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 22116 A Remove extra spine segment 2.32 NA 1.14 0.50 NA 3.96 ZZZ 22210 A Revision of neck spine 23.83 NA 15.05 5.44 NA 44.31 090 22212 A Revision of thorax spine 19.43 NA 12.99 3.90 NA 36.32 090 22214 A Revision of lumbar spine 19.46 NA 13.43 3.91 NA 36.80 090 22216 A Revise, extra spine segment 6.04 NA 3.04 1.29 NA 10.37 ZZZ 22220 A Revision of neck spine 21.38 NA 13.33 5.06 NA 39.78 090 22222 A Revision of thorax spine 21.53 NA 11.12 4.12 NA 36.78 090 22224 A Revision of lumbar spine 21.53 NA 13.85 4.18 NA 39.56 090 22226 A Revise, extra spine segment 6.04 NA 3.00 1.29 NA 10.34 ZZZ 22305 A Treat spine process fracture 2.05 2.25 1.86 0.39 4.69 4.31 090 22310 A Treat spine fracture 2.62 2.72 2.28 0.50 5.84 5.40 090 22315 A Treat spine fracture 8.85 9.37 7.16 1.85 20.07 17.86 090 22318 A Treat odontoid fx w/o graft 21.51 NA 13.09 5.28 NA 39.89 090 22319 A Treat odontoid fx w/graft 24.01 NA 14.38 6.03 NA 44.41 090 22325 A Treat spine fracture 18.31 NA 11.94 3.87 NA 34.12 090 22326 A Treat neck spine fracture 19.60 NA 12.41 4.42 NA 36.43 090 22327 A Treat thorax spine fracture 19.21 NA 12.28 3.98 NA 35.47 090 22328 A Treat each add spine fx 4.61 NA 2.21 0.94 NA 7.76 ZZZ 22505 A Manipulation of spine 1.87 NA 0.92 0.36 NA 3.15 010 22520 A Percut vertebroplasty thor 8.92 60.09 5.24 1.71 70.72 15.87 010 22521 A Percut vertebroplasty lumb 8.35 54.29 5.08 1.60 64.24 15.03 010 22522 A Percut vertebroplasty addªl 4.31 NA 1.70 0.82 NA 6.83 ZZZ 22532 A Lat thorax spine fusion 24.01 NA 14.47 4.34 NA 42.82 090 22533 A Lat lumbar spine fusion 23.14 NA 13.34 3.15 NA 39.63 090 22534 A Lat thor/lumb, addªl seg 6.00 NA 2.95 1.25 NA 10.20 ZZZ 22548 A Neck spine fusion 25.83 NA 15.46 5.59 NA 46.88 090 22554 A Neck spine fusion 18.63 NA 12.07 4.45 NA 35.15 090 22556 A Thorax spine fusion 23.47 NA 14.33 4.34 NA 42.14 090 22558 A Lumbar spine fusion 22.29 NA 12.94 3.15 NA 38.39 090 22585 A Additional spinal fusion 5.53 NA 2.72 1.25 NA 9.50 ZZZ
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 22590 A Spine & skull spinal fusion 20.52 NA 13.02 4.78 NA 38.32 090 22595 A Neck spinal fusion 19.40 NA 12.54 4.40 NA 36.34 090 22600 A Neck spine fusion 16.15 NA 10.93 3.72 NA 30.80 090 22610 A Thorax spine fusion 16.03 NA 11.12 3.52 NA 30.67 090 22612 A Lumbar spine fusion 21.01 NA 13.81 4.46 NA 39.28 090 22614 A Spine fusion, extra segment 6.44 NA 3.25 1.38 NA 11.08 ZZZ 22630 A Lumbar spine fusion 20.85 NA 13.27 4.72 NA 38.84 090 22632 A Spine fusion, extra segment 5.23 NA 2.59 1.16 NA 8.98 ZZZ 22800 A Fusion of spine 18.26 NA 12.40 3.75 NA 34.41 090 22802 A Fusion of spine 30.89 NA 19.00 6.15 NA 56.04 090 22804 A Fusion of spine 36.29 NA 22.00 6.98 NA 65.27 090 22808 A Fusion of spine 26.28 NA 15.86 4.92 NA 47.07 090 22810 A Fusion of spine 30.28 NA 17.84 5.13 NA 53.25 090 22812 A Fusion of spine 32.72 NA 19.47 5.28 NA 57.46 090 22818 A Kyphectomy, 1-2 segments 31.84 NA 18.38 6.45 NA 56.67 090 22819 A Kyphectomy, 3 or more 36.46 NA 19.51 7.65 NA 63.63 090 22830 A Exploration of spinal fusion 10.85 NA 7.73 2.29 NA 20.87 090 22840 A Insert spine fixation device 12.55 NA 6.31 2.78 NA 21.63 ZZZ 22841 B Insert spine fixation device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 22842 A Insert spine fixation device 12.59 NA 6.32 2.74 NA 21.64 ZZZ 22843 A Insert spine fixation device 13.47 NA 6.41 2.85 NA 22.73 ZZZ 22844 A Insert spine fixation device 16.45 NA 8.49 3.18 NA 28.12 ZZZ 22845 A Insert spine fixation device 11.96 NA 5.91 2.85 NA 20.72 ZZZ 22846 A Insert spine fixation device 12.42 NA 6.16 2.95 NA 21.53 ZZZ 22847 A Insert spine fixation device 13.81 NA 6.82 2.99 NA 23.62 ZZZ 22848 A Insert pelv fixation device 6.00 NA 3.09 1.15 NA 10.24 ZZZ 22849 A Reinsert spinal fixation 18.52 NA 11.40 3.89 NA 33.80 090 22850 A Remove spine fixation device 9.53 NA 6.80 2.04 NA 18.37 090 22851 A Apply spine prosth device 6.71 NA 3.27 1.49 NA 11.47 ZZZ 22852 A Remove spine fixation device 9.02 NA 6.60 1.89 NA 17.50 090
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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 />
22590 A Spine & skull spinal fusion 20.52 NA 13.02 4.78 NA 38.32 090<br />
22595 A Neck spinal fusion 19.40 NA 12.54 4.40 NA 36.34 090<br />
22600 A Neck spine fusion 16.15 NA 10.93 3.72 NA 30.80 090<br />
22610 A Thorax spine fusion 16.03 NA 11.12 3.52 NA 30.67 090<br />
22612 A Lumbar spine fusion 21.01 NA 13.81 4.46 NA 39.28 090<br />
22614 A Spine fusion, extra segment 6.44 NA 3.25 1.38 NA 11.08 ZZZ<br />
22630 A Lumbar spine fusion 20.85 NA 13.27 4.72 NA 38.84 090<br />
22632 A Spine fusion, extra segment 5.23 NA 2.59 1.16 NA 8.98 ZZZ<br />
22800 A Fusion <strong>of</strong> spine 18.26 NA 12.40 3.75 NA 34.41 090<br />
22802 A Fusion <strong>of</strong> spine 30.89 NA 19.00 6.15 NA 56.04 090<br />
22804 A Fusion <strong>of</strong> spine 36.29 NA 22.00 6.98 NA 65.27 090<br />
22808 A Fusion <strong>of</strong> spine 26.28 NA 15.86 4.92 NA 47.07 090<br />
22810 A Fusion <strong>of</strong> spine 30.28 NA 17.84 5.13 NA 53.25 090<br />
22812 A Fusion <strong>of</strong> spine 32.72 NA 19.47 5.28 NA 57.46 090<br />
22818 A Kyphectomy, 1-2 segments 31.84 NA 18.38 6.45 NA 56.67 090<br />
22819 A Kyphectomy, 3 or more 36.46 NA 19.51 7.65 NA 63.63 090<br />
22830 A Exploration <strong>of</strong> spinal fusion 10.85 NA 7.73 2.29 NA 20.87 090<br />
22840 A Insert spine fixation device 12.55 NA 6.31 2.78 NA 21.63 ZZZ<br />
22841 B Insert spine fixation device 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />
22842 A Insert spine fixation device 12.59 NA 6.32 2.74 NA 21.64 ZZZ<br />
22843 A Insert spine fixation device 13.47 NA 6.41 2.85 NA 22.73 ZZZ<br />
22844 A Insert spine fixation device 16.45 NA 8.49 3.18 NA 28.12 ZZZ<br />
22845 A Insert spine fixation device 11.96 NA 5.91 2.85 NA 20.72 ZZZ<br />
22846 A Insert spine fixation device 12.42 NA 6.16 2.95 NA 21.53 ZZZ<br />
22847 A Insert spine fixation device 13.81 NA 6.82 2.99 NA 23.62 ZZZ<br />
22848 A Insert pelv fixation device 6.00 NA 3.09 1.15 NA 10.24 ZZZ<br />
22849 A Reinsert spinal fixation 18.52 NA 11.40 3.89 NA 33.80 090<br />
22850 A Remove spine fixation device 9.53 NA 6.80 2.04 NA 18.37 090<br />
22851 A Apply spine prosth device 6.71 NA 3.27 1.49 NA 11.47 ZZZ<br />
22852 A Remove spine fixation device 9.02 NA 6.60 1.89 NA 17.50 090