibular joint dislocation, with or without internal or external fixat ion, or with excision of

proximal fibula.

28415 ..................... Open treatment of calcaneal fracture, with or without internal or external fixation.

28445 ..................... Open treatment of talus fracture, with or without internal or external fixation.

28465 ..................... Open treatment of tarsal bone fracture (except talus and calcaneus), with or without internal or exte rnal fixation, each.

28485 ..................... Open treatment of metatarsal fracture, with or without internal or external fixation, each.

28505 ..................... Open treatment of fracture of great toe, phalanx or phalanges, with or without internal or external f ixation.

28525 ..................... Open treatment of fracture, phalanx or phalanges, other than great toe, with or without internal or e xternal fixation, each.

28555 ..................... Open treatment of tarsal bone dislocation, with or without internal or external fixation.

28585 ..................... Open treatment of talotarsal joint dislocation, with or without internal or external fixation.

28615 ..................... Open treatment of tarsometatarsal joint dislocation, with or without internal or external fixation.

28645 ..................... Open treatment of metatarsophalangeal joint dislocation, with or without internal or external fixatio n. 28675 ..................... Open treatment of interphalangeal joint dislocation, with or without internal or external fixation.



# RUC Recommendations

The RUC recommended that these

CPT codes be referred to the CPT

Editorial Panel for review and

clarification.

CMS Proposed Valuation

We will maintain the current

valuation for these services pending the results of the review by the CPT

Editorial Panel.

3. Gynecology, Urology, Pain Medicine,

and Neurosurgery

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

— GYNECOLOGY, UROLOGY, PAIN MEDICINE, AND

NEUROSURGERY ’’ at the beginning of

your comments.]

a. Obstetrics and Gynecology

The American College of

Obstetricians and Gynecologists (ACOG)

submitted the CPT codes in Table 17 for

review.



# T ABLE 

# 17

CPT code Description

49200 ..................... Excision or destruction, open, intra-abdominal or retroperitoneal tumors or cysts or endometriomas.

49201 ..................... Excision or destruction, open, intra-abdominal or retroperitoneal tumors or cysts or endometriomas; e xtensive.

56631 ..................... Vulvectomy, radical, partial; with unilateral inguinofemoral lymphadenectomy.

56632 ..................... Vulvectomy, radical, partial; with bilateral inguinofemoral lymphadenectomy.

56634 ..................... Vulvectomy, radical, complete; with unilateral inguinofemoral lymphadenectomy.

56637 ..................... Vulvectomy, radical, complete; with bilateral inguinofemoral lymphadenectomy.

56640 ..................... Vulvectomy, radical, complete, with inguinofemoral, iliac, and pelvic lymphadenectomy.

57160 ..................... Fitting and insertion of pessary or other intravaginal support device.

57240 ..................... Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele.

57250 ..................... Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy.

57260 ..................... Combined anteroposterior colporrhaphy.

57265 ..................... Combined anteroposterior colporrhaphy; with enterocele repair.

57550 ..................... Excision of cervical stump, vaginal approach.

57555 ..................... Excision of cervical stump, vaginal approach; with anterior and/or posterior repair.

57556 ..................... Excision of cervical stump, vaginal approach; with repair of enterocele.



# However, the specialty society

subsequently withdrew the following

CPT codes: 49200, 49201, 56631, 56632, 56634, 56637, 56640, 57550, 57555, and

57556. We identified five CPT codes for

review but withdrew one code, CPT

code 58260 (see Table 18).



# T ABLE 

# 18

CPT code Description

57500 ..................... Biopsy, single or multiple, or local excision of lesion, with or without fulguration (separate proced ure).

58120 ..................... Dilation and curettage, diagnostic and/or therapeutic (nonobstetrical).

58150 ..................... Total abdominal hysterectomy (corpus and cervix), with or without removal of tube(s), with or without removal of ovary(s).

58260 ..................... Vaginal hysterectomy, for uterus 250 grams or less.


# 37201 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 18

— Continued

CPT code Description

58720 ..................... Salpingo-oophorectomy, complete or partial, unilateral or bilateral (separate procedure).



# A standard RUC survey with over 30

responses was used for these codes.

RUC Recommendations

The RUC recommended maintaining

the existing RVUs for CPT codes 57160,

58120 and 58720. The RUC believed

there was no compelling evidence

presented to indicate that there had

been a change in work for CPT code

57160. The RUC also agreed with the

specialty society that the survey data

collected validated the existing times

and existing RVUs for CPT codes 58120

and 58720.

The RUC recommended increasing

the work value for the remaining CPT

codes. The RUC agreed with the

specialty society that these procedures

were currently undervalued because of

rank-order anomalies, changes in

patient population or incorrect

assumptions made in the previous

valuation of the service. However, the RUC-recommended work values for

each service were below the level

presented by the specialty society. The

RUC recommended the use of the

surveys ’ 25th percentile work RVUs for

four of the services, CPT codes 57240,

57250, 57500 and 58150, and the 75th

percentile for CPT codes 57260 and

57265. The 75th percentile was used

because the workgroup believed that

otherwise there would be a rank order

anomaly between the more complex

vagina repair services, CPT codes 57280

and 57265, and the simpler procedures,

CPT codes 57240 and 57250.

The RUC-recommended work values

for these services are as follows: 57160

= 0.89 work RVUs; 57240 = 10.56 work

RVUs; 57250 = 10.56 work RVUs; 57260

= 13.50 work RVUs; 57265 = 15.00 work

RVUs; 57500 = 1.20 work RVUs; 58120

= 3.27 work RVUs; 58150 = 15.98 work

RVUs; and 58720 = 11.34 work RVUs. CMS Proposed Valuation

We propose to accept the RUC

recommendations for these obstetrics

and gynecology services. We initially

had concerns with the use of the

surveys ’ 75th percentile for the

recommendation of work RVUs for CPT

codes 57260 and 57265, but in

comparison with similar services, we

believe that the RUC recommendations

for these services create the correct rank

order, both within the family of codes

and with other similar services.

b. Urology

The American Urological Association

(AUA) and the Coalition for the

Advancement of Prosthetic Urology

(CAPU) submitted five CPT codes for

review (see Table 19). However, the

specialty society subsequently withdrew

four CPT codes (53445, 54400, 54405,

and 54411).



# T ABLE 

# 19

CPT code Description

51798 ..................... Measurement of post-voiding residual urine and/or bladder capacity by ultrasound, non-imaging.

53445 ..................... Insertion of inflatable urethral/bladder neck sphincter, including placement of pump, reservoir, and cuff.

54400 ..................... Insertion of penile prosthesis; non-inflatable (semi-rigid).

54405 ..................... Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, a nd reservoir.

54411 ..................... Removal and replacement of all components of a multi-component inflatable penile prosthesis through a n infected field at

the same operative session, including irrigation and debridement of infected tissue.



# In addition, we identified seven CPT

codes for review because of possible

changes in technology or because the service had never been reviewed by the

RUC (see Table 20). A standard RUC survey with over 30 responses was used

for the following codes.



# T ABLE 

# 20

CPT code Description

50590 ..................... Lithotripsy, extracorporeal shock wave.

51720 ..................... Bladder instillation of anticarcinogenic agent (including detention time).

52000 ..................... Cystourethroscopy (separate procedure).

52204 ..................... Cystourethroscopy, with biopsy.

52601 ..................... Transurethral electrosurgical resection of prostate, including control of postoperative bleeding, com plete (vasectomy,

meatotomy, cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included).

55700 ..................... Biopsy, prostate; needle or punch, single or multiple, any approach.

57288 ..................... Sling operation for stress incontinence (e.g., fascia or synthetic).



# RUC Recommendations

Of the eight codes presented with

survey data, the RUC recommended

maintaining the existing work RVUs for

two codes. For CPT code 57288, the

RUC believed that the survey median

supported the specialty society ’ s contention that the work currently associated with the code is accurate. For

CPT code 50590, the RUC believed that

the current work value more accurately

reflected the work involved in the

service than did the survey, which

increased the work RVUs while

decreasing the physician intra-time

substantially. The RUC recommended decreasing

the current work RVUs for CPT code

51720 to reflect the median work RVU

from the survey.

The RUC agreed with the specialty

society ’ s recommendations for an

increase to the existing RVUs for CPT

code 51798. This procedure was


# 37202 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

originally reviewed by the RUC in April

2002 with a recommendation 0.38 work

RVUs to reflect the physician work

believed to be typically associated with

this procedure. However, in the CY

2002 Physician Fee Schedule final rule

with comment period (66 FR 55246), we

contended that there was no physician

work associated with this service and

assigned work RVUs of 0.00. This

decision was upheld by the refinement

process that is used to address

comments received on the valuation of

new and revised CPT codes and that

was discussed in the CY 2004 Physician

Fee Schedule final rule with comment

period (67 FR 63227). However, the

RUC agreed with the specialty society

that this procedure is performed by

physicians and reaffirmed its previous

recommendation of 0.38 work RVUs for

this procedure.

The RUC recommended increasing

the work RVUs for four codes, but below

the level requested by the specialty

society (that is, recommending work

RVUs equal to the surveys ’ 25th

percentile for CPT codes 52000 and 55700, equal to the median for CPT code

52601 and less than the 25th percentile

for CPT code 52204). The RUC agreed

with the specialty society that these

procedures were currently undervalued

due to changes in technology, changes

in patient populations and incorrect

assumptions that were made in the

previous valuation of the service.

The RUC-recommended work values

for these CPT codes for urology services

are as follows: 50590 = 9.08 work RVUs;

51720 = 1.50 work RVUs; 51798 = 0.38

work RVUs; 52000 = 2.23 work RVUs;

52204 = 2.59 work RVUs; 52601 = 14.00

work RVUs; 55700 = 2.58 work RVUs;

and 57288 = 13.00 work RVUs.

CMS Proposed Valuation

We accept the RUC recommendations

for these urology services except for

CPT code 51798. The RUC

recommendation for bladder ultrasound

was based on CPT code 79857 (the

pelvic ultrasound (nonobstetric)

procedure) as the reference code. (CPT

code 76857 should be used if the

urinary bladder alone is imaged, whereas CPT code 51798 should be

utilized if a bladder volume or post-void

residual measurement is obtained

without imaging the bladder.) We

disagree that this is an appropriate

reference code because the pelvic

ultrasound procedure is very different

from a bladder ultrasound procedure.

The bladder ultrasound procedure only

results in a ‘‘ numerical reading ’’ of

milliliters of residual urine in the

bladder and does not produce an image

on a screen for a physician to interpret

like many other ultrasound procedures

(for example, the pelvic ultrasound).

Therefore, we disagree with the RUC

recommendation to use the 0.38

physician work RVUs for the

professional component of code 76857

as the work RVUs for CPT code 51798

because we do not believe this

procedure involves physician work

since the machine only produces a

numerical reading.

c. Spine Surgery

We identified the CPT codes in Table

21 for the 5-Year Review.



# T ABLE 

# 21

CPT code Description

22520 ..................... Percutaneous vertbroplasty, one vertebral body, unilateral or bilateral, injection; thoracic.

22554 ..................... Arthrodesis, anterior interbody technique, including minimal diskectomy to prepare interspace (other than for decompression); cervical below C2.

22612 ..................... Arthrodesis, posterior or posterolateral technique, single level; lumbar (with or without lateral tra nsverse technique).

22840 ..................... Posterior non-segmental instrumentation (e.g., Harrington rod technique, pedicle fixation across one interspace,

atlantoaxial transarticular screw fixation, sublaminar wiring at C1, facet screw fixation).

63047 ..................... Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/

or nerve root(s), (e.g., spinal or lateral recess stenosis)), single vertebral segment; lumbar.

63048 ..................... Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/

or nerve root(s), (e.g., spinal or lateral recess stenosis)), single vertebral segment; each additional segment, cervical,

thoracic, or lumbar (List separately in addition to code for primary procedure).

63075 ..................... Diskectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytecto my; cervical, single

interspace.



# With approval of the RUC, the

specialty society used a modified RUC

survey that included surveys of time

(pre-service, intra-service, immediate

post-service), post-operative visits and

estimates of total work. Two reference

codes were used to survey the estimates

of intensity and complexity. There were

well over 100 responses to each survey.

RUC Recommendations

The RUC accepted the specialty

society ’ s recommendations to decrease

the existing work RVUs for three

procedures: CPT codes 22554, 63047

and 63075. The RUC agreed that these

procedures were overvalued due to

decreases in the length of stay and

physician time. The RUC also accepted

the specialty society ’ s recommendation

to maintain the work associated with

CPT codes 22520 and 22840. The RUC agreed with the specialty society that

the survey data collected validated the

existing work RVUs associated with

these codes. For CPT codes 22612 and

63048, the RUC recommended increases

in the work RVUs, but less than the

increases requested by the specialty

society. The RUC agreed that these

procedures were undervalued due to

increases in length of stay and the

incorrect assumptions made in the

previous valuation of the service.

The specific RUC-recommended work

RVUs were as follows: 22520 = 8.90

work RVUs; 22554 = 16.40 work RVUs;

22612 = 22.00 work RVUs; 22840 =

12.52 work RVUs; 63047 = 14.08 work

RVUs; 63048 = 3.55 work RVUs; and

63075 = 18.58 work RVUs. CMS Proposed Valuation

We accept the work RVUs

recommended by the RUC for CPT

codes 22520, 22554, 22840, 63047 and

63075. However, we have technical

concerns with the recommendations for

CPT codes 22612 and 63048.

The workgroup recommended the

survey ’ s 25th percentile for CPT code

22612 to keep the appropriate rank

order with the reference service, CPT

code 22595, which is a more complex

procedure. However, there was a

typographical error in the information

presented by the specialty society that

listed the work RVUs for the reference

code as 23.36, rather than the correct

value of 19.36 work RVUs. Therefore,

the recommended work value of 22.00

RVUs is clearly inappropriate and we


# 37203 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

are proposing to maintain the current

work RVUs of 20.97 for this service.

There is an additional typographical

error in the specialty society survey data

for CPT code 63048. The summary

information lists the reference code as

also being CPT code 63048. Therefore,

there is no information given that

compares the respondents ’ estimates of complexity and intensity between CPT

code 63048 and the reference code.

Because we do not have sufficient

information to decide if the

recommended work RVUs are

appropriate, we are proposing to

maintain the current work RVUs of 3.26

for CPT code 63048. d. Spinal Pump Infusion and

Stimulators

The American Academy of Pain

Medicine (AAPM) and the American

Society of Anesthesiologists (ASA)

initially submitted several CPT codes

that were subsequently withdrawn from

the 5-Year Review (see Table 22).



# T ABLE 

# 22

CPT code Description

62350 ..................... Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term m edication administration

via an external pump or implantable reservoir/infusion pump; without laminectomy.

62351 ..................... Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term m edication administration

via an external pump or implantable reservoir/infusion pump; with laminectomy.

62355 ..................... Removal of previously implanted intrathecal or epidural catheter.

62360 ..................... Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservo ir.

62361 ..................... Implantation or replacement of device for intrathecal or epidural drug infusion; non-programmable pum p. 62362 ..................... Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, i ncluding preparation

of pump, with or without programming.

62365 ..................... Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion.

63650 ..................... Percutaneous implantation of neurostimulator electrode array, epidural.

63655 ..................... Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural.

63660 ..................... Revision or removal of spinal neurostimulator electrode percutaneous array(s) or plate/paddle(s).

63685 ..................... Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive c oupling.

63688 ..................... Revision or removal of implanted spinal neurostimulator pulse generator or receiver.

64550 ..................... Application of surface (transcutaneous) neurostimulator.

64553 ..................... Percutaneous implantation of neurostimulator electrodes; cranial nerve.

64555 ..................... Percutaneous implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve).

64560 ..................... Percutaneous implantation of neurostimulator electrodes; autonomic nerve.

64561 ..................... Percutaneous implantation of neurostimulator electrodes; sacral nerve (transforaminal placement).

64565 ..................... Percutaneous implantation of neurostimulator electrodes; neuromuscular.

64573 ..................... Incision for implantation of neurostimulator electrodes; cranial nerve.

64575 ..................... Incision for implantation of neurostimulator electrodes; peripheral nerve (excludes sacral nerve).

64577 ..................... Incision for implantation of neurostimulator electrodes; autonomic nerve.

64580 ..................... Incision for implantation of neurostimulator electrodes; neuromuscular.

64581 ..................... Incision for implantation of neurostimulator electrodes; sacral nerve (transforaminal placement).

64585 ..................... Revision or removal of peripheral neurostimulator electrodes.

64590 ..................... Insertion or replacement of peripheral neurostimulator pulse generator or receiver, direct or inducti ve coupling.

64595 ..................... Revision or removal of peripheral neurostimulator pulse generator or receiver.



# e. Aneurysm, Epilepsy and Skull

Procedures

The American Association of

Neurological Surgeons (AANS) and Congress of Neurological Surgeons

(CNS) submitted six CPT codes for

review (see Table 23).



# T ABLE 

# 23

CPT code Description

61537 ..................... Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, without electrocorticography du ring surgery.

61538 ..................... Craniotomy with elevation of bone flap; for lobectomy, temporal lobe, with electrocorticography durin g surgery. 61697 ..................... Surgery of complex intracranial aneurysm, intracranial approach; carotid circulation.

61698 ..................... Surgery of complex intracranial aneurysm, intracranial approach; vertebrobasilar circulation.

61700 ..................... Surgery of simple intracranial aneurysm, intracranial approach; carotid circulation.

61702 ..................... Surgery of simple intracranial aneurysm, intracranial approach; vertebrobasilar circulation).



# We submitted two CPT codes for

review (see Table 24).



# T ABLE 

# 24

CPT code Description

61154 ..................... Burr hole(s) with evacuation and/or drainage of hematoma, extradural or subdural.

61312 ..................... Craniectomy or craniotomy for evacuation of hematoma, supratentorial; extradural or subdural.


# 37204 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A standard RUC survey with over 30

responses was used for six of the codes.

The surveys for CPT codes 61537 and

61538 had only 12 and 14 responses,

respectively.

RUC Recommendations

The RUC agreed with the specialty

society that the existing RVUs for CPT

code 61154 should be maintained

because there was no compelling

evidence that the work currently

associated with this procedure has

changed. The RUC accepted the

specialty society ’ s requested increase to

the existing work RVUs, as reflected by

the survey median, for CPT code 61312,

agreeing with the specialty society that

the increased use of anticoagulants by

these patients has increased the

intensity of the intra-service work. The

RUC recommended increasing the work

RVUs for CPT codes 61697, 61698, 61700 and 61702, but at or below the

surveys ’ 25th percentile.

While the workgroup recommended

maintaining the current work RVUs for

CPT codes 61537 and 61538, at the

subsequent RUC meeting, the specialty

society extracted these codes for

discussion and the RUC recommended

the 25th percentile from the surveys for

the work RVU.

The RUC-recommended work RVUs

for these CPT codes are as follows:

61154 = 14.97 work RVUs; 61312 =

27.00 work RVUs; 61537 = 35.00 work

RVUs; 61538 = 38.00 work RVUs; 61697

= 57.31 work RVUs; 61698 = 64.03 work

RVUs; 61700 = 46.01 work RVUs; and

61702 = 54.28 work RVUs.

CMS Proposed Valuation

We accept the RUC-recommended

work RVUs for these neurosurgery

services. 4. Radiology, Pathology, and Other

Miscellaneous Services

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS-RADIOLOGY,

PATHOLOGY, and OTHER MISC.

SERVICES ’’ at the beginning of your

comments.]

a. Pathology

The College of American Pathologists

submitted four CPT codes for review

using the rationale that there have been

changes in cancer protocols and the

content of work (see Table 25). The

specialty society conducted a full RUC

survey for these codes.



# T ABLE 

# 25

CPT code Description

88309 ..................... Level VI

— Surgical pathology, gross and microscopic examination; Bone Resection; Breast, Mastectomy

— with Regional

Lymph Nodes; Colon, Segmental Resection for Tumor; Colon, Total Resection; Esophagus, Partial/Total Resection; Extremity, Disarticulation; Fetus, with Dissection; Larynx, Partial/Total Resection

— with Regional Lymph Nodes; Lung

—Total/Lobe/Segment Resection; Pancreas, Total/Subtotal Resection; Prostate, Radical Resection; Small Intestine, Resection for Tumor; Soft Tissue Tumor, Extensive Resection; Stomach

— Subtotal/Total Resection for Tumor; Testis,

Tumor; Tongue/Tonsil

— Resection for Tumor; Urinary Bladder, Partial/Total Resection; Uterus, with or without Tubes

and Ovaries, Neoplastic; Vulva, Total/Subtotal Resection.

88321 ..................... Consultation and report on referred slides prepared elsewhere.

88323 ..................... Consultation and report on referred material requiring preparation of slides.

88325 ..................... Consultation, comprehensive, with review of records and specimens, with report on referred material.



# RUC Recommendations

The RUC reviewed the specialty ’ s survey results for each code and

believed the specialty society had

presented compelling evidence to

change the relative work value for each

code because all were undervalued for

the increased physician work now

involved in the services. The RUC

believed that the change in work was

due to the increased number and type

of slides undergoing review in the typical case, and, in particular, the

number of immunohistochemical slides

that must undergo review. Based on

recent literature, the RUC also believed

that the clinical practice of these

pathology consultations had changed. In

addition, the RUC agreed with the

specialty society that the survey ’ s 25th

percentile reflected the true physician

work for each of the codes.

The RUC-recommended work RVUs

for these CPT codes are as follows: 88309 = 2.80 work RVUs, 88321 = 1.63

work RVUs, 88323 = 1.83 work RVUs,

and 88325 = 2.50 work RVUs.

CMS Proposed Valuation

We are in agreement with all of these

RUC-recommended work RVUs for

pathology services.

b. Radiation Oncology

We submitted the radiation oncology

CPT codes in Table 26 for review.



# T ABLE 

# 26

CPT code Description

77263 ..................... Therapeutic radiology treatment planning; complex.

77280 ..................... Therapeutic radiology simulation-aided field setting; simple.

77290 ..................... Therapeutic radiology simulation-aided field setting; complex.

77300 ..................... Basic radiation dosimetry calculation, central axis depth dose calculation, TDF, NSD, gap calculation , off axis factor, tissue

inhomogeneity factors, calculation of non-ionizing radiation surface and depth dose, as required during course of treatment, only when prescribed by the treating physician.

77315 ..................... Teletherapy, isodose plan (whether hand or computer calculated); complex (mantle or inverted Y, tange ntial ports, the use

of wedges, compensators, complex blocking, rotational beam, or special beam considerations).

77331 ..................... Special dosimetry (e.g., TLD, microdosimetry) (specify), only when prescribed by the treating physici an.

77334 ..................... Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or

casts).

77470 ..................... Special treatment procedure (e.g., total body irradiation, hemibody radiation, per oral, endocavitary or intraoperative cone

irradiation).


# 37205 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

Standard RUC surveys were

conducted for these services. The survey

results indicated that the work RVUs for

each code should be maintained at their

current level, and the specialty society,

the American Society for Therapeutic

Radiology and Oncology (ASTRO),

recommended no change in the work

RVU.

RUC Recommendations

The RUC agreed with the survey

results and supported the specialty society ’ s recommendation to maintain

the work RVUs. The RUC found no

compelling evidence to change the work

RVUs for these CPT codes, and

therefore, recommended maintaining

the current work values for these CPT

codes as follows: 77263 = 3.14 work

RVUs; 77280 = 0.70 work RVUs; 77290

= 1.56 work RVUs; 77300 = 0.62 work

RVUs; 77315 = 1.56 work RVUs; 77331

= 0.87 work RVUs; 77334 = 1.24 work

RVUs; and 77470 = 2.09 work RVUs. CMS Proposed Valuation

We are in agreement with all of these

RUC-recommended work RVUs for

radiology oncology.

c. Radiology

We requested that the CPT codes for

radiology services in Table 27 be

reviewed.



# T ABLE 

# 27

CPT code Description

70355 ..................... Orthopantogram.

71010 ..................... Radiologic examination, chest; single view, frontal.

71020 ..................... Radiologic examination, chest, two views, frontal and lateral.

71260 ..................... Computed tomography, thorax; with contrast material(s).

72192 ..................... Computed tomography, pelvis; without contrast material.

72193 ..................... Computed tomography, pelvis; with contrast material(s).

73100 ..................... Radiologic examination, wrist; two views.

73110 ..................... Radiologic examination, wrist; complete, minimum of three views.

73120 ..................... Radiologic examination, hand; two views.

73130 ..................... Radiologic examination, hand; minimum of three views.

73140 ..................... Radiologic examination, finger(s), minimum of two views.

74000 ..................... Radiologic examination, abdomen; single anteroposterior view.

74020 ..................... Radiologic examination, abdomen; complete, including decubitus and/or erect views.

74022 ..................... Radiologic examination, abdomen; complete acute abdomen series, including supine, erect, and/or decub itus views, single

view chest.

74150 ..................... Computed tomography, abdomen; without contrast material.

74160 ..................... Computed tomography, abdomen; with contrast material(s).

76075 ..................... Dual energy x-ray absorptiometry (DXA), bone density study, one or more sites; axial skeleton (e.g., hips, pelvis, spine).

76700 ..................... Ultrasound, abdominal, B-scan and/or real time with image documentation; complete.

76830 ..................... Ultrasound, transvaginal.

78306 ..................... Bone and/or joint imaging; whole body.

78315 ..................... Bone and/or joint imaging; three phase study.

78465 ..................... Myocardial perfusion imaging; tomographic (SPECT), multiple studies (including attenuation correction when performed),

at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or rest injection, with or without quantification.

78478 ..................... Myocardial perfusion study with wall motion, qualitative or quantitative study (List separately in ad dition to code for primary

procedure).

78480 ..................... Myocardial perfusion study with ejection fraction (List separately in addition to code for primary pr ocedure).



# In addition, the American College of

Cardiology (ACC) and American College

of Radiology (ACR) recommended four cardiac imaging codes be sent to the

CPT Editorial Panel for review and

clarification so that they may reflect current practice patterns (see Table 28).

The RUC agreed with this

recommendation.



# T ABLE 

# 28

CPT code Description

75552 ..................... Cardiac magnetic resonance imaging for morphology; without contrast material.

75553 ..................... Cardiac magnetic resonance imaging for morphology; with contrast material.

75554 ..................... Cardiac magnetic resonance imaging for function, with or without morphology; complete study.

75555 ..................... Cardiac magnetic resonance imaging for function, with or without morphology; limited study).



# The specialty societies conducted

standard RUC surveys for the remaining

services.

RUC Recommendations

The RUC agreed with the survey

results and found there was no

compelling evidence to change the work

RVUs for CPT codes 70355, 71010,

71020, 71260, 72192, 72193, 73100, 73110, 73120, 73130, 73140, 74000,

74020, 74022, 74150, 74160, 76700,

76830, 78306, 78315, and 78465.

The RUC recommended a reduction

in the work RVU for the DXA service,

CPT code 76075, because the workgroup

believed that the actual work is less

intense and more mechanical than the

specialty society ’ s description of the

work. In addition, the RUC believed that the survey results provided insufficient

evidence to support the current work

RVU associated with CPT code 78478

and also believed that the physician

time was overestimated. The RUC also

recommended a reduction in the work

RVUs for CPT code 78480 because it

was not in the correct rank order and

was therefore overvalued.


# 37206 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

The RUC-recommended work RVUs

for these CPT codes are as follows:

70355 = 0.20 work RVUs; 71010 = 0.18

work RVUs; 71020 = 0.22 work RVUs;

71260 = 1.24 work RVUs; 72192 = 1.09

work RVUs; 72193 = 1.16 work RVUs;

73100 = 0.16 work RVUs; 73110 = 0.17

work RVUs; 73120 = 0.16 work RVUs;

73130 = 0.17 work RVUs; 73140 = 0.13

work RVUs; 74000 = 0.18 work RVUs;

74020 = 0.27 work RVUs; 74022 = 0.32 work RVUs; 74150 = 1.19 work RVUs;

74160 = 1.27 work RVUs; 76075 = 0.20

work RVUs; 76700 = 0.81 work RVUs;

76830 = 0.69 work RVUs; 78306 = 0.86

work RVUs; 78315 = 1.02 work RVUs;

78465 = 1.46 work RVUs; 78478 = 0.50

work RVUs; and 78480 = 0.30 work

RVUs. CMS Proposed Valuation

We are in agreement with all of these

RUC-recommended work RVUs for

radiology services.

d. Endoscopy Procedures

We requested the RUC to review five

endoscopy CPT codes because they had

never been reviewed by the RUC (see

Table 29). Standard RUC surveys were

conducted.



# T ABLE 

# 29

CPT code Description

43235 ..................... Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate;

diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure).

43246 ..................... Upper gastrointestinal endoscopy including esophagus, stomach, and either the duodenum and/or jejunum as appropriate;

with directed placement of percutaneous gastrostomy tube.

43750 ..................... Percutaneous placement of gastrostomy tube.

45330 ..................... Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure).

45378 ..................... Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specime n(s) by brushing or

washing, with or without colon decompression (separate procedure).



# RUC Recommendations

The RUC agreed with the survey

results and found no compelling

evidence to change the work RVUs for

any of these services. Therefore, the

RUC recommended the work values for

these CPT codes be maintained as

follows: 43235 = 2.39 work RVUs; 43246

= 4.32 work RVUs; 43750 = 4.48 work

RVUs; 45330 = 0.96 work RVUs; and

45378 = 3.69 work RVUs. CMS Proposed Valuation

We are in agreement with the RUCrecommended work RVUs for

endoscopic procedure codes.

e. Neurology, Neuromuscular, and

Nervous System

The American Academy of Neurology

(AAN), American Clinical

Neurophysiology Society (ACNS),

American Association of Neuromuscular and Electrodiagnostic

Medicine (AANEM), and the American

Academy of Physical Medicine and

Rehabilitation (AAPMR) submitted five

neurology and neuromuscular CPT

codes for this 5-Year Review and AAN

and the American Academy of

Pediatrics (AAP) jointly submitted CPT

code 62270 (see Table 30).



# T ABLE 

# 30

CPT code Description

62270 ..................... Spinal puncture, lumbar, diagnostic.

95872 ..................... Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocki ng and/or fiber density, any/all sites of each muscle studied.

95925 ..................... Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from

the central nervous system; in upper limbs.

95926 ..................... Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from

the central nervous system; in lower limbs.

95927 ..................... Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from

the central nervous system; in the trunk or head.

95953 ..................... Monitoring for localization of cerebral seizure focus by computerized portable 16 or more channel EEG

, electroencephalographic (EEG) recording and interpretation, each 24 hours.



# In addition, we requested the RUC to

review five neurological CPT codes (see

Table 31).



# T ABLE 

# 31

CPT code Description

95816 ..................... Electroencephalogram (EEG); including recording awake and drowsy.

95819 ..................... Electroencephalogram (EEG); including recording awake and asleep.

95861 ..................... Needle electromyography; two extremities with or without related paraspinal areas.

95900 ..................... Nerve conduction, amplitude and latency/velocity study, each nerve; motor, without F-wave study.

95904 ..................... Nerve conduction, amplitude and latency/velocity study, each nerve; sensory.


# 37207 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

Standard RUC surveys were

conducted for these services. The

specialty societies believed the survey

results indicated that the current work

RVUs were either correctly valued or

undervalued.

RUC Recommendations

The RUC found no compelling

evidence to change the work RVUs for

CPT codes 95816, 95819, 95861, 95900,

95904, 95925, 95926, and 95927.

However, the RUC agreed that there was

compelling evidence that CPT codes

95872 and 95953 were undervalued and

recommended increasing their existing

RVUs.

The RUC-recommended work RVUs

for these services are as follows: 95816

= 1.08 work RVUs; 95819 = 1.08 work

RVUs; 95861 = 1.54 work RVUs; 95872

= 3.00 work RVUs; 95900 = 0.42 work

RVUs; 95904 = 0.34 work RVUs; 95925

= 0.54 work RVUs; 95926 = 0.54 work

RVUs; 95927 = 0.54 work RVUs; and

95953 = 3.30 work RVUs. For CPT code 62270, the RUC

believed that there is a bimodal

distribution of physician work

associated with the code because there

are two different typical patient types,

infants and young children. The RUC

and the specialty societies believed that

the infant population requires less work

than in the young child population. The

RUC suggested that it may be reasonable

for the specialty societies to eventually

consider splitting the code into the two

typical patient types to capture any

differences in physician work. However,

for the current CPT code 62270, the

RUC recommended that it should be

valued higher and recommended a work

RVU of 1.37.

CMS Proposed Valuation

We are in agreement with all of the

RUC-recommended work RVUs for

neurology, neuromuscular and nervous

system services except for the

recommendation for CPT code 95872.

We have concerns that the work recommendation for this service, which

was based on the survey ’ s 75th

percentile for work, is not the correct

valuation and is inappropriate for this

service. We calculated the pre-service

and post-service work RVU using the

surveyed physician time data. Then, we

subtracted the surveyed intra-service

time from the current time. Next, we

multiplied this difference in time by the

calculated IWPUT using the specialty

recommended total work RVUs to

determine an intra-service work RVU.

Adding the calculated work RVUs

resulted in a work RVU of slightly less

than 2.0, which is close to the same

value as the survey median work RVU.

In accordance with this analysis and the

survey median, we are recommending a

work RVU of 2.00.

f. Pulmonary Medicine

We requested the RUC to review three

pulmonary medicine CPT codes (see

Table 32).



# T ABLE 

# 32

CPT code Description

31622 ..................... Bronchoscopy, rigid or flexible, with or without fluoroscopic guidance; diagnostic, with or without c ell washing (separate

procedure).

94010 ..................... Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measuremen t(s), with or without

maximal voluntary ventilation.

94657 ..................... Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted o r controlled breathing;

subsequent days.



# Standard RUC surveys were

conducted. The specialty societies

believed the survey results indicated

that the current work RVUs were either

correctly valued or undervalued.

RUC Recommendations

The RUC reviewed the survey results

and recommendations from the

specialty society for CPT codes 31622

and 94010 and found no compelling

reason to change the work RVUs for

these codes. However, the RUC agreed

with the specialty society that the time

data elements from the survey results

reflected the typical patient encounter.

The RUC did find compelling

evidence to support the specialty

society ’ s recommendation and survey

work value results for CPT code 94657.

However, the RUC determined that a

rank order anomaly would be created

with CPT code 94656 if the

recommended value for CPT code 94657

was adopted. Therefore, the RUC recommended that this code be referred

to the CPT Editorial Panel.

The RUC-recommended work RVUs

for these codes are as follows: 31622 =

2.78 work RVUs and 94010 = 0.17 work

RVUs.

CMS Proposed Valuation

We are in agreement with these RUCrecommended work RVUs for

pulmonary medicine services.

g. Miscellaneous Services

(i) Anesthesia

The ASA requested that the RUC

review code 00797, Anesthesia for

intraperitoneal procedures in upper

abdomen including laparoscopy; gastric

restrictive procedure for morbid obesity.

The ASA believed that the results of the

standard RUC survey conducted by the

specialty society indicated the

physician work was undervalued for

this code. RUC Recommendations

The RUC reviewed the survey results

and specialty society recommendation

and agreed with its recommended

median base unit value and physician

time for the code. The RUC

recommended base unit valuation for

this service was 11.00.

CMS Proposed Valuation

We are in agreement with the RUC

recommendation for CPT code 00797.

(ii) Allergy and Immunology

The Joint Council of Allergy, Asthma,

and Immunology (JCAAI) and the

American Academy of Otolaryngic

Allergy (AAOA) submitted five codes

without work relative values for this 5-

Year Review based on the rationale that

physician work was inherent in the

service (see Table 33). The specialties

subsequently withdrew CPT codes

95115 and 95117 from consideration.



# T ABLE 

# 33

CPT code Description

95004 ..................... Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, spec ify number of tests.


# 37208 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 33

— Continued

CPT code Description

95024 ..................... Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, specify number of tests.

95027 ..................... Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate

type reaction, specify number of tests.

95115 ..................... Professional services for allergen immunotherapy not including provision of allergenic extracts; sing le injection.

95117 ..................... Professional services for allergen immunotherapy not including provision of allergenic extracts; two or more injections.



# In addition, we requested the RUC to

review the immunotherapy CPT codes

in Table 34 because they had never been reviewed by the RUC. Standard RUC

surveys were conducted.



# T ABLE 

# 34

CPT code Description

95144 ..................... Professional services for the supervision of preparation and provision of antigens for allergen immun otherapy, single dose

vial(s) (specify number of vials).

95165 ..................... Professional services for the supervision of preparation and provision of antigens for allergen immun otherapy; single or

multiple antigens (specify number of doses).



# RUC Recommendations

The RUC reviewed the specialty

society recommendations, and survey

results recommended that CPT codes

95004, 95024, and 95027 be referred to

the CPT Editorial Panel for clarification

and possible revision. The RUC

recommended that the current work

RVUs be maintained for CPT codes 95144 and 95165, because there was no

compelling evidence for a change. The

RUC-recommended work RVUs for

these CPT codes are: 95144 = 0.06 work

RVUs; and 95165 = 0.06 work RVUs.

CMS Proposed Valuation

We are in agreement with these RUCrecommended work RVUs for allergy

and immunology services. (iii) Pediatric codes

The AAP requested that the RUC

review eight pediatric-related CPT codes

for this 5-Year Review (see Table 35).

However, two of these CPT codes

(90473 and 90474) were subsequently

withdrawn by AAP. The remaining six

codes were referred to the CPT Editorial

Panel for review.



# T ABLE 

# 35

CPT code Descriptor

54150 ..................... Circumcision, using clamp or other device; newborn.

54152 ..................... Circumcision, using clamp or other device; except newborn.

90465 ..................... Immunization administration under 8 years of age (includes percutaneous, intradermal, subcutaneous, o r intramuscular injections) when the physician counsels the patient/family; first injection (single or combination vaccine/toxoid), per day.

90466 ..................... Immunization administration under 8 years of age (includes percutaneous, intradermal, subcutaneous, o r intramuscular injections) when the physician counsels the patient/family; each additional injection (single or combination vaccine/toxoid),

per day (List separately in addition to code for primary procedure).

90467 ..................... Immunization administration under age 8 years (includes intranasal or oral routes of administration) when the physician

counsels the patient/family; first administration (single or combination vaccine/toxoid), per day.

90468 ..................... Immunization administration under age 8 years (includes intranasal or oral routes of administration) when the physician

counsels the patient/family; each additional administration (single or combination vaccine/toxoid), per day (List separately in addition to code for primary procedure).

90473 ..................... Immunization administration by intranasal or oral route; one vaccine (single or combination vaccine/t oxoid).

90474 ..................... Immunization administration by intranasal or oral route; each additional vaccine (single or combinati on vaccine/toxoid) (List

separately in addition to code for primary procedure).



# (iv) Cardiology-Related Services

We requested that the RUC review

five cardiology-related CPT codes (see Table 36). The specialty societies

believed that the standard RUC survey

results indicated that the work RVUs for each code should be either maintained

or decreased from their current level.



# T ABLE 

# 36

CPT code Description

33208 ..................... Insertion or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular

. 93010 ..................... Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only.

93015 ..................... Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous elec trocardiographic

monitoring, and/or pharmacological stress; with physician supervision, with interpretation and report.

93018 ..................... Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous elec trocardiographic

monitoring, and/or pharmacological stress; interpretation and report only.


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T ABLE 

# 36

— Continued

CPT code Description

93325 ..................... Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echoca rdiography).



# RUC Recommendations

The RUC reviewed the survey results

and found no compelling evidence to

change the work RVUs for CPT codes

33208, 93010, 93015, and 93018.

However, CPT code 93325 was referred

to the CPT Editorial Panel by the RUC

with the recommendation that this

service be bundled with CPT code

93307, Echocardiography, transthoracic,

real-time with image documentation

(2D) with or without M-mode recording;

complete.

The RUC-recommended work RVUs

for these CPT codes are as follows:

33208 = 8.12 work RVUs; 93010 = 0.17 work RVUs; 93015 = 0.75 work RVUs;

and 93018 = 0.30 work RVUs.

CMS Proposed Valuation

We are in agreement with these RUCrecommended work RVUs for

cardiology related services.

5. Evaluation and Management (E/M)

Services

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

— EVALUATION AND

MANAGEMENT SERVICES ’’ at the

beginning of your comments.]

A consortium of 27 organizations

submitted a consensus comment letter stating that the work of E/M services has

changed significantly since the E/M

codes were reviewed during the first 5-

Year Review and requested that the

E/M codes be reviewed (see Table 37).

In addition, the following specialty

societies submitted requests that

individual E/M CPT codes be reviewed:

The American Academy of Family

Physicians (AAFP), the American

Medical Directors Association (AMDA),

the American Geriatric Society (AGS),

the American Association for Geriatric

Psychiatry (AAGP), the ASA, and the

American Academy of Home Care

Physicians (AAHCP).


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# Standard RUC surveys of the E/M

services were conducted by a coalition

of medical specialty societies.

Recommendations of the coalition, as

well as comments from the coalition of

surgical specialties, were considered by

the RUC workgroup.

RUC Recommendations

The RUC E/M workgroup conferred

via conference call throughout the

summer of 2005 and reviewed previous

studies and methodologies used to

evaluate the physician work related to

the E/M services. At the first meeting in

August of 2005, the workgroup considered the recommendations of the

coalition of medical specialty societies,

as well as the comments of the coalition

of surgical specialties that countered the

arguments presented regarding

increased physician work. After

extensive discussion, the workgroup

agreed that there was evidence that

incorrect assumptions were made in the

previous valuation of these services.

The workgroup reviewed each E/M code

extensively, reviewing the survey from

the coalition of medical specialties,

comparing the codes to reference codes

and considering comments from the

surgical coalition and other meeting

attendees. At the RUC meeting in October 2005,

the RUC agreed that there was

compelling evidence to review the E/M

services because of evidence that

incorrect assumptions were made in the

previous valuation of the services. The

RUC approved final recommendations

for 26 of these codes, interim

recommendations for six codes (CPT

codes 99222, 99223, 99232, 99233,

99291, and 99292) and postponed the

review of three codes (CPT codes 99213,

99214, and 99215) to the February 2006

meeting.

At the February 2006 meeting, the

RUC reached consensus on the

recommended work values for all the


# 37218 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

outstanding E/M codes. As an example

of the RUC review process, we are

including the RUC notes on the

rationale used to recommend a revised

work value for CPT code 99213, the

mid-level office visit, which is also the

most frequently billed code in the PFS:

‘‘ The RUC agreed that the compelling

evidence to review CPT code 99213 is that

incorrect assumptions were made in the

previous valuation of CPT code 99213 (that

is, the assumptions made by Harvard and

CMS are flawed). The RUC extensively

discussed CPT code 99213 (physician time:

pre- = 3, intra- = 15, and post- = 5) and agreed

that this code is slightly more work than CPT

code 99202 (recommended work RVU = 0.88;

physician time: pre- = 2, intra- = 15, and

post- = 5). It was noted the content for CPT

code 99213 represents a higher level of

intensity as the medical decision making is

‘‘ low ’’ for CPT code 99213, versus

‘‘ straightforward ’’ for CPT code 99202. CMS

also provided utilization data that indicated

that diagnosis and number of diagnosis were

more significant for CPT code 99213 than

CPT code 99202. Finally, the survey

respondents agreed with this relationship, as

the survey median work RVU for ‘‘ all ’’ survey respondents was 1.10 for CPT code 99213

and 1.05 for CPT code 99202. Utilizing this

relationship and the recommended work

RVU of 0.88 for CPT code 99202, the RUC

determined that a work RVU of 0.92 for CPT

code 99213 is appropriate. In addition, the

RUC agreed that CPT code 99213 is similar

in work to CPT code 93307

Echocardiography, transthoracic, real-time

with image documentation (2D) with or

without M-mode recording; complete (work

RVU = 0.92, physician time: pre- = 5, intra-

= 18, and post- = 5), which is a code included

on the RUC ’ s Multi-Specialty Points of Comparison (MPC). It was also noted that the

25th percentile of the ‘ all ’ survey respondent,

weighted survey data was 0.95 RVUs. The

RUC recommends a work RVU of 0.92 for

CPT code 99213 (physician time: pre- = 3,

intra- = 15, and post- = 5). ’’



# The RUC also recommended that the

full increase for these codes be

incorporated into the surgical global

periods for each CPT code with a global

period of 010 and 090.

Based on a review of the survey

information, the RUC recommended

that the work RVUs for the following

CPT codes be maintained: 99201 = 0.45

work RVUs; 99202 = 0.88 work RVUs;

99203 = 1.34 work RVUs; 99211 = 0.17

work RVUs; 99212 = 0.45 work RVUs;

99238 = 1.28 work RVUs; and 99241 =

0.64 work RVUs.

The RUC also recommended that the

work RVUs for the following CPT codes

be increased: 99204 = 2.30 work RVUs;

99205 = 3.00 work RVUs; 99213 = 0.92

work RVUs; 99214 = 1.42 work RVUs;

99215 = 2.00 work RVUs; 99221 = 1.88

work RVUs; 99222 = 2.56 work RVUs;

99223 = 3.78 work RVUs; 99231 = 0.76

work RVUs; 99232 = 1.39 work RVUs;

99233 = 2.00 work RVUs; 99239 = 1.90

work RVUs; 99242 = 1.34 work RVUs;

99243 = 1.88 work RVUs; 99244 = 3.02

work RVUs; 99245 = 3.77 work RVUs;

99251 = 1.00 work RVUs; 99252 = 1.50

work RVUs; 99253 = 2.27 work RVUs;

99254 = 3.29 work RVUs; 99255 = 4.00

work RVUs; 99281 = 0.45 work RVUs;

99282 = 0.88 work RVUs; 99283 = 1.34

work RVUs; 99284 = 2.56 work RVUs;

99285 = 3.80 work RVUs; 99291 = 4.50 work RVUs; and 99292 = 2.25 work

RVUs.

The RUC also noted that twelve E/M

codes (nursing facility and domiciliary

care) originally submitted had been

deleted by CPT and replaced by new

CPT codes that were reviewed by the

RUC last year. These new CPT codes

were included in the CY 2006 PFS final

rule with comment period (70 FR

70116) and the associated RVUs were

considered interim and subject to

comment. Therefore, these new CPT

codes were not included as part of the

5-Year Review.

CMS Proposed Valuation

We are in agreement with these RUC

recommended work RVUs for E/M

services. We also agree with the

recommendation that the full increase

for these codes should be incorporated

into the surgical global periods for each

CPT code with a global period of 010

and 090.

6. Cardiothoracic Surgery

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

— CARDIOTHORACIC

SURGERY ’’ at the beginning of your

comments.]

a. Congenital Codes

The STS/ American Association for

Thoracic Surgery (AATS) submitted the

congenital cardiac surgical CPT codes

for review (see Table 38).



# T ABLE 

# 38

CPT code Descriptor

33414 ..................... Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract.

33416 ..................... Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (e.g., asymmetric septal hypertrophy).

33505 ..................... Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel

(Takeuchi procedure).

33665 ..................... Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair.

33684 ..................... Closure of ventricular septal defect, with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic).

33688 ..................... Closure of ventricular septal defect, with or without patch; with removal of pulmonary artery band, w ith or without gusset.

33771 ..................... Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosi s; with surgical enlargement of ventricular septal defect.

33779 ..................... Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (e.g., Jatene t ype); with removal of pulmonary band.

33781 ..................... Repair of transposition of the great arteries, aortic pulmonary artery reconstruction (e.g., Jatene t ype); with repair of subpulmonic obstruction.



# The commenters stated that at the

second 5-Year Review, many of the

more common congenital cardiac

surgical codes were reviewed, and the

values were adjusted. However, at that

time, these much less commonly

performed congenital cardiac surgical

codes were not surveyed due to resource

and time constraints. The commenter

believed that this has created rank order anomalies within these families of

codes.

Standard RUC surveys were

conducted for the services in Table 38.

However, there was a low response rate

that was attributable to these procedures

being infrequently performed by a small

number of surgeons. RUC Recommendations

The RUC believed that the current

work RVUs for the codes presented

created rank order anomalies in terms of

the physician work relative value, but,

during the review, the RUC agreed that

a number of the reference procedures

had inaccurate physician times. When

the reference code times were compared


# 37219 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

with the surveyed times for the codes

under review, the RUC noted

inconsistencies in all time segments,

including intra-service time. The RUC

reviewed the survey data and the data

for the reference codes, and made

recommendations for work RVUs to

place the surveyed codes in proper rank

order. Recommendations for work RVUs

reflected the survey ’ s 25th percentile,

the median survey value, or the timeadjusted survey data, which was based

on time adjustments for certain portions

of the service when compared to the

reference codes. Due to concern about

the accuracy of time for some of the

reference codes, the RUC also

recommended that the specialty society

conduct future surveys for physician time only for CPT codes 33660, 33670,

33506, 33770, and 33780. However, the

RUC agreed that the new 5-Year Review

values and times could not be used to

justify changes in the relative values of

the reference services.

The RUC-recommended work RVUs

for these CPT codes are as follows:

33414 = 36.52 work RVUs; 33416 =

34.25 work RVUs; 33505 = 36.00 work

RVUs; 33665 = 32.98 work RVUs; 33684

= 32.50 work RVUs; 33688 = 32.88 work

RVUs; 33771 = 38.50 work RVUs; 33779

= 41.00 work RVUs; and 33781 = 41.00

work RVUs. b. Adult Cardiac and General Thoracic

Codes

The STS/ATTS submitted 46 adult

cardiac CPT codes for review and 27

general thoracic CPT codes for review

but subsequently withdrew two CPT

codes (32095 and 35600). The specialty

believed many of these CPT codes

needed to be reviewed due to the rank

order anomalies that exist in these

families of CPT codes (see Table 39).

We submitted two CPT codes for

review, 32020 and 39400; however, no

specialty expressed an interest in

conducting a survey for CPT code 32020

so there was no RUC recommendation

forwarded for this service. (See Table 39

for all codes submitted.)

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The RUC had previously approved a

building-block methodology based on

the STS database, which would provide

a mean intra-service time for the adult

cardiac and general thoracic codes, as

well as the procedure-specific length of

stay. Two intensity surveys were also

conducted and the final recommended

intensity was an average of the two

survey results. The remaining preservice and post-service inputs were

derived through a panel of cardiac

surgeons.

The add-on CPT codes (33141, 33517

through 33523 and 33530) were

evaluated by subtracting the time data

for the base code from the time data for

the combined base and add-on codes,

with the results weighted for frequency

of occurrence.

RUC Recommendations

The RUC workgroup reviewed the

data elements for each code on a codeby-code basis. Most of the discussion

focused on the number and level of

post-operative visits, as well as the preservice time. For the adult cardiac and

general thoracic codes, the RUC agreed

that the pre-service time was overstated

and needed to reflect previously

approved RUC pre-service times. Also,

the RUC questioned the total times

allocated to the codes when compared

to a normal surgical work week. The

workgroup developed a pre-service time

standard that was used for a majority of

the codes. This standard consisted of 60

minutes for evaluation, 15 minutes for

positioning, and 20 minutes for scrub

dress and wait time. For emergent

procedures, the pre-service times were

set at 10 minutes for evaluation, 12

minutes for positioning, and 15 minutes

for scrub dress and wait time. The

immediate post-service time was

examined in conjunction with other

visits on the same day of surgery. For

most of the codes, the immediate postservice time was standardized at 40

minutes.

The intra-service times were derived

from the STS database with mean times

used for the adult cardiac codes and

median times for the general thoracic

codes. Because the general thoracic

codes have a much lower number of

cases in the database, the STS believed

that the median was more appropriate.

The RUC agreed with the specialty

society that critical care visits should be

used in the STS building-block

methodology for all of the adult cardiac

codes and for 13 of the general thoracic

codes.

The assignment of the level of critical

care services was recommended for each

code based on the STS panel ’ s knowledge and experience in caring for these patients, within the framework of

the duration of mechanical ventilation

and the length of intensive care unit

(ICU) stay provided by appropriate data

in the STS database. The RUC also made

changes to the hospital visits on a lineby-line basis, but used the STS length of

stay data as a guide. Generally, the level

of hospital visits was reduced so that

the total number of visits equaled the

length of stay. On the day of discharge,

the RUC assigned a discharge day

management code as the only service

provided on that day.

During the review of various

cardiothoracic surgery procedures, the

RUC determined that several of the

reference service codes used in the

analysis of surveyed codes (specifically,

CPT codes 33506, 33660, 33670, 33770

and 33780) had inaccurate physician

times associated with them. The RUC

instructed the specialty society to

conduct a survey of time for these

reference codes; however, these times

could not be used to justify new relative

values.

The RUC recommended work RVUs

for these CPT codes were as follows:

General Thoracic codes: 32141 =

23.90 work RVUs; 32442 = 51.45 work

RVUs; 32445 = 57.74 work RVUs;

32484= 23.25 work RVUs; 32486 = 39.44

work RVUs; 32488 = 38.95 work RVUs;

32540 = 26.42 work RVUs; 32651 =

16.64 work RVUs; 32652 = 26.35 work

RVUs; 32653 = 16.24 work RVUs; 32654

= 17.73 work RVUs; 32655 = 14.69 work

RVUs; 32657 = 11.90 work RVUs; 32662

= 14.29 work RVUs; 32663 = 23.00 work

RVUs; 32665 = 19.56 work RVUs; 32815

= 42.94 work RVUs; 39220 = 18.40 work

RVUs; 39400 = 7.61 work RVUs; 43108

= 76.55 work RVUs; 43113 = 73.23 work

RVUs; 43116 = 87.16 work RVUs; 43118

= 61.08 work RVUs; 43121 = 46.59 work

RVUs; 43123 = 76.14 work RVUs; 43124

= 60.61 work RVUs; 43135 = 24.20 work

RVUs. As noted above in this section,

there was no RUC recommendation

forwarded for CPT code 32020.

Adult Cardiac codes: 33140 = 25.49

work RVUs; 33141 = 2.43 work RVUs;

33300 = 40.03 work RVUs; 33305 =

70.21 work RVUs; 33400 = 38.33 work

RVUs; 33405 = 37.82 work RVUs; 33406

= 49.18 work RVUs; 33410 = 42.91 work

RVUs; 33411 = 56.91 work RVUs; 33413

= 56.19 work RVUs; 33415 = 34.58 work

RVUs; 33425 = 45.97 work RVUs; 33426

= 39.78 work RVUs; 33427 = 41.82 work

RVUs; 33430 = 46.45 work RVUs; 33460

= 40.19 work RVUs; 33463 = 50.93 work

RVUs; 33464 = 40.30 work RVUs; 33465

= 45.72 work RVUs; 33474 = 36.39 work

RVUs; 33475 = 39.39 work RVUs; 33510

= 31.75 work RVUs; 33511 = 35.22 work

RVUs; 33512 = 40.26 work RVUs; 33513

= 41.65 work RVUs; 33514 = 44.36 work RVUs; 33516 = 46.04 work RVUs; 33517

= 3.36 work RVUs; 33518 = 7.41 work

RVUs; 33519 = 9.91 work RVUs; 33521

= 12.01 work RVUs; 33522 = 13.53 work

RVUs; 33523 = 15.39 work RVUs; 33530

= 9.78 work RVUs; 33533 = 30.85 work

RVUs; 33534 = 36.98 work RVUs; 33535

= 41.85 work RVUs; 33536 = 45.53 work

RVUs; 33542 = 44.20 work RVUs; 33545

= 52.49 work RVUs; 33641 = 27.71 work

RVUs; 33860 = 55.45 work RVUs; 33863

= 55.10 work RVUs; 33945 = 80.84 work

RVUs; and 35820 = 32.24 work RVUs.

CMS Proposed Valuation

We are in agreement with the RUCrecommended work RVUs for the

congenital cardiac surgery services.

As mentioned above, the general

thoracic and adult cardiac surgery codes

submitted to the RUC for review did not

undergo the standard RUC survey

methodology. Rather, the data

pertaining to these codes were derived

from the STS database, a voluntary

registry developed by the STS that has

reportedly captured data on

approximately 70 percent of all cardiac

surgical procedures in the United States.

We believe that the STS database,

which also captures outcomes data, is a

significant tool in the effort to improve

the quality of patient care and we hope

that this kind of data collection will be

emulated by other specialties. We also

believe that the time and visit data

contained in this database could be a

useful adjunct to the RUC ’ s validation of

the standard RUC survey results.

However, we have significant concerns

with its use as a tool to derive work

RVUs without reference to a standard

RUC survey. We have questions

regarding the representativeness of the

data in the STS database because it is

unclear what percentage of the patients

in the database is derived from

academic medical centers versus

community hospitals or whether the

cases are selectively reported (for

example, does the case mix contain a

disproportionate number of complex

cases?) We also would like information

regarding the type of hospitals that

chose not to participate in the database.

Additionally, while we recognize this

database has collected large numbers of

cases for cardiac services, the database

was not robust for the non-cardiac

thoracic service.

In addition, we would also want to

know the median values, as well as the

mean values, for the intra-service time

for the adult cardiac services because

the RUC ’ s standard methodology is

based on median values. Therefore, we

are concerned about maintaining the

relativity between these services and

those where the median values were


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used to recommend the work RVUs. We

also believe the median is a better

estimate of central tendency when more

extreme cases occur in either direction.

However, our main concern is not

with the time data itself, but rather with

how these data were translated into

work RVUs because work RVUs are not

calculated solely on the basis of the time

it takes to perform a given procedure.

The other equally important variable is

the intensity of the procedure, which is

a measure of the technical skill, mental

effort, and psychological stress involved

in performing the procedure. The

standard RUC survey captures these

data by comparisons to the key

reference procedure, asking the

responders to rate both the surveyed

and reference codes on the specific

intensity measures, using a scale of one

to five.

The presenting specialties used an

entirely different methodology to arrive

at their intensity measures by estimating

the IWPUT of each service. The

presenters stated that the IWPUT was

estimated using two methods: IWPUT

magnitude estimation and RASCH

paired analysis for each code. According

to the presenters, the IWPUT magnitude

estimation produced direct IWPUT

values and the RASCH analysis

produced arbitrary scalar values as

estimates of CPT code intensity rank

and dispersion. These values were

converted to IWPUT values by

regression of the results to obtain slope,

and offset of the results was based on

the median value of the magnitude

estimation survey. Each RASCH scalar

was then converted to IWPUT with the

formula y = mx + b where m is the slope

and b is the y-intercept.

Though we appreciate the effort that

went into such a method, we have

several concerns with this approach: (1)

We do not believe that the RASCH

paired analysis methodology has been

approved by the RUC, and has certainly

not yet been accepted by CMS as a

method for calculating the intensity of

a service; (2) we also would want to

know more about the surveys

themselves, as well as the instructions

to the surveyees, before agreeing to any

work RVUs based on this method; and

(3) we are concerned that the relativity

of the fee schedule could be

compromised by using such a different

method to determine the work relative

values of a small number of codes

because current work RVUs for other

services are not based on this

methodology. In addition, we have a

further concern regarding the

appropriate relativity of the RUC

recommendations for these thoracic and

cardiac procedures. If we assume the times in the STS database are accurate,

by comparing the intra-service times in

the STS database to the median times

from the surveys done in 2000 for these

codes, it appears that surgeons might

often underestimate the time spent in

the intra-service period. If this is

actually the case here, then this could

also be true for other services that

would not have the benefit of this

database. The acceptance of the work

RVUs derived by this methodology

could then produce rank order

anomalies with codes done by other

specialties and the relativity of the fee

schedule could be compromised by the

selective use of this database.

We would not want to see the RUC

abandon its survey methodology, unless

a better approach can be found that can

be applied to all services. We

understand that the standard RUC

survey process is not perfect, but it does

provide an even playing field for all

specialties and we would be concerned

if each specialty was allowed to develop

its own unique method for estimating

work RVUs. Therefore, we would

recommend that the RUC review this

issue again to determine the appropriate

use of data sources other than the RUC

survey.

It is our responsibility to assure all

medical specialties that we will review

and evaluate their services using an

approach that is accepted by the AMA

and CMS. However, we do not know

how to use this STS data to compare the

relativity of these thoracic and cardiac

surgery services to services of similar

intensity in other clinical areas.

Therefore, we are proposing not to

accept the RUC work RVU

recommendations for these codes.

Because the RUC did approve the use of

the STS database and the specialty

societies put forth a substantial effort to

present their data to the RUC, based on

that approval, we also do not think it

would be appropriate to propose

maintaining the current values.

We believe the standard RUC survey

process used to evaluate the cardiac

surgery codes during the second 5-Year

Review had the correct incremental

increase in work RVUs between codes,

as well as the appropriate intensity for

each code. We have calculated the

IWPUT for the current values for all of

the cardiac codes submitted for review

(excluding the add-on codes discussed

below) and multiplied the IWPUT of

each code with the time proposed for

that code to yield a new RVU for that

service. We also calculated an IWPUT

for the thoracic codes using the current

values. Because we do not have survey

data, we believe this is a fair way to

value the proposed codes while maintaining the incremental increase

between codes. We look forward to

comments on this issue and would be

willing to consider future RUC

recommendations if the specialty

societies wish to submit standard RUC

surveys for these codes.

CPT codes 33517, 33518, 33519,

33521, 33522, and 33523 are coronary

surgery bypass codes using venous

grafts and arterial grafts. These are addon codes used in conjunction with the

primary code, a coronary arterial graft.

Add-on codes reflect the additional

intra-service time required to perform

the additional venous anastomoses.

These codes do not contain post-service

time, critical care time, or hospital care.

When presented to the RUC, this series

of codes had critical care time and

inpatient hospital care time added to the

total value of the code. We will

maintain the current RVU valuation for

CPT codes 33517, 33518, 33519, 33521,

33522, and 33523.

Therefore, the proposed work RVUs

for these CPT codes are as follows:

32141 = 13.98 work RVUs; 32442 =

32.86 work RVUs; 32445 = 34.95 work

RVUs; 32484 = 20.66 work RVUs; 32486

= 28.40 work RVUs; 32488 = 28.87 work

RVUs; 32540 = 19.94 work RVUs; 32651

= 14.26 work RVUs; 32652 = 20.75 work

RVUs; 32653 = 18.05 work RVUs; 32654

= 15.82 work RVUs; 32655 = 13.59 work

RVUs; 32657 = 13.63 work RVUs; 32662

= 16.42 work RVUs; 32663 = 18.44 work

RVUs; 32665 = 15.52 work RVUs; 32815

= 31.17 work RVUs; 33140 = 19.97 work

RVUs; 33141 = 4.83 work RVUs; 33300

= 25.09 work RVUs; 33305 = 27.05 work

RVUs; 33400 = 36.23 work RVUs; 33405

= 36.64 work RVUs; 33406 = 45.54 work

RVUs; 33410 = 35.36 work RVUs; 33411

= 52.12 work RVUs; 33413 = 51.76 work

RVUs; 33414 = 36.52 work RVUs; 33415

= 27.11 work RVUs; 33416 = 34.25 work

RVUs; 33425 = 34.55 work RVUs; 33426

= 37.95 work RVUs; 33427 = 39.94 work

RVUs; 33430 = 45.57 work RVUs; 33460

= 23.56 work RVUs; 33463 = 36.59 work

RVUs; 33464 = 26.78 work RVUs; 33465

= 28.75 work RVUs; 33474 = 23.01 work

RVUs; 33475 = 41.97 work RVUs; 33505

= 36.00 work RVUs; 33510 = 30.37 work

RVUs; 33511 = 31.51 work RVUs; 33512

= 35.16 work RVUs; 33513 = 36.12 work

RVUs; 33514 = 36.93 work RVUs; 33516

= 38.39 work RVUs; 33517 = 2.57 work

RVUs; 33518 = 4.84 work RVUs; 33519

= 7.11 work RVUs; 33521 = 9.39 work

RVUs; 33522 = 11.65 work RVUs; 33523

= 13.93 work RVUs; 33530 = 5.85 work

RVUs; 33533 = 34.63 work RVUs; 33534

= 36.06 work RVUs; 33535 = 38.73 work

RVUs; 33536 = 38.04 work RVUs; 33542

= 28.81 work RVUs; 33545 = 36.72 work

RVUs; 33641 = 26.70 work RVUs; 33665

= 32.98 work RVUs; 33684 = 32.50 work


# 37226 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

RVUs; 33688 = 32.88 work RVUs; 33771

= 38.50 work RVUs; 33779 = 41.00 work

RVUs; 33781 = 41.00 work RVUs;

33860= 39.29 work RVUs; 33863 = 44.93

work RVUs; 33945 = 42.04 work RVUs;

35820 = 25.53 work RVUs; 39220 =

17.39 work RVUs; 39400 = 5.60 work

RVUs; 43108 = 57.20 work RVUs; 43113

= 40.41 work RVUs; 43116 = 65.85 work

RVUs; 43118 = 46.37 work RVUs; 43121

= 41.80 work RVUs; 43123 = 57.14 work

RVUs; 43124 = 56.51 work RVUs; and

43135 = 20.52 work RVUs.

For CPT code 32020, Tube

thoracostomy with or without water seal

(e.g., for abscess, hemothorax,

empyema)(separate procedure),

although there was no RUC

recommendation provided due to the

lack of a level interest for surveying this

code, we continue to believe that this

service is misvalued. This code was

presented to the RUC during the two

previous 5-Year Reviews. Based on a

lack of compelling evidence, the RUC recommended maintaining the work

RVUs, and we accepted this

recommendation. However, we believe

that since valuation of this CPT code

continues to be based on Harvard time

data, changes in practice and technology

have not been incorporated, leading to

an overvaluation of this service. The

Harvard time data for this service

includes: Pre-service time of 46

minutes, intra-service time of 24

minutes, post-service time of 25

minutes, 9 minutes for ICU time, 15

minutes for hospital days, and 2

minutes for office visits for a total time

of 121 minutes. We believe that CPT

code 32020 is comparable to CPT code

38300, Drainage of lymph node abscess

or lymphadenitis; simple, or CPT code

38500, Biopsy or excision of lymph

node(s); open, superficial. Both of these

CPT codes were reviewed by the RUC

during the second 5-Year Review. The

RUC times for CPT code 38500 are: preservice time of 35 minutes, intra-service time of 30 minutes and post-service

time of 15 minutes, for a total time of

80 minutes, this includes one outpatient

visit resulting in a work RVU of 3.74. If

the value of the outpatient visit is

removed from CPT code 38500, this

results in an RVU of 3.29. We believe

CPT code 32020 compares favorably to

38500 and propose a work RVU of 3.29

for CPT code 32020.

7. General, Colorectal and Vascular

Surgery

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

— GENERAL,

COLORECTAL AND VASCULAR

SURGERY ’’ at the beginning of your

comments.]

a. General Surgery

The American College of Surgeons

(ACS) submitted the following CPT

codes in Table 40 for review.



# T ABLE 

# 40

CPT code Descriptor

38100 ..................... Splenectomy; total (separate procedure).

38101 ..................... Splenectomy; partial (separate procedure).

38115 ..................... Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy.

43620 ..................... Gastrectomy, total; with esophagoenterostomy.

43621 ..................... Gastrectomy, total; with Roux-en-Y reconstruction.

43622 ..................... Gastrectomy, total; with formation of intestinal pouch, any type.

43632 ..................... Gastrectomy, partial, distal; with gastrojejunostomy.

43633 ..................... Gastrectomy, partial, distal; with Roux-en-Y reconstruction.

43634 ..................... Gastrectomy, partial, distal; with formation of intestinal pouch.

43820 ..................... Gastrojejunostomy; without vagotomy.

43840 ..................... Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury.

44120 ..................... Enterectomy, resection of small intestine; single resection and anastomosis.

44130 ..................... Enteroenterostomy, anastomosis of intestine, with or without cutaneous enterostomy (separate procedur e).

44143 ..................... Colectomy, partial; with end colostomy and closure of distal segment (Hartmann type procedure).

44602 ..................... Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or ruptur e; single perforation.

44603 ..................... Suture of small intestine (enterorrhaphy) for perforated ulcer, diverticulum, wound, injury or ruptur e; multiple perforations.

44604 ..................... Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); without colostomy.

44605 ..................... Suture of large intestine (colorrhaphy) for perforated ulcer, diverticulum, wound, injury or rupture (single or multiple perforations); with colostomy.

47480 ..................... Cholecystotomy or cholecystostomy with exploration, drainage, or removal of calculus (separate proced ure).

47490 ..................... Percutaneous cholecystostomy.

47510 ..................... Introduction of percutaneous transhepatic catheter for biliary drainage.

47511 ..................... Introduction of percutaneous transhepatic stent for internal and external biliary drainage.

47525 ..................... Change of percutaneous biliary drainage catheter.

47530 ..................... Revision and/or reinsertion of transhepatic tube.

47760 ..................... Anastomosis, of extrahepatic biliary ducts and gastrointestinal tract.

47765 ..................... Anastomosis, of intrahepatic ducts and gastrointestinal tract.

47780 ..................... Anastomosis, Roux-en-Y, of extrahepatic biliary ducts and gastrointestinal tract.

47785 ..................... Anastomosis, Roux-en-Y, of intrahepatic biliary ducts and gastrointestinal tract.

49000 ..................... Exploratory laparotomy, exploratory celiotomy with or without biopsy(s) (separate procedure).

49002 ..................... Reopening of recent laparotomy.

49010 ..................... Exploration, retroperitoneal area with or without biopsy(s) (separate procedure).



# In addition, the American Society of

Colon and Rectal Surgeons (ASCRS) submitted six CPT codes for review (see

Table 41).


# 37227 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 41

CPT code Descriptor

44150 ..................... Colectomy, total, abdominal, without proctectomy; with ileostomy or ileoproctostomy.

44151 ..................... Colectomy, total, abdominal, without proctectomy; with continent ileostomy.

44152 ..................... Colectomy, total, abdominal, without proctectomy; with rectal mucosectomy, ileoanal anastomosis, with or without loop ileostomy.

44153 ..................... Colectomy, total, abdominal, without proctectomy; with rectal mucosectomy, ileoanal anastomosis, crea tion of ileal reservoir (S or J), with or without loop ileostomy.

44155 ..................... Colectomy, total, abdominal, with proctectomy; with ileostomy.

44156 ..................... Colectomy, total, abdominal, with proctectomy; with continent ileostomy.



# We submitted the CPT codes in Table

42 for review.



# T ABLE 

# 42

CPT code Descriptor

19180 ..................... Mastectomy, simple, complete.

44140 ..................... Colectomy, partial; with anastomosis.

47562 ..................... Laparoscopy, surgical; cholecystectomy.

49505 ..................... Repair initial inguinal hernia, age 5 years or over; reducible.

47600 ..................... Cholecystectomy.



# However, the following CPT codes

were subsequently withdrawn from the

5-Year Review: 44604, 44605, 47480,

47490, 47510, 47511, 47525 and 47530.

ASCRS also withdrew CPT codes 44152

and 44153, and is referring them to the

CPT Editorial Panel.

For most codes, a standard RUC

survey with over 30 responses was used.

However, the surveys for CPT code

43622 had 29 responses and CPT code

43634 had 26 responses. Minisurveys,

with over 30 responses, were used for

CPT codes 44151 and 44156. Where

NSQIP data was available, the specialty

society also used an alternative

methodology based on a building-block

approach that used intra-service times

and length of stay data from the NSQIP

database to develop the

recommendations. A specialty society

consensus panel then assigned preservice times, immediate post-service

times, as well as IWPUT estimates, with

the number and level of office visits

determined based on comparisons to

codes requiring similar physician work.

RUC Recommendations

The RUC recommended maintaining

the existing RVUs for CPT codes 44140

and 49505 because the RUC believed

there was a lack of compelling evidence

that the work had changed.

For those services without NSQIP

data, where only survey data was used

as a basis for review, the RUC

recommended the survey median for

CPT codes 38100, 38101, 38115, 43620,

43632, 43634, 44156, 47765. For CPT

code 49010, the RUC recommended use

of the survey ’ s 25th percentile because the RUC recommended deleting one

hospital visit. For CPT code 47760, the

RUC recommended the 25th percentile

because the RUC believed that the 25th

percentile was closer to the reference

code. The RUC recommended use of the

surveyed 75th percentile (25 work

RVUs) for: CPT code 44603, which

represents the suturing of multiple

small intestinal perforations, to keep the

correct rank order with CPT code 44602

(22.00 recommended work RVUs) that is

used for the repair of a single

perforation; CPT code 43622 because

the RUC believed that the use of the

median value would create a rank order

anomaly; and CPT code 44151 because

the RUC believed that the survey

underestimated the physician time

required for the service.

For CPT codes 47780 and 47785, the

RUC used a building-block method to

arrive at a recommendation which

added 4.00 work RVUs to the

recommended work RVUs for the

respective base CPT codes 47760 and

47765 to account for the Roux-en-Y

procedure. This resulted in

recommended RVUs that were lower

than the survey median for CPT code

47780 and higher for CPT code 47785.

For services for which NSQIP data

were presented along with survey data,

the RUC recommended the use of the

surveys 25th percentile for CPT codes

19180, 47562, and 49002. The RUC used

the NSQIP data to validate the

recommendation to use the surveyed

median work RVUs for CPT codes

43632, 43633, 43820, 43840, 44143,

44150, 44155 and 44602. Other RUC

recommendations used the NSQIP data to increase the work RVUs above the

survey median and, in one instance,

beyond the survey ’ s 75th percentile. For

CPT codes 44120, 44130 and 47600, the

RUC believed the physicians responding

to the survey underestimated their intraservice time. Therefore, the RUC

applied what was believed to be an

appropriate IWPUT to the additional

NSQIP time and added the resulting

work RVUs to the survey median.

The RUC recommended that CPT

code 49000 be referred to the CPT

Editorial Panel because this code is

currently used for two distinct patient

populations and needs to be separated

into two codes to be appropriately

valued.

The 5-Year Review process allows

specialty societies to request that the

RUC review the work RVUs of

additional codes where a rank order

anomaly might have been caused by a

RUC 5-Year Review recommendation for

codes in the same family. Upon

reviewing the workgroup

recommendations for the partial

colectomy procedures, CPT codes 44140

and 44143, the RUC determined that

other codes in the family, CPT codes

44141, 44144, 44145, 44146 and 44147,

needed to be reviewed to avoid rank

order anomalies.

The RUC considered these CPT codes

at their February 2006 meeting. The

specialty society presented standard

RUC surveys for all these services. For

CPT codes 44141, 44144, 44146 and

44147, the RUC recommended the

survey median. However, for CPT code

44145, the RUC recommended to

maintain the current value of 26.38


# 37228 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

work RVUs because the post-operative

work is slightly less than the CPT code

44144 for which 27.00 work RVUs are

recommended.

The RUC-recommended work RVUs

for these CPT codes were as follows:

19180 = 14.67 work RVUs; 38100 =

18.00 work RVUs; 38101 = 18.00 work

RVUs; 38115 = 20.00 work RVUs; 43620

= 31.00 work RVUs; 43621 = 36.00 work

RVUs; 43622 = 36.50 work RVUs; 43632

= 32.00 work RVUs; 43633 = 30.00 work

RVUs; 43634 = 33.50 work RVUs; 43820

= 20.00 work RVUs; 43840 = 20.00 work

RVUs; 44120 = 20.11 work RVUs; 44130

= 20.87 work RVUs; 44140 = 20.97 work

RVUs; 44141 = 27.00 work RVUs; 44143

= 25.00 work RVUs; 44144 = 27.00 work

RVUs; 44145 = 26.38 work RVUs; 44146

= 33.00 work RVUs; 44147 = 31.00 work

RVUs; 44150 = 27.50 work RVUs; 44151

= 32.00 work RVUs; 44155 = 31.50 work

RVUs; 44156 = 34.50 work RVUs; 44602

= 22.00 work RVUs; 44603 = 25.00 work

RVUs; 47562 = 11.07 work RVUs; 47600

= 15.88 work RVUs; 47760 = 34.75 work

RVUs; 47765 = 48.50 work RVUs; 47780

= 38.75 work RVUs; 47785 = 52.50 work RVUs; 49002 = 15.75 work RVUs; 49010

= 15.00 work RVUs; and 49505 = 7.59

work RVUs.

CMS Proposed Valuation

We agree with the RUC-recommended

work RVUs for CPT codes 19180, 38100,

38101, 38115, 43620, 43621, 43622,

43632, 43633, 43634, 43820, 43840,

44140, 44141, 44143, 44144, 44145,

44146, 44147, 44150, 44151, 44155,

44156, 44602, 44603, 47562, 47760,

47765, 47780, 47785, 49002, 49010 and

49505.

We have concerns with the RUC

recommendations to use the NSQIP data

to increase the work RVUs for CPT

codes 44120, 44130 and 47600 above

the median, and, for 47600 above the

75th percentile, from the survey. While

we support the use of such a database

as validation for survey results, we

believe that the application of the

NSQIP IWPUT to the 25-minute

difference in intra-time between the

survey and NSQIP is questionable. First,

it is still not clear whether the NSQIP

data is truly representative. Second, the IWPUT applied to the additional 25

minutes is higher than the IWPUT for

the rest of the intra-time. Third, such a

methodology assumes, without

evidence, that there is a linear

relationship between the survey

respondents ’ estimate of time and

estimate of work RVUs; however, even

if the survey time estimates had

matched the NSQIP data, it is not clear

whether or by how much the

respondents would have increased their

work value estimate. Fourth, until we

have available valid and representative

data such as the NSQIP for all

procedures, there is the risk that

applying the data randomly could

distort the relativity between services.

Therefore, we are proposing to use the

median survey values of 18.00, 20.00

and 14.00 as the work RVUs for CPT

codes 44120, 44130 and 47600,

respectively.

b. Colon and Rectal Surgery

The ASCRS submitted several

colorectal surgery CPT codes (see Table

43).



# T ABLE 

# 43

CPT code Descriptor

45020 ..................... Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess.

45300 ..................... Proctosigmoidoscopy, rigid; diagnostic, with or without collection of specimen(s) by brushing or wash ing (separate procedure).

45303 ..................... Proctosigmoidoscopy, rigid; with dilation (e.g., balloon, guide wire, bougie).

45305 ..................... Proctosigmoidoscopy, rigid; with biopsy, single or multiple.

45307 ..................... Proctosigmoidoscopy, rigid; with removal of foreign body.

45308 ..................... Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by hot biopsy forcep s or bipolar cautery.

45309 ..................... Proctosigmoidoscopy, rigid; with removal of single tumor, polyp, or other lesion by snare technique.

45315 ..................... Proctosigmoidoscopy, rigid; with removal of multiple tumors, polyps, or other lesions by hot biopsy f orceps, bipolar cautery

or snare technique.

45317 ..................... Proctosigmoidoscopy, rigid; with control of bleeding (e.g., injection, bipolar cautery, unipolar caut ery, laser, heater probe,

stapler, plasma coagulator).

45320 ..................... Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to r emoval by hot biopsy

forceps, bipolar cautery or snare technique (e.g., laser).

45321 ..................... Proctosigmoidoscopy, rigid; with decompression of volvulus.

45327 ..................... Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation).

46040 ..................... Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure).

46045 ..................... Incision and drainage of intramural, intramuscular, or submucosal abscess, transanal, under anesthesi a. 46060 ..................... Incision and drainage of ischiorectal or intramural abscess, with fistulectomy or fistulotomy, submus cular, with or without

placement of seton.

46270 ..................... Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous.

46275 ..................... Surgical treatment of anal fistula (fistulectomy/fistulotomy); submuscular.

46280 ..................... Surgical treatment of anal fistula (fistulectomy/fistulotomy); complex or multiple, with or without p lacement of seton.

46285 ..................... Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage.

46600 ..................... Anoscopy; diagnostic, with or without collection of specimen(s) by brushing or washing (separate proc edure).

46604 ..................... Anoscopy; with dilation (e.g., balloon, guide wire, bougie).

46606 ..................... Anoscopy; with biopsy, single or multiple.

46608 ..................... Anoscopy; with removal of foreign body.

46610 ..................... Anoscopy; with removal of single tumor, polyp, or other lesion by hot biopsy forceps or bipolar caute ry. 46611 ..................... Anoscopy; with removal of single tumor, polyp, or other lesion by snare technique.

46612 ..................... Anoscopy; with removal of multiple tumors, polyps, or other lesions by hot biopsy forceps, bipolar ca utery or snare technique.

46614 ..................... Anoscopy; with control of bleeding (e.g., injection, bipolar cautery, unipolar cautery, laser, heater probe, stapler, plasma

coagulator).

46615 ..................... Anoscopy; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biop sy forceps, bipolar

cautery or snare technique.

46760 ..................... Sphincteroplasty, anal, for incontinence, adult; muscle transplant.

46761 ..................... Sphincteroplasty, anal, for incontinence, adult; levator muscle imbrication (Park posterior anal repa ir).

46762 ..................... Sphincteroplasty, anal, for incontinence, adult; implantation artificial sphincter.


# 37229 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

ASCRS subsequently withdrew CPT

codes 46760, 46761 and 46762 from the

5-Year Review.

For most codes, a standard RUC

survey with over 30 responses was used.

A minisurvey was used for a few codes.

RUC Recommendations

The RUC agreed with the specialty

society ’ s recommendations to maintain

the current work RVUs for CPT codes

46040, 46060 and 46280 because the

survey data supported the existing work

associated with the code.

The RUC recommended the increased

work RVUs at the surveys ’ median work

values, as requested by the specialty

society, for CPT codes 45020, 46045,

46270, 46275 and 46285.

For the proctoscopy-anoscopy family

of codes, the RUC agreed that the

surveyed median work RVUs, and often

even the 25th percentile, were

inconsistent with the reference code.

Therefore, the RUC did not reference the

surveyed RVUs in arriving at the

recommendations. Rather, the RUC used

the surveyed times for each service and

applied what the workgroup considered

an appropriate IWPUT to these times to

arrive at the recommended work RVUs

for this family.

The specific RUC work RVU

recommendations for these colon and

rectal surgery CPT codes were as

follows: 45020 = 7.75 work RVUs; 45300

= 0.91 work RVUs; 45303 = 2.22 work

RVUs; 45305 = 2.01 work RVUs; 45307 = 2.22 work RVUs; 45308 = 2.01 work

RVUs; 45309 = 2.22 work RVUs; 45315

= 2.22 work RVUs; 45317 = 1.08 work

RVUs; 45320 = 2.43 work RVUs; 45321

= 2.76 work RVUs; 45327 = 3.63 work

RVUs; 46040 = 4.95 work RVUs; 46045

= 5.50 work RVUs; 46060 = 5.68 work

RVUs; 46270 = 4.50 work RVUs; 46275

= 5.00 work RVUs; 46280 = 5.97 work

RVUs; 46285 = 5.00 work RVUs; 46600

= 0.49 work RVUs; 46604 = 1.08 work

RVUs; 46606 = 1.76 work RVUs; 46608

= 1.95 work RVUs; 46610 = 1.95 work

RVUs; 46611 = 1.08 work RVUs; 46612

= 2.14 work RVUs; 46614 = 1.08 work

RVUs; and 46615 = 1.18 work RVUs.

CMS Proposed Valuation

We agree with the RUC-recommended

work RVUs for CPT codes 45020, 46040,

46045, 46060, 46270, 46275, 46280, and

46285.

We are proposing not to accept the

RUC recommendations for all the

presented codes in the proctoscopyanoscopy family. We are proposing to

maintain the current work RVUs for

CPT codes 45300, 45303, 45305, 45307,

45308, 45309, 45315, 45317, 45320,

45321, 45327, 46600, 46604, 46606,

46608, 46610, 46611, 46612, 46614 and

46615.

We believe that the method used by

the RUC to obtain work values for these

services was flawed. The calculation of

the recommended work RVUs depended

solely on applying a workgroup-derived IWPUT to the surveyed physician time

from surveys that were considered

otherwise unusable. We do not believe

that the use of IWPUT, in the absence

of other supporting data, has been

previously accepted by the RUC. We

believe the RUC has established rules

that state that IWPUT cannot be the sole

rationale for valuation and it appears

that this workgroup might not have

adhered to that standard. We believe

that this use of IWPUT differs from that

used by workgroup one, as described

above. There were acceptable surveys

that were used as anchors to create the

correct rank order for the dermatology

codes without adequate surveys. In

addition, for the dermatology codes, the

calculation was generally used to

validate the current or lower work RVUs

for the services, while for these scope

codes, the calculation was not used to

validate but to support significant

increases for many of the services.

However, if the specialty society wishes

to resurvey these codes and the RUC

submits work RVU recommendations to

CMS, we would certainly be willing to

consider them.

c. Vascular Surgery

The Society for Vascular Surgery

(SVS) submitted the CPT codes in Table

44 for review. However, the specialty

society subsequently withdrew CPT

codes 27603, 35612 and 35642 from

review.



# T ABLE 

# 44

CPT code Descriptor

27603 ..................... Incision and drainage, leg or ankle; deep abscess or hematoma.

27880 ..................... Amputation, leg, through tibia and fibula.

28805 ..................... Amputation, foot; transmetatarsal.

33877 ..................... Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass.

34001 ..................... Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by n eck incision.

34201 ..................... Embolectomy or thrombectomy, with or without catheter; femoropopliteal, aortoiliac artery, by leg inc ision.

34471 ..................... Thrombectomy, direct or with catheter; subclavian vein, by neck incision.

35081 ..................... Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with o r without patch graft; for

aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta.

35102 ..................... Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with o r without patch graft; for

aneurysm, pseudoaneurysm, and associated occlusive disease, abdominal aorta involving iliac vessels (common,

hypogastric, external).

35216 ..................... Repair blood vessel, direct; intrathoracic, without bypass.

35381 ..................... Thromboendarterectomy, with or without patch graft; femoral and/or popliteal, and/or tibioperoneal.

35501 ..................... Bypass graft, with vein; carotid.

35506 ..................... Bypass graft, with vein; carotid-subclavian.

35507 ..................... Bypass graft, with vein; subclavian-carotid.

35508 ..................... Bypass graft, with vein; carotid-vertebral.

35509 ..................... Bypass graft, with vein; carotid-carotid.

35515 ..................... Bypass graft, with vein; subclavian-vertebral.

35516 ..................... Bypass graft, with vein; subclavian-axillary.

35541 ..................... Bypass graft, with vein; aortoiliac or bi-iliac.

35546 ..................... Bypass graft, with vein; aortofemoral or bifemoral.

35556 ..................... Bypass graft, with vein; femoral-popliteal.

35566 ..................... Bypass graft, with vein; femoral-anterior tibial, posterior tibial, peroneal artery or other distal v essels.

35583 ..................... In-situ vein bypass; femoral-popliteal.

35585 ..................... In-situ vein bypass; femoral-anterior tibial, posterior tibial,or peroneal artery.

35601 ..................... Bypass graft, with other than vein; carotid.

35606 ..................... Bypass graft, with other than vein; carotid-subclavian.


# 37230 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 44

— Continued

CPT code Descriptor

35612 ..................... Bypass graft, with other than vein; subclavian-subclavian.

35616 ..................... Bypass graft, with other than vein; subclavian-axillary.

35641 ..................... Bypass graft, with other than vein; aortoiliac or bi-iliac.

35642 ..................... Bypass graft, with other than vein; carotid-vertebral.

37720 ..................... Ligation and division and complete stripping of long or short saphenous veins.

60600 ..................... Excision of carotid body tumor; without excision of carotid artery.

60605 ..................... Excision of carotid body tumor; with excision of carotid artery.



# For all codes, a standard RUC survey

was used. All but the following CPT

codes had 30 or more responses: 34471

(28 responses), 35508 (23 responses),

35515 (18 responses), 35516 (29

responses), 35616 (29 responses), 60600

(19 responses). The specialty society

also used the intra-service times and

length of stay data from the NSQIP

database to develop some of its

recommendations. A specialty society

consensus panel then assigned preservice times, and immediate postservice times, as well as IWPUT

estimates.

RUC Recommendations

The RUC agreed with the specialty

society that the following CPT codes

cannot undergo the RUC evaluation

process before having their descriptors

revised and recommended referring

these CPT codes to the CPT Editorial

panel: 35381, 35501, 35507, 35509,

35541, 35546, 35601, 35641 and 37720.

(Note that CPT code 37720 was

subsequently deleted by CPT for CY

2006.) For the remaining codes, the RUC

reviewed both the survey data and the

NSQIP data, where provided, for each

procedure. In many instances, where the

NSQIP time and length of stay data were

available, the RUC believed that the

physicians responding to the survey

underestimated their intra-service time

and that the NSQIP data more

accurately reflected the actual intraservice times for these procedures.

The RUC accepted the specialty

society ’ s requested increase in work

RVUs for 12 CPT codes, agreeing with

the specialty society that these procedures were undervalued due to

compelling evidence such as changes in

length of stay, changes in patient

populations, and incorrect assumptions

made in the previous valuation of the

service. For CPT codes 27880, 28805,

34001, 34471, 35506, 35508, 35515,

35516, 35606, 60600 and 60605, the

RUC-recommended work RVUs were at

the survey median or lower. However,

for CPT code 33877, the RUC accepted

a work value greater than the survey ’ s 75th percentile that was derived from a

building-block approach using the

NSQIP data for the service. The RUC

increased the work RVUs for nine codes.

For eight of the codes, the increases

were at levels below those requested by

the specialty society, and for one code

the increase was slightly higher than the

requested work RVUs. For CPT codes

35081, 35216, 35583 and 35616, the

recommended increase was no higher

than the surveyed median work RVUs.

For CPT codes 34201, 35102, 35556,

35566, and 35585, the RUC accepted

work values greater than the survey ’ s median percentile that were derived

from a building-block approach using

the NSQIP data for the service.

The specific RUC-recommended work

RVUs for these CPT codes are as

follows: 27880 = 13.75 work RVUs;

28805 = 11.25 work RVUs; 33877 =

64.04 work RVUs; 34001 = 16.25 work

RVUs; 34201 = 18.31 work RVUs; 34471

= 20.00 work RVUs; 35081 = 31.00 work

RVUs; 35102 = 36.28 work RVUs; 35216

= 34.00 work RVUs; 35506 = 23.75 work

RVUs; 35508 = 25.00 work RVUs; 35515

= 25.00 work RVUs; 35516 = 23.00 work

RVUs; 35556 = 27.25 work RVUs; 35566 = 32.00 work RVUs; 35583 = 26.00 work

RVUs; 35585 = 32.00 work RVUs; 35606

= 21.00 work RVUs; 35616 = 21.00 work

RVUs; 60600 = 24.00 work RVUs; and

60605 = 30.50 work RVUs.

CMS Proposed Valuation

We accept the RUC-recommended

work RVUs for CPT codes 27880, 28805,

34001, 34471, 35216, 35506, 35508,

35515, 35516, 35606, 60600, 60605,

35081, 35583, and 35616.

We disagree with the RUC

recommendations for CPT codes 33877,

34201, 35102, 35556, 35566, and 35585.

For these services, the RUC used the

NSQIP time data to increase the work

values above the survey median, and

even for above several codes the 75th

percentile. For the reasons discussed

above, we reject such a use of the NSQIP

data at this time. Therefore, we are

proposing to use the survey median

work RVUs for these CPT codes: 33877

= 53.00 work RVUs; 34201 = 17.00 work

RVUs; 35102 = 34.00 work RVUs; 35556

= 25.00 work RVUs; 35566 = 30.00 work

RVUs; and 35585 = 30.00 work RVUs.

8. Otolaryngology and Ophthalmology

[If you choose to comment on issues

in this section, please include the

caption ‘‘ DISCUSSION OF

COMMENTS

– OTOLARYNGOLOGY

AND OPTHALMOLOGY ’’ at the

beginning of your comments.]

a. Otolaryngology Procedures

The American Academy of

Otolaryngology

— Head and Neck

Surgery (AAO-HNS) submitted the CPT

codes in Table 45 for review.



# T ABLE 

# 45

CPT code Descriptor

31225 ..................... Maxillectomy; without orbital extenteration.

31230 ..................... Maxillectomy; with orbital exenteration (en bloc).

31360 ..................... Laryngectomy; total, without radical neck dissection.

31365 ..................... Laryngectomy; total, with radical neck dissection.

31367 ..................... Laryngectomy; subtotal supraglottic, without radical neck dissection.

31368 ..................... Laryngectomy; subtotal supraglottic, with radical neck dissection.

31370 ..................... Partial laryngectomy (hemilaryngectomy); horizontal.

31375 ..................... Partial laryngectomy (hemilaryngectomy); laterovertical.

31380 ..................... Partial laryngectomy (hemilaryngectomy); anterovertical.

31382 ..................... Partial laryngectomy (hemilaryngectomy); antero-latero-vertical.


# 37231 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

T ABLE 

# 45

— Continued

CPT code Descriptor

31390 ..................... Pharyngolaryngectomy, with radical neck dissection; without reconstruction.

31395 ..................... Pharyngolaryngectomy, with radical neck dissection; with reconstruction.

38700 ..................... Suprahyoid lymphadenectomy.

38720 ..................... Cervical lymphadenectomy (complete).

38724 ..................... Cervical lymphadenectomy (modified radical neck dissection).

41120 ..................... Glossectomy; less than one-half tongue.

41130 ..................... Glossectomy; hemiglossectomy.

41135 ..................... Glossectomy; partial, with unilateral radical neck dissection.

41140 ..................... Glossectomy; complete or total, with or without tracheostomy, without radical neck dissection.

41145 ..................... Glossectomy; complete or total, with or without tracheostomy, with unilateral radical neck dissection

. 41150 ..................... Glossectomy; composite procedure with resection floor of mouth and mandibular resection, without radi cal neck dissection.

41153 ..................... Glossectomy; composite procedure with resection floor of mouth, with suprahyoid neck dissection.

41155 ..................... Glossectomy; composite procedure with resection floor of mouth, mandibular resection, and radical nec k dissection (Commando type).

42120 ..................... Resection of palate or extensive resection of lesion.

42842 ..................... Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; without closure.

42844 ..................... Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (e .g., tongue, buccal).

42845 ..................... Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with other flap.

42890 ..................... Limited pharyngectomy.

42892 ..................... Resection of lateral pharyngeal wall or pyriform sinus, direct closure by advancement of lateral and posterior pharyngeal

walls.

42894 ..................... Resection of pharyngeal wall requiring closure with myocutaneous flap.



# We initially requested that the RUC

review five CPT codes but then withdrew CPT code 31255 from the 5-

Year Review (see Table 46).



# T ABLE 

# 46

CPT code Descriptor

30520 ..................... Septoplasty or submucous resection, with or without cartilage scoring, contouring replacement with gr aft.

31255 ..................... Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior).

31575 ..................... Laryngoscopy, flexible fiberoptic; diagnostic.

31579 ..................... Laryngoscopy, flexible or rigid fiberoptic, with stroboscopy.

41100 ..................... Biopsy of tongue; anterior two-thirds.

69210 ..................... Removal impacted cerumen (separate procedure), one or both ears.



# RUC Recommendations

For one CPT code 42120, palate

resection procedure, the RUC, based on

the data presented by the specialty

society, agreed that there was increased

work and intensity involved in

comparison to other codes with similar

intensity. The RUC believed the survey

results reflected the complexity of the

patient, physician time and work

necessary in performing this procedure,

and recommended work RVUs of 11.00

for CPT code 42120.

The specialty society presented data

on two maxillectomy procedures, CPT

codes 31225 and 31230, which the RUC

also viewed as undervalued. The RUC

believed that the re-evaluation of these

two codes corrects rank order anomalies

and accounts for the appropriate

intensity for each procedure. The RUC

recommended work RVUs of 24.00 for

CPT code 31225 and 28.00 for CPT code

31230.

For three lymphadendectomy

procedures, CPT codes 38700, 38720,

and 38724, the specialty society presented data with the rationale that

the previous valuation was flawed

because the procedures were not

evaluated by otolaryngologists. The RUC

believed that the survey results reflected

the appropriate complexity of the

patient, physician time and work

necessary in performing the procedure,

and justified an increase in physician

work. The RUC-recommended work

RVUs for these CPT codes are as

follows: 38700 = 12.00 work RVUs;

38720 = 20.00 work RVUs; and 38724 =

22.00 work RVUs.

The specialty society presented

survey data on three pharyngectomy

procedures, CPT codes 42890, 42892,

and 42894, which had never been

reviewed by the RUC. The RUC agreed

that there was a change in the patient

population and that the increased

intensity involved in these procedures

was comparable to other codes with

similar intensity. The RUC

recommended the increase

demonstrated by the survey median

which was 17.00 work RVUs for CPT code 42890, 23.09 work RVUs for CPT

code 42892, and 30.00 work RVUs for

CPT code 42894.

The specialty society presented

survey data on three tonsillectomy

procedures, CPT codes 42842, 42844,

and 42845, which the RUC agreed were

undervalued due to a previous flawed

methodology. The RUC believed that the

survey results reflected the appropriate

physician work and time necessary in

performing this procedure and

recommended the following work RVUs

for these CPT codes: 42842 = 11.00 work

RVUs; 42844 = 16.10 work RVUs; and

42845 = 32.00 work RVUs.

For the partial glossectomy

procedures, CPT codes 41120, 41130,

and 41135, the RUC believed that there

was not compelling evidence to increase

the work for CPT code 41120, and,

therefore, recommended maintaining

the current value for this service. The

RUC also agreed that increasing the

values for the two remaining procedures

would correct the existing rank order

anomalies and that these increases were


# 37232 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

justified by survey results. The

recommendation for the work RVUs for

these CPT codes is as follows: 41120 =

9.76 work RVUs; 41130 = 14.00 work

RVUs; and 41135 = 27.00 work RVUs.

For complete glossectomy procedures,

CPT codes 41140 and 41145, the

specialty society presented survey data

on these procedures and suggested

decreasing the work RVU of CPT code

41140. The RUC believed that the

survey results did not justify decreasing

the work RVUs for this service,

particularly because over half of the

survey respondents indicated that the

work of performing CPT code 41140 has

not changed in the past 5 years.

Therefore, the RUC recommended

maintaining the value for this code. The

RUC believed that the flawed

methodology previously used for

valuing CPT code 41145 caused this

procedure to be misvalued and that an

increase in work was validated by the

survey median results. The RUC

recommended the following work RVUs

for these CPT codes: 41140 = 25.46 work

RVUs; and 41145 = 34.00 work RVUs.

For the composite glossectomy

procedures, CPT codes 41150, 41153,

and 41155, the specialty society

presented survey data on each of these

procedures, noting that the current work

RVUs for each of these services create a

rank order anomaly. The RUC agreed

that increasing the RVUs would correct

these rank order anomalies and that

these increases were justified by the

survey results. The RUC-recommended

work RVUs for these CPT codes are as

follows: 41150 = 26.50 work RVUs;

41153 = 34.00 work RVUs; and 41155 =

40.00 work RVUs.

For the laryngopharyngectomy

procedures, CPT codes 31360, 31365,

31390 and 31395, the specialty society

presented as compelling evidence the

rationale that the current work RVUs

create rank order anomalies, and that

there also has been a change in the

patient population. The RUC agreed that

increasing the RVUs of these procedures

by accepting the 75th percentile of

survey results corrected the specific

rank order anomalies and also

accounted for the change in the patient

population. The RUC-recommended

work RVUs for these CPT codes are as

follows: 31360 = 28.00 work RVUs;

31365 = 37.00 work RVUs; 31390 =

40.00 work RVUs; and 31395 = 44.00

work RVUs.

For the laryngectomy procedures, CPT

codes 31367, 31368, 31370, 31375,

31380 and 31382, the specialty society

presented survey data with the rationale

that the current work values are based

on a flawed methodology that creates

rank order anomalies, and that there also has been a change in patient

population. The RUC agreed with the

specialty society and recommended

increasing the work RVUs for these

services to maintain rank order between

the codes in the family and to establish

the correct intensity of the procedure

based on the change in patient

population. The RUC-recommended

work RVUs for these CPT codes are:

31367 = 27.36 work RVUs; 31368 =

36.00 work RVUs; 31370 = 25.00 work

RVUs; 31375 = 25.00 work RVUs; 31380

= 25.00 work RVUs; and 31382 = 28.00

work RVUs.

For CPT code 30520, based on the

increase in physician time in the current

survey data, the RUC believed that the

service was misvalued and that there

was additional work involved which

was not previously captured. Using the

building-block methodology, the RUC

recommended a work RVU of 6.27 for

CPT code 30520.

For CPT codes 31575 and 31579, the

RUC agreed with the specialty society

that the surveys validate the current

values. The RUC also believed that the

survey validated the current work value

for CPT code 41100, particularly

because 98 percent of survey

respondents indicated that the work in

performing this service has not changed

in the past 5 years. The RUC

recommended maintaining the original

work values of 1.10 work RVUs for CPT

code 31575, 2.26 work RVUs for CPT

code 31579, and 1.63 work RVUs for

CPT code 41100.

The specialty society provided survey

data for CPT code 69210 using the

rationale that the patient population had

become more complex. The RUC did not

agree with the specialty society that the

patient population had changed because

94 percent of the survey respondents

indicated that the work in performing

this service has not changed in the past

5 years. The RUC recommended

maintaining the current work value of

0.61 for this service.

CMS Proposed Valuation

We are in agreement with the RUCrecommended work RVUs for the

following otolaryngology CPT codes:

38700, 38720, 38724, 41120, 41130,

41135, 41140, 41145, 42120, 42890,

42892, and 42894.

For the tonsillectomy procedures,

CPT codes 42842, 42844, and 42845, the

number of hospital days decreased by at

least two days (including critical care

visits for one code), but the outpatient

post-operative visits increased by one.

The median values for intra-service

times were accepted by the RUC for

these services, which is an indication

that a value other than the 75th percentile for work also may be

appropriate. CPT codes 42842 and

42844 were valued at the median work

RVU obtained from the surveys.

However, CPT code 42845 was valued

by the RUC at the 75th percentile for

work. Therefore, we are accepting the

median recommended work values for

CPT codes 42842 of 11.00 work RVUs

and 42844 of 16.10 work RVUs and,

consistent with use of the median,

proposing work RVUs for CPT code

42845 of 29.00.

For the composite glossectomy

procedures, CPT codes 41150, 41153,

and 41155, the number of hospital days

decreased by at least 2 days (including,

in some instances, critical care visits).

CPT codes 41153 and 41155 were

valued by the RUC at the 75th percentile

for work, but CPT code 41150 was

valued based on the median work value.

The median values for intra-service

times were accepted by the RUC for

these services, which is an indication

that a value other than the 75th

percentile for work also may be

appropriate. Therefore, we are accepting

the RUC-recommended work RVUs of

26.50 for CPT code 41150 which were

based on the median work value, and

consistent with use of the median

proposing work RVUs of 30.00 for CPT

code 41153 and 36.00 for CPT code

41155.

For the laryngopharyngectomy

procedures, CPT codes 31360, 31365,

31367, 31368, 31370, 31375, 31380,

31382, 31390 and 31395, the number of

hospital days decreased by at least two

days and the post-operative outpatient

visits increased by one day. However, in

one instance the number of outpatient

visits decreased (CPT code 31395). The

median values for intra-service times

were accepted by the RUC for these

services, which is an indication that a

value other than the 75th percentile for

work also may be appropriate.

Therefore, we are proposing using

median values for these services

resulting in the following work RVUs

for these CPT codes: 31360 = 24.00 work

RVUs; 31365 = 31.50 work RVUs; 31367

= 24.00 work RVUs; 31368 = 30.50 work

RVUs; 31370 = 24.00 work RVUs; 31375

= 22.50 work RVUs; 31380 = 22.00 work

RVUs; 31382 = 25.00 work RVUs; 31390

= 35.00 work RVUs; and 31395 = 39.50

work RVUs.

For CPT codes 30520, 31575, 31579,

41100 and 69210, we are in agreement

with the RUC-recommended work RVUs

for these services, except for CPT code

41100. The RUC recommended

maintaining the current work RVUs of

1.63 for this service, which is even

greater than the 75th percentile for

work, which is what the specialty


# 37233 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

society had recommended. We believe

the more appropriate work RVUs for

this service is represented by the

median, which is 1.37, and, therefore,

we are recommending 1.37 work RVUs

for CPT code 41100.

We would note that although we

accepted the RUC ’ s recommendation of

a work RVU of 0.61 for CPT code 69210,

we are concerned with this valuation for

the use of this code for routine removal

of ear wax during a physical

examination of a patient. This code is

listed with a ‘‘ separate procedure ’’

designation in the CPT code book, meaning that it is billed most properly

when it is the only service provided for

a particular date of service. However,

Medicare data used for evaluation of

codes in the current 5-Year Review

indicate that CPT code 69210 was billed

with an E/M service 63 percent of the

time. It is our understanding that CPT

code 69210 is to be used when there is

a substantial amount of cerumen in the

external ear canal that is very difficult

to remove and that impairs the patient ’ s auditory function. We will continue to

monitor the use of this code for the

appropriate circumstances. b. Ophthalmology Services

The American Academy of

Ophthalmology (AAO), the American

Optometric Association (AOA) and the

American Society of Cataract and

Refractive Surgery submitted 15 codes

for the 5-Year Review (see Table 47).

However, the specialty societies

subsequently withdrew five of these

codes (CPT codes 65420, 65900, 67917,

67924 and 68750) from the 5-Year

Review.



# T ABLE 

# 47

CPT code Descriptor

65420 ..................... Excision or transposition of pterygium; without graft.

65426 ..................... Excision or transposition of pterygium; with graft.

65850 ..................... Trabeculotomy ab externo.

65900 ..................... Removal of epithelial downgrowth, anterior chamber of eye.

67414 ..................... Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decomp ression.

67445 ..................... Orbitotomy with bone flap or window, lateral approach (e.g., Kroenlein); with removal of bone for dec ompression.

67500 ..................... Retrobulbar injection; medication (separate procedure, does not include supply of medication).

67505 ..................... Retrobulbar injection; alcohol.

67515 ..................... Injection of medication or other substance into Tenon ’ s capsule.

67904 ..................... Repair of blepharoptosis; (tarso) levator resection or advancement, external approach.

67911 ..................... Correction of lid retraction.

67917 ..................... Repair of ectropion; extensive (e.g., tarsal strip operations).

67924 ..................... Repair of entropion; extensive (e.g., tarsal strip or capsulopalpebral fascia repairs operation).

67966 ..................... Excision and repair of eyelid, involving lid margin, tarsus, conjunctiva, canthus, or full thickness, may include preparation

for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin.

68750 ..................... Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent

.



# We submitted the following

ophthalmology CPT codes for review

(see Table 48).



# T ABLE 

# 48

CPT code Descriptor

66761 ..................... Iridotomy/iridectomy by laser surgery (e.g., for glaucoma) (one or more sessions).

66821 ..................... Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid ); laser surgery

(e.g., YAG laser) (one or more stages).

66984 ..................... Extracapsular cataract removal with insertion of intraocular lens prosthesis (one stage procedure), m anual or mechanical

technique (e.g., irrigation and aspiration or phacoemulsification).

67038 ..................... Vitrectomy, mechanical, pars plana approach; with epiretinal membrane stripping.

67221 ..................... Destruction of localized lesion of choroid (e.g., choroidal neovascularization); photodynamic therapy (includes intravenous

infusion).

67228 ..................... Destruction of extensive or progressive retinopathy (e.g., diabetic retinopathy), one or more session s; photocoagulation

(laser or xenon arc).

67820 ..................... Correction of trichiasis; epilation, by forceps only.

67840 ..................... Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure.

68840 ..................... Probing of lacrimal canaliculi, with or without irrigation.

76519 ..................... Ophthalmic biometry by ultrasound echography, A-scan; with intraocular lens power calculation.

92083 ..................... Visual field examination, unilateral or bilateral, with interpretation and report; extended examinati on (e.g., Goldmann visual

fields with at least 3 isopters plotted and static determination within the central 30 ° , or quantitative, automated threshold

perimetry, Octopus program G

– 1, 32 or 42, Humphrey visual field analyzer full threshold programs 30

– 2, 24

– 2 or 30/

60

– 2.

92226 ..................... Ophthalmoscopy, extended, with retinal drawing (e.g., for retinal detachment, melanoma), with interpr etation and report;

subsequent.

92235 ..................... Fluorescein angiography (includes multiframe imaging) with interpretation and report.

92250 ..................... Fundus photography with interpretation and report.


# 37234 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

RUC Recommendations

The RUC questioned the survey

results for CPT codes 67038 and 67228

and indicated that the survey data may

be flawed because respondents may

have based their answers on a different

number of membranes stripped or

sessions conducted. The RUC

recommended that these two CPT codes

be referred to the CPT Editorial Panel

for clarification.

Based on a review of the survey data,

the RUC agreed with the specialty

society that the survey results

demonstrated that the work had not

changed and, thus, that the current work

RVUs should be retained for the

following CPT codes: 66761 = 4.06 work

RVUs; 67840 = 2.04 work RVUs; 68840

= 1.25 work RVUs; 76519 = 0.54 work

RVUs; 92226 = 0.33 work RVUs; 92235

= 0.81 work RVUs; and 92250 = 0.44

work RVUs. In addition, the RUC

recommended retaining the work RVU

of 0.50 for CPT code 92083 because the

specialty society had not presented

compelling evidence that the physician

work had changed.

For CPT codes 67221, 67820, and

66984, the RUC recommended

reductions in the work RVUs. The RUC

used a building-block approach based

on the work RVU of 3.24 for the

reference CPT code 67141, Prophylaxis

of retinal detachment (e.g., retinal

break, lattice degeneration) without

drainage, one or more sessions;

cryotherapy, diathermy , and the work

RVUs of 0.21 for the infusion code

G0347, which contain comparable work.

The RUC recommended work RVUs of

3.45 for CPT code 67221.

The RUC supported the specialty

society ’ s recommendation to decrease

the work value for CPT code 67820

based on evidence that the previous

Harvard survey data was flawed. The

RUC agreed with assigning work RVUs

of 0.71 to CPT code 67820 based on a

comparison/crosswalk to the key

reference service, CPT code 65205,

Removal of foreign body, external eye; conjunctival superficial , which has

work RVUs of 0.71.

For CPT code 66984, the RUC did not

agree with the specialty society

recommendation that the current work

RVU of 10.21 should be maintained,

because changes in technology and

technique in the last 10 years have led

to increased efficiencies. The RUC

concluded that these efficiencies

resulted in a lower overall time for the

procedure. The RUC used the previous

survey pre-service time of 44 minutes

and subtracted the current survey preservice time of 25 minutes for a

difference of 19 minutes. These 19

minutes were then multiplied by an

IWPUT of 0.0224, resulting in an RVU

of 0.43, which was subtracted from the

current value. The RUC agreed that

although the intra-service physician

time has decreased from the historical

50 minutes to the current survey time of

30 minutes as indicated by the survey

respondents, the decrease in time

reflects a decrease of only low intensity

work (that is, suturing) and no further

decrease in work RVUs was

recommended. Therefore, the RUC

recommended work RVUs of 9.78 for

CPT code 66984.

The RUC agreed with the specialty

society that there was compelling

evidence to support the increases for

CPT codes 67414, 67445, 67500, 67515,

67904, 67911, and 67966, either because

the current work RVUs caused rank

order anomalies, the previous Harvard

survey data was misvalued when

compared to codes with similar values,

or there was a change in the technique

of performing the procedures

(specifically for CPT codes 67911 and

67966, in which skin-grafting is bundled

into these codes). However, for two CPT

codes, 65426 and 65850, while the RUC

recognized that there was compelling

evidence to support increases, the RUC

did not agree with the specific increases

recommended by the specialty society.

For CPT code 65426, the RUC

believed that evidence suggested a change in technique for this procedure,

and believed that a value close to the

survey ’ s 25th percentile was justified by

using a building-block approach. For

CPT code 65850, the RUC agreed that

there is a rank order anomaly between

CPT codes 65850 and 66170,

Fistualization of sclera for glaucoma;

trabeculectomy ab externo in absence of

previous surgery , as well as a change in

the patient population. The RUC

believed an increase in value was

justified by using a building-block

approach. The RUC recommended 5.85

work RVUs for CPT code 65426 and

11.14 work RVUs for CPT code 65850.

For CPT code 66821, the RUC agreed

that the intensity of this procedure was

misvalued and that an increase in the

relative value would be appropriate.

The RUC disagreed with our previous

intensity crosswalk to CPT code 66984,

Extracapsular cataract removal with

insertion of intraocular lens prosthesis

(one stage procedure), manual or

mechanical technique (e.g., irrigation

and aspiration or phacoemulsification)

, specified in the Five-Year Review of

Work Relative Value Units Under the

Physician Fee Schedule proposed notice

(May 3, 1996; 61 FR 20027). The RUC

believed that the previous survey from

1995 should stand on its own as an

acceptable survey due to the

inappropriate selection by HCFA in

1995 of intensity for this code. The

RUC-recommended work RVU for this

service is 2.78, the same value

recommended by the RUC in 1995.

CMS Proposed Valuation

We are in agreement with the RUC

recommended work values for these

ophthalmology services.

c. Additional Codes

The American Speech-LanguageHearing Association (ASHA) submitted

the following speech and audiology CPT

codes (see Table 49) but subsequently

withdrew them from the 5-Year Review.



# T ABLE 

# 49

CPT code Descriptor

92506 ..................... Evaluation of speech, language, voice, communication, and/or auditory processing.

92507 ..................... Treatment of speech, language, voice, communication, and/or auditory processing disorder; individual.

92508 ..................... Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, two or more individuals.

92510 ..................... Aural rehabilitation following cochlear implant (includes evaluation of aural rehabilitation status a nd hearing, therapeutic

services) with or without speech processor programming

92516 ..................... Facial nerve function studies (e.g., electroneuronography).

92520 ..................... Laryngeal function studies (ie, aerodynamic testing and acoustic testing).

92526 ..................... Treatment of swallowing dysfunction and/or oral function for feeding.

92541 ..................... Spontaneous nystagmus test, including gaze and fixation nystagmus, with recording.

92542 ..................... Positional nystagmus test, minimum of 4 positions, with recording.

92543 ..................... Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes four tests), wi th recording.

92544 ..................... Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recording.


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T ABLE 

# 49

— Continued

CPT code Descriptor

92545 ..................... Oscillating tracking test, with recording.

92546 ..................... Sinusoidal vertical axis rotational testing.

92547 ..................... Use of vertical electrodes (List separately in addition to code for primary procedure).

92548 ..................... Computerized dynamic posturography.

92551 ..................... Screening test, pure tone, air only.

92552 ..................... Pure tone audiometry (threshold); air only.

92553 ..................... Pure tone audiometry (threshold); air and bone.

92555 ..................... Speech audiometry threshold.

92556 ..................... Speech audiometry threshold; with speech recognition.

92557 ..................... Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined).

92559 ..................... Audiometric testing of groups.

92560 ..................... Bekesy audiometry; screening.

92561 ..................... Bekesy audiometry; diagnostic.

92562 ..................... Loudness balance test, alternate binaural or monaural.

92563 ..................... Tone decay test.

92564 ..................... Short increment sensitivity index (SISI).

92565 ..................... Stenger test, pure tone.

92567 ..................... Tympanometry (impedance testing).

92568 ..................... Acoustic reflex testing; threshold.

92569 ..................... Acoustic reflex testing; decay.

92571 ..................... Filtered speech test.

92572 ..................... Staggered spondaic word test.

92573 ..................... Lombard test.

92575 ..................... Sensorineural acuity level test.

92576 ..................... Synthetic sentence identification test.

92579 ..................... Visual reinforcement audiometry (VRA)

92582 ..................... Conditioning play audiometry.

92583 ..................... Select picture audiometry.

92584 ..................... Electrocochleography.

92585 ..................... Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous syste m; comprehensive.

92586 ..................... Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous syste m; limited.

92587 ..................... Evoked otoacoustic emissions; limited (single stimulus level, either transient or distortion products ).

92588 ..................... Evoked otoacoustic emissions; comprehensive or diagnostic evaluation (comparison of transient and/or distortion product

otoacoustic emissions at multiple levels and frequencies).

92596 ..................... Ear protector attenuation measurements.

92597 ..................... Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech.

92601 ..................... Diagnostic analysis of cochlear implant, patient under 7 years of age; with programming.

92602 ..................... Diagnostic analysis of cochlear implant, patient under 7 years of age; subsequent reprogramming.

92603 ..................... Diagnostic analysis of cochlear implant, age 7 years or older; with programming.

92604 ..................... Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogramming.

92605 ..................... Evaluation for prescription of non-speech-generating augmentative and alternative communication devic e. 92606 ..................... Therapeutic service(s) for the use of non-speech-generating device, including programming and modific ation.

92607 ..................... Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with

the patient; first hour.

92608 ..................... Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with

the patient; each additional 30 minutes (List separately in addition to code for primary procedure).

92609 ..................... Therapeutic services for the use of speech-generating device, including programming and modification

92610 ..................... Evaluation of oral and pharyngeal swallowing function.

92611 ..................... Motion fluoroscopic evaluation of swallowing function by cine or video recording.

92612 ..................... Flexible fiberoptic endoscopic evaluation of swallowing by cine or video recording.

92614 ..................... Flexible fiberoptic endoscopic evaluation, laryngeal sensory testing by cine or video recording.

92616 ..................... Flexible fiberoptic endoscopic evaluation of swallowing and laryngeal sensory testing by cine or vide o recording.

92620 ..................... Evaluation of central auditory function, with report; initial 60 minutes.

92621 ..................... Evaluation of central auditory function, with report; each additional 15 minutes.

92625 ..................... Assessment of tinnitus (includes pitch, loudness matching, and masking).



# 9. HCPAC Codes

a. Podiatric Services

[If you choose to comment on issues

in this section, please include the caption ‘‘ DISCUSSION OF

COMMENTS

— HCPAC CODES ’’ at the

beginning of your comments.] We submitted the podiatric services

in Table 50 for review.



# T ABLE 

# 50

CPT code Descriptor

10060 ..................... Incision and drainage of abscess (e.g., carbuncle, suppurative hidradenitis, cutaneous or subcutaneou s abscess, cyst, furuncle, or paronychia); simple or single.

11040 ..................... Debridement; skin, partial thickness.


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T ABLE 

# 50

— Continued

CPT code Descriptor

11041 ..................... Debridement; skin, full thickness.

11042 ..................... Debridement; skin, and subcutaneous tissue.

11730 ..................... Avulsion of nail plate, partial or complete, simple; single.

29580 ..................... Strapping; Unna boot.



# HCPAC Recommendation

The HCPAC agreed with the specialty

society that there was compelling

evidence that the valuation of these

services was incorrect due to a flawed

methodology used in the previous

Harvard valuation for all six podiatric

codes. Based on the survey data, the

specialty society requested that the

work RVU increase for four codes and

decrease for two codes.

For CPT codes 10060 and 29580, the

HCPAC supported an increase in the

existing work values for these codes and

recommended a work RVU of 1.50 for

CPT code 10060 and 0.60 for CPT code

29580, which represent the survey

median of the survey data for these

services.

For CPT code 11040, the HCPAC did

not support the work RVU increase

recommended by the specialty society,

but instead recommended a work RVU

of 0.55, which represented the 25th

percentile work RVU from the survey

data.

For CPT codes 11041 and 11730, the

HCPAC recommended a decrease in the

work RVUs and, based on the median

from the survey data, recommended a

work RVU of 0.80 for CPT code 11041

and 1.10 for CPT code 11730.

For CPT code 11042, the HCPAC did

not agree with the specialty society that the work RVU should be increased to

1.20 work RVUs. The HCPAC

recommended maintaining the current

work RVU of 1.12 for this CPT code,

which was slightly higher than the

survey ’ s 25th percentile work value of

1.10 work RVUs.

The HCPAC-recommended work

values for these services are as follows:

10060 = 1.50 work RVUs; 11040 = 0.55

work RVUs; 11041 = 0.80 work RVUs;

11042 = 1.12 work RVUs; 11730 = 1.10

work RVUs; and 29580 = 0.60 work

RVUs.

CMS Proposed Valuation

For CPT code 10060, we compared

the survey times them with the current

Harvard-based times used to value this

service. These times are comparable

and, therefore, we are recommending

maintaining the current work RVUs of

1.17 for this code.

For CPT code 29580, we compared

the current Harvard-based times with

the survey times. Due to the small

reduction in time, the recommended

increase in work RVUs is not supported.

Therefore, we are proposing to assign

0.55 work RVUs to this service, which

represents the 25th percentile of the

survey and more accurately represents

the time associated with this service. For CPT code 11730, the current work

RVUs are slightly more (0.03) than the

recommended value and the survey

time is approximately 30 percent greater

than the current Harvard-based time.

For these reasons, we agree with the

HCPAC ’ s recommendation of 1.10 work

RVUs for 11730 which represents the

median survey value.

For CPT codes 11040, 11041 and

11042, the survey times all reflect

significant reductions from current

Harvard-based times used to value these

services. Based on this comparison

which shows decreases in time ranging

from 47 percent to 68 percent, we

believe that the low values from the

surveys more accurately represent the

valuation of these services. Therefore,

we are proposing to assign work RVUs

as follows: 11040 = 0.48 work RVUs;

11041 = 0.60 work RVUs; and 11042 =

0.80 work RVUs. In addition, to ensure

that the other codes in this family are

properly valued, we recommend the

RUC should review the valuation of CPT

codes 11043 and 11044.

b. Other HCPAC Codes

The American Dietetic Association

submitted five CPT and HCPCS codes

related to medical nutrition services that

were referred to the CPT Editorial Panel

(see Table 51).



# T ABLE 

# 51

CPT code Descriptor

97802 ..................... Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the pat ient, each 15 minutes.

97803 ..................... Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutes.

97804 ..................... Medical nutrition therapy; group (2 or more individual(s)), each 30 minutes G0270 Medical nutrition t herapy; reassessment

and subsequent intervention(s) following second referral in same year for change in diagnosis, medical condition, or

treatment regimen (including additional hours needed for renal disease), individual, face to face with the patient, each

15 minutes.

G0270 ..................... Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in s ame year for change

in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), individual,

face to face with the patient, each 15 minutes.

G0271 ..................... Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in s ame year for change

in diagnosis, medical condition, or treatment regimen (including additional hours needed for renal disease), group (2 or

more individuals), each 30 minutes.



# Additionally, the ASHA submitted

CPT code 96105, Assessment of aphasia

(includes assessment of expressive and

receptive speech and language function,

language comprehension, speech

production ability, reading, spelling, writing, e.g., by Boston Diagnostic

Aphasia Examination) with

interpretation and report, per hour, for

review but subsequently withdrew this

code. C. Other Issues Under the 5-Year Review

[If you choose to comment on issues

in this section, please include the

caption ‘‘ OTHER ISSUES ’’ at the

beginning of your comments.]


# 37237 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

1. Anesthesia Services

Although anesthesia services are paid

under the PFS, they are paid on the

basis of an anesthesia code-specific base

unit and time units that vary based on

the anesthesia time of the case. Since

anesthesia services do not have a work

value per code as do other medical and

surgical services, a work value must be

imputed for each anesthesia code. For

the last 5-Year Review, this imputed

work value was compared to an actual

work value determined by the RUC and

the ASA through a building-block

approach. Under the building-block

approach, each anesthesia code was

uniformly divided into five

components: pre-anesthesia, equipment

and supply preparation, induction

period, post-induction anesthesia

period, and post-anesthesia. The work

was determined for each of the five

components and summed to calculate

total anesthesia work for the anesthesia

code.

Although the ASA submitted one

anesthesia code and several other codes

for this 5-Year Review, they continue to

believe the work of anesthesia services

remain seriously undervalued. The last

5-Year Review of anesthesia services

proved to be a very laborious and

exhaustive process involving several

different RUC workgroups. The

valuation of anesthesia work is a very

complex process as it involves relating

components of anesthesia services to

other medical and surgical services of

similar time and work. The ASA was

dissatisfied with the recommendations

made by the RUC for the last 5-Year

Review for anesthesia work. The major

points of disagreement were the use and

extent of extrapolation and the work

value for the post-induction anesthesia

period, which is the longest period of

the anesthesia service.

For the last 5-Year Review, the ASA

requested the RUC to extrapolate from

19 high volume anesthesia services,

which were studied and accounted for

over 50 percent of Medicare payments

for anesthesia services, to all anesthesia

services. The RUC thought that

extrapolation should be limited. That is,

an analysis of a single anesthesia code

based on a single surgical code was

insufficient when the anesthesia code

covers a large number of surgical codes.

For the last 5-Year Review, the buildingblock approach used a value of 0.025 for

the IWPUT for the post-induction

anesthesia period. This was a value that

the RUC agreed to, which we approved, although the ASA thought it was too

low.

As a result of its relationship with the

RUC and the past recommendations, the

ASA requested that we address the

valuation of anesthesia services reported

under CPT codes 00100 through 01999.

The ASA furnished an analysis that

builds on the methodology used in the

last 5-Year Review for the valuation of

work for anesthesia services.

Based on comparable physicians ’

services, the ASA believes that the more

appropriate IWPUT for the postinduction period is 0.043. Using this

IWPUT, the ASA calculated a scaling

factor and used this to recalculate the

post-induction work value and an

adjusted total work RVU for each of the

19 codes. Based on an extrapolation

from the 19 surveyed services used in

the last 5-Year Review, the ASA

proposed that the anesthesia work value

should be increased by 37.5 percent.

The extrapolation proposed by the ASA

is more far reaching than the

extrapolation used by the RUC in the

last 5-Year Review. We do not favor

using extrapolation other than on the

limited basis it was used in the last 5-

Year Review.

Since the ASA believes that the RUC

process does not work well for their

codes, they requested that we directly

evaluate their recommendations

independent of any RUC review of

input. Although there may be some

merit to the ASA approach, we believe

this analysis is more appropriately done

by a multispecialty workgroup within

the RUC itself. Thus, we are

recommending the valuation of

anesthesia services, namely the

proposed valuation of the postinduction time period, be referred to the

RUC for their review and consideration.

For example, the ASA and the RUC

could review the IWPUT for postinduction time, as currently proposed

by the ASA and compare this to the

corresponding IWPUT recognized in the

last 5-Year Review of anesthesia work

for the 19 surveyed codes.

A second issue concerning anesthesia

services pertains to the impact of the

revised work values for E/M services

and their relationship to the valuation of

pre- and post-anesthesia services,

components of the building-block

approach. The pre- and post-anesthesia

services derive their work values from

the lower level E/M codes for new

patients, the subsequent hospital care

codes and the initial inpatient consultation codes. We are proposing to

substitute the proposed revised work

values for E/M codes where applicable

and recompute the anesthesia work

values and their impact on the increase

in total anesthesia work. While this

results in a very minor adjustment to

anesthesia work (that is, less than 1

percent), we believe this approach

provides for the consistent application

of the proposed work RVUs changes.

2. Discussion of Post-Operative Visits

Included in the Global Surgical

Packages

We have established a national

definition for a global surgical package

so that payment is made consistently for

the same set of services across all

contractor jurisdictions. In constructing

the RVUs for a global surgery service, all

services that are believed to be typically

included in the defined global period

are built into the final resource-based

RVUs and are not separately billable

within the defined global period; this is

reflected in the proposed work RVUs in

Addenda B and C. This would include

pre-surgery work, the intra-service time

of actually performing the surgical

procedure, and the post-operative

(follow-up) visits associated with the

monitoring and recovery of the patient.

As stated above in this section, we are

proposing to apply the RUCrecommended new values for the E/M

services to all surgical services with a 10

or 90-day global period. However,

because of variations in the patient

population and in practice patterns,

there is some question whether the

assumptions about the number and level

of visits within the global period reflect

the actual post-operative work

performed. Some surgeons have

commented to us that they perform

more visits than are included in the

global period for their services. It is also

likely that some patients require fewer

than the ‘‘ typical ’’ number of follow-up

visits included in the global period.

Although we are not proposing any

changes to our global policy at this time,

we would be interested in receiving

comments concerning our current

policy of including these post-operative

visits in the global surgical packages

and what advantages or disadvantages

might be associated with proposing a

change to this policy in the future.

3. Codes Referred to CPT Editorial Panel

From Five-Year Review of Work

Relative Value Units


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# 37241 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

**BILLING CODE 4120**

**– 01** 

**– C** 



# 4. Budget Neutrality

Section 1848(c)(2)(B)(ii) of the Act

requires that increases or decreases in

RVUs for a year may not cause the

amount of expenditures for the year to

differ by more than $20 million from

what expenditures would have been in

the absence of these changes. If this

threshold is exceeded, we must make

adjustments to preserve budget

neutrality. This year, we expect that

budget-neutrality adjustments will be

required as a result of changes in RVUs

resulting from the 5-Year Review.

Revisions in payment policies,

including the establishment of interim

and final RVUs for coding changes that

will be announced later this year, may

result in additional budget-neutrality

adjustments.

We considered making the statutorily

required budget-neutrality adjustments

(under section 1848(c)(2)(B)(ii) of the

Act) to account for the 5-Year Review of

physician work by reducing all work

RVUs. We currently estimate that all

work RVUs would have to be reduced

by 10 percent under this option.

Alternatively, we considered making an

adjustment to the PFS CF to meet the

provisions of section 1848(c)(2)(B)(ii).

This option would require an estimated

5 percent reduction in the CF. We note

that the application of the budget

neutrality adjustment to the CF would

negatively impact all PFS services;

whereas the application of the budget

neutrality adjustment to the work RVUs

would impact only those services that

have physician work RVUs. Because the

need for a budget neutrality adjustment

would be largely due to changes proposed as a result of the 5-Year

Review of work RVUs, we believe it is

more equitable to apply the adjustment

across services that have work RVUs.

For this third 5-Year Review, we are

proposing to establish a budget

neutrality adjustor that would reduce all

work RVUs by an estimated 10 percent

to meet the budget neutrality provisions

of section 1848(c)(2)(B)(ii).

As we noted in the CY 2005 Physician

Fee Schedule final rule with comment

period (69 FR 66371), PE and

malpractice expense RVUs were not

subject to comment and will not be

recalculated (other than changes to PE

RVUs that result from changes in PE

inputs due to changes in physician time

or in the number of post procedure

visits as part of the 5-Year Review of

work RVUs).

5. Effect on Practice Expense Inputs

Stemming From the 5-Year Review

The proposed changes for work RVUs

reflect, in part, the physician ’ s time

needed to perform each service, as well

as the number and level of assumed

post-operative visits. To the extent that

the RUC recommended changes in the

times associated with the intra-service

portion of the procedure, we are also

proposing to adjust the clinical labor

time assigned for assisting the physician

in the nonfacility setting. In addition, if

an accepted new work RVU reflects a

change in the number or level of postoperative visits, we are proposing to

modify the clinical staff time to reflect

the change. This adjusted time is also

applied to the equipment used in the

post-operative visits. Where the number

of post-operative visits has changed, the number of minimum multi-specialty

visit (MMSV) packs will also be

adjusted accordingly. A MMSV pack

consists of the following supplies: exam

table paper, 2 pairs of non-sterile gloves,

a patient gown, a pillow case, and a

thermometer probe cover. These

changes in clinical labor and equipment

time and in the quantity of supplies will

have a minimal impact on the PE

component.

6. Nature and Format of Comments on

Work RVUs

We will accept comments on the

proposed work RVUs for the codes

identified in the Addendum C of this

notice. We will also accept comments

on the anesthesia code, CPT code 00797.

Comments should discuss how the work

associated with a given CPT or HCPCS

code is analogous to the work in other

services, or discuss the rationale for

agreeing or disagreeing with the

proposed work RVU. We are especially

interested in information or discussions

that were not presented in earlier

comments.

D. Resource-Based Practice Expense

(PE) RVUs

[If you choose to comment on issues

in this section, please include the

caption ‘‘ PRACTICE EXPENSE ’’ at the

beginning of your comments.]

Based on section 1848(c)(1)(B) of the

Act, practice expense (PE) is the portion

of the resources used in furnishing the

service that reflects the general

categories of physician and practitioner

expenses, such as office rent and wages

of personnel, but excluding malpractice

expenses.


# 37242 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

Section 121 of the Social Security

Amendments of 1994 (Pub. L. 103

– 432),

enacted on October 31, 1994, required

CMS to develop a methodology for a

resource-based system for determining

PE RVUs for each physician ’ s service.

Until that time, physicians ’ PEs were

based on historical allowed charges.

This legislation stated that the revised

PE methodology must consider the staff,

equipment, and supplies used in the

provision of various medical and

surgical services in various settings

beginning in 1998. The Secretary has

interpreted this to mean that Medicare

payments for each service would be

based on the relative PE resources

typically involved with performing the

service.

The initial implementation of

resource-based PE RVUs was delayed

from January 1, 1998, until January 1,

1999, by section 4505(a) of the Balanced

Budget Act of 1997 (BBA 97) (Pub. L.

105

– 33). In addition, section 4505(b) of

the BBA 97 required that the new

payment methodology be phased-in

over 4 years, effective for services

furnished in CY 1999, and fully

effective in CY 2002. The first step

toward implementation of the statute

was to adjust the PE values for certain

services for CY 1998. Section 4505(d) of

BBA 97 required that, in developing the

resource-based PE RVUs, the Secretary

must:

• Use, to the maximum extent

possible, generally accepted cost

accounting principles that recognize all

staff, equipment, supplies, and

expenses, not solely those that can be

linked to specific procedures.

• Develop a refinement method to be

used during the transition.

• Consider, in the course of notice

and comment rulemaking, impact

projections that compare new proposed

payment amounts to data on actual

physician PEs.

Beginning in CY 1999, we began the

four year transition to resource-based PE

RVUs. In CY 2002, the resource-based

PE RVUs were fully transitioned.

1. Current Methodology

The following sections discuss the

current PE methodology.

a. Data Sources

There are two primary data sources

used to calculate PE. The AMA ’ s Socioeconomic Monitoring System

(SMS) survey data are used to develop

the PE per hour (PE/HR) for each

specialty. The second source of data

used to calculate PE was originally

developed by the Clinical Practice

Expert Panels (CPEP). The CPEP data include the supplies, equipment and

staff times specific to each procedure.

The AMA developed the SMS survey

in 1981 and discontinued it in 1999.

Beginning in 2002, we incorporated the

1999 SMS survey data into our

calculation of the PE RVUs, using a 5-

year average of SMS survey data. (See

Revisions to Payment Policies and FiveYear Review of and Adjustments to the

Relative Value Units Under the

Physician Fee Schedule for CY 2002

final rule, published November 1, 2001

(66 FR 55246).) The SMS PE survey data

are adjusted to a common year, 1995.

The SMS data provide the following six

categories of PE costs:

• Clinical payroll expenses, which

are payroll expenses (including fringe

benefits) for nonphysician personnel.

• Administrative payroll expenses,

which are payroll expenses (including

fringe benefits) for nonphysician

personnel involved in administrative,

secretarial or clerical activities.

• Office expenses, which include

expenses for rent, mortgage interest,

depreciation on medical buildings,

utilities and telephones.

• Medical material and supply

expenses, which include expenses for

drugs, x-ray films, and disposable

medical products.

• Medical equipment expenses,

which include expenses depreciation,

leases, and rent of medical equipment

used in the diagnosis or treatment of

patients.

• All other expenses, which include

expenses for legal services, accounting,

office management, professional

association memberships, and any

professional expenses not mentioned

above.

In accordance with section 212 of the

Medicare, Medicaid and State Child

Health Insurance Program Balanced

Budget Refinement Act of 1999 (BBRA)

(Pub. L. 106

– 113), we established a

process to supplement the SMS data for

a specialty with data collected by

entities and organizations other than the

AMA (that is, the specialty itself). (See

the Criteria for Submitting

Supplemental Practice Expense Survey

Data interim final rule with comment

period, published on May 3, 2000 (65

FR 25664).) Originally, the deadline to

submit supplementary survey data was

through August 1, 2001. In the

Revisions to Payment Policies and FiveYear Review of and Adjustments to the

Relative Value Units Under the

Physician Fee Schedule for CY 2002

final rule (November 1, 2001; 66 FR

55246), the deadline was extended

through August 1, 2003. To ensure

maximum opportunity for specialties to

submit supplementary survey data, we extended the deadline to submit surveys

until March 1, 2005 in the Revisions to

Payment Policies Under the Physician

Fee Schedule for CY 2004 final rule,

(November 7, 2003; 68 FR 63196)

(hereinafter referred to as CY 2004 PFS

final rule).

The CPEPs consisted of panels of

physicians, practice administrators, and

nonphysicians (registered nurses (RNs),

for example) who were nominated by

physician specialty societies and other

groups. There were 15 CPEPs consisting

of 180 members from more than 61

specialties and subspecialties.

Approximately 50 percent of the

panelists were physicians.

The CPEPs identified specific inputs

involved in each physician service

provided in an office or facility setting.

The inputs identified were the quantity

and type of nonphysician labor, medical

supplies, and medical equipment.

In 1999, the AMA ’ s RUC established

the Practice Expense Advisory

Committee (PEAC). Since 1999, and

until March 2004, the PEAC, a multispecialty committee, reviewed the

original CPEP inputs and provided us

with recommendations for refining

these direct PE inputs for existing CPT

codes. Through its last meeting in

March 2004, the PEAC provided

recommendations, which we have

reviewed and accepted, for over 7,600

codes. As a result, the current CPEP

inputs differ markedly from those

originally recommended by the CPEPs.

The PEAC has now been replaced by the

Practice Expense Review Committee

(PERC), which acts to assist the RUC in

recommending PE inputs.

b. Allocation of PEs to Services

To establish PE RVUs for specific

services, it is necessary to establish the

direct and indirect PE associated with

each service. Our current approach

allocates aggregate specialty practice

costs to specific procedures and, thus, is

often referred to as a ‘‘ top-down ’’

approach. The specialty PEs are derived

from the AMA ’ s SMS survey and

supplementary survey data. The PEs for

a given specialty are allocated to the

services performed by that specialty on

the basis of the CPEP data and work

RVUs assigned to each CPT code. The

specific process is detailed as follows:

Step 1—Calculation of the SMS Cost

Pool for Each Specialty

The six SMS cost categories can be

described as either direct or indirect

expenses. The three direct expense

categories include clinical labor,

medical supplies and medical

equipment. Indirect expenses include

administrative labor, office expense, and


# 37243 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

all other expenses. We combine these

indirect expenses into a single category.

The SMS cost pool for each specialty is

calculated as follows:

• The specialty PE/HR for each of the

three direct and one indirect cost

categories from the SMS is calculated by

dividing the aggregate PE per specialty

by the specialty ’ s total hours spent in

patient care activities (also determined

by the SMS survey). The PE/HR is

divided by 60 to obtain the PE per

minute (PE/MIN).

• Each specialty ’ s PE pools (for each

of the three direct and one indirect cost

categories) are created by multiplying

the PE/MIN for the specialty by the total

time the specialty spent treating

Medicare patients for all procedures

(determined using Medicare utilization

data). Physician time on a procedurespecific level is available through RUC

surveys of new or revised codes and

through surveys conducted as part of

the 5-Year Review process. For codes

that the RUC has not yet reviewed, the

original data from the Harvard resourcebased RVU system survey are used.

Physician time includes time spent on

the case prior to, during, and after the

procedure. The physician procedure

time is multiplied by the frequency that

each procedure is performed on

Medicare patients by the specialty.

• The total specialty-specific SMS PE

for each cost category is the sum, for

each direct and indirect cost category, of

all of the procedure-specific total PEs.

Step 2

— Calculation of CPEP Cost Pool

CPEP data provide expenditure

amounts for the direct expense

categories (clinical labor, supplies and

equipment cost) at the procedure level.

Multiplying the CPEP procedure-level

PEs for each of these three categories by

the number of times the specialty

provided the procedure, produces a

total category cost, per procedure, for

that specialty. The sum of the total

expenses from each procedure results in

the total CPEP category cost for the

specialty.

Step 3

— Calculation and Application of

Scaling Factors

This step ensures that the total of the

CPEP costs across all procedures

performed by the specialty equates with

the total direct costs for the specialty as

reflected by the SMS data. To

accomplish this, the CPEP data are

scaled to SMS data by a scaling factor

so that the total CPEP costs for each

specialty equals the total SMS cost for

the specialty. (The scaling factor is

calculated by dividing the specialty ’ s SMS pool by the specialty ’ s CPEP pool.) The unscaled CPEP cost per

procedure value, at the direct cost level,

is then multiplied by the respective

specialty scalar to yield the scaled CPEP

procedure value. The sum of the scaled

CPEP direct cost pool expenditures

equals the total scaled direct expense for

the specific procedure at the specialty

level.

Step 4

— Calculation of Indirect

Expenses

Indirect PEs cannot be directly

attributed to a specific service because

they are incurred by the practice as a

whole. Indirect costs include rent,

utilities, office equipment and supplies,

and accounting and legal fees. There is

not a single, universally accepted

approach for allocating indirect practice

costs to individual procedure codes.

Rather allocation involves judgment in

identifying the base or bases that are the

best measures of a practice ’ s indirect

costs.

To allocate the indirect PEs to a

specific service, we use the following

methodology:

• The scaled direct expenses and the

converted work RVU (the work RVU for

the service is multiplied by $34.5030,

the 1995 CF) are added together, and

then multiplied by the number of

services provided by the specialty to

Medicare patients;

• The total indirect PEs per specialty

are calculated by summing the indirect

expenses for all other procedures

provided by that specialty.

Step 5

— Calculation and Application of

Indirect Scaling Factors

Similar to the direct costs, the indirect

costs are scaled to ensure that the total

across all procedures performed by the

specialty equates with the total indirect

costs for the specialty as reflected by the

SMS data. To accomplish this, the

indirect costs calculated in Step 4 are

scaled to SMS data. The calculation of

the indirect scaling factors is as follows:

• The specialty ’ s total SMS indirect

expense pool is divided by the

specialty ’ s total indirect expense pool

calculated in Step 4, to yield the

indirect expense scaling factor.

• The unscaled indirect expense

amount, at the procedure level, is

multiplied by the specialty ’ s scaling

factor to calculate the procedure ’ s scaled indirect expenses.

• The sum of the scaled indirect

expense amount and the procedure ’ s direct expenses yields the total PEs for

the specialty for this procedure. Step 6

— Weighted Average of RVUs for

Procedures Performed by More Than

One Specialty

For codes that are performed by more

than one specialty, a weighted average

PE is calculated based on Medicare

frequency data of all specialties

performing the procedure.

Step 7

—

Budget Neutrality and Final

RVU Calculation

Section 1848(c)(2)(B)(ii)(II) of the Act

provides that adjustments in RVUs may

not cause total PFS payments to differ

by more than $20 million from what

they would have been if the adjustments

were not made. If the aggregate

adjustments to PE RVUs would cause

PFS expenditures to exceed the $20

million threshold, the total scaled direct

and indirect inputs are then adjusted by

a budget neutrality factor (BNF) to

calculate RVUs. Budget neutrality for

the upcoming year is determined

relative to the sum of PE RVUs for the

current year. Although the PE RVUs for

any particular code may vary from yearto-year, the sum of PE RVUs across all

codes is set equal to the current year.

The BNF is equal to the sum of the

current year ’ s PE RVUs, divided by the

sum of the direct and indirect inputs

across all codes for the upcoming year.

The BNF is applied to (multiplied by)

the scaled direct and indirect expenses

for each code to set the PE RVU for the

upcoming year.

c. Other Methodological Issues: NonPhysician Work Pool (NPWP)

As an interim measure, until we could

further analyze the effect of the topdown methodology on the Medicare

payment for services with no physician

work (including the technical

components (TCs) of radiation oncology,

radiology and other diagnostic tests), we

created a separate PE pool for these

services. However, any specialty society

could request that its services be

removed from the non-physician work

pool (NPWP). We will remove services

from the NPWP if we find that the

requesting specialty provides the service

the majority of the time.

NPWP Step 1

— Calculation of the SMS

Cost Pool for Each Specialty

This step parallels the calculations

described above for the standard ‘‘ topdown ’’ PE allocation methodology. For

codes in the NPWP, the direct and

indirect SMS costs are set equal to the

weighted average of the PE/HR for the

specialties that provide the services in

the pool. Clinical staff time is

substituted for physician time in the

calculation. The clinical staff time for

the code is from CPEP data. Otherwise,


# 37244 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

the calculation is similar to the method

described previously for codes with

physician time.

NPWP Step 2

— Calculation of Chargebased PE RVU Cost Pool

The NPWP calculation uses the 1998

(charge-based) PE RVU value for the

code, multiplied by the 1995 CF (25.74

× $34.503 = $888.11). The percentage of

clinical labor, supplies and equipment

are the percentage that each PE category

represents for all physicians relative to

the total PE for all physicians

(calculated from the SMS data).

NPWP Step 3

— Calculation and

Application of Scaling Factors

After the total cost pools for each

specialty and code performed by the

specialty are calculated, the steps to

ensure the total costs for all of the

procedures performed by a specialty do

not exceed the total costs for the

specialty (scaling) are the same as those

described previously for codes with

physician work.

NPWP Step 4

— Calculation of Indirect

Expenses

Because codes in the NPWP do not

have work RVUs, indirect expenses are

set equal to direct expenses (for codes

with physician work, indirect expenses

equal the sum of the scaled direct

expenses and the converted work RVU).

This amount is then multiplied by the

number of times the procedure is

performed.

NPWP Step 5

— Calculation and

Application of Indirect Scaling Factors

Similar to the direct costs, the indirect

costs are scaled to ensure that the total

of the charge-based PE RVU costs across

all procedures equates with the total

indirect costs as reflected by the SMS

data for the NPWP. To accomplish this,

the charge-based data are scaled to SMS

data so the total charge-based costs

equal the total SMS costs.

NPWP Step 6

— Budget Neutrality and

Final RVU Calculation

Similar to the calculation for codes

with physician work, when a budget

neutrality adjustment is necessary, the

BNF is applied to (multiplied by) the

scaled direct and indirect expenses for

each code to set the PE RVU for the

upcoming year.

d. Facility/Non-facility Costs

Procedures that can be performed in

a physician ’ s office, as well as in a

hospital have two PE RVUs: Facility and

non-facility. The non-facility setting

includes physicians ’ offices, patients ’

homes, freestanding imaging centers, and independent pathology labs.

Facility settings include hospitals,

ambulatory surgical centers (ASCs), and

skilled nursing facilities (SNFs). The

methodology for calculating the PE RVU

is the same for both facility and nonfacility RVUs, but is applied

independently to yield two separate PE

RVUs. Because the PEs for services

provided in a facility setting are

generally included in the payment to

the facility (rather than the payment to

the physician under the fee schedule),

the PE RVUs are generally lower for

services provided in the facility setting.

2. PE Proposals Methodology for CY

2006

The following discussions outline the

specific PE related proposals for CY

2007.

We have three major goals for our

resource-based PE methodology:

• To ensure that the PE portion of

PFS payments reflect, to the greatest

extent possible, the relative resources

required for each of the services on the

PFS. This could only be accomplished

by using the best available data to

calculate the PE RVUs.

• To develop a payment system for

PE that is understandable and at least

somewhat intuitive, so that specialties

could better predict the impacts of

changes in the PE data.

• To stabilize the PE portion of PFS

payments so that changes in PE RVUs

do not produce large fluctuations in the

payment for given procedures from

year-to-year.

These goals have also been supported

in numerous comments we have

received from the medical community.

In the CY 2006 PFS proposed rule (70

FR 45764), we proposed the following

changes to the PE methodology that we

believed would help in achieving our

three major goals (stated above in this

section):

• Using the PE/HR data from seven

specialty-specific supplementary

surveys.

• Calculating the direct PE using a

bottom-up methodology.

• Eliminating the NPWP.

We also proposed an indirect PE

methodology that was to assign to each

service the higher of the current indirect

PE RVUs or the indirect PE RVUs

calculated using the supplementary

survey data.

In the CY 2006 PFS final rule with

comment period (70 FR 70116), we

withdrew these proposals primarily

because a programming error for the

indirect PE RVU calculation had led to

the publication of inaccurate proposed

PE RVUs. On February 15, 2006, we

sponsored a PE Town Hall Meeting and invited the public, including all

specialty representatives to attend. At

this meeting, we supplied a detailed

description of the bottom-up approach

to the calculation of resource-based PE

RVUs. Three examples were examined

in detail that illustrated the impact of

the various assumptions that could be

used under a bottom-up approach. We

specifically requested input from all

interested parties on possible changes to

our PE methodology, including the

move to a bottom-up approach and the

various methods of calculating indirect

PE.

We have reviewed the approximately

35 comments that we received in

response to our solicitation. Many of the

comments were combined efforts from

related specialty organizations.

Additionally, the AMA RUC also

supplied a letter that captured the

comments of nearly 30 specialty

organizations. The following is a

summary of some of the comments we

received.

• Delaying Implementation of

Changes to the Current PE Methodology:

There were mixed opinions from

commenters on whether we should

proceed with a proposal to use a

bottom-up approach. Some commenters

emphasized that the CPEP data has been

refined and is now the best available

source of data, and asserted that it

should be used for the calculation of

resource-based PE RVUs. Other

comments suggested a delay in changing

to a bottom-up approach because of the

other issues that are affecting PFS

payments this year (such as, the effect

of imaging payment provisions in the

Deficit Reduction Act (DRA), the impact

of the negative update, and the

uncertainty regarding the impact of the

5-Year Review of work RVUs).

• Transition to a Bottom-Up

Approach: The majority of commenters

requested a minimum one-year

transition to a maximum 3-year

transition period to fully implement any

change to a bottom-up approach. All of

the commenters supported a transition

period whether or not they supported

the implementation of a bottom-up

approach.

• Use of Supplemental Survey Data:

A large number of commenters stated

that, irrespective of what we propose for

2007, the supplemental survey data that

has already been accepted should be

used. Other commenters believed that

the supplemental survey data grossly

overstated PEs and should not be

utilized in the development of resource

based PE RVUs.

• Multi-Specialty PE Survey: The

majority of commenters supported the

construction and use of a multiVerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00076 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37245 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

specialty survey to collect PE data.

Commenters believed that the

supplemental survey data is inflated

and that the SMS survey data are

outdated.

• Review Equipment Utilization

Assumptions and Interest Rates: Many

commenters supported the review and

revision of both the current utilization

assumptions and the interest rates

associated with high cost equipment.

Commenters had mixed reactions as to

whether the utilization rates should be

higher or lower, and some suggested

that we review the possibility of

equipment-specific utilization

assumptions for the future. Most

commenters believed that the current 11

percent interest rate is significantly

higher then the actual interest rates and

many commenters suggested a rate of

approximately prime plus 2 percent.

• Proxy Work RVUs for No Physician

Work Services: Commenters were

divided on the assignment of a proxy

work RVU to services that contain no

physician work. Some commenters

believed that no physician work

services are unfairly penalized under

any bottom-up approach, while other

comments stated that the inclusion of a

proxy work RVU would double count

the clinical labor associated with the no

physician work services.

After considering the comments we

received on the CY 2006 PFS proposed

rule (70 FR 45764) and in response to

comments received during and

following the Town Hall meeting, we

believe that the use of a bottom-up

methodology for direct costs, use of the

supplementary survey data and

elimination of the NPWP would assist

us in meeting our goal of a PE

methodology that is equitable,

understandable and stable. Therefore,

we are again proposing these changes to

our PE methodology. We are also

proposing a change in the methodology

used to calculate the indirect PE for

each service that is different than

previously proposed. The following is a

summary of our proposals.

a. Use a Bottom-Up Method to Calculate

the Direct PEs

We believe that we have consistently

made a good faith effort to ensure

fairness in our PE RVU-setting system

by using the best data available at any

one time. The reason we did not adopt

the bottom-up methodology originally

proposed in 1997 and instead adopted

the top-down methodology finalized in

1998 was because we recognized the

concerns among the physician

community that the resource input data

developed in 1995 by the CPEP were less reliable than the aggregate specialty

cost data derived from the SMS process.

However, the situation has now

changed. The PEAC/PERC/RUC has

completed the refinement of the original

CPEP data and we believe that the

refined PE inputs now, in general,

accurately capture the relative direct

costs of performing PFS services.

Conversely, although we have now

accepted supplementary survey data

from 13 specialties, we have not

received updated aggregate cost data

from most specialties. Thus, we believe

that, in the aggregate, the refined CPEP

data represent more reliably the relative

direct cost PE inputs for physicians ’

services.

Therefore, instead of using the topdown approach to calculate the direct

PE RVUs, where the aggregate CPEP/

RUC costs for each specialty are scaled

to match the aggregate SMS costs, we

propose to adopt a bottom-up method of

determining the relative direct costs for

each service. Under this method, the

direct costs would be determined by

adding the costs of the resources (that is,

the clinical staff, equipment and

supplies) typically required to provide

the service. The costs of the resources,

in turn, would be calculated from the

refined CPEP/RUC inputs in our PE

database.

We believe that this proposed change,

which was welcomed by most

commenters in the CY 2006 PFS

proposed rule, will lead to greater

stability and accuracy in the PE portion

of our payment system. Currently, under

the top-down methodology, the need to

scale the CPEP costs to equal the SMS

costs meant that any changes in the

direct PE inputs for one service often

leads to unexpected results for other

services where the inputs had not been

altered. In addition, the current PE

RVUs for a procedure do not necessarily

change proportionately with changes in

the direct inputs, creating possible

anomalous values. We believe that our

proposed bottom-up methodology

would resolve these issues, so that

changes in the PE RVUs would be more

intuitive and would result in fewer

surprises.

b. Use the PE/HR Data From the Seven

Surveys We Have Previously Accepted

and, in Addition, Use the PE/HR Data

From the Survey Submitted by the

National Coalition of Quality Diagnostic

Imaging Services (NCQDIS)

As explained in the CY 2005 PFS final

rule with comment period (69 FR

66242), we received surveys from the

ACC, the ACR, and the ASTRO by

March 1, 2004. The data submitted by

the ACC and the ACR met our criteria. However, as requested by the ACC and

the ACR, we deferred using their data

until issues related to the NPWP could

be addressed. (The survey data from

ASTRO did not meet the precision

criteria established for supplemental

surveys; therefore, we did not accept or

use it in the calculation of PE RVUs for

2005.)

In March 2005, we also received

surveys from the Association of

Freestanding Radiation Oncology

Centers (AFROC), the AUA, the AAD,

the JCAAI, the NCQDIS, and a joint

survey from the American

Gastroenterological Association (AGA),

the American Society of Gastrointestinal

Endoscopy (ASGE) and the American

College of Gastroenterology (ACG).

All the surveys, with the exception of

the survey from NCQDIS, met our

criteria. Therefore, we proposed in the

CY 2006 PFS proposed rule (70 FR

45775) to use the survey data from all

the surveys meeting our criteria in the

calculation of PE RVUs for 2006; but, as

discussed in the CY 2006 PFS final rule

with comment period (70 FR 70116) and

above in this section, this proposal was

not finalized.

We contracted with the Lewin Group

(Lewin) to evaluate whether the

supplemental survey data that were

submitted met our criteria and to make

recommendations to us regarding their

suitability for use in calculating PE

RVUs. As described in the CY 2006 PFS

proposed rule (70 FR 45775), Lewin

recommended blending the radiation

oncology data from the AFROC survey

data with the ASTRO survey data

submitted in 2004 to calculate the PE/

HR. According to Lewin, the goal of the

AFROC survey was to represent the

population of freestanding radiation

oncology centers only. To develop an

overall average for the radiation

oncology PE pool, the Lewin Group

recommended we use the AFROC

survey for freestanding radiation

oncology centers, and the hospital-based

subset of last year ’ s ASTRO survey. We

agreed that this blending of the AFROC

and ASTRO data was a reasonable way

to calculate an average PE/HR that fully

reflects the practice of radiation

oncology in all settings. Blending the

survey data overcame the initial

problem that the ASTRO data do not

meet the precision criteria as discussed

in the CY 2005 PFS final rule (69 FR

66242). In addition, as discussed in the

CY 2006 PFS proposed rule (70 FR

45776), blending of the data allowed for

a broader base of radiation oncology

providers to be represented.

Also, as discussed in the CY 2006 PFS

proposed rule (70 FR 45764), Lewin

indicated that the survey data submitted


# 37246 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

by the NCQDIS on independent

diagnostic testing facilities (IDTFs) did

not meet our precision criterion.

However, upon further analysis, Lewin

agreed with NCQDIS ’ determination that

the inclusion of one inaccurate record

skewed the findings outside the

acceptable precision range. Lewin

recalculated the precision level at 8.1

percent of the mean PE/HR (weighted by

the number of physicians in the

practice). Lewin indicated that the level

of precision for the total PE/HR satisfies the level of precision requirement, and

recommended acceptance of the survey.

We are now proposing to use the PE/

HR data from all of the above surveys,

including the NCQDIS survey, in the

calculation of the PE RVUs for 2007. We

are again proposing for radiation

oncology to use the new PE/HR derived

from combining the AFROC and ASTRO

survey data, as recommended by Lewin.

We propose to use the PE per

physician hour figures in Table 52. It

should be noted that the relatively high

PE per physician hour values for IDTFs

result from the fact that there are far fewer hours for this specialty than most

others. IDTFs use relatively few

physician hours, so the same practice

expenses in the numerator divided by

the smaller denominator results in

considerably higher values for practice

expenses per hour. Although these

values of PE/HR appear to be outliers,

they actually contribute little to the

overall value for practice expenses per

hour, because the volume of each of the

services performed by the IDTFs

represents a relatively small percentage

of the total services.



# T ABLE 

# 52.

— P RACTICE 

# E XPENSE 

# P ER 

# P HYSICIAN 

# H OUR 

# F IGURES

Specialty Clinical

labor Supplies Equipment Administrative

expense Office

expense Other

expense

Allergy/Immunology .................................. 65.9 22 .5 6 .3 56 .3 65.9 31 .1

Cardiology ................................................ 59.6 25 .9 18 .6 53 .3 52.7 25

Dermatology ............................................. 40.6 15 .4 11 51 .5 78.8 28 .2

Gastro-enterology .................................... 30.2 8 .2 5 .9 39 .6 48.4 13 .3

IDTF ......................................................... 111.6 55 302 .5 155 .5 121.2 189 .5

Radiology ................................................. 29.1 11 .3 27 .3 37 .8 23.9 44 .8

Radiation Oncology .................................. 49.7 4 .8 27 .6 26 39.7 28 .1

Urology ..................................................... 27.9 14 .4 11 .2 42 .3 53.8 23 .4



# Section 303(a)(1)(B) of the Medicare

Prescription Drug, Improvement, and

Modernization Act of 2003 (MMA) (Pub.

L. 108

– 173) added section 1848(c)(2)(I)

of the Act to require CMS to use survey

data submitted by a specialty group

where at least 40 percent of the

specialty ’ s payments for Part B services

are attributable to the administration of

drugs in 2002 to adjust PE RVUs for

drug administration services. The

statute applies to surveys that include

expenses for the administration of drugs

and biologicals, and were received by

March 1, 2005 for determining the CY

2006 PE RVUs. Section 303(a)(1)(A)(ii)

of the MMA also added section

1848(c)(2)(B)(iv)(II) of the Act to provide

an exemption from budget neutrality in

2005 and 2006 for any additional

expenditures resulting from the use of

these surveys. In the Changes to

Medicare Payment for Drugs and

Physician Fee Schedule Payments for

CY 2004 interim final rule published

January 7, 2004 (69 FR 1084), we stated

that the specialties of urology,

gynecology, and rheumatology meet the

above criteria. As described in the CY

2006 PFS final rule with comment

period (70 FR 70116), we accepted for

the purposes of calculating the 2006 PE

RVUs for drug administration services

the new survey data from the AUA and

exempted from the budget neutrality

adjustment any impacts of accepting

these data for purposes of calculating PE

RVUs for drug administration services.

(Note: Rheumatology and gynecology did not submit supplemental survey

data.)

c. Eliminate the NPWP and Calculate

the PE RVUs for All Services Using the

Same Methodology

Primarily because of the lack of

representative SMS data or accurate

direct cost inputs for specialties such as

radiology and radiation oncology, the

adoption of the top-down approach

necessitated the creation of the NPWP.

This separate work pool was created to

allocate PE RVUs for TC codes and

codes that are not performed by

physicians and, thus, have no work

RVUs. In the CY 2000 Physician Fee

Schedule; Payment Policies and

Relative Value Unit Adjustment final

rule, we indicated that ‘‘ the purpose of

this pool was only to protect the (TC)

services from the substantial decreases ’’

caused by inaccurate CPEP data and the

lack of physician work RVU in the

allocation of the indirect costs (64 FR

59406). Unfortunately, the services

priced by the NPWP methodology have

proven to be especially vulnerable to

any change in the work pool ’ s composition. This has led to significant

fluctuations from year to year in the PE

RVUs calculated for these services.

The major specialties comprising the

NPWP (radiology, radiation oncology

and cardiology) have now submitted

supplemental survey data that we have

accepted and are proposing to use in

their PE calculations. (See the

discussion on supplementary surveys above in this section.) Now that we have

representative aggregate PE data for

these specialties, and with the

completion of the refinement of the

direct cost inputs, the continued

necessity and equity of treating these

technical services outside the PE

methodology applied to other services is

questionable.

Therefore, we are proposing to

eliminate the NPWP and to calculate the

PE RVUs for the services currently in

the work pool by the same methodology

used for all other services. This would

also allow the use of the refined CPEP/

RUC data to price the direct costs of

individual services, rather than utilizing

the pre-1998 charge-based PE RVUs. In

addition, this proposal would lead to

greater stability for the PE RVUs for

these services and would lead to more

intuitive results than have occurred

with the NPWP methodology.

d. Modify the Current Indirect PE RVUs

Methodology

As described previously, the SMS and

supplementary survey data are the

source for the specialty-specific

aggregate indirect costs used in our PE

calculations. We then allocate the

indirect costs to particular codes on the

basis of the direct costs allocated to a

code and the work RVUs. In the CY

2006 PFS proposed rule (70 FR 45764),

we stated that we had no information

that would indicate that the current

indirect PE methodology is inaccurate.

At that time, we also were not aware of


# 37247 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

any alternative approaches or data

sources that we could use to calculate

more appropriately the indirect PE,

other than the new supplementary

survey data, which we propose to

incorporate into our PE calculations.

Therefore, we proposed to use the

current indirect PEs in our calculation,

incorporating the new survey data into

the codes performed by the specialties

submitting the surveys. We also

indicated in that same proposed rule

that we would welcome any suggestions

that would assist us in further

refinement of this indirect PE

methodology. For example, we were

considering whether we should

continue to accept supplementary

survey data or whether it would be

preferable and feasible to have an SMStype survey of only indirect costs for all

specialties, or whether a more formulabased methodology independent of the

SMS data should be adopted, perhaps

using the specialty-specific indirect-tototal cost percentage as a basis of the

calculation. For a prior discussion of

many of the issues associated with

allocating indirect costs, please refer to

the CY 2000 Physician Fee Schedule;

Payment Policies and Relative Value

Unit Adjustment proposed rule (63 FR

30823).

3. Modifications to PE Proposals

As a result of collaboration with the

PFS community and public comments

on this issue, we are now in a position

to propose modifications to the indirect

PE methodology.

a. Indirect Percentage Factor: Use of the

Specialty-Specific Percentage That

Indirect PEs Represent of Total PEs

Based on the Survey Data

We currently allocate indirect

expenses on the sum of the direct

expenses and the work RVUs (converted

to dollars by multiplying by the CF). We

are proposing to allocate indirect

expenses by applying a specialtyspecific indirect percentage factor to the

direct expenses in order to recognize the

varying proportion that indirect costs

represent of total costs by specialty.

This would have the effect of relatively

increasing the indirect expense

allocation for services that are on

average performed by specialties with

higher indirect PE percentages, and

relatively decreasing the indirect

expense allocation for services that are

performed by specialties with lower

indirect PE percentages. For a given

service, the specific indirect percentage

factor to apply to the direct costs for the

purpose of the indirect allocation would

be calculated as the weighted average of

the ratio of the indirect to direct costs (based on the survey data) for the

specialties that perform the code. For

example, if a service is performed by a

single specialty with indirect PEs that

were 75 percent of total PEs, the indirect

percentage factor to apply to the direct

costs for the purposes of the indirect

allocation would be (0.75/0.25) = 3.0.

b. Continued Use of the SpecialtySpecific Indirect Scaling Factors

As described earlier, we incorporate

the indirect PE/HR surveys into the

methodology through the use of

specialty-specific indirect scaling

factors. We would continue to use the

specialty-specific indirect scaling

factors; however, to apply them in a

simpler manner we propose to create an

index. This index would reflect the

relationship between each specialty ’ s indirect scaling factor and the overall

indirect scaling factor for the entire PFS.

For example, if a specialty had an

indirect practice cost index of 2.00, this

specialty would have an indirect scaling

factor that was twice the overall average

indirect scaling factor. If a specialty had

an indirect practice cost index of 0.50,

this specialty would have an indirect

scaling factor that was half the overall

average indirect scaling factor. The

calculation and application of the

indirect practice cost index is described

in more detail below in this section.

c. Use of the Clinical Labor Costs in the

Indirect Allocation for a Service When

the Clinical Labor Costs are Greater

Than the Physician Work RVU

We have received numerous

comments that services with little or no

physician work RVUs are disadvantaged

under our current indirect allocation

methodology based on the direct costs

and the work RVUs. In response to these

comments, when the clinical labor

portion of the direct PE RVU is greater

than the physician work RVU for a

particular service, we are proposing to

allocate on the direct costs and the

clinical labor costs. For example, if a

service has no physician work, the

direct PE RVU is 1.10 and the clinical

labor portion of the direct PE RVU is

0.65 RVUs, we would use the 1.10 direct

PE RVUs and the 0.65 clinical labor

portion of the direct PE RVUs for the

indirect PE allocation for that service.

As another example, if the physician

work RVUs for a service are 0.25, the

direct PE RVU is 1.10 and the clinical

labor portion of the direct PE RVU is

0.65 RVUs, we would use the 1.10 direct

PE RVUs and the 0.65 clinical labor

RVUs for the indirect allocation for that

service. We would not use the 0.25

physician work RVUs for the indirect PE

allocation since the 0.65 clinical labor RVUs are greater than the 0.25

physician work RVUs.

d. Use of 2005 Utilization Data in the

Indirect PE RVU Calculation

Under the current PE methodology,

we predominately use the 1997

– 2000

utilization data in the calculation of the

indirect PE RVUs when the service

existed during 1997

– 2000 or the first

year of utilization data if the service did

not exist during that time period. We

used those years of utilization data

primarily to increase the year to year

stability of the PE RVUs. With the

changes we are proposing to make to PE

RVUs, in particular the elimination of

the NPWP, we will increase the year-toyear stability of the PE RVUs. We

believe it is now appropriate to use

updated utilization data in the

calculation of the indirect PEs. We

believe the other proposed changes in

the PE methodology will help obtain the

year-to-year stability we were

attempting to achieve by continuing to

use the older utilization data.

Additionally, the use of more current

utilization data would reflect the more

current practice patterns. We are

proposing to use the 2005 utilization

data in the calculation of the 2007

indirect PE RVUs. We are also seeking

comments on whether the utilization

data should be updated yearly, which

would increase the accuracy of the PE

calculations, or less often, which would

increase the stability of the PE RVUs.

e. Elimination of the Special

Methodologies for Services With

Technical and Professional Components

Under the PFS, when services have

technical, professional, and global

components that can be billed

separately, the payment for the global

component equals the sum of the

payment for the technical and

professional components. Under the

current PE methodology, the different

mix of specialties that perform the

global, technical and professional

components can cause the PE RVUs,

otherwise created by the methodology,

to fail to add together properly; that is,

the global component does not equal the

sum of the professional and technical

components. The global component

might exceed the sum of the technical

and professional components or it might

be less than the sum of the technical

and professional components. We

ensure that the technical and

professional components add to the

global component in one of two ways.

For services in the NPWP, we set the PE

RVUs for the global component equal to

the sum of the professional component

PE RVU and the technical component


# 37248 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

PE RVU. For services outside the NPWP,

we set the PE RVUs for the technical

component equal to the difference

between the global PE RVUs and the

professional component RVUs.

With our proposed change to a

bottom-up methodology for the direct

PEs, there would be no weighted

averaging of the direct costs inputs

necessary to create the direct PE RVUs

and, therefore, the direct PE RVUs for

the professional and technical

components would sum to the global

component. Under the current

methodology, as a result of the process

used to ensure the professional and

technical components sum to the global,

RVUs for a service with a global

component can be either more or less

than the RVUs that would have been

calculated for the service if the

professional and technical components

did not have to sum to the global.

Given the proposed change to bottomup methodology and the elimination of

the NPWP, we believe it is

inappropriate to have codes for which

the global, and the technical and

professional components are assigned

RVUs that are either less than or greater

than the methodology would otherwise

produce, and thus, are paid at a rate that

is either less than or greater than the

methodology would otherwise specify.

(See section II.D.1. of this proposed

notice for the discussion of the current

methodology.) Therefore, we are

proposing that in the calculation of the

indirect percentage factor described

earlier in section II.D.3.a., we would use

a weighted average of the ratio of

indirect to direct costs across all the

specialties that perform the global,

technical, and professional components;

that is, we would apply the same

weighted average indirect percentage

factor to allocate indirect expenses to

the global, professional, and technical

components for a service. We also

propose to utilize a similar weighted

averaging approach across all the

specialties that perform the components

when calculating the indirect PE scaling

factor. Because the direct PE RVUs for

the technical and professional

components sum to the global under the

bottom-up methodology, and we are

proposing to calculate the indirect

percentage factor and the indirect

scaling factor so that they do not vary

between the technical, professional, and

global components, our proposed

methodology would create technical

and professional components that sum

to the global, and no other special

methodology would need to be

employed. (i) Proposed PE RVU Methodology

Below is a description of the proposed

PE RVU methodology.

(a) Setup File

First, we create a setup file for the PE

methodology. The setup file contains

the direct cost inputs, the utilization for

each procedure code at the specialty

and facility/nonfacility place of service

level, and the specialty-specific survey

PE per physician hour data. Information

specific to the creation of the setup file

can be found at the end of section II.D.

(b) Calculate the Direct Cost PE RVUs

Sum the costs of each direct input.

Step 1: Sum the direct costs of the

inputs for each service. The direct costs

consist of the costs of the direct inputs

for clinical labor, medical supplies, and

medical equipment. The clinical labor

cost is the sum of the cost of all the staff

types associated with the service; it is

the product of the time for each staff

type and the wage rate for that staff

type. The medical supplies cost is the

sum of the supplies associated with the

service; it is the product of the quantity

of each supply and the cost of the

supply. The medical equipment cost is

the sum of the cost of the equipment

associated with the service; it is the

product of the number of minutes each

piece of equipment is used in the

service and the equipment cost per

minute. The equipment cost per minute

is calculated as described at the end of

this section.

Apply a budget neutrality adjustment

to the direct inputs.

Step 2: Calculate the current aggregate

pool of direct PE costs. To do this,

multiply the current aggregate pool of

total direct and indirect PE costs (that is,

the current aggregate PE RVUs

multiplied by the CF) by the average

direct PE percentage from the SMS and

supplementary specialty survey data.

Step 3: Calculate the aggregate pool of

proposed direct costs. To do this, for all

PFS services, sum 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

Step 3 calculate a direct PE budget

neutrality adjustment so that the

proposed 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 for each service. To do

this, divide the results of Step 4 by the

Medicare PFS CF.

(c) Create the Indirect PE RVUs

Create indirect allocators. Step 6: Based on the SMS and

supplementary specialty 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 specialties that perform

the service. Note that for services with

technical and professional components

we are calculating the direct and

indirect percentages across the global,

professional and technical components.

That is, the direct and indirect

percentages for a given service (for

example, echocardiogram) do not vary

by the professional, technical and global

components.

Step 8: Calculate the service level

allocators for the indirect PEs based on

the percentages calculated in Step 7.

The indirect PEs are allocated based on

the three components: the direct PE

RVU, the clinical PE RVU and the work

RVU. (Note that the work RVU used in

the calculation includes the separate

work budget neutrality adjustment from

the 5-Year Review of the work RVUs

discussed elsewhere in this proposed

notice.)

For most services the indirect

allocator is: Indirect percentage * (direct

PE RVU/direct percentage) + work RVU.

There are two situations where this

formula is modified:

• If the service is a global service (that

is, a service with global, professional

and technical components), then the

indirect allocator is: indirect percentage

* (direct PERVU/direct percentage) +

clinical PE RVU + work RVU.

• If the clinical labor PE RVU exceeds

the work RVU (and the service is not a

global service), then the indirect

allocator is: indirect percentage * (direct

PERVU/direct percentage) + clinical PE

RVU.

Note that for global services the indirect

allocator is based on both the work RVU and

the clinical labor PE RVU. We do this to

recognize that, for the professional service,

indirect PEs will be allocated using the work

RVUs, and for the technical component

service, indirect PEs will be allocated using

the direct PE RVU and the clinical labor PE

RVU. This also allows the global component

RVUs to equal the sum of the professional

and technical component RVUs.)



# For presentation purposes in the

examples in the Table 53, the formulas

are divided into two parts for each

service. The first part does not vary by

service and is the indirect percentage *

(direct PE RVU/direct percentage). The

second part is either the work RVU,

clinical PE RVU, or both depending on

whether the service is a global service

and whether the clinical PE RVU


# 37249 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

exceeds the work RVU (as described

earlier in this step.)

Apply a budget neutrality adjustment

to the indirect allocators.

Step 9: Calculate the current aggregate

pool of indirect PE RVUs by multiplying

the current aggregate pool of PE RVUs

by the average indirect PE percentage

from the physician specialty survey

data. This is similar to the Step 2

calculation for the direct PE RVUs.

Step 10: Calculate an aggregate pool of

proposed indirect PE RVUs for all PFS

services by adding the product of the

indirect PE allocators for a service from

Step 8 and the utilization data for that

service. This is similar to the Step 3

calculation for the direct PE RVUs.

Step 11: Using the results of Step 9

and Step 10, calculate an indirect PE

adjustment so that the proposed

aggregate indirect allocation does not

exceed the available aggregate indirect

PE RVUs and apply it to indirect

allocators calculated in Step 8. This is

similar to the Step 4 calculation for the

direct PE RVUs.

Calculate the Indirect Practice Cost

Index.

Step 12: Using the results of Step 11,

calculate aggregate pools of specialtyspecific adjusted indirect PE allocators

for all PFS services for a specialty by

adding the product of the adjusted

indirect PE allocator for each service

and the utilization data for that service.

Step 13: Using the specialty-specific

indirect PE/HR data, calculate specialtyspecific aggregate pools of indirect PE

for all PFS 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 service.

Step 14: Using the results of Step 12

and Step 13, calculate the specialtyspecific indirect PE scaling factors as

under the current methodology.

Step 15: Using the results of Step 14,

calculate an indirect practice cost index

at the specialty level by dividing each

specialty-specific indirect scaling factor

by the average indirect scaling factor for

the entire PFS.

Step 16: Calculate the indirect

practice cost index at the service level to ensure the capture of all indirect

costs. Calculate a weighted average of

the practice cost index values for the

specialties that perform the service.

Note that for services with technical and

professional components, we calculate

the indirect practice cost index across

the global, professional and technical

components. Under this method, the

indirect practice cost index for a given

service (for example, echocardiogram)

does not vary by the professional,

technical and global components.

Step 17: Apply the service 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 RVU.

(d) Calculate the Final PE RVUs

Step 18: Add the direct PE RVUs from

Step 6 to the indirect PE RVUs from

Step 17.

Step 19: Calculate and apply the final

PE budget neutrality adjustment by

comparing the results of Step 18 to the

current pool of PE RVUs. This final

budget neutrality adjustment is

primarily required because certain

specialties are excluded from the PE

RVU calculation for ratesetting

purposes, but all specialties are

included for purposes of calculating the

final budget neutrality adjustment. (See

‘‘ Specialties excluded from rate-setting

calculation ’’ below in this section.)

(e) Setup File Information

• Specialties excluded from ratesetting calculation: For the purposes of

calculating the PE RVUs, we exclude

certain specialties such as midlevel

practitioners paid at a percentage of the

PFS, audiology, and low volume

specialties from the calculation. This is

the same approach used under the

current methodology. These specialties

are included for the purposes of

calculating the budget neutrality

adjustment.

• Crosswalk certain low volume

physician specialties: Crosswalk the

utilization of certain specialties with

relatively low PFS utilization to the

associated specialties. This is the same

approach used under the current

methodology. • Physical therapy utilization:

Crosswalk physical therapy utilization

to the specialty of physical therapy.

This is the same approach used under

the current methodology.

• Identify professional and technical

services not identified under the usual

TC and 26 modifier: Flag the services

that are professional and technical

component services, but do not use TC

and 26 modifiers (for example,

electrocardiograms). This flag associates

the professional and technical

component with the associated global

code for use in creating the indirect PE

RVU. For example, the professional

service code 93010 is associated with

the global code 93000.

• Payment modifiers: Payment

modifiers are accounted for in the

creation of the file. For example,

services billed with the assistant at

surgery modifier are paid 16 percent of

the PFS amount for that service;

therefore, the utilization file is modified

to only account for 16 percent of any

service that contains the assistant at

surgery modifier.

• Proposed work RVUs from the 5-

Year Review: The setup file contains the

proposed work RVUs from the 5-Year

Review.

The equipment cost per minute is

calculated as:

(f) Equipment Cost Per Minute =

(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); 150,000

minutes.

Usage = equipment utilization

assumption; 0.5.

Price = price of the particular piece of

equipment.

Interest rate = 0.11.

Life of equipment = useful life of the

particular piece of equipment.

Maintenance = factor for

maintenance; 0.05.


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(ii) Transition the Resulting Revised PE

RVUs over a Four-Year Period

A complete analysis of the impacts of

these changes is contained in the impact

analysis in section V. of this proposed

rule. We are concerned that, when

combined with a proposed negative

update factor for CY 2007 and the

proposed changes to the work RVUs

under the 5-Year Review, the shifts in

some of the PE RVUs resulting from the

immediate implementation of our

proposals could potentially cause some

disruption for medical practices.

Therefore, we are proposing to

transition the proposed PE changes over

a 4-year period. This would also give

ample opportunity for us, as well as the

medical specialties and the RUC, to

identify any anomalies in the PE data,

to make any further appropriate

revisions, and to collect additional data

as needed prior to the full

implementation of the proposed PE

changes.

During the transition period, the PE

RVUs would be calculated on the basis

of a blend of RVUs calculated using our

proposed methodology described above

(weighted by 25 percent during CY

2007, 50 percent during CY 2008, 75

percent during CY 2009, and 100

percent thereinafter), and the current CY

2006 PE RVUs for each existing code. PE

RVUs for codes that are new during this

period would be calculated using only

the proposed methodology, and paid at

the fully transitioned rate. We believe

that implementing all of these proposed

changes would further our goal of

producing a more accurate, more

intuitive and more stable PE

methodology.

For example, as stated above in this

section, now that the direct PE inputs

have been refined, we believe that the

proposed CPEP/RUC direct input data

are superior to the specialty-specific

SMS PE/HR data for the purposes of

determining the typical direct PE

resources required to perform each

service on the PFS. First, we have

received recommendations on the

procedure-specific inputs from the

multi-specialty PEAC that were based

on presentations from the relevant

specialties, after the inputs were closely

scrutinized by the PEAC using

standards and packages that were agreed

upon by all involved specialties.

Second, the refined CPEP/RUC data are

more current than the aggregate

specialty-specific data for the majority

of specialties. Third, for direct costs, we

believe that it is reasonable to assume

that the costs of the clinical staff,

supplies and equipment are the same for

a given service, regardless of the specialty that is performing it. This does

not happen under the top-down direct

cost methodology, where the specialtyspecific scaling factors can create

differing direct costs for the same

service.

We also believe the proposed

methodology is less confusing and more

intuitive than the current approach.

First, the NPWP would be eliminated

and all services would be priced using

one methodology, eliminating the

complicated calculations needed to

price NPWP services. Second, any

revisions made to the direct inputs for

one or more services would now have

predictable results. Changes in the

direct practice inputs for a service

would proportionately change the PE

RVUs for that service without

significantly affecting the PE RVUs for

unrelated services (except, of course, to

the extent that a budget neutrality

adjustment is required to be applied by

the statute).

The proposed methodology would

also create a system that would be

significantly more stable from year-toyear than the current approach.

Specialties should no longer experience

the wide fluctuations in payment for a

given service due to an aberrant direct

cost scaling factor. Direct PEs should

only change for a service if the service

is further refined or when prices are

updated, while indirect PEs should

change only when there are changes in

the mix of specialties furnishing the

service or if any future new survey data

for indirect costs are utilized.

We recognize that there may be some

outstanding issues that need further

consideration, and we welcome input

from the medical community regarding

those issues. We also believe the

proposed transition period would give

us the opportunity to work with the

affected specialties to collect any

needed data or to determine whether

further revisions to our PE methodology

are needed before payment is based

entirely on the proposed methodology.

As we gain experience with the new

methodology, we will reexamine this

policy beginning next year and propose

necessary revisions through future

rulemaking.

Therefore, we welcome all comments

on these proposed changes, particularly

those concerning additional

modifications to the indirect PE

methodology that might help us further

our intended goals.

III. Collection of Information

Requirements

This document does not impose

information collection and

recordkeeping requirements. Consequently, it need not be reviewed

by the Office of Management and

Budget under the authority of the

Paperwork Reduction Act of 1995 (44

U.S.C. 3501 et seq. )

IV. Response to Comments

Because of the large number of public

comments we normally receive on

Federal Register documents, we are not

able to acknowledge 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 2007 Physician Fee

Schedule final rule with comment

period.

V. Regulatory Impact Analysis

[If you choose to comment on issues

in this section, please include the

caption ‘‘ REGULATORY IMPACT

ANALYSIS ’’ at the beginning of your

comments.]

A. Overall Impact

We have examined the impacts of this

proposed notice as required by

Executive Order 12866 (September

1993, Regulatory Planning and Review),

the Regulatory Flexibility Act (RFA)

(September 19, 1980, Pub. L. 96

– 354),

section 1102(b) of the Social Security

Act, the Unfunded Mandates Reform

Act of 1995 (Pub. L. 104

– 4), and

Executive Order 13132.

Executive Order 12866 (as amended

by Executive Order 13258, which

merely reassigns responsibilities of

duties) directs 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 impacts, and

equity). A regulatory impact analysis

(RIA) must be prepared for major rules

with economically significant effects

($100 million or more in any 1 year). As

indicated in more detail below, we

estimate that the PFS work RVU

provisions included in this proposed

notice will redistribute more than $100

million in one year. We are considering

this proposed notice to be economically

significant because its provisions are

estimated to result in an increase,

decrease or aggregate redistribution of

Medicare spending that will exceed

$100 million. Therefore, this proposed

notice is a major rule and we have

prepared a regulatory impact analysis.

The RFA requires agencies to analyze

options for regulatory relief of small

businesses. For purposes of the RFA,

small entities include small businesses,


# 37253 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

nonprofit organizations, and small

governmental jurisdictions. Most

hospitals and most other providers and

suppliers are small entities, either by

nonprofit status or by having revenues

of $6 million to $29 million in any one

year. We prepare a regulatory flexibility

analysis unless we certify that a rule

would not have a significant economic

impact on a substantial number of small

entities. The analysis must include a

justification concerning the reason

action is being taken, the kinds and

number of small entities the rule affects,

and an explanation of any meaningful

options that achieve the objectives with

less significant adverse economic

impact on the small entities.

Section 1102(b) of the Act requires us

to prepare a regulatory impact analysis

if a rule may have a significant impact

on the operations of a substantial

number of small rural hospitals. This

analysis must conform to the provisions

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 a Metropolitan

Statistical Area and has fewer than 100

beds. For purposes of the RFA,

physicians, nonphysician practitioners,

and suppliers are considered small

businesses if they generate revenues of

$6 million or less. Approximately 95

percent of physicians are considered to

be small entities. There are over 980,000

physicians, other practitioners and

medical suppliers that receive Medicare

payment under the PFS. The analysis

and discussion provided in this section,

as well as elsewhere in this proposed

notice, complies with the RFA

requirements.

Section 202 of the Unfunded

Mandates Reform Act of 1995 also

requires that agencies assess anticipated

costs and benefits before issuing any

rule whose mandates require spending

in any one year of $100 million in 1995

dollars, updated annually for inflation.

That threshold level is currently

approximately $120 million. Medicare

beneficiaries are considered to be part of

the private sector for this purpose. A

discussion concerning the impact of this

proposed notice on beneficiaries is

found later in this section.

Executive Order 13132 establishes

certain requirements that an agency

must meet when it issues a proposed

rule (and subsequent final rule) that

imposes substantial direct requirement

costs on State and local governments,

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 regulation would not have any significant impact on the rights, roles, or

responsibilities of State, local, or tribal

governments. A discussion concerning

the impact of this proposed notice on

beneficiaries is found later in this

section.

B. Anticipated Effects

We have prepared the following

analysis, which, together with the

information provided in the rest of this

preamble, meets all assessment

requirements. It explains the rationale

for and purposes of the proposed notice;

details the costs and benefits of the rule;

analyzes alternatives; and presents the

measures we propose to use to minimize

the burden on small entities.

Section 1848(c)(2)(B)(ii) of the Act

requires that increases or decreases in

RVUs may not cause the amount of

expenditures for the year to differ by

more than $20 million from what

expenditures would have been in the

absence of these changes. If this

threshold is exceeded, we make

adjustments to preserve budget

neutrality. This year, the estimated $4

billion impact of proposed changes in

work RVUs resulting from the 5-year

refinement will require that a budgetneutrality adjustment be made.

Revisions in payment policies,

including the establishment of interim

and final RVUs for coding changes that

will be announced later this year, may

result in additional budget-neutrality

adjustments.

We considered making the statutorily

required budget-neutrality adjustment to

account for the 5-Year Review of

physician work by reducing all work

RVUs. We estimate that all work RVUs

would have to be reduced by 10 percent

under this option. Alternatively, we

considered making the budget neutrality

adjustment to the PFS CF. This option

would require an estimated 5 percent

reduction in the CF and would also

affect services that do not have work

RVUs, and were thus not part of the 5-

Year Review. Therefore, to confine the

impact to services that have physician

work RVUs, we are proposing to

establish a budget neutrality adjustor

that would reduce the work RVUs by an

estimated 10 percent to meet the

provisions of section 1848(c)(2)(B)(ii) of

the Act.

Table 54 shows the specialty-level

impact on payment of the work and PE

changes discussed in this proposed

notice for the CY 2007 Medicare PFS,

including the effect of the separate work

budget neutrality adjustor discussed

above. Because we have proposed a

four-year transition for the new PE

changes, we also show the impact of the

fully implemented PE changes in 2010. Our estimates of changes in Medicare

revenues for PFS services compare

payment rates for 2006 with proposed

payment rates for 2007 and 2010 using

2005 Medicare utilization for all years.

These impacts do not include estimates

of the annual updates to the Medicare

PFS CF for 2007 through 2010. We are

using 2005 Medicare claims processed

and paid through March 30, 2005, that

we estimate are 98 percent complete.

Using a single year of utilization, as

opposed to multiple years, limits the

estimated changes to the proposed work

and PE. This approach is consistent

with the methodology outlined in

section II.D.3.d. of this proposed notice,

‘‘ Use of 2005 utilization data in the

indirect PE RVU calculation. ’’ To the

extent that there are year-to-year

changes in the volume and mix of

services provided by physicians, the

actual impact on total Medicare

revenues will be different than those

shown here. The payment impacts

reflect averages for each specialty based

on Medicare utilization. The payment

impact for an individual physician

would be different from the average,

based on the mix of services the

physician provides. The average change

in total revenues would be less than the

impact displayed here because

physicians furnish services to both

Medicare and non-Medicare patients

and specialties may receive substantial

Medicare revenues for services that are

not paid under the PFS. For instance,

independent laboratories receive

approximately 80 percent of their

Medicare revenues from clinical

laboratory services that are not paid

under the PFS.

Table 54 shows only the payment

impact on PFS services. The following

is an explanation of the information

represented in Table 54:

• Specialty: The physician specialty

or type of practitioner/supplier.

• Allowed Charges: Allowed charges

are the Medicare Fee Schedule amounts

for covered services and include copayments and deductibles (which are

the financial responsibility of the

beneficiary). These amounts have been

summed across all services provided by

physicians, practitioners or suppliers

with a specialty to arrive at the total

allowed charges for the specialty.

• Impact of Work RVU Changes: The

percentage increase or decrease in

allowed charges attributed to changes in

the valuation of physician/clinical work

for the given specialty.

• Impact of PE RVU Changes: The

percentage increase or decrease in

allowed charges attributed to changes in

the valuation of practice expense for the

services provided by physicians,


# 37254 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

practitioners or suppliers within each

specialty (shown in the first year of

phase-in (2007) and at full

implementation (2010)).

• Combined impact of Work and PE

RVU changes: The percentage increase or decrease in allowed charges

attributed to the sum of changes to the

valuation of physician/clinical work

and the valuation of practice expense

for services provided by physicians,

practitioners or suppliers within each specialty (shown in the first year of

phase-in of PE changes (2007) and at

full implementation of PE changes

(2010)).

**BILLING CODE 4120**

**– 01** 

**– P** 



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# 37255 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

This is the third 5-Year Review of

physician work RVUs. The first 5-Year Review occurred as part of the 1996

regulatory process and was effective for services furnished on or after January 1,

1997. The second 5-Year Review of


# 37256 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

physician work RVUs occurred as part

of the 2001 regulatory process and was effective for services furnished on or

after January 1, 2002. Table 55 compares some basic data points from the three 5-

Year Reviews.

**BILLING CODE 4120**

**– 01** 

**– C** 



# We are currently developing the CY

2007 PFS proposed rule that will

contain our estimate of all other

proposed policies and changes that will

affect payment for PFS services in CY

2007. We will show the combined

impact of all policy and other changes

affecting PFS payments in the final CY

2007 PFS rule.

C. Alternatives Considered

This proposed notice discusses the

proposed revisions to the work RVUs

under the PFS. The preamble provides

descriptions of the statutory provisions

that are addressed, identifies those areas

when discretion has been exercised,

presents rationale for our decisions and,

where relevant, alternatives that were

considered. D. Impact on Beneficiaries

Overall, we believe these changes

would improve beneficiary access to

reasonable and necessary services since

services would now be more

appropriately valued. The payment

changes would also affect beneficiary

liability. Any changes in aggregate

beneficiary liability from a particular

work RVU change will be a function of

the coinsurance (20 percent if

applicable for the particular service after

the beneficiary has met the deductible)

and the effect of the aggregate impact of

the work RVU changes on the

calculation of the Medicare Part B

premium rate (generally, 25 percent of

the aggregate payment change). E. Accounting Statement

As required by OMB Circular A

– 4

(available at http://

www.whitehouse.gov/omb/circulars/

a004/a-4.pdf ), in Table 56, we have

prepared an accounting statement

showing the classification of the

expenditures associated with the

provisions of this proposed notice.

Expenditures are classified as

transfers between Medicare providers/

suppliers (that is physicians, other

practitioners medical suppliers, and

providers that receive payment under or

based on the PFS) and the Federal

government. The

¥ $40 million shown

in Table 56 represents the net impact of

an increase in FY 2007 payments for

mammography and a decrease in FY

2007 payments for physical therapy.



# T ABLE 

# 56.

— A CCOUNTING 

# S TATEMENT



# — C LASSIFICATION OF 

# E STIMATED 

# E XPENDITURES



# , FROM 

# FY 2006 TO 

# FY 2007 ( IN

MILLIONS 

# )

Category Transfers

Annualized Monetized Transfers

¥ $40

From Whom To Whom? ......................... Providers of physical therapy and mammography services that are paid based on Medica re Physician

Fee Schedule to the Federal government.



# In accordance with the provisions of

Executive Order 12866, this proposed

notice was reviewed by the Office of

Management and Budget.

(Catalog of Federal Domestic Assistance

Program No. 93.773, Medicare

— Hospital

Insurance; and Program No. 93.774,

Medicare

— Supplementary Medical

Insurance Program) Dated: May 4, 2006.

Mark B. McClellan,

Administrator, Centers for Medicare &

Medicaid Services.

Approved: June 9, 2006.

Michael O. Leavitt,

Secretary.

Note: These addenda will not appear in the

Code of Federal Regulations. Addendum A: Explanation and Use of

Addenda B

The addenda on the following pages

provide various data pertaining to the

Medicare fee schedule for physicians ’

services furnished in 2007. Addendum B

contains the RVUs for work, non-facility PE,

facility PE, and malpractice expense, and

other information for all services included in

the PFS.


# 37257 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

In previous years, we have listed many

services 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 and most

alphanumeric codes (Healthcare Common

Procedure Coding System (HCPCS) codes not

included in CPT) in Addendum B.

Addendum B—2007 Relative Value Units

and Related Information Used in

Determining Medicare Payments for 2007

This addendum contains the following

information for each CPT code and

alphanumeric HCPCS code, except for:

alphanumeric codes beginning with B

(enteral and parenteral therapy), E (durable

medical equipment), K (temporary codes for

nonphysicians ’ services or items), or L

(orthotics); and codes for anesthesiology. The

Addendum B included in this proposed

notice does not include codes which are

carrier priced since the RVUs for these

services are set at 0.00.

Please also note the following:

• An ‘‘ NA ’’ in the ‘‘ Non-facility PE RVUs ’’

column of Addendum B means that CMS has

not developed a PE RVU in the non-facility

setting for the service because it is typically

performed in the hospital (for example, an

open heart surgery is generally performed in

the hospital setting and not a physician ’ s office).

• Services that have an ‘‘ NA ’’ in the

‘‘ Facility PE RVUs ’’ column of Addendum B

are typically not paid using the PFS when

provided in a facility setting. These services

(which include ‘‘ incident to ’’ services and

the technical portion of diagnostic tests) are

generally paid under either the outpatient

hospital prospective payment system or

bundled into the hospital inpatient

prospective payment system payment.

1. CPT/HCPCS code. This is the CPT or

alphanumeric HCPCS number for the service.

Alphanumeric HCPCS codes are included 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 three

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 bill using the code

without a modifier if the physician furnishes

both the PC and the TC of the service.

Modifier-53 is shown for a discontinued

procedure. There will be RVUs for the code

(CPT code 45378) with this modifier.

3. Status indicator. This indicator shows

whether the CPT/HCPCS code is in the PFS

and whether it is separately payable if the

service is covered.

A = Active code. These codes are

separately payable 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 determination regarding the service.

Carriers remain responsible for coverage

decisions in the 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 (an example is a telephone call from

a hospital nurse regarding care of a patient).

C = Carrier-priced code. Carriers will

establish RVUs and payment amounts for

these services, generally on an individual

case basis following review of

documentation, such as an operative report.

D = Deleted/discontinued code. These

codes are deleted effective with the

beginning of the CY and are always subject

to a 90-day grace period.

E = Excluded from the PFS by regulation.

These codes are for items and services that

CMS excludes from payment under the PFS

by regulation. No RVUs are shown, and no

payment may be made under the PFS for

these codes. Payment for them, when

covered, continues under reasonable charge

procedures.

F = Deleted/discontinued codes. (Code not

subject to a 90-day grace period.) These codes

are deleted effective with the beginning of

the CY and are never subject to a grace

period. This indicator is no longer effective

as of January 1, 2006.

G = Code not valid for Medicare purposes.

Medicare does not recognize codes assigned

this status. Medicare uses another code for

reporting of, and payment for, these services.

(Codes subject to a 90-day grace period.) This

indicator is no longer effective with the 2006

PFS as of January 1, 2006.

H = Deleted modifier. For 2000 and later

years, either the TC or PC component shown

for the code has been deleted or the deleted

component is shown in the database with the

H status indicator.

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.)

N = Noncovered service. These codes are

noncovered services. Medicare payment may

not be made for these codes. If RVUs are

shown, they are not used for Medicare

payment.

P = Bundled or excluded code. There are

no RVUs for these services. No separate

payment is made for them under the PFS.

— If the item or service is covered as incident

to a physician ’ s service and is furnished on

the same day as a physician ’ s service,

payment for it is bundled into the payment

for the physician ’ s service to which it is

incident (an example is an elastic bandage

furnished by a physician incident to a

physician ’ s service).

— If the item or service is covered as other

than incident to a physician ’ s service, it is

excluded from the PFS (for example,

colostomy supplies) and is paid under the

other payment provisions of the Act.

R = Restricted coverage. Special coverage

instructions apply. If the service is covered

and no RVUs are shown, it is carrier-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 same date by the same provider, these services are bundled into the service(s) for

which payment is made.

X = Exclusion by law. These codes

represent an item or service that is not within

the definition of ‘‘ physicians ’ services ’’ for

PFS payment purposes. No RVUs are shown

for these codes, and no payment may be

made under the PFS. (Examples are

ambulance services and clinical diagnostic

laboratory services.)

4. Description of code. This is an

abbreviated version of the narrative

description of the code.

5. Physician work RVUs. These are the

RVUs for the physician work for this service

in 2007. The RVUs for codes with a 10- or

90-day global period reflect the application of

the RUC-recommended values for the E/M

services that are included as part of the

global period for the service. Codes that are

not used for Medicare payment are identified

with a ‘‘ +. ’’ Note: The separate budget

neutrality adjustor is not reflected in these

physician work RVUs.

6. Fully implemented non-facility practice

expense RVUs. These are the fully

implemented resource-based PE RVUs for

non-facility settings.

7. Transitional Non-facility practice

expense RVUs. These are the 2007 resourcebased PE RVUs for non-facility settings.

8. Fully implemented facility practice

expense RVUs. These are the fully

implemented resource-based PE RVUs for

facility settings.

9. Transitional facility practice expense

RVUs. These are the 2007 resource-based PE

RVUs for facility settings.

10. Malpractice expense RVUs. These are

the RVUs for the malpractice expense for the

service for 2006.

11. Non-facility total. This is the sum of the

work, fully implemented non-facility PE, and

malpractice expense RVUs.

12. Transitional non-facility total. This is

the sum of the work, 2007 transitional nonfacility PE, and malpractice expense RVUs.

13. Facility total. This is the sum of the

work, fully implemented facility PE, and

malpractice expense RVUs.

14. Transitional facility total. This is the

sum of the work, 2007 transitional facility

PE, and malpractice expense RVUs.

15. Global period. This indicator shows the

number of days in the global period for the

code (0, 10, or 90 days). An explanation of

the alpha codes follows:

MMM = Code describes a service furnished

in uncomplicated maternity cases including

antepartum care, delivery, and postpartum

care. The usual global surgical concept does

not apply. See the 1999 Physicians ’ CPT for

specific definitions.

XXX = The global concept does not apply.

YYY = The global period is to be set by the

carrier (for example, unlisted surgery codes).

ZZZ = Code related to another service that

is always included in the global period of the

other service. (Note: Physician work and PE

are associated with intra service time and in

some instances the post service time.)


# 37258 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007CPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal0073T ......... ............ A Radiation tx delivery, imrt .............................. 0.00 13.15 16.84 NA NA 0.13 13.28 16.97 NANA XXX10021 ......... ............ A Fna w/o image ............................................... 1.27 2.11 2.15 0.35 0.49 0.10 3.48 3.521.72 1.86 XXX10022 ......... ............ A Fna w/image .................................................. 1.27 2.21 2.47 0.40 0.42 0.08 3.56 3.82 1.75 1.77 XXX10040 ......... ............ A Acne surgery ................................................. 1.18 1.28 1.08 0.95 0.83 0.05 2.51 2.31 2.18 2.06 01010060 ......... ............ A Drainage of skin abscess .............................. 1.17 1.49 1.28 1.07 0.97 0.12 2.78 2.57 2.362.26 01010061 ......... ............ A Drainage of skin abscess .............................. 2.40 2.05 1.89 1.49 1.50 0.26 4.71 4.55 4.154.16 01010080 ......... ............ A Drainage of pilonidal cyst .............................. 1.17 2.63 2.99 1.08 1.10 0.11 3.91 4.27 2.36 2.38 01010081 ......... ............ A Drainage of pilonidal cyst .............................. 2.45 3.46 3.93 1.42 1.48 0.24 6.15 6.62 4.11 4.17 01010120 ......... ............ A Remove foreign body .................................... 1.22 2.09 2.16 0.93 0.96 0.12 3.43 3.50 2.272.30 01010121 ......... ............ A Remove foreign body .................................... 2.69 3.49 3.51 1.62 1.75 0.33 6.51 6.53 4.644.77 01010140 ......... ............ A Drainage of hematoma/fluid .......................... 1.53 2.25 1.90 1.28 1.29 0.19 3.97 3.62 3.00 3.01 01010160 ......... ............ A Puncture drainage of lesion .......................... 1.20 1.85 1.66 1.07 1.08 0.14 3.19 3.00 2.41 2.42 01010180 ......... ............ A Complex drainage, wound ............................ 2.25 3.28 3.06 1.81 1.95 0.35 5.88 5.66 4.41 4.55 01011000 ......... ............ A Debride infected skin ..................................... 0.60 0.72 0.62 0.16 0.21 0.07 1.39 1.29 0.83 0.88 00011001 ......... ............ A Debride infected skin add-on ........................ 0.30 0.23 0.23 0.08 0.10 0.04 0.57 0.57 0.42 0.44 ZZZ11004 ......... ............ A Debride genitalia & perineum ........................ 10.31 NA NA 3.00 3.68 0.67 NA NA 13.98 14.66 00011005 ......... ............ A Debride abdom wall ...................................... 13.75 NA NA 3.98 5.18 0.96 NA NA 18.69 19.89 00011006 ......... ............ A Debride genit/per/abdom wall ....................... 12.61 NA NA 3.55 4.53 1.28 NA NA 17.44 18.42 00011008 ......... ............ A Remove mesh from abd wall ........................ 5.00 NA NA 1.33 1.86 0.61 NA NA 6.94 7.47 ZZZ11010 ......... ............ A Debride skin, fx ............................................. 4.19 6.71 6.85 2.29 2.55 0.66 11.56 11.70 7.14 7.40 01011011 ......... ............ A Debride skin/muscle, fx ................................. 4.94 7.04 7.90 2.01 2.27 0.74 12.72 13.58 7.69 7.95 00011012 ......... ............ A Debride skin/muscle/bone, fx ........................ 6.87 8.91 11.33 3.05 3.65 1.16 16.94 19.36 11.08 11.68 00011040 ......... ............ A Debride skin, partial ...................................... 0.50 0.68 0.56 0.16 0.20 0.06 1.24 1.120.72 0.76 00011041 ......... ............ A Debride skin, full ............................................ 0.82 0.77 0.69 0.24 0.31 0.10 1.69 1.61 1.16 1.23 00011042 ......... ............ A Debride skin/tissue ........................................ 1.12 1.04 0.99 0.33 0.41 0.13 2.29 2.241.58 1.66 00011043 ......... ............ A Debride tissue/muscle ................................... 3.00 3.61 3.45 2.68 2.62 0.32 6.93 6.77 6.00 5.94 01011044 ......... ............ A Debride tissue/muscle/bone .......................... 4.05 4.91 4.57 3.64 3.73 0.43 9.39 9.05 8.12 8.21 01011055 ......... ............ R Trim skin lesion ............................................. 0.43 0.81 0.62 0.11 0.16 0.05 1.29 1.10 0.59 0.64 00011056 ......... ............ R Trim skin lesions, 2 to 4 ................................ 0.61 0.88 0.70 0.15 0.21 0.07 1.56 1.38 0.83 0.89 00011057 ......... ............ R Trim skin lesions, over 4 ............................... 0.79 0.99 0.80 0.20 0.28 0.10 1.88 1.69 1.09 1.17 00011100 ......... ............ A Biopsy, skin lesion ......................................... 0.81 1.86 1.40 0.38 0.37 0.03 2.70 2.241.22 1.21 00011101 ......... ............ A Biopsy, skin add-on ....................................... 0.41 0.40 0.35 0.19 0.19 0.02 0.83 0.78 0.62 0.62 ZZZ11200 ......... ............ A Removal of skin tags ..................................... 0.77 1.21 1.08 0.88 0.79 0.04 2.02 1.89 1.69 1.60 01011201 ......... ............ A Remove skin tags add-on ............................. 0.29 0.16 0.16 0.11 0.12 0.02 0.47 0.47 0.42 0.43 ZZZ11300 ......... ............ A Shave skin lesion .......................................... 0.51 1.18 1.04 0.20 0.21 0.03 1.72 1.580.74 0.75 00011301 ......... ............ A Shave skin lesion .......................................... 0.85 1.48 1.20 0.37 0.38 0.04 2.37 2.091.26 1.27 00011302 ......... ............ A Shave skin lesion .......................................... 1.05 1.75 1.41 0.47 0.46 0.05 2.85 2.511.57 1.56 00011303 ......... ............ A Shave skin lesion .......................................... 1.24 1.99 1.68 0.53 0.52 0.07 3.30 2.991.84 1.83 00011305 ......... ............ A Shave skin lesion .......................................... 0.67 1.05 0.90 0.20 0.25 0.07 1.79 1.640.94 0.99 00011306 ......... ............ A Shave skin lesion .......................................... 0.99 1.40 1.18 0.37 0.41 0.07 2.46 2.241.43 1.47 00011307 ......... ............ A Shave skin lesion .......................................... 1.14 1.68 1.39 0.46 0.48 0.07 2.89 2.601.67 1.69 00011308 ......... ............ A Shave skin lesion .......................................... 1.41 1.72 1.52 0.50 0.57 0.13 3.26 3.062.04 2.11 00011310 ......... ............ A Shave skin lesion .......................................... 0.73 1.37 1.18 0.31 0.32 0.04 2.14 1.951.08 1.09 00011311 ......... ............ A Shave skin lesion .......................................... 1.05 1.62 1.33 0.47 0.49 0.05 2.72 2.431.57 1.59 00011312 ......... ............ A Shave skin lesion .......................................... 1.20 1.89 1.54 0.55 0.55 0.06 3.15 2.801.81 1.81 00011313 ......... ............ A Shave skin lesion .......................................... 1.62 2.15 1.90 0.71 0.72 0.10 3.87 3.622.43 2.44 00011400 ......... ............ A Exc tr-ext b9+marg 0.5 < cm ........................ 0.85 1.86 1.97 0.92 0.89 0.06 2.77 2.88 1.83 1.80 01011401 ......... ............ A Exc tr-ext b9+marg 0.6–1 cm ....................... 1.23 2.15 2.08 1.12 1.05 0.10 3.48 3.41 2.45 2.38 01011402 ......... ............ A Exc tr-ext b9+marg 1.1–2 cm ....................... 1.40 2.35 2.26 1.18 1.11 0.13 3.88 3.79 2.71 2.64 01011403 ......... ............ A Exc tr-ext b9+marg 2.1–3 cm ....................... 1.79 2.52 2.43 1.54 1.38 0.17 4.48 4.39 3.50 3.34 01011404 ......... ............ A Exc tr-ext b9+marg 3.1–4 cm ....................... 2.06 2.83 2.74 1.61 1.45 0.21 5.10 5.01 3.88 3.72 01011406 ......... ............ A Exc tr-ext b9+marg > 4.0 cm ........................ 3.45 3.37 3.15 1.94 1.72 0.32 7.14 6.92 5.71 5.49 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00090 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37259 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal11420 ......... ............ A Exc h-f-nk-sp b9+marg 0.5 < ........................ 0.98 1.81 1.78 0.92 0.93 0.09 2.88 2.85 1.99 2.00 01011421 ......... ............ A Exc h-f-nk-sp b9+marg 0.6–1 ....................... 1.42 2.18 2.10 1.14 1.12 0.13 3.73 3.65 2.69 2.67 01011422 ......... ............ A Exc h-f-nk-sp b9+marg 1.1–2 ....................... 1.63 2.38 2.29 1.49 1.37 0.16 4.17 4.08 3.28 3.16 01011423 ......... ............ A Exc h-f-nk-sp b9+marg 2.1–3 ....................... 2.01 2.62 2.60 1.62 1.49 0.20 4.83 4.81 3.83 3.70 01011424 ......... ............ A Exc h-f-nk-sp b9+marg 3.1–4 ....................... 2.43 2.93 2.84 1.74 1.64 0.25 5.61 5.52 4.42 4.32 01011426 ......... ............ A Exc h-f-nk-sp b9+marg > 4 cm ..................... 4.02 3.55 3.51 2.14 2.12 0.44 8.01 7.97 6.60 6.5801011440 ......... ............ A Exc face-mm b9+marg 0.5 < cm .................. 1.00 1.98 2.15 1.29 1.31 0.08 3.06 3.23 2.37 2.39 01011441 ......... ............ A Exc face-mm b9+marg 0.6–1 cm .................. 1.48 2.34 2.34 1.52 1.50 0.13 3.95 3.95 3.13 3.11 01011442 ......... ............ A Exc face-mm b9+marg 1.1–2 cm .................. 1.72 2.58 2.56 1.61 1.58 0.16 4.46 4.44 3.49 3.46 01011443 ......... ............ A Exc face-mm b9+marg 2.1–3 cm .................. 2.29 2.81 2.89 1.79 1.81 0.22 5.32 5.40 4.30 4.32 01011444 ......... ............ A Exc face-mm b9+marg 3.1–4 cm .................. 3.14 3.21 3.41 2.03 2.15 0.30 6.65 6.85 5.47 5.59 01011446 ......... ............ A Exc face-mm b9+marg > 4 cm ..................... 4.73 3.86 4.00 2.47 2.70 0.43 9.02 9.16 7.63 7.86 01011450 ......... ............ A Removal, sweat gland lesion ........................ 3.10 5.15 5.07 2.41 2.13 0.34 8.59 8.51 5.85 5.57 09011451 ......... ............ A Removal, sweat gland lesion ........................ 4.31 6.14 6.50 2.77 2.61 0.53 10.98 11.34 7.61 7.45 09011462 ......... ............ A Removal, sweat gland lesion ........................ 2.88 5.31 5.17 2.45 2.13 0.32 8.51 8.37 5.65 5.33 09011463 ......... ............ A Removal, sweat gland lesion ........................ 4.31 6.58 6.78 2.94 2.75 0.54 11.43 11.63 7.79 7.60 09011470 ......... ............ A Removal, sweat gland lesion ........................ 3.62 5.57 5.20 2.67 2.37 0.40 9.59 9.22 6.69 6.39 09011471 ......... ............ A Removal, sweat gland lesion ........................ 4.77 6.42 6.65 2.95 2.82 0.58 11.77 12.00 8.30 8.17 09011600 ......... ............ A Exc tr-ext mlg+marg 0.5 < cm ...................... 1.56 2.61 2.63 1.01 0.98 0.10 4.27 4.29 2.67 2.6401011601 ......... ............ A Exc tr-ext mlg+marg 0.6–1 cm ...................... 2.00 3.27 2.85 1.35 1.25 0.12 5.39 4.97 3.47 3.37 01011602 ......... ............ A Exc tr-ext mlg+marg 1.1–2 cm ...................... 2.20 3.65 3.04 1.52 1.33 0.12 5.97 5.36 3.84 3.65 01011603 ......... ............ A Exc tr-ext mlg+marg 2.1–3 cm ...................... 2.75 3.85 3.27 1.69 1.42 0.16 6.76 6.18 4.60 4.33 01011604 ......... ............ A Exc tr-ext mlg+marg 3.1–4 cm ...................... 3.10 4.15 3.57 1.76 1.48 0.20 7.45 6.87 5.06 4.78 01011606 ......... ............ A Exc tr-ext mlg+marg > 4 cm ......................... 4.95 5.28 4.37 2.27 1.87 0.36 10.59 9.68 7.58 7.18 01011620 ......... ............ A Exc h-f-nk-sp mlg+marg 0.5 < ...................... 1.57 2.70 2.63 1.05 0.98 0.09 4.36 4.29 2.71 2.6401011621 ......... ............ A Exc h-f-nk-sp mlg+marg 0.6–1 ...................... 2.01 3.32 2.86 1.38 1.28 0.12 5.45 4.99 3.51 3.41 01011622 ......... ............ A Exc h-f-nk-sp mlg+marg 1.1–2 ...................... 2.34 3.70 3.15 1.57 1.44 0.14 6.18 5.63 4.05 3.92 01011623 ......... ............ A Exc h-f-nk-sp mlg+marg 2.1–3 ...................... 3.04 3.92 3.49 1.78 1.63 0.20 7.16 6.73 5.02 4.87 01011624 ......... ............ A Exc h-f-nk-sp *mlg+marg 3.1–4 .................... 3.55 4.23 3.87 1.90 1.81 0.27 8.05 7.69 5.72 5.63 01011626 ......... ............ A Exc h-f-nk-sp mlg+mar > 4 cm ..................... 4.54 4.88 4.70 2.26 2.37 0.45 9.87 9.69 7.25 7.3601011640 ......... ............ A Exc face-mm malig+marg 0.5 < .................... 1.60 2.89 2.72 1.14 1.12 0.11 4.60 4.43 2.85 2.83 01011641 ......... ............ A Exc face-mm malig+marg 0.6–1 ................... 2.10 3.44 3.13 1.44 1.51 0.16 5.70 5.39 3.70 3.77 01011642 ......... ............ A Exc face-mm malig+marg 1.1–2 ................... 2.55 3.82 3.51 1.66 1.70 0.19 6.56 6.25 4.40 4.44 01011643 ......... ............ A Exc face-mm malig+marg 2.1–3 ................... 3.35 4.06 3.87 1.92 1.96 0.26 7.67 7.48 5.53 5.57 01011644 ......... ............ A Exc face-mm malig+marg 3.1–4 ................... 4.27 4.82 4.72 2.25 2.41 0.37 9.46 9.36 6.89 7.05 01011646 ......... ............ A Exc face-mm mlg+marg > 4 cm .................... 6.19 5.73 5.76 3.01 3.36 0.61 12.53 12.56 9.81 10.1601011719 ......... ............ R Trim nail(s) .................................................... 0.17 0.38 0.28 0.04 0.06 0.02 0.570.47 0.23 0.25 00011720 ......... ............ A Debride nail, 1–5 ........................................... 0.32 0.47 0.37 0.08 0.11 0.04 0.83 0.73 0.44 0.47 00011721 ......... ............ A Debride nail, 6 or more ................................. 0.54 0.54 0.47 0.14 0.19 0.07 1.15 1.08 0.75 0.80 00011730 ......... ............ A Removal of nail plate .................................... 1.13 1.34 1.11 0.29 0.40 0.14 2.61 2.38 1.56 1.67 00011732 ......... ............ A Remove nail plate, add-on ............................ 0.57 0.54 0.47 0.14 0.20 0.07 1.18 1.11 0.78 0.84 ZZZ11740 ......... ............ A Drain blood from under nail .......................... 0.37 0.80 0.61 0.43 0.37 0.04 1.21 1.02 0.84 0.78 00011750 ......... ............ A Removal of nail bed ...................................... 2.36 2.94 2.36 1.86 1.79 0.22 5.52 4.94 4.44 4.37 01011752 ......... ............ A Remove nail bed/finger tip ............................ 3.42 4.07 3.27 2.77 2.94 0.35 7.84 7.04 6.546.71 01011755 ......... ............ A Biopsy, nail unit ............................................. 1.31 2.01 1.68 0.75 0.77 0.14 3.46 3.13 2.20 2.22 00011760 ......... ............ A Repair of nail bed .......................................... 1.58 3.41 2.83 1.42 1.70 0.21 5.20 4.623.21 3.49 01011762 ......... ............ A Reconstruction of nail bed ............................ 2.89 3.67 3.09 1.66 2.18 0.36 6.92 6.34 4.915.43 01011765 ......... ............ A Excision of nail fold, toe ................................ 0.69 2.67 2.01 1.00 0.82 0.08 3.44 2.78 1.77 1.59 01011770 ......... ............ A Removal of pilonidal lesion ........................... 2.61 3.47 3.49 1.52 1.51 0.33 6.41 6.43 4.464.45 01011771 ......... ............ A Removal of pilonidal lesion ........................... 5.91 6.67 5.91 3.70 3.42 0.74 13.32 12.56 10.35 10.07 09011772 ......... ............ A Removal of pilonidal lesion ........................... 7.15 8.00 7.64 5.51 5.19 0.89 16.04 15.68 13.55 13.23 09011900 ......... ............ A Injection into skin lesions .............................. 0.52 0.90 0.71 0.24 0.22 0.02 1.44 1.25 0.78 0.76 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00091 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37260 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal11901 ......... ............ A Added skin lesions injection .......................... 0.80 1.00 0.75 0.38 0.36 0.03 1.83 1.58 1.211.19 00011920 ......... ............ R Correct skin color defects ............................. 1.61 2.37 3.38 1.10 1.09 0.24 4.22 5.23 2.952.94 00011921 ......... ............ R Correct skin color defects ............................. 1.93 2.63 3.64 1.24 1.26 0.29 4.85 5.86 3.463.48 00011922 ......... ............ R Correct skin color defects ............................. 0.49 0.92 1.09 0.22 0.24 0.07 1.48 1.65 0.780.80 ZZZ11950 ......... ............ R Therapy for contour defects .......................... 0.84 0.86 1.07 0.35 0.38 0.06 1.76 1.97 1.25 1.28 00011951 ......... ............ R Therapy for contour defects .......................... 1.19 1.17 1.41 0.52 0.51 0.11 2.47 2.71 1.82 1.81 00011952 ......... ............ R Therapy for contour defects .......................... 1.69 1.69 1.82 0.79 0.71 0.16 3.54 3.67 2.64 2.56 00011954 ......... ............ R Therapy for contour defects .......................... 1.85 1.78 2.28 0.77 0.87 0.25 3.88 4.38 2.87 2.97 00011960 ......... ............ A Insert tissue expander(s) ............................... 10.85 NA NA 10.40 10.42 1.31 NA NA 22.56 22.58 09011970 ......... ............ A Replace tissue expander ............................... 7.80 NA NA 5.94 6.10 1.05 NA NA 14.79 14.95 09011971 ......... ............ A Remove tissue expander(s) .......................... 3.13 7.33 8.69 3.95 3.84 0.32 10.78 12.14 7.40 7.29 09011975 ......... ............ N Insert contraceptive cap ................................ 1.48 1.53 1.45 0.33 0.51 0.17 3.18 3.10 1.98 2.16 XXX11976 ......... ............ R Removal of contraceptive cap ....................... 1.78 1.68 1.71 0.45 0.62 0.21 3.67 3.70 2.44 2.61 00011977 ......... ............ N Removal/reinsert contra cap ......................... 3.30 1.96 2.20 0.74 1.13 0.37 5.63 5.87 4.41 4.80 XXX11980 ......... ............ A Implant hormone pellet(s) ............................. 1.48 1.17 1.10 0.55 0.54 0.13 2.78 2.71 2.162.15 00011981 ......... ............ A Insert drug implant device ............................. 1.48 1.96 1.77 0.61 0.66 0.12 3.56 3.37 2.212.26 XXX11982 ......... ............ A Remove drug implant device ........................ 1.78 2.09 1.99 0.73 0.81 0.17 4.04 3.94 2.68 2.76XXX11983 ......... ............ A Remove/insert drug implant .......................... 3.30 2.74 2.40 1.38 1.45 0.23 6.27 5.93 4.91 4.98 XXX12001 ......... ............ A Repair superficial wound(s) ........................... 1.70 1.71 1.92 0.71 0.76 0.15 3.56 3.77 2.562.61 01012002 ......... ............ A Repair superficial wound(s) ........................... 1.86 1.77 1.98 0.82 0.88 0.17 3.80 4.01 2.852.91 01012004 ......... ............ A Repair superficial wound(s) ........................... 2.24 2.05 2.26 0.90 0.98 0.21 4.50 4.71 3.353.43 01012005 ......... ............ A Repair superficial wound(s) ........................... 2.86 2.50 2.75 1.05 1.16 0.27 5.63 5.88 4.184.29 01012006 ......... ............ A Repair superficial wound(s) ........................... 3.66 3.00 3.30 1.27 1.45 0.35 7.01 7.31 5.285.46 01012007 ......... ............ A Repair superficial wound(s) ........................... 4.11 3.37 3.72 1.46 1.73 0.45 7.93 8.28 6.026.29 01012011 ......... ............ A Repair superficial wound(s) ........................... 1.76 1.88 2.08 0.74 0.77 0.16 3.80 4.00 2.662.69 01012013 ......... ............ A Repair superficial wound(s) ........................... 1.99 2.03 2.22 0.87 0.92 0.18 4.20 4.39 3.043.09 01012014 ......... ............ A Repair superficial wound(s) ........................... 2.46 2.25 2.50 0.96 1.04 0.23 4.94 5.19 3.653.73 01012015 ......... ............ A Repair superficial wound(s) ........................... 3.19 2.73 3.04 1.09 1.21 0.29 6.21 6.52 4.574.69 01012016 ......... ............ A Repair superficial wound(s) ........................... 3.92 3.12 3.45 1.26 1.46 0.37 7.41 7.74 5.555.75 01012017 ......... ............ A Repair superficial wound(s) ........................... 4.70 NA NA 1.45 1.79 0.47 NA NA 6.62 6.96 01012018 ......... ............ A Repair superficial wound(s) ........................... 5.52 NA NA 1.94 2.18 0.64 NA NA 8.10 8.34 01012020 ......... ............ A Closure of split wound ................................... 2.62 3.73 3.81 1.76 1.89 0.30 6.65 6.73 4.68 4.81 01012021 ......... ............ A Closure of split wound ................................... 1.84 1.84 1.83 1.32 1.39 0.24 3.92 3.91 3.40 3.47 01012031 ......... ............ A Layer closure of wound(s) ............................. 2.15 3.84 2.68 1.74 1.16 0.17 6.16 5.00 4.063.48 01012032 ......... ............ A Layer closure of wound(s) ............................. 2.47 5.13 4.17 2.23 1.91 0.16 7.76 6.80 4.864.54 01012034 ......... ............ A Layer closure of wound(s) ............................. 2.92 4.52 3.53 1.94 1.57 0.25 7.69 6.70 5.114.74 01012035 ......... ............ A Layer closure of wound(s) ............................. 3.42 5.23 5.22 2.07 2.14 0.39 9.04 9.03 5.885.95 01012036 ......... ............ A Layer closure of wound(s) ............................. 4.04 5.35 5.52 2.20 2.46 0.55 9.94 10.11 6.797.05 01012037 ......... ............ A Layer closure of wound(s) ............................. 4.66 5.90 6.06 2.57 2.87 0.66 11.22 11.38 7.89 8.19 01012041 ......... ............ A Layer closure of wound(s) ............................. 2.37 3.78 2.86 1.72 1.28 0.19 6.34 5.42 4.283.84 01012042 ......... ............ A Layer closure of wound(s) ............................. 2.74 4.40 3.55 2.06 1.61 0.17 7.31 6.46 4.974.52 01012044 ......... ............ A Layer closure of wound(s) ............................. 3.14 5.27 3.73 1.88 1.67 0.27 8.68 7.14 5.295.08 01012045 ......... ............ A Layer closure of wound(s) ............................. 3.63 5.04 5.22 2.04 2.23 0.41 9.08 9.26 6.086.27 01012046 ......... ............ A Layer closure of wound(s) ............................. 4.24 5.60 6.29 2.24 2.63 0.54 10.38 11.07 7.02 7.41 01012047 ......... ............ A Layer closure of wound(s) ............................. 4.64 6.11 6.30 2.47 2.94 0.58 11.33 11.52 7.69 8.16 01012051 ......... ............ A Layer closure of wound(s) ............................. 2.47 4.03 3.47 1.87 1.56 0.20 6.70 6.14 4.544.23 01012052 ......... ............ A Layer closure of wound(s) ............................. 2.77 4.34 3.51 2.06 1.59 0.17 7.28 6.45 5.004.53 01012053 ......... ............ A Layer closure of wound(s) ............................. 3.12 5.26 3.75 2.06 1.66 0.23 8.61 7.10 5.415.01 01012054 ......... ............ A Layer closure of wound(s) ............................. 3.45 5.31 4.01 2.00 1.72 0.30 9.06 7.76 5.755.47 01012055 ......... ............ A Layer closure of wound(s) ............................. 4.42 5.98 4.86 2.08 2.12 0.45 10.85 9.73 6.956.99 01012056 ......... ............ A Layer closure of wound(s) ............................. 5.23 6.15 6.62 2.34 2.88 0.59 11.97 12.44 8.16 8.70 01012057 ......... ............ A Layer closure of wound(s) ............................. 5.95 7.34 6.45 2.74 3.51 0.56 13.85 12.96 9.25 10.02 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00092 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37261 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal13100 ......... ............ A Repair of wound or lesion ............................. 3.12 4.34 4.13 2.40 2.33 0.26 7.72 7.51 5.785.71 01013101 ......... ............ A Repair of wound or lesion ............................. 3.91 5.85 4.97 2.91 2.75 0.26 10.02 9.14 7.086.92 01013102 ......... ............ A Repair wound/lesion add-on ......................... 1.24 1.33 1.21 0.52 0.56 0.13 2.70 2.58 1.89 1.93 ZZZ13120 ......... ............ A Repair of wound or lesion ............................. 3.30 4.48 4.23 2.51 2.39 0.26 8.04 7.79 6.075.95 01013121 ......... ............ A Repair of wound or lesion ............................. 4.32 6.13 5.18 3.10 2.88 0.25 10.70 9.75 7.677.45 01013122 ......... ............ A Repair wound/lesion add-on ......................... 1.44 1.36 1.47 0.57 0.62 0.15 2.95 3.06 2.16 2.21 ZZZ13131 ......... ............ A Repair of wound or lesion ............................. 3.78 4.90 4.50 2.80 2.72 0.26 8.94 8.54 6.846.76 01013132 ......... ............ A Repair of wound or lesion ............................. 6.44 7.73 6.37 4.83 4.34 0.32 14.49 13.13 11.59 11.10 01013133 ......... ............ A Repair wound/lesion add-on ......................... 2.19 1.82 1.70 0.94 1.01 0.18 4.19 4.07 3.31 3.38 ZZZ13150 ......... ............ A Repair of wound or lesion ............................. 3.80 4.60 4.81 2.63 2.74 0.34 8.74 8.95 6.776.88 01013151 ......... ............ A Repair of wound or lesion ............................. 4.44 5.39 4.96 3.13 3.15 0.31 10.14 9.71 7.887.90 01013152 ......... ............ A Repair of wound or lesion ............................. 6.32 7.38 6.38 3.80 3.99 0.40 14.10 13.10 10.52 10.71 01013153 ......... ............ A Repair wound/lesion add-on ......................... 2.38 1.96 1.95 0.97 1.10 0.24 4.58 4.57 3.59 3.72 ZZZ13160 ......... ............ A Late closure of wound ................................... 11.76 NA NA 6.98 7.13 1.54 NA NA 20.28 20.43 09014000 ......... ............ A Skin tissue rearrangement ............................ 6.75 8.78 8.10 5.91 5.59 0.59 16.12 15.44 13.25 12.93 09014001 ......... ............ A Skin tissue rearrangement ............................ 9.52 10.90 9.81 7.40 7.17 0.82 21.24 20.15 17.74 17.51 09014020 ......... ............ A Skin tissue rearrangement ............................ 7.58 9.80 8.92 6.70 6.59 0.64 18.02 17.14 14.92 14.81 09014021 ......... ............ A Skin tissue rearrangement ............................ 11.10 12.18 10.55 8.43 8.33 0.81 24.09 22.46 20.34 20.24 09014040 ......... ............ A Skin tissue rearrangement ............................ 8.36 10.23 9.18 7.06 7.18 0.62 19.21 18.16 16.04 16.16 09014041 ......... ............ A Skin tissue rearrangement ............................ 12.59 13.27 11.28 9.10 8.80 0.73 26.59 24.60 22.42 22.12 09014060 ......... ............ A Skin tissue rearrangement ............................ 8.99 9.94 9.09 7.47 7.46 0.68 19.61 18.76 17.14 17.13 09014061 ......... ............ A Skin tissue rearrangement ............................ 13.57 14.52 12.35 9.92 9.63 0.76 28.85 26.68 24.25 23.96 09014300 ......... ............ A Skin tissue rearrangement ............................ 13.16 13.25 11.68 9.22 9.21 1.16 27.57 26.00 23.54 23.53 09014350 ......... ............ A Skin tissue rearrangement ............................ 10.72 NA NA 6.78 7.07 1.34 NA NA 18.84 19.13 09015000 ......... ............ A Wound prep, 1st 100 sq cm .......................... 3.99 4.19 3.90 1.70 2.07 0.54 8.72 8.43 6.23 6.60 00015001 ......... ............ A Wound prep, addl 100 sq cm ........................ 1.00 0.55 1.15 0.34 0.39 0.14 1.69 2.29 1.48 1.53ZZZ15040 ......... ............ A Harvest cultured skin graft ............................ 2.00 3.82 4.38 1.01 1.10 0.24 6.06 6.62 3.253.34 00015050 ......... ............ A Skin pinch graft ............................................. 5.29 7.58 7.09 4.97 5.08 0.57 13.44 12.95 10.83 10.94 09015100 ......... ............ A Skin splt grft, trnk/arm/leg ............................. 9.66 10.25 12.03 7.16 7.67 1.28 21.19 22.97 18.10 18.61 09015101 ......... ............ A Skin splt grft t/a/l, add-on .............................. 1.72 2.48 3.43 0.85 1.09 0.24 4.44 5.39 2.81 3.05 ZZZ15110 ......... ............ A Epidrm autogrft trnk/arm/leg .......................... 10.82 8.81 10.23 6.40 6.87 1.31 20.94 22.36 18.53 19.00 09015111 ......... ............ A Epidrm autogrft t/a/l add-on .......................... 1.85 0.87 1.19 0.63 0.75 0.26 2.98 3.30 2.742.86 ZZZ15115 ......... ............ A Epidrm a-grft face/nck/hf/g ............................ 11.13 9.05 9.20 6.58 7.17 1.15 21.33 21.48 18.86 19.45 09015116 ......... ............ A Epidrm a-grft f/n/hf/g addl ............................. 2.50 1.20 1.49 0.86 1.06 0.33 4.03 4.32 3.69 3.89 ZZZ15120 ......... ............ A Skn splt a-grft fac/nck/hf/g ............................ 10.88 11.06 10.83 7.22 7.66 1.16 23.10 22.87 19.26 19.70 09015121 ......... ............ A Skn splt a-grft f/n/hf/g add ............................. 2.67 3.42 4.24 1.30 1.71 0.36 6.45 7.27 4.33 4.74 ZZZ15130 ......... ............ A Derm autograft, trnk/arm/leg ......................... 7.33 7.94 9.40 5.56 6.16 0.97 16.24 17.70 13.86 14.46 09015131 ......... ............ A Derm autograft t/a/l add-on ........................... 1.50 0.68 0.97 0.51 0.61 0.21 2.39 2.68 2.222.32 ZZZ15135 ......... ............ A Derm autograft face/nck/hf/g ......................... 10.83 9.30 9.75 6.89 7.84 1.23 21.36 21.81 18.95 19.90 09015136 ......... ............ A Derm autograft, f/n/hf/g add .......................... 1.50 0.66 0.83 0.52 0.63 0.20 2.36 2.53 2.222.33 ZZZ15150 ......... ............ A Cult epiderm grft t/arm/leg ............................ 9.24 7.12 8.14 5.83 6.30 1.14 17.50 18.52 16.21 16.68 09015151 ......... ............ A Cult epiderm grft t/a/l addl ............................. 2.00 0.88 1.20 0.68 0.81 0.28 3.16 3.48 2.96 3.09 ZZZ15152 ......... ............ A Cult epiderm graft t/a/l +% ............................ 2.50 1.05 1.43 0.85 1.01 0.35 3.90 4.28 3.703.86 ZZZ15155 ......... ............ A Cult epiderm graft, f/n/hf/g ............................ 9.99 7.51 7.76 6.17 6.78 1.05 18.55 18.80 17.21 17.82 09015156 ......... ............ A Cult epidrm grft f/n/hfg add ........................... 2.75 1.16 1.46 0.95 1.17 0.36 4.27 4.57 4.064.28 ZZZ15157 ......... ............ A Cult epiderm grft f/n/hfg +% .......................... 3.00 1.34 1.67 1.04 1.27 0.39 4.73 5.06 4.434.66 ZZZ15170 ......... ............ A Acell graft trunk/arms/legs ............................. 5.99 3.60 3.78 2.31 2.36 0.55 10.14 10.32 8.85 8.90 09015171 ......... ............ A Acell graft t/arm/leg add-on ........................... 1.55 0.63 0.67 0.50 0.59 0.19 2.37 2.41 2.242.33 ZZZ15175 ......... ............ A Acellular graft, f/n/hf/g ................................... 7.99 5.17 5.37 3.68 3.93 0.82 13.98 14.18 12.49 12.74 09015176 ......... ............ A Acell graft, f/n/hf/g add-on ............................. 2.45 1.05 1.10 0.79 0.94 0.29 3.79 3.84 3.53 3.68 ZZZ15200 ......... ............ A Skin full graft, trunk ....................................... 8.89 9.76 9.51 6.22 6.22 0.98 19.63 19.38 16.09 16.09 09015201 ......... ............ A Skin full graft trunk add-on ............................ 1.32 2.08 2.45 0.55 0.60 0.19 3.59 3.96 2.06 2.11 ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00093 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37262 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal15220 ......... ............ A Skin full graft sclp/arm/leg ............................. 7.86 10.19 9.46 6.48 6.65 0.84 18.89 18.1615.18 15.35 09015221 ......... ............ A Skin full graft add-on ..................................... 1.19 1.99 2.25 0.49 0.54 0.16 3.34 3.601.84 1.89 ZZZ15240 ......... ............ A Skin full grft face/genit/hf ............................... 10.03 11.05 10.44 7.96 7.97 0.92 22.00 21.39 18.91 18.92 09015241 ......... ............ A Skin full graft add-on ..................................... 1.86 2.48 2.46 0.78 0.88 0.23 4.57 4.552.87 2.97 ZZZ15260 ......... ............ A Skin full graft een & lips ................................ 11.29 12.67 10.85 9.05 8.71 0.69 24.65 22.83 21.03 20.69 09015261 ......... ............ A Skin full graft add-on ..................................... 2.23 2.89 2.75 1.11 1.33 0.21 5.33 5.193.55 3.77 ZZZ15300 ......... ............ A Apply skinallogrft, t/arm/lg ............................. 4.65 3.31 3.24 2.06 2.20 0.49 8.45 8.38 7.20 7.34 09015301 ......... ............ A Apply sknallogrft t/a/l addl ............................. 1.00 0.47 0.47 0.33 0.38 0.14 1.61 1.61 1.47 1.52 ZZZ15320 ......... ............ A Apply skin allogrft f/n/hf/g .............................. 5.36 3.69 3.65 2.27 2.47 0.58 9.63 9.59 8.21 8.41 09015321 ......... ............ A Aply sknallogrft f/n/hfg add ............................ 1.50 0.67 0.69 0.49 0.57 0.21 2.38 2.40 2.20 2.28 ZZZ15330 ......... ............ A Aply acell alogrft t/arm/leg ............................. 3.99 3.10 3.18 1.86 2.14 0.49 7.58 7.66 6.34 6.62 09015331 ......... ............ A Aply acell grft t/a/l add-on ............................. 1.00 0.45 0.46 0.33 0.38 0.14 1.59 1.60 1.47 1.52 ZZZ15335 ......... ............ A Apply acell graft, f/n/hf/g ............................... 4.50 3.35 3.45 2.02 2.34 0.55 8.40 8.50 7.07 7.39 09015336 ......... ............ A Aply acell grft f/n/hf/g add ............................. 1.43 0.70 0.69 0.47 0.55 0.20 2.33 2.32 2.10 2.18 ZZZ15340 ......... ............ A Apply cult skin substitute ............................... 3.72 3.74 3.94 2.68 2.74 0.41 7.87 8.07 6.81 6.87 01015341 ......... ............ A Apply cult skin sub add-on ............................ 0.50 0.72 0.64 0.16 0.19 0.06 1.28 1.20 0.720.75 ZZZ15360 ......... ............ A Apply cult derm sub, t/a/l .............................. 3.87 4.26 4.43 3.07 3.09 0.43 8.56 8.73 7.37 7.39 09015361 ......... ............ A Aply cult derm sub t/a/l add .......................... 1.15 0.56 0.58 0.37 0.44 0.14 1.85 1.87 1.661.73 ZZZ15365 ......... ............ A Apply cult derm sub f/n/hf/g .......................... 4.15 4.30 4.50 3.14 3.19 0.46 8.91 9.11 7.757.80 09015366 ......... ............ A Apply cult derm f/hf/g add ............................. 1.45 0.67 0.69 0.47 0.55 0.17 2.29 2.31 2.092.17 ZZZ15400 ......... ............ A Apply skin xenograft, t/a/l .............................. 4.32 4.87 4.23 3.66 3.93 0.47 9.66 9.02 8.45 8.72 09015401 ......... ............ A Apply skn xenogrft t/a/l add .......................... 1.00 1.01 1.68 0.33 0.41 0.14 2.15 2.82 1.471.55 ZZZ15420 ......... ............ A Apply skin xgraft, f/n/hf/g ............................... 4.83 5.01 4.85 3.82 3.81 0.52 10.36 10.209.17 9.16 09015421 ......... ............ A Apply skn xgrft f/n/hf/g add ........................... 1.50 1.18 1.29 0.50 0.59 0.21 2.89 3.00 2.212.30 ZZZ15430 ......... ............ A Apply acellular xenograft ............................... 5.75 6.95 6.93 6.37 6.57 0.66 13.36 13.34 12.78 12.98 09015570 ......... ............ A Form skin pedicle flap ................................... 9.94 10.21 11.05 6.35 6.67 1.34 21.49 22.33 17.63 17.95 09015572 ......... ............ A Form skin pedicle flap ................................... 9.88 9.61 9.54 6.51 6.48 1.20 20.69 20.6217.59 17.56 09015574 ......... ............ A Form skin pedicle flap ................................... 10.48 10.26 10.60 6.81 7.56 1.20 21.94 22.28 18.49 19.24 09015576 ......... ............ A Form skin pedicle flap ................................... 9.18 9.42 9.69 6.32 6.76 0.87 19.47 19.7416.37 16.81 09015600 ......... ............ A Skin graft ....................................................... 1.91 5.21 7.02 2.67 2.97 0.27 7.399.20 4.85 5.15 09015610 ......... ............ A Skin graft ....................................................... 2.42 5.49 4.90 2.99 3.32 0.35 8.267.67 5.76 6.09 09015620 ......... ............ A Skin graft ....................................................... 3.56 6.26 7.42 3.74 3.85 0.35 10.17 11.33 7.65 7.76 09015630 ......... ............ A Skin graft ....................................................... 3.89 6.86 7.01 4.16 4.16 0.34 11.09 11.24 8.39 8.39 09015650 ......... ............ A Transfer skin pedicle flap .............................. 4.58 7.00 7.12 4.19 4.21 0.42 12.00 12.12 9.19 9.21 09015732 ......... ............ A Muscle-skin graft, head/neck ........................ 19.62 14.42 17.17 10.88 11.91 1.99 36.03 38.7832.49 33.52 09015734 ......... ............ A Muscle-skin graft, trunk ................................. 19.52 14.95 17.36 11.12 12.09 2.61 37.08 39.49 33.25 34.22 09015736 ......... ............ A Muscle-skin graft, arm ................................... 16.86 13.54 17.10 9.75 10.88 2.45 32.85 36.41 29.06 30.19 09015738 ......... ............ A Muscle-skin graft, leg .................................... 18.86 13.82 16.97 10.22 11.37 2.65 35.3338.48 31.73 32.88 09015740 ......... ............ A Island pedicle flap graft ................................. 11.47 13.20 10.92 9.13 8.49 0.63 25.30 23.02 21.23 20.59 09015750 ......... ............ A Neurovascular pedicle graft .......................... 12.63 NA NA 8.53 8.94 1.42 NA NA 22.58 22.99 09015756 ......... ............ A Free myo/skin flap microvasc ....................... 36.64 NA NA 17.98 19.96 4.61 NA NA 59.23 61.21 09015757 ......... ............ A Free skin flap, microvasc .............................. 36.85 NA NA 16.45 20.35 3.89 NA NA 57.19 61.09 09015758 ......... ............ A Free fascial flap, microvasc .......................... 36.60 NA NA 16.06 20.24 4.23 NA NA 56.89 61.07 09015760 ......... ............ A Composite skin graft ..................................... 9.60 10.03 10.05 6.74 7.15 0.85 20.48 20.50 17.19 17.60 09015770 ......... ............ A Derma-fat-fascia graft .................................... 8.63 NA NA 6.43 6.63 1.05 NA NA 16.11 16.31 09015775 ......... ............ R Hair transplant punch grafts .......................... 3.95 3.51 4.06 1.70 1.40 0.52 7.98 8.53 6.175.87 00015776 ......... ............ R Hair transplant punch grafts .......................... 5.53 3.91 5.01 1.56 2.50 0.72 10.16 11.26 7.81 8.75 00015780 ......... ............ A Abrasion treatment of skin ............................ 8.40 11.63 11.57 6.71 7.88 0.67 20.70 20.64 15.78 16.95 09015781 ......... ............ A Abrasion treatment of skin ............................ 4.84 8.47 7.32 5.49 5.41 0.34 13.65 12.50 10.67 10.59 09015782 ......... ............ A Abrasion treatment of skin ............................ 4.31 9.52 9.79 5.47 6.30 0.34 14.17 14.44 10.12 10.95 09015783 ......... ............ A Abrasion treatment of skin ............................ 4.28 7.95 7.16 4.97 4.39 0.28 12.51 11.72 9.53 8.95 09015786 ......... ............ A Abrasion, lesion, single ................................. 2.03 3.77 3.46 1.22 1.30 0.11 5.91 5.60 3.36 3.44 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00094 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37263 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal15787 ......... ............ A Abrasion, lesions, add-on .............................. 0.33 0.82 1.02 0.10 0.15 0.04 1.19 1.39 0.470.52 ZZZ15788 ......... ............ R Chemical peel, face, epiderm ....................... 2.09 8.47 7.17 3.67 3.24 0.11 10.67 9.37 5.87 5.44 09015789 ......... ............ R Chemical peel, face, dermal ......................... 4.91 9.11 8.36 5.63 5.02 0.20 14.22 13.47 10.7410.13 09015792 ......... ............ R Chemical peel, nonfacial ............................... 1.86 6.78 7.03 3.43 4.20 0.13 8.77 9.02 5.426.19 09015793 ......... ............ A Chemical peel, nonfacial ............................... 3.73 5.47 6.09 3.22 4.10 0.19 9.39 10.01 7.14 8.02 09015819 ......... ............ A Plastic surgery, neck ..................................... 10.37 NA NA 6.54 7.04 0.97 NA NA 17.88 18.38 09015820 ......... ............ A Revision of lower eyelid ................................ 6.01 6.09 6.77 4.94 5.42 0.40 12.50 13.18 11.35 11.83 09015821 ......... ............ A Revision of lower eyelid ................................ 6.58 6.32 7.11 5.08 5.57 0.45 13.35 14.14 12.11 12.60 09015822 ......... ............ A Revision of upper eyelid ................................ 4.44 4.97 5.63 3.88 4.35 0.37 9.78 10.44 8.69 9.16 09015823 ......... ............ A Revision of upper eyelid ................................ 8.04 7.14 7.69 5.91 6.32 0.50 15.68 16.23 14.45 14.86 09015831 ......... ............ A Excise excessive skin tissue ......................... 13.56 NA NA 8.57 8.28 1.75 NA NA 23.88 23.59 09015832 ......... ............ A Excise excessive skin tissue ......................... 12.57 NA NA 8.11 8.30 1.66 NA NA 22.34 22.53 09015833 ......... ............ A Excise excessive skin tissue ......................... 11.62 NA NA 7.11 7.95 1.49 NA NA 20.22 21.06 09015834 ......... ............ A Excise excessive skin tissue ......................... 11.89 NA NA 7.63 7.69 1.61 NA NA 21.13 21.19 09015835 ......... ............ A Excise excessive skin tissue ......................... 12.71 NA NA 7.67 7.59 1.60 NA NA 21.98 21.90 09015836 ......... ............ A Excise excessive skin tissue ......................... 10.33 NA NA 6.78 6.80 1.34 NA NA 18.45 18.47 09015837 ......... ............ A Excise excessive skin tissue ......................... 9.29 8.63 8.59 5.65 6.96 1.18 19.10 19.06 16.12 17.43 09015838 ......... ............ A Excise excessive skin tissue ......................... 7.99 NA NA 4.79 5.76 0.58 NA NA 13.36 14.33 09015839 ......... ............ A Excise excessive skin tissue ......................... 10.24 9.21 8.94 6.05 6.32 1.22 20.67 20.40 17.51 17.78 09015840 ......... ............ A Graft for face nerve palsy ............................. 14.66 NA NA 8.37 9.59 1.32 NA NA 24.35 25.5709015841 ......... ............ A Graft for face nerve palsy ............................. 25.57 NA NA 12.70 14.45 2.54 NA NA 40.81 42.56 09015842 ......... ............ A Flap for face nerve palsy .............................. 40.54 NA NA 20.48 22.36 4.93 NA NA 65.95 67.83 09015845 ......... ............ A Skin and muscle repair, face ........................ 13.92 NA NA 8.43 9.11 0.81 NA NA 23.16 23.84 09015850 ......... ............ B Removal of sutures ....................................... 0.78 1.20 1.47 0.18 0.27 0.05 2.03 2.30 1.01 1.10 XXX15851 ......... ............ A Removal of sutures ....................................... 0.86 1.32 1.59 0.23 0.29 0.06 2.24 2.51 1.15 1.21 00015852 ......... ............ A Dressing change not for burn ....................... 0.86 1.61 1.79 0.25 0.31 0.09 2.56 2.74 1.20 1.26 00015860 ......... ............ A Test for blood flow in graft ............................ 1.95 0.68 0.79 0.68 0.76 0.27 2.90 3.01 2.90 2.98 00015920 ......... ............ A Removal of tail bone ulcer ............................ 8.06 NA NA 5.74 5.61 1.04 NA NA 14.84 14.71 09015922 ......... ............ A Removal of tail bone ulcer ............................ 10.13 NA NA 6.89 7.15 1.42 NA NA 18.44 18.7009015931 ......... ............ A Remove sacrum pressure sore ..................... 9.89 NA NA 5.50 5.65 1.25 NA NA 16.64 16.79 09015933 ......... ............ A Remove sacrum pressure sore ..................... 11.49 NA NA 7.27 7.72 1.52 NA NA 20.28 20.73 09015934 ......... ............ A Remove sacrum pressure sore ..................... 13.45 NA NA 7.50 7.92 1.78 NA NA 22.73 23.15 09015935 ......... ............ A Remove sacrum pressure sore ..................... 15.45 NA NA 9.93 10.25 2.09 NA NA 27.47 27.79 09015936 ......... ............ A Remove sacrum pressure sore ..................... 12.96 NA NA 7.38 8.03 1.76 NA NA 22.10 22.75 09015937 ......... ............ A Remove sacrum pressure sore ..................... 14.91 NA NA 8.81 9.59 2.06 NA NA 25.78 26.56 09015940 ......... ............ A Remove hip pressure sore ............................ 10.05 NA NA 5.76 6.08 1.31 NA NA 17.12 17.44 09015941 ......... ............ A Remove hip pressure sore ............................ 12.13 NA NA 8.37 9.20 1.66 NA NA 22.16 22.99 09015944 ......... ............ A Remove hip pressure sore ............................ 12.16 NA NA 8.10 8.49 1.65 NA NA 21.91 22.30 09015945 ......... ............ A Remove hip pressure sore ............................ 13.45 NA NA 8.99 9.50 1.84 NA NA 24.28 24.79 09015946 ......... ............ A Remove hip pressure sore ............................ 23.72 NA NA 13.66 14.22 3.16 NA NA 40.54 41.1009015950 ......... ............ A Remove thigh pressure sore ......................... 7.83 NA NA 5.33 5.41 1.04 NA NA 14.20 14.28 09015951 ......... ............ A Remove thigh pressure sore ......................... 11.30 NA NA 7.84 7.87 1.49 NA NA 20.63 20.66 09015952 ......... ............ A Remove thigh pressure sore ......................... 12.03 NA NA 7.66 7.74 1.60 NA NA 21.29 21.37 09015953 ......... ............ A Remove thigh pressure sore ......................... 13.27 NA NA 8.91 8.99 1.79 NA NA 23.97 24.05 09015956 ......... ............ A Remove thigh pressure sore ......................... 16.46 NA NA 9.51 10.48 2.21 NA NA 28.18 29.15 09015958 ......... ............ A Remove thigh pressure sore ......................... 16.42 NA NA 10.13 10.84 2.25 NA NA 28.80 29.51 09016000 ......... ............ A Initial treatment of burn(s) ............................. 0.89 0.72 0.83 0.23 0.25 0.08 1.69 1.80 1.20 1.22 00016020 ......... ............ A Dress/debrid p-thick burn, s .......................... 0.80 1.10 1.24 0.55 0.57 0.08 1.98 2.12 1.431.45 00016025 ......... ............ A Dress/debrid p-thick burn, m ......................... 1.85 1.59 1.73 0.87 0.94 0.19 3.63 3.77 2.91 2.98 00016030 ......... ............ A Dress/debrid p-thick burn, l ........................... 2.08 1.95 2.12 0.94 1.08 0.24 4.27 4.44 3.263.40 00016035 ......... ............ A Incision of burn scab, initi ............................. 3.74 NA NA 1.23 1.49 0.46 NA NA 5.43 5.6909016036 ......... ............ A Escharotomy; addIl incision .......................... 1.50 NA NA 0.47 0.57 0.20 NA NA 2.17 2.27 ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00095 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37264 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal17000 ......... ............ A Destroy benign/premlg lesion ........................ 0.60 1.38 1.07 0.72 0.59 0.03 2.01 1.70 1.35 1.22 01017003 ......... ............ A Destroy lesions, 2–14 .................................... 0.07 0.10 0.11 0.03 0.06 0.01 0.18 0.19 0.11 0.14 ZZZ17004 ......... ............ A Destroy lesions, 15 or more .......................... 1.58 1.94 2.22 1.32 1.52 0.11 3.63 3.91 3.01 3.21 01017106 ......... ............ A Destruction of skin lesions ............................ 4.58 4.58 4.60 3.19 3.30 0.35 9.51 9.53 8.128.23 09017107 ......... ............ A Destruction of skin lesions ............................ 9.15 7.14 7.20 5.05 5.37 0.63 16.92 16.98 14.83 15.15 09017108 ......... ............ A Destruction of skin lesions ............................ 13.18 9.25 9.28 6.69 7.43 0.54 22.97 23.00 20.41 21.15 09017110 ......... ............ A Destruct lesion, 1–14 .................................... 0.65 1.74 1.65 0.85 0.74 0.05 2.44 2.35 1.55 1.44 01017111 ......... ............ A Destruct lesion, 15 or more ........................... 0.92 2.25 1.82 1.10 0.88 0.05 3.22 2.79 2.071.85 01017250 ......... ............ A Chemical cautery, tissue ............................... 0.50 1.31 1.24 0.38 0.35 0.06 1.87 1.80 0.940.91 00017260 ......... ............ A Destruction of skin lesions ............................ 0.91 1.39 1.31 0.69 0.68 0.04 2.34 2.26 1.641.63 01017261 ......... ............ A Destruction of skin lesions ............................ 1.17 2.45 1.82 1.04 0.88 0.05 3.67 3.04 2.262.10 01017262 ......... ............ A Destruction of skin lesions ............................ 1.58 2.79 2.12 1.24 1.08 0.06 4.43 3.76 2.882.72 01017263 ......... ............ A Destruction of skin lesions ............................ 1.79 3.01 2.30 1.33 1.15 0.07 4.87 4.16 3.193.01 01017264 ......... ............ A Destruction of skin lesions ............................ 1.94 3.22 2.48 1.40 1.19 0.08 5.24 4.50 3.423.21 01017266 ......... ............ A Destruction of skin lesions ............................ 2.34 3.47 2.75 1.56 1.31 0.09 5.90 5.18 3.993.74 01017270 ......... ............ A Destruction of skin lesions ............................ 1.32 2.40 1.88 1.07 0.92 0.05 3.77 3.25 2.442.29 01017271 ......... ............ A Destruction of skin lesions ............................ 1.49 2.62 1.99 1.19 1.03 0.06 4.17 3.54 2.742.58 01017272 ......... ............ A Destruction of skin lesions ............................ 1.77 2.92 2.23 1.33 1.17 0.07 4.76 4.07 3.173.01 01017273 ......... ............ A Destruction of skin lesions ............................ 2.05 3.16 2.45 1.46 1.27 0.08 5.29 4.58 3.593.40 01017274 ......... ............ A Destruction of skin lesions ............................ 2.59 3.56 2.82 1.71 1.51 0.10 6.25 5.51 4.404.20 01017276 ......... ............ A Destruction of skin lesions ............................ 3.20 3.83 3.17 1.94 1.75 0.16 7.19 6.53 5.305.11 01017280 ......... ............ A Destruction of skin lesions ............................ 1.17 2.32 1.79 1.01 0.86 0.05 3.54 3.01 2.232.08 01017281 ......... ............ A Destruction of skin lesions ............................ 1.72 2.69 2.11 1.30 1.14 0.07 4.48 3.90 3.092.93 01017282 ......... ............ A Destruction of skin lesions ............................ 2.04 3.09 2.39 1.46 1.30 0.08 5.21 4.51 3.583.42 01017283 ......... ............ A Destruction of skin lesions ............................ 2.64 3.50 2.79 1.73 1.55 0.11 6.25 5.54 4.484.30 01017284 ......... ............ A Destruction of skin lesions ............................ 3.21 3.92 3.18 1.99 1.82 0.13 7.26 6.52 5.335.16 01017286 ......... ............ A Destruction of skin lesions ............................ 4.43 4.31 3.84 2.40 2.44 0.23 8.97 8.50 7.067.10 01017304 ......... ............ A 1 stage mohs, up to 5 spec .......................... 7.59 11.81 9.15 3.65 3.59 0.30 19.70 17.04 11.54 11.48 00017305 ......... ............ A 2 stage mohs, up to 5 spec .......................... 2.85 6.85 4.64 1.37 1.35 0.11 9.81 7.60 4.33 4.31 00017306 ......... ............ A 3 stage mohs, up to 5 spec .......................... 2.85 7.09 4.71 1.36 1.35 0.11 10.05 7.67 4.32 4.31 00017307 ......... ............ A Mohs addl stage up to 5 spec ...................... 2.85 6.84 4.39 1.37 1.36 0.11 9.80 7.35 4.33 4.3200017310 ......... ............ A Mohs any stage > 5 spec each .................... 0.95 1.97 1.71 0.46 0.46 0.03 2.95 2.69 1.44 1.44 ZZZ17340 ......... ............ A Cryotherapy of skin ....................................... 0.76 0.32 0.36 0.36 0.36 0.05 1.13 1.17 1.17 1.17 01017360 ......... ............ A Skin peel therapy .......................................... 1.43 1.40 1.43 0.97 0.90 0.06 2.89 2.922.46 2.39 01019000 ......... ............ A Drainage of breast lesion .............................. 0.84 1.96 1.98 0.26 0.30 0.08 2.88 2.90 1.181.22 00019001 ......... ............ A Drain breast lesion add-on ............................ 0.42 0.26 0.25 0.13 0.14 0.04 0.72 0.71 0.590.60 ZZZ19020 ......... ............ A Incision of breast lesion ................................ 3.68 6.64 6.42 3.02 2.77 0.45 10.77 10.557.15 6.90 09019030 ......... ............ A Injection for breast x-ray ............................... 1.53 2.76 2.84 0.53 0.51 0.09 4.38 4.46 2.15 2.13 00019100 ......... ............ A Bx breast percut w/o image .......................... 1.27 2.09 2.09 0.33 0.40 0.16 3.52 3.52 1.76 1.83 00019101 ......... ............ A Biopsy of breast, open .................................. 3.18 4.34 4.47 1.76 1.88 0.39 7.91 8.04 5.33 5.45 01019102 ......... ............ A Bx breast percut w/image ............................. 2.00 3.58 3.78 0.66 0.66 0.14 5.72 5.92 2.80 2.80 00019103 ......... ............ A Bx breast percut w/device ............................. 3.69 10.42 11.25 1.17 1.22 0.30 14.41 15.24 5.16 5.21 00019110 ......... ............ A Nipple exploration .......................................... 4.29 6.41 5.96 3.25 2.97 0.57 11.27 10.82 8.11 7.83 09019112 ......... ............ A Excise breast duct fistula .............................. 3.66 6.26 6.13 3.14 2.80 0.48 10.40 10.27 7.28 6.94 09019120 ......... ............ A Removal of breast lesion .............................. 5.80 5.08 4.68 3.35 3.14 0.73 11.61 11.21 9.88 9.67 09019125 ......... ............ A Excision, breast lesion .................................. 6.55 5.55 4.98 3.64 3.38 0.80 12.90 12.3310.99 10.73 09019126 ......... ............ A Excision, addl breast lesion .......................... 2.93 NA NA 0.74 0.94 0.38 NA NA 4.05 4.25 ZZZ19140 ......... ............ A Removal of breast tissue .............................. 5.13 8.01 7.37 3.81 3.50 0.69 13.83 13.19 9.63 9.32 09019160 ......... ............ A Partial mastectomy ........................................ 5.98 NA NA 3.60 3.47 0.79 NA NA 10.37 10.24 09019162 ......... ............ A P-mastectomy w/ln removal .......................... 13.81 NA NA 6.08 6.28 1.79 NA NA 21.68 21.88 09019180 ......... ............ A Removal of breast ......................................... 15.61 NA NA 7.01 5.53 1.18 NA NA 23.80 22.32 09019182 ......... ............ A Removal of breast ......................................... 7.72 NA NA 4.97 4.81 1.04 NA NA 13.73 13.57 09019200 ......... ............ A Removal of breast ......................................... 17.13 NA NA 8.11 8.01 1.92 NA NA 27.16 27.06 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00096 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37265 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal19220 ......... ............ A Removal of breast ......................................... 17.73 NA NA 8.58 8.33 2.07 NA NA 28.38 28.13 09019240 ......... ............ A Removal of breast ......................................... 17.83 NA NA 8.74 8.35 2.12 NA NA 28.69 28.30 09019260 ......... ............ A Removal of chest wall lesion ........................ 17.52 NA NA 10.28 10.96 2.13 NA NA 29.93 30.6109019271 ......... ............ A Revision of chest wall ................................... 21.72 NA NA 16.08 17.52 2.62 NA NA 40.42 41.86 09019272 ......... ............ A Extensive chest wall surgery ......................... 24.68 NA NA 17.30 18.56 2.99 NA NA 44.97 46.2309019290 ......... ............ A Place needle wire, breast .............................. 1.27 3.00 2.90 0.44 0.43 0.07 4.34 4.24 1.781.77 00019291 ......... ............ A Place needle wire, breast .............................. 0.63 1.18 1.20 0.22 0.21 0.04 1.85 1.87 0.890.88 ZZZ19295 ......... ............ A Place breast clip, percut ................................ 0.00 2.38 2.62 NA NA 0.01 2.39 2.63 NA NAZZZ19296 ......... ............ A Place po breast cath for rad ......................... 3.63 85.16 115.6 1.19 1.45 0.36 89.15 119.6 5.18 5.44 00019297 ......... ............ A Place breast cath for rad ............................... 1.72 NA NA 0.46 0.60 0.17 NA NA 2.35 2.49 ZZZ19298 ......... ............ A Place breast rad tube/caths .......................... 6.00 23.02 37.47 1.94 2.30 0.43 29.45 43.90 8.37 8.73 00019316 ......... ............ A Suspension of breast .................................... 10.92 NA NA 6.94 7.38 1.64 NA NA 19.50 19.94 09019318 ......... ............ A Reduction of large breast .............................. 15.85 NA NA 9.75 10.84 2.92 NA NA 28.52 29.61 09019324 ......... ............ A Enlarge breast ............................................... 6.59 NA NA 4.56 4.82 0.84 NA NA 11.9912.25 09019325 ......... ............ A Enlarge breast with implant ........................... 8.44 NA NA 6.33 6.49 1.33 NA NA 16.10 16.26 09019328 ......... ............ A Removal of breast implant ............................ 6.29 NA NA 4.94 5.01 0.91 NA NA 12.14 12.21 09019330 ......... ............ A Removal of implant material ......................... 8.33 NA NA 5.96 6.03 1.26 NA NA 15.55 15.62 09019340 ......... ............ A Immediate breast prosthesis ......................... 6.32 NA NA 2.78 3.04 1.06 NA NA 10.16 10.42 ZZZ19342 ......... ............ A Delayed breast prosthesis ............................. 12.30 NA NA 8.68 8.88 1.83 NA NA 22.81 23.0109019350 ......... ............ A Breast reconstruction .................................... 8.91 9.75 12.85 6.46 7.01 1.41 20.07 23.1716.78 17.33 09019355 ......... ............ A Correct inverted nipple(s) .............................. 8.31 7.67 9.63 4.84 4.74 0.92 16.90 18.86 14.07 13.97 09019357 ......... ............ A Breast reconstruction .................................... 20.33 NA NA 15.17 15.54 2.93 NA NA 38.43 38.80 09019361 ......... ............ A Breast reconstruction .................................... 20.63 NA NA 12.06 12.37 2.92 NA NA 35.61 35.92 09019364 ......... ............ A Breast reconstruction .................................... 42.30 NA NA 22.32 23.29 6.22 NA NA 70.84 71.81 09019366 ......... ............ A Breast reconstruction .................................... 21.62 NA NA 9.92 11.19 3.24 NA NA 34.78 36.05 09019367 ......... ............ A Breast reconstruction .................................... 26.51 NA NA 14.97 16.30 4.03 NA NA 45.51 46.84 09019368 ......... ............ A Breast reconstruction .................................... 33.51 NA NA 17.75 18.67 5.52 NA NA 56.78 57.70 09019369 ......... ............ A Breast reconstruction .................................... 30.92 NA NA 15.55 17.73 4.50 NA NA 50.97 53.15 09019370 ......... ............ A Surgery of breast capsule ............................. 8.91 NA NA 6.71 6.87 1.29 NA NA 16.91 17.07 09019371 ......... ............ A Removal of breast capsule ........................... 10.34 NA NA 7.57 7.77 1.62 NA NA 19.53 19.73 09019380 ......... ............ A Revise breast reconstruction ......................... 10.13 NA NA 7.50 7.67 1.44 NA NA 19.07 19.24 09019396 ......... ............ A Design custom breast implant ....................... 2.17 4.46 1.93 1.21 1.05 0.30 6.93 4.40 3.68 3.52 00020000 ......... ............ A Incision of abscess ........................................ 2.12 2.77 2.72 1.51 1.68 0.25 5.14 5.093.88 4.05 01020005 ......... ............ A Incision of deep abscess ............................... 3.53 3.70 3.55 2.02 2.20 0.46 7.69 7.54 6.016.19 01020100 ......... ............ A Explore wound, neck ..................................... 10.31 NA NA 3.56 4.24 1.21 NA NA 15.08 15.76 01020101 ......... ............ A Explore wound, chest .................................... 3.22 6.46 6.07 1.50 1.59 0.44 10.12 9.73 5.16 5.25 01020102 ......... ............ A Explore wound, abdomen ............................. 3.93 6.95 7.35 1.83 1.89 0.49 11.37 11.77 6.25 6.31 01020103 ......... ............ A Explore wound, extremity .............................. 5.29 7.63 8.36 2.68 3.22 0.75 13.67 14.40 8.72 9.26 01020150 ......... ............ A Excise epiphyseal bar ................................... 14.54 NA NA 7.57 7.18 2.03 NA NA 24.14 23.75 09020200 ......... ............ A Muscle biopsy ................................................ 1.46 3.16 3.07 0.70 0.74 0.23 4.85 4.76 2.39 2.43 00020205 ......... ............ A Deep muscle biopsy ...................................... 2.35 3.83 3.88 1.09 1.17 0.33 6.51 6.56 3.77 3.85 00020206 ......... ............ A Needle biopsy, muscle .................................. 0.99 5.45 6.25 0.57 0.62 0.07 6.51 7.31 1.631.68 00020220 ......... ............ A Bone biopsy, trocar/needle ........................... 1.27 2.81 4.13 0.68 0.76 0.08 4.16 5.48 2.03 2.11 00020225 ......... ............ A Bone biopsy, trocar/needle ........................... 1.87 13.50 21.77 1.07 1.12 0.22 15.59 23.86 3.16 3.21 00020240 ......... ............ A Bone biopsy, excisional ................................. 3.23 NA NA 2.06 2.44 0.44 NA NA 5.73 6.11 01020245 ......... ............ A Bone biopsy, excisional ................................. 8.71 NA NA 5.70 6.37 1.31 NA NA 15.72 16.3901020250 ......... ............ A Open bone biopsy ......................................... 5.14 NA NA 3.67 3.55 1.02 NA NA 9.83 9.7101020251 ......... ............ A Open bone biopsy ......................................... 5.67 NA NA 3.84 4.09 1.15 NA NA 10.66 10.91 01020500 ......... ............ A Injection of sinus tract ................................... 1.23 1.33 2.04 0.87 1.37 0.12 2.68 3.392.22 2.72 01020501 ......... ............ A Inject sinus tract for x-ray .............................. 0.76 2.47 2.81 0.27 0.26 0.04 3.27 3.61 1.07 1.06 00020520 ......... ............ A Removal of foreign body ............................... 1.85 2.57 2.83 1.42 1.68 0.21 4.63 4.89 3.483.74 01020525 ......... ............ A Removal of foreign body ............................... 3.49 7.02 8.63 2.16 2.51 0.51 11.02 12.63 6.16 6.51 01020526 ......... ............ A Ther injection, carp tunnel ............................. 0.94 0.80 0.93 0.40 0.49 0.13 1.87 2.00 1.47 1.56 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00097 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37266 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal20550 ......... ............ A Inj tendon sheath/ligament ............................ 0.75 0.62 0.69 0.28 0.24 0.09 1.46 1.53 1.121.08 00020551 ......... ............ A Inj tendon origin/insertion .............................. 0.75 0.63 0.67 0.28 0.32 0.08 1.46 1.50 1.11 1.15 00020552 ......... ............ A Inj trigger point, 1/2 muscl ............................. 0.66 0.58 0.69 0.24 0.21 0.05 1.29 1.40 0.95 0.92 00020553 ......... ............ A Inject trigger points, =/> 3 ............................. 0.75 0.64 0.78 0.26 0.23 0.04 1.43 1.57 1.05 1.02 00020600 ......... ............ A Drain/inject, joint/bursa .................................. 0.66 0.66 0.65 0.31 0.34 0.08 1.40 1.391.05 1.08 00020605 ......... ............ A Drain/inject, joint/bursa .................................. 0.68 0.73 0.75 0.32 0.35 0.08 1.49 1.511.08 1.11 00020610 ......... ............ A Drain/inject, joint/bursa .................................. 0.79 1.06 0.98 0.39 0.41 0.11 1.96 1.881.29 1.31 00020612 ......... ............ A Aspirate/inj ganglion cyst .............................. 0.70 0.69 0.71 0.31 0.35 0.10 1.49 1.51 1.11 1.15 00020615 ......... ............ A Treatment of bone cyst ................................. 2.28 2.69 3.31 1.39 1.74 0.20 5.17 5.79 3.874.22 01020650 ......... ............ A Insert and remove bone pin .......................... 2.23 2.47 2.40 1.45 1.53 0.31 5.01 4.94 3.99 4.07 01020660 ......... ............ A Apply, rem fixation device ............................. 2.51 3.33 3.13 1.46 1.57 0.59 6.43 6.23 4.564.67 00020661 ......... ............ A Application of head brace ............................. 5.06 NA NA 5.87 5.16 1.14 NA NA 12.07 11.36 09020662 ......... ............ A Application of pelvis brace ............................ 6.18 NA NA 4.96 5.40 0.56 NA NA 11.70 12.1409020663 ......... ............ A Application of thigh brace .............................. 5.54 NA NA 5.04 4.89 0.94 NA NA 11.52 11.3709020664 ......... ............ A Halo brace application ................................... 9.78 NA NA 7.92 7.28 1.74 NA NA 19.44 18.80 09020665 ......... ............ A Removal of fixation device ............................ 1.31 1.40 1.97 0.98 1.26 0.19 2.90 3.47 2.482.76 01020670 ......... ............ A Removal of support implant .......................... 1.74 6.63 10.34 1.66 2.00 0.28 8.65 12.36 3.684.02 01020680 ......... ............ A Removal of support implant .......................... 5.86 8.09 8.63 4.02 3.80 0.56 14.51 15.05 10.4410.22 09020690 ......... ............ A Apply bone fixation device ............................ 3.63 NA NA 2.22 2.45 0.59 NA NA 6.44 6.67 09020692 ......... ............ A Apply bone fixation device ............................ 6.40 NA NA 3.20 3.64 1.05 NA NA 10.65 11.09 09020693 ......... ............ A Adjust bone fixation device ........................... 5.91 NA NA 4.45 5.21 0.98 NA NA 11.34 12.10 09020694 ......... ............ A Remove bone fixation device ........................ 4.15 5.29 6.69 3.50 3.91 0.71 10.15 11.55 8.36 8.77 09020802 ......... ............ A Replantation, arm, complete ......................... 42.16 NA NA 12.96 19.00 3.81 NA NA 58.93 64.9709020805 ......... ............ A Replant forearm, complete ............................ 51.00 NA NA 23.26 31.62 4.84 NA NA 79.10 87.4609020808 ......... ............ A Replantation hand, complete ........................ 62.63 NA NA 37.95 41.24 6.86 NA NA 107.4 110.7 09020816 ......... ............ A Replantation digit, complete .......................... 31.64 NA NA 24.04 34.44 4.52 NA NA 60.20 70.60 09020822 ......... ............ A Replantation digit, complete .......................... 26.30 NA NA 21.95 31.51 4.18 NA NA 52.43 61.99 09020824 ......... ............ A Replantation thumb, complete ...................... 31.64 NA NA 25.31 33.82 4.61 NA NA 61.56 70.07 09020827 ......... ............ A Replantation thumb, complete ...................... 27.12 NA NA 23.48 33.31 3.66 NA NA 54.26 64.09 09020838 ......... ............ A Replantation foot, complete .......................... 42.42 NA NA 13.13 20.04 1.12 NA NA 56.67 63.5809020900 ......... ............ A Removal of bone for graft ............................. 5.69 9.21 8.64 4.87 5.49 0.94 15.84 15.27 11.50 12.12 09020902 ......... ............ A Removal of bone for graft ............................. 7.90 NA NA 5.74 6.61 1.30 NA NA 14.94 15.81 09020910 ......... ............ A Remove cartilage for graft ............................. 5.33 NA NA 4.54 5.04 0.71 NA NA 10.58 11.0809020912 ......... ............ A Remove cartilage for graft ............................. 6.34 NA NA 4.58 5.50 0.69 NA NA 11.61 12.5309020920 ......... ............ A Removal of fascia for graft ............................ 5.36 NA NA 4.33 4.26 0.66 NA NA 10.35 10.2809020922 ......... ............ A Removal of fascia for graft ............................ 6.78 7.54 7.56 4.97 4.90 0.70 15.02 15.04 12.45 12.38 09020924 ......... ............ A Removal of tendon for graft .......................... 6.53 NA NA 4.91 5.65 1.04 NA NA 12.48 13.22 09020926 ......... ............ A Removal of tissue for graft ............................ 5.64 NA NA 4.33 4.65 0.87 NA NA 10.84 11.1609020931 ......... ............ A Spinal bone allograft ..................................... 1.81 NA NA 0.67 0.87 0.43 NA NA 2.91 3.11ZZZ20937 ......... ............ A Spinal bone autograft .................................... 2.79 NA NA 1.06 1.35 0.54 NA NA 4.39 4.68ZZZ20938 ......... ............ A Spinal bone autograft .................................... 3.02 NA NA 1.13 1.45 0.64 NA NA 4.79 5.11ZZZ20950 ......... ............ A Fluid pressure, muscle .................................. 1.26 4.14 6.18 0.87 0.96 0.20 5.60 7.64 2.33 2.42 00020955 ......... ............ A Fibula bone graft, microvasc ......................... 39.90 NA NA 17.66 22.67 4.89 NA NA 62.45 67.4609020956 ......... ............ A Iliac bone graft, microvasc ............................ 40.79 NA NA 20.30 23.68 7.01 NA NA 68.10 71.48 09020957 ......... ............ A Mt bone graft, microvasc ............................... 42.17 NA NA 18.97 18.99 7.05 NA NA 68.19 68.21 09020962 ......... ............ A Other bone graft, microvasc .......................... 39.21 NA NA 20.73 25.13 6.55 NA NA 66.49 70.8909020969 ......... ............ A Bone/skin graft, microvasc ............................ 44.99 NA NA 19.75 24.97 4.79 NA NA 69.53 74.75 09020970 ......... ............ A Bone/skin graft, iliac crest ............................. 44.14 NA NA 19.85 24.05 6.60 NA NA 70.59 74.79 09020972 ......... ............ A Bone/skin graft, metatarsal ........................... 44.07 NA NA 17.15 19.77 5.30 NA NA 66.52 69.14 09020973 ......... ............ A Bone/skin graft, great toe .............................. 46.83 NA NA 14.61 22.58 5.54 NA NA 66.98 74.95 09020974 ......... ............ A Electrical bone stimulation ............................ 0.62 1.00 0.77 0.49 0.53 0.11 1.73 1.50 1.221.26 00020975 ......... ............ A Electrical bone stimulation ............................ 2.60 NA NA 1.45 1.65 0.51 NA NA 4.56 4.76 00020979 ......... ............ A Us bone stimulation ....................................... 0.62 0.61 0.75 0.20 0.31 0.09 1.32 1.46 0.91 1.02 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00098 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37267 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal20982 ......... ............ A Ablate, bone tumor(s) perq ........................... 7.27 86.78 104.1 2.87 2.95 0.69 94.74 112.1 10.83 10.91 00021010 ......... ............ A Incision of jaw joint ........................................ 10.82 NA NA 6.35 6.92 1.11 NA NA 18.2818.85 09021015 ......... ............ A Resection of facial tumor .............................. 5.53 NA NA 4.34 4.85 0.70 NA NA 10.57 11.0809021025 ......... ............ A Excision of bone, lower jaw .......................... 10.99 12.43 12.32 8.65 9.20 1.32 24.74 24.63 20.96 21.51 09021026 ......... ............ A Excision of facial bone(s) .............................. 5.46 8.65 8.07 5.79 6.20 0.60 14.71 14.13 11.85 12.26 09021029 ......... ............ A Contour of face bone lesion .......................... 8.20 9.15 9.34 6.18 6.82 0.94 18.29 18.48 15.32 15.96 09021030 ......... ............ A Excise max/zygoma b9 tumor ....................... 4.74 7.18 6.56 4.67 4.95 0.54 12.46 11.84 9.95 10.23 09021031 ......... ............ A Remove exostosis, mandible ........................ 3.24 5.99 5.38 3.51 3.60 0.48 9.71 9.10 7.23 7.3209021032 ......... ............ A Remove exostosis, maxilla ............................ 3.24 6.08 5.54 3.38 3.49 0.47 9.79 9.25 7.09 7.20 09021034 ......... ............ A Excise max/zygoma mlg tumor ..................... 17.09 12.98 15.22 9.35 11.86 1.71 31.78 34.02 28.1530.66 09021040 ......... ............ A Excise mandible lesion .................................. 4.74 7.26 6.62 4.67 4.72 0.54 12.54 11.90 9.95 10.00 09021044 ......... ............ A Removal of jaw bone lesion .......................... 12.53 NA NA 7.38 8.90 1.12 NA NA 21.03 22.55 09021045 ......... ............ A Extensive jaw surgery ................................... 18.03 NA NA 9.84 11.75 1.52 NA NA 29.39 31.30 09021046 ......... ............ A Remove mandible cyst complex ................... 13.85 NA NA 11.39 11.80 1.85 NA NA 27.09 27.50 09021047 ......... ............ A Excise lwr jaw cyst w/repair .......................... 19.71 NA NA 9.62 12.52 2.12 NA NA 31.45 34.3509021048 ......... ............ A Remove maxilla cyst complex ....................... 14.35 NA NA 11.34 11.96 1.76 NA NA 27.45 28.07 09021049 ......... ............ A Excis uppr jaw cyst w/repair ......................... 18.96 NA NA 8.93 12.03 1.59 NA NA 29.48 32.5809021050 ......... ............ A Removal of jaw joint ...................................... 11.44 NA NA 8.10 9.13 1.47 NA NA 21.01 22.04 09021060 ......... ............ A Remove jaw joint cartilage ............................ 10.83 NA NA 7.48 8.34 1.38 NA NA 19.69 20.5509021070 ......... ............ A Remove coronoid process ............................ 8.44 NA NA 6.09 6.86 1.27 NA NA 15.80 16.57 09021076 ......... ............ A Prepare face/oral prosthesis ......................... 13.40 7.88 11.26 4.81 8.73 1.99 23.27 26.65 20.20 24.12 01021077 ......... ............ A Prepare face/oral prosthesis ......................... 33.70 18.22 28.12 12.26 22.63 4.55 56.47 66.3750.51 60.88 09021079 ......... ............ A Prepare face/oral prosthesis ......................... 22.31 13.41 19.52 8.32 14.98 3.15 38.87 44.9833.78 40.44 09021080 ......... ............ A Prepare face/oral prosthesis ......................... 25.06 15.49 22.29 9.25 16.88 3.74 44.29 51.0938.05 45.68 09021081 ......... ............ A Prepare face/oral prosthesis ......................... 22.85 14.23 20.33 8.51 15.28 3.20 40.28 46.3834.56 41.33 09021082 ......... ............ A Prepare face/oral prosthesis ......................... 20.84 14.20 18.10 8.46 13.95 3.11 38.15 42.0532.41 37.90 09021083 ......... ............ A Prepare face/oral prosthesis ......................... 19.27 14.14 17.67 7.96 12.84 2.88 36.29 39.8230.11 34.99 09021084 ......... ............ A Prepare face/oral prosthesis ......................... 22.48 15.59 20.77 8.82 15.52 2.18 40.25 45.4333.48 40.18 09021085 ......... ............ A Prepare face/oral prosthesis ......................... 8.99 6.56 7.87 3.58 6.00 1.27 16.82 18.13 13.84 16.26 01021086 ......... ............ A Prepare face/oral prosthesis ......................... 24.88 12.72 21.04 8.70 16.79 3.71 41.31 49.6337.29 45.38 09021087 ......... ............ A Prepare face/oral prosthesis ......................... 24.88 12.92 20.74 8.87 16.66 3.44 41.24 49.0637.19 44.98 09021100 ......... ............ A Maxillofacial fixation ...................................... 4.46 13.92 12.15 5.13 4.85 0.34 18.72 16.95 9.93 9.65 09021110 ......... ............ A Interdental fixation ......................................... 5.70 13.34 10.53 9.95 8.77 0.72 19.7616.95 16.37 15.19 09021116 ......... ............ A Injection, jaw joint x-ray ................................. 0.81 2.47 3.87 0.22 0.30 0.06 3.34 4.741.09 1.17 00021120 ......... ............ A Reconstruction of chin ................................... 4.92 10.08 10.48 6.95 7.37 0.60 15.60 16.00 12.47 12.89 09021121 ......... ............ A Reconstruction of chin ................................... 7.63 10.47 9.94 7.41 7.73 0.90 19.00 18.4715.94 16.26 09021122 ......... ............ A Reconstruction of chin ................................... 8.51 NA NA 7.54 8.37 1.07 NA NA 17.12 17.95 09021123 ......... ............ A Reconstruction of chin ................................... 11.14 NA NA 10.14 10.66 1.40 NA NA 22.68 23.20 09021125 ......... ............ A Augmentation, lower jaw bone ...................... 10.60 68.82 58.74 7.01 8.01 0.79 80.21 70.13 18.40 19.40 09021127 ......... ............ A Augmentation, lower jaw bone ...................... 12.16 87.70 54.12 7.88 9.08 1.52 101.4 67.80 21.56 22.76 09021137 ......... ............ A Reduction of forehead ................................... 10.06 NA NA 6.18 7.36 1.32 NA NA 17.56 18.74 09021138 ......... ............ A Reduction of forehead ................................... 12.67 NA NA 8.46 9.29 1.74 NA NA 22.87 23.70 09021139 ......... ............ A Reduction of forehead ................................... 14.84 NA NA 6.89 10.04 1.18 NA NA 22.91 26.06 09021141 ......... ............ A Reconstruct midface, lefort ........................... 19.13 NA NA 11.24 13.08 2.35 NA NA 32.72 34.56 09021142 ......... ............ A Reconstruct midface, lefort ........................... 19.84 NA NA 10.35 12.23 2.38 NA NA 32.57 34.45 09021143 ......... ............ A Reconstruct midface, lefort ........................... 20.61 NA NA 8.69 12.94 1.66 NA NA 30.96 35.2109021145 ......... ............ A Reconstruct midface, lefort ........................... 23.52 NA NA 12.44 13.57 2.84 NA NA 38.80 39.93 09021146 ......... ............ A Reconstruct midface, lefort ........................... 24.41 NA NA 9.15 13.82 3.09 NA NA 36.65 41.3209021147 ......... ............ A Reconstruct midface, lefort ........................... 26.01 NA NA 13.44 14.68 1.84 NA NA 41.29 42.53 09021150 ......... ............ A Reconstruct midface, lefort ........................... 25.70 NA NA 13.48 15.98 2.55 NA NA 41.73 44.23 09021151 ......... ............ A Reconstruct midface, lefort ........................... 28.76 NA NA 11.43 20.12 2.30 NA NA 42.49 51.18 09021154 ......... ............ A Reconstruct midface, lefort ........................... 30.95 NA NA 20.76 22.58 2.48 NA NA 54.19 56.01 09021155 ......... ............ A Reconstruct midface, lefort ........................... 34.88 NA NA 13.09 21.24 6.64 NA NA 54.61 62.76 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00099 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37268 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal21159 ......... ............ A Reconstruct midface, lefort ........................... 42.80 NA NA 14.87 25.59 8.18 NA NA 65.85 76.57 09021160 ......... ............ A Reconstruct midface, lefort ........................... 46.85 NA NA 23.14 26.45 4.13 NA NA 74.12 77.43 09021172 ......... ............ A Reconstruct orbit/forehead ............................ 28.01 NA NA 12.81 13.55 3.55 NA NA 44.37 45.11 09021175 ......... ............ A Reconstruct orbit/forehead ............................ 33.37 NA NA 12.26 16.45 4.83 NA NA 50.46 54.65 09021179 ......... ............ A Reconstruct entire forehead .......................... 22.47 NA NA 10.75 13.32 2.80 NA NA 36.02 38.5909021180 ......... ............ A Reconstruct entire forehead .......................... 25.40 NA NA 12.14 14.60 3.48 NA NA 41.02 43.4809021181 ......... ............ A Contour cranial bone lesion .......................... 10.14 NA NA 6.63 7.27 1.32 NA NA 18.09 18.73 09021182 ......... ............ A Reconstruct cranial bone .............................. 32.39 NA NA 13.71 17.81 2.80 NA NA 48.90 53.00 09021183 ......... ............ A Reconstruct cranial bone .............................. 35.51 NA NA 15.01 19.42 4.47 NA NA 54.99 59.40 09021184 ......... ............ A Reconstruct cranial bone .............................. 38.43 NA NA 20.38 21.60 5.70 NA NA 64.51 65.73 09021188 ......... ............ A Reconstruction of midface ............................. 22.91 NA NA 14.49 17.81 1.69 NA NA 39.09 42.41 09021193 ......... ............ A Reconst lwr jaw w/o graft .............................. 18.55 NA NA 9.96 12.01 2.23 NA NA 30.74 32.79 09021194 ......... ............ A Reconst lwr jaw w/graft ................................. 21.42 NA NA 11.23 13.15 2.02 NA NA 34.67 36.59 09021195 ......... ............ A Reconst lwr jaw w/o fixation .......................... 18.76 NA NA 13.08 14.42 1.64 NA NA 33.48 34.82 09021196 ......... ............ A Reconst lwr jaw w/fixation ............................. 20.43 NA NA 13.01 15.06 2.07 NA NA 35.51 37.56 09021198 ......... ............ A Reconstr lwr jaw segment ............................. 15.38 NA NA 10.89 12.28 1.44 NA NA 27.71 29.1009021199 ......... ............ A Reconstr lwr jaw w/advance ......................... 16.56 NA NA 6.65 8.52 1.39 NA NA 24.60 26.47 09021206 ......... ............ A Reconstruct upper jaw bone ......................... 15.26 NA NA 11.18 12.30 1.33 NA NA 27.77 28.89 09021208 ......... ............ A Augmentation of facial bones ........................ 11.03 32.29 24.87 7.65 9.12 1.09 44.41 36.99 19.77 21.24 09021209 ......... ............ A Reduction of facial bones .............................. 7.46 12.20 11.17 7.33 7.90 0.90 20.56 19.5315.69 16.26 09021210 ......... ............ A Face bone graft ............................................. 11.28 44.00 29.71 7.72 8.97 1.30 56.5842.29 20.30 21.55 09021215 ......... ............ A Lower jaw bone graft ..................................... 11.82 86.93 53.23 8.01 9.05 1.53 100.3 66.58 21.36 22.40 09021230 ......... ............ A Rib cartilage graft .......................................... 11.00 NA NA 6.67 7.71 1.29 NA NA 18.9620.00 09021235 ......... ............ A Ear cartilage graft .......................................... 7.21 9.63 9.81 5.83 6.28 0.61 17.45 17.63 13.65 14.10 09021240 ......... ............ A Reconstruction of jaw joint ............................ 15.65 NA NA 10.97 11.80 2.24 NA NA 28.86 29.69 09021242 ......... ............ A Reconstruction of jaw joint ............................ 14.20 NA NA 10.36 11.25 1.78 NA NA 26.34 27.23 09021243 ......... ............ A Reconstruction of jaw joint ............................ 23.83 NA NA 15.37 16.95 3.25 NA NA 42.45 44.03 09021244 ......... ............ A Reconstruction of lower jaw .......................... 13.23 NA NA 10.80 11.80 1.25 NA NA 25.28 26.2809021245 ......... ............ A Reconstruction of jaw .................................... 12.78 13.18 14.13 7.85 9.37 1.19 27.15 28.10 21.82 23.34 09021246 ......... ............ A Reconstruction of jaw .................................... 12.70 NA NA 6.58 8.45 1.35 NA NA 20.63 22.50 09021247 ......... ............ A Reconstruct lower jaw bone .......................... 23.91 NA NA 13.25 16.36 2.83 NA NA 39.99 43.1009021248 ......... ............ A Reconstruction of jaw .................................... 12.46 12.63 12.29 7.52 8.95 1.55 26.64 26.30 21.53 22.96 09021249 ......... ............ A Reconstruction of jaw .................................... 18.49 16.05 16.59 9.87 12.02 2.48 37.02 37.56 30.84 32.99 09021255 ......... ............ A Reconstruct lower jaw bone .......................... 18.00 NA NA 13.24 15.45 2.38 NA NA 33.62 35.8309021256 ......... ............ A Reconstruction of orbit .................................. 17.32 NA NA 9.67 11.31 1.50 NA NA 28.49 30.13 09021260 ......... ............ A Revise eye sockets ....................................... 17.66 NA NA 9.32 11.93 0.97 NA NA 27.95 30.56 09021261 ......... ............ A Revise eye sockets ....................................... 33.66 NA NA 14.53 21.86 3.42 NA NA 51.61 58.94 09021263 ......... ............ A Revise eye sockets ....................................... 30.60 NA NA 13.85 17.81 2.62 NA NA 47.07 51.03 09021267 ......... ............ A Revise eye sockets ....................................... 20.35 NA NA 15.78 18.82 1.70 NA NA 37.83 40.87 09021268 ......... ............ A Revise eye sockets ....................................... 26.66 NA NA 15.47 19.07 3.65 NA NA 45.78 49.38 09021270 ......... ............ A Augmentation, cheek bone ........................... 10.46 10.98 11.51 5.74 6.89 0.72 22.16 22.69 16.92 18.07 09021275 ......... ............ A Revision, orbitofacial bones .......................... 11.59 NA NA 7.17 7.93 1.29 NA NA 20.05 20.8109021280 ......... ............ A Revision of eyelid .......................................... 6.84 NA NA 5.64 5.87 0.42 NA NA 12.90 13.13 09021282 ......... ............ A Revision of eyelid .......................................... 4.05 NA NA 4.10 4.39 0.26 NA NA 8.41 8.70 09021295 ......... ............ A Revision of jaw muscle/bone ........................ 1.78 NA NA 2.58 2.55 0.16 NA NA 4.52 4.49 09021296 ......... ............ A Revision of jaw muscle/bone ........................ 4.61 NA NA 5.45 5.05 0.34 NA NA 10.40 10.00 09021300 ......... ............ A Treatment of skull fracture ............................ 0.72 0.27 1.85 0.27 0.26 0.13 1.12 2.70 1.121.11 00021310 ......... ............ A Treatment of nose fracture ............................ 0.58 1.95 2.21 0.10 0.14 0.05 2.58 2.84 0.730.77 00021315 ......... ............ A Treatment of nose fracture ............................ 1.76 4.41 4.28 1.63 1.83 0.14 6.31 6.18 3.533.73 01021320 ......... ............ A Treatment of nose fracture ............................ 1.85 4.00 3.94 1.23 1.52 0.18 6.03 5.97 3.263.55 01021325 ......... ............ A Treatment of nose fracture ............................ 4.01 NA NA 6.67 8.15 0.31 NA NA 10.99 12.47 09021330 ......... ............ A Treatment of nose fracture ............................ 5.62 NA NA 7.31 9.13 0.56 NA NA 13.49 15.31 09021335 ......... ............ A Treatment of nose fracture ............................ 8.85 NA NA 7.62 9.14 0.74 NA NA 17.21 18.73 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00100 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37269 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal21336 ......... ............ A Treat nasal septal fracture ............................ 6.46 NA NA 8.03 9.24 0.55 NA NA 15.04 16.2509021337 ......... ............ A Treat nasal septal fracture ............................ 3.20 5.80 6.06 3.32 3.52 0.28 9.28 9.54 6.807.00 09021338 ......... ............ A Treat nasoethmoid fracture ........................... 6.70 NA NA 9.58 12.94 0.82 NA NA 17.10 20.46 09021339 ......... ............ A Treat nasoethmoid fracture ........................... 8.33 NA NA 10.51 13.08 0.96 NA NA 19.80 22.3709021340 ......... ............ A Treatment of nose fracture ............................ 11.25 NA NA 7.17 8.11 1.15 NA NA 19.57 20.5109021343 ......... ............ A Treatment of sinus fracture ........................... 14.01 NA NA 12.29 14.71 1.47 NA NA 27.77 30.19 09021344 ......... ............ A Treatment of sinus fracture ........................... 21.26 NA NA 12.89 15.64 2.43 NA NA 36.58 39.33 09021345 ......... ............ A Treat nose/jaw fracture ................................. 8.77 9.60 9.80 5.91 6.87 0.92 19.29 19.49 15.60 16.56 09021346 ......... ............ A Treat nose/jaw fracture ................................. 11.21 NA NA 10.60 11.83 1.21 NA NA 23.02 24.25 09021347 ......... ............ A Treat nose/jaw fracture ................................. 13.29 NA NA 11.39 15.03 1.47 NA NA 26.15 29.79 09021348 ......... ............ A Treat nose/jaw fracture ................................. 17.28 NA NA 6.74 10.04 2.48 NA NA 26.50 29.80 09021355 ......... ............ A Treat cheek bone fracture ............................. 4.26 5.55 6.08 2.96 3.36 0.34 10.15 10.68 7.56 7.96 01021356 ......... ............ A Treat cheek bone fracture ............................. 4.64 6.70 7.03 3.86 4.39 0.46 11.80 12.13 8.96 9.49 01021360 ......... ............ A Treat cheek bone fracture ............................. 6.95 NA NA 5.17 5.76 0.74 NA NA 12.86 13.45 09021365 ......... ............ A Treat cheek bone fracture ............................. 16.42 NA NA 8.73 10.33 1.69 NA NA 26.84 28.4409021366 ......... ............ A Treat cheek bone fracture ............................. 18.36 NA NA 10.04 11.03 2.49 NA NA 30.89 31.88 09021385 ......... ............ A Treat eye socket fracture .............................. 9.40 NA NA 6.77 7.92 0.97 NA NA 17.14 18.2909021386 ......... ............ A Treat eye socket fracture .............................. 9.40 NA NA 5.62 6.72 0.97 NA NA 15.99 17.0909021387 ......... ............ A Treat eye socket fracture .............................. 9.94 NA NA 7.14 8.52 1.08 NA NA 18.16 19.5409021390 ......... ............ A Treat eye socket fracture .............................. 11.01 NA NA 6.64 7.53 0.90 NA NA 18.55 19.4409021395 ......... ............ A Treat eye socket fracture .............................. 14.58 NA NA 7.77 8.73 1.44 NA NA 23.79 24.7509021400 ......... ............ A Treat eye socket fracture .............................. 1.40 2.68 2.64 1.94 1.90 0.15 4.23 4.19 3.493.45 09021401 ......... ............ A Treat eye socket fracture .............................. 3.51 7.07 7.78 3.02 3.38 0.38 10.96 11.67 6.91 7.27 09021406 ......... ............ A Treat eye socket fracture .............................. 7.25 NA NA 4.91 5.80 0.73 NA NA 12.89 13.7809021407 ......... ............ A Treat eye socket fracture .............................. 8.85 NA NA 5.68 6.58 0.94 NA NA 15.47 16.3709021408 ......... ............ A Treat eye socket fracture .............................. 12.61 NA NA 7.66 8.60 1.44 NA NA 21.71 22.6509021421 ......... ............ A Treat mouth roof fracture .............................. 5.70 12.01 10.02 8.89 8.47 0.73 18.44 16.4515.32 14.90 09021422 ......... ............ A Treat mouth roof fracture .............................. 8.56 NA NA 6.72 7.76 0.99 NA NA 16.27 17.3109021423 ......... ............ A Treat mouth roof fracture .............................. 10.63 NA NA 7.16 8.80 1.27 NA NA 19.06 20.7009021431 ......... ............ A Treat craniofacial fracture ............................. 7.66 NA NA 9.33 9.50 0.70 NA NA 17.69 17.8609021432 ......... ............ A Treat craniofacial fracture ............................. 8.72 NA NA 7.15 7.85 0.81 NA NA 16.68 17.3809021433 ......... ............ A Treat craniofacial fracture ............................. 26.05 NA NA 12.22 15.39 2.78 NA NA 41.05 44.22 09021435 ......... ............ A Treat craniofacial fracture ............................. 19.92 NA NA 10.63 12.21 1.98 NA NA 32.53 34.11 09021436 ......... ............ A Treat craniofacial fracture ............................. 29.89 NA NA 14.95 17.44 3.09 NA NA 47.93 50.42 09021440 ......... ............ A Treat dental ridge fracture ............................. 3.20 10.28 7.91 7.61 6.54 0.38 13.86 11.4911.19 10.12 09021445 ......... ............ A Treat dental ridge fracture ............................. 5.94 12.42 10.44 8.55 8.43 0.78 19.14 17.1615.27 15.15 09021450 ......... ............ A Treat lower jaw fracture ................................ 3.47 10.39 8.15 7.63 7.08 0.33 14.19 11.9511.43 10.88 09021451 ......... ............ A Treat lower jaw fracture ................................ 5.36 12.91 10.26 9.62 8.72 0.63 18.90 16.2515.61 14.71 09021452 ......... ............ A Treat lower jaw fracture ................................ 2.23 11.76 12.74 5.88 4.94 0.27 14.26 15.248.38 7.44 09021453 ......... ............ A Treat lower jaw fracture ................................ 6.28 14.68 11.75 11.54 10.96 0.74 21.70 18.77 18.56 17.98 09021454 ......... ............ A Treat lower jaw fracture ................................ 7.07 NA NA 5.57 6.10 0.82 NA NA 13.46 13.9909021461 ......... ............ A Treat lower jaw fracture ................................ 8.95 41.00 28.65 12.50 12.65 0.98 50.93 38.58 22.43 22.58 09021462 ......... ............ A Treat lower jaw fracture ................................ 10.65 42.32 31.35 13.10 12.84 1.27 54.24 43.27 25.02 24.76 09021465 ......... ............ A Treat lower jaw fracture ................................ 12.76 NA NA 8.12 9.41 1.50 NA NA 22.38 23.67 09021470 ......... ............ A Treat lower jaw fracture ................................ 17.12 NA NA 9.90 11.51 1.96 NA NA 28.98 30.59 09021480 ......... ............ A Reset dislocated jaw ..................................... 0.61 1.50 1.71 0.17 0.19 0.06 2.17 2.38 0.84 0.86 00021485 ......... ............ A Reset dislocated jaw ..................................... 4.48 12.24 9.24 9.21 8.06 0.51 17.23 14.2314.20 13.05 09021490 ......... ............ A Repair dislocated jaw .................................... 12.59 NA NA 7.75 9.23 1.96 NA NA 22.30 23.78 09021495 ......... ............ A Treat hyoid bone fracture .............................. 6.43 NA NA 9.46 8.70 0.46 NA NA 16.35 15.5909021497 ......... ............ A Interdental wiring ........................................... 4.35 11.91 9.33 9.09 8.02 0.50 16.76 14.18 13.94 12.87 09021501 ......... ............ A Drain neck/chest lesion ................................. 3.80 6.39 6.43 3.41 3.73 0.43 10.62 10.66 7.64 7.96 09021502 ......... ............ A Drain chest lesion .......................................... 7.35 NA NA 4.75 5.43 0.97 NA NA 13.07 13.75 09021510 ......... ............ A Drainage of bone lesion ................................ 5.97 NA NA 4.68 5.43 0.80 NA NA 11.45 12.200901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00101 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37270 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal21550 ......... ............ A Biopsy of neck/chest ..................................... 2.06 4.36 3.78 1.76 1.73 0.16 6.58 6.00 3.98 3.95 01021555 ......... ............ A Remove lesion, neck/chest ........................... 4.34 5.72 5.58 3.37 3.24 0.56 10.62 10.48 8.278.14 09021556 ......... ............ A Remove lesion, neck/chest ........................... 5.56 NA NA 3.87 4.05 0.65 NA NA 10.08 10.26 09021557 ......... ............ A Remove tumor, neck/chest ........................... 8.87 NA NA 4.35 5.12 1.08 NA NA 14.30 15.07 09021600 ......... ............ A Partial removal of rib ..................................... 7.06 NA NA 5.72 5.74 0.99 NA NA 13.77 13.79 09021610 ......... ............ A Partial removal of rib ..................................... 15.70 NA NA 8.03 8.68 3.07 NA NA 26.80 27.45 09021615 ......... ............ A Removal of rib ............................................... 10.22 NA NA 5.52 6.41 1.45 NA NA 17.1918.08 09021616 ......... ............ A Removal of rib and nerves ............................ 12.44 NA NA 7.22 7.84 1.86 NA NA 21.52 22.14 09021620 ......... ............ A Partial removal of sternum ............................ 7.08 NA NA 4.86 5.71 0.98 NA NA 12.92 13.77 09021627 ......... ............ A Sternal debridement ...................................... 7.10 NA NA 5.63 6.15 1.02 NA NA 13.75 14.27 09021630 ......... ............ A Extensive sternum surgery ............................ 18.89 NA NA 10.40 11.50 2.58 NA NA 31.87 32.9709021632 ......... ............ A Extensive sternum surgery ............................ 19.40 NA NA 9.70 10.78 2.65 NA NA 31.75 32.8309021685 ......... ............ A Hyoid myotomy & suspension ....................... 14.77 NA NA 7.68 9.42 1.06 NA NA 23.51 25.25 09021700 ......... ............ A Revision of neck muscle ............................... 6.18 NA NA 3.98 4.33 0.32 NA NA 10.48 10.83 09021705 ......... ............ A Revision of neck muscle/rib .......................... 9.77 NA NA 4.86 5.42 1.43 NA NA 16.06 16.62 09021720 ......... ............ A Revision of neck muscle ............................... 5.67 1.94 2.34 4.29 2.93 0.91 8.52 8.92 10.879.51 09021725 ......... ............ A Revision of neck muscle ............................... 7.04 NA NA 4.52 5.23 1.21 NA NA 12.77 13.48 09021740 ......... ............ A Reconstruction of sternum ............................ 17.43 NA NA 8.70 8.58 2.36 NA NA 28.49 28.37 09021750 ......... ............ A Repair of sternum separation ........................ 11.33 NA NA 5.50 5.97 1.63 NA NA 18.46 18.93 09021800 ......... ............ A Treatment of rib fracture ............................... 0.96 NA NA 1.40 1.36 0.09 NA NA 2.45 2.41 09021805 ......... ............ A Treatment of rib fracture ............................... 2.75 NA NA 3.51 3.29 0.38 NA NA 6.64 6.42 09021810 ......... ............ A Treatment of rib fracture(s) ........................... 6.85 NA NA 5.28 5.06 0.94 NA NA 13.07 12.8509021820 ......... ............ A Treat sternum fracture ................................... 1.28 1.78 1.82 1.84 1.79 0.16 3.22 3.26 3.28 3.23 09021825 ......... ............ A Treat sternum fracture ................................... 7.58 NA NA 5.46 6.17 1.11 NA NA 14.15 14.86 09021920 ......... ............ A Biopsy soft tissue of back ............................. 2.06 4.36 3.56 1.83 1.56 0.14 6.56 5.76 4.033.76 01021925 ......... ............ A Biopsy soft tissue of back ............................. 4.48 5.47 5.25 3.43 3.30 0.60 10.55 10.33 8.51 8.38 09021930 ......... ............ A Remove lesion, back or flank ........................ 4.99 6.01 5.80 3.74 3.49 0.66 11.66 11.45 9.399.14 09021935 ......... ............ A Remove tumor, back ..................................... 18.29 NA NA 8.40 9.34 2.47 NA NA 29.16 30.1009022010 ......... ............ A I&d, p-spine, c/t/cerv-thor .............................. 12.49 NA NA 8.06 8.70 1.73 NA NA 22.28 22.92 09022015 ......... ............ A I&d, p-spine, l/s/ls .......................................... 12.38 NA NA 8.02 8.64 1.71 NA NA 22.11 22.73 09022100 ......... ............ A Remove part of neck vertebra ...................... 10.72 NA NA 7.85 7.63 2.13 NA NA 20.70 20.48 09022101 ......... ............ A Remove part, thorax vertebra ....................... 10.80 NA NA 7.79 7.78 1.90 NA NA 20.49 20.48 09022102 ......... ............ A Remove part, lumbar vertebra ...................... 10.80 NA NA 7.08 7.87 1.87 NA NA 19.75 20.54 09022103 ......... ............ A Remove extra spine segment ....................... 2.34 NA NA 0.86 1.12 0.44 NA NA 3.64 3.90 ZZZ22110 ......... ............ A Remove part of neck vertebra ...................... 13.72 NA NA 8.88 9.11 2.76 NA NA 25.36 25.59 09022112 ......... ............ A Remove part, thorax vertebra ....................... 13.79 NA NA 8.76 9.17 2.52 NA NA 25.07 25.48 09022114 ......... ............ A Remove part, lumbar vertebra ...................... 13.79 NA NA 8.84 9.17 2.63 NA NA 25.26 25.59 09022116 ......... ............ A Remove extra spine segment ....................... 2.32 NA NA 0.84 1.09 0.50 NA NA 3.66 3.91 ZZZ22210 ......... ............ A Revision of neck spine .................................. 25.03 NA NA 14.35 15.18 5.44 NA NA 44.82 45.65 09022212 ......... ............ A Revision of thorax spine ................................ 20.64 NA NA 12.20 13.03 3.90 NA NA 36.74 37.57 09022214 ......... ............ A Revision of lumbar spine ............................... 20.67 NA NA 12.30 13.46 3.91 NA NA 36.88 38.04 09022216 ......... ............ A Revise, extra spine segment ......................... 6.03 NA NA 2.30 2.93 1.29 NA NA 9.62 10.25 ZZZ22220 ......... ............ A Revision of neck spine .................................. 22.59 NA NA 13.09 13.52 5.06 NA NA 40.74 41.17 09022222 ......... ............ A Revision of thorax spine ................................ 22.74 NA NA 12.03 11.38 4.12 NA NA 38.89 38.24 09022224 ......... ............ A Revision of lumbar spine ............................... 22.74 NA NA 12.88 13.92 4.18 NA NA 39.80 40.84 09022226 ......... ............ A Revise, extra spine segment ......................... 6.03 NA NA 2.08 2.85 1.29 NA NA 9.40 10.17 ZZZ22305 ......... ............ A Treat spine process fracture ......................... 2.05 2.12 2.27 1.77 1.89 0.39 4.56 4.71 4.21 4.33 09022310 ......... ............ A Treat spine fracture ....................................... 3.61 2.94 2.84 2.45 2.38 0.50 7.05 6.956.56 6.49 09022315 ......... ............ A Treat spine fracture ....................................... 9.83 9.62 9.69 7.24 7.32 1.85 21.30 21.37 18.92 19.00 09022318 ......... ............ A Treat odontoid fx w/o graft ............................ 22.46 NA NA 12.88 13.29 5.28 NA NA 40.62 41.03 09022319 ......... ............ A Treat odontoid fx w/graft ............................... 25.07 NA NA 13.69 14.49 6.03 NA NA 44.79 45.59 09022325 ......... ............ A Treat spine fracture ....................................... 19.52 NA NA 11.67 12.00 3.87 NA NA 35.0635.39 09022326 ......... ............ A Treat neck spine fracture .............................. 20.56 NA NA 11.71 12.48 4.42 NA NA 36.69 37.46 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00102 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37271 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal22327 ......... ............ A Treat thorax spine fracture ............................ 20.42 NA NA 11.94 12.29 3.98 NA NA 36.34 36.69 09022328 ......... ............ A Treat each add spine fx ................................ 4.60 NA NA 1.75 2.14 0.94 NA NA 7.29 7.68 ZZZ22505 ......... ............ A Manipulation of spine .................................... 1.87 NA NA 1.04 0.97 0.36 NA NA 3.27 3.2001022520 ......... ............ A Percut vertebroplasty thor ............................. 9.15 46.33 57.96 4.66 5.00 1.71 57.19 68.8215.52 15.86 01022521 ......... ............ A Percut vertebroplasty lumb ........................... 8.58 47.63 54.01 4.46 4.84 1.60 57.81 64.19 14.64 15.02 01022522 ......... ............ A Percut vertebroplasty addIl ........................... 4.30 NA NA 1.51 1.64 0.82 NA NA 6.63 6.76 ZZZ22523 ......... ............ A Percut kyphoplasty, thor ................................ 9.19 NA NA 4.74 5.63 1.71 NA NA 15.64 16.5301022524 ......... ............ A Percut kyphoplasty, lumbar ........................... 8.79 NA NA 4.59 5.43 1.60 NA NA 14.98 15.82 01022525 ......... ............ A Percut kyphoplasty, add-on ........................... 4.47 NA NA 1.67 2.13 0.82 NA NA 6.96 7.42 ZZZ22532 ......... ............ A Lat thorax spine fusion .................................. 25.73 NA NA 13.40 14.50 4.34 NA NA 43.47 44.57 09022533 ......... ............ A Lat lumbar spine fusion ................................. 24.53 NA NA 13.12 13.50 3.15 NA NA 40.80 41.18 09022534 ......... ............ A Lat thor/lumb, addIl seg ................................ 5.99 NA NA 2.25 2.84 1.25 NA NA 9.49 10.08ZZZ22548 ......... ............ A Neck spine fusion .......................................... 26.78 NA NA 14.66 15.55 5.59 NA NA 47.0347.92 09022554 ......... ............ A Neck spine fusion .......................................... 17.48 NA NA 11.21 12.09 4.45 NA NA 33.1434.02 09022556 ......... ............ A Thorax spine fusion ....................................... 24.42 NA NA 12.78 14.27 4.34 NA NA 41.5443.03 09022558 ......... ............ A Lumbar spine fusion ...................................... 23.25 NA NA 11.36 12.84 3.15 NA NA 37.76 39.24 09022585 ......... ............ A Additional spinal fusion ................................. 5.52 NA NA 2.02 2.61 1.25 NA NA 8.79 9.38ZZZ22590 ......... ............ A Spine & skull spinal fusion ............................ 21.48 NA NA 12.77 13.21 4.78 NA NA 39.03 39.47 09022595 ......... ............ A Neck spinal fusion ......................................... 20.36 NA NA 12.29 12.73 4.40 NA NA 37.0537.49 09022600 ......... ............ A Neck spine fusion .......................................... 17.12 NA NA 11.00 11.17 3.72 NA NA 31.8432.01 09022610 ......... ............ A Thorax spine fusion ....................................... 17.00 NA NA 10.63 11.24 3.52 NA NA 31.1531.76 09022612 ......... ............ A Lumbar spine fusion ...................................... 22.50 NA NA 12.61 13.83 4.46 NA NA 39.57 40.79 09022614 ......... ............ A Spine fusion, extra segment ......................... 6.43 NA NA 2.42 3.13 1.38 NA NA 10.23 10.94 ZZZ22630 ......... ............ A Lumbar spine fusion ...................................... 21.81 NA NA 12.31 13.31 4.72 NA NA 38.84 39.84 09022632 ......... ............ A Spine fusion, extra segment ......................... 5.22 NA NA 1.95 2.49 1.16 NA NA 8.33 8.87 ZZZ22800 ......... ............ A Fusion of spine .............................................. 19.22 NA NA 10.91 12.34 3.75 NA NA 33.88 35.31 09022802 ......... ............ A Fusion of spine .............................................. 31.83 NA NA 15.80 18.69 6.15 NA NA 53.78 56.67 09022804 ......... ............ A Fusion of spine .............................................. 37.22 NA NA 17.76 21.51 6.98 NA NA 61.96 65.71 09022808 ......... ............ A Fusion of spine .............................................. 27.23 NA NA 13.54 15.65 4.92 NA NA 45.69 47.80 09022810 ......... ............ A Fusion of spine .............................................. 31.22 NA NA 14.63 17.47 5.13 NA NA 50.98 53.82 09022812 ......... ............ A Fusion of spine .............................................. 33.90 NA NA 16.45 19.20 5.28 NA NA 55.63 58.38 09022818 ......... ............ A Kyphectomy, 1-2 segments ........................... 34.12 NA NA 16.28 18.26 6.45 NA NA 56.85 58.83 09022819 ......... ............ A Kyphectomy, 3 or more ................................. 39.10 NA NA 18.97 19.83 7.65 NA NA 65.72 66.58 09022830 ......... ............ A Exploration of spinal fusion ........................... 11.07 NA NA 6.95 7.72 2.29 NA NA 20.31 21.0809022840 ......... ............ A Insert spine fixation device ............................ 12.52 NA NA 4.70 6.06 2.78 NA NA 20.00 21.36 ZZZ22842 ......... ............ A Insert spine fixation device ............................ 12.56 NA NA 4.72 6.07 2.74 NA NA 20.02 21.37 ZZZ22843 ......... ............ A Insert spine fixation device ............................ 13.44 NA NA 5.11 6.24 2.85 NA NA 21.40 22.53 ZZZ22844 ......... ............ A Insert spine fixation device ............................ 16.42 NA NA 6.29 8.16 3.18 NA NA 25.89 27.76 ZZZ22845 ......... ............ A Insert spine fixation device ............................ 11.94 NA NA 4.40 5.67 2.85 NA NA 19.19 20.46 ZZZ22846 ......... ............ A Insert spine fixation device ............................ 12.40 NA NA 4.57 5.91 2.95 NA NA 19.92 21.26 ZZZ22847 ......... ............ A Insert spine fixation device ............................ 13.78 NA NA 5.17 6.57 2.99 NA NA 21.94 23.34 ZZZ22848 ......... ............ A Insert pelv fixation device .............................. 5.99 NA NA 2.30 2.97 1.15 NA NA 9.44 10.11ZZZ22849 ......... ............ A Reinsert spinal fixation .................................. 19.02 NA NA 9.92 11.30 3.89 NA NA 32.83 34.21 09022850 ......... ............ A Remove spine fixation device ....................... 9.69 NA NA 6.26 6.82 2.04 NA NA 17.99 18.55 09022851 ......... ............ A Apply spine prosth device ............................. 6.70 NA NA 2.50 3.15 1.49 NA NA 10.69 11.34 ZZZ22852 ......... ............ A Remove spine fixation device ....................... 9.24 NA NA 5.99 6.61 1.89 NA NA 17.12 17.74 09022855 ......... ............ A Remove spine fixation device ....................... 15.71 NA NA 8.93 9.50 3.51 NA NA 28.15 28.72 09022900 ......... ............ A Remove abdominal wall lesion ..................... 6.09 NA NA 3.47 3.29 0.76 NA NA 10.32 10.14 09023000 ......... ............ A Removal of calcium deposits ........................ 4.35 7.75 8.35 3.63 4.23 0.68 12.78 13.38 8.66 9.26 09023020 ......... ............ A Release shoulder joint ................................... 9.16 NA NA 6.37 7.28 1.54 NA NA 17.07 17.98 09023030 ......... ............ A Drain shoulder lesion .................................... 3.42 6.26 7.12 2.38 2.78 0.57 10.25 11.116.37 6.77 01023031 ......... ............ A Drain shoulder bursa ..................................... 2.74 6.44 7.52 2.19 2.60 0.46 9.64 10.72 5.39 5.80 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00103 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37272 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal23035 ......... ............ A Drain shoulder bone lesion ........................... 8.96 NA NA 6.91 7.95 1.47 NA NA 17.34 18.38 09023040 ......... ............ A Exploratory shoulder surgery ........................ 9.55 NA NA 6.65 7.57 1.60 NA NA 17.80 18.72 09023044 ......... ............ A Exploratory shoulder surgery ........................ 7.41 NA NA 5.48 6.21 1.24 NA NA 14.13 14.86 09023065 ......... ............ A Biopsy shoulder tissues ................................ 2.27 2.93 2.60 1.71 1.64 0.20 5.40 5.07 4.184.11 01023066 ......... ............ A Biopsy shoulder tissues ................................ 4.15 7.67 7.69 3.56 3.88 0.63 12.45 12.47 8.34 8.66 09023075 ......... ............ A Removal of shoulder lesion ........................... 2.39 3.71 3.68 1.72 1.77 0.34 6.44 6.41 4.45 4.50 01023076 ......... ............ A Removal of shoulder lesion ........................... 7.68 NA NA 5.25 5.49 1.13 NA NA 14.06 14.30 09023077 ......... ............ A Remove tumor of shoulder ............................ 17.98 NA NA 9.59 10.08 2.33 NA NA 29.90 30.39 09023100 ......... ............ A Biopsy of shoulder joint ................................. 6.02 NA NA 5.04 5.51 1.04 NA NA 12.10 12.57 09023101 ......... ............ A Shoulder joint surgery ................................... 5.57 NA NA 4.49 5.14 0.96 NA NA 11.02 11.67 09023105 ......... ............ A Remove shoulder joint lining ......................... 8.28 NA NA 5.99 6.85 1.42 NA NA 15.69 16.55 09023106 ......... ............ A Incision of collarbone joint ............................. 5.95 NA NA 4.55 5.43 0.99 NA NA 11.49 12.37 09023107 ......... ............ A Explore treat shoulder joint ........................... 8.67 NA NA 6.14 7.09 1.49 NA NA 16.30 17.2509023120 ......... ............ A Partial removal, collar bone .......................... 7.16 NA NA 5.38 6.21 1.23 NA NA 13.77 14.60 09023125 ......... ............ A Removal of collar bone ................................. 9.44 NA NA 6.22 7.24 1.62 NA NA 17.28 18.3009023130 ......... ............ A Remove shoulder bone, part ......................... 7.54 NA NA 5.98 6.86 1.30 NA NA 14.82 15.70 09023140 ......... ............ A Removal of bone lesion ................................ 6.94 NA NA 4.73 5.11 1.08 NA NA 12.75 13.13 09023145 ......... ............ A Removal of bone lesion ................................ 9.20 NA NA 5.70 7.02 1.49 NA NA 16.39 17.71 09023146 ......... ............ A Removal of bone lesion ................................ 7.88 NA NA 5.86 6.81 1.35 NA NA 15.09 16.04 09023150 ......... ............ A Removal of humerus lesion .......................... 8.71 NA NA 5.94 6.69 1.32 NA NA 15.97 16.72 09023155 ......... ............ A Removal of humerus lesion .......................... 10.63 NA NA 7.20 8.06 1.80 NA NA 19.63 20.49 09023156 ......... ............ A Removal of humerus lesion .......................... 8.91 NA NA 6.28 7.12 1.50 NA NA 16.69 17.53 09023170 ......... ............ A Remove collar bone lesion ............................ 7.03 NA NA 5.01 5.78 1.12 NA NA 13.16 13.93 09023172 ......... ............ A Remove shoulder blade lesion ...................... 7.13 NA NA 4.90 5.95 1.01 NA NA 13.04 14.09 09023174 ......... ............ A Remove humerus lesion ............................... 9.80 NA NA 7.15 8.07 1.65 NA NA 18.60 19.52 09023180 ......... ............ A Remove collar bone lesion ............................ 8.76 NA NA 6.96 8.51 1.47 NA NA 17.19 18.74 09023182 ......... ............ A Remove shoulder blade lesion ...................... 8.38 NA NA 6.80 8.13 1.37 NA NA 16.55 17.88 09023184 ......... ............ A Remove humerus lesion ............................... 9.67 NA NA 7.41 8.86 1.63 NA NA 18.71 20.16 09023190 ......... ............ A Partial removal of scapula ............................. 7.29 NA NA 5.32 5.97 1.17 NA NA 13.78 14.4309023195 ......... ............ A Removal of head of humerus ........................ 10.16 NA NA 6.65 7.48 1.70 NA NA 18.51 19.34 09023200 ......... ............ A Removal of collar bone ................................. 12.60 NA NA 7.41 8.42 1.93 NA NA 21.94 22.9509023210 ......... ............ A Removal of shoulder blade ........................... 13.07 NA NA 8.09 8.79 2.02 NA NA 23.18 23.88 09023220 ......... ............ A Partial removal of humerus ........................... 15.26 NA NA 8.92 10.37 2.48 NA NA 26.66 28.1109023221 ......... ............ A Partial removal of humerus ........................... 18.31 NA NA 6.48 10.43 3.05 NA NA 27.84 31.7909023222 ......... ............ A Partial removal of humerus ........................... 25.36 NA NA 13.27 15.19 3.94 NA NA 42.57 44.4909023330 ......... ............ A Remove shoulder foreign body ..................... 1.85 3.34 3.60 1.51 1.80 0.24 5.43 5.69 3.60 3.8901023331 ......... ............ A Remove shoulder foreign body ..................... 7.43 NA NA 5.77 6.55 1.27 NA NA 14.47 15.25 09023332 ......... ............ A Remove shoulder foreign body ..................... 12.14 NA NA 7.85 8.98 2.02 NA NA 22.01 23.14 09023350 ......... ............ A Injection for shoulder x-ray ............................ 1.00 2.83 3.31 0.35 0.34 0.06 3.89 4.37 1.41 1.40 00023395 ......... ............ A Muscle transfer,shoulder/arm ........................ 18.19 NA NA 11.02 12.43 2.93 NA NA 32.14 33.5509023397 ......... ............ A Muscle transfers ............................................ 16.53 NA NA 9.49 10.92 2.73 NA NA 28.7530.18 09023400 ......... ............ A Fixation of shoulder blade ............................. 13.64 NA NA 8.38 9.67 2.29 NA NA 24.31 25.6009023405 ......... ............ A Incision of tendon & muscle .......................... 8.36 NA NA 5.85 6.67 1.45 NA NA 15.66 16.48 09023406 ......... ............ A Incise tendon(s) & muscle(s) ........................ 10.83 NA NA 6.80 7.97 1.87 NA NA 19.50 20.67 09023410 ......... ............ A Repair rotator cuff, acute .............................. 12.55 NA NA 7.66 8.99 2.16 NA NA 22.37 23.70 09023412 ......... ............ A Repair rotator cuff, chronic ............................ 13.47 NA NA 8.04 9.45 2.31 NA NA 23.82 25.23 09023415 ......... ............ A Release of shoulder ligament ....................... 10.02 NA NA 6.48 7.63 1.73 NA NA 18.23 19.38 09023420 ......... ............ A Repair of shoulder ......................................... 14.65 NA NA 9.58 10.55 2.31 NA NA 26.5427.51 09023430 ......... ............ A Repair biceps tendon .................................... 9.97 NA NA 6.66 7.76 1.73 NA NA 18.36 19.4609023440 ......... ............ A Remove/transplant tendon ............................ 10.46 NA NA 6.67 7.88 1.82 NA NA 18.95 20.16 09023450 ......... ............ A Repair shoulder capsule ............................... 13.50 NA NA 8.02 9.41 2.32 NA NA 23.84 25.2309023455 ......... ............ A Repair shoulder capsule ............................... 14.47 NA NA 8.41 9.96 2.49 NA NA 25.37 26.920901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00104 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37273 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal23460 ......... ............ A Repair shoulder capsule ............................... 15.59 NA NA 9.17 10.84 2.66 NA NA 27.42 29.0909023462 ......... ............ A Repair shoulder capsule ............................... 15.52 NA NA 8.90 10.31 2.59 NA NA 27.01 28.4209023465 ......... ............ A Repair shoulder capsule ............................... 16.07 NA NA 9.40 10.76 2.76 NA NA 28.23 29.5909023466 ......... ............ A Repair shoulder capsule ............................... 15.45 NA NA 9.89 11.02 2.46 NA NA 27.80 28.9309023470 ......... ............ A Reconstruct shoulder joint ............................. 17.66 NA NA 9.99 11.72 2.98 NA NA 30.63 32.36 09023472 ......... ............ A Reconstruct shoulder joint ............................. 22.39 NA NA 11.99 13.84 3.66 NA NA 38.04 39.89 09023480 ......... ............ A Revision of collar bone .................................. 11.34 NA NA 7.21 8.40 1.94 NA NA 20.49 21.68 09023485 ......... ............ A Revision of collar bone .................................. 13.71 NA NA 8.14 9.48 2.33 NA NA 24.18 25.52 09023490 ......... ............ A Reinforce clavicle .......................................... 11.96 NA NA 6.76 8.23 1.47 NA NA 20.1921.66 09023491 ......... ............ A Reinforce shoulder bones ............................. 14.31 NA NA 8.69 10.23 2.46 NA NA 25.46 27.0009023500 ......... ............ A Treat clavicle fracture .................................... 2.08 2.61 2.81 2.68 2.57 0.30 4.99 5.195.06 4.95 09023505 ......... ............ A Treat clavicle fracture .................................... 3.68 3.97 4.31 3.57 3.78 0.61 8.26 8.607.86 8.07 09023515 ......... ............ A Treat clavicle fracture .................................... 7.40 NA NA 5.48 6.30 1.28 NA NA 14.16 14.98 09023520 ......... ............ A Treat clavicle dislocation ............................... 2.16 2.60 2.80 2.67 2.73 0.34 5.10 5.30 5.17 5.23 09023525 ......... ............ A Treat clavicle dislocation ............................... 3.59 4.45 4.53 3.87 3.93 0.46 8.50 8.58 7.92 7.98 09023530 ......... ............ A Treat clavicle dislocation ............................... 7.30 NA NA 5.18 5.76 1.20 NA NA 13.68 14.26 09023532 ......... ............ A Treat clavicle dislocation ............................... 8.00 NA NA 5.97 6.74 1.38 NA NA 15.35 16.12 09023540 ......... ............ A Treat clavicle dislocation ............................... 2.23 2.59 2.80 2.66 2.44 0.29 5.11 5.32 5.18 4.96 09023545 ......... ............ A Treat clavicle dislocation ............................... 3.25 3.71 4.08 3.23 3.34 0.35 7.31 7.68 6.83 6.94 09023550 ......... ............ A Treat clavicle dislocation ............................... 7.41 NA NA 5.43 6.15 1.25 NA NA 14.09 14.81 09023552 ......... ............ A Treat clavicle dislocation ............................... 8.62 NA NA 6.12 7.04 1.46 NA NA 16.20 17.12 09023570 ......... ............ A Treat shoulder blade fx ................................. 2.23 2.76 2.96 2.90 2.90 0.36 5.35 5.55 5.49 5.49 09023575 ......... ............ A Treat shoulder blade fx ................................. 4.05 4.29 4.74 3.80 4.19 0.59 8.93 9.38 8.44 8.83 09023585 ......... ............ A Treat scapula fracture ................................... 9.07 NA NA 6.38 7.34 1.54 NA NA 16.99 17.95 09023600 ......... ............ A Treat humerus fracture .................................. 2.93 4.03 4.43 3.61 3.57 0.48 7.44 7.84 7.02 6.98 09023605 ......... ............ A Treat humerus fracture .................................. 4.86 5.34 5.96 4.55 4.98 0.84 11.04 11.66 10.25 10.68 09023615 ......... ............ A Treat humerus fracture .................................. 10.83 NA NA 8.16 8.69 1.62 NA NA 20.61 21.14 09023616 ......... ............ A Treat humerus fracture .................................. 21.60 NA NA 11.29 13.46 3.69 NA NA 36.58 38.75 09023620 ......... ............ A Treat humerus fracture .................................. 2.40 3.38 3.56 3.11 3.02 0.40 6.18 6.36 5.91 5.82 09023625 ......... ............ A Treat humerus fracture .................................. 3.92 4.37 4.81 3.85 4.18 0.67 8.96 9.40 8.44 8.77 09023630 ......... ............ A Treat humerus fracture .................................. 7.40 NA NA 5.57 6.38 1.27 NA NA 14.24 15.0509023650 ......... ............ A Treat shoulder dislocation ............................. 3.38 3.24 3.65 2.77 2.77 0.30 6.92 7.33 6.456.45 09023655 ......... ............ A Treat shoulder dislocation ............................. 4.56 NA NA 4.11 4.16 0.69 NA NA 9.36 9.41 09023660 ......... ............ A Treat shoulder dislocation ............................. 7.48 NA NA 5.52 6.18 1.29 NA NA 14.29 14.9509023665 ......... ............ A Treat dislocation/fracture ............................... 4.46 4.77 5.21 4.19 4.60 0.71 9.94 10.38 9.36 9.77 09023670 ......... ............ A Treat dislocation/fracture ............................... 7.95 NA NA 5.75 6.58 1.36 NA NA 15.06 15.89 09023675 ......... ............ A Treat dislocation/fracture ............................... 6.04 6.06 6.65 5.08 5.66 1.01 13.11 13.7012.13 12.71 09023680 ......... ............ A Treat dislocation/fracture ............................... 10.22 NA NA 6.87 7.82 1.75 NA NA 18.84 19.79 09023700 ......... ............ A Fixation of shoulder ....................................... 2.52 NA NA 1.88 2.11 0.44 NA NA 4.84 5.07 01023800 ......... ............ A Fusion of shoulder joint ................................. 14.50 NA NA 7.41 9.68 2.35 NA NA 24.26 26.53 09023802 ......... ............ A Fusion of shoulder joint ................................. 18.07 NA NA 10.76 10.34 2.70 NA NA 31.53 31.11 09023900 ......... ............ A Amputation of arm & girdle ........................... 20.47 NA NA 10.49 11.43 3.18 NA NA 34.14 35.0809023920 ......... ............ A Amputation at shoulder joint ......................... 15.95 NA NA 9.37 9.81 2.46 NA NA 27.78 28.22 09023921 ......... ............ A Amputation follow-up surgery ........................ 5.54 NA NA 4.80 5.02 0.78 NA NA 11.12 11.34 09023930 ......... ............ A Drainage of arm lesion .................................. 2.94 4.97 6.00 1.97 2.23 0.43 8.34 9.37 5.34 5.60 01023931 ......... ............ A Drainage of arm bursa .................................. 1.79 4.30 5.52 1.72 2.07 0.28 6.37 7.59 3.794.14 01023935 ......... ............ A Drain arm/elbow bone lesion ........................ 6.20 NA NA 5.04 5.71 1.05 NA NA 12.29 12.96 09024000 ......... ............ A Exploratory elbow surgery ............................. 5.93 NA NA 4.69 5.25 0.97 NA NA 11.59 12.15 09024006 ......... ............ A Release elbow joint ....................................... 9.54 NA NA 6.53 7.46 1.50 NA NA 17.57 18.50 09024065 ......... ............ A Biopsy arm/elbow soft tissue ........................ 2.08 4.12 3.45 1.89 1.79 0.17 6.37 5.70 4.14 4.04 01024066 ......... ............ A Biopsy arm/elbow soft tissue ........................ 5.20 8.25 8.78 3.89 4.08 0.80 14.25 14.78 9.8910.08 09024075 ......... ............ A Remove arm/elbow lesion ............................. 3.91 7.16 7.32 3.24 3.37 0.56 11.63 11.79 7.717.84 09024076 ......... ............ A Remove arm/elbow lesion ............................. 6.29 NA NA 4.51 4.78 0.95 NA NA 11.75 12.02 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00105 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37274 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal24077 ......... ............ A Remove tumor of arm/elbow ......................... 11.86 NA NA 6.82 7.53 1.72 NA NA 20.40 21.11 09024100 ......... ............ A Biopsy elbow joint lining ................................ 4.92 NA NA 4.19 4.45 0.85 NA NA 9.96 10.2209024101 ......... ............ A Explore/treat elbow joint ................................ 6.12 NA NA 4.98 5.71 1.03 NA NA 12.13 12.86 09024102 ......... ............ A Remove elbow joint lining ............................. 8.08 NA NA 5.69 6.58 1.33 NA NA 15.10 15.99 09024105 ......... ............ A Removal of elbow bursa ............................... 3.60 NA NA 3.96 4.29 0.61 NA NA 8.17 8.50 09024110 ......... ............ A Remove humerus lesion ............................... 7.38 NA NA 5.55 6.40 1.28 NA NA 14.21 15.06 09024115 ......... ............ A Remove/graft bone lesion ............................. 9.92 NA NA 6.68 7.09 1.67 NA NA 18.27 18.68 09024116 ......... ............ A Remove/graft bone lesion ............................. 12.03 NA NA 7.50 8.70 2.05 NA NA 21.58 22.78 09024120 ......... ............ A Remove elbow lesion .................................... 6.64 NA NA 5.12 5.74 1.10 NA NA 12.86 13.4809024125 ......... ............ A Remove/graft bone lesion ............................. 7.94 NA NA 5.90 6.11 1.06 NA NA 14.90 15.11 09024126 ......... ............ A Remove/graft bone lesion ............................. 8.42 NA NA 6.09 6.80 1.16 NA NA 15.67 16.38 09024130 ......... ............ A Removal of head of radius ............................ 6.24 NA NA 5.02 5.79 1.04 NA NA 12.30 13.07 09024134 ......... ............ A Removal of arm bone lesion ......................... 10.02 NA NA 7.35 8.50 1.64 NA NA 19.01 20.16 09024136 ......... ............ A Remove radius bone lesion .......................... 8.22 NA NA 5.93 6.91 1.38 NA NA 15.53 16.51 09024138 ......... ............ A Remove elbow bone lesion ........................... 8.22 NA NA 6.58 7.50 1.34 NA NA 16.14 17.06 09024140 ......... ............ A Partial removal of arm bone .......................... 9.35 NA NA 7.07 8.62 1.51 NA NA 17.93 19.48 09024145 ......... ............ A Partial removal of radius ............................... 7.63 NA NA 6.19 7.61 1.25 NA NA 15.07 16.4909024147 ......... ............ A Partial removal of elbow ................................ 7.59 NA NA 6.79 8.16 1.30 NA NA 15.68 17.0509024149 ......... ............ A Radical resection of elbow ............................ 15.80 NA NA 10.66 11.40 2.34 NA NA 28.80 29.54 09024150 ......... ............ A Extensive humerus surgery ........................... 13.61 NA NA 8.37 9.61 2.32 NA NA 24.30 25.54 09024151 ......... ............ A Extensive humerus surgery ........................... 15.98 NA NA 9.58 11.05 2.59 NA NA 28.15 29.62 09024152 ......... ............ A Extensive radius surgery ............................... 10.16 NA NA 6.17 7.36 1.48 NA NA 17.81 19.0009024153 ......... ............ A Extensive radius surgery ............................... 11.64 NA NA 6.32 5.77 0.74 NA NA 18.70 18.1509024155 ......... ............ A Removal of elbow joint .................................. 11.89 NA NA 7.46 8.18 1.92 NA NA 21.27 21.99 09024160 ......... ............ A Remove elbow joint implant .......................... 7.82 NA NA 5.73 6.62 1.30 NA NA 14.85 15.74 09024164 ......... ............ A Remove radius head implant ........................ 6.28 NA NA 4.84 5.55 1.03 NA NA 12.15 12.86 09024200 ......... ............ A Removal of arm foreign body ........................ 1.76 2.75 3.25 1.36 1.56 0.20 4.71 5.21 3.32 3.52 01024201 ......... ............ A Removal of arm foreign body ........................ 4.55 7.88 9.35 3.68 4.10 0.72 13.15 14.62 8.95 9.37 09024220 ......... ............ A Injection for elbow x-ray ................................ 1.31 2.73 3.41 0.45 0.44 0.08 4.12 4.80 1.84 1.83 00024300 ......... ............ A Manipulate elbow w/anesth ........................... 3.74 NA NA 5.10 5.57 0.65 NA NA 9.49 9.96 09024301 ......... ............ A Muscle/tendon transfer .................................. 10.18 NA NA 6.72 7.83 1.66 NA NA 18.56 19.67 09024305 ......... ............ A Arm tendon lengthening ................................ 7.44 NA NA 5.56 6.44 1.15 NA NA 14.15 15.03 09024310 ......... ............ A Revision of arm tendon ................................. 5.97 NA NA 4.71 5.38 0.96 NA NA 11.64 12.3109024320 ......... ............ A Repair of arm tendon .................................... 10.66 NA NA 6.97 7.41 1.73 NA NA 19.36 19.80 09024330 ......... ............ A Revision of arm muscles ............................... 9.59 NA NA 6.52 7.56 1.60 NA NA 17.71 18.75 09024331 ......... ............ A Revision of arm muscles ............................... 10.75 NA NA 6.40 8.13 1.77 NA NA 18.92 20.6509024332 ......... ............ A Tenolysis, triceps ........................................... 7.69 NA NA 5.69 6.52 1.23 NA NA 14.6115.44 09024340 ......... ............ A Repair of biceps tendon ................................ 7.88 NA NA 5.89 6.72 1.36 NA NA 15.13 15.9609024341 ......... ............ A Repair arm tendon/muscle ............................ 9.14 NA NA 7.40 7.81 1.36 NA NA 17.90 18.31 09024342 ......... ............ A Repair of ruptured tendon ............................. 10.66 NA NA 6.97 8.15 1.85 NA NA 19.48 20.6609024343 ......... ............ A Repr elbow lat ligmnt w/tiss .......................... 8.89 NA NA 6.90 7.85 1.43 NA NA 17.22 18.17 09024344 ......... ............ A Reconstruct elbow lat ligmnt ......................... 14.85 NA NA 9.86 11.13 2.36 NA NA 27.07 28.3409024345 ......... ............ A Repr elbw med ligmnt w/tissu ....................... 8.89 NA NA 6.85 7.74 1.44 NA NA 17.18 18.07 09024346 ......... ............ A Reconstruct elbow med ligmnt ...................... 14.85 NA NA 9.87 11.00 2.33 NA NA 27.05 28.18 09024350 ......... ............ A Repair of tennis elbow .................................. 5.24 NA NA 4.81 5.40 0.87 NA NA 10.92 11.5109024351 ......... ............ A Repair of tennis elbow .................................. 5.90 NA NA 4.92 5.69 1.02 NA NA 11.84 12.6109024352 ......... ............ A Repair of tennis elbow .................................. 6.42 NA NA 5.13 5.93 1.10 NA NA 12.65 13.4509024354 ......... ............ A Repair of tennis elbow .................................. 6.47 NA NA 5.16 5.92 1.07 NA NA 12.70 13.4609024356 ......... ............ A Revision of tennis elbow ............................... 6.67 NA NA 5.23 6.06 1.11 NA NA 13.01 13.8409024360 ......... ............ A Reconstruct elbow joint ................................. 12.44 NA NA 7.82 9.08 2.05 NA NA 22.31 23.57 09024361 ......... ............ A Reconstruct elbow joint ................................. 14.18 NA NA 8.60 10.11 2.18 NA NA 24.96 26.47 09024362 ......... ............ A Reconstruct elbow joint ................................. 15.09 NA NA 9.11 9.83 2.60 NA NA 26.80 27.52 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00106 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37275 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal24363 ......... ............ A Replace elbow joint ....................................... 22.39 NA NA 12.69 13.49 3.01 NA NA 38.0938.89 09024365 ......... ............ A Reconstruct head of radius ........................... 8.44 NA NA 5.83 6.87 1.41 NA NA 15.68 16.72 09024366 ......... ............ A Reconstruct head of radius ........................... 9.18 NA NA 6.19 7.22 1.52 NA NA 16.89 17.92 09024400 ......... ............ A Revision of humerus ..................................... 11.10 NA NA 7.48 8.53 1.92 NA NA 20.50 21.55 09024410 ......... ............ A Revision of humerus ..................................... 14.86 NA NA 9.14 10.04 2.57 NA NA 26.57 27.47 09024420 ......... ............ A Revision of humerus ..................................... 13.48 NA NA 8.65 10.09 2.17 NA NA 24.30 25.74 09024430 ......... ............ A Repair of humerus ......................................... 14.99 NA NA 8.73 9.51 2.21 NA NA 25.93 26.71 09024435 ......... ............ A Repair humerus with graft ............................. 14.64 NA NA 9.68 10.60 2.27 NA NA 26.59 27.5109024470 ......... ............ A Revision of elbow joint .................................. 8.73 NA NA 6.31 7.38 1.48 NA NA 16.52 17.59 09024495 ......... ............ A Decompression of forearm ............................ 8.23 NA NA 6.68 8.25 1.18 NA NA 16.09 17.66 09024498 ......... ............ A Reinforce humerus ........................................ 12.08 NA NA 7.59 8.87 2.06 NA NA 21.73 23.01 09024500 ......... ............ A Treat humerus fracture .................................. 3.21 4.38 4.74 3.75 3.71 0.50 8.09 8.45 7.46 7.42 09024505 ......... ............ A Treat humerus fracture .................................. 5.16 5.78 6.41 4.82 5.26 0.89 11.83 12.46 10.87 11.31 09024515 ......... ............ A Treat humerus fracture .................................. 11.87 NA NA 7.94 9.04 2.02 NA NA 21.83 22.93 09024516 ......... ............ A Treat humerus fracture .................................. 11.99 NA NA 7.56 8.75 2.02 NA NA 21.57 22.76 09024530 ......... ............ A Treat humerus fracture .................................. 3.49 4.67 5.08 3.94 4.02 0.57 8.73 9.14 8.00 8.08 09024535 ......... ............ A Treat humerus fracture .................................. 6.86 6.73 7.58 5.77 6.42 1.18 14.77 15.62 13.81 14.46 09024538 ......... ............ A Treat humerus fracture .................................. 9.54 NA NA 7.12 8.33 1.64 NA NA 18.30 19.5109024545 ......... ............ A Treat humerus fracture .................................. 10.80 NA NA 7.10 8.13 1.82 NA NA 19.72 20.75 09024546 ......... ............ A Treat humerus fracture .................................. 15.91 NA NA 9.12 10.79 2.73 NA NA 27.76 29.43 09024560 ......... ............ A Treat humerus fracture .................................. 2.80 4.00 4.37 3.33 3.23 0.44 7.24 7.61 6.57 6.47 09024565 ......... ............ A Treat humerus fracture .................................. 5.55 5.76 6.41 4.88 5.38 0.93 12.24 12.89 11.36 11.86 09024566 ......... ............ A Treat humerus fracture .................................. 8.78 NA NA 6.86 7.85 1.30 NA NA 16.94 17.9309024575 ......... ............ A Treat humerus fracture .................................. 10.94 NA NA 7.15 8.10 1.86 NA NA 19.95 20.90 09024576 ......... ............ A Treat humerus fracture .................................. 2.86 4.38 4.67 3.68 3.71 0.46 7.70 7.99 7.00 7.03 09024577 ......... ............ A Treat humerus fracture .................................. 5.78 5.95 6.70 5.01 5.65 0.95 12.68 13.43 11.74 12.38 09024579 ......... ............ A Treat humerus fracture .................................. 11.88 NA NA 7.53 8.53 2.02 NA NA 21.43 22.43 09024582 ......... ............ A Treat humerus fracture .................................. 9.79 NA NA 8.07 8.87 1.48 NA NA 19.34 20.1409024586 ......... ............ A Treat elbow fracture ...................................... 15.55 NA NA 9.18 10.74 2.64 NA NA 27.37 28.93 09024587 ......... ............ A Treat elbow fracture ...................................... 15.56 NA NA 9.23 10.60 2.52 NA NA 27.31 28.68 09024600 ......... ............ A Treat elbow dislocation ................................. 4.22 3.82 4.61 3.24 3.44 0.50 8.54 9.33 7.96 8.16 09024605 ......... ............ A Treat elbow dislocation ................................. 5.41 NA NA 4.88 5.26 0.89 NA NA 11.18 11.5609024615 ......... ............ A Treat elbow dislocation ................................. 9.65 NA NA 6.46 7.50 1.60 NA NA 17.71 18.7509024620 ......... ............ A Treat elbow fracture ...................................... 6.97 NA NA 5.38 6.05 1.07 NA NA 13.42 14.09 09024635 ......... ............ A Treat elbow fracture ...................................... 13.47 NA NA 10.05 13.08 2.28 NA NA 25.8028.83 09024640 ......... ............ A Treat elbow dislocation ................................. 1.20 1.46 1.75 0.79 0.80 0.12 2.78 3.07 2.11 2.12 01024650 ......... ............ A Treat radius fracture ...................................... 2.16 3.39 3.69 2.96 2.81 0.35 5.90 6.205.47 5.32 09024655 ......... ............ A Treat radius fracture ...................................... 4.39 5.13 5.76 4.35 4.69 0.70 10.22 10.85 9.44 9.78 09024665 ......... ............ A Treat radius fracture ...................................... 8.13 NA NA 6.23 7.21 1.41 NA NA 15.77 16.75 09024666 ......... ............ A Treat radius fracture ...................................... 9.66 NA NA 6.68 7.74 1.62 NA NA 17.96 19.02 09024670 ......... ............ A Treat ulnar fracture ........................................ 2.54 3.68 4.01 3.11 3.09 0.41 6.63 6.966.06 6.04 09024675 ......... ............ A Treat ulnar fracture ........................................ 4.71 5.24 5.83 4.44 4.85 0.81 10.76 11.35 9.96 10.37 09024685 ......... ............ A Treat ulnar fracture ........................................ 8.85 NA NA 6.17 7.20 1.52 NA NA 16.54 17.57 09024800 ......... ............ A Fusion of elbow joint ..................................... 11.18 NA NA 7.51 8.46 1.63 NA NA 20.32 21.27 09024802 ......... ............ A Fusion/graft of elbow joint ............................. 14.09 NA NA 8.42 9.91 2.37 NA NA 24.88 26.37 09024900 ......... ............ A Amputation of upper arm .............................. 9.95 NA NA 6.38 6.91 1.53 NA NA 17.86 18.39 09024920 ......... ............ A Amputation of upper arm .............................. 9.95 NA NA 6.28 6.79 1.61 NA NA 17.84 18.35 09024925 ......... ............ A Amputation follow-up surgery ........................ 7.12 NA NA 4.92 5.81 1.14 NA NA 13.18 14.07 09024930 ......... ............ A Amputation follow-up surgery ........................ 10.65 NA NA 5.88 6.92 1.67 NA NA 18.20 19.24 09024931 ......... ............ A Amputate upper arm & implant ..................... 13.24 NA NA 8.08 6.33 1.89 NA NA 23.21 21.46 09024935 ......... ............ A Revision of amputation .................................. 16.20 NA NA 7.29 7.85 2.13 NA NA 25.62 26.18 09025000 ......... ............ A Incision of tendon sheath .............................. 3.37 NA NA 4.99 6.42 0.55 NA NA 8.91 10.34 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00107 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37276 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal25001 ......... ............ A Incise flexor carpi radialis .............................. 3.62 NA NA 3.79 4.13 0.55 NA NA 7.96 8.3009025020 ......... ............ A Decompress forearm 1 space ....................... 5.91 NA NA 6.81 8.90 0.93 NA NA 13.65 15.74 09025023 ......... ............ A Decompress forearm 1 space ....................... 13.60 NA NA 11.31 14.06 2.03 NA NA 26.94 29.69 09025024 ......... ............ A Decompress forearm 2 spaces ..................... 10.52 NA NA 7.11 7.40 1.36 NA NA 18.99 19.28 09025025 ......... ............ A Decompress forearm 2 spaces ..................... 17.67 NA NA 8.92 9.73 1.82 NA NA 28.41 29.22 09025028 ......... ............ A Drainage of forearm lesion ............................ 5.24 NA NA 6.19 7.68 0.81 NA NA 12.24 13.73 09025031 ......... ............ A Drainage of forearm bursa ............................ 4.13 NA NA 5.40 7.31 0.63 NA NA 10.16 12.07 09025035 ......... ............ A Treat forearm bone lesion ............................. 7.47 NA NA 8.75 12.41 1.24 NA NA 17.46 21.1209025040 ......... ............ A Explore/treat wrist joint .................................. 7.35 NA NA 5.80 6.94 1.15 NA NA 14.30 15.44 09025065 ......... ............ A Biopsy forearm soft tissues ........................... 1.99 4.23 3.48 1.92 1.91 0.15 6.37 5.62 4.064.05 01025066 ......... ............ A Biopsy forearm soft tissues ........................... 4.12 NA NA 5.39 6.66 0.64 NA NA 10.15 11.42 09025075 ......... ............ A Removal forearm lesion subcu ..................... 3.73 NA NA 4.86 5.65 0.55 NA NA 9.14 9.93 09025076 ......... ............ A Removal forearm lesion deep ....................... 4.91 NA NA 6.83 8.89 0.74 NA NA 12.48 14.54 09025077 ......... ............ A Remove tumor, forearm/wrist ........................ 9.81 NA NA 8.82 11.30 1.42 NA NA 20.05 22.53 09025085 ......... ............ A Incision of wrist capsule ................................ 5.49 NA NA 5.36 6.70 0.85 NA NA 11.70 13.04 09025100 ......... ............ A Biopsy of wrist joint ....................................... 3.89 NA NA 4.21 5.02 0.59 NA NA 8.69 9.50 09025101 ......... ............ A Explore/treat wrist joint .................................. 4.68 NA NA 4.75 5.62 0.75 NA NA 10.18 11.05 09025105 ......... ............ A Remove wrist joint lining ............................... 5.84 NA NA 5.73 6.92 0.92 NA NA 12.49 13.6809025107 ......... ............ A Remove wrist joint cartilage .......................... 7.42 NA NA 7.04 8.03 0.99 NA NA 15.45 16.44 09025110 ......... ............ A Remove wrist tendon lesion .......................... 3.91 NA NA 5.23 6.61 0.62 NA NA 9.76 11.14 09025111 ......... ............ A Remove wrist tendon lesion .......................... 3.38 NA NA 4.05 4.55 0.53 NA NA 7.96 8.46 09025112 ......... ............ A Reremove wrist tendon lesion ....................... 4.52 NA NA 4.47 5.07 0.70 NA NA 9.69 10.29 09025115 ......... ............ A Remove wrist/forearm lesion ......................... 9.81 NA NA 10.05 13.07 1.31 NA NA 21.17 24.19 09025116 ......... ............ A Remove wrist/forearm lesion ......................... 7.28 NA NA 8.95 12.12 1.11 NA NA 17.34 20.51 09025118 ......... ............ A Excise wrist tendon sheath ........................... 4.36 NA NA 4.56 5.46 0.68 NA NA 9.60 10.50 09025119 ......... ............ A Partial removal of ulna .................................. 6.03 NA NA 5.77 7.16 0.96 NA NA 12.76 14.15 09025120 ......... ............ A Removal of forearm lesion ............................ 6.09 NA NA 7.82 11.05 1.00 NA NA 14.91 18.14 09025125 ......... ............ A Remove/graft forearm lesion ......................... 7.47 NA NA 8.63 11.82 1.06 NA NA 17.16 20.35 09025126 ......... ............ A Remove/graft forearm lesion ......................... 7.54 NA NA 8.65 11.95 1.27 NA NA 17.46 20.76 09025130 ......... ............ A Removal of wrist lesion ................................. 5.25 NA NA 5.13 6.11 0.80 NA NA 11.18 12.1609025135 ......... ............ A Remove & graft wrist lesion .......................... 6.88 NA NA 6.02 7.15 1.02 NA NA 13.92 15.05 09025136 ......... ............ A Remove & graft wrist lesion .......................... 5.96 NA NA 5.44 6.32 1.03 NA NA 12.43 13.31 09025145 ......... ............ A Remove forearm bone lesion ........................ 6.36 NA NA 8.00 11.07 1.01 NA NA 15.37 18.44 09025150 ......... ............ A Partial removal of ulna .................................. 7.20 NA NA 6.27 7.74 1.14 NA NA 14.61 16.08 09025151 ......... ............ A Partial removal of radius ............................... 7.50 NA NA 8.39 11.67 1.18 NA NA 17.07 20.35 09025170 ......... ............ A Extensive forearm surgery ............................ 11.25 NA NA 10.37 13.99 1.77 NA NA 23.39 27.0109025210 ......... ............ A Removal of wrist bone .................................. 5.94 NA NA 5.44 6.47 0.88 NA NA 12.26 13.2909025215 ......... ............ A Removal of wrist bones ................................. 7.94 NA NA 6.72 8.27 1.19 NA NA 15.85 17.4009025230 ......... ............ A Partial removal of radius ............................... 5.22 NA NA 4.88 5.84 0.79 NA NA 10.89 11.8509025240 ......... ............ A Partial removal of ulna .................................. 5.16 NA NA 5.19 6.53 0.81 NA NA 11.16 12.50 09025246 ......... ............ A Injection for wrist x-ray .................................. 1.45 2.80 3.29 0.51 0.49 0.09 4.34 4.832.05 2.03 00025248 ......... ............ A Remove forearm foreign body ...................... 5.13 NA NA 6.50 8.03 0.72 NA NA 12.35 13.88 09025250 ......... ............ A Removal of wrist prosthesis .......................... 6.59 NA NA 5.23 5.90 1.01 NA NA 12.83 13.50 09025251 ......... ............ A Removal of wrist prosthesis .......................... 9.62 NA NA 6.59 7.60 1.26 NA NA 17.47 18.48 09025259 ......... ............ A Manipulate wrist w/anesthes ......................... 3.74 NA NA 5.06 5.57 0.62 NA NA 9.42 9.93 09025260 ......... ............ A Repair forearm tendon/muscle ...................... 7.79 NA NA 9.08 12.28 1.19 NA NA 18.06 21.26 09025263 ......... ............ A Repair forearm tendon/muscle ...................... 7.81 NA NA 8.83 12.18 1.18 NA NA 17.82 21.17 09025265 ......... ............ A Repair forearm tendon/muscle ...................... 9.87 NA NA 9.85 13.23 1.47 NA NA 21.19 24.57 09025270 ......... ............ A Repair forearm tendon/muscle ...................... 5.99 NA NA 7.78 10.99 0.95 NA NA 14.72 17.93 09025272 ......... ............ A Repair forearm tendon/muscle ...................... 7.03 NA NA 8.25 11.69 1.11 NA NA 16.39 19.83 09025274 ......... ............ A Repair forearm tendon/muscle ...................... 8.74 NA NA 9.06 12.51 1.36 NA NA 19.16 22.61 09025275 ......... ............ A Repair forearm tendon sheath ...................... 8.74 NA NA 6.38 7.30 1.31 NA NA 16.43 17.35 09025280 ......... ............ A Revise wrist/forearm tendon ......................... 7.21 NA NA 8.33 11.59 1.08 NA NA 16.62 19.88 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00108 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37277 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal25290 ......... ............ A Incise wrist/forearm tendon ........................... 5.28 NA NA 9.05 13.54 0.82 NA NA 15.15 19.6409025295 ......... ............ A Release wrist/forearm tendon ....................... 6.54 NA NA 8.02 11.15 1.00 NA NA 15.56 18.69 09025300 ......... ............ A Fusion of tendons at wrist ............................. 8.79 NA NA 7.06 8.12 1.26 NA NA 17.11 18.1709025301 ......... ............ A Fusion of tendons at wrist ............................. 8.39 NA NA 6.61 7.71 1.29 NA NA 16.29 17.3909025310 ......... ............ A Transplant forearm tendon ............................ 8.19 NA NA 8.68 11.97 1.21 NA NA 18.08 21.37 09025312 ......... ............ A Transplant forearm tendon ............................ 9.62 NA NA 9.46 12.85 1.41 NA NA 20.49 23.88 09025315 ......... ............ A Revise palsy hand tendon(s) ........................ 10.48 NA NA 9.82 13.29 1.58 NA NA 21.88 25.35 09025316 ......... ............ A Revise palsy hand tendon(s) ........................ 12.67 NA NA 10.89 14.93 1.74 NA NA 25.30 29.34 09025320 ......... ............ A Repair/revise wrist joint ................................. 12.28 NA NA 10.20 11.12 1.61 NA NA 24.0925.01 09025332 ......... ............ A Revise wrist joint ........................................... 11.51 NA NA 7.59 8.80 1.83 NA NA 20.9322.14 09025335 ......... ............ A Realignment of hand ..................................... 13.16 NA NA 6.87 10.43 1.92 NA NA 21.95 25.51 09025337 ......... ............ A Reconstruct ulna/radioulnar .......................... 11.36 NA NA 9.24 10.64 1.61 NA NA 22.21 23.6109025350 ......... ............ A Revision of radius .......................................... 8.89 NA NA 9.12 12.79 1.46 NA NA 19.4723.14 09025355 ......... ............ A Revision of radius .......................................... 10.33 NA NA 9.86 13.45 1.73 NA NA 21.9225.51 09025360 ......... ............ A Revision of ulna ............................................. 8.54 NA NA 8.99 12.68 1.41 NA NA 18.9422.63 09025365 ......... ............ A Revise radius & ulna ..................................... 12.68 NA NA 10.88 14.49 2.15 NA NA 25.71 29.32 09025370 ......... ............ A Revise radius or ulna .................................... 13.82 NA NA 11.76 15.03 2.28 NA NA 27.86 31.13 09025375 ......... ............ A Revise radius & ulna ..................................... 13.32 NA NA 11.14 15.14 2.26 NA NA 26.72 30.72 09025390 ......... ............ A Shorten radius or ulna ................................... 10.50 NA NA 9.78 13.41 1.65 NA NA 21.93 25.56 09025391 ......... ............ A Lengthen radius or ulna ................................ 14.05 NA NA 11.46 15.32 2.21 NA NA 27.72 31.58 09025392 ......... ............ A Shorten radius & ulna ................................... 14.35 NA NA 11.59 14.91 2.10 NA NA 28.04 31.36 09025393 ......... ............ A Lengthen radius & ulna ................................. 16.33 NA NA 12.90 16.45 2.76 NA NA 31.99 35.54 09025394 ......... ............ A Repair carpal bone, shorten .......................... 10.63 NA NA 6.67 7.73 1.59 NA NA 18.89 19.95 09025400 ......... ............ A Repair radius or ulna ..................................... 11.08 NA NA 10.01 13.93 1.82 NA NA 22.9126.83 09025405 ......... ............ A Repair/graft radius or ulna ............................ 14.78 NA NA 11.72 15.92 2.32 NA NA 28.82 33.02 09025415 ......... ............ A Repair radius & ulna ..................................... 13.57 NA NA 10.81 15.12 2.17 NA NA 26.55 30.86 09025420 ......... ............ A Repair/graft radius & ulna ............................. 16.79 NA NA 12.55 16.88 2.61 NA NA 31.95 36.28 09025425 ......... ............ A Repair/graft radius or ulna ............................ 13.49 NA NA 13.91 19.57 2.08 NA NA 29.48 35.14 09025426 ......... ............ A Repair/graft radius & ulna ............................. 16.22 NA NA 12.27 15.52 2.54 NA NA 31.03 34.28 09025430 ......... ............ A Vasc graft into carpal bone ........................... 9.49 NA NA 6.67 7.19 1.27 NA NA 17.43 17.95 09025431 ......... ............ A Repair nonunion carpal bone ........................ 10.67 NA NA 7.13 8.10 1.90 NA NA 19.70 20.67 09025440 ......... ............ A Repair/graft wrist bone .................................. 10.48 NA NA 7.36 8.91 1.63 NA NA 19.47 21.02 09025441 ......... ............ A Reconstruct wrist joint ................................... 13.06 NA NA 8.32 9.60 2.07 NA NA 23.45 24.73 09025442 ......... ............ A Reconstruct wrist joint ................................... 10.89 NA NA 7.19 8.48 1.53 NA NA 19.61 20.90 09025443 ......... ............ A Reconstruct wrist joint ................................... 10.43 NA NA 6.54 8.24 1.37 NA NA 18.34 20.04 09025444 ......... ............ A Reconstruct wrist joint ................................... 11.19 NA NA 7.51 8.67 1.71 NA NA 20.41 21.57 09025445 ......... ............ A Reconstruct wrist joint ................................... 9.68 NA NA 6.59 7.66 1.55 NA NA 17.82 18.89 09025446 ......... ............ A Wrist replacement ......................................... 17.07 NA NA 9.68 11.38 2.47 NA NA 29.22 30.92 09025447 ......... ............ A Repair wrist joint(s) ....................................... 10.85 NA NA 7.30 8.34 1.61 NA NA 19.7620.80 09025449 ......... ............ A Remove wrist joint implant ............................ 14.71 NA NA 8.87 10.24 2.21 NA NA 25.79 27.1609025450 ......... ............ A Revision of wrist joint .................................... 7.86 NA NA 7.22 9.47 1.36 NA NA 16.44 18.69 09025455 ......... ............ A Revision of wrist joint .................................... 9.48 NA NA 6.38 9.76 0.96 NA NA 16.82 20.20 09025490 ......... ............ A Reinforce radius ............................................ 9.53 NA NA 9.32 12.66 1.43 NA NA 20.2823.62 09025491 ......... ............ A Reinforce ulna ............................................... 9.95 NA NA 9.57 13.27 1.60 NA NA 21.1224.82 09025492 ......... ............ A Reinforce radius and ulna ............................. 12.43 NA NA 10.42 14.11 2.14 NA NA 24.99 28.68 09025500 ......... ............ A Treat fracture of radius .................................. 2.45 3.29 3.51 2.85 2.75 0.35 6.09 6.31 5.65 5.55 09025505 ......... ............ A Treat fracture of radius .................................. 5.20 5.78 6.37 4.93 5.31 0.90 11.88 12.4711.03 11.41 09025515 ......... ............ A Treat fracture of radius .................................. 9.29 NA NA 6.44 7.22 1.59 NA NA 17.32 18.10 09025520 ......... ............ A Treat fracture of radius .................................. 6.25 5.89 6.63 5.31 5.89 1.08 13.22 13.9612.64 13.22 09025525 ......... ............ A Treat fracture of radius .................................. 12.59 NA NA 8.39 9.61 2.12 NA NA 23.10 24.32 09025526 ......... ............ A Treat fracture of radius .................................. 13.33 NA NA 10.05 12.67 2.19 NA NA 25.5728.19 09025530 ......... ............ A Treat fracture of ulna ..................................... 2.09 3.43 3.69 2.92 2.88 0.34 5.86 6.125.35 5.31 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00109 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37278 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal25535 ......... ............ A Treat fracture of ulna ..................................... 5.13 5.60 5.92 4.85 5.20 0.89 11.62 11.94 10.87 11.22 09025545 ......... ............ A Treat fracture of ulna ..................................... 9.01 NA NA 6.33 7.34 1.53 NA NA 16.87 17.88 09025560 ......... ............ A Treat fracture radius & ulna .......................... 2.44 3.34 3.61 2.83 2.67 0.35 6.13 6.40 5.625.46 09025565 ......... ............ A Treat fracture radius & ulna .......................... 5.62 5.88 6.51 4.90 5.31 0.93 12.43 13.06 11.45 11.86 09025574 ......... ............ A Treat fracture radius & ulna .......................... 7.37 NA NA 6.34 7.00 1.21 NA NA 14.92 15.58 09025575 ......... ............ A Treat fracture radius/ulna .............................. 11.92 NA NA 8.65 9.32 1.81 NA NA 22.38 23.05 09025600 ......... ............ A Treat fracture radius/ulna .............................. 2.63 3.64 3.99 3.13 3.02 0.42 6.69 7.04 6.18 6.07 09025605 ......... ............ A Treat fracture radius/ulna .............................. 6.92 6.80 7.14 6.08 6.20 1.00 14.72 15.06 14.00 14.12 09025611 ......... ............ A Treat fracture radius/ulna .............................. 9.13 NA NA 8.01 8.75 1.34 NA NA 18.48 19.2209025620 ......... ............ A Treat fracture radius/ulna .............................. 8.54 NA NA 5.98 6.96 1.42 NA NA 15.94 16.9209025622 ......... ............ A Treat wrist bone fracture ............................... 2.61 3.85 4.17 3.31 3.16 0.41 6.87 7.19 6.33 6.18 09025624 ......... ............ A Treat wrist bone fracture ............................... 4.52 5.52 6.12 4.67 4.98 0.76 10.80 11.40 9.95 10.26 09025628 ......... ............ A Treat wrist bone fracture ............................... 9.42 NA NA 7.02 7.64 1.37 NA NA 17.81 18.4309025630 ......... ............ A Treat wrist bone fracture ............................... 2.88 3.71 4.07 3.20 3.01 0.45 7.04 7.40 6.53 6.34 09025635 ......... ............ A Treat wrist bone fracture ............................... 4.38 5.31 5.80 4.50 4.06 0.74 10.43 10.92 9.62 9.18 09025645 ......... ............ A Treat wrist bone fracture ............................... 7.24 NA NA 5.52 6.37 1.20 NA NA 13.96 14.8109025650 ......... ............ A Treat wrist bone fracture ............................... 3.05 3.80 4.19 3.40 3.24 0.45 7.30 7.69 6.90 6.74 09025651 ......... ............ A Pin ulnar styloid fracture ............................... 5.60 NA NA 5.04 5.39 0.86 NA NA 11.50 11.85 09025652 ......... ............ A Treat fracture ulnar styloid ............................ 7.84 NA NA 6.11 6.79 1.21 NA NA 15.16 15.8409025660 ......... ............ A Treat wrist dislocation ................................... 4.75 NA NA 4.42 4.65 0.58 NA NA 9.75 9.9809025670 ......... ............ A Treat wrist dislocation ................................... 7.91 NA NA 5.70 6.68 1.28 NA NA 14.89 15.87 09025671 ......... ............ A Pin radioulnar dislocation .............................. 6.24 NA NA 5.44 5.99 1.00 NA NA 12.68 13.2309025675 ......... ............ A Treat wrist dislocation ................................... 4.66 4.82 5.46 4.09 4.52 0.62 10.10 10.749.37 9.80 09025676 ......... ............ A Treat wrist dislocation ................................... 8.09 NA NA 6.05 7.00 1.34 NA NA 15.48 16.43 09025680 ......... ............ A Treat wrist fracture ........................................ 5.98 NA NA 4.29 4.64 0.78 NA NA 11.05 11.40 09025685 ......... ............ A Treat wrist fracture ........................................ 9.89 NA NA 6.38 7.46 1.60 NA NA 17.87 18.95 09025690 ......... ............ A Treat wrist dislocation ................................... 5.49 NA NA 4.76 5.33 0.88 NA NA 11.13 11.70 09025695 ......... ............ A Treat wrist dislocation ................................... 8.33 NA NA 5.90 6.81 1.32 NA NA 15.55 16.46 09025800 ......... ............ A Fusion of wrist joint ....................................... 9.87 NA NA 7.15 8.63 1.57 NA NA 18.59 20.07 09025805 ......... ............ A Fusion/graft of wrist joint ............................... 11.50 NA NA 8.02 9.72 1.80 NA NA 21.32 23.02 09025810 ......... ............ A Fusion/graft of wrist joint ............................... 11.67 NA NA 8.40 9.55 1.67 NA NA 21.74 22.89 09025820 ......... ............ A Fusion of hand bones ................................... 7.44 NA NA 6.18 7.45 1.22 NA NA 14.84 16.1109025825 ......... ............ A Fuse hand bones with graft .......................... 9.44 NA NA 7.43 8.80 1.41 NA NA 18.28 19.65 09025830 ......... ............ A Fusion, radioulnar jnt/ulna ............................. 10.61 NA NA 10.30 13.41 1.55 NA NA 22.46 25.57 09025900 ......... ............ A Amputation of forearm ................................... 9.36 NA NA 9.16 11.74 1.30 NA NA 19.82 22.40 09025905 ......... ............ A Amputation of forearm ................................... 9.41 NA NA 8.39 11.35 1.40 NA NA 19.20 22.16 09025907 ......... ............ A Amputation follow-up surgery ........................ 7.91 NA NA 7.75 10.78 1.10 NA NA 16.76 19.79 09025909 ......... ............ A Amputation follow-up surgery ........................ 9.13 NA NA 8.90 11.46 1.44 NA NA 19.47 22.03 09025915 ......... ............ A Amputation of forearm ................................... 17.30 NA NA 8.05 16.21 2.93 NA NA 28.28 36.44 09025920 ......... ............ A Amputate hand at wrist ................................. 8.85 NA NA 6.61 7.56 1.35 NA NA 16.81 17.7609025922 ......... ............ A Amputate hand at wrist ................................. 7.47 NA NA 6.27 6.87 1.12 NA NA 14.86 15.4609025924 ......... ............ A Amputation follow-up surgery ........................ 8.63 NA NA 6.58 7.73 1.32 NA NA 16.53 17.68 09025927 ......... ............ A Amputation of hand ....................................... 8.91 NA NA 8.51 10.91 1.27 NA NA 18.69 21.09 09025929 ......... ............ A Amputation follow-up surgery ........................ 7.64 NA NA 5.30 5.74 1.14 NA NA 14.08 14.52 09025931 ......... ............ A Amputation follow-up surgery ........................ 7.86 NA NA 8.38 10.71 1.15 NA NA 17.39 19.72 09026010 ......... ............ A Drainage of finger abscess ........................... 1.54 3.98 5.18 1.49 1.60 0.18 5.70 6.90 3.21 3.32 01026011 ......... ............ A Drainage of finger abscess ........................... 2.19 6.22 8.19 1.95 2.24 0.33 8.74 10.71 4.474.76 01026020 ......... ............ A Drain hand tendon sheath ............................. 4.90 NA NA 4.67 5.20 0.73 NA NA 10.30 10.83 09026025 ......... ............ A Drainage of palm bursa ................................. 4.93 NA NA 4.38 4.94 0.76 NA NA 10.07 10.6309026030 ......... ............ A Drainage of palm bursa(s) ............................ 6.10 NA NA 4.90 5.53 0.92 NA NA 11.92 12.55 09026034 ......... ............ A Treat hand bone lesion ................................. 6.40 NA NA 5.46 6.14 1.01 NA NA 12.87 13.5509026035 ......... ............ A Decompress fingers/hand ............................. 11.04 NA NA 7.85 7.88 1.47 NA NA 20.36 20.39 09026037 ......... ............ A Decompress fingers/hand ............................. 7.42 NA NA 5.41 6.11 1.13 NA NA 13.96 14.66 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00110 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37279 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal26040 ......... ............ A Release palm contracture ............................. 3.33 NA NA 3.54 3.93 0.53 NA NA 7.40 7.79 09026045 ......... ............ A Release palm contracture ............................. 5.55 NA NA 4.80 5.45 0.93 NA NA 11.28 11.93 09026055 ......... ............ A Incise finger tendon sheath ........................... 2.94 8.65 12.96 3.45 3.83 0.43 12.02 16.33 6.82 7.20 09026060 ......... ............ A Incision of finger tendon ................................ 2.81 NA NA 3.00 3.39 0.45 NA NA 6.26 6.6509026070 ......... ............ A Explore/treat hand joint ................................. 3.68 NA NA 2.99 3.28 0.48 NA NA 7.15 7.4409026075 ......... ............ A Explore/treat finger joint ................................ 3.78 NA NA 3.36 3.68 0.53 NA NA 7.67 7.9909026080 ......... ............ A Explore/treat finger joint ................................ 4.29 NA NA 4.27 4.71 0.66 NA NA 9.22 9.6609026100 ......... ............ A Biopsy hand joint lining ................................. 3.66 NA NA 3.52 3.99 0.54 NA NA 7.72 8.1909026105 ......... ............ A Biopsy finger joint lining ................................ 3.70 NA NA 3.68 4.10 0.59 NA NA 7.97 8.3909026110 ......... ............ A Biopsy finger joint lining ................................ 3.52 NA NA 3.54 3.92 0.53 NA NA 7.59 7.9709026115 ......... ............ A Removal hand lesion subcut ......................... 3.85 9.73 12.28 4.16 4.63 0.59 14.17 16.72 8.609.07 09026116 ......... ............ A Removal hand lesion, deep .......................... 5.52 NA NA 5.21 5.82 0.84 NA NA 11.57 12.18 09026117 ......... ............ A Remove tumor, hand/finger ........................... 8.54 NA NA 6.09 6.83 1.26 NA NA 15.89 16.63 09026121 ......... ............ A Release palm contracture ............................. 7.53 NA NA 5.83 6.69 1.17 NA NA 14.53 15.39 09026123 ......... ............ A Release palm contracture ............................. 10.53 NA NA 8.08 8.68 1.43 NA NA 20.04 20.64 09026125 ......... ............ A Release palm contracture ............................. 4.60 NA NA 1.85 2.30 0.70 NA NA 7.15 7.60 ZZZ26130 ......... ............ A Remove wrist joint lining ............................... 5.41 NA NA 4.76 5.21 0.94 NA NA 11.11 11.5609026135 ......... ............ A Revise finger joint, each ................................ 6.95 NA NA 5.39 6.21 1.07 NA NA 13.41 14.23 09026140 ......... ............ A Revise finger joint, each ................................ 6.16 NA NA 5.08 5.82 0.92 NA NA 12.16 12.90 09026145 ......... ............ A Tendon excision, palm/finger ........................ 6.31 NA NA 5.10 5.83 0.97 NA NA 12.38 13.11 09026160 ......... ............ A Remove tendon sheath lesion ...................... 3.40 8.79 11.51 3.73 4.03 0.49 12.68 15.40 7.62 7.92 09026170 ......... ............ A Removal of palm tendon, each ..................... 4.76 NA NA 4.29 4.79 0.69 NA NA 9.74 10.24 09026180 ......... ............ A Removal of finger tendon .............................. 5.17 NA NA 4.69 5.25 0.78 NA NA 10.64 11.20 09026185 ......... ............ A Remove finger bone ...................................... 6.24 NA NA 5.72 5.97 0.81 NA NA 12.77 13.0209026200 ......... ............ A Remove hand bone lesion ............................ 5.50 NA NA 4.51 5.16 0.88 NA NA 10.89 11.54 09026205 ......... ............ A Remove/graft bone lesion ............................. 7.75 NA NA 5.75 6.62 1.20 NA NA 14.70 15.57 09026210 ......... ............ A Removal of finger lesion ............................... 5.14 NA NA 4.67 5.25 0.79 NA NA 10.60 11.1809026215 ......... ............ A Remove/graft finger lesion ............................ 7.09 NA NA 5.46 6.11 0.98 NA NA 13.53 14.18 09026230 ......... ............ A Partial removal of hand bone ........................ 6.32 NA NA 4.92 5.68 1.01 NA NA 12.25 13.01 09026235 ......... ............ A Partial removal, finger bone .......................... 6.18 NA NA 4.87 5.59 0.95 NA NA 12.00 12.72 09026236 ......... ............ A Partial removal, finger bone .......................... 5.31 NA NA 4.47 5.12 0.81 NA NA 10.59 11.24 09026250 ......... ............ A Extensive hand surgery ................................. 7.54 NA NA 5.14 6.12 1.07 NA NA 13.75 14.7309026255 ......... ............ A Extensive hand surgery ................................. 12.71 NA NA 8.22 9.11 1.68 NA NA 22.61 23.5009026260 ......... ............ A Extensive finger surgery ................................ 7.02 NA NA 5.27 5.97 1.01 NA NA 13.30 14.0009026261 ......... ............ A Extensive finger surgery ................................ 9.20 NA NA 6.74 6.33 1.14 NA NA 17.08 16.6709026262 ......... ............ A Partial removal of finger ................................ 5.66 NA NA 4.58 5.16 0.88 NA NA 11.12 11.70 09026320 ......... ............ A Removal of implant from hand ...................... 3.97 NA NA 3.71 4.17 0.59 NA NA 8.27 8.73 09026340 ......... ............ A Manipulate finger w/anesth ........................... 2.50 NA NA 4.54 4.80 0.39 NA NA 7.43 7.69 09026350 ......... ............ A Repair finger/hand tendon ............................. 5.98 NA NA 9.32 13.32 0.93 NA NA 16.23 20.2309026352 ......... ............ A Repair/graft hand tendon .............................. 7.67 NA NA 9.89 14.02 1.13 NA NA 18.69 22.8209026356 ......... ............ A Repair finger/hand tendon ............................. 10.06 NA NA 13.47 17.18 1.21 NA NA 24.74 28.45 09026357 ......... ............ A Repair finger/hand tendon ............................. 8.57 NA NA 10.13 14.29 1.33 NA NA 20.03 24.1909026358 ......... ............ A Repair/graft hand tendon .............................. 9.13 NA NA 10.64 15.18 1.38 NA NA 21.15 25.6909026370 ......... ............ A Repair finger/hand tendon ............................. 7.10 NA NA 9.36 13.70 1.12 NA NA 17.58 21.9209026372 ......... ............ A Repair/graft hand tendon .............................. 8.81 NA NA 10.32 15.02 1.40 NA NA 20.53 25.2309026373 ......... ............ A Repair finger/hand tendon ............................. 8.21 NA NA 10.01 14.57 1.23 NA NA 19.45 24.0109026390 ......... ............ A Revise hand/finger tendon ............................ 9.24 NA NA 8.93 12.22 1.40 NA NA 19.57 22.86 09026392 ......... ............ A Repair/graft hand tendon .............................. 10.30 NA NA 10.84 15.29 1.57 NA NA 22.71 27.16 09026410 ......... ............ A Repair hand tendon ....................................... 4.62 NA NA 7.46 10.84 0.73 NA NA 12.81 16.19 09026412 ......... ............ A Repair/graft hand tendon .............................. 6.30 NA NA 8.45 12.10 0.97 NA NA 15.72 19.3709026415 ......... ............ A Excision, hand/finger tendon ......................... 8.33 NA NA 6.64 10.52 0.98 NA NA 15.95 19.83 09026416 ......... ............ A Graft hand or finger tendon ........................... 9.36 NA NA 8.62 13.13 0.79 NA NA 18.77 23.280901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00111 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37280 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal26418 ......... ............ A Repair finger tendon ...................................... 4.24 NA NA 7.97 11.26 0.67 NA NA 12.88 16.17 09026420 ......... ............ A Repair/graft finger tendon ............................. 6.76 NA NA 8.61 12.41 1.07 NA NA 16.44 20.2409026426 ......... ............ A Repair finger/hand tendon ............................. 6.14 NA NA 8.40 12.00 0.95 NA NA 15.49 19.0909026428 ......... ............ A Repair/graft finger tendon ............................. 7.20 NA NA 9.05 12.69 1.09 NA NA 17.34 20.9809026432 ......... ............ A Repair finger tendon ...................................... 4.01 NA NA 6.62 9.37 0.64 NA NA 11.27 14.02 09026433 ......... ............ A Repair finger tendon ...................................... 4.55 NA NA 6.83 9.82 0.72 NA NA 12.10 15.09 09026434 ......... ............ A Repair/graft finger tendon ............................. 6.08 NA NA 7.75 10.62 0.93 NA NA 14.76 17.6309026437 ......... ............ A Realignment of tendons ................................ 5.81 NA NA 7.61 10.60 0.89 NA NA 14.31 17.3009026440 ......... ............ A Release palm/finger tendon .......................... 5.01 NA NA 8.32 12.18 0.75 NA NA 14.08 17.94 09026442 ......... ............ A Release palm & finger tendon ...................... 9.40 NA NA 11.44 14.85 1.20 NA NA 22.04 25.45 09026445 ......... ............ A Release hand/finger tendon .......................... 4.30 NA NA 8.00 11.89 0.65 NA NA 12.95 16.84 09026449 ......... ............ A Release forearm/hand tendon ....................... 8.24 NA NA 11.14 14.65 1.06 NA NA 20.44 23.95 09026450 ......... ............ A Incision of palm tendon ................................. 3.66 NA NA 5.04 6.77 0.59 NA NA 9.29 11.0209026455 ......... ............ A Incision of finger tendon ................................ 3.63 NA NA 4.99 6.72 0.58 NA NA 9.20 10.9309026460 ......... ............ A Incise hand/finger tendon .............................. 3.45 NA NA 4.94 6.61 0.55 NA NA 8.94 10.61 09026471 ......... ............ A Fusion of finger tendons ............................... 5.72 NA NA 7.55 10.34 0.88 NA NA 14.15 16.9409026474 ......... ............ A Fusion of finger tendons ............................... 5.31 NA NA 7.38 10.41 0.76 NA NA 13.45 16.4809026476 ......... ............ A Tendon lengthening ...................................... 5.17 NA NA 7.29 10.04 0.79 NA NA 13.25 16.00 09026477 ......... ............ A Tendon shortening ........................................ 5.14 NA NA 7.37 10.16 0.81 NA NA 13.32 16.11 09026478 ......... ............ A Lengthening of hand tendon ......................... 5.79 NA NA 7.56 10.79 0.90 NA NA 14.25 17.48 09026479 ......... ............ A Shortening of hand tendon ............................ 5.73 NA NA 7.54 10.58 0.92 NA NA 14.19 17.23 09026480 ......... ............ A Transplant hand tendon ................................ 6.68 NA NA 9.44 13.67 1.02 NA NA 17.14 21.3709026483 ......... ............ A Transplant/graft hand tendon ........................ 8.28 NA NA 10.07 14.17 1.26 NA NA 19.61 23.71 09026485 ......... ............ A Transplant palm tendon ................................ 7.69 NA NA 9.79 14.00 1.15 NA NA 18.63 22.8409026489 ......... ............ A Transplant/graft palm tendon ........................ 9.66 NA NA 10.13 11.60 1.26 NA NA 21.05 22.52 09026490 ......... ............ A Revise thumb tendon .................................... 8.40 NA NA 8.75 11.83 1.21 NA NA 18.36 21.4409026492 ......... ............ A Tendon transfer with graft ............................. 9.61 NA NA 9.61 12.63 1.40 NA NA 20.62 23.6409026494 ......... ............ A Hand tendon/muscle transfer ........................ 8.46 NA NA 8.87 11.98 1.28 NA NA 18.61 21.72 09026496 ......... ............ A Revise thumb tendon .................................... 9.58 NA NA 9.30 12.28 1.45 NA NA 20.33 23.3109026497 ......... ............ A Finger tendon transfer ................................... 9.56 NA NA 9.27 12.53 1.41 NA NA 20.24 23.50 09026498 ......... ............ A Finger tendon transfer ................................... 13.98 NA NA 11.28 14.98 2.10 NA NA 27.36 31.06 09026499 ......... ............ A Revision of finger .......................................... 8.97 NA NA 8.61 11.96 1.35 NA NA 18.9322.28 09026500 ......... ............ A Hand tendon reconstruction .......................... 5.95 NA NA 7.62 10.51 0.90 NA NA 14.47 17.36 09026502 ......... ............ A Hand tendon reconstruction .......................... 7.13 NA NA 8.20 11.09 1.13 NA NA 16.46 19.35 09026504 ......... ............ A Hand tendon reconstruction .......................... 7.46 NA NA 8.46 11.58 1.24 NA NA 17.16 20.28 09026508 ......... ............ A Release thumb contracture ........................... 6.00 NA NA 7.64 10.69 0.98 NA NA 14.62 17.67 09026510 ......... ............ A Thumb tendon transfer .................................. 5.42 NA NA 7.46 10.39 0.79 NA NA 13.67 16.6009026516 ......... ............ A Fusion of knuckle joint .................................. 7.14 NA NA 8.11 11.23 1.10 NA NA 16.35 19.47 09026517 ......... ............ A Fusion of knuckle joints ................................. 8.88 NA NA 9.07 12.42 1.41 NA NA 19.36 22.71 09026518 ......... ............ A Fusion of knuckle joints ................................. 9.07 NA NA 9.09 12.35 1.35 NA NA 19.51 22.77 09026520 ......... ............ A Release knuckle contracture ......................... 5.29 NA NA 8.69 12.62 0.80 NA NA 14.78 18.71 09026525 ......... ............ A Release finger contracture ............................ 5.32 NA NA 8.70 12.68 0.81 NA NA 14.83 18.8109026530 ......... ............ A Revise knuckle joint ...................................... 6.68 NA NA 5.33 5.95 1.04 NA NA 13.05 13.67 09026531 ......... ............ A Revise knuckle with implant .......................... 7.90 NA NA 6.05 6.87 1.17 NA NA 15.12 15.94 09026535 ......... ............ A Revise finger joint .......................................... 5.23 NA NA 3.97 3.81 0.71 NA NA 9.91 9.75 09026536 ......... ............ A Revise/implant finger joint ............................. 6.36 NA NA 9.02 9.52 0.96 NA NA 16.34 16.8409026540 ......... ............ A Repair hand joint ........................................... 6.42 NA NA 7.86 10.89 0.99 NA NA 15.2718.30 09026541 ......... ............ A Repair hand joint with graft ........................... 8.61 NA NA 8.90 12.30 1.28 NA NA 18.79 22.1909026542 ......... ............ A Repair hand joint with graft ........................... 6.77 NA NA 8.01 11.05 1.02 NA NA 15.80 18.8409026545 ......... ............ A Reconstruct finger joint ................................. 6.91 NA NA 8.19 11.18 1.05 NA NA 16.15 19.14 09026546 ......... ............ A Repair nonunion hand ................................... 10.41 NA NA 11.25 14.12 1.44 NA NA 23.10 25.97 09026548 ......... ............ A Reconstruct finger joint ................................. 8.02 NA NA 8.66 11.83 1.20 NA NA 17.88 21.05 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00112 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37281 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal26550 ......... ............ A Construct thumb replacement ....................... 21.46 NA NA 15.12 17.00 2.45 NA NA 39.03 40.91 09026551 ......... ............ A Great toe-hand transfer ................................. 48.09 NA NA 21.34 29.73 7.96 NA NA 77.39 85.78 09026553 ......... ............ A Single transfer, toe-hand ............................... 47.78 NA NA 19.85 22.03 2.41 NA NA 70.04 72.22 09026554 ......... ............ A Double transfer, toe-hand ............................. 56.57 NA NA 19.02 32.99 9.41 NA NA 85.00 98.97 09026555 ......... ............ A Positional change of finger ............................ 16.86 NA NA 13.64 17.08 2.48 NA NA 32.98 36.42 09026556 ......... ............ A Toe joint transfer ........................................... 49.27 NA NA 17.66 29.48 2.57 NA NA 69.50 81.32 09026560 ......... ............ A Repair of web finger ...................................... 5.37 NA NA 7.00 9.12 0.85 NA NA 13.22 15.34 09026561 ......... ............ A Repair of web finger ...................................... 10.90 NA NA 9.09 11.56 1.45 NA NA 21.44 23.91 09026562 ......... ............ A Repair of web finger ...................................... 16.30 NA NA 13.61 16.30 2.23 NA NA 32.1434.83 09026565 ......... ............ A Correct metacarpal flaw ................................ 6.73 NA NA 7.79 10.98 1.00 NA NA 15.52 18.7109026567 ......... ............ A Correct finger deformity ................................. 6.81 NA NA 8.02 10.99 1.04 NA NA 15.87 18.84 09026568 ......... ............ A Lengthen metacarpal/finger ........................... 9.07 NA NA 9.99 14.10 1.49 NA NA 20.55 24.66 09026580 ......... ............ A Repair hand deformity ................................... 19.40 NA NA 11.48 13.13 2.28 NA NA 33.16 34.81 09026587 ......... ............ A Reconstruct extra finger ................................ 14.28 NA NA 8.28 9.00 1.53 NA NA 24.09 24.81 09026590 ......... ............ A Repair finger deformity .................................. 18.43 NA NA 10.51 13.11 2.77 NA NA 31.71 34.31 09026591 ......... ............ A Repair muscles of hand ................................ 3.25 NA NA 6.09 8.76 0.48 NA NA 9.82 12.49 09026593 ......... ............ A Release muscles of hand .............................. 5.30 NA NA 7.63 10.28 0.78 NA NA 13.71 16.36 09026596 ......... ............ A Excision constricting tissue ........................... 8.94 NA NA 7.35 8.48 1.43 NA NA 17.72 18.8509026600 ......... ............ A Treat metacarpal fracture .............................. 2.40 3.35 3.55 3.01 2.75 0.30 6.05 6.25 5.715.45 09026605 ......... ............ A Treat metacarpal fracture .............................. 2.85 4.03 4.44 3.45 3.61 0.49 7.37 7.78 6.796.95 09026607 ......... ............ A Treat metacarpal fracture .............................. 5.35 NA NA 4.80 5.92 0.87 NA NA 11.02 12.1409026608 ......... ............ A Treat metacarpal fracture .............................. 5.35 NA NA 5.16 5.99 0.88 NA NA 11.39 12.2209026615 ......... ............ A Treat metacarpal fracture .............................. 5.32 NA NA 4.49 5.11 0.86 NA NA 10.67 11.2909026641 ......... ............ A Treat thumb dislocation ................................. 3.93 4.14 4.47 3.49 3.53 0.39 8.46 8.79 7.81 7.85 09026645 ......... ............ A Treat thumb fracture ...................................... 4.40 4.56 5.03 3.87 4.12 0.67 9.63 10.108.94 9.19 09026650 ......... ............ A Treat thumb fracture ...................................... 5.71 NA NA 5.53 6.42 0.94 NA NA 12.18 13.07 09026665 ......... ............ A Treat thumb fracture ...................................... 7.65 NA NA 5.59 6.37 0.90 NA NA 14.14 14.92 09026670 ......... ............ A Treat hand dislocation ................................... 3.68 3.51 4.08 2.92 2.94 0.39 7.58 8.15 6.99 7.01 09026675 ......... ............ A Treat hand dislocation ................................... 4.63 4.79 5.32 4.10 4.39 0.77 10.19 10.729.50 9.79 09026676 ......... ............ A Pin hand dislocation ...................................... 5.51 NA NA 5.48 6.40 0.91 NA NA 11.90 12.82 09026685 ......... ............ A Treat hand dislocation ................................... 7.03 NA NA 5.16 5.91 1.09 NA NA 13.28 14.03 09026686 ......... ............ A Treat hand dislocation ................................... 7.99 NA NA 5.83 6.65 1.24 NA NA 15.06 15.88 09026700 ......... ............ A Treat knuckle dislocation ............................... 3.68 3.29 3.65 2.92 2.88 0.35 7.32 7.68 6.95 6.91 09026705 ......... ............ A Treat knuckle dislocation ............................... 4.18 4.74 5.20 4.03 4.24 0.66 9.58 10.04 8.87 9.08 09026706 ......... ............ A Pin knuckle dislocation .................................. 5.11 NA NA 4.62 4.98 0.81 NA NA 10.54 10.90 09026715 ......... ............ A Treat knuckle dislocation ............................... 5.73 NA NA 4.66 5.31 0.91 NA NA 11.30 11.9509026720 ......... ............ A Treat finger fracture, each ............................. 1.66 2.55 2.73 2.28 2.12 0.24 4.45 4.63 4.18 4.02 09026725 ......... ............ A Treat finger fracture, each ............................. 3.33 4.04 4.60 3.37 3.48 0.53 7.90 8.46 7.23 7.34 09026727 ......... ............ A Treat finger fracture, each ............................. 5.22 NA NA 5.12 5.97 0.84 NA NA 11.18 12.0309026735 ......... ............ A Treat finger fracture, each ............................. 5.97 NA NA 4.74 5.36 0.95 NA NA 11.66 12.2809026740 ......... ............ A Treat finger fracture, each ............................. 1.94 2.91 3.08 2.62 2.69 0.31 5.16 5.33 4.87 4.94 09026742 ......... ............ A Treat finger fracture, each ............................. 3.84 4.27 4.82 3.56 3.81 0.58 8.69 9.24 7.98 8.23 09026746 ......... ............ A Treat finger fracture, each ............................. 5.80 NA NA 4.70 5.36 0.91 NA NA 11.41 12.0709026750 ......... ............ A Treat finger fracture, each ............................. 1.70 2.22 2.42 2.23 2.07 0.22 4.14 4.34 4.15 3.99 09026755 ......... ............ A Treat finger fracture, each ............................. 3.10 3.74 4.26 2.93 2.99 0.42 7.26 7.78 6.45 6.51 09026756 ......... ............ A Pin finger fracture, each ................................ 4.38 NA NA 4.78 5.50 0.71 NA NA 9.87 10.5909026765 ......... ............ A Treat finger fracture, each ............................. 4.16 NA NA 3.77 4.24 0.66 NA NA 8.59 9.06 09026770 ......... ............ A Treat finger dislocation .................................. 3.02 2.88 3.30 2.50 2.44 0.27 6.17 6.59 5.79 5.73 09026775 ......... ............ A Treat finger dislocation .................................. 3.70 4.49 5.03 3.76 3.81 0.54 8.73 9.27 8.00 8.05 09026776 ......... ............ A Pin finger dislocation ..................................... 4.79 NA NA 4.94 5.75 0.77 NA NA 10.50 11.31 09026785 ......... ............ A Treat finger dislocation .................................. 4.20 NA NA 3.84 4.37 0.68 NA NA 8.72 9.2509026820 ......... ............ A Thumb fusion with graft ................................. 8.25 NA NA 8.56 12.11 1.30 NA NA 18.11 21.66 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00113 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37282 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal26841 ......... ............ A Fusion of thumb ............................................ 7.12 NA NA 8.56 12.09 1.18 NA NA 16.86 20.39 09026842 ......... ............ A Thumb fusion with graft ................................. 8.29 NA NA 8.81 12.26 1.32 NA NA 18.42 21.87 09026843 ......... ............ A Fusion of hand joint ....................................... 7.60 NA NA 8.05 11.31 1.15 NA NA 16.80 20.06 09026844 ......... ............ A Fusion/graft of hand joint .............................. 8.78 NA NA 9.00 12.30 1.33 NA NA 19.11 22.41 09026850 ......... ............ A Fusion of knuckle .......................................... 6.96 NA NA 8.07 11.20 1.06 NA NA 16.09 19.22 09026852 ......... ............ A Fusion of knuckle with graft .......................... 8.51 NA NA 8.89 11.92 1.22 NA NA 18.62 21.6509026860 ......... ............ A Fusion of finger joint ...................................... 4.68 NA NA 7.34 10.25 0.73 NA NA 12.7515.66 09026861 ......... ............ A Fusion of finger jnt, add-on ........................... 1.74 NA NA 0.69 0.87 0.27 NA NA 2.70 2.88 ZZZ26862 ......... ............ A Fusion/graft of finger joint ............................. 7.36 NA NA 8.45 11.40 1.10 NA NA 16.91 19.86 09026863 ......... ............ A Fuse/graft added joint ................................... 3.89 NA NA 1.54 1.98 0.56 NA NA 5.99 6.43ZZZ26910 ......... ............ A Amputate metacarpal bone ........................... 7.59 NA NA 8.09 10.46 1.16 NA NA 16.84 19.21 09026951 ......... ............ A Amputation of finger/thumb ........................... 5.75 NA NA 7.34 9.47 0.71 NA NA 13.80 15.93 09026952 ......... ............ A Amputation of finger/thumb ........................... 6.30 NA NA 7.72 10.70 0.95 NA NA 14.97 17.95 09026990 ......... ............ A Drainage of pelvis lesion ............................... 7.77 NA NA 6.03 6.93 1.22 NA NA 15.02 15.9209026991 ......... ............ A Drainage of pelvis bursa ............................... 6.91 8.49 10.52 4.77 5.28 1.11 16.51 18.54 12.79 13.30 09026992 ......... ............ A Drainage of bone lesion ................................ 13.30 NA NA 8.29 9.88 2.16 NA NA 23.75 25.3409027000 ......... ............ A Incision of hip tendon .................................... 5.61 NA NA 4.46 5.09 0.98 NA NA 11.05 11.68 09027001 ......... ............ A Incision of hip tendon .................................... 6.99 NA NA 5.12 5.86 1.24 NA NA 13.35 14.09 09027003 ......... ............ A Incision of hip tendon .................................... 7.63 NA NA 5.70 6.30 1.12 NA NA 14.45 15.05 09027005 ......... ............ A Incision of hip tendon .................................... 9.89 NA NA 6.67 7.55 1.72 NA NA 18.28 19.16 09027006 ......... ............ A Incision of hip tendons .................................. 9.91 NA NA 6.69 7.67 1.69 NA NA 18.29 19.27 09027025 ......... ............ A Incision of hip/thigh fascia ............................. 12.56 NA NA 7.97 8.42 1.84 NA NA 22.37 22.82 09027030 ......... ............ A Drainage of hip joint ...................................... 13.47 NA NA 7.92 9.23 2.26 NA NA 23.65 24.96 09027033 ......... ............ A Exploration of hip joint ................................... 13.91 NA NA 8.27 9.53 2.32 NA NA 24.50 25.76 09027035 ......... ............ A Denervation of hip joint ................................. 17.14 NA NA 9.30 10.77 2.15 NA NA 28.59 30.06 09027036 ......... ............ A Excision of hip joint/muscle ........................... 14.10 NA NA 8.84 9.73 2.26 NA NA 25.20 26.0909027040 ......... ............ A Biopsy of soft tissues .................................... 2.87 5.23 5.25 1.85 1.98 0.27 8.37 8.39 4.99 5.12 01027041 ......... ............ A Biopsy of soft tissues .................................... 10.00 NA NA 5.81 6.45 1.35 NA NA 17.16 17.80 09027047 ......... ............ A Remove hip/pelvis lesion .............................. 7.44 7.06 7.11 4.51 4.71 1.03 15.53 15.58 12.98 13.18 09027048 ......... ............ A Remove hip/pelvis lesion .............................. 6.36 NA NA 4.57 4.75 0.92 NA NA 11.85 12.03 09027049 ......... ............ A Remove tumor, hip/pelvis .............................. 15.12 NA NA 8.10 8.34 2.06 NA NA 25.28 25.5209027050 ......... ............ A Biopsy of sacroiliac joint ................................ 4.59 NA NA 3.81 4.28 0.60 NA NA 9.00 9.4709027052 ......... ............ A Biopsy of hip joint .......................................... 7.21 NA NA 5.57 5.82 1.08 NA NA 13.8614.11 09027054 ......... ............ A Removal of hip joint lining ............................. 9.01 NA NA 6.35 7.11 1.47 NA NA 16.83 17.5909027060 ......... ............ A Removal of ischial bursa ............................... 5.72 NA NA 4.31 4.36 0.80 NA NA 10.83 10.8809027062 ......... ............ A Remove femur lesion/bursa .......................... 5.60 NA NA 4.53 5.04 0.93 NA NA 11.06 11.57 09027065 ......... ............ A Removal of hip bone lesion .......................... 6.37 NA NA 5.03 5.35 1.01 NA NA 12.41 12.73 09027066 ......... ............ A Removal of hip bone lesion .......................... 10.97 NA NA 7.30 8.17 1.79 NA NA 20.06 20.93 09027067 ......... ............ A Remove/graft hip bone lesion ....................... 14.47 NA NA 8.66 10.18 1.84 NA NA 24.97 26.49 09027070 ......... ............ A Partial removal of hip bone ........................... 11.36 NA NA 7.62 8.78 1.74 NA NA 20.72 21.8809027071 ......... ............ A Partial removal of hip bone ........................... 12.16 NA NA 8.21 9.67 1.92 NA NA 22.29 23.7509027075 ......... ............ A Extensive hip surgery .................................... 36.71 NA NA 16.24 18.51 5.64 NA NA 58.59 60.86 09027076 ......... ............ A Extensive hip surgery .................................... 24.17 NA NA 12.43 14.02 3.70 NA NA 40.30 41.89 09027077 ......... ............ A Extensive hip surgery .................................... 42.48 NA NA 19.47 21.92 6.12 NA NA 68.07 70.52 09027078 ......... ............ A Extensive hip surgery .................................... 14.44 NA NA 8.56 9.62 2.22 NA NA 25.22 26.28 09027079 ......... ............ A Extensive hip surgery .................................... 14.81 NA NA 7.40 9.03 1.94 NA NA 24.15 25.78 09027080 ......... ............ A Removal of tail bone ..................................... 6.74 NA NA 4.64 4.79 0.93 NA NA 12.31 12.46 09027086 ......... ............ A Remove hip foreign body .............................. 1.87 3.78 4.37 1.53 1.76 0.25 5.90 6.49 3.65 3.88 01027087 ......... ............ A Remove hip foreign body .............................. 8.65 NA NA 5.56 6.40 1.35 NA NA 15.56 16.40 09027090 ......... ............ A Removal of hip prosthesis ............................. 11.49 NA NA 7.30 8.43 1.94 NA NA 20.73 21.8609027091 ......... ............ A Removal of hip prosthesis ............................. 24.07 NA NA 12.76 13.71 3.84 NA NA 40.67 41.62 09027093 ......... ............ A Injection for hip x-ray ..................................... 1.30 3.15 4.14 0.46 0.48 0.13 4.58 5.571.89 1.91 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00114 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37283 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27095 ......... ............ A Injection for hip x-ray ..................................... 1.50 3.78 5.25 0.51 0.52 0.14 5.42 6.892.15 2.16 00027096 ......... ............ A Inject sacroiliac joint ...................................... 1.40 2.53 3.90 0.33 0.33 0.08 4.01 5.38 1.81 1.81 00027097 ......... ............ A Revision of hip tendon .................................. 9.09 NA NA 6.23 6.38 1.57 NA NA 16.89 17.0409027098 ......... ............ A Transfer tendon to pelvis .............................. 9.12 NA NA 4.73 6.46 0.95 NA NA 14.80 16.5309027100 ......... ............ A Transfer of abdominal muscle ....................... 11.12 NA NA 7.24 8.33 1.85 NA NA 20.21 21.30 09027105 ......... ............ A Transfer of spinal muscle .............................. 11.81 NA NA 7.77 8.84 1.72 NA NA 21.30 22.3709027110 ......... ............ A Transfer of iliopsoas muscle ......................... 13.54 NA NA 8.45 8.97 2.18 NA NA 24.17 24.69 09027111 ......... ............ A Transfer of iliopsoas muscle ......................... 12.37 NA NA 7.98 8.87 1.94 NA NA 22.29 23.18 09027120 ......... ............ A Reconstruction of hip socket ......................... 19.00 NA NA 10.57 11.55 3.08 NA NA 32.65 33.6309027122 ......... ............ A Reconstruction of hip socket ......................... 15.86 NA NA 9.29 10.63 2.61 NA NA 27.76 29.1009027125 ......... ............ A Partial hip replacement ................................. 16.38 NA NA 9.49 10.36 2.54 NA NA 28.41 29.28 09027130 ......... ............ A Total hip arthroplasty ..................................... 17.40 NA NA 9.46 12.37 3.50 NA NA 30.3633.27 09027132 ......... ............ A Total hip arthroplasty ..................................... 25.41 NA NA 13.28 15.08 4.04 NA NA 42.7344.53 09027134 ......... ............ A Revise hip joint replacement ......................... 30.07 NA NA 14.52 17.01 4.94 NA NA 49.53 52.0209027137 ......... ............ A Revise hip joint replacement ......................... 22.49 NA NA 11.59 13.38 3.67 NA NA 37.75 39.5409027138 ......... ............ A Revise hip joint replacement ......................... 23.49 NA NA 11.97 13.82 3.84 NA NA 39.30 41.1509027140 ......... ............ A Transplant femur ridge .................................. 12.58 NA NA 7.67 9.00 2.11 NA NA 22.36 23.69 09027146 ......... ............ A Incision of hip bone ....................................... 18.64 NA NA 10.51 11.76 2.96 NA NA 32.1133.36 09027147 ......... ............ A Revision of hip bone ..................................... 21.79 NA NA 11.73 12.90 3.57 NA NA 37.09 38.26 09027151 ......... ............ A Incision of hip bones ..................................... 23.84 NA NA 12.10 9.00 3.91 NA NA 39.85 36.75 09027156 ......... ............ A Revision of hip bones .................................... 25.95 NA NA 13.23 15.39 4.21 NA NA 43.39 45.55 09027158 ......... ............ A Revision of pelvis .......................................... 20.79 NA NA 6.99 10.00 3.16 NA NA 30.9433.95 09027161 ......... ............ A Incision of neck of femur ............................... 17.64 NA NA 10.20 11.66 2.94 NA NA 30.78 32.24 09027165 ......... ............ A Incision/fixation of femur ............................... 19.96 NA NA 11.48 12.58 3.10 NA NA 34.54 35.64 09027170 ......... ............ A Repair/graft femur head/neck ........................ 17.40 NA NA 9.61 10.90 2.81 NA NA 29.82 31.11 09027175 ......... ............ A Treat slipped epiphysis ................................. 9.23 NA NA 5.69 6.44 1.46 NA NA 16.38 17.1309027176 ......... ............ A Treat slipped epiphysis ................................. 12.69 NA NA 8.10 8.81 2.22 NA NA 23.01 23.72 09027177 ......... ............ A Treat slipped epiphysis ................................. 15.84 NA NA 9.50 10.57 2.61 NA NA 27.95 29.02 09027178 ......... ............ A Treat slipped epiphysis ................................. 12.69 NA NA 8.10 8.36 2.08 NA NA 22.87 23.13 09027179 ......... ............ A Revise head/neck of femur ........................... 13.74 NA NA 8.38 9.61 2.25 NA NA 24.37 25.60 09027181 ......... ............ A Treat slipped epiphysis ................................. 15.90 NA NA 9.63 10.08 1.57 NA NA 27.10 27.55 09027185 ......... ............ A Revision of femur epiphysis .......................... 9.59 NA NA 6.56 7.30 2.39 NA NA 18.54 19.28 09027187 ......... ............ A Reinforce hip bones ...................................... 14.00 NA NA 8.55 9.90 2.37 NA NA 24.92 26.27 09027193 ......... ............ A Treat pelvic ring fracture ............................... 5.92 4.56 4.97 4.70 5.00 0.96 11.44 11.8511.58 11.88 09027194 ......... ............ A Treat pelvic ring fracture ............................... 10.00 NA NA 6.48 7.37 1.65 NA NA 18.13 19.02 09027200 ......... ............ A Treat tail bone fracture .................................. 1.84 2.05 2.19 2.20 2.17 0.28 4.17 4.31 4.32 4.29 09027202 ......... ............ A Treat tail bone fracture .................................. 7.21 NA NA 11.31 15.51 1.06 NA NA 19.58 23.78 09027215 ......... ............ A Treat pelvic fracture(s) .................................. 10.39 NA NA 6.41 6.93 1.97 NA NA 18.77 19.29 09027216 ......... ............ A Treat pelvic ring fracture ............................... 15.65 NA NA 9.05 9.48 2.63 NA NA 27.33 27.76 09027217 ......... ............ A Treat pelvic ring fracture ............................... 14.57 NA NA 8.52 9.76 2.41 NA NA 25.50 26.74 09027218 ......... ............ A Treat pelvic ring fracture ............................... 20.85 NA NA 11.15 11.36 3.48 NA NA 35.48 35.69 09027220 ......... ............ A Treat hip socket fracture ............................... 6.65 5.18 5.60 5.09 5.51 1.07 12.90 13.32 12.81 13.23 09027222 ......... ............ A Treat hip socket fracture ............................... 13.88 NA NA 8.35 9.59 2.19 NA NA 24.42 25.66 09027226 ......... ............ A Treat hip wall fracture ................................... 15.37 NA NA 8.81 8.08 2.48 NA NA 26.66 25.93 09027227 ......... ............ A Treat hip fracture(s) ....................................... 25.13 NA NA 13.14 14.87 4.05 NA NA 42.32 44.05 09027228 ......... ............ A Treat hip fracture(s) ....................................... 29.05 NA NA 14.69 16.93 4.66 NA NA 48.40 50.64 09027230 ......... ............ A Treat thigh fracture ........................................ 5.61 4.90 5.37 4.83 5.04 0.95 11.46 11.93 11.39 11.60 09027232 ......... ............ A Treat thigh fracture ........................................ 11.62 NA NA 5.90 6.87 1.85 NA NA 19.3720.34 09027235 ......... ............ A Treat thigh fracture ........................................ 12.80 NA NA 7.89 9.08 2.11 NA NA 22.8023.99 09027236 ......... ............ A Treat thigh fracture ........................................ 14.54 NA NA 8.53 10.44 2.71 NA NA 25.7827.69 09027238 ......... ............ A Treat thigh fracture ........................................ 5.57 NA NA 4.61 5.02 0.89 NA NA 11.07 11.48 09027240 ......... ............ A Treat thigh fracture ........................................ 13.56 NA NA 7.96 9.12 2.16 NA NA 23.6824.84 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00115 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37284 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27244 ......... ............ A Treat thigh fracture ........................................ 17.00 NA NA 9.50 10.87 2.77 NA NA 29.2730.64 09027245 ......... ............ A Treat thigh fracture ........................................ 21.01 NA NA 11.21 13.14 3.52 NA NA 35.74 37.67 09027246 ......... ............ A Treat thigh fracture ........................................ 4.70 3.87 4.32 3.90 4.30 0.81 9.38 9.839.41 9.81 09027248 ......... ............ A Treat thigh fracture ........................................ 10.73 NA NA 6.87 7.89 1.81 NA NA 19.4120.43 09027250 ......... ............ A Treat hip dislocation ...................................... 7.12 NA NA 4.22 4.53 0.62 NA NA 11.96 12.27 09027252 ......... ............ A Treat hip dislocation ...................................... 10.85 NA NA 6.37 7.18 1.66 NA NA 18.88 19.69 09027253 ......... ............ A Treat hip dislocation ...................................... 13.38 NA NA 7.71 9.29 2.24 NA NA 23.33 24.91 09027254 ......... ............ A Treat hip dislocation ...................................... 18.71 NA NA 10.34 11.62 3.17 NA NA 32.2233.50 09027256 ......... ............ A Treat hip dislocation ...................................... 4.23 2.40 3.25 1.38 1.91 0.46 7.09 7.946.07 6.60 01027257 ......... ............ A Treat hip dislocation ...................................... 5.33 NA NA 2.48 2.74 0.69 NA NA 8.50 8.76 01027258 ......... ............ A Treat hip dislocation ...................................... 15.95 NA NA 9.26 10.49 2.64 NA NA 27.8529.08 09027259 ......... ............ A Treat hip dislocation ...................................... 22.95 NA NA 12.64 13.78 3.74 NA NA 39.3340.47 09027265 ......... ............ A Treat hip dislocation ...................................... 5.04 NA NA 3.93 4.58 0.63 NA NA 9.60 10.25 09027266 ......... ............ A Treat hip dislocation ...................................... 7.60 NA NA 5.45 6.13 1.29 NA NA 14.34 15.02 09027275 ......... ............ A Manipulation of hip joint ................................ 2.27 NA NA 1.86 2.05 0.39 NA NA 4.52 4.7101027280 ......... ............ A Fusion of sacroiliac joint ................................ 14.39 NA NA 8.87 9.94 2.53 NA NA 25.79 26.86 09027282 ......... ............ A Fusion of pubic bones ................................... 11.62 NA NA 7.69 7.94 1.86 NA NA 21.17 21.42 09027284 ......... ............ A Fusion of hip joint .......................................... 24.85 NA NA 12.57 14.24 3.92 NA NA 41.34 43.01 09027286 ......... ............ A Fusion of hip joint .......................................... 24.89 NA NA 13.18 15.18 3.12 NA NA 41.19 43.19 09027290 ......... ............ A Amputation of leg at hip ................................ 24.27 NA NA 12.25 13.64 3.43 NA NA 39.95 41.34 09027295 ......... ............ A Amputation of leg at hip ................................ 19.46 NA NA 9.61 10.91 2.95 NA NA 32.02 33.32 09027301 ......... ............ A Drain thigh/knee lesion .................................. 6.60 8.17 9.62 4.61 5.02 1.04 15.81 17.2612.25 12.66 09027303 ......... ............ A Drainage of bone lesion ................................ 8.45 NA NA 5.96 6.74 1.43 NA NA 15.84 16.6209027305 ......... ............ A Incise thigh tendon & fascia .......................... 6.03 NA NA 4.58 5.05 1.01 NA NA 11.62 12.09 09027306 ......... ............ A Incision of thigh tendon ................................. 4.61 NA NA 4.01 4.55 0.85 NA NA 9.47 10.0109027307 ......... ............ A Incision of thigh tendons ............................... 5.91 NA NA 4.73 5.23 1.04 NA NA 11.68 12.1809027310 ......... ............ A Exploration of knee joint ................................ 9.80 NA NA 6.59 7.35 1.61 NA NA 18.00 18.76 09027315 ......... ............ A Partial removal, thigh nerve .......................... 7.02 NA NA 5.20 5.02 1.09 NA NA 13.31 13.13 09027320 ......... ............ A Partial removal, thigh nerve .......................... 6.29 NA NA 4.54 5.07 1.06 NA NA 11.89 12.42 09027323 ......... ............ A Biopsy, thigh soft tissues .............................. 2.28 4.11 3.67 1.88 1.89 0.24 6.63 6.19 4.40 4.41 01027324 ......... ............ A Biopsy, thigh soft tissues .............................. 4.89 NA NA 3.79 4.09 0.75 NA NA 9.43 9.73 09027327 ......... ............ A Removal of thigh lesion ................................. 4.46 6.04 6.02 3.57 3.69 0.64 11.14 11.12 8.67 8.79 09027328 ......... ............ A Removal of thigh lesion ................................. 5.56 NA NA 4.00 4.29 0.84 NA NA 10.40 10.6909027329 ......... ............ A Remove tumor, thigh/knee ............................ 15.60 NA NA 8.40 8.89 2.14 NA NA 26.14 26.63 09027330 ......... ............ A Biopsy, knee joint lining ................................ 4.96 NA NA 4.00 4.44 0.86 NA NA 9.82 10.2609027331 ......... ............ A Explore/treat knee joint ................................. 5.87 NA NA 4.73 5.34 1.02 NA NA 11.62 12.23 09027332 ......... ............ A Removal of knee cartilage ............................ 8.26 NA NA 6.01 6.86 1.43 NA NA 15.70 16.55 09027333 ......... ............ A Removal of knee cartilage ............................ 7.35 NA NA 5.61 6.42 1.26 NA NA 14.22 15.03 09027334 ......... ............ A Remove knee joint lining ............................... 8.99 NA NA 6.34 7.16 1.51 NA NA 16.84 17.6609027335 ......... ............ A Remove knee joint lining ............................... 10.35 NA NA 6.90 7.91 1.74 NA NA 18.99 20.0009027340 ......... ............ A Removal of kneecap bursa ........................... 4.17 NA NA 3.96 4.42 0.72 NA NA 8.85 9.31 09027345 ......... ............ A Removal of knee cyst .................................... 5.91 NA NA 4.79 5.43 1.00 NA NA 11.70 12.3409027347 ......... ............ A Remove knee cyst ......................................... 6.52 NA NA 5.14 5.37 0.98 NA NA 12.64 12.87 09027350 ......... ............ A Removal of kneecap ..................................... 8.46 NA NA 6.15 6.98 1.41 NA NA 16.02 16.8509027355 ......... ............ A Remove femur lesion .................................... 7.82 NA NA 5.74 6.53 1.32 NA NA 14.88 15.6709027356 ......... ............ A Remove femur lesion/graft ............................ 9.89 NA NA 6.71 7.58 1.65 NA NA 18.25 19.12 09027357 ......... ............ A Remove femur lesion/graft ............................ 10.93 NA NA 7.38 8.39 1.95 NA NA 20.26 21.27 09027358 ......... ............ A Remove femur lesion/fixation ........................ 4.73 NA NA 1.85 2.36 0.82 NA NA 7.40 7.91 ZZZ27360 ......... ............ A Partial removal, leg bone(s) .......................... 11.26 NA NA 7.80 9.14 1.83 NA NA 20.89 22.2309027365 ......... ............ A Extensive leg surgery .................................... 17.85 NA NA 10.27 11.35 2.79 NA NA 30.91 31.99 09027370 ......... ............ A Injection for knee x-ray .................................. 0.96 2.85 3.51 0.33 0.32 0.08 3.89 4.55 1.37 1.36 00027372 ......... ............ A Removal of foreign body ............................... 5.06 8.27 9.63 4.00 4.53 0.84 14.17 15.53 9.90 10.43 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00116 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37285 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27380 ......... ............ A Repair of kneecap tendon ............................. 7.27 NA NA 5.83 6.93 1.24 NA NA 14.34 15.44 09027381 ......... ............ A Repair/graft kneecap tendon ......................... 10.56 NA NA 7.28 8.66 1.79 NA NA 19.63 21.01 09027385 ......... ............ A Repair of thigh muscle .................................. 7.93 NA NA 6.10 7.26 1.36 NA NA 15.39 16.5509027386 ......... ............ A Repair/graft of thigh muscle .......................... 10.90 NA NA 7.69 9.08 1.85 NA NA 20.44 21.8309027390 ......... ............ A Incision of thigh tendon ................................. 5.38 NA NA 4.52 4.97 0.92 NA NA 10.82 11.27 09027391 ......... ............ A Incision of thigh tendons ............................... 7.31 NA NA 5.42 6.29 1.23 NA NA 13.96 14.8309027392 ......... ............ A Incision of thigh tendons ............................... 9.43 NA NA 6.59 7.36 1.57 NA NA 17.59 18.3609027393 ......... ............ A Lengthening of thigh tendon ......................... 6.44 NA NA 4.95 5.63 1.10 NA NA 12.49 13.17 09027394 ......... ............ A Lengthening of thigh tendons ........................ 8.61 NA NA 6.08 6.95 1.47 NA NA 16.16 17.03 09027395 ......... ............ A Lengthening of thigh tendons ........................ 12.01 NA NA 7.83 8.97 2.04 NA NA 21.88 23.02 09027396 ......... ............ A Transplant of thigh tendon ............................ 7.97 NA NA 5.82 6.72 1.34 NA NA 15.13 16.03 09027397 ......... ............ A Transplants of thigh tendons ......................... 12.38 NA NA 8.25 8.87 1.82 NA NA 22.45 23.07 09027400 ......... ............ A Revise thigh muscles/tendons ...................... 9.13 NA NA 6.10 6.98 1.31 NA NA 16.54 17.42 09027403 ......... ............ A Repair of knee cartilage ................................ 8.44 NA NA 5.97 6.89 1.44 NA NA 15.85 16.7709027405 ......... ............ A Repair of knee ligament ................................ 8.88 NA NA 6.33 7.22 1.51 NA NA 16.72 17.6109027407 ......... ............ A Repair of knee ligament ................................ 10.62 NA NA 6.55 7.89 1.78 NA NA 18.95 20.2909027409 ......... ............ A Repair of knee ligaments .............................. 13.48 NA NA 8.27 9.55 2.24 NA NA 23.99 25.2709027412 ......... ............ A Autochondrocyte implant knee ...................... 24.43 NA NA 13.45 14.49 4.35 NA NA 42.23 43.27 09027415 ......... ............ A Osteochondral knee allograft ........................ 19.69 NA NA 11.62 12.35 4.35 NA NA 35.66 36.3909027418 ......... ............ A Repair degenerated kneecap ........................ 11.37 NA NA 7.46 8.56 1.88 NA NA 20.71 21.81 09027420 ......... ............ A Revision of unstable kneecap ....................... 10.06 NA NA 6.82 7.80 1.71 NA NA 18.59 19.57 09027422 ......... ............ A Revision of unstable kneecap ....................... 10.01 NA NA 6.78 7.80 1.70 NA NA 18.49 19.51 09027424 ......... ............ A Revision/removal of kneecap ........................ 10.04 NA NA 6.78 7.78 1.70 NA NA 18.52 19.52 09027425 ......... ............ A Lat retinacular release open ......................... 5.21 NA NA 4.63 5.31 0.90 NA NA 10.74 11.42 09027427 ......... ............ A Reconstruction, knee ..................................... 9.59 NA NA 6.57 7.51 1.63 NA NA 17.79 18.73 09027428 ......... ............ A Reconstruction, knee ..................................... 15.23 NA NA 9.93 10.94 2.42 NA NA 27.58 28.59 09027429 ......... ............ A Reconstruction, knee ..................................... 17.12 NA NA 11.11 12.12 2.70 NA NA 30.93 31.94 09027430 ......... ............ A Revision of thigh muscles ............................. 9.96 NA NA 6.75 7.70 1.69 NA NA 18.40 19.35 09027435 ......... ............ A Incision of knee joint ..................................... 10.60 NA NA 7.55 8.26 1.69 NA NA 19.84 20.55 09027437 ......... ............ A Revise kneecap ............................................. 8.75 NA NA 6.12 6.98 1.49 NA NA 16.36 17.22 09027438 ......... ............ A Revise kneecap with implant ........................ 11.69 NA NA 7.42 8.28 1.95 NA NA 21.06 21.92 09027440 ......... ............ A Revision of knee joint .................................... 10.89 NA NA 7.03 6.27 1.81 NA NA 19.73 18.97 09027441 ......... ............ A Revision of knee joint .................................... 11.34 NA NA 7.35 6.89 1.88 NA NA 20.57 20.11 09027442 ......... ............ A Revision of knee joint .................................... 12.17 NA NA 7.63 8.61 2.09 NA NA 21.89 22.87 09027443 ......... ............ A Revision of knee joint .................................... 11.21 NA NA 7.26 8.38 1.90 NA NA 20.37 21.49 09027445 ......... ............ A Revision of knee joint .................................... 18.43 NA NA 10.31 11.87 3.08 NA NA 31.8233.38 09027446 ......... ............ A Revision of knee joint .................................... 16.18 NA NA 9.18 10.77 2.80 NA NA 28.16 29.75 09027447 ......... ............ A Total knee arthroplasty .................................. 20.81 NA NA 11.48 13.85 3.79 NA NA 36.08 38.45 09027448 ......... ............ A Incision of thigh ............................................. 11.40 NA NA 7.23 8.27 1.94 NA NA 20.57 21.61 09027450 ......... ............ A Incision of thigh ............................................. 14.38 NA NA 8.64 10.12 2.42 NA NA 25.44 26.92 09027454 ......... ............ A Realignment of thigh bone ............................ 18.89 NA NA 10.53 12.04 3.12 NA NA 32.54 34.0509027455 ......... ............ A Realignment of knee ..................................... 13.16 NA NA 8.16 9.47 2.24 NA NA 23.56 24.87 09027457 ......... ............ A Realignment of knee ..................................... 13.85 NA NA 8.09 9.49 2.34 NA NA 24.28 25.68 09027465 ......... ............ A Shortening of thigh bone ............................... 18.36 NA NA 10.09 10.21 2.47 NA NA 30.92 31.04 09027466 ......... ............ A Lengthening of thigh bone ............................ 17.03 NA NA 9.94 11.38 2.77 NA NA 29.74 31.1809027468 ......... ............ A Shorten/lengthen thighs ................................ 19.72 NA NA 11.04 12.05 3.30 NA NA 34.06 35.07 09027470 ......... ............ A Repair of thigh ............................................... 16.87 NA NA 9.88 11.34 2.79 NA NA 29.54 31.00 09027472 ......... ............ A Repair/graft of thigh ....................................... 18.47 NA NA 10.50 12.17 3.07 NA NA 32.04 33.71 09027475 ......... ............ A Surgery to stop leg growth ............................ 8.75 NA NA 6.66 7.09 1.36 NA NA 16.77 17.20 09027477 ......... ............ A Surgery to stop leg growth ............................ 9.96 NA NA 6.52 7.44 1.73 NA NA 18.21 19.13 09027479 ......... ............ A Surgery to stop leg growth ............................ 12.96 NA NA 4.98 8.50 2.78 NA NA 20.72 24.240901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00117 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37286 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27485 ......... ............ A Surgery to stop leg growth ............................ 8.95 NA NA 6.12 7.10 1.53 NA NA 16.60 17.58 09027486 ......... ............ A Revise/replace knee joint .............................. 20.84 NA NA 11.49 13.02 3.36 NA NA 35.69 37.22 09027487 ......... ............ A Revise/replace knee joint .............................. 26.83 NA NA 13.83 15.91 4.39 NA NA 45.05 47.13 09027488 ......... ............ A Removal of knee prosthesis .......................... 17.32 NA NA 10.13 11.33 2.74 NA NA 30.19 31.3909027495 ......... ............ A Reinforce thigh .............................................. 16.31 NA NA 9.50 10.96 2.71 NA NA 28.52 29.98 09027496 ......... ............ A Decompression of thigh/knee ........................ 6.58 NA NA 4.98 5.46 0.99 NA NA 12.55 13.03 09027497 ......... ............ A Decompression of thigh/knee ........................ 7.64 NA NA 4.61 5.24 1.15 NA NA 13.40 14.03 09027498 ......... ............ A Decompression of thigh/knee ........................ 8.46 NA NA 5.36 5.82 1.24 NA NA 15.06 15.52 09027499 ......... ............ A Decompression of thigh/knee ........................ 9.23 NA NA 5.76 6.57 1.47 NA NA 16.46 17.27 09027500 ......... ............ A Treatment of thigh fracture ............................ 6.15 5.35 5.94 4.57 4.89 1.02 12.52 13.11 11.74 12.06 09027501 ......... ............ A Treatment of thigh fracture ............................ 6.28 4.95 5.60 4.86 5.27 1.03 12.26 12.91 12.17 12.58 09027502 ......... ............ A Treatment of thigh fracture ............................ 11.16 NA NA 6.79 7.80 1.78 NA NA 19.73 20.7409027503 ......... ............ A Treatment of thigh fracture ............................ 11.05 NA NA 7.12 8.01 1.84 NA NA 20.01 20.9009027506 ......... ............ A Treatment of thigh fracture ............................ 19.32 NA NA 10.98 12.36 3.03 NA NA 33.33 34.71 09027507 ......... ............ A Treatment of thigh fracture ............................ 14.33 NA NA 8.03 9.41 2.42 NA NA 24.78 26.1609027508 ......... ............ A Treatment of thigh fracture ............................ 6.00 5.62 6.27 4.99 5.37 0.97 12.59 13.24 11.96 12.34 09027509 ......... ............ A Treatment of thigh fracture ............................ 7.94 NA NA 6.36 7.58 1.34 NA NA 15.64 16.8609027510 ......... ............ A Treatment of thigh fracture ............................ 9.60 NA NA 6.22 7.07 1.53 NA NA 17.35 18.2009027511 ......... ............ A Treatment of thigh fracture ............................ 13.86 NA NA 8.75 10.61 2.37 NA NA 24.98 26.84 09027513 ......... ............ A Treatment of thigh fracture ............................ 19.37 NA NA 11.43 13.30 3.12 NA NA 33.92 35.79 09027514 ......... ............ A Treatment of thigh fracture ............................ 18.99 NA NA 11.55 12.93 3.00 NA NA 33.54 34.92 09027516 ......... ............ A Treat thigh fx growth plate ............................ 5.36 5.60 6.18 4.97 5.39 0.81 11.77 12.35 11.14 11.56 09027517 ......... ............ A Treat thigh fx growth plate ............................ 8.89 NA NA 5.93 7.09 1.22 NA NA 16.04 17.2009027519 ......... ............ A Treat thigh fx growth plate ............................ 15.72 NA NA 9.50 11.09 2.55 NA NA 27.77 29.36 09027520 ......... ............ A Treat kneecap fracture .................................. 2.86 4.05 4.43 3.48 3.46 0.47 7.38 7.76 6.81 6.79 09027524 ......... ............ A Treat kneecap fracture .................................. 10.17 NA NA 6.83 7.90 1.74 NA NA 18.74 19.81 09027530 ......... ............ A Treat knee fracture ........................................ 3.89 4.76 5.19 4.20 4.37 0.65 9.30 9.738.74 8.91 09027532 ......... ............ A Treat knee fracture ........................................ 7.35 6.35 7.12 5.57 6.25 1.26 14.96 15.73 14.18 14.86 09027535 ......... ............ A Treat knee fracture ........................................ 11.72 NA NA 7.92 9.59 2.00 NA NA 21.64 23.31 09027536 ......... ............ A Treat knee fracture ........................................ 17.11 NA NA 10.07 11.25 2.73 NA NA 29.9131.09 09027538 ......... ............ A Treat knee fracture(s) .................................... 4.86 5.46 5.98 4.84 5.12 0.84 11.16 11.6810.54 10.82 09027540 ......... ............ A Treat knee fracture ........................................ 13.38 NA NA 7.84 9.12 2.27 NA NA 23.49 24.77 09027550 ......... ............ A Treat knee dislocation ................................... 5.75 5.26 5.84 4.55 4.84 0.76 11.77 12.3511.06 11.35 09027552 ......... ............ A Treat knee dislocation ................................... 7.95 NA NA 6.01 6.73 1.36 NA NA 15.32 16.04 09027556 ......... ............ A Treat knee dislocation ................................... 14.87 NA NA 9.06 11.03 2.50 NA NA 26.43 28.40 09027557 ......... ............ A Treat knee dislocation ................................... 17.22 NA NA 10.31 12.45 2.97 NA NA 30.50 32.64 09027558 ......... ............ A Treat knee dislocation ................................... 17.93 NA NA 10.33 12.39 3.08 NA NA 31.34 33.40 09027560 ......... ............ A Treat kneecap dislocation ............................. 3.81 3.89 4.61 3.37 3.24 0.40 8.10 8.82 7.587.45 09027562 ......... ............ A Treat kneecap dislocation ............................. 5.78 NA NA 4.38 4.68 0.94 NA NA 11.10 11.40 09027566 ......... ............ A Treat kneecap dislocation ............................. 12.51 NA NA 7.68 8.93 2.12 NA NA 22.31 23.5609027570 ......... ............ A Fixation of knee joint ..................................... 1.74 NA NA 1.60 1.74 0.30 NA NA 3.64 3.78 01027580 ......... ............ A Fusion of knee ............................................... 20.82 NA NA 12.03 14.14 3.37 NA NA 36.22 38.33 09027590 ......... ............ A Amputate leg at thigh .................................... 13.27 NA NA 6.15 6.56 1.74 NA NA 21.16 21.57 09027591 ......... ............ A Amputate leg at thigh .................................... 13.74 NA NA 7.30 8.33 2.02 NA NA 23.06 24.09 09027592 ......... ............ A Amputate leg at thigh .................................... 10.78 NA NA 5.51 6.02 1.45 NA NA 17.74 18.25 09027594 ......... ............ A Amputation follow-up surgery ........................ 7.09 NA NA 4.74 5.07 1.02 NA NA 12.85 13.18 09027596 ......... ............ A Amputation follow-up surgery ........................ 11.06 NA NA 6.03 6.63 1.57 NA NA 18.66 19.26 09027598 ......... ............ A Amputate lower leg at knee .......................... 10.99 NA NA 6.28 6.85 1.65 NA NA 18.92 19.49 09027600 ......... ............ A Decompression of lower leg .......................... 5.88 NA NA 3.86 4.37 0.86 NA NA 10.60 11.11 09027601 ......... ............ A Decompression of lower leg .......................... 5.87 NA NA 4.25 4.71 0.80 NA NA 10.92 11.38 09027602 ......... ............ A Decompression of lower leg .......................... 7.64 NA NA 4.43 4.96 1.10 NA NA 13.17 13.70 09027603 ......... ............ A Drain lower leg lesion .................................... 5.05 7.01 7.39 3.86 4.09 0.74 12.80 13.189.65 9.88 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00118 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37287 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27604 ......... ............ A Drain lower leg bursa .................................... 4.46 6.41 6.18 3.37 3.82 0.69 11.56 11.338.52 8.97 09027605 ......... ............ A Incision of achilles tendon ............................. 2.87 5.24 7.09 1.76 2.19 0.41 8.52 10.37 5.04 5.47 01027606 ......... ............ A Incision of achilles tendon ............................. 4.13 NA NA 2.62 3.18 0.69 NA NA 7.44 8.00 01027607 ......... ............ A Treat lower leg bone lesion ........................... 8.44 NA NA 5.64 6.05 1.31 NA NA 15.39 15.80 09027610 ......... ............ A Explore/treat ankle joint ................................. 8.93 NA NA 6.05 6.78 1.40 NA NA 16.38 17.11 09027612 ......... ............ A Exploration of ankle joint ............................... 7.92 NA NA 5.23 5.89 1.13 NA NA 14.28 14.94 09027613 ......... ............ A Biopsy lower leg soft tissue .......................... 2.17 3.82 3.39 1.72 1.79 0.20 6.19 5.76 4.094.16 01027614 ......... ............ A Biopsy lower leg soft tissue .......................... 5.65 7.82 7.32 3.95 4.33 0.78 14.25 13.75 10.38 10.76 09027615 ......... ............ A Remove tumor, lower leg .............................. 12.84 NA NA 7.90 9.04 1.83 NA NA 22.57 23.71 09027618 ......... ............ A Remove lower leg lesion ............................... 5.08 6.35 6.11 3.74 3.94 0.72 12.15 11.91 9.54 9.74 09027619 ......... ............ A Remove lower leg lesion ............................... 8.39 9.97 9.65 5.21 5.78 1.25 19.61 19.29 14.85 15.42 09027620 ......... ............ A Explore/treat ankle joint ................................. 5.97 NA NA 4.50 5.24 0.97 NA NA 11.44 12.18 09027625 ......... ............ A Remove ankle joint lining .............................. 8.29 NA NA 5.47 6.23 1.28 NA NA 15.04 15.8009027626 ......... ............ A Remove ankle joint lining .............................. 8.90 NA NA 5.82 6.66 1.48 NA NA 16.20 17.0409027630 ......... ............ A Removal of tendon lesion ............................. 4.79 7.88 7.66 3.74 4.23 0.74 13.41 13.19 9.279.76 09027635 ......... ............ A Remove lower leg bone lesion ...................... 7.83 NA NA 5.56 6.46 1.31 NA NA 14.70 15.60 09027637 ......... ............ A Remove/graft leg bone lesion ....................... 10.08 NA NA 7.07 8.00 1.66 NA NA 18.81 19.74 09027638 ......... ............ A Remove/graft leg bone lesion ....................... 10.79 NA NA 6.83 7.94 1.84 NA NA 19.46 20.57 09027640 ......... ............ A Partial removal of tibia .................................. 12.01 NA NA 8.04 9.77 1.88 NA NA 21.93 23.66 09027641 ......... ............ A Partial removal of fibula ................................ 9.65 NA NA 6.68 7.94 1.46 NA NA 17.79 19.05 09027645 ......... ............ A Extensive lower leg surgery .......................... 14.69 NA NA 9.36 11.40 2.41 NA NA 26.46 28.5009027646 ......... ............ A Extensive lower leg surgery .......................... 13.12 NA NA 8.56 10.44 2.05 NA NA 23.73 25.6109027647 ......... ............ A Extensive ankle/heel surgery ........................ 12.76 NA NA 6.48 7.34 1.75 NA NA 20.99 21.85 09027648 ......... ............ A Injection for ankle x-ray ................................. 0.96 2.77 3.34 0.32 0.33 0.08 3.81 4.38 1.36 1.37 00027650 ......... ............ A Repair achilles tendon ................................... 9.86 NA NA 6.16 7.19 1.59 NA NA 17.61 18.64 09027652 ......... ............ A Repair/graft achilles tendon .......................... 10.55 NA NA 6.30 7.61 1.71 NA NA 18.56 19.8709027654 ......... ............ A Repair of achilles tendon .............................. 10.24 NA NA 5.84 6.83 1.58 NA NA 17.66 18.6509027656 ......... ............ A Repair leg fascia defect ................................ 4.56 8.10 8.44 3.67 3.75 0.69 13.35 13.69 8.92 9.00 09027658 ......... ............ A Repair of leg tendon, each ............................ 4.97 NA NA 3.84 4.39 0.79 NA NA 9.60 10.15 09027659 ......... ............ A Repair of leg tendon, each ............................ 6.92 NA NA 4.79 5.44 1.09 NA NA 12.80 13.45 09027664 ......... ............ A Repair of leg tendon, each ............................ 4.58 NA NA 3.88 4.39 0.76 NA NA 9.22 9.73 09027665 ......... ............ A Repair of leg tendon, each ............................ 5.39 NA NA 4.40 4.84 0.89 NA NA 10.68 11.12 09027675 ......... ............ A Repair lower leg tendons .............................. 7.17 NA NA 4.64 5.47 1.11 NA NA 12.92 13.75 09027676 ......... ............ A Repair lower leg tendons .............................. 8.53 NA NA 5.64 6.49 1.37 NA NA 15.54 16.39 09027680 ......... ............ A Release of lower leg tendon ......................... 5.73 NA NA 4.28 4.91 0.93 NA NA 10.94 11.57 09027681 ......... ............ A Release of lower leg tendons ....................... 6.87 NA NA 4.67 5.62 1.15 NA NA 12.69 13.64 09027685 ......... ............ A Revision of lower leg tendon ......................... 6.49 8.73 7.67 4.52 5.24 0.97 16.19 15.13 11.98 12.70 09027686 ......... ............ A Revise lower leg tendons .............................. 7.57 NA NA 5.27 6.20 1.24 NA NA 14.08 15.01 09027687 ......... ............ A Revision of calf tendon .................................. 6.23 NA NA 4.42 5.10 1.00 NA NA 11.65 12.33 09027690 ......... ............ A Revise lower leg tendon ................................ 8.88 NA NA 5.34 6.11 1.33 NA NA 15.55 16.3209027691 ......... ............ A Revise lower leg tendon ................................ 10.19 NA NA 6.57 7.48 1.64 NA NA 18.40 19.3109027692 ......... ............ A Revise additional leg tendon ......................... 1.87 NA NA 0.71 0.88 0.32 NA NA 2.90 3.07 ZZZ27695 ......... ............ A Repair of ankle ligament ............................... 6.50 NA NA 4.90 5.64 1.05 NA NA 12.45 13.1909027696 ......... ............ A Repair of ankle ligaments ............................. 8.38 NA NA 5.29 6.16 1.28 NA NA 14.95 15.82 09027698 ......... ............ A Repair of ankle ligament ............................... 9.41 NA NA 5.78 6.67 1.47 NA NA 16.66 17.5509027700 ......... ............ A Revision of ankle joint ................................... 9.46 NA NA 5.03 5.53 1.30 NA NA 15.79 16.29 09027702 ......... ............ A Reconstruct ankle joint .................................. 14.19 NA NA 8.56 10.01 2.37 NA NA 25.12 26.57 09027703 ......... ............ A Reconstruction, ankle joint ............................ 16.69 NA NA 9.69 10.87 2.76 NA NA 29.14 30.32 09027704 ......... ............ A Removal of ankle implant .............................. 7.61 NA NA 5.60 5.61 1.27 NA NA 14.48 14.49 09027705 ......... ............ A Incision of tibia .............................................. 10.66 NA NA 6.78 7.84 1.80 NA NA 19.24 20.30 09027707 ......... ............ A Incision of fibula ............................................ 4.60 NA NA 4.42 4.82 0.76 NA NA 9.7810.18 09027709 ......... ............ A Incision of tibia & fibula ................................. 17.24 NA NA 9.47 8.48 1.73 NA NA 28.44 27.45 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00119 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37288 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27712 ......... ............ A Realignment of lower leg .............................. 15.59 NA NA 8.98 10.32 2.47 NA NA 27.04 28.3809027715 ......... ............ A Revision of lower leg ..................................... 15.27 NA NA 8.83 10.31 2.49 NA NA 26.59 28.07 09027720 ......... ............ A Repair of tibia ................................................ 12.13 NA NA 7.81 9.03 2.04 NA NA 21.98 23.20 09027722 ......... ............ A Repair/graft of tibia ........................................ 12.22 NA NA 7.90 8.85 2.05 NA NA 22.1723.12 09027724 ......... ............ A Repair/graft of tibia ........................................ 19.12 NA NA 10.10 11.83 3.16 NA NA 32.38 34.11 09027725 ......... ............ A Repair of lower leg ........................................ 17.07 NA NA 10.41 11.56 2.71 NA NA 30.1931.34 09027727 ......... ............ A Repair of lower leg ........................................ 14.59 NA NA 8.40 9.88 2.43 NA NA 25.42 26.90 09027730 ......... ............ A Repair of tibia epiphysis ................................ 7.52 NA NA 5.21 6.13 1.72 NA NA 14.45 15.37 09027732 ......... ............ A Repair of fibula epiphysis .............................. 5.31 NA NA 4.60 4.86 0.77 NA NA 10.68 10.9409027734 ......... ............ A Repair lower leg epiphyses ........................... 8.65 NA NA 6.08 6.25 1.35 NA NA 16.08 16.25 09027740 ......... ............ A Repair of leg epiphyses ................................ 9.41 NA NA 6.52 7.64 1.62 NA NA 17.55 18.6709027742 ......... ............ A Repair of leg epiphyses ................................ 10.40 3.04 4.95 5.19 5.48 1.79 15.23 17.14 17.38 17.67 09027745 ......... ............ A Reinforce tibia ............................................... 10.29 NA NA 6.87 7.86 1.75 NA NA 18.91 19.90 09027750 ......... ............ A Treatment of tibia fracture ............................. 3.19 4.26 4.64 3.68 3.82 0.55 8.00 8.38 7.42 7.56 09027752 ......... ............ A Treatment of tibia fracture ............................. 6.07 5.89 6.48 5.05 5.53 1.01 12.97 13.56 12.13 12.61 09027756 ......... ............ A Treatment of tibia fracture ............................. 7.25 NA NA 5.65 6.27 1.17 NA NA 14.07 14.6909027758 ......... ............ A Treatment of tibia fracture ............................. 12.31 NA NA 7.90 8.88 2.03 NA NA 22.24 23.22 09027759 ......... ............ A Treatment of tibia fracture ............................. 14.23 NA NA 8.54 9.89 2.38 NA NA 25.15 26.50 09027760 ......... ............ A Treatment of ankle fracture ........................... 3.01 4.23 4.58 3.63 3.61 0.48 7.72 8.07 7.127.10 09027762 ......... ............ A Treatment of ankle fracture ........................... 5.24 5.50 6.14 4.67 5.14 0.85 11.59 12.23 10.76 11.23 09027766 ......... ............ A Treatment of ankle fracture ........................... 8.65 NA NA 6.16 6.97 1.44 NA NA 16.25 17.06 09027780 ......... ............ A Treatment of fibula fracture ........................... 2.65 3.84 4.10 3.28 3.24 0.41 6.90 7.16 6.346.30 09027781 ......... ............ A Treatment of fibula fracture ........................... 4.39 4.89 5.36 4.27 4.56 0.73 10.01 10.48 9.39 9.68 09027784 ......... ............ A Treatment of fibula fracture ........................... 7.34 NA NA 5.50 6.24 1.23 NA NA 14.07 14.8109027786 ......... ............ A Treatment of ankle fracture ........................... 2.84 4.01 4.36 3.39 3.35 0.46 7.31 7.66 6.696.65 09027788 ......... ............ A Treatment of ankle fracture ........................... 4.44 4.93 5.48 4.20 4.55 0.74 10.11 10.66 9.38 9.73 09027792 ......... ............ A Treatment of ankle fracture ........................... 7.83 NA NA 5.83 6.69 1.32 NA NA 14.98 15.84 09027808 ......... ............ A Treatment of ankle fracture ........................... 2.83 4.34 4.69 3.65 3.70 0.46 7.63 7.98 6.946.99 09027810 ......... ............ A Treatment of ankle fracture ........................... 5.12 5.38 6.04 4.53 5.00 0.82 11.32 11.98 10.47 10.94 09027814 ......... ............ A Treatment of ankle fracture ........................... 11.02 NA NA 7.13 8.22 1.85 NA NA 20.00 21.0909027816 ......... ............ A Treatment of ankle fracture ........................... 2.89 3.98 4.29 3.31 3.39 0.43 7.30 7.61 6.636.71 09027818 ......... ............ A Treatment of ankle fracture ........................... 5.49 5.36 6.13 4.40 4.99 0.82 11.67 12.44 10.71 11.30 09027822 ......... ............ A Treatment of ankle fracture ........................... 12.04 NA NA 8.71 10.19 1.91 NA NA 22.66 24.1409027823 ......... ............ A Treatment of ankle fracture ........................... 14.18 NA NA 9.33 10.96 2.25 NA NA 25.76 27.3909027824 ......... ............ A Treat lower leg fracture ................................. 3.14 3.69 3.98 3.50 3.55 0.45 7.28 7.57 7.09 7.14 09027825 ......... ............ A Treat lower leg fracture ................................. 6.54 5.78 6.41 4.75 5.24 1.02 13.34 13.9712.31 12.80 09027826 ......... ............ A Treat lower leg fracture ................................. 8.89 NA NA 6.89 8.36 1.47 NA NA 17.25 18.72 09027827 ......... ............ A Treat lower leg fracture ................................. 15.65 NA NA 10.62 12.26 2.43 NA NA 28.70 30.34 09027828 ......... ............ A Treat lower leg fracture ................................. 18.07 NA NA 12.12 13.51 2.81 NA NA 33.00 34.39 09027829 ......... ............ A Treat lower leg joint ....................................... 5.60 NA NA 5.44 6.46 0.95 NA NA 11.99 13.01 09027830 ......... ............ A Treat lower leg dislocation ............................ 3.78 4.25 4.36 3.70 3.82 0.54 8.57 8.68 8.028.14 09027831 ......... ............ A Treat lower leg dislocation ............................ 4.55 NA NA 3.94 4.34 0.73 NA NA 9.22 9.62 09027832 ......... ............ A Treat lower leg dislocation ............................ 6.60 NA NA 4.65 5.81 1.03 NA NA 12.28 13.4409027840 ......... ............ A Treat ankle dislocation .................................. 4.57 NA NA 3.59 3.73 0.46 NA NA 8.62 8.7609027842 ......... ............ A Treat ankle dislocation .................................. 6.26 NA NA 4.81 5.05 1.00 NA NA 12.07 12.31 09027846 ......... ............ A Treat ankle dislocation .................................. 10.08 NA NA 6.73 7.65 1.70 NA NA 18.51 19.43 09027848 ......... ............ A Treat ankle dislocation .................................. 11.48 NA NA 7.57 9.20 1.94 NA NA 20.99 22.62 09027860 ......... ............ A Fixation of ankle joint .................................... 2.34 NA NA 1.67 1.91 0.39 NA NA 4.40 4.64 01027870 ......... ............ A Fusion of ankle joint, open ............................ 15.13 NA NA 9.00 10.16 2.36 NA NA 26.49 27.65 09027871 ......... ............ A Fusion of tibiofibular joint .............................. 9.34 NA NA 6.40 7.30 1.59 NA NA 17.33 18.23 09027880 ......... ............ A Amputation of lower leg ................................ 15.18 NA NA 7.13 7.15 1.75 NA NA 24.06 24.0809027881 ......... ............ A Amputation of lower leg ................................ 13.22 NA NA 7.42 8.51 1.98 NA NA 22.62 23.710901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00120 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37289 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal27882 ......... ............ A Amputation of lower leg ................................ 9.59 NA NA 5.61 6.28 1.29 NA NA 16.49 17.1609027884 ......... ............ A Amputation follow-up surgery ........................ 8.56 NA NA 5.09 5.60 1.22 NA NA 14.87 15.38 09027886 ......... ............ A Amputation follow-up surgery ........................ 9.79 NA NA 5.74 6.33 1.40 NA NA 16.93 17.52 09027888 ......... ............ A Amputation of foot at ankle ........................... 10.14 NA NA 6.19 7.19 1.51 NA NA 17.84 18.8409027889 ......... ............ A Amputation of foot at ankle ........................... 10.63 NA NA 5.44 6.23 1.46 NA NA 17.53 18.3209027892 ......... ............ A Decompression of leg ................................... 7.74 NA NA 4.86 5.42 1.10 NA NA 13.70 14.2609027893 ......... ............ A Decompression of leg ................................... 7.70 NA NA 5.05 5.37 1.10 NA NA 13.85 14.1709027894 ......... ............ A Decompression of leg ................................... 12.32 NA NA 7.30 7.67 1.65 NA NA 21.27 21.6409028001 ......... ............ A Drainage of bursa of foot .............................. 2.73 3.99 3.24 1.60 1.87 0.33 7.05 6.30 4.664.93 01028002 ......... ............ A Treatment of foot infection ............................ 5.72 6.69 5.42 3.56 3.73 0.61 13.02 11.75 9.89 10.06 01028003 ......... ............ A Treatment of foot infection ............................ 8.88 7.77 6.63 4.54 5.07 1.12 17.77 16.63 14.54 15.07 09028005 ......... ............ A Treat foot bone lesion ................................... 9.21 NA NA 5.24 5.86 1.16 NA NA 15.61 16.23 09028008 ......... ............ A Incision of foot fascia .................................... 4.44 6.15 4.96 2.97 3.15 0.57 11.16 9.977.98 8.16 09028010 ......... ............ A Incision of toe tendon .................................... 2.84 2.83 2.49 2.31 2.36 0.36 6.03 5.69 5.51 5.56 09028011 ......... ............ A Incision of toe tendons .................................. 4.13 NA NA 3.00 3.23 0.59 NA NA 7.72 7.9509028020 ......... ............ A Exploration of foot joint ................................. 5.00 7.48 6.39 3.62 4.01 0.72 13.20 12.119.34 9.73 09028022 ......... ............ A Exploration of foot joint ................................. 4.66 6.85 5.62 3.27 3.71 0.62 12.13 10.908.55 8.99 09028024 ......... ............ A Exploration of toe joint .................................. 4.37 6.62 5.58 3.13 3.73 0.58 11.57 10.538.08 8.68 09028030 ......... ............ A Removal of foot nerve ................................... 6.14 NA NA 3.30 3.57 0.74 NA NA 10.18 10.4509028035 ......... ............ A Decompression of tibia nerve ....................... 5.08 7.40 6.25 3.60 3.98 0.70 13.18 12.03 9.38 9.76 09028043 ......... ............ A Excision of foot lesion ................................... 3.53 4.78 4.06 2.72 3.07 0.46 8.77 8.05 6.71 7.06 09028045 ......... ............ A Excision of foot lesion ................................... 4.71 7.03 5.80 3.23 3.52 0.63 12.37 11.148.57 8.86 09028046 ......... ............ A Resection of tumor, foot ................................ 10.46 10.35 9.18 5.72 6.30 1.36 22.17 21.0017.54 18.12 09028050 ......... ............ A Biopsy of foot joint lining ............................... 4.24 6.83 5.38 3.22 3.51 0.60 11.67 10.228.06 8.35 09028052 ......... ............ A Biopsy of foot joint lining ............................... 3.93 6.40 5.29 2.91 3.31 0.53 10.86 9.757.37 7.77 09028054 ......... ............ A Biopsy of toe joint lining ................................ 3.44 6.18 5.09 2.74 3.12 0.46 10.08 8.996.64 7.02 09028060 ......... ............ A Partial removal, foot fascia ............................ 5.22 7.09 5.89 3.53 3.79 0.70 13.01 11.81 9.45 9.71 09028062 ......... ............ A Removal of foot fascia .................................. 6.51 7.80 6.85 3.78 3.96 0.83 15.14 14.19 11.12 11.30 09028070 ......... ............ A Removal of foot joint lining ............................ 5.09 7.18 5.72 3.42 3.72 0.73 13.00 11.54 9.24 9.54 09028072 ......... ............ A Removal of foot joint lining ............................ 4.57 7.58 6.05 3.59 4.13 0.68 12.83 11.30 8.84 9.38 09028080 ......... ............ A Removal of foot lesion .................................. 4.57 7.63 5.75 4.16 3.81 0.47 12.67 10.79 9.20 8.85 09028086 ......... ............ A Excise foot tendon sheath ............................. 4.77 7.76 7.94 3.74 4.45 0.76 13.29 13.47 9.27 9.98 09028088 ......... ............ A Excise foot tendon sheath ............................. 3.85 6.94 6.06 3.14 3.71 0.61 11.40 10.52 7.60 8.17 09028090 ......... ............ A Removal of foot lesion .................................. 4.40 6.75 5.55 3.15 3.38 0.59 11.74 10.54 8.14 8.37 09028092 ......... ............ A Removal of toe lesions .................................. 3.63 6.46 5.54 2.97 3.39 0.49 10.58 9.66 7.09 7.51 09028100 ......... ............ A Removal of ankle/heel lesion ........................ 5.65 8.18 8.03 4.03 4.53 0.82 14.65 14.50 10.5011.00 09028102 ......... ............ A Remove/graft foot lesion ............................... 7.72 NA NA 4.87 5.69 1.14 NA NA 13.73 14.5509028103 ......... ............ A Remove/graft foot lesion ............................... 6.49 NA NA 4.10 4.49 0.91 NA NA 11.50 11.8909028104 ......... ............ A Removal of foot lesion .................................. 5.11 7.20 5.93 3.43 3.81 0.70 13.01 11.74 9.24 9.62 09028106 ......... ............ A Remove/graft foot lesion ............................... 7.15 NA NA 4.37 4.42 0.97 NA NA 12.49 12.5409028107 ......... ............ A Remove/graft foot lesion ............................... 5.55 7.82 6.86 3.70 4.08 0.74 14.11 13.15 9.99 10.37 09028108 ......... ............ A Removal of toe lesions .................................. 4.15 6.33 5.03 2.96 3.19 0.53 11.01 9.71 7.64 7.87 09028110 ......... ............ A Part removal of metatarsal ............................ 4.07 6.93 5.66 3.04 3.18 0.54 11.54 10.27 7.65 7.79 09028111 ......... ............ A Part removal of metatarsal ............................ 5.00 7.31 6.55 3.28 3.57 0.67 12.98 12.22 8.95 9.24 09028112 ......... ............ A Part removal of metatarsal ............................ 4.48 7.22 6.17 3.24 3.50 0.61 12.31 11.26 8.33 8.59 09028113 ......... ............ A Part removal of metatarsal ............................ 5.78 8.38 6.65 4.60 4.39 0.63 14.79 13.06 11.01 10.80 09028114 ......... ............ A Removal of metatarsal heads ....................... 11.49 13.21 12.04 8.15 8.33 1.42 26.12 24.95 21.06 21.24 09028116 ......... ............ A Revision of foot ............................................. 8.86 9.42 7.46 5.30 5.21 1.03 19.31 17.35 15.19 15.10 09028118 ......... ............ A Removal of heel bone ................................... 5.95 7.89 6.67 3.98 4.26 0.84 14.68 13.46 10.77 11.05 09028119 ......... ............ A Removal of heel spur .................................... 5.38 7.18 5.88 3.54 3.68 0.70 13.26 11.96 9.62 9.76 09028120 ......... ............ A Part removal of ankle/heel ............................ 5.57 8.04 7.49 3.92 4.30 0.77 14.38 13.83 10.26 10.64 09028122 ......... ............ A Partial removal of foot bone .......................... 7.46 8.45 7.25 4.74 5.15 0.98 16.89 15.69 13.18 13.59 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00121 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37290 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal28124 ......... ............ A Partial removal of toe .................................... 4.80 6.73 5.43 3.41 3.60 0.60 12.13 10.838.81 9.00 09028126 ......... ............ A Partial removal of toe .................................... 3.51 5.92 4.65 2.63 2.91 0.45 9.88 8.61 6.59 6.87 09028130 ......... ............ A Removal of ankle bone ................................. 9.22 NA NA 5.78 6.49 1.26 NA NA 16.26 16.97 09028140 ......... ............ A Removal of metatarsal .................................. 6.96 7.84 7.39 4.11 4.61 0.92 15.72 15.27 11.99 12.49 09028150 ......... ............ A Removal of toe .............................................. 4.08 6.39 5.23 2.98 3.21 0.53 11.00 9.84 7.59 7.82 09028153 ......... ............ A Partial removal of toe .................................... 3.65 6.15 4.78 2.84 2.73 0.47 10.27 8.906.96 6.85 09028160 ......... ............ A Partial removal of toe .................................... 3.73 6.33 5.01 2.92 3.24 0.49 10.55 9.237.14 7.46 09028171 ......... ............ A Extensive foot surgery ................................... 9.77 NA NA 5.10 5.36 1.33 NA NA 16.20 16.46 09028173 ......... ............ A Extensive foot surgery ................................... 8.97 8.74 7.89 4.60 5.06 1.12 18.83 17.9814.69 15.15 09028175 ......... ............ A Extensive foot surgery ................................... 6.10 7.08 6.06 3.57 3.68 0.73 13.91 12.8910.40 10.51 09028190 ......... ............ A Removal of foot foreign body ........................ 1.96 4.00 3.55 1.32 1.44 0.22 6.18 5.73 3.50 3.62 01028192 ......... ............ A Removal of foot foreign body ........................ 4.63 6.71 5.80 3.17 3.53 0.61 11.95 11.04 8.418.77 09028193 ......... ............ A Removal of foot foreign body ........................ 5.72 7.29 6.04 3.58 3.84 0.73 13.74 12.49 10.0310.29 09028200 ......... ............ A Repair of foot tendon .................................... 4.59 6.85 5.54 3.20 3.47 0.61 12.05 10.748.40 8.67 09028202 ......... ............ A Repair/graft of foot tendon ............................ 6.89 7.91 7.40 4.00 4.38 0.91 15.71 15.20 11.80 12.18 09028208 ......... ............ A Repair of foot tendon .................................... 4.36 6.64 5.28 3.14 3.27 0.58 11.58 10.228.08 8.21 09028210 ......... ............ A Repair/graft of foot tendon ............................ 6.34 7.50 6.55 3.84 3.98 0.81 14.65 13.70 10.99 11.13 09028220 ......... ............ A Release of foot tendon .................................. 4.52 6.37 5.10 3.03 3.33 0.57 11.46 10.19 8.12 8.42 09028222 ......... ............ A Release of foot tendons ................................ 5.61 6.84 5.65 3.27 3.92 0.69 13.14 11.95 9.57 10.22 09028225 ......... ............ A Release of foot tendon .................................. 3.65 5.99 4.72 2.69 2.86 0.46 10.10 8.83 6.80 6.97 09028226 ......... ............ A Release of foot tendons ................................ 4.52 6.94 5.34 3.27 3.63 0.58 12.04 10.44 8.37 8.73 09028230 ......... ............ A Incision of foot tendon(s) ............................... 4.23 6.26 5.08 2.85 3.47 0.55 11.04 9.86 7.63 8.25 09028232 ......... ............ A Incision of toe tendon .................................... 3.38 5.91 4.88 2.65 3.15 0.44 9.73 8.70 6.47 6.97 09028234 ......... ............ A Incision of foot tendon ................................... 3.36 6.25 5.07 3.01 3.27 0.44 10.05 8.876.81 7.07 09028238 ......... ............ A Revision of foot tendon ................................. 7.78 8.28 7.52 4.28 4.78 1.06 17.12 16.36 13.12 13.62 09028240 ......... ............ A Release of big toe ......................................... 4.35 6.38 5.08 2.95 3.36 0.58 11.31 10.01 7.88 8.29 09028250 ......... ............ A Revision of foot fascia ................................... 5.91 7.37 6.07 3.70 4.03 0.82 14.10 12.8010.43 10.76 09028260 ......... ............ A Release of midfoot joint ................................ 8.01 8.53 6.89 4.64 4.91 1.14 17.68 16.04 13.79 14.06 09028261 ......... ............ A Revision of foot tendon ................................. 12.83 10.60 9.12 6.26 7.06 1.57 25.00 23.5220.66 21.46 09028262 ......... ............ A Revision of foot and ankle ............................ 16.93 15.42 14.05 9.62 10.61 2.59 34.94 33.5729.14 30.13 09028264 ......... ............ A Release of midfoot joint ................................ 10.45 10.30 8.39 5.91 6.95 1.54 22.29 20.3817.90 18.94 09028270 ......... ............ A Release of foot contracture ........................... 4.75 6.88 5.40 3.40 3.66 0.62 12.25 10.77 8.77 9.03 09028272 ......... ............ A Release of toe joint, each ............................. 3.79 5.80 4.59 2.62 2.80 0.46 10.05 8.84 6.87 7.05 09028280 ......... ............ A Fusion of toes ................................................ 5.18 7.31 6.52 3.53 4.25 0.73 13.22 12.43 9.44 10.16 09028285 ......... ............ A Repair of hammertoe .................................... 4.58 6.67 5.32 3.31 3.40 0.59 11.84 10.49 8.48 8.57 09028286 ......... ............ A Repair of hammertoe .................................... 4.55 6.45 5.21 3.00 3.20 0.57 11.57 10.33 8.12 8.32 09028288 ......... ............ A Partial removal of foot bone .......................... 5.73 8.58 6.61 4.66 4.83 0.65 14.96 12.99 11.04 11.21 09028289 ......... ............ A Repair hallux rigidus ...................................... 8.03 9.38 8.35 5.29 5.66 1.02 18.43 17.40 14.34 14.71 09028290 ......... ............ A Correction of bunion ...................................... 5.65 8.13 6.74 3.91 4.53 0.82 14.60 13.2110.38 11.00 09028292 ......... ............ A Correction of bunion ...................................... 8.60 10.27 8.18 6.08 5.68 0.91 19.78 17.69 15.59 15.19 09028293 ......... ............ A Correction of bunion ...................................... 10.96 14.40 11.68 6.84 6.30 1.13 26.49 23.77 18.93 18.39 09028294 ......... ............ A Correction of bunion ...................................... 8.55 9.03 7.85 4.50 4.67 1.09 18.67 17.4914.14 14.31 09028296 ......... ............ A Correction of bunion ...................................... 9.23 9.51 8.51 4.73 5.26 1.19 19.93 18.9315.15 15.68 09028297 ......... ............ A Correction of bunion ...................................... 9.23 10.35 9.32 5.24 6.01 1.32 20.90 19.87 15.79 16.56 09028298 ......... ............ A Correction of bunion ...................................... 7.93 9.16 7.71 4.49 4.88 1.05 18.14 16.6913.47 13.86 09028299 ......... ............ A Correction of bunion ...................................... 11.31 10.46 9.21 5.64 5.97 1.37 23.14 21.89 18.32 18.65 09028300 ......... ............ A Incision of heel bone ..................................... 9.53 NA NA 5.99 6.79 1.54 NA NA 17.06 17.86 09028302 ......... ............ A Incision of ankle bone ................................... 9.54 NA NA 5.64 6.59 1.42 NA NA 16.60 17.55 09028304 ......... ............ A Incision of midfoot bones .............................. 9.21 9.46 8.34 5.00 5.56 1.27 19.94 18.82 15.48 16.04 09028305 ......... ............ A Incise/graft midfoot bones ............................. 10.54 NA NA 5.48 6.43 1.27 NA NA 17.29 18.2409028306 ......... ............ A Incision of metatarsal .................................... 5.85 8.28 7.21 3.80 4.09 0.84 14.97 13.9010.49 10.78 09028307 ......... ............ A Incision of metatarsal .................................... 6.32 9.45 10.65 4.40 5.08 0.90 16.67 17.87 11.62 12.30 09028308 ......... ............ A Incision of metatarsal .................................... 5.28 7.84 6.28 3.76 3.71 0.70 13.82 12.269.74 9.69 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00122 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37291 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal28309 ......... ............ A Incision of metatarsals .................................. 13.88 NA NA 7.63 7.89 2.04 NA NA 23.55 23.81 09028310 ......... ............ A Revision of big toe ........................................ 5.42 7.45 6.18 3.35 3.51 0.70 13.57 12.30 9.47 9.63 09028312 ......... ............ A Revision of toe .............................................. 4.54 7.32 5.92 3.19 3.53 0.63 12.49 11.09 8.36 8.70 09028313 ......... ............ A Repair deformity of toe .................................. 5.00 7.31 5.80 3.61 4.53 0.73 13.04 11.539.34 10.26 09028315 ......... ............ A Removal of sesamoid bone .......................... 4.85 6.65 5.34 3.19 3.30 0.63 12.13 10.82 8.67 8.78 09028320 ......... ............ A Repair of foot bones ...................................... 9.17 NA NA 5.67 6.47 1.43 NA NA 16.27 17.07 09028322 ......... ............ A Repair of metatarsals .................................... 8.33 9.92 9.38 5.39 6.11 1.27 19.52 18.9814.99 15.71 09028340 ......... ............ A Resect enlarged toe tissue ........................... 6.97 7.96 6.84 3.99 4.19 0.84 15.77 14.65 11.80 12.00 09028341 ......... ............ A Resect enlarged toe ...................................... 8.52 8.57 7.36 4.38 4.71 1.01 18.10 16.8913.91 14.24 09028344 ......... ............ A Repair extra toe(s) ........................................ 4.25 6.74 6.01 3.13 3.51 0.51 11.50 10.77 7.89 8.27 09028345 ......... ............ A Repair webbed toe(s) .................................... 5.91 7.72 6.59 3.82 4.47 0.80 14.43 13.30 10.53 11.18 09028360 ......... ............ A Reconstruct cleft foot .................................... 14.57 NA NA 6.24 9.45 2.28 NA NA 23.09 26.30 09028400 ......... ............ A Treatment of heel fracture ............................. 2.16 3.34 3.57 2.89 3.02 0.35 5.85 6.08 5.405.53 09028405 ......... ............ A Treatment of heel fracture ............................. 4.56 4.47 4.75 3.70 4.40 0.73 9.76 10.04 8.99 9.69 09028406 ......... ............ A Treatment of heel fracture ............................. 6.36 NA NA 5.47 6.48 1.11 NA NA 12.94 13.9509028415 ......... ............ A Treat heel fracture ......................................... 17.44 NA NA 10.70 12.67 2.66 NA NA 30.80 32.77 09028420 ......... ............ A Treat/graft heel fracture ................................. 16.98 NA NA 9.98 12.21 2.80 NA NA 29.76 31.99 09028430 ......... ............ A Treatment of ankle fracture ........................... 2.09 3.10 3.33 2.55 2.57 0.31 5.50 5.73 4.954.97 09028435 ......... ............ A Treatment of ankle fracture ........................... 3.39 3.72 3.85 3.04 3.57 0.55 7.66 7.79 6.987.51 09028436 ......... ............ A Treatment of ankle fracture ........................... 4.70 NA NA 4.79 5.65 0.81 NA NA 10.30 11.16 09028445 ......... ............ A Treat ankle fracture ....................................... 16.99 NA NA 9.53 10.68 2.58 NA NA 29.1030.25 09028450 ......... ............ A Treat midfoot fracture, each .......................... 1.90 2.90 3.07 2.40 2.46 0.28 5.08 5.25 4.584.64 09028455 ......... ............ A Treat midfoot fracture, each .......................... 3.09 3.47 3.44 2.84 3.28 0.44 7.00 6.97 6.376.81 09028456 ......... ............ A Treat midfoot fracture .................................... 2.68 NA NA 3.46 3.99 0.44 NA NA 6.58 7.1109028465 ......... ............ A Treat midfoot fracture, each .......................... 7.06 NA NA 4.98 5.99 1.10 NA NA 13.14 14.15 09028470 ......... ............ A Treat metatarsal fracture ............................... 1.99 2.80 3.05 2.36 2.43 0.30 5.09 5.34 4.65 4.72 09028475 ......... ............ A Treat metatarsal fracture ............................... 2.97 3.14 3.29 2.52 3.05 0.44 6.55 6.70 5.93 6.46 09028476 ......... ............ A Treat metatarsal fracture ............................... 3.37 NA NA 4.17 4.79 0.54 NA NA 8.08 8.70 09028485 ......... ............ A Treat metatarsal fracture ............................... 5.70 NA NA 4.49 5.22 0.83 NA NA 11.02 11.7509028490 ......... ............ A Treat big toe fracture ..................................... 1.09 2.09 2.04 1.67 1.65 0.14 3.32 3.272.90 2.88 09028495 ......... ............ A Treat big toe fracture ..................................... 1.58 2.45 2.25 1.85 2.02 0.20 4.23 4.033.63 3.80 09028496 ......... ............ A Treat big toe fracture ..................................... 2.33 7.14 7.99 2.86 3.12 0.36 9.83 10.685.55 5.81 09028505 ......... ............ A Treat big toe fracture ..................................... 3.80 7.43 7.95 3.23 3.74 0.56 11.79 12.31 7.59 8.10 09028510 ......... ............ A Treatment of toe fracture .............................. 1.09 1.66 1.56 1.59 1.55 0.14 2.89 2.79 2.822.78 09028515 ......... ............ A Treatment of toe fracture .............................. 1.46 2.22 1.98 1.82 1.88 0.18 3.86 3.62 3.463.52 09028525 ......... ............ A Treat toe fracture ........................................... 3.32 6.84 7.36 2.87 3.30 0.49 10.65 11.17 6.68 7.11 09028530 ......... ............ A Treat sesamoid bone fracture ....................... 1.06 1.63 1.49 1.34 1.42 0.14 2.83 2.69 2.54 2.62 09028531 ......... ............ A Treat sesamoid bone fracture ....................... 2.47 5.77 6.90 2.09 2.08 0.34 8.58 9.71 4.90 4.89 09028540 ......... ............ A Treat foot dislocation ..................................... 2.04 2.74 2.49 2.30 2.38 0.26 5.04 4.794.60 4.68 09028545 ......... ............ A Treat foot dislocation ..................................... 2.45 3.28 2.58 2.68 2.43 0.37 6.10 5.405.50 5.25 09028546 ......... ............ A Treat foot dislocation ..................................... 3.20 7.66 7.11 3.43 4.15 0.52 11.38 10.83 7.15 7.87 09028555 ......... ............ A Repair foot dislocation ................................... 6.35 9.73 9.88 4.89 5.49 1.04 17.12 17.2712.28 12.88 09028570 ......... ............ A Treat foot dislocation ..................................... 1.66 2.57 2.47 1.98 2.25 0.23 4.46 4.363.87 4.14 09028575 ......... ............ A Treat foot dislocation ..................................... 3.31 4.32 3.88 3.63 3.71 0.56 8.19 7.757.50 7.58 09028576 ......... ............ A Treat foot dislocation ..................................... 4.40 NA NA 3.92 4.12 0.69 NA NA 9.01 9.21 09028585 ......... ............ A Repair foot dislocation ................................... 8.10 9.83 7.96 5.19 5.69 1.25 19.18 17.3114.54 15.04 09028600 ......... ............ A Treat foot dislocation ..................................... 1.89 3.02 2.87 2.37 2.61 0.27 5.18 5.034.53 4.77 09028605 ......... ............ A Treat foot dislocation ..................................... 2.71 3.69 3.27 3.10 3.12 0.40 6.80 6.386.21 6.23 09028606 ......... ............ A Treat foot dislocation ..................................... 4.89 NA NA 4.26 4.59 0.82 NA NA 9.97 10.30 09028615 ......... ............ A Repair foot dislocation ................................... 8.88 NA NA 6.88 7.77 1.30 NA NA 17.06 17.95 09028630 ......... ............ A Treat toe dislocation ...................................... 1.70 1.94 1.66 0.93 0.98 0.20 3.84 3.562.83 2.88 01028635 ......... ............ A Treat toe dislocation ...................................... 1.91 2.24 2.08 1.31 1.48 0.26 4.41 4.253.48 3.65 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00123 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37292 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal28636 ......... ............ A Treat toe dislocation ...................................... 2.77 4.36 4.00 2.03 2.48 0.43 7.56 7.205.23 5.68 01028645 ......... ............ A Repair toe dislocation .................................... 4.21 6.79 5.42 3.14 3.25 0.57 11.57 10.207.92 8.03 09028660 ......... ............ A Treat toe dislocation ...................................... 1.23 1.29 1.27 0.77 0.79 0.13 2.65 2.632.13 2.15 01028665 ......... ............ A Treat toe dislocation ...................................... 1.92 NA NA 1.32 1.40 0.26 NA NA 3.50 3.58 01028666 ......... ............ A Treat toe dislocation ...................................... 2.66 5.25 5.74 1.89 2.42 0.43 8.34 8.834.98 5.51 01028675 ......... ............ A Repair of toe dislocation ............................... 2.92 6.66 7.04 2.83 3.23 0.45 10.03 10.41 6.20 6.60 09028705 ......... ............ A Fusion of foot bones ..................................... 20.04 NA NA 10.54 11.99 3.08 NA NA 33.66 35.11 09028715 ......... ............ A Fusion of foot bones ..................................... 14.32 NA NA 8.34 9.42 2.16 NA NA 24.82 25.90 09028725 ......... ............ A Fusion of foot bones ..................................... 11.89 NA NA 6.79 7.89 1.86 NA NA 20.54 21.64 09028730 ......... ............ A Fusion of foot bones ..................................... 12.11 NA NA 7.63 8.28 1.70 NA NA 21.44 22.09 09028735 ......... ............ A Fusion of foot bones ..................................... 11.95 NA NA 6.81 7.58 1.68 NA NA 20.44 21.21 09028737 ......... ............ A Revision of foot bones .................................. 10.75 NA NA 5.97 6.61 1.47 NA NA 18.19 18.83 09028740 ......... ............ A Fusion of foot bones ..................................... 9.01 10.82 10.87 5.94 6.35 1.22 21.05 21.10 16.17 16.58 09028750 ......... ............ A Fusion of big toe joint .................................... 8.29 10.74 11.64 5.84 6.47 1.13 20.16 21.06 15.26 15.89 09028755 ......... ............ A Fusion of big toe joint .................................... 4.73 7.21 6.39 3.31 3.65 0.65 12.59 11.77 8.69 9.03 09028760 ......... ............ A Fusion of big toe joint .................................... 8.86 9.86 8.46 5.24 5.46 1.05 19.77 18.37 15.15 15.37 09028800 ......... ............ A Amputation of midfoot ................................... 8.56 NA NA 5.05 5.62 1.15 NA NA 14.76 15.3309028805 ......... ............ A Amputation thru metatarsal ........................... 12.47 NA NA 6.04 5.76 1.18 NA NA 19.69 19.41 09028810 ......... ............ A Amputation toe & metatarsal ......................... 6.44 NA NA 4.13 4.39 0.86 NA NA 11.43 11.69 09028820 ......... ............ A Amputation of toe .......................................... 4.82 7.74 7.61 3.58 3.74 0.61 13.17 13.04 9.01 9.17 09028825 ......... ............ A Partial amputation of toe ............................... 3.64 7.21 7.06 3.15 3.41 0.50 11.35 11.20 7.29 7.55 09028890 ......... ............ A High energy eswt, plantar f ........................... 3.30 4.59 5.45 2.27 2.14 0.41 8.30 9.16 5.985.85 09029000 ......... ............ A Application of body cast ................................ 2.25 4.67 3.40 1.81 1.76 0.41 7.33 6.06 4.47 4.42 00029010 ......... ............ A Application of body cast ................................ 2.06 3.33 3.30 1.30 1.66 0.45 5.84 5.81 3.81 4.17 00029015 ......... ............ A Application of body cast ................................ 2.41 3.32 3.07 1.44 1.56 0.28 6.01 5.76 4.13 4.25 00029020 ......... ............ A Application of body cast ................................ 2.11 3.74 3.33 1.46 1.42 0.28 6.13 5.72 3.85 3.81 00029025 ......... ............ A Application of body cast ................................ 2.40 3.58 3.26 1.56 1.79 0.44 6.42 6.10 4.40 4.63 00029035 ......... ............ A Application of body cast ................................ 1.77 3.66 3.63 1.46 1.55 0.28 5.71 5.68 3.51 3.60 00029040 ......... ............ A Application of body cast ................................ 2.22 3.59 2.75 1.47 1.50 0.36 6.17 5.33 4.05 4.08 00029044 ......... ............ A Application of body cast ................................ 2.12 3.93 3.97 1.63 1.84 0.35 6.40 6.44 4.10 4.31 00029046 ......... ............ A Application of body cast ................................ 2.41 4.16 3.47 1.77 2.02 0.42 6.99 6.30 4.60 4.85 00029049 ......... ............ A Application of figure eight .............................. 0.89 1.16 1.27 0.61 0.55 0.13 2.18 2.29 1.63 1.57 00029055 ......... ............ A Application of shoulder cast .......................... 1.78 2.88 2.96 1.29 1.43 0.30 4.96 5.04 3.373.51 00029058 ......... ............ A Application of shoulder cast .......................... 1.31 1.25 1.48 0.68 0.71 0.17 2.73 2.96 2.162.19 00029065 ......... ............ A Application of long arm cast .......................... 0.87 1.27 1.32 0.69 0.74 0.15 2.29 2.34 1.711.76 00029075 ......... ............ A Application of forearm cast ........................... 0.77 1.10 1.22 0.65 0.67 0.13 2.00 2.12 1.551.57 00029085 ......... ............ A Apply hand/wrist cast .................................... 0.87 1.25 1.27 0.68 0.64 0.14 2.26 2.28 1.69 1.65 00029086 ......... ............ A Apply finger cast ............................................ 0.62 1.03 0.98 0.53 0.50 0.07 1.72 1.67 1.22 1.19 00029105 ......... ............ A Apply long arm splint ..................................... 0.87 1.08 1.19 0.53 0.52 0.12 2.07 2.18 1.52 1.51 00029125 ......... ............ A Apply forearm splint ...................................... 0.59 0.96 1.01 0.42 0.40 0.07 1.62 1.67 1.08 1.06 00029126 ......... ............ A Apply forearm splint ...................................... 0.77 1.00 1.16 0.47 0.46 0.07 1.84 2.00 1.31 1.30 00029130 ......... ............ A Application of finger splint ............................. 0.50 0.43 0.46 0.18 0.17 0.06 0.99 1.02 0.74 0.73 00029131 ......... ............ A Application of finger splint ............................. 0.55 0.62 0.71 0.26 0.25 0.03 1.20 1.29 0.84 0.83 00029200 ......... ............ A Strapping of chest ......................................... 0.65 0.61 0.69 0.35 0.34 0.04 1.30 1.381.04 1.03 00029220 ......... ............ A Strapping of low back .................................... 0.64 0.61 0.69 0.35 0.38 0.04 1.29 1.37 1.03 1.06 00029240 ......... ............ A Strapping of shoulder .................................... 0.71 0.67 0.81 0.38 0.37 0.06 1.44 1.58 1.15 1.14 00029260 ......... ............ A Strapping of elbow or wrist ........................... 0.55 0.65 0.72 0.36 0.33 0.05 1.25 1.32 0.960.93 00029280 ......... ............ A Strapping of hand or finger ........................... 0.51 0.66 0.77 0.37 0.33 0.03 1.20 1.31 0.910.87 00029305 ......... ............ A Application of hip cast ................................... 2.03 3.35 3.35 1.58 1.72 0.35 5.73 5.73 3.96 4.10 00029325 ......... ............ A Application of hip casts ................................. 2.32 3.66 3.57 1.73 1.90 0.40 6.38 6.29 4.45 4.62 00029345 ......... ............ A Application of long leg cast ........................... 1.40 1.65 1.74 0.93 1.03 0.24 3.29 3.38 2.572.67 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00124 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37293 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal29355 ......... ............ A Application of long leg cast ........................... 1.53 1.61 1.69 0.93 1.07 0.26 3.40 3.48 2.722.86 00029358 ......... ............ A Apply long leg cast brace .............................. 1.43 2.03 2.06 0.92 1.05 0.25 3.71 3.74 2.602.73 00029365 ......... ............ A Application of long leg cast ........................... 1.18 1.56 1.64 0.84 0.92 0.20 2.94 3.02 2.222.30 00029405 ......... ............ A Apply short leg cast ....................................... 0.86 1.19 1.21 0.65 0.70 0.14 2.19 2.211.65 1.70 00029425 ......... ............ A Apply short leg cast ....................................... 1.01 1.22 1.23 0.65 0.72 0.15 2.38 2.391.81 1.88 00029435 ......... ............ A Apply short leg cast ....................................... 1.18 1.52 1.55 0.80 0.90 0.20 2.90 2.932.18 2.28 00029440 ......... ............ A Addition of walker to cast .............................. 0.57 0.61 0.67 0.25 0.27 0.08 1.26 1.32 0.90 0.92 00029445 ......... ............ A Apply rigid leg cast ........................................ 1.78 1.60 1.76 0.91 0.95 0.27 3.65 3.812.96 3.00 00029450 ......... ............ A Application of leg cast ................................... 2.08 1.50 1.48 0.84 1.03 0.27 3.85 3.83 3.19 3.38 00029505 ......... ............ A Application, long leg splint ............................ 0.69 1.05 1.15 0.44 0.45 0.08 1.82 1.92 1.21 1.22 00029515 ......... ............ A Application lower leg splint ............................ 0.73 0.95 0.89 0.45 0.46 0.09 1.77 1.71 1.27 1.28 00029520 ......... ............ A Strapping of hip ............................................. 0.54 0.67 0.81 0.38 0.45 0.03 1.24 1.38 0.95 1.02 00029530 ......... ............ A Strapping of knee .......................................... 0.57 0.65 0.76 0.36 0.34 0.05 1.27 1.380.98 0.96 00029540 ......... ............ A Strapping of ankle and/or ft ........................... 0.51 0.54 0.45 0.31 0.31 0.06 1.11 1.02 0.880.88 00029550 ......... ............ A Strapping of toes ........................................... 0.47 0.56 0.46 0.30 0.29 0.06 1.09 0.990.83 0.82 00029580 ......... ............ A Application of paste boot ............................... 0.57 0.72 0.67 0.34 0.35 0.07 1.36 1.31 0.98 0.99 00029590 ......... ............ A Application of foot splint ................................ 0.76 0.59 0.53 0.26 0.28 0.09 1.44 1.38 1.11 1.13 00029700 ......... ............ A Removal/revision of cast ............................... 0.57 0.96 0.91 0.26 0.28 0.08 1.61 1.56 0.910.93 00029705 ......... ............ A Removal/revision of cast ............................... 0.76 0.76 0.81 0.36 0.38 0.13 1.65 1.70 1.251.27 00029710 ......... ............ A Removal/revision of cast ............................... 1.34 1.43 1.51 0.62 0.68 0.20 2.97 3.05 2.162.22 00029715 ......... ............ A Removal/revision of cast ............................... 0.94 1.12 1.16 0.40 0.40 0.09 2.15 2.19 1.431.43 00029720 ......... ............ A Repair of body cast ....................................... 0.68 1.14 1.16 0.34 0.38 0.12 1.94 1.96 1.14 1.18 00029730 ......... ............ A Windowing of cast ......................................... 0.75 0.75 0.80 0.34 0.35 0.12 1.62 1.67 1.21 1.22 00029740 ......... ............ A Wedging of cast ............................................ 1.12 1.04 1.12 0.48 0.49 0.18 2.34 2.421.78 1.79 00029750 ......... ............ A Wedging of clubfoot cast ............................... 1.26 0.90 1.02 0.43 0.54 0.21 2.37 2.49 1.902.01 00029800 ......... ............ A Jaw arthroscopy/surgery ............................... 6.67 NA NA 5.64 6.65 0.99 NA NA 13.30 14.31 09029804 ......... ............ A Jaw arthroscopy/surgery ............................... 8.63 NA NA 7.33 7.56 1.38 NA NA 17.34 17.57 09029805 ......... ............ A Shoulder arthroscopy, dx .............................. 5.88 NA NA 4.66 5.43 1.02 NA NA 11.56 12.33 09029806 ......... ............ A Shoulder arthroscopy/surgery ....................... 14.85 NA NA 9.22 10.70 2.49 NA NA 26.56 28.04 09029807 ......... ............ A Shoulder arthroscopy/surgery ....................... 14.38 NA NA 9.10 10.54 2.41 NA NA 25.89 27.33 09029819 ......... ............ A Shoulder arthroscopy/surgery ....................... 7.61 NA NA 5.56 6.50 1.32 NA NA 14.49 15.43 09029820 ......... ............ A Shoulder arthroscopy/surgery ....................... 7.06 NA NA 5.12 5.96 1.22 NA NA 13.40 14.24 09029821 ......... ............ A Shoulder arthroscopy/surgery ....................... 7.71 NA NA 5.58 6.51 1.33 NA NA 14.62 15.55 09029822 ......... ............ A Shoulder arthroscopy/surgery ....................... 7.42 NA NA 5.51 6.41 1.28 NA NA 14.21 15.11 09029823 ......... ............ A Shoulder arthroscopy/surgery ....................... 8.16 NA NA 5.96 6.92 1.41 NA NA 15.53 16.49 09029824 ......... ............ A Shoulder arthroscopy/surgery ....................... 8.74 NA NA 6.45 7.28 1.42 NA NA 16.61 17.44 09029825 ......... ............ A Shoulder arthroscopy/surgery ....................... 7.61 NA NA 5.57 6.48 1.32 NA NA 14.50 15.41 09029826 ......... ............ A Shoulder arthroscopy/surgery ....................... 8.98 NA NA 6.11 7.19 1.55 NA NA 16.64 17.72 09029827 ......... ............ A Arthroscop rotator cuff repr ........................... 15.34 NA NA 9.19 10.97 2.66 NA NA 27.19 28.97 09029830 ......... ............ A Elbow arthroscopy ......................................... 5.75 NA NA 4.44 5.13 0.99 NA NA 11.18 11.87 09029834 ......... ............ A Elbow arthroscopy/surgery ............................ 6.27 NA NA 4.79 5.59 1.08 NA NA 12.14 12.94 09029835 ......... ............ A Elbow arthroscopy/surgery ............................ 6.47 NA NA 4.90 5.65 1.13 NA NA 12.50 13.25 09029836 ......... ............ A Elbow arthroscopy/surgery ............................ 7.54 NA NA 5.48 6.48 1.22 NA NA 14.24 15.24 09029837 ......... ............ A Elbow arthroscopy/surgery ............................ 6.86 NA NA 5.06 5.88 1.19 NA NA 13.11 13.93 09029838 ......... ............ A Elbow arthroscopy/surgery ............................ 7.70 NA NA 5.59 6.58 1.30 NA NA 14.59 15.58 09029840 ......... ............ A Wrist arthroscopy .......................................... 5.53 NA NA 4.54 5.14 0.84 NA NA 10.91 11.51 09029843 ......... ............ A Wrist arthroscopy/surgery ............................. 6.00 NA NA 4.83 5.44 0.92 NA NA 11.75 12.36 09029844 ......... ............ A Wrist arthroscopy/surgery ............................. 6.36 NA NA 4.87 5.60 1.04 NA NA 12.27 13.00 09029845 ......... ............ A Wrist arthroscopy/surgery ............................. 7.51 NA NA 5.41 6.22 0.99 NA NA 13.91 14.72 09029846 ......... ............ A Wrist arthroscopy/surgery ............................. 6.74 NA NA 5.01 5.81 1.07 NA NA 12.82 13.62 09029847 ......... ............ A Wrist arthroscopy/surgery ............................. 7.07 NA NA 5.08 5.93 1.08 NA NA 13.23 14.08 09029848 ......... ............ A Wrist endoscopy/surgery ............................... 6.18 NA NA 5.20 5.52 0.86 NA NA 12.24 12.56 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00125 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37294 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal29850 ......... ............ A Knee arthroscopy/surgery ............................. 8.18 NA NA 5.13 5.07 1.25 NA NA 14.56 14.50 09029851 ......... ............ A Knee arthroscopy/surgery ............................. 13.08 NA NA 8.16 9.41 2.34 NA NA 23.58 24.83 09029855 ......... ............ A Tibial arthroscopy/surgery ............................. 10.60 NA NA 7.25 8.41 1.84 NA NA 19.69 20.8509029856 ......... ............ A Tibial arthroscopy/surgery ............................. 14.12 NA NA 8.58 10.17 2.39 NA NA 25.09 26.68 09029860 ......... ............ A Hip arthroscopy, dx ....................................... 8.79 NA NA 6.11 6.76 1.36 NA NA 16.26 16.91 09029861 ......... ............ A Hip arthroscopy/surgery ................................ 9.89 NA NA 6.51 7.15 1.59 NA NA 17.99 18.6309029862 ......... ............ A Hip arthroscopy/surgery ................................ 10.89 NA NA 7.48 8.31 1.62 NA NA 19.99 20.8209029863 ......... ............ A Hip arthroscopy/surgery ................................ 10.89 NA NA 7.40 8.25 1.42 NA NA 19.71 20.5609029866 ......... ............ A Autgrft implnt, knee w/scope ......................... 14.38 NA NA 9.36 10.88 2.39 NA NA 26.13 27.6509029867 ......... ............ A Allgrft implnt, knee w/scope .......................... 18.08 NA NA 11.02 12.70 2.78 NA NA 31.88 33.56 09029868 ......... ............ A Meniscal trnspl, knee w/scpe ........................ 24.79 NA NA 13.64 16.04 4.35 NA NA 42.78 45.1809029870 ......... ............ A Knee arthroscopy, dx .................................... 5.06 NA NA 4.11 4.70 0.85 NA NA 10.02 10.6109029871 ......... ............ A Knee arthroscopy/drainage ........................... 6.54 NA NA 4.94 5.65 1.14 NA NA 12.62 13.33 09029873 ......... ............ A Knee arthroscopy/surgery ............................. 5.99 NA NA 5.52 6.32 1.04 NA NA 12.55 13.35 09029874 ......... ............ A Knee arthroscopy/surgery ............................. 7.04 NA NA 5.08 5.84 1.11 NA NA 13.23 13.99 09029875 ......... ............ A Knee arthroscopy/surgery ............................. 6.30 NA NA 4.83 5.61 1.09 NA NA 12.22 13.00 09029876 ......... ............ A Knee arthroscopy/surgery ............................. 8.66 NA NA 6.12 6.81 1.37 NA NA 16.15 16.84 09029877 ......... ............ A Knee arthroscopy/surgery ............................. 8.09 NA NA 5.88 6.54 1.28 NA NA 15.25 15.91 09029879 ......... ............ A Knee arthroscopy/surgery ............................. 8.78 NA NA 6.16 6.90 1.39 NA NA 16.33 17.07 09029880 ......... ............ A Knee arthroscopy/surgery ............................. 9.24 NA NA 6.36 7.13 1.47 NA NA 17.07 17.84 09029881 ......... ............ A Knee arthroscopy/surgery ............................. 8.50 NA NA 6.07 6.75 1.34 NA NA 15.91 16.59 09029882 ......... ............ A Knee arthroscopy/surgery ............................. 9.39 NA NA 6.39 7.04 1.50 NA NA 17.28 17.93 09029883 ......... ............ A Knee arthroscopy/surgery ............................. 11.53 NA NA 7.50 8.69 1.92 NA NA 20.95 22.14 09029884 ......... ............ A Knee arthroscopy/surgery ............................. 8.07 NA NA 5.90 6.52 1.27 NA NA 15.24 15.86 09029885 ......... ............ A Knee arthroscopy/surgery ............................. 9.95 NA NA 6.92 7.72 1.58 NA NA 18.45 19.25 09029886 ......... ............ A Knee arthroscopy/surgery ............................. 8.28 NA NA 5.97 6.65 1.30 NA NA 15.55 16.23 09029887 ......... ............ A Knee arthroscopy/surgery ............................. 9.90 NA NA 6.91 7.69 1.57 NA NA 18.38 19.16 09029888 ......... ............ A Knee arthroscopy/surgery ............................. 14.06 NA NA 8.17 9.72 2.41 NA NA 24.64 26.19 09029889 ......... ............ A Knee arthroscopy/surgery ............................. 17.05 NA NA 10.53 11.99 2.78 NA NA 30.36 31.8209029891 ......... ............ A Ankle arthroscopy/surgery ............................. 9.39 NA NA 6.57 7.29 1.39 NA NA 17.35 18.07 09029892 ......... ............ A Ankle arthroscopy/surgery ............................. 9.99 NA NA 6.45 7.43 1.41 NA NA 17.85 18.83 09029893 ......... ............ A Scope, plantar fasciotomy ............................. 5.96 8.75 6.91 4.59 4.15 0.63 15.34 13.50 11.18 10.74 09029894 ......... ............ A Ankle arthroscopy/surgery ............................. 7.20 NA NA 4.61 5.27 1.15 NA NA 12.96 13.62 09029895 ......... ............ A Ankle arthroscopy/surgery ............................. 6.98 NA NA 4.45 5.23 1.11 NA NA 12.54 13.32 09029897 ......... ............ A Ankle arthroscopy/surgery ............................. 7.17 NA NA 4.88 5.65 1.17 NA NA 13.22 13.99 09029898 ......... ............ A Ankle arthroscopy/surgery ............................. 8.31 NA NA 5.19 5.96 1.28 NA NA 14.78 15.55 09029899 ......... ............ A Ankle arthroscopy/surgery ............................. 15.13 NA NA 9.12 10.21 2.40 NA NA 26.65 27.7409029900 ......... ............ A Mcp joint arthroscopy, dx .............................. 5.66 NA NA 4.65 5.57 0.94 NA NA 11.25 12.1709029901 ......... ............ A Mcp joint arthroscopy, surg ........................... 6.37 NA NA 5.45 6.07 1.06 NA NA 12.88 13.50 09029902 ......... ............ A Mcp joint arthroscopy, surg ........................... 6.94 NA NA 3.61 5.82 1.12 NA NA 11.67 13.88 09030000 ......... ............ A Drainage of nose lesion ................................ 1.43 3.70 3.99 1.21 1.35 0.12 5.25 5.54 2.762.90 01030020 ......... ............ A Drainage of nose lesion ................................ 1.43 3.82 3.42 1.24 1.41 0.12 5.37 4.97 2.792.96 01030100 ......... ............ A Intranasal biopsy ........................................... 0.94 2.39 2.08 0.68 0.79 0.07 3.40 3.091.69 1.80 00030110 ......... ............ A Removal of nose polyp(s) ............................. 1.63 3.59 3.34 1.30 1.50 0.14 5.36 5.11 3.07 3.27 01030115 ......... ............ A Removal of nose polyp(s) ............................. 4.34 NA NA 5.40 5.69 0.41 NA NA 10.15 10.44 09030117 ......... ............ A Removal of intranasal lesion ......................... 3.16 16.76 14.08 4.46 4.60 0.26 20.18 17.50 7.88 8.02 09030118 ......... ............ A Removal of intranasal lesion ......................... 9.74 NA NA 7.61 8.82 0.78 NA NA 18.13 19.34 09030120 ......... ............ A Revision of nose ............................................ 5.26 6.74 6.57 4.81 5.72 0.52 12.52 12.35 10.59 11.50 09030124 ......... ............ A Removal of nose lesion ................................. 3.10 NA NA 3.59 3.61 0.25 NA NA 6.94 6.96 09030125 ......... ............ A Removal of nose lesion ................................. 7.15 NA NA 6.91 7.98 0.63 NA NA 14.69 15.7609030130 ......... ............ A Excise inferior turbinate ................................. 3.37 NA NA 5.21 5.51 0.31 NA NA 8.89 9.190901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00126 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37295 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal30140 ......... ............ A Resect inferior turbinate ................................ 3.42 NA NA 6.47 6.28 0.35 NA NA 10.24 10.05 09030150 ......... ............ A Partial removal of nose ................................. 9.37 NA NA 8.38 10.38 0.93 NA NA 18.68 20.68 09030160 ......... ............ A Removal of nose ........................................... 9.81 NA NA 7.99 9.68 0.88 NA NA 18.68 20.37 09030200 ......... ............ A Injection treatment of nose ............................ 0.78 1.86 1.68 0.60 0.71 0.06 2.70 2.52 1.441.55 00030210 ......... ............ A Nasal sinus therapy ....................................... 1.08 2.29 2.16 1.14 1.27 0.09 3.46 3.33 2.31 2.44 01030220 ......... ............ A Insert nasal septal button .............................. 1.54 5.36 4.52 1.27 1.47 0.12 7.02 6.18 2.93 3.13 01030300 ......... ............ A Remove nasal foreign body .......................... 1.04 4.09 4.50 1.76 1.88 0.08 5.21 5.62 2.88 3.00 01030310 ......... ............ A Remove nasal foreign body .......................... 1.96 NA NA 2.68 3.00 0.16 NA NA 4.80 5.12 01030320 ......... ............ A Remove nasal foreign body .......................... 4.51 NA NA 5.85 6.76 0.39 NA NA 10.75 11.66 09030400 ......... ............ R Reconstruction of nose ................................. 10.46 NA NA 13.49 15.02 1.04 NA NA 24.99 26.52 09030410 ......... ............ R Reconstruction of nose ................................. 13.60 NA NA 14.12 17.35 1.42 NA NA 29.14 32.37 09030420 ......... ............ R Reconstruction of nose ................................. 16.50 NA NA 14.47 17.09 1.46 NA NA 32.43 35.05 09030430 ......... ............ R Revision of nose ............................................ 7.84 NA NA 12.60 15.20 0.77 NA NA 21.2123.81 09030435 ......... ............ R Revision of nose ............................................ 12.33 NA NA 14.29 18.13 1.22 NA NA 27.84 31.68 09030450 ......... ............ R Revision of nose ............................................ 19.26 NA NA 15.82 20.42 1.96 NA NA 37.04 41.64 09030460 ......... ............ A Revision of nose ............................................ 10.20 NA NA 7.05 9.24 1.03 NA NA 18.2820.47 09030462 ......... ............ A Revision of nose ............................................ 20.04 NA NA 14.04 18.74 2.53 NA NA 36.61 41.31 09030465 ......... ............ A Repair nasal stenosis .................................... 12.12 NA NA 10.08 11.52 1.06 NA NA 23.26 24.70 09030520 ......... ............ A Repair of nasal septum ................................. 7.63 NA NA 6.88 6.73 0.46 NA NA 14.97 14.8209030540 ......... ............ A Repair nasal defect ....................................... 7.74 NA NA 6.92 8.71 0.67 NA NA 15.33 17.12 09030545 ......... ............ A Repair nasal defect ....................................... 11.42 NA NA 9.88 11.42 1.70 NA NA 23.00 24.54 09030560 ......... ............ A Release of nasal adhesions .......................... 1.26 4.88 4.81 1.84 2.07 0.10 6.24 6.17 3.20 3.43 01030580 ......... ............ A Repair upper jaw fistula ................................ 6.68 8.13 7.88 4.66 5.52 0.89 15.70 15.45 12.23 13.09 09030600 ......... ............ A Repair mouth/nose fistula ............................. 6.01 7.43 7.51 4.00 4.77 0.70 14.14 14.22 10.71 11.48 09030620 ......... ............ A Intranasal reconstruction ............................... 5.96 NA NA 7.98 8.64 0.57 NA NA 14.51 15.1709030630 ......... ............ A Repair nasal septum defect .......................... 7.11 NA NA 6.96 7.72 0.61 NA NA 14.68 15.44 09030801 ......... ............ A Ablate inf turbinate, superf ............................ 1.09 3.98 4.10 1.94 1.93 0.09 5.16 5.28 3.12 3.11 01030802 ......... ............ A Cauterization, inner nose .............................. 2.03 4.55 4.60 2.27 2.35 0.16 6.74 6.79 4.464.54 01030901 ......... ............ A Control of nosebleed ..................................... 1.21 1.19 1.32 0.27 0.31 0.11 2.51 2.64 1.59 1.63 00030903 ......... ............ A Control of nosebleed ..................................... 1.54 3.04 2.80 0.37 0.47 0.13 4.71 4.47 2.04 2.14 00030905 ......... ............ A Control of nosebleed ..................................... 1.97 3.69 3.56 0.45 0.68 0.17 5.83 5.70 2.59 2.82 00030906 ......... ............ A Repeat control of nosebleed ......................... 2.45 3.92 3.91 0.64 1.06 0.20 6.57 6.56 3.29 3.71 00030915 ......... ............ A Ligation, nasal sinus artery ........................... 7.31 NA NA 5.71 6.46 0.58 NA NA 13.60 14.3509030920 ......... ............ A Ligation, upper jaw artery .............................. 10.97 NA NA 7.97 8.74 0.80 NA NA 19.74 20.51 09030930 ......... ............ A Ther fx, nasal inf turbinate ............................ 1.26 NA NA 1.50 1.59 0.12 NA NA 2.88 2.97 01031000 ......... ............ A Irrigation, maxillary sinus ............................... 1.15 2.98 2.88 1.22 1.36 0.09 4.22 4.12 2.46 2.60 01031002 ......... ............ A Irrigation, sphenoid sinus .............................. 1.91 NA NA 2.49 3.06 0.15 NA NA 4.55 5.12 01031020 ......... ............ A Exploration, maxillary sinus ........................... 2.94 7.98 8.41 5.11 5.18 0.29 11.21 11.64 8.34 8.41 09031030 ......... ............ A Exploration, maxillary sinus ........................... 5.91 9.65 11.06 5.93 6.49 0.60 16.16 17.57 12.44 13.00 09031032 ......... ............ A Explore sinus, remove polyps ....................... 6.56 NA NA 6.38 7.03 0.59 NA NA 13.53 14.18 09031040 ......... ............ A Exploration behind upper jaw ........................ 9.59 NA NA 7.13 9.17 0.87 NA NA 17.59 19.63 09031050 ......... ............ A Exploration, sphenoid sinus .......................... 5.27 NA NA 6.03 6.29 0.49 NA NA 11.79 12.05 09031051 ......... ............ A Sphenoid sinus surgery ................................. 7.10 NA NA 7.58 8.09 0.62 NA NA 15.30 15.8109031070 ......... ............ A Exploration of frontal sinus ............................ 4.27 NA NA 5.61 5.87 0.38 NA NA 10.26 10.5209031075 ......... ............ A Exploration of frontal sinus ............................ 9.33 NA NA 8.36 9.41 0.75 NA NA 18.44 19.4909031080 ......... ............ A Removal of frontal sinus ............................... 12.46 NA NA 10.25 12.74 1.23 NA NA 23.94 26.43 09031081 ......... ............ A Removal of frontal sinus ............................... 13.91 NA NA 14.48 14.15 2.46 NA NA 30.85 30.52 09031084 ......... ............ A Removal of frontal sinus ............................... 14.67 NA NA 11.64 13.07 1.19 NA NA 27.50 28.93 09031085 ......... ............ A Removal of frontal sinus ............................... 15.36 NA NA 12.67 13.67 1.72 NA NA 29.75 30.75 09031086 ......... ............ A Removal of frontal sinus ............................... 14.08 NA NA 11.48 12.86 1.07 NA NA 26.63 28.01 09031087 ......... ............ A Removal of frontal sinus ............................... 14.31 NA NA 10.51 12.06 1.44 NA NA 26.26 27.81 09031090 ......... ............ A Exploration of sinuses ................................... 10.78 NA NA 12.11 12.47 0.94 NA NA 23.83 24.19 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00127 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37296 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal31200 ......... ............ A Removal of ethmoid sinus ............................. 4.96 NA NA 7.32 8.76 0.29 NA NA 12.57 14.01 09031201 ......... ............ A Removal of ethmoid sinus ............................. 8.42 NA NA 8.11 8.93 0.82 NA NA 17.35 18.17 09031205 ......... ............ A Removal of ethmoid sinus ............................. 10.40 NA NA 9.33 11.27 0.67 NA NA 20.40 22.3409031225 ......... ............ A Removal of upper jaw ................................... 26.34 NA NA 16.42 17.51 1.59 NA NA 44.35 45.44 09031230 ......... ............ A Removal of upper jaw ................................... 30.46 NA NA 17.08 18.84 1.77 NA NA 49.31 51.07 09031231 ......... ............ A Nasal endoscopy, dx ..................................... 1.10 3.30 3.37 0.68 0.83 0.09 4.49 4.56 1.87 2.02 00031233 ......... ............ A Nasal/sinus endoscopy, dx ........................... 2.18 3.89 4.21 0.97 1.35 0.20 6.27 6.59 3.35 3.73 00031235 ......... ............ A Nasal/sinus endoscopy, dx ........................... 2.64 4.24 4.75 1.10 1.57 0.26 7.14 7.65 4.00 4.47 00031237 ......... ............ A Nasal/sinus endoscopy, surg ........................ 2.98 4.46 5.02 1.20 1.72 0.28 7.72 8.28 4.46 4.98 00031238 ......... ............ A Nasal/sinus endoscopy, surg ........................ 3.26 4.38 5.03 1.27 1.89 0.27 7.91 8.56 4.80 5.42 00031239 ......... ............ A Nasal/sinus endoscopy, surg ........................ 9.19 NA NA 6.14 7.55 0.62 NA NA 15.95 17.36 01031240 ......... ............ A Nasal/sinus endoscopy, surg ........................ 2.61 NA NA 1.10 1.58 0.24 NA NA 3.95 4.43 00031254 ......... ............ A Revision of ethmoid sinus ............................. 4.64 NA NA 1.66 2.56 0.45 NA NA 6.75 7.65 00031255 ......... ............ A Removal of ethmoid sinus ............................. 6.95 NA NA 2.29 3.66 0.73 NA NA 9.97 11.34 00031256 ......... ............ A Exploration maxillary sinus ............................ 3.29 NA NA 1.28 1.91 0.33 NA NA 4.90 5.53 00031267 ......... ............ A Endoscopy, maxillary sinus ........................... 5.45 NA NA 1.88 2.95 0.55 NA NA 7.88 8.95 00031276 ......... ............ A Sinus endoscopy, surgical ............................ 8.84 NA NA 2.80 4.55 0.92 NA NA 12.56 14.31 00031287 ......... ............ A Nasal/sinus endoscopy, surg ........................ 3.91 NA NA 1.45 2.21 0.39 NA NA 5.75 6.51 00031288 ......... ............ A Nasal/sinus endoscopy, surg ........................ 4.57 NA NA 1.63 2.52 0.46 NA NA 6.66 7.55 00031290 ......... ............ A Nasal/sinus endoscopy, surg ........................ 18.46 NA NA 7.82 11.02 1.40 NA NA 27.68 30.88 01031291 ......... ............ A Nasal/sinus endoscopy, surg ........................ 19.41 NA NA 8.42 11.49 1.68 NA NA 29.51 32.58 01031292 ......... ............ A Nasal/sinus endoscopy, surg ........................ 15.75 NA NA 7.06 9.75 1.21 NA NA 24.02 26.71 01031293 ......... ............ A Nasal/sinus endoscopy, surg ........................ 17.32 NA NA 7.66 10.47 1.28 NA NA 26.26 29.07 01031294 ......... ............ A Nasal/sinus endoscopy, surg ........................ 20.16 NA NA 8.52 11.81 1.53 NA NA 30.21 33.50 01031300 ......... ............ A Removal of larynx lesion ............................... 15.63 NA NA 13.25 14.58 1.17 NA NA 30.05 31.38 09031320 ......... ............ A Diagnostic incision, larynx ............................. 5.55 NA NA 9.07 10.02 0.46 NA NA 15.08 16.03 09031360 ......... ............ A Removal of larynx ......................................... 27.23 NA NA 16.41 16.68 1.38 NA NA 45.0245.29 09031365 ......... ............ A Removal of larynx ......................................... 34.85 NA NA 18.52 19.95 1.97 NA NA 55.3456.77 09031367 ......... ............ A Partial removal of larynx ............................... 27.11 NA NA 19.04 21.22 1.78 NA NA 47.93 50.11 09031368 ......... ............ A Partial removal of larynx ............................... 33.73 NA NA 22.36 24.76 2.20 NA NA 58.29 60.69 09031370 ......... ............ A Partial removal of larynx ............................... 27.11 NA NA 19.92 21.72 1.74 NA NA 48.77 50.57 09031375 ......... ............ A Partial removal of larynx ............................... 25.61 NA NA 18.36 19.92 1.63 NA NA 45.60 47.16 09031380 ......... ............ A Partial removal of larynx ............................... 25.11 NA NA 18.05 20.01 1.70 NA NA 44.86 46.82 09031382 ......... ............ A Partial removal of larynx ............................... 28.11 NA NA 20.22 21.31 1.67 NA NA 50.00 51.09 09031390 ......... ............ A Removal of larynx & pharynx ........................ 38.72 NA NA 22.23 23.90 2.23 NA NA 63.18 64.85 09031395 ......... ............ A Reconstruct larynx & pharynx ....................... 43.34 NA NA 26.33 27.87 2.48 NA NA 72.15 73.69 09031400 ......... ............ A Revision of larynx .......................................... 11.40 NA NA 11.27 13.18 0.83 NA NA 23.50 25.41 09031420 ......... ............ A Removal of epiglottis ..................................... 11.25 NA NA 7.70 9.10 0.83 NA NA 19.78 21.18 09031500 ......... ............ A Insert emergency airway ............................... 2.33 NA NA 0.42 0.52 0.17 NA NA 2.92 3.02 00031502 ......... ............ A Change of windpipe airway ........................... 0.65 0.16 0.27 0.20 0.26 0.05 0.86 0.97 0.90 0.96 00031505 ......... ............ A Diagnostic laryngoscopy ............................... 0.61 1.32 1.42 0.54 0.59 0.05 1.98 2.08 1.201.25 00031510 ......... ............ A Laryngoscopy with biopsy ............................. 1.92 2.95 3.22 0.89 1.16 0.16 5.03 5.30 2.97 3.24 00031511 ......... ............ A Remove foreign body, larynx ........................ 2.16 2.72 3.03 0.91 1.02 0.19 5.07 5.38 3.26 3.37 00031512 ......... ............ A Removal of larynx lesion ............................... 2.07 2.69 3.08 0.93 1.25 0.18 4.94 5.33 3.183.50 00031513 ......... ............ A Injection into vocal cord ................................ 2.10 NA NA 0.95 1.33 0.17 NA NA 3.22 3.6000031515 ......... ............ A Laryngoscopy for aspiration .......................... 1.80 3.04 3.42 0.82 1.00 0.14 4.98 5.36 2.76 2.94 00031520 ......... ............ A Dx laryngoscopy, newborn ............................ 2.56 NA NA 1.07 1.44 0.20 NA NA 3.83 4.20 00031525 ......... ............ A Dx laryngoscopy excl nb ............................... 2.63 3.18 3.53 1.08 1.52 0.21 6.02 6.37 3.924.36 00031526 ......... ............ A Dx laryngoscopy w/oper scope ..................... 2.57 NA NA 1.08 1.56 0.21 NA NA 3.86 4.34 00031527 ......... ............ A Laryngoscopy for treatment .......................... 3.27 NA NA 1.26 1.73 0.26 NA NA 4.79 5.26 00031528 ......... ............ A Laryngoscopy and dilation ............................ 2.37 NA NA 0.95 1.33 0.19 NA NA 3.51 3.89 00031529 ......... ............ A Laryngoscopy and dilation ............................ 2.68 NA NA 1.07 1.55 0.22 NA NA 3.97 4.45 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00128 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37297 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal31530 ......... ............ A Laryngoscopy w/fb removal .......................... 3.38 NA NA 1.26 1.79 0.29 NA NA 4.93 5.46 00031531 ......... ............ A Laryngoscopy w/fb & op scope ..................... 3.58 NA NA 1.36 2.05 0.29 NA NA 5.23 5.92 00031535 ......... ............ A Laryngoscopy w/biopsy ................................. 3.16 NA NA 1.24 1.81 0.26 NA NA 4.66 5.23 00031536 ......... ............ A Laryngoscopy w/bx & op scope .................... 3.55 NA NA 1.35 2.03 0.29 NA NA 5.19 5.87 00031540 ......... ............ A Laryngoscopy w/exc of tumor ....................... 4.12 NA NA 1.51 2.29 0.33 NA NA 5.96 6.74 00031541 ......... ............ A Larynscop w/tumr exc + scope ..................... 4.52 NA NA 1.62 2.50 0.37 NA NA 6.51 7.39 00031545 ......... ............ A Remove vc lesion w/scope ........................... 6.30 NA NA 2.14 3.15 0.37 NA NA 8.81 9.82 00031546 ......... ............ A Remove vc lesion scope/graft ....................... 9.73 NA NA 3.62 4.64 0.78 NA NA 14.13 15.15 00031560 ......... ............ A Laryngoscop w/arytenoidectom ..................... 5.45 NA NA 1.83 2.83 0.43 NA NA 7.71 8.71 00031561 ......... ............ A Larynscop, remve cart + scop ...................... 5.99 NA NA 1.97 3.03 0.49 NA NA 8.45 9.51 00031570 ......... ............ A Laryngoscope w/vc inj ................................... 3.86 3.88 5.24 1.43 2.15 0.31 8.05 9.41 5.60 6.32 00031571 ......... ............ A Laryngoscop w/vc inj + scope ....................... 4.26 NA NA 1.55 2.35 0.35 NA NA 6.16 6.96 00031575 ......... ............ A Diagnostic laryngoscopy ............................... 1.10 1.54 1.82 0.68 0.84 0.09 2.73 3.01 1.872.03 00031576 ......... ............ A Laryngoscopy with biopsy ............................. 1.97 3.24 3.56 0.92 1.20 0.14 5.35 5.67 3.03 3.31 00031577 ......... ............ A Remove foreign body, larynx ........................ 2.47 3.19 3.63 1.07 1.42 0.21 5.87 6.31 3.75 4.10 00031578 ......... ............ A Removal of larynx lesion ............................... 2.84 3.61 4.12 1.16 1.43 0.23 6.68 7.19 4.234.50 00031579 ......... ............ A Diagnostic laryngoscopy ............................... 2.26 2.59 3.49 1.00 1.36 0.18 5.03 5.93 3.443.80 00031580 ......... ............ A Revision of larynx .......................................... 14.38 NA NA 13.18 15.27 1.00 NA NA 28.56 30.65 09031582 ......... ............ A Revision of larynx .......................................... 22.73 NA NA 19.99 24.40 1.75 NA NA 44.47 48.88 09031584 ......... ............ A Treat larynx fracture ...................................... 20.27 NA NA 13.86 17.12 1.71 NA NA 35.8439.10 09031587 ......... ............ A Revision of larynx .......................................... 15.06 NA NA 7.74 8.90 0.97 NA NA 23.7724.93 09031588 ......... ............ A Revision of larynx .......................................... 14.48 NA NA 11.11 13.02 1.06 NA NA 26.65 28.56 09031590 ......... ............ A Reinnervate larynx ........................................ 7.53 NA NA 11.97 14.68 0.84 NA NA 20.34 23.05 09031595 ......... ............ A Larynx nerve surgery .................................... 8.69 NA NA 8.77 10.13 0.68 NA NA 18.14 19.50 09031600 ......... ............ A Incision of windpipe ....................................... 7.17 NA NA 2.16 2.94 0.80 NA NA 10.13 10.91 00031601 ......... ............ A Incision of windpipe ....................................... 4.44 NA NA 1.58 2.20 0.40 NA NA 6.42 7.04 00031603 ......... ............ A Incision of windpipe ....................................... 4.14 NA NA 1.09 1.56 0.44 NA NA 5.67 6.14 00031605 ......... ............ A Incision of windpipe ....................................... 3.57 NA NA 0.81 1.10 0.40 NA NA 4.78 5.07 00031610 ......... ............ A Incision of windpipe ....................................... 9.23 NA NA 7.02 7.97 0.79 NA NA 17.04 17.99 09031611 ......... ............ A Surgery/speech prosthesis ............................ 5.87 NA NA 6.36 6.90 0.46 NA NA 12.69 13.23 09031612 ......... ............ A Puncture/clear windpipe ................................ 0.91 1.06 1.09 0.24 0.32 0.08 2.05 2.08 1.231.31 00031613 ......... ............ A Repair windpipe opening ............................... 4.58 NA NA 5.73 5.94 0.42 NA NA 10.73 10.94 09031614 ......... ............ A Repair windpipe opening ............................... 8.39 NA NA 8.70 8.73 0.58 NA NA 17.67 17.70 09031615 ......... ............ A Visualization of windpipe ............................... 2.09 2.18 2.50 0.93 1.13 0.16 4.43 4.75 3.18 3.38 00031620 ......... ............ A Endobronchial us add-on .............................. 1.40 5.98 5.74 0.33 0.50 0.11 7.49 7.25 1.84 2.01 ZZZ31622 ......... ............ A Dx bronchoscope/wash ................................. 2.78 5.21 5.56 0.88 1.02 0.18 8.17 8.52 3.84 3.98 00031623 ......... ............ A Dx bronchoscope/brush ................................ 2.88 5.96 6.32 0.88 1.01 0.13 8.97 9.33 3.89 4.02 00031624 ......... ............ A Dx bronchoscope/lavage ............................... 2.88 5.32 5.67 0.88 1.01 0.13 8.33 8.68 3.89 4.02 00031625 ......... ............ A Bronchoscopy w/biopsy(s) ............................ 3.36 5.46 5.74 1.00 1.16 0.18 9.00 9.28 4.54 4.70 00031628 ......... ............ A Bronchoscopy/lung bx, each ......................... 3.80 6.93 7.01 1.08 1.25 0.18 10.91 10.99 5.06 5.23 00031629 ......... ............ A Bronchoscopy/needle bx, each ..................... 4.09 11.96 13.71 1.15 1.34 0.16 16.21 17.96 5.40 5.59 00031630 ......... ............ A Bronchoscopy dilate/fx repr ........................... 3.81 NA NA 1.23 1.60 0.32 NA NA 5.36 5.73 00031631 ......... ............ A Bronchoscopy, dilate w/stent ........................ 4.36 NA NA 1.38 1.67 0.34 NA NA 6.08 6.37 00031632 ......... ............ A Bronchoscopy/lung bx, addIl ......................... 1.03 0.85 0.82 0.23 0.29 0.18 2.06 2.03 1.44 1.50 ZZZ31633 ......... ............ A Bronchoscopy/needle bx addIl ...................... 1.32 0.98 0.94 0.30 0.38 0.16 2.46 2.42 1.78 1.86ZZZ31635 ......... ............ A Bronchoscopy w/fb removal .......................... 3.67 5.16 5.89 1.11 1.35 0.24 9.07 9.80 5.02 5.26 00031636 ......... ............ A Bronchoscopy, bronch stents ........................ 4.30 NA NA 1.35 1.67 0.31 NA NA 5.96 6.28 00031637 ......... ............ A Bronchoscopy, stent add-on ......................... 1.58 NA NA 0.41 0.52 0.13 NA NA 2.12 2.23 ZZZ31638 ......... ............ A Bronchoscopy, revise stent ........................... 4.88 NA NA 1.53 1.87 0.22 NA NA 6.63 6.97 00031640 ......... ............ A Bronchoscopy w/tumor excise ...................... 4.93 NA NA 1.50 1.94 0.46 NA NA 6.89 7.33 00031641 ......... ............ A Bronchoscopy, treat blockage ....................... 5.02 NA NA 1.46 1.78 0.35 NA NA 6.83 7.15 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00129 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37298 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal31643 ......... ............ A Diag bronchoscope/catheter ......................... 3.49 NA NA 1.03 1.18 0.20 NA NA 4.72 4.87 00031645 ......... ............ A Bronchoscopy, clear airways ........................ 3.16 4.71 5.04 0.95 1.08 0.16 8.03 8.36 4.27 4.40 00031646 ......... ............ A Bronchoscopy, reclear airway ....................... 2.72 4.43 4.76 0.84 0.96 0.14 7.29 7.62 3.70 3.82 00031656 ......... ............ A Bronchoscopy, inj for x-ray ........................... 2.17 5.29 6.81 0.64 0.78 0.15 7.61 9.13 2.963.10 00031700 ......... ............ A Insertion of airway catheter ........................... 1.34 2.29 2.19 0.67 0.68 0.08 3.71 3.61 2.092.10 00031708 ......... ............ A Instill airway contrast dye .............................. 1.41 1.27 1.85 0.42 0.45 0.07 2.75 3.33 1.90 1.93 00031710 ......... ............ A Insertion of airway catheter ........................... 1.30 NA NA 0.45 0.42 0.12 NA NA 1.87 1.84 00031715 ......... ............ A Injection for bronchus x-ray ........................... 1.11 NA NA 0.29 0.33 0.07 NA NA 1.47 1.51 00031717 ......... ............ A Bronchial brush biopsy .................................. 2.12 5.81 7.66 0.74 0.78 0.14 8.07 9.92 3.00 3.04 00031720 ......... ............ A Clearance of airways ..................................... 1.06 0.25 0.31 0.25 0.31 0.07 1.38 1.44 1.38 1.44 00031725 ......... ............ A Clearance of airways ..................................... 1.96 0.44 0.60 0.44 0.55 0.14 2.54 2.70 2.54 2.65 00031730 ......... ............ A Intro, windpipe wire/tube ............................... 2.85 25.49 8.02 0.71 0.93 0.21 28.55 11.083.77 3.99 00031750 ......... ............ A Repair of windpipe ........................................ 15.11 NA NA 15.93 17.18 1.05 NA NA 32.0933.34 09031755 ......... ............ A Repair of windpipe ........................................ 17.05 NA NA 21.88 23.91 1.29 NA NA 40.2242.25 09031760 ......... ............ A Repair of windpipe ........................................ 23.28 NA NA 9.87 10.52 2.94 NA NA 36.09 36.74 09031766 ......... ............ A Reconstruction of windpipe ........................... 31.52 NA NA 11.44 13.13 4.52 NA NA 47.48 49.1709031770 ......... ............ A Repair/graft of bronchus ................................ 23.44 NA NA 9.02 9.96 2.83 NA NA 35.29 36.23 09031775 ......... ............ A Reconstruct bronchus ................................... 24.46 NA NA 8.87 11.08 3.01 NA NA 36.34 38.55 09031780 ......... ............ A Reconstruct windpipe .................................... 19.62 NA NA 7.96 10.30 1.65 NA NA 29.23 31.57 09031781 ......... ............ A Reconstruct windpipe .................................... 24.72 NA NA 9.17 11.41 2.24 NA NA 36.13 38.37 09031785 ......... ............ A Remove windpipe lesion ............................... 18.25 NA NA 6.80 9.36 1.59 NA NA 26.64 29.20 09031786 ......... ............ A Remove windpipe lesion ............................... 25.29 NA NA 9.81 12.30 3.29 NA NA 38.39 40.8809031800 ......... ............ A Repair of windpipe injury ............................... 8.05 NA NA 8.31 9.03 0.79 NA NA 17.15 17.8709031805 ......... ............ A Repair of windpipe injury ............................... 13.29 NA NA 6.45 7.04 1.82 NA NA 21.56 22.15 09031820 ......... ............ A Closure of windpipe lesion ............................ 4.54 5.37 5.60 2.94 3.48 0.38 10.29 10.52 7.86 8.40 09031825 ......... ............ A Repair of windpipe defect ............................. 6.92 6.69 7.43 3.93 5.03 0.53 14.14 14.88 11.38 12.48 09031830 ......... ............ A Revise windpipe scar .................................... 4.49 5.54 5.72 3.29 3.82 0.44 10.47 10.65 8.22 8.75 09032000 ......... ............ A Drainage of chest .......................................... 1.54 2.46 2.91 0.46 0.48 0.08 4.08 4.532.08 2.10 00032002 ......... ............ A Treatment of collapsed lung .......................... 2.19 2.94 3.15 1.03 1.05 0.12 5.25 5.46 3.34 3.36 00032005 ......... ............ A Treat lung lining chemically ........................... 2.19 5.12 6.13 0.59 0.67 0.23 7.54 8.55 3.013.09 00032019 ......... ............ A Insert pleural catheter ................................... 4.17 15.73 18.95 1.47 1.61 0.42 20.32 23.54 6.06 6.20 00032020 ......... ............ A Insertion of chest tube ................................... 3.97 NA NA 1.15 1.30 0.43 NA NA 5.55 5.7000032035 ......... ............ A Exploration of chest ....................................... 11.13 NA NA 5.99 5.90 1.26 NA NA 18.38 18.29 09032036 ......... ............ A Exploration of chest ....................................... 12.14 NA NA 6.31 6.42 1.43 NA NA 19.88 19.99 09032095 ......... ............ A Biopsy through chest wall ............................. 10.03 NA NA 5.31 5.36 1.22 NA NA 16.56 16.6109032100 ......... ............ A Exploration/biopsy of chest ........................... 16.04 NA NA 7.19 7.68 2.23 NA NA 25.46 25.9509032110 ......... ............ A Explore/repair chest ...................................... 25.11 NA NA 10.13 10.60 3.21 NA NA 38.4538.92 09032120 ......... ............ A Re-exploration of chest ................................. 14.23 NA NA 7.02 7.07 1.63 NA NA 22.88 22.93 09032124 ......... ............ A Explore chest free adhesions ........................ 15.29 NA NA 7.20 7.22 1.89 NA NA 24.38 24.40 09032140 ......... ............ A Removal of lung lesion(s) ............................. 16.50 NA NA 7.58 7.67 1.96 NA NA 26.04 26.1309032141 ......... ............ A Remove/treat lung lesions ............................. 17.14 NA NA 7.80 7.63 2.00 NA NA 26.94 26.7709032150 ......... ............ A Removal of lung lesion(s) ............................. 16.66 NA NA 7.64 7.63 2.00 NA NA 26.30 26.2909032151 ......... ............ A Remove lung foreign body ............................ 16.78 NA NA 9.04 8.28 2.03 NA NA 27.85 27.09 09032160 ......... ............ A Open chest heart massage ........................... 13.00 NA NA 5.96 5.45 1.31 NA NA 20.27 19.76 09032200 ......... ............ A Drain, open, lung lesion ................................ 18.42 NA NA 9.10 8.75 2.13 NA NA 29.65 29.30 09032201 ......... ............ A Drain, percut, lung lesion .............................. 3.99 20.79 20.77 1.40 1.33 0.24 25.02 25.005.63 5.56 00032215 ......... ............ A Treat chest lining ........................................... 12.90 NA NA 6.48 6.81 1.68 NA NA 21.0621.39 09032220 ......... ............ A Release of lung ............................................. 26.31 NA NA 12.24 12.80 3.56 NA NA 42.11 42.67 09032225 ......... ............ A Partial release of lung ................................... 16.59 NA NA 7.61 7.66 2.06 NA NA 26.26 26.31 09032310 ......... ............ A Removal of chest lining ................................. 15.13 NA NA 7.05 7.32 1.99 NA NA 24.17 24.44 09032320 ......... ............ A Free/remove chest lining ............................... 26.96 NA NA 11.73 12.08 3.51 NA NA 42.20 42.55 09032400 ......... ............ A Needle biopsy chest lining ............................ 1.76 2.21 2.15 0.55 0.55 0.10 4.07 4.01 2.412.41 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00130 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37299 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal32402 ......... ............ A Open biopsy chest lining ............................... 8.85 NA NA 4.84 5.05 1.07 NA NA 14.76 14.9709032405 ......... ............ A Biopsy, lung or mediastinum ......................... 1.93 0.68 0.67 0.68 0.64 0.11 2.72 2.71 2.72 2.68 00032420 ......... ............ A Puncture/clear lung ....................................... 2.18 NA NA 0.74 0.70 0.12 NA NA 3.04 3.0000032440 ......... ............ A Removal of lung ............................................ 27.11 NA NA 11.21 12.50 3.68 NA NA 42.0043.29 09032442 ......... ............ A Sleeve pneumonectomy ................................ 37.74 NA NA 14.53 14.73 3.84 NA NA 56.11 56.3109032445 ......... ............ A Removal of lung ............................................ 40.73 NA NA 16.04 14.59 3.71 NA NA 60.4859.03 09032480 ......... ............ A Partial removal of lung .................................. 25.65 NA NA 10.46 11.68 3.49 NA NA 39.60 40.82 09032482 ......... ............ A Bilobectomy ................................................... 27.22 NA NA 11.30 12.54 3.66 NA NA 42.18 43.42 09032484 ......... ............ A Segmentectomy ............................................ 22.67 NA NA 9.74 10.99 3.03 NA NA 35.44 36.69 09032486 ......... ............ A Sleeve lobectomy .......................................... 31.72 NA NA 12.98 13.21 3.51 NA NA 48.2148.44 09032488 ......... ............ A Completion pneumonectomy ......................... 32.69 NA NA 13.02 13.62 3.80 NA NA 49.51 50.11 09032491 ......... ............ R Lung volume reduction .................................. 25.03 NA NA 10.81 12.20 2.98 NA NA 38.82 40.21 09032500 ......... ............ A Partial removal of lung .................................. 24.42 NA NA 10.53 11.93 3.25 NA NA 38.20 39.60 09032501 ......... ............ A Repair bronchus add-on ................................ 4.68 NA NA 1.38 1.50 0.65 NA NA 6.71 6.83 ZZZ32503 ......... ............ A Resect apical lung tumor .............................. 31.55 NA NA 12.41 14.44 4.37 NA NA 48.33 50.36 09032504 ......... ............ A Resect apical lung tum/chest ........................ 36.35 NA NA 13.85 16.00 5.07 NA NA 55.27 57.4209032540 ......... ............ A Removal of lung lesion .................................. 23.68 NA NA 10.38 9.84 2.07 NA NA 36.13 35.59 09032601 ......... ............ A Thoracoscopy, diagnostic .............................. 5.45 NA NA 2.13 2.30 0.80 NA NA 8.38 8.55 00032602 ......... ............ A Thoracoscopy, diagnostic .............................. 5.95 NA NA 2.27 2.47 0.87 NA NA 9.09 9.29 00032603 ......... ............ A Thoracoscopy, diagnostic .............................. 7.80 NA NA 3.01 3.03 1.14 NA NA 11.95 11.97 00032604 ......... ............ A Thoracoscopy, diagnostic .............................. 8.77 NA NA 3.10 3.37 1.25 NA NA 13.12 13.39 00032605 ......... ............ A Thoracoscopy, diagnostic .............................. 6.92 NA NA 2.59 2.83 1.00 NA NA 10.51 10.75 00032606 ......... ............ A Thoracoscopy, diagnostic .............................. 8.39 NA NA 3.05 3.27 1.22 NA NA 12.66 12.88 00032650 ......... ............ A Thoracoscopy, surgical ................................. 10.73 NA NA 5.36 6.43 1.58 NA NA 17.67 18.7409032651 ......... ............ A Thoracoscopy, surgical ................................. 16.28 NA NA 6.99 7.19 1.86 NA NA 25.13 25.3309032652 ......... ............ A Thoracoscopy, surgical ................................. 23.34 NA NA 9.43 9.99 2.72 NA NA 35.49 36.0509032653 ......... ............ A Thoracoscopy, surgical ................................. 19.86 NA NA 7.60 7.14 1.88 NA NA 29.34 28.8809032654 ......... ............ A Thoracoscopy, surgical ................................. 18.49 NA NA 7.37 7.51 1.63 NA NA 27.49 27.6309032655 ......... ............ A Thoracoscopy, surgical ................................. 14.95 NA NA 6.64 7.11 1.89 NA NA 23.48 23.9509032656 ......... ............ A Thoracoscopy, surgical ................................. 13.14 NA NA 6.07 7.49 1.89 NA NA 21.10 22.5209032657 ......... ............ A Thoracoscopy, surgical ................................. 14.54 NA NA 6.52 7.41 1.99 NA NA 23.05 23.9409032658 ......... ............ A Thoracoscopy, surgical ................................. 11.61 NA NA 5.68 6.95 1.69 NA NA 18.98 20.2509032659 ......... ............ A Thoracoscopy, surgical ................................. 11.82 NA NA 6.01 7.11 1.62 NA NA 19.45 20.5509032660 ......... ............ A Thoracoscopy, surgical ................................. 17.65 NA NA 7.59 9.03 2.08 NA NA 27.32 28.7609032661 ......... ............ A Thoracoscopy, surgical ................................. 13.23 NA NA 6.30 7.43 1.92 NA NA 21.45 22.5809032662 ......... ............ A Thoracoscopy, surgical ................................. 17.00 NA NA 7.28 8.46 2.17 NA NA 26.45 27.6309032663 ......... ............ A Thoracoscopy, surgical ................................. 19.96 NA NA 8.99 10.34 2.72 NA NA 31.67 33.02 09032664 ......... ............ A Thoracoscopy, surgical ................................. 14.18 NA NA 6.48 7.36 2.32 NA NA 22.98 23.8609032665 ......... ............ A Thoracoscopy, surgical ................................. 17.37 NA NA 7.66 8.03 2.15 NA NA 27.18 27.5509032800 ......... ............ A Repair lung hernia ......................................... 15.56 NA NA 7.14 7.36 1.98 NA NA 24.68 24.90 09032810 ......... ............ A Close chest after drainage ............................ 14.80 NA NA 7.16 7.45 1.93 NA NA 23.89 24.1809032815 ......... ............ A Close bronchial fistula ................................... 37.94 NA NA 14.13 11.78 3.27 NA NA 55.3452.99 09032820 ......... ............ A Reconstruct injured chest .............................. 22.27 NA NA 11.58 12.05 2.52 NA NA 36.37 36.84 09032851 ......... ............ A Lung transplant, single .................................. 40.72 NA NA 21.07 26.07 5.56 NA NA 67.35 72.35 09032852 ......... ............ A Lung transplant with bypass ......................... 44.37 NA NA 24.10 30.97 6.00 NA NA 74.47 81.3409032853 ......... ............ A Lung transplant, double ................................. 49.89 NA NA 23.44 29.74 7.05 NA NA 80.38 86.68 09032854 ......... ............ A Lung transplant with bypass ......................... 53.60 NA NA 26.89 32.85 7.20 NA NA 87.69 93.6509032900 ......... ............ A Removal of rib(s) ........................................... 23.66 NA NA 9.89 9.91 2.93 NA NA 36.4836.50 09032905 ......... ............ A Revise & repair chest wall ............................ 23.13 NA NA 9.72 10.05 3.15 NA NA 36.00 36.3309032906 ......... ............ A Revise & repair chest wall ............................ 29.14 NA NA 11.47 11.94 3.97 NA NA 44.58 45.05 09032940 ......... ............ A Revision of lung ............................................. 21.18 NA NA 8.72 9.31 2.88 NA NA 32.7833.37 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00131 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37300 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal32960 ......... ............ A Therapeutic pneumothorax ........................... 1.84 1.65 1.72 0.70 0.60 0.16 3.65 3.72 2.70 2.60 00032997 ......... ............ A Total lung lavage ........................................... 5.99 NA NA 1.50 1.82 0.55 NA NA 8.04 8.36 00033010 ......... ............ A Drainage of heart sac .................................... 2.24 NA NA 1.05 0.85 0.14 NA NA 3.43 3.2300033011 ......... ............ A Repeat drainage of heart sac ....................... 2.24 NA NA 1.13 0.89 0.15 NA NA 3.52 3.28 00033015 ......... ............ A Incision of heart sac ...................................... 8.41 NA NA 5.15 5.01 0.65 NA NA 14.21 14.07 09033020 ......... ............ A Incision of heart sac ...................................... 14.84 NA NA 6.59 6.75 1.79 NA NA 23.22 23.38 09033025 ......... ............ A Incision of heart sac ...................................... 13.62 NA NA 6.04 6.29 1.80 NA NA 21.46 21.71 09033030 ......... ............ A Partial removal of heart sac .......................... 22.23 NA NA 9.35 9.50 2.83 NA NA 34.41 34.5609033031 ......... ............ A Partial removal of heart sac .......................... 25.27 NA NA 10.10 10.07 3.13 NA NA 38.50 38.47 09033050 ......... ............ A Removal of heart sac lesion ......................... 16.81 NA NA 7.70 7.82 2.14 NA NA 26.65 26.77 09033120 ......... ............ A Removal of heart lesion ................................ 27.29 NA NA 10.90 11.43 3.69 NA NA 41.88 42.41 09033130 ......... ............ A Removal of heart lesion ................................ 24.01 NA NA 9.50 9.98 3.00 NA NA 36.51 36.9909033140 ......... ............ A Heart revascularize (tmr) ............................... 22.72 NA NA 10.19 10.73 2.85 NA NA 35.76 36.30 09033141 ......... ............ A Heart tmr w/other procedure ......................... 4.83 NA NA 1.53 1.57 0.69 NA NA 7.05 7.09 ZZZ33200 ......... ............ A Insertion of heart pacemaker ........................ 14.69 NA NA 7.55 7.03 1.70 NA NA 23.94 23.42 09033201 ......... ............ A Insertion of heart pacemaker ........................ 12.08 NA NA 6.47 6.57 1.36 NA NA 19.91 20.01 09033206 ......... ............ A Insertion of heart pacemaker ........................ 7.27 NA NA 5.24 4.66 0.52 NA NA 13.03 12.45 09033207 ......... ............ A Insertion of heart pacemaker ........................ 9.03 NA NA 5.89 4.98 0.59 NA NA 15.51 14.60 09033208 ......... ............ A Insertion of heart pacemaker ........................ 8.12 NA NA 5.54 4.97 0.56 NA NA 14.22 13.65 09033210 ......... ............ A Insertion of heart electrode ........................... 3.30 NA NA 1.73 1.37 0.18 NA NA 5.21 4.85 00033211 ......... ............ A Insertion of heart electrode ........................... 3.39 NA NA 1.71 1.41 0.21 NA NA 5.31 5.01 00033212 ......... ............ A Insertion of pulse generator .......................... 5.51 NA NA 3.82 3.48 0.43 NA NA 9.76 9.42 09033213 ......... ............ A Insertion of pulse generator .......................... 6.36 NA NA 4.35 3.89 0.45 NA NA 11.16 10.70 09033214 ......... ............ A Upgrade of pacemaker system ..................... 7.74 NA NA 5.48 5.05 0.58 NA NA 13.80 13.37 09033215 ......... ............ A Reposition pacing-defib lead ......................... 4.87 NA NA 3.58 3.29 0.37 NA NA 8.82 8.53 09033216 ......... ............ A Insert lead pace-defib, one ........................... 5.77 NA NA 4.67 4.33 0.36 NA NA 10.80 10.46 09033217 ......... ............ A Insert lead pace-defib, dual ........................... 5.74 NA NA 4.58 4.33 0.39 NA NA 10.71 10.4609033218 ......... ............ A Repair lead pace-defib, one .......................... 5.93 NA NA 4.92 4.46 0.37 NA NA 11.22 10.76 09033220 ......... ............ A Repair lead pace-defib, dual ......................... 6.01 NA NA 4.99 4.46 0.37 NA NA 11.37 10.84 09033222 ......... ............ A Revise pocket, pacemaker ............................ 4.95 NA NA 4.40 4.33 0.42 NA NA 9.77 9.70 09033223 ......... ............ A Revise pocket, pacing-defib .......................... 6.45 NA NA 5.07 4.72 0.45 NA NA 11.97 11.62 09033224 ......... ............ A Insert pacing lead & connect ........................ 9.04 NA NA 5.15 4.30 0.54 NA NA 14.73 13.88 00033225 ......... ............ A L ventric pacing lead add-on ......................... 8.33 NA NA 4.55 3.58 0.45 NA NA 13.33 12.36 ZZZ33226 ......... ............ A Reposition l ventric lead ................................ 8.68 NA NA 4.97 4.12 0.59 NA NA 14.24 13.39 00033233 ......... ............ A Removal of pacemaker system ..................... 3.29 NA NA 3.35 3.30 0.22 NA NA 6.86 6.81 09033234 ......... ............ A Removal of pacemaker system ..................... 7.81 NA NA 5.63 5.10 0.56 NA NA 14.00 13.47 09033235 ......... ............ A Removal pacemaker electrode ..................... 9.85 NA NA 7.47 6.99 0.73 NA NA 18.05 17.57 09033236 ......... ............ A Remove electrode/thoracotomy .................... 12.58 NA NA 6.76 7.28 1.68 NA NA 21.02 21.54 09033237 ......... ............ A Remove electrode/thoracotomy .................... 13.69 NA NA 7.78 7.80 1.59 NA NA 23.06 23.08 09033238 ......... ............ A Remove electrode/thoracotomy .................... 15.20 NA NA 8.40 8.27 2.02 NA NA 25.62 25.49 09033240 ......... ............ A Insert pulse generator ................................... 7.59 NA NA 5.46 4.81 0.41 NA NA 13.46 12.81 09033241 ......... ............ A Remove pulse generator ............................... 3.24 NA NA 3.10 3.00 0.18 NA NA 6.52 6.42 09033243 ......... ............ A Remove eltrd/thoracotomy ............................ 23.36 NA NA 10.96 11.36 2.09 NA NA 36.41 36.8109033244 ......... ............ A Remove eltrd, transven ................................. 13.74 NA NA 9.73 9.12 0.99 NA NA 24.46 23.8509033245 ......... ............ A Insert epic eltrd pace-defib ............................ 16.81 NA NA 8.05 7.95 2.01 NA NA 26.87 26.77 09033246 ......... ............ A Insert epic eltrd/generator ............................. 23.11 NA NA 10.89 10.46 2.63 NA NA 36.63 36.20 09033249 ......... ............ A Eltrd/insert pace-defib ................................... 14.96 NA NA 10.55 8.92 0.77 NA NA 26.28 24.65 09033250 ......... ............ A Ablate heart dysrhythm focus ....................... 25.75 NA NA 10.24 10.85 3.18 NA NA 39.17 39.78 09033251 ......... ............ A Ablate heart dysrhythm focus ....................... 28.77 NA NA 11.25 11.58 3.59 NA NA 43.61 43.94 09033253 ......... ............ A Reconstruct atria ........................................... 31.33 NA NA 12.28 13.47 4.52 NA NA 48.13 49.32 09033261 ......... ............ A Ablate heart dysrhythm focus ....................... 28.77 NA NA 11.49 11.72 3.45 NA NA 43.71 43.94 09033282 ......... ............ A Implant pat-active ht record .......................... 4.66 NA NA 4.37 4.12 0.23 NA NA 9.26 9.01 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00132 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37301 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal33284 ......... ............ A Remove pat-active ht record ......................... 3.00 NA NA 3.46 3.52 0.14 NA NA 6.60 6.66 09033300 ......... ............ A Repair of heart wound ................................... 29.93 NA NA 11.69 9.87 2.65 NA NA 44.27 42.45 09033305 ......... ............ A Repair of heart wound ................................... 33.67 NA NA 12.81 11.18 3.12 NA NA 49.60 47.97 09033310 ......... ............ A Exploratory heart surgery .............................. 20.19 NA NA 8.93 9.44 2.58 NA NA 31.70 32.2109033315 ......... ............ A Exploratory heart surgery .............................. 26.01 NA NA 10.51 10.81 3.27 NA NA 39.79 40.09 09033320 ......... ............ A Repair major blood vessel(s) ........................ 18.42 NA NA 8.81 8.38 2.07 NA NA 29.30 28.87 09033321 ......... ............ A Repair major vessel ...................................... 20.67 NA NA 10.44 9.97 2.90 NA NA 34.01 33.54 09033322 ......... ............ A Repair major blood vessel(s) ........................ 24.26 NA NA 9.95 10.28 2.85 NA NA 37.06 37.39 09033330 ......... ............ A Insert major vessel graft ................................ 25.13 NA NA 9.94 10.20 2.81 NA NA 37.88 38.14 09033332 ......... ............ A Insert major vessel graft ................................ 24.42 NA NA 9.72 10.34 3.02 NA NA 37.16 37.78 09033335 ......... ............ A Insert major vessel graft ................................ 33.75 NA NA 13.13 13.31 4.27 NA NA 51.15 51.33 09033400 ......... ............ A Repair of aortic valve .................................... 39.23 NA NA 15.49 15.66 4.10 NA NA 58.8258.99 09033401 ......... ............ A Valvuloplasty, open ....................................... 24.33 NA NA 10.03 12.66 3.56 NA NA 37.9240.55 09033403 ......... ............ A Valvuloplasty, w/cp bypass ........................... 25.31 NA NA 10.70 13.43 3.54 NA NA 39.55 42.2809033404 ......... ............ A Prepare heart-aorta conduit .......................... 31.21 NA NA 12.40 14.04 4.32 NA NA 47.93 49.5709033405 ......... ............ A Replacement of aortic valve .......................... 39.97 NA NA 16.02 17.76 5.31 NA NA 61.30 63.0409033406 ......... ............ A Replacement of aortic valve .......................... 48.87 NA NA 18.67 19.05 5.43 NA NA 72.97 73.3509033410 ......... ............ A Replacement of aortic valve .......................... 38.69 NA NA 15.15 16.26 4.68 NA NA 58.52 59.6309033411 ......... ............ A Replacement of aortic valve .......................... 57.11 NA NA 21.08 19.36 5.46 NA NA 83.65 81.9309033412 ......... ............ A Replacement of aortic valve .......................... 43.71 NA NA 16.71 19.52 6.37 NA NA 66.79 69.6009033413 ......... ............ A Replacement of aortic valve .......................... 55.27 NA NA 20.25 20.72 6.51 NA NA 82.03 82.5009033414 ......... ............ A Repair of aortic valve .................................... 39.27 NA NA 16.30 14.70 4.56 NA NA 60.1358.53 09033415 ......... ............ A Revision, subvalvular tissue .......................... 29.70 NA NA 11.18 11.83 4.13 NA NA 45.01 45.66 09033416 ......... ............ A Revise ventricle muscle ................................ 36.39 NA NA 13.60 13.56 4.56 NA NA 54.55 54.51 09033417 ......... ............ A Repair of aortic valve .................................... 29.13 NA NA 12.30 13.31 4.09 NA NA 45.5246.53 09033420 ......... ............ A Revision of mitral valve ................................. 25.64 NA NA 8.74 9.38 1.81 NA NA 36.19 36.83 09033422 ......... ............ A Revision of mitral valve ................................. 29.57 NA NA 12.61 13.42 3.93 NA NA 46.11 46.92 09033425 ......... ............ A Repair of mitral valve .................................... 38.37 NA NA 14.13 13.35 4.06 NA NA 56.5655.78 09033426 ......... ............ A Repair of mitral valve .................................... 41.28 NA NA 16.14 16.92 5.01 NA NA 62.4363.21 09033427 ......... ............ A Repair of mitral valve .................................... 42.78 NA NA 16.52 18.70 6.07 NA NA 65.3767.55 09033430 ......... ............ A Replacement of mitral valve .......................... 49.81 NA NA 18.82 17.71 5.08 NA NA 73.71 72.6009033460 ......... ............ A Revision of tricuspid valve ............................ 27.97 NA NA 11.09 11.27 3.44 NA NA 42.50 42.68 09033463 ......... ............ A Valvuloplasty, tricuspid .................................. 42.57 NA NA 16.20 13.76 3.86 NA NA 62.6360.19 09033464 ......... ............ A Valvuloplasty, tricuspid .................................. 30.93 NA NA 12.84 13.38 4.14 NA NA 47.9148.45 09033465 ......... ............ A Replace tricuspid valve ................................. 33.58 NA NA 12.72 12.93 4.38 NA NA 50.68 50.89 09033468 ......... ............ A Revision of tricuspid valve ............................ 32.78 NA NA 15.74 14.20 4.06 NA NA 52.58 51.04 09033470 ......... ............ A Revision of pulmonary valve ......................... 21.24 NA NA 8.84 10.25 1.03 NA NA 31.11 32.52 09033471 ......... ............ A Valvotomy, pulmonary valve ......................... 22.79 NA NA 8.23 9.39 3.38 NA NA 34.40 35.56 09033472 ......... ............ A Revision of pulmonary valve ......................... 22.86 NA NA 7.07 10.69 3.54 NA NA 33.47 37.09 09033474 ......... ............ A Revision of pulmonary valve ......................... 25.85 NA NA 12.31 11.26 3.21 NA NA 41.37 40.3209033475 ......... ............ A Replacement, pulmonary valve ..................... 44.81 NA NA 16.89 15.78 4.92 NA NA 66.62 65.51 09033476 ......... ............ A Revision of heart chamber ............................ 26.37 NA NA 11.49 11.87 2.41 NA NA 40.27 40.6509033478 ......... ............ A Revision of heart chamber ............................ 27.34 NA NA 11.15 12.61 3.88 NA NA 42.37 43.8309033496 ......... ............ A Repair, prosth valve clot ............................... 29.67 NA NA 11.64 12.50 4.12 NA NA 45.43 46.29 09033500 ......... ............ A Repair heart vessel fistula ............................. 27.79 NA NA 11.18 11.41 3.86 NA NA 42.83 43.06 09033501 ......... ............ A Repair heart vessel fistula ............................. 19.39 NA NA 8.28 8.30 1.90 NA NA 29.57 29.59 09033502 ......... ............ A Coronary artery correction ............................ 21.65 NA NA 9.42 10.68 2.99 NA NA 34.06 35.3209033503 ......... ............ A Coronary artery graft ..................................... 22.21 NA NA 10.80 10.02 1.77 NA NA 34.7834.00 09033504 ......... ............ A Coronary artery graft ..................................... 25.26 NA NA 10.37 11.47 3.35 NA NA 38.9840.08 09033505 ......... ............ A Repair artery w/tunnel ................................... 38.33 NA NA 13.26 13.02 2.18 NA NA 53.77 53.53 09033506 ......... ............ A Repair artery, translocation ........................... 37.78 NA NA 16.92 15.18 4.65 NA NA 59.35 57.61 09033507 ......... ............ A Repair art, intramural .................................... 31.33 NA NA 11.93 13.24 4.05 NA NA 47.3148.62 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00133 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37302 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal33508 ......... ............ A Endoscopic vein harvest ............................... 0.31 NA NA 0.10 0.10 0.04 NA NA 0.45 0.45 ZZZ33510 ......... ............ A CABG, vein, single ........................................ 33.45 NA NA 14.10 15.81 4.40 NA NA 51.9553.66 09033511 ......... ............ A CABG, vein, two ............................................ 34.59 NA NA 14.66 16.51 4.55 NA NA 53.8055.65 09033512 ......... ............ A CABG, vein, three ......................................... 38.73 NA NA 15.96 17.23 4.66 NA NA 59.3560.62 09033513 ......... ............ A CABG, vein, four ........................................... 39.69 NA NA 16.45 17.49 4.87 NA NA 61.0162.05 09033514 ......... ............ A CABG, vein, five ............................................ 40.50 NA NA 16.68 17.75 4.76 NA NA 61.94 63.01 09033516 ......... ............ A Cabg, vein, six or more ................................. 41.96 NA NA 17.58 18.53 5.11 NA NA 64.65 65.60 09033517 ......... ............ A CABG, artery-vein, single .............................. 2.57 NA NA 0.80 0.83 0.39 NA NA 3.76 3.79 ZZZ33518 ......... ............ A CABG, artery-vein, two ................................. 4.84 NA NA 1.50 1.56 0.73 NA NA 7.07 7.13 ZZZ33519 ......... ............ A CABG, artery-vein, three ............................... 7.11 NA NA 2.20 2.30 1.04 NA NA 10.35 10.45ZZZ33521 ......... ............ A CABG, artery-vein, four ................................. 9.39 NA NA 2.93 3.04 1.37 NA NA 13.69 13.80ZZZ33522 ......... ............ A CABG, artery-vein, five ................................. 11.65 NA NA 3.60 3.77 1.77 NA NA 17.02 17.19 ZZZ33523 ......... ............ A Cabg, art-vein, six or more ........................... 13.93 NA NA 4.35 4.49 2.12 NA NA 20.40 20.54ZZZ33530 ......... ............ A Coronary artery, bypass/reop ........................ 5.85 NA NA 1.81 1.89 0.88 NA NA 8.54 8.62 ZZZ33533 ......... ............ A CABG, arterial, single .................................... 37.38 NA NA 15.18 16.18 4.55 NA NA 57.1158.11 09033534 ......... ............ A CABG, arterial, two ....................................... 38.81 NA NA 15.92 17.30 4.69 NA NA 59.4260.80 09033535 ......... ............ A CABG, arterial, three ..................................... 41.48 NA NA 16.88 17.86 5.01 NA NA 63.3764.35 09033536 ......... ............ A Cabg, arterial, four or more ........................... 40.79 NA NA 16.50 17.88 5.42 NA NA 62.71 64.09 09033542 ......... ............ A Removal of heart lesion ................................ 32.65 NA NA 12.79 12.97 4.37 NA NA 49.81 49.99 09033545 ......... ............ A Repair of heart damage ................................ 41.12 NA NA 15.63 15.66 5.19 NA NA 61.94 61.97 09033548 ......... ............ A Restore/remodel, ventricle ............................ 42.46 NA NA 16.72 18.69 5.51 NA NA 64.69 66.66 09033572 ......... ............ A Open coronary endarterectomy .................... 4.44 NA NA 1.36 1.43 0.65 NA NA 6.45 6.52 ZZZ33600 ......... ............ A Closure of valve ............................................ 30.11 NA NA 12.61 12.57 4.41 NA NA 47.13 47.09 09033602 ......... ............ A Closure of valve ............................................ 29.14 NA NA 13.58 12.76 3.81 NA NA 46.53 45.71 09033606 ......... ............ A Anastomosis/artery-aorta .............................. 31.33 NA NA 12.36 13.37 4.40 NA NA 48.09 49.10 09033608 ......... ............ A Repair anomaly w/conduit ............................. 31.68 NA NA 13.61 14.01 4.73 NA NA 50.02 50.4209033610 ......... ............ A Repair by enlargement .................................. 31.20 NA NA 11.17 13.02 4.55 NA NA 46.92 48.77 09033611 ......... ............ A Repair double ventricle ................................. 35.47 NA NA 12.05 13.64 4.36 NA NA 51.88 53.47 09033612 ......... ............ A Repair double ventricle ................................. 36.47 NA NA 13.15 14.68 5.28 NA NA 54.90 56.43 09033615 ......... ............ A Repair, modified fontan ................................. 35.72 NA NA 12.53 13.02 4.31 NA NA 52.56 53.05 09033617 ......... ............ A Repair single ventricle ................................... 38.92 NA NA 16.71 16.21 5.64 NA NA 61.2760.77 09033619 ......... ............ A Repair single ventricle ................................... 48.56 NA NA 18.62 20.30 6.44 NA NA 73.6275.30 09033641 ......... ............ A Repair heart septum defect ........................... 28.47 NA NA 10.55 9.84 3.22 NA NA 42.24 41.5309033645 ......... ............ A Revision of heart veins .................................. 27.94 NA NA 11.08 11.62 3.78 NA NA 42.80 43.34 09033647 ......... ............ A Repair heart septum defects ......................... 29.33 NA NA 12.54 13.49 3.31 NA NA 45.18 46.1309033660 ......... ............ A Repair of heart defects .................................. 31.73 NA NA 12.27 13.21 4.48 NA NA 48.48 49.42 09033665 ......... ............ A Repair of heart defects .................................. 34.75 NA NA 13.51 13.78 3.99 NA NA 52.25 52.52 09033670 ......... ............ A Repair of heart chambers ............................. 36.56 NA NA 13.08 13.18 4.64 NA NA 54.28 54.3809033681 ......... ............ A Repair heart septum defect ........................... 32.10 NA NA 13.46 14.41 4.44 NA NA 50.00 50.9509033684 ......... ............ A Repair heart septum defect ........................... 34.27 NA NA 20.80 15.45 3.38 NA NA 58.45 53.1009033688 ......... ............ A Repair heart septum defect ........................... 34.65 NA NA 9.78 10.32 4.72 NA NA 49.15 49.6909033690 ......... ............ A Reinforce pulmonary artery ........................... 20.16 NA NA 8.74 9.83 1.96 NA NA 30.86 31.95 09033692 ......... ............ A Repair of heart defects .................................. 31.34 NA NA 9.04 12.73 4.57 NA NA 44.95 48.64 09033694 ......... ............ A Repair of heart defects .................................. 35.47 NA NA 9.87 13.16 5.26 NA NA 50.60 53.89 09033697 ......... ............ A Repair of heart defects .................................. 37.47 NA NA 22.18 16.73 4.08 NA NA 63.73 58.28 09033702 ......... ............ A Repair of heart defects .................................. 27.07 NA NA 11.76 12.39 3.67 NA NA 42.50 43.13 09033710 ......... ............ A Repair of heart defects .................................. 30.24 NA NA 11.89 13.47 4.42 NA NA 46.55 48.13 09033720 ......... ............ A Repair of heart defect ................................... 27.09 NA NA 11.35 12.08 3.83 NA NA 42.27 43.00 09033722 ......... ............ A Repair of heart defect ................................... 29.01 NA NA 8.51 12.55 1.30 NA NA 38.82 42.86 09033730 ......... ............ A Repair heart-vein defect(s) ............................ 35.97 NA NA 13.47 13.99 5.01 NA NA 54.45 54.97 09033732 ......... ............ A Repair heart-vein defect ................................ 28.76 NA NA 14.99 13.81 3.67 NA NA 47.42 46.24 09033735 ......... ............ A Revision of heart chamber ............................ 22.00 NA NA 9.66 9.15 1.91 NA NA 33.57 33.06 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00134 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37303 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal33736 ......... ............ A Revision of heart chamber ............................ 24.12 NA NA 10.93 11.64 3.08 NA NA 38.13 38.8409033737 ......... ............ A Revision of heart chamber ............................ 22.30 NA NA 7.44 10.08 3.24 NA NA 32.98 35.6209033750 ......... ............ A Major vessel shunt ........................................ 22.02 NA NA 11.54 10.57 1.16 NA NA 34.7233.75 09033755 ......... ............ A Major vessel shunt ........................................ 22.40 NA NA 7.69 8.55 3.25 NA NA 33.34 34.20 09033762 ......... ............ A Major vessel shunt ........................................ 22.40 NA NA 7.03 9.39 3.13 NA NA 32.56 34.92 09033764 ......... ............ A Major vessel shunt & graft ............................ 22.40 NA NA 9.26 10.00 3.00 NA NA 34.66 35.4009033766 ......... ............ A Major vessel shunt ........................................ 23.37 NA NA 8.48 10.90 3.69 NA NA 35.54 37.96 09033767 ......... ............ A Major vessel shunt ........................................ 25.10 NA NA 9.53 11.20 3.81 NA NA 38.44 40.11 09033768 ......... ............ A Cavopulmonary shunting ............................... 8.00 NA NA 2.21 2.56 1.19 NA NA 11.40 11.75 ZZZ33770 ......... ............ A Repair great vessels defect .......................... 39.00 NA NA 11.10 13.82 5.72 NA NA 55.82 58.5409033771 ......... ............ A Repair great vessels defect .......................... 40.56 NA NA 11.05 12.08 5.66 NA NA 57.27 58.3009033774 ......... ............ A Repair great vessels defect .......................... 31.48 NA NA 12.58 14.17 4.80 NA NA 48.86 50.4509033775 ......... ............ A Repair great vessels defect .......................... 32.79 NA NA 9.94 13.76 4.98 NA NA 47.71 51.5309033776 ......... ............ A Repair great vessels defect .......................... 34.45 NA NA 13.53 15.27 5.07 NA NA 53.05 54.7909033777 ......... ............ A Repair great vessels defect .......................... 33.87 NA NA 9.74 14.18 5.47 NA NA 49.08 53.5209033778 ......... ............ A Repair great vessels defect .......................... 42.58 NA NA 15.44 16.57 6.18 NA NA 64.20 65.3309033779 ......... ............ A Repair great vessels defect .......................... 43.13 NA NA 11.88 14.53 2.91 NA NA 57.92 60.5709033780 ......... ............ A Repair great vessels defect .......................... 43.83 NA NA 12.19 17.40 3.67 NA NA 59.69 64.9009033781 ......... ............ A Repair great vessels defect .......................... 43.14 NA NA 15.46 13.89 5.95 NA NA 64.55 62.9809033786 ......... ............ A Repair arterial trunk ....................................... 41.70 NA NA 11.19 15.37 5.69 NA NA 58.58 62.76 09033788 ......... ............ A Revision of pulmonary artery ........................ 27.22 NA NA 9.71 11.41 4.02 NA NA 40.95 42.65 09033800 ......... ............ A Aortic suspension .......................................... 17.20 NA NA 7.45 7.96 2.45 NA NA 27.10 27.61 09033802 ......... ............ A Repair vessel defect ...................................... 18.20 NA NA 7.47 8.81 2.26 NA NA 27.93 29.27 09033803 ......... ............ A Repair vessel defect ...................................... 20.14 NA NA 6.30 8.92 3.19 NA NA 29.63 32.25 09033813 ......... ............ A Repair septal defect ...................................... 21.19 NA NA 9.15 10.49 3.12 NA NA 33.46 34.80 09033814 ......... ............ A Repair septal defect ...................................... 26.37 NA NA 10.67 12.18 3.84 NA NA 40.8842.39 09033820 ......... ............ A Revise major vessel ...................................... 16.59 NA NA 8.53 8.42 2.34 NA NA 27.46 27.35 09033822 ......... ............ A Revise major vessel ...................................... 17.61 NA NA 5.87 8.20 2.67 NA NA 26.15 28.48 09033824 ......... ............ A Revise major vessel ...................................... 20.06 NA NA 8.70 9.68 2.88 NA NA 31.64 32.62 09033840 ......... ............ A Remove aorta constriction ............................ 21.17 NA NA 9.06 10.01 2.15 NA NA 32.38 33.3309033845 ......... ............ A Remove aorta constriction ............................ 22.73 NA NA 9.76 10.98 3.21 NA NA 35.70 36.9209033851 ......... ............ A Remove aorta constriction ............................ 21.81 NA NA 9.30 10.36 3.17 NA NA 34.28 35.3409033852 ......... ............ A Repair septal defect ...................................... 24.24 NA NA 10.04 11.05 2.15 NA NA 36.4337.44 09033853 ......... ............ A Repair septal defect ...................................... 32.31 NA NA 13.28 14.47 4.47 NA NA 50.0651.25 09033860 ......... ............ A Ascending aortic graft ................................... 43.13 NA NA 16.08 16.40 5.74 NA NA 64.95 65.27 09033861 ......... ............ A Ascending aortic graft ................................... 43.88 NA NA 16.31 17.40 6.35 NA NA 66.54 67.63 09033863 ......... ............ A Ascending aortic graft ................................... 48.52 NA NA 17.87 18.52 6.57 NA NA 72.96 73.61 09033870 ......... ............ A Transverse aortic arch graft .......................... 45.87 NA NA 16.88 18.04 6.60 NA NA 69.35 70.51 09033875 ......... ............ A Thoracic aortic graft ...................................... 35.64 NA NA 13.37 13.94 4.88 NA NA 53.8954.46 09033877 ......... ............ A Thoracoabdominal graft ................................ 57.75 NA NA 18.74 16.96 5.92 NA NA 82.41 80.63 09033880 ......... ............ A Endovasc taa repr incl subcl ......................... 34.44 NA NA 11.00 12.88 2.74 NA NA 48.18 50.0609033881 ......... ............ A Endovasc taa repr w/o subcl ......................... 29.44 NA NA 9.71 11.42 2.32 NA NA 41.47 43.18 09033883 ......... ............ A Insert endovasc prosth, taa ........................... 20.95 NA NA 7.31 8.74 2.10 NA NA 30.36 31.7909033884 ......... ............ A Endovasc prosth, taa, add-on ....................... 8.20 NA NA 2.09 2.46 0.86 NA NA 11.15 11.52 ZZZ33886 ......... ............ A Endovasc prosth, delayed ............................. 17.95 NA NA 6.51 7.82 1.79 NA NA 26.25 27.56 09033889 ......... ............ A Artery transpose/endovas taa ....................... 15.92 NA NA 4.32 4.97 2.17 NA NA 22.41 23.06 00033891 ......... ............ A Car-car bp grft/endovas taa .......................... 20.00 NA NA 6.73 6.92 2.72 NA NA 29.45 29.64 00033910 ......... ............ A Remove lung artery emboli ........................... 29.56 NA NA 11.45 11.46 3.69 NA NA 44.70 44.7109033915 ......... ............ A Remove lung artery emboli ........................... 24.80 NA NA 10.57 9.89 1.44 NA NA 36.81 36.13 09033916 ......... ............ A Surgery of great vessel ................................. 28.26 NA NA 10.99 11.28 3.66 NA NA 42.91 43.20 09033917 ......... ............ A Repair pulmonary artery ................................ 25.10 NA NA 10.43 11.77 3.69 NA NA 39.22 40.56 09033920 ......... ............ A Repair pulmonary atresia .............................. 32.54 NA NA 11.37 13.24 4.37 NA NA 48.28 50.15 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00135 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37304 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal33922 ......... ............ A Transect pulmonary artery ............................ 24.05 NA NA 11.61 11.10 3.09 NA NA 38.75 38.2409033924 ......... ............ A Remove pulmonary shunt ............................. 5.49 NA NA 2.16 1.93 0.82 NA NA 8.47 8.24 ZZZ33925 ......... ............ A Rpr pul art unifocal w/o cpb .......................... 31.23 NA NA 10.03 13.53 4.60 NA NA 45.86 49.36 09033926 ......... ............ A Repr pul art, unifocal w/cpb .......................... 44.66 NA NA 14.31 16.88 6.20 NA NA 65.17 67.74 09033935 ......... ............ R Transplantation, heart/lung ............................ 61.56 NA NA 28.07 28.66 9.03 NA NA 98.66 99.25 09033945 ......... ............ R Transplantation of heart ................................ 50.14 NA NA 19.19 20.89 6.24 NA NA 75.57 77.27 09033960 ......... ............ A External circulation assist .............................. 19.33 NA NA 5.63 5.10 2.66 NA NA 27.62 27.09 00033961 ......... ............ A External circulation assist .............................. 10.91 NA NA 2.85 3.43 0.88 NA NA 14.64 15.22 ZZZ33967 ......... ............ A Insert ia percut device ................................... 4.84 NA NA 2.50 2.01 0.35 NA NA 7.69 7.2000033968 ......... ............ A Remove aortic assist device ......................... 0.64 NA NA 0.27 0.24 0.07 NA NA 0.98 0.95 00033970 ......... ............ A Aortic circulation assist .................................. 6.74 NA NA 2.59 2.37 0.82 NA NA 10.15 9.93 00033971 ......... ............ A Aortic circulation assist .................................. 11.89 NA NA 6.17 6.06 1.25 NA NA 19.31 19.20 09033973 ......... ............ A Insert balloon device ..................................... 9.75 NA NA 3.94 3.48 1.26 NA NA 14.95 14.49 00033974 ......... ............ A Remove intra-aortic balloon .......................... 14.89 NA NA 7.90 7.90 1.73 NA NA 24.52 24.52 09033975 ......... ............ A Implant ventricular device ............................. 20.97 NA NA 6.72 6.41 3.06 NA NA 30.75 30.44XXX33976 ......... ............ A Implant ventricular device ............................. 22.97 NA NA 7.98 7.67 3.25 NA NA 34.20 33.89XXX33977 ......... ............ A Remove ventricular device ............................ 19.99 NA NA 9.49 10.70 2.80 NA NA 32.28 33.4909033978 ......... ............ A Remove ventricular device ............................ 22.43 NA NA 10.66 11.50 3.30 NA NA 36.39 37.2309033979 ......... ............ A Insert intracorporeal device ........................... 45.93 NA NA 14.55 14.86 6.95 NA NA 67.43 67.74 XXX33980 ......... ............ A Remove intracorporeal device ...................... 64.76 NA NA 25.28 25.30 8.56 NA NA 98.60 98.62 09034001 ......... ............ A Removal of artery clot ................................... 17.74 NA NA 7.02 6.80 1.84 NA NA 26.60 26.38 09034051 ......... ............ A Removal of artery clot ................................... 16.85 NA NA 7.07 7.62 2.20 NA NA 26.12 26.67 09034101 ......... ............ A Removal of artery clot ................................... 10.81 NA NA 4.59 5.18 1.41 NA NA 16.81 17.40 09034111 ......... ............ A Removal of arm artery clot ............................ 10.81 NA NA 4.66 5.19 1.40 NA NA 16.87 17.4009034151 ......... ............ A Removal of artery clot ................................... 26.35 NA NA 9.02 10.08 3.55 NA NA 38.92 39.98 09034201 ......... ............ A Removal of artery clot ................................... 18.40 NA NA 6.72 5.75 1.45 NA NA 26.57 25.60 09034203 ......... ............ A Removal of leg artery clot ............................. 17.67 NA NA 6.85 7.77 2.35 NA NA 26.87 27.7909034401 ......... ............ A Removal of vein clot ...................................... 26.35 NA NA 9.79 10.47 3.09 NA NA 39.23 39.91 09034421 ......... ............ A Removal of vein clot ...................................... 13.25 NA NA 5.62 6.14 1.55 NA NA 20.42 20.94 09034451 ......... ............ A Removal of vein clot ...................................... 28.35 NA NA 10.09 11.13 3.83 NA NA 42.2743.31 09034471 ......... ............ A Removal of vein clot ...................................... 20.94 NA NA 7.58 5.89 1.18 NA NA 29.70 28.01 09034490 ......... ............ A Removal of vein clot ...................................... 10.79 NA NA 4.63 5.24 1.41 NA NA 16.83 17.44 09034501 ......... ............ A Repair valve, femoral vein ............................ 16.68 NA NA 7.16 8.17 2.34 NA NA 26.18 27.1909034502 ......... ............ A Reconstruct vena cava .................................. 27.80 NA NA 11.03 12.01 3.62 NA NA 42.45 43.43 09034510 ......... ............ A Transposition of vein valve ........................... 19.74 NA NA 7.19 8.88 2.32 NA NA 29.25 30.9409034520 ......... ............ A Cross-over vein graft ..................................... 18.99 NA NA 9.51 8.73 2.28 NA NA 30.78 30.00 09034530 ......... ............ A Leg vein fusion .............................................. 17.69 NA NA 8.10 8.50 1.73 NA NA 27.5227.92 09034800 ......... ............ A Endovas aaa repr w/sm tube ........................ 21.42 NA NA 7.73 8.83 2.45 NA NA 31.60 32.70 09034802 ......... ............ A Endovas aaa repr w/2-p part ........................ 23.67 NA NA 8.64 9.52 2.32 NA NA 34.63 35.51 09034803 ......... ............ A Endovas aaa repr w/3-p part ........................ 24.70 NA NA 8.62 9.84 2.00 NA NA 35.32 36.54 09034804 ......... ............ A Endovas aaa repr w/1-p part ........................ 23.67 NA NA 8.47 9.49 2.29 NA NA 34.43 35.45 09034805 ......... ............ A Endovas aaa repr w/long tube ...................... 22.55 NA NA 7.66 9.17 2.00 NA NA 32.21 33.72 09034808 ......... ............ A Endovas iliac a device addon ....................... 4.12 NA NA 1.16 1.32 0.59 NA NA 5.87 6.03 ZZZ34812 ......... ............ A Xpose for endoprosth, femorl ........................ 6.74 NA NA 1.79 2.13 1.18 NA NA 9.71 10.05 00034813 ......... ............ A Femoral endovas graft add-on ...................... 4.79 NA NA 1.25 1.49 0.67 NA NA 6.71 6.95 ZZZ34820 ......... ............ A Xpose for endoprosth, iliac ........................... 9.74 NA NA 2.56 3.07 1.50 NA NA 13.80 14.31 00034825 ......... ............ A Endovasc extend prosth, init ......................... 12.68 NA NA 5.43 5.98 1.28 NA NA 19.39 19.94 09034826 ......... ............ A Endovasc exten prosth, addIl ........................ 4.12 NA NA 1.21 1.33 0.44 NA NA 5.77 5.89 ZZZ34830 ......... ............ A Open aortic tube prosth repr ......................... 35.04 NA NA 11.14 13.08 4.54 NA NA 50.72 52.6609034831 ......... ............ A Open aortoiliac prosth repr ........................... 37.79 NA NA 12.55 11.96 4.88 NA NA 55.22 54.63 09034832 ......... ............ A Open aortofemor prosth repr ........................ 37.79 NA NA 12.04 14.01 4.84 NA NA 54.67 56.64 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00136 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37305 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal34833 ......... ............ A Xpose for endoprosth, iliac ........................... 11.98 NA NA 3.47 4.20 1.69 NA NA 17.14 17.8700034834 ......... ............ A Xpose, endoprosth, brachial ......................... 5.34 NA NA 1.70 2.08 0.76 NA NA 7.80 8.18 00034900 ......... ............ A Endovasc iliac repr w/graft ............................ 16.73 NA NA 6.61 7.35 1.99 NA NA 25.33 26.0709035001 ......... ............ A Repair defect of artery .................................. 20.63 NA NA 7.84 9.15 2.80 NA NA 31.27 32.58 09035002 ......... ............ A Repair artery rupture, neck ........................... 22.05 NA NA 8.09 9.31 2.99 NA NA 33.13 34.3509035005 ......... ............ A Repair defect of artery .................................. 19.11 NA NA 8.75 8.84 1.76 NA NA 29.62 29.71 09035011 ......... ............ A Repair defect of artery .................................. 18.46 NA NA 6.61 7.65 2.54 NA NA 27.61 28.65 09035013 ......... ............ A Repair artery rupture, arm ............................. 23.04 NA NA 8.23 9.33 3.09 NA NA 34.36 35.4609035021 ......... ............ A Repair defect of artery .................................. 22.03 NA NA 8.89 9.30 2.86 NA NA 33.78 34.19 09035022 ......... ............ A Repair artery rupture, chest .......................... 25.56 NA NA 9.66 9.83 3.16 NA NA 38.38 38.5509035045 ......... ............ A Repair defect of arm artery ........................... 17.91 NA NA 6.59 7.29 2.44 NA NA 26.94 27.6409035081 ......... ............ A Repair defect of artery .................................. 33.31 NA NA 10.82 11.32 4.00 NA NA 48.13 48.63 09035082 ......... ............ A Repair artery rupture, aorta ........................... 41.87 NA NA 13.45 14.86 5.42 NA NA 60.74 62.15 09035091 ......... ............ A Repair defect of artery .................................. 35.35 NA NA 10.80 12.90 5.12 NA NA 51.27 53.37 09035092 ......... ............ A Repair artery rupture, aorta ........................... 50.75 NA NA 15.57 17.15 6.38 NA NA 72.70 74.28 09035102 ......... ............ A Repair defect of artery .................................. 36.31 NA NA 11.47 12.16 4.47 NA NA 52.25 52.94 09035103 ......... ............ A Repair artery rupture, groin ........................... 43.43 NA NA 13.58 15.31 5.74 NA NA 62.75 64.48 09035111 ......... ............ A Repair defect of artery .................................. 26.11 NA NA 8.80 10.07 3.46 NA NA 38.37 39.64 09035112 ......... ............ A Repair artery rupture,spleen ......................... 32.38 NA NA 10.60 11.64 4.07 NA NA 47.05 48.0909035121 ......... ............ A Repair defect of artery .................................. 31.35 NA NA 10.75 11.99 4.29 NA NA 46.39 47.63 09035122 ......... ............ A Repair artery rupture, belly ........................... 37.70 NA NA 12.21 13.43 4.74 NA NA 54.65 55.87 09035131 ......... ............ A Repair defect of artery .................................. 26.23 NA NA 9.13 10.36 3.79 NA NA 39.15 40.38 09035132 ......... ............ A Repair artery rupture, groin ........................... 32.38 NA NA 10.56 11.95 4.29 NA NA 47.23 48.62 09035141 ......... ............ A Repair defect of artery .................................. 20.79 NA NA 7.41 8.56 2.89 NA NA 31.09 32.24 09035142 ......... ............ A Repair artery rupture, thigh ........................... 24.97 NA NA 8.77 9.99 3.35 NA NA 37.09 38.3109035151 ......... ............ A Repair defect of artery .................................. 23.55 NA NA 8.27 9.58 3.23 NA NA 35.05 36.36 09035152 ......... ............ A Repair artery rupture, knee ........................... 27.47 NA NA 9.47 10.92 3.60 NA NA 40.54 41.9909035180 ......... ............ A Repair blood vessel lesion ............................ 14.95 NA NA 6.66 6.89 1.00 NA NA 22.61 22.8409035182 ......... ............ A Repair blood vessel lesion ............................ 31.52 NA NA 11.86 12.59 4.35 NA NA 47.73 48.46 09035184 ......... ............ A Repair blood vessel lesion ............................ 18.67 NA NA 7.18 8.03 2.52 NA NA 28.37 29.2209035188 ......... ............ A Repair blood vessel lesion ............................ 14.98 NA NA 6.43 7.35 2.15 NA NA 23.56 24.4809035189 ......... ............ A Repair blood vessel lesion ............................ 29.79 NA NA 10.22 11.54 4.00 NA NA 44.01 45.33 09035190 ......... ............ A Repair blood vessel lesion ............................ 13.27 NA NA 5.54 6.25 1.79 NA NA 20.60 21.3109035201 ......... ............ A Repair blood vessel lesion ............................ 16.78 NA NA 6.59 7.66 2.33 NA NA 25.70 26.7709035206 ......... ............ A Repair blood vessel lesion ............................ 13.72 NA NA 5.49 6.30 1.86 NA NA 21.07 21.8809035207 ......... ............ A Repair blood vessel lesion ............................ 10.79 NA NA 6.44 7.14 1.48 NA NA 18.71 19.4109035211 ......... ............ A Repair blood vessel lesion ............................ 24.44 NA NA 10.23 10.54 3.19 NA NA 37.86 38.17 09035216 ......... ............ A Repair blood vessel lesion ............................ 36.43 NA NA 13.50 10.13 2.64 NA NA 52.57 49.20 09035221 ......... ............ A Repair blood vessel lesion ............................ 26.50 NA NA 8.67 9.64 3.36 NA NA 38.53 39.5009035226 ......... ............ A Repair blood vessel lesion ............................ 15.18 NA NA 6.07 7.11 2.01 NA NA 23.26 24.3009035231 ......... ............ A Repair blood vessel lesion ............................ 21.04 NA NA 7.87 9.31 2.88 NA NA 31.79 33.2309035236 ......... ............ A Repair blood vessel lesion ............................ 17.90 NA NA 6.64 7.59 2.42 NA NA 26.96 27.9109035241 ......... ............ A Repair blood vessel lesion ............................ 25.44 NA NA 10.08 10.88 3.52 NA NA 39.04 39.84 09035246 ......... ............ A Repair blood vessel lesion ............................ 28.11 NA NA 12.33 11.67 3.85 NA NA 44.29 43.63 09035251 ......... ............ A Repair blood vessel lesion ............................ 31.79 NA NA 9.95 11.35 4.12 NA NA 45.86 47.2609035256 ......... ............ A Repair blood vessel lesion ............................ 18.94 NA NA 6.83 7.99 2.62 NA NA 28.39 29.5509035261 ......... ............ A Repair blood vessel lesion ............................ 18.84 NA NA 7.43 7.88 2.60 NA NA 28.87 29.3209035266 ......... ............ A Repair blood vessel lesion ............................ 15.71 NA NA 5.87 6.73 2.09 NA NA 23.67 24.5309035271 ......... ............ A Repair blood vessel lesion ............................ 24.44 NA NA 9.78 10.35 3.15 NA NA 37.37 37.9409035276 ......... ............ A Repair blood vessel lesion ............................ 25.66 NA NA 9.72 10.85 3.48 NA NA 38.86 39.9909035281 ......... ............ A Repair blood vessel lesion ............................ 29.87 NA NA 10.04 11.31 3.96 NA NA 43.87 45.14 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00137 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37306 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal35286 ......... ............ A Repair blood vessel lesion ............................ 17.00 NA NA 6.66 7.72 2.34 NA NA 26.00 27.0609035301 ......... ............ A Rechanneling of artery .................................. 19.49 NA NA 7.03 8.10 2.67 NA NA 29.19 30.26 09035311 ......... ............ A Rechanneling of artery .................................. 28.48 NA NA 9.84 11.29 3.41 NA NA 41.73 43.18 09035321 ......... ............ A Rechanneling of artery .................................. 16.47 NA NA 6.14 7.09 2.24 NA NA 24.85 25.80 09035331 ......... ............ A Rechanneling of artery .................................. 27.55 NA NA 9.29 10.77 3.82 NA NA 40.66 42.14 09035341 ......... ............ A Rechanneling of artery .................................. 26.03 NA NA 8.88 10.39 3.77 NA NA 38.68 40.19 09035351 ......... ............ A Rechanneling of artery .................................. 24.49 NA NA 8.14 9.25 3.34 NA NA 35.97 37.08 09035355 ......... ............ A Rechanneling of artery .................................. 19.74 NA NA 6.78 7.77 2.66 NA NA 29.18 30.17 09035361 ......... ............ A Rechanneling of artery .................................. 30.05 NA NA 10.02 11.30 4.14 NA NA 44.21 45.49 09035363 ......... ............ A Rechanneling of artery .................................. 32.16 NA NA 10.84 12.18 4.32 NA NA 47.32 48.66 09035371 ......... ............ A Rechanneling of artery .................................. 15.19 NA NA 5.75 6.67 2.13 NA NA 23.07 23.99 09035372 ......... ............ A Rechanneling of artery .................................. 18.46 NA NA 6.61 7.70 2.62 NA NA 27.69 28.78 09035381 ......... ............ A Rechanneling of artery .................................. 16.63 NA NA 6.57 7.52 2.25 NA NA 25.45 26.40 09035390 ......... ............ A Reoperation, carotid add-on .......................... 3.19 NA NA 0.88 1.02 0.46 NA NA 4.53 4.67 ZZZ35400 ......... ............ A Angioscopy .................................................... 3.00 NA NA 0.78 1.03 0.43 NA NA 4.214.46 ZZZ35450 ......... ............ A Repair arterial blockage ................................ 10.05 NA NA 3.33 3.51 1.25 NA NA 14.63 14.81 00035452 ......... ............ A Repair arterial blockage ................................ 6.90 NA NA 2.18 2.50 0.94 NA NA 10.02 10.3400035454 ......... ............ A Repair arterial blockage ................................ 6.03 NA NA 1.88 2.21 0.87 NA NA 8.78 9.11 00035456 ......... ............ A Repair arterial blockage ................................ 7.34 NA NA 2.36 2.67 1.04 NA NA 10.74 11.0500035458 ......... ............ A Repair arterial blockage ................................ 9.48 NA NA 2.97 3.35 1.26 NA NA 13.71 14.0900035459 ......... ............ A Repair arterial blockage ................................ 8.62 NA NA 2.59 3.03 1.21 NA NA 12.42 12.8600035460 ......... ............ A Repair venous blockage ................................ 6.03 NA NA 1.81 2.16 0.83 NA NA 8.67 9.02 00035470 ......... ............ A Repair arterial blockage ................................ 8.62 63.65 82.75 3.64 3.43 0.69 72.96 92.0612.95 12.74 00035471 ......... ............ A Repair arterial blockage ................................ 10.05 68.40 92.51 4.87 4.19 0.67 79.12 103.2 15.59 14.91 00035472 ......... ............ A Repair arterial blockage ................................ 6.90 49.41 60.76 2.91 2.79 0.58 56.89 68.2410.39 10.27 00035473 ......... ............ A Repair arterial blockage ................................ 6.03 48.33 57.09 2.62 2.48 0.51 54.87 63.639.16 9.02 00035474 ......... ............ A Repair arterial blockage ................................ 7.35 62.75 81.67 3.14 2.96 0.57 70.67 89.5911.06 10.88 00035475 ......... ............ R Repair arterial blockage ................................ 9.48 50.48 54.82 3.56 3.57 0.62 60.58 64.9213.66 13.67 00035476 ......... ............ A Repair venous blockage ................................ 6.03 38.73 43.33 2.28 2.34 0.34 45.10 49.70 8.65 8.71 00035480 ......... ............ A Atherectomy, open ........................................ 11.06 NA NA 4.03 4.05 1.28 NA NA 16.37 16.39 00035481 ......... ............ A Atherectomy, open ........................................ 7.60 NA NA 2.54 2.80 1.13 NA NA 11.27 11.53 00035482 ......... ............ A Atherectomy, open ........................................ 6.64 NA NA 2.17 2.47 0.89 NA NA 9.70 10.0000035483 ......... ............ A Atherectomy, open ........................................ 8.09 NA NA 2.84 2.98 1.15 NA NA 12.08 12.22 00035484 ......... ............ A Atherectomy, open ........................................ 10.42 NA NA 3.10 3.61 1.27 NA NA 14.79 15.30 00035485 ......... ............ A Atherectomy, open ........................................ 9.48 NA NA 3.08 3.43 1.35 NA NA 13.91 14.26 00035490 ......... ............ A Atherectomy, percutaneous .......................... 11.06 NA NA 6.42 5.14 0.71 NA NA 18.19 16.91 00035491 ......... ............ A Atherectomy, percutaneous .......................... 7.60 NA NA 3.98 3.47 0.74 NA NA 12.32 11.81 00035492 ......... ............ A Atherectomy, percutaneous .......................... 6.64 NA NA 3.73 3.33 0.43 NA NA 10.80 10.40 00035493 ......... ............ A Atherectomy, percutaneous .......................... 8.09 NA NA 4.29 3.93 0.56 NA NA 12.94 12.58 00035494 ......... ............ A Atherectomy, percutaneous .......................... 10.42 NA NA 5.43 4.71 0.59 NA NA 16.44 15.72 00035495 ......... ............ A Atherectomy, percutaneous .......................... 9.48 NA NA 4.79 4.50 0.69 NA NA 14.96 14.67 00035500 ......... ............ A Harvest vein for bypass ................................ 6.44 NA NA 1.74 1.96 0.93 NA NA 9.11 9.33 ZZZ35501 ......... ............ A Artery bypass graft ........................................ 19.70 NA NA 7.54 8.25 2.80 NA NA 30.04 30.75 09035506 ......... ............ A Artery bypass graft ........................................ 25.19 NA NA 9.06 9.38 2.86 NA NA 37.11 37.43 09035507 ......... ............ A Artery bypass graft ........................................ 20.60 NA NA 7.83 9.05 2.84 NA NA 31.27 32.49 09035508 ......... ............ A Artery bypass graft ........................................ 25.95 NA NA 9.84 9.56 2.77 NA NA 38.56 38.28 09035509 ......... ............ A Artery bypass graft ........................................ 18.94 NA NA 7.06 8.36 2.61 NA NA 28.61 29.91 09035510 ......... ............ A Artery bypass graft ........................................ 24.25 NA NA 7.98 9.65 2.11 NA NA 34.34 36.01 09035511 ......... ............ A Artery bypass graft ........................................ 22.08 NA NA 7.57 8.93 2.90 NA NA 32.55 33.91 09035512 ......... ............ A Artery bypass graft ........................................ 23.75 NA NA 7.83 9.48 2.11 NA NA 33.69 35.34 09035515 ......... ............ A Artery bypass graft ........................................ 25.95 NA NA 9.26 9.30 2.77 NA NA 37.98 38.02 09035516 ......... ............ A Artery bypass graft ........................................ 24.07 NA NA 8.46 7.23 2.33 NA NA 34.86 33.63 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00138 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37307 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal35518 ......... ............ A Artery bypass graft ........................................ 22.53 NA NA 7.70 8.68 3.02 NA NA 33.25 34.23 09035521 ......... ............ A Artery bypass graft ........................................ 23.94 NA NA 8.36 9.49 3.12 NA NA 35.42 36.55 09035522 ......... ............ A Artery bypass graft ........................................ 23.01 NA NA 7.69 9.26 2.11 NA NA 32.81 34.38 09035525 ......... ............ A Artery bypass graft ........................................ 21.55 NA NA 7.36 8.89 2.11 NA NA 31.02 32.55 09035526 ......... ............ A Artery bypass graft ........................................ 31.43 NA NA 18.64 14.07 3.62 NA NA 53.6949.12 09035531 ......... ............ A Artery bypass graft ........................................ 38.92 NA NA 12.26 13.95 5.16 NA NA 56.3458.03 09035533 ......... ............ A Artery bypass graft ........................................ 29.73 NA NA 10.16 11.35 3.84 NA NA 43.7344.92 09035536 ......... ............ A Artery bypass graft ........................................ 33.54 NA NA 11.17 12.53 4.61 NA NA 49.3250.68 09035541 ......... ............ A Artery bypass graft ........................................ 26.90 NA NA 9.38 10.77 3.70 NA NA 39.9841.37 09035546 ......... ............ A Artery bypass graft ........................................ 26.40 NA NA 9.20 10.47 3.69 NA NA 39.2940.56 09035548 ......... ............ A Artery bypass graft ........................................ 22.50 NA NA 8.14 9.12 2.97 NA NA 33.61 34.59 09035549 ......... ............ A Artery bypass graft ........................................ 24.27 NA NA 9.28 10.12 3.29 NA NA 36.8437.68 09035551 ......... ............ A Artery bypass graft ........................................ 27.65 NA NA 10.01 11.14 3.74 NA NA 41.4042.53 09035556 ......... ............ A Artery bypass graft ........................................ 26.56 NA NA 9.13 9.60 3.09 NA NA 38.78 39.25 09035558 ......... ............ A Artery bypass graft ........................................ 22.94 NA NA 8.33 9.26 2.99 NA NA 34.26 35.19 09035560 ......... ............ A Artery bypass graft ........................................ 33.84 NA NA 11.10 12.79 4.74 NA NA 49.6851.37 09035563 ......... ............ A Artery bypass graft ........................................ 25.93 NA NA 8.83 10.12 3.51 NA NA 38.2739.56 09035565 ......... ............ A Artery bypass graft ........................................ 24.94 NA NA 8.72 9.80 3.29 NA NA 36.95 38.03 09035566 ......... ............ A Artery bypass graft ........................................ 32.16 NA NA 10.55 11.20 3.82 NA NA 46.5347.18 09035571 ......... ............ A Artery bypass graft ........................................ 25.33 NA NA 9.02 10.41 3.42 NA NA 37.7739.16 09035572 ......... ............ A Harvest femoropopliteal vein ......................... 6.81 NA NA 1.90 2.16 0.99 NA NA 9.70 9.96 ZZZ35583 ......... ............ A Vein bypass graft .......................................... 27.56 NA NA 9.54 10.02 3.16 NA NA 40.2640.74 09035585 ......... ............ A Vein bypass graft .......................................... 32.16 NA NA 10.81 11.89 4.01 NA NA 46.9848.06 09035587 ......... ............ A Vein bypass graft .......................................... 26.02 NA NA 9.44 10.97 3.51 NA NA 38.9740.50 09035600 ......... ............ A Harvest artery for cabg ................................. 4.94 NA NA 1.56 1.61 0.73 NA NA 7.23 7.28 ZZZ35601 ......... ............ A Artery bypass graft ........................................ 18.31 NA NA 6.91 8.21 2.49 NA NA 27.71 29.01 09035606 ......... ............ A Artery bypass graft ........................................ 22.32 NA NA 8.25 8.84 2.69 NA NA 33.26 33.85 09035612 ......... ............ A Artery bypass graft ........................................ 16.64 NA NA 6.63 7.58 2.08 NA NA 25.35 26.30 09035616 ......... ............ A Artery bypass graft ........................................ 21.70 NA NA 7.75 8.03 2.19 NA NA 31.64 31.92 09035621 ......... ............ A Artery bypass graft ........................................ 20.91 NA NA 7.22 8.33 2.91 NA NA 31.04 32.15 09035623 ......... ............ A Bypass graft, not vein ................................... 25.73 NA NA 8.87 10.11 3.45 NA NA 38.05 39.29 09035626 ......... ............ A Artery bypass graft ........................................ 29.02 NA NA 10.55 11.64 4.07 NA NA 43.6444.73 09035631 ......... ............ A Artery bypass graft ........................................ 35.84 NA NA 11.44 13.26 4.95 NA NA 52.2354.05 09035636 ......... ............ A Artery bypass graft ........................................ 31.56 NA NA 10.19 11.80 4.09 NA NA 45.8447.45 09035641 ......... ............ A Artery bypass graft ........................................ 26.24 NA NA 9.44 10.68 3.53 NA NA 39.2140.45 09035642 ......... ............ A Artery bypass graft ........................................ 18.79 NA NA 7.91 8.51 2.27 NA NA 28.97 29.57 09035645 ......... ............ A Artery bypass graft ........................................ 18.28 NA NA 7.66 8.13 2.49 NA NA 28.43 28.90 09035646 ......... ............ A Artery bypass graft ........................................ 32.78 NA NA 11.10 12.63 4.43 NA NA 48.3149.84 09035647 ......... ............ A Artery bypass graft ........................................ 29.56 NA NA 10.01 11.35 3.98 NA NA 43.5544.89 09035650 ......... ............ A Artery bypass graft ........................................ 20.04 NA NA 7.05 8.05 2.71 NA NA 29.80 30.80 09035651 ......... ............ A Artery bypass graft ........................................ 25.90 NA NA 8.90 10.29 3.35 NA NA 38.1539.54 09035654 ......... ............ A Artery bypass graft ........................................ 26.11 NA NA 8.83 10.22 3.52 NA NA 38.4639.85 09035656 ......... ............ A Artery bypass graft ........................................ 20.35 NA NA 7.28 8.29 2.79 NA NA 30.42 31.43 09035661 ......... ............ A Artery bypass graft ........................................ 20.16 NA NA 7.56 8.60 2.71 NA NA 30.43 31.47 09035663 ......... ............ A Artery bypass graft ........................................ 23.74 NA NA 8.36 9.59 3.10 NA NA 35.20 36.43 09035665 ......... ............ A Artery bypass graft ........................................ 22.16 NA NA 7.87 9.07 3.00 NA NA 33.03 34.23 09035666 ......... ............ A Artery bypass graft ........................................ 23.47 NA NA 8.92 10.23 3.15 NA NA 35.5436.85 09035671 ......... ............ A Artery bypass graft ........................................ 20.58 NA NA 8.05 9.06 2.77 NA NA 31.40 32.41 09035681 ......... ............ A Composite bypass graft ................................ 1.60 NA NA 0.43 0.51 0.23 NA NA 2.26 2.34 ZZZ35682 ......... ............ A Composite bypass graft ................................ 7.19 NA NA 1.86 2.26 1.03 NA NA 10.08 10.48 ZZZ35683 ......... ............ A Composite bypass graft ................................ 8.49 NA NA 2.21 2.68 1.20 NA NA 11.90 12.37 ZZZ35685 ......... ............ A Bypass graft patency/patch ........................... 4.04 NA NA 1.05 1.28 0.58 NA NA 5.67 5.90 ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00139 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37308 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal35686 ......... ............ A Bypass graft/av fist patency .......................... 3.34 NA NA 0.87 1.07 0.47 NA NA 4.68 4.88 ZZZ35691 ......... ............ A Arterial transposition ...................................... 18.26 NA NA 6.61 7.97 2.58 NA NA 27.4528.81 09035693 ......... ............ A Arterial transposition ...................................... 15.58 NA NA 6.45 7.42 2.21 NA NA 24.2425.21 09035694 ......... ............ A Arterial transposition ...................................... 19.13 NA NA 6.86 8.18 2.69 NA NA 28.6830.00 09035695 ......... ............ A Arterial transposition ...................................... 19.91 NA NA 6.96 8.17 2.73 NA NA 29.6030.81 09035697 ......... ............ A Reimplant artery each ................................... 3.00 NA NA 0.80 0.97 0.41 NA NA 4.21 4.38 ZZZ35700 ......... ............ A Reoperation, bypass graft ............................. 3.08 NA NA 0.82 0.97 0.44 NA NA 4.34 4.49 ZZZ35701 ......... ............ A Exploration, carotid artery ............................. 9.07 NA NA 4.35 4.96 1.12 NA NA 14.54 15.1509035721 ......... ............ A Exploration, femoral artery ............................ 7.62 NA NA 3.84 4.29 1.03 NA NA 12.49 12.9409035741 ......... ............ A Exploration popliteal artery ............................ 8.57 NA NA 4.09 4.53 1.12 NA NA 13.78 14.2209035761 ......... ............ A Exploration of artery/vein .............................. 5.78 NA NA 3.57 3.91 0.75 NA NA 10.10 10.4409035800 ......... ............ A Explore neck vessels .................................... 7.94 NA NA 4.06 4.51 0.95 NA NA 12.95 13.4009035820 ......... ............ A Explore chest vessels ................................... 30.08 NA NA 11.49 8.29 1.94 NA NA 43.51 40.31 09035840 ......... ............ A Explore abdominal vessels ........................... 10.81 NA NA 4.91 5.20 1.34 NA NA 17.06 17.35 09035860 ......... ............ A Explore limb vessels ..................................... 6.66 NA NA 3.66 3.95 0.78 NA NA 11.10 11.39 09035870 ......... ............ A Repair vessel graft defect ............................. 24.31 NA NA 8.48 9.46 3.00 NA NA 35.79 36.7709035875 ......... ............ A Removal of clot in graft ................................. 10.60 NA NA 4.55 5.04 1.41 NA NA 16.56 17.05 09035876 ......... ............ A Removal of clot in graft ................................. 17.70 NA NA 6.37 7.24 2.39 NA NA 26.46 27.33 09035879 ......... ............ A Revise graft w/vein ........................................ 17.24 NA NA 6.34 7.37 2.27 NA NA 25.85 26.88 09035881 ......... ............ A Revise graft w/vein ........................................ 19.16 NA NA 7.00 8.27 2.55 NA NA 28.71 29.98 09035901 ......... ............ A Excision, graft, neck ...................................... 8.18 NA NA 4.41 5.09 1.15 NA NA 13.74 14.42 09035903 ......... ............ A Excision, graft, extremity ............................... 9.38 NA NA 5.27 5.95 1.30 NA NA 15.95 16.63 09035905 ......... ............ A Excision, graft, thorax .................................... 33.33 NA NA 11.04 12.68 4.43 NA NA 48.8050.44 09035907 ......... ............ A Excision, graft, abdomen ............................... 37.08 NA NA 11.75 13.59 4.91 NA NA 53.74 55.58 09036000 ......... ............ A Place needle in vein ...................................... 0.18 0.47 0.55 0.06 0.05 0.01 0.66 0.74 0.25 0.24 XXX36002 ......... ............ A Pseudoaneurysm injection trt ........................ 1.96 2.33 2.74 0.88 0.95 0.17 4.46 4.87 3.01 3.08 00036005 ......... ............ A Injection ext venography ............................... 0.95 8.80 7.95 0.39 0.33 0.05 9.80 8.95 1.391.33 00036010 ......... ............ A Place catheter in vein .................................... 2.43 11.57 17.41 0.79 0.79 0.20 14.20 20.04 3.42 3.42 XXX36011 ......... ............ A Place catheter in vein .................................... 3.14 20.19 25.97 1.01 1.05 0.27 23.60 29.38 4.42 4.46 XXX36012 ......... ............ A Place catheter in vein .................................... 3.51 21.19 19.55 1.29 1.22 0.23 24.93 23.29 5.03 4.96 XXX36013 ......... ............ A Place catheter in artery ................................. 2.52 19.63 20.97 0.98 0.76 0.25 22.40 23.74 3.75 3.53 XXX36014 ......... ............ A Place catheter in artery ................................. 3.02 19.93 20.12 1.12 1.05 0.19 23.14 23.33 4.33 4.26 XXX36015 ......... ............ A Place catheter in artery ................................. 3.51 18.70 22.47 1.00 1.14 0.21 22.42 26.19 4.72 4.86 XXX36100 ......... ............ A Establish access to artery ............................. 3.02 11.49 11.96 1.24 1.14 0.26 14.77 15.244.52 4.42 XXX36120 ......... ............ A Establish access to artery ............................. 2.01 9.57 10.44 0.61 0.64 0.14 11.72 12.59 2.76 2.79 XXX36140 ......... ............ A Establish access to artery ............................. 2.01 10.78 12.30 0.73 0.66 0.16 12.95 14.472.90 2.83 XXX36145 ......... ............ A Artery to vein shunt ....................................... 2.01 10.73 12.13 0.67 0.66 0.11 12.85 14.25 2.79 2.78 XXX36160 ......... ............ A Establish access to aorta .............................. 2.52 12.09 13.16 0.78 0.83 0.26 14.87 15.943.56 3.61 XXX36200 ......... ............ A Place catheter in aorta .................................. 3.02 14.20 15.97 1.06 1.02 0.24 17.46 19.23 4.32 4.28 XXX36215 ......... ............ A Place catheter in artery ................................. 4.67 26.82 27.04 1.93 1.69 0.27 31.76 31.98 6.87 6.63 XXX36216 ......... ............ A Place catheter in artery ................................. 5.27 29.00 29.12 2.12 1.88 0.31 34.58 34.70 7.70 7.46 XXX36217 ......... ............ A Place catheter in artery ................................. 6.29 47.85 53.66 2.46 2.25 0.44 54.58 60.39 9.19 8.98 XXX36218 ......... ............ A Place catheter in artery ................................. 1.01 3.91 4.80 0.39 0.35 0.07 4.99 5.88 1.47 1.43 ZZZ36245 ......... ............ A Place catheter in artery ................................. 4.67 29.77 31.58 2.18 1.81 0.31 34.75 36.56 7.16 6.79 XXX36246 ......... ............ A Place catheter in artery ................................. 5.27 28.57 29.68 2.07 1.89 0.38 34.22 35.33 7.72 7.54 XXX36247 ......... ............ A Place catheter in artery ................................. 6.29 47.04 49.00 2.47 2.23 0.47 53.80 55.76 9.23 8.99 XXX36248 ......... ............ A Place catheter in artery ................................. 1.01 3.31 3.87 0.39 0.35 0.07 4.39 4.95 1.47 1.43 ZZZ36260 ......... ............ A Insertion of infusion pump ............................. 9.76 NA NA 4.92 4.90 1.29 NA NA 15.97 15.9509036261 ......... ............ A Revision of infusion pump ............................. 5.50 NA NA 3.36 3.59 0.70 NA NA 9.56 9.79 09036262 ......... ............ A Removal of infusion pump ............................ 4.01 NA NA 2.74 2.76 0.54 NA NA 7.29 7.31 09036400 ......... ............ A Bl draw < 3 yrs fem/jugular ........................... 0.38 0.34 0.30 0.11 0.10 0.03 0.75 0.71 0.520.51 XXX36405 ......... ............ A Bl draw < 3 yrs scalp vein ............................ 0.31 0.28 0.27 0.08 0.08 0.03 0.62 0.61 0.420.42 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00140 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37309 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal36406 ......... ............ A Bl draw < 3 yrs other vein ............................. 0.18 0.30 0.29 0.08 0.06 0.01 0.49 0.48 0.270.25 XXX36410 ......... ............ A Non-routine bl draw > 3 yrs .......................... 0.18 0.32 0.30 0.05 0.05 0.01 0.51 0.49 0.24 0.24 XXX36420 ......... ............ A Vein access cutdown < 1 yr .......................... 1.01 0.20 0.31 0.20 0.25 0.07 1.28 1.39 1.28 1.33 XXX36425 ......... ............ A Vein access cutdown > 1 yr .......................... 0.76 NA NA 0.22 0.22 0.06 NA NA 1.04 1.04 XXX36430 ......... ............ A Blood transfusion service .............................. 0.00 0.94 0.99 NA NA 0.06 1.00 1.05 NA NA XXX36440 ......... ............ A Bl push transfuse, 2 yr or < .......................... 1.03 NA NA 0.44 0.33 0.10 NA NA 1.57 1.46 XXX36450 ......... ............ A Bl exchange/transfuse, nb ............................. 2.23 NA NA 0.79 0.73 0.21 NA NA 3.23 3.17 XXX36455 ......... ............ A Bl exchange/transfuse non-nb ...................... 2.43 NA NA 0.74 0.94 0.15 NA NA 3.32 3.52 XXX36460 ......... ............ A Transfusion service, fetal .............................. 6.58 NA NA 1.64 2.10 0.79 NA NA 9.01 9.47 XXX36470 ......... ............ A Injection therapy of vein ................................ 1.09 2.48 2.64 0.66 0.71 0.12 3.69 3.85 1.87 1.92 01036471 ......... ............ A Injection therapy of veins .............................. 1.57 2.62 2.97 0.81 0.92 0.19 4.38 4.73 2.57 2.68 01036475 ......... ............ A Endovenous rf, 1st vein ................................ 6.72 37.50 48.03 2.03 2.41 0.37 44.59 55.129.12 9.50 00036476 ......... ............ A Endovenous rf, vein add-on .......................... 3.38 6.18 7.47 0.92 1.09 0.18 9.74 11.03 4.48 4.65 ZZZ36478 ......... ............ A Endovenous laser, 1st vein ........................... 6.72 34.37 43.78 2.14 2.44 0.37 41.46 50.87 9.23 9.53 00036479 ......... ............ A Endovenous laser vein addon ....................... 3.38 6.67 7.68 1.04 1.12 0.18 10.23 11.24 4.60 4.68 ZZZ36481 ......... ............ A Insertion of catheter, vein .............................. 6.98 3.02 5.07 2.18 2.50 0.55 10.55 12.609.71 10.03 00036500 ......... ............ A Insertion of catheter, vein .............................. 3.51 NA NA 1.33 1.36 0.20 NA NA 5.04 5.0700036510 ......... ............ A Insertion of catheter, vein .............................. 1.09 1.08 3.20 0.30 0.53 0.10 2.27 4.39 1.49 1.72 00036511 ......... ............ A Apheresis wbc ............................................... 1.74 NA NA 0.57 0.69 0.08 NA NA 2.39 2.51 00036512 ......... ............ A Apheresis rbc ................................................ 1.74 NA NA 0.60 0.71 0.08 NA NA 2.42 2.53 00036513 ......... ............ A Apheresis platelets ........................................ 1.74 NA NA 0.50 0.67 0.17 NA NA 2.41 2.58 00036514 ......... ............ A Apheresis plasma .......................................... 1.74 10.47 15.38 0.52 0.66 0.08 12.29 17.20 2.34 2.48 00036515 ......... ............ A Apheresis, adsorp/reinfuse ............................ 1.74 45.04 61.13 0.50 0.62 0.08 46.86 62.95 2.32 2.44 00036516 ......... ............ A Apheresis, selective ...................................... 1.22 49.76 75.66 0.37 0.45 0.08 51.06 76.96 1.67 1.75 00036522 ......... ............ A Photopheresis ............................................... 1.67 35.01 33.10 0.85 0.93 0.13 36.81 34.90 2.65 2.73 00036550 ......... ............ A Office/outpatient visit, est .............................. 0.17 0.33 0.38 0.06 0.31 0.01 0.51 0.56 0.24 0.49 XXX36555 ......... ............ A Insert non-tunnel cv cath ............................... 2.68 4.17 5.37 0.61 0.75 0.11 6.96 8.16 3.40 3.54 00036556 ......... ............ A Insert non-tunnel cv cath ............................... 2.50 2.92 4.96 0.57 0.70 0.19 5.61 7.65 3.26 3.39 00036557 ......... ............ A Insert tunneled cv cath .................................. 5.09 15.41 19.75 2.48 2.62 0.57 21.07 25.41 8.14 8.28 01036558 ......... ............ A Insert tunneled cv cath .................................. 4.79 15.45 19.69 2.40 2.52 0.57 20.81 25.05 7.76 7.88 01036560 ......... ............ A Insert tunneled cv cath .................................. 6.24 21.33 27.65 2.55 2.92 0.57 28.14 34.46 9.36 9.73 01036561 ......... ............ A Insert tunneled cv cath .................................. 5.99 22.76 27.94 2.65 2.88 0.57 29.32 34.50 9.21 9.44 01036563 ......... ............ A Insert tunneled cv cath .................................. 6.19 23.31 25.94 2.61 2.90 0.84 30.34 32.97 9.64 9.93 01036565 ......... ............ A Insert tunneled cv cath .................................. 5.99 18.05 23.09 2.55 2.86 0.57 24.61 29.65 9.11 9.42 01036566 ......... ............ A Insert tunneled cv cath .................................. 6.49 115.6 48.08 2.69 3.01 0.57 122.7 55.14 9.75 10.07 01036568 ......... ............ A Insert picc cath .............................................. 1.92 5.86 7.13 0.58 0.58 0.11 7.89 9.16 2.61 2.61 00036569 ......... ............ A Insert picc cath .............................................. 1.82 4.68 6.69 0.67 0.60 0.19 6.69 8.70 2.68 2.61 00036570 ......... ............ A Insert picvad cath .......................................... 5.31 23.71 30.88 2.42 2.65 0.57 29.59 36.76 8.30 8.53 01036571 ......... ............ A Insert picvad cath .......................................... 5.29 25.38 31.35 2.46 2.66 0.57 31.24 37.21 8.32 8.52 01036575 ......... ............ A Repair tunneled cv cath ................................ 0.67 3.41 3.90 0.24 0.26 0.20 4.28 4.77 1.111.13 00036576 ......... ............ A Repair tunneled cv cath ................................ 3.19 5.98 6.72 1.57 1.78 0.19 9.36 10.10 4.95 5.16 01036578 ......... ............ A Replace tunneled cv cath .............................. 3.49 9.39 10.72 2.00 2.23 0.19 13.07 14.40 5.68 5.91 01036580 ......... ............ A Replace cvad cath ......................................... 1.31 4.11 6.25 0.43 0.42 0.19 5.61 7.75 1.93 1.92 00036581 ......... ............ A Replace tunneled cv cath .............................. 3.43 16.22 18.72 1.77 1.89 0.19 19.84 22.34 5.39 5.51 01036582 ......... ............ A Replace tunneled cv cath .............................. 5.19 21.14 24.85 2.36 2.74 0.19 26.52 30.23 7.74 8.12 01036583 ......... ............ A Replace tunneled cv cath .............................. 5.24 21.73 25.02 2.55 2.81 0.19 27.16 30.45 7.98 8.24 01036584 ......... ............ A Replace picc cath .......................................... 1.20 4.16 6.28 0.62 0.57 0.19 5.55 7.672.01 1.96 00036585 ......... ............ A Replace picvad cath ...................................... 4.79 23.48 26.80 2.42 2.66 0.19 28.46 31.78 7.40 7.64 01036589 ......... ............ A Removal tunneled cv cath ............................. 2.27 1.92 2.17 1.26 1.36 0.24 4.43 4.68 3.77 3.87 01036590 ......... ............ A Removal tunneled cv cath ............................. 3.30 3.68 3.46 1.60 1.69 0.44 7.42 7.20 5.34 5.43 01036595 ......... ............ A Mech remov tunneled cv cath ....................... 3.59 11.33 15.81 1.43 1.45 0.21 15.13 19.61 5.235.25 00036596 ......... ............ A Mech remov tunneled cv cath ....................... 0.75 2.70 3.45 0.45 0.49 0.05 3.50 4.25 1.25 1.290001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00141 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37310 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal36597 ......... ............ A Reposition venous catheter ........................... 1.21 2.12 2.34 0.45 0.44 0.07 3.40 3.62 1.73 1.72 00036598 ......... ............ T Inj w/fluor, eval cv device .............................. 0.74 2.33 2.57 0.28 2.06 0.05 3.12 3.36 1.07 2.85 00036600 ......... ............ A Withdrawal of arterial blood .......................... 0.32 0.49 0.49 0.07 0.09 0.02 0.83 0.83 0.410.43 XXX36620 ......... ............ A Insertion catheter, artery ............................... 1.15 NA NA 0.17 0.22 0.07 NA NA 1.39 1.4400036625 ......... ............ A Insertion catheter, artery ............................... 2.11 NA NA 0.49 0.52 0.26 NA NA 2.86 2.8900036640 ......... ............ A Insertion catheter, artery ............................... 2.10 NA NA 0.90 1.01 0.21 NA NA 3.21 3.3200036660 ......... ............ A Insertion catheter, artery ............................... 1.40 NA NA 0.19 0.38 0.14 NA NA 1.73 1.9200036680 ......... ............ A Insert needle, bone cavity ............................. 1.20 NA NA 0.32 0.45 0.11 NA NA 1.63 1.76 00036800 ......... ............ A Insertion of cannula ....................................... 2.43 NA NA 1.55 1.75 0.25 NA NA 4.23 4.43 00036810 ......... ............ A Insertion of cannula ....................................... 3.96 NA NA 1.37 1.60 0.45 NA NA 5.78 6.01 00036815 ......... ............ A Insertion of cannula ....................................... 2.62 NA NA 1.03 1.14 0.35 NA NA 4.00 4.11 00036818 ......... ............ A Av fuse, uppr arm, cephalic .......................... 11.77 NA NA 4.97 5.78 1.89 NA NA 18.63 19.44 09036819 ......... ............ A Av fuse, uppr arm, basilic ............................. 14.35 NA NA 5.34 6.13 1.95 NA NA 21.64 22.4309036820 ......... ............ A Av fusion/forearm vein .................................. 14.35 NA NA 5.40 6.15 1.94 NA NA 21.69 22.44 09036821 ......... ............ A Av fusion direct any site ................................ 9.10 NA NA 4.09 4.52 1.23 NA NA 14.42 14.85 09036822 ......... ............ A Insertion of cannula(s) ................................... 5.47 NA NA 3.85 4.26 0.79 NA NA 10.11 10.52 09036823 ......... ............ A Insertion of cannula(s) ................................... 22.74 NA NA 8.87 9.27 2.88 NA NA 34.49 34.89 09036825 ......... ............ A Artery-vein autograft ...................................... 9.95 NA NA 4.37 4.89 1.35 NA NA 15.67 16.19 09036830 ......... ............ A Artery-vein nonautograft ................................ 11.98 NA NA 4.31 5.02 1.66 NA NA 17.95 18.66 09036831 ......... ............ A Open thrombect av fistula ............................. 7.99 NA NA 3.38 3.81 1.09 NA NA 12.46 12.89 09036832 ......... ............ A Av fistula revision, open ................................ 10.48 NA NA 3.91 4.53 1.44 NA NA 15.83 16.45 09036833 ......... ............ A Av fistula revision .......................................... 11.93 NA NA 4.31 4.99 1.65 NA NA 17.8918.57 09036834 ......... ............ A Repair A-V aneurysm .................................... 11.07 NA NA 4.40 4.70 1.37 NA NA 16.84 17.1409036835 ......... ............ A Artery to vein shunt ....................................... 7.38 NA NA 3.93 4.23 0.98 NA NA 12.29 12.59 09036838 ......... ............ A Dist revas ligation, hemo ............................... 21.55 NA NA 7.32 8.89 3.01 NA NA 31.88 33.45 09036860 ......... ............ A External cannula declotting ........................... 2.01 3.36 2.18 0.61 0.66 0.11 5.48 4.30 2.732.78 00036861 ......... ............ A Cannula declotting ......................................... 2.52 NA NA 1.27 1.44 0.27 NA NA 4.06 4.23 00036870 ......... ............ A Percut thrombect av fistula ........................... 5.15 42.53 50.52 2.83 3.08 0.29 47.97 55.96 8.27 8.52 09037140 ......... ............ A Revision of circulation ................................... 25.04 NA NA 9.21 10.19 2.01 NA NA 36.26 37.24 09037145 ......... ............ A Revision of circulation ................................... 26.05 NA NA 8.94 10.40 3.25 NA NA 38.24 39.70 09037160 ......... ............ A Revision of circulation ................................... 23.05 NA NA 8.28 9.03 2.81 NA NA 34.14 34.89 09037180 ......... ............ A Revision of circulation ................................... 26.05 NA NA 8.97 9.98 3.34 NA NA 38.36 39.37 09037181 ......... ............ A Splice spleen/kidney veins ............................ 28.18 NA NA 9.33 10.61 3.40 NA NA 40.91 42.1909037182 ......... ............ A Insert hepatic shunt (tips) .............................. 16.97 NA NA 6.32 6.14 1.00 NA NA 24.29 24.11 00037183 ......... ............ A Remove hepatic shunt (tips) ......................... 7.99 NA NA 3.09 3.04 0.47 NA NA 11.55 11.50 00037184 ......... ............ A Prim art mech thrombectomy ........................ 8.66 51.62 66.83 3.22 3.33 0.55 60.83 76.04 12.4312.54 00037185 ......... ............ A Prim art m-thrombect add-on ........................ 3.28 16.78 21.41 1.10 1.11 0.21 20.27 24.90 4.594.60 ZZZ37186 ......... ............ A Sec art m-thrombect add-on ......................... 4.92 35.40 46.00 1.64 1.66 0.32 40.64 51.24 6.886.90 ZZZ37187 ......... ............ A Venous mech thrombectomy ........................ 8.03 50.43 65.39 3.01 3.12 0.51 58.97 73.93 11.55 11.66 00037188 ......... ............ A Venous m-thrombectomy add-on .................. 5.71 43.99 57.61 2.23 2.34 0.37 50.07 63.69 8.31 8.4200037200 ......... ............ A Transcatheter biopsy ..................................... 4.55 NA NA 1.65 1.54 0.27 NA NA 6.47 6.3600037201 ......... ............ A Transcatheter therapy infuse ........................ 4.99 NA NA 2.40 2.51 0.33 NA NA 7.72 7.83 00037202 ......... ............ A Transcatheter therapy infuse ........................ 5.67 NA NA 3.47 3.15 0.43 NA NA 9.57 9.25 00037203 ......... ............ A Transcatheter retrieval .................................. 5.02 31.47 32.60 2.10 2.06 0.29 36.78 37.91 7.41 7.37 00037204 ......... ............ A Transcatheter occlusion ................................ 18.11 NA NA 6.29 6.01 1.48 NA NA 25.88 25.6000037205 ......... ............ A Transcath iv stent, percut .............................. 8.27 NA NA 4.08 3.84 0.60 NA NA 12.95 12.7100037206 ......... ............ A Transcath iv stent/perc addl .......................... 4.12 NA NA 1.67 1.49 0.31 NA NA 6.10 5.92 ZZZ37207 ......... ............ A Transcath iv stent, open ................................ 8.27 NA NA 2.52 3.01 1.17 NA NA 11.96 12.4500037208 ......... ............ A Transcath iv stent/open addl ......................... 4.12 NA NA 1.10 1.31 0.59 NA NA 5.81 6.02 ZZZ37209 ......... ............ A Change iv cath at thromb tx .......................... 2.27 NA NA 0.80 0.76 0.15 NA NA 3.22 3.18 00037215 ......... ............ R Transcath stent, cca w/eps ........................... 19.54 NA NA 10.47 9.46 1.09 NA NA 31.10 30.0909037216 ......... ............ N Transcath stent, cca w/o eps ........................ 18.81 NA NA 9.14 8.92 1.04 NA NA 28.99 28.77 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00142 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37311 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal37250 ......... ............ A Iv us first vessel add-on ................................ 2.10 NA NA 0.83 0.77 0.21 NA NA 3.14 3.08ZZZ37251 ......... ............ A Iv us each add vessel add-on ....................... 1.60 NA NA 0.54 0.55 0.19 NA NA 2.33 2.34 ZZZ37500 ......... ............ A Endoscopy ligate perf veins .......................... 11.48 NA NA 5.54 6.54 1.54 NA NA 18.56 19.56 09037565 ......... ............ A Ligation of neck vein ..................................... 11.93 NA NA 5.11 5.51 1.33 NA NA 18.37 18.77 09037600 ......... ............ A Ligation of neck artery ................................... 12.30 NA NA 4.94 6.22 1.41 NA NA 18.65 19.93 09037605 ......... ............ A Ligation of neck artery ................................... 14.16 NA NA 5.69 6.61 1.98 NA NA 21.83 22.75 09037606 ......... ............ A Ligation of neck artery ................................... 8.65 NA NA 5.03 4.69 1.23 NA NA 14.91 14.57 09037607 ......... ............ A Ligation of a-v fistula ..................................... 6.15 NA NA 3.14 3.46 0.85 NA NA 10.14 10.46 09037609 ......... ............ A Temporal artery procedure ............................ 3.00 4.22 4.44 1.82 1.93 0.36 7.58 7.80 5.18 5.29 01037615 ......... ............ A Ligation of neck artery ................................... 7.67 NA NA 3.97 4.08 0.68 NA NA 12.32 12.43 09037616 ......... ............ A Ligation of chest artery .................................. 18.84 NA NA 8.00 8.08 2.32 NA NA 29.16 29.24 09037617 ......... ............ A Ligation of abdomen artery ........................... 23.67 NA NA 7.93 8.88 2.97 NA NA 34.57 35.52 09037618 ......... ............ A Ligation of extremity artery ............................ 5.89 NA NA 3.43 3.57 0.67 NA NA 9.99 10.1309037620 ......... ............ A Revision of major vein ................................... 11.44 NA NA 5.57 5.69 0.91 NA NA 17.92 18.04 09037650 ......... ............ A Revision of major vein ................................... 8.37 NA NA 4.29 4.59 1.01 NA NA 13.67 13.97 09037660 ......... ............ A Revision of major vein ................................... 22.16 NA NA 8.33 8.89 2.48 NA NA 32.97 33.53 09037700 ......... ............ A Revise leg vein .............................................. 3.72 NA NA 2.48 2.72 0.53 NA NA 6.73 6.97 09037718 ......... ............ A Ligate/strip short leg vein .............................. 7.01 NA NA 3.56 3.94 0.14 NA NA 10.71 11.09 09037722 ......... ............ A Ligate/strip long leg vein ............................... 8.04 NA NA 3.83 4.27 0.86 NA NA 12.73 13.17 09037735 ......... ............ A Removal of leg veins/lesion .......................... 10.75 NA NA 4.73 5.32 1.48 NA NA 16.96 17.55 09037760 ......... ............ A Ligation, leg veins, open ............................... 10.63 NA NA 4.60 5.17 1.44 NA NA 16.67 17.24 09037765 ......... ............ A Phleb veins - extrem - to 20 ......................... 7.59 NA NA 3.66 4.39 0.48 NA NA 11.73 12.46 09037766 ......... ............ A Phleb veins - extrem 20+ .............................. 9.54 NA NA 4.21 5.06 0.48 NA NA 14.23 15.08 09037780 ......... ............ A Revision of leg vein ....................................... 3.83 NA NA 2.53 2.78 0.53 NA NA 6.89 7.14 09037785 ......... ............ A Ligate/divide/excise vein ............................... 3.83 5.00 5.16 2.62 2.70 0.54 9.37 9.53 6.99 7.07 09037788 ......... ............ A Revascularization, penis ............................... 23.13 NA NA 12.17 9.88 2.25 NA NA 37.55 35.26 09037790 ......... ............ A Penile venous occlusion ................................ 8.33 NA NA 5.20 4.59 0.59 NA NA 14.12 13.5109038100 ......... ............ A Removal of spleen, total ............................... 19.43 NA NA 6.85 6.36 1.91 NA NA 28.19 27.7009038101 ......... ............ A Removal of spleen, partial ............................ 19.43 NA NA 7.33 6.74 2.04 NA NA 28.80 28.2109038102 ......... ............ A Removal of spleen, total ............................... 4.79 NA NA 1.25 1.54 0.63 NA NA 6.67 6.96 ZZZ38115 ......... ............ A Repair of ruptured spleen ............................. 21.76 NA NA 7.50 6.87 2.08 NA NA 31.34 30.7109038120 ......... ............ A Laparoscopy, splenectomy ............................ 16.97 NA NA 6.90 7.28 2.24 NA NA 26.11 26.49 09038200 ......... ............ A Injection for spleen x-ray ............................... 2.64 NA NA 1.03 0.93 0.14 NA NA 3.81 3.7100038205 ......... ............ R Harvest allogenic stem cells ......................... 1.50 NA NA 0.54 0.64 0.07 NA NA 2.11 2.21 00038206 ......... ............ R Harvest auto stem cells ................................. 1.50 NA NA 0.53 0.64 0.07 NA NA 2.10 2.21 00038220 ......... ............ A Bone marrow aspiration ................................ 1.08 2.69 3.47 0.44 0.50 0.05 3.82 4.60 1.571.63 XXX38221 ......... ............ A Bone marrow biopsy ..................................... 1.37 2.81 3.66 0.57 0.63 0.07 4.25 5.10 2.012.07 XXX38230 ......... ............ R Bone marrow collection ................................. 4.78 NA NA 2.73 3.11 0.48 NA NA 7.99 8.37 01038240 ......... ............ R Bone marrow/stem transplant ....................... 2.24 NA NA 0.94 1.01 0.11 NA NA 3.29 3.36 XXX38241 ......... ............ R Bone marrow/stem transplant ....................... 2.24 NA NA 0.93 1.01 0.11 NA NA 3.28 3.36 XXX38242 ......... ............ A Lymphocyte infuse transplant ....................... 1.71 NA NA 0.70 0.76 0.08 NA NA 2.49 2.55 00038300 ......... ............ A Drainage, lymph node lesion ........................ 2.24 3.74 4.17 1.81 2.00 0.25 6.23 6.66 4.30 4.49 01038305 ......... ............ A Drainage, lymph node lesion ........................ 6.49 NA NA 3.58 4.23 0.88 NA NA 10.95 11.60 09038308 ......... ............ A Incision of lymph channels ............................ 6.69 NA NA 3.56 3.70 0.85 NA NA 11.10 11.24 09038380 ......... ............ A Thoracic duct procedure ............................... 8.26 NA NA 4.63 5.43 0.74 NA NA 13.63 14.43 09038381 ......... ............ A Thoracic duct procedure ............................... 13.28 NA NA 6.16 6.72 1.84 NA NA 21.28 21.8409038382 ......... ............ A Thoracic duct procedure ............................... 10.42 NA NA 5.50 5.70 1.37 NA NA 17.29 17.4909038500 ......... ............ A Biopsy/removal, lymph nodes ....................... 3.74 3.75 3.71 2.02 2.07 0.49 7.98 7.94 6.25 6.3001038505 ......... ............ A Needle biopsy, lymph nodes ......................... 1.14 2.14 2.08 0.72 0.77 0.09 3.37 3.31 1.95 2.00 00038510 ......... ............ A Biopsy/removal, lymph nodes ....................... 6.67 5.16 5.46 2.92 3.35 0.72 12.55 12.85 10.31 10.74 01038520 ......... ............ A Biopsy/removal, lymph nodes ....................... 6.91 NA NA 3.68 3.97 0.84 NA NA 11.43 11.72 09038525 ......... ............ A Biopsy/removal, lymph nodes ....................... 6.31 NA NA 3.46 3.34 0.80 NA NA 10.57 10.45 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00143 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37312 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal38530 ......... ............ A Biopsy/removal, lymph nodes ....................... 8.22 NA NA 4.10 4.33 1.12 NA NA 13.44 13.67 09038542 ......... ............ A Explore deep node(s), neck .......................... 6.02 NA NA 3.69 4.29 0.60 NA NA 10.31 10.91 09038550 ......... ............ A Removal, neck/armpit lesion ......................... 6.91 NA NA 4.21 3.99 0.88 NA NA 12.00 11.78 09038555 ......... ............ A Removal, neck/armpit lesion ......................... 15.30 NA NA 7.18 8.21 1.75 NA NA 24.23 25.26 09038562 ......... ............ A Removal, pelvic lymph nodes ....................... 10.83 NA NA 5.74 5.78 1.20 NA NA 17.77 17.81 09038564 ......... ............ A Removal, abdomen lymph nodes ................. 11.23 NA NA 5.21 5.25 1.32 NA NA 17.76 17.80 09038570 ......... ............ A Laparoscopy, lymph node biop ..................... 9.24 NA NA 3.99 3.98 1.13 NA NA 14.36 14.35 01038571 ......... ............ A Laparoscopy, lymphadenectomy ................... 14.66 NA NA 7.03 6.00 1.15 NA NA 22.84 21.81 01038572 ......... ............ A Laparoscopy, lymphadenectomy ................... 16.82 NA NA 6.08 6.84 1.90 NA NA 24.80 25.56 01038700 ......... ............ A Removal of lymph nodes, neck ..................... 12.62 NA NA 5.93 6.17 0.72 NA NA 19.27 19.51 09038720 ......... ............ A Removal of lymph nodes, neck ..................... 21.64 NA NA 8.82 9.24 1.20 NA NA 31.66 32.08 09038724 ......... ............ A Removal of lymph nodes, neck ..................... 23.64 NA NA 9.38 9.74 1.28 NA NA 34.30 34.66 09038740 ......... ............ A Remove armpit lymph nodes ........................ 10.51 NA NA 4.96 4.95 1.32 NA NA 16.79 16.78 09038745 ......... ............ A Remove armpit lymph nodes ........................ 13.65 NA NA 5.99 6.07 1.73 NA NA 21.37 21.45 09038746 ......... ............ A Remove thoracic lymph nodes ...................... 4.88 NA NA 1.46 1.57 0.72 NA NA 7.06 7.17 ZZZ38747 ......... ............ A Remove abdominal lymph nodes .................. 4.88 NA NA 1.26 1.57 0.64 NA NA 6.78 7.09 ZZZ38760 ......... ............ A Remove groin lymph nodes .......................... 13.43 NA NA 5.89 6.08 1.71 NA NA 21.03 21.22 09038765 ......... ............ A Remove groin lymph nodes .......................... 21.72 NA NA 8.71 8.80 2.47 NA NA 32.90 32.99 09038770 ......... ............ A Remove pelvis lymph nodes ......................... 13.93 NA NA 6.96 6.06 1.40 NA NA 22.29 21.39 09038780 ......... ............ A Remove abdomen lymph nodes ................... 17.47 NA NA 7.92 8.15 1.88 NA NA 27.27 27.50 09038790 ......... ............ A Inject for lymphatic x-ray ............................... 1.29 5.25 6.84 0.75 0.76 0.13 6.67 8.26 2.17 2.18 00038792 ......... ............ A Identify sentinel node .................................... 0.52 NA NA 0.49 0.45 0.06 NA NA 1.07 1.0300038794 ......... ............ A Access thoracic lymph duct .......................... 4.44 NA NA 3.24 3.41 0.32 NA NA 8.00 8.17 09039000 ......... ............ A Exploration of chest ....................................... 7.45 NA NA 4.40 4.60 0.89 NA NA 12.74 12.94 09039010 ......... ............ A Exploration of chest ....................................... 13.07 NA NA 6.23 7.23 1.75 NA NA 21.05 22.05 09039200 ......... ............ A Removal chest lesion .................................... 15.02 NA NA 6.30 7.24 2.02 NA NA 23.34 24.28 09039220 ......... ............ A Removal chest lesion .................................... 18.42 NA NA 7.69 8.97 2.45 NA NA 28.56 29.84 09039400 ......... ............ A Visualization of chest .................................... 5.97 NA NA 3.65 4.56 0.82 NA NA 10.44 11.35 01039501 ......... ............ A Repair diaphragm laceration ......................... 13.83 NA 5.87 6.32 1.77 NA NA 21.47 21.92 09039502 ......... ............ A Repair paraesophageal hernia ...................... 17.03 NA NA 6.55 7.01 2.16 NA NA 25.74 26.20 09039503 ......... ............ A Repair of diaphragm hernia .......................... 108.57 NA NA 31.89 33.08 10.95 NA NA 151.4 152.6 09039520 ......... ............ A Repair of diaphragm hernia .......................... 16.56 NA NA 6.87 7.76 2.23 NA NA 25.66 26.55 09039530 ......... ............ A Repair of diaphragm hernia .......................... 16.17 NA NA 6.35 6.95 2.10 NA NA 24.62 25.22 09039531 ......... ............ A Repair of diaphragm hernia .......................... 17.18 NA NA 6.56 7.19 2.21 NA NA 25.95 26.58 09039540 ......... ............ A Repair of diaphragm hernia .......................... 14.47 NA NA 5.56 6.07 1.79 NA NA 21.82 22.33 09039541 ......... ............ A Repair of diaphragm hernia .......................... 15.62 NA NA 6.13 6.48 1.92 NA NA 23.67 24.02 09039545 ......... ............ A Revision of diaphragm .................................. 14.52 NA NA 7.28 7.49 1.83 NA NA 23.63 23.8409039560 ......... ............ A Resect diaphragm, simple ............................. 12.91 NA NA 5.55 6.11 1.59 NA NA 20.05 20.61 09039561 ......... ............ A Resect diaphragm, complex .......................... 19.69 NA NA 9.43 9.38 2.44 NA NA 31.56 31.51 09040490 ......... ............ A Biopsy of lip ................................................... 1.22 2.04 1.73 0.56 0.60 0.05 3.313.00 1.83 1.87 00040500 ......... ............ A Partial excision of lip ..................................... 4.27 7.63 7.09 4.16 4.30 0.38 12.28 11.74 8.81 8.95 09040510 ......... ............ A Partial excision of lip ..................................... 4.69 6.48 6.59 3.44 3.88 0.49 11.66 11.77 8.62 9.06 09040520 ......... ............ A Partial excision of lip ..................................... 4.66 6.74 7.36 3.64 4.00 0.52 11.92 12.54 8.82 9.18 09040525 ......... ............ A Reconstruct lip with flap ................................ 7.54 NA NA 5.14 6.03 0.85 NA NA 13.53 14.42 09040527 ......... ............ A Reconstruct lip with flap ................................ 9.12 NA NA 5.75 6.97 0.97 NA NA 15.84 17.06 09040530 ......... ............ A Partial removal of lip ..................................... 5.39 7.19 7.67 4.01 4.45 0.55 13.13 13.61 9.95 10.39 09040650 ......... ............ A Repair lip ....................................................... 3.63 5.86 6.57 3.09 3.25 0.38 9.8710.58 7.10 7.26 09040652 ......... ............ A Repair lip ....................................................... 4.25 6.94 7.56 3.92 4.18 0.52 11.71 12.33 8.69 8.95 09040654 ......... ............ A Repair lip ....................................................... 5.30 7.92 8.45 4.55 4.84 0.60 13.82 14.35 10.45 10.74 09040700 ......... ............ A Repair cleft lip/nasal ...................................... 13.89 NA NA 9.24 9.14 0.95 NA NA 24.0823.98 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00144 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37313 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal40701 ......... ............ A Repair cleft lip/nasal ...................................... 16.95 NA NA 10.87 11.24 1.65 NA NA 29.47 29.84 09040702 ......... ............ A Repair cleft lip/nasal ...................................... 14.01 NA NA 7.06 7.97 1.23 NA NA 22.3023.21 09040720 ......... ............ A Repair cleft lip/nasal ...................................... 14.46 NA NA 8.73 9.62 1.79 NA NA 24.9825.87 09040761 ......... ............ A Repair cleft lip/nasal ...................................... 15.63 NA NA 8.62 9.88 1.93 NA NA 26.1827.44 09040800 ......... ............ A Drainage of mouth lesion .............................. 1.17 3.84 3.19 1.87 1.80 0.13 5.14 4.49 3.173.10 01040801 ......... ............ A Drainage of mouth lesion .............................. 2.53 4.84 4.23 2.54 2.70 0.31 7.68 7.07 5.385.54 01040804 ......... ............ A Removal, foreign body, mouth ...................... 1.24 3.62 3.46 1.75 1.83 0.11 4.97 4.81 3.10 3.1801040805 ......... ............ A Removal, foreign body, mouth ...................... 2.69 5.04 4.63 2.55 2.75 0.32 8.05 7.64 5.56 5.7601040806 ......... ............ A Incision of lip fold .......................................... 0.31 2.38 1.98 0.50 0.50 0.04 2.73 2.33 0.85 0.85 00040808 ......... ............ A Biopsy of mouth lesion .................................. 0.96 3.51 2.87 1.57 1.50 0.10 4.57 3.93 2.63 2.56 01040810 ......... ............ A Excision of mouth lesion ............................... 1.31 3.55 3.06 1.65 1.66 0.13 4.99 4.50 3.093.10 01040812 ......... ............ A Excise/repair mouth lesion ............................ 2.31 4.50 3.92 2.25 2.37 0.28 7.09 6.51 4.844.96 01040814 ......... ............ A Excise/repair mouth lesion ............................ 3.41 5.61 5.12 3.63 3.83 0.41 9.43 8.94 7.457.65 09040816 ......... ............ A Excision of mouth lesion ............................... 3.66 5.77 5.33 3.67 3.93 0.40 9.83 9.39 7.737.99 09040818 ......... ............ A Excise oral mucosa for graft ......................... 2.66 5.73 5.32 3.67 3.90 0.21 8.60 8.19 6.54 6.77 09040819 ......... ............ A Excise lip or cheek fold ................................. 2.41 4.87 4.29 3.06 3.09 0.29 7.57 6.99 5.76 5.79 09040820 ......... ............ A Treatment of mouth lesion ............................ 1.28 5.11 4.23 2.82 2.54 0.11 6.50 5.62 4.21 3.93 01040830 ......... ............ A Repair mouth laceration ................................ 1.76 4.07 3.82 1.99 2.07 0.19 6.02 5.77 3.944.02 01040831 ......... ............ A Repair mouth laceration ................................ 2.46 5.30 4.83 2.71 2.97 0.30 8.06 7.59 5.475.73 01040840 ......... ............ R Reconstruction of mouth ............................... 8.97 9.90 9.83 5.46 6.61 1.08 19.95 19.88 15.51 16.66 09040842 ......... ............ R Reconstruction of mouth ............................... 8.97 9.68 9.99 5.29 6.42 1.08 19.73 20.04 15.34 16.47 09040843 ......... ............ R Reconstruction of mouth ............................... 12.56 11.83 11.94 6.07 7.39 1.39 25.78 25.8920.02 21.34 09040844 ......... ............ R Reconstruction of mouth ............................... 16.47 14.78 15.55 8.74 10.88 1.99 33.24 34.0127.20 29.34 09040845 ......... ............ R Reconstruction of mouth ............................... 19.03 14.86 16.55 9.31 12.27 2.00 35.89 37.5830.34 33.30 09041000 ......... ............ A Drainage of mouth lesion .............................. 1.30 2.48 2.36 1.28 1.38 0.12 3.90 3.78 2.702.80 01041005 ......... ............ A Drainage of mouth lesion .............................. 1.26 4.22 3.56 1.71 1.72 0.12 5.60 4.94 3.093.10 01041006 ......... ............ A Drainage of mouth lesion .............................. 3.24 5.27 4.92 2.71 3.06 0.35 8.86 8.51 6.306.65 09041007 ......... ............ A Drainage of mouth lesion .............................. 3.10 5.31 5.19 2.69 2.95 0.31 8.72 8.60 6.106.36 09041008 ......... ............ A Drainage of mouth lesion .............................. 3.36 5.39 4.87 2.77 3.10 0.42 9.17 8.65 6.556.88 09041009 ......... ............ A Drainage of mouth lesion .............................. 3.58 5.78 5.18 3.10 3.46 0.47 9.83 9.23 7.157.51 09041010 ......... ............ A Incision of tongue fold ................................... 1.06 3.49 3.45 1.40 1.55 0.07 4.62 4.58 2.53 2.68 01041015 ......... ............ A Drainage of mouth lesion .............................. 3.95 6.19 5.61 3.91 4.09 0.46 10.60 10.02 8.32 8.50 09041016 ......... ............ A Drainage of mouth lesion .............................. 4.06 6.12 5.75 3.99 4.17 0.53 10.71 10.34 8.58 8.76 09041017 ......... ............ A Drainage of mouth lesion .............................. 4.06 6.29 5.81 4.06 4.25 0.53 10.88 10.40 8.65 8.84 09041018 ......... ............ A Drainage of mouth lesion .............................. 5.09 6.51 6.24 4.29 4.51 0.68 12.28 12.01 10.06 10.28 09041100 ......... ............ A Biopsy of tongue ........................................... 1.37 2.58 2.47 1.12 1.35 0.15 4.10 3.992.64 2.87 01041105 ......... ............ A Biopsy of tongue ........................................... 1.42 2.54 2.37 1.12 1.27 0.13 4.09 3.922.67 2.82 01041108 ......... ............ A Biopsy of floor of mouth ................................ 1.05 2.38 2.16 1.01 1.10 0.10 3.53 3.31 2.16 2.25 01041110 ......... ............ A Excision of tongue lesion .............................. 1.51 3.43 3.10 1.52 1.61 0.13 5.07 4.74 3.163.25 01041112 ......... ............ A Excision of tongue lesion .............................. 2.73 5.07 4.63 3.11 3.20 0.28 8.08 7.64 6.126.21 09041113 ......... ............ A Excision of tongue lesion .............................. 3.19 5.36 4.90 3.28 3.43 0.34 8.89 8.43 6.816.96 09041114 ......... ............ A Excision of tongue lesion .............................. 8.64 NA NA 5.88 6.88 0.83 NA NA 15.35 16.3509041115 ......... ............ A Excision of tongue fold .................................. 1.74 4.26 3.54 1.74 1.83 0.18 6.18 5.46 3.66 3.75 01041116 ......... ............ A Excision of mouth lesion ............................... 2.44 5.28 4.59 2.63 2.77 0.23 7.95 7.26 5.305.44 09041120 ......... ............ A Partial removal of tongue .............................. 10.83 NA NA 13.77 14.96 0.79 NA NA 25.39 26.58 09041130 ......... ............ A Partial removal of tongue .............................. 15.43 NA NA 15.08 15.95 0.93 NA NA 31.44 32.31 09041135 ......... ............ A Tongue and neck surgery ............................. 29.71 NA NA 19.78 22.41 1.88 NA NA 51.37 54.0009041140 ......... ............ A Removal of tongue ........................................ 28.69 NA NA 21.51 25.44 2.26 NA NA 52.46 56.39 09041145 ......... ............ A Tongue removal, neck surgery ..................... 37.47 NA NA 26.58 29.62 2.54 NA NA 66.59 69.63 09041150 ......... ............ A Tongue, mouth, jaw surgery ......................... 29.40 NA NA 21.26 23.90 1.94 NA NA 52.60 55.24 09041153 ......... ............ A Tongue, mouth, neck surgery ....................... 33.16 NA NA 22.28 24.39 2.00 NA NA 57.44 59.55 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00145 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37314 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal41155 ......... ............ A Tongue, jaw, & neck surgery ........................ 39.84 NA NA 23.96 26.15 2.33 NA NA 66.13 68.32 09041250 ......... ............ A Repair tongue laceration ............................... 1.91 3.76 3.00 1.57 1.28 0.18 5.85 5.09 3.663.37 01041251 ......... ............ A Repair tongue laceration ............................... 2.27 3.12 3.24 1.62 1.57 0.22 5.61 5.73 4.114.06 01041252 ......... ............ A Repair tongue laceration ............................... 2.97 4.31 4.00 1.94 2.18 0.29 7.57 7.26 5.205.44 01041500 ......... ............ A Fixation of tongue .......................................... 3.70 NA NA 6.46 7.22 0.30 NA NA 10.46 11.22 09041510 ......... ............ A Tongue to lip surgery .................................... 3.41 NA NA 6.94 7.70 0.20 NA NA 10.55 11.31 09041520 ......... ............ A Reconstruction, tongue fold .......................... 2.73 5.71 4.90 3.19 3.52 0.27 8.71 7.90 6.19 6.52 09041800 ......... ............ A Drainage of gum lesion ................................. 1.17 4.75 3.14 2.09 1.48 0.12 6.04 4.43 3.382.77 01041805 ......... ............ A Removal foreign body, gum .......................... 1.24 4.73 3.19 2.75 2.35 0.13 6.10 4.56 4.12 3.72 01041806 ......... ............ A Removal foreign body,jawbone ..................... 2.69 5.89 4.17 3.37 3.12 0.37 8.95 7.23 6.43 6.1801041822 ......... ............ R Excision of gum lesion .................................. 2.31 4.67 4.09 1.78 1.86 0.31 7.29 6.71 4.40 4.48 01041823 ......... ............ R Excision of gum lesion .................................. 3.55 6.52 5.82 3.76 3.96 0.47 10.54 9.84 7.78 7.98 09041825 ......... ............ A Excision of gum lesion .................................. 1.31 3.61 3.21 1.42 2.04 0.15 5.07 4.67 2.88 3.50 01041826 ......... ............ A Excision of gum lesion .................................. 2.31 5.12 3.11 2.58 2.23 0.30 7.73 5.72 5.19 4.84 01041827 ......... ............ A Excision of gum lesion .................................. 3.66 6.61 5.80 3.35 3.59 0.35 10.62 9.81 7.36 7.60 09041828 ......... ............ R Excision of gum lesion .................................. 3.09 4.13 3.89 1.65 2.64 0.44 7.66 7.42 5.18 6.17 01041830 ......... ............ R Removal of gum tissue ................................. 3.34 6.05 5.24 3.14 3.51 0.44 9.83 9.02 6.927.29 01041872 ......... ............ R Repair gum .................................................... 2.84 5.80 5.22 3.19 3.40 0.30 8.94 8.36 6.33 6.54 09041874 ......... ............ R Repair tooth socket ....................................... 3.09 5.76 5.08 2.76 3.08 0.45 9.30 8.62 6.30 6.62 09042000 ......... ............ A Drainage mouth roof lesion ........................... 1.23 2.31 2.51 1.12 1.22 0.12 3.66 3.86 2.47 2.57 01042100 ......... ............ A Biopsy roof of mouth ..................................... 1.31 2.16 2.11 1.19 1.32 0.13 3.60 3.55 2.63 2.76 01042104 ......... ............ A Excision lesion, mouth roof ........................... 1.64 3.41 2.77 1.57 1.56 0.16 5.21 4.57 3.373.36 01042106 ......... ............ A Excision lesion, mouth roof ........................... 2.10 4.40 3.52 2.03 2.35 0.25 6.75 5.87 4.384.70 01042107 ......... ............ A Excision lesion, mouth roof ........................... 4.43 6.27 5.87 3.51 3.85 0.44 11.14 10.74 8.38 8.72 09042120 ......... ............ A Remove palate/lesion .................................... 11.62 NA NA 12.17 11.89 0.52 NA NA 24.31 24.03 09042140 ......... ............ A Excision of uvula ........................................... 1.62 4.18 3.84 1.90 2.05 0.13 5.93 5.593.65 3.80 09042145 ......... ............ A Repair palate, pharynx/uvula ........................ 9.57 NA NA 6.64 7.29 0.65 NA NA 16.86 17.51 09042160 ......... ............ A Treatment mouth roof lesion ......................... 1.80 3.59 4.09 1.58 2.12 0.17 5.56 6.06 3.55 4.09 01042180 ......... ............ A Repair palate ................................................. 2.50 3.19 3.11 1.75 2.02 0.21 5.90 5.82 4.46 4.73 01042182 ......... ............ A Repair palate ................................................. 3.82 3.95 3.90 2.32 2.86 0.40 8.17 8.12 6.54 7.08 01042200 ......... ............ A Reconstruct cleft palate ................................. 12.35 NA NA 7.99 9.68 1.27 NA NA 21.61 23.30 09042205 ......... ............ A Reconstruct cleft palate ................................. 13.51 NA NA 7.37 9.42 1.58 NA NA 22.46 24.51 09042210 ......... ............ A Reconstruct cleft palate ................................. 14.85 NA NA 9.59 11.02 2.16 NA NA 26.60 28.03 09042215 ......... ............ A Reconstruct cleft palate ................................. 8.81 NA NA 7.08 8.60 1.31 NA NA 17.20 18.72 09042220 ......... ............ A Reconstruct cleft palate ................................. 7.01 NA NA 6.72 6.78 0.73 NA NA 14.46 14.52 09042225 ......... ............ A Reconstruct cleft palate ................................. 9.59 NA NA 11.81 15.79 0.86 NA NA 22.26 26.24 09042226 ......... ............ A Lengthening of palate .................................... 10.17 NA NA 11.17 13.85 1.01 NA NA 22.35 25.03 09042227 ......... ............ A Lengthening of palate .................................... 9.75 NA NA 9.54 14.08 0.98 NA NA 20.27 24.81 09042235 ......... ............ A Repair palate ................................................. 7.86 NA NA 10.32 11.50 0.72 NA NA 18.90 20.08 09042260 ......... ............ A Repair nose to lip fistula ............................... 10.04 9.41 10.02 5.71 6.74 1.26 20.71 21.32 17.01 18.04 09042280 ......... ............ A Preparation, palate mold ............................... 1.54 2.26 2.04 0.84 1.07 0.19 3.99 3.77 2.572.80 01042281 ......... ............ A Insertion, palate prosthesis ........................... 1.93 2.79 2.68 1.53 1.79 0.17 4.89 4.78 3.633.89 01042300 ......... ............ A Drainage of salivary gland ............................ 1.93 2.89 2.85 1.58 1.76 0.16 4.98 4.94 3.673.85 01042305 ......... ............ A Drainage of salivary gland ............................ 6.18 NA NA 3.59 4.45 0.51 NA NA 10.28 11.14 09042310 ......... ............ A Drainage of salivary gland ............................ 1.56 2.16 2.24 1.30 1.48 0.13 3.85 3.93 2.993.17 01042320 ......... ............ A Drainage of salivary gland ............................ 2.35 3.51 3.34 1.74 2.01 0.21 6.07 5.90 4.304.57 01042330 ......... ............ A Removal of salivary stone ............................. 2.21 3.15 3.15 1.57 1.78 0.19 5.55 5.55 3.974.18 01042335 ......... ............ A Removal of salivary stone ............................. 3.31 5.38 5.03 2.62 3.02 0.29 8.98 8.63 6.226.62 09042340 ......... ............ A Removal of salivary stone ............................. 4.59 6.22 6.10 3.17 3.75 0.42 11.23 11.11 8.18 8.76 09042400 ......... ............ A Biopsy of salivary gland ................................ 0.78 1.91 1.72 0.60 0.69 0.06 2.75 2.56 1.44 1.53 00042405 ......... ............ A Biopsy of salivary gland ................................ 3.29 3.66 3.92 1.95 2.33 0.28 7.23 7.49 5.52 5.90 01042408 ......... ............ A Excision of salivary cyst ................................ 4.53 6.03 5.96 3.02 3.47 0.45 11.01 10.948.00 8.45 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00146 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37315 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal42409 ......... ............ A Drainage of salivary cyst ............................... 2.81 5.02 4.65 2.35 2.67 0.27 8.10 7.73 5.43 5.75 09042410 ......... ............ A Excise parotid gland/lesion ........................... 9.39 NA NA 4.81 5.88 0.91 NA NA 15.11 16.18 09042415 ......... ............ A Excise parotid gland/lesion ........................... 17.91 NA NA 7.53 10.05 1.43 NA NA 26.87 29.3909042420 ......... ............ A Excise parotid gland/lesion ........................... 20.79 NA NA 8.32 11.39 1.65 NA NA 30.76 33.8309042425 ......... ............ A Excise parotid gland/lesion ........................... 13.24 NA NA 5.92 7.95 1.05 NA NA 20.21 22.2409042426 ......... ............ A Excise parotid gland/lesion ........................... 22.46 NA NA 8.59 11.94 1.80 NA NA 32.85 36.2009042440 ......... ............ A Excise submaxillary gland ............................. 7.02 NA NA 3.40 4.45 0.59 NA NA 11.01 12.06 09042450 ......... ............ A Excise sublingual gland ................................. 4.61 5.81 5.89 3.61 4.10 0.42 10.84 10.92 8.64 9.13 09042500 ......... ............ A Repair salivary duct ....................................... 4.29 5.73 5.71 3.57 4.04 0.41 10.43 10.41 8.27 8.74 09042505 ......... ............ A Repair salivary duct ....................................... 6.17 6.66 7.02 4.26 5.10 0.55 13.38 13.74 10.98 11.82 09042507 ......... ............ A Parotid duct diversion .................................... 6.10 NA NA 5.82 6.37 0.49 NA NA 12.41 12.96 09042508 ......... ............ A Parotid duct diversion .................................... 9.15 NA NA 7.45 8.13 1.04 NA NA 17.64 18.32 09042509 ......... ............ A Parotid duct diversion .................................... 11.58 NA NA 8.61 9.82 0.93 NA NA 21.12 22.33 09042510 ......... ............ A Parotid duct diversion .................................... 8.20 NA NA 6.24 7.42 0.66 NA NA 15.10 16.28 09042550 ......... ............ A Injection for salivary x-ray ............................. 1.25 2.36 3.01 0.44 0.42 0.07 3.68 4.33 1.76 1.74 00042600 ......... ............ A Closure of salivary fistula .............................. 4.81 6.40 6.55 3.27 3.92 0.43 11.64 11.798.51 9.16 09042650 ......... ............ A Dilation of salivary duct ................................. 0.77 1.18 1.12 0.60 0.68 0.07 2.02 1.96 1.44 1.52 00042660 ......... ............ A Dilation of salivary duct ................................. 1.13 1.43 1.37 0.73 0.82 0.09 2.65 2.59 1.95 2.04 00042665 ......... ............ A Ligation of salivary duct ................................ 2.53 4.66 4.30 2.17 2.49 0.23 7.42 7.06 4.93 5.25 09042700 ......... ............ A Drainage of tonsil abscess ............................ 1.62 2.71 2.67 1.49 1.65 0.13 4.46 4.42 3.243.40 01042720 ......... ............ A Drainage of throat abscess ........................... 6.31 4.22 4.69 2.79 3.55 0.44 10.97 11.44 9.5410.30 01042725 ......... ............ A Drainage of throat abscess ........................... 12.22 NA NA 6.46 7.80 0.91 NA NA 19.59 20.93 09042800 ......... ............ A Biopsy of throat ............................................. 1.39 2.24 2.20 1.16 1.34 0.11 3.74 3.70 2.66 2.84 01042802 ......... ............ A Biopsy of throat ............................................. 1.54 3.79 4.53 1.50 1.93 0.12 5.45 6.19 3.16 3.59 01042804 ......... ............ A Biopsy of upper nose/throat .......................... 1.24 3.29 3.64 1.35 1.64 0.10 4.63 4.98 2.69 2.98 01042806 ......... ............ A Biopsy of upper nose/throat .......................... 1.58 3.51 3.94 1.45 1.82 0.13 5.22 5.65 3.16 3.53 01042808 ......... ............ A Excise pharynx lesion ................................... 2.30 2.93 3.06 1.42 1.81 0.19 5.42 5.55 3.91 4.30 01042809 ......... ............ A Remove pharynx foreign body ...................... 1.81 2.10 2.28 1.23 1.31 0.16 4.07 4.25 3.20 3.2801042810 ......... ............ A Excision of neck cyst ..................................... 3.25 5.67 5.72 3.36 3.50 0.29 9.21 9.26 6.90 7.04 09042815 ......... ............ A Excision of neck cyst ..................................... 7.18 NA NA 5.62 6.23 0.61 NA NA 13.41 14.02 09042820 ......... ............ A Remove tonsils and adenoids ....................... 4.15 NA NA 2.48 3.10 0.31 NA NA 6.94 7.56 09042821 ......... ............ A Remove tonsils and adenoids ....................... 4.28 NA NA 2.63 3.29 0.35 NA NA 7.26 7.92 09042825 ......... ............ A Removal of tonsils ......................................... 3.41 NA NA 2.38 2.98 0.25 NA NA 6.04 6.64 09042826 ......... ............ A Removal of tonsils ......................................... 3.37 NA NA 2.38 2.88 0.27 NA NA 6.02 6.52 09042830 ......... ............ A Removal of adenoids .................................... 2.57 NA NA 2.16 2.47 0.20 NA NA 4.93 5.24 09042831 ......... ............ A Removal of adenoids .................................... 2.71 NA NA 2.37 2.73 0.22 NA NA 5.30 5.66 09042835 ......... ............ A Removal of adenoids .................................... 2.30 NA NA 1.76 2.29 0.21 NA NA 4.27 4.80 09042836 ......... ............ A Removal of adenoids .................................... 3.18 NA NA 2.37 2.82 0.26 NA NA 5.81 6.26 09042842 ......... ............ A Extensive surgery of throat ........................... 11.94 NA NA 10.34 10.85 0.71 NA NA 22.99 23.50 09042844 ......... ............ A Extensive surgery of throat ........................... 17.49 NA NA 14.26 15.78 1.16 NA NA 32.91 34.43 09042845 ......... ............ A Extensive surgery of throat ........................... 32.27 NA NA 20.22 22.49 1.98 NA NA 54.47 56.74 09042860 ......... ............ A Excision of tonsil tags ................................... 2.22 NA NA 2.07 2.33 0.18 NA NA 4.47 4.7309042870 ......... ............ A Excision of lingual tonsil ................................ 5.39 NA NA 7.88 8.41 0.44 NA NA 13.71 14.24 09042890 ......... ............ A Partial removal of pharynx ............................ 18.84 NA NA 13.48 14.01 1.05 NA NA 33.37 33.90 09042892 ......... ............ A Revision of pharyngeal walls ........................ 25.67 NA NA 16.85 17.13 1.28 NA NA 43.80 44.0809042894 ......... ............ A Revision of pharyngeal walls ........................ 33.49 NA NA 20.21 21.61 1.86 NA NA 55.56 56.9609042900 ......... ............ A Repair throat wound ...................................... 5.24 NA NA 2.66 3.42 0.50 NA NA 8.40 9.1601042950 ......... ............ A Reconstruction of throat ................................ 8.09 NA NA 10.08 11.45 0.72 NA NA 18.89 20.26 09042953 ......... ............ A Repair throat, esophagus .............................. 9.25 NA NA 12.70 16.21 0.88 NA NA 22.83 26.3409042955 ......... ............ A Surgical opening of throat ............................. 7.86 NA NA 9.33 10.36 0.80 NA NA 17.99 19.0209042960 ......... ............ A Control throat bleeding .................................. 2.33 NA NA 1.57 1.87 0.19 NA NA 4.09 4.3901042961 ......... ............ A Control throat bleeding .................................. 5.64 NA NA 4.03 4.74 0.45 NA NA 10.12 10.83 09042962 ......... ............ A Control throat bleeding .................................. 7.25 NA NA 4.61 5.60 0.58 NA NA 12.44 13.43 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00147 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37316 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal42970 ......... ............ A Control nose/throat bleeding ......................... 5.72 NA NA 3.44 4.00 0.39 NA NA 9.55 10.11 09042971 ......... ............ A Control nose/throat bleeding ......................... 6.50 NA NA 4.01 4.85 0.51 NA NA 11.02 11.86 09042972 ......... ............ A Control nose/throat bleeding ......................... 7.49 NA NA 4.35 5.38 0.62 NA NA 12.46 13.49 09043020 ......... ............ A Incision of esophagus ................................... 8.08 NA NA 4.29 5.15 0.87 NA NA 13.24 14.1009043030 ......... ............ A Throat muscle surgery .................................. 7.86 NA NA 4.07 5.15 0.70 NA NA 12.63 13.7109043045 ......... ............ A Incision of esophagus ................................... 21.62 NA NA 10.14 10.58 2.58 NA NA 34.34 34.78 09043100 ......... ............ A Excision of esophagus lesion ........................ 9.48 NA NA 4.97 5.92 0.93 NA NA 15.38 16.33 09043101 ......... ............ A Excision of esophagus lesion ........................ 16.94 NA NA 7.23 7.73 2.31 NA NA 26.48 26.98 09043107 ......... ............ A Removal of esophagus ................................. 43.89 NA NA 16.66 17.90 5.22 NA NA 65.77 67.0109043108 ......... ............ A Removal of esophagus ................................. 63.23 NA NA 19.92 15.67 4.07 NA NA 87.22 82.9709043112 ......... ............ A Removal of esophagus ................................. 47.21 NA NA 17.22 18.87 5.79 NA NA 70.22 71.8709043113 ......... ............ A Removal of esophagus ................................. 46.95 NA NA 17.97 15.86 4.42 NA NA 69.34 67.2309043116 ......... ............ A Partial removal of esophagus ....................... 71.39 NA NA 21.91 18.03 3.05 NA NA 96.35 92.47 09043117 ......... ............ A Partial removal of esophagus ....................... 43.46 NA NA 15.41 16.84 5.17 NA NA 64.04 65.47 09043118 ......... ............ A Partial removal of esophagus ....................... 52.07 NA NA 16.85 14.58 4.10 NA NA 73.02 70.75 09043121 ......... ............ A Partial removal of esophagus ....................... 46.35 NA NA 16.28 14.35 3.90 NA NA 66.53 64.60 09043122 ......... ............ A Partial removal of esophagus ....................... 43.89 NA NA 15.66 17.00 5.40 NA NA 64.95 66.29 09043123 ......... ............ A Partial removal of esophagus ....................... 63.83 NA NA 20.07 15.62 4.15 NA NA 88.05 83.60 09043124 ......... ............ A Removal of esophagus ................................. 64.63 NA NA 21.43 15.20 3.73 NA NA 89.79 83.5609043130 ......... ............ A Removal of esophagus pouch ...................... 12.33 NA NA 5.82 7.14 1.16 NA NA 19.31 20.63 09043135 ......... ............ A Removal of esophagus pouch ...................... 22.37 NA NA 9.07 8.35 2.33 NA NA 33.77 33.05 09043200 ......... ............ A Esophagus endoscopy .................................. 1.59 3.55 3.99 0.91 1.03 0.13 5.27 5.71 2.63 2.75 00043201 ......... ............ A Esoph scope w/submucous inj ...................... 2.09 5.69 4.90 1.21 1.13 0.15 7.93 7.14 3.45 3.3700043202 ......... ............ A Esophagus endoscopy, biopsy ..................... 1.89 5.22 5.48 0.99 0.95 0.15 7.26 7.52 3.03 2.99 00043204 ......... ............ A Esoph scope w/sclerosis inj .......................... 3.76 NA NA 2.01 1.64 0.30 NA NA 6.07 5.70 00043205 ......... ............ A Esophagus endoscopy/ligation ...................... 3.78 NA NA 2.12 1.67 0.28 NA NA 6.18 5.73 00043215 ......... ............ A Esophagus endoscopy .................................. 2.60 NA NA 1.29 1.22 0.22 NA NA 4.11 4.04 00043216 ......... ............ A Esophagus endoscopy/lesion ........................ 2.40 NA NA 1.24 1.11 0.20 NA NA 3.84 3.71 00043217 ......... ............ A Esophagus endoscopy .................................. 2.90 6.72 6.91 1.43 1.25 0.26 9.88 10.07 4.594.41 00043219 ......... ............ A Esophagus endoscopy .................................. 2.80 NA NA 1.58 1.41 0.24 NA NA 4.62 4.45 00043220 ......... ............ A Esoph endoscopy, dilation ............................ 2.10 NA NA 1.15 1.02 0.17 NA NA 3.42 3.29 00043226 ......... ............ A Esoph endoscopy, dilation ............................ 2.34 NA NA 1.32 1.10 0.19 NA NA 3.85 3.63 00043227 ......... ............ A Esoph endoscopy, repair .............................. 3.59 NA NA 1.88 1.56 0.28 NA NA 5.75 5.43 00043228 ......... ............ A Esoph endoscopy, ablation ........................... 3.76 NA NA 1.90 1.64 0.34 NA NA 6.00 5.74 00043231 ......... ............ A Esoph endoscopy w/us exam ....................... 3.19 NA NA 1.79 1.43 0.23 NA NA 5.21 4.85 00043232 ......... ............ A Esoph endoscopy w/us fn bx ........................ 4.47 NA NA 2.44 1.98 0.34 NA NA 7.25 6.79 00043234 ......... ............ A Upper GI endoscopy, exam .......................... 2.01 5.07 5.27 1.03 0.91 0.17 7.25 7.45 3.21 3.0900043235 ......... ............ A Uppr gi endoscopy, diagnosis ....................... 2.39 5.42 5.24 1.40 1.12 0.19 8.00 7.82 3.98 3.70 00043236 ......... ............ A Uppr gi scope w/submuc inj .......................... 2.92 6.90 6.54 1.71 1.34 0.21 10.03 9.67 4.84 4.47 00043237 ......... ............ A Endoscopic us exam, esoph ......................... 3.98 NA NA 2.23 1.75 0.43 NA NA 6.64 6.16 00043238 ......... ............ A Uppr gi endoscopy w/us fn bx ...................... 5.02 NA NA 2.63 2.14 0.43 NA NA 8.08 7.59 00043239 ......... ............ A Upper GI endoscopy, biopsy ......................... 2.87 6.20 5.85 1.61 1.30 0.22 9.29 8.94 4.70 4.39 00043240 ......... ............ A Esoph endoscope w/drain cyst ..................... 6.85 NA NA 3.58 2.85 0.56 NA NA 10.99 10.26 00043241 ......... ............ A Upper GI endoscopy with tube ..................... 2.59 NA NA 1.46 1.19 0.21 NA NA 4.26 3.99 00043242 ......... ............ A Uppr gi endoscopy w/us fn bx ...................... 7.30 NA NA 3.81 3.01 0.53 NA NA 11.64 10.84 00043243 ......... ............ A Upper gi endoscopy & inject ......................... 4.56 NA NA 2.45 1.96 0.33 NA NA 7.34 6.85 00043244 ......... ............ A Upper GI endoscopy/ligation ......................... 5.04 NA NA 2.74 2.16 0.37 NA NA 8.15 7.57 00043245 ......... ............ A Uppr gi scope dilate strictr ............................ 3.18 NA NA 1.68 1.40 0.26 NA NA 5.12 4.84 00043246 ......... ............ A Place gastrostomy tube ................................. 4.32 NA NA 2.18 1.81 0.34 NA NA 6.84 6.47 00043247 ......... ............ A Operative upper GI endoscopy ..................... 3.38 NA NA 1.84 1.49 0.27 NA NA 5.49 5.14 00043248 ......... ............ A Uppr gi endoscopy/guide wire ....................... 3.15 NA NA 1.85 1.45 0.23 NA NA 5.23 4.83 00043249 ......... ............ A Esoph endoscopy, dilation ............................ 2.90 NA NA 1.68 1.33 0.22 NA NA 4.80 4.45 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00148 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37317 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal43250 ......... ............ A Upper GI endoscopy/tumor ........................... 3.20 NA NA 1.68 1.40 0.26 NA NA 5.14 4.86 00043251 ......... ............ A Operative upper GI endoscopy ..................... 3.69 NA NA 1.99 1.61 0.29 NA NA 5.97 5.59 00043255 ......... ............ A Operative upper GI endoscopy ..................... 4.81 NA NA 2.62 2.07 0.35 NA NA 7.78 7.23 00043256 ......... ............ A Uppr gi endoscopy w/stent ............................ 4.34 NA NA 2.33 1.87 0.32 NA NA 6.99 6.53 00043257 ......... ............ A Uppr gi scope w/thrml txmnt ......................... 5.50 NA NA 2.07 2.18 0.36 NA NA 7.93 8.04 00043258 ......... ............ A Operative upper GI endoscopy ..................... 4.54 NA NA 2.47 1.96 0.33 NA NA 7.34 6.83 00043259 ......... ............ A Endoscopic ultrasound exam ........................ 5.19 NA NA 2.78 2.20 0.35 NA NA 8.32 7.74 00043260 ......... ............ A Endo cholangiopancreatograph .................... 5.95 NA NA 3.18 2.51 0.43 NA NA 9.56 8.89 00043261 ......... ............ A Endo cholangiopancreatograph .................... 6.26 NA NA 3.34 2.64 0.46 NA NA 10.06 9.36 00043262 ......... ............ A Endo cholangiopancreatograph .................... 7.38 NA NA 3.87 3.06 0.54 NA NA 11.79 10.98 00043263 ......... ............ A Endo cholangiopancreatograph .................... 7.28 NA NA 3.88 3.05 0.54 NA NA 11.70 10.87 00043264 ......... ............ A Endo cholangiopancreatograph .................... 8.89 NA NA 4.62 3.65 0.65 NA NA 14.16 13.19 00043265 ......... ............ A Endo cholangiopancreatograph .................... 10.00 NA NA 5.14 4.06 0.73 NA NA 15.87 14.79 00043267 ......... ............ A Endo cholangiopancreatograph .................... 7.38 NA NA 3.77 3.04 0.54 NA NA 11.69 10.96 00043268 ......... ............ A Endo cholangiopancreatograph .................... 7.38 NA NA 4.04 3.18 0.54 NA NA 11.96 11.10 00043269 ......... ............ A Endo cholangiopancreatograph .................... 8.20 NA NA 4.27 3.38 0.60 NA NA 13.07 12.18 00043271 ......... ............ A Endo cholangiopancreatograph .................... 7.38 NA NA 3.88 3.06 0.54 NA NA 11.80 10.98 00043272 ......... ............ A Endo cholangiopancreatograph .................... 7.38 NA NA 3.96 3.08 0.54 NA NA 11.88 11.00 00043280 ......... ............ A Laparoscopy, fundoplasty ............................. 17.96 NA NA 6.64 7.13 2.27 NA NA 26.87 27.36 09043300 ......... ............ A Repair of esophagus ..................................... 9.13 NA NA 5.13 6.08 1.12 NA NA 15.38 16.3309043305 ......... ............ A Repair esophagus and fistula ....................... 17.90 NA NA 7.32 9.87 1.54 NA NA 26.76 29.31 09043310 ......... ............ A Repair of esophagus ..................................... 26.13 NA NA 10.16 10.86 3.60 NA NA 39.89 40.59 09043312 ......... ............ A Repair esophagus and fistula ....................... 29.22 NA NA 10.01 11.44 4.00 NA NA 43.23 44.66 09043313 ......... ............ A Esophagoplasty congenital ........................... 48.07 NA NA 17.09 18.42 5.45 NA NA 70.61 71.9409043314 ......... ............ A Tracheo-esophagoplasty cong ...................... 53.05 NA NA 18.47 19.05 6.63 NA NA 78.15 78.73 09043320 ......... ............ A Fuse esophagus & stomach ......................... 23.12 NA NA 8.80 9.12 2.73 NA NA 34.65 34.97 09043324 ......... ............ A Revise esophagus & stomach ...................... 22.80 NA NA 8.30 8.67 2.75 NA NA 33.85 34.22 09043325 ......... ............ A Revise esophagus & stomach ...................... 22.41 NA NA 8.35 8.70 2.59 NA NA 33.35 33.70 09043326 ......... ............ A Revise esophagus & stomach ...................... 22.09 NA NA 9.37 9.33 2.84 NA NA 34.30 34.26 09043330 ......... ............ A Repair of esophagus ..................................... 22.00 NA NA 8.13 8.45 2.62 NA NA 32.75 33.07 09043331 ......... ............ A Repair of esophagus ..................................... 22.87 NA NA 9.61 9.76 2.93 NA NA 35.41 35.56 09043340 ......... ............ A Fuse esophagus & intestine .......................... 22.80 NA NA 9.05 9.01 2.45 NA NA 34.30 34.26 09043341 ......... ............ A Fuse esophagus & intestine .......................... 24.04 NA NA 10.24 10.09 2.91 NA NA 37.19 37.0409043350 ......... ............ A Surgical opening, esophagus ........................ 19.23 NA NA 7.98 8.34 1.42 NA NA 28.63 28.99 09043351 ......... ............ A Surgical opening, esophagus ........................ 21.79 NA NA 9.61 9.77 2.46 NA NA 33.86 34.02 09043352 ......... ............ A Surgical opening, esophagus ........................ 17.62 NA NA 8.17 8.34 2.05 NA NA 27.84 28.01 09043360 ......... ............ A Gastrointestinal repair ................................... 39.82 NA NA 15.84 15.29 4.96 NA NA 60.6260.07 09043361 ......... ............ A Gastrointestinal repair ................................... 45.42 NA NA 16.90 16.92 4.49 NA NA 66.8166.83 09043400 ......... ............ A Ligate esophagus veins ................................ 25.41 NA NA 13.84 10.56 1.95 NA NA 41.20 37.92 09043401 ......... ............ A Esophagus surgery for veins ........................ 26.30 NA NA 9.37 9.48 3.04 NA NA 38.71 38.82 09043405 ......... ............ A Ligate/staple esophagus ............................... 24.47 NA NA 10.39 9.81 2.83 NA NA 37.69 37.1109043410 ......... ............ A Repair esophagus wound ............................. 16.22 NA NA 7.48 7.61 1.71 NA NA 25.41 25.54 09043415 ......... ............ A Repair esophagus wound ............................. 28.62 NA NA 11.95 11.82 3.52 NA NA 44.09 43.96 09043420 ......... ............ A Repair esophagus opening ........................... 16.59 NA NA 6.72 7.25 1.43 NA NA 24.74 25.27 09043425 ......... ............ A Repair esophagus opening ........................... 24.85 NA NA 10.23 10.06 3.02 NA NA 38.10 37.93 09043450 ......... ............ A Dilate esophagus ........................................... 1.38 2.75 2.67 0.96 0.76 0.11 4.24 4.162.45 2.25 00043453 ......... ............ A Dilate esophagus ........................................... 1.51 6.50 6.19 1.05 0.81 0.11 8.12 7.812.67 2.43 00043456 ......... ............ A Dilate esophagus ........................................... 2.57 13.40 13.69 1.51 1.20 0.20 16.17 16.46 4.28 3.97 00043458 ......... ............ A Dilate esophagus ........................................... 3.06 7.13 6.79 1.67 1.38 0.24 10.43 10.09 4.97 4.68 00043460 ......... ............ A Pressure treatment esophagus ..................... 3.79 NA NA 1.77 1.56 0.31 NA NA 5.87 5.66 00043500 ......... ............ A Surgical opening of stomach ......................... 12.67 NA NA 5.22 5.04 1.45 NA NA 19.34 19.16 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00149 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37318 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal43501 ......... ............ A Surgical repair of stomach ............................ 22.41 NA NA 8.06 8.26 2.64 NA NA 33.11 33.3109043502 ......... ............ A Surgical repair of stomach ............................ 25.50 NA NA 8.95 9.35 3.09 NA NA 37.54 37.9409043510 ......... ............ A Surgical opening of stomach ......................... 14.95 NA NA 6.81 6.65 1.48 NA NA 23.24 23.08 09043520 ......... ............ A Incision of pyloric muscle .............................. 11.17 NA NA 4.88 5.17 1.36 NA NA 17.41 17.70 09043600 ......... ............ A Biopsy of stomach ......................................... 1.91 NA NA 0.83 0.70 0.14 NA NA 2.88 2.7500043605 ......... ............ A Biopsy of stomach ......................................... 13.60 NA NA 5.39 5.32 1.58 NA NA 20.57 20.50 09043610 ......... ............ A Excision of stomach lesion ............................ 16.22 NA NA 6.02 6.13 1.93 NA NA 24.17 24.2809043611 ......... ............ A Excision of stomach lesion ............................ 20.19 NA NA 7.49 7.56 2.35 NA NA 30.03 30.1009043620 ......... ............ A Removal of stomach ..................................... 33.85 NA NA 11.02 11.62 3.95 NA NA 48.82 49.42 09043621 ......... ............ A Removal of stomach ..................................... 39.34 NA NA 12.36 12.09 4.03 NA NA 55.73 55.46 09043622 ......... ............ A Removal of stomach ..................................... 39.84 NA NA 12.48 12.59 4.29 NA NA 56.61 56.72 09043631 ......... ............ A Removal of stomach, partial ......................... 24.32 NA NA 8.55 9.02 2.98 NA NA 35.85 36.32 09043632 ......... ............ A Removal of stomach, partial ......................... 34.95 NA NA 11.24 9.70 2.98 NA NA 49.17 47.63 09043633 ......... ............ A Removal of stomach, partial ......................... 32.95 NA NA 10.74 9.70 3.05 NA NA 46.74 45.70 09043634 ......... ............ A Removal of stomach, partial ......................... 36.45 NA NA 11.69 10.51 3.32 NA NA 51.46 50.2809043635 ......... ............ A Removal of stomach, partial ......................... 2.06 NA NA 0.52 0.66 0.27 NA NA 2.85 2.99 ZZZ43640 ......... ............ A Vagotomy & pylorus repair ............................ 19.37 NA NA 7.27 7.27 2.25 NA NA 28.89 28.89 09043641 ......... ............ A Vagotomy & pylorus repair ............................ 19.62 NA NA 7.30 7.36 2.24 NA NA 29.16 29.22 09043644 ......... ............ A Lap gastric bypass/roux-en-y ........................ 29.18 NA NA 10.13 10.96 3.15 NA NA 42.46 43.2909043645 ......... ............ A Lap gastr bypass incl smll i ........................... 31.31 NA NA 11.28 11.85 3.53 NA NA 46.12 46.69 09043651 ......... ............ A Laparoscopy, vagus nerve ............................ 10.13 NA NA 4.59 4.73 1.33 NA NA 16.05 16.19 09043652 ......... ............ A Laparoscopy, vagus nerve ............................ 12.13 NA NA 5.10 5.60 1.55 NA NA 18.78 19.28 09043653 ......... ............ A Laparoscopy, gastrostomy ............................ 8.34 NA NA 4.34 4.23 1.01 NA NA 13.69 13.58 09043750 ......... ............ A Place gastrostomy tube ................................. 4.60 NA NA 1.77 2.09 0.43 NA NA 6.80 7.12 01043752 ......... ............ A Nasal/orogastric w/stent ................................ 0.81 0.26 0.28 0.26 0.26 0.02 1.09 1.11 1.09 1.09 00043760 ......... ............ A Change gastrostomy tube ............................. 1.10 13.41 4.92 0.40 0.44 0.09 14.60 6.11 1.591.63 00043761 ......... ............ A Reposition gastrostomy tube ......................... 2.01 1.05 1.14 0.69 0.67 0.13 3.19 3.28 2.83 2.81 00043770 ......... ............ A Lap, place gastr adjust band ......................... 17.79 NA NA 7.53 7.68 2.18 NA NA 27.50 27.65 09043771 ......... ............ A Lap, revise adjust gast band ......................... 20.58 NA NA 8.10 8.48 2.54 NA NA 31.22 31.60 09043772 ......... ............ A Lap, remove adjust gast band ...................... 15.58 NA NA 5.94 6.32 1.92 NA NA 23.44 23.82 09043773 ......... ............ A Lap, change adjust gast band ....................... 20.58 NA NA 8.10 8.48 2.55 NA NA 31.23 31.61 09043774 ......... ............ A Lap remov adj gast band/port ....................... 15.62 NA NA 6.19 6.48 1.84 NA NA 23.65 23.94 09043800 ......... ............ A Reconstruction of pylorus .............................. 15.31 NA NA 5.79 5.88 1.81 NA NA 22.91 23.0009043810 ......... ............ A Fusion of stomach and bowel ....................... 16.76 NA NA 6.13 6.18 1.93 NA NA 24.82 24.87 09043820 ......... ............ A Fusion of stomach and bowel ....................... 22.34 NA NA 7.54 6.70 2.03 NA NA 31.91 31.07 09043825 ......... ............ A Fusion of stomach and bowel ....................... 21.57 NA NA 7.82 7.98 2.53 NA NA 31.92 32.08 09043830 ......... ............ A Place gastrostomy tube ................................. 10.71 NA NA 5.13 4.92 1.25 NA NA 17.09 16.8809043831 ......... ............ A Place gastrostomy tube ................................. 8.31 NA NA 5.11 4.67 1.03 NA NA 14.45 14.0109043832 ......... ............ A Place gastrostomy tube ................................. 17.22 NA NA 7.09 6.92 1.97 NA NA 26.28 26.1109043840 ......... ............ A Repair of stomach lesion .............................. 22.64 NA NA 8.10 7.11 2.05 NA NA 32.79 31.8009043842 ......... ............ N V-band gastroplasty ...................................... 20.84 NA NA 7.63 7.77 2.44 NA NA 30.91 31.05 09043843 ......... ............ A Gastroplasty w/o v-band ............................... 21.02 NA NA 7.76 7.78 2.45 NA NA 31.23 31.2509043845 ......... ............ A Gastroplasty duodenal switch ....................... 33.04 9.83 10.56 12.86 11.32 4.05 46.92 47.65 49.95 48.41 09043846 ......... ............ A Gastric bypass for obesity ............................. 27.15 NA NA 9.90 10.01 3.18 NA NA 40.23 40.34 09043847 ......... ............ A Gastric bypass incl small i ............................ 30.02 NA NA 10.55 10.83 3.55 NA NA 44.12 44.40 09043848 ......... ............ A Revision gastroplasty .................................... 32.49 NA NA 11.17 11.67 3.87 NA NA 47.53 48.03 09043850 ......... ............ A Revise stomach-bowel fusion ....................... 27.39 NA NA 9.28 9.70 3.27 NA NA 39.94 40.36 09043855 ......... ............ A Revise stomach-bowel fusion ....................... 28.50 NA NA 9.61 10.17 3.46 NA NA 41.57 42.13 09043860 ......... ............ A Revise stomach-bowel fusion ....................... 27.70 NA NA 9.38 9.84 3.30 NA NA 40.38 40.84 09043865 ......... ............ A Revise stomach-bowel fusion ....................... 28.86 NA NA 9.93 10.38 3.50 NA NA 42.29 42.74 09043870 ......... ............ A Repair stomach opening ............................... 11.32 NA NA 4.97 4.63 1.27 NA NA 17.56 17.22 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00150 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37319 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal43880 ......... ............ A Repair stomach-bowel fistula ........................ 26.99 NA NA 9.22 9.75 3.26 NA NA 39.47 40.00 09043886 ......... ............ A Revise gastric port, open .............................. 4.50 NA NA 3.47 3.22 0.25 NA NA 8.22 7.97 09043887 ......... ............ A Remove gastric port, open ............................ 4.20 NA NA 3.02 2.84 0.51 NA NA 7.73 7.55 09043888 ......... ............ A Change gastric port, open ............................. 6.30 NA NA 3.96 3.82 0.70 NA NA 10.96 10.82 09044005 ......... ............ A Freeing of bowel adhesion ............................ 18.34 NA NA 6.53 6.68 2.14 NA NA 27.01 27.16 09044010 ......... ............ A Incision of small bowel .................................. 14.14 NA NA 5.47 5.46 1.64 NA NA 21.25 21.24 09044015 ......... ............ A Insert needle cath bowel ............................... 2.62 NA NA 0.68 0.83 0.35 NA NA 3.65 3.80 ZZZ44020 ......... ............ A Explore small intestine .................................. 16.10 NA NA 5.93 5.95 1.85 NA NA 23.88 23.90 09044021 ......... ............ A Decompress small bowel .............................. 16.19 NA NA 6.23 6.04 1.86 NA NA 24.28 24.09 09044025 ......... ............ A Incision of large bowel .................................. 16.39 NA NA 6.06 6.05 1.89 NA NA 24.34 24.33 09044050 ......... ............ A Reduce bowel obstruction ............................. 15.40 NA NA 5.76 5.92 1.85 NA NA 23.01 23.17 09044055 ......... ............ A Correct malrotation of bowel ......................... 25.49 NA NA 8.43 8.67 2.90 NA NA 36.82 37.06 09044100 ......... ............ A Biopsy of bowel ............................................. 2.01 NA NA 0.92 0.76 0.17 NA NA 3.10 2.94 00044110 ......... ............ A Excise intestine lesion(s) ............................... 13.92 NA NA 5.47 5.30 1.55 NA NA 20.94 20.77 09044111 ......... ............ A Excision of bowel lesion(s) ............................ 16.40 NA NA 6.07 6.11 1.86 NA NA 24.33 24.3709044120 ......... ............ A Removal of small intestine ............................ 20.70 NA NA 7.25 7.13 2.24 NA NA 30.19 30.0709044121 ......... ............ A Removal of small intestine ............................ 4.44 NA NA 1.12 1.42 0.58 NA NA 6.14 6.44 ZZZ44125 ......... ............ A Removal of small intestine ............................ 19.89 NA NA 7.00 7.20 2.26 NA NA 29.15 29.3509044126 ......... ............ A Enterectomy w/o taper, cong ........................ 41.94 NA NA 13.72 14.04 4.68 NA NA 60.34 60.66 09044127 ......... ............ A Enterectomy w/taper, cong ........................... 49.01 NA NA 14.56 15.46 5.75 NA NA 69.32 70.2209044128 ......... ............ A Enterectomy cong, add-on ............................ 4.44 NA NA 1.04 1.41 0.61 NA NA 6.09 6.46 ZZZ44130 ......... ............ A Bowel to bowel fusion ................................... 21.92 NA NA 7.56 6.56 1.87 NA NA 31.35 30.35 09044139 ......... ............ A Mobilization of colon ...................................... 2.23 NA NA 0.55 0.71 0.28 NA NA 3.06 3.22 ZZZ44140 ......... ............ A Partial removal of colon ................................ 22.40 NA NA 8.06 8.52 2.70 NA NA 33.16 33.62 09044141 ......... ............ A Partial removal of colon ................................ 29.69 NA NA 12.06 10.57 2.52 NA NA 44.27 42.78 09044143 ......... ............ A Partial removal of colon ................................ 27.57 NA NA 10.85 10.75 3.04 NA NA 41.46 41.36 09044144 ......... ............ A Partial removal of colon ................................ 29.69 NA NA 10.91 9.96 2.85 NA NA 43.45 42.50 09044145 ......... ............ A Partial removal of colon ................................ 28.39 NA NA 10.06 10.64 3.28 NA NA 41.73 42.31 09044146 ......... ............ A Partial removal of colon ................................ 35.08 NA NA 13.52 13.05 3.40 NA NA 52.00 51.53 09044147 ......... ............ A Partial removal of colon ................................ 33.50 NA NA 11.29 9.36 2.55 NA NA 47.34 45.41 09044150 ......... ............ A Removal of colon .......................................... 29.91 NA NA 12.96 12.28 3.03 NA NA 45.9045.22 09044151 ......... ............ A Removal of colon/ileostomy .......................... 34.65 NA NA 14.61 13.73 3.48 NA NA 52.74 51.8609044152 ......... ............ A Removal of colon/ileostomy .......................... 29.91 NA NA 10.38 11.31 3.51 NA NA 43.80 44.7309044153 ......... ............ A Removal of colon/ileostomy .......................... 33.17 NA NA 14.25 14.37 3.54 NA NA 50.96 51.0809044155 ......... ............ A Removal of colon/ileostomy .......................... 34.15 NA NA 14.02 13.51 3.27 NA NA 51.44 50.9309044156 ......... ............ A Removal of colon/ileostomy .......................... 37.15 NA NA 15.47 15.17 3.94 NA NA 56.56 56.2609044160 ......... ............ A Removal of colon .......................................... 20.72 NA NA 7.49 7.69 2.36 NA NA 30.57 30.77 09044180 ......... ............ A Lap, enterolysis ............................................. 15.15 NA NA 5.79 6.14 1.85 NA NA 22.7923.14 09044186 ......... ............ A Lap, jejunostomy ........................................... 10.26 NA NA 4.58 4.75 1.27 NA NA 16.11 16.28 09044187 ......... ............ A Lap, ileo/jejuno-stomy ................................... 17.21 NA NA 8.15 8.26 1.95 NA NA 27.31 27.42 09044188 ......... ............ A Lap, colostomy .............................................. 19.14 NA NA 8.72 8.83 2.23 NA NA 30.0930.20 09044202 ......... ............ A Lap, enterectomy ........................................... 23.20 NA NA 8.28 8.78 2.84 NA NA 34.32 34.82 09044203 ......... ............ A Lap resect s/intestine, addl ........................... 4.44 NA NA 1.12 1.41 0.57 NA NA 6.13 6.42 ZZZ44204 ......... ............ A Laparo partial colectomy ............................... 26.23 NA NA 8.86 9.70 3.10 NA NA 38.19 39.0309044205 ......... ............ A Lap colectomy part w/ileum .......................... 22.80 NA NA 7.77 8.60 2.74 NA NA 33.31 34.14 09044206 ......... ............ A Lap part colectomy w/stoma ......................... 29.57 NA NA 10.45 11.07 3.45 NA NA 43.47 44.09 09044207 ......... ............ A L colectomy/coloproctostomy ........................ 31.73 NA NA 10.06 11.15 3.66 NA NA 45.45 46.54 09044208 ......... ............ A L colectomy/coloproctostomy ........................ 33.80 NA NA 11.98 12.87 3.87 NA NA 49.65 50.54 09044210 ......... ............ A Laparo total proctocolectomy ........................ 29.80 NA NA 11.12 11.71 3.41 NA NA 44.33 44.9209044211 ......... ............ A Laparo total proctocolectomy ........................ 36.79 NA NA 13.67 14.45 4.16 NA NA 54.62 55.4009044212 ......... ............ A Laparo total proctocolectomy ........................ 34.29 NA NA 13.17 13.58 3.77 NA NA 51.23 51.640901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00151 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37320 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal44213 ......... ............ A Lap, mobil splenic fl add-on .......................... 3.50 NA NA 0.87 1.13 0.44 NA NA 4.81 5.07 ZZZ44227 ......... ............ A Lap, close enterostomy ................................. 28.43 NA NA 9.45 10.35 3.37 NA NA 41.25 42.15 09044300 ......... ............ A Open bowel to skin ....................................... 13.61 NA NA 5.58 5.52 1.60 NA NA 20.79 20.73 09044310 ......... ............ A Ileostomy/jejunostomy ................................... 17.45 NA NA 6.37 6.63 1.98 NA NA 25.80 26.06 09044312 ......... ............ A Revision of ileostomy .................................... 9.29 NA NA 4.64 4.16 0.92 NA NA 14.85 14.37 09044314 ......... ............ A Revision of ileostomy .................................... 16.55 NA NA 6.84 6.64 1.74 NA NA 25.13 24.93 09044316 ......... ............ A Devise bowel pouch ...................................... 23.40 NA NA 9.33 8.75 2.37 NA NA 35.10 34.52 09044320 ......... ............ A Colostomy ...................................................... 19.69 NA NA 7.58 7.65 2.25 NA NA 29.52 29.59 09044322 ......... ............ A Colostomy with biopsies ................................ 13.04 NA NA 9.43 8.80 1.54 NA NA 24.01 23.3809044340 ......... ............ A Revision of colostomy ................................... 9.06 NA NA 4.94 4.44 0.99 NA NA 14.99 14.4909044345 ......... ............ A Revision of colostomy ................................... 17.00 NA NA 6.89 6.90 1.96 NA NA 25.85 25.86 09044346 ......... ............ A Revision of colostomy ................................... 19.41 NA NA 7.51 7.43 2.12 NA NA 29.04 28.96 09044360 ......... ............ A Small bowel endoscopy ................................ 2.59 NA NA 1.56 1.22 0.19 NA NA 4.34 4.00 00044361 ......... ............ A Small bowel endoscopy/biopsy ..................... 2.87 NA NA 1.71 1.33 0.21 NA NA 4.79 4.41 00044363 ......... ............ A Small bowel endoscopy ................................ 3.49 NA NA 2.02 1.54 0.27 NA NA 5.78 5.30 00044364 ......... ............ A Small bowel endoscopy ................................ 3.73 NA NA 2.10 1.64 0.27 NA NA 6.10 5.64 00044365 ......... ............ A Small bowel endoscopy ................................ 3.31 NA NA 1.85 1.48 0.24 NA NA 5.40 5.03 00044366 ......... ............ A Small bowel endoscopy ................................ 4.40 NA NA 2.48 1.93 0.32 NA NA 7.20 6.65 00044369 ......... ............ A Small bowel endoscopy ................................ 4.51 NA NA 2.51 1.93 0.33 NA NA 7.35 6.77 00044370 ......... ............ A Small bowel endoscopy/stent ........................ 4.79 NA NA 2.66 2.15 0.37 NA NA 7.82 7.31 00044372 ......... ............ A Small bowel endoscopy ................................ 4.40 NA NA 2.20 1.86 0.35 NA NA 6.95 6.61 00044373 ......... ............ A Small bowel endoscopy ................................ 3.49 NA NA 1.82 1.52 0.27 NA NA 5.58 5.28 00044376 ......... ............ A Small bowel endoscopy ................................ 5.25 NA NA 2.53 2.16 0.42 NA NA 8.20 7.83 00044377 ......... ............ A Small bowel endoscopy/biopsy ..................... 5.52 NA NA 2.90 2.33 0.40 NA NA 8.82 8.25 00044378 ......... ............ A Small bowel endoscopy ................................ 7.12 NA NA 3.69 2.95 0.52 NA NA 11.33 10.59 00044379 ......... ............ A S bowel endoscope w/stent .......................... 7.46 NA NA 3.38 3.04 0.62 NA NA 11.46 11.12 00044380 ......... ............ A Small bowel endoscopy ................................ 1.05 NA NA 0.77 0.61 0.08 NA NA 1.90 1.74 00044382 ......... ............ A Small bowel endoscopy ................................ 1.27 NA NA 0.81 0.68 0.12 NA NA 2.20 2.07 00044383 ......... ............ A Ileoscopy w/stent ........................................... 2.94 NA NA 1.68 1.37 0.21 NA NA 4.83 4.52 00044385 ......... ............ A Endoscopy of bowel pouch ........................... 1.82 4.99 3.77 0.90 0.79 0.15 6.96 5.74 2.87 2.76 00044386 ......... ............ A Endoscopy, bowel pouch/biop ...................... 2.12 6.90 6.72 1.07 0.93 0.20 9.22 9.04 3.39 3.2500044388 ......... ............ A Colonoscopy .................................................. 2.82 6.25 5.38 1.38 1.21 0.26 9.33 8.46 4.46 4.29 00044389 ......... ............ A Colonoscopy with biopsy ............................... 3.13 7.27 6.80 1.62 1.36 0.27 10.67 10.20 5.02 4.76 00044390 ......... ............ A Colonoscopy for foreign body ....................... 3.82 8.17 7.39 1.84 1.58 0.32 12.31 11.53 5.98 5.72 00044391 ......... ............ A Colonoscopy for bleeding .............................. 4.31 9.24 8.87 2.29 1.84 0.34 13.89 13.52 6.94 6.49 00044392 ......... ............ A Colonoscopy & polypectomy ......................... 3.81 7.52 6.83 1.74 1.55 0.34 11.67 10.98 5.89 5.70 00044393 ......... ............ A Colonoscopy, lesion removal ........................ 4.83 8.05 7.20 2.09 1.93 0.42 13.30 12.45 7.34 7.18 00044394 ......... ............ A Colonoscopy w/snare .................................... 4.42 8.70 8.05 2.12 1.82 0.38 13.50 12.85 6.92 6.62 00044397 ......... ............ A Colonoscopy w/stent ..................................... 4.70 NA NA 2.37 1.94 0.39 NA NA 7.46 7.03 00044500 ......... ............ A Intro, gastrointestinal tube ............................. 0.49 NA NA 0.17 0.16 0.03 NA NA 0.69 0.6800044602 ......... ............ A Suture, small intestine ................................... 24.60 NA NA 7.61 6.71 2.11 NA NA 34.32 33.42 09044603 ......... ............ A Suture, small intestine ................................... 27.97 NA NA 8.46 7.58 2.41 NA NA 38.84 37.96 09044604 ......... ............ A Suture, large intestine ................................... 18.02 NA NA 6.05 6.37 2.11 NA NA 26.18 26.50 09044605 ......... ............ A Repair of bowel lesion ................................... 21.96 NA NA 7.86 8.27 2.51 NA NA 32.33 32.74 09044615 ......... ............ A Intestinal stricturoplasty ................................. 18.04 NA NA 6.54 6.65 2.06 NA NA 26.64 26.75 09044620 ......... ............ A Repair bowel opening ................................... 14.31 NA NA 5.48 5.38 1.51 NA NA 21.30 21.2009044625 ......... ............ A Repair bowel opening ................................... 17.16 NA NA 6.14 6.28 1.85 NA NA 25.15 25.2909044626 ......... ............ A Repair bowel opening ................................... 27.78 NA NA 8.89 9.60 3.26 NA NA 39.93 40.6409044640 ......... ............ A Repair bowel-skin fistula ............................... 24.08 NA NA 8.03 8.45 2.77 NA NA 34.88 35.30 09044650 ......... ............ A Repair bowel fistula ....................................... 25.00 NA NA 8.27 8.75 2.92 NA NA 36.19 36.67 09044660 ......... ............ A Repair bowel-bladder fistula .......................... 23.79 NA NA 9.84 8.73 2.13 NA NA 35.76 34.6509044661 ......... ............ A Repair bowel-bladder fistula .......................... 27.23 NA NA 9.42 9.54 2.80 NA NA 39.45 39.570901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00152 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37321 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal44680 ......... ............ A Surgical revision, intestine ............................ 17.84 NA NA 6.56 6.49 1.99 NA NA 26.39 26.32 09044700 ......... ............ A Suspend bowel w/prosthesis ......................... 17.36 NA NA 6.18 6.56 1.83 NA NA 25.37 25.75 09044701 ......... ............ A Intraop colon lavage add-on ......................... 3.10 NA NA 0.76 0.99 0.37 NA NA 4.23 4.46 ZZZ44720 ......... ............ A Prep donor intestine/venous ......................... 5.00 NA NA 1.22 1.59 0.37 NA NA 6.59 6.96 XXX44721 ......... ............ A Prep donor intestine/artery ............................ 7.00 NA NA 1.77 2.24 0.97 NA NA 9.74 10.21 XXX44800 ......... ............ A Excision of bowel pouch ............................... 11.87 NA NA 5.51 5.43 1.47 NA NA 18.85 18.7709044820 ......... ............ A Excision of mesentery lesion ........................ 13.59 NA NA 5.59 5.52 1.59 NA NA 20.77 20.70 09044850 ......... ............ A Repair of mesentery ...................................... 11.99 NA NA 4.99 5.01 1.39 NA NA 18.37 18.39 09044900 ......... ............ A Drain app abscess, open .............................. 12.38 NA NA 5.02 4.78 1.33 NA NA 18.73 18.49 09044901 ......... ............ A Drain app abscess, percut ............................ 3.37 20.70 26.15 1.16 1.12 0.22 24.29 29.74 4.75 4.71 00044950 ......... ............ A Appendectomy ............................................... 10.48 NA NA 4.04 4.25 1.31 NA NA 15.83 16.04 09044955 ......... ............ A Appendectomy add-on .................................. 1.53 NA NA 0.40 0.51 0.20 NA NA 2.13 2.24 ZZZ44960 ......... ............ A Appendectomy ............................................... 14.33 NA NA 5.39 5.36 1.63 NA NA 21.35 21.32 09044970 ......... ............ A Laparoscopy, appendectomy ........................ 9.31 NA NA 4.19 4.12 1.14 NA NA 14.64 14.57 09045000 ......... ............ A Drainage of pelvic abscess ........................... 6.16 NA NA 3.59 3.13 0.52 NA NA 10.27 9.81 09045005 ......... ............ A Drainage of rectal abscess ........................... 1.99 3.99 4.04 1.59 1.58 0.25 6.23 6.28 3.83 3.82 01045020 ......... ............ A Drainage of rectal abscess ........................... 8.37 NA NA 4.58 3.61 0.55 NA NA 13.50 12.53 09045100 ......... ............ A Biopsy of rectum ........................................... 3.92 NA NA 2.83 2.49 0.44 NA NA 7.19 6.85 09045108 ......... ............ A Removal of anorectal lesion .......................... 5.00 NA NA 3.06 2.85 0.59 NA NA 8.65 8.44 09045110 ......... ............ A Removal of rectum ........................................ 30.49 NA NA 11.83 12.28 3.35 NA NA 45.67 46.12 09045111 ......... ............ A Partial removal of rectum .............................. 17.81 NA NA 6.98 7.13 2.06 NA NA 26.85 27.0009045112 ......... ............ A Removal of rectum ........................................ 32.99 NA NA 10.24 11.40 3.42 NA NA 46.65 47.81 09045113 ......... ............ A Partial proctectomy ........................................ 33.03 NA NA 11.44 12.33 3.48 NA NA 47.9548.84 09045114 ......... ............ A Partial removal of rectum .............................. 30.57 NA NA 10.29 10.75 3.35 NA NA 44.21 44.67 09045116 ......... ............ A Partial removal of rectum .............................. 27.50 NA NA 9.35 9.88 2.87 NA NA 39.72 40.2509045119 ......... ............ A Remove rectum w/reservoir .......................... 33.29 NA NA 11.56 12.26 3.35 NA NA 48.20 48.90 09045120 ......... ............ A Removal of rectum ........................................ 26.15 NA NA 9.31 9.94 2.89 NA NA 38.35 38.98 09045121 ......... ............ A Removal of rectum and colon ....................... 28.83 NA NA 10.19 10.90 3.24 NA NA 42.26 42.97 09045123 ......... ............ A Partial proctectomy ........................................ 18.64 NA NA 6.99 6.90 1.85 NA NA 27.48 27.39 09045126 ......... ............ A Pelvic exenteration ........................................ 48.81 NA NA 17.12 18.73 4.32 NA NA 70.2571.86 09045130 ......... ............ A Excision of rectal prolapse ............................ 18.31 NA NA 6.65 6.75 1.79 NA NA 26.75 26.8509045135 ......... ............ A Excision of rectal prolapse ............................ 22.07 NA NA 9.27 8.64 2.35 NA NA 33.69 33.0609045136 ......... ............ A Excise ileoanal reservior ............................... 30.55 NA NA 11.74 12.35 2.81 NA NA 45.10 45.71 09045150 ......... ............ A Excision of rectal stricture ............................. 5.72 NA NA 3.39 3.08 0.61 NA NA 9.72 9.4109045160 ......... ............ A Excision of rectal lesion ................................ 16.11 NA NA 6.53 6.63 1.67 NA NA 24.31 24.41 09045170 ......... ............ A Excision of rectal lesion ................................ 12.42 NA NA 5.35 5.28 1.35 NA NA 19.12 19.05 09045190 ......... ............ A Destruction, rectal tumor ............................... 10.23 NA NA 4.94 4.71 1.13 NA NA 16.30 16.07 09045300 ......... ............ A Proctosigmoidoscopy dx ............................... 0.38 2.00 1.65 0.35 0.30 0.04 2.42 2.07 0.77 0.72 00045303 ......... ............ A Proctosigmoidoscopy dilate ........................... 0.44 19.69 18.97 0.38 0.34 0.05 20.18 19.46 0.87 0.83 00045305 ......... ............ A Proctosigmoidoscopy w/bx ............................ 1.01 3.31 2.81 0.53 0.51 0.11 4.43 3.93 1.65 1.63 00045307 ......... ............ A Proctosigmoidoscopy fb ................................ 0.94 3.50 3.16 0.50 0.49 0.11 4.55 4.21 1.551.54 00045308 ......... ............ A Proctosigmoidoscopy removal ...................... 0.83 3.31 2.33 0.49 0.45 0.09 4.23 3.25 1.41 1.3700045309 ......... ............ A Proctosigmoidoscopy removal ...................... 2.01 3.74 3.05 0.83 0.84 0.22 5.97 5.28 3.06 3.0700045315 ......... ............ A Proctosigmoidoscopy removal ...................... 1.40 3.75 3.09 0.65 0.64 0.15 5.30 4.64 2.20 2.1900045317 ......... ............ A Proctosigmoidoscopy bleed .......................... 1.50 3.85 2.79 0.66 0.66 0.15 5.50 4.44 2.31 2.31 00045320 ......... ............ A Proctosigmoidoscopy ablate ......................... 1.58 4.53 3.32 0.76 0.72 0.16 6.27 5.06 2.50 2.46 00045321 ......... ............ A Proctosigmoidoscopy volvul .......................... 1.17 NA NA 0.66 0.59 0.13 NA NA 1.96 1.89 00045327 ......... ............ A Proctosigmoidoscopy w/stent ........................ 1.65 NA NA 0.86 0.73 0.16 NA NA 2.67 2.54 00045330 ......... ............ A Diagnostic sigmoidoscopy ............................. 0.96 2.54 2.35 0.63 0.53 0.08 3.58 3.39 1.67 1.57 00045331 ......... ............ A Sigmoidoscopy and biopsy ........................... 1.15 3.34 3.15 0.81 0.65 0.09 4.58 4.39 2.05 1.89 00045332 ......... ............ A Sigmoidoscopy w/fb removal ........................ 1.79 5.77 5.20 1.06 0.87 0.16 7.72 7.15 3.01 2.8200045333 ......... ............ A Sigmoidoscopy & polypectomy ..................... 1.79 5.76 5.10 1.01 0.85 0.15 7.70 7.04 2.95 2.79 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00153 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37322 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal45334 ......... ............ A Sigmoidoscopy for bleeding .......................... 2.73 NA NA 1.58 1.25 0.20 NA NA 4.51 4.18 00045335 ......... ............ A Sigmoidoscopy w/submuc inj ........................ 1.46 5.47 3.78 0.93 0.75 0.11 7.04 5.35 2.50 2.3200045337 ......... ............ A Sigmoidoscopy & decompress ...................... 2.36 NA NA 1.27 1.07 0.21 NA NA 3.84 3.64 00045338 ......... ............ A Sigmoidoscopy w/tumr remove ..................... 2.34 6.02 5.43 1.31 1.08 0.19 8.55 7.96 3.84 3.61 00045339 ......... ............ A Sigmoidoscopy w/ablate tumr ....................... 3.14 5.92 4.08 1.73 1.39 0.26 9.32 7.48 5.13 4.7900045340 ......... ............ A Sig w/balloon dilation .................................... 1.89 10.51 7.27 1.07 0.89 0.15 12.55 9.313.11 2.93 00045341 ......... ............ A Sigmoidoscopy w/ultrasound ......................... 2.60 NA NA 1.51 1.18 0.19 NA NA 4.30 3.97 00045342 ......... ............ A Sigmoidoscopy w/us guide bx ....................... 4.05 NA NA 2.25 1.72 0.30 NA NA 6.60 6.07 00045345 ......... ............ A Sigmoidoscopy w/stent .................................. 2.92 NA NA 1.60 1.27 0.23 NA NA 4.75 4.42 00045355 ......... ............ A Surgical colonoscopy .................................... 3.51 NA NA 1.59 1.43 0.36 NA NA 5.46 5.30 00045378 ......... ............ A Diagnostic colonoscopy ................................. 3.69 6.55 6.26 1.88 1.57 0.30 10.54 10.25 5.87 5.56 00045378 ......... 53 ....... A Diagnostic sigmoidoscopy ............................. 0.96 2.54 2.35 0.63 0.53 0.08 3.58 3.39 1.67 1.5700045379 ......... ............ A Colonoscopy w/fb removal ............................ 4.68 8.37 7.85 2.28 1.94 0.39 13.44 12.92 7.357.01 00045380 ......... ............ A Colonoscopy and biopsy ............................... 4.43 7.96 7.40 2.31 1.88 0.35 12.74 12.18 7.096.66 00045381 ......... ............ A Colonoscopy, submucous inj ........................ 4.19 7.94 7.33 2.24 1.80 0.30 12.43 11.82 6.73 6.29 00045382 ......... ............ A Colonoscopy/control bleeding ....................... 5.68 10.67 10.15 3.00 2.39 0.41 16.76 16.24 9.098.48 00045383 ......... ............ A Lesion removal colonoscopy ......................... 5.86 8.78 8.15 2.73 2.36 0.48 15.12 14.49 9.07 8.70 00045384 ......... ............ A Lesion remove colonoscopy .......................... 4.69 7.40 6.97 2.27 1.94 0.38 12.47 12.04 7.34 7.01 00045385 ......... ............ A Lesion removal colonoscopy ......................... 5.30 8.59 8.01 2.67 2.20 0.42 14.31 13.73 8.39 7.92 00045386 ......... ............ A Colonoscopy dilate stricture .......................... 4.57 12.65 12.49 2.25 1.91 0.39 17.61 17.45 7.21 6.87 00045387 ......... ............ A Colonoscopy w/stent ..................................... 5.90 NA NA 3.01 2.51 0.48 NA NA 9.39 8.89 00045391 ......... ............ A Colonoscopy w/endoscope us ...................... 5.09 NA NA 2.66 2.15 0.42 NA NA 8.17 7.66 00045392 ......... ............ A Colonoscopy w/endoscopic fnb ..................... 6.54 NA NA 3.23 2.68 0.42 NA NA 10.19 9.64 00045395 ......... ............ A Lap, removal of rectum ................................. 32.71 NA NA 12.90 13.51 3.62 NA NA 49.23 49.84 09045397 ......... ............ A Lap, remove rectum w/pouch ........................ 36.21 NA NA 13.43 14.08 3.66 NA NA 53.30 53.95 09045400 ......... ............ A Laparoscopic proctopexy .............................. 19.25 NA NA 7.09 7.66 2.02 NA NA 28.36 28.93 09045402 ......... ............ A Lap proctopexy w/sig resect ......................... 26.32 NA NA 8.74 9.69 2.81 NA NA 37.87 38.82 09045500 ......... ............ A Repair of rectum ............................................ 7.58 NA NA 3.79 3.60 0.75 NA NA 12.12 11.93 09045505 ......... ............ A Repair of rectum ............................................ 8.14 NA NA 4.52 4.03 0.86 NA NA 13.52 13.03 09045520 ......... ............ A Treatment of rectal prolapse ......................... 0.55 3.08 2.00 0.41 0.38 0.05 3.68 2.60 1.01 0.98 00045540 ......... ............ A Correct rectal prolapse .................................. 17.98 NA NA 5.73 6.54 1.84 NA NA 25.55 26.36 09045541 ......... ............ A Correct rectal prolapse .................................. 14.66 NA NA 5.96 5.96 1.55 NA NA 22.17 22.17 09045550 ......... ............ A Repair rectum/remove sigmoid ..................... 24.61 NA NA 8.34 9.02 2.61 NA NA 35.56 36.24 09045560 ......... ............ A Repair of rectocele ........................................ 11.38 NA NA 4.95 5.03 1.13 NA NA 17.46 17.54 09045562 ......... ............ A Exploration/repair of rectum .......................... 17.74 NA NA 7.58 7.15 1.83 NA NA 27.15 26.7209045563 ......... ............ A Exploration/repair of rectum .......................... 26.14 NA NA 10.28 10.48 3.10 NA NA 39.52 39.72 09045800 ......... ............ A Repair rect/bladder fistula ............................. 20.12 NA NA 8.67 7.75 1.85 NA NA 30.64 29.72 09045805 ......... ............ A Repair fistula w/colostomy ............................ 23.13 NA NA 8.51 9.28 2.02 NA NA 33.66 34.4309045820 ......... ............ A Repair rectourethral fistula ............................ 20.18 NA NA 8.82 7.94 1.58 NA NA 30.58 29.70 09045825 ......... ............ A Repair fistula w/colostomy ............................ 23.93 NA NA 10.39 9.98 2.31 NA NA 36.63 36.2209045900 ......... ............ A Reduction of rectal prolapse ......................... 2.94 NA NA 1.68 1.55 0.30 NA NA 4.92 4.79 01045905 ......... ............ A Dilation of anal sphincter ............................... 2.30 NA NA 1.65 1.49 0.27 NA NA 4.22 4.0601045910 ......... ............ A Dilation of rectal narrowing ........................... 2.80 NA NA 1.81 1.70 0.30 NA NA 4.91 4.80 01045915 ......... ............ A Remove rectal obstruction ............................ 3.14 4.26 4.31 2.04 2.09 0.30 7.70 7.75 5.48 5.53 01045990 ......... ............ A Surg dx exam, anorectal ............................... 1.80 NA NA 0.78 0.79 0.17 NA NA 2.75 2.76 00046020 ......... ............ A Placement of seton ....................................... 2.90 3.27 2.57 2.35 1.98 0.31 6.48 5.78 5.56 5.19 01046030 ......... ............ A Removal of rectal marker .............................. 1.23 1.89 1.49 0.81 0.74 0.14 3.26 2.86 2.182.11 01046040 ......... ............ A Incision of rectal abscess .............................. 5.20 6.71 5.81 4.14 3.73 0.62 12.53 11.63 9.96 9.55 09046045 ......... ............ A Incision of rectal abscess .............................. 5.75 NA NA 3.83 3.13 0.54 NA NA 10.12 9.4209046050 ......... ............ A Incision of anal abscess ................................ 1.19 3.19 2.71 0.97 0.87 0.14 4.52 4.04 2.30 2.20 01046060 ......... ............ A Incision of rectal abscess .............................. 6.18 NA NA 3.82 3.39 0.67 NA NA 10.67 10.240901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00154 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37323 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal46070 ......... ............ A Incision of anal septum ................................. 2.71 NA NA 1.86 1.85 0.36 NA NA 4.93 4.92 09046080 ......... ............ A Incision of anal sphincter .............................. 2.49 3.07 2.55 1.12 1.13 0.30 5.86 5.34 3.91 3.92 01046083 ......... ............ A Incise external hemorrhoid ............................ 1.40 2.34 2.48 0.94 0.93 0.15 3.89 4.03 2.492.48 01046200 ......... ............ A Removal of anal fissure ................................ 3.41 6.30 4.47 3.72 3.08 0.39 10.10 8.27 7.52 6.88 09046210 ......... ............ A Removal of anal crypt ................................... 2.67 5.96 5.33 3.36 2.81 0.31 8.94 8.31 6.34 5.79 09046211 ......... ............ A Removal of anal crypts ................................. 4.24 7.18 5.86 4.12 3.66 0.48 11.90 10.58 8.84 8.38 09046220 ......... ............ A Removal of anal tag ...................................... 1.56 3.00 2.48 1.09 0.99 0.17 4.73 4.21 2.82 2.72 01046221 ......... ............ A Ligation of hemorrhoid(s) .............................. 2.29 3.74 2.92 2.00 1.81 0.23 6.26 5.44 4.524.33 01046230 ......... ............ A Removal of anal tags .................................... 2.57 3.50 3.19 1.32 1.30 0.30 6.37 6.06 4.19 4.17 01046250 ......... ............ A Hemorrhoidectomy ........................................ 4.13 5.99 5.49 2.84 2.68 0.48 10.60 10.10 7.45 7.29 09046255 ......... ............ A Hemorrhoidectomy ........................................ 4.84 6.41 5.99 3.10 2.91 0.58 11.83 11.41 8.52 8.33 09046257 ......... ............ A Remove hemorrhoids & fissure ..................... 5.64 NA NA 3.22 2.97 0.64 NA NA 9.50 9.25 09046258 ......... ............ A Remove hemorrhoids & fistula ...................... 6.22 NA NA 3.85 3.42 0.68 NA NA 10.75 10.32 09046260 ......... ............ A Hemorrhoidectomy ........................................ 6.61 NA NA 3.46 3.26 0.76 NA NA 10.83 10.6309046261 ......... ............ A Remove hemorrhoids & fissure ..................... 7.57 NA NA 4.17 3.75 0.79 NA NA 12.53 12.11 09046262 ......... ............ A Remove hemorrhoids & fistula ...................... 7.74 NA NA 4.09 3.83 0.83 NA NA 12.66 12.40 09046270 ......... ............ A Removal of anal fistula .................................. 4.75 5.94 5.24 3.53 3.01 0.46 11.15 10.458.74 8.22 09046275 ......... ............ A Removal of anal fistula .................................. 5.25 6.28 5.05 3.63 3.14 0.52 12.05 10.829.40 8.91 09046280 ......... ............ A Removal of anal fistula .................................. 6.22 NA NA 3.79 3.39 0.66 NA NA 10.67 10.27 09046285 ......... ............ A Removal of anal fistula .................................. 5.25 6.07 4.35 3.46 2.93 0.44 11.76 10.049.15 8.62 09046288 ......... ............ A Repair anal fistula ......................................... 7.62 NA NA 4.09 3.78 0.79 NA NA 12.50 12.19 09046320 ......... ............ A Removal of hemorrhoid clot .......................... 1.61 2.41 2.20 0.88 0.86 0.18 4.20 3.99 2.67 2.65 01046500 ......... ............ A Injection into hemorrhoid(s) ........................... 1.61 3.61 2.49 1.24 1.17 0.16 5.38 4.26 3.012.94 01046505 ......... ............ A Chemodenervation anal musc ...................... 3.11 3.28 3.11 2.29 2.05 0.14 6.53 6.36 5.54 5.30 01046600 ......... ............ A Diagnostic anoscopy ..................................... 0.50 1.48 1.54 0.37 0.35 0.05 2.03 2.09 0.92 0.90 00046604 ......... ............ A Anoscopy and dilation ................................... 1.31 12.66 10.03 0.58 0.61 0.12 14.09 11.462.01 2.04 00046606 ......... ............ A Anoscopy and biopsy .................................... 0.81 4.01 3.85 0.47 0.44 0.09 4.91 4.75 1.371.34 00046608 ......... ............ A Anoscopy, remove for body .......................... 1.51 4.04 4.32 0.61 0.64 0.16 5.71 5.99 2.28 2.31 00046610 ......... ............ A Anoscopy, remove lesion .............................. 1.32 4.32 4.11 0.67 0.63 0.15 5.79 5.58 2.14 2.10 00046611 ......... ............ A Anoscopy ....................................................... 1.81 2.88 3.23 0.72 0.77 0.19 4.88 5.23 2.72 2.77 00046612 ......... ............ A Anoscopy, remove lesions ............................ 2.34 5.54 5.29 0.95 0.97 0.28 8.16 7.91 3.57 3.59 00046614 ......... ............ A Anoscopy, control bleeding ........................... 2.01 2.79 2.45 0.83 0.84 0.20 5.00 4.66 3.04 3.05 00046615 ......... ............ A Anoscopy ....................................................... 2.68 2.42 2.47 0.96 1.04 0.33 5.43 5.48 3.97 4.05 00046700 ......... ............ A Repair of anal stricture .................................. 9.62 NA NA 4.55 4.30 0.94 NA NA 15.11 14.86 09046705 ......... ............ A Repair of anal stricture .................................. 7.25 NA NA 3.55 3.66 0.91 NA NA 11.71 11.82 09046706 ......... ............ A Repr of anal fistula w/glue ............................ 2.39 NA NA 1.44 1.30 0.28 NA NA 4.11 3.97 01046710 ......... ............ A Repr per/vag pouch sngl proc ....................... 16.95 NA NA 7.70 7.75 1.38 NA NA 26.03 26.08 09046712 ......... ............ A Repr per/vag pouch dbl proc ........................ 36.26 NA NA 13.98 14.81 3.66 NA NA 53.90 54.73 09046715 ......... ............ A Rep perf anoper fistu .................................... 7.49 NA NA 3.24 3.50 0.92 NA NA 11.65 11.91 09046716 ......... ............ A Rep perf anoper/vestib fistu .......................... 17.04 NA NA 8.96 8.23 1.58 NA NA 27.58 26.8509046730 ......... ............ A Construction of absent anus ......................... 30.05 NA NA 10.92 11.77 2.46 NA NA 43.43 44.2809046735 ......... ............ A Construction of absent anus ......................... 35.54 NA NA 12.73 13.37 3.20 NA NA 51.47 52.1109046740 ......... ............ A Construction of absent anus ......................... 33.30 NA NA 13.86 13.41 2.41 NA NA 49.57 49.1209046742 ......... ............ A Repair of imperforated anus ......................... 39.54 NA NA 15.36 16.91 3.19 NA NA 58.09 59.6409046744 ......... ............ A Repair of cloacal anomaly ............................. 58.34 NA NA 20.47 21.00 6.38 NA NA 85.19 85.72 09046746 ......... ............ A Repair of cloacal anomaly ............................. 64.79 NA NA 18.82 23.61 7.68 NA NA 91.29 96.08 09046748 ......... ............ A Repair of cloacal anomaly ............................. 70.77 NA NA 20.16 22.82 3.36 NA NA 94.29 96.95 09046750 ......... ............ A Repair of anal sphincter ................................ 11.96 NA NA 5.19 5.09 1.10 NA NA 18.25 18.15 09046751 ......... ............ A Repair of anal sphincter ................................ 9.12 NA NA 3.91 5.05 0.94 NA NA 13.97 15.1109046753 ......... ............ A Reconstruction of anus ................................. 8.77 NA NA 4.01 3.89 0.94 NA NA 13.72 13.6009046754 ......... ............ A Removal of suture from anus ........................ 2.82 3.70 3.63 2.25 1.82 0.19 6.71 6.64 5.26 4.83 01046760 ......... ............ A Repair of anal sphincter ................................ 17.11 NA NA 7.67 7.24 1.59 NA NA 26.37 25.94 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00155 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37324 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal46761 ......... ............ A Repair of anal sphincter ................................ 15.10 NA NA 5.83 5.97 1.43 NA NA 22.36 22.50 09046762 ......... ............ A Implant artificial sphincter .............................. 14.58 NA NA 6.23 5.71 1.24 NA NA 22.05 21.53 09046900 ......... ............ A Destruction, anal lesion(s) ............................. 1.91 3.62 2.85 1.29 1.28 0.17 5.70 4.93 3.37 3.36 01046910 ......... ............ A Destruction, anal lesion(s) ............................. 1.86 3.88 3.15 1.19 1.09 0.19 5.93 5.20 3.24 3.14 01046916 ......... ............ A Cryosurgery, anal lesion(s) ........................... 1.86 3.73 3.30 1.55 1.43 0.11 5.70 5.27 3.523.40 01046917 ......... ............ A Laser surgery, anal lesions ........................... 1.86 8.71 9.04 1.20 1.14 0.21 10.78 11.11 3.27 3.21 01046922 ......... ............ A Excision of anal lesion(s) .............................. 1.86 4.13 3.49 1.19 1.10 0.22 6.21 5.57 3.27 3.18 01046924 ......... ............ A Destruction, anal lesion(s) ............................. 2.76 9.62 8.94 1.52 1.39 0.26 12.64 11.96 4.54 4.41 01046934 ......... ............ A Destruction of hemorrhoids ........................... 3.75 5.42 5.17 2.80 2.92 0.32 9.49 9.24 6.87 6.99 09046935 ......... ............ A Destruction of hemorrhoids ........................... 2.43 3.68 3.52 1.07 1.18 0.23 6.34 6.18 3.73 3.84 01046936 ......... ............ A Destruction of hemorrhoids ........................... 3.68 6.25 5.22 2.64 2.54 0.34 10.27 9.24 6.666.56 09046937 ......... ............ A Cryotherapy of rectal lesion .......................... 2.69 4.06 3.10 1.82 1.37 0.14 6.89 5.93 4.654.20 01046938 ......... ............ A Cryotherapy of rectal lesion .......................... 4.65 5.81 4.45 3.63 3.20 0.58 11.04 9.68 8.868.43 09046940 ......... ............ A Treatment of anal fissure .............................. 2.32 2.84 2.21 1.03 1.08 0.23 5.39 4.76 3.583.63 01046942 ......... ............ A Treatment of anal fissure .............................. 2.04 2.81 2.08 0.95 1.00 0.19 5.04 4.31 3.183.23 01046945 ......... ............ A Ligation of hemorrhoids ................................. 2.09 4.86 3.67 3.01 2.61 0.19 7.14 5.95 5.29 4.89 09046946 ......... ............ A Ligation of hemorrhoids ................................. 2.58 4.70 3.97 2.69 2.47 0.27 7.55 6.82 5.54 5.32 09046947 ......... ............ A Hemorrhoidopexy by stapling ........................ 5.45 NA NA 3.09 2.81 0.75 NA NA 9.29 9.01 09047000 ......... ............ A Needle biopsy of liver .................................... 1.90 8.03 4.32 0.69 0.65 0.12 10.05 6.342.71 2.67 00047001 ......... ............ A Needle biopsy, liver add-on .......................... 1.90 NA NA 0.48 0.61 0.25 NA NA 2.63 2.76 ZZZ47010 ......... ............ A Open drainage, liver lesion ........................... 19.21 NA NA 8.30 8.38 1.80 NA NA 29.31 29.3909047011 ......... ............ A Percut drain, liver lesion ................................ 3.69 NA NA 1.30 1.23 0.22 NA NA 5.21 5.1400047015 ......... ............ A Inject/aspirate liver cyst ................................. 18.31 NA NA 7.77 7.57 1.83 NA NA 27.91 27.71 09047100 ......... ............ A Wedge biopsy of liver .................................... 12.72 NA NA 6.19 6.09 1.53 NA NA 20.44 20.34 09047120 ......... ............ A Partial removal of liver .................................. 38.74 NA NA 13.87 14.85 4.65 NA NA 57.2658.24 09047122 ......... ............ A Extensive removal of liver ............................. 59.29 NA NA 18.54 20.76 7.19 NA NA 85.02 87.24 09047125 ......... ............ A Partial removal of liver .................................. 52.85 NA NA 16.83 18.88 6.45 NA NA 76.1378.18 09047130 ......... ............ A Partial removal of liver .................................. 57.00 NA NA 17.83 20.22 6.94 NA NA 81.7784.16 09047135 ......... ............ R Transplantation of liver .................................. 83.15 NA NA 27.52 30.57 9.93 NA NA 120.6123.7 09047136 ......... ............ R Transplantation of liver .................................. 70.25 NA NA 23.37 26.16 8.41 NA NA 102.0104.8 09047140 ......... ............ A Partial removal, donor liver ........................... 59.14 NA NA 21.53 22.13 5.17 NA NA 85.84 86.44 09047141 ......... ............ A Partial removal, donor liver ........................... 71.17 NA NA 25.24 26.55 5.17 NA NA 101.6 102.9 09047142 ......... ............ A Partial removal, donor liver ........................... 79.11 NA NA 27.24 28.97 5.17 NA NA 111.5 113.3 09047146 ......... ............ A Prep donor liver/venous ................................ 6.00 NA NA 1.51 1.92 0.83 NA NA 8.34 8.75 XXX47147 ......... ............ A Prep donor liver/arterial ................................. 7.00 NA NA 1.76 2.24 0.97 NA NA 9.73 10.21 XXX47300 ......... ............ A Surgery for liver lesion .................................. 17.95 NA NA 7.50 7.31 1.98 NA NA 27.43 27.24 09047350 ......... ............ A Repair liver wound ........................................ 22.30 NA NA 8.72 8.85 2.58 NA NA 33.60 33.73 09047360 ......... ............ A Repair liver wound ........................................ 31.12 NA NA 11.32 11.53 3.37 NA NA 45.8146.02 09047361 ......... ............ A Repair liver wound ........................................ 52.41 NA NA 16.60 18.07 5.85 NA NA 74.8676.33 09047362 ......... ............ A Repair liver wound ........................................ 23.35 NA NA 9.10 8.83 2.50 NA NA 34.95 34.68 09047370 ......... ............ A Laparo ablate liver tumor rf ........................... 20.61 NA NA 7.64 8.02 2.55 NA NA 30.80 31.1809047371 ......... ............ A Laparo ablate liver cryosurg .......................... 20.61 NA NA 8.10 8.15 2.60 NA NA 31.31 31.3609047380 ......... ............ A Open ablate liver tumor rf ............................. 24.37 NA NA 8.60 9.19 2.86 NA NA 35.83 36.4209047381 ......... ............ A Open ablate liver tumor cryo ......................... 24.64 NA NA 9.12 9.49 2.84 NA NA 36.60 36.97 09047382 ......... ............ A Percut ablate liver rf ...................................... 15.17 NA NA 6.21 6.12 0.96 NA NA 22.3422.25 01047400 ......... ............ A Incision of liver duct ...................................... 36.17 NA NA 13.15 13.39 3.07 NA NA 52.39 52.63 09047420 ......... ............ A Incision of bile duct ....................................... 21.86 NA NA 8.44 8.70 2.62 NA NA 32.9233.18 09047425 ......... ............ A Incision of bile duct ....................................... 22.14 NA NA 8.48 8.74 2.61 NA NA 33.2333.49 09047460 ......... ............ A Incise bile duct sphincter ............................... 20.35 NA NA 9.00 8.54 2.20 NA NA 31.55 31.09 09047480 ......... ............ A Incision of gallbladder ................................... 13.06 NA NA 6.55 6.08 1.42 NA NA 21.03 20.56 09047490 ......... ............ A Incision of gallbladder ................................... 8.00 NA NA 5.29 5.51 0.43 NA NA 13.72 13.94 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00156 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37325 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal47500 ......... ............ A Injection for liver x-rays ................................. 1.96 NA NA 0.70 0.66 0.12 NA NA 2.78 2.74 00047505 ......... ............ A Injection for liver x-rays ................................. 0.76 NA NA 0.27 0.26 0.04 NA NA 1.07 1.06 00047510 ......... ............ A Insert catheter, bile duct ................................ 7.88 NA NA 4.69 4.94 0.46 NA NA 13.03 13.28 09047511 ......... ............ A Insert bile duct drain ...................................... 10.72 NA NA 5.09 5.09 0.62 NA NA 16.4316.43 09047525 ......... ............ A Change bile duct catheter ............................. 5.54 15.68 15.27 2.74 2.79 0.33 21.55 21.14 8.61 8.66 01047530 ......... ............ A Revise/reinsert bile tube ................................ 5.90 32.21 33.46 3.52 3.67 0.37 38.48 39.73 9.79 9.94 09047550 ......... ............ A Bile duct endoscopy add-on .......................... 3.02 NA NA 0.77 0.96 0.40 NA NA 4.19 4.38 ZZZ47552 ......... ............ A Biliary endoscopy thru skin ........................... 6.03 NA NA 2.52 2.42 0.42 NA NA 8.97 8.87 00047553 ......... ............ A Biliary endoscopy thru skin ........................... 6.34 NA NA 2.25 2.12 0.37 NA NA 8.96 8.83 00047554 ......... ............ A Biliary endoscopy thru skin ........................... 9.05 NA NA 3.27 3.34 0.96 NA NA 13.28 13.35 00047555 ......... ............ A Biliary endoscopy thru skin ........................... 7.55 NA NA 2.76 2.54 0.45 NA NA 10.76 10.54 00047556 ......... ............ A Biliary endoscopy thru skin ........................... 8.55 NA NA 3.07 2.86 0.50 NA NA 12.12 11.91 00047560 ......... ............ A Laparoscopy w/cholangio .............................. 4.88 NA NA 1.24 1.56 0.65 NA NA 6.77 7.09 00047561 ......... ............ A Laparo w/cholangio/biopsy ............................ 5.17 NA NA 1.55 1.83 0.66 NA NA 7.38 7.66 00047562 ......... ............ A Laparoscopic cholecystectomy ..................... 11.57 NA NA 4.87 4.96 1.46 NA NA 17.90 17.99 09047563 ......... ............ A Laparo cholecystectomy/graph ..................... 11.98 NA NA 5.06 5.25 1.58 NA NA 18.62 18.81 09047564 ......... ............ A Laparo cholecystectomy/explr ....................... 14.21 NA NA 5.42 5.83 1.88 NA NA 21.51 21.92 09047570 ......... ............ A Laparo cholecystoenterostomy ..................... 12.56 NA NA 5.04 5.30 1.65 NA NA 19.25 19.51 09047600 ......... ............ A Removal of gallbladder ................................. 15.44 NA NA 6.12 6.14 1.79 NA NA 23.35 23.3709047605 ......... ............ A Removal of gallbladder ................................. 15.86 NA NA 6.24 6.44 1.94 NA NA 24.04 24.2409047610 ......... ............ A Removal of gallbladder ................................. 20.80 NA NA 7.54 7.84 2.48 NA NA 30.82 31.1209047612 ......... ............ A Removal of gallbladder ................................. 21.09 NA NA 7.55 7.81 2.47 NA NA 31.11 31.3709047620 ......... ............ A Removal of gallbladder ................................. 22.95 NA NA 8.05 8.41 2.73 NA NA 33.73 34.0909047630 ......... ............ A Remove bile duct stone ................................ 9.52 NA NA 4.86 4.88 0.65 NA NA 15.03 15.05 09047700 ......... ............ A Exploration of bile ducts ................................ 16.32 NA NA 7.11 7.34 2.06 NA NA 25.49 25.72 09047701 ......... ............ A Bile duct revision ........................................... 28.55 NA NA 9.85 11.09 3.67 NA NA 42.07 43.31 09047711 ......... ............ A Excision of bile duct tumor ............................ 25.71 NA NA 9.40 9.81 3.04 NA NA 38.15 38.5609047712 ......... ............ A Excision of bile duct tumor ............................ 33.53 NA NA 11.36 12.17 3.92 NA NA 48.81 49.62 09047715 ......... ............ A Excision of bile duct cyst ............................... 21.36 NA NA 8.40 8.43 2.48 NA NA 32.24 32.27 09047716 ......... ............ A Fusion of bile duct cyst ................................. 19.01 NA NA 7.73 7.81 2.14 NA NA 28.88 28.96 09047720 ......... ............ A Fuse gallbladder & bowel .............................. 18.15 NA NA 7.57 7.50 2.10 NA NA 27.82 27.7509047721 ......... ............ A Fuse upper gi structures ............................... 21.80 NA NA 8.44 8.54 2.52 NA NA 32.76 32.8609047740 ......... ............ A Fuse gallbladder & bowel .............................. 21.04 NA NA 8.33 8.37 2.41 NA NA 31.78 31.8209047741 ......... ............ A Fuse gallbladder & bowel .............................. 24.02 NA NA 9.08 9.25 2.82 NA NA 35.92 36.0909047760 ......... ............ A Fuse bile ducts and bowel ............................ 38.08 NA NA 12.57 11.29 3.41 NA NA 54.06 52.7809047765 ......... ............ A Fuse liver ducts & bowel ............................... 51.95 NA NA 16.38 12.20 3.29 NA NA 71.62 67.44 09047780 ......... ............ A Fuse bile ducts and bowel ............................ 42.08 NA NA 13.80 11.87 3.49 NA NA 59.37 57.4409047785 ......... ............ A Fuse bile ducts and bowel ............................ 55.95 NA NA 17.31 14.03 4.09 NA NA 77.35 74.0709047800 ......... ............ A Reconstruction of bile ducts .......................... 25.98 NA NA 9.56 9.94 3.07 NA NA 38.61 38.9909047801 ......... ............ A Placement, bile duct support ......................... 17.41 NA NA 8.57 8.26 1.16 NA NA 27.14 26.83 09047802 ......... ............ A Fuse liver duct & intestine ............................. 24.74 NA NA 9.35 9.60 2.85 NA NA 36.94 37.19 09047900 ......... ............ A Suture bile duct injury ................................... 22.25 NA NA 8.56 8.80 2.64 NA NA 33.45 33.69 09048000 ......... ............ A Drainage of abdomen .................................... 31.76 NA NA 10.94 11.38 3.47 NA NA 46.17 46.61 09048001 ......... ............ A Placement of drain, pancreas ....................... 39.50 NA NA 12.54 13.56 4.68 NA NA 56.72 57.74 09048005 ......... ............ A Resect/debride pancreas .............................. 48.97 NA NA 15.75 16.38 5.54 NA NA 70.26 70.8909048020 ......... ............ A Removal of pancreatic stone ........................ 18.90 NA NA 7.43 7.34 2.12 NA NA 28.45 28.36 09048100 ......... ............ A Biopsy of pancreas, open ............................. 14.34 NA NA 5.79 5.65 1.62 NA NA 21.75 21.61 09048102 ......... ............ A Needle biopsy, pancreas ............................... 4.67 10.07 8.50 1.91 1.94 0.28 15.02 13.45 6.86 6.89 01048120 ......... ............ A Removal of pancreas lesion .......................... 18.29 NA NA 6.76 6.84 2.09 NA NA 27.14 27.22 09048140 ......... ............ A Partial removal of pancreas .......................... 26.13 NA NA 9.21 9.47 3.02 NA NA 38.36 38.62 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00157 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37326 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal48145 ......... ............ A Partial removal of pancreas .......................... 27.20 NA NA 9.56 9.77 3.17 NA NA 39.93 40.14 09048146 ......... ............ A Pancreatectomy ............................................ 30.34 NA NA 11.72 11.93 3.49 NA NA 45.5545.76 09048148 ......... ............ A Removal of pancreatic duct .......................... 20.20 NA NA 7.93 7.69 2.29 NA NA 30.42 30.18 09048150 ......... ............ A Partial removal of pancreas .......................... 52.55 NA NA 17.87 19.12 6.30 NA NA 76.72 77.9709048152 ......... ............ A Pancreatectomy ............................................ 48.39 NA NA 16.44 17.78 5.78 NA NA 70.6171.95 09048153 ......... ............ A Pancreatectomy ............................................ 52.53 NA NA 17.71 19.11 6.29 NA NA 76.5377.93 09048154 ......... ............ A Pancreatectomy ............................................ 48.62 NA NA 16.73 17.88 5.82 NA NA 71.1772.32 09048155 ......... ............ A Removal of pancreas .................................... 29.19 NA NA 11.82 11.72 3.26 NA NA 44.27 44.17 09048180 ......... ............ A Fuse pancreas and bowel ............................. 27.90 NA NA 9.76 10.07 3.27 NA NA 40.93 41.24 09048400 ......... ............ A Injection, intraop add-on ................................ 1.95 NA NA 0.88 0.70 0.15 NA NA 2.98 2.80ZZZ48500 ......... ............ A Surgery of pancreatic cyst ............................ 17.97 NA NA 7.95 7.49 2.02 NA NA 27.94 27.4809048510 ......... ............ A Drain pancreatic pseudocyst ......................... 17.00 NA NA 7.48 7.46 1.82 NA NA 26.30 26.28 09048511 ......... ............ A Drain pancreatic pseudocyst ......................... 3.99 21.19 21.01 1.41 1.34 0.24 25.42 25.24 5.64 5.57 00048520 ......... ............ A Fuse pancreas cyst and bowel ..................... 18.03 NA NA 6.63 6.69 2.05 NA NA 26.71 26.77 09048540 ......... ............ A Fuse pancreas cyst and bowel ..................... 21.82 NA NA 7.59 7.99 2.60 NA NA 32.01 32.41 09048545 ......... ............ A Pancreatorrhaphy .......................................... 22.04 NA NA 7.98 7.99 2.37 NA NA 32.39 32.40 09048547 ......... ............ A Duodenal exclusion ....................................... 30.19 NA NA 10.16 10.42 3.41 NA NA 43.76 44.02 09048552 ......... ............ A Prep donor pancreas/venous ........................ 4.30 NA NA 1.13 1.38 0.31 NA NA 5.74 5.99 XXX48554 ......... ............ R Transpl allograft pancreas ............................. 36.77 NA NA 20.52 18.86 4.18 NA NA 61.47 59.81 09048556 ......... ............ A Removal, allograft pancreas ......................... 19.16 NA NA 9.41 8.41 2.07 NA NA 30.64 29.64 09049000 ......... ............ A Exploration of abdomen ................................ 12.40 NA NA 5.20 5.34 1.52 NA NA 19.12 19.2609049002 ......... ............ A Reopening of abdomen ................................. 17.51 NA NA 6.65 5.43 1.37 NA NA 25.53 24.31 09049010 ......... ............ A Exploration behind abdomen ........................ 15.94 NA NA 6.63 6.09 1.51 NA NA 24.08 23.54 09049020 ......... ............ A Drain abdominal abscess .............................. 26.38 NA NA 9.92 10.14 2.84 NA NA 39.14 39.3609049021 ......... ............ A Drain abdominal abscess .............................. 3.37 20.65 21.00 1.19 1.13 0.20 24.22 24.57 4.76 4.70 00049040 ......... ............ A Drain, open, abdom abscess ........................ 16.35 NA NA 6.53 6.46 1.69 NA NA 24.57 24.50 09049041 ......... ............ A Drain, percut, abdom abscess ...................... 3.99 20.90 19.90 1.41 1.34 0.24 25.13 24.13 5.645.57 00049060 ......... ............ A Drain, open, retrop abscess .......................... 18.36 NA NA 7.38 7.43 1.74 NA NA 27.48 27.53 09049061 ......... ............ A Drain, percut, retroper absc .......................... 3.69 20.77 19.95 1.31 1.24 0.22 24.68 23.86 5.22 5.15 00049062 ......... ............ A Drain to peritoneal cavity .............................. 12.08 NA NA 5.27 5.40 1.39 NA NA 18.74 18.87 09049080 ......... ............ A Puncture, peritoneal cavity ............................ 1.35 2.84 3.70 0.48 0.47 0.08 4.27 5.13 1.911.90 00049081 ......... ............ A Removal of abdominal fluid ........................... 1.26 3.04 2.70 0.47 0.44 0.09 4.39 4.05 1.82 1.79 00049085 ......... ............ A Remove abdomen foreign body .................... 13.97 NA NA 5.56 5.52 1.62 NA NA 21.15 21.11 09049180 ......... ............ A Biopsy, abdominal mass ............................... 1.73 2.57 2.98 0.61 0.58 0.10 4.40 4.81 2.44 2.41 00049200 ......... ............ A Removal of abdominal lesion ........................ 10.89 NA NA 4.88 4.99 1.24 NA NA 17.01 17.12 09049201 ......... ............ A Remove abdom lesion, complex ................... 15.60 NA NA 6.39 6.88 1.87 NA NA 23.86 24.35 09049215 ......... ............ A Excise sacral spine tumor ............................. 37.60 NA NA 12.46 13.68 4.37 NA NA 54.43 55.65 09049220 ......... ............ A Multiple surgery, abdomen ............................ 15.64 NA NA 6.23 6.54 1.88 NA NA 23.75 24.06 09049250 ......... ............ A Excision of umbilicus ..................................... 8.88 NA NA 4.27 4.27 1.08 NA NA 14.23 14.23 09049255 ......... ............ A Removal of omentum .................................... 12.35 NA NA 5.61 5.62 1.43 NA NA 19.39 19.4009049320 ......... ............ A Diag laparo separate proc ............................. 5.34 NA NA 2.50 2.61 0.65 NA NA 8.49 8.60 01049321 ......... ............ A Laparoscopy, biopsy ..................................... 5.39 NA NA 2.55 2.63 0.70 NA NA 8.64 8.72 01049322 ......... ............ A Laparoscopy, aspiration ................................ 5.94 NA NA 2.62 2.91 0.71 NA NA 9.27 9.56 01049323 ......... ............ A Laparo drain lymphocele ............................... 10.09 NA NA 4.70 4.55 1.20 NA NA 15.99 15.8409049400 ......... ............ A Air injection into abdomen ............................. 1.88 2.55 2.95 0.62 0.62 0.15 4.58 4.98 2.652.65 00049419 ......... ............ A Insrt abdom cath for chemotx ....................... 7.01 NA NA 3.54 3.56 0.81 NA NA 11.36 11.38 09049420 ......... ............ A Insert abdom drain, temp .............................. 2.22 NA NA 1.21 1.12 0.21 NA NA 3.64 3.55 00049421 ......... ............ A Insert abdom drain, perm .............................. 5.83 NA NA 3.17 3.16 0.74 NA NA 9.74 9.73 09049422 ......... ............ A Remove perm cannula/catheter .................... 6.24 NA NA 2.64 2.84 0.83 NA NA 9.71 9.91 01049423 ......... ............ A Exchange drainage catheter ......................... 1.46 13.85 14.05 0.56 0.53 0.09 15.40 15.60 2.112.08 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00158 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37327 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal49424 ......... ............ A Assess cyst, contrast inject ........................... 0.76 3.24 3.60 0.30 0.29 0.04 4.04 4.40 1.101.09 00049425 ......... ............ A Insert abdomen-venous drain ....................... 12.07 NA NA 5.31 5.54 1.54 NA NA 18.92 19.15 09049426 ......... ............ A Revise abdomen-venous shunt ..................... 10.28 NA NA 4.55 4.72 1.28 NA NA 16.11 16.28 09049427 ......... ............ A Injection, abdominal shunt ............................ 0.89 NA NA 0.31 0.30 0.07 NA NA 1.27 1.26 00049428 ......... ............ A Ligation of shunt ............................................ 6.75 NA NA 3.04 3.71 0.80 NA NA 10.5911.26 01049429 ......... ............ A Removal of shunt .......................................... 7.39 NA NA 3.01 3.33 1.02 NA NA 11.42 11.74 01049491 ......... ............ A Rpr hern preemie reduc ................................ 12.36 NA NA 5.39 5.14 1.40 NA NA 19.15 18.9009049492 ......... ............ A Rpr ing hern premie, blocked ........................ 15.26 NA NA 5.76 6.03 1.80 NA NA 22.82 23.09 09049495 ......... ............ A Rpr ing hernia baby, reduc ........................... 6.13 NA NA 2.97 2.96 0.74 NA NA 9.84 9.83 09049496 ......... ............ A Rpr ing hernia baby, blocked ........................ 9.28 NA NA 4.36 4.30 1.07 NA NA 14.71 14.65 09049500 ......... ............ A Rpr ing hernia, init, reduce ............................ 5.72 NA NA 3.57 3.23 0.71 NA NA 10.00 9.6609049501 ......... ............ A Rpr ing hernia, init blocked ........................... 9.24 NA NA 4.24 4.22 1.12 NA NA 14.60 14.5809049505 ......... ............ A Prp i/hern init reduc >5 yr ............................. 7.84 NA NA 3.88 3.78 1.03 NA NA 12.75 12.6509049507 ......... ............ A Prp i/hern init block >5 yr .............................. 9.93 NA NA 4.45 4.46 1.27 NA NA 15.65 15.66 09049520 ......... ............ A Rerepair ing hernia, reduce .......................... 9.87 NA NA 4.37 4.42 1.28 NA NA 15.52 15.57 09049521 ......... ............ A Rerepair ing hernia, blocked ......................... 12.32 NA NA 4.98 5.18 1.59 NA NA 18.89 19.09 09049525 ......... ............ A Repair ing hernia, sliding .............................. 8.81 NA NA 4.13 4.09 1.13 NA NA 14.07 14.0309049540 ......... ............ A Repair lumbar hernia ..................................... 10.62 NA NA 4.63 4.72 1.37 NA NA 16.62 16.71 09049550 ......... ............ A Rpr rem hernia, init, reduce .......................... 8.87 NA NA 4.10 4.12 1.14 NA NA 14.11 14.13 09049553 ......... ............ A Rpr fem hernia, init blocked .......................... 9.80 NA NA 4.40 4.42 1.24 NA NA 15.44 15.46 09049555 ......... ............ A Rerepair fem hernia, reduce ......................... 9.27 NA NA 4.21 4.26 1.20 NA NA 14.68 14.73 09049557 ......... ............ A Rerepair fem hernia, blocked ........................ 11.50 NA NA 4.84 4.95 1.47 NA NA 17.81 17.92 09049560 ......... ............ A Rpr ventral hern init, reduc ........................... 11.80 NA NA 4.86 5.08 1.52 NA NA 18.18 18.4009049561 ......... ............ A Rpr ventral hern init, block ............................ 15.26 NA NA 5.79 6.00 1.88 NA NA 22.93 23.14 09049565 ......... ............ A Rerepair ventrl hern, reduce ......................... 12.25 NA NA 5.10 5.20 1.52 NA NA 18.87 18.97 09049566 ......... ............ A Rerepair ventrl hern, block ............................ 15.41 NA NA 5.84 6.07 1.90 NA NA 23.15 23.3809049568 ......... ............ A Hernia repair w/mesh .................................... 4.88 NA NA 1.24 1.56 0.64 NA NA 6.76 7.08 ZZZ49570 ......... ............ A Rpr epigastric hern, reduce ........................... 5.93 NA NA 3.33 3.21 0.75 NA NA 10.01 9.89 09049572 ......... ............ A Rpr epigastric hern, blocked ......................... 7.75 NA NA 3.82 3.56 0.88 NA NA 12.45 12.19 09049580 ......... ............ A Rpr umbil hern, reduc < 5 yr ......................... 4.35 NA NA 3.00 2.70 0.54 NA NA 7.89 7.59 09049582 ......... ............ A Rpr umbil hern, block < 5 yr ......................... 7.01 NA NA 3.60 3.50 0.88 NA NA 11.49 11.39 09049585 ......... ............ A Rpr umbil hern, reduc > 5 yr ......................... 6.47 NA NA 3.51 3.35 0.82 NA NA 10.80 10.64 09049587 ......... ............ A Rpr umbil hern, block > 5 yr ......................... 7.92 NA NA 3.86 3.77 0.99 NA NA 12.77 12.68 09049590 ......... ............ A Repair spigelian hernia ................................. 8.78 NA NA 4.09 4.09 1.13 NA NA 14.00 14.0009049600 ......... ............ A Repair umbilical lesion .................................. 11.42 NA NA 5.18 5.30 1.32 NA NA 17.92 18.04 09049605 ......... ............ A Repair umbilical lesion .................................. 86.79 NA NA 26.31 28.01 9.36 NA NA 122.5 124.2 09049606 ......... ............ A Repair umbilical lesion .................................. 18.87 NA NA 6.57 7.42 2.45 NA NA 27.89 28.74 09049610 ......... ............ A Repair umbilical lesion .................................. 10.78 NA NA 4.75 5.10 1.07 NA NA 16.60 16.95 09049611 ......... ............ A Repair umbilical lesion .................................. 9.21 NA NA 3.87 6.21 0.78 NA NA 13.86 16.20 09049650 ......... ............ A Laparo hernia repair initial ............................ 6.26 NA NA 3.34 3.24 0.93 NA NA 10.53 10.4309049651 ......... ............ A Laparo hernia repair recur ............................ 8.23 NA NA 4.16 4.08 1.14 NA NA 13.53 13.45 09049900 ......... ............ A Repair of abdominal wall ............................... 12.26 NA NA 6.26 6.25 1.62 NA NA 20.14 20.1309049904 ......... ............ A Omental flap, extra-abdom ............................ 22.06 NA NA 11.99 14.44 2.69 NA NA 36.74 39.1909049905 ......... ............ A Omental flap, intra-abdom ............................. 6.54 NA NA 1.72 2.16 0.75 NA NA 9.01 9.45 ZZZ50010 ......... ............ A Exploration of kidney ..................................... 12.07 NA NA 7.02 5.68 0.93 NA NA 20.02 18.68 09050020 ......... ............ A Renal abscess, open drain ........................... 17.80 NA NA 8.80 8.02 1.34 NA NA 27.94 27.16 09050021 ......... ............ A Renal abscess, percut drain ......................... 3.37 22.24 21.84 1.21 1.13 0.20 25.81 25.41 4.78 4.70 00050040 ......... ............ A Drainage of kidney ........................................ 16.40 NA NA 9.23 7.42 1.03 NA NA 26.66 24.85 09050045 ......... ............ A Exploration of kidney ..................................... 16.61 NA NA 8.73 7.14 1.24 NA NA 26.58 24.99 09050060 ......... ............ A Removal of kidney stone ............................... 20.74 NA NA 11.44 8.74 1.36 NA NA 33.54 30.8409050065 ......... ............ A Incision of kidney ........................................... 22.11 NA NA 12.04 7.58 1.59 NA NA 35.74 31.28 09050070 ......... ............ A Incision of kidney ........................................... 21.64 NA NA 11.85 9.14 1.44 NA NA 34.93 32.22 09050075 ......... ............ A Removal of kidney stone ............................... 26.83 NA NA 14.21 10.99 1.80 NA NA 42.84 39.62 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00159 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37328 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal50080 ......... ............ A Removal of kidney stone ............................... 15.55 NA NA 8.91 6.95 1.04 NA NA 25.50 23.5409050081 ......... ............ A Removal of kidney stone ............................... 23.24 NA NA 12.70 9.76 1.54 NA NA 37.48 34.5409050100 ......... ............ A Revise kidney blood vessels ......................... 17.24 NA NA 7.21 7.65 2.06 NA NA 26.51 26.95 09050120 ......... ............ A Exploration of kidney ..................................... 17.00 NA NA 9.16 7.38 1.21 NA NA 27.37 25.59 09050125 ......... ............ A Explore and drain kidney .............................. 17.61 NA NA 10.15 7.77 1.43 NA NA 29.19 26.8109050130 ......... ............ A Removal of kidney stone ............................... 18.61 NA NA 10.41 7.99 1.22 NA NA 30.24 27.8209050135 ......... ............ A Exploration of kidney ..................................... 20.38 NA NA 11.11 8.62 1.33 NA NA 32.82 30.33 09050200 ......... ............ A Biopsy of kidney ............................................ 2.63 NA NA 1.19 1.27 0.16 NA NA 3.98 4.06 00050205 ......... ............ A Biopsy of kidney ............................................ 12.15 NA NA 5.62 5.17 1.30 NA NA 19.0718.62 09050220 ......... ............ A Remove kidney, open ................................... 18.47 NA NA 9.89 7.91 1.35 NA NA 29.71 27.7309050225 ......... ............ A Removal kidney open, complex .................... 21.67 NA NA 11.46 8.99 1.50 NA NA 34.63 32.16 09050230 ......... ............ A Removal kidney open, radical ....................... 23.62 NA NA 12.16 9.48 1.55 NA NA 37.33 34.65 09050234 ......... ............ A Removal of kidney & ureter .......................... 23.84 NA NA 12.56 9.78 1.59 NA NA 37.99 35.21 09050236 ......... ............ A Removal of kidney & ureter .......................... 26.66 NA NA 14.52 11.33 1.76 NA NA 42.94 39.7509050240 ......... ............ A Partial removal of kidney ............................... 23.93 NA NA 13.15 10.06 1.55 NA NA 38.63 35.54 09050250 ......... ............ A Cryoablate renal mass open ......................... 21.98 NA NA 11.56 9.78 1.39 NA NA 34.93 33.15 09050280 ......... ............ A Removal of kidney lesion .............................. 16.88 NA NA 9.60 7.43 1.19 NA NA 27.67 25.5009050290 ......... ............ A Removal of kidney lesion .............................. 15.94 NA NA 8.37 6.95 1.41 NA NA 25.72 24.3009050320 ......... ............ A Remove kidney, living donor ......................... 22.18 NA NA 12.63 11.17 2.35 NA NA 37.16 35.7009050327 ......... ............ A Prep renal graft/venous ................................. 4.00 NA NA 1.09 1.29 0.29 NA NA 5.38 5.58 XXX50328 ......... ............ A Prep renal graft/arterial ................................. 3.50 NA NA 0.97 1.13 0.26 NA NA 4.73 4.89XXX50329 ......... ............ A Prep renal graft/ureteral ................................ 3.34 NA NA 0.99 1.10 0.25 NA NA 4.58 4.69XXX50340 ......... ............ A Removal of kidney ......................................... 13.78 NA NA 7.64 6.79 1.65 NA NA 23.07 22.22 09050360 ......... ............ A Transplantation of kidney .............................. 40.27 NA NA 18.85 16.35 3.81 NA NA 62.93 60.43 09050365 ......... ............ A Transplantation of kidney .............................. 45.49 NA NA 19.38 18.53 4.42 NA NA 69.29 68.44 09050370 ......... ............ A Remove transplanted kidney ......................... 18.60 NA NA 9.32 7.70 1.67 NA NA 29.59 27.97 09050380 ......... ............ A Reimplantation of kidney ............................... 29.47 NA NA 16.48 13.16 2.50 NA NA 48.45 45.13 09050382 ......... ............ A Change ureter stent, percut .......................... 5.50 27.61 34.07 2.04 1.91 0.34 33.45 39.91 7.88 7.75 00050384 ......... ............ A Remove ureter stent, percut ......................... 5.00 26.44 33.10 1.86 1.75 0.31 31.75 38.41 7.17 7.06 00050387 ......... ............ A Change ext/int ureter stent ............................ 2.00 13.31 17.02 0.73 0.69 0.12 15.43 19.142.85 2.81 00050389 ......... ............ A Remove renal tube w/fluoro .......................... 1.10 7.05 11.35 0.40 0.38 0.07 8.22 12.52 1.571.55 00050390 ......... ............ A Drainage of kidney lesion .............................. 1.96 NA NA 0.70 0.66 0.12 NA NA 2.78 2.74 00050391 ......... ............ A Instll rx agnt into rnal tub .............................. 1.96 1.55 1.57 0.82 0.68 0.14 3.65 3.67 2.92 2.78 00050392 ......... ............ A Insert kidney drain ......................................... 3.37 NA NA 1.53 1.52 0.20 NA NA 5.10 5.09 00050393 ......... ............ A Insert ureteral tube ........................................ 4.15 NA NA 1.81 1.80 0.25 NA NA 6.21 6.20 00050394 ......... ............ A Injection for kidney x-ray ............................... 0.76 1.97 2.51 0.60 0.65 0.05 2.78 3.32 1.41 1.46 00050395 ......... ............ A Create passage to kidney ............................. 3.37 NA NA 1.59 1.52 0.21 NA NA 5.17 5.10 00050396 ......... ............ A Measure kidney pressure .............................. 2.09 NA NA 1.10 1.09 0.13 NA NA 3.32 3.31 00050398 ......... ............ A Change kidney tube ...................................... 1.46 12.52 15.40 0.57 0.53 0.09 14.07 16.952.12 2.08 00050400 ......... ............ A Revision of kidney/ureter ............................... 21.06 NA NA 11.45 8.78 1.38 NA NA 33.89 31.22 09050405 ......... ............ A Revision of kidney/ureter ............................... 25.60 NA NA 13.53 10.17 1.78 NA NA 40.91 37.55 09050500 ......... ............ A Repair of kidney wound ................................ 21.01 NA NA 9.37 8.64 2.01 NA NA 32.39 31.6609050520 ......... ............ A Close kidney-skin fistula ................................ 18.67 NA NA 9.59 7.98 1.49 NA NA 29.75 28.14 09050525 ......... ............ A Repair renal-abdomen fistula ........................ 24.13 NA NA 11.13 9.55 1.83 NA NA 37.09 35.51 09050526 ......... ............ A Repair renal-abdomen fistula ........................ 26.05 NA NA 7.99 9.41 1.96 NA NA 36.00 37.42 09050540 ......... ............ A Revision of horseshoe kidney ....................... 20.89 NA NA 11.09 9.03 1.36 NA NA 33.34 31.28 09050541 ......... ............ A Laparo ablate renal cyst ................................ 16.72 NA NA 9.08 7.15 1.13 NA NA 26.93 25.00 09050542 ......... ............ A Laparo ablate renal mass ............................. 21.12 NA NA 11.61 9.02 1.39 NA NA 34.12 31.5309050543 ......... ............ A Laparo partial nephrectomy .......................... 27.10 NA NA 14.62 11.32 1.80 NA NA 43.52 40.2209050544 ......... ............ A Laparoscopy, pyeloplasty .............................. 23.23 NA NA 11.87 9.37 1.58 NA NA 36.68 34.1809050545 ......... ............ A Laparo radical nephrectomy .......................... 24.89 NA NA 12.72 10.09 1.70 NA NA 39.31 36.6809050546 ......... ............ A Laparoscopic nephrectomy ........................... 21.63 NA NA 11.70 9.21 1.57 NA NA 34.90 32.41 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00160 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37329 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal50547 ......... ............ A Laparo removal donor kidney ....................... 26.20 NA NA 12.68 11.52 2.76 NA NA 41.64 40.48 09050548 ......... ............ A Laparo remove w/ureter ................................ 25.22 NA NA 12.65 10.06 1.72 NA NA 39.59 37.00 09050551 ......... ............ A Kidney endoscopy ......................................... 5.59 4.73 4.30 2.74 2.17 0.40 10.72 10.298.73 8.16 00050553 ......... ............ A Kidney endoscopy ......................................... 5.98 4.65 4.44 2.70 2.31 0.39 11.02 10.819.07 8.68 00050555 ......... ............ A Kidney endoscopy & biopsy .......................... 6.52 5.27 4.93 3.13 2.54 0.45 12.24 11.90 10.109.51 00050557 ......... ............ A Kidney endoscopy & treatment ..................... 6.61 5.42 4.80 3.16 2.52 0.47 12.50 11.88 10.24 9.60 00050561 ......... ............ A Kidney endoscopy & treatment ..................... 7.58 5.99 5.32 3.56 2.88 0.54 14.11 13.44 11.68 11.00 00050562 ......... ............ A Renal scope w/tumor resect ......................... 10.90 NA NA 5.59 4.64 0.73 NA NA 17.22 16.27 09050570 ......... ............ A Kidney endoscopy ......................................... 9.53 NA NA 4.41 3.52 0.68 NA NA 14.62 13.73 00050572 ......... ............ A Kidney endoscopy ......................................... 10.33 NA NA 4.75 3.82 0.85 NA NA 15.93 15.00 00050574 ......... ............ A Kidney endoscopy & biopsy .......................... 11.00 NA NA 5.03 4.07 0.77 NA NA 16.80 15.84 00050575 ......... ............ A Kidney endoscopy ......................................... 13.96 NA NA 6.25 5.04 0.99 NA NA 21.20 19.99 00050576 ......... ............ A Kidney endoscopy & treatment ..................... 10.97 NA NA 5.02 4.01 0.78 NA NA 16.77 15.76 00050580 ......... ............ A Kidney endoscopy & treatment ..................... 11.84 NA NA 5.34 4.31 0.83 NA NA 18.01 16.98 00050590 ......... ............ A Fragmenting of kidney stone ......................... 9.58 17.79 13.77 6.49 4.71 0.65 28.02 24.00 16.72 14.94 09050592 ......... ............ A Perc rf ablate renal tumor ............................. 6.75 79.58 132.0 2.99 2.99 0.43 86.76 139.210.17 10.17 01050600 ......... ............ A Exploration of ureter ...................................... 16.98 NA NA 8.78 7.21 1.13 NA NA 26.89 25.32 09050605 ......... ............ A Insert ureteral support ................................... 16.60 NA NA 8.15 7.10 1.45 NA NA 26.20 25.15 09050610 ......... ............ A Removal of ureter stone ................................ 17.06 NA NA 9.30 7.56 1.43 NA NA 27.79 26.0509050620 ......... ............ A Removal of ureter stone ................................ 16.24 NA NA 9.22 7.07 1.07 NA NA 26.53 24.3809050630 ......... ............ A Removal of ureter stone ................................ 16.02 NA NA 8.49 6.84 1.09 NA NA 25.60 23.9509050650 ......... ............ A Removal of ureter .......................................... 18.61 NA NA 10.44 8.04 1.23 NA NA 30.2827.88 09050660 ......... ............ A Removal of ureter .......................................... 20.81 NA NA 11.16 8.77 1.38 NA NA 33.3530.96 09050684 ......... ............ A Injection for ureter x-ray ................................ 0.76 4.25 4.80 0.66 0.52 0.05 5.06 5.61 1.47 1.33 00050686 ......... ............ A Measure ureter pressure ............................... 1.51 2.04 3.10 0.70 0.79 0.11 3.66 4.72 2.322.41 00050688 ......... ............ A Change of ureter tube/stent .......................... 1.17 NA NA 0.98 1.04 0.07 NA NA 2.22 2.28 01050690 ......... ............ A Injection for ureter x-ray ................................ 1.16 1.50 1.75 0.76 0.73 0.07 2.73 2.98 1.99 1.96 00050700 ......... ............ A Revision of ureter .......................................... 16.48 NA NA 8.79 7.55 1.27 NA NA 26.5425.30 09050715 ......... ............ A Release of ureter ........................................... 20.43 NA NA 8.61 8.72 2.13 NA NA 31.1731.28 09050722 ......... ............ A Release of ureter ........................................... 17.74 NA NA 8.01 7.87 1.90 NA NA 27.6527.51 09050725 ......... ............ A Release/revise ureter .................................... 19.99 NA NA 9.87 8.51 1.52 NA NA 31.38 30.02 09050727 ......... ............ A Revise ureter ................................................. 8.17 NA NA 5.91 4.69 0.61 NA NA 14.6913.47 09050728 ......... ............ A Revise ureter ................................................. 12.00 NA NA 7.35 6.02 1.00 NA NA 20.35 19.02 09050740 ......... ............ A Fusion of ureter & kidney .............................. 19.86 NA NA 9.13 8.10 1.96 NA NA 30.95 29.9209050750 ......... ............ A Fusion of ureter & kidney .............................. 21.01 NA NA 9.98 8.50 1.38 NA NA 32.37 30.8909050760 ......... ............ A Fusion of ureters ........................................... 19.86 NA NA 10.02 8.27 1.55 NA NA 31.4329.68 09050770 ......... ............ A Splicing of ureters ......................................... 21.01 NA NA 10.99 8.74 1.45 NA NA 33.4531.20 09050780 ......... ............ A Reimplant ureter in bladder ........................... 19.74 NA NA 10.38 8.30 1.51 NA NA 31.63 29.5509050782 ......... ............ A Reimplant ureter in bladder ........................... 19.51 NA NA 8.49 8.72 1.61 NA NA 29.61 29.8409050783 ......... ............ A Reimplant ureter in bladder ........................... 20.52 NA NA 10.24 8.73 1.98 NA NA 32.74 31.2309050785 ......... ............ A Reimplant ureter in bladder ........................... 22.02 NA NA 11.48 9.10 1.45 NA NA 34.95 32.5709050800 ......... ............ A Implant ureter in bowel .................................. 16.15 NA NA 9.59 7.26 1.19 NA NA 26.93 24.60 09050810 ......... ............ A Fusion of ureter & bowel ............................... 22.28 NA NA 9.60 9.23 2.31 NA NA 34.19 33.8209050815 ......... ............ A Urine shunt to intestine ................................. 21.98 NA NA 11.93 9.33 1.54 NA NA 35.45 32.85 09050820 ......... ............ A Construct bowel bladder ............................... 23.81 NA NA 12.30 9.57 1.89 NA NA 38.00 35.2709050825 ......... ............ A Construct bowel bladder ............................... 30.40 NA NA 15.50 12.24 2.07 NA NA 47.97 44.71 09050830 ......... ............ A Revise urine flow ........................................... 33.49 NA NA 16.37 13.24 2.37 NA NA 52.23 49.10 09050840 ......... ............ A Replace ureter by bowel ............................... 22.11 NA NA 12.26 9.40 1.47 NA NA 35.84 32.9809050845 ......... ............ A Appendico-vesicostomy ................................. 22.11 NA NA 12.76 9.88 1.57 NA NA 36.44 33.5609050860 ......... ............ A Transplant ureter to skin ............................... 16.87 NA NA 9.41 7.33 1.29 NA NA 27.57 25.49 09050900 ......... ............ A Repair of ureter ............................................. 14.83 NA NA 8.28 6.68 1.14 NA NA 24.2522.65 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00161 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37330 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal50920 ......... ............ A Closure ureter/skin fistula .............................. 15.60 NA NA 8.79 7.13 1.01 NA NA 25.40 23.74 09050930 ......... ............ A Closure ureter/bowel fistula ........................... 19.98 NA NA 10.54 8.62 1.28 NA NA 31.80 29.88 09050940 ......... ............ A Release of ureter ........................................... 15.72 NA NA 8.41 6.91 1.26 NA NA 25.3923.89 09050945 ......... ............ A Laparoscopy ureterolithotomy ....................... 17.83 NA NA 9.01 7.54 1.36 NA NA 28.20 26.73 09050947 ......... ............ A Laparo new ureter/bladder ............................ 25.57 NA NA 12.82 10.49 2.16 NA NA 40.55 38.2209050948 ......... ............ A Laparo new ureter/bladder ............................ 23.65 NA NA 12.39 9.63 1.70 NA NA 37.74 34.9809050951 ......... ............ A Endoscopy of ureter ...................................... 5.83 4.99 4.47 2.87 2.26 0.41 11.23 10.719.11 8.50 00050953 ......... ............ A Endoscopy of ureter ...................................... 6.23 5.19 4.61 3.41 2.63 0.43 11.85 11.2710.07 9.29 00050955 ......... ............ A Ureter endoscopy & biopsy ........................... 6.74 5.45 6.19 3.65 2.93 0.48 12.67 13.41 10.8710.15 00050957 ......... ............ A Ureter endoscopy & treatment ...................... 6.78 5.53 4.81 3.26 2.60 0.48 12.79 12.07 10.52 9.86 00050961 ......... ............ A Ureter endoscopy & treatment ...................... 6.04 5.00 4.53 2.93 2.38 0.41 11.45 10.98 9.38 8.83 00050970 ......... ............ A Ureter endoscopy .......................................... 7.13 NA NA 3.40 2.70 0.52 NA NA 11.05 10.35 00050972 ......... ............ A Ureter endoscopy & catheter ........................ 6.88 NA NA 3.28 2.67 0.49 NA NA 10.65 10.04 00050974 ......... ............ A Ureter endoscopy & biopsy ........................... 9.16 NA NA 4.14 3.37 0.64 NA NA 13.94 13.17 00050976 ......... ............ A Ureter endoscopy & treatment ...................... 9.03 NA NA 3.95 3.29 0.66 NA NA 13.64 12.98 00050980 ......... ............ A Ureter endoscopy & treatment ...................... 6.84 NA NA 3.25 2.60 0.48 NA NA 10.57 9.92 00051000 ......... ............ A Drainage of bladder ....................................... 0.78 0.96 1.70 0.28 0.25 0.05 1.79 2.53 1.11 1.08 00051005 ......... ............ A Drainage of bladder ....................................... 1.02 2.44 4.14 0.30 0.33 0.10 3.56 5.26 1.42 1.45 00051010 ......... ............ A Drainage of bladder ....................................... 4.25 4.90 5.44 2.44 2.02 0.28 9.43 9.97 6.97 6.55 01051020 ......... ............ A Incise & treat bladder .................................... 7.50 NA NA 5.45 4.26 0.47 NA NA 13.42 12.23 09051030 ......... ............ A Incise & treat bladder .................................... 7.62 NA NA 4.70 4.16 0.58 NA NA 12.90 12.36 09051040 ......... ............ A Incise & drain bladder ................................... 4.39 NA NA 3.82 3.03 0.31 NA NA 8.52 7.7309051045 ......... ............ A Incise bladder/drain ureter ............................ 7.62 NA NA 5.40 4.30 0.52 NA NA 13.54 12.4409051050 ......... ............ A Removal of bladder stone ............................. 7.83 NA NA 5.53 4.12 0.49 NA NA 13.85 12.44 09051060 ......... ............ A Removal of ureter stone ................................ 9.76 NA NA 6.60 5.03 0.62 NA NA 16.98 15.4109051065 ......... ............ A Remove ureter calculus ................................ 9.76 NA NA 6.53 4.90 0.63 NA NA 16.92 15.29 09051080 ......... ............ A Drainage of bladder abscess ........................ 6.57 NA NA 4.49 3.79 0.43 NA NA 11.49 10.79 09051500 ......... ............ A Removal of bladder cyst ............................... 10.86 NA NA 5.84 5.22 1.03 NA NA 17.73 17.1109051520 ......... ............ A Removal of bladder lesion ............................ 10.02 NA NA 6.68 5.18 0.69 NA NA 17.39 15.89 09051525 ......... ............ A Removal of bladder lesion ............................ 15.23 NA NA 8.91 6.83 0.99 NA NA 25.13 23.05 09051530 ......... ............ A Removal of bladder lesion ............................ 13.52 NA NA 7.47 6.19 1.05 NA NA 22.04 20.76 09051535 ......... ............ A Repair of ureter lesion ................................... 13.71 NA NA 7.68 6.51 1.23 NA NA 22.62 21.45 09051550 ......... ............ A Partial removal of bladder ............................. 17.04 NA NA 9.12 7.34 1.31 NA NA 27.47 25.6909051555 ......... ............ A Partial removal of bladder ............................. 22.97 NA NA 11.82 9.47 1.69 NA NA 36.48 34.13 09051565 ......... ............ A Revise bladder & ureter(s) ............................ 23.42 NA NA 12.37 9.83 1.63 NA NA 37.42 34.8809051570 ......... ............ A Removal of bladder ....................................... 27.24 NA NA 13.72 10.75 1.71 NA NA 42.67 39.70 09051575 ......... ............ A Removal of bladder & nodes ........................ 33.93 NA NA 17.31 13.37 2.16 NA NA 53.40 49.46 09051580 ......... ............ A Remove bladder/revise tract ......................... 35.05 NA NA 18.16 13.93 2.24 NA NA 55.45 51.2209051585 ......... ............ A Removal of bladder & nodes ........................ 39.32 NA NA 20.24 15.36 2.48 NA NA 62.04 57.16 09051590 ......... ............ A Remove bladder/revise tract ......................... 36.08 NA NA 18.00 13.98 2.27 NA NA 56.35 52.3309051595 ......... ............ A Remove bladder/revise tract ......................... 41.03 NA NA 20.38 15.72 2.59 NA NA 64.00 59.3409051596 ......... ............ A Remove bladder/create pouch ...................... 43.90 NA NA 22.03 16.95 2.77 NA NA 68.70 63.62 09051597 ......... ............ A Removal of pelvic structures ......................... 42.51 NA NA 20.66 16.31 2.81 NA NA 65.98 61.6309051600 ......... ............ A Injection for bladder x-ray ............................. 0.88 4.41 4.90 0.33 0.30 0.06 5.35 5.84 1.27 1.24 00051605 ......... ............ A Preparation for bladder xray ......................... 0.64 3.04 5.31 0.44 0.37 0.04 3.72 5.99 1.12 1.05 00051610 ......... ............ A Injection for bladder x-ray ............................. 1.05 1.99 2.22 0.73 0.63 0.07 3.11 3.34 1.85 1.75 00051700 ......... ............ A Irrigation of bladder ....................................... 0.88 1.55 1.59 0.35 0.30 0.06 2.49 2.531.29 1.24 00051701 ......... ............ A Insert bladder catheter .................................. 0.50 1.06 1.45 0.25 0.21 0.04 1.60 1.99 0.79 0.75 00051702 ......... ............ A Insert temp bladder cath ............................... 0.50 1.56 1.96 0.35 0.27 0.04 2.10 2.50 0.890.81 00051703 ......... ............ A Insert bladder cath, complex ......................... 1.47 2.34 2.64 0.84 0.63 0.10 3.91 4.21 2.41 2.20 00051705 ......... ............ A Change of bladder tube ................................ 1.02 2.08 2.23 0.87 0.68 0.07 3.17 3.32 1.961.77 01051710 ......... ............ A Change of bladder tube ................................ 1.49 2.82 3.21 1.22 0.88 0.11 4.42 4.81 2.822.48 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00162 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37331 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal51715 ......... ............ A Endoscopic injection/implant ......................... 3.73 2.84 3.64 1.80 1.46 0.29 6.86 7.66 5.82 5.48 00051720 ......... ............ A Treatment of bladder lesion .......................... 1.50 1.68 1.73 0.78 0.71 0.14 3.32 3.37 2.42 2.35 00051725 ......... ............ A Simple cystometrogram ................................. 1.51 4.39 5.30 NA NA 0.16 6.06 6.97 NA NA 00051725 ......... 26 ....... A Simple cystometrogram ................................. 1.51 0.58 0.51 0.58 0.51 0.12 2.21 2.14 2.21 2.14 00051725 ......... TC ...... A Simple cystometrogram ................................. 0.00 3.81 4.79 NA NA 0.04 3.85 4.83 NA NA 00051726 ......... ............ A Complex cystometrogram ............................. 1.71 7.29 7.46 NA NA 0.18 9.18 9.35 NA NA 00051726 ......... 26 ....... A Complex cystometrogram ............................. 1.71 0.66 0.59 0.66 0.59 0.13 2.50 2.43 2.50 2.43 00051726 ......... TC ...... A Complex cystometrogram ............................. 0.00 6.63 6.88 NA NA 0.05 6.68 6.93 NA NA 00051736 ......... ............ A Urine flow measurement ............................... 0.61 0.92 0.67 NA NA 0.06 1.59 1.34 NA NA 00051736 ......... 26 ....... A Urine flow measurement ............................... 0.61 0.23 0.21 0.23 0.21 0.05 0.89 0.87 0.89 0.8700051736 ......... TC ...... A Urine flow measurement ............................... 0.00 0.69 0.46 NA NA 0.01 0.70 0.47 NA NA 00051741 ......... ............ A Electro-uroflowmetry, first .............................. 1.14 1.30 0.92 NA NA 0.11 2.55 2.17 NA NA00051741 ......... 26 ....... A Electro-uroflowmetry, first .............................. 1.14 0.46 0.39 0.46 0.39 0.09 1.69 1.62 1.691.62 00051741 ......... TC ...... A Electro-uroflowmetry, first .............................. 0.00 0.84 0.53 NA NA 0.02 0.86 0.55 NA NA 00051772 ......... ............ A Urethra pressure profile ................................ 1.61 5.12 5.47 NA NA 0.20 6.93 7.28 NA NA 00051772 ......... 26 ....... A Urethra pressure profile ................................ 1.61 0.56 0.55 0.56 0.55 0.15 2.32 2.31 2.32 2.31 00051772 ......... TC ...... A Urethra pressure profile ................................ 0.00 4.57 4.92 NA NA 0.05 4.62 4.97 NA NA 00051784 ......... ............ A Anal/urinary muscle study ............................. 1.53 3.89 3.97 NA NA 0.16 5.58 5.66 NA NA 00051784 ......... 26 ....... A Anal/urinary muscle study ............................. 1.53 0.52 0.51 0.52 0.51 0.12 2.17 2.16 2.17 2.16 00051784 ......... TC ...... A Anal/urinary muscle study ............................. 0.00 3.36 3.46 NA NA 0.04 3.40 3.50 NA NA 00051785 ......... ............ A Anal/urinary muscle study ............................. 1.53 4.59 4.49 NA NA 0.15 6.27 6.17 NA NA 00051785 ......... 26 ....... A Anal/urinary muscle study ............................. 1.53 0.57 0.52 0.57 0.52 0.11 2.21 2.16 2.21 2.16 00051785 ......... TC ...... A Anal/urinary muscle study ............................. 0.00 4.02 3.97 NA NA 0.04 4.06 4.01 NA NA 00051792 ......... ............ A Urinary reflex study ....................................... 1.10 5.07 5.78 NA NA 0.20 6.37 7.08 NA NA 00051792 ......... 26 ....... A Urinary reflex study ....................................... 1.10 0.40 0.41 0.40 0.41 0.07 1.57 1.58 1.57 1.58 00051792 ......... TC ...... A Urinary reflex study ....................................... 0.00 4.67 5.37 NA NA 0.13 4.80 5.50 NA NA 00051795 ......... ............ A Urine voiding pressure study ........................ 1.53 6.89 7.21 NA NA 0.22 8.64 8.96 NA NA 00051795 ......... 26 ....... A Urine voiding pressure study ........................ 1.53 0.59 0.52 0.59 0.52 0.12 2.24 2.17 2.24 2.1700051795 ......... TC ...... A Urine voiding pressure study ........................ 0.00 6.30 6.68 NA NA 0.10 6.40 6.78 NA NA 00051797 ......... ............ A Intraabdominal pressure test ......................... 1.60 4.96 5.59 NA NA 0.17 6.73 7.36 NA NA 00051797 ......... 26 ....... A Intraabdominal pressure test ......................... 1.60 0.62 0.55 0.62 0.55 0.12 2.34 2.27 2.34 2.2700051797 ......... TC ...... A Intraabdominal pressure test ......................... 0.00 4.34 5.04 NA NA 0.05 4.39 5.09 NA NA 00051798 ......... ............ A Us urine capacity measure ........................... 0.00 0.61 0.41 NA NA 0.08 0.69 0.49 NA NA XXX51800 ......... ............ A Revision of bladder/urethra ........................... 18.68 NA NA 10.38 8.28 1.32 NA NA 30.38 28.2809051820 ......... ............ A Revision of urinary tract ................................ 19.33 NA NA 10.81 8.93 1.74 NA NA 31.88 30.00 09051840 ......... ............ A Attach bladder/urethra ................................... 11.23 NA NA 5.82 5.64 1.06 NA NA 18.11 17.93 09051841 ......... ............ A Attach bladder/urethra ................................... 13.55 NA NA 6.91 6.52 1.24 NA NA 21.70 21.31 09051845 ......... ............ A Repair bladder neck ...................................... 10.02 NA NA 5.98 5.06 0.79 NA NA 16.79 15.87 09051860 ......... ............ A Repair of bladder wound ............................... 12.42 NA NA 6.93 6.06 1.16 NA NA 20.51 19.6409051865 ......... ............ A Repair of bladder wound ............................... 15.62 NA NA 8.67 7.19 1.23 NA NA 25.52 24.0409051880 ......... ............ A Repair of bladder opening ............................. 7.77 NA NA 4.79 4.17 0.72 NA NA 13.28 12.66 09051900 ......... ............ A Repair bladder/vagina lesion ......................... 14.42 NA NA 8.19 6.61 1.21 NA NA 23.82 22.24 09051920 ......... ............ A Close bladder-uterus fistula .......................... 13.20 NA NA 7.97 6.23 1.18 NA NA 22.35 20.6109051925 ......... ............ A Hysterectomy/bladder repair ......................... 17.27 NA NA 10.57 9.12 2.03 NA NA 29.87 28.42 09051940 ......... ............ A Correction of bladder defect .......................... 30.40 NA NA 11.32 11.91 2.14 NA NA 43.86 44.45 09051960 ......... ............ A Revision of bladder & bowel ......................... 25.12 NA NA 13.51 10.62 1.63 NA NA 40.26 37.3709051980 ......... ............ A Construct bladder opening ............................ 12.38 NA NA 7.48 5.91 0.86 NA NA 20.72 19.15 09051990 ......... ............ A Laparo urethral suspension ........................... 13.22 NA NA 5.96 6.11 1.39 NA NA 20.57 20.72 09051992 ......... ............ A Laparo sling operation ................................... 14.73 NA NA 6.65 6.33 1.41 NA NA 22.79 22.47 09052000 ......... ............ A Cystoscopy .................................................... 2.23 3.15 3.27 1.20 0.87 0.14 5.52 5.64 3.57 3.24 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00163 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37332 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal52001 ......... ............ A Cystoscopy, removal of clots ........................ 5.44 4.84 5.02 2.57 2.05 0.39 10.67 10.85 8.407.88 00052005 ......... ............ A Cystoscopy & ureter catheter ........................ 2.37 5.54 5.57 1.32 1.00 0.17 8.08 8.11 3.86 3.54 00052007 ......... ............ A Cystoscopy and biopsy ................................. 3.02 11.07 15.14 1.69 1.29 0.22 14.31 18.38 4.93 4.53 00052010 ......... ............ A Cystoscopy & duct catheter .......................... 3.02 8.38 10.18 1.69 1.29 0.21 11.61 13.41 4.924.52 00052204 ......... ............ A Cystoscopy .................................................... 2.59 8.58 13.06 1.44 1.04 0.17 11.3415.82 4.20 3.80 00052214 ......... ............ A Cystoscopy and treatment ............................ 3.70 20.50 33.78 1.91 1.48 0.26 24.46 37.74 5.87 5.44 00052224 ......... ............ A Cystoscopy and treatment ............................ 3.14 19.66 32.34 1.68 1.28 0.22 23.02 35.70 5.04 4.64 00052234 ......... ............ A Cystoscopy and treatment ............................ 4.62 NA NA 2.38 1.84 0.33 NA NA 7.33 6.79 00052235 ......... ............ A Cystoscopy and treatment ............................ 5.44 NA NA 2.76 2.15 0.39 NA NA 8.59 7.98 00052240 ......... ............ A Cystoscopy and treatment ............................ 9.71 NA NA 4.56 3.62 0.69 NA NA 14.96 14.02 00052250 ......... ............ A Cystoscopy and radiotracer .......................... 4.49 NA NA 2.42 1.84 0.32 NA NA 7.23 6.65 00052260 ......... ............ A Cystoscopy and treatment ............................ 3.91 NA NA 2.03 1.57 0.28 NA NA 6.22 5.76 00052265 ......... ............ A Cystoscopy and treatment ............................ 2.94 7.89 12.01 1.57 1.23 0.22 11.05 15.17 4.734.39 00052270 ......... ............ A Cystoscopy & revise urethra ......................... 3.36 7.24 10.11 1.82 1.39 0.24 10.84 13.71 5.424.99 00052275 ......... ............ A Cystoscopy & revise urethra ......................... 4.69 9.61 14.10 2.38 1.84 0.33 14.63 19.12 7.406.86 00052276 ......... ............ A Cystoscopy and treatment ............................ 4.99 NA NA 2.56 1.98 0.35 NA NA 7.90 7.32 00052277 ......... ............ A Cystoscopy and treatment ............................ 6.16 NA NA 2.97 2.42 0.44 NA NA 9.57 9.02 00052281 ......... ............ A Cystoscopy and treatment ............................ 2.80 5.28 6.65 1.62 1.22 0.20 8.28 9.65 4.62 4.22 00052282 ......... ............ A Cystoscopy, implant stent ............................. 6.39 NA NA 3.10 2.46 0.45 NA NA 9.94 9.30 00052283 ......... ............ A Cystoscopy and treatment ............................ 3.73 3.97 3.96 1.97 1.53 0.26 7.96 7.95 5.96 5.52 00052285 ......... ............ A Cystoscopy and treatment ............................ 3.60 4.19 4.06 1.94 1.48 0.26 8.05 7.92 5.80 5.34 00052290 ......... ............ A Cystoscopy and treatment ............................ 4.58 NA NA 2.37 1.83 0.32 NA NA 7.27 6.73 00052300 ......... ............ A Cystoscopy and treatment ............................ 5.30 NA NA 2.72 2.11 0.38 NA NA 8.40 7.79 00052301 ......... ............ A Cystoscopy and treatment ............................ 5.50 NA NA 2.15 2.03 0.46 NA NA 8.11 7.99 00052305 ......... ............ A Cystoscopy and treatment ............................ 5.30 NA NA 2.61 2.05 0.38 NA NA 8.29 7.73 00052310 ......... ............ A Cystoscopy and treatment ............................ 2.81 4.15 4.56 1.49 1.15 0.20 7.16 7.57 4.50 4.16 00052315 ......... ............ A Cystoscopy and treatment ............................ 5.20 6.87 8.24 2.59 2.03 0.37 12.44 13.81 8.167.60 00052317 ......... ............ A Remove bladder stone .................................. 6.71 17.64 26.18 3.14 2.50 0.48 24.83 33.37 10.33 9.69 00052318 ......... ............ A Remove bladder stone .................................. 9.18 NA NA 4.24 3.39 0.65 NA NA 14.07 13.22 00052320 ......... ............ A Cystoscopy and treatment ............................ 4.69 NA NA 2.31 1.80 0.33 NA NA 7.33 6.82 00052325 ......... ............ A Cystoscopy, stone removal ........................... 6.15 NA NA 2.95 2.33 0.44 NA NA 9.54 8.92 00052327 ......... ............ A Cystoscopy, inject material ........................... 5.18 18.36 28.52 2.43 1.97 0.37 23.91 34.07 7.98 7.52 00052330 ......... ............ A Cystoscopy and treatment ............................ 5.03 21.07 34.47 2.46 1.94 0.36 26.46 39.86 7.85 7.33 00052332 ......... ............ A Cystoscopy and treatment ............................ 2.83 4.44 5.43 1.55 1.18 0.21 7.48 8.47 4.59 4.22 00052334 ......... ............ A Create passage to kidney ............................. 4.82 NA NA 2.42 1.91 0.35 NA NA 7.59 7.08 00052341 ......... ............ A Cysto w/ureter stricture tx ............................. 5.99 NA NA 3.14 2.45 0.43 NA NA 9.56 8.87 00052342 ......... ............ A Cysto w/up stricture tx ................................... 6.49 NA NA 3.36 2.60 0.46 NA NA 10.31 9.55 00052343 ......... ............ A Cysto w/renal stricture tx ............................... 7.19 NA NA 3.65 2.86 0.51 NA NA 11.35 10.56 00052344 ......... ............ A Cysto/uretero, stricture tx .............................. 7.69 NA NA 4.03 3.11 0.55 NA NA 12.27 11.35 00052345 ......... ............ A Cysto/uretero w/up stricture .......................... 8.19 NA NA 4.25 3.28 0.58 NA NA 13.02 12.05 00052346 ......... ............ A Cystouretero w/renal strict ............................ 9.22 NA NA 4.66 3.63 0.65 NA NA 14.53 13.5000052351 ......... ............ A Cystouretero & or pyeloscope ....................... 5.85 NA NA 3.09 2.39 0.41 NA NA 9.35 8.65 00052352 ......... ............ A Cystouretero w/stone remove ....................... 6.87 NA NA 3.63 2.79 0.49 NA NA 10.99 10.15 00052353 ......... ............ A Cystouretero w/lithotripsy .............................. 7.96 NA NA 4.09 3.17 0.57 NA NA 12.62 11.7000052354 ......... ............ A Cystouretero w/biopsy ................................... 7.33 NA NA 3.82 2.97 0.52 NA NA 11.67 10.8200052355 ......... ............ A Cystouretero w/excise tumor ......................... 8.81 NA NA 4.43 3.47 0.63 NA NA 13.87 12.91 00052400 ......... ............ A Cystouretero w/congen repr .......................... 10.04 NA NA 5.64 4.22 0.68 NA NA 16.36 14.94 09052402 ......... ............ A Cystourethro cut ejacul duct ......................... 5.27 NA NA 2.27 1.84 0.40 NA NA 7.94 7.51 00052450 ......... ............ A Incision of prostate ........................................ 7.63 NA NA 5.71 4.19 0.54 NA NA 13.88 12.36 09052500 ......... ............ A Revision of bladder neck ............................... 9.33 NA NA 6.42 4.55 0.60 NA NA 16.35 14.4809052510 ......... ............ A Dilation prostatic urethra ............................... 7.45 NA NA 5.09 3.61 0.48 NA NA 13.02 11.54 09052601 ......... ............ A Prostatectomy (TURP) .................................. 15.07 NA NA 8.66 6.00 0.87 NA NA 24.60 21.940901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00164 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37333 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal52606 ......... ............ A Control postop bleeding ................................ 8.80 NA NA 5.73 4.10 0.57 NA NA 15.10 13.4709052612 ......... ............ A Prostatectomy, first stage .............................. 9.01 NA NA 6.11 4.33 0.56 NA NA 15.68 13.9009052614 ......... ............ A Prostatectomy, second stage ........................ 7.75 NA NA 5.60 3.91 0.48 NA NA 13.83 12.14 09052620 ......... ............ A Remove residual prostate ............................. 7.15 NA NA 4.77 3.44 0.47 NA NA 12.39 11.06 09052630 ......... ............ A Remove prostate regrowth ............................ 7.61 NA NA 4.99 3.65 0.51 NA NA 13.11 11.77 09052640 ......... ............ A Relieve bladder contracture .......................... 6.85 NA NA 4.58 3.37 0.47 NA NA 11.90 10.69 09052647 ......... ............ A Laser surgery of prostate .............................. 11.09 41.57 66.01 7.17 5.20 0.73 53.39 77.8318.99 17.02 09052648 ......... ............ A Laser surgery of prostate .............................. 11.94 41.88 66.08 7.51 5.48 0.79 54.61 78.8120.24 18.21 09052700 ......... ............ A Drainage of prostate abscess ....................... 7.35 NA NA 5.14 3.68 0.48 NA NA 12.97 11.51 09053000 ......... ............ A Incision of urethra .......................................... 2.28 NA NA 1.86 1.62 0.16 NA NA 4.30 4.06 01053010 ......... ............ A Incision of urethra .......................................... 4.31 NA NA 3.90 3.17 0.24 NA NA 8.45 7.72 09053020 ......... ............ A Incision of urethra .......................................... 1.77 1.95 2.75 0.99 0.75 0.13 3.85 4.65 2.89 2.65 00053025 ......... ............ A Incision of urethra .......................................... 1.13 1.74 3.24 0.69 0.56 0.08 2.95 4.45 1.90 1.77 00053040 ......... ............ A Drainage of urethra abscess ......................... 6.45 NA NA 4.58 3.73 0.45 NA NA 11.48 10.63 09053060 ......... ............ A Drainage of urethra abscess ......................... 2.63 1.99 2.07 1.46 1.39 0.28 4.90 4.98 4.37 4.30 01053080 ......... ............ A Drainage of urinary leakage .......................... 6.78 NA NA 5.05 5.74 0.52 NA NA 12.35 13.04 09053085 ......... ............ A Drainage of urinary leakage .......................... 10.99 NA NA 4.50 6.69 0.92 NA NA 16.41 18.60 09053200 ......... ............ A Biopsy of urethra ........................................... 2.59 1.75 1.43 1.34 1.07 0.20 4.54 4.224.13 3.86 00053210 ......... ............ A Removal of urethra ........................................ 13.53 NA NA 8.00 6.39 0.89 NA NA 22.42 20.81 09053215 ......... ............ A Removal of urethra ........................................ 16.66 NA NA 9.49 7.35 1.10 NA NA 27.25 25.11 09053220 ......... ............ A Treatment of urethra lesion ........................... 7.49 NA NA 5.16 4.08 0.49 NA NA 13.14 12.06 09053230 ......... ............ A Removal of urethra lesion ............................. 10.25 NA NA 6.67 5.21 0.73 NA NA 17.65 16.1909053235 ......... ............ A Removal of urethra lesion ............................. 10.80 NA NA 7.17 5.48 0.72 NA NA 18.69 17.0009053240 ......... ............ A Surgery for urethra pouch ............................. 6.94 NA NA 4.90 3.87 0.52 NA NA 12.36 11.33 09053250 ......... ............ A Removal of urethra gland .............................. 6.38 NA NA 4.85 3.69 0.49 NA NA 11.72 10.56 09053260 ......... ............ A Treatment of urethra lesion ........................... 2.98 2.52 2.32 1.89 1.54 0.25 5.75 5.55 5.124.77 01053265 ......... ............ A Treatment of urethra lesion ........................... 3.12 3.05 2.80 2.07 1.58 0.24 6.41 6.16 5.434.94 01053270 ......... ............ A Removal of urethra gland .............................. 3.09 2.31 2.24 1.72 1.59 0.30 5.70 5.63 5.114.98 01053275 ......... ............ A Repair of urethra defect ................................ 4.52 NA NA 2.86 2.41 0.32 NA NA 7.70 7.25 01053400 ......... ............ A Revise urethra, stage 1 ................................. 13.92 NA NA 8.45 6.64 0.98 NA NA 23.35 21.54 09053405 ......... ............ A Revise urethra, stage 2 ................................. 15.45 NA NA 9.23 7.06 1.10 NA NA 25.78 23.61 09053410 ......... ............ A Reconstruction of urethra .............................. 17.47 NA NA 10.13 7.84 1.16 NA NA 28.76 26.47 09053415 ......... ............ A Reconstruction of urethra .............................. 20.49 NA NA 11.33 8.35 1.37 NA NA 33.19 30.21 09053420 ......... ............ A Reconstruct urethra, stage 1 ......................... 14.98 NA NA 6.53 6.36 0.96 NA NA 22.47 22.30 09053425 ......... ............ A Reconstruct urethra, stage 2 ......................... 16.88 NA NA 9.59 7.57 1.13 NA NA 27.60 25.58 09053430 ......... ............ A Reconstruction of urethra .............................. 17.24 NA NA 8.90 7.48 1.15 NA NA 27.29 25.8709053431 ......... ............ A Reconstruct urethra/bladder .......................... 20.97 NA NA 11.37 8.90 1.41 NA NA 33.75 31.2809053440 ......... ............ A Male sling procedure ..................................... 15.33 NA NA 9.58 6.89 0.96 NA NA 25.87 23.18 09053442 ......... ............ A Remove/revise male sling ............................. 13.28 NA NA 8.73 6.27 0.82 NA NA 22.83 20.37 09053444 ......... ............ A Insert tandem cuff ......................................... 14.00 NA NA 8.32 6.50 0.94 NA NA 23.26 21.44 09053445 ......... ............ A Insert uro/ves nck sphincter .......................... 15.15 NA NA 9.53 7.71 0.99 NA NA 25.67 23.8509053446 ......... ............ A Remove uro sphincter ................................... 10.83 NA NA 7.30 5.75 0.72 NA NA 18.85 17.3009053447 ......... ............ A Remove/replace ur sphincter ........................ 14.09 NA NA 8.73 7.01 0.95 NA NA 23.77 22.05 09053448 ......... ............ A Remov/replc ur sphinctr comp ...................... 23.20 NA NA 12.90 10.03 1.50 NA NA 37.60 34.73 09053449 ......... ............ A Repair uro sphincter ...................................... 10.37 NA NA 6.90 5.27 0.68 NA NA 17.95 16.32 09053450 ......... ............ A Revision of urethra ........................................ 6.63 NA NA 4.91 3.70 0.43 NA NA 11.97 10.76 09053460 ......... ............ A Revision of urethra ........................................ 7.61 NA NA 5.31 4.10 0.50 NA NA 13.42 12.21 09053500 ......... ............ A Urethrlys, transvag w/ scope ......................... 12.81 NA NA 7.64 6.58 0.90 NA NA 21.35 20.29 09053502 ......... ............ A Repair of urethra injury ................................. 8.12 NA NA 5.16 4.28 0.62 NA NA 13.90 13.02 09053505 ......... ............ A Repair of urethra injury ................................. 8.12 NA NA 5.59 4.30 0.54 NA NA 14.25 12.96 09053510 ......... ............ A Repair of urethra injury ................................. 10.77 NA NA 6.97 5.62 0.74 NA NA 18.48 17.13 09053515 ......... ............ A Repair of urethra injury ................................. 14.03 NA NA 8.09 6.48 1.05 NA NA 23.17 21.56 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00165 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37334 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal53520 ......... ............ A Repair of urethra defect ................................ 9.29 NA NA 6.34 4.95 0.61 NA NA 16.24 14.8509053600 ......... ............ A Dilate urethra stricture ................................... 1.21 1.19 1.15 0.59 0.47 0.09 2.49 2.451.89 1.77 00053601 ......... ............ A Dilate urethra stricture ................................... 0.98 1.41 1.31 0.54 0.41 0.07 2.46 2.361.59 1.46 00053605 ......... ............ A Dilate urethra stricture ................................... 1.28 NA NA 0.53 0.44 0.09 NA NA 1.90 1.81 00053620 ......... ............ A Dilate urethra stricture ................................... 1.62 1.76 1.94 0.87 0.66 0.11 3.49 3.672.60 2.39 00053621 ......... ............ A Dilate urethra stricture ................................... 1.35 1.87 2.03 0.70 0.54 0.10 3.32 3.482.15 1.99 00053660 ......... ............ A Dilation of urethra .......................................... 0.71 1.35 1.32 0.47 0.35 0.05 2.11 2.08 1.23 1.11 00053661 ......... ............ A Dilation of urethra .......................................... 0.72 1.34 1.31 0.43 0.33 0.05 2.11 2.08 1.20 1.10 00053665 ......... ............ A Dilation of urethra .......................................... 0.76 NA NA 0.27 0.26 0.06 NA NA 1.09 1.08 00053850 ......... ............ A Prostatic microwave thermotx ....................... 9.94 50.76 83.44 6.12 4.49 0.67 61.37 94.05 16.73 15.10 09053852 ......... ............ A Prostatic rf thermotx ...................................... 10.62 47.85 78.74 6.94 5.02 0.70 59.17 90.06 18.26 16.34 09053853 ......... ............ A Prostatic water thermother ............................ 5.48 30.02 49.13 4.52 3.28 0.37 35.87 54.98 10.37 9.13 09054000 ......... ............ A Slitting of prepuce ......................................... 1.54 2.79 2.89 1.53 1.08 0.11 4.44 4.543.18 2.73 01054001 ......... ............ A Slitting of prepuce ......................................... 2.19 3.14 3.18 1.72 1.26 0.15 5.48 5.524.06 3.60 01054015 ......... ............ A Drain penis lesion .......................................... 5.31 NA NA 3.30 2.75 0.38 NA NA 8.99 8.44 01054050 ......... ............ A Destruction, penis lesion(s) ........................... 1.24 2.07 1.76 1.38 1.12 0.08 3.39 3.08 2.702.44 01054055 ......... ............ A Destruction, penis lesion(s) ........................... 1.22 2.01 1.68 1.26 0.92 0.08 3.31 2.98 2.562.22 01054056 ......... ............ A Cryosurgery, penis lesion(s) ......................... 1.24 2.33 1.85 1.50 1.22 0.06 3.63 3.15 2.80 2.52 01054057 ......... ............ A Laser surg, penis lesion(s) ............................ 1.24 2.67 2.33 1.39 0.97 0.09 4.00 3.66 2.722.30 01054060 ......... ............ A Excision of penis lesion(s) ............................ 1.93 3.17 3.13 1.68 1.22 0.13 5.23 5.19 3.743.28 01054065 ......... ............ A Destruction, penis lesion(s) ........................... 2.42 3.28 2.80 1.98 1.42 0.13 5.83 5.35 4.533.97 01054100 ......... ............ A Biopsy of penis .............................................. 1.90 3.36 2.95 1.37 0.96 0.10 5.36 4.95 3.37 2.96 00054105 ......... ............ A Biopsy of penis .............................................. 3.49 4.13 4.25 2.54 2.09 0.25 7.87 7.99 6.28 5.83 01054110 ......... ............ A Treatment of penis lesion .............................. 10.73 NA NA 6.77 5.26 0.72 NA NA 18.22 16.7109054111 ......... ............ A Treat penis lesion, graft ................................ 14.23 NA NA 8.37 6.43 0.96 NA NA 23.56 21.62 09054112 ......... ............ A Treat penis lesion, graft ................................ 16.77 NA NA 9.70 7.53 1.11 NA NA 27.58 25.41 09054115 ......... ............ A Treatment of penis lesion .............................. 6.76 6.01 4.79 5.16 3.89 0.43 13.20 11.98 12.35 11.08 09054120 ......... ............ A Partial removal of penis ................................ 10.82 NA NA 7.01 5.26 0.68 NA NA 18.51 16.76 09054125 ......... ............ A Removal of penis .......................................... 14.37 NA NA 8.48 6.50 0.95 NA NA 23.80 21.82 09054130 ......... ............ A Remove penis & nodes ................................. 21.58 NA NA 11.74 9.08 1.52 NA NA 34.84 32.1809054135 ......... ............ A Remove penis & nodes ................................. 27.91 NA NA 14.75 11.33 1.87 NA NA 44.53 41.1109054150 ......... ............ A Circumcision .................................................. 1.81 2.61 3.92 0.58 0.67 0.16 4.58 5.89 2.55 2.64 00054152 ......... ............ A Circumcision .................................................. 2.31 NA NA 1.76 1.34 0.19 NA NA 4.263.84 01054160 ......... ............ A Circumcision .................................................. 2.48 3.77 4.06 1.49 1.19 0.19 6.44 6.73 4.16 3.86 01054161 ......... ............ A Circumcision .................................................. 3.27 NA NA 2.28 1.74 0.23 NA NA 5.785.24 01054162 ......... ............ A Lysis penil circumic lesion ............................. 3.25 4.12 4.53 2.32 1.66 0.21 7.58 7.99 5.78 5.12 01054163 ......... ............ A Repair of circumcision ................................... 3.25 NA NA 2.97 2.25 0.21 NA NA 6.43 5.7101054164 ......... ............ A Frenulotomy of penis ..................................... 2.75 NA NA 2.72 2.06 0.18 NA NA 5.65 4.9901054200 ......... ............ A Treatment of penis lesion .............................. 1.06 2.07 1.87 1.34 1.06 0.08 3.21 3.01 2.482.20 01054205 ......... ............ A Treatment of penis lesion .............................. 8.78 NA NA 6.47 5.14 0.56 NA NA 15.81 14.4809054220 ......... ............ A Treatment of penis lesion .............................. 2.42 3.42 3.74 1.41 1.07 0.17 6.01 6.33 4.003.66 00054230 ......... ............ A Prepare penis study ...................................... 1.34 1.45 1.17 0.94 0.71 0.09 2.88 2.60 2.37 2.14 00054231 ......... ............ A Dynamic cavernosometry .............................. 2.04 1.91 1.51 1.21 0.96 0.16 4.11 3.71 3.41 3.16 00054235 ......... ............ A Penile injection .............................................. 1.19 1.44 1.08 0.92 0.67 0.08 2.71 2.35 2.19 1.94 00054240 ......... ............ A Penis study .................................................... 1.31 1.57 1.17 NA NA 0.17 3.05 2.65NA NA 00054240 ......... 26 ....... A Penis study .................................................... 1.31 0.51 0.45 0.51 0.45 0.11 1.93 1.871.93 1.87 00054240 ......... TC ...... A Penis study .................................................... 0.00 1.06 0.72 NA NA 0.06 1.12 0.78 NA NA 00054250 ......... ............ A Penis study .................................................... 2.22 1.28 1.00 NA NA 0.18 3.68 3.40NA NA 00054250 ......... 26 ....... A Penis study .................................................... 2.22 0.90 0.76 0.90 0.76 0.16 3.28 3.143.28 3.14 00054250 ......... TC ...... A Penis study .................................................... 0.00 0.38 0.25 NA NA 0.02 0.40 0.27 NA NA 00054300 ......... ............ A Revision of penis ........................................... 11.01 NA NA 7.29 6.01 0.76 NA NA 19.0617.78 09054304 ......... ............ A Revision of penis ........................................... 13.09 NA NA 8.30 6.83 0.88 NA NA 22.2720.80 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00166 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37335 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal54308 ......... ............ A Reconstruction of urethra .............................. 12.43 NA NA 8.11 6.51 0.84 NA NA 21.38 19.7809054312 ......... ............ A Reconstruction of urethra .............................. 14.30 NA NA 9.14 7.54 1.24 NA NA 24.68 23.0809054316 ......... ............ A Reconstruction of urethra .............................. 17.84 NA NA 10.55 8.61 1.21 NA NA 29.60 27.66 09054318 ......... ............ A Reconstruction of urethra .............................. 12.22 NA NA 6.56 5.99 1.39 NA NA 20.17 19.6009054322 ......... ............ A Reconstruction of urethra .............................. 13.79 NA NA 8.41 6.96 0.92 NA NA 23.12 21.6709054324 ......... ............ A Reconstruction of urethra .............................. 17.34 NA NA 10.37 8.57 1.14 NA NA 28.85 27.05 09054326 ......... ............ A Reconstruction of urethra .............................. 16.81 NA NA 10.11 8.37 1.11 NA NA 28.03 26.29 09054328 ......... ............ A Revise penis/urethra ..................................... 16.68 NA NA 10.11 7.97 0.98 NA NA 27.77 25.63 09054332 ......... ............ A Revise penis/urethra ..................................... 18.16 NA NA 10.69 8.48 1.21 NA NA 30.06 27.85 09054336 ......... ............ A Revise penis/urethra ..................................... 21.36 NA NA 12.42 10.84 2.20 NA NA 35.98 34.40 09054340 ......... ............ A Secondary urethral surgery ........................... 9.52 NA NA 6.79 5.48 0.63 NA NA 16.94 15.63 09054344 ......... ............ A Secondary urethral surgery ........................... 16.85 NA NA 10.18 8.37 1.54 NA NA 28.57 26.7609054348 ......... ............ A Secondary urethral surgery ........................... 18.11 NA NA 6.36 7.86 1.23 NA NA 25.70 27.20 09054352 ......... ............ A Reconstruct urethra/penis ............................. 25.87 NA NA 14.32 11.98 2.24 NA NA 42.43 40.09 09054360 ......... ............ A Penis plastic surgery ..................................... 12.59 NA NA 8.07 6.55 0.84 NA NA 21.50 19.98 09054380 ......... ............ A Repair penis .................................................. 13.97 NA NA 5.70 6.39 0.93 NA NA 20.60 21.29 09054385 ......... ............ A Repair penis .................................................. 16.30 NA NA 8.77 8.40 0.86 NA NA 25.93 25.56 09054390 ......... ............ A Repair penis and bladder .............................. 22.51 NA NA 7.50 8.95 1.54 NA NA 31.55 33.0009054400 ......... ............ A Insert semi-rigid prosthesis ........................... 9.04 NA NA 5.97 4.76 0.64 NA NA 15.65 14.4409054401 ......... ............ A Insert self-contd prosthesis ........................... 10.26 NA NA 8.50 6.43 0.73 NA NA 19.49 17.4209054405 ......... ............ A Insert multi-comp penis pros ......................... 14.33 NA NA 8.48 6.57 0.95 NA NA 23.76 21.85 09054406 ......... ............ A Remove muti-comp penis pros ..................... 12.70 NA NA 7.92 6.05 0.86 NA NA 21.48 19.61 09054408 ......... ............ A Repair multi-comp penis pros ....................... 13.67 NA NA 8.55 6.44 0.90 NA NA 23.12 21.01 09054410 ......... ............ A Remove/replace penis prosth ....................... 16.42 NA NA 9.73 7.41 1.10 NA NA 27.25 24.93 09054411 ......... ............ A Remov/replc penis pros, comp ..................... 18.06 NA NA 10.80 7.99 1.13 NA NA 29.99 27.18 09054415 ......... ............ A Remove self-contd penis pros ...................... 8.69 NA NA 6.23 4.71 0.58 NA NA 15.50 13.98 09054416 ......... ............ A Remv/repl penis contain pros ....................... 11.79 NA NA 8.18 6.08 0.77 NA NA 20.74 18.64 09054417 ......... ............ A Remv/replc penis pros, compl ....................... 15.88 NA NA 9.26 6.95 1.00 NA NA 26.14 23.83 09054420 ......... ............ A Revision of penis ........................................... 12.20 NA NA 7.78 6.13 0.81 NA NA 20.7919.14 09054430 ......... ............ A Revision of penis ........................................... 10.87 NA NA 7.18 5.63 0.72 NA NA 18.7717.22 09054435 ......... ............ A Revision of penis ........................................... 6.67 NA NA 5.11 3.99 0.43 NA NA 12.21 11.09 09054450 ......... ............ A Preputial stretching ........................................ 1.12 0.88 0.93 0.50 0.46 0.08 2.08 2.131.70 1.66 00054500 ......... ............ A Biopsy of testis .............................................. 1.31 0.64 0.62 0.82 0.63 0.10 2.05 2.03 2.23 2.04 00054505 ......... ............ A Biopsy of testis .............................................. 3.45 NA NA 2.47 2.06 0.27 NA NA 6.195.78 01054512 ......... ............ A Excise lesion testis ........................................ 9.19 NA NA 5.87 4.57 0.67 NA NA 15.73 14.43 09054520 ......... ............ A Removal of testis ........................................... 5.22 NA NA 3.81 3.05 0.50 NA NA 9.53 8.77 09054522 ......... ............ A Orchiectomy, partial ...................................... 10.11 NA NA 5.89 5.13 0.89 NA NA 16.89 16.13 09054530 ......... ............ A Removal of testis ........................................... 9.25 NA NA 6.26 4.75 0.66 NA NA 16.17 14.66 09054535 ......... ............ A Extensive testis surgery ................................ 13.00 NA NA 7.77 6.11 0.95 NA NA 21.72 20.06 09054550 ......... ............ A Exploration for testis ...................................... 8.27 NA NA 5.47 4.23 0.59 NA NA 14.33 13.09 09054560 ......... ............ A Exploration for testis ...................................... 11.91 NA NA 6.56 5.51 0.90 NA NA 19.3718.32 09054600 ......... ............ A Reduce testis torsion ..................................... 7.50 NA NA 5.29 3.99 0.51 NA NA 13.30 12.00 09054620 ......... ............ A Suspension of testis ...................................... 5.14 NA NA 3.37 2.67 0.37 NA NA 8.88 8.1801054640 ......... ............ A Suspension of testis ...................................... 7.53 NA NA 5.59 4.20 0.62 NA NA 13.74 12.35 09054650 ......... ............ A Orchiopexy (Fowler-Stephens) ...................... 12.18 NA NA 7.95 6.05 1.16 NA NA 21.29 19.39 09054660 ......... ............ A Revision of testis ........................................... 5.60 NA NA 4.52 3.38 0.44 NA NA 10.569.42 09054670 ......... ............ A Repair testis injury ......................................... 6.52 NA NA 4.91 3.88 0.47 NA NA 11.9010.87 09054680 ......... ............ A Relocation of testis(es) .................................. 13.85 NA NA 7.87 6.59 1.16 NA NA 22.88 21.60 09054690 ......... ............ A Laparoscopy, orchiectomy ............................ 11.56 NA NA 6.31 5.28 1.02 NA NA 18.89 17.86 09054692 ......... ............ A Laparoscopy, orchiopexy .............................. 13.60 NA NA 7.89 6.05 1.30 NA NA 22.79 20.95 09054700 ......... ............ A Drainage of scrotum ...................................... 3.42 NA NA 2.46 2.07 0.28 NA NA 6.16 5.770101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00167 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37336 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal54800 ......... ............ A Biopsy of epididymis ..................................... 2.33 0.87 0.92 1.01 0.93 0.23 3.43 3.48 3.57 3.49 00054820 ......... ............ A Exploration of epididymis .............................. 5.63 NA NA 4.38 3.30 0.40 NA NA 10.41 9.33 09054830 ......... ............ A Remove epididymis lesion ............................ 5.87 NA NA 4.56 3.41 0.41 NA NA 10.84 9.69 09054840 ......... ............ A Remove epididymis lesion ............................ 5.19 NA NA 3.90 3.06 0.37 NA NA 9.46 8.62 09054860 ......... ............ A Removal of epididymis .................................. 6.81 NA NA 5.02 3.74 0.45 NA NA 12.28 11.0009054861 ......... ............ A Removal of epididymis .................................. 9.51 NA NA 6.46 4.85 0.63 NA NA 16.60 14.9909054900 ......... ............ A Fusion of spermatic ducts ............................. 13.99 NA NA 5.12 5.63 0.93 NA NA 20.04 20.5509054901 ......... ............ A Fusion of spermatic ducts ............................. 18.84 NA NA 6.43 7.26 1.82 NA NA 27.09 27.9209055000 ......... ............ A Drainage of hydrocele ................................... 1.43 1.90 2.03 0.94 0.72 0.11 3.44 3.57 2.48 2.26 00055040 ......... ............ A Removal of hydrocele ................................... 5.35 NA NA 4.04 3.19 0.43 NA NA 9.82 8.97 09055041 ......... ............ A Removal of hydroceles .................................. 8.35 NA NA 5.85 4.44 0.60 NA NA 14.80 13.3909055060 ......... ............ A Repair of hydrocele ....................................... 6.01 NA NA 4.54 3.45 0.46 NA NA 11.01 9.92 09055100 ......... ............ A Drainage of scrotum abscess ....................... 2.38 3.58 3.66 2.16 1.71 0.17 6.13 6.21 4.71 4.2601055110 ......... ............ A Explore scrotum ............................................ 6.19 NA NA 4.63 3.51 0.43 NA NA 11.25 10.13 09055120 ......... ............ A Removal of scrotum lesion ............................ 5.58 NA NA 4.41 3.32 0.39 NA NA 10.38 9.29 09055150 ......... ............ A Removal of scrotum ...................................... 7.95 NA NA 5.62 4.29 0.56 NA NA 14.13 12.8009055175 ......... ............ A Revision of scrotum ....................................... 5.73 NA NA 4.49 3.38 0.37 NA NA 10.59 9.48 09055180 ......... ............ A Revision of scrotum ....................................... 11.57 NA NA 7.47 5.90 0.90 NA NA 19.94 18.37 09055200 ......... ............ A Incision of sperm duct ................................... 4.48 8.46 11.38 3.47 2.65 0.33 13.27 16.198.28 7.46 09055250 ......... ............ A Removal of sperm duct(s) ............................. 3.29 7.88 10.60 3.06 2.43 0.25 11.42 14.14 6.60 5.97 09055300 ......... ............ A Prepare, sperm duct x-ray ............................ 3.50 NA NA 1.83 1.44 0.25 NA NA 5.58 5.19 00055400 ......... ............ A Repair of sperm duct ..................................... 8.48 NA NA 5.66 4.46 0.64 NA NA 14.78 13.58 09055450 ......... ............ A Ligation of sperm duct ................................... 4.36 6.15 6.80 2.94 2.14 0.29 10.80 11.457.59 6.79 01055500 ......... ............ A Removal of hydrocele ................................... 6.08 NA NA 4.29 3.39 0.55 NA NA 10.92 10.0209055520 ......... ............ A Removal of sperm cord lesion ...................... 6.52 NA NA 3.80 3.39 0.75 NA NA 11.07 10.66 09055530 ......... ............ A Revise spermatic cord veins ......................... 5.65 NA NA 4.23 3.32 0.45 NA NA 10.33 9.42 09055535 ......... ............ A Revise spermatic cord veins ......................... 7.05 NA NA 4.96 3.79 0.47 NA NA 12.48 11.31 09055540 ......... ............ A Revise hernia & sperm veins ........................ 8.16 NA NA 4.25 3.91 0.94 NA NA 13.35 13.01 09055550 ......... ............ A Laparo ligate spermatic vein ......................... 7.06 NA NA 4.66 3.64 0.57 NA NA 12.29 11.27 09055600 ......... ............ A Incise sperm duct pouch ............................... 6.87 NA NA 5.05 3.76 0.62 NA NA 12.54 11.25 09055605 ......... ............ A Incise sperm duct pouch ............................... 8.57 NA NA 4.95 4.46 0.64 NA NA 14.16 13.67 09055650 ......... ............ A Remove sperm duct pouch ........................... 12.46 NA NA 7.46 5.83 0.92 NA NA 20.84 19.21 09055680 ......... ............ A Remove sperm pouch lesion ........................ 5.55 NA NA 3.93 3.21 0.47 NA NA 9.95 9.23 09055700 ......... ............ A Biopsy of prostate ......................................... 2.58 3.84 4.11 1.39 0.83 0.11 6.53 6.804.08 3.52 00055705 ......... ............ A Biopsy of prostate ......................................... 4.56 NA NA 2.97 2.47 0.32 NA NA 7.85 7.35 01055720 ......... ............ A Drainage of prostate abscess ....................... 7.63 NA NA 4.98 4.11 0.95 NA NA 13.56 12.69 09055725 ......... ............ A Drainage of prostate abscess ....................... 9.84 NA NA 6.67 5.04 0.70 NA NA 17.21 15.58 09055801 ......... ............ A Removal of prostate ...................................... 19.54 NA NA 10.98 8.46 1.34 NA NA 31.86 29.34 09055810 ......... ............ A Extensive prostate surgery ............................ 24.08 NA NA 12.91 9.94 1.60 NA NA 38.59 35.6209055812 ......... ............ A Extensive prostate surgery ............................ 29.61 NA NA 15.54 12.13 2.04 NA NA 47.19 43.78 09055815 ......... ............ A Extensive prostate surgery ............................ 32.67 NA NA 17.02 13.18 2.16 NA NA 51.85 48.01 09055821 ......... ............ A Removal of prostate ...................................... 15.57 NA NA 9.06 6.92 1.01 NA NA 25.64 23.50 09055831 ......... ............ A Removal of prostate ...................................... 17.00 NA NA 9.67 7.41 1.10 NA NA 27.77 25.51 09055840 ......... ............ A Extensive prostate surgery ............................ 24.37 NA NA 13.24 10.28 1.61 NA NA 39.22 36.26 09055842 ......... ............ A Extensive prostate surgery ............................ 26.23 NA NA 14.08 10.91 1.72 NA NA 42.03 38.86 09055845 ......... ............ A Extensive prostate surgery ............................ 30.46 NA NA 15.54 12.09 2.02 NA NA 48.02 44.57 09055859 ......... ............ A Percut/needle insert, pros ............................. 13.25 NA NA 8.12 6.42 0.89 NA NA 22.26 20.5609055860 ......... ............ A Surgical exposure, prostate .......................... 15.65 NA NA 9.01 7.06 1.02 NA NA 25.68 23.73 09055862 ......... ............ A Extensive prostate surgery ............................ 19.83 NA NA 11.17 8.68 1.49 NA NA 32.49 30.0009055865 ......... ............ A Extensive prostate surgery ............................ 24.31 NA NA 13.36 10.29 1.63 NA NA 39.30 36.23 09055866 ......... ............ A Laparo radical prostatectomy ........................ 32.17 NA NA 16.64 12.96 2.16 NA NA 50.97 47.290901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00168 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37337 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal55870 ......... ............ A Electroejaculation .......................................... 2.58 2.53 1.78 1.49 1.18 0.16 5.27 4.524.23 3.92 00055873 ......... ............ A Cryoablate prostate ....................................... 20.19 NA NA 11.73 9.65 1.38 NA NA 33.30 31.22 09056405 ......... ............ A I & D of vulva/perineum ................................ 1.44 1.16 1.29 1.14 1.14 0.17 2.77 2.90 2.752.75 01056420 ......... ............ A Drainage of gland abscess ........................... 1.39 1.50 2.09 0.76 0.97 0.16 3.05 3.64 2.31 2.52 01056440 ......... ............ A Surgery for vulva lesion ................................ 2.84 NA NA 1.51 1.66 0.34 NA NA 4.69 4.84 01056441 ......... ............ A Lysis of labial lesion(s) .................................. 1.97 1.72 1.80 1.56 1.45 0.20 3.89 3.973.73 3.62 01056501 ......... ............ A Destroy, vulva lesions, sim ........................... 1.53 1.62 1.75 1.21 1.23 0.18 3.33 3.46 2.922.94 01056515 ......... ............ A Destroy vulva lesion/s compl ........................ 3.01 2.34 2.50 1.70 1.79 0.33 5.68 5.84 5.04 5.13 01056605 ......... ............ A Biopsy of vulva/perineum .............................. 1.10 0.89 1.03 0.34 0.43 0.13 2.12 2.26 1.571.66 00056606 ......... ............ A Biopsy of vulva/perineum .............................. 0.55 0.36 0.46 0.15 0.20 0.07 0.98 1.08 0.770.82 ZZZ56620 ......... ............ A Partial removal of vulva ................................. 8.38 NA NA 4.28 4.67 0.90 NA NA 13.56 13.95 09056625 ......... ............ A Complete removal of vulva ........................... 9.49 NA NA 4.68 5.17 1.02 NA NA 15.19 15.68 09056630 ......... ............ A Extensive vulva surgery ................................ 14.61 NA NA 6.07 6.66 1.49 NA NA 22.17 22.7609056631 ......... ............ A Extensive vulva surgery ................................ 18.75 NA NA 7.60 8.52 1.95 NA NA 28.30 29.2209056632 ......... ............ A Extensive vulva surgery ................................ 21.51 NA NA 9.02 9.41 2.38 NA NA 32.91 33.3009056633 ......... ............ A Extensive vulva surgery ................................ 19.41 NA NA 7.54 8.34 1.97 NA NA 28.92 29.7209056634 ......... ............ A Extensive vulva surgery ................................ 20.42 NA NA 8.03 9.10 2.16 NA NA 30.61 31.6809056637 ......... ............ A Extensive vulva surgery ................................ 24.51 NA NA 9.15 10.61 2.60 NA NA 36.26 37.72 09056640 ......... ............ A Extensive vulva surgery ................................ 24.59 NA NA 9.02 10.24 2.88 NA NA 36.49 37.71 09056700 ......... ............ A Partial removal of hymen .............................. 2.77 NA NA 1.75 1.82 0.30 NA NA 4.82 4.89 01056720 ......... ............ A Incision of hymen .......................................... 0.68 NA NA 0.51 0.51 0.08 NA NA 1.27 1.27 00056740 ......... ............ A Remove vagina gland lesion ......................... 4.81 NA NA 2.28 2.50 0.56 NA NA 7.65 7.87 01056800 ......... ............ A Repair of vagina ............................................ 3.88 NA NA 1.97 2.14 0.44 NA NA 6.29 6.46 01056805 ......... ............ A Repair clitoris ................................................. 19.69 NA NA 11.06 9.85 2.14 NA NA 32.89 31.68 09056810 ......... ............ A Repair of perineum ........................................ 4.24 NA NA 2.03 2.23 0.49 NA NA 6.76 6.9601056820 ......... ............ A Exam of vulva w/scope ................................. 1.50 1.18 1.28 0.52 0.62 0.18 2.86 2.96 2.202.30 00056821 ......... ............ A Exam/biopsy of vulva w/scope ...................... 2.05 1.52 1.70 0.67 0.85 0.25 3.82 4.00 2.97 3.1500057000 ......... ............ A Exploration of vagina ..................................... 2.97 NA NA 1.70 1.72 0.31 NA NA 4.98 5.0001057010 ......... ............ A Drainage of pelvic abscess ........................... 6.70 NA NA 3.80 3.81 0.71 NA NA 11.21 11.22 09057020 ......... ............ A Drainage of pelvic fluid .................................. 1.50 0.75 0.89 0.43 0.55 0.18 2.43 2.57 2.11 2.23 00057022 ......... ............ A I & d vaginal hematoma, pp .......................... 2.68 NA NA 1.42 1.47 0.26 NA NA 4.36 4.41 01057023 ......... ............ A I & d vag hematoma, non-ob ........................ 5.11 NA NA 2.36 2.53 0.58 NA NA 8.05 8.22 01057061 ......... ............ A Destroy vag lesions, simple .......................... 1.25 1.50 1.61 1.10 1.12 0.15 2.90 3.01 2.50 2.52 01057065 ......... ............ A Destroy vag lesions, complex ....................... 2.61 1.99 2.22 1.47 1.62 0.31 4.91 5.14 4.39 4.54 01057100 ......... ............ A Biopsy of vagina ............................................ 1.20 0.92 1.04 0.36 0.45 0.14 2.26 2.381.70 1.79 00057105 ......... ............ A Biopsy of vagina ............................................ 1.69 1.57 1.74 1.32 1.40 0.20 3.46 3.633.21 3.29 01057106 ......... ............ A Remove vagina wall, partial .......................... 7.29 NA NA 4.15 4.18 0.73 NA NA 12.17 12.20 09057107 ......... ............ A Remove vagina tissue, part .......................... 24.37 NA NA 8.88 10.09 2.71 NA NA 35.96 37.17 09057109 ......... ............ A Vaginectomy partial w/nodes ........................ 28.19 NA NA 10.14 10.99 3.21 NA NA 41.54 42.39 09057110 ......... ............ A Remove vagina wall, complete ..................... 15.34 NA NA 6.11 7.00 1.73 NA NA 23.18 24.07 09057111 ......... ............ A Remove vagina tissue, compl ....................... 28.19 NA NA 9.99 11.99 3.17 NA NA 41.35 43.35 09057112 ......... ............ A Vaginectomy w/nodes, compl ....................... 30.31 NA NA 11.45 11.96 3.07 NA NA 44.83 45.34 09057120 ......... ............ A Closure of vagina .......................................... 8.14 NA NA 4.12 4.49 0.89 NA NA 13.15 13.52 09057130 ......... ............ A Remove vagina lesion ................................... 2.43 1.96 2.11 1.47 1.52 0.29 4.68 4.83 4.194.24 01057135 ......... ............ A Remove vagina lesion ................................... 2.67 2.01 2.21 1.51 1.62 0.31 4.99 5.19 4.494.60 01057150 ......... ............ A Treat vagina infection .................................... 0.55 0.57 0.97 0.15 0.20 0.07 1.19 1.59 0.77 0.82 00057155 ......... ............ A Insert uteri tandems/ovoids ........................... 6.75 NA NA 3.14 4.21 0.43 NA NA 10.32 11.39 09057160 ......... ............ A Insert pessary/other device ........................... 0.89 1.04 1.02 0.25 0.32 0.10 2.03 2.01 1.241.31 00057170 ......... ............ A Fitting of diaphragm/cap ................................ 0.91 2.68 1.78 0.25 0.31 0.11 3.70 2.80 1.27 1.33 00057180 ......... ............ A Treat vaginal bleeding ................................... 1.58 1.83 2.09 0.91 1.17 0.19 3.60 3.86 2.68 2.94 01057200 ......... ............ A Repair of vagina ............................................ 4.30 NA NA 2.90 2.90 0.46 NA NA 7.66 7.66 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00169 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37338 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal57210 ......... ............ A Repair vagina/perineum ................................ 5.59 NA NA 3.20 3.38 0.62 NA NA 9.41 9.59 09057220 ......... ............ A Revision of urethra ........................................ 4.73 NA NA 2.95 3.07 0.51 NA NA 8.19 8.31 09057230 ......... ............ A Repair of urethral lesion ................................ 6.18 NA NA 3.76 3.50 0.54 NA NA 10.48 10.22 09057240 ......... ............ A Repair bladder & vagina ............................... 11.38 NA NA 5.55 4.25 0.62 NA NA 17.55 16.2509057250 ......... ............ A Repair rectum & vagina ................................ 11.38 NA NA 4.82 3.89 0.65 NA NA 16.85 15.9209057260 ......... ............ A Repair of vagina ............................................ 14.32 NA NA 5.82 5.09 0.97 NA NA 21.1120.38 09057265 ......... ............ A Extensive repair of vagina ............................. 15.82 NA NA 6.29 6.11 1.32 NA NA 23.43 23.2509057267 ......... ............ A Insert mesh/pelvic flr addon .......................... 4.88 NA NA 1.50 1.86 0.64 NA NA 7.02 7.38 ZZZ57268 ......... ............ A Repair of bowel bulge ................................... 7.43 NA NA 3.95 4.14 0.79 NA NA 12.17 12.3609057270 ......... ............ A Repair of bowel pouch .................................. 13.53 NA NA 5.60 6.10 1.42 NA NA 20.55 21.0509057280 ......... ............ A Suspension of vagina .................................... 16.58 NA NA 6.94 7.27 1.67 NA NA 25.19 25.52 09057282 ......... ............ A Colpopexy, extraperitoneal ............................ 7.78 NA NA 4.35 4.47 1.02 NA NA 13.15 13.27 09057283 ......... ............ A Colpopexy, intraperitoneal ............................. 11.54 NA NA 5.15 5.74 1.02 NA NA 17.71 18.3009057284 ......... ............ A Repair paravaginal defect ............................. 13.43 NA NA 6.69 7.04 1.41 NA NA 21.53 21.8809057287 ......... ............ A Revise/remove sling repair ............................ 11.43 NA NA 6.54 5.75 0.90 NA NA 18.87 18.0809057288 ......... ............ A Repair bladder defect .................................... 13.95 NA NA 7.12 6.22 1.12 NA NA 22.19 21.29 09057289 ......... ............ A Repair bladder & vagina ............................... 12.63 NA NA 6.19 6.09 1.21 NA NA 20.03 19.9309057291 ......... ............ A Construction of vagina .................................. 8.50 NA NA 4.23 4.76 0.93 NA NA 13.66 14.1909057292 ......... ............ A Construct vagina with graft ........................... 13.87 NA NA 5.90 6.69 1.58 NA NA 21.35 22.1409057295 ......... ............ A Change vaginal graft ..................................... 7.70 NA NA 3.65 4.24 0.91 NA NA 12.26 12.85 09057300 ......... ............ A Repair rectum-vagina fistula ......................... 8.52 NA NA 4.40 4.32 0.87 NA NA 13.79 13.71 09057305 ......... ............ A Repair rectum-vagina fistula ......................... 15.18 NA NA 6.11 6.24 1.72 NA NA 23.01 23.14 09057307 ......... ............ A Fistula repair & colostomy ............................. 16.96 NA NA 6.77 6.95 2.01 NA NA 25.74 25.9209057308 ......... ............ A Fistula repair, transperine ............................. 10.42 NA NA 4.76 5.02 1.14 NA NA 16.32 16.58 09057310 ......... ............ A Repair urethrovaginal lesion ......................... 7.51 NA NA 5.16 4.17 0.54 NA NA 13.21 12.22 09057311 ......... ............ A Repair urethrovaginal lesion ......................... 8.77 NA NA 5.22 4.40 0.65 NA NA 14.64 13.82 09057320 ......... ............ A Repair bladder-vagina lesion ........................ 8.74 NA NA 5.40 4.63 0.69 NA NA 14.83 14.06 09057330 ......... ............ A Repair bladder-vagina lesion ........................ 13.07 NA NA 7.29 6.11 1.06 NA NA 21.42 20.24 09057335 ......... ............ A Repair vagina ................................................ 19.81 NA NA 8.95 9.03 1.91 NA NA 30.6730.75 09057400 ......... ............ A Dilation of vagina ........................................... 2.27 NA NA 0.97 1.08 0.26 NA NA 3.50 3.61 00057410 ......... ............ A Pelvic examination ........................................ 1.75 1.39 1.86 0.92 0.90 0.18 3.32 3.79 2.85 2.83 00057415 ......... ............ A Remove vaginal foreign body ....................... 2.42 NA NA 1.50 1.44 0.24 NA NA 4.16 4.10 01057420 ......... ............ A Exam of vagina w/scope ............................... 1.60 1.22 1.32 0.55 0.64 0.19 3.01 3.11 2.34 2.43 00057421 ......... ............ A Exam/biopsy of vag w/scope ........................ 2.20 1.58 1.78 0.71 0.90 0.27 4.05 4.25 3.18 3.3700057425 ......... ............ A Laparoscopy, surg, colpopexy ...................... 16.89 NA NA 6.77 6.68 1.75 NA NA 25.41 25.32 09057452 ......... ............ A Exam of cervix w/scope ................................ 1.50 1.17 1.25 0.73 0.75 0.18 2.85 2.93 2.412.43 00057454 ......... ............ A Bx/curett of cervix w/scope ........................... 2.33 1.38 1.58 0.94 1.10 0.28 3.99 4.19 3.553.71 00057455 ......... ............ A Biopsy of cervix w/scope ............................... 1.99 1.48 1.66 0.65 0.82 0.24 3.71 3.89 2.883.05 00057456 ......... ............ A Endocerv curettage w/scope ......................... 1.85 1.44 1.60 0.62 0.77 0.22 3.51 3.67 2.69 2.84 00057460 ......... ............ A Bx of cervix w/scope, leep ............................ 2.83 4.27 5.46 1.08 1.31 0.34 7.44 8.63 4.254.48 00057461 ......... ............ A Conz of cervix w/scope, leep ........................ 3.43 4.57 5.73 1.05 1.37 0.41 8.41 9.57 4.89 5.21 00057500 ......... ............ A Biopsy of cervix ............................................. 1.20 2.00 2.41 0.64 0.63 0.12 3.32 3.73 1.96 1.95 00057505 ......... ............ A Endocervical curettage .................................. 1.14 1.30 1.42 1.05 1.09 0.14 2.58 2.70 2.33 2.37 01057510 ......... ............ A Cauterization of cervix ................................... 1.90 1.29 1.49 0.89 1.00 0.23 3.42 3.62 3.02 3.13 01057511 ......... ............ A Cryocautery of cervix .................................... 1.90 1.58 1.77 1.25 1.34 0.23 3.71 3.90 3.38 3.47 01057513 ......... ............ A Laser surgery of cervix .................................. 1.90 1.55 1.68 1.26 1.37 0.23 3.68 3.81 3.39 3.50 01057520 ......... ............ A Conization of cervix ....................................... 4.03 3.33 3.79 2.47 2.78 0.49 7.85 8.316.99 7.30 09057522 ......... ............ A Conization of cervix ....................................... 3.60 2.74 3.06 2.23 2.40 0.41 6.75 7.076.24 6.41 09057530 ......... ............ A Removal of cervix .......................................... 5.15 NA NA 3.06 3.31 0.58 NA NA 8.79 9.04 09057531 ......... ............ A Removal of cervix, radical ............................. 29.71 NA NA 10.39 12.50 3.34 NA NA 43.44 45.55 09057540 ......... ............ A Removal of residual cervix ............................ 13.15 NA NA 5.49 6.06 1.49 NA NA 20.13 20.700901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00170 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37339 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal57545 ......... ............ A Remove cervix/repair pelvis .......................... 13.96 NA NA 6.16 6.56 1.52 NA NA 21.64 22.04 09057550 ......... ............ A Removal of residual cervix ............................ 6.20 NA NA 3.58 3.77 0.67 NA NA 10.45 10.64 09057555 ......... ............ A Remove cervix/repair vagina ......................... 9.80 NA NA 4.71 5.00 1.09 NA NA 15.60 15.89 09057556 ......... ............ A Remove cervix, repair bowel ......................... 9.22 NA NA 4.65 4.81 0.92 NA NA 14.79 14.95 09057700 ......... ............ A Revision of cervix .......................................... 4.16 NA NA 3.16 3.12 0.41 NA NA 7.73 7.69 09057720 ......... ............ A Revision of cervix .......................................... 4.49 NA NA 2.86 3.05 0.49 NA NA 7.84 8.03 09057800 ......... ............ A Dilation of cervical canal ............................... 0.77 0.70 0.75 0.41 0.46 0.09 1.56 1.61 1.27 1.32 00057820 ......... ............ A D & c of residual cervix ................................. 1.67 1.33 1.44 1.03 1.11 0.20 3.20 3.31 2.90 2.98 01058100 ......... ............ A Biopsy of uterus lining ................................... 1.53 1.12 1.27 0.57 0.68 0.18 2.83 2.98 2.28 2.39 00058110 ......... ............ A Bx done w/colposcopy add-on ...................... 0.77 0.39 0.51 0.21 0.29 0.09 1.25 1.37 1.07 1.15ZZZ58120 ......... ............ A Dilation and curettage ................................... 3.52 2.07 2.25 1.63 1.82 0.39 5.98 6.16 5.54 5.73 01058140 ......... ............ A Myomectomy abdom method ........................ 15.65 NA NA 6.11 6.87 1.81 NA NA 23.57 24.33 09058145 ......... ............ A Myomectomy vag method ............................. 8.77 NA NA 4.18 4.65 0.97 NA NA 13.92 14.39 09058146 ......... ............ A Myomectomy abdom complex ...................... 20.20 NA NA 7.16 8.56 2.32 NA NA 29.68 31.08 09058150 ......... ............ A Total hysterectomy ........................................ 17.17 NA NA 6.42 7.23 1.84 NA NA 25.43 26.24 09058152 ......... ............ A Total hysterectomy ........................................ 21.67 NA NA 7.99 9.41 2.47 NA NA 32.13 33.55 09058180 ......... ............ A Partial hysterectomy ...................................... 16.46 NA NA 6.22 7.16 1.64 NA NA 24.32 25.26 09058200 ......... ............ A Extensive hysterectomy ................................ 22.96 NA NA 7.94 9.50 2.54 NA NA 33.44 35.0009058210 ......... ............ A Extensive hysterectomy ................................ 30.70 NA NA 10.43 12.53 3.37 NA NA 44.50 46.60 09058240 ......... ............ A Removal of pelvis contents ........................... 43.13 NA NA 15.63 17.15 4.22 NA NA 62.98 64.5009058260 ......... ............ A Vaginal hysterectomy .................................... 13.98 NA NA 5.69 6.46 1.57 NA NA 21.24 22.01 09058262 ......... ............ A Vag hyst including t/o .................................... 15.77 NA NA 6.15 7.09 1.79 NA NA 23.71 24.65 09058263 ......... ............ A Vag hyst w/t/o & vag repair ........................... 17.06 NA NA 6.50 7.55 1.94 NA NA 25.50 26.5509058267 ......... ............ A Vag hyst w/urinary repair .............................. 18.17 NA NA 6.88 8.01 2.06 NA NA 27.11 28.2409058270 ......... ............ A Vag hyst w/enterocele repair ........................ 15.16 NA NA 5.84 6.77 1.73 NA NA 22.73 23.66 09058275 ......... ............ A Hysterectomy/revise vagina .......................... 16.84 NA NA 6.54 7.48 1.91 NA NA 25.29 26.23 09058280 ......... ............ A Hysterectomy/revise vagina .......................... 18.14 NA NA 6.90 7.93 2.06 NA NA 27.10 28.13 09058285 ......... ............ A Extensive hysterectomy ................................ 23.26 NA NA 7.73 9.41 2.70 NA NA 33.69 35.3709058290 ......... ............ A Vag hyst complex .......................................... 20.13 NA NA 7.24 8.67 2.29 NA NA 29.66 31.09 09058291 ......... ............ A Vag hyst incl t/o, complex ............................. 21.92 NA NA 7.66 9.34 2.52 NA NA 32.10 33.7809058292 ......... ............ A Vag hyst t/o & repair, compl ......................... 23.21 NA NA 8.13 9.83 2.67 NA NA 34.01 35.71 09058293 ......... ............ A Vag hyst w/uro repair, compl ........................ 24.19 NA NA 8.32 10.09 2.78 NA NA 35.29 37.06 09058294 ......... ............ A Vag hyst w/enterocele, compl ....................... 21.41 NA NA 7.04 8.95 2.39 NA NA 30.84 32.75 09058300 ......... ............ N Insert intrauterine device ............................... 1.01 0.62 1.22 0.23 0.34 0.12 1.75 2.35 1.36 1.47 XXX58301 ......... ............ A Remove intrauterine device .......................... 1.27 1.04 1.25 0.34 0.45 0.15 2.46 2.67 1.76 1.87 00058321 ......... ............ A Artificial insemination ..................................... 0.92 0.96 1.10 0.24 0.34 0.10 1.98 2.121.26 1.36 00058322 ......... ............ A Artificial insemination ..................................... 1.10 1.03 1.16 0.30 0.39 0.13 2.26 2.391.53 1.62 00058323 ......... ............ A Sperm washing .............................................. 0.23 0.15 0.44 0.07 0.09 0.03 0.41 0.700.33 0.35 00058340 ......... ............ A Catheter for hysterography ........................... 0.88 2.17 2.92 0.57 0.63 0.09 3.14 3.89 1.54 1.60 00058345 ......... ............ A Reopen fallopian tube ................................... 4.65 NA NA 2.06 2.35 0.41 NA NA 7.12 7.41 01058346 ......... ............ A Insert heyman uteri capsule .......................... 7.44 NA NA 3.38 3.79 0.56 NA NA 11.38 11.79 09058350 ......... ............ A Reopen fallopian tube ................................... 1.01 1.32 1.45 0.86 0.91 0.12 2.45 2.58 1.99 2.04 01058353 ......... ............ A Endometr ablate, thermal .............................. 3.55 22.89 32.54 1.68 1.97 0.43 26.87 36.52 5.66 5.95 01058356 ......... ............ A Endometrial cryoablation ............................... 6.36 43.33 57.04 1.80 2.48 0.82 50.51 64.228.98 9.66 01058400 ......... ............ A Suspension of uterus .................................... 7.02 NA NA 3.80 3.91 0.75 NA NA 11.57 11.6809058410 ......... ............ A Suspension of uterus .................................... 13.66 NA NA 5.79 6.29 1.45 NA NA 20.90 21.40 09058520 ......... ............ A Repair of ruptured uterus .............................. 13.34 NA NA 5.35 5.88 1.47 NA NA 20.16 20.6909058540 ......... ............ A Revision of uterus ......................................... 15.57 NA NA 6.09 6.75 1.78 NA NA 23.44 24.10 09058545 ......... ............ A Laparoscopic myomectomy ........................... 15.65 NA NA 5.88 6.87 1.77 NA NA 23.30 24.29 09058546 ......... ............ A Laparo-myomectomy, complex ..................... 20.20 NA NA 7.06 8.47 2.30 NA NA 29.56 30.97 09058550 ......... ............ A Laparo-asst vag hysterectomy ...................... 14.91 NA NA 6.05 7.00 1.72 NA NA 22.68 23.63 09058552 ......... ............ A Laparo-vag hyst incl t/o ................................. 16.23 NA NA 6.33 7.61 1.72 NA NA 24.28 25.56 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00171 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37340 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal58553 ......... ............ A Laparo-vag hyst, complex ............................. 20.13 NA NA 7.04 8.47 2.30 NA NA 29.47 30.90 09058554 ......... ............ A Laparo-vag hyst w/t/o, compl ........................ 23.13 NA NA 8.18 9.86 2.27 NA NA 33.58 35.26 09058555 ......... ............ A Hysteroscopy, dx, sep proc ........................... 3.33 1.88 2.12 1.22 1.47 0.40 5.61 5.85 4.95 5.20 00058558 ......... ............ A Hysteroscopy, biopsy .................................... 4.74 NA NA 1.63 2.04 0.57 NA NA 6.94 7.35 00058559 ......... ............ A Hysteroscopy, lysis ........................................ 6.16 NA NA 2.01 2.56 0.74 NA NA 8.91 9.46 00058560 ......... ............ A Hysteroscopy, resect septum ........................ 6.99 NA NA 2.24 2.88 0.84 NA NA 10.07 10.71 00058561 ......... ............ A Hysteroscopy, remove myoma ...................... 9.99 NA NA 3.07 3.99 1.21 NA NA 14.27 15.19 00058562 ......... ............ A Hysteroscopy, remove fb .............................. 5.20 NA NA 1.73 2.20 0.63 NA NA 7.56 8.03 00058563 ......... ............ A Hysteroscopy, ablation .................................. 6.16 37.31 51.59 2.02 2.58 0.74 44.21 58.498.92 9.48 00058565 ......... ............ A Hysteroscopy, sterilization ............................. 7.02 34.36 45.87 3.31 3.76 1.19 42.57 54.0811.52 11.97 09058600 ......... ............ A Division of fallopian tube ............................... 5.84 NA NA 2.85 3.22 0.66 NA NA 9.35 9.7209058605 ......... ............ A Division of fallopian tube ............................... 5.23 NA NA 2.62 3.00 0.59 NA NA 8.44 8.8209058611 ......... ............ A Ligate oviduct(s) add-on ................................ 1.45 NA NA 0.39 0.53 0.18 NA NA 2.02 2.16 ZZZ58615 ......... ............ A Occlude fallopian tube(s) .............................. 3.89 NA NA 1.95 2.52 0.47 NA NA 6.31 6.88 01058660 ......... ............ A Laparoscopy, lysis ......................................... 11.52 NA NA 4.34 5.04 1.40 NA NA 17.26 17.96 09058661 ......... ............ A Laparoscopy, remove adnexa ....................... 11.28 NA NA 3.93 4.83 1.34 NA NA 16.55 17.45 01058662 ......... ............ A Laparoscopy, excise lesions ......................... 12.05 NA NA 4.61 5.50 1.43 NA NA 18.09 18.98 09058670 ......... ............ A Laparoscopy, tubal cautery ........................... 5.84 NA NA 2.79 3.16 0.67 NA NA 9.30 9.67 09058671 ......... ............ A Laparoscopy, tubal block .............................. 5.84 NA NA 2.80 3.16 0.68 NA NA 9.32 9.68 09058672 ......... ............ A Laparoscopy, fimbrioplasty ............................ 12.86 NA NA 4.69 5.82 1.60 NA NA 19.15 20.2809058673 ......... ............ A Laparoscopy, salpingostomy ......................... 13.97 NA NA 5.12 6.22 1.69 NA NA 20.78 21.88 09058700 ......... ............ A Removal of fallopian tube ............................. 12.80 NA NA 5.45 5.86 1.51 NA NA 19.76 20.1709058720 ......... ............ A Removal of ovary/tube(s) .............................. 12.04 NA NA 5.01 5.60 1.39 NA NA 18.44 19.0309058740 ......... ............ A Revise fallopian tube(s) ................................. 14.75 NA NA 5.97 6.86 1.71 NA NA 22.43 23.32 09058750 ......... ............ A Repair oviduct ............................................... 15.52 NA NA 5.97 7.03 1.84 NA NA 23.3324.39 09058752 ......... ............ A Revise ovarian tube(s) .................................. 15.52 NA NA 5.93 6.70 1.80 NA NA 23.25 24.02 09058760 ......... ............ A Remove tubal obstruction ............................. 13.81 NA NA 5.51 6.43 1.79 NA NA 21.11 22.03 09058770 ......... ............ A Create new tubal opening ............................. 14.65 NA NA 5.66 6.61 1.73 NA NA 22.04 22.99 09058800 ......... ............ A Drainage of ovarian cyst(s) ........................... 4.50 3.24 3.55 2.71 2.86 0.43 8.17 8.48 7.647.79 09058805 ......... ............ A Drainage of ovarian cyst(s) ........................... 6.30 NA NA 3.50 3.51 0.69 NA NA 10.49 10.50 09058820 ......... ............ A Drain ovary abscess, open ........................... 4.58 NA NA 2.82 3.18 0.52 NA NA 7.92 8.28 09058822 ......... ............ A Drain ovary abscess, percut ......................... 11.67 NA NA 5.20 5.22 1.16 NA NA 18.03 18.05 09058823 ......... ............ A Drain pelvic abscess, percut ......................... 3.37 20.91 21.26 1.14 1.13 0.24 24.52 24.87 4.75 4.74 00058825 ......... ............ A Transposition, ovary(s) .................................. 11.66 NA NA 4.85 5.57 1.32 NA NA 17.83 18.55 09058900 ......... ............ A Biopsy of ovary(s) ......................................... 6.47 NA NA 3.48 3.56 0.69 NA NA 10.64 10.72 09058920 ......... ............ A Partial removal of ovary(s) ............................ 11.83 NA NA 5.15 5.48 1.43 NA NA 18.41 18.7409058925 ......... ............ A Removal of ovarian cyst(s) ........................... 12.29 NA NA 5.20 5.58 1.41 NA NA 18.90 19.28 09058940 ......... ............ A Removal of ovary(s) ...................................... 8.08 NA NA 4.11 4.11 0.91 NA NA 13.10 13.10 09058943 ......... ............ A Removal of ovary(s) ...................................... 19.38 NA NA 7.12 8.28 2.22 NA NA 28.72 29.88 09058950 ......... ............ A Resect ovarian malignancy ........................... 18.18 NA NA 7.13 8.10 2.04 NA NA 27.35 28.32 09058951 ......... ............ A Resect ovarian malignancy ........................... 24.11 NA NA 8.42 9.96 2.63 NA NA 35.16 36.70 09058952 ......... ............ A Resect ovarian malignancy ........................... 27.09 NA NA 9.57 11.23 3.02 NA NA 39.68 41.34 09058953 ......... ............ A Tah, rad dissect for debulk ........................... 33.91 NA NA 11.33 13.77 3.83 NA NA 49.07 51.51 09058954 ......... ............ A Tah rad debulk/lymph remove ...................... 36.91 NA NA 12.15 14.85 4.17 NA NA 53.23 55.93 09058956 ......... ............ A Bso, omentectomy w/tah ............................... 22.59 NA NA 8.38 9.85 4.00 NA NA 34.97 36.44 09058960 ......... ............ A Exploration of abdomen ................................ 15.64 NA NA 6.19 7.08 1.79 NA NA 23.62 24.5109058970 ......... ............ A Retrieval of oocyte ........................................ 3.52 1.79 2.19 1.23 1.43 0.43 5.74 6.145.18 5.38 00058976 ......... ............ A Transfer of embryo ........................................ 3.82 1.92 2.50 1.18 1.67 0.47 6.21 6.79 5.47 5.96 00059000 ......... ............ A Amniocentesis, diagnostic ............................. 1.30 1.73 1.99 0.54 0.64 0.31 3.34 3.60 2.152.25 00059001 ......... ............ A Amniocentesis, therapeutic ........................... 3.00 NA NA 1.06 1.32 0.71 NA NA 4.77 5.03 00059012 ......... ............ A Fetal cord puncture,prenatal ......................... 3.44 NA NA 1.13 1.44 0.82 NA NA 5.39 5.70 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00172 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37341 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal59015 ......... ............ A Chorion biopsy .............................................. 2.20 1.41 1.52 0.79 0.98 0.52 4.13 4.243.51 3.70 00059020 ......... ............ A Fetal contract stress test ............................... 0.66 1.07 0.85 NA NA 0.26 1.99 1.77 NA NA00059020 ......... 26 ....... A Fetal contract stress test ............................... 0.66 0.18 0.24 0.18 0.24 0.16 1.00 1.06 1.001.06 00059020 ......... TC ...... A Fetal contract stress test ............................... 0.00 0.89 0.61 NA NA 0.10 0.99 0.71 NA NA 00059025 ......... ............ A Fetal non-stress test ...................................... 0.53 0.62 0.49 NA NA 0.15 1.30 1.17 NA NA 00059025 ......... 26 ....... A Fetal non-stress test ...................................... 0.53 0.14 0.19 0.14 0.19 0.13 0.80 0.85 0.80 0.85 00059025 ......... TC ...... A Fetal non-stress test ...................................... 0.00 0.48 0.29 NA NA 0.02 0.50 0.31 NA NA 00059030 ......... ............ A Fetal scalp blood sample .............................. 1.99 NA NA 0.54 0.71 0.47 NA NA 3.00 3.17 00059050 ......... ............ A Fetal monitor w/report ................................... 0.89 NA NA 0.26 0.33 0.21 NA NA 1.36 1.43XXX59051 ......... ............ A Fetal monitor/interpret only ........................... 0.74 NA NA 0.20 0.27 0.17 NA NA 1.11 1.18 XXX59070 ......... ............ A Transabdom amnioinfus w/us ....................... 5.24 4.40 4.97 1.77 2.18 0.28 9.92 10.49 7.29 7.7000059072 ......... ............ A Umbilical cord occlud w/us ............................ 8.99 NA NA 2.80 3.05 0.16 NA NA 11.95 12.20 00059074 ......... ............ A Fetal fluid drainage w/us ............................... 5.24 3.84 4.40 1.66 2.16 0.28 9.36 9.92 7.18 7.68 00059076 ......... ............ A Fetal shunt placement, w/us ......................... 8.99 NA NA 2.34 2.93 0.16 NA NA 11.49 12.08 00059100 ......... ............ A Remove uterus lesion ................................... 13.22 NA NA 5.68 6.27 2.94 NA NA 21.84 22.4309059120 ......... ............ A Treat ectopic pregnancy ................................ 12.52 NA NA 5.34 6.03 2.72 NA NA 20.58 21.2709059121 ......... ............ A Treat ectopic pregnancy ................................ 12.60 NA NA 5.28 6.08 2.78 NA NA 20.66 21.4609059130 ......... ............ A Treat ectopic pregnancy ................................ 14.94 NA NA 5.99 5.10 3.38 NA NA 24.31 23.4209059135 ......... ............ A Treat ectopic pregnancy ................................ 14.78 NA NA 4.98 6.68 3.30 NA NA 23.06 24.7609059136 ......... ............ A Treat ectopic pregnancy ................................ 14.11 NA NA 5.62 6.37 3.13 NA NA 22.86 23.6109059140 ......... ............ A Treat ectopic pregnancy ................................ 5.82 1.31 1.99 2.85 2.38 1.29 8.42 9.10 9.969.49 09059150 ......... ............ A Treat ectopic pregnancy ................................ 12.15 NA NA 5.00 5.76 2.78 NA NA 19.93 20.6909059151 ......... ............ A Treat ectopic pregnancy ................................ 11.97 NA NA 4.89 5.78 2.73 NA NA 19.59 20.4809059160 ......... ............ A D & c after delivery ....................................... 2.71 1.97 2.97 1.16 1.90 0.64 5.32 6.324.51 5.25 01059200 ......... ............ A Insert cervical dilator ..................................... 0.79 0.93 1.13 0.22 0.28 0.19 1.91 2.111.20 1.26 00059300 ......... ............ A Episiotomy or vaginal repair .......................... 2.41 2.19 2.18 1.01 0.97 0.57 5.17 5.16 3.993.95 00059320 ......... ............ A Revision of cervix .......................................... 2.48 NA NA 0.99 1.18 0.59 NA NA 4.06 4.25 00059325 ......... ............ A Revision of cervix .......................................... 4.06 NA NA 1.20 1.73 0.88 NA NA 6.14 6.67 00059350 ......... ............ A Repair of uterus ............................................. 4.94 NA NA 1.36 1.75 1.17 NA NA 7.47 7.86 00059400 ......... ............ A Obstetrical care ............................................. 26.52 NA NA 14.06 15.04 5.48 NA NA 46.06 47.04 MMM59409 ......... ............ A Obstetrical care ............................................. 13.48 NA NA 3.64 4.90 3.21 NA NA 20.3321.59 MMM59410 ......... ............ A Obstetrical care ............................................. 15.25 NA NA 4.83 5.95 3.51 NA NA 23.5924.71 MMM59412 ......... ............ A Antepartum manipulation .............................. 1.71 NA NA 0.63 0.77 0.40 NA NA 2.74 2.88 MMM59414 ......... ............ A Deliver placenta ............................................. 1.61 NA NA 0.43 0.59 0.38 NA NA 2.42 2.58 MMM59425 ......... ............ A Antepartum care only .................................... 6.12 4.18 4.20 1.62 1.80 1.14 11.44 11.46 8.88 9.06 MMM59426 ......... ............ A Antepartum care only .................................... 10.84 7.68 7.59 2.88 3.14 1.97 20.49 20.4015.69 15.95 MMM59430 ......... ............ A Care after delivery ......................................... 2.13 1.02 1.18 0.64 0.87 0.50 3.65 3.813.27 3.50 MMM59510 ......... ............ A Cesarean delivery ......................................... 30.04 NA NA 15.69 16.91 6.23 NA NA 51.9653.18 MMM59514 ......... ............ A Cesarean delivery only .................................. 15.95 NA NA 4.36 5.76 3.79 NA NA 24.10 25.50 MMM59515 ......... ............ A Cesarean delivery ......................................... 18.20 NA NA 6.07 7.41 4.12 NA NA 28.39 29.73 MMM59525 ......... ............ A Remove uterus after cesarean ...................... 8.53 NA NA 2.32 3.06 1.94 NA NA 12.79 13.53 ZZZ59610 ......... ............ A Vbac delivery ................................................. 27.95 NA NA 14.30 15.51 5.85 NA NA 48.10 49.31 MMM59612 ......... ............ A Vbac delivery only ......................................... 15.04 NA NA 4.14 5.59 3.58 NA NA 22.76 24.21 MMM59614 ......... ............ A Vbac care after delivery ................................ 16.57 NA NA 5.03 6.47 3.88 NA NA 25.48 26.92 MMM59618 ......... ............ A Attempted vbac delivery ................................ 31.48 NA NA 16.02 17.72 6.59 NA NA 54.09 55.79 MMM59620 ......... ............ A Attempted vbac delivery only ........................ 17.50 NA NA 4.65 6.25 4.16 NA NA 26.31 27.91 MMM59622 ......... ............ A Attempted vbac after care ............................. 19.64 NA NA 6.50 8.12 4.49 NA NA 30.63 32.25MMM59812 ......... ............ A Treatment of miscarriage .............................. 4.37 NA NA 2.32 2.49 0.95 NA NA 7.64 7.81 09059820 ......... ............ A Care of miscarriage ....................................... 4.64 4.03 4.33 3.43 3.54 0.95 9.62 9.92 9.02 9.13 09059821 ......... ............ A Treatment of miscarriage .............................. 4.94 3.78 4.16 3.12 3.34 1.06 9.78 10.16 9.129.34 09059830 ......... ............ A Treat uterus infection .................................... 6.47 NA NA 3.40 3.84 1.44 NA NA 11.31 11.75 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00173 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37342 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal59840 ......... ............ R Abortion ......................................................... 3.01 NA NA 1.77 2.04 0.71 NA NA 5.49 5.76 01059841 ......... ............ R Abortion ......................................................... 5.55 3.12 3.41 2.55 2.87 1.24 9.9110.20 9.34 9.66 01059850 ......... ............ R Abortion ......................................................... 5.90 NA NA 2.61 3.10 1.28 NA NA 9.79 10.28 09059851 ......... ............ R Abortion ......................................................... 5.92 NA NA 3.26 3.63 1.28 NA NA 10.46 10.83 09059852 ......... ............ R Abortion ......................................................... 8.23 NA NA 3.68 4.71 1.80 NA NA 13.71 14.74 09059855 ......... ............ R Abortion ......................................................... 6.36 NA NA 2.89 3.39 1.45 NA NA 10.70 11.20 09059856 ......... ............ R Abortion ......................................................... 7.72 NA NA 4.04 4.06 1.78 NA NA 13.54 13.56 09059857 ......... ............ R Abortion ......................................................... 9.28 NA NA 3.11 4.32 2.01 NA NA 14.40 15.61 09059866 ......... ............ R Abortion (mpr) ............................................... 3.99 NA NA 1.22 1.73 0.87 NA NA 6.08 6.59 00059870 ......... ............ A Evacuate mole of uterus ............................... 6.32 NA NA 4.08 4.39 1.42 NA NA 11.82 12.13 09059871 ......... ............ A Remove cerclage suture ............................... 2.13 1.12 1.59 0.92 1.08 0.50 3.75 4.22 3.55 3.71 00060000 ......... ............ A Drain thyroid/tongue cyst .............................. 1.76 2.05 1.96 1.66 1.70 0.15 3.96 3.87 3.573.61 01060001 ......... ............ A Aspirate/inject thyriod cyst ............................ 0.97 1.98 1.55 0.29 0.32 0.07 3.02 2.59 1.33 1.36 00060100 ......... ............ A Biopsy of thyroid ............................................ 1.56 1.33 1.38 0.50 0.52 0.10 2.99 3.04 2.16 2.18 00060200 ......... ............ A Remove thyroid lesion ................................... 9.84 NA NA 5.13 5.78 1.01 NA NA 15.98 16.6309060210 ......... ............ A Partial thyroid excision .................................. 11.11 NA NA 4.96 5.48 1.23 NA NA 17.30 17.82 09060212 ......... ............ A Partial thyroid excision .................................. 16.26 NA NA 6.45 7.38 1.94 NA NA 24.65 25.58 09060220 ......... ............ A Partial removal of thyroid .............................. 12.25 NA NA 5.28 5.94 1.32 NA NA 18.85 19.51 09060225 ......... ............ A Partial removal of thyroid .............................. 14.59 NA NA 6.55 7.20 1.64 NA NA 22.78 23.43 09060240 ......... ............ A Removal of thyroid ........................................ 16.16 NA NA 6.04 7.21 1.85 NA NA 24.05 25.22 09060252 ......... ............ A Removal of thyroid ........................................ 21.82 NA NA 8.23 9.65 2.29 NA NA 32.34 33.76 09060254 ......... ............ A Extensive thyroid surgery .............................. 28.23 NA NA 10.07 13.15 2.60 NA NA 40.90 43.98 09060260 ......... ............ A Repeat thyroid surgery .................................. 18.14 NA NA 6.84 8.21 1.93 NA NA 26.91 28.28 09060270 ......... ............ A Removal of thyroid ........................................ 23.01 NA NA 8.81 10.06 2.32 NA NA 34.14 35.39 09060271 ......... ............ A Removal of thyroid ........................................ 17.50 NA NA 6.65 8.11 1.74 NA NA 25.89 27.35 09060280 ......... ............ A Remove thyroid duct lesion ........................... 5.98 NA NA 4.01 4.51 0.54 NA NA 10.53 11.03 09060281 ......... ............ A Remove thyroid duct lesion ........................... 8.64 NA NA 4.65 5.55 0.73 NA NA 14.02 14.92 09060500 ......... ............ A Explore parathyroid glands ........................... 16.63 NA NA 6.64 7.23 2.00 NA NA 25.27 25.86 09060502 ......... ............ A Re-explore parathyroids ................................ 20.92 NA NA 8.34 9.12 2.53 NA NA 31.79 32.5709060505 ......... ............ A Explore parathyroid glands ........................... 22.81 NA NA 9.13 10.50 2.64 NA NA 34.58 35.9509060512 ......... ............ A Autotransplant parathyroid ............................ 4.44 NA NA 1.15 1.50 0.53 NA NA 6.12 6.47 ZZZ60520 ......... ............ A Removal of thymus gland ............................. 17.03 NA NA 6.90 7.96 2.19 NA NA 26.12 27.18 09060521 ......... ............ A Removal of thymus gland ............................. 19.09 NA NA 8.37 9.27 2.81 NA NA 30.27 31.17 09060522 ......... ............ A Removal of thymus gland ............................. 23.31 NA NA 9.87 10.94 3.26 NA NA 36.44 37.51 09060540 ......... ............ A Explore adrenal gland ................................... 17.84 NA NA 8.20 7.75 1.74 NA NA 27.78 27.33 09060545 ......... ............ A Explore adrenal gland ................................... 20.75 NA NA 8.93 8.65 2.07 NA NA 31.75 31.47 09060600 ......... ............ A Remove carotid body lesion .......................... 24.95 NA NA 9.76 10.68 2.19 NA NA 36.90 37.82 09060605 ......... ............ A Remove carotid body lesion .......................... 31.82 NA NA 13.01 12.47 2.49 NA NA 47.32 46.7809060650 ......... ............ A Laparoscopy adrenalectomy ......................... 20.59 NA NA 8.15 8.04 2.28 NA NA 31.02 30.91 09061000 ......... ............ A Remove cranial cavity fluid ........................... 1.58 NA NA 1.22 1.02 0.13 NA NA 2.93 2.73 00061001 ......... ............ A Remove cranial cavity fluid ........................... 1.49 NA NA 1.20 1.10 0.16 NA NA 2.85 2.75 00061020 ......... ............ A Remove brain cavity fluid .............................. 1.51 NA NA 1.54 1.39 0.34 NA NA 3.39 3.24 00061026 ......... ............ A Injection into brain canal ............................... 1.69 NA NA 1.48 1.41 0.33 NA NA 3.50 3.4300061050 ......... ............ A Remove brain canal fluid .............................. 1.51 NA NA 1.16 1.24 0.11 NA NA 2.78 2.86 00061055 ......... ............ A Injection into brain canal ............................... 2.10 NA NA 1.34 1.40 0.17 NA NA 3.61 3.6700061070 ......... ............ A Brain canal shunt procedure ......................... 0.89 NA NA 1.17 1.05 0.17 NA NA 2.23 2.11 00061105 ......... ............ A Twist drill hole ............................................... 5.38 NA NA 4.77 4.15 1.32 NA NA 11.47 10.85 09061107 ......... ............ A Drill skull for implantation .............................. 4.99 NA NA 1.79 2.35 1.29 NA NA 8.07 8.6300061108 ......... ............ A Drill skull for drainage ................................... 11.45 NA NA 8.21 7.42 2.63 NA NA 22.29 21.50 09061120 ......... ............ A Burr hole for puncture ................................... 9.48 NA NA 6.51 6.14 2.09 NA NA 18.08 17.71 09061140 ......... ............ A Pierce skull for biopsy ................................... 17.04 NA NA 10.11 9.96 4.11 NA NA 31.26 31.11 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00174 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37343 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal61150 ......... ............ A Pierce skull for drainage ............................... 18.76 NA NA 10.49 10.42 4.31 NA NA 33.56 33.49 09061151 ......... ............ A Pierce skull for drainage ............................... 13.37 NA NA 8.25 7.94 3.00 NA NA 24.62 24.31 09061154 ......... ............ A Pierce skull & remove clot ............................ 16.86 NA NA 10.07 9.65 4.20 NA NA 31.13 30.7109061156 ......... ............ A Pierce skull for drainage ............................... 17.33 NA NA 9.62 9.80 4.22 NA NA 31.17 31.35 09061210 ......... ............ A Pierce skull, implant device ........................... 5.83 NA NA 2.11 2.72 1.50 NA NA 9.44 10.05 00061215 ......... ............ A Insert brain-fluid device ................................. 5.73 NA NA 5.30 4.33 1.26 NA NA 12.29 11.32 09061250 ......... ............ A Pierce skull & explore ................................... 11.37 NA NA 7.33 6.99 2.76 NA NA 21.46 21.12 09061253 ......... ............ A Pierce skull & explore ................................... 13.37 NA NA 7.59 7.70 2.61 NA NA 23.57 23.68 09061304 ......... ............ A Open skull for exploration ............................. 23.27 NA NA 12.24 12.71 5.61 NA NA 41.12 41.59 09061305 ......... ............ A Open skull for exploration ............................. 28.45 NA NA 14.62 15.17 6.07 NA NA 49.14 49.69 09061312 ......... ............ A Open skull for drainage ................................. 30.03 NA NA 16.63 15.47 6.34 NA NA 53.00 51.84 09061313 ......... ............ A Open skull for drainage ................................. 27.88 NA NA 15.03 14.89 6.43 NA NA 49.34 49.20 09061314 ......... ............ A Open skull for drainage ................................. 25.71 NA NA 13.81 13.26 6.26 NA NA 45.78 45.23 09061315 ......... ............ A Open skull for drainage ................................. 29.46 NA NA 15.10 15.82 7.14 NA NA 51.70 52.42 09061316 ......... ............ A Implt cran bone flap to abdo ......................... 1.39 NA NA 0.51 0.58 0.35 NA NA 2.25 2.32 ZZZ61320 ......... ............ A Open skull for drainage ................................. 27.28 NA NA 13.87 14.56 6.60 NA NA 47.75 48.44 09061321 ......... ............ A Open skull for drainage ................................. 30.34 NA NA 13.87 15.60 7.12 NA NA 51.33 53.06 09061322 ......... ............ A Decompressive craniotomy ........................... 34.00 NA NA 17.25 16.10 7.61 NA NA 58.86 57.71 09061323 ......... ............ A Decompressive lobectomy ............................ 34.87 NA NA 16.53 16.23 8.01 NA NA 59.41 59.11 09061330 ......... ............ A Decompress eye socket ................................ 25.11 NA NA 11.52 13.20 2.31 NA NA 38.94 40.6209061332 ......... ............ A Explore/biopsy eye socket ............................ 28.46 NA NA 13.05 14.99 4.82 NA NA 46.33 48.2709061333 ......... ............ A Explore orbit/remove lesion ........................... 29.13 NA NA 12.91 14.94 3.91 NA NA 45.95 47.98 09061334 ......... ............ A Explore orbit/remove object .......................... 19.46 NA NA 8.87 10.21 1.74 NA NA 30.07 31.4109061340 ......... ............ A Subtemporal decompression ......................... 19.97 NA NA 11.06 11.13 4.83 NA NA 35.86 35.93 09061343 ......... ............ A Incise skull (press relief) ............................... 31.67 NA NA 15.47 16.51 7.62 NA NA 54.7655.80 09061345 ......... ............ A Relieve cranial pressure ................................ 29.04 NA NA 14.59 15.22 7.02 NA NA 50.65 51.28 09061440 ......... ............ A Incise skull for surgery .................................. 28.47 NA NA 13.33 14.01 6.88 NA NA 48.6849.36 09061450 ......... ............ A Incise skull for surgery .................................. 27.55 NA NA 12.17 13.78 5.77 NA NA 45.4947.10 09061458 ......... ............ A Incise skull for brain wound .......................... 28.65 NA NA 14.37 15.26 7.01 NA NA 50.03 50.92 09061460 ......... ............ A Incise skull for surgery .................................. 30.05 NA NA 14.50 15.97 6.02 NA NA 50.5752.04 09061470 ......... ............ A Incise skull for surgery .................................. 27.48 NA NA 12.55 13.56 5.88 NA NA 45.9146.92 09061480 ......... ............ A Incise skull for surgery .................................. 27.91 NA NA 7.88 13.45 6.71 NA NA 42.50 48.07 09061490 ......... ............ A Incise skull for surgery .................................. 27.08 NA NA 13.14 14.06 6.90 NA NA 47.1248.04 09061500 ......... ............ A Removal of skull lesion ................................. 18.99 NA NA 10.15 10.66 4.10 NA NA 33.24 33.75 09061501 ......... ............ A Remove infected skull bone .......................... 16.16 NA NA 9.12 9.20 3.21 NA NA 28.49 28.57 09061510 ......... ............ A Removal of brain lesion ................................ 30.55 NA NA 16.38 16.65 7.33 NA NA 54.26 54.53 09061512 ......... ............ A Remove brain lining lesion ............................ 36.93 NA NA 17.81 19.25 9.05 NA NA 63.79 65.23 09061514 ......... ............ A Removal of brain abscess ............................. 27.04 NA NA 13.90 14.33 6.52 NA NA 47.46 47.8909061516 ......... ............ A Removal of brain lesion ................................ 26.39 NA NA 13.67 14.14 6.33 NA NA 46.39 46.86 09061517 ......... ............ A Implt brain chemotx add-on .......................... 1.38 NA NA 0.50 0.61 0.35 NA NA 2.23 2.34 ZZZ61518 ......... ............ A Removal of brain lesion ................................ 39.61 NA NA 19.64 20.77 9.62 NA NA 68.87 70.00 09061519 ......... ............ A Remove brain lining lesion ............................ 43.22 NA NA 19.98 22.03 10.60 NA NA 73.80 75.85 09061520 ......... ............ A Removal of brain lesion ................................ 56.81 NA NA 24.67 28.98 11.18 NA NA 92.66 96.97 09061521 ......... ............ A Removal of brain lesion ................................ 46.78 NA NA 21.28 23.53 11.36 NA NA 79.42 81.67 09061522 ......... ............ A Removal of brain abscess ............................. 31.35 NA NA 14.89 16.07 7.60 NA NA 53.84 55.0209061524 ......... ............ A Removal of brain lesion ................................ 29.70 NA NA 15.09 15.56 7.14 NA NA 51.93 52.40 09061526 ......... ............ A Removal of brain lesion ................................ 53.84 NA NA 20.86 27.39 7.05 NA NA 81.75 88.28 09061530 ......... ............ A Removal of brain lesion ................................ 45.37 NA NA 17.57 23.23 6.13 NA NA 69.07 74.73 09061531 ......... ............ A Implant brain electrodes ................................ 16.24 NA NA 9.79 9.31 3.78 NA NA 29.81 29.33 09061533 ......... ............ A Implant brain electrodes ................................ 21.32 NA NA 11.23 11.48 5.10 NA NA 37.65 37.90 09061534 ......... ............ A Removal of brain lesion ................................ 22.82 NA NA 12.62 12.25 5.42 NA NA 40.86 40.49 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00175 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37344 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal61535 ......... ............ A Remove brain electrodes .............................. 13.01 NA NA 8.47 7.70 3.01 NA NA 24.49 23.72 09061536 ......... ............ A Removal of brain lesion ................................ 37.53 NA NA 17.70 19.31 9.18 NA NA 64.41 66.02 09061537 ......... ............ A Removal of brain tissue ................................ 36.31 NA NA 17.68 15.51 6.92 NA NA 60.91 58.74 09061538 ......... ............ A Removal of brain tissue ................................ 39.31 NA NA 18.75 16.20 6.92 NA NA 64.98 62.43 09061539 ......... ............ A Removal of brain tissue ................................ 34.09 NA NA 14.79 17.06 8.30 NA NA 57.18 59.45 09061540 ......... ............ A Removal of brain tissue ................................ 31.24 NA NA 15.44 16.83 8.30 NA NA 54.98 56.37 09061541 ......... ............ A Incision of brain tissue .................................. 30.75 NA NA 15.41 16.04 6.58 NA NA 52.7453.37 09061542 ......... ............ A Removal of brain tissue ................................ 32.97 NA NA 16.18 17.45 8.01 NA NA 57.16 58.43 09061543 ......... ............ A Removal of brain tissue ................................ 31.12 NA NA 15.64 16.23 7.54 NA NA 54.30 54.89 09061544 ......... ............ A Remove & treat brain lesion ......................... 27.22 NA NA 13.75 13.83 5.95 NA NA 46.92 47.0009061545 ......... ............ A Excision of brain tumor ................................. 46.15 NA NA 21.88 23.68 10.60 NA NA 78.63 80.43 09061546 ......... ............ A Removal of pituitary gland ............................ 33.25 NA NA 15.92 17.14 7.65 NA NA 56.82 58.04 09061548 ......... ............ A Removal of pituitary gland ............................ 23.23 NA NA 10.87 12.33 3.42 NA NA 37.52 38.98 09061550 ......... ............ A Release of skull seams ................................. 15.38 NA NA 3.61 6.12 0.98 NA NA 19.97 22.4809061552 ......... ............ A Release of skull seams ................................. 20.21 NA NA 6.42 8.46 1.06 NA NA 27.69 29.7309061556 ......... ............ A Incise skull/sutures ........................................ 23.96 NA NA 12.20 11.59 4.64 NA NA 40.80 40.19 09061557 ......... ............ A Incise skull/sutures ........................................ 23.10 NA NA 13.12 13.53 5.78 NA NA 42.00 42.41 09061558 ......... ............ A Excision of skull/sutures ................................ 26.29 NA NA 7.91 12.65 1.36 NA NA 35.56 40.30 09061559 ......... ............ A Excision of skull/sutures ................................ 33.74 NA NA 18.22 19.08 8.48 NA NA 60.44 61.30 09061563 ......... ............ A Excision of skull tumor .................................. 28.31 NA NA 13.71 14.89 5.15 NA NA 47.17 48.35 09061564 ......... ............ A Excision of skull tumor .................................. 34.53 NA NA 15.61 17.65 8.75 NA NA 58.89 60.93 09061566 ......... ............ A Removal of brain tissue ................................ 32.26 NA NA 16.15 17.40 6.92 NA NA 55.33 56.58 09061567 ......... ............ A Incision of brain tissue .................................. 36.76 NA NA 15.60 19.45 6.52 NA NA 58.8862.73 09061570 ......... ............ A Remove foreign body, brain .......................... 26.32 NA NA 13.55 13.85 5.86 NA NA 45.73 46.0309061571 ......... ............ A Incise skull for brain wound .......................... 28.23 NA NA 14.54 15.02 6.77 NA NA 49.54 50.02 09061575 ......... ............ A Skull base/brainstem surgery ........................ 36.37 NA NA 14.97 18.51 5.32 NA NA 56.66 60.2009061576 ......... ............ A Skull base/brainstem surgery ........................ 55.03 NA NA 25.34 32.46 5.56 NA NA 85.93 93.0509061580 ......... ............ A Craniofacial approach, skull .......................... 34.26 NA NA 20.27 24.31 3.36 NA NA 57.89 61.93 09061581 ......... ............ A Craniofacial approach, skull .......................... 38.78 NA NA 24.44 23.74 3.91 NA NA 67.13 66.43 09061582 ......... ............ A Craniofacial approach, skull .......................... 34.83 NA NA 30.11 28.06 7.19 NA NA 72.13 70.08 09061583 ......... ............ A Craniofacial approach, skull .......................... 38.37 NA NA 25.25 25.20 9.18 NA NA 72.80 72.75 09061584 ......... ............ A Orbitocranial approach/skull .......................... 37.57 NA NA 24.96 24.68 8.16 NA NA 70.69 70.41 09061585 ......... ............ A Orbitocranial approach/skull .......................... 42.40 NA NA 24.18 25.97 7.01 NA NA 73.59 75.38 09061586 ......... ............ A Resect nasopharynx, skull ............................ 27.20 NA NA 23.74 22.92 4.36 NA NA 55.30 54.4809061590 ......... ............ A Infratemporal approach/skull ......................... 46.79 NA NA 22.77 27.22 5.29 NA NA 74.85 79.3009061591 ......... ............ A Infratemporal approach/skull ......................... 46.81 NA NA 23.24 28.02 5.64 NA NA 75.69 80.4709061592 ......... ............ A Orbitocranial approach/skull .......................... 42.94 NA NA 26.82 26.64 10.04 NA NA 79.80 79.62 09061595 ......... ............ A Transtemporal approach/skull ....................... 33.49 NA NA 18.82 21.51 3.97 NA NA 56.28 58.97 09061596 ......... ............ A Transcochlear approach/skull ....................... 39.25 NA NA 18.02 22.89 3.39 NA NA 60.66 65.53 09061597 ......... ............ A Transcondylar approach/skull ....................... 40.67 NA NA 22.37 22.89 8.81 NA NA 71.85 72.37 09061598 ......... ............ A Transpetrosal approach/skull ........................ 36.35 NA NA 20.60 22.63 5.68 NA NA 62.63 64.6609061600 ......... ............ A Resect/excise cranial lesion .......................... 29.76 NA NA 17.83 19.33 3.78 NA NA 51.37 52.87 09061601 ......... ............ A Resect/excise cranial lesion .......................... 31.00 NA NA 21.93 20.90 6.61 NA NA 59.54 58.51 09061605 ......... ............ A Resect/excise cranial lesion .......................... 32.32 NA NA 17.26 20.83 2.85 NA NA 52.43 56.00 09061606 ......... ............ A Resect/excise cranial lesion .......................... 41.88 NA NA 23.64 24.83 8.94 NA NA 74.46 75.65 09061607 ......... ............ A Resect/excise cranial lesion .......................... 40.76 NA NA 20.04 22.90 6.88 NA NA 67.68 70.54 09061608 ......... ............ A Resect/excise cranial lesion .......................... 45.39 NA NA 25.77 26.44 10.72 NA NA 81.88 82.55 09061609 ......... ............ A Transect artery, sinus .................................... 9.88 NA NA 3.60 4.55 2.55 NA NA 16.03 16.98 ZZZ61610 ......... ............ A Transect artery, sinus .................................... 29.63 NA NA 10.81 12.59 7.66 NA NA 48.1049.88 ZZZ61611 ......... ............ A Transect artery, sinus .................................... 7.41 NA NA 2.70 3.55 1.88 NA NA 11.99 12.84 ZZZ61612 ......... ............ A Transect artery, sinus .................................... 27.84 NA NA 7.90 11.99 4.30 NA NA 40.04 44.13 ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00176 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37345 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal61613 ......... ............ A Remove aneurysm, sinus .............................. 44.88 NA NA 26.76 26.45 8.42 NA NA 80.06 79.7509061615 ......... ............ A Resect/excise lesion, skull ............................ 35.57 NA NA 18.86 21.81 4.72 NA NA 59.15 62.10 09061616 ......... ............ A Resect/excise lesion, skull ............................ 46.54 NA NA 25.81 28.00 8.24 NA NA 80.59 82.78 09061618 ......... ............ A Repair dura .................................................... 18.52 NA NA 9.63 10.26 3.71 NA NA 31.86 32.49 09061619 ......... ............ A Repair dura .................................................... 21.95 NA NA 10.50 11.84 3.94 NA NA 36.39 37.73 09061623 ......... ............ A Endovasc tempory vessel occl ...................... 9.95 NA NA 3.63 3.98 1.05 NA NA 14.63 14.98 00061624 ......... ............ A Transcath occlusion, cns ............................... 20.12 NA NA 7.25 7.00 1.95 NA NA 29.32 29.0700061626 ......... ............ A Transcath occlusion, non-cns ....................... 16.60 NA NA 5.93 5.63 1.24 NA NA 23.77 23.47 00061630 ......... ............ N Intracranial angioplasty ................................. 22.03 NA NA 6.30 10.97 2.01 NA NA 30.34 35.01 09061635 ......... ............ N Intracran angioplsty w/stent .......................... 24.24 NA NA 6.80 11.89 2.20 NA NA 33.24 38.3309061680 ......... ............ A Intracranial vessel surgery ............................ 32.34 NA NA 16.16 17.15 7.93 NA NA 56.43 57.42 09061682 ......... ............ A Intracranial vessel surgery ............................ 63.27 NA NA 26.23 30.78 15.85 NA NA 105.4 109.9 09061684 ......... ............ A Intracranial vessel surgery ............................ 41.43 NA NA 19.63 21.45 10.28 NA NA 71.34 73.16 09061686 ......... ............ A Intracranial vessel surgery ............................ 67.26 NA NA 29.13 33.40 16.66 NA NA 113.1 117.3 09061690 ......... ............ A Intracranial vessel surgery ............................ 31.14 NA NA 15.24 16.39 6.92 NA NA 53.30 54.45 09061692 ......... ............ A Intracranial vessel surgery ............................ 54.39 NA NA 23.81 26.62 13.39 NA NA 91.59 94.40 09061697 ......... ............ A Brain aneurysm repr, complx ........................ 63.16 NA NA 28.59 28.22 12.81 NA NA 104.6 104.209061698 ......... ............ A Brain aneurysm repr, complx ........................ 69.39 NA NA 30.54 27.71 12.50 NA NA 112.4 109.609061700 ......... ............ A Brain aneurysm repr, simple ......................... 50.44 NA NA 23.58 26.81 12.98 NA NA 87.00 90.2309061702 ......... ............ A Inner skull vessel surgery ............................. 59.80 NA NA 25.60 25.98 10.76 NA NA 96.16 96.54 09061703 ......... ............ A Clamp neck artery ......................................... 18.66 NA NA 10.41 10.47 4.05 NA NA 33.1233.18 09061705 ......... ............ A Revise circulation to head ............................. 37.91 NA NA 17.47 18.85 8.84 NA NA 64.22 65.60 09061708 ......... ............ A Revise circulation to head ............................. 37.01 NA NA 14.20 14.94 2.50 NA NA 53.71 54.45 09061710 ......... ............ A Revise circulation to head ............................. 31.15 NA NA 13.64 13.67 4.51 NA NA 49.30 49.33 09061711 ......... ............ A Fusion of skull arteries .................................. 38.04 NA NA 17.80 19.35 9.39 NA NA 65.2366.78 09061720 ......... ............ A Incise skull/brain surgery ............................... 17.48 NA NA 7.79 9.45 2.78 NA NA 28.05 29.71 09061735 ......... ............ A Incise skull/brain surgery ............................... 22.16 NA NA 11.16 11.94 2.72 NA NA 36.04 36.82 09061750 ......... ............ A Incise skull/brain biopsy ................................ 19.69 NA NA 10.45 10.59 4.71 NA NA 34.85 34.99 09061751 ......... ............ A Brain biopsy w/ct/mr guide ............................ 18.58 NA NA 10.91 10.87 4.55 NA NA 34.04 34.00 09061760 ......... ............ A Implant brain electrodes ................................ 22.24 NA NA 11.38 9.40 5.40 NA NA 39.02 37.04 09061770 ......... ............ A Incise skull for treatment ............................... 23.05 NA NA 9.50 11.59 3.54 NA NA 36.09 38.18 09061790 ......... ............ A Treat trigeminal nerve ................................... 11.46 NA NA 7.37 6.29 2.81 NA NA 21.64 20.56 09061791 ......... ............ A Treat trigeminal tract ..................................... 15.27 NA NA 7.23 8.51 3.39 NA NA 25.89 27.17 09061793 ......... ............ A Focus radiation beam .................................... 17.71 NA NA 9.34 9.95 4.45 NA NA 31.50 32.11 09061795 ......... ............ A Brain surgery using computer ....................... 4.03 NA NA 1.32 1.86 0.79 NA NA 6.14 6.68 ZZZ61850 ......... ............ A Implant neuroelectrodes ................................ 13.22 NA NA 5.29 7.09 3.21 NA NA 21.72 23.5209061860 ......... ............ A Implant neuroelectrodes ................................ 22.12 NA NA 10.67 11.74 4.94 NA NA 37.73 38.80 09061863 ......... ............ A Implant neuroelectrode .................................. 20.50 NA NA 12.13 11.88 5.41 NA NA 38.04 37.79 09061864 ......... ............ A Implant neuroelectrde, addl ........................... 4.49 NA NA 1.64 2.13 5.41 NA NA 11.54 12.03 ZZZ61867 ......... ............ A Implant neuroelectrode .................................. 32.82 NA NA 16.19 17.60 5.41 NA NA 54.42 55.83 09061868 ......... ............ A Implant neuroelectrde, addIl .......................... 7.91 NA NA 2.86 3.73 5.41 NA NA 16.18 17.05 ZZZ61870 ......... ............ A Implant neuroelectrodes ................................ 16.20 NA NA 8.23 9.36 3.86 NA NA 28.29 29.4209061875 ......... ............ A Implant neuroelectrodes ................................ 16.32 NA NA 5.14 7.73 2.94 NA NA 24.40 26.9909061880 ......... ............ A Revise/remove neuroelectrode ..................... 6.83 NA NA 5.14 4.72 1.66 NA NA 13.63 13.21 09061885 ......... ............ A Insrt/redo neurostim 1 array .......................... 7.29 NA NA 7.07 5.76 1.59 NA NA 15.95 14.64 09061886 ......... ............ A Implant neurostim arrays ............................... 9.65 NA NA 8.33 6.86 1.96 NA NA 19.94 18.4709061888 ......... ............ A Revise/remove neuroreceiver ....................... 5.18 NA NA 3.50 3.64 1.33 NA NA 10.01 10.15 01062000 ......... ............ A Treat skull fracture ........................................ 13.79 NA NA 7.25 5.96 1.06 NA NA 22.1020.81 09062005 ......... ............ A Treat skull fracture ........................................ 17.49 NA NA 9.03 8.87 3.86 NA NA 30.3830.22 09062010 ......... ............ A Treatment of head injury ............................... 21.24 NA NA 11.37 11.65 5.12 NA NA 37.73 38.01 09062100 ......... ............ A Repair brain fluid leakage ............................. 23.34 NA NA 11.34 12.45 4.83 NA NA 39.51 40.62 09062115 ......... ............ A Reduction of skull defect ............................... 22.63 NA NA 13.36 12.09 5.49 NA NA 41.48 40.21 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00177 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37346 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal62116 ......... ............ A Reduction of skull defect ............................... 24.82 NA NA 12.71 13.23 6.09 NA NA 43.62 44.14 09062117 ......... ............ A Reduction of skull defect ............................... 28.20 NA NA 14.04 15.07 4.52 NA NA 46.76 47.79 09062120 ......... ............ A Repair skull cavity lesion ............................... 24.31 NA NA 15.50 17.77 2.99 NA NA 42.80 45.07 09062121 ......... ............ A Incise skull repair .......................................... 22.89 NA NA 13.70 15.04 4.16 NA NA 40.75 42.09 09062140 ......... ............ A Repair of skull defect .................................... 14.41 NA NA 8.17 8.30 3.46 NA NA 26.04 26.17 09062141 ......... ............ A Repair of skull defect .................................... 15.93 NA NA 8.85 9.02 3.75 NA NA 28.53 28.70 09062142 ......... ............ A Remove skull plate/flap ................................. 11.69 NA NA 7.34 7.09 2.72 NA NA 21.75 21.50 09062143 ......... ............ A Replace skull plate/flap ................................. 14.01 NA NA 8.34 8.13 3.36 NA NA 25.71 25.50 09062145 ......... ............ A Repair of skull & brain ................................... 19.95 NA NA 9.81 10.64 4.49 NA NA 34.25 35.08 09062146 ......... ............ A Repair of skull with graft ............................... 17.14 NA NA 8.64 9.41 3.61 NA NA 29.39 30.16 09062147 ......... ............ A Repair of skull with graft ............................... 20.53 NA NA 10.11 11.03 4.31 NA NA 34.95 35.87 09062148 ......... ............ A Retr bone flap to fix skull .............................. 2.00 NA NA 0.73 0.83 0.48 NA NA 3.21 3.31ZZZ62160 ......... ............ A Neuroendoscopy add-on ............................... 3.00 NA NA 1.08 1.42 0.77 NA NA 4.85 5.19 ZZZ62161 ......... ............ A Dissect brain w/scope ................................... 21.04 NA NA 11.77 12.04 5.17 NA NA 37.98 38.25 09062162 ......... ............ A Remove colloid cyst w/scope ........................ 26.61 NA NA 13.45 14.53 5.89 NA NA 45.95 47.03 09062163 ......... ............ A Neuroendoscopy w/fb removal ...................... 16.34 NA NA 10.23 10.02 4.00 NA NA 30.57 30.36 09062164 ......... ............ A Remove brain tumor w/scope ....................... 29.19 NA NA 14.54 14.88 5.36 NA NA 49.09 49.43 09062165 ......... ............ A Remove pituit tumor w/scope ........................ 23.04 NA NA 11.12 12.85 3.00 NA NA 37.16 38.89 09062180 ......... ............ A Establish brain cavity shunt .......................... 22.41 NA NA 11.45 12.10 4.97 NA NA 38.83 39.48 09062190 ......... ............ A Establish brain cavity shunt .......................... 12.03 NA NA 7.28 7.15 2.79 NA NA 22.10 21.9709062192 ......... ............ A Establish brain cavity shunt .......................... 13.21 NA NA 7.96 7.72 3.01 NA NA 24.18 23.9409062194 ......... ............ A Replace/irrigate catheter ............................... 5.64 NA NA 3.72 2.76 0.92 NA NA 10.28 9.3201062200 ......... ............ A Establish brain cavity shunt .......................... 19.15 NA NA 10.18 10.70 4.64 NA NA 33.97 34.49 09062201 ......... ............ A Brain cavity shunt w/scope ........................... 15.83 NA NA 10.02 9.61 3.67 NA NA 29.52 29.1109062220 ......... ............ A Establish brain cavity shunt .......................... 13.96 NA NA 7.99 8.00 3.34 NA NA 25.29 25.3009062223 ......... ............ A Establish brain cavity shunt .......................... 13.84 NA NA 8.98 8.44 3.13 NA NA 25.95 25.4109062225 ......... ............ A Replace/irrigate catheter ............................... 6.07 NA NA 5.15 4.36 1.39 NA NA 12.61 11.8209062230 ......... ............ A Replace/revise brain shunt ............................ 11.31 NA NA 6.89 6.60 2.70 NA NA 20.90 20.6109062252 ......... ............ A Csf shunt reprogram ..................................... 0.74 1.74 1.54 NA NA 0.21 2.69 2.49 NA NA XXX62252 ......... 26 ....... A Csf shunt reprogram ..................................... 0.74 0.26 0.34 0.26 0.34 0.19 1.19 1.27 1.19 1.27 XXX62252 ......... TC ...... A Csf shunt reprogram ..................................... 0.00 1.48 1.20 NA NA 0.02 1.50 1.22 NA NA XXX62256 ......... ............ A Remove brain cavity shunt ............................ 7.26 NA NA 5.53 4.91 1.71 NA NA 14.50 13.88 09062258 ......... ............ A Replace brain cavity shunt ............................ 15.50 NA NA 8.81 8.76 3.73 NA NA 28.04 27.9909062263 ......... ............ A Epidural lysis mult sessions .......................... 6.37 9.12 11.83 2.84 3.11 0.41 15.90 18.61 9.62 9.89 01062264 ......... ............ A Epidural lysis on single day .......................... 4.42 5.74 7.25 1.28 1.39 0.27 10.43 11.94 5.97 6.08 01062268 ......... ............ A Drain spinal cord cyst .................................... 4.73 6.99 10.42 1.84 2.07 0.43 12.15 15.58 7.00 7.23 00062269 ......... ............ A Needle biopsy, spinal cord ............................ 5.01 7.00 12.79 1.73 1.92 0.37 12.38 18.17 7.11 7.30 00062270 ......... ............ A Spinal fluid tap, diagnostic ............................ 1.37 2.44 2.86 0.57 0.56 0.08 3.89 4.31 2.02 2.01 00062272 ......... ............ A Drain cerebro spinal fluid .............................. 1.35 3.19 3.51 0.62 0.69 0.18 4.72 5.04 2.15 2.22 00062273 ......... ............ A Inject epidural patch ...................................... 2.15 1.70 2.47 0.58 0.68 0.13 3.98 4.752.86 2.96 00062280 ......... ............ A Treat spinal cord lesion ................................. 2.63 4.23 6.27 1.05 1.02 0.30 7.16 9.20 3.98 3.95 01062281 ......... ............ A Treat spinal cord lesion ................................. 2.66 3.77 5.20 0.90 0.89 0.19 6.62 8.05 3.75 3.74 01062282 ......... ............ A Treat spinal canal lesion ............................... 2.33 3.95 7.27 1.06 0.96 0.17 6.45 9.77 3.56 3.46 01062284 ......... ............ A Injection for myelogram ................................. 1.54 3.95 4.72 0.71 0.69 0.13 5.62 6.39 2.38 2.36 00062287 ......... ............ A Percutaneous diskectomy ............................. 8.82 NA NA 4.22 5.23 0.58 NA NA 13.62 14.63 09062290 ......... ............ A Inject for spine disk x-ray .............................. 3.00 4.49 6.49 1.14 1.32 0.23 7.72 9.72 4.37 4.55 00062291 ......... ............ A Inject for spine disk x-ray .............................. 2.91 4.29 5.54 1.08 1.19 0.26 7.46 8.71 4.25 4.36 00062292 ......... ............ A Injection into disk lesion ................................ 9.10 NA NA 3.16 4.15 0.82 NA NA 13.08 14.07 09062294 ......... ............ A Injection into spinal artery ............................. 12.73 NA NA 5.58 5.60 1.24 NA NA 19.55 19.57 09062310 ......... ............ A Inject spine c/t ............................................... 1.91 3.05 4.38 0.57 0.63 0.12 5.08 6.41 2.60 2.66 00062311 ......... ............ A Inject spine l/s (cd) ........................................ 1.54 2.70 4.37 0.53 0.58 0.09 4.33 6.00 2.16 2.21 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00178 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37347 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal62318 ......... ............ A Inject spine w/cath, c/t ................................... 2.04 3.24 5.12 0.47 0.61 0.12 5.40 7.282.63 2.77 00062319 ......... ............ A Inject spine w/cath l/s (cd) ............................ 1.87 2.89 4.47 0.47 0.58 0.11 4.87 6.45 2.45 2.56 00062350 ......... ............ A Implant spinal canal cath .............................. 7.96 NA NA 4.02 3.97 1.02 NA NA 13.00 12.9509062351 ......... ............ A Implant spinal canal cath .............................. 11.46 NA NA 7.39 7.20 2.24 NA NA 21.09 20.9009062355 ......... ............ A Remove spinal canal catheter ....................... 6.54 NA NA 3.44 3.24 0.71 NA NA 10.69 10.49 09062360 ......... ............ A Insert spine infusion device ........................... 3.60 NA NA 3.31 2.85 0.34 NA NA 7.25 6.79 09062361 ......... ............ A Implant spine infusion pump ......................... 6.51 NA NA 3.87 3.92 0.80 NA NA 11.18 11.23 09062362 ......... ............ A Implant spine infusion pump ......................... 8.50 NA NA 4.61 4.43 1.18 NA NA 14.29 14.11 09062365 ......... ............ A Remove spine infusion device ...................... 6.51 NA NA 3.78 3.64 0.86 NA NA 11.15 11.01 09062367 ......... ............ A Analyze spine infusion pump ........................ 0.48 0.41 0.56 0.11 0.10 0.03 0.92 1.07 0.62 0.61 XXX62368 ......... ............ A Analyze spine infusion pump ........................ 0.75 0.60 0.67 0.18 0.17 0.06 1.41 1.48 0.99 0.98 XXX63001 ......... ............ A Removal of spinal lamina .............................. 17.47 NA NA 9.62 9.56 3.76 NA NA 30.85 30.7909063003 ......... ............ A Removal of spinal lamina .............................. 17.60 NA NA 9.54 9.80 3.72 NA NA 30.86 31.1209063005 ......... ............ A Removal of spinal lamina .............................. 16.22 NA NA 9.53 9.88 3.34 NA NA 29.09 29.4409063011 ......... ............ A Removal of spinal lamina .............................. 15.72 NA NA 9.00 8.47 3.37 NA NA 28.09 27.5609063012 ......... ............ A Removal of spinal lamina .............................. 16.66 NA NA 9.59 10.01 3.48 NA NA 29.73 30.1509063015 ......... ............ A Removal of spinal lamina .............................. 20.64 NA NA 11.68 11.85 4.75 NA NA 37.07 37.24 09063016 ......... ............ A Removal of spinal lamina .............................. 21.85 NA NA 11.63 11.77 4.58 NA NA 38.06 38.20 09063017 ......... ............ A Removal of spinal lamina .............................. 17.12 NA NA 10.16 10.36 3.63 NA NA 30.91 31.11 09063020 ......... ............ A Neck spine disk surgery ................................ 15.99 NA NA 9.73 9.71 3.71 NA NA 29.43 29.4109063030 ......... ............ A Low back disk surgery .................................. 12.97 NA NA 8.46 8.45 3.00 NA NA 24.43 24.4209063035 ......... ............ A Spinal disk surgery add-on ........................... 3.15 NA NA 1.17 1.49 0.79 NA NA 5.11 5.43 ZZZ63040 ......... ............ A Laminotomy, single cervical .......................... 20.12 NA NA 10.80 11.35 4.67 NA NA 35.59 36.1409063042 ......... ............ A Laminotomy, single lumbar ........................... 18.55 NA NA 10.41 11.13 4.25 NA NA 33.21 33.9309063045 ......... ............ A Removal of spinal lamina .............................. 17.76 NA NA 10.13 10.32 3.98 NA NA 31.87 32.06 09063046 ......... ............ A Removal of spinal lamina .............................. 17.06 NA NA 9.63 10.07 3.55 NA NA 30.24 30.6809063047 ......... ............ A Removal of spinal lamina .............................. 15.16 NA NA 9.18 9.74 3.23 NA NA 27.57 28.1309063048 ......... ............ A Remove spinal lamina add-on ...................... 3.26 NA NA 1.21 1.55 0.72 NA NA 5.19 5.53 ZZZ63050 ......... ............ A Cervical laminoplasty .................................... 21.82 NA NA 8.68 11.07 4.66 NA NA 35.16 37.55 09063051 ......... ............ A C-laminoplasty w/graft/plate .......................... 25.32 NA NA 11.43 12.99 4.66 NA NA 41.41 42.97 09063055 ......... ............ A Decompress spinal cord ................................ 23.36 NA NA 12.07 12.90 5.27 NA NA 40.70 41.53 09063056 ......... ............ A Decompress spinal cord ................................ 21.67 NA NA 11.11 12.23 4.75 NA NA 37.53 38.65 09063057 ......... ............ A Decompress spine cord add-on .................... 5.25 NA NA 1.91 2.46 1.22 NA NA 8.38 8.93 ZZZ63064 ......... ............ A Decompress spinal cord ................................ 26.03 NA NA 13.04 14.11 5.69 NA NA 44.76 45.83 09063066 ......... ............ A Decompress spine cord add-on .................... 3.26 NA NA 1.20 1.55 0.69 NA NA 5.15 5.50 ZZZ63075 ......... ............ A Neck spine disk surgery ................................ 19.41 NA NA 10.99 11.84 4.62 NA NA 35.02 35.87 09063076 ......... ............ A Neck spine disk surgery ................................ 4.04 NA NA 1.49 1.92 0.96 NA NA 6.49 6.92 ZZZ63077 ......... ............ A Spine disk surgery, thorax ............................ 22.69 NA NA 10.94 12.36 3.98 NA NA 37.61 39.03 09063078 ......... ............ A Spine disk surgery, thorax ............................ 3.28 NA NA 1.17 1.52 0.66 NA NA 5.11 5.46 ZZZ63081 ......... ............ A Removal of vertebral body ............................ 25.92 NA NA 13.25 14.08 5.54 NA NA 44.71 45.5409063082 ......... ............ A Remove vertebral body add-on ..................... 4.36 NA NA 1.61 2.08 1.02 NA NA 6.99 7.46 ZZZ63085 ......... ............ A Removal of vertebral body ............................ 29.29 NA NA 13.49 15.01 4.48 NA NA 47.26 48.7809063086 ......... ............ A Remove vertebral body add-on ..................... 3.19 NA NA 1.14 1.48 0.59 NA NA 4.92 5.26 ZZZ63087 ......... ............ A Removal of vertebral body ............................ 37.32 NA NA 16.46 18.75 6.20 NA NA 59.98 62.2709063088 ......... ............ A Remove vertebral body add-on ..................... 4.32 NA NA 1.59 2.03 0.82 NA NA 6.73 7.17 ZZZ63090 ......... ............ A Removal of vertebral body ............................ 30.71 NA NA 13.90 15.54 4.21 NA NA 48.82 50.4609063091 ......... ............ A Remove vertebral body add-on ..................... 3.03 NA NA 1.10 1.37 0.48 NA NA 4.61 4.88 ZZZ63101 ......... ............ A Removal of vertebral body ............................ 33.84 NA NA 16.71 18.68 5.69 NA NA 56.24 58.2109063102 ......... ............ A Removal of vertebral body ............................ 33.84 NA NA 16.45 18.61 5.69 NA NA 55.98 58.1409063103 ......... ............ A Remove vertebral body add-on ..................... 4.82 NA NA 1.72 2.31 0.69 NA NA 7.23 7.82 ZZZ63170 ......... ............ A Incise spinal cord tract(s) .............................. 22.03 NA NA 12.28 11.99 4.86 NA NA 39.17 38.88 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00179 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37348 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal63172 ......... ............ A Drainage of spinal cyst .................................. 19.61 NA NA 10.97 10.75 4.48 NA NA 35.06 34.84 09063173 ......... ............ A Drainage of spinal cyst .................................. 24.13 NA NA 13.00 12.88 5.68 NA NA 42.81 42.69 09063180 ......... ............ A Revise spinal cord ligaments ........................ 20.35 NA NA 10.70 10.93 3.95 NA NA 35.00 35.2309063182 ......... ............ A Revise spinal cord ligaments ........................ 22.64 NA NA 7.04 10.00 5.30 NA NA 34.98 37.94 09063185 ......... ............ A Incise spinal column/nerves .......................... 16.30 NA NA 9.87 8.55 2.79 NA NA 28.96 27.64 09063190 ......... ............ A Incise spinal column/nerves .......................... 18.70 NA NA 9.93 10.10 3.24 NA NA 31.87 32.0409063191 ......... ............ A Incise spinal column/nerves .......................... 18.73 NA NA 10.50 10.50 6.34 NA NA 35.57 35.5709063194 ......... ............ A Incise spinal column & cord .......................... 21.91 NA NA 7.01 10.56 3.26 NA NA 32.18 35.7309063195 ......... ............ A Incise spinal column & cord .......................... 21.50 NA NA 11.83 11.26 4.87 NA NA 38.20 37.6309063196 ......... ............ A Incise spinal column & cord .......................... 25.08 NA NA 13.47 13.43 5.76 NA NA 44.31 44.2709063197 ......... ............ A Incise spinal column & cord .......................... 23.89 NA NA 13.04 12.44 5.36 NA NA 42.29 41.6909063198 ......... ............ A Incise spinal column & cord .......................... 29.69 NA NA 8.74 8.52 6.43 NA NA 44.86 44.64 09063199 ......... ............ A Incise spinal column & cord .......................... 31.26 NA NA 9.10 13.58 1.40 NA NA 41.76 46.2409063200 ......... ............ A Release of spinal cord .................................. 21.26 NA NA 11.23 11.30 4.96 NA NA 37.45 37.52 09063250 ......... ............ A Revise spinal cord vessels ............................ 43.68 NA NA 20.22 20.04 9.01 NA NA 72.91 72.73 09063251 ......... ............ A Revise spinal cord vessels ............................ 44.42 NA NA 20.50 22.11 10.41 NA NA 75.33 76.94 09063252 ......... ............ A Revise spinal cord vessels ............................ 44.41 NA NA 20.68 21.89 10.64 NA NA 75.73 76.94 09063265 ......... ............ A Excise intraspinal lesion ................................ 23.64 NA NA 12.53 12.73 5.43 NA NA 41.60 41.80 09063266 ......... ............ A Excise intraspinal lesion ................................ 24.50 NA NA 12.72 13.09 5.54 NA NA 42.76 43.13 09063267 ......... ............ A Excise intraspinal lesion ................................ 19.26 NA NA 10.74 11.01 4.37 NA NA 34.37 34.64 09063268 ......... ............ A Excise intraspinal lesion ................................ 19.83 NA NA 10.30 10.37 3.69 NA NA 33.82 33.89 09063270 ......... ............ A Excise intraspinal lesion ................................ 29.62 NA NA 15.05 15.39 6.82 NA NA 51.49 51.83 09063271 ......... ............ A Excise intraspinal lesion ................................ 29.74 NA NA 14.72 15.39 6.90 NA NA 51.36 52.03 09063272 ......... ............ A Excise intraspinal lesion ................................ 27.31 NA NA 13.73 14.47 6.18 NA NA 47.22 47.96 09063273 ......... ............ A Excise intraspinal lesion ................................ 26.28 NA NA 13.25 14.09 5.74 NA NA 45.27 46.11 09063275 ......... ............ A Biopsy/excise spinal tumor ............................ 25.67 NA NA 12.95 13.59 5.80 NA NA 44.42 45.06 09063276 ......... ............ A Biopsy/excise spinal tumor ............................ 25.50 NA NA 13.17 13.58 5.83 NA NA 44.50 44.91 09063277 ......... ............ A Biopsy/excise spinal tumor ............................ 22.20 NA NA 11.66 12.33 5.01 NA NA 38.87 39.54 09063278 ......... ............ A Biopsy/excise spinal tumor ............................ 21.93 NA NA 11.58 12.21 4.55 NA NA 38.06 38.69 09063280 ......... ............ A Biopsy/excise spinal tumor ............................ 30.08 NA NA 15.35 16.10 7.27 NA NA 52.70 53.45 09063281 ......... ............ A Biopsy/excise spinal tumor ............................ 29.78 NA NA 15.16 15.95 7.17 NA NA 52.11 52.90 09063282 ......... ............ A Biopsy/excise spinal tumor ............................ 27.94 NA NA 14.49 15.14 6.76 NA NA 49.19 49.84 09063283 ......... ............ A Biopsy/excise spinal tumor ............................ 26.55 NA NA 13.62 14.42 6.26 NA NA 46.43 47.23 09063285 ......... ............ A Biopsy/excise spinal tumor ............................ 37.84 NA NA 18.27 19.56 9.18 NA NA 65.29 66.58 09063286 ......... ............ A Biopsy/excise spinal tumor ............................ 37.41 NA NA 18.03 19.47 9.21 NA NA 64.65 66.09 09063287 ......... ............ A Biopsy/excise spinal tumor ............................ 39.86 NA NA 18.69 20.03 9.39 NA NA 67.94 69.28 09063290 ......... ............ A Biopsy/excise spinal tumor ............................ 40.60 NA NA 19.25 20.29 9.02 NA NA 68.87 69.91 09063295 ......... ............ A Repair of laminectomy defect ....................... 5.25 NA NA 1.29 1.94 1.03 NA NA 7.57 8.22 ZZZ63300 ......... ............ A Removal of vertebral body ............................ 26.62 NA NA 13.00 14.00 5.97 NA NA 45.59 46.5909063301 ......... ............ A Removal of vertebral body ............................ 31.35 NA NA 14.54 15.33 5.39 NA NA 51.28 52.0709063302 ......... ............ A Removal of vertebral body ............................ 30.93 NA NA 14.36 15.51 5.53 NA NA 50.82 51.9709063303 ......... ............ A Removal of vertebral body ............................ 33.37 NA NA 14.23 16.27 4.68 NA NA 52.28 54.3209063304 ......... ............ A Removal of vertebral body ............................ 33.64 NA NA 16.35 17.07 6.41 NA NA 56.40 57.1209063305 ......... ............ A Removal of vertebral body ............................ 36.03 NA NA 16.98 17.81 5.71 NA NA 58.72 59.5509063306 ......... ............ A Removal of vertebral body ............................ 35.33 NA NA 15.42 17.24 8.33 NA NA 59.08 60.9009063307 ......... ............ A Removal of vertebral body ............................ 34.74 NA NA 16.93 16.87 4.46 NA NA 56.13 56.0709063308 ......... ............ A Remove vertebral body add-on ..................... 5.24 NA NA 1.88 2.43 1.29 NA NA 8.41 8.96 ZZZ63600 ......... ............ A Remove spinal cord lesion ............................ 14.98 NA NA 4.52 5.19 1.52 NA NA 21.02 21.69 09063610 ......... ............ A Stimulation of spinal cord .............................. 8.72 13.99 48.39 1.50 2.07 0.86 23.57 57.9711.08 11.65 00063615 ......... ............ A Remove lesion of spinal cord ........................ 17.18 NA NA 5.83 8.43 2.84 NA NA 25.85 28.45 09063650 ......... ............ A Implant neuroelectrodes ................................ 7.53 NA NA 2.85 3.10 0.53 NA NA 10.91 11.160901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00180 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37349 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal63655 ......... ............ A Implant neuroelectrodes ................................ 11.37 NA NA 7.47 7.05 2.43 NA NA 21.27 20.8509063660 ......... ............ A Revise/remove neuroelectrode ..................... 6.83 NA NA 3.21 3.52 0.78 NA NA 10.82 11.13 09063685 ......... ............ A Insrt/redo spine n generator .......................... 7.83 NA NA 3.59 4.01 1.05 NA NA 12.47 12.89 09063688 ......... ............ A Revise/remove neuroreceiver ....................... 6.06 NA NA 3.44 3.53 0.89 NA NA 10.39 10.48 09063700 ......... ............ A Repair of spinal herniation ............................ 17.26 NA NA 9.40 10.10 3.52 NA NA 30.18 30.88 09063702 ......... ............ A Repair of spinal herniation ............................ 19.20 NA NA 10.51 10.92 4.12 NA NA 33.83 34.24 09063704 ......... ............ A Repair of spinal herniation ............................ 22.15 NA NA 12.16 12.75 4.57 NA NA 38.88 39.47 09063706 ......... ............ A Repair of spinal herniation ............................ 25.07 NA NA 14.44 13.82 6.23 NA NA 45.74 45.12 09063707 ......... ............ A Repair spinal fluid leakage ............................ 12.46 NA NA 7.56 7.68 2.51 NA NA 22.53 22.6509063709 ......... ............ A Repair spinal fluid leakage ............................ 15.46 NA NA 8.69 9.24 3.09 NA NA 27.24 27.7909063710 ......... ............ A Graft repair of spine defect ........................... 15.21 NA NA 8.85 9.01 3.40 NA NA 27.46 27.6209063740 ......... ............ A Install spinal shunt ......................................... 12.44 NA NA 7.87 7.49 2.93 NA NA 23.2422.86 09063741 ......... ............ A Install spinal shunt ......................................... 8.98 NA NA 4.66 4.74 1.66 NA NA 15.3015.38 09063744 ......... ............ A Revision of spinal shunt ................................ 8.82 NA NA 5.76 5.39 1.89 NA NA 16.47 16.1009063746 ......... ............ A Removal of spinal shunt ................................ 7.21 NA NA 4.48 3.96 1.53 NA NA 13.22 12.7009064400 ......... ............ A N block inj, trigeminal .................................... 1.11 1.40 1.78 0.44 0.43 0.07 2.58 2.961.62 1.61 00064402 ......... ............ A N block inj, facial ........................................... 1.25 1.44 1.57 0.52 0.58 0.09 2.78 2.91 1.86 1.92 00064405 ......... ............ A N block inj, occipital ...................................... 1.32 1.16 1.39 0.49 0.47 0.08 2.56 2.791.89 1.87 00064408 ......... ............ A N block inj, vagus .......................................... 1.41 1.44 1.55 0.69 0.81 0.10 2.95 3.062.20 2.32 00064410 ......... ............ A N block inj, phrenic ........................................ 1.43 1.82 2.34 0.52 0.48 0.09 3.34 3.862.04 2.00 00064412 ......... ............ A N block inj, spinal accessor .......................... 1.18 2.03 2.50 0.54 0.46 0.08 3.29 3.76 1.801.72 00064413 ......... ............ A N block inj, cervical plexus ............................ 1.40 1.29 1.71 0.47 0.49 0.08 2.77 3.19 1.95 1.97 00064415 ......... ............ A N block inj, brachial plexus ........................... 1.48 1.49 2.48 0.34 0.43 0.09 3.06 4.05 1.912.00 00064416 ......... ............ A N block cont infuse, b plex ............................ 3.85 NA NA 0.56 0.73 0.31 NA NA 4.72 4.89 01064417 ......... ............ A N block inj, axillary ........................................ 1.44 1.50 2.66 0.35 0.46 0.11 3.05 4.21 1.90 2.01 00064418 ......... ............ A N block inj, suprascapular ............................. 1.32 1.88 2.44 0.51 0.46 0.07 3.27 3.83 1.901.85 00064420 ......... ............ A N block inj, intercost, sng .............................. 1.18 2.38 3.51 0.44 0.43 0.08 3.64 4.77 1.70 1.69 00064421 ......... ............ A N block inj, intercost, mlt ............................... 1.68 3.52 5.46 0.52 0.52 0.11 5.31 7.25 2.31 2.31 00064425 ......... ............ A N block inj, ilio-ing/hypogi ............................. 1.75 1.33 1.57 0.55 0.54 0.13 3.21 3.45 2.43 2.42 00064430 ......... ............ A N block inj, pudendal ..................................... 1.46 2.47 2.51 0.81 0.62 0.10 4.03 4.07 2.37 2.18 00064435 ......... ............ A N block inj, paracervical ................................ 1.45 1.97 2.39 0.54 0.65 0.16 3.58 4.00 2.15 2.26 00064445 ......... ............ A N block inj, sciatic, sng ................................. 1.48 1.65 2.42 0.51 0.50 0.10 3.23 4.00 2.09 2.08 00064446 ......... ............ A N blk inj, sciatic, cont inf ............................... 3.61 NA NA 0.57 0.89 0.20 NA NA 4.38 4.70 01064447 ......... ............ A N block inj fem, single ................................... 1.50 NA NA 0.20 0.37 0.09 NA NA 1.79 1.9600064448 ......... ............ A N block inj fem, cont inf ................................ 3.36 NA NA 0.46 0.72 0.18 NA NA 4.00 4.2601064449 ......... ............ A N block inj, lumbar plexus ............................. 3.24 NA NA 0.48 0.84 0.15 NA NA 3.87 4.23 01064450 ......... ............ A N block, other peripheral ............................... 1.27 1.28 1.25 0.49 0.48 0.13 2.68 2.65 1.89 1.88 00064470 ......... ............ A Inj paravertebral c/t ....................................... 1.85 3.84 6.40 0.70 0.71 0.11 5.80 8.362.66 2.67 00064472 ......... ............ A Inj paravertebral c/t add-on ........................... 1.29 1.22 2.06 0.33 0.34 0.08 2.59 3.43 1.701.71 ZZZ64475 ......... ............ A Inj paravertebral l/s ........................................ 1.41 3.70 6.10 0.59 0.62 0.10 5.21 7.61 2.10 2.13 00064476 ......... ............ A Inj paravertebral l/s add-on ........................... 0.98 1.11 1.88 0.23 0.24 0.07 2.16 2.93 1.281.29 ZZZ64479 ......... ............ A Inj foramen epidural c/t ................................. 2.20 3.78 6.58 0.81 0.87 0.12 6.10 8.90 3.13 3.19 00064480 ......... ............ A Inj foramen epidural add-on .......................... 1.54 1.48 2.51 0.37 0.45 0.10 3.12 4.15 2.01 2.09 ZZZ64483 ......... ............ A Inj foramen epidural l/s .................................. 1.90 3.83 6.89 0.75 0.81 0.11 5.84 8.90 2.76 2.82 00064484 ......... ............ A Inj foramen epidural add-on .......................... 1.33 1.61 2.87 0.32 0.36 0.08 3.02 4.28 1.73 1.77 ZZZ64505 ......... ............ A N block, spenopalatine gangl ........................ 1.36 1.10 1.21 0.71 0.67 0.10 2.56 2.67 2.17 2.13 00064508 ......... ............ A N block, carotid sinus s/p .............................. 1.12 1.88 2.97 0.48 0.68 0.07 3.07 4.16 1.67 1.87 00064510 ......... ............ A N block, stellate ganglion .............................. 1.22 1.91 3.07 0.43 0.49 0.07 3.20 4.36 1.72 1.78 00064517 ......... ............ A N block inj, hypogas plxs .............................. 2.20 1.69 2.47 0.66 0.82 0.11 4.00 4.78 2.973.13 00064520 ......... ............ A N block, lumbar/thoracic ................................ 1.35 2.62 4.52 0.52 0.54 0.08 4.05 5.95 1.95 1.97 00064530 ......... ............ A N block inj, celiac pelus ................................ 1.58 2.66 4.01 0.60 0.64 0.10 4.34 5.69 2.28 2.32 00064550 ......... ............ A Apply neurostimulator .................................... 0.18 0.20 0.26 0.06 0.05 0.01 0.39 0.45 0.25 0.24 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00181 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37350 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal64553 ......... ............ A Implant neuroelectrodes ................................ 2.31 2.47 2.75 1.33 1.73 0.18 4.96 5.24 3.824.22 01064555 ......... ............ A Implant neuroelectrodes ................................ 2.27 2.56 2.97 1.35 1.23 0.19 5.02 5.43 3.813.69 01064560 ......... ............ A Implant neuroelectrodes ................................ 2.36 2.51 2.61 1.34 1.30 0.22 5.09 5.19 3.923.88 01064561 ......... ............ A Implant neuroelectrodes ................................ 7.05 20.42 27.71 3.96 3.08 0.51 27.98 35.2711.52 10.64 01064565 ......... ............ A Implant neuroelectrodes ................................ 1.76 2.42 3.07 1.25 1.26 0.13 4.31 4.96 3.143.15 01064573 ......... ............ A Implant neuroelectrodes ................................ 8.11 NA NA 5.17 5.24 1.60 NA NA 14.88 14.9509064575 ......... ............ A Implant neuroelectrodes ................................ 4.34 NA NA 1.89 2.48 0.61 NA NA 6.84 7.43 09064577 ......... ............ A Implant neuroelectrodes ................................ 4.61 NA NA 2.74 3.15 1.04 NA NA 8.39 8.80 09064580 ......... ............ A Implant neuroelectrodes ................................ 4.11 NA NA 2.56 3.31 0.36 NA NA 7.03 7.78 09064581 ......... ............ A Implant neuroelectrodes ................................ 14.13 NA NA 6.89 5.77 1.05 NA NA 22.07 20.9509064585 ......... ............ A Revise/remove neuroelectrode ..................... 2.06 5.88 9.95 2.27 2.17 0.20 8.14 12.21 4.53 4.4301064590 ......... ............ A Insrt/redo perph n generator ......................... 2.40 6.54 7.01 2.51 2.35 0.19 9.13 9.60 5.10 4.94 01064595 ......... ............ A Revise/remove neuroreceiver ....................... 1.73 6.62 9.47 2.24 2.01 0.19 8.54 11.39 4.16 3.93 01064600 ......... ............ A Injection treatment of nerve .......................... 3.44 5.25 8.35 1.56 1.63 0.34 9.03 12.13 5.345.41 01064605 ......... ............ A Injection treatment of nerve .......................... 5.60 7.56 9.08 2.34 2.23 0.79 13.95 15.47 8.73 8.62 01064610 ......... ............ A Injection treatment of nerve .......................... 7.15 9.23 8.98 3.43 3.65 1.58 17.96 17.71 12.16 12.38 01064612 ......... ............ A Destroy nerve, face muscle .......................... 1.96 1.49 2.24 1.31 1.32 0.11 3.56 4.31 3.38 3.39 01064613 ......... ............ A Destroy nerve, neck muscle .......................... 1.96 1.33 2.54 1.10 1.19 0.11 3.40 4.61 3.17 3.26 01064614 ......... ............ A Destroy nerve, extrem musc ......................... 2.20 1.59 2.82 1.28 1.30 0.10 3.89 5.12 3.58 3.60 01064620 ......... ............ A Injection treatment of nerve .......................... 2.84 3.44 4.66 1.16 1.29 0.20 6.48 7.70 4.204.33 01064622 ......... ............ A Destr paravertebrl nerve l/s ........................... 3.00 4.07 6.85 1.25 1.34 0.18 7.25 10.03 4.43 4.52 01064623 ......... ............ A Destr paravertebral n add-on ........................ 0.99 1.64 2.64 0.21 0.22 0.06 2.69 3.69 1.26 1.27 ZZZ64626 ......... ............ A Destr paravertebrl nerve c/t .......................... 3.78 4.70 7.03 1.84 1.94 0.20 8.68 11.01 5.825.92 01064627 ......... ............ A Destr paravertebral n add-on ........................ 1.16 2.37 4.00 0.24 0.26 0.07 3.60 5.23 1.47 1.49 ZZZ64630 ......... ............ A Injection treatment of nerve .......................... 3.00 2.82 2.76 1.89 1.53 0.22 6.04 5.98 5.114.75 01064640 ......... ............ A Injection treatment of nerve .......................... 2.76 2.41 3.75 1.41 1.74 0.29 5.46 6.80 4.464.79 01064650 ......... ............ A Chemodenerv eccrine glands ....................... 0.70 0.77 0.85 0.17 0.27 0.06 1.53 1.61 0.93 1.0300064653 ......... ............ A Chemodenerv eccrine glands ....................... 0.88 0.81 0.89 0.21 0.34 0.08 1.77 1.85 1.17 1.3000064680 ......... ............ A Injection treatment of nerve .......................... 2.62 4.03 6.06 1.10 1.35 0.18 6.83 8.86 3.904.15 01064681 ......... ............ A Injection treatment of nerve .......................... 3.78 4.90 8.22 1.30 1.88 0.28 8.96 12.28 5.365.94 01064702 ......... ............ A Revise finger/toe nerve ................................. 6.02 NA NA 4.02 3.91 0.61 NA NA 10.65 10.5409064704 ......... ............ A Revise hand/foot nerve ................................. 4.56 NA NA 3.02 3.25 0.61 NA NA 8.19 8.42 09064708 ......... ............ A Revise arm/leg nerve .................................... 6.17 NA NA 4.08 4.67 0.96 NA NA 11.21 11.8009064712 ......... ............ A Revision of sciatic nerve ............................... 7.92 NA NA 4.30 4.80 0.95 NA NA 13.17 13.6709064713 ......... ............ A Revision of arm nerve(s) ............................... 11.22 NA NA 6.29 5.99 1.82 NA NA 19.33 19.0309064714 ......... ............ A Revise low back nerve(s) .............................. 10.37 NA NA 4.69 4.33 1.19 NA NA 16.25 15.8909064716 ......... ............ A Revision of cranial nerve ............................... 6.80 NA NA 5.04 5.75 0.63 NA NA 12.47 13.1809064718 ......... ............ A Revise ulnar nerve at elbow ......................... 6.98 NA NA 5.98 6.00 1.05 NA NA 14.01 14.03 09064719 ......... ............ A Revise ulnar nerve at wrist ........................... 4.84 NA NA 3.96 4.39 0.77 NA NA 9.57 10.00 09064721 ......... ............ A Carpal tunnel surgery .................................... 4.78 NA NA 4.64 5.20 0.73 NA NA 10.15 10.71 09064722 ......... ............ A Relieve pressure on nerve(s) ........................ 4.69 NA NA 2.70 2.96 0.48 NA NA 7.87 8.13 09064726 ......... ............ A Release foot/toe nerve .................................. 4.17 NA NA 2.57 2.74 0.54 NA NA 7.28 7.45 09064727 ......... ............ A Internal nerve revision ................................... 3.10 NA NA 1.19 1.42 0.48 NA NA 4.77 5.00ZZZ64732 ......... ............ A Incision of brow nerve ................................... 4.77 NA NA 4.02 3.64 0.98 NA NA 9.77 9.3909064734 ......... ............ A Incision of cheek nerve ................................. 5.41 NA NA 4.38 4.14 0.89 NA NA 10.68 10.4409064736 ......... ............ A Incision of chin nerve .................................... 5.09 NA NA 3.70 3.95 0.52 NA NA 9.31 9.5609064738 ......... ............ A Incision of jaw nerve ..................................... 6.22 NA NA 4.04 4.48 1.08 NA NA 11.34 11.78 09064740 ......... ............ A Incision of tongue nerve ................................ 6.08 NA NA 4.37 4.94 0.69 NA NA 11.14 11.7109064742 ......... ............ A Incision of facial nerve .................................. 6.71 NA NA 4.14 4.57 0.73 NA NA 11.58 12.01 09064744 ......... ............ A Incise nerve, back of head ............................ 5.60 NA NA 4.33 3.92 1.16 NA NA 11.09 10.68 09064746 ......... ............ A Incise diaphragm nerve ................................. 6.42 NA NA 3.77 4.33 0.82 NA NA 11.01 11.570901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00182 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37351 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal64752 ......... ............ A Incision of vagus nerve ................................. 7.55 NA NA 3.91 4.20 0.93 NA NA 12.39 12.6809064755 ......... ............ A Incision of stomach nerves ........................... 14.93 NA NA 5.63 5.65 1.83 NA NA 22.39 22.41 09064760 ......... ............ A Incision of vagus nerve ................................. 7.45 NA NA 3.70 3.52 0.81 NA NA 11.96 11.7809064761 ......... ............ A Incision of pelvis nerve .................................. 6.90 NA NA 3.87 3.62 0.53 NA NA 11.30 11.05 09064763 ......... ............ A Incise hip/thigh nerve .................................... 7.42 NA NA 4.83 5.12 0.94 NA NA 13.19 13.48 09064766 ......... ............ A Incise hip/thigh nerve .................................... 9.28 NA NA 5.07 5.21 1.06 NA NA 15.41 15.55 09064771 ......... ............ A Sever cranial nerve ....................................... 7.96 NA NA 5.05 5.44 1.23 NA NA 14.24 14.63 09064772 ......... ............ A Incision of spinal nerve ................................. 7.70 NA NA 5.06 4.96 1.40 NA NA 14.16 14.06 09064774 ......... ............ A Remove skin nerve lesion ............................. 5.66 NA NA 3.79 3.83 0.74 NA NA 10.19 10.23 09064776 ......... ............ A Remove digit nerve lesion ............................. 5.48 NA NA 3.56 3.66 0.76 NA NA 9.80 9.90 09064778 ......... ............ A Digit nerve surgery add-on ............................ 3.11 NA NA 1.16 1.42 0.46 NA NA 4.73 4.99 ZZZ64782 ......... ............ A Remove limb nerve lesion ............................. 6.72 NA NA 3.91 3.81 0.86 NA NA 11.49 11.39 09064783 ......... ............ A Limb nerve surgery add-on ........................... 3.71 NA NA 1.37 1.72 0.51 NA NA 5.59 5.94 ZZZ64784 ......... ............ A Remove nerve lesion .................................... 10.43 NA NA 5.95 6.45 1.38 NA NA 17.76 18.2609064786 ......... ............ A Remove sciatic nerve lesion ......................... 16.06 NA NA 8.63 9.55 2.60 NA NA 27.29 28.21 09064787 ......... ............ A Implant nerve end ......................................... 4.29 NA NA 1.55 1.99 0.58 NA NA 6.42 6.86ZZZ64788 ......... ............ A Remove skin nerve lesion ............................. 5.10 NA NA 3.68 3.52 0.73 NA NA 9.51 9.35 09064790 ......... ............ A Removal of nerve lesion ............................... 11.91 NA NA 6.60 7.07 2.10 NA NA 20.61 21.0809064792 ......... ............ A Removal of nerve lesion ............................... 15.65 NA NA 8.11 8.67 2.48 NA NA 26.24 26.8009064795 ......... ............ A Biopsy of nerve ............................................. 3.01 NA NA 1.42 1.53 0.52 NA NA 4.95 5.06 00064802 ......... ............ A Remove sympathetic nerves ......................... 10.18 NA NA 4.08 4.88 1.29 NA NA 15.55 16.35 09064804 ......... ............ A Remove sympathetic nerves ......................... 15.72 NA NA 6.10 6.91 2.14 NA NA 23.96 24.77 09064809 ......... ............ A Remove sympathetic nerves ......................... 14.57 NA NA 6.58 5.98 1.50 NA NA 22.65 22.05 09064818 ......... ............ A Remove sympathetic nerves ......................... 11.20 NA NA 4.32 5.06 1.33 NA NA 16.85 17.59 09064820 ......... ............ A Remove sympathetic nerves ......................... 10.60 NA NA 6.76 7.05 1.49 NA NA 18.85 19.14 09064821 ......... ............ A Remove sympathetic nerves ......................... 9.11 NA NA 6.51 7.15 1.24 NA NA 16.86 17.50 09064822 ......... ............ A Remove sympathetic nerves ......................... 9.11 NA NA 6.32 7.02 1.30 NA NA 16.73 17.43 09064823 ......... ............ A Remove sympathetic nerves ......................... 10.72 NA NA 7.08 7.88 1.57 NA NA 19.37 20.17 09064831 ......... ............ A Repair of digit nerve ...................................... 10.17 NA NA 6.41 6.92 1.41 NA NA 17.99 18.50 09064832 ......... ............ A Repair nerve add-on ..................................... 5.65 NA NA 2.28 2.78 0.85 NA NA 8.78 9.28 ZZZ64834 ......... ............ A Repair of hand or foot nerve ......................... 10.67 NA NA 6.32 6.91 1.54 NA NA 18.53 19.12 09064835 ......... ............ A Repair of hand or foot nerve ......................... 11.54 NA NA 7.03 7.54 1.73 NA NA 20.30 20.81 09064836 ......... ............ A Repair of hand or foot nerve ......................... 11.54 NA NA 6.78 7.46 1.67 NA NA 19.99 20.67 09064837 ......... ............ A Repair nerve add-on ..................................... 6.25 NA NA 2.62 3.09 0.97 NA NA 9.84 10.31ZZZ64840 ......... ............ A Repair of leg nerve ........................................ 13.81 NA NA 4.86 7.42 1.37 NA NA 20.04 22.60 09064856 ......... ............ A Repair/transpose nerve ................................. 14.88 NA NA 8.36 9.00 2.12 NA NA 25.36 26.0009064857 ......... ............ A Repair arm/leg nerve ..................................... 15.63 NA NA 8.61 9.40 2.21 NA NA 26.45 27.24 09064858 ......... ............ A Repair sciatic nerve ....................................... 17.63 NA NA 9.80 10.55 3.33 NA NA 30.7631.51 09064859 ......... ............ A Nerve surgery ................................................ 4.25 NA NA 1.83 2.11 0.67 NA NA 6.75 7.03 ZZZ64861 ......... ............ A Repair of arm nerves .................................... 20.68 NA NA 9.71 11.28 4.08 NA NA 34.47 36.04 09064862 ......... ............ A Repair of low back nerves ............................ 20.88 NA NA 6.55 10.61 4.31 NA NA 31.74 35.8009064864 ......... ............ A Repair of facial nerve .................................... 13.27 NA NA 6.90 8.32 1.26 NA NA 21.43 22.85 09064865 ......... ............ A Repair of facial nerve .................................... 15.90 NA NA 9.72 12.60 1.50 NA NA 27.12 30.00 09064866 ......... ............ A Fusion of facial/other nerve ........................... 16.64 NA NA 12.02 12.91 2.04 NA NA 30.70 31.59 09064868 ......... ............ A Fusion of facial/other nerve ........................... 14.76 NA NA 8.96 10.84 1.43 NA NA 25.15 27.03 09064870 ......... ............ A Fusion of facial/other nerve ........................... 16.89 NA NA 8.06 8.58 1.30 NA NA 26.25 26.7709064872 ......... ............ A Subsequent repair of nerve ........................... 1.99 NA NA 0.79 1.01 0.29 NA NA 3.07 3.29 ZZZ64874 ......... ............ A Repair & revise nerve add-on ....................... 2.98 NA NA 1.17 1.44 0.42 NA NA 4.57 4.84 ZZZ64876 ......... ............ A Repair nerve/shorten bone ............................ 3.37 NA NA 0.76 1.50 0.47 NA NA 4.60 5.34 ZZZ64885 ......... ............ A Nerve graft, head or neck ............................. 17.50 NA NA 8.66 10.89 1.63 NA NA 27.79 30.0209064886 ......... ............ A Nerve graft, head or neck ............................. 20.72 NA NA 9.55 12.57 2.08 NA NA 32.35 35.3709064890 ......... ............ A Nerve graft, hand or foot ............................... 16.05 NA NA 8.75 9.70 2.29 NA NA 27.09 28.04 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00183 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37352 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal64891 ......... ............ A Nerve graft, hand or foot ............................... 17.16 NA NA 9.52 8.08 1.63 NA NA 28.31 26.87 09064892 ......... ............ A Nerve graft, arm or leg .................................. 15.55 NA NA 8.62 8.82 2.47 NA NA 26.64 26.84 09064893 ......... ............ A Nerve graft, arm or leg .................................. 16.68 NA NA 9.32 9.75 2.61 NA NA 28.61 29.04 09064895 ......... ............ A Nerve graft, hand or foot ............................... 20.20 NA NA 9.73 9.69 2.57 NA NA 32.50 32.46 09064896 ......... ............ A Nerve graft, hand or foot ............................... 21.75 NA NA 11.49 11.13 3.16 NA NA 36.40 36.04 09064897 ......... ............ A Nerve graft, arm or leg .................................. 19.19 NA NA 10.05 10.55 2.54 NA NA 31.78 32.28 09064898 ......... ............ A Nerve graft, arm or leg .................................. 20.76 NA NA 10.88 11.59 2.77 NA NA 34.41 35.12 09064901 ......... ............ A Nerve graft add-on ........................................ 10.20 NA NA 3.71 4.89 1.37 NA NA 15.28 16.46 ZZZ64902 ......... ............ A Nerve graft add-on ........................................ 11.81 NA NA 4.14 5.52 1.55 NA NA 17.50 18.88 ZZZ64905 ......... ............ A Nerve pedicle transfer ................................... 14.92 NA NA 6.59 8.03 2.00 NA NA 23.51 24.95 09064907 ......... ............ A Nerve pedicle transfer ................................... 19.84 NA NA 6.14 10.96 3.16 NA NA 29.14 33.96 09065091 ......... ............ A Revise eye ..................................................... 7.07 NA NA 6.66 7.94 0.32 NA NA 14.05 15.33 09065093 ......... ............ A Revise eye with implant ................................ 6.86 NA NA 6.76 8.25 0.34 NA NA 13.96 15.4509065101 ......... ............ A Removal of eye ............................................. 8.02 NA NA 7.86 9.13 0.35 NA NA 16.23 17.50 09065103 ......... ............ A Remove eye/insert implant ............................ 8.56 NA NA 8.09 9.34 0.37 NA NA 17.02 18.27 09065105 ......... ............ A Remove eye/attach implant ........................... 9.60 NA NA 8.74 10.05 0.42 NA NA 18.76 20.07 09065110 ......... ............ A Removal of eye ............................................. 15.30 NA NA 11.16 13.07 0.81 NA NA 27.2729.18 09065112 ......... ............ A Remove eye/revise socket ............................ 18.04 NA NA 12.57 15.28 1.30 NA NA 31.91 34.6209065114 ......... ............ A Remove eye/revise socket ............................ 19.18 NA NA 13.21 15.60 1.02 NA NA 33.41 35.8009065125 ......... ............ A Revise ocular implant .................................... 3.12 6.73 8.31 3.13 3.49 0.19 10.04 11.626.44 6.80 09065130 ......... ............ A Insert ocular implant ...................................... 8.14 NA NA 7.69 8.82 0.35 NA NA 16.18 17.31 09065135 ......... ............ A Insert ocular implant ...................................... 8.32 NA NA 7.68 8.93 0.36 NA NA 16.36 17.61 09065140 ......... ............ A Attach ocular implant ..................................... 9.13 NA NA 8.27 9.49 0.40 NA NA 17.80 19.02 09065150 ......... ............ A Revise ocular implant .................................... 6.25 NA NA 6.24 7.55 0.31 NA NA 12.80 14.11 09065155 ......... ............ A Reinsert ocular implant ................................. 9.77 NA NA 8.52 10.01 0.50 NA NA 18.79 20.28 09065175 ......... ............ A Removal of ocular implant ............................ 7.14 NA NA 7.03 8.13 0.31 NA NA 14.48 15.58 09065205 ......... ............ A Remove foreign body from eye ..................... 0.71 0.57 0.62 0.32 0.30 0.03 1.31 1.36 1.06 1.0400065210 ......... ............ A Remove foreign body from eye ..................... 0.84 0.72 0.79 0.39 0.38 0.04 1.60 1.67 1.27 1.2600065220 ......... ............ A Remove foreign body from eye ..................... 0.71 0.59 0.63 0.28 0.28 0.05 1.35 1.39 1.04 1.0400065222 ......... ............ A Remove foreign body from eye ..................... 0.93 0.79 0.87 0.42 0.39 0.04 1.76 1.84 1.39 1.3600065235 ......... ............ A Remove foreign body from eye ..................... 8.68 NA NA 6.44 6.68 0.37 NA NA 15.49 15.73 09065260 ......... ............ A Remove foreign body from eye ..................... 12.19 NA NA 8.59 9.41 0.57 NA NA 21.35 22.17 09065265 ......... ............ A Remove foreign body from eye ..................... 13.94 NA NA 9.40 10.34 0.62 NA NA 23.96 24.90 09065270 ......... ............ A Repair of eye wound ..................................... 1.90 3.76 4.87 1.16 1.33 0.09 5.75 6.86 3.15 3.32 01065272 ......... ............ A Repair of eye wound ..................................... 4.43 6.23 7.36 3.10 3.25 0.19 10.85 11.98 7.72 7.87 09065273 ......... ............ A Repair of eye wound ..................................... 4.97 NA NA 3.30 3.52 0.22 NA NA 8.49 8.71 09065275 ......... ............ A Repair of eye wound ..................................... 6.08 6.21 6.30 3.82 3.92 0.26 12.55 12.64 10.16 0.26 09065280 ......... ............ A Repair of eye wound ..................................... 8.77 NA NA 5.65 6.10 0.38 NA NA 14.80 15.2509065285 ......... ............ A Repair of eye wound ..................................... 14.31 NA NA 8.19 8.98 0.64 NA NA 23.14 23.93 09065286 ......... ............ A Repair of eye wound ..................................... 6.37 8.69 10.55 4.34 4.56 0.27 15.33 17.1910.98 11.20 09065290 ......... ............ A Repair of eye socket wound ......................... 6.27 NA NA 4.36 4.65 0.31 NA NA 10.94 11.23 09065400 ......... ............ A Removal of eye lesion ................................... 7.17 7.51 8.14 5.89 6.08 0.30 14.98 15.61 13.36 13.55 09065410 ......... ............ A Biopsy of cornea ........................................... 1.47 1.69 2.01 0.87 0.95 0.07 3.23 3.552.41 2.49 00065420 ......... ............ A Removal of eye lesion ................................... 4.16 6.91 8.39 3.98 4.33 0.21 11.28 12.76 8.35 8.70 09065426 ......... ............ A Removal of eye lesion ................................... 5.85 8.26 9.72 4.60 4.85 0.25 14.36 15.82 10.70 10.95 09065430 ......... ............ A Corneal smear ............................................... 1.47 1.10 1.24 0.87 0.95 0.07 2.64 2.782.41 2.49 00065435 ......... ............ A Curette/treat cornea ...................................... 0.92 0.87 0.97 0.66 0.70 0.04 1.83 1.93 1.62 1.66 00065436 ......... ............ A Curette/treat cornea ...................................... 4.68 3.79 4.02 3.46 3.63 0.21 8.68 8.91 8.35 8.52 09065450 ......... ............ A Treatment of corneal lesion .......................... 3.27 3.68 3.98 3.61 3.87 0.16 7.11 7.41 7.04 7.30 09065600 ......... ............ A Revision of cornea ........................................ 4.01 4.43 4.87 3.43 3.38 0.17 8.61 9.05 7.61 7.56 09065710 ......... ............ A Corneal transplant ......................................... 13.97 NA NA 10.39 11.02 0.61 NA NA 24.9725.60 09065730 ......... ............ A Corneal transplant ......................................... 15.87 NA NA 10.90 11.76 0.70 NA NA 27.4728.33 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00184 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37353 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal65750 ......... ............ A Corneal transplant ......................................... 16.48 NA NA 10.72 11.68 0.74 NA NA 27.9428.90 09065755 ......... ............ A Corneal transplant ......................................... 16.37 NA NA 10.69 11.61 0.73 NA NA 27.7928.71 09065770 ......... ............ A Revise cornea with implant ........................... 19.27 NA NA 11.83 12.89 0.87 NA NA 31.97 33.0309065772 ......... ............ A Correction of astigmatism ............................. 4.90 4.89 5.39 3.95 4.09 0.21 10.00 10.50 9.06 9.20 09065775 ......... ............ A Correction of astigmatism ............................. 6.65 NA NA 5.51 5.86 0.28 NA NA 12.44 12.79 09065780 ......... ............ A Ocular reconst, transplant ............................. 10.23 NA NA 8.98 9.99 0.44 NA NA 19.65 20.6609065781 ......... ............ A Ocular reconst, transplant ............................. 17.64 NA NA 11.64 13.19 0.44 NA NA 29.72 31.27 09065782 ......... ............ A Ocular reconst, transplant ............................. 14.98 NA NA 10.27 11.58 0.44 NA NA 25.69 27.00 09065800 ......... ............ A Drainage of eye ............................................. 1.91 1.42 1.71 1.04 1.15 0.09 3.42 3.713.04 3.15 00065805 ......... ............ A Drainage of eye ............................................. 1.91 1.72 2.07 1.04 1.15 0.09 3.72 4.073.04 3.15 00065810 ......... ............ A Drainage of eye ............................................. 5.61 NA NA 4.49 4.66 0.24 NA NA 10.34 10.51 09065815 ......... ............ A Drainage of eye ............................................. 5.79 7.92 9.50 4.56 4.76 0.25 13.96 15.54 10.60 10.80 09065820 ......... ............ A Relieve inner eye pressure ........................... 8.62 NA NA 7.60 8.71 0.40 NA NA 16.62 17.73 09065850 ......... ............ A Incision of eye ............................................... 11.14 NA NA 7.27 8.16 0.52 NA NA 18.93 19.82 09065855 ......... ............ A Laser surgery of eye ..................................... 3.84 3.52 4.12 2.64 2.99 0.19 7.55 8.15 6.67 7.02 01065860 ......... ............ A Incise inner eye adhesions ........................... 3.54 3.29 3.86 2.10 2.41 0.18 7.01 7.58 5.82 6.13 09065865 ......... ............ A Incise inner eye adhesions ........................... 5.59 NA NA 4.77 5.42 0.28 NA NA 10.64 11.29 09065870 ......... ............ A Incise inner eye adhesions ........................... 7.13 NA NA 5.79 6.27 0.31 NA NA 13.23 13.71 09065875 ......... ............ A Incise inner eye adhesions ........................... 7.53 NA NA 6.20 6.66 0.32 NA NA 14.05 14.51 09065880 ......... ............ A Incise inner eye adhesions ........................... 8.08 NA NA 6.41 6.89 0.35 NA NA 14.84 15.32 09065900 ......... ............ A Remove eye lesion ........................................ 12.16 NA NA 9.00 9.96 0.54 NA NA 21.70 22.66 09065920 ......... ............ A Remove implant of eye ................................. 9.64 NA NA 7.50 8.02 0.41 NA NA 17.55 18.07 09065930 ......... ............ A Remove blood clot from eye ......................... 8.18 NA NA 6.02 6.64 0.37 NA NA 14.57 15.19 09066020 ......... ............ A Injection treatment of eye .............................. 1.59 2.44 2.96 1.28 1.40 0.08 4.11 4.63 2.95 3.07 01066030 ......... ............ A Injection treatment of eye .............................. 1.25 2.32 2.81 1.16 1.25 0.06 3.63 4.12 2.47 2.56 01066130 ......... ............ A Remove eye lesion ........................................ 7.68 7.41 9.09 4.79 5.42 0.38 15.47 17.1512.85 13.48 09066150 ......... ............ A Glaucoma surgery ......................................... 10.04 NA NA 8.78 9.27 0.46 NA NA 19.28 19.77 09066155 ......... ............ A Glaucoma surgery ......................................... 10.03 NA NA 8.77 9.23 0.41 NA NA 19.21 19.67 09066160 ......... ............ A Glaucoma surgery ......................................... 11.90 NA NA 9.50 10.04 0.50 NA NA 21.90 22.44 09066165 ......... ............ A Glaucoma surgery ......................................... 9.75 NA NA 8.72 9.13 0.40 NA NA 18.87 19.28 09066170 ......... ............ A Glaucoma surgery ......................................... 14.39 NA NA 11.45 12.06 0.60 NA NA 26.44 27.05 09066172 ......... ............ A Incision of eye ............................................... 18.02 NA NA 14.39 15.03 0.74 NA NA 33.15 33.79 09066180 ......... ............ A Implant eye shunt .......................................... 15.90 NA NA 9.74 10.53 0.71 NA NA 26.3527.14 09066185 ......... ............ A Revise eye shunt ........................................... 9.25 NA NA 7.20 7.35 0.40 NA NA 16.85 17.00 09066220 ......... ............ A Repair eye lesion .......................................... 8.88 NA NA 6.86 7.06 0.40 NA NA 16.14 16.34 09066225 ......... ............ A Repair/graft eye lesion .................................. 12.28 NA NA 8.22 8.63 0.55 NA NA 21.05 21.46 09066250 ......... ............ A Follow-up surgery of eye ............................... 6.84 9.23 11.10 5.21 5.43 0.30 16.37 18.24 12.35 12.57 09066500 ......... ............ A Incision of iris ................................................ 3.70 NA NA 3.87 4.46 0.18 NA NA 7.75 8.34 09066505 ......... ............ A Incision of iris ................................................ 4.07 NA NA 4.20 4.80 0.20 NA NA 8.47 9.07 09066600 ......... ............ A Remove iris and lesion .................................. 9.79 NA NA 8.16 8.22 0.43 NA NA 18.38 18.4409066505 ......... ............ A Removal of iris .............................................. 13.89 NA NA 9.29 9.86 0.77 NA NA 23.9524.52 09066625 ......... ............ A Removal of iris .............................................. 12 NA NA 4.15 4.59 0.26 NA NA 9.53 9.97 09066630 ......... ............ A Removal of iris .............................................. 7.02 NA NA 5.30 5.62 0.31 NA NA 12.6312.95 09066635 ......... ............ A Removal of iris .............................................. 7.11 NA NA 5.33 5.65 0.31 NA NA 12.7513.07 09066680 ......... ............ A Repair iris & ciliary body ............................... 6.18 NA NA 5.18 5.26 0.27 NA NA 11.63 11.71 09066682 ......... ............ A Repair iris & ciliary body ............................... 7.07 NA NA 6.64 6.63 0.31 NA NA 14.02 14.01 09066700 ......... ............ A Destruction, ciliary body ................................ 5.02 4.78 5.14 3.60 3.86 0.24 10.04 10.408.86 9.12 09066710 ......... ............ A Ciliary transsleral therapy .............................. 5.02 4.47 5.00 3.51 3.77 0.23 9.72 10.25 8.76 9.02 09066711 ......... ............ A Ciliary endoscopic ablation ........................... 7.60 NA NA 6.22 6.42 0.30 NA NA 14.12 14.32 09066720 ......... ............ A Destruction, ciliary body ................................ 4.77 5.21 5.66 4.20 4.60 0.26 10.24 10.699.23 9.63 09066740 ......... ............ A Destruction, ciliary body ................................ 5.02 4.49 4.95 3.61 3.89 0.23 9.74 10.20 8.86 9.14 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00185 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37354 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal66761 ......... ............ A Revision of iris ............................................... 4.81 4.99 5.46 4.19 4.29 0.20 10.0010.47 9.20 9.30 09066762 ......... ............ A Revision of iris ............................................... 5.19 5.07 5.52 4.07 4.24 0.23 10.4910.94 9.49 9.66 09066770 ......... ............ A Removal of inner eye lesion ......................... 5.92 5.51 5.95 4.60 4.76 0.26 11.69 12.13 10.7810.94 09066820 ......... ............ A Incision, secondary cataract .......................... 3.88 NA NA 4.59 5.52 0.19 NA NA 8.66 9.59 09066821 ......... ............ A After cataract laser surgery ........................... 3.28 3.89 4.05 3.46 3.59 0.11 7.28 7.44 6.856.98 09066825 ......... ............ A Reposition intraocular lens ............................ 8.72 NA NA 7.61 8.72 0.40 NA NA 16.73 17.8409066830 ......... ............ A Removal of lens lesion .................................. 9.19 NA NA 6.42 6.83 0.36 NA NA 15.97 16.3809066840 ......... ............ A Removal of lens material .............................. 8.90 NA NA 6.37 6.75 0.39 NA NA 15.66 16.04 09066850 ......... ............ A Removal of lens material .............................. 10.22 NA NA 7.12 7.53 0.45 NA NA 17.79 18.2009066852 ......... ............ A Removal of lens material .............................. 11.08 NA NA 7.44 7.95 0.49 NA NA 19.01 19.5209066920 ......... ............ A Extraction of lens ........................................... 9.85 NA NA 6.71 7.17 0.44 NA NA 17.0017.46 09066930 ......... ............ A Extraction of lens ........................................... 11.28 NA NA 7.52 8.00 0.49 NA NA 19.2919.77 09066940 ......... ............ A Extraction of lens ........................................... 10.04 NA NA 7.06 7.48 0.43 NA NA 17.5317.95 09066982 ......... ............ A Cataract surgery, complex ............................ 14.73 NA NA 9.07 9.69 0.63 NA NA 24.43 25.05 09066983 ......... ............ A Cataract surg w/iol, 1 stage .......................... 10.10 NA NA 6.14 6.13 0.14 NA NA 16.38 16.3709066984 ......... ............ A Cataract surg w/iol, 1 stage .......................... 10.28 NA NA 6.46 7.20 0.39 NA NA 17.13 17.8709066985 ......... ............ A Insert lens prosthesis .................................... 9.63 NA NA 7.11 7.38 0.36 NA NA 17.10 17.37 09066986 ......... ............ A Exchange lens prosthesis ............................. 12.26 NA NA 8.00 8.90 0.60 NA NA 20.86 21.76 09066990 ......... ............ A Ophthalmic endoscope add-on ..................... 1.51 NA NA 0.55 0.66 0.07 NA NA 2.13 2.24 ZZZ67005 ......... ............ A Partial removal of eye fluid ........................... 5.69 NA NA 4.37 4.75 0.28 NA NA 10.34 10.7209067010 ......... ............ A Partial removal of eye fluid ........................... 6.86 NA NA 4.79 5.27 0.34 NA NA 11.99 12.4709067015 ......... ............ A Release of eye fluid ...................................... 6.91 NA NA 5.54 6.24 0.34 NA NA 12.79 13.49 09067025 ......... ............ A Replace eye fluid ........................................... 7.83 7.81 8.89 5.87 6.15 0.34 15.98 17.06 14.04 14.32 09067027 ......... ............ A Implant eye drug system ............................... 11.33 NA NA 7.30 7.84 0.54 NA NA 19.17 19.7109067028 ......... ............ A Injection eye drug .......................................... 2.52 2.16 2.57 1.26 1.41 0.12 4.80 5.213.90 4.05 00067030 ......... ............ A Incise inner eye strands ................................ 5.83 NA NA 5.48 5.77 0.24 NA NA 11.55 11.8409067031 ......... ............ A Laser surgery, eye strands ........................... 4.28 4.03 4.47 3.42 3.59 0.18 8.49 8.93 7.88 8.05 09067036 ......... ............ A Removal of inner eye fluid ............................ 12.99 NA NA 8.24 8.92 0.58 NA NA 21.81 22.4909067038 ......... ............ A Strip retinal membrane .................................. 23.14 NA NA 13.80 15.10 1.04 NA NA 37.98 39.28 09067039 ......... ............ A Laser treatment of retina ............................... 16.25 NA NA 11.05 11.93 0.71 NA NA 28.01 28.89 09067040 ......... ............ A Laser treatment of retina ............................... 19.07 NA NA 12.34 13.38 0.85 NA NA 32.26 33.30 09067101 ......... ............ A Repair detached retina .................................. 8.52 8.45 8.98 6.13 6.45 0.37 17.34 17.87 15.02 15.34 09067105 ......... ............ A Repair detached retina .................................. 8.27 7.37 7.92 5.76 6.07 0.37 16.01 16.56 14.40 14.71 09067107 ......... ............ A Repair detached retina .................................. 16.26 NA NA 10.36 11.09 0.73 NA NA 27.35 28.08 09067108 ......... ............ A Repair detached retina .................................. 22.39 NA NA 12.97 14.09 1.02 NA NA 36.38 37.50 09067110 ......... ............ A Repair detached retina .................................. 9.92 8.88 9.92 6.92 7.29 0.44 19.24 20.28 17.28 17.65 09067112 ......... ............ A Rerepair detached retina ............................... 18.33 NA NA 10.82 11.59 0.83 NA NA 29.98 30.75 09067115 ......... ............ A Release encircling material ........................... 5.85 NA NA 4.87 5.04 0.25 NA NA 10.97 11.14 09067120 ......... ............ A Remove eye implant material ....................... 6.84 7.31 8.28 5.24 5.47 0.29 14.44 15.41 12.37 12.60 09067121 ......... ............ A Remove eye implant material ....................... 11.90 NA NA 7.92 8.39 0.53 NA NA 20.35 20.82 09067141 ......... ............ A Treatment of retina ........................................ 5.94 5.37 5.75 4.63 4.81 0.26 11.57 11.95 10.83 11.01 09067145 ......... ............ A Treatment of retina ........................................ 6.11 5.29 5.63 4.68 4.88 0.27 11.67 12.01 11.06 11.26 09067208 ......... ............ A Treatment of retinal lesion ............................ 7.44 5.60 6.01 5.18 5.44 0.33 13.37 13.78 12.95 13.21 09067210 ......... ............ A Treatment of retinal lesion ............................ 9.31 5.73 6.38 5.27 5.74 0.44 15.48 16.13 15.02 15.49 09067218 ......... ............ A Treatment of retinal lesion ............................ 20.14 NA NA 10.59 11.79 0.92 NA NA 31.65 32.85 09067220 ......... ............ A Treatment of choroid lesion .......................... 14.11 9.19 10.14 8.15 8.82 0.65 23.95 24.90 22.91 23.58 09067221 ......... ............ R Ocular photodynamic ther ............................. 3.45 2.96 4.00 1.40 1.71 0.20 6.61 7.65 5.05 5.36 00067225 ......... ............ A Eye photodynamic ther add-on ..................... 0.47 0.23 0.25 0.17 0.20 0.02 0.72 0.74 0.66 0.69ZZZ67227 ......... ............ A Treatment of retinal lesion ............................ 7.32 5.96 6.44 5.13 5.44 0.33 13.61 14.09 12.78 13.09 09067228 ......... ............ A Treatment of retinal lesion ............................ 13.59 9.99 11.13 7.68 8.34 0.63 24.21 25.3521.90 22.56 09067250 ......... ............ A Reinforce eye wall ......................................... 9.40 NA NA 7.57 8.79 0.47 NA NA 17.44 18.66 09067255 ......... ............ A Reinforce/graft eye wall ................................. 9.89 NA NA 8.31 9.52 0.44 NA NA 18.64 19.85 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00186 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37355 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal67311 ......... ............ A Revise eye muscle ........................................ 7.51 NA NA 5.58 5.93 0.37 NA NA 13.46 13.81 09067312 ......... ............ A Revise two eye muscles ............................... 9.40 NA NA 6.20 6.63 0.43 NA NA 16.03 16.46 09067314 ......... ............ A Revise eye muscle ........................................ 8.51 NA NA 6.15 6.47 0.39 NA NA 15.05 15.37 09067316 ......... ............ A Revise two eye muscles ............................... 10.65 NA NA 6.93 7.37 0.49 NA NA 18.07 18.51 09067318 ......... ............ A Revise eye muscle(s) .................................... 8.84 NA NA 6.53 6.85 0.41 NA NA 15.78 16.1009067320 ......... ............ A Revise eye muscle(s) add-on ....................... 4.32 NA NA 1.56 1.86 0.22 NA NA 6.10 6.40 ZZZ67331 ......... ............ A Eye surgery follow-up add-on ....................... 4.05 NA NA 1.46 1.75 0.21 NA NA 5.72 6.01 ZZZ67332 ......... ............ A Rerevise eye muscles add-on ....................... 4.48 NA NA 1.62 1.93 0.23 NA NA 6.33 6.64 ZZZ67334 ......... ............ A Revise eye muscle w/suture ......................... 3.97 NA NA 1.42 1.71 0.20 NA NA 5.59 5.88 ZZZ67335 ......... ............ A Eye suture during surgery ............................. 2.49 NA NA 0.90 1.07 0.13 NA NA 3.52 3.69 ZZZ67340 ......... ............ A Revise eye muscle add-on ............................ 4.92 NA NA 1.77 2.10 0.25 NA NA 6.94 7.27 ZZZ67343 ......... ............ A Release eye tissue ........................................ 8.21 NA NA 6.05 6.41 0.37 NA NA 14.63 14.99 09067345 ......... ............ A Destroy nerve of eye muscle ........................ 2.96 2.23 2.50 1.73 1.95 0.17 5.36 5.63 4.86 5.08 01067350 ......... ............ A Biopsy eye muscle ........................................ 2.87 NA NA 1.64 1.82 0.15 NA NA 4.66 4.8400067400 ......... ............ A Explore/biopsy eye socket ............................ 10.87 NA NA 9.25 10.78 0.56 NA NA 20.68 22.2109067405 ......... ............ A Explore/drain eye socket ............................... 8.92 NA NA 8.09 9.37 0.44 NA NA 17.45 18.7309067412 ......... ............ A Explore/treat eye socket ................................ 10.11 NA NA 8.50 10.35 0.48 NA NA 19.09 20.94 09067413 ......... ............ A Explore/treat eye socket ................................ 9.99 NA NA 8.48 10.22 0.50 NA NA 18.97 20.71 09067414 ......... ............ A Explr/decompress eye socket ....................... 17.72 NA NA 11.56 11.94 0.65 NA NA 29.93 30.31 09067415 ......... ............ A Aspiration, orbital contents ............................ 1.76 NA NA 0.61 0.72 0.09 NA NA 2.46 2.57 00067420 ......... ............ A Explore/treat eye socket ................................ 21.52 NA NA 13.96 16.57 1.15 NA NA 36.63 39.24 09067430 ......... ............ A Explore/treat eye socket ................................ 14.87 NA NA 12.07 14.22 0.86 NA NA 27.80 29.95 09067440 ......... ............ A Explore/drain eye socket ............................... 14.44 NA NA 11.56 13.62 0.70 NA NA 26.70 28.76 09067445 ......... ............ A Explr/decompress eye socket ....................... 18.90 NA NA 12.47 13.58 0.90 NA NA 32.27 33.38 09067450 ......... ............ A Explore/biopsy eye socket ............................ 14.99 NA NA 12.01 14.05 0.68 NA NA 27.68 29.7209067500 ......... ............ A Inject/treat eye socket ................................... 1.44 0.60 0.65 0.46 0.33 0.05 2.09 2.14 1.95 1.82 00067505 ......... ............ A Inject/treat eye socket ................................... 1.27 0.52 0.65 0.39 0.33 0.05 1.84 1.97 1.71 1.65 00067515 ......... ............ A Inject/treat eye socket ................................... 1.40 0.78 0.64 0.62 0.44 0.03 2.21 2.07 2.05 1.87 00067550 ......... ............ A Insert eye socket implant .............................. 11.42 NA NA 9.53 10.88 0.72 NA NA 21.67 23.02 09067560 ......... ............ A Revise eye socket implant ............................ 11.83 NA NA 9.57 10.94 0.60 NA NA 22.00 23.3709067570 ......... ............ A Decompress optic nerve ............................... 14.13 NA NA 10.87 12.93 0.68 NA NA 25.68 27.7409067700 ......... ............ A Drainage of eyelid abscess ........................... 1.35 4.36 5.62 1.19 1.25 0.07 5.78 7.04 2.61 2.67 01067710 ......... ............ A Incision of eyelid ............................................ 1.02 3.74 4.98 1.08 1.18 0.05 4.81 6.05 2.15 2.25 01067715 ......... ............ A Incision of eyelid fold ..................................... 1.22 3.85 5.01 1.16 1.26 0.06 5.13 6.292.44 2.54 01067800 ......... ............ A Remove eyelid lesion .................................... 1.38 1.41 1.57 0.91 1.01 0.07 2.86 3.02 2.36 2.46 01067801 ......... ............ A Remove eyelid lesions .................................. 1.88 1.69 1.90 1.09 1.22 0.09 3.66 3.87 3.063.19 01067805 ......... ............ A Remove eyelid lesions .................................. 2.22 2.21 2.45 1.42 1.59 0.11 4.54 4.78 3.753.92 01067808 ......... ............ A Remove eyelid lesion(s) ................................ 4.41 NA NA 3.62 3.74 0.19 NA NA 8.22 8.34 09067810 ......... ............ A Biopsy of eyelid ............................................. 1.48 3.86 3.47 0.66 0.68 0.06 5.40 5.01 2.20 2.22 00067820 ......... ............ A Revise eyelashes .......................................... 0.71 0.44 0.56 0.51 0.55 0.04 1.19 1.31 1.26 1.30 00067825 ......... ............ A Revise eyelashes .......................................... 1.38 1.41 1.66 1.27 1.38 0.07 2.86 3.11 2.72 2.83 01067830 ......... ............ A Revise eyelashes .......................................... 1.70 4.04 5.17 1.33 1.46 0.08 5.82 6.95 3.11 3.24 01067835 ......... ............ A Revise eyelashes .......................................... 5.55 NA NA 4.04 4.48 0.28 NA NA 9.87 10.31 09067840 ......... ............ A Remove eyelid lesion .................................... 2.04 3.94 5.10 1.46 1.60 0.10 6.08 7.24 3.60 3.74 01067850 ......... ............ A Treat eyelid lesion ......................................... 1.69 3.24 3.35 1.42 1.46 0.07 5.00 5.113.18 3.22 01067875 ......... ............ A Closure of eyelid by suture ........................... 1.35 2.40 3.08 0.84 0.92 0.07 3.82 4.50 2.262.34 00067880 ......... ............ A Revision of eyelid .......................................... 4.41 5.47 6.34 3.59 3.76 0.19 10.07 10.94 8.19 8.36 09067882 ......... ............ A Revision of eyelid .......................................... 5.81 6.43 7.35 4.51 4.74 0.25 12.49 13.41 10.57 10.80 09067900 ......... ............ A Repair brow defect ........................................ 6.63 7.38 8.66 4.60 5.10 0.38 14.39 15.6711.61 12.11 09067901 ......... ............ A Repair eyelid defect ...................................... 7.39 NA NA 5.18 5.36 0.54 NA NA 13.11 13.29 09067902 ......... ............ A Repair eyelid defect ...................................... 9.60 NA NA 6.31 5.69 0.60 NA NA 16.51 15.89 09067903 ......... ............ A Repair eyelid defect ...................................... 6.36 6.68 8.86 4.36 5.24 0.47 13.51 15.6911.19 12.07 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00187 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37356 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal67904 ......... ............ A Repair eyelid defect ...................................... 7.75 7.99 9.24 5.11 5.22 0.41 16.15 17.4013.27 13.38 09067906 ......... ............ A Repair eyelid defect ...................................... 6.78 3.91 5.02 4.52 4.91 0.46 11.15 12.2611.76 12.15 09067908 ......... ............ A Repair eyelid defect ...................................... 5.12 5.47 6.36 4.08 5.04 0.28 10.87 11.769.48 10.44 09067909 ......... ............ A Revise eyelid defect ...................................... 5.39 6.26 7.60 4.22 4.78 0.31 11.96 13.309.92 10.48 09067911 ......... ............ A Revise eyelid defect ...................................... 7.30 NA NA 4.89 4.82 0.31 NA NA 12.50 12.43 09067912 ......... ............ A Correction eyelid w/implant ........................... 6.17 12.98 17.48 4.64 5.32 0.28 19.43 23.93 11.09 11.77 09067914 ......... ............ A Repair eyelid defect ...................................... 3.67 4.79 5.97 2.70 2.97 0.19 8.65 9.83 6.56 6.83 09067915 ......... ............ A Repair eyelid defect ...................................... 3.18 4.46 5.62 2.51 2.74 0.16 7.80 8.96 5.85 6.08 09067916 ......... ............ A Repair eyelid defect ...................................... 5.30 6.40 7.65 4.16 4.62 0.28 11.98 13.239.74 10.20 09067917 ......... ............ A Repair eyelid defect ...................................... 6.01 6.78 8.06 4.43 4.92 0.36 13.15 14.4310.80 11.29 09067921 ......... ............ A Repair eyelid defect ...................................... 3.39 4.67 5.83 2.58 2.82 0.17 8.23 9.39 6.14 6.38 09067922 ......... ............ A Repair eyelid defect ...................................... 3.06 4.36 5.54 2.45 2.68 0.15 7.57 8.75 5.66 5.89 09067923 ......... ............ A Repair eyelid defect ...................................... 5.87 6.50 7.73 4.36 4.83 0.30 12.67 13.9010.53 11.00 09067924 ......... ............ A Repair eyelid defect ...................................... 5.78 6.98 8.46 4.09 4.54 0.30 13.06 14.5410.17 10.62 09067930 ......... ............ A Repair eyelid wound ...................................... 3.60 4.41 5.40 1.79 2.08 0.19 8.20 9.19 5.58 5.87 01067935 ......... ............ A Repair eyelid wound ...................................... 6.21 6.82 8.11 3.61 4.22 0.39 13.42 14.7110.21 10.82 09067938 ......... ............ A Remove eyelid foreign body ......................... 1.33 3.90 5.03 1.24 1.26 0.06 5.29 6.42 2.63 2.65 01067950 ......... ............ A Revision of eyelid .......................................... 5.81 6.67 8.16 4.37 5.02 0.36 12.84 14.33 10.54 11.19 09067961 ......... ............ A Revision of eyelid .......................................... 5.68 6.87 8.25 4.33 4.86 0.33 12.88 14.26 10.34 10.87 09067966 ......... ............ A Revision of eyelid .......................................... 8.75 8.02 8.88 5.43 5.54 0.37 17.14 18.00 14.55 14.66 09067971 ......... ............ A Reconstruction of eyelid ................................ 9.78 NA NA 6.23 7.03 0.53 NA NA 16.54 17.3409067973 ......... ............ A Reconstruction of eyelid ................................ 12.85 NA NA 7.81 8.96 0.75 NA NA 21.41 22.56 09067974 ......... ............ A Reconstruction of eyelid ................................ 12.82 NA NA 7.83 8.90 0.75 NA NA 21.40 22.47 09067975 ......... ............ A Reconstruction of eyelid ................................ 9.12 NA NA 6.01 6.73 0.50 NA NA 15.63 16.3509068020 ......... ............ A Incise/drain eyelid lining ................................ 1.37 1.25 1.37 1.06 1.17 0.06 2.68 2.80 2.49 2.60 01068040 ......... ............ A Treatment of eyelid lesions ........................... 0.85 0.61 0.69 0.35 0.41 0.04 1.50 1.58 1.241.30 00068100 ......... ............ A Biopsy of eyelid lining ................................... 1.35 2.37 3.04 0.86 0.93 0.07 3.79 4.46 2.28 2.35 00068110 ......... ............ A Remove eyelid lining lesion .......................... 1.77 3.10 3.86 1.49 1.61 0.09 4.96 5.72 3.35 3.47 01068115 ......... ............ A Remove eyelid lining lesion .......................... 2.36 4.37 5.58 1.70 1.87 0.12 6.85 8.06 4.18 4.35 01068130 ......... ............ A Remove eyelid lining lesion .......................... 4.92 6.74 8.24 4.09 4.48 0.24 11.90 13.40 9.259.64 09068135 ......... ............ A Remove eyelid lining lesion .......................... 1.84 1.60 1.77 1.48 1.61 0.09 3.53 3.70 3.41 3.54 01068200 ......... ............ A Treat eyelid by injection ................................ 0.49 0.45 0.52 0.29 0.32 0.02 0.96 1.03 0.80 0.83 00068320 ......... ............ A Revise/graft eyelid lining ............................... 6.36 9.25 10.80 5.35 5.49 0.27 15.88 17.4311.98 12.12 09068325 ......... ............ A Revise/graft eyelid lining ............................... 8.35 NA NA 6.02 6.43 0.44 NA NA 14.81 15.22 09068326 ......... ............ A Revise/graft eyelid lining ............................... 8.14 NA NA 5.97 6.32 0.35 NA NA 14.46 14.81 09068328 ......... ............ A Revise/graft eyelid lining ............................... 9.17 NA NA 6.50 7.11 0.54 NA NA 16.21 16.82 09068330 ......... ............ A Revise eyelid lining ....................................... 5.57 7.50 8.96 4.49 4.67 0.24 13.31 14.77 10.30 10.48 09068335 ......... ............ A Revise/graft eyelid lining ............................... 8.18 NA NA 5.98 6.30 0.36 NA NA 14.52 14.84 09068340 ......... ............ A Separate eyelid adhesions ............................ 4.78 6.94 8.41 3.90 4.06 0.21 11.93 13.40 8.899.05 09068360 ......... ............ A Revise eyelid lining ....................................... 4.98 6.48 7.67 3.98 4.14 0.22 11.68 12.87 9.18 9.34 09068362 ......... ............ A Revise eyelid lining ....................................... 8.33 NA NA 6.03 6.32 0.36 NA NA 14.72 15.01 09068371 ......... ............ A Harvest eye tissue, alograft .......................... 4.89 NA NA 4.09 4.58 0.44 NA NA 9.42 9.91 01068400 ......... ............ A Incise/drain tear gland ................................... 1.69 4.30 5.52 1.16 1.66 0.08 6.07 7.29 2.93 3.43 01068420 ......... ............ A Incise/drain tear sac ...................................... 2.30 4.55 5.80 1.39 1.93 0.11 6.96 8.213.80 4.34 01068440 ......... ............ A Incise tear duct opening ................................ 0.94 1.18 1.86 1.15 1.24 0.05 2.17 2.85 2.14 2.23 01068500 ......... ............ A Removal of tear gland ................................... 12.37 NA NA 8.65 9.48 0.55 NA NA 21.57 22.40 09068505 ......... ............ A Partial removal, tear gland ............................ 12.29 NA NA 8.78 10.21 0.55 NA NA 21.62 23.05 09068510 ......... ............ A Biopsy of tear gland ...................................... 4.60 5.23 6.82 2.04 2.09 0.23 10.06 11.656.87 6.92 00068520 ......... ............ A Removal of tear sac ...................................... 8.50 NA NA 6.56 7.22 0.37 NA NA 15.43 16.09 09068525 ......... ............ A Biopsy of tear sac ......................................... 4.42 NA NA 1.58 1.92 0.22 NA NA 6.22 6.56 00068530 ......... ............ A Clearance of tear duct ................................... 3.65 5.57 7.54 2.05 2.50 0.18 9.40 11.37 5.88 6.33 0101CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00188 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37357 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal68540 ......... ............ A Remove tear gland lesion ............................. 11.83 NA NA 8.28 9.14 0.52 NA NA 20.63 21.49 09068550 ......... ............ A Remove tear gland lesion ............................. 14.74 NA NA 9.99 11.03 0.80 NA NA 25.53 26.5709068700 ......... ............ A Repair tear ducts ........................................... 7.59 NA NA 5.60 5.90 0.32 NA NA 13.51 13.81 09068705 ......... ............ A Revise tear duct opening .............................. 2.06 3.06 3.90 1.60 1.75 0.10 5.22 6.06 3.763.91 01068720 ......... ............ A Create tear sac drain .................................... 9.70 NA NA 6.86 7.63 0.44 NA NA 17.00 17.77 09068745 ......... ............ A Create tear duct drain ................................... 9.62 NA NA 7.21 7.71 0.52 NA NA 17.35 17.85 09068750 ......... ............ A Create tear duct drain ................................... 9.77 NA NA 7.38 8.06 0.43 NA NA 17.58 18.26 09068760 ......... ............ A Close tear duct opening ................................ 1.73 2.62 3.32 1.47 1.59 0.09 4.44 5.14 3.293.41 01068761 ......... ............ A Close tear duct opening ................................ 1.36 1.85 2.17 1.26 1.31 0.06 3.27 3.59 2.682.73 01068770 ......... ............ A Close tear system fistula ............................... 8.01 2.90 3.12 5.74 3.83 0.35 11.26 11.48 14.10 12.19 09068801 ......... ............ A Dilate tear duct opening ................................ 0.94 1.79 1.91 1.43 1.47 0.05 2.78 2.90 2.42 2.46 01068810 ......... ............ A Probe nasolacrimal duct ................................ 2.59 3.42 3.61 2.70 2.69 0.10 6.11 6.30 5.395.38 01068811 ......... ............ A Probe nasolacrimal duct ................................ 2.35 NA NA 2.13 2.35 0.13 NA NA 4.61 4.83 01068815 ......... ............ A Probe nasolacrimal duct ................................ 3.20 6.46 7.81 2.44 2.73 0.17 9.83 11.18 5.81 6.10 01068840 ......... ............ A Explore/irrigate tear ducts ............................. 1.25 1.32 1.53 1.09 1.11 0.06 2.63 2.84 2.40 2.42 01068850 ......... ............ A Injection for tear sac x-ray ............................ 0.80 0.74 0.85 0.61 0.66 0.04 1.58 1.69 1.45 1.50 00069000 ......... ............ A Drain external ear lesion ............................... 1.45 2.67 2.84 1.23 1.33 0.12 4.24 4.41 2.80 2.90 01069005 ......... ............ A Drain external ear lesion ............................... 2.11 2.71 2.88 1.43 1.74 0.17 4.99 5.16 3.71 4.02 01069020 ......... ............ A Drain outer ear canal lesion .......................... 1.48 3.80 3.95 1.74 1.99 0.12 5.40 5.55 3.343.59 01069100 ......... ............ A Biopsy of external ear ................................... 0.81 1.82 1.74 0.38 0.39 0.03 2.66 2.58 1.22 1.23 00069105 ......... ............ A Biopsy of external ear canal ......................... 0.85 2.46 2.38 0.64 0.74 0.07 3.38 3.30 1.56 1.66 00069110 ......... ............ A Remove external ear, partial ......................... 3.43 7.49 6.94 4.22 4.42 0.30 11.22 10.67 7.958.15 09069120 ......... ............ A Removal of external ear ................................ 4.04 NA NA 5.01 5.90 0.38 NA NA 9.43 10.32 09069140 ......... ............ A Remove ear canal lesion(s) .......................... 7.96 NA NA 12.17 13.03 0.65 NA NA 20.78 21.64 09069145 ......... ............ A Remove ear canal lesion(s) .......................... 2.62 6.47 5.97 3.06 3.25 0.21 9.30 8.80 5.89 6.08 09069150 ......... ............ A Extensive ear canal surgery .......................... 13.41 NA NA 10.38 12.68 1.22 NA NA 25.01 27.3109069155 ......... ............ A Extensive ear/neck surgery ........................... 22.96 NA NA 14.75 18.39 1.92 NA NA 39.63 43.2709069200 ......... ............ A Clear outer ear canal .................................... 0.77 2.02 2.30 0.56 0.55 0.06 2.85 3.13 1.39 1.38 00069205 ......... ............ A Clear outer ear canal .................................... 1.20 NA NA 1.12 1.30 0.10 NA NA 2.42 2.6001069210 ......... ............ A Remove impacted ear wax ........................... 0.61 0.55 0.61 0.15 0.21 0.05 1.21 1.27 0.81 0.8700069220 ......... ............ A Clean out mastoid cavity ............................... 0.83 2.35 2.37 0.60 0.70 0.07 3.25 3.27 1.501.60 00069222 ......... ............ A Clean out mastoid cavity ............................... 1.40 3.63 3.80 1.71 1.98 0.12 5.15 5.32 3.233.50 01069300 ......... ............ R Revise external ear ....................................... 6.35 NA NA 4.44 4.28 0.72 NA NA 11.51 11.35 YYY69310 ......... ............ A Rebuild outer ear canal ................................. 10.77 NA NA 14.02 15.75 0.85 NA NA 25.64 27.37 09069320 ......... ............ A Rebuild outer ear canal ................................. 16.93 NA NA 17.92 20.91 1.37 NA NA 36.22 39.21 09069400 ......... ............ A Inflate middle ear canal ................................. 0.83 2.58 2.27 0.61 0.66 0.07 3.48 3.17 1.51 1.56 00069401 ......... ............ A Inflate middle ear canal ................................. 0.63 1.45 1.29 0.55 0.63 0.05 2.13 1.97 1.23 1.31 00069405 ......... ............ A Catheterize middle ear canal ........................ 2.63 3.34 3.47 1.75 2.18 0.21 6.18 6.31 4.59 5.02 01069420 ......... ............ A Incision of eardrum ........................................ 1.33 3.02 3.13 1.39 1.54 0.11 4.46 4.572.83 2.98 01069421 ......... ............ A Incision of eardrum ........................................ 1.73 NA NA 1.66 2.04 0.15 NA NA 3.54 3.92 01069424 ......... ............ A Remove ventilating tube ................................ 0.85 2.15 2.18 0.61 0.66 0.07 3.07 3.10 1.531.58 00069433 ......... ............ A Create eardrum opening ............................... 1.52 3.02 3.08 1.42 1.59 0.13 4.67 4.73 3.07 3.24 01069436 ......... ............ A Create eardrum opening ............................... 1.96 NA NA 1.70 2.15 0.19 NA NA 3.85 4.30 01069440 ......... ............ A Exploration of middle ear .............................. 7.56 NA NA 8.20 8.65 0.61 NA NA 16.37 16.8209069450 ......... ............ A Eardrum revision ........................................... 5.56 NA NA 6.88 7.01 0.45 NA NA 12.89 13.02 09069501 ......... ............ A Mastoidectomy .............................................. 9.06 NA NA 7.69 8.70 0.73 NA NA 17.48 18.49 09069502 ......... ............ A Mastoidectomy .............................................. 12.36 NA NA 9.87 11.18 1.00 NA NA 23.2324.54 09069505 ......... ............ A Remove mastoid structures .......................... 12.97 NA NA 14.57 16.57 1.05 NA NA 28.59 30.59 09069511 ......... ............ A Extensive mastoid surgery ............................ 13.50 NA NA 14.69 16.81 1.09 NA NA 29.28 31.4009069530 ......... ............ A Extensive mastoid surgery ............................ 20.15 NA NA 17.72 20.70 1.54 NA NA 39.41 42.3909069535 ......... ............ A Remove part of temporal bone ..................... 37.17 NA NA 23.79 29.99 2.92 NA NA 63.88 70.08 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00189 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37358 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal69540 ......... ............ A Remove ear lesion ........................................ 1.20 3.58 3.71 1.68 1.91 0.10 4.88 5.01 2.98 3.21 01069550 ......... ............ A Remove ear lesion ........................................ 10.97 NA NA 12.90 14.40 0.89 NA NA 24.76 26.26 09069552 ......... ............ A Remove ear lesion ........................................ 19.61 NA NA 16.31 19.63 1.59 NA NA 37.51 40.83 09069554 ......... ............ A Remove ear lesion ........................................ 35.63 NA NA 22.05 28.33 2.91 NA NA 60.59 66.87 09069601 ......... ............ A Mastoid surgery revision ............................... 13.22 NA NA 10.68 12.20 1.07 NA NA 24.97 26.49 09069602 ......... ............ A Mastoid surgery revision ............................... 13.56 NA NA 11.39 12.80 1.10 NA NA 26.05 27.46 09069603 ......... ............ A Mastoid surgery revision ............................... 14.00 NA NA 14.84 17.52 1.14 NA NA 29.98 32.66 09069604 ......... ............ A Mastoid surgery revision ............................... 14.00 NA NA 11.50 13.17 1.14 NA NA 26.64 28.31 09069605 ......... ............ A Mastoid surgery revision ............................... 18.46 NA NA 17.26 20.07 1.50 NA NA 37.22 40.03 09069610 ......... ............ A Repair of eardrum ......................................... 4.42 4.41 5.28 2.26 3.03 0.36 9.19 10.067.04 7.81 01069620 ......... ............ A Repair of eardrum ......................................... 5.88 9.93 10.85 5.21 6.04 0.48 16.29 17.21 11.57 12.40 09069631 ......... ............ A Repair eardrum structures ............................ 9.85 NA NA 10.36 11.01 0.80 NA NA 21.01 21.6609069632 ......... ............ A Rebuild eardrum structures ........................... 12.73 NA NA 11.92 13.11 1.03 NA NA 25.68 26.8709069633 ......... ............ A Rebuild eardrum structures ........................... 12.08 NA NA 11.75 12.76 0.98 NA NA 24.81 25.8209069635 ......... ............ A Repair eardrum structures ............................ 13.31 NA NA 14.64 16.25 1.08 NA NA 29.03 30.6409069636 ......... ............ A Rebuild eardrum structures ........................... 15.20 NA NA 16.39 18.62 1.23 NA NA 32.82 35.0509069637 ......... ............ A Rebuild eardrum structures ........................... 15.09 NA NA 16.37 18.55 1.22 NA NA 32.68 34.8609069641 ......... ............ A Revise middle ear & mastoid ........................ 12.69 NA NA 11.15 12.40 1.03 NA NA 24.87 26.12 09069642 ......... ............ A Revise middle ear & mastoid ........................ 16.81 NA NA 13.84 15.71 1.36 NA NA 32.01 33.88 09069643 ......... ............ A Revise middle ear & mastoid ........................ 15.36 NA NA 12.63 14.30 1.24 NA NA 29.23 30.90 09069644 ......... ............ A Revise middle ear & mastoid ........................ 17.00 NA NA 16.86 19.56 1.37 NA NA 35.23 37.93 09069645 ......... ............ A Revise middle ear & mastoid ........................ 16.48 NA NA 16.78 19.26 1.33 NA NA 34.59 37.07 09069646 ......... ............ A Revise middle ear & mastoid ........................ 18.14 NA NA 17.19 19.91 1.46 NA NA 36.79 39.51 09069650 ......... ............ A Release middle ear bone .............................. 9.65 NA NA 8.53 9.59 0.78 NA NA 18.96 20.02 09069660 ......... ............ A Revise middle ear bone ................................ 11.88 NA NA 9.37 10.75 0.96 NA NA 22.21 23.5909069661 ......... ............ A Revise middle ear bone ................................ 15.72 NA NA 11.98 14.05 1.27 NA NA 28.97 31.04 09069662 ......... ............ A Revise middle ear bone ................................ 15.42 NA NA 11.11 13.12 1.25 NA NA 27.78 29.79 09069666 ......... ............ A Repair middle ear structures ......................... 9.74 NA NA 8.79 9.70 0.79 NA NA 19.32 20.23 09069667 ......... ............ A Repair middle ear structures ......................... 9.75 NA NA 8.70 9.68 0.79 NA NA 19.24 20.22 09069670 ......... ............ A Remove mastoid air cells .............................. 11.55 NA NA 10.01 11.31 0.93 NA NA 22.49 23.79 09069676 ......... ............ A Remove middle ear nerve ............................. 9.51 NA NA 9.50 10.46 0.81 NA NA 19.82 20.78 09069700 ......... ............ A Close mastoid fistula ..................................... 8.22 NA NA 7.54 8.84 0.67 NA NA 16.43 17.73 09069711 ......... ............ A Remove/repair hearing aid ............................ 10.42 NA NA 9.29 10.44 0.83 NA NA 20.54 21.6909069714 ......... ............ A Implant temple bone w/stimul ....................... 14.23 NA NA 10.38 12.12 1.13 NA NA 25.74 27.48 09069715 ......... ............ A Temple bne implnt w/stimulat ....................... 18.72 NA NA 11.74 14.24 1.48 NA NA 31.94 34.44 09069717 ......... ............ A Temple bone implant revision ....................... 15.21 NA NA 11.34 13.72 0.90 NA NA 27.45 29.83 09069718 ......... ............ A Revise temple bone implant .......................... 18.97 NA NA 19.76 16.45 3.21 NA NA 41.94 38.6309069720 ......... ............ A Release facial nerve ...................................... 14.48 NA NA 12.56 14.06 1.16 NA NA 28.2029.70 09069725 ......... ............ A Release facial nerve ...................................... 27.36 NA NA 16.01 19.15 2.44 NA NA 45.8148.95 09069740 ......... ............ A Repair facial nerve ........................................ 16.12 NA NA 10.97 12.83 1.27 NA NA 28.3630.22 09069745 ......... ............ A Repair facial nerve ........................................ 16.84 NA NA 11.69 14.18 1.14 NA NA 29.6732.16 09069801 ......... ............ A Incise inner ear .............................................. 8.55 NA NA 8.63 9.28 0.69 NA NA 17.8718.52 09069802 ......... ............ A Incise inner ear .............................................. 13.32 NA NA 10.38 11.87 1.06 NA NA 24.76 26.25 09069805 ......... ............ A Explore inner ear ........................................... 14.49 NA NA 9.64 11.34 1.12 NA NA 25.2526.95 09069806 ......... ............ A Explore inner ear ........................................... 12.45 NA NA 9.22 10.61 1.00 NA NA 22.6724.06 09069820 ......... ............ A Establish inner ear window ........................... 10.32 NA NA 9.66 10.85 0.90 NA NA 20.88 22.0709069840 ......... ............ A Revise inner ear window ............................... 10.24 NA NA 11.47 12.78 0.79 NA NA 22.50 23.81 09069905 ......... ............ A Remove inner ear .......................................... 11.08 NA NA 9.94 11.02 0.90 NA NA 21.92 23.00 09069910 ......... ............ A Remove inner ear & mastoid ........................ 13.73 NA NA 9.64 11.37 1.07 NA NA 24.44 26.17 09069915 ......... ............ A Incise inner ear nerve ................................... 22.56 NA NA 13.10 15.66 1.69 NA NA 37.35 39.91 09069930 ......... ............ A Implant cochlear device ................................ 17.54 NA NA 11.62 14.00 1.36 NA NA 30.52 32.90 09069950 ......... ............ A Incise inner ear nerve ................................... 27.38 NA NA 14.99 17.96 2.28 NA NA 44.65 47.62 09069955 ......... ............ A Release facial nerve ...................................... 29.14 NA NA 16.71 20.26 2.48 NA NA 48.3351.88 0901CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00190 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37359 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal69960 ......... ............ A Release inner ear canal ................................ 29.14 NA NA 15.12 18.86 2.17 NA NA 46.43 50.17 09069970 ......... ............ A Remove inner ear lesion ............................... 32.13 NA NA 17.46 21.87 2.41 NA NA 52.00 56.41 09069990 ......... ............ R Microsurgery add-on ..................................... 3.46 NA NA 1.24 1.66 0.89 NA NA 5.59 6.01 ZZZ70010 ......... ............ A Contrast x-ray of brain .................................. 1.19 2.91 4.28 NA NA 0.27 4.37 5.74 NA NAXXX70010 ......... 26 ....... A Contrast x-ray of brain .................................. 1.19 0.41 0.40 0.41 0.40 0.05 1.65 1.64 1.651.64 XXX70010 ......... TC ...... A Contrast x-ray of brain .................................. 0.00 2.50 3.88 NA NA 0.22 2.72 4.10 NA NA XXX70015 ......... ............ A Contrast x-ray of brain .................................. 1.19 2.99 2.05 NA NA 0.16 4.34 3.40 NA NAXXX70015 ......... 26 ....... A Contrast x-ray of brain .................................. 1.19 0.42 0.40 0.42 0.40 0.08 1.69 1.67 1.691.67 XXX70015 ......... TC ...... A Contrast x-ray of brain .................................. 0.00 2.57 1.66 NA NA 0.08 2.65 1.74 NA NA XXX70030 ......... ............ A X-ray eye for foreign body ............................ 0.17 0.63 0.52 NA NA 0.03 0.83 0.72 NA NA XXX70030 ......... 26 ....... A X-ray eye for foreign body ............................ 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX70030 ......... TC ...... A X-ray eye for foreign body ............................ 0.00 0.57 0.46 NA NA 0.02 0.59 0.48 NA NA XXX70100 ......... ............ A X-ray exam of jaw ......................................... 0.18 0.65 0.60 NA NA 0.03 0.86 0.81 NA NAXXX70100 ......... 26 ....... A X-ray exam of jaw ......................................... 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.240.25 XXX70100 ......... TC ...... A X-ray exam of jaw ......................................... 0.00 0.60 0.54 NA NA 0.02 0.62 0.56 NA NA XXX70110 ......... ............ A X-ray exam of jaw ......................................... 0.25 0.83 0.73 NA NA 0.05 1.13 1.03 NA NAXXX70110 ......... 26 ....... A X-ray exam of jaw ......................................... 0.25 0.08 0.08 0.08 0.08 0.01 0.34 0.34 0.340.34 XXX70110 ......... TC ...... A X-ray exam of jaw ......................................... 0.00 0.75 0.65 NA NA 0.04 0.79 0.69 NA NA XXX70120 ......... ............ A X-ray exam of mastoids ................................ 0.18 0.71 0.69 NA NA 0.05 0.94 0.92 NA NA XXX70120 ......... 26 ....... A X-ray exam of mastoids ................................ 0.18 0.05 0.06 0.05 0.06 0.01 0.24 0.25 0.24 0.25 XXX70120 ......... TC ...... A X-ray exam of mastoids ................................ 0.00 0.65 0.63 NA NA 0.04 0.69 0.67 NA NA XXX70130 ......... ............ A X-ray exam of mastoids ................................ 0.34 1.19 0.97 NA NA 0.07 1.60 1.38 NA NA XXX70130 ......... 26 ....... A X-ray exam of mastoids ................................ 0.34 0.11 0.11 0.11 0.11 0.02 0.47 0.47 0.47 0.47 XXX70130 ......... TC ...... A X-ray exam of mastoids ................................ 0.00 1.08 0.86 NA NA 0.05 1.13 0.91 NA NA XXX70134 ......... ............ A X-ray exam of middle ear .............................. 0.34 0.96 0.87 NA NA 0.07 1.37 1.28 NA NA XXX70134 ......... 26 ....... A X-ray exam of middle ear .............................. 0.34 0.11 0.11 0.11 0.11 0.02 0.47 0.47 0.47 0.47 XXX70134 ......... TC ...... A X-ray exam of middle ear .............................. 0.00 0.84 0.76 NA NA 0.05 0.89 0.81 NA NA XXX70140 ......... ............ A X-ray exam of facial bones ........................... 0.19 0.56 0.65 NA NA 0.05 0.80 0.89 NA NA XXX70140 ......... 26 ....... A X-ray exam of facial bones ........................... 0.19 0.05 0.06 0.05 0.06 0.01 0.25 0.26 0.25 0.26XXX70140 ......... TC ...... A X-ray exam of facial bones ........................... 0.00 0.51 0.59 NA NA 0.04 0.55 0.63 NA NA XXX70150 ......... ............ A X-ray exam of facial bones ........................... 0.26 0.88 0.87 NA NA 0.06 1.20 1.19 NA NA XXX70150 ......... 26 ....... A X-ray exam of facial bones ........................... 0.26 0.08 0.08 0.08 0.08 0.01 0.35 0.35 0.35 0.35XXX70150 ......... TC ...... A X-ray exam of facial bones ........................... 0.00 0.80 0.79 NA NA 0.05 0.85 0.84 NA NA XXX70160 ......... ............ A X-ray exam of nasal bones ........................... 0.17 0.73 0.62 NA NA 0.03 0.93 0.82 NA NA XXX70160 ......... 26 ....... A X-ray exam of nasal bones ........................... 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24XXX70160 ......... TC ...... A X-ray exam of nasal bones ........................... 0.00 0.67 0.56 NA NA 0.02 0.69 0.58 NA NA XXX70170 ......... ............ A X-ray exam of tear duct ................................ 0.30 0.10 0.81 NA NA 0.07 0.47 1.18 NA NA XXX70170 ......... 26 ....... A X-ray exam of tear duct ................................ 0.30 0.10 0.10 0.10 0.10 0.01 0.41 0.41 0.41 0.41 XXX70170 ......... TC ...... A X-ray exam of tear duct ................................ 0.00 0.00 0.71 NA NA 0.06 0.06 0.77 NA NA XXX70190 ......... ............ A X-ray exam of eye sockets ........................... 0.21 0.75 0.71 NA NA 0.05 1.01 0.97 NA NA XXX70190 ......... 26 ....... A X-ray exam of eye sockets ........................... 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29XXX70190 ......... TC ...... A X-ray exam of eye sockets ........................... 0.00 0.68 0.64 NA NA 0.04 0.72 0.68 NA NA XXX70200 ......... ............ A X-ray exam of eye sockets ........................... 0.28 0.91 0.88 NA NA 0.06 1.25 1.22 NA NA XXX70200 ......... 26 ....... A X-ray exam of eye sockets ........................... 0.28 0.09 0.09 0.09 0.09 0.01 0.38 0.38 0.38 0.38XXX70200 ......... TC ...... A X-ray exam of eye sockets ........................... 0.00 0.82 0.79 NA NA 0.05 0.87 0.84 NA NA XXX70210 ......... ............ A X-ray exam of sinuses .................................. 0.17 0.57 0.65 NA NA 0.05 0.79 0.87 NA NA XXX70210 ......... 26 ....... A X-ray exam of sinuses .................................. 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX70210 ......... TC ...... A X-ray exam of sinuses .................................. 0.00 0.53 0.60 NA NA 0.04 0.57 0.64 NA NA XXX70220 ......... ............ A X-ray exam of sinuses .................................. 0.25 0.74 0.83 NA NA 0.06 1.05 1.14 NA NA XXX70220 ......... 26 ....... A X-ray exam of sinuses .................................. 0.25 0.07 0.08 0.07 0.08 0.01 0.33 0.34 0.33 0.34 XXX70220 ......... TC ...... A X-ray exam of sinuses .................................. 0.00 0.67 0.75 NA NA 0.05 0.72 0.80 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00191 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37360 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal70240 ......... ............ A X-ray exam, pituitary saddle ......................... 0.19 0.62 0.52 NA NA 0.03 0.84 0.74 NA NA XXX70240 ......... 26 ....... A X-ray exam, pituitary saddle ......................... 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26XXX70240 ......... TC ...... A X-ray exam, pituitary saddle ......................... 0.00 0.56 0.46 NA NA 0.02 0.58 0.48 NA NA XXX70250 ......... ............ A X-ray exam of skull ....................................... 0.24 0.72 0.71 NA NA 0.05 1.01 1.00 NA NAXXX70250 ......... 26 ....... A X-ray exam of skull ....................................... 0.24 0.07 0.08 0.07 0.08 0.01 0.32 0.33 0.320.33 XXX70250 ......... TC ...... A X-ray exam of skull ....................................... 0.00 0.65 0.63 NA NA 0.04 0.69 0.67 NA NA XXX70260 ......... ............ A X-ray exam of skull ....................................... 0.34 0.91 0.98 NA NA 0.08 1.33 1.40 NA NAXXX70260 ......... 26 ....... A X-ray exam of skull ....................................... 0.34 0.10 0.11 0.10 0.11 0.02 0.46 0.47 0.460.47 XXX70260 ......... TC ...... A X-ray exam of skull ....................................... 0.00 0.81 0.87 NA NA 0.06 0.87 0.93 NA NA XXX70300 ......... ............ A X-ray exam of teeth ....................................... 0.10 0.24 0.29 NA NA 0.03 0.37 0.42 NA NAXXX70300 ......... 26 ....... A X-ray exam of teeth ....................................... 0.10 0.03 0.05 0.03 0.05 0.01 0.14 0.16 0.140.16 XXX70300 ......... TC ...... A X-ray exam of teeth ....................................... 0.00 0.21 0.25 NA NA 0.02 0.23 0.27 NA NA XXX70310 ......... ............ A X-ray exam of teeth ....................................... 0.16 0.83 0.58 NA NA 0.03 1.02 0.77 NA NAXXX70310 ......... 26 ....... A X-ray exam of teeth ....................................... 0.16 0.05 0.07 0.05 0.07 0.01 0.22 0.24 0.220.24 XXX70310 ......... TC ...... A X-ray exam of teeth ....................................... 0.00 0.78 0.51 NA NA 0.02 0.80 0.53 NA NA XXX70320 ......... ............ A Full mouth x-ray of teeth ............................... 0.22 0.98 0.89 NA NA 0.06 1.26 1.17 NA NA XXX70320 ......... 26 ....... A Full mouth x-ray of teeth ............................... 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31 XXX70320 ......... TC ...... A Full mouth x-ray of teeth ............................... 0.00 0.92 0.82 NA NA 0.05 0.97 0.87 NA NA XXX70328 ......... ............ A X-ray exam of jaw joint ................................. 0.18 0.64 0.57 NA NA 0.03 0.85 0.78 NA NA XXX70328 ......... 26 ....... A X-ray exam of jaw joint ................................. 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX70328 ......... TC ...... A X-ray exam of jaw joint ................................. 0.00 0.58 0.51 NA NA 0.02 0.60 0.53 NA NA XXX70330 ......... ............ A X-ray exam of jaw joints ................................ 0.24 1.04 0.95 NA NA 0.06 1.34 1.25 NA NA XXX70330 ......... 26 ....... A X-ray exam of jaw joints ................................ 0.24 0.08 0.08 0.08 0.08 0.01 0.33 0.33 0.33 0.33 XXX70330 ......... TC ...... A X-ray exam of jaw joints ................................ 0.00 0.96 0.87 NA NA 0.05 1.01 0.92 NA NA XXX70332 ......... ............ A X-ray exam of jaw joint ................................. 0.54 1.49 2.11 NA NA 0.14 2.17 2.79 NA NA XXX70332 ......... 26 ....... A X-ray exam of jaw joint ................................. 0.54 0.17 0.19 0.17 0.19 0.02 0.73 0.75 0.73 0.75 XXX70332 ......... TC ...... A X-ray exam of jaw joint ................................. 0.00 1.32 1.91 NA NA 0.12 1.44 2.03 NA NA XXX70336 ......... ............ A Magnetic image, jaw joint .............................. 1.48 12.94 12.03 NA NA 0.66 15.08 14.17 NA NA XXX70336 ......... 26 ....... A Magnetic image, jaw joint .............................. 1.48 0.53 0.50 0.53 0.50 0.07 2.08 2.05 2.08 2.05 XXX70336 ......... TC ...... A Magnetic image, jaw joint .............................. 0.00 12.41 11.53 NA NA 0.59 13.00 12.12 NA NA XXX70350 ......... ............ A X-ray head for orthodontia ............................ 0.17 0.33 0.42 NA NA 0.03 0.53 0.62 NA NA XXX70350 ......... 26 ....... A X-ray head for orthodontia ............................ 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX70350 ......... TC ...... A X-ray head for orthodontia ............................ 0.00 0.28 0.36 NA NA 0.02 0.30 0.38 NA NA XXX70355 ......... ............ A Panoramic x-ray of jaws ................................ 0.20 0.31 0.56 NA NA 0.05 0.56 0.81 NA NA XXX70355 ......... 26 ....... A Panoramic x-ray of jaws ................................ 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX70355 ......... TC ...... A Panoramic x-ray of jaws ................................ 0.00 0.24 0.49 NA NA 0.04 0.28 0.53 NA NA XXX70360 ......... ............ A X-ray exam of neck ....................................... 0.17 0.59 0.51 NA NA 0.03 0.79 0.71 NA NAXXX70360 ......... 26 ....... A X-ray exam of neck ....................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.240.24 XXX70360 ......... TC ...... A X-ray exam of neck ....................................... 0.00 0.54 0.45 NA NA 0.02 0.56 0.47 NA NA XXX70370 ......... ............ A Throat x-ray & fluoroscopy ............................ 0.32 1.70 1.48 NA NA 0.08 2.10 1.88 NA NA XXX70370 ......... 26 ....... A Throat x-ray & fluoroscopy ............................ 0.32 0.10 0.10 0.10 0.10 0.01 0.43 0.43 0.43 0.43 XXX70370 ......... TC ...... A Throat x-ray & fluoroscopy ............................ 0.00 1.60 1.38 NA NA 0.07 1.67 1.45 NA NA XXX70371 ......... ............ A Speech evaluation, complex ......................... 0.84 1.54 2.18 NA NA 0.16 2.54 3.18 NA NA XXX70371 ......... 26 ....... A Speech evaluation, complex ......................... 0.84 0.27 0.28 0.27 0.28 0.04 1.15 1.16 1.15 1.16 XXX70371 ......... TC ...... A Speech evaluation, complex ......................... 0.00 1.27 1.90 NA NA 0.12 1.39 2.02 NA NA XXX70373 ......... ............ A Contrast x-ray of larynx ................................. 0.44 1.70 1.87 NA NA 0.13 2.27 2.44 NA NAXXX70373 ......... 26 ....... A Contrast x-ray of larynx ................................. 0.44 0.13 0.14 0.13 0.14 0.02 0.59 0.60 0.590.60 XXX70373 ......... TC ...... A Contrast x-ray of larynx ................................. 0.00 1.57 1.74 NA NA 0.11 1.68 1.85 NA NA XXX70380 ......... ............ A X-ray exam of salivary gland ........................ 0.17 0.82 0.75 NA NA 0.05 1.04 0.97 NA NA XXX70380 ......... 26 ....... A X-ray exam of salivary gland ........................ 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24XXX70380 ......... TC ...... A X-ray exam of salivary gland ........................ 0.00 0.77 0.70 NA NA 0.04 0.81 0.74 NA NA XXX70390 ......... ............ A X-ray exam of salivary duct .......................... 0.38 2.44 2.04 NA NA 0.13 2.95 2.55 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00192 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37361 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal70390 ......... 26 ....... A X-ray exam of salivary duct .......................... 0.38 0.13 0.12 0.13 0.12 0.02 0.53 0.52 0.53 0.52XXX70390 ......... TC ...... A X-ray exam of salivary duct .......................... 0.00 2.31 1.92 NA NA 0.11 2.42 2.03 NA NA XXX70450 ......... ............ A Ct head/brain w/o dye ................................... 0.85 5.13 5.04 NA NA 0.29 6.27 6.18 NA NA XXX70450 ......... 26 ....... A Ct head/brain w/o dye ................................... 0.85 0.29 0.28 0.29 0.28 0.04 1.18 1.17 1.18 1.17 XXX70450 ......... TC ...... A Ct head/brain w/o dye ................................... 0.00 4.84 4.76 NA NA 0.25 5.09 5.01 NA NA XXX70460 ......... ............ A Ct head/brain w/dye ...................................... 1.13 6.81 6.24 NA NA 0.35 8.29 7.72 NA NAXXX70460 ......... 26 ....... A Ct head/brain w/dye ...................................... 1.13 0.39 0.38 0.39 0.38 0.05 1.57 1.56 1.571.56 XXX70460 ......... TC ...... A Ct head/brain w/dye ...................................... 0.00 6.41 5.86 NA NA 0.30 6.71 6.16 NA NA XXX70470 ......... ............ A Ct head/brain w/o & w/dye ............................ 1.27 8.29 7.71 NA NA 0.43 9.99 9.41 NA NA XXX70470 ......... 26 ....... A Ct head/brain w/o & w/dye ............................ 1.27 0.44 0.43 0.44 0.43 0.06 1.77 1.76 1.77 1.76XXX70470 ......... TC ...... A Ct head/brain w/o & w/dye ............................ 0.00 7.85 7.28 NA NA 0.37 8.22 7.65 NA NA XXX70480 ......... ............ A Ct orbit/ear/fossa w/o dye ............................. 1.28 8.85 6.08 NA NA 0.31 10.44 7.67 NA NA XXX70480 ......... 26 ....... A Ct orbit/ear/fossa w/o dye ............................. 1.28 0.44 0.43 0.44 0.43 0.06 1.78 1.77 1.78 1.77 XXX70480 ......... TC ...... A Ct orbit/ear/fossa w/o dye ............................. 0.00 8.41 5.65 NA NA 0.25 8.66 5.90 NA NA XXX70481 ......... ............ A Ct orbit/ear/fossa w/dye ................................ 1.38 10.46 7.21 NA NA 0.36 12.20 8.95 NA NAXXX70481 ......... 26 ....... A Ct orbit/ear/fossa w/dye ................................ 1.38 0.48 0.46 0.48 0.46 0.06 1.92 1.90 1.92 1.90 XXX70481 ......... TC ...... A Ct orbit/ear/fossa w/dye ................................ 0.00 9.98 6.76 NA NA 0.30 10.28 7.06 NA NA XXX70482 ......... ............ A Ct orbit/ear/fossa w/o&w/dye ........................ 1.45 11.99 8.68 NA NA 0.43 13.87 10.56 NA NA XXX70482 ......... 26 ....... A Ct orbit/ear/fossa w/o&w/dye ........................ 1.45 0.51 0.49 0.51 0.49 0.06 2.02 2.00 2.02 2.00XXX70482 ......... TC ...... A Ct orbit/ear/fossa w/o&w/dye ........................ 0.00 11.48 8.19 NA NA 0.37 11.85 8.56 NA NA XXX70486 ......... ............ A Ct maxillofacial w/o dye ................................ 1.14 7.07 5.59 NA NA 0.30 8.51 7.03 NA NA XXX70486 ......... 26 ....... A Ct maxillofacial w/o dye ................................ 1.14 0.39 0.38 0.39 0.38 0.05 1.58 1.57 1.58 1.57 XXX70486 ......... TC ...... A Ct maxillofacial w/o dye ................................ 0.00 6.67 5.22 NA NA 0.25 6.92 5.47 NA NA XXX70487 ......... ............ A Ct maxillofacial w/dye .................................... 1.30 8.75 6.77 NA NA 0.36 10.41 8.43 NA NA XXX70487 ......... 26 ....... A Ct maxillofacial w/dye .................................... 1.30 0.46 0.44 0.46 0.44 0.06 1.82 1.80 1.821.80 XXX70487 ......... TC ...... A Ct maxillofacial w/dye .................................... 0.00 8.29 6.33 NA NA 0.30 8.59 6.63 NA NA XXX70488 ......... ............ A Ct maxillofacial w/o & w/dye ......................... 1.42 10.86 8.38 NA NA 0.43 12.71 10.23 NA NA XXX70488 ......... 26 ....... A Ct maxillofacial w/o & w/dye ......................... 1.42 0.49 0.47 0.49 0.47 0.06 1.97 1.95 1.97 1.95XXX70488 ......... TC ...... A Ct maxillofacial w/o & w/dye ......................... 0.00 10.37 7.91 NA NA 0.37 10.74 8.28 NA NA XXX70490 ......... ............ A Ct soft tissue neck w/o dye ........................... 1.28 6.78 5.56 NA NA 0.31 8.37 7.15 NA NA XXX70490 ......... 26 ....... A Ct soft tissue neck w/o dye ........................... 1.28 0.45 0.43 0.45 0.43 0.06 1.79 1.77 1.79 1.77 XXX70490 ......... TC ...... A Ct soft tissue neck w/o dye ........................... 0.00 6.33 5.13 NA NA 0.25 6.58 5.38 NA NA XXX70491 ......... ............ A Ct soft tissue neck w/dye .............................. 1.38 8.39 6.70 NA NA 0.36 10.13 8.44 NA NA XXX70491 ......... 26 ....... A Ct soft tissue neck w/dye .............................. 1.38 0.48 0.46 0.48 0.46 0.06 1.92 1.90 1.92 1.90 XXX70491 ......... TC ...... A Ct soft tissue neck w/dye .............................. 0.00 7.91 6.24 NA NA 0.30 8.21 6.54 NA NA XXX70492 ......... ............ A Ct sft tsue nck w/o & w/dye .......................... 1.45 10.53 8.30 NA NA 0.43 12.41 10.18 NA NA XXX70492 ......... 26 ....... A Ct sft tsue nck w/o & w/dye .......................... 1.45 0.51 0.48 0.51 0.48 0.06 2.02 1.99 2.02 1.99XXX70492 ......... TC ...... A Ct sft tsue nck w/o & w/dye .......................... 0.00 10.02 7.82 NA NA 0.37 10.39 8.19 NA NA XXX70496 ......... ............ A Ct angiography, head .................................... 1.75 17.86 12.87 NA NA 0.66 20.27 15.28 NANA XXX70496 ......... 26 ....... A Ct angiography, head .................................... 1.75 0.62 0.58 0.62 0.58 0.08 2.45 2.41 2.45 2.41 XXX70496 ......... TC ...... A Ct angiography, head .................................... 0.00 17.24 12.28 NA NA 0.58 17.82 12.86 NA NA XXX70498 ......... ............ A Ct angiography, neck .................................... 1.75 17.92 12.88 NA NA 0.66 20.33 15.29 NANA XXX70498 ......... 26 ....... A Ct angiography, neck .................................... 1.75 0.63 0.59 0.63 0.59 0.08 2.46 2.42 2.46 2.42 XXX70498 ......... TC ...... A Ct angiography, neck .................................... 0.00 17.29 12.30 NA NA 0.58 17.87 12.88 NA NA XXX70540 ......... ............ A Mri orbit/face/neck w/o dye ........................... 1.35 14.98 12.50 NA NA 0.45 16.78 14.30 NA NAXXX70540 ......... 26 ....... A Mri orbit/face/neck w/o dye ........................... 1.35 0.48 0.45 0.48 0.45 0.06 1.89 1.86 1.89 1.86 XXX70540 ......... TC ...... A Mri orbit/face/neck w/o dye ........................... 0.00 14.50 12.05 NA NA 0.39 14.89 12.44 NA NA XXX70542 ......... ............ A Mri orbit/face/neck w/dye .............................. 1.62 16.03 14.52 NA NA 0.54 18.19 16.68 NA NA XXX70542 ......... 26 ....... A Mri orbit/face/neck w/dye .............................. 1.62 0.57 0.54 0.57 0.54 0.07 2.26 2.23 2.26 2.23 XXX70542 ......... TC ...... A Mri orbit/face/neck w/dye .............................. 0.00 15.46 13.98 NA NA 0.47 15.93 14.45 NA NA XXX70543 ......... ............ A Mri orbt/fac/nck w/o & w/dye ......................... 2.15 19.81 24.20 NA NA 0.94 22.90 27.29 NA NAXXX70543 ......... 26 ....... A Mri orbt/fac/nck w/o & w/dye ......................... 2.15 0.76 0.72 0.76 0.72 0.10 3.01 2.97 3.01 2.97XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00193 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37362 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal70543 ......... TC ...... A Mri orbt/fac/nck w/o & w/dye ......................... 0.00 19.05 23.48 NA NA 0.84 19.89 24.32 NA NA XXX70544 ......... ............ A Mr angiography head w/o dye ...................... 1.20 16.61 12.88 NA NA 0.64 18.45 14.72 NA NA XXX70544 ......... 26 ....... A Mr angiography head w/o dye ...................... 1.20 0.42 0.41 0.42 0.41 0.05 1.67 1.66 1.67 1.66 XXX70544 ......... TC ...... A Mr angiography head w/o dye ...................... 0.00 16.20 12.47 NA NA 0.59 16.79 13.06 NA NA XXX70545 ......... ............ A Mr angiography head w/dye .......................... 1.20 16.54 12.85 NA NA 0.64 18.38 14.69 NA NA XXX70545 ......... 26 ....... A Mr angiography head w/dye .......................... 1.20 0.42 0.40 0.42 0.40 0.05 1.67 1.65 1.67 1.65 XXX70545 ......... TC ...... A Mr angiography head w/dye .......................... 0.00 16.13 12.46 NA NA 0.59 16.72 13.05 NA NA XXX70546 ......... ............ A Mr angiograph head w/o&w/dye ................... 1.80 25.29 23.62 NA NA 0.67 27.76 26.09 NA NA XXX70546 ......... 26 ....... A Mr angiograph head w/o&w/dye ................... 1.80 0.63 0.60 0.63 0.60 0.08 2.51 2.48 2.51 2.48 XXX70546 ......... TC ...... A Mr angiograph head w/o&w/dye ................... 0.00 24.66 23.02 NA NA 0.59 25.25 23.61 NA NA XXX70547 ......... ............ A Mr angiography neck w/o dye ....................... 1.20 16.58 12.86 NA NA 0.64 18.42 14.70 NA NA XXX70547 ......... 26 ....... A Mr angiography neck w/o dye ....................... 1.20 0.42 0.40 0.42 0.40 0.05 1.67 1.65 1.67 1.65 XXX70547 ......... TC ...... A Mr angiography neck w/o dye ....................... 0.00 16.16 12.46 NA NA 0.59 16.75 13.05 NA NA XXX70548 ......... ............ A Mr angiography neck w/dye .......................... 1.20 17.44 13.08 NA NA 0.64 19.28 14.92 NA NA XXX70548 ......... 26 ....... A Mr angiography neck w/dye .......................... 1.20 0.42 0.40 0.42 0.40 0.05 1.67 1.65 1.67 1.65 XXX70548 ......... TC ...... A Mr angiography neck w/dye .......................... 0.00 17.02 12.68 NA NA 0.59 17.61 13.27 NA NA XXX70549 ......... ............ A Mr angiograph neck w/o&w/dye .................... 1.80 25.26 23.61 NA NA 0.67 27.73 26.08 NA NA XXX70549 ......... 26 ....... A Mr angiograph neck w/o&w/dye .................... 1.80 0.63 0.60 0.63 0.60 0.08 2.51 2.48 2.51 2.48 XXX70549 ......... TC ...... A Mr angiograph neck w/o&w/dye .................... 0.00 24.63 23.01 NA NA 0.59 25.22 23.60 NA NA XXX70551 ......... ............ A Mri brain w/o dye ........................................... 1.48 15.20 12.59 NA NA 0.66 17.34 14.73NA NA XXX70551 ......... 26 ....... A Mri brain w/o dye ........................................... 1.48 0.52 0.50 0.52 0.50 0.07 2.07 2.05 2.07 2.05 XXX70551 ......... TC ...... A Mri brain w/o dye ........................................... 0.00 14.68 12.09 NA NA 0.59 15.27 12.68 NANA XXX70552 ......... ............ A Mri brain w/dye .............................................. 1.78 16.31 14.63 NA NA 0.78 18.87 17.19 NA NA XXX70552 ......... 26 ....... A Mri brain w/dye .............................................. 1.78 0.62 0.60 0.62 0.60 0.08 2.48 2.46 2.48 2.46 XXX70552 ......... TC ...... A Mri brain w/dye .............................................. 0.00 15.70 14.04 NA NA 0.70 16.40 14.74 NANA XXX70553 ......... ............ A Mri brain w/o & w/dye ................................... 2.36 19.01 24.05 NA NA 1.41 22.78 27.82 NANA XXX70553 ......... 26 ....... A Mri brain w/o & w/dye ................................... 2.36 0.82 0.79 0.82 0.79 0.10 3.28 3.25 3.28 3.25 XXX70553 ......... TC ...... A Mri brain w/o & w/dye ................................... 0.00 18.19 23.26 NA NA 1.31 19.50 24.57 NA NA XXX70557 ......... 26 ....... A Mri brain w/o dye ........................................... 2.90 1.00 1.10 1.00 1.10 0.08 3.98 4.08 3.98 4.08 XXX70558 ......... 26 ....... A Mri brain w/dye .............................................. 3.20 1.13 1.21 1.13 1.21 0.10 4.43 4.51 4.43 4.51 XXX70559 ......... 26 ....... A Mri brain w/o & w/dye ................................... 3.20 1.11 1.21 1.11 1.21 0.12 4.43 4.53 4.43 4.53 XXX71010 ......... ............ A Chest x-ray .................................................... 0.18 0.45 0.51 NA NA 0.03 0.66 0.72NA NA XXX71010 ......... 26 ....... A Chest x-ray .................................................... 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.250.25 0.25 XXX71010 ......... TC ...... A Chest x-ray .................................................... 0.00 0.39 0.45 NA NA 0.02 0.41 0.47 NA NA XXX71015 ......... ............ A Chest x-ray .................................................... 0.21 0.59 0.59 NA NA 0.03 0.83 0.83NA NA XXX71015 ......... 26 ....... A Chest x-ray .................................................... 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.290.29 0.29 XXX71015 ......... TC ...... A Chest x-ray .................................................... 0.00 0.52 0.52 NA NA 0.02 0.54 0.54 NA NA XXX71020 ......... ............ A Chest x-ray .................................................... 0.22 0.59 0.67 NA NA 0.05 0.86 0.94NA NA XXX71020 ......... 26 ....... A Chest x-ray .................................................... 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.300.30 0.30 XXX71020 ......... TC ...... A Chest x-ray .................................................... 0.00 0.52 0.60 NA NA 0.04 0.56 0.64 NA NA XXX71021 ......... ............ A Chest x-ray .................................................... 0.27 0.73 0.80 NA NA 0.06 1.06 1.13NA NA XXX71021 ......... 26 ....... A Chest x-ray .................................................... 0.27 0.09 0.09 0.09 0.09 0.01 0.37 0.370.37 0.37 XXX71021 ......... TC ...... A Chest x-ray .................................................... 0.00 0.65 0.71 NA NA 0.05 0.70 0.76 NA NA XXX71022 ......... ............ A Chest x-ray .................................................... 0.31 0.92 0.85 NA NA 0.06 1.29 1.22NA NA XXX71022 ......... 26 ....... A Chest x-ray .................................................... 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.420.42 0.42 XXX71022 ......... TC ...... A Chest x-ray .................................................... 0.00 0.82 0.75 NA NA 0.05 0.87 0.80 NA NA XXX71023 ......... ............ A Chest x-ray and fluoroscopy ......................... 0.38 1.60 1.08 NA NA 0.06 2.04 1.52 NA NA XXX71023 ......... 26 ....... A Chest x-ray and fluoroscopy ......................... 0.38 0.15 0.14 0.15 0.14 0.01 0.54 0.53 0.54 0.53XXX71023 ......... TC ...... A Chest x-ray and fluoroscopy ......................... 0.00 1.45 0.95 NA NA 0.05 1.50 1.00 NA NA XXX71030 ......... ............ A Chest x-ray .................................................... 0.31 0.95 0.90 NA NA 0.06 1.32 1.27NA NA XXX71030 ......... 26 ....... A Chest x-ray .................................................... 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.420.42 0.42 XXX71030 ......... TC ...... A Chest x-ray .................................................... 0.00 0.85 0.80 NA NA 0.05 0.90 0.85 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00194 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37363 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal71034 ......... ............ A Chest x-ray and fluoroscopy ......................... 0.46 2.13 1.73 NA NA 0.10 2.69 2.29 NA NA XXX71034 ......... 26 ....... A Chest x-ray and fluoroscopy ......................... 0.46 0.19 0.17 0.19 0.17 0.02 0.67 0.65 0.67 0.65XXX71034 ......... TC ...... A Chest x-ray and fluoroscopy ......................... 0.00 1.94 1.57 NA NA 0.08 2.02 1.65 NA NA XXX71035 ......... ............ A Chest x-ray .................................................... 0.18 0.81 0.64 NA NA 0.03 1.02 0.85NA NA XXX71035 ......... 26 ....... A Chest x-ray .................................................... 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.250.25 0.25 XXX71035 ......... TC ...... A Chest x-ray .................................................... 0.00 0.75 0.58 NA NA 0.02 0.77 0.60 NA NA XXX71040 ......... ............ A Contrast x-ray of bronchi ............................... 0.58 2.13 1.77 NA NA 0.11 2.82 2.46 NA NA XXX71040 ......... 26 ....... A Contrast x-ray of bronchi ............................... 0.58 0.17 0.19 0.17 0.19 0.03 0.78 0.80 0.78 0.80 XXX71040 ......... TC ...... A Contrast x-ray of bronchi ............................... 0.00 1.96 1.59 NA NA 0.08 2.04 1.67 NA NA XXX71060 ......... ............ A Contrast x-ray of bronchi ............................... 0.74 3.19 2.64 NA NA 0.16 4.09 3.54 NA NA XXX71060 ......... 26 ....... A Contrast x-ray of bronchi ............................... 0.74 0.25 0.24 0.25 0.24 0.03 1.02 1.01 1.02 1.01 XXX71060 ......... TC ...... A Contrast x-ray of bronchi ............................... 0.00 2.95 2.40 NA NA 0.13 3.08 2.53 NA NA XXX71090 ......... ............ A X-ray & pacemaker insertion ......................... 0.54 0.29 1.49 NA NA 0.13 0.96 2.16 NA NA XXX71090 ......... 26 ....... A X-ray & pacemaker insertion ......................... 0.54 0.29 0.23 0.29 0.23 0.02 0.85 0.79 0.85 0.79XXX71090 ......... TC ...... A X-ray & pacemaker insertion ......................... 0.00 0.00 1.26 NA NA 0.11 0.11 1.37 NA NA XXX71100 ......... ............ A X-ray exam of ribs ......................................... 0.22 0.64 0.64 NA NA 0.05 0.91 0.91 NA NA XXX71100 ......... 26 ....... A X-ray exam of ribs ......................................... 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX71100 ......... TC ...... A X-ray exam of ribs ......................................... 0.00 0.57 0.57 NA NA 0.04 0.61 0.61 NA NA XXX71101 ......... ............ A X-ray exam of ribs/chest ............................... 0.27 0.79 0.77 NA NA 0.05 1.11 1.09 NA NA XXX71101 ......... 26 ....... A X-ray exam of ribs/chest ............................... 0.27 0.09 0.09 0.09 0.09 0.01 0.37 0.37 0.37 0.37 XXX71101 ......... TC ...... A X-ray exam of ribs/chest ............................... 0.00 0.70 0.68 NA NA 0.04 0.74 0.72 NA NA XXX71110 ......... ............ A X-ray exam of ribs ......................................... 0.27 0.80 0.85 NA NA 0.06 1.13 1.18 NA NA XXX71110 ......... 26 ....... A X-ray exam of ribs ......................................... 0.27 0.08 0.09 0.08 0.09 0.01 0.36 0.37 0.36 0.37 XXX71110 ......... TC ...... A X-ray exam of ribs ......................................... 0.00 0.72 0.77 NA NA 0.05 0.77 0.82 NA NA XXX71111 ......... ............ A X-ray exam of ribs/chest ............................... 0.32 1.10 1.02 NA NA 0.07 1.49 1.41 NA NA XXX71111 ......... 26 ....... A X-ray exam of ribs/chest ............................... 0.32 0.10 0.10 0.10 0.10 0.01 0.43 0.43 0.43 0.43 XXX71111 ......... TC ...... A X-ray exam of ribs/chest ............................... 0.00 1.00 0.92 NA NA 0.06 1.06 0.98 NA NA XXX71120 ......... ............ A X-ray exam of breastbone ............................. 0.20 0.65 0.70 NA NA 0.05 0.90 0.95 NA NA XXX71120 ......... 26 ....... A X-ray exam of breastbone ............................. 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28XXX71120 ......... TC ...... A X-ray exam of breastbone ............................. 0.00 0.58 0.63 NA NA 0.04 0.62 0.67 NA NA XXX71130 ......... ............ A X-ray exam of breastbone ............................. 0.22 0.78 0.78 NA NA 0.05 1.05 1.05 NA NA XXX71130 ......... 26 ....... A X-ray exam of breastbone ............................. 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30XXX71130 ......... TC ...... A X-ray exam of breastbone ............................. 0.00 0.70 0.71 NA NA 0.04 0.74 0.75 NA NA XXX71250 ......... ............ A Ct thorax w/o dye .......................................... 1.16 6.74 6.42 NA NA 0.36 8.26 7.94 NA NA XXX71250 ......... 26 ....... A Ct thorax w/o dye .......................................... 1.16 0.40 0.39 0.40 0.39 0.05 1.61 1.60 1.61 1.60 XXX71250 ......... TC ...... A Ct thorax w/o dye .......................................... 0.00 6.34 6.03 NA NA 0.31 6.65 6.34 NA NA XXX71260 ......... ............ A Ct thorax w/dye ............................................. 1.24 8.35 7.71 NA NA 0.42 10.01 9.37 NANA XXX71260 ......... 26 ....... A Ct thorax w/dye ............................................. 1.24 0.43 0.42 0.43 0.42 0.05 1.72 1.71 1.72 1.71 XXX71260 ......... TC ...... A Ct thorax w/dye ............................................. 0.00 7.92 7.30 NA NA 0.37 8.29 7.67 NA NA XXX71270 ......... ............ A Ct thorax w/o & w/dye ................................... 1.38 10.54 9.63 NA NA 0.52 12.44 11.53 NA NA XXX71270 ......... 26 ....... A Ct thorax w/o & w/dye ................................... 1.38 0.48 0.46 0.48 0.46 0.06 1.92 1.90 1.92 1.90 XXX71270 ......... TC ...... A Ct thorax w/o & w/dye ................................... 0.00 10.06 9.18 NA NA 0.46 10.52 9.64 NA NA XXX71275 ......... ............ A Ct angiography, chest ................................... 1.92 12.29 12.86 NA NA 0.48 14.69 15.26 NANA XXX71275 ......... 26 ....... A Ct angiography, chest ................................... 1.92 0.68 0.64 0.68 0.64 0.09 2.69 2.65 2.69 2.65 XXX71275 ......... TC ...... A Ct angiography, chest ................................... 0.00 11.61 12.22 NA NA 0.39 12.00 12.61 NA NA XXX71550 ......... ............ A Mri chest w/o dye .......................................... 1.46 17.27 13.10 NA NA 0.51 19.24 15.07NA NA XXX71550 ......... 26 ....... A Mri chest w/o dye .......................................... 1.46 0.52 0.49 0.52 0.49 0.06 2.04 2.01 2.04 2.01 XXX71550 ......... TC ...... A Mri chest w/o dye .......................................... 0.00 16.76 12.61 NA NA 0.45 17.21 13.06 NA NA XXX71551 ......... ............ A Mri chest w/dye ............................................. 1.73 18.81 15.24 NA NA 0.60 21.14 17.57NA NA XXX71551 ......... 26 ....... A Mri chest w/dye ............................................. 1.73 0.61 0.58 0.61 0.58 0.08 2.42 2.39 2.42 2.39 XXX71551 ......... TC ...... A Mri chest w/dye ............................................. 0.00 18.20 14.66 NA NA 0.52 18.72 15.18 NANA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00195 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37364 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal71552 ......... ............ A Mri chest w/o & w/dye ................................... 2.26 23.67 25.19 NA NA 0.78 26.71 28.23 NANA XXX71552 ......... 26 ....... A Mri chest w/o & w/dye ................................... 2.26 0.81 0.76 0.81 0.76 0.10 3.17 3.12 3.17 3.12 XXX71552 ......... TC ...... A Mri chest w/o & w/dye ................................... 0.00 22.86 24.43 NA NA 0.68 23.54 25.11 NA NA XXX71555 ......... ............ R Mri angio chest w or w/o dye ........................ 1.81 16.14 12.91 NA NA 0.67 18.62 15.39 NA NA XXX71555 ......... 26 ....... R Mri angio chest w or w/o dye ........................ 1.81 0.67 0.62 0.67 0.62 0.08 2.56 2.51 2.56 2.51XXX71555 ......... TC ...... R Mri angio chest w or w/o dye ........................ 0.00 15.47 12.29 NA NA 0.59 16.06 12.88 NA NA XXX72010 ......... ............ A X-ray exam of spine ...................................... 0.45 1.45 1.24 NA NA 0.08 1.98 1.77 NA NAXXX72010 ......... 26 ....... A X-ray exam of spine ...................................... 0.45 0.13 0.15 0.13 0.15 0.02 0.60 0.62 0.600.62 XXX72010 ......... TC ...... A X-ray exam of spine ...................................... 0.00 1.32 1.10 NA NA 0.06 1.38 1.16 NA NA XXX72020 ......... ............ A X-ray exam of spine ...................................... 0.15 0.48 0.47 NA NA 0.03 0.66 0.65 NA NAXXX72020 ......... 26 ....... A X-ray exam of spine ...................................... 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.210.21 XXX72020 ......... TC ...... A X-ray exam of spine ...................................... 0.00 0.43 0.42 NA NA 0.02 0.45 0.44 NA NA XXX72040 ......... ............ A X-ray exam of neck spine ............................. 0.22 0.79 0.70 NA NA 0.05 1.06 0.97 NA NA XXX72040 ......... 26 ....... A X-ray exam of neck spine ............................. 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30XXX72040 ......... TC ...... A X-ray exam of neck spine ............................. 0.00 0.72 0.63 NA NA 0.04 0.76 0.67 NA NA XXX72050 ......... ............ A X-ray exam of neck spine ............................. 0.31 1.11 1.02 NA NA 0.07 1.49 1.40 NA NA XXX72050 ......... 26 ....... A X-ray exam of neck spine ............................. 0.31 0.10 0.10 0.10 0.10 0.01 0.42 0.42 0.42 0.42XXX72050 ......... TC ...... A X-ray exam of neck spine ............................. 0.00 1.00 0.92 NA NA 0.06 1.06 0.98 NA NA XXX72052 ......... ............ A X-ray exam of neck spine ............................. 0.36 1.43 1.30 NA NA 0.08 1.87 1.74 NA NA XXX72052 ......... 26 ....... A X-ray exam of neck spine ............................. 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50XXX72052 ......... TC ...... A X-ray exam of neck spine ............................. 0.00 1.31 1.18 NA NA 0.06 1.37 1.24 NA NA XXX72069 ......... ............ A X-ray exam of trunk spine ............................. 0.22 0.78 0.62 NA NA 0.03 1.03 0.87 NA NA XXX72069 ......... 26 ....... A X-ray exam of trunk spine ............................. 0.22 0.08 0.08 0.08 0.08 0.01 0.31 0.31 0.31 0.31 XXX72069 ......... TC ...... A X-ray exam of trunk spine ............................. 0.00 0.70 0.54 NA NA 0.02 0.72 0.56 NA NA XXX72070 ......... ............ A X-ray exam of thoracic spine ........................ 0.22 0.66 0.71 NA NA 0.05 0.93 0.98 NA NA XXX72070 ......... 26 ....... A X-ray exam of thoracic spine ........................ 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30XXX72070 ......... TC ...... A X-ray exam of thoracic spine ........................ 0.00 0.59 0.64 NA NA 0.04 0.63 0.68 NA NA XXX72072 ......... ............ A X-ray exam of thoracic spine ........................ 0.22 0.80 0.80 NA NA 0.06 1.08 1.08 NA NA XXX72072 ......... 26 ....... A X-ray exam of thoracic spine ........................ 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30XXX72072 ......... TC ...... A X-ray exam of thoracic spine ........................ 0.00 0.73 0.73 NA NA 0.05 0.78 0.78 NA NA XXX72074 ......... ............ A X-ray exam of thoracic spine ........................ 0.22 0.98 0.98 NA NA 0.07 1.27 1.27 NA NA XXX72074 ......... 26 ....... A X-ray exam of thoracic spine ........................ 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30XXX72074 ......... TC ...... A X-ray exam of thoracic spine ........................ 0.00 0.91 0.91 NA NA 0.06 0.97 0.97 NA NA XXX72080 ......... ............ A X-ray exam of trunk spine ............................. 0.22 0.71 0.73 NA NA 0.05 0.98 1.00 NA NA XXX72080 ......... 26 ....... A X-ray exam of trunk spine ............................. 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30 XXX72080 ......... TC ...... A X-ray exam of trunk spine ............................. 0.00 0.63 0.66 NA NA 0.04 0.67 0.70 NA NA XXX72090 ......... ............ A X-ray exam of trunk spine ............................. 0.28 1.04 0.83 NA NA 0.05 1.37 1.16 NA NA XXX72090 ......... 26 ....... A X-ray exam of trunk spine ............................. 0.28 0.10 0.09 0.10 0.09 0.01 0.39 0.38 0.39 0.38 XXX72090 ......... TC ...... A X-ray exam of trunk spine ............................. 0.00 0.93 0.74 NA NA 0.04 0.97 0.78 NA NA XXX72100 ......... ............ A X-ray exam of lower spine ............................ 0.22 0.83 0.76 NA NA 0.05 1.10 1.03 NA NA XXX72100 ......... 26 ....... A X-ray exam of lower spine ............................ 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30XXX72100 ......... TC ...... A X-ray exam of lower spine ............................ 0.00 0.76 0.69 NA NA 0.04 0.80 0.73 NA NA XXX72110 ......... ............ A X-ray exam of lower spine ............................ 0.31 1.18 1.05 NA NA 0.07 1.56 1.43 NA NA XXX72110 ......... 26 ....... A X-ray exam of lower spine ............................ 0.31 0.11 0.10 0.11 0.10 0.01 0.43 0.42 0.43 0.42XXX72110 ......... TC ...... A X-ray exam of lower spine ............................ 0.00 1.07 0.95 NA NA 0.06 1.13 1.01 NA NA XXX72114 ......... ............ A X-ray exam of lower spine ............................ 0.36 1.61 1.39 NA NA 0.08 2.05 1.83 NA NA XXX72114 ......... 26 ....... A X-ray exam of lower spine ............................ 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50XXX72114 ......... TC ...... A X-ray exam of lower spine ............................ 0.00 1.48 1.26 NA NA 0.06 1.54 1.32 NA NA XXX72120 ......... ............ A X-ray exam of lower spine ............................ 0.22 1.09 0.99 NA NA 0.07 1.38 1.28 NA NA XXX72120 ......... 26 ....... A X-ray exam of lower spine ............................ 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30XXX72120 ......... TC ...... A X-ray exam of lower spine ............................ 0.00 1.01 0.92 NA NA 0.06 1.07 0.98 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00196 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37365 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal72125 ......... ............ A Ct neck spine w/o dye ................................... 1.16 6.75 6.42 NA NA 0.36 8.27 7.94 NA NA XXX72125 ......... 26 ....... A Ct neck spine w/o dye ................................... 1.16 0.40 0.39 0.40 0.39 0.05 1.61 1.60 1.61 1.60 XXX72125 ......... TC ...... A Ct neck spine w/o dye ................................... 0.00 6.34 6.03 NA NA 0.31 6.65 6.34 NA NA XXX72126 ......... ............ A Ct neck spine w/dye ...................................... 1.22 8.37 7.71 NA NA 0.42 10.01 9.35 NA NAXXX72126 ......... 26 ....... A Ct neck spine w/dye ...................................... 1.22 0.43 0.41 0.43 0.41 0.05 1.70 1.68 1.701.68 XXX72126 ......... TC ...... A Ct neck spine w/dye ...................................... 0.00 7.95 7.31 NA NA 0.37 8.32 7.68 NA NA XXX72127 ......... ............ A Ct neck spine w/o & w/dye ........................... 1.27 10.41 9.58 NA NA 0.52 12.20 11.37 NA NA XXX72127 ......... 26 ....... A Ct neck spine w/o & w/dye ........................... 1.27 0.46 0.43 0.46 0.43 0.06 1.79 1.76 1.79 1.76XXX72127 ......... TC ...... A Ct neck spine w/o & w/dye ........................... 0.00 9.95 9.15 NA NA 0.46 10.41 9.61 NA NA XXX72128 ......... ............ A Ct chest spine w/o dye .................................. 1.16 6.74 6.42 NA NA 0.36 8.26 7.94 NA NA XXX72128 ......... 26 ....... A Ct chest spine w/o dye .................................. 1.16 0.40 0.39 0.40 0.39 0.05 1.61 1.60 1.61 1.60 XXX72128 ......... TC ...... A Ct chest spine w/o dye .................................. 0.00 6.34 6.03 NA NA 0.31 6.65 6.34 NA NA XXX72129 ......... ............ A Ct chest spine w/dye ..................................... 1.22 8.38 7.71 NA NA 0.42 10.02 9.35 NA NAXXX72129 ......... 26 ....... A Ct chest spine w/dye ..................................... 1.22 0.43 0.41 0.43 0.41 0.05 1.70 1.68 1.701.68 XXX72129 ......... TC ...... A Ct chest spine w/dye ..................................... 0.00 7.95 7.31 NA NA 0.37 8.32 7.68 NA NA XXX72130 ......... ............ A Ct chest spine w/o & w/dye .......................... 1.27 10.37 9.57 NA NA 0.52 12.16 11.36 NA NA XXX72130 ......... 26 ....... A Ct chest spine w/o & w/dye .......................... 1.27 0.46 0.43 0.46 0.43 0.06 1.79 1.76 1.79 1.76XXX72130 ......... TC ...... A Ct chest spine w/o & w/dye .......................... 0.00 9.91 9.14 NA NA 0.46 10.37 9.60 NA NA XXX72131 ......... ............ A Ct lumbar spine w/o dye ............................... 1.16 6.73 6.42 NA NA 0.36 8.25 7.94 NA NA XXX72131 ......... 26 ....... A Ct lumbar spine w/o dye ............................... 1.16 0.40 0.39 0.40 0.39 0.05 1.61 1.60 1.61 1.60 XXX72131 ......... TC ...... A Ct lumbar spine w/o dye ............................... 0.00 6.32 6.03 NA NA 0.31 6.63 6.34 NA NA XXX72132 ......... ............ A Ct lumbar spine w/dye .................................. 1.22 8.37 7.71 NA NA 0.42 10.01 9.35 NA NA XXX72132 ......... 26 ....... A Ct lumbar spine w/dye .................................. 1.22 0.43 0.41 0.43 0.41 0.05 1.70 1.68 1.70 1.68 XXX72132 ......... TC ...... A Ct lumbar spine w/dye .................................. 0.00 7.94 7.30 NA NA 0.37 8.31 7.67 NA NA XXX72133 ......... ............ A Ct lumbar spine w/o & w/dye ........................ 1.27 10.53 9.61 NA NA 0.52 12.32 11.40 NA NA XXX72133 ......... 26 ....... A Ct lumbar spine w/o & w/dye ........................ 1.27 0.44 0.43 0.44 0.43 0.06 1.77 1.76 1.77 1.76 XXX72133 ......... TC ...... A Ct lumbar spine w/o & w/dye ........................ 0.00 10.09 9.18 NA NA 0.46 10.55 9.64 NA NA XXX72141 ......... ............ A Mri neck spine w/o dye ................................. 1.60 13.15 12.11 NA NA 0.66 15.41 14.37 NA NA XXX72141 ......... 26 ....... A Mri neck spine w/o dye ................................. 1.60 0.57 0.54 0.57 0.54 0.07 2.24 2.21 2.24 2.21 XXX72141 ......... TC ...... A Mri neck spine w/o dye ................................. 0.00 12.58 11.57 NA NA 0.59 13.17 12.16 NA NA XXX72142 ......... ............ A Mri neck spine w/dye .................................... 1.92 16.37 14.68 NA NA 0.79 19.08 17.39 NANA XXX72142 ......... 26 ....... A Mri neck spine w/dye .................................... 1.92 0.67 0.65 0.67 0.65 0.09 2.68 2.66 2.68 2.66 XXX72142 ......... TC ...... A Mri neck spine w/dye .................................... 0.00 15.70 14.04 NA NA 0.70 16.40 14.74 NA NA XXX72146 ......... ............ A Mri chest spine w/o dye ................................ 1.60 13.16 13.05 NA NA 0.71 15.47 15.36 NA NA XXX72146 ......... 26 ....... A Mri chest spine w/o dye ................................ 1.60 0.56 0.54 0.56 0.54 0.07 2.23 2.21 2.23 2.21 XXX72146 ......... TC ...... A Mri chest spine w/o dye ................................ 0.00 12.59 12.51 NA NA 0.64 13.23 13.15 NA NA XXX72147 ......... ............ A Mri chest spine w/dye ................................... 1.92 14.19 14.13 NA NA 0.79 16.90 16.84 NANA XXX72147 ......... 26 ....... A Mri chest spine w/dye ................................... 1.92 0.67 0.64 0.67 0.64 0.09 2.68 2.65 2.68 2.65 XXX72147 ......... TC ...... A Mri chest spine w/dye ................................... 0.00 13.52 13.49 NA NA 0.70 14.22 14.19 NA NA XXX72148 ......... ............ A Mri lumbar spine w/o dye .............................. 1.48 13.11 13.01 NA NA 0.71 15.30 15.20 NA NAXXX72148 ......... 26 ....... A Mri lumbar spine w/o dye .............................. 1.48 0.52 0.50 0.52 0.50 0.07 2.07 2.05 2.07 2.05 XXX72148 ......... TC ...... A Mri lumbar spine w/o dye .............................. 0.00 12.59 12.51 NA NA 0.64 13.23 13.15 NA NA XXX72149 ......... ............ A Mri lumbar spine w/dye ................................. 1.78 16.32 14.64 NA NA 0.78 18.88 17.20 NA NA XXX72149 ......... 26 ....... A Mri lumbar spine w/dye ................................. 1.78 0.63 0.61 0.63 0.61 0.08 2.49 2.47 2.49 2.47 XXX72149 ......... TC ...... A Mri lumbar spine w/dye ................................. 0.00 15.70 14.04 NA NA 0.70 16.40 14.74 NA NA XXX72156 ......... ............ A Mri neck spine w/o & w/dye .......................... 2.57 18.72 24.03 NA NA 1.42 22.71 28.02 NA NA XXX72156 ......... 26 ....... A Mri neck spine w/o & w/dye .......................... 2.57 0.90 0.86 0.90 0.86 0.11 3.58 3.54 3.58 3.54XXX72156 ......... TC ...... A Mri neck spine w/o & w/dye .......................... 0.00 17.82 23.17 NA NA 1.31 19.13 24.48 NA NA XXX72157 ......... ............ A Mri chest spine w/o & w/dye ......................... 2.57 17.03 23.60 NA NA 1.42 21.02 27.59 NA NA XXX72157 ......... 26 ....... A Mri chest spine w/o & w/dye ......................... 2.57 0.90 0.86 0.90 0.86 0.11 3.58 3.54 3.58 3.54XXX72157 ......... TC ...... A Mri chest spine w/o & w/dye ......................... 0.00 16.13 22.75 NA NA 1.31 17.44 24.06 NA NA XXX72158 ......... ............ A Mri lumbar spine w/o & w/dye ....................... 2.36 18.65 23.96 NA NA 1.41 22.42 27.73 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00197 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37366 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal72158 ......... 26 ....... A Mri lumbar spine w/o & w/dye ....................... 2.36 0.83 0.79 0.83 0.79 0.10 3.29 3.25 3.29 3.25 XXX72158 ......... TC ...... A Mri lumbar spine w/o & w/dye ....................... 0.00 17.81 23.17 NA NA 1.31 19.12 24.48 NA NA XXX72159 ......... ............ N Mr angio spine w/o&w/dye ............................ 1.80 14.64 13.38 14.64 13.38 0.74 17.18 15.92 17.18 15.92 XXX72159 ......... 26 ....... N Mr angio spine w/o&w/dye ............................ 1.80 0.40 0.62 0.40 0.62 0.10 2.30 2.52 2.30 2.52XXX72159 ......... TC ...... N Mr angio spine w/o&w/dye ............................ 0.00 14.24 12.76 14.24 12.76 0.64 14.88 13.40 14.8813.40 XXX72170 ......... ............ A X-ray exam of pelvis ..................................... 0.17 0.51 0.56 NA NA 0.03 0.71 0.76 NA NAXXX72170 ......... 26 ....... A X-ray exam of pelvis ..................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.240.24 XXX72170 ......... TC ...... A X-ray exam of pelvis ..................................... 0.00 0.45 0.50 NA NA 0.02 0.47 0.52 NA NA XXX72190 ......... ............ A X-ray exam of pelvis ..................................... 0.21 0.87 0.77 NA NA 0.05 1.13 1.03 NA NAXXX72190 ......... 26 ....... A X-ray exam of pelvis ..................................... 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.290.29 XXX72190 ......... TC ...... A X-ray exam of pelvis ..................................... 0.00 0.80 0.70 NA NA 0.04 0.84 0.74 NA NA XXX72191 ......... ............ A Ct angiograph pelv w/o&w/dye ..................... 1.81 11.92 12.48 NA NA 0.47 14.20 14.76 NA NA XXX72191 ......... 26 ....... A Ct angiograph pelv w/o&w/dye ..................... 1.81 0.65 0.61 0.65 0.61 0.08 2.54 2.50 2.54 2.50 XXX72191 ......... TC ...... A Ct angiograph pelv w/o&w/dye ..................... 0.00 11.26 11.86 NA NA 0.39 11.65 12.25 NA NA XXX72192 ......... ............ A Ct pelvis w/o dye ........................................... 1.09 6.29 6.29 NA NA 0.36 7.74 7.74 NANA XXX72192 ......... 26 ....... A Ct pelvis w/o dye ........................................... 1.09 0.38 0.37 0.38 0.37 0.05 1.52 1.51 1.52 1.51 XXX72192 ......... TC ...... A Ct pelvis w/o dye ........................................... 0.00 5.91 5.93 NA NA 0.31 6.22 6.24 NA NA XXX72193 ......... ............ A Ct pelvis w/dye .............................................. 1.16 7.88 7.40 NA NA 0.41 9.45 8.97 NANA XXX72193 ......... 26 ....... A Ct pelvis w/dye .............................................. 1.16 0.40 0.39 0.40 0.39 0.05 1.61 1.60 1.61 1.60 XXX72193 ......... TC ...... A Ct pelvis w/dye .............................................. 0.00 7.48 7.02 NA NA 0.36 7.84 7.38 NA NAXXX72194 ......... ............ A Ct pelvis w/o & w/dye .................................... 1.22 10.57 9.33 NA NA 0.48 12.27 11.03 NANA XXX72194 ......... 26 ....... A Ct pelvis w/o & w/dye .................................... 1.22 0.43 0.41 0.43 0.41 0.05 1.70 1.68 1.701.68 XXX72194 ......... TC ...... A Ct pelvis w/o & w/dye .................................... 0.00 10.14 8.92 NA NA 0.43 10.57 9.35 NA NA XXX72195 ......... ............ A Mri pelvis w/o dye ......................................... 1.46 15.17 12.58 NA NA 0.51 17.14 14.55NA NA XXX72195 ......... 26 ....... A Mri pelvis w/o dye ......................................... 1.46 0.52 0.49 0.52 0.49 0.06 2.04 2.01 2.04 2.01 XXX72195 ......... TC ...... A Mri pelvis w/o dye ......................................... 0.00 14.65 12.09 NA NA 0.45 15.10 12.54 NA NA XXX72196 ......... ............ A Mri pelvis w/dye ............................................. 1.73 16.25 14.60 NA NA 0.60 18.58 16.93 NA NA XXX72196 ......... 26 ....... A Mri pelvis w/dye ............................................. 1.73 0.61 0.58 0.61 0.58 0.08 2.42 2.39 2.42 2.39 XXX72196 ......... TC ...... A Mri pelvis w/dye ............................................. 0.00 15.64 14.02 NA NA 0.52 16.16 14.54 NANA XXX72197 ......... ............ A Mri pelvis w/o & w/dye .................................. 2.26 19.94 24.25 NA NA 1.02 23.22 27.53 NANA XXX72197 ......... 26 ....... A Mri pelvis w/o & w/dye .................................. 2.26 0.80 0.76 0.80 0.76 0.10 3.16 3.12 3.16 3.12 XXX72197 ......... TC ...... A Mri pelvis w/o & w/dye .................................. 0.00 19.14 23.50 NA NA 0.92 20.06 24.42 NA NA XXX72198 ......... ............ A Mr angio pelvis w/o & w/dye ......................... 1.80 15.89 12.84 NA NA 0.67 18.36 15.31 NA NA XXX72198 ......... 26 ....... A Mr angio pelvis w/o & w/dye ......................... 1.80 0.65 0.61 0.65 0.61 0.08 2.53 2.49 2.53 2.49XXX72198 ......... TC ...... A Mr angio pelvis w/o & w/dye ......................... 0.00 15.25 12.24 NA NA 0.59 15.84 12.83 NA NA XXX72200 ......... ............ A X-ray exam sacroiliac joints .......................... 0.17 0.62 0.59 NA NA 0.03 0.82 0.79 NA NA XXX72200 ......... 26 ....... A X-ray exam sacroiliac joints .......................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX72200 ......... TC ...... A X-ray exam sacroiliac joints .......................... 0.00 0.56 0.53 NA NA 0.02 0.58 0.55 NA NA XXX72202 ......... ............ A X-ray exam sacroiliac joints .......................... 0.19 0.76 0.70 NA NA 0.05 1.00 0.94 NA NA XXX72202 ......... 26 ....... A X-ray exam sacroiliac joints .......................... 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.26 0.26 XXX72202 ......... TC ...... A X-ray exam sacroiliac joints .......................... 0.00 0.70 0.64 NA NA 0.04 0.74 0.68 NA NA XXX72220 ......... ............ A X-ray exam of tailbone .................................. 0.17 0.60 0.62 NA NA 0.05 0.82 0.84 NA NA XXX72220 ......... 26 ....... A X-ray exam of tailbone .................................. 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX72220 ......... TC ...... A X-ray exam of tailbone .................................. 0.00 0.54 0.56 NA NA 0.04 0.58 0.60 NA NA XXX72240 ......... ............ A Contrast x-ray of neck spine ......................... 0.91 2.64 4.45 NA NA 0.29 3.84 5.65 NA NA XXX72240 ......... 26 ....... A Contrast x-ray of neck spine ......................... 0.91 0.31 0.30 0.31 0.30 0.04 1.26 1.25 1.26 1.25XXX72240 ......... TC ...... A Contrast x-ray of neck spine ......................... 0.00 2.33 4.15 NA NA 0.25 2.58 4.40 NA NA XXX72255 ......... ............ A Contrast x-ray, thorax spine .......................... 0.91 2.35 4.05 NA NA 0.26 3.52 5.22 NA NA XXX72255 ......... 26 ....... A Contrast x-ray, thorax spine .......................... 0.91 0.29 0.28 0.29 0.28 0.04 1.24 1.23 1.24 1.23 XXX72255 ......... TC ...... A Contrast x-ray, thorax spine .......................... 0.00 2.06 3.77 NA NA 0.22 2.28 3.99 NA NA XXX72265 ......... ............ A Contrast x-ray, lower spine ........................... 0.83 2.61 3.90 NA NA 0.26 3.70 4.99 NA NA XXX72265 ......... 26 ....... A Contrast x-ray, lower spine ........................... 0.83 0.28 0.26 0.28 0.26 0.04 1.15 1.13 1.15 1.13 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00198 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37367 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal72265 ......... TC ...... A Contrast x-ray, lower spine ........................... 0.00 2.33 3.64 NA NA 0.22 2.55 3.86 NA NA XXX72270 ......... ............ A Contrast x-ray, spine ..................................... 1.33 4.13 5.94 NA NA 0.39 5.85 7.66 NA NAXXX72270 ......... 26 ....... A Contrast x-ray, spine ..................................... 1.33 0.47 0.43 0.47 0.43 0.06 1.86 1.82 1.861.82 XXX72270 ......... TC ...... A Contrast x-ray, spine ..................................... 0.00 3.66 5.51 NA NA 0.33 3.99 5.84 NA NA XXX72275 ......... ............ A Epidurography ............................................... 0.76 1.72 2.16 NA NA 0.26 2.74 3.18 NANA XXX72275 ......... 26 ....... A Epidurography ............................................... 0.76 0.19 0.20 0.19 0.20 0.04 0.99 1.00 0.99 1.00 XXX72275 ......... TC ...... A Epidurography ............................................... 0.00 1.53 1.97 NA NA 0.22 1.75 2.19 NA NA XXX72285 ......... ............ A X-ray c/t spine disk ........................................ 1.16 1.45 6.93 NA NA 0.50 3.11 8.59 NANA XXX72285 ......... 26 ....... A X-ray c/t spine disk ........................................ 1.16 0.30 0.35 0.30 0.35 0.07 1.53 1.58 1.53 1.58 XXX72285 ......... TC ...... A X-ray c/t spine disk ........................................ 0.00 1.15 6.59 NA NA 0.43 1.58 7.02 NA NA XXX72295 ......... ............ A X-ray of lower spine disk ............................... 0.83 1.43 6.47 NA NA 0.46 2.72 7.76 NA NA XXX72295 ......... 26 ....... A X-ray of lower spine disk ............................... 0.83 0.23 0.26 0.23 0.26 0.06 1.12 1.15 1.12 1.15 XXX72295 ......... TC ...... A X-ray of lower spine disk ............................... 0.00 1.20 6.21 NA NA 0.40 1.60 6.61 NA NA XXX73000 ......... ............ A X-ray exam of collar bone ............................. 0.16 0.57 0.57 NA NA 0.03 0.76 0.76 NA NA XXX73000 ......... 26 ....... A X-ray exam of collar bone ............................. 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX73000 ......... TC ...... A X-ray exam of collar bone ............................. 0.00 0.51 0.52 NA NA 0.02 0.53 0.54 NA NA XXX73010 ......... ............ A X-ray exam of shoulder blade ....................... 0.17 0.59 0.58 NA NA 0.03 0.79 0.78 NA NA XXX73010 ......... 26 ....... A X-ray exam of shoulder blade ....................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX73010 ......... TC ...... A X-ray exam of shoulder blade ....................... 0.00 0.53 0.52 NA NA 0.02 0.55 0.54 NA NA XXX73020 ......... ............ A X-ray exam of shoulder ................................. 0.15 0.46 0.51 NA NA 0.03 0.64 0.69 NA NA XXX73020 ......... 26 ....... A X-ray exam of shoulder ................................. 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX73020 ......... TC ...... A X-ray exam of shoulder ................................. 0.00 0.40 0.45 NA NA 0.02 0.42 0.47 NA NA XXX73030 ......... ............ A X-ray exam of shoulder ................................. 0.18 0.58 0.62 NA NA 0.05 0.81 0.85 NA NA XXX73030 ......... 26 ....... A X-ray exam of shoulder ................................. 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX73030 ......... TC ...... A X-ray exam of shoulder ................................. 0.00 0.52 0.56 NA NA 0.04 0.56 0.60 NA NA XXX73040 ......... ............ A Contrast x-ray of shoulder ............................. 0.54 2.31 2.30 NA NA 0.14 2.99 2.98 NA NA XXX73040 ......... 26 ....... A Contrast x-ray of shoulder ............................. 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.75 0.74 XXX73040 ......... TC ...... A Contrast x-ray of shoulder ............................. 0.00 2.13 2.12 NA NA 0.12 2.25 2.24 NA NA XXX73050 ......... ............ A X-ray exam of shoulders ............................... 0.20 0.74 0.74 NA NA 0.05 0.99 0.99 NA NA XXX73050 ......... 26 ....... A X-ray exam of shoulders ............................... 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX73050 ......... TC ...... A X-ray exam of shoulders ............................... 0.00 0.67 0.67 NA NA 0.04 0.71 0.71 NA NA XXX73060 ......... ............ A X-ray exam of humerus ................................. 0.17 0.59 0.62 NA NA 0.05 0.81 0.84 NA NA XXX73060 ......... 26 ....... A X-ray exam of humerus ................................. 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX73060 ......... TC ...... A X-ray exam of humerus ................................. 0.00 0.53 0.56 NA NA 0.04 0.57 0.60 NA NA XXX73070 ......... ............ A X-ray exam of elbow ..................................... 0.15 0.57 0.57 NA NA 0.03 0.75 0.75 NA NA XXX73070 ......... 26 ....... A X-ray exam of elbow ..................................... 0.15 0.05 0.05 0.05 0.05 0.01 0.21 0.21 0.21 0.21 XXX73070 ......... TC ...... A X-ray exam of elbow ..................................... 0.00 0.52 0.52 NA NA 0.02 0.54 0.54 NA NA XXX73080 ......... ............ A X-ray exam of elbow ..................................... 0.17 0.78 0.67 NA NA 0.05 1.00 0.89 NA NA XXX73080 ......... 26 ....... A X-ray exam of elbow ..................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX73080 ......... TC ...... A X-ray exam of elbow ..................................... 0.00 0.72 0.61 NA NA 0.04 0.76 0.65 NA NA XXX73085 ......... ............ A Contrast x-ray of elbow ................................. 0.54 1.86 2.19 NA NA 0.14 2.54 2.87 NA NA XXX73085 ......... 26 ....... A Contrast x-ray of elbow ................................. 0.54 0.17 0.19 0.17 0.19 0.02 0.73 0.75 0.73 0.75 XXX73085 ......... TC ...... A Contrast x-ray of elbow ................................. 0.00 1.69 2.01 NA NA 0.12 1.81 2.13 NA NA XXX73090 ......... ............ A X-ray exam of forearm .................................. 0.16 0.57 0.57 NA NA 0.03 0.76 0.76 NA NA XXX73090 ......... 26 ....... A X-ray exam of forearm .................................. 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX73090 ......... TC ...... A X-ray exam of forearm .................................. 0.00 0.52 0.52 NA NA 0.02 0.54 0.54 NA NA XXX73092 ......... ............ A X-ray exam of arm, infant ............................. 0.16 0.60 0.56 NA NA 0.03 0.79 0.75 NA NA XXX73092 ......... 26 ....... A X-ray exam of arm, infant ............................. 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX73092 ......... TC ...... A X-ray exam of arm, infant ............................. 0.00 0.55 0.51 NA NA 0.02 0.57 0.53 NA NA XXX73100 ......... ............ A X-ray exam of wrist ....................................... 0.16 0.61 0.56 NA NA 0.03 0.80 0.75 NA NAXXX73100 ......... 26 ....... A X-ray exam of wrist ....................................... 0.16 0.06 0.05 0.06 0.05 0.01 0.23 0.22 0.230.22 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00199 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37368 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal73100 ......... TC ...... A X-ray exam of wrist ....................................... 0.00 0.56 0.51 NA NA 0.02 0.58 0.53 NA NA XXX73110 ......... ............ A X-ray exam of wrist ....................................... 0.17 0.79 0.64 NA NA 0.03 0.99 0.84 NA NAXXX73110 ......... 26 ....... A X-ray exam of wrist ....................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.240.24 XXX73110 ......... TC ...... A X-ray exam of wrist ....................................... 0.00 0.74 0.58 NA NA 0.02 0.76 0.60 NA NA XXX73115 ......... ............ A Contrast x-ray of wrist ................................... 0.54 2.41 1.92 NA NA 0.12 3.07 2.58 NA NAXXX73115 ......... 26 ....... A Contrast x-ray of wrist ................................... 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.750.74 XXX73115 ......... TC ...... A Contrast x-ray of wrist ................................... 0.00 2.23 1.74 NA NA 0.10 2.33 1.84 NA NA XXX73120 ......... ............ A X-ray exam of hand ....................................... 0.16 0.57 0.55 NA NA 0.03 0.76 0.74 NA NAXXX73120 ......... 26 ....... A X-ray exam of hand ....................................... 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.220.22 XXX73120 ......... TC ...... A X-ray exam of hand ....................................... 0.00 0.52 0.50 NA NA 0.02 0.54 0.52 NA NA XXX73130 ......... ............ A X-ray exam of hand ....................................... 0.17 0.68 0.61 NA NA 0.03 0.88 0.81 NA NAXXX73130 ......... 26 ....... A X-ray exam of hand ....................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.240.24 XXX73130 ......... TC ...... A X-ray exam of hand ....................................... 0.00 0.62 0.55 NA NA 0.02 0.64 0.57 NA NA XXX73140 ......... ............ A X-ray exam of finger(s) ................................. 0.13 0.69 0.52 NA NA 0.03 0.85 0.68 NA NA XXX73140 ......... 26 ....... A X-ray exam of finger(s) ................................. 0.13 0.05 0.04 0.05 0.04 0.01 0.19 0.18 0.19 0.18 XXX73140 ......... TC ...... A X-ray exam of finger(s) ................................. 0.00 0.65 0.48 NA NA 0.02 0.67 0.50 NA NA XXX73200 ......... ............ A Ct upper extremity w/o dye ........................... 1.09 6.69 5.67 NA NA 0.30 8.08 7.06 NA NA XXX73200 ......... 26 ....... A Ct upper extremity w/o dye ........................... 1.09 0.38 0.37 0.38 0.37 0.05 1.52 1.51 1.52 1.51XXX73200 ......... TC ...... A Ct upper extremity w/o dye ........................... 0.00 6.31 5.31 NA NA 0.25 6.56 5.56 NA NA XXX73201 ......... ............ A Ct upper extremity w/dye .............................. 1.16 8.28 6.80 NA NA 0.36 9.80 8.32 NA NA XXX73201 ......... 26 ....... A Ct upper extremity w/dye .............................. 1.16 0.41 0.39 0.41 0.39 0.05 1.62 1.60 1.62 1.60 XXX73201 ......... TC ...... A Ct upper extremity w/dye .............................. 0.00 7.87 6.42 NA NA 0.31 8.18 6.73 NA NA XXX73202 ......... ............ A Ct uppr extremity w/o&w/dye ........................ 1.22 11.14 8.67 NA NA 0.44 12.80 10.33 NA NA XXX73202 ......... 26 ....... A Ct uppr extremity w/o&w/dye ........................ 1.22 0.43 0.41 0.43 0.41 0.05 1.70 1.68 1.70 1.68 XXX73202 ......... TC ...... A Ct uppr extremity w/o&w/dye ........................ 0.00 10.72 8.26 NA NA 0.39 11.11 8.65 NA NA XXX73206 ......... ............ A Ct angio upr extrm w/o&w/dye ...................... 1.81 11.30 11.51 NA NA 0.47 13.58 13.79 NA NA XXX73206 ......... 26 ....... A Ct angio upr extrm w/o&w/dye ...................... 1.81 0.65 0.61 0.65 0.61 0.08 2.54 2.50 2.54 2.50 XXX73206 ......... TC ...... A Ct angio upr extrm w/o&w/dye ...................... 0.00 10.65 10.91 NA NA 0.39 11.04 11.30 NA NA XXX73218 ......... ............ A Mri upper extremity w/o dye .......................... 1.35 15.36 12.59 NA NA 0.45 17.16 14.39 NA NAXXX73218 ......... 26 ....... A Mri upper extremity w/o dye .......................... 1.35 0.47 0.45 0.47 0.45 0.06 1.88 1.86 1.88 1.86XXX73218 ......... TC ...... A Mri upper extremity w/o dye .......................... 0.00 14.89 12.15 NA NA 0.39 15.28 12.54 NA NA XXX73219 ......... ............ A Mri upper extremity w/dye ............................. 1.62 16.17 14.56 NA NA 0.54 18.33 16.72 NA NAXXX73219 ......... 26 ....... A Mri upper extremity w/dye ............................. 1.62 0.57 0.55 0.57 0.55 0.07 2.26 2.24 2.26 2.24 XXX73219 ......... TC ...... A Mri upper extremity w/dye ............................. 0.00 15.60 14.01 NA NA 0.47 16.07 14.48 NA NA XXX73220 ......... ............ A Mri uppr extremity w/o&w/dye ....................... 2.15 20.02 24.25 NA NA 0.94 23.11 27.34 NA NA XXX73220 ......... 26 ....... A Mri uppr extremity w/o&w/dye ....................... 2.15 0.75 0.72 0.75 0.72 0.10 3.00 2.97 3.00 2.97 XXX73220 ......... TC ...... A Mri uppr extremity w/o&w/dye ....................... 0.00 19.27 23.53 NA NA 0.84 20.11 24.37 NA NA XXX73221 ......... ............ A Mri joint upr extrem w/o dye ......................... 1.35 14.27 12.32 NA NA 0.45 16.07 14.12 NA NAXXX73221 ......... 26 ....... A Mri joint upr extrem w/o dye ......................... 1.35 0.48 0.45 0.48 0.45 0.06 1.89 1.86 1.89 1.86XXX73221 ......... TC ...... A Mri joint upr extrem w/o dye ......................... 0.00 13.79 11.87 NA NA 0.39 14.18 12.26 NA NA XXX73222 ......... ............ A Mri joint upr extrem w/dye ............................. 1.62 15.10 14.28 NA NA 0.54 17.26 16.44 NA NA XXX73222 ......... 26 ....... A Mri joint upr extrem w/dye ............................. 1.62 0.58 0.54 0.58 0.54 0.07 2.27 2.23 2.27 2.23 XXX73222 ......... TC ...... A Mri joint upr extrem w/dye ............................. 0.00 14.52 13.74 NA NA 0.47 14.99 14.21 NA NA XXX73223 ......... ............ A Mri joint upr extr w/o&w/dye .......................... 2.15 18.54 23.88 NA NA 0.94 21.63 26.97 NA NAXXX73223 ......... 26 ....... A Mri joint upr extr w/o&w/dye .......................... 2.15 0.75 0.72 0.75 0.72 0.10 3.00 2.97 3.00 2.97 XXX73223 ......... TC ...... A Mri joint upr extr w/o&w/dye .......................... 0.00 17.79 23.16 NA NA 0.84 18.63 24.00 NA NA XXX73225 ......... ............ N Mr angio upr extr w/o&w/dye ........................ 1.73 14.63 12.44 14.63 12.44 0.69 17.05 14.86 17.05 14.86 XXX73225 ......... 26 ....... N Mr angio upr extr w/o&w/dye ........................ 1.73 0.39 0.60 0.39 0.60 0.10 2.22 2.43 2.22 2.43 XXX73225 ......... TC ...... N Mr angio upr extr w/o&w/dye ........................ 0.00 14.24 11.84 14.24 11.84 0.59 14.83 12.43 14.8312.43 XXX73500 ......... ............ A X-ray exam of hip .......................................... 0.17 0.50 0.52 NA NA 0.03 0.70 0.72 NA NA XXX73500 ......... 26 ....... A X-ray exam of hip .......................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX73500 ......... TC ...... A X-ray exam of hip .......................................... 0.00 0.44 0.46 NA NA 0.02 0.46 0.48 NA NA XXX73510 ......... ............ A X-ray exam of hip .......................................... 0.21 0.80 0.68 NA NA 0.05 1.06 0.94 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00200 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37369 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal73510 ......... 26 ....... A X-ray exam of hip .......................................... 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 XXX73510 ......... TC ...... A X-ray exam of hip .......................................... 0.00 0.73 0.61 NA NA 0.04 0.77 0.65 NA NA XXX73520 ......... ............ A X-ray exam of hips ........................................ 0.26 0.81 0.77 NA NA 0.05 1.12 1.08 NA NAXXX73520 ......... 26 ....... A X-ray exam of hips ........................................ 0.26 0.09 0.09 0.09 0.09 0.01 0.36 0.36 0.360.36 XXX73520 ......... TC ...... A X-ray exam of hips ........................................ 0.00 0.72 0.68 NA NA 0.04 0.76 0.72 NA NA XXX73525 ......... ............ A Contrast x-ray of hip ...................................... 0.54 1.83 2.18 NA NA 0.15 2.52 2.87 NA NA XXX73525 ......... 26 ....... A Contrast x-ray of hip ...................................... 0.54 0.18 0.18 0.18 0.18 0.03 0.75 0.75 0.75 0.75 XXX73525 ......... TC ...... A Contrast x-ray of hip ...................................... 0.00 1.66 2.00 NA NA 0.12 1.78 2.12 NA NA XXX73530 ......... ............ A X-ray exam of hip .......................................... 0.29 0.10 0.49 NA NA 0.03 0.42 0.81 NA NA XXX73530 ......... 26 ....... A X-ray exam of hip .......................................... 0.29 0.10 0.10 0.10 0.10 0.01 0.40 0.40 0.40 0.40 XXX73530 ......... TC ...... A X-ray exam of hip .......................................... 0.00 0.00 0.39 NA NA 0.02 0.02 0.41 NA NA XXX73540 ......... ............ A X-ray exam of pelvis & hips .......................... 0.20 0.80 0.68 NA NA 0.05 1.05 0.93 NA NA XXX73540 ......... 26 ....... A X-ray exam of pelvis & hips .......................... 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28XXX73540 ......... TC ...... A X-ray exam of pelvis & hips .......................... 0.00 0.74 0.61 NA NA 0.04 0.78 0.65 NA NA XXX73542 ......... ............ A X-ray exam, sacroiliac joint ........................... 0.59 1.11 1.98 NA NA 0.15 1.85 2.72 NA NA XXX73542 ......... 26 ....... A X-ray exam, sacroiliac joint ........................... 0.59 0.14 0.16 0.14 0.16 0.03 0.76 0.78 0.76 0.78 XXX73542 ......... TC ...... A X-ray exam, sacroiliac joint ........................... 0.00 0.98 1.83 NA NA 0.12 1.10 1.95 NA NA XXX73550 ......... ............ A X-ray exam of thigh ....................................... 0.17 0.56 0.61 NA NA 0.05 0.78 0.83 NA NAXXX73550 ......... 26 ....... A X-ray exam of thigh ....................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.240.24 XXX73550 ......... TC ...... A X-ray exam of thigh ....................................... 0.00 0.50 0.55 NA NA 0.04 0.54 0.59 NA NA XXX73560 ......... ............ A X-ray exam of knee, 1 or 2 ........................... 0.17 0.60 0.59 NA NA 0.03 0.80 0.79 NA NA XXX73560 ......... 26 ....... A X-ray exam of knee, 1 or 2 ........................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24XXX73560 ......... TC ...... A X-ray exam of knee, 1 or 2 ........................... 0.00 0.54 0.53 NA NA 0.02 0.56 0.55 NA NA XXX73562 ......... ............ A X-ray exam of knee, 3 ................................... 0.18 0.74 0.66 NA NA 0.05 0.97 0.89 NA NA XXX73562 ......... 26 ....... A X-ray exam of knee, 3 ................................... 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25 XXX73562 ......... TC ...... A X-ray exam of knee, 3 ................................... 0.00 0.68 0.60 NA NA 0.04 0.72 0.64 NA NA XXX73564 ......... ............ A X-ray exam, knee, 4 or more ........................ 0.22 0.88 0.74 NA NA 0.05 1.15 1.01 NA NA XXX73564 ......... 26 ....... A X-ray exam, knee, 4 or more ........................ 0.22 0.08 0.07 0.08 0.07 0.01 0.31 0.30 0.31 0.30 XXX73564 ......... TC ...... A X-ray exam, knee, 4 or more ........................ 0.00 0.80 0.67 NA NA 0.04 0.84 0.71 NA NA XXX73565 ......... ............ A X-ray exam of knees ..................................... 0.17 0.65 0.58 NA NA 0.03 0.85 0.78 NA NA XXX73565 ......... 26 ....... A X-ray exam of knees ..................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX73565 ......... TC ...... A X-ray exam of knees ..................................... 0.00 0.59 0.52 NA NA 0.02 0.61 0.54 NA NA XXX73580 ......... ............ A Contrast x-ray of knee joint ........................... 0.54 2.41 2.70 NA NA 0.17 3.12 3.41 NA NA XXX73580 ......... 26 ....... A Contrast x-ray of knee joint ........................... 0.54 0.18 0.17 0.18 0.17 0.03 0.75 0.74 0.75 0.74 XXX73580 ......... TC ...... A Contrast x-ray of knee joint ........................... 0.00 2.23 2.53 NA NA 0.14 2.37 2.67 NA NA XXX73590 ......... ............ A X-ray exam of lower leg ................................ 0.17 0.55 0.57 NA NA 0.03 0.75 0.77 NA NA XXX73590 ......... 26 ....... A X-ray exam of lower leg ................................ 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.24 0.24 XXX73590 ......... TC ...... A X-ray exam of lower leg ................................ 0.00 0.50 0.52 NA NA 0.02 0.52 0.54 NA NA XXX73592 ......... ............ A X-ray exam of leg, infant ............................... 0.16 0.61 0.56 NA NA 0.03 0.80 0.75 NA NA XXX73592 ......... 26 ....... A X-ray exam of leg, infant ............................... 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX73592 ......... TC ...... A X-ray exam of leg, infant ............................... 0.00 0.56 0.51 NA NA 0.02 0.58 0.53 NA NA XXX73600 ......... ............ A X-ray exam of ankle ...................................... 0.16 0.57 0.55 NA NA 0.03 0.76 0.74 NA NAXXX73600 ......... 26 ....... A X-ray exam of ankle ...................................... 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.220.22 XXX73600 ......... TC ...... A X-ray exam of ankle ...................................... 0.00 0.52 0.50 NA NA 0.02 0.54 0.52 NA NA XXX73610 ......... ............ A X-ray exam of ankle ...................................... 0.17 0.69 0.62 NA NA 0.03 0.89 0.82 NA NAXXX73610 ......... 26 ....... A X-ray exam of ankle ...................................... 0.17 0.06 0.06 0.06 0.06 0.01 0.24 0.24 0.240.24 XXX73610 ......... TC ...... A X-ray exam of ankle ...................................... 0.00 0.63 0.56 NA NA 0.02 0.65 0.58 NA NA XXX73615 ......... ............ A Contrast x-ray of ankle .................................. 0.54 1.92 2.20 NA NA 0.15 2.61 2.89 NA NAXXX73615 ......... 26 ....... A Contrast x-ray of ankle .................................. 0.54 0.17 0.18 0.17 0.18 0.03 0.74 0.75 0.740.75 XXX73615 ......... TC ...... A Contrast x-ray of ankle .................................. 0.00 1.75 2.02 NA NA 0.12 1.87 2.14 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00201 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37370 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal73620 ......... ............ A X-ray exam of foot ......................................... 0.16 0.53 0.54 NA NA 0.03 0.72 0.73 NA NA XXX73620 ......... 26 ....... A X-ray exam of foot ......................................... 0.16 0.04 0.05 0.04 0.05 0.01 0.21 0.22 0.21 0.22 XXX73620 ......... TC ...... A X-ray exam of foot ......................................... 0.00 0.49 0.49 NA NA 0.02 0.51 0.51 NA NA XXX73630 ......... ............ A X-ray exam of foot ......................................... 0.17 0.67 0.61 NA NA 0.03 0.87 0.81 NA NA XXX73630 ......... 26 ....... A X-ray exam of foot ......................................... 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXX73630 ......... TC ...... A X-ray exam of foot ......................................... 0.00 0.61 0.55 NA NA 0.02 0.63 0.57 NA NA XXX73650 ......... ............ A X-ray exam of heel ........................................ 0.16 0.56 0.53 NA NA 0.03 0.75 0.72 NA NAXXX73650 ......... 26 ....... A X-ray exam of heel ........................................ 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.220.22 XXX73650 ......... TC ...... A X-ray exam of heel ........................................ 0.00 0.51 0.48 NA NA 0.02 0.53 0.50 NA NA XXX73660 ......... ............ A X-ray exam of toe(s) ..................................... 0.13 0.65 0.51 NA NA 0.03 0.81 0.67 NA NAXXX73660 ......... 26 ....... A X-ray exam of toe(s) ..................................... 0.13 0.04 0.04 0.04 0.04 0.01 0.18 0.18 0.180.18 XXX73660 ......... TC ...... A X-ray exam of toe(s) ..................................... 0.00 0.61 0.47 NA NA 0.02 0.63 0.49 NA NA XXX73700 ......... ............ A Ct lower extremity w/o dye ............................ 1.09 6.70 5.67 NA NA 0.30 8.09 7.06 NA NA XXX73700 ......... 26 ....... A Ct lower extremity w/o dye ............................ 1.09 0.38 0.37 0.38 0.37 0.05 1.52 1.51 1.52 1.51 XXX73700 ......... TC ...... A Ct lower extremity w/o dye ............................ 0.00 6.32 5.31 NA NA 0.25 6.57 5.56 NA NA XXX73701 ......... ............ A Ct lower extremity w/dye ............................... 1.16 8.32 6.81 NA NA 0.36 9.84 8.33 NA NA XXX73701 ......... 26 ....... A Ct lower extremity w/dye ............................... 1.16 0.40 0.39 0.40 0.39 0.05 1.61 1.60 1.61 1.60 XXX73701 ......... TC ...... A Ct lower extremity w/dye ............................... 0.00 7.91 6.43 NA NA 0.31 8.22 6.74 NA NA XXX73702 ......... ............ A Ct lwr extremity w/o&w/dye ........................... 1.22 11.20 8.68 NA NA 0.44 12.86 10.34 NA NA XXX73702 ......... 26 ....... A Ct lwr extremity w/o&w/dye ........................... 1.22 0.44 0.41 0.44 0.41 0.05 1.71 1.68 1.71 1.68XXX73702 ......... TC ...... A Ct lwr extremity w/o&w/dye ........................... 0.00 10.76 8.27 NA NA 0.39 11.15 8.66 NA NA XXX73706 ......... ............ A Ct angio lwr extr w/o&w/dye ......................... 1.90 12.85 11.92 NA NA 0.47 15.22 14.29 NA NA XXX73706 ......... 26 ....... A Ct angio lwr extr w/o&w/dye ......................... 1.90 0.71 0.64 0.71 0.64 0.08 2.69 2.62 2.69 2.62XXX73706 ......... TC ...... A Ct angio lwr extr w/o&w/dye ......................... 0.00 12.14 11.28 NA NA 0.39 12.53 11.67 NA NA XXX73718 ......... ............ A Mri lower extremity w/o dye .......................... 1.35 15.09 12.53 NA NA 0.45 16.89 14.33 NA NAXXX73718 ......... 26 ....... A Mri lower extremity w/o dye .......................... 1.35 0.48 0.45 0.48 0.45 0.06 1.89 1.86 1.89 1.86XXX73718 ......... TC ...... A Mri lower extremity w/o dye .......................... 0.00 14.61 12.08 NA NA 0.39 15.00 12.47 NA NA XXX73719 ......... ............ A Mri lower extremity w/dye ............................. 1.62 16.15 14.55 NA NA 0.54 18.31 16.71 NA NAXXX73719 ......... 26 ....... A Mri lower extremity w/dye ............................. 1.62 0.57 0.54 0.57 0.54 0.07 2.26 2.23 2.26 2.23 XXX73719 ......... TC ...... A Mri lower extremity w/dye ............................. 0.00 15.58 14.01 NA NA 0.47 16.05 14.48 NA NA XXX73720 ......... ............ A Mri lwr extremity w/o&w/dye ......................... 2.15 19.99 24.24 NA NA 0.94 23.08 27.33 NA NA XXX73720 ......... 26 ....... A Mri lwr extremity w/o&w/dye ......................... 2.15 0.75 0.71 0.75 0.71 0.10 3.00 2.96 3.00 2.96XXX73720 ......... TC ...... A Mri lwr extremity w/o&w/dye ......................... 0.00 19.24 23.52 NA NA 0.84 20.08 24.36 NA NA XXX73721 ......... ............ A Mri jnt of lwr extre w/o dye ............................ 1.35 14.61 12.41 NA NA 0.45 16.41 14.21 NANA XXX73721 ......... 26 ....... A Mri jnt of lwr extre w/o dye ............................ 1.35 0.48 0.45 0.48 0.45 0.06 1.89 1.86 1.89 1.86 XXX73721 ......... TC ...... A Mri jnt of lwr extre w/o dye ............................ 0.00 14.13 11.96 NA NA 0.39 14.52 12.35 NA NA XXX73722 ......... ............ A Mri joint of lwr extr w/dye .............................. 1.62 15.29 14.33 NA NA 0.54 17.45 16.49 NANA XXX73722 ......... 26 ....... A Mri joint of lwr extr w/dye .............................. 1.62 0.58 0.54 0.58 0.54 0.07 2.27 2.23 2.272.23 XXX73722 ......... TC ...... A Mri joint of lwr extr w/dye .............................. 0.00 14.71 13.79 NA NA 0.47 15.18 14.26 NA NAXXX73723 ......... ............ A Mri joint lwr extr w/o&w/dye .......................... 2.15 18.48 23.87 NA NA 0.94 21.57 26.96 NA NAXXX73723 ......... 26 ....... A Mri joint lwr extr w/o&w/dye .......................... 2.15 0.75 0.72 0.75 0.72 0.10 3.00 2.97 3.00 2.97 XXX73723 ......... TC ...... A Mri joint lwr extr w/o&w/dye .......................... 0.00 17.73 23.15 NA NA 0.84 18.57 23.99 NA NA XXX73725 ......... ............ R Mr ang lwr ext w or w/o dye ......................... 1.82 15.93 12.86 NA NA 0.67 18.42 15.35 NA NA XXX73725 ......... 26 ....... R Mr ang lwr ext w or w/o dye ......................... 1.82 0.65 0.61 0.65 0.61 0.08 2.55 2.51 2.55 2.51XXX73725 ......... TC ...... R Mr ang lwr ext w or w/o dye ......................... 0.00 15.28 12.24 NA NA 0.59 15.87 12.83 NA NA XXX74000 ......... ............ A X-ray exam of abdomen ................................ 0.18 0.48 0.56 NA NA 0.03 0.69 0.77 NA NA XXX74000 ......... 26 ....... A X-ray exam of abdomen ................................ 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.25 0.25XXX74000 ......... TC ...... A X-ray exam of abdomen ................................ 0.00 0.42 0.50 NA NA 0.02 0.44 0.52 NA NA XXX74010 ......... ............ A X-ray exam of abdomen ................................ 0.23 0.82 0.69 NA NA 0.05 1.10 0.97 NA NA XXX74010 ......... 26 ....... A X-ray exam of abdomen ................................ 0.23 0.08 0.08 0.08 0.08 0.01 0.32 0.32 0.32 0.32XXX74010 ......... TC ...... A X-ray exam of abdomen ................................ 0.00 0.74 0.61 NA NA 0.04 0.78 0.65 NA NA XXX74020 ......... ............ A X-ray exam of abdomen ................................ 0.27 0.84 0.74 NA NA 0.05 1.16 1.06 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00202 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37371 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal74020 ......... 26 ....... A X-ray exam of abdomen ................................ 0.27 0.09 0.09 0.09 0.09 0.01 0.37 0.37 0.37 0.37XXX74020 ......... TC ...... A X-ray exam of abdomen ................................ 0.00 0.75 0.65 NA NA 0.04 0.79 0.69 NA NA XXX74022 ......... ............ A X-ray exam series, abdomen ........................ 0.32 1.02 0.88 NA NA 0.06 1.40 1.26 NA NA XXX74022 ......... 26 ....... A X-ray exam series, abdomen ........................ 0.32 0.11 0.10 0.11 0.10 0.01 0.44 0.43 0.44 0.43 XXX74022 ......... TC ...... A X-ray exam series, abdomen ........................ 0.00 0.91 0.78 NA NA 0.05 0.96 0.83 NA NA XXX74150 ......... ............ A Ct abdomen w/o dye ..................................... 1.19 6.33 6.14 NA NA 0.35 7.87 7.68 NA NA XXX74150 ......... 26 ....... A Ct abdomen w/o dye ..................................... 1.19 0.41 0.40 0.41 0.40 0.05 1.65 1.64 1.65 1.64 XXX74150 ......... TC ...... A Ct abdomen w/o dye ..................................... 0.00 5.91 5.74 NA NA 0.30 6.21 6.04 NA NA XXX74160 ......... ............ A Ct abdomen w/dye ........................................ 1.27 9.21 7.76 NA NA 0.42 10.90 9.45 NA NAXXX74160 ......... 26 ....... A Ct abdomen w/dye ........................................ 1.27 0.44 0.43 0.44 0.43 0.06 1.77 1.76 1.77 1.76 XXX74160 ......... TC ...... A Ct abdomen w/dye ........................................ 0.00 8.77 7.34 NA NA 0.36 9.13 7.70 NA NA XXX74170 ......... ............ A Ct abdomen w/o & w/dye .............................. 1.40 12.75 9.92 NA NA 0.49 14.64 11.81 NA NA XXX74170 ......... 26 ....... A Ct abdomen w/o & w/dye .............................. 1.40 0.49 0.47 0.49 0.47 0.06 1.95 1.93 1.95 1.93XXX74170 ......... TC ...... A Ct abdomen w/o & w/dye .............................. 0.00 12.26 9.45 NA NA 0.43 12.69 9.88 NA NA XXX74175 ......... ............ A Ct angio abdom w/o & w/dye ........................ 1.90 12.86 12.73 NA NA 0.47 15.23 15.10 NA NA XXX74175 ......... 26 ....... A Ct angio abdom w/o & w/dye ........................ 1.90 0.69 0.64 0.69 0.64 0.08 2.67 2.62 2.67 2.62 XXX74175 ......... TC ...... A Ct angio abdom w/o & w/dye ........................ 0.00 12.18 12.09 NA NA 0.39 12.57 12.48 NA NA XXX74181 ......... ............ A Mri abdomen w/o dye .................................... 1.46 13.09 12.06 NA NA 0.51 15.06 14.03 NA NA XXX74181 ......... 26 ....... A Mri abdomen w/o dye .................................... 1.46 0.51 0.49 0.51 0.49 0.06 2.03 2.01 2.03 2.01 XXX74181 ......... TC ...... A Mri abdomen w/o dye .................................... 0.00 12.58 11.57 NA NA 0.45 13.03 12.02 NA NA XXX74182 ......... ............ A Mri abdomen w/dye ....................................... 1.73 18.28 15.11 NA NA 0.60 20.61 17.44 NANA XXX74182 ......... 26 ....... A Mri abdomen w/dye ....................................... 1.73 0.60 0.58 0.60 0.58 0.08 2.41 2.39 2.41 2.39 XXX74182 ......... TC ...... A Mri abdomen w/dye ....................................... 0.00 17.68 14.53 NA NA 0.52 18.20 15.05 NA NA XXX74183 ......... ............ A Mri abdomen w/o & w/dye ............................ 2.26 19.98 24.26 NA NA 1.02 23.26 27.54 NA NA XXX74183 ......... 26 ....... A Mri abdomen w/o & w/dye ............................ 2.26 0.79 0.75 0.79 0.75 0.10 3.15 3.11 3.15 3.11 XXX74183 ......... TC ...... A Mri abdomen w/o & w/dye ............................ 0.00 19.18 23.51 NA NA 0.92 20.10 24.43 NA NA XXX74185 ......... ............ R Mri angio, abdom w orw/o dye ...................... 1.80 15.88 12.84 NA NA 0.67 18.35 15.31 NA NA XXX74185 ......... 26 ....... R Mri angio, abdom w orw/o dye ...................... 1.80 0.64 0.60 0.64 0.60 0.08 2.52 2.48 2.52 2.48 XXX74185 ......... TC ...... R Mri angio, abdom w orw/o dye ...................... 0.00 15.24 12.23 NA NA 0.59 15.83 12.82 NA NA XXX74190 ......... ............ A X-ray exam of peritoneum ............................. 0.48 0.17 1.15 NA NA 0.09 0.74 1.72 NA NA XXX74190 ......... 26 ....... A X-ray exam of peritoneum ............................. 0.48 0.17 0.16 0.17 0.16 0.02 0.67 0.66 0.67 0.66XXX74190 ......... TC ...... A X-ray exam of peritoneum ............................. 0.00 0.00 0.98 NA NA 0.07 0.07 1.05 NA NA XXX74210 ......... ............ A Contrst x-ray exam of throat ......................... 0.36 1.85 1.45 NA NA 0.08 2.29 1.89 NA NA XXX74210 ......... 26 ....... A Contrst x-ray exam of throat ......................... 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50XXX74210 ......... TC ...... A Contrst x-ray exam of throat ......................... 0.00 1.72 1.32 NA NA 0.06 1.78 1.38 NA NA XXX74220 ......... ............ A Contrast x-ray, esophagus ............................ 0.46 2.10 1.53 NA NA 0.08 2.64 2.07 NA NA XXX74220 ......... 26 ....... A Contrast x-ray, esophagus ............................ 0.46 0.16 0.15 0.16 0.15 0.02 0.64 0.63 0.64 0.63XXX74220 ......... TC ...... A Contrast x-ray, esophagus ............................ 0.00 1.94 1.38 NA NA 0.06 2.00 1.44 NA NA XXX74230 ......... ............ A Cine/vid x-ray, throat/esoph .......................... 0.53 2.03 1.62 NA NA 0.09 2.65 2.24 NA NA XXX74230 ......... 26 ....... A Cine/vid x-ray, throat/esoph .......................... 0.53 0.18 0.17 0.18 0.17 0.02 0.73 0.72 0.73 0.72 XXX74230 ......... TC ...... A Cine/vid x-ray, throat/esoph .......................... 0.00 1.84 1.44 NA NA 0.07 1.91 1.51 NA NA XXX74235 ......... 26 ....... A Remove esophagus obstruction .................... 1.19 0.43 0.40 0.43 0.40 0.05 1.67 1.64 1.67 1.64 XXX74240 ......... ............ A X-ray exam, upper gi tract ............................ 0.69 2.40 1.87 NA NA 0.11 3.20 2.67 NA NA XXX74240 ......... 26 ....... A X-ray exam, upper gi tract ............................ 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95 XXX74240 ......... TC ...... A X-ray exam, upper gi tract ............................ 0.00 2.16 1.64 NA NA 0.08 2.24 1.72 NA NA XXX74241 ......... ............ A X-ray exam, upper gi tract ............................ 0.69 2.67 1.96 NA NA 0.11 3.47 2.76 NA NA XXX74241 ......... 26 ....... A X-ray exam, upper gi tract ............................ 0.69 0.23 0.23 0.23 0.23 0.03 0.95 0.95 0.95 0.95 XXX74241 ......... TC ...... A X-ray exam, upper gi tract ............................ 0.00 2.43 1.73 NA NA 0.08 2.51 1.81 NA NA XXX74245 ......... ............ A X-ray exam, upper gi tract ............................ 0.91 4.13 3.05 NA NA 0.17 5.21 4.13 NA NA XXX74245 ......... 26 ....... A X-ray exam, upper gi tract ............................ 0.91 0.32 0.31 0.32 0.31 0.04 1.27 1.26 1.27 1.26 XXX74245 ......... TC ...... A X-ray exam, upper gi tract ............................ 0.00 3.81 2.75 NA NA 0.13 3.94 2.88 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00203 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37372 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal74246 ......... ............ A Contrst x-ray uppr gi tract ............................. 0.69 2.91 2.13 NA NA 0.13 3.73 2.95 NA NA XXX74246 ......... 26 ....... A Contrst x-ray uppr gi tract ............................. 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95 XXX74246 ......... TC ...... A Contrst x-ray uppr gi tract ............................. 0.00 2.67 1.90 NA NA 0.10 2.77 2.00 NA NA XXX74247 ......... ............ A Contrst x-ray uppr gi tract ............................. 0.69 3.36 2.27 NA NA 0.14 4.19 3.10 NA NA XXX74247 ......... 26 ....... A Contrst x-ray uppr gi tract ............................. 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95 XXX74247 ......... TC ...... A Contrst x-ray uppr gi tract ............................. 0.00 3.12 2.04 NA NA 0.11 3.23 2.15 NA NA XXX74249 ......... ............ A Contrst x-ray uppr gi tract ............................. 0.91 4.53 3.29 NA NA 0.18 5.62 4.38 NA NA XXX74249 ......... 26 ....... A Contrst x-ray uppr gi tract ............................. 0.91 0.32 0.31 0.32 0.31 0.04 1.27 1.26 1.27 1.26 XXX74249 ......... TC ...... A Contrst x-ray uppr gi tract ............................. 0.00 4.22 2.99 NA NA 0.14 4.36 3.13 NA NA XXX74250 ......... ............ A X-ray exam of small bowel ............................ 0.47 2.59 1.74 NA NA 0.09 3.15 2.30 NA NA XXX74250 ......... 26 ....... A X-ray exam of small bowel ............................ 0.47 0.16 0.15 0.16 0.15 0.02 0.65 0.64 0.65 0.64XXX74250 ......... TC ...... A X-ray exam of small bowel ............................ 0.00 2.43 1.59 NA NA 0.07 2.50 1.66 NA NA XXX74251 ......... ............ A X-ray exam of small bowel ............................ 0.69 10.48 3.78 NA NA 0.10 11.27 4.57 NA NA XXX74251 ......... 26 ....... A X-ray exam of small bowel ............................ 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95XXX74251 ......... TC ...... A X-ray exam of small bowel ............................ 0.00 10.24 3.54 NA NA 0.07 10.31 3.61 NA NA XXX74260 ......... ............ A X-ray exam of small bowel ............................ 0.50 8.69 3.41 NA NA 0.10 9.29 4.01 NA NA XXX74260 ......... 26 ....... A X-ray exam of small bowel ............................ 0.50 0.17 0.16 0.17 0.16 0.02 0.69 0.68 0.69 0.68XXX74260 ......... TC ...... A X-ray exam of small bowel ............................ 0.00 8.52 3.25 NA NA 0.08 8.60 3.33 NA NA XXX74270 ......... ............ A Contrast x-ray exam of colon ........................ 0.69 3.73 2.38 NA NA 0.14 4.56 3.21 NA NA XXX74270 ......... 26 ....... A Contrast x-ray exam of colon ........................ 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95XXX74270 ......... TC ...... A Contrast x-ray exam of colon ........................ 0.00 3.49 2.15 NA NA 0.11 3.60 2.26 NA NA XXX74280 ......... ............ A Contrast x-ray exam of colon ........................ 0.99 5.17 3.21 NA NA 0.17 6.33 4.37 NA NA XXX74280 ......... 26 ....... A Contrast x-ray exam of colon ........................ 0.99 0.34 0.33 0.34 0.33 0.04 1.37 1.36 1.37 1.36XXX74280 ......... TC ...... A Contrast x-ray exam of colon ........................ 0.00 4.83 2.89 NA NA 0.13 4.96 3.02 NA NA XXX74283 ......... ............ A Contrast x-ray exam of colon ........................ 2.02 3.60 3.32 NA NA 0.23 5.85 5.57 NA NA XXX74283 ......... 26 ....... A Contrast x-ray exam of colon ........................ 2.02 0.68 0.67 0.68 0.67 0.09 2.79 2.78 2.79 2.78XXX74283 ......... TC ...... A Contrast x-ray exam of colon ........................ 0.00 2.92 2.66 NA NA 0.14 3.06 2.80 NA NA XXX74290 ......... ............ A Contrast x-ray, gallbladder ............................ 0.32 1.62 1.03 NA NA 0.06 2.00 1.41 NA NA XXX74290 ......... 26 ....... A Contrast x-ray, gallbladder ............................ 0.32 0.11 0.10 0.11 0.10 0.01 0.44 0.43 0.44 0.43 XXX74290 ......... TC ...... A Contrast x-ray, gallbladder ............................ 0.00 1.52 0.93 NA NA 0.05 1.57 0.98 NA NA XXX74291 ......... ............ A Contrast x-rays, gallbladder .......................... 0.20 1.65 0.78 NA NA 0.03 1.88 1.01 NA NA XXX74291 ......... 26 ....... A Contrast x-rays, gallbladder .......................... 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.28 0.28 XXX74291 ......... TC ...... A Contrast x-rays, gallbladder .......................... 0.00 1.59 0.71 NA NA 0.02 1.61 0.73 NA NA XXX74300 ......... 26 ....... A X-ray bile ducts/pancreas .............................. 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50 XXX74301 ......... 26 ....... A X-rays at surgery add-on .............................. 0.21 0.07 0.07 0.07 0.07 0.01 0.29 0.29 0.29 0.29 ZZZ74305 ......... ............ A X-ray bile ducts/pancreas .............................. 0.42 0.15 0.73 NA NA 0.07 0.64 1.22 NA NA XXX74305 ......... 26 ....... A X-ray bile ducts/pancreas .............................. 0.42 0.15 0.14 0.15 0.14 0.02 0.59 0.58 0.59 0.58 XXX74305 ......... TC ...... A X-ray bile ducts/pancreas .............................. 0.00 0.00 0.59 NA NA 0.05 0.05 0.64 NA NA XXX74320 ......... ............ A Contrast x-ray of bile ducts ........................... 0.54 2.23 3.06 NA NA 0.19 2.96 3.79 NA NA XXX74320 ......... 26 ....... A Contrast x-ray of bile ducts ........................... 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.75 0.74 XXX74320 ......... TC ...... A Contrast x-ray of bile ducts ........................... 0.00 2.04 2.88 NA NA 0.17 2.21 3.05 NA NA XXX74327 ......... ............ A X-ray bile stone removal ............................... 0.70 3.14 2.29 NA NA 0.14 3.98 3.13 NA NA XXX74327 ......... 26 ....... A X-ray bile stone removal ............................... 0.70 0.25 0.24 0.25 0.24 0.03 0.98 0.97 0.98 0.97 XXX74327 ......... TC ...... A X-ray bile stone removal ............................... 0.00 2.89 2.05 NA NA 0.11 3.00 2.16 NA NA XXX74328 ......... ............ A X-ray bile duct endoscopy ............................. 0.70 0.26 2.61 NA NA 0.20 1.16 3.51 NA NA XXX74328 ......... 26 ....... A X-ray bile duct endoscopy ............................. 0.70 0.26 0.24 0.26 0.24 0.03 0.99 0.97 0.99 0.97 XXX74328 ......... TC ...... A X-ray bile duct endoscopy ............................. 0.00 0.00 2.37 NA NA 0.17 0.17 2.54 NA NA XXX74329 ......... 6 ......... A X-ray for pancreas endoscopy ...................... 0.70 0.26 0.24 0.26 0.24 0.03 0.99 0.97 0.99 0.97 XXX74330 ......... ............ A X-ray bile/panc endoscopy ............................ 0.90 0.33 2.67 NA NA 0.21 1.44 3.78 NA NA XXX74330 ......... 26 ....... A X-ray bile/panc endoscopy ............................ 0.90 0.33 0.30 0.33 0.30 0.04 1.27 1.24 1.27 1.24XXX74330 ......... TC ...... A X-ray bile/panc endoscopy ............................ 0.00 0.00 2.37 NA NA 0.17 0.17 2.54 NA NA XXX74340 ......... ............ A X-ray guide for GI tube ................................. 0.54 0.19 2.16 NA NA 0.16 0.89 2.86 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00204 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37373 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal74340 ......... 26 ....... A X-ray guide for GI tube ................................. 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.75 0.74 XXX74340 ......... TC ...... A X-ray guide for GI tube ................................. 0.00 0.00 1.97 NA NA 0.14 0.14 2.11 NA NA XXX74350 ......... ............ A X-ray guide, stomach tube ............................ 0.76 2.33 3.14 NA NA 0.20 3.29 4.10 NA NA XXX74350 ......... 26 ....... A X-ray guide, stomach tube ............................ 0.76 0.28 0.26 0.28 0.26 0.03 1.07 1.05 1.07 1.05XXX74350 ......... TC ...... A X-ray guide, stomach tube ............................ 0.00 2.06 2.89 NA NA 0.17 2.23 3.06 NA NA XXX74355 ......... ............ A X-ray guide, intestinal tube ........................... 0.76 0.27 2.23 NA NA 0.17 1.20 3.16 NA NA XXX74355 ......... 26 ....... A X-ray guide, intestinal tube ........................... 0.76 0.27 0.26 0.27 0.26 0.03 1.06 1.05 1.06 1.05 XXX74355 ......... TC ...... A X-ray guide, intestinal tube ........................... 0.00 0.00 1.97 NA NA 0.14 0.14 2.11 NA NA XXX74360 ......... ............ A X-ray guide, GI dilation ................................. 0.54 0.25 2.58 NA NA 0.19 0.98 3.31 NA NAXXX74360 ......... 26 ....... A X-ray guide, GI dilation ................................. 0.54 0.25 0.21 0.25 0.21 0.02 0.81 0.77 0.810.77 XXX74360 ......... TC ...... A X-ray guide, GI dilation ................................. 0.00 0.00 2.37 NA NA 0.17 0.17 2.54 NA NA XXX74363 ......... 26 ....... A X-ray, bile duct dilation .................................. 0.88 0.32 0.30 0.32 0.30 0.04 1.24 1.22 1.24 1.22 XXX74400 ......... ............ A Contrst x-ray, urinary tract ............................ 0.49 2.72 2.06 NA NA 0.13 3.34 2.68 NA NA XXX74400 ......... 26 ....... A Contrst x-ray, urinary tract ............................ 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX74400 ......... TC ...... A Contrst x-ray, urinary tract ............................ 0.00 2.55 1.90 NA NA 0.11 2.66 2.01 NA NA XXX74410 ......... ............ A Contrst x-ray, urinary tract ............................ 0.49 2.83 2.30 NA NA 0.13 3.45 2.92 NA NA XXX74410 ......... 26 ....... A Contrst x-ray, urinary tract ............................ 0.49 0.18 0.17 0.18 0.17 0.02 0.69 0.68 0.69 0.68 XXX74410 ......... TC ...... A Contrst x-ray, urinary tract ............................ 0.00 2.65 2.13 NA NA 0.11 2.76 2.24 NA NA XXX74415 ......... ............ A Contrst x-ray, urinary tract ............................ 0.49 3.43 2.58 NA NA 0.14 4.06 3.21 NA NA XXX74415 ......... 26 ....... A Contrst x-ray, urinary tract ............................ 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX74415 ......... TC ...... A Contrst x-ray, urinary tract ............................ 0.00 3.25 2.41 NA NA 0.12 3.37 2.53 NA NA XXX74420 ......... ............ A Contrst x-ray, urinary tract ............................ 0.36 0.13 2.10 NA NA 0.16 0.65 2.62 NA NA XXX74420 ......... 26 ....... A Contrst x-ray, urinary tract ............................ 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50 XXX74420 ......... TC ...... A Contrst x-ray, urinary tract ............................ 0.00 0.00 1.97 NA NA 0.14 0.14 2.11 NA NA XXX74425 ......... ............ A Contrst x-ray, urinary tract ............................ 0.36 0.13 1.11 NA NA 0.09 0.58 1.56 NA NA XXX74425 ......... 26 ....... A Contrst x-ray, urinary tract ............................ 0.36 0.13 0.12 0.13 0.12 0.02 0.51 0.50 0.51 0.50 XXX74425 ......... TC ...... A Contrst x-ray, urinary tract ............................ 0.00 0.00 0.98 NA NA 0.07 0.07 1.05 NA NA XXX74430 ......... ............ A Contrast x-ray, bladder .................................. 0.32 2.04 1.37 NA NA 0.08 2.44 1.77 NA NAXXX74430 ......... 26 ....... A Contrast x-ray, bladder .................................. 0.32 0.12 0.11 0.12 0.11 0.02 0.46 0.45 0.460.45 XXX74430 ......... TC ...... A Contrast x-ray, bladder .................................. 0.00 1.93 1.27 NA NA 0.06 1.99 1.33 NA NA XXX74440 ......... ............ A X-ray, male genital tract ................................ 0.38 2.26 1.50 NA NA 0.08 2.72 1.96 NA NAXXX74440 ......... 26 ....... A X-ray, male genital tract ................................ 0.38 0.15 0.13 0.15 0.13 0.02 0.55 0.53 0.550.53 XXX74440 ......... TC ...... A X-ray, male genital tract ................................ 0.00 2.11 1.38 NA NA 0.06 2.17 1.44 NA NA XXX74445 ......... ............ A X-ray exam of penis ...................................... 1.14 0.46 1.24 NA NA 0.13 1.73 2.51 NA NAXXX74445 ......... 26 ....... A X-ray exam of penis ...................................... 1.14 0.46 0.39 0.46 0.39 0.07 1.67 1.60 1.671.60 XXX74445 ......... TC ...... A X-ray exam of penis ...................................... 0.00 0.00 0.85 NA NA 0.06 0.06 0.91 NA NA XXX74450 ......... ............ A X-ray, urethra/bladder ................................... 0.33 0.12 1.21 NA NA 0.10 0.55 1.64 NA NAXXX74450 ......... 26 ....... A X-ray, urethra/bladder ................................... 0.33 0.12 0.11 0.12 0.11 0.02 0.47 0.46 0.470.46 XXX74450 ......... TC ...... A X-ray, urethra/bladder ................................... 0.00 0.00 1.10 NA NA 0.08 0.08 1.18 NA NA XXX74455 ......... ............ A X-ray, urethra/bladder ................................... 0.33 2.26 1.83 NA NA 0.12 2.71 2.28 NA NAXXX74455 ......... 26 ....... A X-ray, urethra/bladder ................................... 0.33 0.13 0.12 0.13 0.12 0.02 0.48 0.47 0.480.47 XXX74455 ......... TC ...... A X-ray, urethra/bladder ................................... 0.00 2.13 1.72 NA NA 0.10 2.23 1.82 NA NA XXX74470 ......... ............ A X-ray exam of kidney lesion .......................... 0.54 0.17 1.12 NA NA 0.09 0.80 1.75 NA NA XXX74470 ......... 26 ....... A X-ray exam of kidney lesion .......................... 0.54 0.17 0.18 0.17 0.18 0.02 0.73 0.74 0.73 0.74XXX74470 ......... TC ...... A X-ray exam of kidney lesion .......................... 0.00 0.00 0.94 NA NA 0.07 0.07 1.01 NA NA XXX74475 ......... ............ A X-ray control, cath insert ............................... 0.54 2.22 3.75 NA NA 0.24 3.00 4.53 NA NAXXX74475 ......... 26 ....... A X-ray control, cath insert ............................... 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.750.74 XXX74475 ......... TC ...... A X-ray control, cath insert ............................... 0.00 2.03 3.57 NA NA 0.22 2.25 3.79 NA NA XXX74480 ......... ............ A X-ray control, cath insert ............................... 0.54 2.23 3.75 NA NA 0.24 3.01 4.53 NA NAXXX74480 ......... 26 ....... A X-ray control, cath insert ............................... 0.54 0.20 0.19 0.20 19 0.02 0.76 0.75 0.76 0.75 XXX74480 ......... TC ...... A X-ray control, cath insert ............................... 0.00 2.04 3.57 NA NA 0.22 2.26 3.79 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00205 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37374 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal74485 ......... ............ A X-ray guide, GU dilation ................................ 0.54 2.38 3.09 NA NA 0.20 3.12 3.83 NA NA XXX74485 ......... 26 ....... A X-ray guide, GU dilation ................................ 0.54 0.21 0.18 0.21 0.18 0.03 0.78 0.75 0.78 0.75 XXX74485 ......... TC ...... A X-ray guide, GU dilation ................................ 0.00 2.18 2.92 NA NA 0.17 2.35 3.09 NA NA XXX74710 ......... ............ A X-ray measurement of pelvis ........................ 0.34 0.67 1.04 NA NA 0.08 1.09 1.46 NA NA XXX74710 ......... 26 ....... A X-ray measurement of pelvis ........................ 0.34 0.12 0.11 0.12 0.11 0.02 0.48 0.47 0.48 0.47 XXX74710 ......... TC ...... A X-ray measurement of pelvis ........................ 0.00 0.56 0.93 NA NA 0.06 0.62 0.99 NA NA XXX74740 ......... ............ A X-ray, female genital tract ............................. 0.38 1.83 1.54 NA NA 0.09 2.30 2.01 NA NA XXX74740 ......... 26 ....... A X-ray, female genital tract ............................. 0.38 0.13 0.13 0.13 0.13 0.02 0.53 0.53 0.53 0.53 XXX74740 ......... TC ...... A X-ray, female genital tract ............................. 0.00 1.70 1.41 NA NA 0.07 1.77 1.48 NA NA XXX74742 ......... 26 ....... A X-ray, fallopian tube ...................................... 0.61 0.19 0.20 0.19 0.20 0.03 0.83 0.84 0.83 0.84 XXX74775 ......... ............ A X-ray exam of perineum ................................ 0.62 0.21 1.31 NA NA 0.11 0.94 2.04 NA NA XXX74775 ......... 26 ....... A X-ray exam of perineum ................................ 0.62 0.21 0.21 0.21 0.21 0.03 0.86 0.86 0.86 0.86 XXX74775 ......... TC ...... A X-ray exam of perineum ................................ 0.00 0.00 1.10 NA NA 0.08 0.08 1.18 NA NA XXX75552 ......... ............ A Heart mri for morph w/o dye ......................... 1.60 19.96 13.81 NA NA 0.66 22.22 16.07 NA NA XXX75552 ......... 26 ....... A Heart mri for morph w/o dye ......................... 1.60 0.61 0.55 0.61 0.55 0.07 2.28 2.22 2.28 2.22XXX75552 ......... TC ...... A Heart mri for morph w/o dye ......................... 0.00 19.35 13.26 NA NA 0.59 19.94 13.85 NA NA XXX75553 ......... ............ A Heart mri for morph w/dye ............................ 2.00 24.80 15.11 NA NA 0.66 27.46 17.77 NA NAXXX75553 ......... 26 ....... A Heart mri for morph w/dye ............................ 2.00 0.98 0.73 0.98 0.73 0.07 3.05 2.80 3.05 2.80XXX75553 ......... TC ...... A Heart mri for morph w/dye ............................ 0.00 23.82 14.38 NA NA 0.59 24.41 14.97 NA NA XXX75554 ......... ............ A Cardiac MRI/function ..................................... 1.83 27.96 15.89 NA NA 0.66 30.45 18.38 NANA XXX75554 ......... 26 ....... A Cardiac MRI/function ..................................... 1.83 0.84 0.69 0.84 0.69 0.07 2.74 2.59 2.742.59 XXX75554 ......... TC ...... A Cardiac MRI/function ..................................... 0.00 27.12 15.20 NA NA 0.59 27.71 15.79 NA NAXXX75555 ......... ............ A Cardiac MRI/limited study ............................. 1.74 28.19 15.95 NA NA 0.66 30.59 18.35 NA NAXXX75555 ......... 26 ....... A Cardiac MRI/limited study ............................. 1.74 0.87 0.70 0.87 0.70 0.07 2.68 2.51 2.68 2.51 XXX75555 ......... TC ...... A Cardiac MRI/limited study ............................. 0.00 27.32 15.25 NA NA 0.59 27.91 15.84 NA NA XXX75600 ......... ............ A Contrast x-ray exam of aorta ........................ 0.49 6.59 11.27 NA NA 0.67 7.75 12.43 NA NA XXX75600 ......... 26 ....... A Contrast x-ray exam of aorta ........................ 0.49 0.26 0.21 0.26 0.21 0.02 0.77 0.72 0.77 0.72XXX75600 ......... TC ...... A Contrast x-ray exam of aorta ........................ 0.00 6.33 11.06 NA NA 0.65 6.98 11.71 NA NA XXX75605 ......... ............ A Contrast x-ray exam of aorta ........................ 1.14 3.70 10.71 NA NA 0.70 5.54 12.55 NA NA XXX75605 ......... 26 ....... A Contrast x-ray exam of aorta ........................ 1.14 0.52 0.43 0.52 0.43 0.05 1.71 1.62 1.71 1.62XXX75605 ......... TC ...... A Contrast x-ray exam of aorta ........................ 0.00 3.18 10.28 NA NA 0.65 3.83 10.93 NA NA XXX75625 ......... ............ A Contrast x-ray exam of aorta ........................ 1.14 3.49 10.64 NA NA 0.71 5.34 12.49 NA NA XXX75625 ......... 26 ....... A Contrast x-ray exam of aorta ........................ 1.14 0.44 0.40 0.44 0.40 0.06 1.64 1.60 1.64 1.60XXX75625 ......... TC ...... A Contrast x-ray exam of aorta ........................ 0.00 3.05 10.24 NA NA 0.65 3.70 10.89 NA NA XXX75630 ......... ............ A X-ray aorta, leg arteries ................................ 1.79 3.89 11.31 NA NA 0.80 6.48 13.90 NA NA XXX75630 ......... 26 ....... A X-ray aorta, leg arteries ................................ 1.79 0.74 0.64 0.74 0.64 0.11 2.64 2.54 2.642.54 XXX75630 ......... TC ...... A X-ray aorta, leg arteries ................................ 0.00 3.14 10.66 NA NA 0.69 3.83 11.35 NA NA XXX75635 ......... ............ A Ct angio abdominal arteries .......................... 2.40 13.37 15.91 NA NA 0.50 16.27 18.81 NA NAXXX75635 ......... 26 ....... A Ct angio abdominal arteries .......................... 2.40 0.90 0.82 0.90 0.82 0.11 3.41 3.33 3.41 3.33XXX75635 ......... TC ...... A Ct angio abdominal arteries .......................... 0.00 12.47 15.09 NA NA 0.39 12.86 15.48 NA NA XXX75650 ......... ............ A Artery x-rays, head & neck ........................... 1.49 3.65 10.76 NA NA 0.72 5.86 12.97 NA NA XXX75650 ......... 26 ....... A Artery x-rays, head & neck ........................... 1.49 0.59 0.52 0.59 0.52 0.07 2.15 2.08 2.15 2.08XXX75650 ......... TC ...... A Artery x-rays, head & neck ........................... 0.00 3.06 10.25 NA NA 0.65 3.71 10.90 NA NA XXX75658 ......... ............ A Artery x-rays, arm .......................................... 1.31 3.98 10.83 NA NA 0.72 6.01 12.86 NA NA XXX75658 ......... 26 ....... A Artery x-rays, arm .......................................... 1.31 0.51 0.48 0.51 0.48 0.07 1.89 1.86 1.89 1.86 XXX75658 ......... TC ...... A Artery x-rays, arm .......................................... 0.00 3.47 10.35 NA NA 0.65 4.12 11.00 NA NAXXX75660 ......... ............ A Artery x-rays, head & neck ........................... 1.31 4.07 10.83 NA NA 0.71 6.09 12.85 NA NA XXX75660 ......... 26 ....... A Artery x-rays, head & neck ........................... 1.31 0.52 0.46 0.52 0.46 0.06 1.89 1.83 1.89 1.83XXX75660 ......... TC ...... A Artery x-rays, head & neck ........................... 0.00 3.55 10.37 NA NA 0.65 4.20 11.02 NA NA XXX75662 ......... ............ A Artery x-rays, head & neck ........................... 1.66 5.24 11.23 NA NA 0.71 7.61 13.60 NA NA XXX75662 ......... 26 ....... A Artery x-rays, head & neck ........................... 1.66 0.75 0.63 0.75 0.63 0.06 2.47 2.35 2.47 2.35XXX75662 ......... TC ...... A Artery x-rays, head & neck ........................... 0.00 4.49 10.60 NA NA 0.65 5.14 11.25 NA NA XXX75665 ......... ............ A Artery x-rays, head & neck ........................... 1.31 4.25 10.87 NA NA 0.74 6.30 12.92 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00206 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37375 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal75665 ......... 26 ....... A Artery x-rays, head & neck ........................... 1.31 0.49 0.45 0.49 0.45 0.09 1.89 1.85 1.89 1.85XXX75665 ......... TC ...... A Artery x-rays, head & neck ........................... 0.00 3.76 10.42 NA NA 0.65 4.41 11.07 NA NA XXX75671 ......... ............ A Artery x-rays, head & neck ........................... 1.66 5.28 11.21 NA NA 0.72 7.66 13.59 NA NA XXX75671 ......... 26 ....... A Artery x-rays, head & neck ........................... 1.66 0.65 0.58 0.65 0.58 0.07 2.38 2.31 2.38 2.31XXX75671 ......... TC ...... A Artery x-rays, head & neck ........................... 0.00 4.63 10.64 NA NA 0.65 5.28 11.29 NA NA XXX75676 ......... ............ A Artery x-rays, neck ........................................ 1.31 4.00 10.81 NA NA 0.72 6.03 12.84 NANA XXX75676 ......... 26 ....... A Artery x-rays, neck ........................................ 1.31 0.49 0.45 0.49 0.45 0.07 1.87 1.83 1.87 1.83 XXX75676 ......... TC ...... A Artery x-rays, neck ........................................ 0.00 3.50 10.36 NA NA 0.65 4.15 11.01 NA NAXXX75680 ......... ............ A Artery x-rays, neck ........................................ 1.66 4.77 11.09 NA NA 0.72 7.15 13.47 NANA XXX75680 ......... 26 ....... A Artery x-rays, neck ........................................ 1.66 0.67 0.58 0.67 0.58 0.07 2.40 2.31 2.40 2.31 XXX75680 ......... TC ...... A Artery x-rays, neck ........................................ 0.00 4.09 10.50 NA NA 0.65 4.74 11.15 NA NAXXX75685 ......... ............ A Artery x-rays, spine ....................................... 1.31 4.04 10.81 NA NA 0.71 6.06 12.83 NANA XXX75685 ......... 26 ....... A Artery x-rays, spine ....................................... 1.31 0.52 0.45 0.52 0.45 0.06 1.89 1.82 1.89 1.82 XXX75685 ......... TC ...... A Artery x-rays, spine ....................................... 0.00 3.52 10.36 NA NA 0.65 4.17 11.01 NA NAXXX75705 ......... ............ A Artery x-rays, spine ....................................... 2.18 4.27 11.10 NA NA 0.78 7.23 14.06 NANA XXX75705 ......... 26 ....... A Artery x-rays, spine ....................................... 2.18 0.79 0.75 0.79 0.75 0.13 3.10 3.06 3.10 3.06 XXX75705 ......... TC ...... A Artery x-rays, spine ....................................... 0.00 3.49 10.35 NA NA 0.65 4.14 11.00 NA NAXXX75710 ......... ............ A Artery x-rays, arm/leg .................................... 1.14 4.10 10.80 NA NA 0.72 5.96 12.66 NANA XXX75710 ......... 26 ....... A Artery x-rays, arm/leg .................................... 1.14 0.44 0.40 0.44 0.40 0.07 1.65 1.61 1.651.61 XXX75710 ......... TC ...... A Artery x-rays, arm/leg .................................... 0.00 3.66 10.40 NA NA 0.65 4.31 11.05 NA NA XXX75716 ......... ............ A Artery x-rays, arms/legs ................................ 1.31 5.10 11.08 NA NA 0.72 7.13 13.11 NA NAXXX75716 ......... 26 ....... A Artery x-rays, arms/legs ................................ 1.31 0.52 0.45 0.52 0.45 0.07 1.90 1.83 1.90 1.83 XXX75716 ......... TC ...... A Artery x-rays, arms/legs ................................ 0.00 4.58 10.63 NA NA 0.65 5.23 11.28 NA NA XXX75722 ......... ............ A Artery x-rays, kidney ..................................... 1.14 4.00 10.78 NA NA 0.70 5.84 12.62 NANA XXX75722 ......... 26 ....... A Artery x-rays, kidney ..................................... 1.14 0.49 0.42 0.49 0.42 0.05 1.68 1.61 1.681.61 XXX75722 ......... TC ...... A Artery x-rays, kidney ..................................... 0.00 3.51 10.36 NA NA 0.65 4.16 11.01 NA NA XXX75724 ......... ............ A Artery x-rays, kidneys .................................... 1.49 5.30 11.23 NA NA 0.70 7.49 13.42 NANA XXX75724 ......... 26 ....... A Artery x-rays, kidneys .................................... 1.49 0.77 0.61 0.77 0.61 0.05 2.31 2.15 2.312.15 XXX75724 ......... TC ...... A Artery x-rays, kidneys .................................... 0.00 4.52 10.61 NA NA 0.65 5.17 11.26 NA NA XXX75726 ......... ............ A Artery x-rays, abdomen ................................. 1.14 3.92 10.74 NA NA 0.70 5.76 12.58 NA NAXXX75726 ......... 26 ....... A Artery x-rays, abdomen ................................. 1.14 0.42 0.38 0.42 0.38 0.05 1.61 1.57 1.61 1.57 XXX75726 ......... TC ...... A Artery x-rays, abdomen ................................. 0.00 3.50 10.36 NA NA 0.65 4.15 11.01 NA NA XXX75731 ......... ............ A Artery x-rays, adrenal gland .......................... 1.14 4.05 10.77 NA NA 0.71 5.90 12.62 NA NA XXX75731 ......... 26 ....... A Artery x-rays, adrenal gland .......................... 1.14 0.45 0.39 0.45 0.39 0.06 1.65 1.59 1.65 1.59 XXX75731 ......... TC ...... A Artery x-rays, adrenal gland .......................... 0.00 3.60 10.38 NA NA 0.65 4.25 11.03 NA NA XXX75733 ......... ............ A Artery x-rays, adrenals .................................. 1.31 5.42 11.17 NA NA 0.71 7.44 13.19 NA NA XXX75733 ......... 26 ....... A Artery x-rays, adrenals .................................. 1.31 0.62 0.49 0.62 0.49 0.06 1.99 1.86 1.991.86 XXX75733 ......... TC ...... A Artery x-rays, adrenals .................................. 0.00 4.80 10.68 NA NA 0.65 5.45 11.33 NA NA XXX75736 ......... ............ A Artery x-rays, pelvis ....................................... 1.14 4.02 10.77 NA NA 0.71 5.87 12.62 NA NA XXX75736 ......... 26 ....... A Artery x-rays, pelvis ....................................... 1.14 0.44 0.40 0.44 0.40 0.06 1.64 1.60 1.64 1.60 XXX75736 ......... TC ...... A Artery x-rays, pelvis ....................................... 0.00 3.58 10.38 NA NA 0.65 4.23 11.03 NA NAXXX75741 ......... ............ A Artery x-rays, lung ......................................... 1.31 3.29 10.63 NA NA 0.71 5.31 12.65 NA NA XXX75741 ......... 26 ....... A Artery x-rays, lung ......................................... 1.31 0.49 0.45 0.49 0.45 0.06 1.86 1.82 1.86 1.82 XXX75741 ......... TC ...... A Artery x-rays, lung ......................................... 0.00 2.81 10.18 NA NA 0.65 3.46 10.83 NA NAXXX75743 ......... ............ A Artery x-rays, lungs ....................................... 1.66 3.70 10.81 NA NA 0.72 6.08 13.19 NANA XXX75743 ......... 26 ....... A Artery x-rays, lungs ....................................... 1.66 0.62 0.56 0.62 0.56 0.07 2.35 2.29 2.35 2.29 XXX75743 ......... TC ...... A Artery x-rays, lungs ....................................... 0.00 3.08 10.25 NA NA 0.65 3.73 10.90 NA NAXXX75746 ......... ............ A Artery x-rays, lung ......................................... 1.14 3.60 10.67 NA NA 0.70 5.44 12.51 NA NA XXX75746 ......... 26 ....... A Artery x-rays, lung ......................................... 1.14 0.39 0.38 0.39 0.38 0.05 1.58 1.57 1.58 1.57 XXX75746 ......... TC ...... A Artery x-rays, lung ......................................... 0.00 3.21 10.28 NA NA 0.65 3.86 10.93 NA NAXXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00207 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37376 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal75756 ......... ............ A Artery x-rays, chest ....................................... 1.14 4.51 10.95 NA NA 0.69 6.34 12.78 NANA XXX75756 ......... 26 ....... A Artery x-rays, chest ....................................... 1.14 0.62 0.49 0.62 0.49 0.04 1.80 1.67 1.80 1.67 XXX75756 ......... TC ...... A Artery x-rays, chest ....................................... 0.00 3.90 10.46 NA NA 0.65 4.55 11.11 NA NAXXX75774 ......... ............ A Artery x-ray, each vessel .............................. 0.36 2.61 10.22 NA NA 0.67 3.64 11.25 NA NAZZZ75774 ......... 26 ....... A Artery x-ray, each vessel .............................. 0.36 0.14 0.13 0.14 0.13 0.02 0.52 0.51 0.52 0.51 ZZZ75774 ......... TC ...... A Artery x-ray, each vessel .............................. 0.00 2.47 10.10 NA NA 0.65 3.12 10.75 NA NA ZZZ75790 ......... ............ A Visualize A-V shunt ....................................... 1.84 3.24 2.27 NA NA 0.17 5.25 4.28 NA NAXXX75790 ......... 26 ....... A Visualize A-V shunt ....................................... 1.84 0.61 0.60 0.61 0.60 0.09 2.54 2.53 2.542.53 XXX75790 ......... TC ...... A Visualize A–V shunt ...................................... 0.00 2.63 1.67 NA NA 0.08 2.71 1.75 NA NA XXX75801 ......... ............ A Lymph vessel x-ray, arm/leg ......................... 0.81 0.22 4.33 NA NA 0.37 1.40 5.51 NA NA XXX75801 ......... 26 ....... A Lymph vessel x-ray, arm/leg ......................... 0.81 0.22 0.26 0.22 0.26 0.08 1.11 1.15 1.11 1.15XXX75801 ......... TC ...... A Lymph vessel x-ray, arm/leg ......................... 0.00 0.00 4.07 NA NA 0.29 0.29 4.36 NA NA XXX75803 ......... ............ A Lymph vessel x-ray,arms/legs ....................... 1.17 0.38 4.45 NA NA 0.34 1.89 5.96 NA NA XXX75803 ......... 26 ....... A Lymph vessel x-ray,arms/legs ....................... 1.17 0.38 0.38 0.38 0.38 0.05 1.60 1.60 1.60 1.60 XXX75803 ......... TC ...... A Lymph vessel x-ray,arms/legs ....................... 0.00 0.00 4.07 NA NA 0.29 0.29 4.36 NA NA XXX75805 ......... ............ A Lymph vessel x-ray, trunk ............................. 0.81 0.23 4.85 NA NA 0.38 1.42 6.04 NA NA XXX75805 ......... 26 ....... A Lymph vessel x-ray, trunk ............................. 0.81 0.23 0.26 0.23 0.26 0.05 1.09 1.12 1.09 1.12 XXX75805 ......... TC ...... A Lymph vessel x-ray, trunk ............................. 0.00 0.00 4.59 NA NA 0.33 0.33 4.92 NA NA XXX75807 ......... 26 ....... A Lymph vessel x-ray, trunk ............................. 1.17 0.41 0.39 0.41 0.39 0.05 1.63 1.61 1.63 1.61 XXX75809 ......... ............ A Nonvascular shunt, x-ray .............................. 0.47 2.28 1.27 NA NA 0.07 2.82 1.81 NA NA XXX75809 ......... 26 ....... A Nonvascular shunt, x-ray .............................. 0.47 0.16 0.15 0.16 0.15 0.02 0.65 0.64 0.65 0.64 XXX75809 ......... TC ...... A Nonvascular shunt, x-ray .............................. 0.00 2.12 1.12 NA NA 0.05 2.17 1.17 NA NA XXX75810 ......... ............ A Vein x-ray, spleen/liver .................................. 1.14 0.43 9.87 NA NA 0.70 2.27 11.71 NA NA XXX75810 ......... 26 ....... A Vein x-ray, spleen/liver .................................. 1.14 0.43 0.39 0.43 0.39 0.05 1.62 1.58 1.621.58 XXX75810 ......... TC ...... A Vein x-ray, spleen/liver .................................. 0.00 0.00 9.48 NA NA 0.65 0.65 10.13 NA NA XXX75820 ......... ............ A Vein x-ray, arm/leg ........................................ 0.70 3.11 1.66 NA NA 0.09 3.90 2.45 NA NA XXX75820 ......... 26 ....... A Vein x-ray, arm/leg ........................................ 0.70 0.29 0.25 0.29 0.25 0.03 1.02 0.98 1.02 0.98 XXX75820 ......... TC ...... A Vein x-ray, arm/leg ........................................ 0.00 2.82 1.42 NA NA 0.06 2.88 1.48 NA NA XXX75822 ......... ............ A Vein x-ray, arms/legs .................................... 1.06 3.32 2.20 NA NA 0.13 4.51 3.39 NA NAXXX75822 ......... 26 ....... A Vein x-ray, arms/legs .................................... 1.06 0.38 0.36 0.38 0.36 0.05 1.49 1.47 1.491.47 XXX75822 ......... TC ...... A Vein x-ray, arms/legs .................................... 0.00 2.95 1.85 NA NA 0.08 3.03 1.93 NA NA XXX75825 ......... ............ A Vein x-ray, trunk ............................................ 1.14 3.07 10.53 NA NA 0.72 4.93 12.39NA NA XXX75825 ......... 26 ....... A Vein x-ray, trunk ............................................ 1.14 0.39 0.38 0.39 0.38 0.07 1.60 1.59 1.60 1.59 XXX75825 ......... TC ...... A Vein x-ray, trunk ............................................ 0.00 2.67 10.15 NA NA 0.65 3.32 10.80 NA NA XXX75827 ......... ............ A Vein x-ray, chest ........................................... 1.14 3.10 10.53 NA NA 0.70 4.94 12.37 NA NA XXX75827 ......... 26 ....... A Vein x-ray, chest ........................................... 1.14 0.39 0.38 0.39 0.38 0.05 1.58 1.57 1.58 1.57 XXX75827 ......... TC ...... A Vein x-ray, chest ........................................... 0.00 2.71 10.16 NA NA 0.65 3.36 10.81 NA NAXXX75831 ......... ............ A Vein x-ray, kidney .......................................... 1.14 3.19 10.56 NA NA 0.71 5.04 12.41 NA NA XXX75831 ......... 26 ....... A Vein x-ray, kidney .......................................... 1.14 0.39 0.38 0.39 0.38 0.06 1.59 1.58 1.59 1.58 XXX75831 ......... TC ...... A Vein x-ray, kidney .......................................... 0.00 2.79 10.18 NA NA 0.65 3.44 10.83 NA NAXXX75833 ......... ............ A Vein x-ray, kidneys ........................................ 1.49 3.86 10.81 NA NA 0.74 6.09 13.04 NANA XXX75833 ......... 26 ....... A Vein x-ray, kidneys ........................................ 1.49 0.51 0.50 0.51 0.50 0.09 2.09 2.08 2.09 2.08 XXX75833 ......... TC ...... A Vein x-ray, kidneys ........................................ 0.00 3.35 10.32 NA NA 0.65 4.00 10.97 NA NAXXX75840 ......... ............ A Vein x-ray, adrenal gland .............................. 1.14 3.41 10.62 NA NA 0.72 5.27 12.48 NA NAXXX75840 ......... 26 ....... A Vein x-ray, adrenal gland .............................. 1.14 0.48 0.41 0.48 0.41 0.07 1.69 1.62 1.69 1.62 XXX75840 ......... TC ...... A Vein x-ray, adrenal gland .............................. 0.00 2.93 10.21 NA NA 0.65 3.58 10.86 NA NA XXX75842 ......... ............ A Vein x-ray, adrenal glands ............................ 1.49 3.87 10.81 NA NA 0.72 6.08 13.02 NA NA XXX75842 ......... 26 ....... A Vein x-ray, adrenal glands ............................ 1.49 0.54 0.50 0.54 0.50 0.07 2.10 2.06 2.10 2.06 XXX75842 ......... TC ...... A Vein x-ray, adrenal glands ............................ 0.00 3.33 10.31 NA NA 0.65 3.98 10.96 NA NA XXX75860 ......... ............ A Vein x-ray, neck ............................................ 1.14 3.55 10.66 NA NA 0.69 5.38 12.49 NA NA XXX75860 ......... 26 ....... A Vein x-ray, neck ............................................ 1.14 0.52 0.42 0.52 0.42 0.04 1.70 1.60 1.70 1.60 XXX75860 ......... TC ...... A Vein x-ray, neck ............................................ 0.00 3.03 10.24 NA NA 0.65 3.68 10.89 NA NAXXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00208 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37377 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal75870 ......... ............ A Vein x-ray, skull ............................................. 1.14 3.35 10.61 NA NA 0.70 5.19 12.45NA NA XXX75870 ......... 26 ....... A Vein x-ray, skull ............................................. 1.14 0.42 0.40 0.42 0.40 0.05 1.61 1.591.61 1.59 XXX75870 ......... TC ...... A Vein x-ray, skull ............................................. 0.00 2.93 10.21 NA NA 0.65 3.58 10.86 NANA XXX75872 ......... ............ A Vein x-ray, skull ............................................. 1.14 3.89 10.73 NA NA 0.79 5.82 12.66NA NA XXX75872 ......... 26 ....... A Vein x-ray, skull ............................................. 1.14 0.42 0.38 0.42 0.38 0.14 1.70 1.661.70 1.66 XXX75872 ......... TC ...... A Vein x-ray, skull ............................................. 0.00 3.47 10.35 NA NA 0.65 4.12 11.00 NANA XXX75880 ......... ............ A Vein x-ray, eye socket ................................... 0.70 3.07 1.65 NA NA 0.09 3.86 2.44 NA NAXXX75880 ......... 26 ....... A Vein x-ray, eye socket ................................... 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.970.96 XXX75880 ......... TC ...... A Vein x-ray, eye socket ................................... 0.00 2.83 1.42 NA NA 0.06 2.89 1.48 NA NA XXX75885 ......... ............ A Vein x-ray, liver ............................................. 1.44 3.34 10.67 NA NA 0.71 5.49 12.82NA NA XXX75885 ......... 26 ....... A Vein x-ray, liver ............................................. 1.44 0.52 0.48 0.52 0.48 0.06 2.02 1.982.02 1.98 XXX75885 ......... TC ...... A Vein x-ray, liver ............................................. 0.00 2.82 10.19 NA NA 0.65 3.47 10.84 NANA XXX75887 ......... ............ A Vein x-ray, liver ............................................. 1.44 3.48 10.70 NA NA 0.71 5.63 12.85NA NA XXX75887 ......... 26 ....... A Vein x-ray, liver ............................................. 1.44 0.55 0.49 0.55 0.49 0.06 2.05 1.992.05 1.99 XXX75887 ......... TC ...... A Vein x-ray, liver ............................................. 0.00 2.94 10.22 NA NA 0.65 3.59 10.87 NANA XXX75889 ......... ............ A Vein x-ray, liver ............................................. 1.14 3.24 10.57 NA NA 0.70 5.08 12.41NA NA XXX75889 ......... 26 ....... A Vein x-ray, liver ............................................. 1.14 0.42 0.38 0.42 0.38 0.05 1.61 1.571.61 1.57 XXX75889 ......... TC ...... A Vein x-ray, liver ............................................. 0.00 2.82 10.19 NA NA 0.65 3.47 10.84 NANA XXX75891 ......... ............ A Vein x-ray, liver ............................................. 1.14 3.21 10.56 NA NA 0.70 5.05 12.40NA NA XXX75891 ......... 26 ....... A Vein x-ray, liver ............................................. 1.14 0.41 0.38 0.41 0.38 0.05 1.60 1.571.60 1.57 XXX75891 ......... TC ...... A Vein x-ray, liver ............................................. 0.00 2.80 10.18 NA NA 0.65 3.45 10.83 NANA XXX75893 ......... ............ A Venous sampling by catheter ........................ 0.54 2.99 10.36 NA NA 0.67 4.20 11.57 NA NA XXX75893 ......... 26 ....... A Venous sampling by catheter ........................ 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.75 0.74 XXX75893 ......... TC ...... A Venous sampling by catheter ........................ 0.00 2.80 10.18 NA NA 0.65 3.45 10.83 NA NA XXX75894 ......... ............ A X-rays, transcath therapy .............................. 1.31 0.46 18.59 NA NA 1.35 3.12 21.25 NA NAXXX75894 ......... 26 ....... A X-rays, transcath therapy .............................. 1.31 0.46 0.44 0.46 0.44 0.08 1.85 1.83 1.85 1.83 XXX75894 ......... TC ...... A X-rays, transcath therapy .............................. 0.00 0.00 18.15 NA NA 1.27 1.27 19.42 NA NA XXX75896 ......... ............ A X-rays, transcath therapy .............................. 1.31 0.54 16.26 NA NA 1.15 3.00 18.72 NA NAXXX75896 ......... 26 ....... A X-rays, transcath therapy .............................. 1.31 0.54 0.47 0.54 0.47 0.05 1.90 1.83 1.90 1.83 XXX75896 ......... TC ...... A X-rays, transcath therapy .............................. 0.00 0.00 15.79 NA NA 1.10 1.10 16.89 NA NA XXX75898 ......... ............ A Follow-up angiography .................................. 1.65 0.65 1.36 NA NA 0.13 2.43 3.14 NA NA XXX75898 ......... 26 ....... A Follow-up angiography .................................. 1.65 0.65 0.58 0.65 0.58 0.07 2.37 2.30 2.37 2.30 XXX75898 ......... TC ...... A Follow-up angiography .................................. 0.00 0.00 0.79 NA NA 0.06 0.06 0.85 NA NA XXX75900 ......... 26 ....... A Intravascular cath exchange ......................... 0.49 0.17 0.16 0.17 0.16 0.03 0.69 0.68 0.69 0.68XXX75901 ......... ............ A Remove cva device obstruct ......................... 0.49 4.39 2.20 NA NA 0.85 5.73 3.54 NA NA XXX75901 ......... 26 ....... A Remove cva device obstruct ......................... 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX75901 ......... TC ...... A Remove cva device obstruct ......................... 0.00 4.22 2.04 NA NA 0.83 5.05 2.87 NA NA XXX75902 ......... ............ A Remove cva lumen obstruct ......................... 0.39 1.72 1.51 NA NA 0.85 2.96 2.75 NA NA XXX75902 ......... 26 ....... A Remove cva lumen obstruct ......................... 0.39 0.14 0.13 0.14 0.13 0.02 0.55 0.54 0.55 0.54 XXX75902 ......... TC ...... A Remove cva lumen obstruct ......................... 0.00 1.58 1.38 NA NA 0.83 2.41 2.21 NA NA XXX75940 ......... ............ A X-ray placement, vein filter ........................... 0.54 0.18 9.66 NA NA 0.69 1.41 10.89 NA NA XXX75940 ......... 26 ....... A X-ray placement, vein filter ........................... 0.54 0.18 0.18 0.18 0.18 0.04 0.76 0.76 0.76 0.76 XXX75940 ......... TC ...... A X-ray placement, vein filter ........................... 0.00 0.00 9.48 NA NA 0.65 0.65 10.13 NA NA XXX75945 ......... ............ A Intravascular us ............................................. 0.40 0.16 3.57 NA NA 0.28 0.84 4.25 NANA XXX75945 ......... 26 ....... A Intravascular us ............................................. 0.40 0.16 0.15 0.16 0.15 0.04 0.60 0.59 0.60 0.59 XXX75945 ......... TC ...... A Intravascular us ............................................. 0.00 0.00 3.43 NA NA 0.24 0.24 3.67 NA NAXXX75946 ......... 26 ....... A Intravascular us add-on ................................. 0.40 0.13 0.14 0.13 0.14 0.05 0.58 0.59 0.58 0.59 ZZZ75952 ......... 26 ....... A Endovasc repair abdom aorta ....................... 4.49 1.38 1.46 1.38 1.46 0.43 6.30 6.38 6.30 6.38 XXX75953 ......... 26 ....... A Abdom aneurysm endovas rpr ...................... 1.36 0.42 0.44 0.42 0.44 0.13 1.91 1.93 1.91 1.93 XXX75954 ......... 26 ....... A Iliac aneurysm endovas rpr ........................... 2.25 0.69 0.76 0.69 0.76 0.15 3.09 3.16 3.09 3.16XXX75956 ......... 26 ....... A Xray, endovasc thor ao repr ......................... 7.00 1.57 2.43 1.57 2.43 0.69 9.26 10.12 9.26 10.12 XXX75957 ......... 26 ....... A Xray, endovasc thor ao repr ......................... 6.00 1.35 2.08 1.35 2.08 0.59 7.94 8.67 7.94 8.67XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00209 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37378 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal75958 ......... 26 ....... A Xray, place prox ext thor ao .......................... 4.00 0.90 1.39 0.90 1.39 0.39 5.29 5.78 5.29 5.78 XXX75959 ......... 26 ....... A Xray, place dist ext thor ao ........................... 3.50 0.79 1.22 0.79 1.22 0.34 4.63 5.06 4.63 5.06 XXX75960 ......... ............ A Transcath iv stent rs&i .................................. 0.82 0.33 11.50 NA NA 0.82 1.97 13.14 NA NA XXX75960 ......... 26 ....... A Transcath iv stent rs&i .................................. 0.82 0.33 0.29 0.33 0.29 0.05 1.20 1.16 1.201.16 XXX75960 ......... TC ...... A Transcath iv stent rs&i .................................. 0.00 0.00 11.21 NA NA 0.77 0.77 11.98 NA NA XXX75961 ......... ............ A Retrieval, broken catheter ............................. 4.24 4.82 10.15 NA NA 0.73 9.79 15.12 NA NAXXX75961 ......... 26 ....... A Retrieval, broken catheter ............................. 4.24 1.50 1.42 1.50 1.42 0.18 5.92 5.84 5.92 5.84 XXX75961 ......... TC ...... A Retrieval, broken catheter ............................. 0.00 3.32 8.73 NA NA 0.55 3.87 9.28 NA NA XXX75962 ......... ............ A Repair arterial blockage ................................ 0.54 3.63 12.89 NA NA 0.86 5.03 14.29 NA NAXXX75962 ......... 26 ....... A Repair arterial blockage ................................ 0.54 0.21 0.19 0.21 0.19 0.03 0.78 0.76 0.78 0.76 XXX75962 ......... TC ...... A Repair arterial blockage ................................ 0.00 3.43 12.70 NA NA 0.83 4.26 13.53 NA NA XXX75964 ......... ............ A Repair artery blockage, each ........................ 0.36 2.45 7.01 NA NA 0.46 3.27 7.83 NA NA ZZZ75964 ......... 26 ....... A Repair artery blockage, each ........................ 0.36 0.13 0.12 0.13 0.12 0.03 0.52 0.51 0.52 0.51ZZZ75964 ......... TC ...... A Repair artery blockage, each ........................ 0.00 2.31 6.89 NA NA 0.43 2.74 7.32 NA NA ZZZ75966 ......... ............ A Repair arterial blockage ................................ 1.31 4.31 13.27 NA NA 0.89 6.51 15.47 NA NAXXX75966 ......... 26 ....... A Repair arterial blockage ................................ 1.31 0.59 0.49 0.59 0.49 0.06 1.96 1.86 1.96 1.86 XXX75966 ......... TC ...... A Repair arterial blockage ................................ 0.00 3.72 12.77 NA NA 0.83 4.55 13.60 NA NA XXX75968 ......... ............ A Repair artery blockage, each ........................ 0.36 2.50 7.03 NA NA 0.45 3.31 7.84 NA NA ZZZ75968 ......... 26 ....... A Repair artery blockage, each ........................ 0.36 0.16 0.14 0.16 0.14 0.02 0.54 0.52 0.54 0.52ZZZ75968 ......... TC ...... A Repair artery blockage, each ........................ 0.00 2.34 6.89 NA NA 0.43 2.77 7.32 NA NA ZZZ75970 ......... ............ A Vascular biopsy ............................................. 0.83 0.31 8.97 NA NA 0.64 1.78 10.44 NANA XXX75970 ......... 26 ....... A Vascular biopsy ............................................. 0.83 0.31 0.29 0.31 0.29 0.04 1.18 1.16 1.18 1.16 XXX75970 ......... TC ...... A Vascular biopsy ............................................. 0.00 0.00 8.68 NA NA 0.60 0.60 9.28 NA NA XXX75978 ......... ............ A Repair venous blockage ................................ 0.54 3.39 12.83 NA NA 0.85 4.78 14.22 NA NA XXX75978 ......... 26 ....... A Repair venous blockage ................................ 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.74 0.74 XXX75978 ......... TC ...... A Repair venous blockage ................................ 0.00 3.21 12.65 NA NA 0.83 4.04 13.48 NA NA XXX75980 ......... ............ A Contrast xray exam bile duct ........................ 1.44 0.52 4.56 NA NA 0.35 2.31 6.35 NA NA XXX75980 ......... 26 ....... A Contrast xray exam bile duct ........................ 1.44 0.52 0.48 0.52 0.48 0.06 2.02 1.98 2.02 1.98XXX75980 ......... TC ...... A Contrast xray exam bile duct ........................ 0.00 0.00 4.07 NA NA 0.29 0.29 4.36 NA NA XXX75982 ......... 26 ....... A Contrast xray exam bile duct ........................ 1.44 0.52 0.48 0.52 0.48 0.06 2.02 1.98 2.02 1.98XXX75984 ......... ............ A Xray control catheter change ........................ 0.72 2.43 2.25 NA NA 0.14 3.29 3.11 NA NA XXX75984 ......... 26 ....... A Xray control catheter change ........................ 0.72 0.26 0.24 0.26 0.24 0.03 1.01 0.99 1.01 0.99XXX75984 ......... TC ...... A Xray control catheter change ........................ 0.00 2.17 2.01 NA NA 0.11 2.28 2.12 NA NA XXX75989 ......... ............ A Abscess drainage under x-ray ...................... 1.19 2.33 3.25 NA NA 0.22 3.74 4.66 NA NA XXX75989 ......... 26 ....... A Abscess drainage under x-ray ...................... 1.19 0.42 0.40 0.42 0.40 0.05 1.66 1.64 1.66 1.64 XXX75989 ......... TC ...... A Abscess drainage under x-ray ...................... 0.00 1.91 2.85 NA NA 0.17 2.08 3.02 NA NA XXX75992 ......... ............ A Atherectomy, x-ray exam .............................. 0.54 0.24 12.05 NA NA 0.86 1.64 13.45 NA NA XXX75992 ......... 26 ....... A Atherectomy, x-ray exam .............................. 0.54 0.24 0.20 0.24 0.20 0.03 0.81 0.77 0.81 0.77XXX75992 ......... TC ...... A Atherectomy, x-ray exam .............................. 0.00 0.00 11.84 NA NA 0.83 0.83 12.67 NA NA XXX75993 ......... 26 ....... A Atherectomy, x-ray exam .............................. 0.36 0.15 0.14 0.15 0.14 0.02 0.53 0.52 0.53 0.52ZZZ75994 ......... 26 ....... A Atherectomy, x-ray exam .............................. 1.31 0.63 0.50 0.63 0.50 0.07 2.01 1.88 2.01 1.88XXX75995 ......... 26 ....... A Atherectomy, x-ray exam .............................. 1.31 0.52 0.48 0.52 0.48 0.05 1.88 1.84 1.88 1.84XXX75996 ......... 26 ....... A Atherectomy, x-ray exam .............................. 0.36 0.15 0.13 0.15 0.13 0.02 0.53 0.51 0.53 0.51ZZZ75998 ......... ............ A Fluoroguide for vein device ........................... 0.38 2.85 1.79 NA NA 0.11 3.34 2.28 NA NA ZZZ75998 ......... 26 ....... A Fluoroguide for vein device ........................... 0.38 0.13 0.13 0.13 0.13 0.01 0.52 0.52 0.52 0.52 ZZZ75998 ......... TC ...... A Fluoroguide for vein device ........................... 0.00 2.72 1.66 NA NA 0.10 2.82 1.76 NA NA ZZZ76000 ......... ............ A Fluoroscope examination .............................. 0.17 2.82 1.73 NA NA 0.08 3.07 1.98 NA NA XXX76000 ......... 26 ....... A Fluoroscope examination .............................. 0.17 0.06 0.05 0.06 0.05 0.01 0.24 0.23 0.24 0.23XXX76000 ......... TC ...... A Fluoroscope examination .............................. 0.00 2.76 1.67 NA NA 0.07 2.83 1.74 NA NA XXX76001 ......... ............ A Fluoroscope exam, extensive ....................... 0.67 0.23 2.20 NA NA 0.19 1.09 3.06 NA NA XXX76001 ......... 26 ....... A Fluoroscope exam, extensive ....................... 0.67 0.23 0.22 0.23 0.22 0.05 0.95 0.94 0.95 0.94 XXX76001 ......... TC ...... A Fluoroscope exam, extensive ....................... 0.00 0.00 1.97 NA NA 0.14 0.14 2.11 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00210 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37379 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76003 ......... ............ A Needle localization by x-ray .......................... 0.54 1.23 1.42 NA NA 0.09 1.86 2.05 NA NA XXX76003 ......... 26 ....... A Needle localization by x-ray .......................... 0.54 0.15 0.17 0.15 0.17 0.02 0.71 0.73 0.71 0.73 XXX76003 ......... TC ...... A Needle localization by x-ray .......................... 0.00 1.08 1.25 NA NA 0.07 1.15 1.32 NA NA XXX76005 ......... ............ A Fluoroguide for spine inject ........................... 0.60 0.76 1.29 NA NA 0.10 1.46 1.99 NA NA XXX76005 ......... 26 ....... A Fluoroguide for spine inject ........................... 0.60 0.14 0.15 0.14 0.15 0.03 0.77 0.78 0.77 0.78 XXX76005 ......... TC ...... A Fluoroguide for spine inject ........................... 0.00 0.62 1.14 NA NA 0.07 0.69 1.21 NA NA XXX76006 ......... ............ A X-ray stress view ........................................... 0.41 0.76 0.33 0.76 0.33 0.06 1.23 0.801.23 0.80 XXX76010 ......... ............ A X-ray, nose to rectum .................................... 0.18 0.57 0.58 NA NA 0.03 0.78 0.79 NA NAXXX76010 ......... 26 ....... A X-ray, nose to rectum .................................... 0.18 0.06 0.06 0.06 0.06 0.01 0.25 0.25 0.250.25 XXX76010 ......... TC ...... A X-ray, nose to rectum .................................... 0.00 0.51 0.52 NA NA 0.02 0.53 0.54 NA NA XXX76012 ......... 26 ....... A Percut vertebroplasty fluor ............................ 1.31 0.47 0.47 0.47 0.47 0.10 1.88 1.88 1.88 1.88 XXX76013 ......... 26 ....... A Percut vertebroplasty, ct ............................... 1.38 0.49 0.48 0.49 0.48 0.07 1.94 1.93 1.94 1.93 XXX76020 ......... ............ A X-rays for bone age ...................................... 0.19 0.44 0.55 NA NA 0.03 0.66 0.77 NA NAXXX76020 ......... 26 ....... A X-rays for bone age ...................................... 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.260.26 XXX76020 ......... TC ...... A X-rays for bone age ...................................... 0.00 0.37 0.48 NA NA 0.02 0.39 0.50 NA NA XXX76040 ......... ............ A X-rays, bone evaluation ................................ 0.27 0.68 0.82 NA NA 0.06 1.01 1.15 NA NA XXX76040 ......... 26 ....... A X-rays, bone evaluation ................................ 0.27 0.10 0.09 0.10 0.09 0.01 0.38 0.37 0.38 0.37 XXX76040 ......... TC ...... A X-rays, bone evaluation ................................ 0.00 0.58 0.73 NA NA 0.05 0.63 0.78 NA NA XXX76061 ......... ............ A X-rays, bone survey ...................................... 0.45 1.49 1.24 NA NA 0.08 2.02 1.77 NA NAXXX76061 ......... 26 ....... A X-rays, bone survey ...................................... 0.45 0.16 0.15 0.16 0.15 0.02 0.63 0.62 0.630.62 XXX76061 ......... TC ...... A X-rays, bone survey ...................................... 0.00 1.34 1.09 NA NA 0.06 1.40 1.15 NA NA XXX76062 ......... ............ A X-rays, bone survey ...................................... 0.54 2.38 1.81 NA NA 0.10 3.02 2.45 NA NAXXX76062 ......... 26 ....... A X-rays, bone survey ...................................... 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.750.74 XXX76062 ......... TC ...... A X-rays, bone survey ...................................... 0.00 2.19 1.63 NA NA 0.08 2.27 1.71 NA NA XXX76065 ......... ............ A X-rays, bone evaluation ................................ 0.70 2.08 1.24 NA NA 0.08 2.86 2.02 NA NA XXX76065 ......... 26 ....... A X-rays, bone evaluation ................................ 0.70 0.21 0.23 0.21 0.23 0.03 0.94 0.96 0.94 0.96 XXX76065 ......... TC ...... A X-rays, bone evaluation ................................ 0.00 1.87 1.02 NA NA 0.05 1.92 1.07 NA NA XXX76066 ......... ............ A Joint survey, single view ............................... 0.31 0.66 1.07 NA NA 0.08 1.05 1.46 NA NA XXX76066 ......... 26 ....... A Joint survey, single view ............................... 0.31 0.11 0.10 0.11 0.10 0.02 0.44 0.43 0.44 0.43 XXX76066 ......... TC ...... A Joint survey, single view ............................... 0.00 0.55 0.97 NA NA 0.06 0.61 1.03 NA NA XXX76070 ......... ............ A Ct bone density, axial .................................... 0.25 4.94 3.52 NA NA 0.17 5.36 3.94 NA NAXXX76070 ......... 26 ....... A Ct bone density, axial .................................... 0.25 0.08 0.08 0.08 0.08 0.01 0.34 0.34 0.340.34 XXX76070 ......... TC ...... A Ct bone density, axial .................................... 0.00 4.85 3.43 NA NA 0.16 5.01 3.59 NA NA XXX76071 ......... ............ A Ct bone density, peripheral ........................... 0.22 0.78 2.47 NA NA 0.06 1.06 2.75 NA NA XXX76071 ......... 26 ....... A Ct bone density, peripheral ........................... 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30 XXX76071 ......... TC ...... A Ct bone density, peripheral ........................... 0.00 0.71 2.40 NA NA 0.05 0.76 2.45 NA NA XXX76075 ......... ............ A Dxa bone density, axial ................................. 0.20 0.67 2.57 NA NA 0.18 1.05 2.95 NA NA XXX76075 ......... 26 ....... A Dxa bone density, axial ................................. 0.20 0.06 0.09 0.06 0.09 0.01 0.27 0.30 0.27 0.30 XXX76075 ......... TC ...... A Dxa bone density, axial ................................. 0.00 0.61 2.48 NA NA 0.17 0.78 2.65 NA NA XXX76076 ......... ............ A Dxa bone density/peripheral ......................... 0.22 0.57 0.77 NA NA 0.06 0.85 1.05 NA NA XXX76076 ......... 26 ....... A Dxa bone density/peripheral ......................... 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31XXX76076 ......... TC ...... A Dxa bone density/peripheral ......................... 0.00 0.51 0.69 NA NA 0.05 0.56 0.74 NA NA XXX76077 ......... ............ A Dxa bone density/v-fracture .......................... 0.17 0.42 0.71 NA NA 0.06 0.65 0.94 NA NA XXX76077 ......... 26 ....... A Dxa bone density/v-fracture .......................... 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24XXX76077 ......... TC ...... A Dxa bone density/v-fracture .......................... 0.00 0.37 0.66 NA NA 0.05 0.42 0.71 NA NA XXX76078 ......... ............ A Radiographic absorptiometry ........................ 0.20 0.38 0.71 NA NA 0.06 0.64 0.97 NA NA XXX76078 ......... 26 ....... A Radiographic absorptiometry ........................ 0.20 0.05 0.07 0.05 0.07 0.01 0.26 0.28 0.26 0.28 XXX76078 ......... TC ...... A Radiographic absorptiometry ........................ 0.00 0.33 0.65 NA NA 0.05 0.38 0.70 NA NA XXX76080 ......... ............ A X-ray exam of fistula ..................................... 0.54 1.14 1.21 NA NA 0.08 1.76 1.83 NA NAXXX76080 ......... 26 ....... A X-ray exam of fistula ..................................... 0.54 0.19 0.18 0.19 0.18 0.02 0.75 0.74 0.750.74 XXX76080 ......... TC ...... A X-ray exam of fistula ..................................... 0.00 0.94 1.02 NA NA 0.06 1.00 1.08 NA NA XXX76082 ......... ............ A Computer mammogram add-on .................... 0.06 0.21 0.38 NA NA 0.02 0.29 0.46 NA NA ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00211 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37380 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76082 ......... 26 ....... A Computer mammogram add-on .................... 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 ZZZ76082 ......... TC ...... A Computer mammogram add-on .................... 0.00 0.19 0.36 NA NA 0.01 0.20 0.37 NA NA ZZZ76083 ......... ............ A Computer mammogram add-on .................... 0.06 0.21 0.38 NA NA 0.02 0.29 0.46 NA NA ZZZ76083 ......... 26 ....... A Computer mammogram add-on .................... 0.06 0.02 0.02 0.02 0.02 0.01 0.09 0.09 0.09 0.09 ZZZ76083 ......... TC ...... A Computer mammogram add-on .................... 0.00 0.19 0.36 NA NA 0.01 0.20 0.37 NA NA ZZZ76086 ......... ............ A X-ray of mammary duct ................................. 0.36 1.28 2.38 NA NA 0.16 1.80 2.90 NA NA XXX76086 ......... 26 ....... A X-ray of mammary duct ................................. 0.36 0.12 0.12 0.12 0.12 0.02 0.50 0.50 0.50 0.50 XXX76086 ......... TC ...... A X-ray of mammary duct ................................. 0.00 1.16 2.26 NA NA 0.14 1.30 2.40 NA NA XXX76088 ......... ............ A X-ray of mammary ducts ............................... 0.45 1.75 3.30 NA NA 0.21 2.41 3.96 NA NA XXX76088 ......... 26 ....... A X-ray of mammary ducts ............................... 0.45 0.16 0.15 0.16 0.15 0.02 0.63 0.62 0.63 0.62XXX76088 ......... TC ...... A X-ray of mammary ducts ............................... 0.00 1.59 3.15 NA NA 0.19 1.78 3.34 NA NA XXX76090 ......... ............ A Mammogram, one breast .............................. 0.70 1.70 1.39 NA NA 0.09 2.49 2.18 NA NA XXX76090 ......... 26 ....... A Mammogram, one breast .............................. 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXX76090 ......... TC ...... A Mammogram, one breast .............................. 0.00 1.46 1.15 NA NA 0.06 1.52 1.21 NA NA XXX76091 ......... ............ A Mammogram, both breasts ........................... 0.87 2.21 1.75 NA NA 0.11 3.19 2.73 NA NA XXX76091 ......... 26 ....... A Mammogram, both breasts ........................... 0.87 0.30 0.29 0.30 0.29 0.04 1.21 1.20 1.21 1.20 XXX76091 ......... TC ...... A Mammogram, both breasts ........................... 0.00 1.92 1.46 NA NA 0.07 1.99 1.53 NA NA XXX76092 ......... ............ A Mammogram, screening ................................ 0.70 1.49 1.47 NA NA 0.10 2.29 2.27 NA NA XXX76092 ......... 26 ....... A Mammogram, screening ................................ 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96XXX76092 ......... TC ...... A Mammogram, screening ................................ 0.00 1.25 1.24 NA NA 0.07 1.32 1.31 NA NA XXX76093 ......... ............ A Magnetic image, breast ................................. 1.63 22.81 19.35 NA NA 0.99 25.43 21.97 NA NA XXX76093 ......... 26 ....... A Magnetic image, breast ................................. 1.63 0.57 0.54 0.57 0.54 0.07 2.27 2.24 2.27 2.24 XXX76093 ......... TC ...... A Magnetic image, breast ................................. 0.00 22.24 18.81 NA NA 0.92 23.16 19.73 NA NA XXX76094 ......... ............ A Magnetic image, both breasts ....................... 1.63 22.75 24.07 NA NA 1.31 25.69 27.01 NA NA XXX76094 ......... 26 ....... A Magnetic image, both breasts ....................... 1.63 0.57 0.54 0.57 0.54 0.07 2.27 2.24 2.27 2.24 XXX76094 ......... TC ...... A Magnetic image, both breasts ....................... 0.00 22.17 23.53 NA NA 1.24 23.41 24.77 NA NA XXX76095 ......... ............ A Stereotactic breast biopsy ............................. 1.59 1.91 6.25 NA NA 0.46 3.96 8.30 NA NA XXX76095 ......... 26 ....... A Stereotactic breast biopsy ............................. 1.59 0.52 0.52 0.52 0.52 0.09 2.20 2.20 2.20 2.20 XXX76095 ......... TC ...... A Stereotactic breast biopsy ............................. 0.00 1.39 5.73 NA NA 0.37 1.76 6.10 NA NA XXX76096 ......... ............ A X-ray of needle wire, breast .......................... 0.56 0.86 1.33 NA NA 0.09 1.51 1.98 NA NA XXX76096 ......... 26 ....... A X-ray of needle wire, breast .......................... 0.56 0.19 0.18 0.19 0.18 0.02 0.77 0.76 0.77 0.76 XXX76096 ......... TC ...... A X-ray of needle wire, breast .......................... 0.00 0.67 1.15 NA NA 0.07 0.74 1.22 NA NA XXX76098 ......... ............ A X-ray exam, breast specimen ....................... 0.16 0.33 0.44 NA NA 0.03 0.52 0.63 NA NA XXX76098 ......... 26 ....... A X-ray exam, breast specimen ....................... 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX76098 ......... TC ...... A X-ray exam, breast specimen ....................... 0.00 0.28 0.39 NA NA 0.02 0.30 0.41 NA NA XXX76100 ......... ............ A X-ray exam of body section .......................... 0.58 3.62 1.99 NA NA 0.10 4.30 2.67 NA NA XXX76100 ......... 26 ....... A X-ray exam of body section .......................... 0.58 0.21 0.20 0.21 0.20 0.03 0.82 0.81 0.82 0.81XXX76100 ......... TC ...... A X-ray exam of body section .......................... 0.00 3.42 1.79 NA NA 0.07 3.49 1.86 NA NA XXX76101 ......... ............ A Complex body section x-ray .......................... 0.58 5.37 2.55 NA NA 0.11 6.06 3.24 NA NA XXX76101 ......... 26 ....... A Complex body section x-ray .......................... 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80XXX76101 ......... TC ...... A Complex body section x-ray .......................... 0.00 5.18 2.36 NA NA 0.08 5.26 2.44 NA NA XXX76102 ......... ............ A Complex body section x-rays ........................ 0.58 7.85 3.41 NA NA 0.14 8.57 4.13 NA NA XXX76102 ......... 26 ....... A Complex body section x-rays ........................ 0.58 0.19 0.19 0.19 0.19 0.03 0.80 0.80 0.80 0.80 XXX76102 ......... TC ...... A Complex body section x-rays ........................ 0.00 7.66 3.22 NA NA 0.11 7.77 3.33 NA NA XXX76120 ......... ............ A Cine/video x-rays ........................................... 0.38 1.98 1.38 NA NA 0.08 2.44 1.84 NANA XXX76120 ......... 26 ....... A Cine/video x-rays ........................................... 0.38 0.15 0.14 0.15 0.14 0.02 0.55 0.54 0.55 0.54 XXX76120 ......... TC ...... A Cine/video x-rays ........................................... 0.00 1.83 1.25 NA NA 0.06 1.89 1.31 NA NA XXX76125 ......... ............ A Cine/video x-rays add-on .............................. 0.27 0.11 0.68 NA NA 0.06 0.44 1.01 NA NA ZZZ76125 ......... 26 ....... A Cine/video x-rays add-on .............................. 0.27 0.11 0.10 0.11 0.10 0.01 0.39 0.38 0.39 0.38 ZZZ76125 ......... TC ...... A Cine/video x-rays add-on .............................. 0.00 0.00 0.59 NA NA 0.05 0.05 0.64 NA NA ZZZ76150 ......... ............ A X-ray exam, dry process ............................... 0.00 0.68 0.49 NA NA 0.02 0.70 0.51 NA NA XXX76355 ......... ............ A Ct scan for localization .................................. 1.21 20.93 11.74 NA NA 0.47 22.61 13.42 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00212 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37381 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76355 ......... 26 ....... A Ct scan for localization .................................. 1.21 0.39 0.40 0.39 0.40 0.05 1.65 1.66 1.651.66 XXX76355 ......... TC ...... A Ct scan for localization .................................. 0.00 20.55 11.35 NA NA 0.42 20.97 11.77 NA NAXXX76360 ......... ............ A Ct scan for needle biopsy ............................. 1.16 2.42 7.10 NA NA 0.47 4.05 8.73 NA NA XXX76360 ......... 26 ....... A Ct scan for needle biopsy ............................. 1.16 0.41 0.39 0.41 0.39 0.05 1.62 1.60 1.62 1.60 XXX76360 ......... TC ...... A Ct scan for needle biopsy ............................. 0.00 2.01 6.71 NA NA 0.42 2.43 7.13 NA NA XXX76362 ......... ............ A Ct guide for tissue ablation ........................... 3.99 1.37 7.53 NA NA 1.64 7.00 13.16 NA NA XXX76362 ......... 26 ....... A Ct guide for tissue ablation ........................... 3.99 1.37 1.32 1.37 1.32 0.18 5.54 5.49 5.54 5.49 XXX76362 ......... TC ...... A Ct guide for tissue ablation ........................... 0.00 0.00 6.21 NA NA 1.46 1.46 7.67 NA NA XXX76370 ......... ............ A Ct scan for therapy guide .............................. 0.85 4.51 3.56 NA NA 0.20 5.56 4.61 NA NA XXX76370 ......... 26 ....... A Ct scan for therapy guide .............................. 0.85 0.25 0.27 0.25 0.27 0.04 1.14 1.16 1.14 1.16 XXX76370 ......... TC ...... A Ct scan for therapy guide .............................. 0.00 4.26 3.29 NA NA 0.16 4.42 3.45 NA NA XXX76376 ......... ............ A 3d render w/o postprocess ............................ 0.20 1.46 2.99 NA NA 0.10 1.76 3.29 NA NA XXX76376 ......... 26 ....... A 3d render w/o postprocess ............................ 0.20 0.07 0.07 0.07 0.07 0.02 0.29 0.29 0.29 0.29XXX76376 ......... TC ...... A 3d render w/o postprocess ............................ 0.00 1.39 2.92 NA NA 0.08 1.47 3.00 NA NA XXX76377 ......... ............ A 3d rendering w/postprocess .......................... 0.79 1.45 3.14 NA NA 0.39 2.63 4.32 NA NA XXX76377 ......... 26 ....... A 3d rendering w/postprocess .......................... 0.79 0.28 0.27 0.28 0.27 0.08 1.15 1.14 1.15 1.14XXX76377 ......... TC ...... A 3d rendering w/postprocess .......................... 0.00 1.17 2.87 NA NA 0.31 1.48 3.18 NA NA XXX76380 ......... ............ A CAT scan follow-up study ............................. 0.98 4.91 4.10 NA NA 0.22 6.11 5.30 NA NA XXX76380 ......... 26 ....... A CAT scan follow-up study ............................. 0.98 0.34 0.33 0.34 0.33 0.04 1.36 1.35 1.36 1.35XXX76380 ......... TC ...... A CAT scan follow-up study ............................. 0.00 4.57 3.78 NA NA 0.18 4.75 3.96 NA NA XXX76390 ......... ............ N Mr spectroscopy ............................................ 1.40 9.42 10.99 9.42 10.99 0.66 11.48 13.05 11.48 13.05 XXX76390 ......... 26 ....... N Mr spectroscopy ............................................ 1.40 0.31 0.43 0.31 0.43 0.07 1.78 1.90 1.78 1.90 XXX76390 ......... TC ...... N Mr spectroscopy ............................................ 0.00 9.11 10.56 9.11 10.56 0.59 9.70 11.15 9.70 11.15 XXX76393 ......... ............ A Mr guidance for needle place ....................... 1.50 10.17 11.34 NA NA 0.64 12.31 13.48 NA NA XXX76393 ......... 26 ....... A Mr guidance for needle place ....................... 1.50 0.53 0.51 0.53 0.51 0.09 2.12 2.10 2.12 2.10 XXX76393 ......... TC ...... A Mr guidance for needle place ....................... 0.00 9.64 10.83 NA NA 0.55 10.19 11.38 NA NA XXX76394 ......... ............ A Mri for tissue ablation .................................... 4.24 1.46 9.82 NA NA 1.81 7.51 15.87 NANA XXX76394 ......... 26 ....... A Mri for tissue ablation .................................... 4.24 1.46 1.40 1.46 1.40 0.24 5.94 5.88 5.94 5.88 XXX76394 ......... TC ...... A Mri for tissue ablation .................................... 0.00 0.00 8.42 NA NA 1.57 1.57 9.99 NA NA XXX76400 ......... ............ A Magnetic image, bone marrow ...................... 1.60 15.25 12.63 NA NA 0.66 17.51 14.89 NA NA XXX76400 ......... 26 ....... A Magnetic image, bone marrow ...................... 1.60 0.59 0.54 0.59 0.54 0.07 2.26 2.21 2.26 2.21 XXX76400 ......... TC ...... A Magnetic image, bone marrow ...................... 0.00 14.66 12.09 NA NA 0.59 15.25 12.68 NA NA XXX76506 ......... ............ A Echo exam of head ....................................... 0.63 2.90 1.97 NA NA 0.14 3.67 2.74 NA NA XXX76506 ......... 26 ....... A Echo exam of head ....................................... 0.63 0.21 0.23 0.21 0.23 0.06 0.90 0.92 0.90 0.92 XXX76506 ......... TC ...... A Echo exam of head ....................................... 0.00 2.69 1.74 NA NA 0.08 2.77 1.82 NA NA XXX76510 ......... ............ A Ophth us, b & quant a ................................... 1.55 2.27 2.72 NA NA 0.10 3.92 4.37 NA NA XXX76510 ......... 26 ....... A Ophth us, b & quant a ................................... 1.55 0.56 0.65 0.56 0.65 0.03 2.14 2.23 2.14 2.23 XXX76510 ......... TC ...... A Ophth us, b & quant a ................................... 0.00 1.71 2.07 NA NA 0.07 1.78 2.14 NA NA XXX76511 ......... ............ A Ophth us, quant a only .................................. 0.94 1.37 2.17 NA NA 0.10 2.41 3.21 NA NA XXX76511 ......... 26 ....... A Ophth us, quant a only .................................. 0.94 0.34 0.39 0.34 0.39 0.03 1.31 1.36 1.31 1.36 XXX76511 ......... TC ...... A Ophth us, quant a only .................................. 0.00 1.04 1.79 NA NA 0.07 1.11 1.86 NA NA XXX76512 ......... ............ A Ophth us, b w/non-quant a ........................... 0.94 1.17 1.97 NA NA 0.12 2.23 3.03 NA NA XXX76512 ......... 26 ....... A Ophth us, b w/non-quant a ........................... 0.94 0.33 0.40 0.33 0.40 0.02 1.29 1.36 1.29 1.36XXX76512 ......... TC ...... A Ophth us, b w/non-quant a ........................... 0.00 0.84 1.58 NA NA 0.10 0.94 1.68 NA NA XXX76513 ......... ............ A Echo exam of eye, water bath ...................... 0.66 1.55 1.75 NA NA 0.12 2.33 2.53 NA NA XXX76513 ......... 26 ....... A Echo exam of eye, water bath ...................... 0.66 0.24 0.28 0.24 0.28 0.02 0.92 0.96 0.92 0.96 XXX76513 ......... TC ...... A Echo exam of eye, water bath ...................... 0.00 1.31 1.47 NA NA 0.10 1.41 1.57 NA NA XXX76514 ......... ............ A Echo exam of eye, thickness ........................ 0.17 0.13 0.13 NA NA 0.02 0.32 0.32 NA NA XXX76514 ......... 26 ....... A Echo exam of eye, thickness ........................ 0.17 0.06 0.08 0.06 0.08 0.01 0.24 0.26 0.24 0.26 XXX76514 ......... TC ...... A Echo exam of eye, thickness ........................ 0.00 0.07 0.06 NA NA 0.01 0.08 0.07 NA NA XXX76516 ......... ............ A Echo exam of eye ......................................... 0.54 1.17 1.39 NA NA 0.08 1.79 2.01 NA NAXXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00213 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37382 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76516 ......... 26 ....... A Echo exam of eye ......................................... 0.54 0.19 0.23 0.19 0.23 0.01 0.74 0.78 0.740.78 XXX76516 ......... TC ...... A Echo exam of eye ......................................... 0.00 0.99 1.16 NA NA 0.07 1.06 1.23 NA NA XXX76519 ......... ............ A Echo exam of eye ......................................... 0.54 1.30 1.49 NA NA 0.08 1.92 2.11 NA NAXXX76519 ......... 26 ....... A Echo exam of eye ......................................... 0.54 0.19 0.23 0.19 0.23 0.01 0.74 0.78 0.740.78 XXX76519 ......... TC ...... A Echo exam of eye ......................................... 0.00 1.11 1.26 NA NA 0.07 1.18 1.33 NA NA XXX76529 ......... ............ A Echo exam of eye ......................................... 0.57 1.17 1.32 NA NA 0.10 1.84 1.99 NA NAXXX76529 ......... 26 ....... A Echo exam of eye ......................................... 0.57 0.21 0.23 0.21 0.23 0.02 0.80 0.82 0.800.82 XXX76529 ......... TC ...... A Echo exam of eye ......................................... 0.00 0.97 1.09 NA NA 0.08 1.05 1.17 NA NA XXX76536 ......... ............ A Us exam of head and neck ........................... 0.56 2.77 1.89 NA NA 0.10 3.43 2.55 NA NA XXX76536 ......... 26 ....... A Us exam of head and neck ........................... 0.56 0.18 0.18 0.18 0.18 0.02 0.76 0.76 0.76 0.76 XXX76536 ......... TC ...... A Us exam of head and neck ........................... 0.00 2.59 1.71 NA NA 0.08 2.67 1.79 NA NA XXX76604 ......... ............ A Us exam, chest, b-scan ................................ 0.55 1.90 1.59 NA NA 0.09 2.54 2.23 NA NA XXX76604 ......... 26 ....... A Us exam, chest, b-scan ................................ 0.55 0.19 0.18 0.19 0.18 0.02 0.76 0.75 0.76 0.75 XXX76604 ......... TC ...... A Us exam, chest, b-scan ................................ 0.00 1.71 1.41 NA NA 0.07 1.78 1.48 NA NA XXX76645 ......... ............ A Us exam, breast(s) ........................................ 0.54 2.20 1.47 NA NA 0.08 2.82 2.09 NA NAXXX76645 ......... 26 ....... A Us exam, breast(s) ........................................ 0.54 0.18 0.18 0.18 0.18 0.02 0.74 0.74 0.740.74 XXX76645 ......... TC ...... A Us exam, breast(s) ........................................ 0.00 2.01 1.29 NA NA 0.06 2.07 1.35 NA NA XXX76700 ......... ............ A Us exam, abdom, complete .......................... 0.81 3.13 2.47 NA NA 0.15 4.09 3.43 NA NA XXX76700 ......... 26 ....... A Us exam, abdom, complete .......................... 0.81 0.28 0.27 0.28 0.27 0.04 1.13 1.12 1.13 1.12 XXX76700 ......... TC ...... A Us exam, abdom, complete .......................... 0.00 2.86 2.20 NA NA 0.11 2.97 2.31 NA NA XXX76705 ......... ............ A Echo exam of abdomen ................................ 0.59 2.45 1.82 NA NA 0.11 3.15 2.52 NA NA XXX76705 ......... 26 ....... A Echo exam of abdomen ................................ 0.59 0.20 0.19 0.20 0.19 0.03 0.82 0.81 0.82 0.81XXX76705 ......... TC ...... A Echo exam of abdomen ................................ 0.00 2.25 1.63 NA NA 0.08 2.33 1.71 NA NA XXX76770 ......... ............ A Us exam abdo back wall, comp .................... 0.74 3.04 2.43 NA NA 0.14 3.92 3.31 NA NA XXX76770 ......... 26 ....... A Us exam abdo back wall, comp .................... 0.74 0.26 0.25 0.26 0.25 0.03 1.03 1.02 1.03 1.02 XXX76770 ......... TC ...... A Us exam abdo back wall, comp .................... 0.00 2.78 2.18 NA NA 0.11 2.89 2.29 NA NA XXX76775 ......... ............ A Us exam abdo back wall, lim ........................ 0.58 2.52 1.84 NA NA 0.11 3.21 2.53 NA NA XXX76775 ......... 26 ....... A Us exam abdo back wall, lim ........................ 0.58 0.21 0.20 0.21 0.20 0.03 0.82 0.81 0.82 0.81 XXX76775 ......... TC ...... A Us exam abdo back wall, lim ........................ 0.00 2.31 1.64 NA NA 0.08 2.39 1.72 NA NA XXX76778 ......... ............ A Us exam kidney transplant ............................ 0.74 3.37 2.51 NA NA 0.14 4.25 3.39 NA NA XXX76778 ......... 26 ....... A Us exam kidney transplant ............................ 0.74 0.25 0.24 0.25 0.24 0.03 1.02 1.01 1.02 1.01XXX76778 ......... TC ...... A Us exam kidney transplant ............................ 0.00 3.11 2.26 NA NA 0.11 3.22 2.37 NA NA XXX76800 ......... ............ A Us exam, spinal canal ................................... 1.13 2.31 1.90 NA NA 0.13 3.57 3.16 NA NA XXX76800 ......... 26 ....... A Us exam, spinal canal ................................... 1.13 0.29 0.33 0.29 0.33 0.05 1.47 1.51 1.47 1.51 XXX76800 ......... TC ...... A Us exam, spinal canal ................................... 0.00 2.02 1.57 NA NA 0.08 2.10 1.65 NA NA XXX76801 ......... ............ A Ob us < 14 wks, single fetus ........................ 0.99 2.53 2.47 NA NA 0.16 3.68 3.62 NA NA XXX76801 ......... 26 ....... A Ob us < 14 wks, single fetus ........................ 0.99 0.32 0.34 0.32 0.34 0.04 1.35 1.37 1.35 1.37XXX76801 ......... TC ...... A Ob us < 14 wks, single fetus ........................ 0.00 2.22 2.14 NA NA 0.12 2.34 2.26 NA NA XXX76802 ......... ............ A Ob us < 14 wks, addIl fetus .......................... 0.83 0.99 1.25 NA NA 0.16 1.98 2.24 NA NA ZZZ76802 ......... 26 ....... A Ob us < 14 wks, addIl fetus .......................... 0.83 0.26 0.28 0.26 0.28 0.04 1.13 1.15 1.13 1.15ZZZ76802 ......... TC ...... A Ob us < 14 wks, addIl fetus .......................... 0.00 0.73 0.97 NA NA 0.12 0.85 1.09 NA NA ZZZ76805 ......... ............ A Ob us >/= 14 wks, sngl fetus ........................ 0.99 3.10 2.61 NA NA 0.16 4.25 3.76 NA NA XXX76805 ......... 26 ....... A Ob us >/= 14 wks, sngl fetus ........................ 0.99 0.30 0.33 0.30 0.33 0.04 1.33 1.36 1.33 1.36XXX76805 ......... TC ...... A Ob us >/= 14 wks, sngl fetus ........................ 0.00 2.80 2.28 NA NA 0.12 2.92 2.40 NA NA XXX76810 ......... ............ A Ob us >/= 14 wks, addl fetus ........................ 0.98 1.68 1.46 NA NA 0.26 2.92 2.70 NA NA ZZZ76810 ......... 26 ....... A Ob us >/= 14 wks, addl fetus ........................ 0.98 0.30 0.33 0.30 0.33 0.04 1.32 1.35 1.32 1.35ZZZ76810 ......... TC ...... A Ob us >/= 14 wks, addl fetus ........................ 0.00 1.39 1.14 NA NA 0.22 1.61 1.36 NA NA ZZZ76811 ......... ............ A Ob us, detailed, sngl fetus ............................ 1.90 3.06 3.95 NA NA 0.52 5.48 6.37 NA NA XXX76811 ......... 26 ....... A Ob us, detailed, sngl fetus ............................ 1.90 0.54 0.67 0.54 0.67 0.09 2.53 2.66 2.53 2.66 XXX76811 ......... TC ...... A Ob us, detailed, sngl fetus ............................ 0.00 2.52 3.29 NA NA 0.43 2.95 3.72 NA NA XXX76812 ......... ............ A Ob us, detailed, addl fetus ............................ 1.78 3.97 2.28 NA NA 0.49 6.24 4.55 NA NA ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00214 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37383 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76812 ......... 26 ....... A Ob us, detailed, addl fetus ............................ 1.78 0.51 0.62 0.51 0.62 0.08 2.37 2.48 2.37 2.48 ZZZ76812 ......... TC ...... A Ob us, detailed, addl fetus ............................ 0.00 3.46 1.65 NA NA 0.41 3.87 2.06 NA NA ZZZ76815 ......... ............ A Ob us, limited, fetus(s) .................................. 0.65 1.83 1.70 NA NA 0.11 2.59 2.46 NA NAXXX76815 ......... 26 ....... A Ob us, limited, fetus(s) .................................. 0.65 0.19 0.22 0.19 0.22 0.03 0.87 0.90 0.870.90 XXX76815 ......... TC ...... A Ob us, limited, fetus(s) .................................. 0.00 1.63 1.47 NA NA 0.08 1.71 1.55 NA NA XXX76816 ......... ............ A Ob us, follow-up, per fetus ............................ 0.85 2.39 1.67 NA NA 0.10 3.34 2.62 NA NA XXX76816 ......... 26 ....... A Ob us, follow-up, per fetus ............................ 0.85 0.24 0.30 0.24 0.30 0.04 1.13 1.19 1.13 1.19 XXX76816 ......... TC ...... A Ob us, follow-up, per fetus ............................ 0.00 2.15 1.37 NA NA 0.06 2.21 1.43 NA NA XXX76817 ......... ............ A Transvaginal us, obstetric ............................. 0.75 2.06 1.85 NA NA 0.09 2.90 2.69 NA NA XXX76817 ......... 26 ....... A Transvaginal us, obstetric ............................. 0.75 0.23 0.25 0.23 0.25 0.03 1.01 1.03 1.01 1.03 XXX76817 ......... TC ...... A Transvaginal us, obstetric ............................. 0.00 1.83 1.60 NA NA 0.06 1.89 1.66 NA NA XXX76818 ......... ............ A Fetal biophys profile w/nst ............................ 1.05 2.23 2.06 NA NA 0.15 3.43 3.26 NA NA XXX76818 ......... 26 ....... A Fetal biophys profile w/nst ............................ 1.05 0.30 0.37 0.30 0.37 0.05 1.40 1.47 1.40 1.47 XXX76818 ......... TC ...... A Fetal biophys profile w/nst ............................ 0.00 1.92 1.69 NA NA 0.10 2.02 1.79 NA NA XXX76819 ......... ............ A Fetal biophys profil w/o nst ........................... 0.77 1.65 1.83 NA NA 0.13 2.55 2.73 NA NA XXX76819 ......... 26 ....... A Fetal biophys profil w/o nst ........................... 0.77 0.23 0.27 0.23 0.27 0.03 1.03 1.07 1.03 1.07 XXX76819 ......... TC ...... A Fetal biophys profil w/o nst ........................... 0.00 1.42 1.56 NA NA 0.10 1.52 1.66 NA NA XXX76820 ......... ............ A Umbilical artery echo ..................................... 0.50 0.57 1.49 NA NA 0.15 1.22 2.14 NA NAXXX76820 ......... 26 ....... A Umbilical artery echo ..................................... 0.50 0.14 0.18 0.14 0.18 0.03 0.67 0.71 0.670.71 XXX76820 ......... TC ...... A Umbilical artery echo ..................................... 0.00 0.43 1.32 NA NA 0.12 0.55 1.44 NA NA XXX76821 ......... ............ A Middle cerebral artery echo .......................... 0.70 1.88 1.88 NA NA 0.15 2.73 2.73 NA NA XXX76821 ......... 26 ....... A Middle cerebral artery echo .......................... 0.70 0.20 0.25 0.20 0.25 0.03 0.93 0.98 0.93 0.98XXX76821 ......... TC ...... A Middle cerebral artery echo .......................... 0.00 1.68 1.63 NA NA 0.12 1.80 1.75 NA NA XXX76825 ......... ............ A Echo exam of fetal heart ............................... 1.67 4.34 3.02 NA NA 0.18 6.19 4.87 NA NA XXX76825 ......... 26 ....... A Echo exam of fetal heart ............................... 1.67 0.48 0.57 0.48 0.57 0.07 2.22 2.31 2.22 2.31 XXX76825 ......... TC ...... A Echo exam of fetal heart ............................... 0.00 3.86 2.45 NA NA 0.11 3.97 2.56 NA NA XXX76826 ......... ............ A Echo exam of fetal heart ............................... 0.83 2.73 1.43 NA NA 0.08 3.64 2.34 NA NA XXX76826 ......... 26 ....... A Echo exam of fetal heart ............................... 0.83 0.23 0.28 0.23 0.28 0.03 1.09 1.14 1.09 1.14 XXX76826 ......... TC ...... A Echo exam of fetal heart ............................... 0.00 2.50 1.16 NA NA 0.05 2.55 1.21 NA NA XXX76827 ......... ............ A Echo exam of fetal heart ............................... 0.58 1.07 1.72 NA NA 0.14 1.79 2.44 NA NA XXX76827 ......... 26 ....... A Echo exam of fetal heart ............................... 0.58 0.17 0.20 0.17 0.20 0.02 0.77 0.80 0.77 0.80 XXX76827 ......... TC ...... A Echo exam of fetal heart ............................... 0.00 0.90 1.52 NA NA 0.12 1.02 1.64 NA NA XXX76828 ......... ............ A Echo exam of fetal heart ............................... 0.56 0.63 1.16 NA NA 0.11 1.30 1.83 NA NA XXX76828 ......... 26 ....... A Echo exam of fetal heart ............................... 0.56 0.15 0.20 0.15 0.20 0.03 0.74 0.79 0.74 0.79 XXX76828 ......... TC ...... A Echo exam of fetal heart ............................... 0.00 0.48 0.95 NA NA 0.08 0.56 1.03 NA NA XXX76830 ......... ............ A Transvaginal us, non-ob ................................ 0.69 2.85 2.03 NA NA 0.13 3.67 2.85 NA NA XXX76830 ......... 26 ....... A Transvaginal us, non-ob ................................ 0.69 0.22 0.23 0.22 0.23 0.03 0.94 0.95 0.94 0.95 XXX76830 ......... TC ...... A Transvaginal us, non-ob ................................ 0.00 2.62 1.80 NA NA 0.10 2.72 1.90 NA NA XXX76831 ......... ............ A Echo exam, uterus ........................................ 0.72 2.76 2.02 NA NA 0.13 3.61 2.87 NA NAXXX76831 ......... 26 ....... A Echo exam, uterus ........................................ 0.72 0.21 0.24 0.21 0.24 0.03 0.96 0.99 0.960.99 XXX76831 ......... TC ...... A Echo exam, uterus ........................................ 0.00 2.55 1.78 NA NA 0.10 2.65 1.88 NA NA XXX76856 ......... ............ A Us exam, pelvic, complete ............................ 0.69 2.90 2.04 NA NA 0.13 3.72 2.86 NA NA XXX76856 ......... 26 ....... A Us exam, pelvic, complete ............................ 0.69 0.24 0.23 0.24 0.23 0.03 0.96 0.95 0.96 0.95XXX76856 ......... TC ...... A Us exam, pelvic, complete ............................ 0.00 2.67 1.81 NA NA 0.10 2.77 1.91 NA NA XXX76857 ......... ............ A Us exam, pelvic, limited ................................ 0.38 2.59 2.02 NA NA 0.08 3.05 2.48 NA NA XXX76857 ......... 26 ....... A Us exam, pelvic, limited ................................ 0.38 0.15 0.13 0.15 0.13 0.02 0.55 0.53 0.55 0.53 XXX76857 ......... TC ...... A Us exam, pelvic, limited ................................ 0.00 2.44 1.89 NA NA 0.06 2.50 1.95 NA NA XXX76870 ......... ............ A Us exam, scrotum ......................................... 0.64 2.94 2.03 NA NA 0.13 3.71 2.80 NA NAXXX76870 ......... 26 ....... A Us exam, scrotum ......................................... 0.64 0.23 0.22 0.23 0.22 0.03 0.90 0.89 0.900.89 XXX76870 ......... TC ...... A Us exam, scrotum ......................................... 0.00 2.72 1.82 NA NA 0.10 2.82 1.92 NA NA XXX76872 ......... ............ A Us, transrectal ............................................... 0.69 3.50 2.56 NA NA 0.14 4.33 3.39 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00215 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37384 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76872 ......... 26 ....... A Us, transrectal ............................................... 0.69 0.28 0.24 0.28 0.24 0.04 1.01 0.971.01 0.97 XXX76872 ......... TC ...... A Us, transrectal ............................................... 0.00 3.22 2.33 NA NA 0.10 3.32 2.43 NA NAXXX76873 ......... ............ A Echograp trans r, pros study ......................... 1.55 3.45 2.82 NA NA 0.25 5.25 4.62 NA NA XXX76873 ......... 26 ....... A Echograp trans r, pros study ......................... 1.55 0.53 0.51 0.53 0.51 0.09 2.17 2.15 2.17 2.15XXX76873 ......... TC ...... A Echograp trans r, pros study ......................... 0.00 2.92 2.31 NA NA 0.16 3.08 2.47 NA NA XXX76880 ......... ............ A Us exam, extremity ....................................... 0.59 3.25 2.02 NA NA 0.11 3.95 2.72 NA NAXXX76880 ......... 26 ....... A Us exam, extremity ....................................... 0.59 0.18 0.19 0.18 0.19 0.03 0.80 0.81 0.800.81 XXX76880 ......... TC ...... A Us exam, extremity ....................................... 0.00 3.07 1.83 NA NA 0.08 3.15 1.91 NA NA XXX76885 ......... ............ A Us exam infant hips, dynamic ....................... 0.74 3.36 2.16 NA NA 0.13 4.23 3.03 NA NA XXX76885 ......... 26 ....... A Us exam infant hips, dynamic ....................... 0.74 0.24 0.24 0.24 0.24 0.03 1.01 1.01 1.01 1.01 XXX76885 ......... TC ...... A Us exam infant hips, dynamic ....................... 0.00 3.11 1.92 NA NA 0.10 3.21 2.02 NA NA XXX76886 ......... ............ A Us exam infant hips, static ............................ 0.62 2.36 1.81 NA NA 0.11 3.09 2.54 NA NA XXX76886 ......... 26 ....... A Us exam infant hips, static ............................ 0.62 0.19 0.20 0.19 0.20 0.03 0.84 0.85 0.84 0.85 XXX76886 ......... TC ...... A Us exam infant hips, static ............................ 0.00 2.18 1.61 NA NA 0.08 2.26 1.69 NA NA XXX76930 ......... ............ A Echo guide, cardiocentesis ........................... 0.67 2.15 1.87 NA NA 0.12 2.94 2.66 NA NA XXX76930 ......... 26 ....... A Echo guide, cardiocentesis ........................... 0.67 0.35 0.28 0.35 0.28 0.02 1.04 0.97 1.04 0.97XXX76930 ......... TC ...... A Echo guide, cardiocentesis ........................... 0.00 1.80 1.59 NA NA 0.10 1.90 1.69 NA NA XXX76932 ......... ............ A Echo guide for heart biopsy .......................... 0.67 0.36 1.42 NA NA 0.12 1.15 2.21 NA NA XXX76932 ......... 26 ....... A Echo guide for heart biopsy .......................... 0.67 0.36 0.28 0.36 0.28 0.02 1.05 0.97 1.05 0.97XXX76932 ......... TC ...... A Echo guide for heart biopsy .......................... 0.00 0.00 1.14 NA NA 0.10 0.10 1.24 NA NA XXX76936 ......... ............ A Echo guide for artery repair .......................... 1.99 6.28 6.80 NA NA 0.47 8.74 9.26 NA NA XXX76936 ......... 26 ....... A Echo guide for artery repair .......................... 1.99 0.72 0.68 0.72 0.68 0.13 2.84 2.80 2.84 2.80 XXX76936 ......... TC ...... A Echo guide for artery repair .......................... 0.00 5.56 6.12 NA NA 0.34 5.90 6.46 NA NA XXX76937 ......... ............ A Us guide, vascular access ............................ 0.30 0.65 0.52 NA NA 0.13 1.08 0.95 NA NA ZZZ76937 ......... 26 ....... A Us guide, vascular access ............................ 0.30 0.10 0.10 0.10 0.10 0.03 0.43 0.43 0.43 0.43ZZZ76937 ......... DTC ... A Us guide, vascular access ............................ 0.00 0.54 0.42 NA NA 0.10 0.64 0.52 NA NA ZZZ76940 ......... ............ A Us guide, tissue ablation ............................... 2.00 0.63 1.79 NA NA 0.60 3.23 4.39 NA NA XXX76940 ......... 26 ....... A Us guide, tissue ablation ............................... 2.00 0.63 0.65 0.63 0.65 0.31 2.94 2.96 2.94 2.96 XXX76940 ......... TC ...... A Us guide, tissue ablation ............................... 0.00 0.00 1.14 NA NA 0.29 0.29 1.43 NA NA XXX76941 ......... ............ A Echo guide for transfusion ............................ 1.34 0.43 1.61 NA NA 0.15 1.92 3.10 NA NA XXX76941 ......... 26 ....... A Echo guide for transfusion ............................ 1.34 0.43 0.46 0.43 0.46 0.07 1.84 1.87 1.84 1.87 XXX76941 ......... TC ...... A Echo guide for transfusion ............................ 0.00 0.00 1.15 NA NA 0.08 0.08 1.23 NA NA XXX76942 ......... ............ A Echo guide for biopsy ................................... 0.67 4.98 3.53 NA NA 0.13 5.78 4.33 NA NA XXX76942 ......... 26 ....... A Echo guide for biopsy ................................... 0.67 0.24 0.23 0.24 0.23 0.03 0.94 0.93 0.94 0.93 XXX76942 ......... TC ...... A Echo guide for biopsy ................................... 0.00 4.73 3.30 NA NA 0.10 4.83 3.40 NA NA XXX76945 ......... ............ A Echo guide, villus sampling ........................... 0.67 0.21 1.37 NA NA 0.11 0.99 2.15 NA NA XXX76945 ......... 26 ....... A Echo guide, villus sampling ........................... 0.67 0.21 0.22 0.21 0.22 0.03 0.91 0.92 0.91 0.92 XXX76945 ......... TC ...... A Echo guide, villus sampling ........................... 0.00 0.00 1.15 NA NA 0.08 0.08 1.23 NA NA XXX76946 ......... ............ A Echo guide for amniocentesis ....................... 0.38 0.45 1.36 NA NA 0.12 0.95 1.86 NA NA XXX76946 ......... 26 ....... A Echo guide for amniocentesis ....................... 0.38 0.11 0.13 0.11 0.13 0.02 0.51 0.53 0.51 0.53 XXX76946 ......... TC ...... A Echo guide for amniocentesis ....................... 0.00 0.34 1.23 NA NA 0.10 0.44 1.33 NA NA XXX76948 ......... ............ A Echo guide, ova aspiration ............................ 0.38 0.44 1.35 NA NA 0.12 0.94 1.85 NA NA XXX76948 ......... 26 ....... A Echo guide, ova aspiration ............................ 0.38 0.10 0.12 0.10 0.12 0.02 0.50 0.52 0.50 0.52 XXX76948 ......... TC ...... A Echo guide, ova aspiration ............................ 0.00 0.34 1.23 NA NA 0.10 0.44 1.33 NA NA XXX76950 ......... ............ A Echo guidance radiotherapy ......................... 0.58 1.17 1.42 NA NA 0.10 1.85 2.10 NA NA XXX76950 ......... 26 ....... A Echo guidance radiotherapy ......................... 0.58 0.16 0.18 0.16 0.18 0.03 0.77 0.79 0.77 0.79 XXX76950 ......... TC ...... A Echo guidance radiotherapy ......................... 0.00 1.01 1.24 NA NA 0.07 1.08 1.31 NA NA XXX76965 ......... ............ A Echo guidance radiotherapy ......................... 1.34 1.20 4.82 NA NA 0.37 2.91 6.53 NA NA XXX76965 ......... 26 ....... A Echo guidance radiotherapy ......................... 1.34 0.49 0.45 0.49 0.45 0.08 1.91 1.87 1.91 1.87 XXX76965 ......... TC ...... A Echo guidance radiotherapy ......................... 0.00 0.71 4.37 NA NA 0.29 1.00 4.66 NA NA XXX76970 ......... ............ A Ultrasound exam follow-up ............................ 0.40 2.15 1.42 NA NA 0.08 2.63 1.90 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00216 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37385 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal76970 ......... 26 ....... A Ultrasound exam follow-up ............................ 0.40 0.11 0.13 0.11 0.13 0.02 0.53 0.55 0.53 0.55XXX76970 ......... TC ...... A Ultrasound exam follow-up ............................ 0.00 2.04 1.30 NA NA 0.06 2.10 1.36 NA NA XXX76975 ......... ............ A GI endoscopic ultrasound ............................. 0.81 0.31 1.43 NA NA 0.14 1.26 2.38 NA NA XXX76975 ......... 26 ....... A GI endoscopic ultrasound ............................. 0.81 0.31 0.29 0.31 0.29 0.04 1.16 1.14 1.16 1.14XXX76975 ......... TC ...... A GI endoscopic ultrasound ............................. 0.00 0.00 1.14 NA NA 0.10 0.10 1.24 NA NA XXX76977 ......... ............ A Us bone density measure ............................. 0.05 0.11 0.66 NA NA 0.06 0.22 0.77 NA NA XXX76977 ......... 26 ....... A Us bone density measure ............................. 0.05 0.01 0.02 0.01 0.02 0.01 0.07 0.08 0.07 0.08XXX76977 ......... TC ...... A Us bone density measure ............................. 0.00 0.09 0.64 NA NA 0.05 0.14 0.69 NA NA XXX76986 ......... ............ A Ultrasound guide intraoper ............................ 1.20 0.35 2.36 NA NA 0.27 1.82 3.83 NA NA XXX76986 ......... 26 ....... A Ultrasound guide intraoper ............................ 1.20 0.35 0.39 0.35 0.39 0.13 1.68 1.72 1.68 1.72 XXX76986 ......... TC ...... A Ultrasound guide intraoper ............................ 0.00 0.00 1.97 NA NA 0.14 0.14 2.11 NA NA XXX77261 ......... ............ A Radiation therapy planning ........................... 1.39 0.42 0.49 0.42 0.49 0.07 1.88 1.95 1.88 1.95 XXX77262 ......... ............ A Radiation therapy planning ........................... 2.11 0.59 0.71 0.59 0.71 0.11 2.81 2.93 2.81 2.93 XXX77263 ......... ............ A Radiation therapy planning ........................... 3.14 0.88 1.05 0.88 1.05 0.16 4.18 4.35 4.18 4.35 XXX77280 ......... ............ A Set radiation therapy field ............................. 0.70 4.39 3.87 NA NA 0.22 5.31 4.79 NA NA XXX77280 ......... 26 ....... A Set radiation therapy field ............................. 0.70 0.20 0.22 0.20 0.22 0.04 0.94 0.96 0.94 0.96 XXX77280 ......... TC ...... A Set radiation therapy field ............................. 0.00 4.20 3.66 NA NA 0.18 4.38 3.84 NA NA XXX77285 ......... ............ A Set radiation therapy field ............................. 1.05 8.00 6.45 NA NA 0.35 9.40 7.85 NA NA XXX77285 ......... 26 ....... A Set radiation therapy field ............................. 1.05 0.29 0.33 0.29 0.33 0.05 1.39 1.43 1.39 1.43 XXX77285 ......... TC ...... A Set radiation therapy field ............................. 0.00 7.70 6.12 NA NA 0.30 8.00 6.42 NA NA XXX77290 ......... ............ A Set radiation therapy field ............................. 1.56 13.37 8.62 NA NA 0.43 15.36 10.61 NA NA XXX77290 ......... 26 ....... A Set radiation therapy field ............................. 1.56 0.44 0.49 0.44 0.49 0.08 2.08 2.13 2.08 2.13 XXX77290 ......... TC ...... A Set radiation therapy field ............................. 0.00 12.93 8.13 NA NA 0.35 13.28 8.48 NA NA XXX77295 ......... ............ A Set radiation therapy field ............................. 4.56 7.00 23.85 NA NA 1.71 13.27 30.12 NA NA XXX77295 ......... 26 ....... A Set radiation therapy field ............................. 4.56 1.28 1.42 1.28 1.42 0.23 6.07 6.21 6.07 6.21 XXX77295 ......... TC ...... A Set radiation therapy field ............................. 0.00 5.72 22.44 NA NA 1.48 7.20 23.92 NA NA XXX77300 ......... ............ A Radiation therapy dose plan ......................... 0.62 1.10 1.43 NA NA 0.10 1.82 2.15 NA NA XXX77300 ......... 26 ....... A Radiation therapy dose plan ......................... 0.62 0.17 0.19 0.17 0.19 0.03 0.82 0.84 0.82 0.84XXX77300 ......... TC ...... A Radiation therapy dose plan ......................... 0.00 0.92 1.24 NA NA 0.07 0.99 1.31 NA NA XXX77301 ......... ............ A Radiotherapy dose plan, imrt ........................ 7.99 54.08 36.46 NA NA 1.88 63.95 46.33 NA NA XXX77301 ......... 26 ....... A Radiotherapy dose plan, imrt ........................ 7.99 2.24 2.49 2.24 2.49 0.40 10.63 10.88 10.63 10.88 XXX77301 ......... TC ...... A Radiotherapy dose plan, imrt ........................ 0.00 51.84 33.97 NA NA 1.48 53.32 35.45 NA NA XXX77305 ......... ............ A Teletx isodose plan simple ............................ 0.70 0.86 1.79 NA NA 0.15 1.71 2.64 NA NA XXX77305 ......... 26 ....... A Teletx isodose plan simple ............................ 0.70 0.20 0.22 0.20 0.22 0.04 0.94 0.96 0.94 0.96 XXX77305 ......... TC ...... A Teletx isodose plan simple ............................ 0.00 0.66 1.57 NA NA 0.11 0.77 1.68 NA NA XXX77310 ......... ............ A Teletx isodose plan intermed ........................ 1.05 1.19 2.31 NA NA 0.18 2.42 3.54 NA NA XXX77310 ......... 26 ....... A Teletx isodose plan intermed ........................ 1.05 0.29 0.33 0.29 0.33 0.05 1.39 1.43 1.39 1.43XXX77310 ......... TC ...... A Teletx isodose plan intermed ........................ 0.00 0.90 1.98 NA NA 0.13 1.03 2.11 NA NA XXX77315 ......... ............ A Teletx isodose plan complex ......................... 1.56 1.99 2.88 NA NA 0.22 3.77 4.66 NA NA XXX77315 ......... 26 ....... A Teletx isodose plan complex ......................... 1.56 0.44 0.49 0.44 0.49 0.08 2.08 2.13 2.08 2.13XXX77315 ......... TC ...... A Teletx isodose plan complex ......................... 0.00 1.56 2.39 NA NA 0.14 1.70 2.53 NA NA XXX77321 ......... ............ A Special teletx port plan .................................. 0.95 1.40 3.61 NA NA 0.26 2.61 4.82 NA NAXXX77321 ......... 26 ....... A Special teletx port plan .................................. 0.95 0.27 0.29 0.27 0.29 0.05 1.27 1.29 1.271.29 XXX77321 ......... TC ...... A Special teletx port plan .................................. 0.00 1.13 3.32 NA NA 0.21 1.34 3.53 NA NA XXX77326 ......... ............ A Brachytx isodose calc simp ........................... 0.93 2.81 2.71 NA NA 0.18 3.92 3.82 NA NA XXX77326 ......... 26 ....... A Brachytx isodose calc simp ........................... 0.93 0.26 0.29 0.26 0.29 0.05 1.24 1.27 1.24 1.27XXX77326 ......... TC ...... A Brachytx isodose calc simp ........................... 0.00 2.56 2.42 NA NA 0.13 2.69 2.55 NA NA XXX77327 ......... ............ A Brachytx isodose calc interm ........................ 1.39 3.89 3.91 NA NA 0.25 5.53 5.55 NA NA XXX77327 ......... 26 ....... A Brachytx isodose calc interm ........................ 1.39 0.39 0.43 0.39 0.43 0.07 1.85 1.89 1.85 1.89XXX77327 ......... TC ...... A Brachytx isodose calc interm ........................ 0.00 3.50 3.49 NA NA 0.18 3.68 3.67 NA NA XXX77328 ......... ............ A Brachytx isodose plan compl ........................ 2.09 5.00 5.48 NA NA 0.36 7.45 7.93 NA NA XXX77328 ......... 26 ....... A Brachytx isodose plan compl ........................ 2.09 0.59 0.65 0.59 0.65 0.11 2.79 2.85 2.79 2.85 XXX77328 ......... TC ...... A Brachytx isodose plan compl ........................ 0.00 4.41 4.83 NA NA 0.25 4.66 5.08 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00217 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37386 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal77331 ......... ............ A Special radiation dosimetry ........................... 0.87 0.73 0.77 NA NA 0.06 1.66 1.70 NA NA XXX77331 ......... 26 ....... A Special radiation dosimetry ........................... 0.87 0.24 0.27 0.24 0.27 0.04 1.15 1.18 1.15 1.18 XXX77331 ......... TC ...... A Special radiation dosimetry ........................... 0.00 0.49 0.50 NA NA 0.02 0.51 0.52 NA NA XXX77332 ......... ............ A Radiation treatment aid(s) ............................. 0.54 1.54 1.52 NA NA 0.10 2.18 2.16 NA NA XXX77332 ......... 26 ....... A Radiation treatment aid(s) ............................. 0.54 0.15 0.17 0.15 0.17 0.03 0.72 0.74 0.72 0.74 XXX77332 ......... TC ...... A Radiation treatment aid(s) ............................. 0.00 1.38 1.35 NA NA 0.07 1.45 1.42 NA NA XXX77333 ......... ............ A Radiation treatment aid(s) ............................. 0.84 0.47 1.75 NA NA 0.15 1.46 2.74 NA NA XXX77333 ......... 26 ....... A Radiation treatment aid(s) ............................. 0.84 0.24 0.26 0.24 0.26 0.04 1.12 1.14 1.12 1.14 XXX77333 ......... TC ...... A Radiation treatment aid(s) ............................. 0.00 0.23 1.48 NA NA 0.11 0.34 1.59 NA NA XXX77334 ......... ............ A Radiation treatment aid(s) ............................. 1.24 2.64 3.41 NA NA 0.23 4.11 4.88 NA NA XXX77334 ......... 26 ....... A Radiation treatment aid(s) ............................. 1.24 0.35 0.39 0.35 0.39 0.06 1.65 1.69 1.65 1.69 XXX77334 ......... TC ...... A Radiation treatment aid(s) ............................. 0.00 2.30 3.02 NA NA 0.17 2.47 3.19 NA NA XXX77336 ......... ............ A Radiation physics consult .............................. 0.00 0.93 2.48 NA NA 0.16 1.09 2.64 NA NA XXX77370 ......... ............ A Radiation physics consult .............................. 0.00 2.36 3.22 NA NA 0.18 2.54 3.40 NA NA XXX77401 ......... ............ A Radiation treatment delivery ......................... 0.00 0.50 1.46 NA NA 0.11 0.61 1.57 NA NA XXX77402 ......... ............ A Radiation treatment delivery ......................... 0.00 4.20 2.39 NA NA 0.11 4.31 2.50 NA NA XXX77403 ......... ............ A Radiation treatment delivery ......................... 0.00 3.77 2.28 NA NA 0.11 3.88 2.39 NA NA XXX77404 ......... ............ A Radiation treatment delivery ......................... 0.00 4.22 2.39 NA NA 0.11 4.33 2.50 NA NA XXX77406 ......... ............ A Radiation treatment delivery ......................... 0.00 4.23 2.39 NA NA 0.11 4.34 2.50 NA NA XXX77407 ......... ............ A Radiation treatment delivery ......................... 0.00 5.44 2.94 NA NA 0.12 5.56 3.06 NA NA XXX77408 ......... ............ A Radiation treatment delivery ......................... 0.00 5.24 2.89 NA NA 0.12 5.36 3.01 NA NA XXX77409 ......... ............ A Radiation treatment delivery ......................... 0.00 5.84 3.04 NA NA 0.12 5.96 3.16 NA NA XXX77411 ......... ............ A Radiation treatment delivery ......................... 0.00 5.73 3.01 NA NA 0.12 5.85 3.13 NA NA XXX77412 ......... ............ A Radiation treatment delivery ......................... 0.00 6.85 3.47 NA NA 0.13 6.98 3.60 NA NA XXX77413 ......... ............ A Radiation treatment delivery ......................... 0.00 6.86 3.47 NA NA 0.13 6.99 3.60 NA NA XXX77414 ......... ............ A Radiation treatment delivery ......................... 0.00 7.74 3.69 NA NA 0.13 7.87 3.82 NA NA XXX77416 ......... ............ A Radiation treatment delivery ......................... 0.00 7.73 3.69 NA NA 0.13 7.86 3.82 NA NA XXX77417 ......... ............ A Radiology port film(s) .................................... 0.00 0.36 0.53 NA NA 0.04 0.40 0.57 NA NAXXX77418 ......... ............ A Radiation tx delivery, imrt .............................. 0.00 13.15 16.84 NA NA 0.13 13.28 16.97 NANA XXX77421 ......... ............ A Stereoscopic x-ray guidance ......................... 0.39 1.97 3.11 NA NA 0.12 2.48 3.62 NA NA XXX77421 ......... 26 ....... A Stereoscopic x-ray guidance ......................... 0.39 0.11 0.13 0.11 0.13 0.02 0.52 0.54 0.52 0.54XXX77421 ......... TC ...... A Stereoscopic x-ray guidance ......................... 0.00 1.86 2.99 NA NA 0.10 1.96 3.09 NA NA XXX77422 ......... ............ A Neutron beam tx, simple ............................... 0.00 7.59 3.18 NA NA 0.13 7.72 3.31 NA NA XXX77423 ......... ............ A Neutron beam tx, complex ............................ 0.00 12.53 4.83 NA NA 0.13 12.66 4.96 NA NA XXX77427 ......... ............ A Radiation tx management, x5 ....................... 3.31 1.10 1.07 1.10 1.07 0.17 4.58 4.55 4.58 4.55XXX77431 ......... ............ A Radiation therapy management .................... 1.81 0.69 0.68 0.69 0.68 0.09 2.59 2.58 2.59 2.58 XXX77432 ......... ............ A Stereotactic radiation trmt ............................. 7.92 2.21 2.74 2.21 2.74 0.41 10.54 11.07 10.54 11.07 XXX77470 ......... ............ A Special radiation treatment ........................... 2.09 1.79 9.34 NA NA 0.70 4.58 12.13 NA NA XXX77470 ......... 26 ....... A Special radiation treatment ........................... 2.09 0.58 0.65 0.58 0.65 0.11 2.78 2.85 2.78 2.85 XXX77470 ......... TC ...... A Special radiation treatment ........................... 0.00 1.20 8.69 NA NA 0.59 1.79 9.28 NA NA XXX77600 ......... ............ R Hyperthermia treatment ................................. 1.56 9.38 5.02 NA NA 0.24 11.18 6.82 NA NA XXX77600 ......... 26 ....... R Hyperthermia treatment ................................. 1.56 0.36 0.47 0.36 0.47 0.08 2.00 2.11 2.00 2.11 XXX77600 ......... TC ...... R Hyperthermia treatment ................................. 0.00 9.02 4.55 NA NA 0.16 9.18 4.71 NA NA XXX77605 ......... ............ R Hyperthermia treatment ................................. 2.09 16.95 7.79 NA NA 0.38 19.42 10.26 NA NAXXX77605 ......... 26 ....... R Hyperthermia treatment ................................. 2.09 0.53 0.63 0.53 0.63 0.16 2.78 2.88 2.78 2.88 XXX77605 ......... TC ...... R Hyperthermia treatment ................................. 0.00 16.42 7.16 NA NA 0.22 16.64 7.38 NA NA XXX77610 ......... ............ R Hyperthermia treatment ................................. 1.56 16.63 6.84 NA NA 0.24 18.43 8.64 NA NAXXX77610 ......... 26 ....... R Hyperthermia treatment ................................. 1.56 0.43 0.49 0.43 0.49 0.08 2.07 2.13 2.07 2.13 XXX77610 ......... TC ...... R Hyperthermia treatment ................................. 0.00 16.20 6.35 NA NA 0.16 16.36 6.51 NA NA XXX77615 ......... ............ R Hyperthermia treatment ................................. 2.09 24.67 9.72 NA NA 0.33 27.09 12.14 NA NAXXX77615 ......... 26 ....... R Hyperthermia treatment ................................. 2.09 0.56 0.64 0.56 0.64 0.11 2.76 2.84 2.76 2.84 XXX77615 ......... TC ...... R Hyperthermia treatment ................................. 0.00 24.11 9.08 NA NA 0.22 24.33 9.30 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00218 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37387 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal77620 ......... ............ R Hyperthermia treatment ................................. 1.56 9.51 5.06 NA NA 0.36 11.43 6.98 NA NA XXX77620 ......... 26 ....... R Hyperthermia treatment ................................. 1.56 0.40 0.49 0.40 0.49 0.20 2.16 2.25 2.16 2.25 XXX77620 ......... TC ...... R Hyperthermia treatment ................................. 0.00 9.11 4.57 NA NA 0.16 9.27 4.73 NA NA XXX77750 ......... ............ A Infuse radioactive materials .......................... 4.90 4.26 3.25 NA NA 0.32 9.48 8.47 NA NA 09077750 ......... 26 ....... A Infuse radioactive materials .......................... 4.90 1.38 1.53 1.38 1.53 0.25 6.53 6.68 6.53 6.68 09077750 ......... TC ...... A Infuse radioactive materials .......................... 0.00 2.88 1.72 NA NA 0.07 2.95 1.79 NA NA 09077761 ......... ............ A Apply intrcav radiat simple ............................ 3.80 5.68 4.12 NA NA 0.33 9.81 8.25 NA NA 09077761 ......... 26 ....... A Apply intrcav radiat simple ............................ 3.80 1.08 1.09 1.08 1.09 0.19 5.07 5.08 5.07 5.08 09077761 ......... TC ...... A Apply intrcav radiat simple ............................ 0.00 4.60 3.03 NA NA 0.14 4.74 3.17 NA NA 09077762 ......... ............ A Apply intrcav radiat interm ............................ 5.71 6.67 5.76 NA NA 0.48 12.86 11.95 NA NA09077762 ......... 26 ....... A Apply intrcav radiat interm ............................ 5.71 1.59 1.78 1.59 1.78 0.29 7.59 7.78 7.59 7.78 09077762 ......... TC ...... A Apply intrcav radiat interm ............................ 0.00 5.08 3.99 NA NA 0.19 5.27 4.18 NA NA 09077763 ......... ............ A Apply intrcav radiat compl ............................. 8.56 8.99 7.69 NA NA 0.66 18.21 16.91 NA NA09077763 ......... 26 ....... A Apply intrcav radiat compl ............................. 8.56 2.38 2.66 2.38 2.66 0.43 11.37 11.65 11.3711.65 09077763 ......... TC ...... A Apply intrcav radiat compl ............................. 0.00 6.61 5.03 NA NA 0.23 6.84 5.26 NA NA 09077776 ......... ............ A Apply interstit radiat simpl ............................. 4.65 6.77 4.05 NA NA 0.57 11.99 9.27 NA NA09077776 ......... 26 ....... A Apply interstit radiat simpl ............................. 4.65 1.58 1.11 1.58 1.11 0.44 6.67 6.20 6.676.20 09077776 ......... TC ...... A Apply interstit radiat simpl ............................. 0.00 5.19 2.94 NA NA 0.13 5.32 3.07 NA NA 09077777 ......... ............ A Apply interstit radiat inter .............................. 7.47 7.07 6.73 NA NA 0.61 15.15 14.81 NANA 09077777 ......... 26 ....... A Apply interstit radiat inter .............................. 7.47 2.25 2.35 2.25 2.35 0.39 10.11 10.21 10.11 10.21 09077778 ......... ............ A Apply interstit radiat compl ............................ 11.17 9.77 8.98 NA NA 0.84 21.78 20.99 NA NA 09077778 ......... 26 ....... A Apply interstit radiat compl ............................ 11.17 3.15 3.47 3.15 3.47 0.57 14.89 15.21 14.89 15.21 09077778 ......... TC ...... A Apply interstit radiat compl ............................ 0.00 6.62 5.51 NA NA 0.27 6.89 5.78 NA NA 09077781 ......... ............ A High intensity brachytherapy ......................... 1.66 4.80 16.87 NA NA 1.14 7.60 19.67 NA NA 09077781 ......... 26 ....... A High intensity brachytherapy ......................... 1.66 0.46 0.51 0.46 0.51 0.08 2.20 2.25 2.20 2.2509077781 ......... TC ...... A High intensity brachytherapy ......................... 0.00 4.34 16.36 NA NA 1.06 5.40 17.42 NA NA 09077782 ......... ............ A High intensity brachytherapy ......................... 2.49 12.68 19.04 NA NA 1.19 16.36 22.72 NA NA09077782 ......... 26 ....... A High intensity brachytherapy ......................... 2.49 0.69 0.77 0.69 0.77 0.13 3.31 3.39 3.31 3.3909077782 ......... TC ...... A High intensity brachytherapy ......................... 0.00 11.99 18.27 NA NA 1.06 13.05 19.33 NA NA 09077783 ......... ............ A High intensity brachytherapy ......................... 3.72 24.45 22.28 NA NA 1.25 29.42 27.25 NA NA09077783 ......... 26 ....... A High intensity brachytherapy ......................... 3.72 1.03 1.15 1.03 1.15 0.19 4.94 5.06 4.94 5.0609077783 ......... TC ...... A High intensity brachytherapy ......................... 0.00 23.42 21.13 NA NA 1.06 24.48 22.19 NA NA 09077784 ......... ............ A High intensity brachytherapy ......................... 5.60 45.62 28.03 NA NA 1.35 52.57 34.98 NA NA09077784 ......... 26 ....... A High intensity brachytherapy ......................... 5.60 1.55 1.74 1.55 1.74 0.29 7.44 7.63 7.44 7.6309077784 ......... TC ...... A High intensity brachytherapy ......................... 0.00 44.07 26.29 NA NA 1.06 45.13 27.35 NA NA 09077789 ......... ............ A Apply surface radiation .................................. 1.12 1.95 1.10 NA NA 0.08 3.15 2.30 NA NA00077789 ......... 26 ....... A Apply surface radiation .................................. 1.12 0.35 0.37 0.35 0.37 0.06 1.53 1.55 1.531.55 00077789 ......... TC ...... A Apply surface radiation .................................. 0.00 1.60 0.74 NA NA 0.02 1.62 0.76 NA NA 00077790 ......... ............ A Radiation handling ......................................... 1.05 1.18 0.93 NA NA 0.07 2.30 2.05 NA NA XXX77790 ......... 26 ....... A Radiation handling ......................................... 1.05 0.30 0.33 0.30 0.33 0.05 1.40 1.43 1.40 1.43 XXX77790 ......... TC ...... A Radiation handling ......................................... 0.00 0.89 0.60 NA NA 0.02 0.91 0.62 NA NA XXX78000 ......... ............ A Thyroid, single uptake ................................... 0.19 1.92 1.25 NA NA 0.07 2.18 1.51 NA NAXXX78000 ......... 26 ....... A Thyroid, single uptake ................................... 0.19 0.06 0.06 0.06 0.06 0.01 0.26 0.26 0.260.26 XXX78000 ......... TC ...... A Thyroid, single uptake ................................... 0.00 1.86 1.19 NA NA 0.06 1.92 1.25 NA NA XXX78001 ......... ............ A Thyroid, multiple uptakes .............................. 0.26 2.37 1.64 NA NA 0.08 2.71 1.98 NA NA XXX78001 ......... 26 ....... A Thyroid, multiple uptakes .............................. 0.26 0.09 0.09 0.09 0.09 0.01 0.36 0.36 0.36 0.36 XXX78001 ......... TC ...... A Thyroid, multiple uptakes .............................. 0.00 2.28 1.55 NA NA 0.07 2.35 1.62 NA NA XXX78003 ......... ............ A Thyroid suppress/stimul ................................ 0.33 1.99 1.31 NA NA 0.07 2.39 1.71 NA NA XXX78003 ......... 26 ....... A Thyroid suppress/stimul ................................ 0.33 0.11 0.11 0.11 0.11 0.01 0.45 0.45 0.45 0.45 XXX78003 ......... TC ...... A Thyroid suppress/stimul ................................ 0.00 1.88 1.20 NA NA 0.06 1.94 1.26 NA NA XXX78006 ......... ............ A Thyroid imaging with uptake ......................... 0.49 6.49 3.54 NA NA 0.15 7.13 4.18 NA NA XXX78006 ......... 26 ....... A Thyroid imaging with uptake ......................... 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00219 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37388 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78006 ......... TC ...... A Thyroid imaging with uptake ......................... 0.00 6.32 3.37 NA NA 0.13 6.45 3.50 NA NA XXX78007 ......... ............ A Thyroid image, mult uptakes ......................... 0.50 3.17 2.86 NA NA 0.16 3.83 3.52 NA NA XXX78007 ......... 26 ....... A Thyroid image, mult uptakes ......................... 0.50 0.17 0.17 0.17 0.17 0.02 0.69 0.69 0.69 0.69XXX78007 ......... TC ...... A Thyroid image, mult uptakes ......................... 0.00 2.99 2.68 NA NA 0.14 3.13 2.82 NA NA XXX78010 ......... ............ A Thyroid imaging ............................................. 0.39 4.36 2.56 NA NA 0.13 4.88 3.08 NANA XXX78010 ......... 26 ....... A Thyroid imaging ............................................. 0.39 0.13 0.13 0.13 0.13 0.02 0.54 0.54 0.54 0.54 XXX78010 ......... TC ...... A Thyroid imaging ............................................. 0.00 4.23 2.43 NA NA 0.11 4.34 2.54 NA NA XXX78011 ......... ............ A Thyroid imaging with flow .............................. 0.45 4.69 3.10 NA NA 0.15 5.29 3.70 NA NA XXX78011 ......... 26 ....... A Thyroid imaging with flow .............................. 0.45 0.15 0.15 0.15 0.15 0.02 0.62 0.62 0.62 0.62 XXX78011 ......... TC ...... A Thyroid imaging with flow .............................. 0.00 4.54 2.95 NA NA 0.13 4.67 3.08 NA NA XXX78015 ......... ............ A Thyroid met imaging ...................................... 0.67 5.61 3.51 NA NA 0.17 6.45 4.35 NA NAXXX78015 ......... 26 ....... A Thyroid met imaging ...................................... 0.67 0.22 0.23 0.22 0.23 0.03 0.92 0.93 0.920.93 XXX78015 ......... TC ...... A Thyroid met imaging ...................................... 0.00 5.39 3.28 NA NA 0.14 5.53 3.42 NA NA XXX78016 ......... ............ A Thyroid met imaging/studies ......................... 0.82 8.96 5.07 NA NA 0.21 9.99 6.10 NA NA XXX78016 ......... 26 ....... A Thyroid met imaging/studies ......................... 0.82 0.28 0.28 0.28 0.28 0.03 1.13 1.13 1.13 1.13XXX78016 ......... TC ...... A Thyroid met imaging/studies ......................... 0.00 8.68 4.79 NA NA 0.18 8.86 4.97 NA NA XXX78018 ......... ............ A Thyroid met imaging, body ............................ 0.86 8.25 6.37 NA NA 0.33 9.44 7.56 NA NA XXX78018 ......... 26 ....... A Thyroid met imaging, body ............................ 0.86 0.29 0.30 0.29 0.30 0.04 1.19 1.20 1.19 1.20XXX78018 ......... TC ...... A Thyroid met imaging, body ............................ 0.00 7.96 6.07 NA NA 0.29 8.25 6.36 NA NA XXX78020 ......... ............ A Thyroid met uptake ....................................... 0.60 1.85 1.60 NA NA 0.16 2.61 2.36 NA NAZZZ78020 ......... 26 ....... A Thyroid met uptake ....................................... 0.60 0.20 0.21 0.20 0.21 0.02 0.82 0.83 0.820.83 ZZZ78020 ......... TC ...... A Thyroid met uptake ....................................... 0.00 1.65 1.40 NA NA 0.14 1.79 1.54 NA NA ZZZ78070 ......... ............ A Parathyroid nuclear imaging ......................... 0.82 3.59 4.32 NA NA 0.15 4.56 5.29 NA NA XXX78070 ......... 26 ....... A Parathyroid nuclear imaging ......................... 0.82 0.28 0.28 0.28 0.28 0.04 1.14 1.14 1.14 1.14XXX78070 ......... TC ...... A Parathyroid nuclear imaging ......................... 0.00 3.31 4.04 NA NA 0.11 3.42 4.15 NA NA XXX78075 ......... ............ A Adrenal nuclear imaging ............................... 0.74 11.98 7.27 NA NA 0.32 13.04 8.33 NA NA XXX78075 ......... 26 ....... A Adrenal nuclear imaging ............................... 0.74 0.25 0.26 0.25 0.26 0.03 1.02 1.03 1.02 1.03 XXX78075 ......... TC ...... A Adrenal nuclear imaging ............................... 0.00 11.74 7.02 NA NA 0.29 12.03 7.31 NA NA XXX78102 ......... ............ A Bone marrow imaging, ltd ............................. 0.55 4.33 2.76 NA NA 0.14 5.02 3.45 NA NA XXX78102 ......... 26 ....... A Bone marrow imaging, ltd ............................. 0.55 0.18 0.19 0.18 0.19 0.02 0.75 0.76 0.75 0.76XXX78102 ......... TC ...... A Bone marrow imaging, ltd ............................. 0.00 4.14 2.57 NA NA 0.12 4.26 2.69 NA NA XXX78103 ......... ............ A Bone marrow imaging, mult .......................... 0.75 5.63 3.99 NA NA 0.20 6.58 4.94 NA NA XXX78103 ......... 26 ....... A Bone marrow imaging, mult .......................... 0.75 0.25 0.26 0.25 0.26 0.03 1.03 1.04 1.03 1.04 XXX78103 ......... TC ...... A Bone marrow imaging, mult .......................... 0.00 5.38 3.73 NA NA 0.17 5.55 3.90 NA NA XXX78104 ......... ............ A Bone marrow imaging, body ......................... 0.80 6.52 4.89 NA NA 0.25 7.57 5.94 NA NA XXX78104 ......... 26 ....... A Bone marrow imaging, body ......................... 0.80 0.29 0.28 0.29 0.28 0.03 1.12 1.11 1.12 1.11 XXX78104 ......... TC ...... A Bone marrow imaging, body ......................... 0.00 6.22 4.62 NA NA 0.22 6.44 4.84 NA NA XXX78110 ......... ............ A Plasma volume, single .................................. 0.19 2.19 1.31 NA NA 0.07 2.45 1.57 NA NA XXX78110 ......... 26 ....... A Plasma volume, single .................................. 0.19 0.06 0.07 0.06 0.07 0.01 0.26 0.27 0.26 0.27 XXX78110 ......... TC ...... A Plasma volume, single .................................. 0.00 2.13 1.25 NA NA 0.06 2.19 1.31 NA NA XXX78111 ......... ............ A Plasma volume, multiple ............................... 0.22 2.23 2.55 NA NA 0.15 2.60 2.92 NA NA XXX78111 ......... 26 ....... A Plasma volume, multiple ............................... 0.22 0.07 0.08 0.07 0.08 0.01 0.30 0.31 0.30 0.31 XXX78111 ......... TC ...... A Plasma volume, multiple ............................... 0.00 2.16 2.48 NA NA 0.14 2.30 2.62 NA NA XXX78120 ......... ............ A Red cell mass, single .................................... 0.23 2.16 1.91 NA NA 0.12 2.51 2.26 NA NAXXX78120 ......... 26 ....... A Red cell mass, single .................................... 0.23 0.08 0.08 0.08 0.08 0.01 0.32 0.32 0.320.32 XXX78120 ......... TC ...... A Red cell mass, single .................................... 0.00 2.09 1.83 NA NA 0.11 2.20 1.94 NA NA XXX78121 ......... ............ A Red cell mass, multiple ................................. 0.32 2.26 2.84 NA NA 0.15 2.73 3.31 NA NA XXX78121 ......... 26 ....... A Red cell mass, multiple ................................. 0.32 0.10 0.11 0.10 0.11 0.01 0.43 0.44 0.43 0.44 XXX78121 ......... TC ...... A Red cell mass, multiple ................................. 0.00 2.16 2.73 NA NA 0.14 2.30 2.87 NA NA XXX78122 ......... ............ A Blood volume ................................................. 0.45 2.32 4.16 NA NA 0.26 3.03 4.87 NANA XXX78122 ......... 26 ....... A Blood volume ................................................. 0.45 0.15 0.16 0.15 0.16 0.02 0.62 0.63 0.62 0.63 XXX78122 ......... TC ...... A Blood volume ................................................. 0.00 2.17 4.00 NA NA 0.24 2.41 4.24 NA NAXXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00220 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37389 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78130 ......... ............ A Red cell survival study .................................. 0.61 3.73 3.24 NA NA 0.17 4.51 4.02 NA NAXXX78130 ......... 26 ....... A Red cell survival study .................................. 0.61 0.22 0.21 0.22 0.21 0.03 0.86 0.85 0.860.85 XXX78130 ......... TC ...... A Red cell survival study .................................. 0.00 3.52 3.03 NA NA 0.14 3.66 3.17 NA NA XXX78135 ......... ............ A Red cell survival kinetics ............................... 0.64 8.87 6.04 NA NA 0.28 9.79 6.96 NA NAXXX78135 ......... 26 ....... A Red cell survival kinetics ............................... 0.64 0.21 0.22 0.21 0.22 0.03 0.88 0.89 0.880.89 XXX78135 ......... TC ...... A Red cell survival kinetics ............................... 0.00 8.66 5.83 NA NA 0.25 8.91 6.08 NA NA XXX78140 ......... ............ A Red cell sequestration ................................... 0.61 3.02 3.86 NA NA 0.24 3.87 4.71 NA NAXXX78140 ......... 26 ....... A Red cell sequestration ................................... 0.61 0.21 0.20 0.21 0.20 0.03 0.85 0.84 0.850.84 XXX78140 ......... TC ...... A Red cell sequestration ................................... 0.00 2.81 3.66 NA NA 0.21 3.02 3.87 NA NA XXX78185 ......... ............ A Spleen imaging .............................................. 0.40 5.42 3.24 NA NA 0.15 5.97 3.79 NANA XXX78185 ......... 26 ....... A Spleen imaging .............................................. 0.40 0.14 0.14 0.14 0.14 0.02 0.56 0.56 0.56 0.56 XXX78185 ......... TC ...... A Spleen imaging .............................................. 0.00 5.29 3.10 NA NA 0.13 5.42 3.23 NA NA XXX78190 ......... ............ A Platelet survival, kinetics ............................... 1.09 9.21 6.89 NA NA 0.38 10.68 8.36 NA NA XXX78190 ......... 26 ....... A Platelet survival, kinetics ............................... 1.09 0.35 0.38 0.35 0.38 0.08 1.52 1.55 1.521.55 XXX78190 ......... TC ...... A Platelet survival, kinetics ............................... 0.00 8.85 6.51 NA NA 0.30 9.15 6.81 NA NA XXX78191 ......... ............ A Platelet survival ............................................. 0.61 3.62 6.58 NA NA 0.40 4.63 7.59 NA NA XXX78191 ......... 26 ....... A Platelet survival ............................................. 0.61 0.21 0.20 0.21 0.20 0.03 0.85 0.840.85 0.84 XXX78191 ......... TC ...... A Platelet survival ............................................. 0.00 3.41 6.37 NA NA 0.37 3.78 6.74 NA NAXXX78195 ......... ............ A Lymph system imaging ................................. 1.20 9.02 5.62 NA NA 0.28 10.50 7.10 NA NA XXX78195 ......... 26 ....... A Lymph system imaging ................................. 1.20 0.40 0.41 0.40 0.41 0.06 1.66 1.67 1.66 1.67XXX78195 ......... TC ...... A Lymph system imaging ................................. 0.00 8.62 5.22 NA NA 0.22 8.84 5.44 NA NA XXX78201 ......... ............ A Liver imaging ................................................. 0.44 4.94 3.13 NA NA 0.15 5.53 3.72 NA NA XXX78201 ......... 26 ....... A Liver imaging ................................................. 0.44 0.15 0.15 0.15 0.15 0.02 0.61 0.610.61 0.61 XXX78201 ......... TC ...... A Liver imaging ................................................. 0.00 4.80 2.98 NA NA 0.13 4.93 3.11 NA NAXXX78202 ......... ............ A Liver imaging with flow .................................. 0.51 5.50 3.67 NA NA 0.16 6.17 4.34 NA NAXXX78202 ......... 26 ....... A Liver imaging with flow .................................. 0.51 0.17 0.17 0.17 0.17 0.02 0.70 0.70 0.700.70 XXX78202 ......... TC ...... A Liver imaging with flow .................................. 0.00 5.33 3.50 NA NA 0.14 5.47 3.64 NA NA XXX78205 ......... ............ A Liver imaging (3D) ......................................... 0.71 5.48 6.00 NA NA 0.34 6.53 7.05 NA NA XXX78205 ......... 26 ....... A Liver imaging (3D) ......................................... 0.71 0.24 0.24 0.24 0.24 0.03 0.98 0.98 0.98 0.98 XXX78205 ......... TC ...... A Liver imaging (3D) ......................................... 0.00 5.23 5.76 NA NA 0.31 5.54 6.07 NA NA XXX78206 ......... ............ A Liver image (3d) with flow ............................. 0.96 15.15 8.48 NA NA 0.15 16.26 9.59 NA NAXXX78206 ......... 26 ....... A Liver image (3d) with flow ............................. 0.96 0.33 0.33 0.33 0.33 0.04 1.33 1.33 1.33 1.33 XXX78206 ......... TC ...... A Liver image (3d) with flow ............................. 0.00 14.82 8.15 NA NA 0.11 14.93 8.26 NA NA XXX78215 ......... ............ A Liver and spleen imaging .............................. 0.49 5.02 3.59 NA NA 0.16 5.67 4.24 NA NA XXX78215 ......... 26 ....... A Liver and spleen imaging .............................. 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX78215 ......... TC ...... A Liver and spleen imaging .............................. 0.00 4.85 3.43 NA NA 0.14 4.99 3.57 NA NA XXX78216 ......... ............ A Liver & spleen image/flow ............................. 0.57 2.94 3.50 NA NA 0.20 3.71 4.27 NA NA XXX78216 ......... 26 ....... A Liver & spleen image/flow ............................. 0.57 0.19 0.19 0.19 0.19 0.02 0.78 0.78 0.78 0.78 XXX78216 ......... TC ...... A Liver & spleen image/flow ............................. 0.00 2.75 3.31 NA NA 0.18 2.93 3.49 NA NA XXX78220 ......... ............ A Liver function study ....................................... 0.49 3.19 3.72 NA NA 0.21 3.89 4.42 NA NA XXX78220 ......... 26 ....... A Liver function study ....................................... 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX78220 ......... TC ...... A Liver function study ....................................... 0.00 3.02 3.55 NA NA 0.19 3.21 3.74 NA NA XXX78223 ......... ............ A Hepatobiliary imaging .................................... 0.84 8.87 5.18 NA NA 0.23 9.94 6.25 NA NAXXX78223 ......... 26 ....... A Hepatobiliary imaging .................................... 0.84 0.29 0.28 0.29 0.28 0.04 1.17 1.16 1.171.16 XXX78223 ......... TC ...... A Hepatobiliary imaging .................................... 0.00 8.58 4.90 NA NA 0.19 8.77 5.09 NA NA XXX78230 ......... ............ A Salivary gland imaging .................................. 0.45 4.31 2.83 NA NA 0.15 4.91 3.43 NA NA XXX78230 ......... 26 ....... A Salivary gland imaging .................................. 0.45 0.15 0.15 0.15 0.15 0.02 0.62 0.62 0.62 0.62 XXX78230 ......... TC ...... A Salivary gland imaging .................................. 0.00 4.16 2.68 NA NA 0.13 4.29 2.81 NA NA XXX78231 ......... ............ A Serial salivary imaging .................................. 0.52 2.89 3.24 NA NA 0.19 3.60 3.95 NA NAXXX78231 ......... 26 ....... A Serial salivary imaging .................................. 0.52 0.17 0.18 0.17 0.18 0.02 0.71 0.72 0.710.72 XXX78231 ......... TC ...... A Serial salivary imaging .................................. 0.00 2.72 3.07 NA NA 0.17 2.89 3.24 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00221 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37390 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78232 ......... ............ A Salivary gland function exam ........................ 0.47 2.86 3.50 NA NA 0.20 3.53 4.17 NA NA XXX78232 ......... 26 ....... A Salivary gland function exam ........................ 0.47 0.15 0.16 0.15 0.16 0.02 0.64 0.65 0.64 0.65XXX78232 ......... TC ...... A Salivary gland function exam ........................ 0.00 2.71 3.34 NA NA 0.18 2.89 3.52 NA NA XXX78258 ......... ............ A Esophageal motility study ............................. 0.74 6.03 3.86 NA NA 0.17 6.94 4.77 NA NA XXX78258 ......... 26 ....... A Esophageal motility study ............................. 0.74 0.28 0.26 0.28 0.26 0.03 1.05 1.03 1.05 1.03 XXX78258 ......... TC ...... A Esophageal motility study ............................. 0.00 5.74 3.60 NA NA 0.14 5.88 3.74 NA NA XXX78261 ......... ............ A Gastric mucosa imaging ................................ 0.69 6.33 4.85 NA NA 0.25 7.27 5.79 NA NA XXX78261 ......... 26 ....... A Gastric mucosa imaging ................................ 0.69 0.24 0.24 0.24 0.24 0.03 0.96 0.96 0.96 0.96 XXX78261 ......... TC ...... A Gastric mucosa imaging ................................ 0.00 6.09 4.61 NA NA 0.22 6.31 4.83 NA NA XXX78262 ......... ............ A Gastroesophageal reflux exam ..................... 0.68 6.11 4.90 NA NA 0.25 7.04 5.83 NA NA XXX78262 ......... 26 ....... A Gastroesophageal reflux exam ..................... 0.68 0.21 0.23 0.21 0.23 0.03 0.92 0.94 0.92 0.94 XXX78262 ......... TC ...... A Gastroesophageal reflux exam ..................... 0.00 5.89 4.67 NA NA 0.22 6.11 4.89 NA NA XXX78264 ......... ............ A Gastric emptying study .................................. 0.78 7.47 5.17 NA NA 0.25 8.50 6.20 NA NA XXX78264 ......... 26 ....... A Gastric emptying study .................................. 0.78 0.27 0.26 0.27 0.26 0.03 1.08 1.07 1.08 1.07 XXX78264 ......... TC ...... A Gastric emptying study .................................. 0.00 7.20 4.91 NA NA 0.22 7.42 5.13 NA NA XXX78270 ......... ............ A Vit B-12 absorption exam .............................. 0.20 2.00 1.72 NA NA 0.11 2.31 2.03 NA NA XXX78270 ......... 26 ....... A Vit B-12 absorption exam .............................. 0.20 0.06 0.07 0.06 0.07 0.01 0.27 0.28 0.27 0.28 XXX78270 ......... TC ...... A Vit B-12 absorption exam .............................. 0.00 1.94 1.65 NA NA 0.10 2.04 1.75 NA NA XXX78271 ......... ............ A Vit b-12 absrp exam, int fac .......................... 0.20 1.94 1.77 NA NA 0.11 2.25 2.08 NA NA XXX78271 ......... 26 ....... A Vit b-12 absrp exam, int fac .......................... 0.20 0.05 0.07 0.05 0.07 0.01 0.26 0.28 0.26 0.28 XXX78271 ......... TC ...... A Vit b-12 absrp exam, int fac .......................... 0.00 1.88 1.70 NA NA 0.10 1.98 1.80 NA NA XXX78272 ......... ............ A Vit B-12 absorp, combined ............................ 0.27 2.04 2.33 NA NA 0.14 2.45 2.74 NA NA XXX78272 ......... 26 ....... A Vit B-12 absorp, combined ............................ 0.27 0.07 0.09 0.07 0.09 0.01 0.35 0.37 0.35 0.37XXX78272 ......... TC ...... A Vit B-12 absorp, combined ............................ 0.00 1.97 2.24 NA NA 0.13 2.10 2.37 NA NA XXX78278 ......... ............ A Acute GI blood loss imaging ......................... 0.99 8.96 6.15 NA NA 0.29 10.24 7.43 NA NA XXX78278 ......... 26 ....... A Acute GI blood loss imaging ......................... 0.99 0.34 0.33 0.34 0.33 0.04 1.37 1.36 1.37 1.36XXX78278 ......... TC ...... A Acute GI blood loss imaging ......................... 0.00 8.62 5.82 NA NA 0.25 8.87 6.07 NA NA XXX78282 ......... 26 ....... A GI protein loss exam ..................................... 0.38 0.13 0.13 0.13 0.13 0.02 0.53 0.53 0.530.53 XXX78290 ......... ............ A MeckelIs divert exam .................................... 0.68 8.85 4.68 NA NA 0.19 9.72 5.55 NA NA XXX78290 ......... 26 ....... A MeckelIs divert exam .................................... 0.68 0.23 0.23 0.23 0.23 0.03 0.94 0.94 0.94 0.94 XXX78290 ......... TC ...... A MeckelIs divert exam .................................... 0.00 8.62 4.45 NA NA 0.16 8.78 4.61 NA NA XXX78291 ......... ............ A Leveen/shunt patency exam ......................... 0.88 6.41 4.13 NA NA 0.20 7.49 5.21 NA NA XXX78291 ......... 26 ....... A Leveen/shunt patency exam ......................... 0.88 0.30 0.30 0.30 0.30 0.04 1.22 1.22 1.22 1.22 XXX78291 ......... TC ...... A Leveen/shunt patency exam ......................... 0.00 6.12 3.83 NA NA 0.16 6.28 3.99 NA NA XXX78300 ......... ............ A Bone imaging, limited area ........................... 0.62 4.39 3.12 NA NA 0.17 5.18 3.91 NA NA XXX78300 ......... 26 ....... A Bone imaging, limited area ........................... 0.62 0.21 0.21 0.21 0.21 0.03 0.86 0.86 0.86 0.86XXX78300 ......... TC ...... A Bone imaging, limited area ........................... 0.00 4.18 2.91 NA NA 0.14 4.32 3.05 NA NA XXX78305 ......... ............ A Bone imaging, multiple areas ........................ 0.83 5.66 4.38 NA NA 0.23 6.72 5.44 NA NA XXX78305 ......... 26 ....... A Bone imaging, multiple areas ........................ 0.83 0.28 0.28 0.28 0.28 0.04 1.15 1.15 1.15 1.15XXX78305 ......... TC ...... A Bone imaging, multiple areas ........................ 0.00 5.39 4.10 NA NA 0.19 5.58 4.29 NA NA XXX78306 ......... ............ A Bone imaging, whole body ............................ 0.86 6.32 5.01 NA NA 0.26 7.44 6.13 NA NA XXX78306 ......... 26 ....... A Bone imaging, whole body ............................ 0.86 0.30 0.29 0.30 0.29 0.04 1.20 1.19 1.20 1.19XXX78306 ......... TC ...... A Bone imaging, whole body ............................ 0.00 6.03 4.72 NA NA 0.22 6.25 4.94 NA NA XXX78315 ......... ............ A Bone imaging, 3 phase ................................. 1.02 8.95 6.09 NA NA 0.29 10.26 7.40 NA NA XXX78315 ......... 26 ....... A Bone imaging, 3 phase ................................. 1.02 0.35 0.34 0.35 0.34 0.04 1.41 1.40 1.41 1.40 XXX78315 ......... TC ...... A Bone imaging, 3 phase ................................. 0.00 8.60 5.74 NA NA 0.25 8.85 5.99 NA NA XXX78320 ......... ............ A Bone imaging (3D) ........................................ 1.04 5.57 6.11 NA NA 0.35 6.96 7.50 NA NAXXX78320 ......... 26 ....... A Bone imaging (3D) ........................................ 1.04 0.35 0.36 0.35 0.36 0.04 1.43 1.44 1.431.44 XXX78320 ......... TC ...... A Bone imaging (3D) ........................................ 0.00 5.21 5.75 NA NA 0.31 5.52 6.06 NA NA XXX78350 ......... ............ A Bone mineral, single photon ......................... 0.22 1.91 1.09 NA NA 0.06 2.19 1.37 NA NA XXX78350 ......... 26 ....... A Bone mineral, single photon ......................... 0.22 0.07 0.07 0.07 0.07 0.01 0.30 0.30 0.30 0.30XXX78350 ......... TC ...... A Bone mineral, single photon ......................... 0.00 1.84 1.02 NA NA 0.05 1.89 1.07 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00222 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37391 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78351 ......... ............ N Bone mineral, dual photon ............................ 0.30 2.77 1.98 0.07 0.11 0.01 3.08 2.29 0.38 0.42 XXX78414 ......... 26 ....... A Non-imaging heart function ........................... 0.45 0.14 0.16 0.14 0.16 0.02 0.61 0.63 0.61 0.63XXX78428 ......... ............ A Cardiac shunt imaging .................................. 0.78 5.47 3.28 NA NA 0.16 6.41 4.22 NA NA XXX78428 ......... 26 ....... A Cardiac shunt imaging .................................. 0.78 0.39 0.32 0.39 0.32 0.03 1.20 1.13 1.20 1.13 XXX78428 ......... TC ...... A Cardiac shunt imaging .................................. 0.00 5.08 2.97 NA NA 0.13 5.21 3.10 NA NA XXX78445 ......... ............ A Vascular flow imaging ................................... 0.49 4.73 2.71 NA NA 0.13 5.35 3.33 NA NA XXX78445 ......... 26 ....... A Vascular flow imaging ................................... 0.49 0.19 0.18 0.19 0.18 0.02 0.70 0.69 0.70 0.69 XXX78445 ......... TC ...... A Vascular flow imaging ................................... 0.00 4.55 2.54 NA NA 0.11 4.66 2.65 NA NA XXX78456 ......... ............ A Acute venous thrombus image ..................... 1.00 10.25 5.81 NA NA 0.33 11.58 7.14 NA NA XXX78456 ......... 26 ....... A Acute venous thrombus image ..................... 1.00 0.52 0.39 0.52 0.39 0.04 1.56 1.43 1.56 1.43 XXX78456 ......... TC ...... A Acute venous thrombus image ..................... 0.00 9.74 5.43 NA NA 0.29 10.03 5.72 NA NA XXX78457 ......... ............ A Venous thrombosis imaging .......................... 0.77 4.86 3.41 NA NA 0.17 5.80 4.35 NA NA XXX78457 ......... 26 ....... A Venous thrombosis imaging .......................... 0.77 0.25 0.26 0.25 0.26 0.03 1.05 1.06 1.05 1.06 XXX78458 ......... ............ A Ven thrombosis images, bilat ........................ 0.90 4.71 4.44 NA NA 0.25 5.86 5.59 NA NA XXX78458 ......... 26 ....... A Ven thrombosis images, bilat ........................ 0.90 0.29 0.31 0.29 0.31 0.04 1.23 1.25 1.23 1.25XXX78458 ......... TC ...... A Ven thrombosis images, bilat ........................ 0.00 4.42 4.13 NA NA 0.21 4.63 4.34 NA NA XXX78459 ......... 26 ....... A Heart muscle imaging (PET) ......................... 1.50 0.58 0.57 0.58 0.57 0.05 2.13 2.12 2.13 2.12 XXX78460 ......... ............ A Heart muscle blood, single ............................ 0.86 4.86 3.21 NA NA 0.17 5.89 4.24 NA NA XXX78460 ......... 26 ....... A Heart muscle blood, single ............................ 0.86 0.31 0.30 0.31 0.30 0.04 1.21 1.20 1.21 1.20 XXX78460 ......... TC ...... A Heart muscle blood, single ............................ 0.00 4.54 2.91 NA NA 0.13 4.67 3.04 NA NA XXX78461 ......... ............ A Heart muscle blood, multiple ......................... 1.23 4.20 4.92 NA NA 0.30 5.73 6.45 NA NA XXX78461 ......... 26 ....... A Heart muscle blood, multiple ......................... 1.23 0.45 0.44 0.45 0.44 0.05 1.73 1.72 1.73 1.72XXX78461 ......... TC ...... A Heart muscle blood, multiple ......................... 0.00 3.75 4.49 NA NA 0.25 4.00 4.74 NA NA XXX78464 ......... ............ A Heart image (3d), single ................................ 1.09 6.05 7.12 NA NA 0.41 7.55 8.62 NA NA XXX78464 ......... 26 ....... A Heart image (3d), single ................................ 1.09 0.51 0.41 0.51 0.41 0.04 1.64 1.54 1.64 1.54 XXX78464 ......... TC ...... A Heart image (3d), single ................................ 0.00 5.54 6.70 NA NA 0.37 5.91 7.07 NA NA XXX78465 ......... ............ A Heart image (3d), multiple ............................. 1.46 11.81 12.21 NA NA 0.67 13.94 14.34 NA NA XXX78465 ......... 26 ....... A Heart image (3d), multiple ............................. 1.46 0.73 0.57 0.73 0.57 0.05 2.24 2.08 2.24 2.08 XXX78465 ......... TC ...... A Heart image (3d), multiple ............................. 0.00 11.08 11.64 NA NA 0.62 11.70 12.26 NA NA XXX78466 ......... ............ A Heart infarct image ........................................ 0.69 4.66 3.32 NA NA 0.17 5.52 4.18 NA NA XXX78466 ......... 26 ....... A Heart infarct image ........................................ 0.69 0.27 0.25 0.27 0.25 0.03 0.99 0.97 0.99 0.97 XXX78466 ......... TC ...... A Heart infarct image ........................................ 0.00 4.39 3.07 NA NA 0.14 4.53 3.21 NA NA XXX78468 ......... ............ A Heart infarct image (ef) ................................. 0.80 6.19 4.50 NA NA 0.22 7.21 5.52 NA NAXXX78468 ......... 26 ....... A Heart infarct image (ef) ................................. 0.80 0.43 0.31 0.43 0.31 0.03 1.26 1.14 1.261.14 XXX78468 ......... TC ...... A Heart infarct image (ef) ................................. 0.00 5.76 4.19 NA NA 0.19 5.95 4.38 NA NA XXX78469 ......... ............ A Heart infarct image (3D) ................................ 0.92 6.39 5.76 NA NA 0.31 7.62 6.99 NA NA XXX78469 ......... 26 ....... A Heart infarct image (3D) ................................ 0.92 0.44 0.34 0.44 0.34 0.03 1.39 1.29 1.39 1.29 XXX78469 ......... TC ...... A Heart infarct image (3D) ................................ 0.00 5.95 5.42 NA NA 0.28 6.23 5.70 NA NA XXX78472 ......... ............ A Gated heart, planar, single ............................ 0.98 5.20 5.70 NA NA 0.34 6.52 7.02 NA NA XXX78472 ......... 26 ....... A Gated heart, planar, single ............................ 0.98 0.42 0.36 0.42 0.36 0.04 1.44 1.38 1.44 1.38 XXX78472 ......... TC ...... A Gated heart, planar, single ............................ 0.00 4.77 5.34 NA NA 0.30 5.07 5.64 NA NA XXX78473 ......... ............ A Gated heart, multiple ..................................... 1.47 9.63 9.00 NA NA 0.48 11.58 10.95 NANA XXX78473 ......... 26 ....... A Gated heart, multiple ..................................... 1.47 0.65 0.55 0.65 0.55 0.06 2.18 2.08 2.182.08 XXX78473 ......... TC ...... A Gated heart, multiple ..................................... 0.00 8.99 8.46 NA NA 0.42 9.41 8.88 NA NA XXX78478 ......... ............ A Heart wall motion add-on .............................. 0.50 0.83 1.55 NA NA 0.12 1.45 2.17 NA NA XXX78478 ......... 26 ....... A Heart wall motion add-on .............................. 0.50 0.25 0.24 0.25 0.24 0.02 0.77 0.76 0.77 0.76 XXX78478 ......... TC ...... A Heart wall motion add-on .............................. 0.00 0.58 1.32 NA NA 0.10 0.68 1.42 NA NA XXX78480 ......... ............ A Heart function add-on .................................... 0.30 0.73 1.52 NA NA 0.12 1.15 1.94 NA NAXXX78480 ......... 26 ....... A Heart function add-on .................................... 0.30 0.15 0.20 0.15 0.20 0.02 0.47 0.52 0.470.52 XXX78480 ......... TC ...... A Heart function add-on .................................... 0.00 0.58 1.32 NA NA 0.10 0.68 1.42 NA NA XXX78481 ......... ............ A Heart first pass, single .................................. 0.98 1.30 4.53 NA NA 0.31 2.59 5.82 NA NAXXX78481 ......... 26 ....... A Heart first pass, single .................................. 0.98 0.51 0.40 0.51 0.40 0.03 1.52 1.41 1.521.41 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00223 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37392 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78481 ......... TC ...... A Heart first pass, single .................................. 0.00 0.79 4.13 NA NA 0.28 1.07 4.41 NA NA XXX78483 ......... ............ A Heart first pass, multiple ............................... 1.47 7.41 8.18 NA NA 0.46 9.34 10.11 NA NAXXX78483 ......... 26 ....... A Heart first pass, multiple ............................... 1.47 0.81 0.61 0.81 0.61 0.05 2.33 2.13 2.332.13 XXX78483 ......... TC ...... A Heart first pass, multiple ............................... 0.00 6.61 7.57 NA NA 0.41 7.02 7.98 NA NA XXX78491 ......... 26 ....... A Heart image (pet), single ............................... 1.50 0.65 0.61 0.65 0.61 0.06 2.21 2.17 2.21 2.17 XXX78492 ......... 26 ....... A Heart image (pet), multiple ............................ 1.87 0.93 0.79 0.93 0.79 0.07 2.87 2.73 2.87 2.73 XXX78494 ......... ............ A Heart image, spect ........................................ 1.19 6.42 7.24 NA NA 0.35 7.96 8.78 NA NAXXX78494 ......... 26 ....... A Heart image, spect ........................................ 1.19 0.56 0.46 0.56 0.46 0.05 1.80 1.70 1.801.70 XXX78494 ......... TC ...... A Heart image, spect ........................................ 0.00 5.86 6.78 NA NA 0.30 6.16 7.08 NA NA XXX78496 ......... ............ A Heart first pass add-on .................................. 0.50 0.95 5.69 NA NA 0.32 1.77 6.51 NA NAZZZ78496 ......... 26 ....... A Heart first pass add-on .................................. 0.50 0.25 0.20 0.25 0.20 0.02 0.77 0.72 0.770.72 ZZZ78496 ......... TC ...... A Heart first pass add-on .................................. 0.00 0.69 5.49 NA NA 0.30 0.99 5.79 NA NA ZZZ78580 ......... ............ A Lung perfusion imaging ................................. 0.74 5.33 4.10 NA NA 0.21 6.28 5.05 NA NA XXX78580 ......... 26 ....... A Lung perfusion imaging ................................. 0.74 0.26 0.25 0.26 0.25 0.03 1.03 1.02 1.03 1.02 XXX78580 ......... TC ...... A Lung perfusion imaging ................................. 0.00 5.07 3.85 NA NA 0.18 5.25 4.03 NA NA XXX78584 ......... ............ A Lung V/Q image single breath ...................... 0.99 3.10 3.43 NA NA 0.21 4.30 4.63 NA NA XXX78584 ......... 26 ....... A Lung V/Q image single breath ...................... 0.99 0.34 0.33 0.34 0.33 0.04 1.37 1.36 1.37 1.36 XXX78584 ......... TC ...... A Lung V/Q image single breath ...................... 0.00 2.76 3.10 NA NA 0.17 2.93 3.27 NA NA XXX78585 ......... ............ A Lung V/Q imaging ......................................... 1.09 8.99 6.76 NA NA 0.35 10.43 8.20 NA NAXXX78585 ......... 26 ....... A Lung V/Q imaging ......................................... 1.09 0.37 0.36 0.37 0.36 0.05 1.51 1.50 1.511.50 XXX78585 ......... TC ...... A Lung V/Q imaging ......................................... 0.00 8.61 6.40 NA NA 0.30 8.91 6.70 NA NA XXX78586 ......... ............ A Aerosol lung image, single ............................ 0.40 4.33 3.13 NA NA 0.16 4.89 3.69 NA NA XXX78586 ......... 26 ....... A Aerosol lung image, single ............................ 0.40 0.14 0.13 0.14 0.13 0.02 0.56 0.55 0.56 0.55 XXX78586 ......... TC ...... A Aerosol lung image, single ............................ 0.00 4.19 3.00 NA NA 0.14 4.33 3.14 NA NA XXX78587 ......... ............ A Aerosol lung image, multiple ......................... 0.49 5.64 3.65 NA NA 0.16 6.29 4.30 NA NA XXX78587 ......... 26 ....... A Aerosol lung image, multiple ......................... 0.49 0.17 0.17 0.17 0.17 0.02 0.68 0.68 0.68 0.68XXX78587 ......... TC ...... A Aerosol lung image, multiple ......................... 0.00 5.47 3.48 NA NA 0.14 5.61 3.62 NA NA XXX78588 ......... ............ A Perfusion lung image .................................... 1.09 9.02 4.93 NA NA 0.23 10.34 6.25 NA NAXXX78588 ......... 26 ....... A Perfusion lung image .................................... 1.09 0.37 0.36 0.37 0.36 0.05 1.51 1.50 1.51 1.50 XXX78588 ......... TC ...... A Perfusion lung image .................................... 0.00 8.64 4.57 NA NA 0.18 8.82 4.75 NA NA XXX78591 ......... ............ A Vent image, 1 breath, 1 proj ......................... 0.40 4.33 3.33 NA NA 0.16 4.89 3.89 NA NA XXX78591 ......... 26 ....... A Vent image, 1 breath, 1 proj ......................... 0.40 0.14 0.13 0.14 0.13 0.02 0.56 0.55 0.56 0.55XXX78591 ......... TC ...... A Vent image, 1 breath, 1 proj ......................... 0.00 4.19 3.19 NA NA 0.14 4.33 3.33 NA NA XXX78593 ......... ............ A Vent image, 1 proj, gas ................................. 0.49 5.01 3.97 NA NA 0.20 5.70 4.66 NA NA XXX78593 ......... 26 ....... A Vent image, 1 proj, gas ................................. 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX78593 ......... TC ...... A Vent image, 1 proj, gas ................................. 0.00 4.84 3.81 NA NA 0.18 5.02 3.99 NA NA XXX78594 ......... ............ A Vent image, mult proj, gas ............................ 0.53 5.48 5.25 NA NA 0.27 6.28 6.05 NA NA XXX78594 ......... 26 ....... A Vent image, mult proj, gas ............................ 0.53 0.17 0.18 0.17 0.18 0.02 0.72 0.73 0.72 0.73 XXX78594 ......... TC ...... A Vent image, mult proj, gas ............................ 0.00 5.31 5.07 NA NA 0.25 5.56 5.32 NA NA XXX78596 ......... ............ A Lung differential function ............................... 1.27 8.98 7.88 NA NA 0.42 10.67 9.57 NA NAXXX78596 ......... 26 ....... A Lung differential function ............................... 1.27 0.39 0.41 0.39 0.41 0.05 1.71 1.73 1.711.73 XXX78596 ......... TC ...... A Lung differential function ............................... 0.00 8.59 7.47 NA NA 0.37 8.96 7.84 NA NA XXX78600 ......... ............ A Brain imaging, ltd static ................................. 0.44 7.54 4.17 NA NA 0.16 8.14 4.77 NA NAXXX78600 ......... 26 ....... A Brain imaging, ltd static ................................. 0.44 0.15 0.15 0.15 0.15 0.02 0.61 0.61 0.610.61 XXX78600 ......... TC ...... A Brain imaging, ltd static ................................. 0.00 7.39 4.02 NA NA 0.14 7.53 4.16 NA NA XXX78601 ......... ............ A Brain imaging, ltd w/flow ............................... 0.51 5.58 4.08 NA NA 0.20 6.29 4.79 NA NA XXX78601 ......... 26 ....... A Brain imaging, ltd w/flow ............................... 0.51 0.17 0.17 0.17 0.17 0.02 0.70 0.70 0.70 0.70 XXX78601 ......... TC ...... A Brain imaging, ltd w/flow ............................... 0.00 5.40 3.91 NA NA 0.18 5.58 4.09 NA NA XXX78605 ......... ............ A Brain imaging, complete ................................ 0.53 4.96 3.93 NA NA 0.20 5.69 4.66 NA NA XXX78605 ......... 26 ....... A Brain imaging, complete ................................ 0.53 0.18 0.18 0.18 0.18 0.02 0.73 0.73 0.73 0.73 XXX78605 ......... TC ...... A Brain imaging, complete ................................ 0.00 4.78 3.75 NA NA 0.18 4.96 3.93 NA NA XXX78606 ......... ............ A Brain imaging, compl w/flow ......................... 0.64 8.89 5.29 NA NA 0.24 9.77 6.17 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00224 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37393 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78606 ......... 26 ....... A Brain imaging, compl w/flow ......................... 0.64 0.22 0.21 0.22 0.21 0.03 0.89 0.88 0.89 0.88XXX78606 ......... TC ...... A Brain imaging, compl w/flow ......................... 0.00 8.67 5.08 NA NA 0.21 8.88 5.29 NA NA XXX78607 ......... ............ A Brain imaging (3D) ........................................ 1.23 15.67 9.17 NA NA 0.40 17.30 10.80 NANA XXX78607 ......... 26 ....... A Brain imaging (3D) ........................................ 1.23 0.41 0.43 0.41 0.43 0.05 1.69 1.71 1.691.71 XXX78607 ......... TC ...... A Brain imaging (3D) ........................................ 0.00 15.26 8.74 NA NA 0.35 15.61 9.09 NA NA XXX78608 ......... 26 ....... A Brain imaging (PET) ...................................... 1.50 0.50 0.51 0.50 0.51 0.06 2.06 2.07 2.062.07 XXX78609 ......... 26 ....... A Brain imaging (PET) ...................................... 1.50 0.52 0.51 0.52 0.51 0.06 2.08 2.07 2.082.07 XXX78610 ......... ............ A Brain flow imaging only ................................. 0.30 4.62 2.42 NA NA 0.11 5.03 2.83 NA NA XXX78610 ......... 26 ....... A Brain flow imaging only ................................. 0.30 0.10 0.11 0.10 0.11 0.01 0.41 0.42 0.41 0.42 XXX78610 ......... TC ...... A Brain flow imaging only ................................. 0.00 4.52 2.32 NA NA 0.10 4.62 2.42 NA NA XXX78615 ......... ............ A Cerebral vascular flow image ........................ 0.42 5.53 4.39 NA NA 0.23 6.18 5.04 NA NA XXX78615 ......... 26 ....... A Cerebral vascular flow image ........................ 0.42 0.14 0.15 0.14 0.15 0.02 0.58 0.59 0.58 0.59XXX78615 ......... TC ...... A Cerebral vascular flow image ........................ 0.00 5.39 4.24 NA NA 0.21 5.60 4.45 NA NA XXX78630 ......... ............ A Cerebrospinal fluid scan ................................ 0.68 8.99 6.21 NA NA 0.30 9.97 7.19 NA NA XXX78630 ......... 26 ....... A Cerebrospinal fluid scan ................................ 0.68 0.23 0.23 0.23 0.23 0.03 0.94 0.94 0.94 0.94 XXX78630 ......... TC ...... A Cerebrospinal fluid scan ................................ 0.00 8.76 5.98 NA NA 0.27 9.03 6.25 NA NA XXX78635 ......... ............ A CSF ventriculography .................................... 0.61 8.91 4.31 NA NA 0.16 9.68 5.08 NA NA XXX78635 ......... 26 ....... A CSF ventriculography .................................... 0.61 0.21 0.23 0.21 0.23 0.02 0.84 0.86 0.84 0.86 XXX78635 ......... TC ...... A CSF ventriculography .................................... 0.00 8.70 4.09 NA NA 0.14 8.84 4.23 NA NA XXX78645 ......... ............ A CSF shunt evaluation .................................... 0.57 8.80 4.92 NA NA 0.20 9.57 5.69 NA NA XXX78645 ......... 26 ....... A CSF shunt evaluation .................................... 0.57 0.19 0.19 0.19 0.19 0.02 0.78 0.78 0.78 0.78 XXX78645 ......... TC ...... A CSF shunt evaluation .................................... 0.00 8.61 4.73 NA NA 0.18 8.79 4.91 NA NA XXX78647 ......... ............ A Cerebrospinal fluid scan ................................ 0.90 14.68 8.35 NA NA 0.35 15.93 9.60 NA NAXXX78647 ......... 26 ....... A Cerebrospinal fluid scan ................................ 0.90 0.28 0.30 0.28 0.30 0.04 1.22 1.24 1.22 1.24 XXX78647 ......... TC ...... A Cerebrospinal fluid scan ................................ 0.00 14.40 8.05 NA NA 0.31 14.71 8.36 NA NA XXX78650 ......... ............ A CSF leakage imaging .................................... 0.61 8.97 5.89 NA NA 0.27 9.85 6.77 NA NA XXX78650 ......... 26 ....... A CSF leakage imaging .................................... 0.61 0.21 0.21 0.21 0.21 0.03 0.85 0.85 0.85 0.85 XXX78650 ......... TC ...... A CSF leakage imaging .................................... 0.00 8.76 5.68 NA NA 0.24 9.00 5.92 NA NA XXX78660 ......... ............ A Nuclear exam of tear flow ............................. 0.53 4.40 2.83 NA NA 0.14 5.07 3.50 NA NA XXX78660 ......... 26 ....... A Nuclear exam of tear flow ............................. 0.53 0.18 0.18 0.18 0.18 0.02 0.73 0.73 0.73 0.73 XXX78660 ......... TC ...... A Nuclear exam of tear flow ............................. 0.00 4.22 2.65 NA NA 0.12 4.34 2.77 NA NA XXX78700 ......... ............ A Kidney imaging, static ................................... 0.45 4.63 3.57 NA NA 0.18 5.26 4.20 NA NAXXX78700 ......... 26 ....... A Kidney imaging, static ................................... 0.45 0.16 0.15 0.16 0.15 0.02 0.63 0.62 0.630.62 XXX78700 ......... TC ...... A Kidney imaging, static ................................... 0.00 4.47 3.41 NA NA 0.16 4.63 3.57 NA NA XXX78701 ......... ............ A Kidney imaging with flow ............................... 0.49 5.60 4.20 NA NA 0.20 6.29 4.89 NA NA XXX78701 ......... 26 ....... A Kidney imaging with flow ............................... 0.49 0.17 0.16 0.17 0.16 0.02 0.68 0.67 0.68 0.67 XXX78701 ......... TC ...... A Kidney imaging with flow ............................... 0.00 5.43 4.04 NA NA 0.18 5.61 4.22 NA NA XXX78704 ......... ............ A Imaging renogram ......................................... 0.74 5.67 4.58 NA NA 0.24 6.65 5.56 NA NAXXX78704 ......... 26 ....... A Imaging renogram ......................................... 0.74 0.25 0.25 0.25 0.25 0.03 1.02 1.02 1.021.02 XXX78704 ......... TC ...... A Imaging renogram ......................................... 0.00 5.41 4.32 NA NA 0.21 5.62 4.53 NA NA XXX78707 ......... ............ A Kidney flow/function image ........................... 0.96 5.71 5.03 NA NA 0.27 6.94 6.26 NA NA XXX78707 ......... 26 ....... A Kidney flow/function image ........................... 0.96 0.33 0.32 0.33 0.32 0.04 1.33 1.32 1.33 1.32XXX78707 ......... TC ...... A Kidney flow/function image ........................... 0.00 5.38 4.71 NA NA 0.23 5.61 4.94 NA NA XXX78708 ......... ............ A Kidney flow/function image ........................... 1.21 3.59 4.57 NA NA 0.28 5.08 6.06 NA NA XXX78708 ......... 26 ....... A Kidney flow/function image ........................... 1.21 0.42 0.41 0.42 0.41 0.05 1.68 1.67 1.68 1.67XXX78708 ......... TC ...... A Kidney flow/function image ........................... 0.00 3.17 4.15 NA NA 0.23 3.40 4.38 NA NA XXX78709 ......... ............ A Kidney flow/function image ........................... 1.41 9.25 6.03 NA NA 0.29 10.95 7.73 NA NA XXX78709 ......... 26 ....... A Kidney flow/function image ........................... 1.41 0.48 0.47 0.48 0.47 0.06 1.95 1.94 1.95 1.94XXX78709 ......... TC ...... A Kidney flow/function image ........................... 0.00 8.76 5.55 NA NA 0.23 8.99 5.78 NA NA XXX78710 ......... ............ A Kidney imaging (3D) ...................................... 0.66 5.48 5.98 NA NA 0.34 6.48 6.98 NA NAXXX78710 ......... 26 ....... A Kidney imaging (3D) ...................................... 0.66 0.22 0.22 0.22 0.22 0.03 0.91 0.91 0.910.91 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00225 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37394 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78710 ......... TC ...... A Kidney imaging (3D) ...................................... 0.00 5.26 5.76 NA NA 0.31 5.57 6.07 NA NA XXX78715 ......... ............ A Renal vascular flow exam ............................. 0.30 97 2.51 NA NA 0.11 5.38 2.92 NA NA XXX78715 ......... 26 ....... A Renal vascular flow exam ............................. 0.30 0.13 0.12 0.13 0.12 0.01 0.44 0.43 0.44 0.43XXX78715 ......... TC ...... A Renal vascular flow exam ............................. 0.00 4.84 2.40 NA NA 0.10 4.94 2.50 NA NA XXX78725 ......... ............ A Kidney function study .................................... 0.38 2.44 2.05 NA NA 0.13 2.95 2.56 NA NAXXX78725 ......... 26 ....... A Kidney function study .................................... 0.38 0.12 0.13 0.12 0.13 0.02 0.52 0.53 0.520.53 XXX78725 ......... TC ...... A Kidney function study .................................... 0.00 2.32 1.92 NA NA 0.11 2.43 2.03 NA NA XXX78730 ......... ............ A Urinary bladder retention ............................... 0.36 5.70 2.61 NA NA 0.10 6.16 3.07 NA NA XXX78730 ......... 26 ....... A Urinary bladder retention ............................... 0.36 0.15 0.13 0.15 0.13 0.02 0.53 0.51 0.53 0.51 XXX78730 ......... TC ...... A Urinary bladder retention ............................... 0.00 5.55 2.48 NA NA 0.08 5.63 2.56 NA NA XXX78740 ......... ............ A Ureteral reflux study ...................................... 0.57 5.64 3.15 NA NA 0.15 6.36 3.87 NA NA XXX78740 ......... 26 ....... A Ureteral reflux study ...................................... 0.57 0.19 0.19 0.19 0.19 0.03 0.79 0.79 0.79 0.79 XXX78740 ......... TC ...... A Ureteral reflux study ...................................... 0.00 5.45 2.96 NA NA 0.12 5.57 3.08 NA NA XXX78760 ......... ............ A Testicular imaging ......................................... 0.66 4.68 3.35 NA NA 0.17 5.51 4.18 NA NA XXX78760 ......... 26 ....... A Testicular imaging ......................................... 0.66 0.23 0.22 0.23 0.22 0.03 0.92 0.91 0.92 0.91 XXX78760 ......... TC ...... A Testicular imaging ......................................... 0.00 4.44 3.13 NA NA 0.14 4.58 3.27 NA NA XXX78761 ......... ............ A Testicular imaging/flow .................................. 0.71 5.10 3.86 NA NA 0.20 6.01 4.77 NA NAXXX78761 ......... 26 ....... A Testicular imaging/flow .................................. 0.71 0.25 0.24 0.25 0.24 0.03 0.99 0.98 0.990.98 XXX78761 ......... TC ...... A Testicular imaging/flow .................................. 0.00 4.85 3.62 NA NA 0.17 5.02 3.79 NA NA XXX78800 ......... ............ A Tumor imaging, limited area ......................... 0.66 4.44 3.83 NA NA 0.22 5.32 4.71 NA NA XXX78800 ......... 26 ....... A Tumor imaging, limited area ......................... 0.66 0.21 0.22 0.21 0.22 0.04 0.91 0.92 0.91 0.92XXX78800 ......... TC ...... A Tumor imaging, limited area ......................... 0.00 4.23 3.62 NA NA 0.18 4.41 3.80 NA NA XXX78801 ......... ............ A Tumor imaging, mult areas ........................... 0.79 6.33 4.96 NA NA 0.27 7.39 6.02 NA NA XXX78801 ......... 26 ....... A Tumor imaging, mult areas ........................... 0.79 0.26 0.27 0.26 0.27 0.05 1.10 1.11 1.10 1.11XXX78801 ......... TC ...... A Tumor imaging, mult areas ........................... 0.00 6.07 4.69 NA NA 0.22 6.29 4.91 NA NA XXX78802 ......... ............ A Tumor imaging, whole body .......................... 0.86 8.48 6.50 NA NA 0.34 9.68 7.70 NA NA XXX78802 ......... 26 ....... A Tumor imaging, whole body .......................... 0.86 0.29 0.29 0.29 0.29 0.04 1.19 1.19 1.19 1.19 XXX78802 ......... TC ...... A Tumor imaging, whole body .......................... 0.00 8.19 6.21 NA NA 0.30 8.49 6.51 NA NA XXX78803 ......... ............ A Tumor imaging (3D) ...................................... 1.09 15.50 9.09 NA NA 0.40 16.99 10.58 NA NA XXX78803 ......... 26 ....... A Tumor imaging (3D) ...................................... 1.09 0.37 0.38 0.37 0.38 0.05 1.51 1.52 1.51 1.52 XXX78803 ......... TC ...... A Tumor imaging (3D) ...................................... 0.00 15.14 8.71 NA NA 0.35 15.49 9.06 NA NA XXX78804 ......... ............ A Tumor imaging, whole body .......................... 1.07 15.48 12.47 NA NA 0.34 16.89 13.88 NA NA XXX78804 ......... 26 ....... A Tumor imaging, whole body .......................... 1.07 0.36 0.37 0.36 0.37 0.04 1.47 1.48 1.47 1.48 XXX78804 ......... TC ...... A Tumor imaging, whole body .......................... 0.00 15.12 12.10 NA NA 0.30 15.42 12.40 NA NA XXX78805 ......... ............ A Abscess imaging, ltd area ............................. 0.73 4.38 3.84 NA NA 0.21 5.32 4.78 NA NA XXX78805 ......... 26 ....... A Abscess imaging, ltd area ............................. 0.73 0.25 0.25 0.25 0.25 0.03 1.01 1.01 1.01 1.01 XXX78805 ......... TC ...... A Abscess imaging, ltd area ............................. 0.00 4.14 3.59 NA NA 0.18 4.32 3.77 NA NA XXX78806 ......... ............ A Abscess imaging, whole body ....................... 0.86 8.70 7.23 NA NA 0.39 9.95 8.48 NA NA XXX78806 ......... 26 ....... A Abscess imaging, whole body ....................... 0.86 0.29 0.29 0.29 0.29 0.04 1.19 1.19 1.19 1.19 XXX78806 ......... TC ...... A Abscess imaging, whole body ....................... 0.00 8.41 6.94 NA NA 0.35 8.76 7.29 NA NA XXX78807 ......... ............ A Nuclear localization/abscess ......................... 1.09 14.72 8.90 NA NA 0.39 16.20 10.38 NA NA XXX78807 ......... 26 ....... A Nuclear localization/abscess ......................... 1.09 0.36 0.38 0.36 0.38 0.04 1.49 1.51 1.49 1.51XXX78807 ......... TC ...... A Nuclear localization/abscess ......................... 0.00 14.36 8.52 NA NA 0.35 14.71 8.87 NA NA XXX78811 ......... 26 ....... A Tumor imaging (pet), limited ......................... 1.54 0.53 0.53 0.53 0.53 0.11 2.18 2.18 2.18 2.18XXX78812 ......... 26 ....... A Tumor image (pet)/skul-thigh ........................ 1.93 0.66 0.66 0.66 0.66 0.11 2.70 2.70 2.70 2.70XXX78813 ......... 26 ....... A Tumor image (pet) full body .......................... 2.00 0.69 0.69 0.69 0.69 0.11 2.80 2.80 2.80 2.80XXX78814 ......... 26 ....... A Tumor image pet/ct, limited ........................... 2.20 0.74 0.76 0.74 0.76 0.11 3.05 3.07 3.05 3.07 XXX78815 ......... 26 ....... A Tumorimage pet/ct skul-thigh ........................ 2.44 0.83 0.84 0.83 0.84 0.11 3.38 3.39 3.38 3.39XXX78816 ......... 26 ....... A Tumor image pet/ct full body ........................ 2.50 0.85 0.86 0.85 0.86 0.11 3.46 3.47 3.46 3.47XXX78890 ......... ............ B Nuclear medicine data proc .......................... 0.05 0.39 1.10 NA NA 0.07 0.51 1.22 NA NA XXX78890 ......... 26 ....... B Nuclear medicine data proc .......................... 0.05 0.01 0.02 0.01 0.02 0.01 0.07 0.08 0.07 0.08XXX78890 ......... TC ...... B Nuclear medicine data proc .......................... 0.00 0.38 1.08 NA NA 0.06 0.44 1.14 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00226 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37395 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal78891 ......... ............ B Nuclear med data proc .................................. 0.10 0.88 2.22 NA NA 0.14 1.12 2.46 NA NA XXX78891 ......... 26 ....... B Nuclear med data proc .................................. 0.10 0.02 0.04 0.02 0.04 0.01 0.13 0.15 0.13 0.15 XXX78891 ......... TC ...... B Nuclear med data proc .................................. 0.00 0.85 2.19 NA NA 0.13 0.98 2.32 NA NA XXX79005 ......... ............ A Nuclear rx, oral admin ................................... 1.80 1.85 2.89 NA NA 0.22 3.87 4.91 NA NAXXX79005 ......... 26 ....... A Nuclear rx, oral admin ................................... 1.80 0.56 0.59 0.56 0.59 0.08 2.44 2.47 2.442.47 XXX79005 ......... TC ...... A Nuclear rx, oral admin ................................... 0.00 1.29 2.30 NA NA 0.14 1.43 2.44 NA NA XXX79101 ......... ............ A Nuclear rx, iv admin ...................................... 1.96 2.14 3.01 NA NA 0.22 4.32 5.19 NA NAXXX79101 ......... 26 ....... A Nuclear rx, iv admin ...................................... 1.96 0.70 0.68 0.70 0.68 0.08 2.74 2.72 2.742.72 XXX79101 ......... TC ...... A Nuclear rx, iv admin ...................................... 0.00 1.44 2.33 NA NA 0.14 1.58 2.47 NA NA XXX79200 ......... ............ A Nuclear rx, intracav admin ............................ 1.99 2.25 3.05 NA NA 0.23 4.47 5.27 NA NA XXX79200 ......... 26 ....... A Nuclear rx, intracav admin ............................ 1.99 0.61 0.67 0.61 0.67 0.09 2.69 2.75 2.69 2.75 XXX79200 ......... TC ...... A Nuclear rx, intracav admin ............................ 0.00 1.64 2.38 NA NA 0.14 1.78 2.52 NA NA XXX79300 ......... 26 ....... A Nuclr rx, interstit colloid ................................. 1.60 0.50 0.55 0.50 0.55 0.13 2.23 2.28 2.23 2.28 XXX79403 ......... ............ A Hematopoietic nuclear tx ............................... 2.25 2.92 4.61 NA NA 0.24 5.41 7.10 NA NA XXX79403 ......... 26 ....... A Hematopoietic nuclear tx ............................... 2.25 0.71 0.85 0.71 0.85 0.10 3.06 3.20 3.06 3.20 XXX79403 ......... TC ...... A Hematopoietic nuclear tx ............................... 0.00 2.21 3.76 NA NA 0.14 2.35 3.90 NA NA XXX79440 ......... ............ A Nuclear rx, intra-articular ............................... 1.99 1.90 2.99 NA NA 0.22 4.11 5.20 NA NAXXX79440 ......... 26 ....... A Nuclear rx, intra-articular ............................... 1.99 0.68 0.71 0.68 0.71 0.08 2.75 2.78 2.752.78 XXX79440 ......... TC ...... A Nuclear rx, intra-articular ............................... 0.00 1.22 2.28 NA NA 0.14 1.36 2.42 NA NA XXX79445 ......... 26 ....... A Nuclear rx, intra-arterial ................................. 2.40 0.83 0.82 0.83 0.82 0.12 3.35 3.34 3.35 3.34 XXX80500 ......... ............ A Lab pathology consultation ........................... 0.37 0.19 0.21 0.11 0.15 0.01 0.57 0.59 0.49 0.53 XXX80502 ......... ............ A Lab pathology consultation ........................... 1.33 0.29 0.48 0.24 0.47 0.04 1.66 1.85 1.61 1.84 XXX83020 ......... 26 ....... A Hemoglobin electrophoresis .......................... 0.37 0.11 0.14 0.11 0.14 0.01 0.49 0.52 0.49 0.52XXX83912 ......... 26 ....... A Genetic examination ...................................... 0.37 0.11 0.12 0.11 0.12 0.01 0.49 0.50 0.490.50 XXX84165 ......... 26 ....... A Protein e-phoresis, serum ............................. 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51 XXX84166 ......... 26 ....... A Protein e-phoresis/urine/csf ........................... 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51 XXX84181 ......... 26 ....... A Western blot test ........................................... 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51 XXX84182 ......... 26 ....... A Protein, western blot test .............................. 0.37 0.11 0.15 0.11 0.15 0.02 0.50 0.54 0.50 0.54 XXX85060 ......... ............ A Blood smear interpretation ............................ 0.45 0.14 0.17 0.14 0.17 0.02 0.61 0.64 0.610.64 XXX85097 ......... ............ A Bone marrow interpretation ........................... 0.94 1.29 1.76 0.27 0.38 0.04 2.27 2.74 1.25 1.36 XXX85390 ......... 26 ....... A Fibrinolysins screen ....................................... 0.37 0.12 0.13 0.12 0.13 0.01 0.50 0.51 0.50 0.51 XXX85396 ......... ............ A Clotting assay, whole blood .......................... 0.37 NA NA 0.04 0.13 0.04 NA NA 0.45 0.54 XXX85576 ......... 26 ....... A Blood platelet aggregation ............................ 0.37 0.12 0.15 0.12 0.15 0.01 0.50 0.53 0.50 0.53 XXX86077 ......... ............ A Physician blood bank service ........................ 0.94 0.37 0.39 0.29 0.37 0.03 1.34 1.36 1.26 1.34 XXX86078 ......... ............ A Physician blood bank service ........................ 0.94 0.37 0.44 0.29 0.37 0.03 1.34 1.41 1.26 1.34 XXX86079 ......... ............ A Physician blood bank service ........................ 0.94 0.37 0.43 0.29 0.38 0.03 1.34 1.40 1.26 1.35 XXX86255 ......... 26 ....... A Fluorescent antibody, screen ........................ 0.37 0.11 0.14 0.11 0.14 0.01 0.49 0.52 0.49 0.52XXX86256 ......... 26 ....... A Fluorescent antibody, titer ............................. 0.37 0.11 0.14 0.11 0.14 0.01 0.49 0.52 0.49 0.52 XXX86320 ......... 26 ....... A Serum immunoelectrophoresis ...................... 0.37 0.11 0.14 0.11 0.14 0.01 0.49 0.52 0.49 0.52 XXX86325 ......... 26 ....... A Other immunoelectrophoresis ....................... 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51 XXX86327 ......... 26 ....... A Immunoelectrophoresis assay ....................... 0.42 0.13 0.17 0.13 0.17 0.02 0.57 0.61 0.57 0.61 XXX86334 ......... 26 ....... A Immunofix e-phoresis, serum ........................ 0.37 0.11 0.14 0.11 0.14 0.01 0.49 0.52 0.49 0.52 XXX86335 ......... 26 ....... A Immunfix e-phorsis/urine/csf ......................... 0.37 0.11 0.13 0.11 0.13 0.01 0.49 0.51 0.49 0.51XXX86490 ......... ............ A Coccidioidomycosis skin test ........................ 0.00 0.12 0.25 NA NA 0.02 0.14 0.27 NA NA XXX86510 ......... ............ A Histoplasmosis skin test ................................ 0.00 0.14 0.28 NA NA 0.02 0.16 0.30 NA NA XXX86580 ......... ............ A TB intradermal test ........................................ 0.00 0.16 0.23 NA NA 0.02 0.18 0.25 NA NA XXX87164 ......... 26 ....... A Dark field examination ................................... 0.37 0.12 0.12 0.12 0.12 0.01 0.50 0.50 0.500.50 XXX87207 ......... 26 ....... A Smear, special stain ...................................... 0.37 0.10 0.15 0.10 0.15 0.01 0.48 0.53 0.480.53 XXX88104 ......... ............ A Cytopathology, fluids ..................................... 0.56 1.15 0.93 NA NA 0.04 1.75 1.53 NA NAXXX88104 ......... 26 ....... A Cytopathology, fluids ..................................... 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.730.80 XXX88104 ......... TC ...... A Cytopathology, fluids ..................................... 0.00 1.00 0.71 NA NA 0.02 1.02 0.73 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00227 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37396 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal88106 ......... ............ A Cytopathology, fluids ..................................... 0.56 1.50 1.39 NA NA 0.04 2.10 1.99 NA NAXXX88106 ......... 26 ....... A Cytopathology, fluids ..................................... 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.730.80 XXX88106 ......... TC ...... A Cytopathology, fluids ..................................... 0.00 1.35 1.17 NA NA 0.02 1.37 1.19 NA NA XXX88107 ......... ............ A Cytopathology, fluids ..................................... 0.76 1.99 1.65 NA NA 0.05 2.80 2.46 NA NAXXX88107 ......... 26 ....... A Cytopathology, fluids ..................................... 0.76 0.22 0.30 0.22 0.30 0.03 1.01 1.09 1.011.09 XXX88107 ......... TC ...... A Cytopathology, fluids ..................................... 0.00 1.76 1.35 NA NA 0.02 1.78 1.37 NA NA XXX88108 ......... ............ A Cytopath, concentrate tech ........................... 0.56 1.47 1.28 NA NA 0.04 2.07 1.88 NA NA XXX88108 ......... 26 ....... A Cytopath, concentrate tech ........................... 0.56 0.15 0.22 0.15 0.22 0.02 0.73 0.80 0.73 0.80XXX88108 ......... TC ...... A Cytopath, concentrate tech ........................... 0.00 1.32 1.06 NA NA 0.02 1.34 1.08 NA NA XXX88112 ......... ............ A Cytopath, cell enhance tech .......................... 1.18 1.50 1.85 NA NA 0.04 2.72 3.07 NA NA XXX88112 ......... 26 ....... A Cytopath, cell enhance tech .......................... 1.18 0.29 0.46 0.29 0.46 0.02 1.49 1.66 1.49 1.66XXX88112 ......... TC ...... A Cytopath, cell enhance tech .......................... 0.00 1.21 1.40 NA NA 0.02 1.23 1.42 NA NA XXX88125 ......... ............ A Forensic cytopathology ................................. 0.26 0.25 0.27 NA NA 0.02 0.53 0.55 NA NA XXX88125 ......... 26 ....... A Forensic cytopathology ................................. 0.26 0.06 0.10 0.06 0.10 0.01 0.33 0.37 0.33 0.37 XXX88125 ......... TC ...... A Forensic cytopathology ................................. 0.00 0.19 0.17 NA NA 0.01 0.20 0.18 NA NA XXX88141 ......... ............ A Cytopath, c/v, interpret .................................. 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXX88160 ......... ............ A Cytopath smear, other source ....................... 0.50 0.90 0.85 NA NA 0.04 1.44 1.39 NA NA XXX88160 ......... 26 ....... A Cytopath smear, other source ....................... 0.50 0.13 0.19 0.13 0.19 0.02 0.65 0.71 0.65 0.71 XXX88160 ......... TC ...... A Cytopath smear, other source ....................... 0.00 0.77 0.66 NA NA 0.02 0.79 0.68 NA NA XXX88161 ......... ............ A Cytopath smear, other source ....................... 0.50 1.12 0.99 NA NA 0.04 1.66 1.53 NA NA XXX88161 ......... 26 ....... A Cytopath smear, other source ....................... 0.50 0.15 0.20 0.15 0.20 0.02 0.67 0.72 0.67 0.72 XXX88161 ......... TC ...... A Cytopath smear, other source ....................... 0.00 0.97 0.79 NA NA 0.02 0.99 0.81 NA NA XXX88162 ......... ............ A Cytopath smear, other source ....................... 0.76 1.16 1.06 NA NA 0.05 1.97 1.87 NA NA XXX88162 ......... 26 ....... A Cytopath smear, other source ....................... 0.76 0.16 0.29 0.16 0.29 0.03 0.95 1.08 0.95 1.08 XXX88162 ......... TC ...... A Cytopath smear, other source ....................... 0.00 1.00 0.77 NA NA 0.02 1.02 0.79 NA NA XXX88172 ......... ............ A Cytopathology eval of fna ............................. 0.60 0.85 0.76 NA NA 0.04 1.49 1.40 NA NA XXX88172 ......... 26 ....... A Cytopathology eval of fna ............................. 0.60 0.18 0.24 0.18 0.24 0.02 0.80 0.86 0.80 0.86 XXX88172 ......... TC ...... A Cytopathology eval of fna ............................. 0.00 0.67 0.52 NA NA 0.02 0.69 0.54 NA NA XXX88173 ......... ............ A Cytopath eval, fna, report .............................. 1.39 2.30 2.18 NA NA 0.07 3.76 3.64 NA NA XXX88173 ......... 26 ....... A Cytopath eval, fna, report .............................. 1.39 0.39 0.54 0.39 0.54 0.05 1.83 1.98 1.83 1.98 XXX88173 ......... TC ...... A Cytopath eval, fna, report .............................. 0.00 1.91 1.64 NA NA 0.02 1.93 1.66 NA NA XXX88182 ......... ............ A Cell marker study .......................................... 0.77 1.95 1.97 NA NA 0.07 2.79 2.81 NA NA XXX88182 ......... 26 ....... A Cell marker study .......................................... 0.77 0.12 0.28 0.12 0.28 0.03 0.92 1.08 0.92 1.08 XXX88182 ......... TC ...... A Cell marker study .......................................... 0.00 1.83 1.70 NA NA 0.04 1.87 1.74 NA NA XXX88184 ......... ............ A Flowcytometry/ tc, 1 marker .......................... 0.00 2.50 1.62 NA NA 0.02 2.52 1.64 NA NA XXX88185 ......... ............ A Flowcytometry/tc, add-on .............................. 0.00 1.52 0.86 NA NA 0.02 1.54 0.88 NA NA ZZZ88187 ......... ............ A Flowcytometry/read, 2-8 ................................ 1.36 0.38 0.43 0.38 0.43 0.01 1.75 1.80 1.751.80 XXX88188 ......... ............ A Flowcytometry/read, 9-15 .............................. 1.69 0.43 0.54 0.43 0.54 0.01 2.13 2.24 2.132.24 XXX88189 ......... ............ A Flowcytometry/read, 16 & > .......................... 2.23 0.47 0.68 0.47 0.68 0.01 2.71 2.92 2.71 2.92 XXX88291 ......... ............ A Cyto/molecular report .................................... 0.52 0.27 0.20 0.27 0.20 0.02 0.81 0.74 0.81 0.74 XXX88300 ......... ............ A Surgical path, gross ...................................... 0.08 0.59 0.49 NA NA 0.02 0.69 0.59 NA NAXXX88300 ......... 26 ....... A Surgical path, gross ...................................... 0.08 0.02 0.03 0.02 0.03 0.01 0.11 0.12 0.110.12 XXX88300 ......... TC ...... A Surgical path, gross ...................................... 0.00 0.56 0.46 NA NA 0.01 0.57 0.47 NA NA XXX88302 ......... ............ A Tissue exam by pathologist .......................... 0.13 1.29 1.10 NA NA 0.03 1.45 1.26 NA NA XXX88302 ......... 26 ....... A Tissue exam by pathologist .......................... 0.13 0.04 0.06 0.04 0.06 0.01 0.18 0.20 0.18 0.20XXX88302 ......... TC ...... A Tissue exam by pathologist .......................... 0.00 1.25 1.04 NA NA 0.02 1.27 1.06 NA NA XXX88304 ......... ............ A Tissue exam by pathologist .......................... 0.22 1.53 1.37 NA NA 0.03 1.78 1.62 NA NA XXX88304 ......... 26 ....... A Tissue exam by pathologist .......................... 0.22 0.06 0.08 0.06 0.08 0.01 0.29 0.31 0.29 0.31XXX88304 ......... TC ...... A Tissue exam by pathologist .......................... 0.00 1.47 1.29 NA NA 0.02 1.49 1.31 NA NA XXX88305 ......... ............ A Tissue exam by pathologist .......................... 0.75 2.18 1.98 NA NA 0.07 3.00 2.80 NA NA XXX88305 ......... 26 ....... A Tissue exam by pathologist .......................... 0.75 0.21 0.30 0.21 0.30 0.03 0.99 1.08 0.99 1.08XXX88305 ......... TC ...... A Tissue exam by pathologist .......................... 0.00 1.98 1.68 NA NA 0.04 2.02 1.72 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00228 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37397 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal88307 ......... ............ A Tissue exam by pathologist .......................... 1.59 4.48 3.49 NA NA 0.12 6.19 5.20 NA NA XXX88307 ......... 26 ....... A Tissue exam by pathologist .......................... 1.59 0.47 0.63 0.47 0.63 0.06 2.12 2.28 2.12 2.28XXX88307 ......... TC ...... A Tissue exam by pathologist .......................... 0.00 4.02 2.87 NA NA 0.06 4.08 2.93 NA NA XXX88309 ......... ............ A Tissue exam by pathologist .......................... 2.80 6.28 4.87 NA NA 0.14 9.22 7.81 NA NA XXX88309 ......... 26 ....... A Tissue exam by pathologist .......................... 2.80 0.82 0.93 0.82 0.93 0.08 3.70 3.81 3.70 3.81XXX88309 ......... TC ...... A Tissue exam by pathologist .......................... 0.00 5.46 3.94 NA NA 0.06 5.52 4.00 NA NA XXX88311 ......... ............ A Decalcify tissue ............................................. 0.24 0.25 0.24 NA NA 0.02 0.51 0.50 NANA XXX88311 ......... 26 ....... A Decalcify tissue ............................................. 0.24 0.07 0.09 0.07 0.09 0.01 0.32 0.34 0.32 0.34 XXX88311 ......... TC ...... A Decalcify tissue ............................................. 0.00 0.18 0.14 NA NA 0.01 0.19 0.15 NA NAXXX88312 ......... ............ A Special stains ................................................ 0.54 2.49 1.76 NA NA 0.03 3.06 2.33 NA NA XXX88312 ......... 26 ....... A Special stains ................................................ 0.54 0.14 0.21 0.14 0.21 0.02 0.70 0.770.70 0.77 XXX88312 ......... TC ...... A Special stains ................................................ 0.00 2.34 1.55 NA NA 0.01 2.35 1.56 NA NAXXX88313 ......... ............ A Special stains ................................................ 0.24 1.94 1.42 NA NA 0.02 2.20 1.68 NA NA XXX88313 ......... 26 ....... A Special stains ................................................ 0.24 0.06 0.09 0.06 0.09 0.01 0.31 0.340.31 0.34 XXX88313 ......... TC ...... A Special stains ................................................ 0.00 1.88 1.33 NA NA 0.01 1.89 1.34 NA NAXXX88314 ......... ............ A Histochemical stain ....................................... 0.45 1.98 2.05 NA NA 0.04 2.47 2.54 NA NAXXX88314 ......... 26 ....... A Histochemical stain ....................................... 0.45 0.14 0.18 0.14 0.18 0.02 0.61 0.65 0.610.65 XXX88314 ......... TC ...... A Histochemical stain ....................................... 0.00 1.84 1.87 NA NA 0.02 1.86 1.89 NA NA XXX88318 ......... ............ A Chemical histochemistry ............................... 0.42 2.98 1.98 NA NA 0.03 3.43 2.43 NA NA XXX88318 ......... 26 ....... A Chemical histochemistry ............................... 0.42 0.12 0.17 0.12 0.17 0.02 0.56 0.61 0.56 0.61 XXX88318 ......... TC ...... A Chemical histochemistry ............................... 0.00 2.85 1.82 NA NA 0.01 2.86 1.83 NA NA XXX88319 ......... ............ A Enzyme histochemistry ................................. 0.53 3.25 3.38 NA NA 0.04 3.82 3.95 NA NA XXX88319 ......... 26 ....... A Enzyme histochemistry ................................. 0.53 0.15 0.20 0.15 0.20 0.02 0.70 0.75 0.70 0.75 XXX88319 ......... TC ...... A Enzyme histochemistry ................................. 0.00 3.10 3.18 NA NA 0.02 3.12 3.20 NA NA XXX88321 ......... ............ A Microslide consultation .................................. 1.63 0.73 0.78 0.47 0.54 0.05 2.41 2.46 2.15 2.22 XXX88323 ......... ............ A Microslide consultation .................................. 1.83 2.21 1.89 NA NA 0.07 4.11 3.79 NA NAXXX88323 ......... 26 ....... A Microslide consultation .................................. 1.83 0.45 0.54 0.45 0.54 0.05 2.33 2.42 2.332.42 XXX88323 ......... TC ...... A Microslide consultation .................................. 0.00 1.76 1.35 NA NA 0.02 1.78 1.37 NA NA XXX88325 ......... ............ A Comprehensive review of data ..................... 2.50 2.24 2.77 0.61 0.87 0.07 4.81 5.34 3.18 3.44XXX88329 ......... ............ A Path consult introp ........................................ 0.67 0.68 0.66 0.20 0.27 0.02 1.37 1.350.89 0.96 XXX88331 ......... ............ A Path consult intraop, 1 bloc .......................... 1.19 1.24 1.14 NA NA 0.08 2.51 2.41 NA NA XXX88331 ......... 26 ....... A Path consult intraop, 1 bloc .......................... 1.19 0.36 0.47 0.36 0.47 0.04 1.59 1.70 1.59 1.70 XXX88331 ......... TC ...... A Path consult intraop, 1 bloc .......................... 0.00 0.87 0.66 NA NA 0.04 0.91 0.70 NA NA XXX88332 ......... ............ A Path consult intraop, addIl ............................ 0.59 0.47 0.46 NA NA 0.04 1.10 1.09 NA NA XXX88332 ......... 26 ....... A Path consult intraop, addIl ............................ 0.59 0.17 0.23 0.17 0.23 0.02 0.78 0.84 0.78 0.84 XXX88332 ......... TC ...... A Path consult intraop, addIl ............................ 0.00 0.29 0.23 NA NA 0.02 0.31 0.25 NA NA XXX88333 ......... ............ A Intraop cyto path consult, 1 ........................... 1.20 1.34 1.15 NA NA 0.08 2.62 2.43 NA NA XXX88333 ......... 26 ....... A Intraop cyto path consult, 1 ........................... 1.20 0.37 0.49 0.37 0.49 0.04 1.61 1.73 1.61 1.73 XXX88333 ......... TC ...... A Intraop cyto path consult, 1 ........................... 0.00 0.97 0.66 NA NA 0.04 1.01 0.70 NA NA XXX88334 ......... ............ A Intraop cyto path consult, 2 ........................... 0.59 0.74 0.64 NA NA 0.04 1.37 1.27 NA NA XXX88334 ......... 26 ....... A Intraop cyto path consult, 2 ........................... 0.59 0.17 0.24 0.17 0.24 0.02 0.78 0.85 0.78 0.85 XXX88334 ......... TC ...... A Intraop cyto path consult, 2 ........................... 0.00 0.57 0.40 NA NA 0.02 0.59 0.42 NA NA XXX88342 ......... ............ A Immunohistochemistry ................................... 0.85 2.03 1.60 NA NA 0.05 2.93 2.50 NA NA XXX88342 ......... 26 ....... A Immunohistochemistry ................................... 0.85 0.22 0.33 0.22 0.33 0.03 1.10 1.21 1.10 1.21 XXX88342 ......... TC ...... A Immunohistochemistry ................................... 0.00 1.81 1.28 NA NA 0.02 1.83 1.30 NA NA XXX88346 ......... ............ A Immunofluorescent study .............................. 0.86 1.96 1.67 NA NA 0.05 2.87 2.58 NA NA XXX88346 ......... 26 ....... A Immunofluorescent study .............................. 0.86 0.23 0.33 0.23 0.33 0.03 1.12 1.22 1.12 1.22XXX88346 ......... TC ...... A Immunofluorescent study .............................. 0.00 1.74 1.34 NA NA 0.02 1.76 1.36 NA NA XXX88347 ......... ............ A Immunofluorescent study .............................. 0.86 1.34 1.28 NA NA 0.05 2.25 2.19 NA NA XXX88347 ......... 26 ....... A Immunofluorescent study .............................. 0.86 0.19 0.31 0.19 0.31 0.03 1.08 1.20 1.08 1.20XXX88347 ......... TC ...... A Immunofluorescent study .............................. 0.00 1.16 0.97 NA NA 0.02 1.18 0.99 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00229 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37398 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal88348 ......... ............ A Electron microscopy ...................................... 1.51 18.07 11.55 NA NA 0.13 19.71 13.19 NANA XXX88348 ......... 26 ....... A Electron microscopy ...................................... 1.51 0.40 0.58 0.40 0.58 0.06 1.97 2.15 1.972.15 XXX88348 ......... TC ...... A Electron microscopy ...................................... 0.00 17.67 10.97 NA NA 0.07 17.74 11.04 NA NAXXX88349 ......... ............ A Scanning electron microscopy ...................... 0.76 8.90 4.90 NA NA 0.09 9.75 5.75 NA NA XXX88349 ......... 26 ....... A Scanning electron microscopy ...................... 0.76 0.22 0.30 0.22 0.30 0.03 1.01 1.09 1.01 1.09 XXX88349 ......... TC ...... A Scanning electron microscopy ...................... 0.00 8.69 4.60 NA NA 0.06 8.75 4.66 NA NA XXX88355 ......... ............ A Analysis, skeletal muscle .............................. 1.85 3.37 7.44 NA NA 0.13 5.35 9.42 NA NA XXX88355 ......... 26 ....... A Analysis, skeletal muscle .............................. 1.85 0.39 0.69 0.39 0.69 0.07 2.31 2.61 2.31 2.61 XXX88355 ......... TC ...... A Analysis, skeletal muscle .............................. 0.00 2.98 6.75 NA NA 0.06 3.04 6.81 NA NA XXX88356 ......... ............ A Analysis, nerve .............................................. 3.02 6.64 4.80 NA NA 0.19 9.85 8.01 NANA XXX88356 ......... 26 ....... A Analysis, nerve .............................................. 3.02 0.76 1.14 0.76 1.14 0.12 3.90 4.28 3.90 4.28 XXX88356 ......... TC ...... A Analysis, nerve .............................................. 0.00 5.88 3.67 NA NA 0.07 5.95 3.74 NA NAXXX88358 ......... ............ A Analysis, tumor .............................................. 0.95 1.12 0.91 NA NA 0.17 2.24 2.03 NANA XXX88358 ......... 26 ....... A Analysis, tumor .............................................. 0.95 0.16 0.34 0.16 0.34 0.10 1.21 1.39 1.21 1.39 XXX88358 ......... TC ...... A Analysis, tumor .............................................. 0.00 0.96 0.57 NA NA 0.07 1.03 0.64 NA NAXXX88360 ......... ............ A Tumor immunohistochem/manual ................. 1.10 2.31 1.88 NA NA 0.08 3.49 3.06 NA NA XXX88360 ......... 26 ....... A Tumor immunohistochem/manual ................. 1.10 0.27 0.42 0.27 0.42 0.06 1.43 1.58 1.43 1.58 XXX88360 ......... TC ...... A Tumor immunohistochem/manual ................. 0.00 2.03 1.45 NA NA 0.02 2.05 1.47 NA NA XXX88361 ......... ............ A Tumor immunohistochem/comput ................. 1.18 2.76 2.96 NA NA 0.17 4.11 4.31 NA NA XXX88361 ......... 26 ....... A Tumor immunohistochem/comput ................. 1.18 0.25 0.43 0.25 0.43 0.10 1.53 1.71 1.53 1.71 XXX88361 ......... TC ...... A Tumor immunohistochem/comput ................. 0.00 2.51 2.53 NA NA 0.07 2.58 2.60 NA NA XXX88362 ......... ............ A Nerve teasing preparations ........................... 2.17 5.23 4.83 NA NA 0.15 7.55 7.15 NA NA XXX88362 ......... 26 ....... A Nerve teasing preparations ........................... 2.17 0.58 0.84 0.58 0.84 0.09 2.84 3.10 2.84 3.10XXX88362 ......... TC ...... A Nerve teasing preparations ........................... 0.00 4.64 4.00 NA NA 0.06 4.70 4.06 NA NA XXX88365 ......... ............ A Insitu hybridization (fish) ............................... 1.20 2.95 2.34 NA NA 0.05 4.20 3.59 NA NAXXX88365 ......... 26 ....... A Insitu hybridization (fish) ............................... 1.20 0.24 0.44 0.24 0.44 0.03 1.47 1.67 1.471.67 XXX88365 ......... TC ...... A Insitu hybridization (fish) ............................... 0.00 2.71 1.89 NA NA 0.02 2.73 1.91 NA NA XXX88367 ......... ............ A Insitu hybridization, auto ............................... 1.30 5.27 4.35 NA NA 0.12 6.69 5.77 NA NAXXX88367 ......... 26 ....... A Insitu hybridization, auto ............................... 1.30 0.22 0.46 0.22 0.46 0.06 1.58 1.82 1.581.82 XXX88367 ......... TC ...... A Insitu hybridization, auto ............................... 0.00 5.05 3.89 NA NA 0.06 5.11 3.95 NA NA XXX88368 ......... ............ A Insitu hybridization, manual ........................... 1.40 4.79 3.00 NA NA 0.12 6.31 4.52 NA NA XXX88368 ......... 26 ....... A Insitu hybridization, manual ........................... 1.40 0.21 0.50 0.21 0.50 0.06 1.67 1.96 1.67 1.96 XXX88368 ......... TC ...... A Insitu hybridization, manual ........................... 0.00 4.58 2.50 NA NA 0.06 4.64 2.56 NA NA XXX88371 ......... 26 ....... A Protein, western blot tissue ........................... 0.37 0.10 0.12 0.10 0.12 0.01 0.48 0.50 0.48 0.50 XXX88372 ......... 26 ....... A Protein analysis w/probe ............................... 0.37 0.11 0.15 0.11 0.15 0.01 0.49 0.53 0.49 0.53 XXX88385 ......... ............ A Eval molecul probes, 51–250 ........................ 1.50 14.66 8.99 NA NA 0.12 16.28 10.61 NA NA XXX88385 ......... 26 ....... A Eval molecul probes, 51–250 ........................ 1.50 0.22 0.54 0.22 0.54 0.06 1.78 2.10 1.78 2.10 XXX88385 ......... TC ...... A Eval molecul probes, 51–250 ........................ 0.00 14.44 8.45 NA NA 0.06 14.50 8.51 NA NA XXX88386 ......... ............ A Eval molecul probes, 251–500 ...................... 1.88 14.56 8.93 NA NA 0.16 16.60 10.97 NA NA XXX88386 ......... 26 ....... A Eval molecul probes, 251–500 ...................... 1.88 0.28 0.69 0.28 0.69 0.08 2.24 2.65 2.24 2.65 XXX88386 ......... TC ...... A Eval molecul probes, 251–500 ...................... 0.00 14.28 8.24 NA NA 0.08 14.36 8.32 NA NA XXX89049 ......... ............ A Chct for mal hyperthermia ............................. 1.40 3.59 3.57 0.18 0.25 0.06 5.05 5.03 1.641.71 XXX89060 ......... 26 ....... A Exam,synovial fluid crystals .......................... 0.37 0.11 0.15 0.11 0.15 0.01 0.49 0.53 0.49 0.53 XXX89100 ......... ............ A Sample intestinal contents ............................ 0.60 9.16 3.67 0.62 0.31 0.03 9.79 4.30 1.250.94 XXX89105 ......... ............ A Sample intestinal contents ............................ 0.50 7.70 3.60 0.45 0.24 0.02 8.22 4.12 0.970.76 XXX89130 ......... ............ A Sample stomach contents ............................. 0.45 6.96 3.05 0.40 0.20 0.02 7.43 3.52 0.87 0.67 XXX89132 ......... ............ A Sample stomach contents ............................. 0.19 6.56 2.80 0.30 0.12 0.01 6.76 3.00 0.50 0.32 XXX89135 ......... ............ A Sample stomach contents ............................. 0.79 9.15 3.71 0.70 0.36 0.04 9.98 4.54 1.53 1.19 XXX89136 ......... ............ A Sample stomach contents ............................. 0.21 7.05 3.07 0.32 0.15 0.01 7.27 3.29 0.54 0.37 XXX89140 ......... ............ A Sample stomach contents ............................. 0.94 6.81 3.27 0.49 0.33 0.04 7.79 4.25 1.47 1.31 XXX89141 ......... ............ A Sample stomach contents ............................. 0.85 5.59 3.50 0.41 0.35 0.03 6.47 4.38 1.29 1.23 XXX89220 ......... ............ A Sputum specimen collection ......................... 0.00 0.36 0.41 NA NA 0.02 0.38 0.43 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00230 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37399 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal89230 ......... ............ A Collect sweat for test ..................................... 0.00 0.08 0.10 NA NA 0.02 0.10 0.12 NA NA XXX90465 ......... ............ A Ther/proph/diag inj, sc/im .............................. 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX90466 ......... ............ A Immune admin addl inj, < 8 y ....................... 0.15 0.12 0.13 NA NA 0.01 0.28 0.29 NA NA ZZZ90467 ......... ............ R Immune admin o or n, < 8 yrs ...................... 0.17 0.17 0.17 0.07 0.09 0.01 0.35 0.35 0.25 0.27XXX90468 ......... ............ R Immune admin o/n, addl < 8 y ...................... 0.15 0.10 0.11 0.03 0.05 0.01 0.26 0.27 0.19 0.21ZZZ90471 ......... ............ A Ther/proph/diag inj, sc/im .............................. 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX90472 ......... ............ A Immunization admin, each add ..................... 0.15 0.12 0.13 NA NA 0.01 0.28 0.29 NA NA ZZZ90473 ......... ............ R Immune admin oral/nasal .............................. 0.17 0.16 0.18 0.04 0.06 0.01 0.34 0.36 0.22 0.24 XXX90474 ......... ............ R Immune admin oral/nasal addl ...................... 0.15 0.07 0.09 0.03 0.05 0.01 0.23 0.25 0.19 0.21ZZZ90760 ......... ............ A Hydration iv infusion, init ............................... 0.17 1.32 1.40 NA NA 0.07 1.56 1.64 NA NAXXX90761 ......... ............ A Hydrate iv infusion, add-on ........................... 0.09 0.32 0.38 NA NA 0.04 0.45 0.51 NA NA ZZZ90765 ......... ............ A Ther/proph/diag iv inf, init .............................. 0.21 1.63 1.73 NA NA 0.07 1.91 2.01 NA NAXXX90766 ......... ............ A Ther/proph/dg iv inf, add-on .......................... 0.18 0.38 0.44 NA NA 0.04 0.60 0.66 NA NA ZZZ90767 ......... ............ A Tx/proph/dg addl seq iv inf ............................ 0.19 0.69 0.84 NA NA 0.04 0.92 1.07 NA NA ZZZ90768 ......... ............ A Ther/diag concurrent inf ................................ 0.17 0.33 0.41 NA NA 0.04 0.54 0.62 NA NA ZZZ90772 ......... ............ A Ther/proph/diag inj, sc/im .............................. 0.17 0.45 0.35 NA NA 0.01 0.63 0.53 NA NA XXX90773 ......... ............ A Ther/proph/diag inj, ia ................................... 0.17 0.30 0.31 NA NA 0.02 0.49 0.50 NA NAXXX90774 ......... ............ A Ther/proph/diag inj, iv push ........................... 0.18 1.35 1.31 NA NA 0.04 1.57 1.53 NA NA XXX90775 ......... ............ A Ther/proph/diag inj add-on ............................ 0.10 0.51 0.56 NA NA 0.04 0.65 0.70 NA NA ZZZ90801 ......... ............ A Psy dx interview ............................................ 2.80 1.43 1.24 0.57 0.84 0.06 4.29 4.103.43 3.70 XXX90802 ......... ............ A Intac psy dx interview .................................... 3.01 1.48 1.27 0.63 0.89 0.07 4.56 4.35 3.71 3.97 XXX90804 ......... ............ A Psytx, office, 20-30 min ................................. 1.21 0.53 0.50 0.20 0.34 0.03 1.77 1.74 1.44 1.58 XXX90805 ......... ............ A Psytx, off, 20-30 min w/e&m ......................... 1.37 0.58 0.52 0.23 0.37 0.03 1.98 1.92 1.63 1.77 XXX90806 ......... ............ A Psytx, off, 45-50 min ..................................... 1.86 0.50 0.65 0.31 0.53 0.04 2.40 2.55 2.21 2.43 XXX90807 ......... ............ A Psytx, off, 45-50 min w/e&m ......................... 2.02 0.68 0.70 0.34 0.56 0.05 2.75 2.77 2.41 2.63 XXX90808 ......... ............ A Psytx, office, 75-80 min ................................. 2.79 0.65 0.94 0.47 0.79 0.06 3.50 3.79 3.32 3.64 XXX90809 ......... ............ A Psytx, off, 75-80, w/e&m ............................... 2.95 0.83 0.96 0.50 0.82 0.07 3.85 3.98 3.523.84 XXX90810 ......... ............ A Intac psytx, off, 20–30 min ............................ 1.32 0.50 0.51 0.23 0.37 0.04 1.86 1.87 1.59 1.73 XXX90811 ......... ............ A Intac psytx, 20–30, w/e&m ............................ 1.48 0.70 0.60 0.25 0.41 0.04 2.22 2.12 1.77 1.93 XXX90812 ......... ............ A Intac psytx, off, 45–50 min ............................ 1.97 0.62 0.75 0.33 0.56 0.04 2.63 2.76 2.34 2.57 XXX90813 ......... ............ A Intac psytx, 45–50 min w/e&m ...................... 2.13 0.80 0.78 0.36 0.59 0.05 2.98 2.96 2.54 2.77 XXX90814 ......... ............ A Intac psytx, off, 75–80 min ............................ 2.90 0.76 1.02 0.49 0.86 0.06 3.72 3.98 3.45 3.82 XXX90815 ......... ............ A Intac psytx, 75–80 w/e&m ............................. 3.06 0.96 1.03 0.51 0.84 0.07 4.09 4.16 3.64 3.97 XXX90816 ......... ............ A Psytx, hosp, 20–30 min ................................. 1.25 NA NA 0.31 0.42 0.03 NA NA 1.59 1.70 XXX90817 ......... ............ A Psytx, hosp, 20–30 min w/e&m .................... 1.41 NA NA 0.34 0.43 0.03 NA NA 1.78 1.87 XXX90818 ......... ............ A Psytx, hosp, 45–50 min ................................. 1.89 NA NA 0.41 0.62 0.04 NA NA 2.34 2.55 XXX90819 ......... ............ A Psytx, hosp, 45–50 min w/e&m .................... 2.05 NA NA 0.45 0.60 0.05 NA NA 2.55 2.70 XXX90821 ......... ............ A Psytx, hosp, 75–80 min ................................. 2.83 NA NA 0.57 0.90 0.06 NA NA 3.46 3.79 XXX90822 ......... ............ A Psytx, hosp, 75–80 min w/e&m .................... 2.99 NA NA 0.61 0.87 0.08 NA NA 3.68 3.94 XXX90823 ......... ............ A Intac psytx, hosp, 20–30 min ........................ 1.36 NA NA 0.33 0.44 0.03 NA NA 1.72 1.83 XXX90824 ......... ............ A Intac psytx, hsp 20–30 w/e&m ...................... 1.52 NA NA 0.36 0.46 0.04 NA NA 1.92 2.02 XXX90826 ......... ............ A Intac psytx, hosp, 45–50 min ........................ 2.01 NA NA 0.43 0.65 0.05 NA NA 2.49 2.71 XXX90827 ......... ............ A Intac psytx, hsp 45–50 w/e&m ...................... 2.16 NA NA 0.46 0.63 0.05 NA NA 2.67 2.84 XXX90828 ......... ............ A Intac psytx, hosp, 75–80 min ........................ 2.94 NA NA 0.59 0.94 0.06 NA NA 3.59 3.94 XXX90829 ......... ............ A Intac psytx, hsp 75–80 w/e&m ...................... 3.10 NA NA 0.62 0.89 0.07 NA NA 3.79 4.06 XXX90845 ......... ............ A Psychoanalysis .............................................. 1.79 0.37 0.53 0.30 0.49 0.04 2.20 2.362.13 2.32 XXX90846 ......... ............ R Family psytx w/o patient ................................ 1.83 0.49 0.61 0.41 0.59 0.04 2.36 2.48 2.28 2.46 XXX90847 ......... ............ R Family psytx w/patient ................................... 2.21 0.71 0.79 0.47 0.69 0.05 2.97 3.05 2.73 2.95 XXX90849 ......... ............ R Multiple family group psytx ............................ 0.59 0.30 0.28 0.19 0.23 0.02 0.91 0.89 0.800.84 XXX90853 ......... ............ A Group psychotherapy .................................... 0.59 0.26 0.25 0.19 0.22 0.01 0.86 0.85 0.790.82 XXX90857 ......... ............ A Intac group psytx ........................................... 0.63 0.35 0.31 0.20 0.24 0.01 0.99 0.950.84 0.88 XXX90862 ......... ............ A Medication management ............................... 0.95 0.60 0.45 0.26 0.31 0.02 1.57 1.42 1.23 1.28 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00231 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37400 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal90865 ......... ............ A Narcosynthesis .............................................. 2.84 1.16 1.31 0.62 0.84 0.12 4.12 4.273.58 3.80 XXX90870 ......... ............ A Electroconvulsive therapy ............................. 1.88 1.84 1.92 0.37 0.54 0.04 3.76 3.84 2.292.46 00090875 ......... ............ N Psychophysiological therapy ......................... 1.20 0.52 0.81 0.27 0.41 0.04 1.76 2.05 1.51 1.65 XXX90876 ......... ............ N Psychophysiological therapy ......................... 1.90 0.66 1.04 0.43 0.66 0.05 2.61 2.99 2.38 2.61 XXX90880 ......... ............ A Hypnotherapy ................................................ 2.19 0.55 0.92 0.36 0.61 0.05 2.79 3.162.60 2.85 XXX90885 ......... ............ B Psy evaluation of records .............................. 0.97 0.22 0.33 0.22 0.33 0.02 1.21 1.32 1.211.32 XXX90887 ......... ............ B Consultation with family ................................ 1.48 0.60 0.77 0.33 0.50 0.04 2.12 2.29 1.85 2.02 XXX90901 ......... ............ A Biofeedback train, any meth ......................... 0.41 0.48 0.61 0.11 0.13 0.02 0.91 1.04 0.54 0.56 00090911 ......... ............ A Biofeedback peri/uro/rectal ............................ 0.89 1.40 1.52 0.31 0.31 0.06 2.35 2.47 1.261.26 00090918 ......... ............ I ESRD related services, month ...................... 11.16 4.64 5.76 3.68 5.52 0.36 16.16 17.28 15.2017.04 XXX90919 ......... ............ I ESRD related services, month ...................... 8.53 2.98 3.75 2.50 3.63 0.29 11.80 12.57 11.32 12.45 XXX90920 ......... ............ I ESRD related services, month ...................... 7.26 2.70 3.50 2.23 3.38 0.23 10.19 10.99 9.72 10.87 XXX90921 ......... ............ I ESRD related services, month ...................... 4.46 1.68 2.26 1.59 2.24 0.14 6.28 6.86 6.19 6.84XXX90922 ......... ............ I ESRD related services, day .......................... 0.37 0.16 0.20 0.12 0.19 0.01 0.54 0.58 0.50 0.57 XXX90923 ......... ............ I Esrd related services, day ............................. 0.28 0.09 0.12 0.08 0.12 0.01 0.38 0.41 0.370.41 XXX90924 ......... ............ I Esrd related services, day ............................. 0.24 0.09 0.11 0.07 0.11 0.01 0.34 0.36 0.320.36 XXX90925 ......... ............ I Esrd related services, day ............................. 0.15 0.05 0.07 0.05 0.07 0.01 0.21 0.23 0.210.23 XXX90935 ......... ............ A Hemodialysis, one evaluation ....................... 1.22 NA NA 0.53 0.64 0.04 NA NA 1.79 1.90 00090937 ......... ............ A Hemodialysis, repeated eval ......................... 2.11 NA NA 0.76 0.92 0.07 NA NA 2.94 3.10 00090945 ......... ............ A Dialysis, one evaluation ................................ 1.28 NA NA 0.55 0.66 0.04 NA NA 1.87 1.98 00090947 ......... ............ A Dialysis, repeated eval .................................. 2.16 NA NA 0.78 0.94 0.07 NA NA 3.01 3.1700090997 ......... ............ A Hemoperfusion .............................................. 1.84 NA NA 0.49 0.62 0.06 NA NA 2.39 2.52 00091000 ......... ............ A Esophageal intubation ................................... 0.73 2.22 0.80 NA NA 0.04 2.99 1.57 NA NA 00091000 ......... 26 ....... A Esophageal intubation ................................... 0.73 0.24 0.25 0.24 0.25 0.03 1.00 1.01 1.00 1.01 00091000 ......... TC ...... A Esophageal intubation ................................... 0.00 1.98 0.56 NA NA 0.01 1.99 0.57 NA NA 00091010 ......... ............ A Esophagus motility study .............................. 1.25 4.79 4.51 NA NA 0.12 6.16 5.88 NA NA 00091010 ......... 26 ....... A Esophagus motility study .............................. 1.25 0.57 0.47 0.57 0.47 0.06 1.88 1.78 1.88 1.78 00091010 ......... TC ...... A Esophagus motility study .............................. 0.00 4.22 4.04 NA NA 0.06 4.28 4.10 NA NA 00091011 ......... ............ A Esophagus motility study .............................. 1.50 5.59 5.33 NA NA 0.13 7.22 6.96 NA NA 00091011 ......... 26 ....... A Esophagus motility study .............................. 1.50 0.74 0.58 0.74 0.58 0.07 2.31 2.15 2.31 2.15 00091011 ......... TC ...... A Esophagus motility study .............................. 0.00 4.85 4.75 NA NA 0.06 4.91 4.81 NA NA 00091012 ......... ............ A Esophagus motility study .............................. 1.46 5.78 5.77 NA NA 0.13 7.37 7.36 NA NA 00091012 ......... 26 ....... A Esophagus motility study .............................. 1.46 0.72 0.56 0.72 0.56 0.06 2.24 2.08 2.24 2.08 00091012 ......... TC ...... A Esophagus motility study .............................. 0.00 5.06 5.21 NA NA 0.07 5.13 5.28 NA NA 00091020 ......... ............ A Gastric motility studies .................................. 1.44 5.03 4.66 NA NA 0.13 6.60 6.23 NA NA00091020 ......... 26 ....... A Gastric motility studies .................................. 1.44 0.63 0.53 0.63 0.53 0.07 2.14 2.04 2.142.04 00091020 ......... TC ...... A Gastric motility studies .................................. 0.00 4.40 4.13 NA NA 0.06 4.46 4.19 NA NA 00091022 ......... ............ A Duodenal motility study ................................. 1.44 3.19 4.11 NA NA 0.13 4.76 5.68 NA NA 00091022 ......... 26 ....... A Duodenal motility study ................................. 1.44 0.63 0.54 0.63 0.54 0.07 2.14 2.05 2.14 2.05 00091022 ......... TC ...... A Duodenal motility study ................................. 0.00 2.56 3.57 NA NA 0.06 2.62 3.63 NA NA 00091030 ......... ............ A Acid perfusion of esophagus ......................... 0.91 3.03 2.59 NA NA 0.06 4.00 3.56 NA NA 00091030 ......... 26 ....... A Acid perfusion of esophagus ......................... 0.91 0.45 0.35 0.45 0.35 0.04 1.40 1.30 1.40 1.3000091030 ......... TC ...... A Acid perfusion of esophagus ......................... 0.00 2.58 2.24 NA NA 0.02 2.60 2.26 NA NA 00091034 ......... ............ A Gastroesophageal reflux test ........................ 0.97 5.81 5.39 NA NA 0.12 6.90 6.48 NA NA 00091034 ......... 26 ....... A Gastroesophageal reflux test ........................ 0.97 0.43 0.36 0.43 0.36 0.06 1.46 1.39 1.46 1.3900091034 ......... TC ...... A Gastroesophageal reflux test ........................ 0.00 5.38 5.03 NA NA 0.06 5.44 5.09 NA NA 00091035 ......... ............ A G-esoph reflx tst w/electrod .......................... 1.59 11.66 11.04 NA NA 0.12 13.37 12.75 NA NA00091035 ......... 26 ....... A G-esoph reflx tst w/electrod .......................... 1.59 0.73 0.60 0.73 0.60 0.06 2.38 2.25 2.38 2.25 00091035 ......... TC ...... A G-esoph reflx tst w/electrod .......................... 0.00 10.93 10.44 NA NA 0.06 10.99 10.50 NA NA 00091037 ......... ............ A Esoph imped function test ............................. 0.97 3.50 3.08 NA NA 0.12 4.59 4.17 NA NA 00091037 ......... 26 ....... A Esoph imped function test ............................. 0.97 0.44 0.37 0.44 0.37 0.06 1.47 1.40 1.47 1.40 00091037 ......... TC ...... A Esoph imped function test ............................. 0.00 3.06 2.72 NA NA 0.06 3.12 2.78 NA NA 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00232 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37401 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal91038 ......... ............ A Esoph imped funct test > 1h ......................... 1.10 2.85 2.39 NA NA 0.12 4.07 3.61 NA NA 00091038 ......... 26 ....... A Esoph imped funct test > 1h ......................... 1.10 0.52 0.42 0.52 0.42 0.06 1.68 1.58 1.68 1.5800091038 ......... TC ...... A Esoph imped funct test > 1h ......................... 0.00 2.32 1.96 NA NA 0.06 2.38 2.02 NA NA 00091040 ......... ............ A Esoph balloon distension tst ......................... 0.97 9.54 10.76 NA NA 0.12 10.63 11.85 NA NA 00091040 ......... 26 ....... A Esoph balloon distension tst ......................... 0.97 0.39 0.35 0.39 0.35 0.06 1.42 1.38 1.42 1.3800091040 ......... TC ...... A Esoph balloon distension tst ......................... 0.00 9.15 10.40 NA NA 0.06 9.21 10.46 NA NA 00091052 ......... ............ A Gastric analysis test ...................................... 0.79 3.10 2.62 NA NA 0.05 3.94 3.46 NA NA 00091052 ......... 26 ....... A Gastric analysis test ...................................... 0.79 0.39 0.31 0.39 0.31 0.03 1.21 1.13 1.21 1.13 00091052 ......... TC ...... A Gastric analysis test ...................................... 0.00 2.71 2.31 NA NA 0.02 2.73 2.33 NA NA 00091055 ......... ............ A Gastric intubation for smear .......................... 0.94 2.42 2.82 NA NA 0.07 3.43 3.83 NA NA 00091055 ......... 26 ....... A Gastric intubation for smear .......................... 0.94 0.27 0.27 0.27 0.27 0.05 1.26 1.26 1.26 1.26 00091055 ......... TC ...... A Gastric intubation for smear .......................... 0.00 2.15 2.55 NA NA 0.02 2.17 2.57 NA NA 00091060 ......... ............ A Gastric saline load test .................................. 0.45 1.64 1.89 NA NA 0.05 2.14 2.39 NA NA00091060 ......... 26 ....... A Gastric saline load test .................................. 0.45 0.11 0.13 0.11 0.13 0.03 0.59 0.61 0.590.61 00091060 ......... TC ...... A Gastric saline load test .................................. 0.00 1.53 1.76 NA NA 0.02 1.55 1.78 NA NA 00091065 ......... ............ A Breath hydrogen test ..................................... 0.20 1.39 1.44 NA NA 0.03 1.62 1.67 NA NA00091065 ......... 26 ....... A Breath hydrogen test ..................................... 0.20 0.07 0.07 0.07 0.07 0.01 0.28 0.28 0.280.28 00091065 ......... TC ...... A Breath hydrogen test ..................................... 0.00 1.32 1.37 NA NA 0.02 1.34 1.39 NA NA 00091100 ......... ............ A Pass intestine bleeding tube ......................... 1.08 2.15 2.64 0.37 0.30 0.07 3.30 3.79 1.52 1.45 00091105 ......... ............ A Gastric intubation treatment .......................... 0.37 1.75 2.02 0.07 0.09 0.03 2.15 2.42 0.470.49 00091110 ......... ............ A Gi tract capsule endoscopy ........................... 3.64 21.22 21.99 NA NA 0.16 25.02 25.79 NA NAXXX91110 ......... 26 ....... A Gi tract capsule endoscopy ........................... 3.64 1.74 1.40 1.74 1.40 0.09 5.47 5.13 5.47 5.13XXX91110 ......... TC ...... A Gi tract capsule endoscopy ........................... 0.00 19.48 20.59 NA NA 0.07 19.55 20.66 NA NA XXX91120 ......... ............ A Rectal sensation test ..................................... 0.97 9.15 10.55 NA NA 0.11 10.23 11.63 NANA XXX91120 ......... 26 ....... A Rectal sensation test ..................................... 0.97 0.30 0.33 0.30 0.33 0.07 1.34 1.37 1.341.37 XXX91120 ......... TC ...... A Rectal sensation test ..................................... 0.00 8.85 10.22 NA NA 0.04 8.89 10.26 NA NA XXX91122 ......... ............ A Anal pressure record ..................................... 1.77 3.83 4.79 NA NA 0.21 5.81 6.77 NA NA00091122 ......... 26 ....... A Anal pressure record ..................................... 1.77 0.52 0.58 0.52 0.58 0.13 2.42 2.48 2.422.48 00091122 ......... TC ...... A Anal pressure record ..................................... 0.00 3.32 4.21 NA NA 0.08 3.40 4.29 NA NA 00091132 ......... 26 ....... A Electrogastrography ...................................... 0.52 0.27 0.20 0.27 0.20 0.02 0.81 0.74 0.810.74 XXX91133 ......... 26 ....... A Electrogastrography w/test ............................ 0.66 0.31 0.25 0.31 0.25 0.03 1.00 0.94 1.00 0.94 XXX92002 ......... ............ A Eye exam, new patient .................................. 0.88 0.96 0.97 0.26 0.32 0.02 1.86 1.87 1.161.22 XXX92004 ......... ............ A Eye exam, new patient .................................. 1.67 1.57 1.67 0.52 0.64 0.04 3.28 3.38 2.232.35 XXX92012 ......... ............ A Eye exam established pat ............................. 0.67 0.93 1.01 0.23 0.28 0.02 1.62 1.70 0.92 0.97 XXX92014 ......... ............ A Eye exam & treatment .................................. 1.10 1.30 1.38 0.36 0.44 0.03 2.43 2.51 1.491.57 XXX92015 ......... ............ N Refraction ...................................................... 0.38 0.10 1.14 0.09 0.14 0.01 0.491.53 0.48 0.53 XXX92018 ......... ............ A New eye exam & treatment .......................... 2.50 NA NA 0.88 1.02 0.07 NA NA 3.45 3.59 XXX92019 ......... ............ A Eye exam & treatment .................................. 1.31 NA NA 0.42 0.53 0.03 NA NA 1.76 1.87 XXX92020 ......... ............ A Special eye evaluation .................................. 0.37 0.25 0.32 0.13 0.15 0.01 0.63 0.70 0.51 0.53 XXX92060 ......... ............ A Special eye evaluation .................................. 0.69 0.77 0.74 NA NA 0.03 1.49 1.46 NA NA XXX92060 ......... 26 ....... A Special eye evaluation .................................. 0.69 0.23 0.28 0.23 0.28 0.02 0.94 0.99 0.94 0.99 XXX92060 ......... TC ...... A Special eye evaluation .................................. 0.00 0.55 0.47 NA NA 0.01 0.56 0.48 NA NA XXX92065 ......... ............ A Orthoptic/pleoptic training .............................. 0.37 0.87 0.62 NA NA 0.02 1.26 1.01 NA NAXXX92065 ......... 26 ....... A Orthoptic/pleoptic training .............................. 0.37 0.09 0.14 0.09 0.14 0.01 0.47 0.52 0.470.52 XXX92065 ......... TC ...... A Orthoptic/pleoptic training .............................. 0.00 0.78 0.48 NA NA 0.01 0.79 0.49 NA NA XXX92070 ......... ............ A Fitting of contact lens .................................... 0.70 0.92 1.03 0.23 0.30 0.02 1.64 1.750.95 1.02 XXX92081 ......... ............ A Visual field examination(s) ............................ 0.36 0.96 0.95 NA NA 0.02 1.34 1.33 NA NA XXX92081 ......... 26 ....... A Visual field examination(s) ............................ 0.36 0.11 0.14 0.11 0.14 0.01 0.48 0.51 0.48 0.51 XXX92081 ......... TC ...... A Visual field examination(s) ............................ 0.00 0.85 0.81 NA NA 0.01 0.86 0.82 NA NA XXX92082 ......... ............ A Visual field examination(s) ............................ 0.44 1.34 1.26 NA NA 0.02 1.80 1.72 NA NA XXX92082 ......... 26 ....... A Visual field examination(s) ............................ 0.44 0.14 0.18 0.14 0.18 0.01 0.59 0.63 0.59 0.63 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00233 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37402 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal92082 ......... TC ...... A Visual field examination(s) ............................ 0.00 1.20 1.08 NA NA 0.01 1.21 1.09 NA NA XXX92083 ......... ............ A Visual field examination(s) ............................ 0.50 1.54 1.46 NA NA 0.02 2.06 1.98 NA NA XXX92083 ......... 26 ....... A Visual field examination(s) ............................ 0.50 0.17 0.21 0.17 0.21 0.01 0.68 0.72 0.68 0.72 XXX92083 ......... TC ...... A Visual field examination(s) ............................ 0.00 1.37 1.25 NA NA 0.01 1.38 1.26 NA NA XXX92100 ......... ............ A Serial tonometry exam(s) .............................. 0.92 1.26 1.33 0.28 0.34 0.02 2.20 2.27 1.221.28 XXX92120 ......... ............ A Tonography & eye evaluation ....................... 0.81 0.99 1.05 0.25 0.30 0.02 1.82 1.88 1.08 1.13XXX92130 ......... ............ A Water provocation tonography ...................... 0.81 1.19 1.26 0.27 0.35 0.02 2.02 2.09 1.10 1.18XXX92135 ......... ............ A Opthalmic dx imaging .................................... 0.35 0.80 0.79 NA NA 0.02 1.17 1.16 NA NA XXX92135 ......... 26 ....... A Opthalmic dx imaging .................................... 0.35 0.12 0.14 0.12 0.14 0.01 0.48 0.50 0.48 0.50 XXX92135 ......... TC ...... A Opthalmic dx imaging .................................... 0.00 0.68 0.65 NA NA 0.01 0.69 0.66 NA NA XXX92136 ......... ............ A Ophthalmic biometry ..................................... 0.54 1.41 1.59 NA NA 0.08 2.03 2.21 NA NA XXX92136 ......... 26 ....... A Ophthalmic biometry ..................................... 0.54 0.19 0.23 0.19 0.23 0.01 0.74 0.78 0.74 0.78 XXX92136 ......... TC ...... A Ophthalmic biometry ..................................... 0.00 1.22 1.36 NA NA 0.07 1.29 1.43 NA NA XXX92140 ......... ............ A Glaucoma provocative tests .......................... 0.50 0.91 0.97 0.15 0.20 0.01 1.42 1.48 0.66 0.71 XXX92225 ......... ............ A Special eye exam, initial ............................... 0.38 0.18 0.21 0.12 0.15 0.01 0.57 0.60 0.51 0.54 XXX92226 ......... ............ A Special eye exam, subsequent ..................... 0.33 0.18 0.20 0.12 0.14 0.01 0.52 0.54 0.46 0.48XXX92230 ......... ............ A Eye exam with photos ................................... 0.60 0.69 1.32 0.20 0.20 0.02 1.31 1.94 0.820.82 XXX92235 ......... ............ A Eye exam with photos ................................... 0.81 2.27 2.53 NA NA 0.08 3.16 3.42 NA NA XXX92235 ......... 26 ....... A Eye exam with photos ................................... 0.81 0.29 0.35 0.29 0.35 0.02 1.12 1.18 1.12 1.18 XXX92235 ......... TC ...... A Eye exam with photos ................................... 0.00 1.98 2.18 NA NA 0.06 2.04 2.24 NA NA XXX92240 ......... ............ A Icg angiography ............................................. 1.10 4.43 5.70 NA NA 0.09 5.62 6.89 NANA XXX92240 ......... 26 ....... A Icg angiography ............................................. 1.10 0.40 0.48 0.40 0.48 0.03 1.53 1.61 1.53 1.61 XXX92240 ......... TC ...... A Icg angiography ............................................. 0.00 4.03 5.22 NA NA 0.06 4.09 5.28 NA NA XXX92250 ......... ............ A Eye exam with photos ................................... 0.44 1.31 1.48 NA NA 0.02 1.77 1.94 NA NA XXX92250 ......... 26 ....... A Eye exam with photos ................................... 0.44 0.14 0.18 0.14 0.18 0.01 0.59 0.63 0.59 0.63 XXX92250 ......... TC ...... A Eye exam with photos ................................... 0.00 1.16 1.30 NA NA 0.01 1.17 1.31 NA NA XXX92260 ......... ............ A Ophthalmoscopy/dynamometry ..................... 0.20 0.19 0.24 0.07 0.09 0.01 0.40 0.45 0.28 0.30 XXX92265 ......... ............ A Eye muscle evaluation .................................. 0.81 0.99 1.37 NA NA 0.06 1.86 2.24 NA NA XXX92265 ......... 26 ....... A Eye muscle evaluation .................................. 0.81 0.23 0.27 0.23 0.27 0.04 1.08 1.12 1.08 1.12 XXX92265 ......... TC ...... A Eye muscle evaluation .................................. 0.00 0.76 1.10 NA NA 0.02 0.78 1.12 NA NA XXX92270 ......... ............ A Electro-oculography ....................................... 0.81 1.41 1.50 NA NA 0.05 2.27 2.36 NA NAXXX92270 ......... 26 ....... A Electro-oculography ....................................... 0.81 0.24 0.31 0.24 0.31 0.03 1.08 1.15 1.081.15 XXX92270 ......... TC ...... A Electro-oculography ....................................... 0.00 1.18 1.20 NA NA 0.02 1.20 1.22 NA NA XXX92275 ......... ............ A Electroretinography ....................................... 1.01 2.45 2.07 NA NA 0.05 3.51 3.13 NA NAXXX92275 ......... 26 ....... A Electroretinography ....................................... 1.01 0.35 0.41 0.35 0.41 0.03 1.39 1.45 1.391.45 XXX92275 ......... TC ...... A Electroretinography ....................................... 0.00 2.10 1.66 NA NA 0.02 2.12 1.68 NA NA XXX92283 ......... ............ A Color vision examination ............................... 0.17 1.00 0.88 NA NA 0.02 1.19 1.07 NA NA XXX92283 ......... 26 ....... A Color vision examination ............................... 0.17 0.05 0.07 0.05 0.07 0.01 0.23 0.25 0.23 0.25 XXX92283 ......... TC ...... A Color vision examination ............................... 0.00 0.95 0.82 NA NA 0.01 0.96 0.83 NA NA XXX92284 ......... ............ A Dark adaptation eye exam ............................ 0.24 1.23 1.73 NA NA 0.02 1.49 1.99 NA NA XXX92284 ......... 26 ....... A Dark adaptation eye exam ............................ 0.24 0.08 0.08 0.08 0.08 0.01 0.33 0.33 0.33 0.33XXX92284 ......... TC ...... A Dark adaptation eye exam ............................ 0.00 1.14 1.64 NA NA 0.01 1.15 1.65 NA NA XXX92285 ......... ............ A Eye photography ........................................... 0.20 0.81 0.95 NA NA 0.02 1.03 1.17 NA NAXXX92285 ......... 26 ....... A Eye photography ........................................... 0.20 0.07 0.09 0.07 0.09 0.01 0.28 0.30 0.280.30 XXX92285 ......... TC ...... A Eye photography ........................................... 0.00 0.74 0.86 NA NA 0.01 0.75 0.87 NA NA XXX92286 ......... ............ A Internal eye photography .............................. 0.66 2.14 2.83 NA NA 0.04 2.84 3.53 NA NA XXX92286 ......... 26 ....... A Internal eye photography .............................. 0.66 0.23 0.28 0.23 0.28 0.02 0.91 0.96 0.91 0.96 XXX92286 ......... TC ...... A Internal eye photography .............................. 0.00 1.92 2.56 NA NA 0.02 1.94 2.58 NA NA XXX92287 ......... ............ A Internal eye photography .............................. 0.81 1.95 2.28 0.29 0.31 0.02 2.78 3.11 1.121.14 XXX92310 ......... ............ N Contact lens fitting ......................................... 1.17 1.05 1.10 0.26 0.40 0.04 2.26 2.31 1.47 1.61 XXX92311 ......... ............ A Contact lens fitting ......................................... 1.08 1.28 1.14 0.31 0.34 0.03 2.39 2.25 1.42 1.45 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00234 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37403 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal92312 ......... ............ A Contact lens fitting ......................................... 1.26 1.48 1.18 0.34 0.46 0.03 2.77 2.47 1.63 1.75 XXX92313 ......... ............ A Contact lens fitting ......................................... 0.92 1.46 1.16 0.32 0.30 0.02 2.40 2.10 1.26 1.24 XXX92314 ......... ............ N Prescription of contact lens ........................... 0.69 1.13 0.99 0.15 0.24 0.01 1.83 1.69 0.850.94 XXX92315 ......... ............ A Prescription of contact lens ........................... 0.45 1.33 0.97 0.13 0.15 0.01 1.79 1.43 0.590.61 XXX92316 ......... ............ A Prescription of contact lens ........................... 0.68 1.66 1.10 0.23 0.28 0.02 2.36 1.80 0.930.98 XXX92317 ......... ............ A Prescription of contact lens ........................... 0.45 1.43 1.06 0.13 0.15 0.01 1.89 1.52 0.590.61 XXX92325 ......... ............ A Modification of contact lens ........................... 0.00 0.84 0.51 NA NA 0.01 0.85 0.52 NA NA XXX92326 ......... ............ A Replacement of contact lens ......................... 0.00 0.75 1.41 NA NA 0.06 0.81 1.47 NA NA XXX92340 ......... ............ N Fitting of spectacles ...................................... 0.37 0.44 0.64 0.08 0.13 0.01 0.82 1.020.46 0.51 XXX92341 ......... ............ N Fitting of spectacles ...................................... 0.47 0.46 0.67 0.11 0.16 0.01 0.94 1.150.59 0.64 XXX92342 ......... ............ N Fitting of spectacles ...................................... 0.53 0.48 0.69 0.12 0.19 0.01 1.02 1.230.66 0.73 XXX92352 ......... ............ B Special spectacles fitting ............................... 0.37 0.56 0.65 0.08 0.13 0.01 0.94 1.03 0.46 0.51 XXX92353 ......... ............ B Special spectacles fitting ............................... 0.50 0.59 0.70 0.11 0.17 0.02 1.11 1.22 0.63 0.69 XXX92354 ......... ............ B Special spectacles fitting ............................... 0.00 0.28 6.74 NA NA 0.10 0.38 6.84 NA NAXXX92355 ......... ............ B Special spectacles fitting ............................... 0.00 0.44 3.37 NA NA 0.01 0.45 3.38 NA NAXXX92358 ......... ............ B Eye prosthesis service .................................. 0.00 0.23 0.79 NA NA 0.05 0.28 0.84 NA NA XXX92370 ......... ............ N Repair & adjust spectacles ........................... 0.32 0.39 0.51 0.07 0.12 0.02 0.73 0.85 0.41 0.46 XXX92371 ......... ............ B Repair & adjust spectacles ........................... 0.00 0.24 0.53 NA NA 0.02 0.26 0.55 NA NA XXX92502 ......... ............ A Ear and throat examination ........................... 1.51 NA NA 0.76 1.02 0.05 NA NA 2.32 2.58 00092504 ......... ............ A Ear microscopy examination ......................... 0.18 0.55 0.51 0.05 0.08 0.01 0.74 0.70 0.24 0.27 XXX92506 ......... ............ A Speech/hearing evaluation ............................ 0.86 3.25 2.76 0.24 0.36 0.03 4.14 3.65 1.13 1.25 XXX92507 ......... ............ A Speech/hearing therapy ................................ 0.52 1.18 1.13 0.14 0.21 0.02 1.72 1.67 0.680.75 XXX92508 ......... ............ A Speech/hearing therapy ................................ 0.26 0.52 0.51 0.08 0.11 0.01 0.79 0.78 0.350.38 XXX92511 ......... ............ A Nasopharyngoscopy ...................................... 0.84 2.89 3.21 0.60 0.74 0.03 3.76 4.08 1.471.61 00092512 ......... ............ A Nasal function studies ................................... 0.55 0.93 1.09 0.15 0.17 0.02 1.50 1.66 0.72 0.74 XXX92516 ......... ............ A Facial nerve function test .............................. 0.43 1.14 1.19 0.12 0.20 0.01 1.58 1.63 0.56 0.64 XXX92520 ......... ............ A Laryngeal function studies ............................ 0.75 0.93 0.62 0.24 0.35 0.03 1.71 1.40 1.021.13 XXX92526 ......... ............ A Oral function therapy ..................................... 0.55 1.68 1.65 0.16 0.19 0.02 2.25 2.22 0.73 0.76 XXX92541 ......... ............ A Spontaneous nystagmus test ........................ 0.40 1.14 1.06 NA NA 0.04 1.58 1.50 NA NA XXX92541 ......... 26 ....... A Spontaneous nystagmus test ........................ 0.40 0.11 0.17 0.11 0.17 0.02 0.53 0.59 0.53 0.59 XXX92541 ......... TC ...... A Spontaneous nystagmus test ........................ 0.00 1.02 0.89 NA NA 0.02 1.04 0.91 NA NA XXX92542 ......... ............ A Positional nystagmus test ............................. 0.33 1.28 1.18 NA NA 0.03 1.64 1.54 NA NA XXX92542 ......... 26 ....... A Positional nystagmus test ............................. 0.33 0.09 0.14 0.09 0.14 0.01 0.43 0.48 0.43 0.48 XXX92542 ......... TC ...... A Positional nystagmus test ............................. 0.00 1.18 1.03 NA NA 0.02 1.20 1.05 NA NA XXX92543 ......... ............ A Caloric vestibular test .................................... 0.10 0.65 0.59 NA NA 0.02 0.77 0.71 NA NA XXX92543 ......... 26 ....... A Caloric vestibular test .................................... 0.10 0.03 0.05 0.03 0.05 0.01 0.14 0.16 0.14 0.16 XXX92543 ......... TC ...... A Caloric vestibular test .................................... 0.00 0.62 0.55 NA NA 0.01 0.63 0.56 NA NA XXX92544 ......... ............ A Optokinetic nystagmus test ........................... 0.26 1.04 0.94 NA NA 0.03 1.33 1.23 NA NA XXX92544 ......... 26 ....... A Optokinetic nystagmus test ........................... 0.26 0.07 0.11 0.07 0.11 0.01 0.34 0.38 0.34 0.38XXX92544 ......... TC ...... A Optokinetic nystagmus test ........................... 0.00 0.96 0.83 NA NA 0.02 0.98 0.85 NA NA XXX92545 ......... ............ A Oscillating tracking test ................................. 0.23 1.01 0.85 NA NA 0.03 1.27 1.11 NA NAXXX92545 ......... 26 ....... A Oscillating tracking test ................................. 0.23 0.06 0.10 0.06 0.10 0.01 0.30 0.34 0.300.34 XXX92545 ......... TC ...... A Oscillating tracking test ................................. 0.00 0.95 0.76 NA NA 0.02 0.97 0.78 NA NA XXX92546 ......... ............ A Sinusoidal rotational test ............................... 0.29 1.87 1.96 NA NA 0.03 2.19 2.28 NA NAXXX92546 ......... 26 ....... A Sinusoidal rotational test ............................... 0.29 0.08 0.12 0.08 0.12 0.01 0.38 0.42 0.380.42 XXX92546 ......... TC ...... A Sinusoidal rotational test ............................... 0.00 1.78 1.84 NA NA 0.02 1.80 1.86 NA NA XXX92547 ......... ............ A Supplemental electrical test .......................... 0.00 0.11 0.09 NA NA 0.06 0.17 0.15 NA NA ZZZ92548 ......... ............ A Posturography ............................................... 0.50 1.68 2.12 NA NA 0.15 2.33 2.77 NANA XXX92548 ......... 26 ....... A Posturography ............................................... 0.50 0.14 0.23 0.14 0.23 0.02 0.66 0.75 0.66 0.75 XXX92548 ......... TC ...... A Posturography ............................................... 0.00 1.54 1.89 NA NA 0.13 1.67 2.02 NA NA XXX92552 ......... ............ A Pure tone audiometry, air .............................. 0.00 0.56 0.47 NA NA 0.04 0.60 0.51 NA NA XXX92553 ......... ............ A Audiometry, air & bone ................................. 0.00 0.70 0.67 NA NA 0.06 0.76 0.73 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00235 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37404 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal92555 ......... ............ A Speech threshold audiometry ....................... 0.00 0.38 0.38 NA NA 0.04 0.42 0.42 NA NA XXX92556 ......... ............ A Speech audiometry, complete ....................... 0.00 0.51 0.56 NA NA 0.06 0.57 0.62 NA NA XXX92557 ......... ............ A Comprehensive hearing test ......................... 0.00 1.25 1.21 NA NA 0.12 1.37 1.33 NA NA XXX92561 ......... ............ A Bekesy audiometry, diagnosis ...................... 0.00 0.76 0.73 NA NA 0.06 0.82 0.79 NA NA XXX92562 ......... ............ A Loudness balance test .................................. 0.00 0.67 0.48 NA NA 0.04 0.71 0.52 NA NA XXX92563 ......... ............ A Tone decay hearing test ............................... 0.00 0.51 0.41 NA NA 0.04 0.55 0.45 NA NA XXX92564 ......... ............ A Sisi hearing test ............................................. 0.00 0.49 0.48 NA NA 0.05 0.54 0.53 NA NA XXX92565 ......... ............ A Stenger test, pure tone ................................. 0.00 0.26 0.37 NA NA 0.04 0.30 0.41 NA NA XXX92567 ......... ............ A Tympanometry ............................................... 0.00 0.49 0.51 NA NA 0.06 0.55 0.57 NA NA XXX92568 ......... ............ A Acoustic refl threshold tst .............................. 0.00 0.15 0.32 NA NA 0.04 0.19 0.36 NA NAXXX92569 ......... ............ A Acoustic reflex decay test ............................. 0.00 0.15 0.35 NA NA 0.04 0.19 0.39 NA NA XXX92571 ......... ............ A Filtered speech hearing test .......................... 0.00 0.40 0.39 NA NA 0.04 0.44 0.43 NA NA XXX92572 ......... ............ A Staggered spondaic word test ...................... 0.00 0.60 0.22 NA NA 0.01 0.61 0.23 NA NA XXX92573 ......... ............ A Lombard test ................................................. 0.00 0.49 0.39 NA NA 0.04 0.53 0.43 NANA XXX92575 ......... ............ A Sensorineural acuity test ............................... 0.00 1.09 0.50 NA NA 0.02 1.11 0.52 NA NA XXX92576 ......... ............ A Synthetic sentence test ................................. 0.00 0.53 0.46 NA NA 0.05 0.58 0.51 NA NA XXX92577 ......... ............ A Stenger test, speech ..................................... 0.00 0.27 0.61 NA NA 0.07 0.34 0.68 NA NAXXX92579 ......... ............ A Visual audiometry (vra) ................................. 0.00 0.83 0.76 NA NA 0.06 0.89 0.82 NA NA XXX92582 ......... ............ A Conditioning play audiometry ........................ 0.00 1.07 0.82 NA NA 0.06 1.13 0.88 NA NA XXX92583 ......... ............ A Select picture audiometry .............................. 0.00 0.69 0.84 NA NA 0.08 0.77 0.92 NA NA XXX92584 ......... ............ A Electrocochleography .................................... 0.00 1.25 2.17 NA NA 0.21 1.46 2.38 NA NA XXX92585 ......... ............ A Auditor evoke potent, compre ....................... 0.50 1.97 2.05 NA NA 0.17 2.64 2.72 NA NA XXX92585 ......... 26 ....... A Auditor evoke potent, compre ....................... 0.50 0.15 0.20 0.15 0.20 0.03 0.68 0.73 0.68 0.73 XXX92585 ......... TC ...... A Auditor evoke potent, compre ....................... 0.00 1.82 1.85 NA NA 0.14 1.96 1.99 NA NA XXX92586 ......... ............ A Auditor evoke potent, limit ............................. 0.00 1.39 1.74 NA NA 0.14 1.53 1.88 NA NA XXX92587 ......... ............ A Evoked auditory test ...................................... 0.13 0.61 1.18 NA NA 0.12 0.86 1.43 NA NAXXX92587 ......... 26 ....... A Evoked auditory test ...................................... 0.13 0.03 0.05 0.03 0.05 0.01 0.17 0.19 0.170.19 XXX92587 ......... TC ...... A Evoked auditory test ...................................... 0.00 0.57 1.13 NA NA 0.11 0.68 1.24 NA NA XXX92588 ......... ............ A Evoked auditory test ...................................... 0.36 1.03 1.48 NA NA 0.14 1.53 1.98 NA NAXXX92588 ......... 26 ....... A Evoked auditory test ...................................... 0.36 0.10 0.15 0.10 0.15 0.01 0.47 0.52 0.470.52 XXX92588 ......... TC ...... A Evoked auditory test ...................................... 0.00 0.93 1.34 NA NA 0.13 1.06 1.47 NA NA XXX92596 ......... ............ A Ear protector evaluation ................................ 0.00 0.93 0.68 NA NA 0.06 0.99 0.74 NA NA XXX92597 ......... ............ A Oral speech device eval ................................ 0.86 1.67 1.69 0.24 0.40 0.03 2.56 2.58 1.131.29 XXX92601 ......... ............ A Cochlear implt f/up exam < 7 ........................ 0.00 4.82 3.84 NA NA 0.07 4.89 3.91 NA NA XXX92602 ......... ............ A Reprogram cochlear implt < 7 ...................... 0.00 3.31 2.62 NA NA 0.07 3.38 2.69 NA NA XXX92603 ......... ............ A Cochlear implt f/up exam 7 > ........................ 0.00 3.13 2.40 NA NA 0.07 3.20 2.47 NA NA XXX92604 ......... ............ A Reprogram cochlear implt 7 > ...................... 0.00 2.07 1.53 NA NA 0.07 2.14 1.60 NA NA XXX92607 ......... ............ A Ex for speech device rx, 1hr ......................... 0.00 4.20 3.37 NA NA 0.05 4.25 3.42 NA NA XXX92608 ......... ............ A Ex for speech device rx addl ........................ 0.00 0.83 0.62 NA NA 0.05 0.88 0.67 NA NA XXX92609 ......... ............ A Use of speech device service ....................... 0.00 2.27 1.76 NA NA 0.04 2.31 1.80 NA NA XXX92610 ......... ............ A Evaluate swallowing function ........................ 0.00 1.61 2.98 NA NA 0.08 1.69 3.06 NA NA XXX92611 ......... ............ A Motion fluoroscopy/swallow ........................... 0.00 1.93 3.06 NA NA 0.08 2.01 3.14 NA NA XXX92612 ......... ............ A Endoscopy swallow tst (fees) ........................ 1.27 2.71 2.74 0.35 0.58 0.04 4.02 4.05 1.66 1.89 XXX92613 ......... ............ A Endoscopy swallow tst (fees) ........................ 0.71 0.22 0.36 0.22 0.35 0.05 0.98 1.12 0.98 1.11 XXX92614 ......... ............ A Laryngoscopic sensory test ........................... 1.27 2.21 2.44 0.35 0.58 0.04 3.52 3.75 1.66 1.89 XXX92615 ......... ............ A Eval laryngoscopy sense tst ......................... 0.63 0.17 0.31 0.17 0.31 0.05 0.85 0.99 0.85 0.99 XXX92616 ......... ............ A Fees w/laryngeal sense test ......................... 1.88 2.88 3.27 0.51 0.87 0.06 4.82 5.21 2.45 2.81 XXX92617 ......... ............ A Interprt fees/laryngeal test ............................. 0.79 0.22 0.39 0.22 0.39 0.05 1.06 1.23 1.06 1.23 XXX92620 ......... ............ A Auditory function, 60 min .............................. 0.00 1.85 1.32 NA NA 0.06 1.91 1.38 NA NA XXX92621 ......... ............ A Auditory function, + 15 min ........................... 0.00 0.40 0.29 NA NA 0.06 0.46 0.35 NA NA ZZZ92625 ......... ............ A Tinnitus assessment ...................................... 0.00 1.80 1.29 NA NA 0.06 1.86 1.35 NA NAXXX92626 ......... ............ A Eval aud rehab status ................................... 0.00 1.83 2.11 NA NA 0.06 1.89 2.17 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00236 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37405 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal92627 ......... ............ A Eval aud status rehab add-on ....................... 0.00 0.42 0.52 NA NA 0.02 0.44 0.54 NA NA ZZZ92950 ......... ............ A Heart/lung resuscitation cpr .......................... 3.79 3.22 3.96 0.75 0.92 0.28 7.29 8.03 4.824.99 00092953 ......... ............ A Temporary external pacing ........................... 0.23 NA NA 0.07 0.07 0.02 NA NA 0.32 0.32 00092960 ......... ............ A Cardioversion electric, ext ............................. 2.25 4.49 5.87 1.50 1.25 0.07 6.81 8.19 3.82 3.57 00092961 ......... ............ A Cardioversion, electric, int ............................. 4.59 NA NA 2.55 2.21 0.29 NA NA 7.43 7.0900092970 ......... ............ A Cardioassist, internal ..................................... 3.51 NA NA 1.65 1.21 0.16 NA NA 5.32 4.88 00092971 ......... ............ A Cardioassist, external .................................... 1.77 NA NA 1.10 0.91 0.06 NA NA 2.93 2.7400092973 ......... ............ A Percut coronary thrombectomy ..................... 3.28 NA NA 1.83 1.43 0.23 NA NA 5.34 4.94 ZZZ92974 ......... ............ A Cath place, cardio brachytx .......................... 3.00 NA NA 1.71 1.31 0.21 NA NA 4.92 4.52 ZZZ92975 ......... ............ A Dissolve clot, heart vessel ............................ 7.24 NA NA 3.96 3.11 0.50 NA NA 11.70 10.8500092977 ......... ............ A Dissolve clot, heart vessel ............................ 0.00 1.75 6.49 NA NA 0.46 2.21 6.95 NA NA XXX92978 ......... ............ A Intravasc us, heart add-on ............................ 1.80 1.00 4.21 NA NA 0.30 3.10 6.31 NA NA ZZZ92978 ......... 26 ....... A Intravasc us, heart add-on ............................ 1.80 1.00 0.78 1.00 0.78 0.06 2.86 2.64 2.86 2.64 ZZZ92978 ......... TC ...... A Intravasc us, heart add-on ............................ 0.00 0.00 3.43 NA NA 0.24 0.24 3.67 NA NA ZZZ92979 ......... ............ A Intravasc us, heart add-on ............................ 1.44 0.80 2.35 NA NA 0.19 2.43 3.98 NA NA ZZZ92979 ......... 26 ....... A Intravasc us, heart add-on ............................ 1.44 0.80 0.62 0.80 0.62 0.06 2.30 2.12 2.30 2.12 ZZZ92979 ......... TC ...... A Intravasc us, heart add-on ............................ 0.00 0.00 1.73 NA NA 0.13 0.13 1.86 NA NA ZZZ92980 ......... ............ A Insert intracoronary stent .............................. 14.82 NA NA 8.49 6.68 1.03 NA NA 24.34 22.53 00092981 ......... ............ A Insert intracoronary stent .............................. 4.16 NA NA 2.33 1.81 0.29 NA NA 6.78 6.26 ZZZ92982 ......... ............ A Coronary artery dilation ................................. 10.96 NA NA 6.34 4.99 0.76 NA NA 18.06 16.71 00092984 ......... ............ A Coronary artery dilation ................................. 2.97 NA NA 1.65 1.28 0.21 NA NA 4.83 4.46ZZZ92986 ......... ............ A Revision of aortic valve ................................. 22.64 NA NA 16.03 12.90 1.51 NA NA 40.18 37.05 09092987 ......... ............ A Revision of mitral valve ................................. 23.42 NA NA 16.45 13.30 1.59 NA NA 41.46 38.31 09092990 ......... ............ A Revision of pulmonary valve ......................... 18.06 NA NA 11.35 10.20 1.20 NA NA 30.61 29.4609092995 ......... ............ A Coronary atherectomy ................................... 12.07 NA NA 6.96 5.47 0.84 NA NA 19.87 18.3800092996 ......... ............ A Coronary atherectomy add-on ...................... 3.26 NA NA 1.83 1.41 0.10 NA NA 5.19 4.77 ZZZ92997 ......... ............ A Pul art balloon repr, percut ........................... 11.98 NA NA 5.25 4.94 0.40 NA NA 17.63 17.3200092998 ......... ............ A Pul art balloon repr, percut ........................... 5.99 NA NA 2.78 2.35 0.28 NA NA 9.05 8.62 ZZZ93000 ......... ............ A Electrocardiogram, complete ......................... 0.17 0.35 0.47 NA NA 0.03 0.55 0.67 NA NA XXX93005 ......... ............ A Electrocardiogram, tracing ............................ 0.00 0.28 0.41 NA NA 0.02 0.30 0.43 NA NA XXX93010 ......... ............ A Electrocardiogram report ............................... 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.250.24 XXX93012 ......... ............ A Transmission of ecg ...................................... 0.00 1.60 4.92 NA NA 0.18 1.78 5.10 NA NAXXX93014 ......... ............ A Report on transmitted ecg ............................. 0.52 0.21 0.20 0.21 0.20 0.02 0.75 0.74 0.750.74 XXX93015 ......... ............ A Cardiovascular stress test ............................. 0.75 1.96 1.96 NA NA 0.14 2.85 2.85 NA NA XXX93016 ......... ............ A Cardiovascular stress test ............................. 0.45 0.23 0.19 0.23 0.19 0.02 0.70 0.66 0.700.66 XXX93017 ......... ............ A Cardiovascular stress test ............................. 0.00 1.58 1.66 NA NA 0.11 1.69 1.77 NA NA XXX93018 ......... ............ A Cardiovascular stress test ............................. 0.30 0.15 0.12 0.15 0.12 0.01 0.46 0.43 0.460.43 XXX93024 ......... ............ A Cardiac drug stress test ................................ 1.17 2.46 1.79 NA NA 0.12 3.75 3.08 NA NA XXX93024 ......... 26 ....... A Cardiac drug stress test ................................ 1.17 0.60 0.49 0.60 0.49 0.04 1.81 1.70 1.81 1.70 XXX93024 ......... TC ...... A Cardiac drug stress test ................................ 0.00 1.87 1.31 NA NA 0.08 1.95 1.39 NA NA XXX93025 ......... ............ A Microvolt t-wave assess ................................ 0.75 4.00 6.71 NA NA 0.14 4.89 7.60 NA NA XXX93025 ......... 26 ....... A Microvolt t-wave assess ................................ 0.75 0.39 0.32 0.39 0.32 0.03 1.17 1.10 1.17 1.10 XXX93025 ......... TC ...... A Microvolt t-wave assess ................................ 0.00 3.61 6.39 NA NA 0.11 3.72 6.50 NA NA XXX93040 ......... ............ A Rhythm ECG with report ............................... 0.16 0.19 0.20 NA NA 0.02 0.37 0.38 NA NA XXX93041 ......... ............ A Rhythm ECG, tracing .................................... 0.00 0.15 0.15 NA NA 0.01 0.16 0.16 NA NA XXX93042 ......... ............ A Rhythm ECG, report ...................................... 0.16 0.05 0.05 0.05 0.05 0.01 0.22 0.22 0.22 0.22 XXX93224 ......... ............ A ECG monitor/report, 24 hrs ........................... 0.52 2.01 3.22 NA NA 0.24 2.77 3.98 NA NA XXX93225 ......... ............ A ECG monitor/record, 24 hrs .......................... 0.00 1.09 1.20 NA NA 0.08 1.17 1.28 NA NA XXX93226 ......... ............ A ECG monitor/report, 24 hrs ........................... 0.00 0.63 1.80 NA NA 0.14 0.77 1.94 NA NA XXX93227 ......... ............ A ECG monitor/review, 24 hrs .......................... 0.52 0.28 0.21 0.28 0.21 0.02 0.82 0.75 0.82 0.75 XXX93230 ......... ............ A ECG monitor/report, 24 hrs ........................... 0.52 1.81 3.38 NA NA 0.26 2.59 4.16 NA NA XXX93231 ......... ............ A Ecg monitor/record, 24 hrs ............................ 0.00 0.95 1.38 NA NA 0.11 1.06 1.49 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00237 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37406 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal93232 ......... ............ A ECG monitor/report, 24 hrs ........................... 0.00 0.62 1.80 NA NA 0.13 0.75 1.93 NA NA XXX93233 ......... ............ A ECG monitor/review, 24 hrs .......................... 0.52 0.24 0.20 0.24 0.20 0.02 0.78 0.74 0.78 0.74 XXX93235 ......... ............ A ECG monitor/report, 24 hrs ........................... 0.45 0.22 2.15 NA NA 0.16 0.83 2.76 NA NA XXX93236 ......... ............ A ECG monitor/report, 24 hrs ........................... 0.00 0.00 1.97 NA NA 0.14 0.14 2.11 NA NA XXX93237 ......... ............ A ECG monitor/review, 24 hrs .......................... 0.45 0.22 0.18 0.22 0.18 0.02 0.69 0.65 0.69 0.65 XXX93268 ......... ............ A ECG record/review ........................................ 0.52 0.83 5.80 NA NA 0.28 1.63 6.60 NA NAXXX93270 ......... ............ A ECG recording ............................................... 0.00 0.31 1.01 NA NA 0.08 0.39 1.09 NANA XXX93271 ......... ............ A Ecg/monitoring and analysis ......................... 0.00 1.98 5.02 NA NA 0.18 2.16 5.20 NA NA XXX93272 ......... ............ A Ecg/review, interpret only .............................. 0.52 0.24 0.20 0.24 0.20 0.02 0.78 0.74 0.78 0.74 XXX93278 ......... ............ A ECG/signal-averaged .................................... 0.25 0.59 1.09 NA NA 0.12 0.96 1.46 NA NA XXX93278 ......... 26 ....... A ECG/signal-averaged .................................... 0.25 0.10 0.10 0.10 0.10 0.01 0.36 0.36 0.36 0.36 XXX93278 ......... TC ...... A ECG/signal-averaged .................................... 0.00 0.49 0.99 NA NA 0.11 0.60 1.10 NA NA XXX93303 ......... ............ A Echo transthoracic ......................................... 1.30 4.70 4.44 NA NA 0.27 6.27 6.01 NA NA XXX93303 ......... 26 ....... A Echo transthoracic ......................................... 1.30 0.58 0.51 0.58 0.51 0.04 1.92 1.85 1.92 1.85 XXX93303 ......... TC ...... A Echo transthoracic ......................................... 0.00 4.12 3.93 NA NA 0.23 4.35 4.16 NA NA XXX93304 ......... ............ A Echo transthoracic ......................................... 0.75 3.22 2.48 NA NA 0.15 4.12 3.38 NA NA XXX93304 ......... 26 ....... A Echo transthoracic ......................................... 0.75 0.32 0.29 0.32 0.29 0.02 1.09 1.06 1.09 1.06 XXX93304 ......... TC ...... A Echo transthoracic ......................................... 0.00 2.90 2.19 NA NA 0.13 3.03 2.32 NA NA XXX93307 ......... ............ A Echo exam of heart ....................................... 0.92 3.84 4.13 NA NA 0.26 5.02 5.31 NA NAXXX93307 ......... 26 ....... A Echo exam of heart ....................................... 0.92 0.47 0.38 0.47 0.38 0.03 1.42 1.33 1.421.33 XXX93307 ......... TC ...... A Echo exam of heart ....................................... 0.00 3.36 3.74 NA NA 0.23 3.59 3.97 NA NA XXX93308 ......... ............ A Echo exam of heart ....................................... 0.53 2.70 2.29 NA NA 0.15 3.38 2.97 NA NAXXX93308 ......... 26 ....... A Echo exam of heart ....................................... 0.53 0.28 0.22 0.28 0.22 0.02 0.83 0.77 0.830.77 XXX93308 ......... TC ...... A Echo exam of heart ....................................... 0.00 2.41 2.07 NA NA 0.13 2.54 2.20 NA NA XXX93312 ......... ............ A Echo transesophageal ................................... 2.20 7.67 5.35 NA NA 0.37 10.24 7.92 NA NA XXX93312 ......... 26 ....... A Echo transesophageal .................................. 2.20 1.03 0.85 1.03 0.85 0.08 3.31 3.13 3.31 3.13 XXX93312 ......... TC ...... A Echo transesophageal ................................... 0.00 6.64 4.50 NA NA 0.29 6.93 4.79 NA NA XXX93313 ......... ............ A Echo transesophageal ................................... 0.95 NA NA 0.14 0.19 0.06 NA NA 1.15 1.20 XXX93314 ......... ............ A Echo transesophageal ................................... 1.25 7.37 5.04 NA NA 0.33 8.95 6.62 NA NA XXX93314 ......... 26 ....... A Echo transesophageal .................................. 1.25 0.58 0.50 0.58 0.50 0.04 1.87 1.79 1.87 1.79 XXX93314 ......... TC ...... A Echo transesophageal ................................... 0.00 6.79 4.54 NA NA 0.29 7.08 4.83 NA NA XXX93315 ......... 26 ....... A Echo transesophageal .................................. 2.78 1.35 1.10 1.35 1.10 0.09 4.22 3.97 4.22 3.97 XXX93316 ......... ............ A Echo transesophageal ................................... 0.95 NA NA 0.26 0.25 0.05 NA NA 1.26 1.25 XXX93317 ......... 26 ....... A Echo transesophageal .................................. 1.83 0.79 0.70 0.79 0.70 0.08 2.70 2.61 2.70 2.61 XXX93318 ......... 26 ....... A Echo transesophageal intraop ...................... 2.20 0.90 0.59 0.90 0.59 0.14 3.24 2.93 3.24 2.93 XXX93320 ......... ............ A Doppler echo exam, heart ............................. 0.38 1.72 1.83 NA NA 0.13 2.23 2.34 NA NA ZZZ93320 ......... 26 ....... A Doppler echo exam, heart ............................. 0.38 0.20 0.16 0.20 0.16 0.01 0.59 0.55 0.59 0.55ZZZ93320 ......... TC ...... A Doppler echo exam, heart ............................. 0.00 1.53 1.67 NA NA 0.12 1.65 1.79 NA NA ZZZ93321 ......... ............ A Doppler echo exam, heart ............................. 0.15 0.63 1.04 NA NA 0.09 0.87 1.28 NA NA ZZZ93321 ......... 26 ....... A Doppler echo exam, heart ............................. 0.15 0.08 0.07 0.08 0.07 0.01 0.24 0.23 0.24 0.23ZZZ93321 ......... TC ...... A Doppler echo exam, heart ............................. 0.00 0.55 0.97 NA NA 0.08 0.63 1.05 NA NA ZZZ93325 ......... ............ A Doppler color flow add-on ............................. 0.07 0.68 2.38 NA NA 0.22 0.97 2.67 NA NA ZZZ93325 ......... 26 ....... A Doppler color flow add-on ............................. 0.07 0.04 0.03 0.04 0.03 0.01 0.12 0.11 0.12 0.11 ZZZ93325 ......... TC ...... A Doppler color flow add-on ............................. 0.00 0.65 2.35 NA NA 0.21 0.86 2.56 NA NA ZZZ93350 ......... ............ A Echo transthoracic ......................................... 1.48 5.24 3.07 NA NA 0.18 6.90 4.73 NA NA XXX93350 ......... 26 ....... A Echo transthoracic ......................................... 1.48 0.79 0.63 0.79 0.63 0.05 2.32 2.16 2.32 2.16 XXX93350 ......... TC ...... A Echo transthoracic ......................................... 0.00 4.45 2.44 NA NA 0.13 4.58 2.57 NA NA XXX93501 ......... ............ A Right heart catheterization ............................ 3.02 23.45 19.44 NA NA 1.26 27.73 23.72 NA NA 00093501 ......... 26 ....... A Right heart catheterization ............................ 3.02 1.65 1.28 1.65 1.28 0.21 4.88 4.51 4.88 4.51 00093501 ......... TC ...... A Right heart catheterization ............................ 0.00 21.80 18.16 NA NA 1.05 22.85 19.21 NA NA 00093503 ......... ............ A Insert/place heart catheter ............................ 2.91 NA NA 0.48 0.63 0.20 NA NA 3.59 3.74 00093505 ......... ............ A Biopsy of heart lining ..................................... 4.37 25.50 9.13 NA NA 0.46 30.33 13.96 NA NA 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00238 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37407 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal93505 ......... 26 ....... A Biopsy of heart lining ..................................... 4.37 2.39 1.86 2.39 1.86 0.30 7.06 6.53 7.06 6.53 00093505 ......... TC ...... A Biopsy of heart lining ..................................... 0.00 23.11 7.27 NA NA 0.16 23.27 7.43 NA NA00093508 ......... ............ A Cath placement, angiography ....................... 4.09 18.76 15.74 NA NA 0.93 23.78 20.76 NA NA 00093508 ......... 26 ....... A Cath placement, angiography ....................... 4.09 2.28 2.14 2.28 2.14 0.28 6.65 6.51 6.65 6.51 00093508 ......... TC ...... A Cath placement, angiography ....................... 0.00 16.47 13.60 NA NA 0.65 17.12 14.25 NA NA 00093510 ......... ............ A Left heart catheterization ............................... 4.32 18.95 34.17 NA NA 2.61 25.88 41.10 NANA 00093510 ......... 26 ....... A Left heart catheterization ............................... 4.32 2.40 2.24 2.40 2.24 0.30 7.02 6.86 7.026.86 00093510 ......... TC ...... A Left heart catheterization ............................... 0.00 16.55 31.93 NA NA 2.31 18.86 34.24 NA NA00093511 ......... ............ A Left heart catheterization ............................... 5.02 3.30 29.72 NA NA 2.59 10.91 37.33 NANA 00093511 ......... 26 ....... A Left heart catheterization ............................... 5.02 2.71 2.52 2.71 2.52 0.35 8.08 7.89 8.087.89 00093511 ......... TC ...... A Left heart catheterization ............................... 0.00 0.59 27.20 NA NA 2.24 2.83 29.44 NA NA 00093514 ......... 26 ....... A Left heart catheterization ............................... 7.04 3.29 3.17 3.29 3.17 0.49 10.82 10.70 10.82 10.70 00093524 ......... ............ A Left heart catheterization ............................... 6.94 4.40 38.84 NA NA 3.43 14.77 49.21 NANA 00093524 ......... 26 ....... A Left heart catheterization ............................... 6.94 3.80 3.34 3.80 3.34 0.48 11.22 10.76 11.22 10.76 00093524 ......... TC ...... A Left heart catheterization ............................... 0.00 0.60 35.51 NA NA 2.95 3.55 38.46 NA NA 00093526 ......... ............ A Rt & Lt heart catheters .................................. 5.98 34.54 47.07 NA NA 3.46 43.98 56.51 NANA 00093526 ......... 26 ....... A Rt & Lt heart catheters .................................. 5.98 3.32 2.95 3.32 2.95 0.42 9.72 9.35 9.729.35 00093526 ......... TC ...... A Rt & Lt heart catheters .................................. 0.00 31.22 44.13 NA NA 3.04 34.26 47.17 NA NA00093527 ......... ............ A Rt & Lt heart catheters .................................. 7.27 4.66 39.01 NA NA 3.46 15.39 49.74 NANA 00093527 ......... 26 ....... A Rt & Lt heart catheters .................................. 7.27 4.06 3.51 4.06 3.51 0.51 11.84 11.29 11.84 11.29 00093527 ......... TC ...... A Rt & Lt heart catheters .................................. 0.00 0.60 35.51 NA NA 2.95 3.55 38.46 NA NA 00093528 ......... ............ A Rt & Lt heart catheters .................................. 8.99 5.37 39.73 NA NA 3.57 17.93 52.29 NANA 00093528 ......... 26 ....... A Rt & Lt heart catheters .................................. 8.99 4.78 4.23 4.78 4.23 0.62 14.39 13.84 14.39 13.84 00093528 ......... TC ...... A Rt & Lt heart catheters .................................. 0.00 0.59 35.50 NA NA 2.95 3.54 38.45 NA NA 00093529 ......... ............ A Rt, lt heart catheterization ............................. 4.79 3.28 37.89 NA NA 3.28 11.35 45.96 NANA 00093529 ......... 26 ....... A Rt, lt heart catheterization ............................. 4.79 2.68 2.38 2.68 2.38 0.33 7.80 7.50 7.807.50 00093529 ......... TC ...... A Rt, lt heart catheterization ............................. 0.00 0.60 35.51 NA NA 2.95 3.55 38.46 NA NA 00093530 ......... ............ A Rt heart cath, congenital ............................... 4.22 2.42 14.77 NA NA 1.34 7.98 20.33 NA NA00093530 ......... 26 ....... A Rt heart cath, congenital ............................... 4.22 1.88 1.93 1.88 1.93 0.29 6.39 6.44 6.39 6.44 00093530 ......... TC ...... A Rt heart cath, congenital ............................... 0.00 0.54 12.85 NA NA 1.05 1.59 13.90 NA NA 00093531 ......... ............ A R & l heart cath, congenital .......................... 8.34 4.34 40.10 NA NA 3.62 16.30 52.06 NA NA00093531 ......... 26 ....... A R & l heart cath, congenital .......................... 8.34 3.80 3.64 3.80 3.64 0.58 12.72 12.56 12.7212.56 00093531 ......... TC ...... A R & l heart cath, congenital .......................... 0.00 0.55 36.46 NA NA 3.04 3.59 39.50 NA NA 00093532 ......... 26 ....... A R & l heart cath, congenital .......................... 9.99 4.26 4.26 4.26 4.26 0.69 14.94 14.94 14.9414.94 00093533 ......... 26 ....... A R & l heart cath, congenital .......................... 6.69 3.09 2.87 3.09 2.87 0.47 10.25 10.03 10.2510.03 00093539 ......... ............ A Injection, cardiac cath ................................... 0.40 NA NA 0.22 0.18 0.01 NA NA 0.63 0.5900093540 ......... ............ A Injection, cardiac cath ................................... 0.43 NA NA 0.24 0.19 0.01 NA NA 0.68 0.6300093541 ......... ............ A Injection for lung angiogram .......................... 0.29 NA NA 0.16 0.12 0.01 NA NA 0.46 0.42 00093542 ......... ............ A Injection for heart x-rays ............................... 0.29 NA NA 0.16 0.12 0.01 NA NA 0.46 0.4200093543 ......... ............ A Injection for heart x-rays ............................... 0.29 NA NA 0.16 0.12 0.01 NA NA 0.46 0.4200093544 ......... ............ A Injection for aortography ............................... 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 00093545 ......... ............ A Inject for coronary x-rays .............................. 0.40 NA NA 0.22 0.18 0.01 NA NA 0.63 0.59 00093555 ......... ............ A Imaging, cardiac cath .................................... 0.81 0.66 5.12 NA NA 0.37 1.84 6.30 NA NAXXX93555 ......... 26 ....... A Imaging, cardiac cath .................................... 0.81 0.45 0.35 0.45 0.35 0.03 1.29 1.19 1.291.19 XXX93555 ......... TC ...... A Imaging, cardiac cath .................................... 0.00 0.21 4.77 NA NA 0.34 0.55 5.11 NA NA XXX93556 ......... ............ A Imaging, cardiac cath .................................... 0.83 0.95 7.92 NA NA 0.54 2.32 9.29 NA NAXXX93556 ......... 26 ....... A Imaging, cardiac cath .................................... 0.83 0.46 0.36 0.46 0.36 0.03 1.32 1.22 1.321.22 XXX93556 ......... TC ...... A Imaging, cardiac cath .................................... 0.00 0.49 7.56 NA NA 0.51 1.00 8.07 NA NA XXX93561 ......... ............ A Cardiac output measurement ........................ 0.50 0.14 0.55 NA NA 0.08 0.72 1.13 NA NA 00093561 ......... 26 ....... A Cardiac output measurement ........................ 0.50 0.14 0.16 0.14 0.16 0.02 0.66 0.68 0.66 0.68 00093561 ......... TC ...... A Cardiac output measurement ........................ 0.00 0.00 0.39 NA NA 0.06 0.06 0.45 NA NA 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00239 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37408 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal93562 ......... ............ A Cardiac output measurement ........................ 0.16 0.03 0.29 NA NA 0.05 0.24 0.50 NA NA 00093562 ......... 26 ....... A Cardiac output measurement ........................ 0.16 0.03 0.05 0.03 0.05 0.01 0.20 0.22 0.20 0.22 00093562 ......... TC ...... A Cardiac output measurement ........................ 0.00 0.00 0.24 NA NA 0.04 0.04 0.28 NA NA 00093571 ......... ............ A Heart flow reserve measure .......................... 1.80 1.00 4.19 NA NA 0.30 3.10 6.29 NA NA ZZZ93571 ......... 26 ....... A Heart flow reserve measure .......................... 1.80 1.00 0.76 1.00 0.76 0.06 2.86 2.62 2.86 2.62ZZZ93571 ......... TC ...... A Heart flow reserve measure .......................... 0.00 0.00 3.43 NA NA 0.24 0.24 3.67 NA NA ZZZ93572 ......... 26 ....... A Heart flow reserve measure .......................... 1.44 0.75 0.56 0.75 0.56 0.04 2.23 2.04 2.23 2.04ZZZ93580 ......... ............ A Transcath closure of asd ............................... 17.97 NA NA 9.78 8.00 1.25 NA NA 29.00 27.2200093581 ......... ............ A Transcath closure of vsd ............................... 24.39 NA NA 13.45 10.43 1.71 NA NA 39.55 36.53 00093600 ......... ............ A Bundle of His recording ................................. 2.12 1.11 2.37 NA NA 0.29 3.52 4.78 NA NA 00093600 ......... 26 ....... A Bundle of His recording ................................. 2.12 1.11 0.90 1.11 0.90 0.16 3.39 3.18 3.39 3.18 00093600 ......... TC ...... A Bundle of His recording ................................. 0.00 0.00 1.47 NA NA 0.13 0.13 1.60 NA NA 00093602 ......... ............ A Intra-atrial recording ...................................... 2.12 1.10 1.72 NA NA 0.24 3.46 4.08 NANA 00093602 ......... 26 ....... A Intra-atrial recording ...................................... 2.12 1.10 0.89 1.10 0.89 0.17 3.39 3.18 3.39 3.18 00093602 ......... TC ...... A Intra-atrial recording ...................................... 0.00 0.00 0.83 NA NA 0.07 0.07 0.90 NA NA 00093603 ......... ............ A Right ventricular recording ............................ 2.12 1.09 2.14 NA NA 0.29 3.50 4.55 NA NA 00093603 ......... 26 ....... A Right ventricular recording ............................ 2.12 1.09 0.88 1.09 0.88 0.18 3.39 3.18 3.39 3.18 00093603 ......... TC ...... A Right ventricular recording ............................ 0.00 0.00 1.26 NA NA 0.11 0.11 1.37 NA NA 00093609 ......... ............ A Map tachycardia, add-on ............................... 4.99 2.74 4.20 NA NA 0.52 8.25 9.71 NA NA ZZZ93609 ......... 26 ....... A Map tachycardia, add-on ............................... 4.99 2.74 2.16 2.74 2.16 0.35 8.08 7.50 8.08 7.50 ZZZ93609 ......... TC ...... A Map tachycardia, add-on ............................... 0.00 0.00 2.05 NA NA 0.17 0.17 2.22 NA NA ZZZ93610 ......... ............ A Intra-atrial pacing ........................................... 3.02 1.54 2.27 NA NA 0.34 4.90 5.63 NA NA 00093610 ......... 26 ....... A Intra-atrial pacing ........................................... 3.02 1.54 1.26 1.54 1.26 0.24 4.80 4.524.80 4.52 00093610 ......... TC ...... A Intra-atrial pacing ........................................... 0.00 0.00 1.01 NA NA 0.10 0.10 1.11 NA NA00093612 ......... ............ A Intraventricular pacing ................................... 3.02 1.49 2.45 NA NA 0.36 4.87 5.83 NA NA00093612 ......... 26 ....... A Intraventricular pacing ................................... 3.02 1.49 1.24 1.49 1.24 0.25 4.76 4.51 4.764.51 00093612 ......... TC ...... A Intraventricular pacing ................................... 0.00 0.00 1.21 NA NA 0.11 0.11 1.32 NA NA 00093613 ......... ............ A Electrophys map 3d, add-on ......................... 6.99 NA NA 3.85 3.04 0.49 NA NA 11.33 10.52 ZZZ93615 ......... ............ A Esophageal recording ................................... 0.99 0.50 0.57 NA NA 0.05 1.54 1.61 NA NA 00093615 ......... 26 ....... A Esophageal recording ................................... 0.99 0.50 0.33 0.50 0.33 0.03 1.52 1.35 1.52 1.35 00093615 ......... TC ...... A Esophageal recording ................................... 0.00 0.00 0.24 NA NA 0.02 0.02 0.26 NA NA 00093616 ......... 26 ....... A Esophageal recording ................................... 1.49 0.37 0.42 0.37 0.42 0.09 1.95 2.00 1.95 2.00 00093618 ......... ............ A Heart rhythm pacing ...................................... 4.25 2.37 4.82 NA NA 0.54 7.16 9.61 NA NA00093618 ......... 26 ....... A Heart rhythm pacing ...................................... 4.25 2.37 1.85 2.37 1.85 0.30 6.92 6.40 6.926.40 00093618 ......... TC ...... A Heart rhythm pacing ...................................... 0.00 0.00 2.98 NA NA 0.24 0.24 3.22 NA NA 00093619 ......... ............ A Electrophysiology evaluation ......................... 7.31 4.37 9.28 NA NA 0.98 12.66 17.57 NA NA 00093619 ......... 26 ....... A Electrophysiology evaluation ......................... 7.31 3.95 3.38 3.95 3.38 0.51 11.77 11.20 11.77 11.20 00093619 ......... TC ...... A Electrophysiology evaluation ......................... 0.00 0.42 5.90 NA NA 0.47 0.89 6.37 NA NA 00093620 ......... 26 ....... A Electrophysiology evaluation ......................... 11.57 6.37 5.23 6.37 5.23 0.80 18.74 17.60 18.7417.60 00093621 ......... 26 ....... A Electrophysiology evaluation ......................... 2.10 1.16 0.91 1.16 0.91 0.15 3.41 3.16 3.41 3.16ZZZ93622 ......... 26 ....... A Electrophysiology evaluation ......................... 3.10 1.69 1.33 1.69 1.33 0.22 5.01 4.65 5.01 4.65ZZZ93623 ......... 26 ....... A Stimulation, pacing heart ............................... 2.85 1.57 1.23 1.57 1.23 0.20 4.62 4.28 4.62 4.28 ZZZ93624 ......... ............ A Electrophysiologic study ................................ 4.80 3.12 3.92 NA NA 0.46 8.38 9.18 NA NA 00093624 ......... 26 ....... A Electrophysiologic study ................................ 4.80 2.69 2.32 2.69 2.32 0.33 7.82 7.45 7.82 7.45 00093624 ......... TC ...... A Electrophysiologic study ................................ 0.00 0.43 1.60 NA NA 0.13 0.56 1.73 NA NA 00093631 ......... 26 ....... A Heart pacing, mapping .................................. 7.59 2.81 2.79 2.81 2.79 0.97 11.37 11.35 11.3711.35 00093640 ......... ............ A Evaluation heart device ................................. 3.51 1.93 6.90 NA NA 0.66 6.10 11.07 NA NA00093640 ......... 26 ....... A Evaluation heart device ................................. 3.51 1.93 1.50 1.93 1.50 0.24 5.68 5.25 5.68 5.25 00093640 ......... TC ...... A Evaluation heart device ................................. 0.00 0.00 5.39 NA NA 0.42 0.42 5.81 NA NA 00093641 ......... ............ A Electrophysiology evaluation ......................... 5.92 3.26 7.95 NA NA 0.83 10.01 14.70 NA NA 00093641 ......... 26 ....... A Electrophysiology evaluation ......................... 5.92 3.26 2.56 3.26 2.56 0.41 9.59 8.89 9.59 8.8900093641 ......... TC ...... A Electrophysiology evaluation ......................... 0.00 0.00 5.39 NA NA 0.42 0.42 5.81 NA NA 00093642 ......... ............ A Electrophysiology evaluation ......................... 4.88 7.59 8.96 NA NA 0.57 13.04 14.41 NA NA 0001CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00240 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37409 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal93642 ......... 26 ....... A Electrophysiology evaluation ......................... 4.88 2.69 2.34 2.69 2.34 0.15 7.72 7.37 7.72 7.3700093642 ......... TC ...... A Electrophysiology evaluation ......................... 0.00 4.89 6.62 NA NA 0.42 5.31 7.04 NA NA 00093650 ......... ............ A Ablate heart dysrhythm focus ....................... 10.49 NA NA 6.10 4.86 0.73 NA NA 17.32 16.08 00093651 ......... ............ A Ablate heart dysrhythm focus ....................... 16.23 NA NA 8.93 6.99 1.13 NA NA 26.29 24.35 00093652 ......... ............ A Ablate heart dysrhythm focus ....................... 17.65 NA NA 9.73 7.61 1.23 NA NA 28.61 26.49 00093660 ......... ............ A Tilt table evaluation ....................................... 1.89 3.11 2.59 NA NA 0.08 5.08 4.56 NANA 00093660 ......... 26 ....... A Tilt table evaluation ....................................... 1.89 1.01 0.81 1.01 0.81 0.06 2.96 2.76 2.96 2.76 00093660 ......... TC ...... A Tilt table evaluation ....................................... 0.00 2.10 1.79 NA NA 0.02 2.12 1.81 NA NA 00093662 ......... 26 ....... A Intracardiac ecg (ice) ..................................... 2.80 1.54 1.22 1.54 1.22 0.09 4.43 4.11 4.43 4.11 ZZZ93701 ......... ............ A Bioimpedance, thoracic ................................. 0.17 0.71 0.91 NA NA 0.02 0.90 1.10 NA NA XXX93701 ......... 26 ....... A Bioimpedance, thoracic ................................. 0.17 0.06 0.07 0.06 0.07 0.01 0.24 0.25 0.24 0.25 XXX93701 ......... TC ...... A Bioimpedance, thoracic ................................. 0.00 0.65 0.85 NA NA 0.01 0.66 0.86 NA NA XXX93720 ......... ............ A Total body plethysmography ......................... 0.17 1.29 0.89 NA NA 0.07 1.53 1.13 NA NA XXX93721 ......... ............ A Plethysmography tracing ............................... 0.00 1.14 0.82 NA NA 0.06 1.20 0.88 NA NA XXX93722 ......... ............ A Plethysmography report ................................ 0.17 0.04 0.05 0.04 0.05 0.01 0.22 0.23 0.220.23 XXX93724 ......... ............ A Analyze pacemaker system .......................... 4.88 3.56 5.31 NA NA 0.39 8.83 10.58 NA NA 00093724 ......... 26 ....... A Analyze pacemaker system .......................... 4.88 2.63 2.10 2.63 2.10 0.15 7.66 7.13 7.66 7.13 00093724 ......... TC ...... A Analyze pacemaker system .......................... 0.00 0.93 3.21 NA NA 0.24 1.17 3.45 NA NA 00093727 ......... ............ A Analyze ilr system ......................................... 0.52 0.66 0.32 0.66 0.32 0.02 1.20 0.861.20 0.86 XXX93731 ......... ............ A Analyze pacemaker system .......................... 0.45 0.81 0.70 NA NA 0.05 1.31 1.20 NA NA XXX93731 ......... 26 ....... A Analyze pacemaker system .......................... 0.45 0.25 0.19 0.25 0.19 0.01 0.71 0.65 0.71 0.65 XXX93731 ......... TC ...... A Analyze pacemaker system .......................... 0.00 0.56 0.51 NA NA 0.04 0.60 0.55 NA NA XXX93732 ......... ............ A Analyze pacemaker system .......................... 0.92 1.19 0.94 NA NA 0.07 2.18 1.93 NA NA XXX93732 ......... 26 ....... A Analyze pacemaker system .......................... 0.92 0.50 0.39 0.50 0.39 0.03 1.45 1.34 1.45 1.34 XXX93732 ......... TC ...... A Analyze pacemaker system .......................... 0.00 0.69 0.56 NA NA 0.04 0.73 0.60 NA NA XXX93733 ......... ............ A Telephone analy, pacemaker ........................ 0.17 0.32 0.68 NA NA 0.07 0.56 0.92 NA NA XXX93733 ......... 26 ....... A Telephone analy, pacemaker ........................ 0.17 0.09 0.08 0.09 0.08 0.01 0.27 0.26 0.27 0.26 XXX93733 ......... TC ...... A Telephone analy, pacemaker ........................ 0.00 0.23 0.61 NA NA 0.06 0.29 0.67 NA NA XXX93734 ......... ............ A Analyze pacemaker system .......................... 0.38 0.72 0.56 NA NA 0.03 1.13 0.97 NA NA XXX93734 ......... 26 ....... A Analyze pacemaker system .......................... 0.38 0.21 0.17 0.21 0.17 0.01 0.60 0.56 0.60 0.56 XXX93734 ......... TC ...... A Analyze pacemaker system .......................... 0.00 0.51 0.39 NA NA 0.02 0.53 0.41 NA NA XXX93735 ......... ............ A Analyze pacemaker system .......................... 0.74 0.99 0.79 NA NA 0.06 1.79 1.59 NA NA XXX93735 ......... 26 ....... A Analyze pacemaker system .......................... 0.74 0.40 0.31 0.40 0.31 0.02 1.16 1.07 1.16 1.07 XXX93735 ......... TC ...... A Analyze pacemaker system .......................... 0.00 0.59 0.48 NA NA 0.04 0.63 0.52 NA NA XXX93736 ......... ............ A Telephonic analy, pacemaker ....................... 0.15 0.28 0.59 NA NA 0.07 0.50 0.81 NA NA XXX93736 ......... 26 ....... A Telephonic analy, pacemaker ....................... 0.15 0.08 0.07 0.08 0.07 0.01 0.24 0.23 0.24 0.23 XXX93736 ......... TC ...... A Telephonic analy, pacemaker ....................... 0.00 0.21 0.53 NA NA 0.06 0.27 0.59 NA NA XXX93740 ......... ............ B Temperature gradient studies ....................... 0.16 0.04 0.15 NA NA 0.02 0.22 0.33 NA NA XXX93740 ......... 26 ....... B Temperature gradient studies ....................... 0.16 0.04 0.04 0.04 0.04 0.01 0.21 0.21 0.21 0.21 XXX93740 ......... TC ...... B Temperature gradient studies ....................... 0.00 0.00 0.11 NA NA 0.01 0.01 0.12 NA NA XXX93741 ......... ............ A Analyze ht pace device sngl ......................... 0.80 1.06 1.00 NA NA 0.07 1.93 1.87 NA NA XXX93741 ......... 26 ....... A Analyze ht pace device sngl ......................... 0.80 0.44 0.34 0.44 0.34 0.03 1.27 1.17 1.27 1.17XXX93741 ......... TC ...... A Analyze ht pace device sngl ......................... 0.00 0.61 0.66 NA NA 0.04 0.65 0.70 NA NA XXX93742 ......... ............ A Analyze ht pace device sngl ......................... 0.91 1.20 1.07 NA NA 0.07 2.18 2.05 NA NA XXX93742 ......... 26 ....... A Analyze ht pace device sngl ......................... 0.91 0.51 0.40 0.51 0.40 0.03 1.45 1.34 1.45 1.34XXX93742 ......... TC ...... A Analyze ht pace device sngl ......................... 0.00 0.69 0.68 NA NA 0.04 0.73 0.72 NA NA XXX93743 ......... ............ A Analyze ht pace device dual ......................... 1.03 1.24 1.16 NA NA 0.07 2.34 2.26 NA NA XXX93743 ......... 26 ....... A Analyze ht pace device dual ......................... 1.03 0.57 0.44 0.57 0.44 0.03 1.63 1.50 1.63 1.50XXX93743 ......... TC ...... A Analyze ht pace device dual ......................... 0.00 0.66 0.71 NA NA 0.04 0.70 0.75 NA NA XXX93744 ......... ............ A Analyze ht pace device dual ......................... 1.18 1.39 1.20 NA NA 0.08 2.65 2.46 NA NA XXX93744 ......... 26 ....... A Analyze ht pace device dual ......................... 1.18 0.65 0.51 0.65 0.51 0.04 1.87 1.73 1.87 1.73XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00241 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37410 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal93744 ......... TC ...... A Analyze ht pace device dual ......................... 0.00 0.74 0.69 NA NA 0.04 0.78 0.73 NA NA XXX93770 ......... ............ B Measure venous pressure ............................. 0.16 0.04 0.07 NA NA 0.02 0.22 0.25 NA NA XXX93770 ......... 26 ....... B Measure venous pressure ............................. 0.16 0.04 0.05 0.04 0.05 0.01 0.21 0.22 0.21 0.22XXX93770 ......... TC ...... B Measure venous pressure ............................. 0.00 0.00 0.02 NA NA 0.01 0.01 0.03 NA NA XXX93784 ......... ............ A Ambulatory BP monitoring ............................ 0.38 1.37 1.51 NA NA 0.03 1.78 1.92 NA NA XXX93786 ......... ............ A Ambulatory BP recording .............................. 0.00 1.10 0.96 NA NA 0.01 1.11 0.97 NA NA XXX93788 ......... ............ A Ambulatory BP analysis ................................ 0.00 0.73 0.57 NA NA 0.01 0.74 0.58 NA NA XXX93790 ......... ............ A Review/report BP recording .......................... 0.38 0.14 0.13 0.14 0.13 0.01 0.53 0.52 0.53 0.52 XXX93797 ......... ............ A Cardiac rehab ................................................ 0.18 0.33 0.31 0.09 0.08 0.01 0.52 0.50 0.28 0.27 00093798 ......... ............ A Cardiac rehab/monitor ................................... 0.28 0.45 0.46 0.13 0.12 0.01 0.74 0.75 0.42 0.41 00093875 ......... ............ A Extracranial study .......................................... 0.22 2.64 2.42 NA NA 0.12 2.98 2.76 NANA XXX93875 ......... 26 ....... A Extracranial study .......................................... 0.22 0.08 0.08 0.08 0.08 0.01 0.31 0.31 0.31 0.31 XXX93875 ......... TC ...... A Extracranial study .......................................... 0.00 2.57 2.34 NA NA 0.11 2.68 2.45 NA NA XXX93880 ......... ............ A Extracranial study .......................................... 0.60 6.36 5.77 NA NA 0.39 7.35 6.76 NANA XXX93880 ......... 26 ....... A Extracranial study .......................................... 0.60 0.21 0.20 0.21 0.20 0.04 0.85 0.84 0.85 0.84 XXX93880 ......... TC ...... A Extracranial study .......................................... 0.00 6.15 5.57 NA NA 0.35 6.50 5.92 NA NA XXX93882 ......... ............ A Extracranial study .......................................... 0.40 4.23 3.69 NA NA 0.26 4.89 4.35 NANA XXX93882 ......... 26 ....... A Extracranial study .......................................... 0.40 0.12 0.14 0.12 0.14 0.04 0.56 0.58 0.56 0.58 XXX93882 ......... TC ...... A Extracranial study .......................................... 0.00 4.11 3.56 NA NA 0.22 4.33 3.78 NA NA XXX93886 ......... ............ A Intracranial study ........................................... 0.94 7.21 6.87 NA NA 0.45 8.60 8.26 NANA XXX93886 ......... 26 ....... A Intracranial study ........................................... 0.94 0.30 0.35 0.30 0.35 0.06 1.30 1.35 1.30 1.35 XXX93886 ......... TC ...... A Intracranial study ........................................... 0.00 6.91 6.52 NA NA 0.39 7.30 6.91 NA NAXXX93888 ......... ............ A Intracranial study ........................................... 0.62 4.94 4.42 NA NA 0.32 5.88 5.36 NANA XXX93888 ......... 26 ....... A Intracranial study ........................................... 0.62 0.20 0.22 0.20 0.22 0.05 0.87 0.89 0.87 0.89 XXX93888 ......... TC ...... A Intracranial study ........................................... 0.00 4.74 4.20 NA NA 0.27 5.01 4.47 NA NAXXX93890 ......... ............ A Tcd, vasoreactivity study ............................... 1.00 6.40 5.28 NA NA 0.45 7.85 6.73 NA NA XXX93890 ......... 26 ....... A Tcd, vasoreactivity study ............................... 1.00 0.32 0.38 0.32 0.38 0.06 1.38 1.44 1.38 1.44 XXX93890 ......... TC ...... A Tcd, vasoreactivity study ............................... 0.00 6.08 4.90 NA NA 0.39 6.47 5.29 NA NA XXX93892 ......... ............ A Tcd, emboli detect w/o inj ............................. 1.15 6.93 5.61 NA NA 0.45 8.53 7.21 NA NA XXX93892 ......... 26 ....... A Tcd, emboli detect w/o inj ............................. 1.15 0.37 0.44 0.37 0.44 0.06 1.58 1.65 1.58 1.65 XXX93892 ......... TC ...... A Tcd, emboli detect w/o inj ............................. 0.00 6.57 5.18 NA NA 0.39 6.96 5.57 NA NA XXX93893 ......... ............ A Tcd, emboli detect w/inj ................................ 1.15 6.61 5.43 NA NA 0.45 8.21 7.03 NA NA XXX93893 ......... 26 ....... A Tcd, emboli detect w/inj ................................ 1.15 0.37 0.44 0.37 0.44 0.06 1.58 1.65 1.58 1.65 XXX93893 ......... TC ...... A Tcd, emboli detect w/inj ................................ 0.00 6.24 5.00 NA NA 0.39 6.63 5.39 NA NA XXX93922 ......... ............ A Extremity study .............................................. 0.25 3.20 2.82 NA NA 0.15 3.60 3.22 NANA XXX93922 ......... 26 ....... A Extremity study .............................................. 0.25 0.08 0.08 0.08 0.08 0.02 0.35 0.35 0.35 0.35 XXX93922 ......... TC ...... A Extremity study .............................................. 0.00 3.12 2.74 NA NA 0.13 3.25 2.87 NA NAXXX93923 ......... ............ A Extremity study .............................................. 0.45 4.86 4.25 NA NA 0.26 5.57 4.96 NANA XXX93923 ......... 26 ....... A Extremity study .............................................. 0.45 0.15 0.15 0.15 0.15 0.04 0.64 0.64 0.64 0.64 XXX93923 ......... TC ...... A Extremity study .............................................. 0.00 4.71 4.10 NA NA 0.22 4.93 4.32 NA NAXXX93924 ......... ............ A Extremity study .............................................. 0.50 6.12 5.13 NA NA 0.30 6.92 5.93 NANA XXX93924 ......... 26 ....... A Extremity study .............................................. 0.50 0.17 0.17 0.17 0.17 0.05 0.72 0.72 0.72 0.72 XXX93924 ......... TC ...... A Extremity study .............................................. 0.00 5.95 4.96 NA NA 0.25 6.20 5.21 NA NAXXX93925 ......... ............ A Lower extremity study ................................... 0.58 8.31 7.18 NA NA 0.39 9.28 8.15 NA NA XXX93925 ......... 26 ....... A Lower extremity study ................................... 0.58 0.20 0.20 0.20 0.20 0.04 0.82 0.82 0.82 0.82 XXX93925 ......... TC ...... A Lower extremity study ................................... 0.00 8.11 6.98 NA NA 0.35 8.46 7.33 NA NA XXX93926 ......... ............ A Lower extremity study ................................... 0.39 5.37 4.39 NA NA 0.27 6.03 5.05 NA NA XXX93926 ......... 26 ....... A Lower extremity study ................................... 0.39 0.12 0.13 0.12 0.13 0.04 0.55 0.56 0.55 0.56 XXX93926 ......... TC ...... A Lower extremity study ................................... 0.00 5.25 4.26 NA NA 0.23 5.48 4.49 NA NA XXX93930 ......... ............ A Upper extremity study ................................... 0.46 6.45 5.64 NA NA 0.41 7.32 6.51 NA NA XXX93930 ......... 26 ....... A Upper extremity study ................................... 0.46 0.15 0.16 0.15 0.16 0.04 0.65 0.66 0.65 0.66 XXX93930 ......... TC ...... A Upper extremity study ................................... 0.00 6.30 5.48 NA NA 0.37 6.67 5.85 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00242 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37411 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal93931 ......... ............ A Upper extremity study ................................... 0.31 4.40 3.72 NA NA 0.27 4.98 4.30 NA NA XXX93931 ......... 26 ....... A Upper extremity study ................................... 0.31 0.10 0.10 0.10 0.10 0.03 0.44 0.44 0.44 0.44 XXX93931 ......... TC ...... A Upper extremity study ................................... 0.00 4.30 3.62 NA NA 0.24 4.54 3.86 NA NA XXX93965 ......... ............ A Extremity study .............................................. 0.35 3.14 2.89 NA NA 0.14 3.63 3.38 NANA XXX93965 ......... 26 ....... A Extremity study .............................................. 0.35 0.11 0.12 0.11 0.12 0.02 0.48 0.49 0.48 0.49 XXX93965 ......... TC ...... A Extremity study .............................................. 0.00 3.02 2.77 NA NA 0.12 3.14 2.89 NA NAXXX93970 ......... ............ A Extremity study .............................................. 0.68 6.47 5.56 NA NA 0.46 7.61 6.70 NANA XXX93970 ......... 26 ....... A Extremity study .............................................. 0.68 0.22 0.23 0.22 0.23 0.06 0.96 0.97 0.96 0.97 XXX93970 ......... TC ...... A Extremity study .............................................. 0.00 6.25 5.34 NA NA 0.40 6.65 5.74 NA NAXXX93971 ......... ............ A Extremity study .............................................. 0.45 4.25 3.76 NA NA 0.30 5.00 4.51 NANA XXX93971 ......... 26 ....... A Extremity study .............................................. 0.45 0.15 0.15 0.15 0.15 0.03 0.63 0.63 0.63 0.63 XXX93971 ......... TC ...... A Extremity study .............................................. 0.00 4.10 3.61 NA NA 0.27 4.37 3.88 NA NAXXX93975 ......... ............ A Vascular study ............................................... 1.80 8.79 7.94 NA NA 0.56 11.15 10.30NA NA XXX93975 ......... 26 ....... A Vascular study ............................................... 1.80 0.65 0.61 0.65 0.61 0.13 2.58 2.54 2.58 2.54 XXX93975 ......... TC ...... A Vascular study ............................................... 0.00 8.14 7.32 NA NA 0.43 8.57 7.75 NA NAXXX93976 ......... ............ A Vascular study ............................................... 1.21 4.77 4.45 NA NA 0.35 6.33 6.01 NANA XXX93976 ......... 26 ....... A Vascular study ............................................... 1.21 0.42 0.41 0.42 0.41 0.05 1.68 1.67 1.68 1.67 XXX93976 ......... TC ...... A Vascular study ............................................... 0.00 4.34 4.04 NA NA 0.30 4.64 4.34 NA NAXXX93978 ......... ............ A Vascular study ............................................... 0.65 6.18 4.94 NA NA 0.43 7.26 6.02 NANA XXX93978 ......... 26 ....... A Vascular study ............................................... 0.65 0.23 0.22 0.23 0.22 0.06 0.94 0.93 0.94 0.93 XXX93978 ......... TC ...... A Vascular study ............................................... 0.00 5.96 4.72 NA NA 0.37 6.33 5.09 NA NAXXX93979 ......... ............ A Vascular study ............................................... 0.44 4.45 3.53 NA NA 0.27 5.16 4.24 NANA XXX93979 ......... 26 ....... A Vascular study ............................................... 0.44 0.17 0.16 0.17 0.16 0.03 0.64 0.63 0.64 0.63 XXX93979 ......... TC ...... A Vascular study ............................................... 0.00 4.28 3.37 NA NA 0.24 4.52 3.61 NA NAXXX93980 ......... ............ A Penile vascular study .................................... 1.25 3.55 3.03 NA NA 0.42 5.22 4.70 NA NAXXX93980 ......... 26 ....... A Penile vascular study .................................... 1.25 0.45 0.42 0.45 0.42 0.08 1.78 1.75 1.781.75 XXX93980 ......... TC ...... A Penile vascular study .................................... 0.00 3.09 2.61 NA NA 0.34 3.43 2.95 NA NA XXX93981 ......... ............ A Penile vascular study .................................... 0.44 2.93 2.89 NA NA 0.33 3.70 3.66 NA NAXXX93981 ......... 26 ....... A Penile vascular study .................................... 0.44 0.17 0.15 0.17 0.15 0.02 0.63 0.61 0.630.61 XXX93981 ......... TC ...... A Penile vascular study .................................... 0.00 2.76 2.75 NA NA 0.31 3.07 3.06 NA NA XXX93990 ......... ............ A Doppler flow testing ....................................... 0.25 5.44 4.36 NA NA 0.26 5.95 4.87 NA NA XXX93990 ......... 26 ....... A Doppler flow testing ....................................... 0.25 0.07 0.09 0.07 0.09 0.03 0.35 0.37 0.35 0.37 XXX93990 ......... TC ...... A Doppler flow testing ....................................... 0.00 5.37 4.28 NA NA 0.23 5.60 4.51 NA NA XXX94010 ......... ............ A Breathing capacity test .................................. 0.17 0.73 0.69 NA NA 0.03 0.93 0.89 NA NAXXX94010 ......... 26 ....... A Breathing capacity test .................................. 0.17 0.04 0.05 0.04 0.05 0.01 0.22 0.23 0.220.23 XXX94010 ......... TC ...... A Breathing capacity test .................................. 0.00 0.69 0.64 NA NA 0.02 0.71 0.66 NA NA XXX94014 ......... ............ A Patient recorded spirometry .......................... 0.52 0.90 0.80 NA NA 0.03 1.45 1.35 NA NA XXX94015 ......... ............ A Patient recorded spirometry .......................... 0.00 0.74 0.63 NA NA 0.01 0.75 0.64 NA NA XXX94016 ......... ............ A Review patient spirometry ............................. 0.52 0.16 0.17 0.16 0.17 0.02 0.70 0.71 0.700.71 XXX94060 ......... ............ A Evaluation of wheezing ................................. 0.31 1.31 1.13 NA NA 0.07 1.69 1.51 NA NA XXX94060 ......... 26 ....... A Evaluation of wheezing ................................. 0.31 0.07 0.09 0.07 0.09 0.01 0.39 0.41 0.39 0.41 XXX94060 ......... TC ...... A Evaluation of wheezing ................................. 0.00 1.23 1.04 NA NA 0.06 1.29 1.10 NA NA XXX94070 ......... ............ A Evaluation of wheezing ................................. 0.60 0.99 0.86 NA NA 0.13 1.72 1.59 NA NA XXX94070 ......... 26 ....... A Evaluation of wheezing ................................. 0.60 0.15 0.17 0.15 0.17 0.03 0.78 0.80 0.78 0.80 XXX94070 ......... TC ...... A Evaluation of wheezing ................................. 0.00 0.84 0.69 NA NA 0.10 0.94 0.79 NA NA XXX94150 ......... ............ B Vital capacity test .......................................... 0.07 0.48 0.47 NA NA 0.02 0.57 0.56 NANA XXX94150 ......... 26 ....... B Vital capacity test .......................................... 0.07 0.02 0.03 0.02 0.03 0.01 0.10 0.11 0.10 0.11 XXX94150 ......... TC ...... B Vital capacity test .......................................... 0.00 0.46 0.45 NA NA 0.01 0.47 0.46 NA NAXXX94200 ......... ............ A Lung function test (MBC/MVV) ..................... 0.11 0.50 0.46 NA NA 0.03 0.64 0.60 NA NA XXX94200 ......... 26 ....... A Lung function test (MBC/MVV) ..................... 0.11 0.03 0.03 0.03 0.03 0.01 0.15 0.15 0.15 0.15 XXX94200 ......... TC ...... A Lung function test (MBC/MVV) ..................... 0.00 0.48 0.43 NA NA 0.02 0.50 0.45 NA NA XXX94240 ......... ............ A Residual lung capacity .................................. 0.26 0.83 0.70 NA NA 0.06 1.15 1.02 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00243 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37412 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal94240 ......... 26 ....... A Residual lung capacity .................................. 0.26 0.06 0.08 0.06 0.08 0.01 0.33 0.35 0.33 0.35 XXX94240 ......... TC ...... A Residual lung capacity .................................. 0.00 0.76 0.63 NA NA 0.05 0.81 0.68 NA NA XXX94250 ......... ............ A Expired gas collection ................................... 0.11 0.56 0.62 NA NA 0.02 0.69 0.75 NA NAXXX94250 ......... 26 ....... A Expired gas collection ................................... 0.11 0.03 0.03 0.03 0.03 0.01 0.15 0.15 0.150.15 XXX94250 ......... TC ...... A Expired gas collection ................................... 0.00 0.52 0.59 NA NA 0.01 0.53 0.60 NA NA XXX94260 ......... ............ A Thoracic gas volume ..................................... 0.13 0.76 0.63 NA NA 0.05 0.94 0.81 NA NA XXX94260 ......... 26 ....... A Thoracic gas volume ..................................... 0.13 0.03 0.04 0.03 0.04 0.01 0.17 0.18 0.17 0.18 XXX94260 ......... TC ...... A Thoracic gas volume ..................................... 0.00 0.73 0.59 NA NA 0.04 0.77 0.63 NA NA XXX94350 ......... ............ A Lung nitrogen washout curve ........................ 0.26 0.65 0.73 NA NA 0.05 0.96 1.04 NA NA XXX94350 ......... 26 ....... A Lung nitrogen washout curve ........................ 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX94350 ......... TC ...... A Lung nitrogen washout curve ........................ 0.00 0.58 0.66 NA NA 0.04 0.62 0.70 NA NA XXX94360 ......... ............ A Measure airflow resistance ........................... 0.26 0.97 0.77 NA NA 0.07 1.30 1.10 NA NA XXX94360 ......... 26 ....... A Measure airflow resistance ........................... 0.26 0.06 0.08 0.06 0.08 0.01 0.33 0.35 0.33 0.35XXX94360 ......... TC ...... A Measure airflow resistance ........................... 0.00 0.91 0.69 NA NA 0.06 0.97 0.75 NA NA XXX94370 ......... ............ A Breath airway closing volume ....................... 0.26 0.65 0.70 NA NA 0.03 0.94 0.99 NA NA XXX94370 ......... 26 ....... A Breath airway closing volume ....................... 0.26 0.08 0.08 0.08 0.08 0.01 0.35 0.35 0.35 0.35 XXX94370 ......... TC ...... A Breath airway closing volume ....................... 0.00 0.57 0.62 NA NA 0.02 0.59 0.64 NA NA XXX94375 ......... ............ A Respiratory flow volume loop ........................ 0.31 0.74 0.64 NA NA 0.03 1.08 0.98 NA NA XXX94375 ......... 26 ....... A Respiratory flow volume loop ........................ 0.31 0.08 0.09 0.08 0.09 0.01 0.40 0.41 0.40 0.41XXX94375 ......... TC ...... A Respiratory flow volume loop ........................ 0.00 0.66 0.55 NA NA 0.02 0.68 0.57 NA NA XXX94400 ......... ............ A CO2 breathing response curve ..................... 0.40 1.02 0.89 NA NA 0.09 1.51 1.38 NA NA XXX94400 ......... 26 ....... A CO2 breathing response curve ..................... 0.40 0.10 0.12 0.10 0.12 0.03 0.53 0.55 0.53 0.55 XXX94400 ......... TC ...... A CO2 breathing response curve ..................... 0.00 0.92 0.77 NA NA 0.06 0.98 0.83 NA NA XXX94450 ......... ............ A Hypoxia response curve ................................ 0.40 1.02 0.89 NA NA 0.04 1.46 1.33 NA NA XXX94450 ......... 26 ....... A Hypoxia response curve ................................ 0.40 0.08 0.11 0.08 0.11 0.02 0.50 0.53 0.50 0.53 XXX94450 ......... TC ...... A Hypoxia response curve ................................ 0.00 0.94 0.78 NA NA 0.02 0.96 0.80 NA NA XXX94452 ......... ............ A Hast w/report ................................................. 0.31 1.18 1.06 NA NA 0.04 1.53 1.41 NA NA XXX94452 ......... 26 ....... A Hast w/report ................................................. 0.31 0.08 0.09 0.08 0.09 0.02 0.41 0.420.41 0.42 XXX94452 ......... TC ...... A Hast w/report ................................................. 0.00 1.10 0.97 NA NA 0.02 1.12 0.99 NA NAXXX94453 ......... ............ A Hast w/oxygen titrate ..................................... 0.40 1.66 1.55 NA NA 0.04 2.10 1.99 NA NAXXX94453 ......... 26 ....... A Hast w/oxygen titrate ..................................... 0.40 0.11 0.12 0.11 0.12 0.02 0.53 0.54 0.530.54 XXX94453 ......... TC ...... A Hast w/oxygen titrate ..................................... 0.00 1.55 1.43 NA NA 0.02 1.57 1.45 NA NA XXX94620 ......... ............ A Pulmonary stress test/simple ........................ 0.64 0.86 2.09 NA NA 0.13 1.63 2.86 NA NA XXX94620 ......... 26 ....... A Pulmonary stress test/simple ........................ 0.64 0.19 0.20 0.19 0.20 0.03 0.86 0.87 0.86 0.87XXX94620 ......... TC ...... A Pulmonary stress test/simple ........................ 0.00 0.67 1.89 NA NA 0.10 0.77 1.99 NA NA XXX94621 ......... ............ A Pulm stress test/complex .............................. 1.42 3.17 2.45 NA NA 0.16 4.75 4.03 NA NA XXX94621 ......... 26 ....... A Pulm stress test/complex .............................. 1.42 0.44 0.44 0.44 0.44 0.06 1.92 1.92 1.92 1.92 XXX94621 ......... TC ...... A Pulm stress test/complex .............................. 0.00 2.73 2.01 NA NA 0.10 2.83 2.11 NA NA XXX94640 ......... ............ A Airway inhalation treatment ........................... 0.00 0.36 0.32 NA NA 0.02 0.38 0.34 NA NA XXX94656 ......... ............ A Initial ventilator mgmt .................................... 1.22 1.11 1.15 0.23 0.30 0.06 2.39 2.431.51 1.58 XXX94657 ......... ............ A Continued ventilator mgmt ............................ 0.83 1.13 1.02 0.19 0.24 0.04 2.00 1.89 1.06 1.11 XXX94660 ......... ............ A Pos airway pressure, CPAP .......................... 0.76 0.81 0.69 0.19 0.22 .04 1.61 1.49 0.99 1.02XXX94662 ......... ............ A Neg press ventilation, cnp ............................. 0.76 NA NA 0.18 0.22 0.03 NA NA 0.97 1.01 XXX94664 ......... ............ A Evaluate pt use of inhaler ............................. 0.00 0.40 0.33 NA NA 0.04 0.44 0.37 NA NA XXX94667 ......... ............ A Chest wall manipulation ................................ 0.00 0.55 0.53 NA NA 0.05 0.60 0.58 NA NA XXX94668 ......... ............ A Chest wall manipulation ................................ 0.00 0.50 0.46 NA NA 0.02 0.52 0.48 NA NA XXX94680 ......... ............ A Exhaled air analysis, o2 ................................ 0.26 1.10 1.68 NA NA 0.07 1.43 2.01 NA NA XXX94680 ......... 26 ....... A Exhaled air analysis, o2 ................................ 0.26 0.07 0.08 0.07 0.08 0.01 0.34 0.35 0.34 0.35 XXX94680 ......... TC ...... A Exhaled air analysis, o2 ................................ 0.00 1.03 1.60 NA NA 0.06 1.09 1.66 NA NA XXX94681 ......... ............ A Exhaled air analysis, o2/co2 ......................... 0.20 1.08 2.17 NA NA 0.13 1.41 2.50 NA NA XXX94681 ......... 26 ....... A Exhaled air analysis, o2/co2 ......................... 0.20 0.05 0.06 0.05 0.06 0.01 0.26 0.27 0.26 0.27XXX94681 ......... TC ...... A Exhaled air analysis, o2/co2 ......................... 0.00 1.03 2.11 NA NA 0.12 1.15 2.23 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00244 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37413 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal94690 ......... ............ A Exhaled air analysis ...................................... 0.07 0.88 1.72 NA NA 0.05 1.00 1.84 NA NAXXX94690 ......... 26 ....... A Exhaled air analysis ...................................... 0.07 0.02 0.02 0.02 0.02 0.01 0.10 0.10 0.100.10 XXX94690 ......... TC ...... A Exhaled air analysis ...................................... 0.00 0.86 1.70 NA NA 0.04 0.90 1.74 NA NA XXX94720 ......... ............ A Monoxide diffusing capacity .......................... 0.26 1.16 1.04 NA NA 0.07 1.49 1.37 NA NA XXX94720 ......... 26 ....... A Monoxide diffusing capacity .......................... 0.26 0.06 0.08 0.06 0.08 0.01 0.33 0.35 0.33 0.35XXX94720 ......... TC ...... A Monoxide diffusing capacity .......................... 0.00 1.10 0.97 NA NA 0.06 1.16 1.03 NA NA XXX94725 ......... ............ A Membrane diffusion capacity ........................ 0.26 1.07 2.46 NA NA 0.13 1.46 2.85 NA NA XXX94725 ......... 26 ....... A Membrane diffusion capacity ........................ 0.26 0.09 0.08 0.09 0.08 0.01 0.36 0.35 0.36 0.35 XXX94725 ......... TC ...... A Membrane diffusion capacity ........................ 0.00 0.98 2.38 NA NA 0.12 1.10 2.50 NA NA XXX94750 ......... ............ A Pulmonary compliance study ........................ 0.23 1.85 1.47 NA NA 0.05 2.13 1.75 NA NA XXX94750 ......... 26 ....... A Pulmonary compliance study ........................ 0.23 0.07 0.07 0.07 0.07 0.01 0.31 0.31 0.31 0.31 XXX94750 ......... TC ...... A Pulmonary compliance study ........................ 0.00 1.78 1.40 NA NA 0.04 1.82 1.44 NA NA XXX94760 ......... ............ T Measure blood oxygen level ......................... 0.00 0.06 0.05 NA NA 0.02 0.08 0.07 NA NA XXX94761 ......... ............ T Measure blood oxygen level ......................... 0.00 0.11 0.08 NA NA 0.06 0.17 0.14 NA NA XXX94762 ......... ............ A Measure blood oxygen level ......................... 0.00 0.93 0.59 NA NA 0.10 1.03 0.69 NA NA XXX94770 ......... ............ A Exhaled carbon dioxide test .......................... 0.15 0.83 0.77 NA NA 0.08 1.06 1.00 NA NA XXX94770 ......... 26 ....... A Exhaled carbon dioxide test .......................... 0.15 0.04 0.04 0.04 0.04 0.01 0.20 0.20 0.20 0.20XXX94770 ......... TC ...... A Exhaled carbon dioxide test .......................... 0.00 0.79 0.73 NA NA 0.07 0.86 0.80 NA NA XXX95004 ......... ............ A Percut allergy skin tests ................................ 0.00 0.16 0.12 NA NA 0.01 0.17 0.13 NA NAXXX95010 ......... ............ A Percut allergy titrate test ............................... 0.15 0.29 0.31 0.04 0.06 0.01 0.45 0.47 0.20 0.22 XXX95015 ......... ............ A Id allergy titrate-drug/bug .............................. 0.15 0.20 0.16 0.04 0.06 0.01 0.36 0.32 0.20 0.22 XXX95024 ......... ............ A Id allergy test, drug/bug ................................ 0.00 0.21 0.17 NA NA 0.01 0.22 0.18 NA NAXXX95027 ......... ............ A Id allergy titrate-airborne ............................... 0.00 0.24 0.17 NA NA 0.01 0.25 0.18 NA NAXXX95028 ......... ............ A Id allergy test-delayed type ........................... 0.00 0.29 0.25 NA NA 0.01 0.30 0.26 NA NA XXX95044 ......... ............ A Allergy patch tests ......................................... 0.00 0.15 0.19 NA NA 0.01 0.16 0.20 NANA XXX95052 ......... ............ A Photo patch test ............................................ 0.00 0.15 0.23 NA NA 0.01 0.16 0.24 NANA XXX95056 ......... ............ A Photosensitivity tests ..................................... 0.00 1.19 0.43 NA NA 0.01 1.20 0.44 NA NA XXX95060 ......... ............ A Eye allergy tests ............................................ 0.00 0.74 0.45 NA NA 0.02 0.76 0.47 NANA XXX95065 ......... ............ A Nose allergy test ........................................... 0.00 0.68 0.32 NA NA 0.01 0.69 0.33 NANA XXX95070 ......... ............ A Bronchial allergy tests ................................... 0.00 0.79 1.92 NA NA 0.02 0.81 1.94 NA NAXXX95071 ......... ............ A Bronchial allergy tests ................................... 0.00 0.88 2.42 NA NA 0.02 0.90 2.44 NA NAXXX95075 ......... ............ A Ingestion challenge test ................................ 0.95 0.66 0.78 0.25 0.35 0.03 1.64 1.76 1.23 1.33 XXX95078 ......... ............ A Provocative testing ........................................ 0.00 0.34 0.27 NA NA 0.02 0.36 0.29 NA NA XXX95115 ......... ............ A Immunotherapy, one injection ....................... 0.00 0.22 0.35 NA NA 0.02 0.24 0.37 NA NA XXX95117 ......... ............ A Immunotherapy injections ............................. 0.00 0.27 0.44 NA NA 0.02 0.29 0.46 NA NA XXX95144 ......... ............ A Antigen therapy services ............................... 0.06 0.26 0.21 0.02 0.02 0.01 0.33 0.28 0.090.09 XXX95145 ......... ............ A Antigen therapy services ............................... 0.06 0.35 0.33 0.02 0.02 0.01 0.42 0.40 0.090.09 XXX95146 ......... ............ A Antigen therapy services ............................... 0.06 0.66 0.50 0.02 0.03 0.01 0.73 0.57 0.090.10 XXX95147 ......... ............ A Antigen therapy services ............................... 0.06 0.64 0.48 0.02 0.02 0.01 0.71 0.55 0.090.09 XXX95148 ......... ............ A Antigen therapy services ............................... 0.06 0.95 0.67 0.02 0.03 0.01 1.02 0.74 0.090.10 XXX95149 ......... ............ A Antigen therapy services ............................... 0.06 1.27 0.92 0.02 0.03 0.01 1.34 0.99 0.090.10 XXX95165 ......... ............ A Antigen therapy services ............................... 0.06 0.25 0.21 0.02 0.02 0.01 0.32 0.28 0.090.09 XXX95170 ......... ............ A Antigen therapy services ............................... 0.06 0.20 0.15 0.02 0.03 0.01 0.27 0.22 0.090.10 XXX95180 ......... ............ A Rapid desensitization .................................... 2.01 1.59 1.93 0.72 0.88 0.04 3.64 3.98 2.77 2.93 XXX95250 ......... ............ A Glucose monitoring, cont .............................. 0.00 3.50 3.96 NA NA 0.01 3.51 3.97 NA NA XXX95251 ......... ............ A Gluc monitor, cont, phys i&r .......................... 0.52 0.16 0.18 0.16 0.18 0.02 0.70 0.72 0.700.72 XXX95805 ......... ............ A Multiple sleep latency test ............................. 1.88 7.14 14.77 NA NA 0.43 9.45 17.08 NA NAXXX95805 ......... 26 ....... A Multiple sleep latency test ............................. 1.88 0.49 0.62 0.49 0.62 0.09 2.46 2.59 2.46 2.59 XXX95805 ......... TC ...... A Multiple sleep latency test ............................. 0.00 6.65 14.15 NA NA 0.34 6.99 14.49 NA NA XXX95806 ......... ............ A Sleep study, unattended ............................... 1.66 3.97 3.50 NA NA 0.39 6.02 5.55 NA NA XXX95806 ......... 26 ....... A Sleep study, unattended ............................... 1.66 0.48 0.53 0.48 0.53 0.08 2.22 2.27 2.22 2.27 XXX95806 ......... TC ...... A Sleep study, unattended ............................... 0.00 3.48 2.97 NA NA 0.31 3.79 3.28 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00245 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37414 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal95807 ......... ............ A Sleep study, attended ................................... 1.66 13.62 12.32 NA NA 0.50 15.78 14.48 NANA XXX95807 ......... 26 ....... A Sleep study, attended ................................... 1.66 0.48 0.52 0.48 0.52 0.08 2.22 2.26 2.22 2.26 XXX95807 ......... TC ...... A Sleep study, attended ................................... 0.00 13.14 11.80 NA NA 0.42 13.56 12.22 NA NA XXX95808 ......... ............ A Polysomnography, 1–3 .................................. 2.65 16.81 14.13 NA NA 0.55 20.01 17.33 NA NA XXX95808 ......... 26 ....... A Polysomnography, 1–3 .................................. 2.65 0.66 0.86 0.66 0.86 0.13 3.44 3.64 3.44 3.64 XXX95808 ......... TC ...... A Polysomnography, 1–3 .................................. 0.00 16.15 13.27 NA NA 0.42 16.57 13.69 NA NA XXX95810 ......... ............ A Polysomnography, 4 or more ........................ 3.52 19.68 18.08 NA NA 0.59 23.79 22.19 NA NA XXX95810 ......... 26 ....... A Polysomnography, 4 or more ........................ 3.52 0.94 1.12 0.94 1.12 0.17 4.63 4.81 4.63 4.81 XXX95810 ......... TC ...... A Polysomnography, 4 or more ........................ 0.00 18.74 16.96 NA NA 0.42 19.16 17.38 NA NA XXX95811 ......... ............ A Polysomnography w/cpap ............................. 3.79 21.86 19.90 NA NA 0.61 26.26 24.30 NA NA XXX95811 ......... 26 ....... A Polysomnography w/cpap ............................. 3.79 1.00 1.20 1.00 1.20 0.18 4.97 5.17 4.97 5.17 XXX95811 ......... TC ...... A Polysomnography w/cpap ............................. 0.00 20.86 18.69 NA NA 0.43 21.29 19.12 NA NA XXX95812 ......... ............ A Eeg, 41–60 minutes ...................................... 1.08 5.82 4.49 NA NA 0.17 7.07 5.74 NA NA XXX95812 ......... 26 ....... A Eeg, 41–60 minutes ...................................... 1.08 0.30 0.41 0.30 0.41 0.06 1.44 1.55 1.44 1.55 XXX95812 ......... TC ...... A Eeg, 41–60 minutes ...................................... 0.00 5.53 4.08 NA NA 0.11 5.64 4.19 NA NA XXX95813 ......... ............ A Eeg, over 1 hour ........................................... 1.73 6.55 5.41 NA NA 0.20 8.48 7.34 NA NA XXX95813 ......... 26 ....... A Eeg, over 1 hour ........................................... 1.73 0.48 0.65 0.48 0.65 0.09 2.30 2.47 2.30 2.47 XXX95813 ......... TC ...... A Eeg, over 1 hour ........................................... 0.00 6.07 4.77 NA NA 0.11 6.18 4.88 NA NA XXX95816 ......... ............ A Eeg, awake and drowsy ................................ 1.08 5.22 4.10 NA NA 0.16 6.46 5.34 NA NA XXX95816 ......... 26 ....... A Eeg, awake and drowsy ................................ 1.08 0.29 0.42 0.29 0.42 0.06 1.43 1.56 1.43 1.56XXX95816 ......... TC ...... A Eeg, awake and drowsy ................................ 0.00 4.93 3.68 NA NA 0.10 5.03 3.78 NA NA XXX95819 ......... ............ A Eeg, awake and asleep ................................. 1.08 6.07 3.76 NA NA 0.16 7.31 5.00 NA NA XXX95819 ......... 26 ....... A Eeg, awake and asleep ................................. 1.08 0.29 0.42 0.29 0.42 0.06 1.43 1.56 1.43 1.56 XXX95819 ......... TC ...... A Eeg, awake and asleep ................................. 0.00 5.77 3.34 NA NA 0.10 87 3.44 NA NA XXX95822 ......... ............ A Eeg, coma or sleep only ............................... 1.08 5.45 4.82 NA NA 0.19 6.72 6.09 NA NA XXX95822 ......... 26 ....... A Eeg, coma or sleep only ............................... 1.08 0.29 0.42 0.29 0.42 0.06 1.43 1.56 1.43 1.56 XXX95822 ......... TC ...... A Eeg, coma or sleep only ............................... 0.00 5.16 4.40 NA NA 0.13 5.29 4.53 NA NA XXX95824 ......... 26 ....... A Eeg, cerebral death only ............................... 0.74 0.20 0.28 0.20 0.28 0.04 0.98 1.06 0.98 1.06 XXX95827 ......... ............ A Eeg, all night recording ................................. 1.08 11.40 4.88 NA NA 0.19 12.67 6.15 NA NA XXX95827 ......... 26 ....... A Eeg, all night recording ................................. 1.08 0.28 0.38 0.28 0.38 0.05 1.41 1.51 1.411.51 XXX95827 ......... TC ...... A Eeg, all night recording ................................. 0.00 11.13 4.51 NA NA 0.14 11.27 4.65 NA NA XXX95829 ......... ............ A Surgery electrocorticogram ........................... 6.20 25.15 29.61 NA NA 0.50 31.85 36.31 NA NAXXX95829 ......... 26 ....... A Surgery electrocorticogram ........................... 6.20 1.74 2.18 1.74 2.18 0.48 8.42 8.86 8.42 8.86XXX95829 ......... TC ...... A Surgery electrocorticogram ........................... 0.00 23.41 27.43 NA NA 0.02 23.43 27.45 NA NA XXX95830 ......... ............ A Insert electrodes for EEG .............................. 1.70 2.94 3.21 0.40 0.65 0.11 4.75 5.02 2.212.46 XXX95831 ......... ............ A Limb muscle testing, manual ........................ 0.28 0.38 0.44 0.09 0.12 0.01 0.67 0.73 0.38 0.41 XXX95832 ......... ............ A Hand muscle testing, manual ........................ 0.29 0.36 0.34 0.09 0.11 0.02 0.67 0.65 0.40 0.42 XXX95833 ......... ............ A Body muscle testing, manual ........................ 0.47 0.47 0.55 0.13 0.21 0.02 0.96 1.04 0.62 0.70 XXX95834 ......... ............ A Body muscle testing, manual ........................ 0.60 0.55 0.61 0.17 0.25 0.03 1.18 1.24 0.80 0.88 XXX95851 ......... ............ A Range of motion measurements ................... 0.16 0.26 0.34 0.04 0.07 0.01 0.43 0.51 0.21 0.24 XXX95852 ......... ............ A Range of motion measurements ................... 0.11 0.21 0.25 0.03 0.05 0.01 0.33 0.37 0.15 0.17 XXX95857 ......... ............ A Tensilon test .................................................. 0.53 0.58 0.60 0.16 0.21 0.02 1.13 1.15 0.71 0.76 XXX95860 ......... ............ A Muscle test, one limb .................................... 0.96 1.14 1.35 NA NA 0.07 2.17 2.38 NA NAXXX95860 ......... 26 ....... A Muscle test, one limb .................................... 0.96 0.31 0.39 0.31 0.39 0.05 1.32 1.40 1.321.40 XXX95860 ......... TC ...... A Muscle test, one limb .................................... 0.00 0.83 0.96 NA NA 0.02 0.85 0.98 NA NA XXX95861 ......... ............ A Muscle test, 2 limbs ...................................... 1.54 1.64 1.47 NA NA 0.13 3.31 3.14 NA NAXXX95861 ......... 26 ....... A Muscle test, 2 limbs ...................................... 1.54 0.49 0.63 0.49 0.63 0.07 2.10 2.24 2.102.24 XXX95861 ......... TC ...... A Muscle test, 2 limbs ...................................... 0.00 1.15 0.84 NA NA 0.06 1.21 0.90 NA NA XXX95863 ......... ............ A Muscle test, 3 limbs ...................................... 1.87 1.90 1.78 NA NA 0.15 3.92 3.80 NA NAXXX95863 ......... 26 ....... A Muscle test, 3 limbs ...................................... 1.87 0.56 0.74 0.56 0.74 0.09 2.52 2.70 2.522.70 XXX95863 ......... TC ...... A Muscle test, 3 limbs ...................................... 0.00 1.34 1.04 NA NA 0.06 1.40 1.10 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00246 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37415 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal95864 ......... ............ A Muscle test, 4 limbs ...................................... 1.99 2.16 2.54 NA NA 0.21 4.36 4.74 NA NAXXX95864 ......... 26 ....... A Muscle test, 4 limbs ...................................... 1.99 0.61 0.81 0.61 0.81 0.09 2.69 2.89 2.692.89 XXX95864 ......... TC ...... A Muscle test, 4 limbs ...................................... 0.00 1.55 1.73 NA NA 0.12 1.67 1.85 NA NA XXX95865 ......... ............ A Muscle test, larynx ........................................ 1.57 1.32 1.42 NA NA 0.11 3.00 3.10 NA NA XXX95865 ......... 26 ....... A Muscle test, larynx ........................................ 1.57 0.45 0.69 0.45 0.69 0.08 2.10 2.34 2.10 2.34 XXX95865 ......... TC ...... A Muscle test, larynx ........................................ 0.00 0.87 0.73 NA NA 0.03 0.90 0.76 NA NA XXX95866 ......... ............ A Muscle test, hemidiaphragm ......................... 1.25 1.31 0.90 NA NA 0.10 2.66 2.25 NA NA XXX95866 ......... 26 ....... A Muscle test, hemidiaphragm ......................... 1.25 0.39 0.52 0.39 0.52 0.07 1.71 1.84 1.71 1.84 XXX95866 ......... TC ...... A Muscle test, hemidiaphragm ......................... 0.00 0.92 0.38 NA NA 0.03 0.95 0.41 NA NA XXX95867 ......... ............ A Muscle test cran nerv unilat .......................... 0.79 1.10 0.97 NA NA 0.07 1.96 1.83 NA NA XXX95867 ......... 26 ....... A Muscle test cran nerv unilat .......................... 0.79 0.22 0.32 0.22 0.32 0.03 1.04 1.14 1.04 1.14 XXX95867 ......... TC ...... A Muscle test cran nerv unilat .......................... 0.00 0.88 0.66 NA NA 0.04 0.92 0.70 NA NA XXX95868 ......... ............ A Muscle test cran nerve bilat .......................... 1.18 1.40 1.26 NA NA 0.10 2.68 2.54 NA NA XXX95868 ......... 26 ....... A Muscle test cran nerve bilat .......................... 1.18 0.34 0.47 0.34 0.47 0.05 1.57 1.70 1.57 1.70 XXX95868 ......... TC ...... A Muscle test cran nerve bilat .......................... 0.00 1.07 0.79 NA NA 0.05 1.12 0.84 NA NA XXX95869 ......... ............ A Muscle test, thor paraspinal .......................... 0.37 1.02 0.53 NA NA 0.04 1.43 0.94 NA NA XXX95869 ......... 26 ....... A Muscle test, thor paraspinal .......................... 0.37 0.11 0.15 0.11 0.15 0.02 0.50 0.54 0.50 0.54 XXX95869 ......... TC ...... A Muscle test, thor paraspinal .......................... 0.00 0.90 0.38 NA NA 0.02 0.92 0.40 NA NA XXX95870 ......... ............ A Muscle test, nonparaspinal ........................... 0.37 0.98 0.52 NA NA 0.04 1.39 0.93 NA NA XXX95870 ......... 26 ....... A Muscle test, nonparaspinal ........................... 0.37 0.11 0.15 0.11 0.15 0.02 0.50 0.54 0.50 0.54XXX95870 ......... TC ...... A Muscle test, nonparaspinal ........................... 0.00 0.87 0.38 NA NA 0.02 0.89 0.40 NA NA XXX95872 ......... ............ A Muscle test, one fiber .................................... 2.00 1.39 1.27 NA NA 0.13 3.52 3.40 NA NAXXX95872 ......... 26 ....... A Muscle test, one fiber .................................... 2.00 0.62 0.63 0.62 0.63 0.08 2.70 2.71 2.702.71 XXX95872 ......... TC ...... A Muscle test, one fiber .................................... 0.00 0.77 0.64 NA NA 0.05 0.82 0.69 NA NA XXX95873 ......... ............ A Guide nerv destr, elec stim ........................... 0.37 0.94 0.51 NA NA 0.04 1.35 0.92 NA NA ZZZ95873 ......... 26 ....... A Guide nerv destr, elec stim ........................... 0.37 0.11 0.15 0.11 0.15 0.02 0.50 0.54 0.50 0.54 ZZZ95873 ......... TC ...... A Guide nerv destr, elec stim ........................... 0.00 0.82 0.36 NA NA 0.02 0.84 0.38 NA NA ZZZ95874 ......... ............ A Guide nerv destr, needle emg ...................... 0.37 0.95 0.52 NA NA 0.04 1.36 0.93 NA NA ZZZ95874 ......... 26 ....... A Guide nerv destr, needle emg ...................... 0.37 0.12 0.16 0.12 0.16 0.02 0.51 0.55 0.51 0.55 ZZZ95874 ......... TC ...... A Guide nerv destr, needle emg ...................... 0.00 0.83 0.36 NA NA 0.02 0.85 0.38 NA NA ZZZ95875 ......... ............ A Limb exercise test ......................................... 1.10 1.29 1.41 NA NA 0.11 2.50 2.62 NA NA XXX95875 ......... 26 ....... A Limb exercise test ......................................... 1.10 0.31 0.43 0.31 0.43 0.05 1.46 1.58 1.46 1.58 XXX95875 ......... TC ...... A Limb exercise test ......................................... 0.00 0.99 0.98 NA NA 0.06 1.05 1.04 NA NA XXX95900 ......... ............ A Motor nerve conduction test .......................... 0.42 0.93 1.18 NA NA 0.04 1.39 1.64 NA NA XXX95900 ......... 26 ....... A Motor nerve conduction test .......................... 0.42 0.14 0.17 0.14 0.17 0.02 0.58 0.61 0.58 0.61XXX95900 ......... TC ...... A Motor nerve conduction test .......................... 0.00 0.79 1.01 NA NA 0.02 0.81 1.03 NA NA XXX95903 ......... ............ A Motor nerve conduction test .......................... 0.60 1.02 1.15 NA NA 0.05 1.67 1.80 NA NA XXX95903 ......... 26 ....... A Motor nerve conduction test .......................... 0.60 0.17 0.24 0.17 0.24 0.03 0.80 0.87 0.80 0.87XXX95903 ......... TC ...... A Motor nerve conduction test .......................... 0.00 0.85 0.91 NA NA 0.02 0.87 0.93 NA NA XXX95904 ......... ............ A Sense nerve conduction test ......................... 0.34 0.86 1.03 NA NA 0.04 1.24 1.41 NA NA XXX95904 ......... 26 ....... A Sense nerve conduction test ......................... 0.34 0.10 0.14 0.10 0.14 0.02 0.46 0.50 0.46 0.50XXX95904 ......... TC ...... A Sense nerve conduction test ......................... 0.00 0.76 0.90 NA NA 0.02 0.78 0.92 NA NA XXX95920 ......... ............ A Intraop nerve test add-on .............................. 2.11 1.76 2.12 NA NA 0.23 4.10 4.46 NA NA ZZZ95920 ......... 26 ....... A Intraop nerve test add-on .............................. 2.11 0.64 0.86 0.64 0.86 0.16 2.91 3.13 2.91 3.13 ZZZ95920 ......... TC ...... A Intraop nerve test add-on .............................. 0.00 1.12 1.26 NA NA 0.07 1.19 1.33 NA NA ZZZ95921 ......... ............ A Autonomic nerv function test ......................... 0.90 1.12 0.81 NA NA 0.06 2.08 1.77 NA NA XXX95921 ......... 26 ....... A Autonomic nerv function test ......................... 0.90 0.24 0.31 0.24 0.31 0.04 1.18 1.25 1.18 1.25XXX95921 ......... TC ...... A Autonomic nerv function test ......................... 0.00 0.89 0.51 NA NA 0.02 0.91 0.53 NA NA XXX95922 ......... ............ A Autonomic nerv function test ......................... 0.96 1.63 0.99 NA NA 0.07 2.66 2.02 NA NA XXX95922 ......... 26 ....... A Autonomic nerv function test ......................... 0.96 0.27 0.37 0.27 0.37 0.05 1.28 1.38 1.28 1.38XXX95922 ......... TC ...... A Autonomic nerv function test ......................... 0.00 1.37 0.63 NA NA 0.02 1.39 0.65 NA NA XXX95923 ......... ............ A Autonomic nerv function test ......................... 0.90 2.10 1.98 NA NA 0.07 3.07 2.95 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00247 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37416 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal95923 ......... 26 ....... A Autonomic nerv function test ......................... 0.90 0.23 0.34 0.23 0.34 0.05 1.18 1.29 1.18 1.29XXX95923 ......... TC ...... A Autonomic nerv function test ......................... 0.00 1.87 1.64 NA NA 0.02 1.89 1.66 NA NA XXX95925 ......... ............ A Somatosensory testing .................................. 0.54 3.15 1.64 NA NA 0.10 3.79 2.28 NA NA XXX95925 ......... 26 ....... A Somatosensory testing .................................. 0.54 0.16 0.21 0.16 0.21 0.04 0.74 0.79 0.74 0.79 XXX95925 ......... TC ...... A Somatosensory testing .................................. 0.00 2.99 1.43 NA NA 0.06 3.05 1.49 NA NA XXX95926 ......... ............ A Somatosensory testing .................................. 0.54 3.00 1.61 NA NA 0.09 3.63 2.24 NA NA XXX95926 ......... 26 ....... A Somatosensory testing .................................. 0.54 0.15 0.21 0.15 0.21 0.03 0.72 0.78 0.72 0.78 XXX95926 ......... TC ...... A Somatosensory testing .................................. 0.00 2.85 1.40 NA NA 0.06 2.91 1.46 NA NA XXX95927 ......... ............ A Somatosensory testing .................................. 0.54 3.04 1.63 NA NA 0.10 3.68 2.27 NA NA XXX95927 ......... 26 ....... A Somatosensory testing .................................. 0.54 0.15 0.23 0.15 0.23 0.04 0.73 0.81 0.73 0.81 XXX95927 ......... TC ...... A Somatosensory testing .................................. 0.00 2.88 1.40 NA NA 0.06 2.94 1.46 NA NA XXX95928 ......... ............ A C motor evoked, uppr limbs .......................... 1.50 3.93 3.26 NA NA 0.09 5.52 4.85 NA NA XXX95928 ......... 26 ....... A C motor evoked, uppr limbs .......................... 1.50 0.44 0.60 0.44 0.60 0.06 2.00 2.16 2.00 2.16XXX95928 ......... TC ...... A C motor evoked, uppr limbs .......................... 0.00 3.48 2.66 NA NA 0.03 3.51 2.69 NA NA XXX95929 ......... ............ A C motor evoked, lwr limbs ............................ 1.50 4.24 3.48 NA NA 0.09 5.83 5.07 NA NA XXX95929 ......... 26 ....... A C motor evoked, lwr limbs ............................ 1.50 0.44 0.60 0.44 0.60 0.06 2.00 2.16 2.00 2.16XXX95930 ......... ............ A Visual evoked potential test .......................... 0.35 2.60 2.34 NA NA 0.03 2.98 2.72 NA NA XXX95930 ......... 26 ....... A Visual evoked potential test .......................... 0.35 0.10 0.14 0.10 0.14 0.02 0.47 0.51 0.47 0.51 XXX95930 ......... TC ...... A Visual evoked potential test .......................... 0.00 2.50 2.20 NA NA 0.01 2.51 2.21 NA NA XXX95933 ......... ............ A Blink reflex test .............................................. 0.59 1.08 1.04 NA NA 0.10 1.77 1.73NA NA XXX95933 ......... 26 ....... A Blink reflex test .............................................. 0.59 0.17 0.22 0.17 0.22 0.04 0.80 0.850.80 0.85 XXX95933 ......... TC ...... A Blink reflex test .............................................. 0.00 0.92 0.82 NA NA 0.06 0.98 0.88 NA NA XXX95934 ......... ............ A H-reflex test ................................................... 0.51 0.88 0.54 NA NA 0.04 1.43 1.09NA NA XXX95934 ......... 26 ....... A H-reflex test ................................................... 0.51 0.16 0.21 0.16 0.21 0.02 0.69 0.74 0.69 0.74 XXX95934 ......... TC ...... A H-reflex test ................................................... 0.00 0.72 0.34 NA NA 0.02 0.74 0.36 NANA XXX95936 ......... ............ A H-reflex test ................................................... 0.55 0.60 0.49 NA NA 0.05 1.20 1.09NA NA XXX95936 ......... 26 ....... A H-reflex test ................................................... 0.55 0.17 0.22 0.17 0.22 0.03 0.75 0.80 0.75 0.80 XXX95936 ......... TC ...... A H-reflex test ................................................... 0.00 0.44 0.27 NA NA 0.02 0.46 0.29 NANA XXX95937 ......... ............ A Neuromuscular junction test .......................... 0.65 0.90 0.68 NA NA 0.10 1.65 1.43 NA NA XXX95937 ......... 26 ....... A Neuromuscular junction test .......................... 0.65 0.19 0.25 0.19 0.25 0.08 0.92 0.98 0.92 0.98XXX95937 ......... TC ...... A Neuromuscular junction test .......................... 0.00 0.71 0.43 NA NA 0.02 0.73 0.45 NA NA XXX95950 ......... ............ A Ambulatory eeg monitoring ........................... 1.51 4.87 4.17 NA NA 0.51 6.89 6.19 NA NA XXX95950 ......... 26 ....... A Ambulatory eeg monitoring ........................... 1.51 0.40 0.58 0.40 0.58 0.08 1.99 2.17 1.99 2.17XXX95950 ......... TC ...... A Ambulatory eeg monitoring ........................... 0.00 4.46 3.59 NA NA 0.43 4.89 4.02 NA NA XXX95951 ......... 26 ....... A EEG monitoring/videorecord ......................... 5.99 1.63 2.33 1.63 2.33 0.32 7.94 8.64 7.94 8.64 XXX95953 ......... ............ A EEG monitoring/computer ............................. 3.30 7.13 7.51 NA NA 0.60 11.03 11.41 NA NA XXX95953 ......... 26 ....... A EEG monitoring/computer ............................. 3.30 0.90 1.19 0.90 1.19 0.17 4.37 4.66 4.37 4.66XXX95953 ......... TC ...... A EEG monitoring/computer ............................. 0.00 6.23 6.32 NA NA 0.43 6.66 6.75 NA NA XXX95954 ......... ............ A EEG monitoring/giving drugs ........................ 2.45 4.85 4.39 NA NA 0.19 7.49 7.03 NA NA XXX95954 ......... 26 ....... A EEG monitoring/giving drugs ........................ 2.45 0.50 0.91 0.50 0.91 0.13 3.08 3.49 3.08 3.49 XXX95954 ......... TC ...... A EEG monitoring/giving drugs ........................ 0.00 4.35 3.48 NA NA 0.06 4.41 3.54 NA NA XXX95955 ......... ............ A EEG during surgery ....................................... 1.01 3.51 2.63 NA NA 0.22 4.74 3.86 NA NAXXX95955 ......... 26 ....... A EEG during surgery ....................................... 1.01 0.28 0.34 0.28 0.34 0.05 1.34 1.40 1.341.40 XXX95955 ......... TC ...... A EEG during surgery ....................................... 0.00 3.23 2.29 NA NA 0.17 3.40 2.46 NA NA XXX95956 ......... ............ A Eeg monitoring, cable/radio .......................... 3.08 16.73 15.77 NA NA 0.59 20.40 19.44 NA NAXXX95956 ......... 26 ....... A Eeg monitoring, cable/radio .......................... 3.08 0.97 1.22 0.97 1.22 0.16 4.21 4.46 4.21 4.46XXX95956 ......... TC ...... A Eeg monitoring, cable/radio .......................... 0.00 15.76 14.55 NA NA 0.43 16.19 14.98 NA NA XXX95957 ......... ............ A EEG digital analysis ...................................... 1.98 5.80 3.36 NA NA 0.23 8.01 5.57 NA NAXXX95957 ......... 26 ....... A EEG digital analysis ...................................... 1.98 0.54 0.77 0.54 0.77 0.11 2.63 2.86 2.632.86 XXX95957 ......... TC ...... A EEG digital analysis ...................................... 0.00 5.26 2.59 NA NA 0.12 5.38 2.71 NA NA XXX95958 ......... ............ A EEG monitoring/function test ........................ 4.24 6.67 4.29 NA NA 0.34 11.25 8.87 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00248 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37417 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal95958 ......... 26 ....... A EEG monitoring/function test ........................ 4.24 1.21 1.62 1.21 1.62 0.21 5.66 6.07 5.66 6.07XXX95958 ......... TC ...... A EEG monitoring/function test ........................ 0.00 5.46 2.68 NA NA 0.13 5.59 2.81 NA NA XXX95961 ......... ............ A Electrode stimulation, brain ........................... 2.97 3.06 2.74 NA NA 0.55 6.58 6.26 NA NA XXX95961 ......... 26 ....... A Electrode stimulation, brain ........................... 2.97 0.87 1.21 0.87 1.21 0.48 4.32 4.66 4.32 4.66 XXX95961 ......... TC ...... A Electrode stimulation, brain ........................... 0.00 2.19 1.53 NA NA 0.07 2.26 1.60 NA NA XXX95962 ......... ............ A Electrode stim, brain add-on ......................... 3.21 2.16 2.57 NA NA 0.39 5.76 6.17 NA NA ZZZ95962 ......... 26 ....... A Electrode stim, brain add-on ......................... 3.21 0.88 1.26 0.88 1.26 0.32 4.41 4.79 4.41 4.79ZZZ95962 ......... TC ...... A Electrode stim, brain add-on ......................... 0.00 1.28 1.30 NA NA 0.07 1.35 1.37 NA NA ZZZ95965 ......... 26 ....... A Meg, spontaneous ......................................... 7.99 2.23 3.13 2.23 3.13 0.46 10.68 11.58 10.68 11.58 XXX95966 ......... 26 ....... A Meg, evoked, single ...................................... 3.99 1.26 1.60 1.26 1.60 0.19 5.44 5.78 5.445.78 XXX95967 ......... 26 ....... A Meg, evoked, each addIl ............................... 3.49 1.10 1.16 1.10 1.16 0.16 4.75 4.81 4.75 4.81 ZZZ95970 ......... ............ A Analyze neurostim, no prog .......................... 0.45 0.88 0.86 0.12 0.14 0.03 1.36 1.34 0.60 0.62 XXX95971 ......... ............ A Analyze neurostim, simple ............................ 0.78 0.62 0.67 0.20 0.22 0.07 1.47 1.52 1.05 1.07 XXX95972 ......... ............ A Analyze neurostim, complex ......................... 1.50 1.20 1.21 0.46 0.48 0.14 2.84 2.85 2.10 2.12 XXX95973 ......... ............ A Analyze neurostim, complex ......................... 0.92 0.55 0.60 0.24 0.32 0.07 1.54 1.59 1.23 1.31 ZZZ95974 ......... ............ A Cranial neurostim, complex ........................... 3.00 1.45 1.64 0.82 1.18 0.16 4.61 4.80 3.98 4.34 XXX95975 ......... ............ A Cranial neurostim, complex ........................... 1.70 0.72 0.85 0.46 0.66 0.12 2.54 2.67 2.28 2.48 ZZZ95978 ......... ............ A Analyze neurostim brain/1h ........................... 3.50 1.81 1.91 1.02 1.23 0.18 5.49 5.59 4.70 4.91 XXX95979 ......... ............ A Analyz neurostim brain addon ...................... 1.64 0.71 0.83 0.45 0.63 0.08 2.43 2.55 2.17 2.35ZZZ95990 ......... ............ A Spin/brain pump refil & main ......................... 0.00 1.65 1.54 NA NA 0.06 1.71 1.60 NA NA XXX95991 ......... ............ A Spin/brain pump refil & main ......................... 0.77 1.66 1.51 0.18 0.17 0.06 2.49 2.34 1.01 1.00 XXX96000 ......... ............ A Motion analysis, video/3d .............................. 1.80 NA NA 0.58 0.54 0.11 NA NA 2.49 2.45 XXX96001 ......... ............ A Motion test w/ft press meas .......................... 2.15 NA NA 0.51 0.62 0.10 NA NA 2.76 2.87 XXX96002 ......... ............ A Dynamic surface emg ................................... 0.41 NA NA 0.10 0.14 0.02 NA NA 0.53 0.57 XXX96003 ......... ............ A Dynamic fine wire emg .................................. 0.37 NA NA 0.14 0.13 0.02 NA NA 0.53 0.52 XXX96004 ......... ............ A Phys review of motion tests .......................... 2.14 0.52 0.84 0.52 0.84 0.11 2.77 3.09 2.77 3.09 XXX96101 ......... ............ A Psycho testing by psych/phys ....................... 1.86 0.34 0.57 0.32 0.55 0.05 2.25 2.48 2.23 2.46 XXX96102 ......... ............ A Psycho testing by technician ......................... 0.50 1.17 0.79 0.09 0.15 0.01 1.68 1.30 0.60 0.66 XXX96103 ......... ............ A Psycho testing admin by comp ..................... 0.51 0.12 0.19 0.09 0.15 0.02 0.65 0.72 0.62 0.68XXX96105 ......... ............ A Assessment of aphasia ................................. 0.00 2.04 1.84 NA NA 0.18 2.22 2.02 NA NA XXX96110 ......... ............ A Developmental test, lim ................................. 0.00 0.18 0.18 NA NA 0.18 0.36 0.36 NA NA XXX96111 ......... ............ A Developmental test, extend ........................... 2.60 0.64 0.95 NA NA 0.18 3.42 3.73 NA NA XXX96116 ......... ............ A Neurobehavioral status exam ....................... 1.86 0.52 0.75 0.41 0.58 0.18 2.56 2.79 2.45 2.62XXX96118 ......... ............ A Neuropsych tst by psych/phys ...................... 1.86 0.79 1.24 0.31 0.55 0.18 2.83 3.28 2.35 2.59XXX96119 ......... ............ A Neuropsych testing by tech ........................... 0.55 1.49 1.14 0.09 0.17 0.18 2.22 1.87 0.82 0.90 XXX96120 ......... ............ A Neuropsych tst admin w/comp ...................... 0.51 0.77 0.75 0.09 0.15 0.02 1.30 1.28 0.62 0.68XXX96150 ......... ............ A Assess hlth/behave, init ................................ 0.50 0.10 0.16 0.09 0.16 0.01 0.61 0.67 0.60 0.67 XXX96151 ......... ............ A Assess hlth/behave, subseq ......................... 0.48 0.09 0.16 0.08 0.15 0.01 0.58 0.65 0.57 0.64 XXX96152 ......... ............ A Intervene hlth/behave, indiv .......................... 0.46 0.09 0.15 0.08 0.14 0.01 0.56 0.62 0.550.61 XXX96153 ......... ............ A Intervene hlth/behave, group ........................ 0.10 0.02 0.04 0.02 0.03 0.01 0.13 0.15 0.13 0.14 XXX96154 ......... ............ A Interv hlth/behav, fam w/pt ............................ 0.45 0.09 0.15 0.08 0.14 0.01 0.55 0.61 0.540.60 XXX96155 ......... ............ N Interv hlth/behav fam no pt ........................... 0.44 0.10 0.16 0.10 0.15 0.02 0.56 0.62 0.560.61 XXX96401 ......... ............ A Chemo, anti-neopl, sq/im .............................. 0.21 1.88 1.35 NA NA 0.01 2.10 1.57 NA NA XXX96402 ......... ............ A Chemo hormon antineopl sq/im .................... 0.19 0.73 0.94 NA NA 0.01 0.93 1.14 NA NA XXX96405 ......... ............ A Chemo intralesional, up to 7 ......................... 0.52 3.53 2.71 0.22 0.24 0.03 4.08 3.26 0.77 0.79 00096406 ......... ............ A Chemo intralesional over 7 ........................... 0.80 3.27 3.08 0.27 0.29 0.03 4.10 3.91 1.10 1.12 00096409 ......... ............ A Chemo, iv push, sngl drug ............................ 0.24 2.81 2.90 NA NA 0.06 3.11 3.20 NA NA XXX96411 ......... ............ A Chemo, iv push, addl drug ............................ 0.20 1.51 1.59 NA NA 0.06 1.77 1.85 NA NA ZZZ96413 ......... ............ A Chemo, iv infusion, 1 hr ................................ 0.28 3.66 4.07 NA NA 0.08 4.02 4.43 NA NA XXX96415 ......... ............ A Chemo, iv infusion, addl hr ........................... 0.19 0.66 0.74 NA NA 0.07 0.92 1.00 NA NA ZZZ96416 ......... ............ A Chemo prolong infuse w/pump ..................... 0.21 4.12 4.49 NA NA 0.08 4.41 4.78 NA NA XXX96417 ......... ............ A Chemo iv infus each addl seq ...................... 0.21 1.74 1.90 NA NA 0.07 2.02 2.18 NA NA ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00249 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37418 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal96420 ......... ............ A Chemo, ia, push tecnique ............................. 0.17 2.74 2.69 NA NA 0.08 2.99 2.94 NA NA XXX96422 ......... ............ A Chemo ia infusion up to 1 hr ........................ 0.17 3.63 4.54 NA NA 0.08 3.88 4.79 NA NA XXX96423 ......... ............ A Chemo ia infuse each addl hr ....................... 0.17 1.88 1.89 NA NA 0.02 2.07 2.08 NA NA ZZZ96425 ......... ............ A Chemotherapy,infusion method .................... 0.17 4.56 4.50 NA NA 0.08 4.81 4.75 NA NA XXX96440 ......... ............ A Chemotherapy, intracavitary ......................... 2.37 5.55 7.50 0.98 1.17 0.17 8.09 10.04 3.52 3.71 00096445 ......... ............ A Chemotherapy, intracavitary ......................... 2.20 5.44 7.40 0.93 1.12 0.14 7.78 9.74 3.27 3.46 00096450 ......... ............ A Chemotherapy, into CNS .............................. 1.53 5.11 6.51 0.85 1.18 0.09 6.73 8.13 2.47 2.80 00096521 ......... ............ A Refill/maint, portable pump ........................... 0.21 3.17 3.62 NA NA 0.06 3.44 3.89 NA NA XXX96522 ......... ............ A Refill/maint pump/resvr syst .......................... 0.21 2.76 2.68 NA NA 0.06 3.03 2.95 NA NA XXX96523 ......... ............ T Irrig drug delivery device ............................... 0.04 0.65 0.68 NA NA 0.01 0.70 0.73 NA NAXXX96542 ......... ............ A Chemotherapy injection ................................. 0.75 3.59 4.09 0.33 0.58 0.07 4.41 4.91 1.151.40 XXX96567 ......... ............ A Photodynamic tx, skin ................................... 0.00 3.70 2.40 NA NA 0.04 3.74 2.44 NA NA XXX96570 ......... ............ A Photodynamic tx, 30 min ............................... 1.10 NA NA 0.42 0.38 0.11 NA NA 1.63 1.59 ZZZ96571 ......... ............ A Photodynamic tx, addl 15 min ....................... 0.55 NA NA 0.20 0.19 0.03 NA NA 0.78 0.77 ZZZ96900 ......... ............ A Ultraviolet light therapy .................................. 0.00 0.56 0.47 NA NA 0.02 0.58 0.49 NA NA XXX96902 ......... ............ B Trichogram .................................................... 0.41 0.11 0.16 0.09 0.14 0.01 0.53 0.58 0.51 0.56 XXX96910 ......... ............ A Photochemotherapy with UV–B .................... 0.00 1.98 1.24 NA NA 0.04 2.02 1.28 NA NA XXX96912 ......... ............ A Photochemotherapy with UV–A .................... 0.00 2.55 1.58 NA NA 0.05 2.60 1.63 NA NA XXX96913 ......... ............ A Photochemotherapy, UV–A or B ................... 0.00 3.60 2.16 NA NA 0.10 3.70 2.26 NA NA XXX96920 ......... ............ A Laser tx, skin < 250 sq cm ........................... 1.15 3.54 2.79 0.55 0.56 0.02 4.71 3.96 1.72 1.73 00096921 ......... ............ A Laser tx, skin 250–500 sq cm ....................... 1.17 3.44 2.82 0.52 0.56 0.03 4.64 4.02 1.72 1.76 00096922 ......... ............ A Laser tx, skin > 500 sq cm ........................... 2.10 4.53 3.75 1.00 0.72 0.04 6.67 5.89 3.14 2.86 00097001 ......... ............ A Pt evaluation .................................................. 1.20 0.69 0.74 0.30 0.41 0.05 1.94 1.99 1.55 1.66 XXX97002 ......... ............ A Pt re-evaluation ............................................. 0.60 0.43 0.44 0.14 0.21 0.02 1.05 1.06 0.76 0.83 XXX97003 ......... ............ A Ot evaluation ................................................. 1.20 0.78 0.86 0.36 0.39 0.06 2.04 2.12 1.62 1.65 XXX97004 ......... ............ A Ot re-evaluation ............................................. 0.60 0.55 0.64 0.18 0.19 0.02 1.17 1.26 0.80 0.81 XXX97010 ......... ............ B Hot or cold packs therapy ............................. 0.06 0.07 0.06 NA NA 0.01 0.14 0.13 NA NA XXX97012 ......... ............ A Mechanical traction therapy .......................... 0.25 0.15 0.14 NA NA 0.01 0.41 0.40 NA NA XXX97014 ......... ............ I Electric stimulation therapy ........................... 0.18 0.19 0.19 0.04 0.15 0.01 0.38 0.38 0.230.34 XXX97016 ......... ............ A Vasopneumatic device therapy ..................... 0.18 0.25 0.20 NA NA 0.01 0.44 0.39 NA NA XXX97018 ......... ............ A Paraffin bath therapy ..................................... 0.06 0.17 0.12 NA NA 0.01 0.24 0.19 NA NAXXX97022 ......... ............ A Whirlpool therapy .......................................... 0.17 0.34 0.24 NA NA 0.01 0.52 0.42 NA NA XXX97024 ......... ............ A Diathermy e.g., microwave ............................ 0.06 0.08 0.07 NA NA 0.01 0.15 0.14 NA NA XXX97026 ......... ............ A Infrared therapy ............................................. 0.06 0.07 0.06 NA NA 0.01 0.14 0.13 NANA XXX97028 ......... ............ A Ultraviolet therapy ......................................... 0.08 0.09 0.08 NA NA 0.01 0.18 0.17 NANA XXX97032 ......... ............ A Electrical stimulation ...................................... 0.25 0.21 0.17 NA NA 0.01 0.47 0.43 NANA XXX97033 ......... ............ A Electric current therapy ................................. 0.26 0.46 0.32 NA NA 0.01 0.73 0.59 NA NAXXX97034 ......... ............ A Contrast bath therapy .................................... 0.21 0.21 0.17 NA NA 0.01 0.43 0.39 NA NAXXX97035 ......... ............ A Ultrasound therapy ........................................ 0.21 0.11 0.10 NA NA 0.01 0.33 0.32 NA NAXXX97036 ......... ............ A Hydrotherapy ................................................. 0.28 0.46 0.36 NA NA 0.01 0.75 0.65 NANA XXX97110 ......... ............ A Therapeutic exercises ................................... 0.45 0.33 0.29 NA NA 0.02 0.80 0.76 NA NA XXX97112 ......... ............ A Neuromuscular reeducation .......................... 0.45 0.36 0.32 NA NA 0.01 0.82 0.78 NA NA XXX97113 ......... ............ A Aquatic therapy/exercises ............................. 0.44 0.56 0.43 NA NA 0.01 1.01 0.88 NA NA XXX97116 ......... ............ A Gait training therapy ...................................... 0.40 0.29 0.25 NA NA 0.01 0.70 0.66 NA NA XXX97124 ......... ............ A Massage therapy ........................................... 0.35 0.28 0.24 NA NA 0.01 0.64 0.60 NA NAXXX97140 ......... ............ A Manual therapy .............................................. 0.43 0.30 0.26 NA NA 0.01 0.74 0.70 NANA XXX97150 ......... ............ A Group therapeutic procedures ...................... 0.27 0.23 0.19 NA NA 0.01 0.51 0.47 NA NA XXX97530 ......... ............ A Therapeutic activities ..................................... 0.44 0.40 0.34 NA NA 0.01 0.85 0.79 NA NA XXX97532 ......... ............ A Cognitive skills development ......................... 0.44 0.23 0.21 NA NA 0.01 0.68 0.66 NA NA XXX97533 ......... ............ A Sensory integration ....................................... 0.44 0.28 0.25 NA NA 0.01 0.73 0.70 NA NAXXX97535 ......... ............ A Self care mngment training ........................... 0.45 0.39 0.35 NA NA 0.01 0.85 0.81 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00250 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37419 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal97537 ......... ............ A Community/work reintegration ....................... 0.45 0.29 0.27 NA NA 0.01 0.75 0.73 NA NA XXX97542 ......... ............ A Wheelchair mngment training ....................... 0.45 0.30 0.29 NA NA 0.01 0.76 0.75 NA NA XXX97597 ......... ............ A Active wound care/20 cm or < ...................... 0.58 1.14 0.78 NA NA 0.05 1.77 1.41 NA NA XXX97598 ......... ............ A Active wound care > 20 cm .......................... 0.80 1.33 0.93 NA NA 0.05 2.18 1.78 NA NA XXX97605 ......... ............ A Neg press wound tx, < 50 cm ....................... 0.55 0.43 0.36 0.13 0.20 0.02 1.00 0.93 0.70 0.77XXX97606 ......... ............ A Neg press wound tx, > 50 cm ....................... 0.60 0.44 0.37 0.14 0.22 0.03 1.07 1.00 0.77 0.85XXX97750 ......... ............ A Physical performance test ............................. 0.45 0.35 0.33 NA NA 0.02 0.82 0.80 NA NA XXX97755 ......... ............ A Assistive technology assess ......................... 0.62 0.29 0.28 NA NA 0.02 0.93 0.92 NA NA XXX97760 ......... ............ A Orthotic mgmt and training ............................ 0.45 0.44 0.37 0.10 0.18 0.03 0.92 0.85 0.580.66 XXX97761 ......... ............ A Prosthetic training .......................................... 0.45 0.34 0.30 0.10 0.17 0.02 0.81 0.77 0.57 0.64 XXX97762 ......... ............ A C/o for orthotic/prosth use ............................. 0.25 0.76 0.51 0.06 0.16 0.02 1.03 0.78 0.33 0.43 XXX97802 ......... ............ A Medical nutrition, indiv, in .............................. 0.00 0.35 0.44 NA NA 0.01 0.36 0.45 NA NAXXX97803 ......... ............ A Med nutrition, indiv, subseq .......................... 0.00 0.31 0.43 NA NA 0.01 0.32 0.44 NA NA XXX97804 ......... ............ A Medical nutrition, group ................................. 0.00 0.13 0.17 NA NA 0.01 0.14 0.18 NA NAXXX97810 ......... ............ N Acupunct w/o stimul 15 min .......................... 0.60 0.25 0.35 0.13 0.21 0.03 0.88 0.98 0.76 0.84 XXX97811 ......... ............ N Acupunct w/o stimul addl 15m ...................... 0.50 0.15 0.23 0.11 0.17 0.03 0.68 0.76 0.64 0.70ZZZ97813 ......... ............ N Acupunct w/stimul 15 min ............................. 0.65 0.27 0.37 0.15 0.23 0.03 0.95 1.05 0.83 0.91 XXX97814 ......... ............ N Acupunct w/stimul addl 15m ......................... 0.55 0.19 0.27 0.12 0.19 0.03 0.77 0.85 0.70 0.77 ZZZ98925 ......... ............ A Osteopathic manipulation .............................. 0.45 0.28 0.31 0.11 0.13 0.02 0.75 0.78 0.580.60 00098926 ......... ............ A Osteopathic manipulation .............................. 0.65 0.36 0.40 0.16 0.23 0.03 1.04 1.08 0.840.91 00098927 ......... ............ A Osteopathic manipulation .............................. 0.87 0.44 0.49 0.21 0.27 0.03 1.34 1.39 1.111.17 00098928 ......... ............ A Osteopathic manipulation .............................. 1.03 0.50 0.57 0.25 0.32 0.04 1.57 1.64 1.321.39 00098929 ......... ............ A Osteopathic manipulation .............................. 1.19 0.56 0.64 0.28 0.35 0.05 1.80 1.88 1.521.59 00098940 ......... ............ A Chiropractic manipulation .............................. 0.45 0.20 0.22 0.12 0.12 0.01 0.66 0.68 0.580.58 00098941 ......... ............ A Chiropractic manipulation .............................. 0.65 0.26 0.29 0.17 0.17 0.01 0.92 0.95 0.830.83 00098942 ......... ............ A Chiropractic manipulation .............................. 0.87 0.32 0.35 0.22 0.23 0.02 1.21 1.24 1.111.12 00098943 ......... ............ N Chiropractic manipulation .............................. 0.40 0.17 0.22 0.09 0.14 0.01 0.58 0.63 0.500.55 XXX99170 ......... ............ A Anogenital exam, child .................................. 1.75 1.50 1.70 0.49 0.54 0.08 3.33 3.53 2.32 2.37 00099175 ......... ............ A Induction of vomiting ..................................... 0.00 0.33 1.13 NA NA 0.10 0.43 1.23 NA NAXXX99183 ......... ............ A Hyperbaric oxygen therapy ........................... 2.34 2.59 3.09 0.56 0.68 0.16 5.09 5.59 3.06 3.18 XXX99185 ......... ............ A Regional hypothermia ................................... 0.00 1.67 0.90 NA NA 0.04 1.71 0.94 NA NA XXX99186 ......... ............ A Total body hypothermia ................................. 0.00 1.41 1.70 NA NA 0.45 1.86 2.15 NA NA XXX99195 ......... ............ A Phlebotomy ................................................... 0.00 2.62 0.99 NA NA 0.02 2.64 1.01 NANA XXX99201 ......... ............ A Office/outpatient visit, new ............................ 0.45 0.54 0.50 0.15 0.15 0.03 1.02 0.98 0.63 0.63 XXX99202 ......... ............ A Office/outpatient visit, new ............................ 0.88 0.83 0.80 0.29 0.31 0.05 1.76 1.73 1.22 1.24 XXX99203 ......... ............ A Office/outpatient visit, new ............................ 1.34 1.09 1.12 0.41 0.46 0.09 2.52 2.55 1.84 1.89 XXX99204 ......... ............ A Office/outpatient visit, new ............................ 2.30 1.48 1.50 0.70 0.71 0.12 3.90 3.92 3.12 3.13 XXX99205 ......... ............ A Office/outpatient visit, new ............................ 3.00 1.77 1.78 0.89 0.94 0.15 4.92 4.93 4.04 4.09 XXX99211 ......... ............ A Office/outpatient visit, est .............................. 0.17 0.33 0.38 0.06 0.06 0.01 0.51 0.56 0.24 0.24 XXX99212 ......... ............ A Office/outpatient visit, est .............................. 0.45 0.55 0.54 0.15 0.16 0.03 1.03 1.02 0.63 0.64 XXX99213 ......... ............ A Office/outpatient visit, est .............................. 0.92 0.76 0.71 0.28 0.25 0.03 1.71 1.66 1.23 1.20 XXX99214 ......... ............ A Office/outpatient visit, est .............................. 1.42 1.10 1.05 0.43 0.42 0.05 2.57 2.52 1.90 1.89 XXX99215 ......... ............ A Office/outpatient visit, est .............................. 2.00 1.38 1.34 0.60 0.64 0.08 3.46 3.42 2.68 2.72 XXX99217 ......... ............ A Observation care discharge .......................... 1.28 NA NA 0.50 0.52 0.06 NA NA 1.84 1.86 XXX99218 ......... ............ A Observation care ........................................... 1.28 NA NA 0.38 0.43 0.06 NA NA 1.72 1.77 XXX99219 ......... ............ A Observation care ........................................... 2.14 NA NA 0.59 0.69 0.10 NA NA 2.83 2.93 XXX99220 ......... ............ A Observation care ........................................... 2.99 NA NA 0.84 0.98 0.14 NA NA 3.97 4.11 XXX99221 ......... ............ A Initial hospital care ........................................ 1.88 NA NA 0.54 0.47 0.07 NA NA 2.49 2.42 XXX99222 ......... ............ A Initial hospital care ........................................ 2.56 NA NA 0.70 0.73 0.10 NA NA 3.36 3.39 XXX99223 ......... ............ A Initial hospital care ........................................ 3.78 NA NA 1.07 1.04 0.13 NA NA 4.98 4.95 XXX99231 ......... ............ A Subsequent hospital care .............................. 0.76 NA NA 0.24 0.23 0.03 NA NA 1.03 1.02 XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00251 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37420 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal99232 ......... ............ A Subsequent hospital care .............................. 1.39 NA NA 0.42 0.38 0.04 NA NA 1.85 1.81 XXX99233 ......... ............ A Subsequent hospital care .............................. 2.00 NA NA 0.59 0.54 0.06 NA NA 2.65 2.60 XXX99234 ......... ............ A Observ/hosp same date ................................ 2.56 NA NA 0.78 0.86 0.13 NA NA 3.47 3.55 XXX99235 ......... ............ A Observ/hosp same date ................................ 3.41 NA NA 0.98 1.11 0.16 NA NA 4.55 4.68 XXX99236 ......... ............ A Observ/hosp same date ................................ 4.26 NA NA 1.23 1.39 0.19 NA NA 5.68 5.84 XXX99238 ......... ............ A Hospital discharge day .................................. 1.28 NA NA 0.49 0.53 0.05 NA NA 1.82 1.86 XXX99239 ......... ............ A Hospital discharge day .................................. 1.90 NA NA 0.66 0.71 0.07 NA NA 2.63 2.68 XXX99241 ......... ............ A Office consultation ......................................... 0.64 0.66 0.65 0.22 0.22 0.05 1.35 1.340.91 0.91 XXX99242 ......... ............ A Office consultation ......................................... 1.34 1.08 1.05 0.47 0.46 0.10 2.52 2.491.91 1.90 XXX99243 ......... ............ A Office consultation ......................................... 1.88 1.45 1.41 0.66 0.64 0.13 3.46 3.422.67 2.65 XXX99244 ......... ............ A Office consultation ......................................... 3.02 1.95 1.86 1.09 0.96 0.16 5.13 5.044.27 4.14 XXX99245 ......... ............ A Office consultation ......................................... 3.77 2.27 2.28 1.31 1.26 0.21 6.25 6.265.29 5.24 XXX99251 ......... ............ A Initial inpatient consult ................................... 1.00 NA NA 0.31 0.26 0.05 NA NA 1.36 1.31 XXX99252 ......... ............ A Initial inpatient consult ................................... 1.50 NA NA 0.50 0.50 0.09 NA NA 2.09 2.09 XXX99253 ......... ............ A Initial inpatient consult ................................... 2.27 NA NA 0.81 0.71 0.11 NA NA 3.19 3.09 XXX99254 ......... ............ A Initial inpatient consult ................................... 3.29 NA NA 1.20 1.04 0.13 NA NA 4.62 4.46 XXX99255 ......... ............ A Initial inpatient consult ................................... 4.00 NA NA 1.40 1.36 0.18 NA NA 5.58 5.54 XXX99281 ......... ............ A Emergency dept visit ..................................... 0.45 NA NA 0.09 0.09 0.02 NA NA 0.56 0.56XXX99282 ......... ............ A Emergency dept visit ..................................... 0.88 NA NA 0.17 0.15 0.04 NA NA 1.09 1.07XXX99283 ......... ............ A Emergency dept visit ..................................... 1.34 NA NA 0.24 0.29 0.09 NA NA 1.67 1.72XXX99284 ......... ............ A Emergency dept visit ..................................... 2.56 NA NA 0.45 0.47 0.14 NA NA 3.15 3.17XXX99285 ......... ............ A Emergency dept visit ..................................... 3.80 NA NA 0.65 0.70 0.23 NA NA 4.68 4.73XXX99289 ......... ............ A Ped crit care transport ................................... 4.79 NA NA 1.08 1.36 0.24 NA NA 6.11 6.39XXX99290 ......... ............ A Ped crit care transport addl ........................... 2.40 NA NA 0.58 0.75 0.12 NA NA 3.10 3.27 ZZZ99291 ......... ............ A Critical care, first hour ................................... 4.50 2.25 2.50 1.10 1.24 0.21 6.96 7.215.81 5.95 XXX99292 ......... ............ A Critical care, addIl 30 min ............................. 2.25 0.80 0.88 0.56 0.62 0.11 3.16 3.24 2.92 2.98 ZZZ99293 ......... ............ A Ped critical care, initial .................................. 15.98 NA NA 3.48 4.44 1.12 NA NA 20.5821.54 XXX99294 ......... ............ A Ped critical care, subseq ............................... 7.99 NA NA 1.67 2.23 0.45 NA NA 10.11 10.67XXX99295 ......... ............ A Neonate crit care, initial ................................ 18.46 NA NA 4.26 5.11 1.16 NA NA 23.88 24.73 XXX99296 ......... ............ A Neonate critical care subseq ......................... 7.99 NA NA 1.71 2.34 0.32 NA NA 10.02 10.65 XXX99298 ......... ............ A Ic for lbw infant < 1500 gm ........................... 2.75 NA NA 0.64 0.86 0.17 NA NA 3.56 3.78 XXX99299 ......... ............ A Ic, lbw infant 1500–2500 gm ......................... 2.50 NA NA 0.78 0.84 0.16 NA NA 3.44 3.50 XXX99300 ......... ............ A Ic, infant pbw 2501–5000 gm ........................ 2.40 NA NA 0.71 0.81 0.15 NA NA 3.26 3.36 XXX99304 ......... ............ A Nursing facility care, init ................................ 1.20 0.44 0.48 0.44 0.48 0.05 1.69 1.731.69 1.73 XXX99305 ......... ............ A Nursing facility care, init ................................ 1.61 0.55 0.61 0.55 0.61 0.07 2.23 2.292.23 2.29 XXX99306 ......... ............ A Nursing facility care, init ................................ 2.01 0.64 0.72 0.64 0.72 0.09 2.74 2.822.74 2.82 XXX99307 ......... ............ A Nursing fac care, subseq .............................. 0.60 0.26 0.27 0.26 0.27 0.03 0.89 0.90 0.890.90 XXX99308 ......... ............ A Nursing fac care, subseq .............................. 1.00 0.42 0.44 0.42 0.44 0.04 1.46 1.48 1.461.48 XXX99309 ......... ............ A Nursing fac care, subseq .............................. 1.42 0.57 0.61 0.57 0.61 0.06 2.05 2.09 2.052.09 XXX99310 ......... ............ A Nursing fac care, subseq .............................. 1.77 0.71 0.76 0.71 0.76 0.08 2.56 2.61 2.562.61 XXX99315 ......... ............ A Nursing fac discharge day ............................ 1.13 0.40 0.44 0.40 0.44 0.05 1.58 1.62 1.58 1.62 XXX99316 ......... ............ A Nursing fac discharge day ............................ 1.50 0.50 0.57 0.50 0.57 0.06 2.06 2.13 2.06 2.13 XXX99318 ......... ............ A Annual nursing fac assessmnt ...................... 1.20 0.44 0.48 0.44 0.48 0.05 1.69 1.73 1.69 1.73XXX99324 ......... ............ A Domicil/r-home visit new pat ......................... 1.01 0.42 0.47 NA NA 0.05 1.48 1.53 NA NA XXX99325 ......... ............ A Domicil/r-home visit new pat ......................... 1.52 0.55 0.65 NA NA 0.07 2.14 2.24 NA NA XXX99326 ......... ............ A Domicil/r-home visit new pat ......................... 2.27 0.71 0.87 NA NA 0.10 3.08 3.24 NA NA XXX99327 ......... ............ A Domicil/r-home visit new pat ......................... 3.03 0.89 1.10 NA NA 0.13 4.05 4.26 NA NA XXX99328 ......... ............ A Domicil/r-home visit new pat ......................... 3.78 1.07 1.33 NA NA 0.16 5.01 5.27 NA NA XXX99334 ......... ............ A Domicil/r-home visit est pat ........................... 0.76 0.35 0.39 NA NA 0.04 1.15 1.19 NA NA XXX99335 ......... ............ A Domicil/r-home visit est pat ........................... 1.26 0.47 0.55 NA NA 0.06 1.79 1.87 NA NA XXX99336 ......... ............ A Domicil/r-home visit est pat ........................... 2.02 0.64 0.78 NA NA 0.09 2.75 2.89 NA NA XXX99337 ......... ............ A Domicil/r-home visit est pat ........................... 3.03 0.88 1.08 NA NA 0.13 4.04 4.24 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00252 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37421 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobal99341 ......... ............ A Home visit, new patient ................................. 1.01 0.25 0.42 NA NA 0.05 1.31 1.48 NA NA XXX99342 ......... ............ A Home visit, new patient ................................. 1.52 0.38 0.61 NA NA 0.07 1.97 2.20 NA NA XXX99343 ......... ............ A Home visit, new patient ................................. 2.27 0.57 0.85 NA NA 0.10 2.94 3.22 NA NA XXX99344 ......... ............ A Home visit, new patient ................................. 3.03 0.72 1.07 NA NA 0.13 3.88 4.23 NA NA XXX99345 ......... ............ A Home visit, new patient ................................. 3.78 0.88 1.29 NA NA 0.16 4.82 5.23 NA NA XXX99347 ......... ............ A Home visit, est patient ................................... 0.76 0.19 0.35 NA NA 0.04 0.99 1.15 NA NAXXX99348 ......... ............ A Home visit, est patient ................................... 1.26 0.31 0.51 NA NA 0.06 1.63 1.83 NA NAXXX99349 ......... ............ A Home visit, est patient ................................... 2.02 0.48 0.74 NA NA 0.09 2.59 2.85 NA NAXXX99350 ......... ............ A Home visit, est patient ................................... 3.03 0.72 1.07 NA NA 0.13 3.88 4.23 NA NAXXX99354 ......... ............ A Prolonged service, office ............................... 1.77 0.65 0.74 0.49 0.62 0.08 2.50 2.59 2.34 2.47 ZZZ99355 ......... ............ A Prolonged service, office ............................... 1.77 0.67 0.73 0.52 0.60 0.07 2.51 2.57 2.36 2.44 ZZZ99356 ......... ............ A Prolonged service, inpatient .......................... 1.71 NA NA 0.50 0.59 0.07 NA NA 2.28 2.37 ZZZ99357 ......... ............ A Prolonged service, inpatient .......................... 1.71 NA NA 0.49 0.60 0.08 NA NA 2.28 2.39 ZZZ99374 ......... ............ B Home health care supervision ...................... 1.10 0.54 0.66 0.25 0.38 0.05 1.69 1.81 1.40 1.53XXX99375 ......... ............ I Home health care supervision ...................... 1.73 0.74 1.35 0.39 1.26 0.07 2.54 3.15 2.19 3.06XXX99377 ......... ............ B Hospice care supervision .............................. 1.10 0.54 0.66 0.25 0.38 0.05 1.69 1.81 1.401.53 XXX99378 ......... ............ I Hospice care supervision .............................. 1.73 0.74 1.65 0.39 1.56 0.07 2.54 3.45 2.193.36 XXX99379 ......... ............ B Nursing fac care supervision ......................... 1.10 0.54 0.66 0.25 0.38 0.04 1.68 1.80 1.39 1.52 XXX99380 ......... ............ B Nursing fac care supervision ......................... 1.73 0.74 0.93 0.39 0.59 0.06 2.53 2.72 2.18 2.38 XXX99381 ......... ............ N Prev visit, new, infant .................................... 1.19 0.99 1.37 0.27 0.41 0.05 2.23 2.611.51 1.65 XXX99382 ......... ............ N Prev visit, new, age 1–4 ................................ 1.36 1.03 1.41 0.31 0.47 0.05 2.44 2.82 1.72 1.88 XXX99383 ......... ............ N Prev visit, new, age 5–11 .............................. 1.36 1.02 1.37 0.31 0.47 0.05 2.43 2.78 1.72 1.88 XXX99384 ......... ............ N Prev visit, new, age 12–17 ............................ 1.53 1.06 1.43 0.34 0.53 0.06 2.65 3.02 1.93 2.12 XXX99385 ......... ............ N Prev visit, new, age 18–39 ............................ 1.53 1.06 1.43 0.34 0.53 0.06 2.65 3.02 1.93 2.12 XXX99386 ......... ............ N Prev visit, new, age 40–64 ............................ 1.88 1.14 1.60 0.42 0.65 0.07 3.09 3.55 2.37 2.60 XXX99387 ......... ............ N Prev visit, new, 65 & over ............................. 2.06 1.27 1.73 0.46 0.71 0.07 3.40 3.86 2.592.84 XXX99391 ......... ............ N Prev visit, est, infant ...................................... 1.02 0.86 0.98 0.23 0.35 0.04 1.92 2.04 1.29 1.41 XXX99392 ......... ............ N Prev visit, est, age 1–4 ................................. 1.19 0.89 1.04 0.27 0.41 0.05 2.13 2.28 1.51 1.65 XXX99393 ......... ............ N Prev visit, est, age 5–11 ............................... 1.19 0.89 1.02 0.27 0.41 0.05 2.13 2.26 1.51 1.65 XXX99394 ......... ............ N Prev visit, est, age 12–17 ............................. 1.36 0.93 1.08 0.31 0.47 0.05 2.34 2.49 1.72 1.88 XXX99395 ......... ............ N Prev visit, est, age 18–39 ............................. 1.36 0.93 1.10 0.31 0.47 0.05 2.34 2.51 1.72 1.88 XXX99396 ......... ............ N Prev visit, est, age 40–64 ............................. 1.53 0.97 1.18 0.34 0.53 0.06 2.56 2.77 1.93 2.12 XXX99397 ......... ............ N Prev visit, est, 65 & over ............................... 1.71 1.11 1.30 0.38 0.59 0.06 2.88 3.07 2.15 2.36 XXX99401 ......... ............ N Preventive counseling, indiv .......................... 0.48 0.36 0.56 0.11 0.17 0.01 0.85 1.05 0.600.66 XXX99402 ......... ............ N Preventive counseling, indiv .......................... 0.98 0.47 0.77 0.22 0.33 0.02 1.47 1.77 1.221.33 XXX99403 ......... ............ N Preventive counseling, indiv .......................... 1.46 0.58 0.96 0.33 0.50 0.04 2.08 2.46 1.832.00 XXX99404 ......... ............ N Preventive counseling, indiv .......................... 1.95 0.69 1.16 0.44 0.67 0.05 2.69 3.16 2.442.67 XXX99411 ......... ............ N Preventive counseling, group ........................ 0.15 0.22 0.19 0.03 0.05 0.01 0.38 0.35 0.19 0.21 XXX99412 ......... ............ N Preventive counseling, group ........................ 0.25 0.24 0.25 0.06 0.09 0.01 0.50 0.51 0.32 0.35 XXX99431 ......... ............ A Initial care, normal newborn .......................... 1.17 NA NA 0.26 0.35 0.05 NA NA 1.48 1.57 XXX99432 ......... ............ A Newborn care, not in hosp ............................ 1.26 1.00 0.95 0.28 0.37 0.07 2.33 2.28 1.61 1.70 XXX99433 ......... ............ A Normal newborn care/hospital ...................... 0.62 NA NA 0.14 0.19 0.02 NA NA 0.78 0.83 XXX99435 ......... ............ A Newborn discharge day hosp ....................... 1.50 NA NA 0.45 0.56 0.06 NA NA 2.01 2.12 XXX99436 ......... ............ A Attendance, birth ........................................... 1.50 NA NA 0.33 0.44 0.06 NA NA 1.89 2.00 XXX99440 ......... ............ A Newborn resuscitation ................................... 2.93 NA NA 0.66 0.86 0.12 NA NA 3.71 3.91 XXXG0101 ......... ............ A CA screen;pelvic/breast exam ...................... 0.45 0.48 0.51 0.12 0.16 0.02 0.95 0.98 0.59 0.63XXXG0102 ......... ............ A Office/outpatient visit, est .............................. 0.17 0.33 0.38 0.06 0.06 0.01 0.51 0.56 0.24 0.24 XXXG0104 ......... ............ A Diagnostic sigmoidoscopy ............................. 0.96 2.54 2.35 0.63 0.53 0.08 3.58 3.39 1.67 1.57 000G0105 ......... ............ A Diagnostic colonoscopy ................................. 3.69 6.55 6.26 1.88 1.57 0.30 10.54 10.25 5.87 5.56 000G0105 ......... 53 ....... A Diagnostic sigmoidoscopy ............................. 0.96 2.54 2.35 0.63 0.53 0.08 3.58 3.39 1.67 1.57000G0106 ......... ............ A Contrast x-ray exam of colon ........................ 0.99 5.17 3.21 NA NA 0.17 6.33 4.37 NA NA XXXG0106 ......... 26 ....... A Contrast x-ray exam of colon ........................ 0.99 0.34 0.33 0.34 0.33 0.04 1.37 1.36 1.37 1.36XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00253 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37422 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobalG0106 ......... TC ...... A Contrast x-ray exam of colon ........................ 0.00 4.83 2.89 NA NA 0.13 4.96 3.02 NA NA XXXG0108 ......... ............ A Diab manage trn per indiv ............................. 0.00 0.59 0.77 NA NA 0.01 0.60 0.78 NA NA XXXG0109 ......... ............ A Diab manage trn ind/group ........................... 0.00 0.31 0.44 NA NA 0.01 0.32 0.45 NA NA XXXG0117 ......... ............ T Glaucoma scrn hgh risk direc ....................... 0.45 0.80 0.74 0.13 0.18 0.01 1.26 1.20 0.59 0.64 XXXG0118 ......... ............ T Glaucoma scrn hgh risk direc ....................... 0.17 0.80 0.60 0.06 0.06 0.01 0.98 0.78 0.24 0.24 XXXG0120 ......... ............ A Contrast x-ray exam of colon ........................ 0.99 5.17 3.21 NA NA 0.17 6.33 4.37 NA NA XXXG0120 ......... 26 ....... A Contrast x-ray exam of colon ........................ 0.99 0.34 0.33 0.34 0.33 0.04 1.37 1.36 1.37 1.36XXXG0120 ......... TC ...... A Contrast x-ray exam of colon ........................ 0.00 4.83 2.89 NA NA 0.13 4.96 3.02 NA NA XXXG0121 ......... ............ A Diagnostic colonoscopy ................................. 3.69 6.55 6.26 1.88 1.57 0.30 10.54 10.25 5.87 5.56 000G0121 ......... 53 ....... A Diagnostic sigmoidoscopy ............................. 0.96 2.54 2.35 0.63 0.53 0.08 3.58 3.39 1.67 1.57000G0122 ......... ............ N Colon ca scrn; barium enema ....................... 0.99 5.63 3.34 5.63 3.34 0.18 6.80 4.51 6.80 4.51XXXG0122 ......... 26 ....... N Colon ca scrn; barium enema ....................... 0.99 0.22 0.34 0.22 0.34 0.05 1.26 1.38 1.26 1.38 XXXG0122 ......... TC ...... N Colon ca scrn; barium enema ....................... 0.00 5.41 3.00 5.41 3.00 0.13 5.54 3.13 5.54 3.13 XXXG0124 ......... ............ A Cytopath, c/v, interpret .................................. 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXXG0127 ......... ............ R Trim nail(s) .................................................... 0.17 0.38 0.28 0.04 0.06 0.01 0.560.46 0.22 0.24 000G0128 ......... ............ R CORF skilled nursing service ........................ 0.08 0.02 0.03 0.02 0.03 0.01 0.11 0.12 0.11 0.12 XXXG0130 ......... ............ A Single energy x-ray study ............................. 0.22 0.56 0.79 NA NA 0.06 0.84 1.07 NA NA XXXG0130 ......... 26 ....... A Single energy x-ray study ............................. 0.22 0.06 0.07 0.06 0.07 0.01 0.29 0.30 0.29 0.30 XXXG0130 ......... TC ...... A Single energy x-ray study ............................. 0.00 0.50 0.73 NA NA 0.05 0.55 0.78 NA NA XXXG0141 ......... ............ A Cytopath, c/v, interpret .................................. 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXXG0166 ......... ............ A Extrnl counterpulse, per tx ............................ 0.07 4.62 3.84 0.04 0.03 0.01 4.70 3.92 0.120.11 XXXG0168 ......... ............ A Wound closure by adhesive .......................... 0.45 1.56 1.85 0.20 0.22 0.03 2.04 2.33 0.68 0.70 000G0179 ......... ............ A MD recertification HHA PT ............................ 0.45 0.47 0.89 NA NA 0.02 0.94 1.36 NA NA XXXG0180 ......... ............ A MD certification HHA patient ......................... 0.67 0.56 1.09 NA NA 0.03 1.26 1.79 NA NA XXXG0181 ......... ............ A Home health care supervision ...................... 1.73 0.80 1.31 NA NA 0.07 2.60 3.11 NA NA XXXG0182 ......... ............ A Hospice care supervision .............................. 1.73 0.82 1.45 NA NA 0.07 2.62 3.25 NA NA XXXG0202 ......... ............ A Screeningmammographydigital ..................... 0.70 2.82 2.79 NA NA 0.10 3.62 3.59 NA NA XXXG0202 ......... 26 ....... A Screeningmammographydigital ..................... 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXXG0202 ......... TC ...... A Screeningmammographydigital ..................... 0.00 2.58 2.56 NA NA 0.07 2.65 2.63 NA NA XXXG0204 ......... ............ A Diagnosticmammographydigital .................... 0.87 3.42 2.95 NA NA 0.11 4.40 3.93 NA NA XXXG0204 ......... 26 ....... A Diagnosticmammographydigital .................... 0.87 0.30 0.29 0.30 0.29 0.04 1.21 1.20 1.21 1.20 XXXG0204 ......... TC ...... A Diagnosticmammographydigital .................... 0.00 3.12 2.66 NA NA 0.07 3.19 2.73 NA NA XXXG0206 ......... ............ A Diagnosticmammographydigital .................... 0.70 2.68 2.37 NA NA 0.09 3.47 3.16 NA NA XXXG0206 ......... 26 ....... A Diagnosticmammographydigital .................... 0.70 0.24 0.23 0.24 0.23 0.03 0.97 0.96 0.97 0.96 XXXG0206 ......... TC ...... A Diagnosticmammographydigital .................... 0.00 2.44 2.13 NA NA 0.06 2.50 2.19 NA NA XXXG0237 ......... ............ A Therapeutic procd strg endur ........................ 0.00 0.21 0.41 NA NA 0.02 0.23 0.43 NA NA XXXG0238 ......... ............ A Oth resp proc, indiv ....................................... 0.00 0.23 0.43 NA NA 0.02 0.25 0.45 NA NA XXXG0239 ......... ............ A Oth resp proc, group ..................................... 0.00 0.31 0.33 NA NA 0.02 0.33 0.35 NA NAXXXG0245 ......... ............ A Office/outpatient visit, new ............................ 0.88 0.83 0.80 0.29 0.31 0.05 1.76 1.73 1.22 1.24 XXXG0246 ......... ............ A Office/outpatient visit, est .............................. 0.45 0.55 0.54 0.15 0.16 0.03 1.03 1.02 0.63 0.64 XXXG0247 ......... ............ A Debride skin, partial ...................................... 0.50 0.68 0.56 0.16 0.20 0.06 1.24 1.120.72 0.76 ZZZG0248 ......... ............ R Demonstrate use home inr mon ................... 0.00 3.21 5.78 NA NA 0.01 3.22 5.79 NA NA XXXG0249 ......... ............ R Provide test material,equipm ......................... 0.00 2.31 3.56 NA NA 0.01 2.32 3.57 NA NA XXXG0250 ......... ............ R MD review interpret of test ............................ 0.18 0.08 0.07 0.08 0.07 0.01 0.27 0.26 0.270.26 XXXG0252 ......... 26 ....... N PET imaging initial dx ................................... 1.50 0.34 0.54 0.34 0.54 0.04 1.88 2.08 1.882.08 XXXG0268 ......... ............ A Removal of impacted wax md ....................... 0.61 0.59 0.62 0.17 0.22 0.02 1.22 1.25 0.80 0.85000G0270 ......... ............ A Med nutrition, indiv, subseq .......................... 0.00 0.31 0.43 NA NA 0.01 0.32 0.44 NA NA XXXG0271 ......... ............ A Medical nutrition, group ................................. 0.00 0.13 0.17 NA NA 0.01 0.14 0.18 NA NAXXXG0275 ......... ............ A Renal angio, cardiac cath ............................. 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 ZZZ1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00254 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37423 Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / NoticesADDENDUMB.—RELATIVEVALUEUNITS(RVUS)ANDRELATEDINFORMATIONUSEDINDETERMININGMEDICAREPAYMENTS FOR2007—CONTINUEDCPT1HCPCS2Mod Status DescriptionPhysicianworkRVUs3Fully implemented nonfacility PERVUsYear2007transitionalnon-facility PERVUsFully implemented facilityPE RVUsYear2007transitional facility PERVUsMal-practice RVUsFully implemented nonfacilitytotalYear2007transitionalnon-facility totalFully implemented facilitytotalYear2007transitional facility totalGlobalG0278 ......... ............ A Iliac art angio,cardiac cath ............................ 0.25 NA NA 0.14 0.11 0.01 NA NA 0.40 0.37 ZZZG0281 ......... ............ A Elec stim unattend for press ......................... 0.18 0.15 0.12 NA NA 0.01 0.34 0.31 NA NA XXXG0283 ......... ............ A Elec stim other than wound .......................... 0.18 0.15 0.12 NA NA 0.01 0.34 0.31 NA NA XXXG0288 ......... ............ A Recon, CTA for surg plan ............................. 0.00 1.03 8.24 NA NA 0.18 1.21 8.42 NA NA XXXG0289 ......... ............ A Arthro, loose body + chondro ....................... 1.48 NA NA 0.58 0.75 0.26 NA NA 2.32 2.49 ZZZG0308 ......... ............ A ESRD related svc 4+mo < 2yrs .................... 12.74 5.43 7.78 5.43 7.78 0.42 18.59 20.94 18.59 20.94 XXXG0309 ......... ............ A ESRD related svc 2–3mo <2yrs ................... 10.61 4.77 6.53 4.77 6.53 0.36 15.74 17.50 15.74 17.50 XXXG0310 ......... ............ A ESRD related svc 1 vst <2yrs ....................... 8.49 2.79 4.97 2.79 4.97 0.28 11.56 13.74 11.5613.74 XXXG0311 ......... ............ A ESRD related svs 4+mo 2–11yr ................... 9.73 3.50 4.42 3.50 4.42 0.34 13.57 14.49 13.57 14.49 XXXG0312 ......... ............ A ESRD relate svs 2–3 mo 2–11y ................... 8.11 2.60 3.60 2.60 3.60 0.29 11.00 12.00 11.00 12.00 XXXG0313 ......... ............ A ESRD related svs 1 mon 2–11y ................... 6.49 1.80 2.81 1.80 2.81 0.22 8.51 9.52 8.51 9.52 XXXG0314 ......... ............ A ESRD related svs 4+ mo 12–19 ................... 8.28 3.36 4.16 3.36 4.16 0.27 11.91 12.71 11.91 12.71 XXXG0315 ......... ............ A ESRD related svs 2–3mo/12–19 ................... 6.90 2.55 3.40 2.55 3.40 0.23 9.68 10.53 9.68 10.53 XXXG0316 ......... ............ A ESRD related svs 1vis/12–19y ..................... 5.52 1.65 2.63 1.65 2.63 0.17 7.34 8.32 7.34 8.32 XXXG0317 ......... ............ A ESRD related svs 4+mo 20+yrs ................... 5.09 2.23 2.71 2.23 2.71 0.17 7.49 7.97 7.49 7.97 XXXG0318 ......... ............ A ESRD related svs 2–3 mo 20+y ................... 4.24 1.67 2.21 1.67 2.21 0.14 6.05 6.59 6.05 6.59 XXXG0319 ......... ............ A ESRD related svs 1visit 20+y ....................... 3.39 1.12 1.71 1.12 1.71 0.11 4.62 5.21 4.62 5.21 XXXG0320 ......... ............ A ESD related svs home undr 2 ....................... 10.61 2.59 5.99 2.59 5.99 0.36 13.56 16.96 13.5616.96 XXXG0321 ......... ............ A ESRDrelatedsvs home mo 2–11y ................. 8.11 1.92 3.43 1.92 3.43 0.29 10.32 11.83 10.32 11.83 XXXG0322 ......... ............ A ESRD related svs hom mo12–19 ................. 6.90 1.67 3.18 1.67 3.18 0.23 8.80 10.31 8.80 10.31 XXXG0323 ......... ............ A ESRD related svs home mo 20+ .................. 4.24 1.12 2.07 1.12 2.07 0.14 5.50 6.45 5.50 6.45 XXXG0324 ......... ............ A ESRD relate svs home/dy <2yr .................... 0.35 0.16 0.22 0.16 0.22 0.01 0.52 0.58 0.52 0.58 XXXG0325 ......... ............ A ESRD relate home/day/ 2–11yr .................... 0.23 0.09 0.11 0.09 0.11 0.01 0.33 0.35 0.33 0.35 XXXG0326 ......... ............ A ESRD relate home/dy 12–19yr ..................... 0.27 0.10 0.12 0.10 0.12 0.01 0.38 0.40 0.38 0.40 XXXG0327 ......... ............ A ESRD relate home/dy 20+yrs ....................... 0.14 0.06 0.08 0.06 0.08 0.01 0.21 0.23 0.21 0.23XXXG0329 ......... ............ A Electromagntic tx for ulcers ........................... 0.06 0.16 0.15 0.01 0.02 0.01 0.23 0.22 0.080.09 XXXG0337 ......... ............ X Hospice evaluation preelecti ......................... 1.34 0.30 0.46 0.30 0.46 0.09 1.73 1.89 1.73 1.89 XXXG0341 ......... ............ A Insertion of catheter, vein .............................. 6.98 3.02 5.07 2.18 2.50 0.55 10.55 12.609.71 10.03 000G0342 ......... ............ A Laparo cholecystectomy/graph ..................... 11.98 NA NA 5.06 5.25 1.58 NA NA 18.62 18.81 090G0343 ......... ............ A Incision of bile duct ....................................... 21.86 NA NA 8.44 8.70 2.62 NA NA 32.9233.18 090G0344 ......... ............ A Office/outpatient visit, new ............................ 1.34 1.09 1.12 0.41 0.46 0.09 2.52 2.55 1.84 1.89 XXXG0364 ......... ............ A Bone marrow aspirate &biopsy ..................... 0.16 0.17 0.15 0.07 0.06 0.04 0.37 0.35 0.27 0.26ZZZG0365 ......... ............ A Doppler flow testing ....................................... 0.25 5.44 4.36 NA NA 0.26 5.95 4.87 NA NA XXXG0365 ......... 26 ....... A Doppler flow testing ....................................... 0.25 0.07 0.09 0.07 0.09 0.03 0.35 0.37 0.35 0.37 XXXG0365 ......... TC ...... A Doppler flow testing ....................................... 0.00 5.37 4.28 NA NA 0.23 5.60 4.51 NA NA XXXG0366 ......... ............ A Electrocardiogram, complete ......................... 0.17 0.35 0.47 NA NA 0.03 0.55 0.67 NA NA XXXG0367 ......... ............ A Electrocardiogram, tracing ............................ 0.00 0.28 0.41 NA NA 0.02 0.30 0.43 NA NA XXXG0368 ......... ............ A Electrocardiogram report ............................... 0.17 0.07 0.06 0.07 0.06 0.01 0.25 0.24 0.250.24 XXXG0372 ......... ............ A MD service required for PMD ....................... 0.17 0.04 0.30 0.04 0.06 0.01 0.22 0.48 0.22 0.24XXXG0375 ......... ............ A Smoke/tobacco counselng 3–10 ................... 0.24 0.07 0.09 0.07 0.09 0.01 0.32 0.34 0.32 0.34 XXXG0376 ......... ............ A Smoke/tobacco counseling >10 .................... 0.48 0.13 0.17 0.13 0.16 0.01 0.62 0.66 0.62 0.65 XXXM0064 ........ ............ A Visit for drug monitoring ................................ 0.37 0.87 0.47 0.06 0.11 0.01 1.25 0.85 0.44 0.49 XXXP3001 ......... ............ A Cytopath, c/v, interpret .................................. 0.42 0.38 0.21 0.38 0.21 0.02 0.82 0.65 0.82 0.65 XXXQ0035 ......... ............ A Cardiokymography ........................................ 0.17 0.30 0.41 NA NA 0.03 0.50 0.61 NA NA XXXQ0035 ......... 26 ....... A Cardiokymography ........................................ 0.17 0.05 0.06 0.05 0.06 0.01 0.23 0.24 0.23 0.24 XXXQ0035 ......... TC ...... A Cardiokymography ........................................ 0.00 0.25 0.36 NA NA 0.02 0.27 0.38 NA NA XXXQ0091 ......... ............ A Obtaining screen pap smear ......................... 0.37 0.75 0.69 0.10 0.13 0.02 1.14 1.08 0.49 0.52 XXXQ0092 ......... ............ A Set up port xray equipment ........................... 0.00 0.46 0.36 NA NA 0.01 0.47 0.37 NA NA XXX1CPT codes and descriptors only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.2Copyright 2005 American Dental Association. All rights reserved.3Indicates RVUs are not used for Medicare payment.



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00255 Fmt 4701 Sfmt 4703 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2

# 37424

——————————

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

00797 ....... ........... Anesth, Surgery for Obesity ............................................................................. .................................................... 11.00

10060 ....... ........... Drainage of skin abscess ................................................................................ ..................................................... 1.17

11040 ....... ........... Debride skin, partial ................................................................................... ........................................................... 0.50

11041 ....... ........... Debride skin, full ...................................................................................... ............................................................. 0.82

11042 ....... ........... Debride skin/tissue ..................................................................................... .......................................................... 1.12

11100 ....... ........... Biopsy, skin lesion ..................................................................................... ........................................................... 0.81

11400 ....... ........... Exc tr-ext b9+marg 0.5<cm ............................................................................... ................................................... 0.85

11401 ....... ........... Exc tr-ext b9+marg 0.6-1cm .............................................................................. ................................................... 1.23

11402 ....... ........... Exc tr-ext b9+marg 1.1-2 cm ............................................................................. ................................................... 1.40

11403 ....... ........... Exc tr-ext b9+marg 2.1-3 cm ............................................................................. ................................................... 1.79

11404 ....... ........... Exc tr-ext b9+marg 3.1-4 cm ............................................................................. ................................................... 2.06

11406 ....... ........... Exc tr-ext b9+marg >4.0cm ............................................................................... ................................................... 3.45

11420 ....... ........... Exc h-f-nk-sp b9+marg 0.5< .............................................................................. ................................................... 0.98

11421 ....... ........... Exc h-f-nk-sp b9+marg 0.6-1 ............................................................................. ................................................... 1.42

11422 ....... ........... Exc h-f-nk-sp b9+marg 1.1-2 ............................................................................. ................................................... 1.63

11423 ....... ........... Exc h-f-nk-sp b9+marg 2.1-3 ............................................................................. ................................................... 2.01

11424 ....... ........... Exc h-f-nk-sp b9+marg 3.1-4 ............................................................................. ................................................... 2.43

11426 ....... ........... Exc h-f-nk-sp b9+marg >4.0 cm ........................................................................... ................................................ 4.02

11440 ....... ........... Exc face-mm b9+marg 0.5 < cm ............................................................................ .............................................. 1.00

11441 ....... ........... Exc face-mm b9+marg 0.6-1 cm ............................................................................ .............................................. 1.48

11442 ....... ........... Exc face-mm b9+marg 1.1-2 cm ............................................................................ .............................................. 1.72

11443 ....... ........... Exc face-mm b9+marg 2.1-3 cm ............................................................................ .............................................. 2.29

11444 ....... ........... Exc face-mm b9+marg 3.1-4 cm ............................................................................ .............................................. 3.14

11446 ....... ........... Exc face-mm b9+marg >4 cm ............................................................................... ............................................... 4.73

11600 ....... ........... Exc tr-ext mlg+marg 0.5<cm .............................................................................. .................................................. 1.56

11601 ....... ........... Exc tr-ext mlg+marg 0.6-1cm ............................................................................. .................................................. 2.00

11602 ....... ........... Exc tr-ext mlg+marg 1.1-2cm ............................................................................. .................................................. 2.20

11603 ....... ........... Exc tr-ext mlg+marg 2.1-3<cm ............................................................................ ................................................. 2.75

11604 ....... ........... Exc tr-ext mlg+marg 3.1-4cm ............................................................................. .................................................. 3.10

11606 ....... ........... Exc tr-ext mlg+marg >4cm ................................................................................ ................................................... 4.95

11620 ....... ........... Exc h-f-nk-sp mlg+marg 0.5< ............................................................................. .................................................. 1.57

11621 ....... ........... Exc h-f-nk-sp mlg+marg 0.6-1 ............................................................................ .................................................. 2.01

11622 ....... ........... Exc h-f-nk-sp mlg+marg 1.1-2 ............................................................................ .................................................. 2.34

11623 ....... ........... Exc h-f-nk-sp mlg+marg 2.1-3 ............................................................................ .................................................. 3.04

11624 ....... ........... Exc h-f-nk-sp mlg+marg 3.1-4 ............................................................................ .................................................. 3.55

11626 ....... ........... Exc h-f-nk-sp mlg+marg >4cm ............................................................................. ................................................ 4.54

11640 ....... ........... Exc face-mm malig+marg 0.5< ............................................................................. ............................................... 1.60

11641 ....... ........... Exc face-mm malig+marg 0.6-1 ............................................................................ ............................................... 2.10

11642 ....... ........... Exc face-mm malig+marg 1.1-2 ............................................................................ ............................................... 2.55

11643 ....... ........... Exc face-mm malig+marg 2.1-3 ............................................................................ ............................................... 3.35

11644 ....... ........... Exc face-mm malig+marg 3.1-4 ............................................................................ ............................................... 4.27

11646 ....... ........... Exc face-mm malig+marg>4 ................................................................................ ................................................. 6.19

11730 ....... ........... Removal of nail plate ................................................................................... ......................................................... 1.13

12052 ....... ........... Layer closure of wound(s) ............................................................................... ..................................................... 2.77

13121 ....... ........... Repair of wound or lesion ............................................................................... ..................................................... 4.32

14040 ....... ........... Skin tissue rearrangement ............................................................................... .................................................... 8.36

14060 ....... ........... Skin tissue rearrangement ............................................................................... .................................................... 8.99

15100 ....... ........... Skin split graft ........................................................................................ ............................................................... 9.66

15240 ....... ........... Skin full graft ......................................................................................... ................................................................ 10.03

15734 ....... ........... Muscle-skin graft, trunk ................................................................................ ........................................................ 19.52

17003 ....... ........... Destroy lesions, 2-14 ................................................................................... ......................................................... 0.07

17004 ....... ........... Destroy lesions, 15 or more ............................................................................. .................................................... 1.58

17262 ....... ........... Destruction of skin lesions ............................................................................. ...................................................... 1.58

17281 ....... ........... Destruction of skin lesions ............................................................................. ...................................................... 1.72

19180 ....... ........... Removal of breast ....................................................................................... ......................................................... 15.61

20600 ....... ........... Drain/inject, joint/bursa ............................................................................... .......................................................... 0.66

20610 ....... ........... Drain/inject, joint/bursa ............................................................................... .......................................................... 0.79

20680 ....... ........... Removal of support implant .............................................................................. .................................................... 5.86

21145 ....... ........... Reconstruct midface, lefort ............................................................................. ...................................................... 23.52

21146 ....... ........... Reconstruct midface, lefort ............................................................................. ...................................................... 24.41

21147 ....... ........... Reconstruct midface, lefort ............................................................................. ...................................................... 26.01

21395 ....... ........... Treat eye socket fracture ............................................................................... ...................................................... 14.58

22520 ....... ........... Percut vertebroplasty thor .............................................................................. ...................................................... 9.15

22554 ....... ........... Neck spine fusion ....................................................................................... .......................................................... 17.48

22612 ....... ........... Lumbar spine fusion ..................................................................................... ........................................................ 22.50

22840 ....... ........... Insert spine fixation device ............................................................................ ....................................................... 12.52

24363 ....... ........... Replace elbow joint ..................................................................................... ......................................................... 22.39


# 37425

——————————

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT



# — Continued

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

24430 ....... ........... Repair of humerus ....................................................................................... ......................................................... 14.99

25447 ....... ........... Repair wrist joint(s) ................................................................................... ............................................................ 10.85

26055 ....... ........... Incise finger tendon sheath ............................................................................. ..................................................... 2.94

26160 ....... ........... Remove tendon sheath lesion ............................................................................. ................................................. 3.40

26600 ....... ........... Treat metacarpal fracture ............................................................................... ...................................................... 2.40

26951 ....... ........... Amputation of finger/thumb .............................................................................. .................................................... 5.75

27130 ....... ........... Total hip arthroplasty .................................................................................. .......................................................... 17.40

27236 ....... ........... Treat thigh fracture .................................................................................... ........................................................... 14.54

27447 ....... ........... Total knee arthroplasty ................................................................................. ........................................................ 20.81

27465 ....... ........... Shortening of thigh bone ................................................................................ ...................................................... 18.36

27470 ....... ........... Repair of thigh ......................................................................................... ............................................................. 16.87

27709 ....... ........... Incision of tibia and fibula ............................................................................ ......................................................... 17.24

27880 ....... ........... Amputation of lower leg ................................................................................. ....................................................... 15.18

28805 ....... ........... Amputation thru metatarsal .............................................................................. .................................................... 12.47

29075 ....... ........... Application of forearm cast ............................................................................. ...................................................... 0.77

29580 ....... ........... Application of paste boot ............................................................................... ....................................................... 0.57

30520 ....... ........... Repair of nasal septum .................................................................................. ...................................................... 7.63

31225 ....... ........... Removal of upper jaw .................................................................................... ...................................................... 26.34

31230 ....... ........... Removal of upper jaw .................................................................................... ...................................................... 30.46

31360 ....... ........... Removal of larynx ....................................................................................... .......................................................... 27.23

31365 ....... ........... Removal of larynx ....................................................................................... .......................................................... 34.85

31367 ....... ........... Partial removal of larynx ............................................................................... ........................................................ 27.11

31368 ....... ........... Partial removal of larynx ............................................................................... ........................................................ 33.73

31370 ....... ........... Partial removal of larynx ............................................................................... ........................................................ 27.11

31375 ....... ........... Partial removal of larynx ............................................................................... ........................................................ 25.61

31380 ....... ........... Partial removal of larynx ............................................................................... ........................................................ 25.11

31382 ....... ........... Partial removal of larynx ............................................................................... ........................................................ 28.11

31390 ....... ........... Removal of larynx & pharynx ............................................................................. .................................................. 38.72

31395 ....... ........... Reconstruct larynx & pharynx ............................................................................ .................................................. 43.34

31575 ....... ........... Diagnostic laryngoscopy ................................................................................. ...................................................... 1.10

31579 ....... ........... Diagnostic laryngoscopy ................................................................................. ...................................................... 2.26

31622 ....... ........... Dx bronchoscope/wash .................................................................................... .................................................... 2.78

32141 ....... ........... Remove treat lung lesions ............................................................................... ..................................................... 17.14

32442 ....... ........... Sleeve pneumonectomy .................................................................................... ................................................... 37.74

32445 ....... ........... Removal of lung ......................................................................................... .......................................................... 40.73

32484 ....... ........... Segmentectomy ........................................................................................... ......................................................... 22.67

32486 ....... ........... Sleeve lobectomy ........................................................................................ ......................................................... 31.72

32488 ....... ........... Complection pneumonectomy ............................................................................... ............................................... 32.69

32540 ....... ........... Removal of lung lesion .................................................................................. ....................................................... 23.68

32651 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 16.28

32652 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 23.34

32653 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 19.86

32654 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 18.49

32655 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 14.95

32657 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 14.54

32662 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 17.00

32663 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 19.96

32665 ....... ........... Thoracoscopy, surgical .................................................................................. ....................................................... 17.37

32815 ....... ........... Close bronchial fistula ................................................................................. ......................................................... 37.94

33140 ....... ........... Heart vevascularize (lmr) ............................................................................... ....................................................... 22.72

33141 ....... ........... Heart lmr w/other procedure ............................................................................. .................................................... 4.83

33208 ....... ........... Insertion of heart pacemaker ............................................................................ ................................................... 8.12

33300 ....... ........... Repair of heart wound ................................................................................... ....................................................... 29.93

33305 ....... ........... Repair of heart wound ................................................................................... ....................................................... 33.67

33400 ....... ........... Repair of aortic valve .................................................................................. .......................................................... 39.23

33405 ....... ........... Replacement of aortic valve ............................................................................. .................................................... 39.97

33406 ....... ........... Repacement of aortic valve .............................................................................. .................................................... 48.87

33410 ....... ........... Replacement of aortic valve ............................................................................. .................................................... 38.69

33411 ....... ........... Replacement of aortic valve ............................................................................. .................................................... 57.11

33413 ....... ........... Replacement of aortic valve ............................................................................. .................................................... 55.27

33414 ....... ........... Repair of aortic valve .................................................................................. .......................................................... 39.27

33415 ....... ........... Revision, subvalvular tissue ............................................................................ ..................................................... 29.70

33416 ....... ........... Revise ventricule muscle ................................................................................ ...................................................... 36.39

33425 ....... ........... Repair of mitral valve .................................................................................. .......................................................... 38.37

33426 ....... ........... Repair of mitral valve .................................................................................. .......................................................... 41.28

33427 ....... ........... Repair of mitral valve .................................................................................. .......................................................... 42.78

33430 ....... ........... Replacement of mitral valve ............................................................................. .................................................... 49.81


# 37426

——————————

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT



# — Continued

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

33460 ....... ........... Revision of tricuspid valve ............................................................................. ....................................................... 27.97

33463 ....... ........... Valvuloplasty, tricuspid ................................................................................ ......................................................... 42.57

33464 ....... ........... Valvuloplasty, tricuspid ................................................................................ ......................................................... 30.93

33465 ....... ........... Replace tricuspid valve ................................................................................. ....................................................... 33.58

33474 ....... ........... Revision of pulmonary valve ............................................................................. ................................................... 25.85

33475 ....... ........... Replacement, pulmonary valve ............................................................................ ................................................ 44.81

33505 ....... ........... Repair artery w/tunnel .................................................................................. ........................................................ 38.33

33510 ....... ........... CABG, vein, single-vein single .......................................................................... ................................................... 33.45

33511 ....... ........... CABG, vein, two ......................................................................................... .......................................................... 34.59

33512 ....... ........... CABG, vein, three ....................................................................................... ......................................................... 38.73

33513 ....... ........... CABG, vein, four ........................................................................................ .......................................................... 39.69

33514 ....... ........... CABG, vein, five ........................................................................................ ........................................................... 40.50

33516 ....... ........... Cabg, vein, six or more ................................................................................. ....................................................... 41.96

33517 ....... ........... CABG, artery ............................................................................................ ............................................................ 2.57

33518 ....... ........... CABG, artery-vein, two .................................................................................. ....................................................... 4.84

33519 ....... ........... CABG, artery-vein, three ................................................................................ ...................................................... 7.11

33521 ....... ........... CABG, artery-vein, four ................................................................................. ....................................................... 9.39

33522 ....... ........... CABG, artery-vein, five ................................................................................. ........................................................ 11.65

33523 ....... ........... Cabg, art-vein, six or more ............................................................................. ...................................................... 13.93

33530 ....... ........... Coronary artery, bypass/reop ............................................................................ ................................................... 5.85

33533 ....... ........... CABG, arterial, single .................................................................................. ......................................................... 37.38

33534 ....... ........... CABG, arterial, two ..................................................................................... .......................................................... 38.81

33535 ....... ........... CABG, arterial, three ................................................................................... ......................................................... 41.48

33536 ....... ........... Cabg, arterial, four or more ............................................................................ ...................................................... 40.79

33542 ....... ........... Removal of heart lesion ................................................................................. ....................................................... 32.65

33545 ....... ........... Repair of heart demage .................................................................................. ..................................................... 41.12

33641 ....... ........... Repair heart septum defect .............................................................................. .................................................... 28.47

33665 ....... ........... Repair of heart defects ................................................................................. ........................................................ 34.75

33684 ....... ........... Repair heart septum defect .............................................................................. .................................................... 34.27

33688 ....... ........... Repair heart septum defect .............................................................................. .................................................... 34.65

33771 ....... ........... Repair great vessels defect ............................................................................. ..................................................... 40.56

33779 ....... ........... Repair great vessels defect ............................................................................. ..................................................... 43.13

33781 ....... ........... Repair great vessels defect ............................................................................. ..................................................... 43.14

33860 ....... ........... Ascending aortic graft .................................................................................. ......................................................... 43.13

33863 ....... ........... Ascending aortic graft .................................................................................. ......................................................... 48.52

33877 ....... ........... Thoracoabdominal graft .................................................................................. ...................................................... 57.75

33945 ....... ........... Transplantation of heart ................................................................................ ....................................................... 50.14

34001 ....... ........... Removal of artery clot .................................................................................. ........................................................ 17.74

34201 ....... ........... Removal of artery clot .................................................................................. ........................................................ 18.40

34471 ....... ........... Removal of vein clot .................................................................................... ......................................................... 20.94

35081 ....... ........... Repair defect of artery ................................................................................. ......................................................... 33.31

35102 ....... ........... Repair defect of artery ................................................................................. ......................................................... 36.31

35216 ....... ........... Repair blood vessel lesion .............................................................................. ..................................................... 36.43

35506 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 25.19

35508 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 25.95

35515 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 25.95

35516 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 24.07

35556 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 26.56

35566 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 32.16

35583 ....... ........... Vein bypass graft ....................................................................................... ........................................................... 27.56

35585 ....... ........... Vein bypass graft ....................................................................................... ........................................................... 32.16

35606 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 22.32

35616 ....... ........... Artery bypass graft ..................................................................................... .......................................................... 21.70

35820 ....... ........... Explore chest vessels ................................................................................... ........................................................ 30.08

38100 ....... ........... Removal of spleen, total ................................................................................ ....................................................... 19.43

38101 ....... ........... Removal of spleen, partial .............................................................................. ...................................................... 19.43

38115 ....... ........... Repair of ruptured spleen ............................................................................... ...................................................... 21.76

38700 ....... ........... Removal of lymph nodes, neck ............................................................................ ................................................ 12.62

38720 ....... ........... Removal of lymph nodes, neck ............................................................................ ................................................ 21.64

38724 ....... ........... Removal of lymph nodes, neck ............................................................................ ................................................ 23.64

39220 ....... ........... Removal chest lesion .................................................................................... ....................................................... 18.42

39400 ....... ........... Visualization of chest .................................................................................. .......................................................... 5.97

41100 ....... ........... Biopsy of tongue ........................................................................................ ........................................................... 1.37

41120 ....... ........... Partial removal of tongue ............................................................................... ...................................................... 10.83

41130 ....... ........... Partial removal of tongue ............................................................................... ...................................................... 15.43

41135 ....... ........... Tongue and neck surgery ................................................................................. ................................................... 29.71

41140 ....... ........... Removal of tongue ....................................................................................... ........................................................ 28.69


# 37427

——————————

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT



# — Continued

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

41145 ....... ........... Tongue removal, neck surgery ............................................................................ ................................................. 37.47

41150 ....... ........... Tongue, mouth, jaw surgery .............................................................................. ................................................... 29.40

41153 ....... ........... Tongue, mouth, neck surgery ............................................................................. ................................................. 33.16

41155 ....... ........... Tongue, jaw, & neck surgery ............................................................................. ................................................... 39.84

42120 ....... ........... Remove plate/lesion ..................................................................................... ........................................................ 11.62

42842 ....... ........... Extensive surgery of throat ............................................................................. ...................................................... 11.94

42844 ....... ........... Extensive surgery of throat ............................................................................. ...................................................... 17.49

42845 ....... ........... Extensive surgery of throat ............................................................................. ...................................................... 32.27

42890 ....... ........... Partial removal of pharynx .............................................................................. ..................................................... 18.84

42892 ....... ........... Revision of pharyngeal walls ............................................................................ .................................................... 25.67

42894 ....... ........... Revision of pharyngeal walls ............................................................................ .................................................... 33.49

43108 ....... ........... Removal of esophagus .................................................................................... ..................................................... 63.23

43113 ....... ........... Removal of esophagus .................................................................................... ..................................................... 46.95

43116 ....... ........... Partial removal of esophagus ............................................................................ ................................................... 71.39

43118 ....... ........... Partial removal of esophagus ............................................................................ ................................................... 52.07

43121 ....... ........... Partial removal of esophagus ............................................................................ ................................................... 46.35

43123 ....... ........... Partial removal of esophagus ............................................................................ ................................................... 63.83

43124 ....... ........... Removal of esophagus .................................................................................... ..................................................... 64.63

43135 ....... ........... Removal of esophagus pouch .............................................................................. ................................................ 22.37

43235 ....... ........... Uppr gi endoscopy, diagnosis ............................................................................ .................................................. 2.39

43246 ....... ........... Place gastrostomy tube .................................................................................. ...................................................... 4.32

43620 ....... ........... Removal of stomach ...................................................................................... ....................................................... 33.85

43621 ....... ........... Removal of stomach ...................................................................................... ....................................................... 39.34

43622 ....... ........... Removal of stomach ...................................................................................... ....................................................... 39.84

43632 ....... ........... Removal of stomach, partial ............................................................................. .................................................... 34.95

43633 ....... ........... Removal of stomach, partial ............................................................................. .................................................... 32.95

43634 ....... ........... Removal of stomach, partial ............................................................................. .................................................... 36.45

43750 ....... ........... Place gastrostomy tube .................................................................................. ...................................................... 4.60

43820 ....... ........... Fusion of stomach and bowel ............................................................................. ................................................. 22.34

43840 ....... ........... Repair of stomach lesion ................................................................................ ...................................................... 22.64

44120 ....... ........... Removal of small intenstive ............................................................................. ..................................................... 20.70

44130 ....... ........... Bowel to bowel fusion ................................................................................... ....................................................... 21.92

44140 ....... ........... Partial removal of colon ................................................................................ ........................................................ 22.40

44141 ....... ........... Partial removal of colon ................................................................................ ........................................................ 29.69

44143 ....... ........... Partial removal of colon ................................................................................ ........................................................ 29.69

44144 ....... ........... Partial removal of colon ................................................................................ ........................................................ 27.57

44145 ....... ........... Partial removal of colon ................................................................................ ........................................................ 28.39

44146 ....... ........... Partial removal of colon ................................................................................ ........................................................ 35.08

44147 ....... ........... Partial removal of colon ................................................................................ ........................................................ 33.50

44150 ....... ........... Removal of colon ........................................................................................ .......................................................... 29.91

44151 ....... ........... Removal of colon/leostomy ............................................................................... ................................................... 34.65

44155 ....... ........... Removal of colon/leostomy ............................................................................... ................................................... 34.15

44156 ....... ........... Removal of colon/leostomy ............................................................................... ................................................... 37.15

44602 ....... ........... Suture, small intestine ................................................................................. ......................................................... 24.60

44603 ....... ........... Suture, small intestine ................................................................................. ......................................................... 27.97

45020 ....... ........... Drainage of rectal abscess .............................................................................. ..................................................... 8.37

45300 ....... ........... Proctosigmoidoscopy w/bx ................................................................................ ................................................... 0.38

45303 ....... ........... Proctosigmoidoscoy dilate ............................................................................... ..................................................... 0.44

45305 ....... ........... Procosigmoidoscopy w/bx ................................................................................. ................................................... 1.01

45307 ....... ........... Proctosigmoidoscopy fb .................................................................................. ..................................................... 0.94

45308 ....... ........... Proctosigmoidoscopy removal ............................................................................. ................................................. 0.83

45309 ....... ........... Proctosigmoidoscopy removal ............................................................................. ................................................. 2.01

45315 ....... ........... Proctosigmoidoscopy removal ............................................................................. ................................................. 1.40

45317 ....... ........... Proctosigmoidoscopy bleed ............................................................................... ................................................... 1.50

45320 ....... ........... Proctosigmoidoscopy ablate .............................................................................. ................................................... 1.58

45321 ....... ........... Proctosigmoidoscopy volvul .............................................................................. ................................................... 1.17

45327 ....... ........... Proctosigmoidoscopy w/slent ............................................................................. .................................................. 1.65

45330 ....... ........... Diagnostic sigmoidoscopy ................................................................................ .................................................... 0.96

45378 ....... ........... Diagnostic colonoscopy .................................................................................. ...................................................... 3.69

46040 ....... ........... Incision of rectal abscess .............................................................................. ....................................................... 5.20

46045 ....... ........... Incision of rectal abscess .............................................................................. ....................................................... 5.75

46060 ....... ........... Incision of rectal abscess .............................................................................. ....................................................... 6.18

46270 ....... ........... Removal of anal fistula ................................................................................. ........................................................ 4.75

46275 ....... ........... Removal of anal fistula ................................................................................. ........................................................ 5.25

46280 ....... ........... Removal of anal fistula ................................................................................. ........................................................ 6.22

46285 ....... ........... Removal of anal fistula ................................................................................. ........................................................ 5.25

46600 ....... ........... Diagnostic anoscopy ..................................................................................... ....................................................... 0.50


# 37428

——————————

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT



# — Continued

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

46604 ....... ........... Anoscopy and dilation ................................................................................... ....................................................... 1.31

46606 ....... ........... Anoscopy and biopsy ..................................................................................... ...................................................... 0.81

46608 ....... ........... Anoscopy, remove for body ............................................................................... ................................................... 1.51

46610 ....... ........... Anoscopy, remove lesion ................................................................................. .................................................... 1.32

46611 ....... ........... Anoscopy ................................................................................................ .............................................................. 1.81

46612 ....... ........... Anoscopy, remove lesions ................................................................................ ................................................... 2.34

46614 ....... ........... Anoscopy, control bleeding .............................................................................. .................................................... 2.01

46615 ....... ........... Anoscopy ................................................................................................ .............................................................. 2.68

47562 ....... ........... Laparoscopic cholecystectomy ............................................................................ ................................................. 11.57

47600 ....... ........... Removal of gallbladder .................................................................................. ....................................................... 15.44

47760 ....... ........... Fuse bile ducts and bowel ............................................................................... .................................................... 38.08

47765 ....... ........... Fuse liver ducts and bowel .............................................................................. ..................................................... 51.95

47780 ....... ........... Fuse bile ducts and bowel ............................................................................... .................................................... 42.08

47785 ....... ........... Fuse bile ducts and bowel ............................................................................... .................................................... 55.95

49002 ....... ........... Reopening of abdomen .................................................................................... .................................................... 17.51

49010 ....... ........... Exploration behind abdomen .............................................................................. .................................................. 15.94

49505 ....... ........... Prp i/hern init reduc >5 yr ............................................................................. ........................................................ 7.84

50590 ....... ........... Fragmenting of kidney stone ............................................................................. ................................................... 9.58

51720 ....... ........... Treatment of bladder lesion ............................................................................. ..................................................... 1.50

51798 ....... ........... Us urine capacity measure ............................................................................... .................................................... 0.00

52000 ....... ........... Cystoscopy .............................................................................................. ............................................................. 2.23

52204 ....... ........... Cystoscopy .............................................................................................. ............................................................. 2.59

52601 ....... ........... Prostatectomy (TURP) .................................................................................... ...................................................... 15.07

55700 ....... ........... Biopsy of prostate ...................................................................................... ........................................................... 2.58

57160 ....... ........... Insert pessary/other device ............................................................................. ..................................................... 0.89

57240 ....... ........... Repair bladder & vagina ................................................................................. ...................................................... 11.38

57250 ....... ........... Repair rectum & vagina .................................................................................. ...................................................... 11.38

57260 ....... ........... Repair vagina ........................................................................................... ............................................................ 14.32

57265 ....... ........... Extensive repair of vagina .............................................................................. ...................................................... 15.82

57288 ....... ........... Repair bladder defect ................................................................................... ........................................................ 13.95

57500 ....... ........... Biopsy of cervix ........................................................................................ ............................................................ 1.20

58120 ....... ........... Dilation and curettage .................................................................................. ........................................................ 3.52

58150 ....... ........... Total hysterectomy ...................................................................................... ......................................................... 17.17

58720 ....... ........... Removal of ovary/tube(s) ................................................................................ ..................................................... 12.04

60600 ....... ........... Remove carotid body lesion .............................................................................. ................................................... 24.95

60605 ....... ........... Remove carotid body lesion .............................................................................. ................................................... 31.82

61154 ....... ........... Pierce skull & remove clot .............................................................................. ...................................................... 16.86

61312 ....... ........... Open skull for drainage ................................................................................. ....................................................... 30.03

61537 ....... ........... Removal of brain tissue ................................................................................. ....................................................... 36.31

61538 ....... ........... Removal of brain tissue ................................................................................. ....................................................... 39.31

61697 ....... ........... Brain aneurysm repr, complx ............................................................................. .................................................. 63.16

61698 ....... ........... Brain aneurysm repr, complx ............................................................................. .................................................. 69.39

61700 ....... ........... Brain aneurysm repr, simple ............................................................................. ................................................... 50.44

61702 ....... ........... Inner skull vessel surgery .............................................................................. ....................................................... 59.80

62270 ....... ........... Spinal fluid tap, diagnostic ............................................................................ ....................................................... 1.37

63047 ....... ........... Removal of spinal lamina ................................................................................ ..................................................... 15.16

63048 ....... ........... Remove spinal lamina add-on ............................................................................. ................................................. 3.26

63075 ....... ........... Neck spine disk surgery ................................................................................. ...................................................... 19.41

64702 ....... ........... Revise finger/toe nerve ................................................................................. ....................................................... 6.02

64721 ....... ........... Carpal tunnel surgery ................................................................................... ........................................................ 4.78

65426 ....... ........... Removal of eye lesion ................................................................................... ....................................................... 5.85

65850 ....... ........... Incision of eye ......................................................................................... ............................................................. 11.14

66761 ....... ........... Revision of iris ........................................................................................ .............................................................. 4.81

66821 ....... ........... After cataract laser surgery ............................................................................ ...................................................... 3.28

66984 ....... ........... Cataract surg w/iol, 1 stage ............................................................................ ...................................................... 10.28

67221 ....... ........... Ocular photodynamic ther ................................................................................ .................................................... 3.45

67414 ....... ........... Explr/decompress eye socket ............................................................................. ................................................. 17.72

67445 ....... ........... Explr/decompress eye socket ............................................................................. ................................................. 18.90

67500 ....... ........... Inject/treat eye socket ................................................................................. ......................................................... 1.44

67505 ....... ........... Inject/treat eye socket ................................................................................. ......................................................... 1.27

67515 ....... ........... Inject/treat eye socket ................................................................................. ......................................................... 1.40

67820 ....... ........... Revise eyelashes ........................................................................................ ......................................................... 0.71

67840 ....... ........... Remove eyelid lesion .................................................................................... ....................................................... 2.04

67904 ....... ........... Repair eyelid defect .................................................................................... .......................................................... 7.75

67911 ....... ........... Revise eyelid defect .................................................................................... ......................................................... 7.30

67966 ....... ........... Revision of eyelid ...................................................................................... ........................................................... 8.75

68840 ....... ........... Explore/irrigate tear ducts ............................................................................. ....................................................... 1.25


# 37429

——————————

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT



# — Continued

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

69210 ....... ........... Remove impacted ear wax ................................................................................. .................................................. 0.61

70355 ....... ........... Panoramic x-ray of jaws ................................................................................. ...................................................... 0.20

71010 ....... ........... Chest x-ray ............................................................................................. .............................................................. 0.18

71020 ....... ........... Chest x-ray ............................................................................................. .............................................................. 0.22

71260 ....... ........... Ct thorax w/dye ......................................................................................... ........................................................... 1.24

72192 ....... ........... Ct pelvis w/o dye ....................................................................................... ........................................................... 1.09

72193 ....... ........... Ct pelvis w/dye ......................................................................................... ............................................................ 1.16

73100 ....... ........... X-ray exam of wrist ..................................................................................... .......................................................... 0.16

73110 ....... ........... X-ray exam of wrist ..................................................................................... .......................................................... 0.17

73120 ....... ........... X-ray exam of hand ...................................................................................... ........................................................ 0.16

73130 ....... ........... X-ray exam of hand ...................................................................................... ........................................................ 0.17

73140 ....... ........... X-ray exam of finger(s) ................................................................................. ........................................................ 0.13

74000 ....... ........... X-ray exam of abdomen ................................................................................... .................................................... 0.18

74020 ....... ........... X-ray exam of abdomen ................................................................................... .................................................... 0.27

74022 ....... ........... X-ray exam series, abdomen .............................................................................. ................................................. 0.32

74150 ....... ........... Ct abdomen w/o dye ...................................................................................... ...................................................... 1.19

74160 ....... ........... Ct abdomen w/dye ........................................................................................ ....................................................... 1.27

76075 ....... ........... Dxa bone density, axial ................................................................................. ....................................................... 0.20

76519 ....... ........... Echo exam of eye ........................................................................................ ........................................................ 0.54

76700 ....... ........... Us exam, abdom, complete ................................................................................ .................................................. 0.81

76830 ....... ........... Transvaginal us, non-ob ................................................................................. ...................................................... 0.69

77263 ....... ........... Radiation therapy planning .............................................................................. ..................................................... 3.14

77280 ....... ........... Set radiation therapy field ............................................................................. ....................................................... 0.70

77290 ....... ........... Set radiation therapy field ............................................................................. ....................................................... 1.56

77300 ....... ........... Radiation therapy dose plan ............................................................................. ................................................... 0.62

77315 ....... ........... Teletx isodose plan complex ............................................................................. ................................................... 1.56

77331 ....... ........... Special radiation dosimetry ............................................................................. ..................................................... 0.87

77334 ....... ........... Radiation treatment aid(s) .............................................................................. ...................................................... 1.24

77470 ....... ........... Special radiation treatment ............................................................................. ...................................................... 2.09

78306 ....... ........... Bone imaging, whole body ................................................................................ ................................................... 0.86

78315 ....... ........... Bone imaging, 3 phase ................................................................................... ..................................................... 1.02

78465 ....... ........... Heart image (3d), multiple .............................................................................. ...................................................... 1.46

78478 ....... ........... Heart wall motion add-on ................................................................................ ..................................................... 0.50

78480 ....... ........... Heart function add-on ................................................................................... ........................................................ 0.30

88309 ....... ........... Tissue exam by pathologist .............................................................................. .................................................... 2.80

88321 ....... ........... Microslide consultation ................................................................................. ........................................................ 1.63

88323 ....... ........... Microslide consultation ................................................................................. ........................................................ 1.83

88325 ....... ........... Comprehensive review of data ............................................................................ ................................................. 2.50

92083 ....... ........... Visual field examination(s) ............................................................................. ...................................................... 0.50

92226 ....... ........... Special eye exam, subsequent ............................................................................ ................................................ 0.33

92235 ....... ........... Eye exam with photos .................................................................................... ...................................................... 0.81

92250 ....... ........... Eye exam with photos .................................................................................... ...................................................... 0.44

93010 ....... ........... Electrocardiogram report ................................................................................ ...................................................... 0.17

93015 ....... ........... Cardiovascular stress test .............................................................................. ...................................................... 0.75

93018 ....... ........... Cardiovascular stress test .............................................................................. ...................................................... 0.30

94010 ....... ........... Breathing capacity test ................................................................................. ........................................................ 0.17

95144 ....... ........... Antigen therapy services ................................................................................ ...................................................... 0.06

95165 ....... ........... Antigen therapy services ................................................................................ ...................................................... 0.06

95816 ....... ........... Eeg, awake and drowsy ................................................................................... .................................................... 1.08

95819 ....... ........... Eeg, awake and asleep ................................................................................... ..................................................... 1.08

95861 ....... ........... Muscle test, 2 limbs .................................................................................... .......................................................... 1.54

95872 ....... ........... Muscle test, one fiber .................................................................................. ......................................................... 2.00

95900 ....... ........... Motor nerve conduction test ............................................................................. .................................................... 0.42

95904 ....... ........... Sense nerve conduction test ............................................................................. ................................................... 0.34

95925 ....... ........... Somatosensory testing ................................................................................... ...................................................... 0.54

95926 ....... ........... Somatosensory testing ................................................................................... ...................................................... 0.54

95927 ....... ........... Somatosensory testing ................................................................................... ...................................................... 0.54

95953 ....... ........... EEG monitoring/computer ................................................................................. ................................................... 3.30

99201 ....... ........... Office/outpatient visit, new ............................................................................ ....................................................... 0.45

99202 ....... ........... Office/outpatient visit, new ............................................................................ ....................................................... 0.88

99203 ....... ........... Office/outpatient visit, new ............................................................................ ....................................................... 1.34

99204 ....... ........... Office/outpatient visit, new ............................................................................ ....................................................... 2.30

99205 ....... ........... Office/outpatient visit, new ............................................................................ ....................................................... 3.00

99211 ....... ........... Office/outpatient visit, est ............................................................................ ......................................................... 0.17

99212 ....... ........... Office/outpatient visit, est ............................................................................ ......................................................... 0.45

99213 ....... ........... Office/outpatient visit, est ............................................................................ ......................................................... 0.92

99214 ....... ........... Office/outpatient visit, est ............................................................................ ......................................................... 1.42


# 37430

A DDENDUM 

# C.

— C ODES 

# W ITH 

# W ORK 

# RVU S 

# S UBJECT TO 

# C OMMENT



# — Continued

CPT

Code 1 

# Mod Descriptor Proposed

work RVU

99215 ....... ........... Office/outpatient visit, est ............................................................................ ......................................................... 2.00

99221 ....... ........... Initial hospital care ................................................................................... ............................................................. 1.88

99222 ....... ........... Initial hospital care ................................................................................... ............................................................. 2.56

99223 ....... ........... Initial hospital care ................................................................................... ............................................................. 3.78

99231 ....... ........... Subsequent hospital care ................................................................................ ..................................................... 0.76

99232 ....... ........... Subsequent hospital care ................................................................................ ..................................................... 1.39

99233 ....... ........... Subsequent hospital care ................................................................................ ..................................................... 2.00

99238 ....... ........... Hospital discharge day .................................................................................. ....................................................... 1.28

99239 ....... ........... Hospital discharge day .................................................................................. ....................................................... 1.90

99241 ....... ........... Office consultation ..................................................................................... ........................................................... 0.64

99242 ....... ........... Office consultation ..................................................................................... ........................................................... 1.34

99243 ....... ........... Office consultation ..................................................................................... ........................................................... 1.88

99244 ....... ........... Office consultation ..................................................................................... ........................................................... 3.02

99245 ....... ........... Office consultation ..................................................................................... ........................................................... 3.77

99251 ....... ........... Initial inpatient consult ............................................................................... ........................................................... 1.00

99252 ....... ........... Initial inpatient consult ............................................................................... ........................................................... 1.50

99253 ....... ........... Initial inpatient consult ............................................................................... ........................................................... 2.27

99254 ....... ........... Initial inpatient consult ............................................................................... ........................................................... 3.29

99255 ....... ........... Initial inpatient consult ............................................................................... ........................................................... 4.00

99281 ....... ........... Emergency dept visit .................................................................................... ........................................................ 0.45

99282 ....... ........... Emergency dept visit .................................................................................... ........................................................ 0.88

99283 ....... ........... Emergency dept visit .................................................................................... ........................................................ 1.34

99284 ....... ........... Emergency dept visit .................................................................................... ........................................................ 2.56

99285 ....... ........... Emergency dept visit .................................................................................... ........................................................ 3.80

99291 ....... ........... Critical care, first hour ............................................................................... ........................................................... 4.50

99292 ....... ........... Critical care, addl 30 min .............................................................................. ........................................................ 2.25

1 

# CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS App ly.

**Note:** The proposed work RVUs for 10- and 90-day global period codes include the application of the RUC- recommended values for the E/ M services that are included as part of the

global period for the service. 

# Federal Register / Vol. 71, No. 125 / Thursday, June 29, 2006 / Notices

[FR Doc. 06

– 5665 Filed 6

– 21

– 06; 8:45 am]

**BILLING CODE 4120**

**– 01** 

**– P** 



# VerDate Aug<31>2005 17:16 Jun 28, 2006 Jkt 208001 PO 00000 Frm 00262 Fmt 4701 Sfmt 4701 E:\FR\FM\29JNN2.SGM 29JNN2jlentini on PROD1PC65 with NOTICES2