2006 proposed fee schedule - American Society of Clinical Oncology
2006 proposed fee schedule - American Society of Clinical Oncology 2006 proposed fee schedule - American Society of Clinical Oncology
ADDENDUM B: RELATIVE VALUE UNITS (RVUs) AND RELATED INFORMATION Physician work Facility PE RVUs 1 CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. 2 Copyright 2005 American Dental Association. All rights reserved. 3 +Indicates RVUs are not used for Medicare payment. Malpractice RVUs Nonfacility Total CPT 1 / HCPCS 2 Mod Status Description RVUs 3 Non-facility Facility PE RVUs Total Global 21080 A Prepare face/oral prosthesis 25.11 23.16 18.23 3.74 52.01 47.08 090 21081 A Prepare face/oral prosthesis 22.90 21.14 16.42 3.20 47.24 42.52 090 21082 A Prepare face/oral prosthesis 20.88 18.48 14.83 3.11 42.47 38.82 090 21083 A Prepare face/oral prosthesis 19.31 17.90 13.57 2.88 40.09 35.76 090 21084 A Prepare face/oral prosthesis 22.52 21.12 16.44 2.18 45.82 41.15 090 21085 A Prepare face/oral prosthesis 9.01 8.28 6.79 1.27 18.56 17.07 010 21086 A Prepare face/oral prosthesis 24.93 22.34 18.15 3.71 50.98 46.79 090 21087 A Prepare face/oral prosthesis 24.93 22.11 18.05 3.44 50.48 46.42 090 21088 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 090 21089 C Prepare face/oral prosthesis 0.00 0.00 0.00 0.00 0.00 0.00 090 21100 A Maxillofacial fixation 4.22 11.76 4.79 0.34 16.32 9.35 090 21110 A Interdental fixation 5.21 10.08 8.54 0.72 16.01 14.47 090 21116 A Injection, jaw joint x-ray 0.81 4.08 0.34 0.06 4.95 1.21 000 21120 A Reconstruction of chin 4.93 10.42 7.29 0.60 15.95 12.82 090 21121 A Reconstruction of chin 7.65 9.92 7.81 0.90 18.47 16.36 090 21122 A Reconstruction of chin 8.53 NA 8.55 1.07 NA 18.15 090 21123 A Reconstruction of chin 11.16 NA 10.59 1.40 NA 23.15 090 21125 A Augmentation, lower jaw bone 10.62 55.80 8.18 0.79 67.21 19.59 090 21127 A Augmentation, lower jaw bone 11.12 48.12 9.27 1.52 60.76 21.91 090 21137 A Reduction of forehead 9.83 NA 7.48 1.32 NA 18.63 090 21138 A Reduction of forehead 12.19 NA 9.25 1.74 NA 23.18 090 21139 A Reduction of forehead 14.62 NA 11.13 1.18 NA 26.93 090 21141 A Reconstruct midface, lefort 18.11 NA 13.41 2.35 NA 33.87 090 21142 A Reconstruct midface, lefort 18.82 NA 12.75 2.38 NA 33.95 090 21143 A Reconstruct midface, lefort 19.59 NA 14.37 1.66 NA 35.62 090 21145 A Reconstruct midface, lefort 19.95 NA 13.66 2.84 NA 36.45 090 21146 A Reconstruct midface, lefort 20.72 NA 15.04 3.09 NA 38.85 090 21147 A Reconstruct midface, lefort 21.78 NA 14.88 1.84 NA 38.51 090 21150 A Reconstruct midface, lefort 25.25 NA 16.60 2.55 NA 44.40 090 21151 A Reconstruct midface, lefort 28.32 NA 21.89 2.30 NA 52.51 090
ADDENDUM B: RELATIVE VALUE UNITS (RVUs) AND RELATED INFORMATION Physician work Facility PE RVUs 1 CPT codes and descriptions only are copyright 2005 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. 2 Copyright 2005 American Dental Association. All rights reserved. 3 +Indicates RVUs are not used for Medicare payment. Malpractice RVUs Nonfacility Total CPT 1 / HCPCS 2 Mod Status Description RVUs 3 Non-facility Facility PE RVUs Total Global 21154 A Reconstruct midface, lefort 30.53 NA 22.45 2.48 NA 55.46 090 21155 A Reconstruct midface, lefort 34.47 NA 23.33 6.64 NA 64.44 090 21159 A Reconstruct midface, lefort 42.40 NA 27.95 8.18 NA 78.53 090 21160 A Reconstruct midface, lefort 46.46 NA 27.92 4.13 NA 78.51 090 21172 A Reconstruct orbit/forehead 27.82 NA 13.53 3.55 NA 44.90 090 21175 A Reconstruct orbit/forehead 33.19 NA 17.38 4.83 NA 55.40 090 21179 A Reconstruct entire forehead 22.26 NA 13.72 2.80 NA 38.78 090 21180 A Reconstruct entire forehead 25.20 NA 14.96 3.48 NA 43.65 090 21181 A Contour cranial bone lesion 9.91 NA 7.23 1.32 NA 18.46 090 21182 A Reconstruct cranial bone 32.20 NA 18.55 2.80 NA 53.56 090 21183 A Reconstruct cranial bone 35.33 NA 20.24 4.47 NA 60.04 090 21184 A Reconstruct cranial bone 38.26 NA 21.33 5.70 NA 65.29 090 21188 A Reconstruction of midface 22.47 NA 18.35 1.69 NA 42.52 090 21193 A Reconst lwr jaw w/o graft 17.15 NA 12.42 2.23 NA 31.81 090 21194 A Reconst lwr jaw w/graft 19.85 NA 13.45 2.02 NA 35.32 090 21195 A Reconst lwr jaw w/o fixation 17.24 NA 14.61 1.64 NA 33.50 090 21196 A Reconst lwr jaw w/fixation 18.92 NA 15.41 2.07 NA 36.40 090 21198 A Reconstr lwr jaw segment 14.17 NA 12.46 1.44 NA 28.07 090 21199 A Reconstr lwr jaw w/advance 16.01 NA 8.90 1.39 NA 26.30 090 21206 A Reconstruct upper jaw bone 14.11 NA 12.46 1.33 NA 27.90 090 21208 A Augmentation of facial bones 10.23 23.47 9.29 1.09 34.79 20.61 090 21209 A Reduction of facial bones 6.72 10.88 7.90 0.90 18.50 15.52 090 21210 A Face bone graft 10.23 27.25 9.15 1.30 38.78 20.68 090 21215 A Lower jaw bone graft 10.77 47.37 9.24 1.53 59.67 21.54 090 21230 A Rib cartilage graft 10.77 NA 7.79 1.29 NA 19.85 090 21235 A Ear cartilage graft 6.72 10.18 6.28 0.61 17.52 13.62 090 21240 A Reconstruction of jaw joint 14.06 NA 11.95 2.24 NA 28.25 090 21242 A Reconstruction of jaw joint 12.96 NA 11.42 1.78 NA 26.15 090 21243 A Reconstruction of jaw joint 20.80 NA 17.27 3.25 NA 41.33 090 21244 A Reconstruction of lower jaw 11.86 NA 11.91 1.25 NA 25.02 090
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ADDENDUM B: RELATIVE VALUE UNITS (RVUs) AND RELATED INFORMATION<br />
Physician<br />
work<br />
Facility<br />
PE<br />
RVUs<br />
1 CPT codes and descriptions only are copyright 2005 <strong>American</strong> Medical Association. All rights reserved. Applicable FARS/DFARS apply.<br />
2 Copyright 2005 <strong>American</strong> Dental Association. All rights reserved.<br />
3 +Indicates RVUs are not used for Medicare payment.<br />
Malpractice<br />
RVUs<br />
Nonfacility<br />
Total<br />
CPT 1 /<br />
HCPCS 2 Mod Status Description<br />
RVUs 3<br />
Non-facility<br />
Facility<br />
PE RVUs<br />
Total Global<br />
21154 A Reconstruct midface, lefort 30.53 NA 22.45 2.48 NA 55.46 090<br />
21155 A Reconstruct midface, lefort 34.47 NA 23.33 6.64 NA 64.44 090<br />
21159 A Reconstruct midface, lefort 42.40 NA 27.95 8.18 NA 78.53 090<br />
21160 A Reconstruct midface, lefort 46.46 NA 27.92 4.13 NA 78.51 090<br />
21172 A Reconstruct orbit/forehead 27.82 NA 13.53 3.55 NA 44.90 090<br />
21175 A Reconstruct orbit/forehead 33.19 NA 17.38 4.83 NA 55.40 090<br />
21179 A Reconstruct entire forehead 22.26 NA 13.72 2.80 NA 38.78 090<br />
21180 A Reconstruct entire forehead 25.20 NA 14.96 3.48 NA 43.65 090<br />
21181 A Contour cranial bone lesion 9.91 NA 7.23 1.32 NA 18.46 090<br />
21182 A Reconstruct cranial bone 32.20 NA 18.55 2.80 NA 53.56 090<br />
21183 A Reconstruct cranial bone 35.33 NA 20.24 4.47 NA 60.04 090<br />
21184 A Reconstruct cranial bone 38.26 NA 21.33 5.70 NA 65.29 090<br />
21188 A Reconstruction <strong>of</strong> midface 22.47 NA 18.35 1.69 NA 42.52 090<br />
21193 A Reconst lwr jaw w/o graft 17.15 NA 12.42 2.23 NA 31.81 090<br />
21194 A Reconst lwr jaw w/graft 19.85 NA 13.45 2.02 NA 35.32 090<br />
21195 A Reconst lwr jaw w/o fixation 17.24 NA 14.61 1.64 NA 33.50 090<br />
21196 A Reconst lwr jaw w/fixation 18.92 NA 15.41 2.07 NA 36.40 090<br />
21198 A Reconstr lwr jaw segment 14.17 NA 12.46 1.44 NA 28.07 090<br />
21199 A Reconstr lwr jaw w/advance 16.01 NA 8.90 1.39 NA 26.30 090<br />
21206 A Reconstruct upper jaw bone 14.11 NA 12.46 1.33 NA 27.90 090<br />
21208 A Augmentation <strong>of</strong> facial bones 10.23 23.47 9.29 1.09 34.79 20.61 090<br />
21209 A Reduction <strong>of</strong> facial bones 6.72 10.88 7.90 0.90 18.50 15.52 090<br />
21210 A Face bone graft 10.23 27.25 9.15 1.30 38.78 20.68 090<br />
21215 A Lower jaw bone graft 10.77 47.37 9.24 1.53 59.67 21.54 090<br />
21230 A Rib cartilage graft 10.77 NA 7.79 1.29 NA 19.85 090<br />
21235 A Ear cartilage graft 6.72 10.18 6.28 0.61 17.52 13.62 090<br />
21240 A Reconstruction <strong>of</strong> jaw joint 14.06 NA 11.95 2.24 NA 28.25 090<br />
21242 A Reconstruction <strong>of</strong> jaw joint 12.96 NA 11.42 1.78 NA 26.15 090<br />
21243 A Reconstruction <strong>of</strong> jaw joint 20.80 NA 17.27 3.25 NA 41.33 090<br />
21244 A Reconstruction <strong>of</strong> lower jaw 11.86 NA 11.91 1.25 NA 25.02 090