2006 proposed fee schedule - American Society of Clinical Oncology
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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

asco.org
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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 36013 A Place catheter in artery 2.53 20.81 0.69 0.25 23.58 3.46 XXX 36014 A Place catheter in artery 3.03 20.65 1.09 0.19 23.86 4.31 XXX 36015 A Place catheter in artery 3.52 23.90 1.26 0.21 27.63 4.98 XXX 36100 A Establish access to artery 3.03 12.20 1.14 0.26 15.49 4.43 XXX 36120 A Establish access to artery 2.01 10.97 0.67 0.14 13.13 2.83 XXX 36140 A Establish access to artery 2.01 12.60 0.66 0.16 14.77 2.83 XXX 36145 A Artery to vein shunt 2.01 12.69 0.69 0.11 14.81 2.82 XXX 36160 A Establish access to aorta 2.53 13.15 0.85 0.26 15.93 3.63 XXX 36200 A Place catheter in aorta 3.03 16.72 1.06 0.24 19.99 4.33 XXX 36215 A Place catheter in artery 4.68 27.47 1.69 0.27 32.42 6.64 XXX 36216 A Place catheter in artery 5.28 29.85 1.88 0.31 35.44 7.47 XXX 36217 A Place catheter in artery 6.30 55.46 2.28 0.44 62.20 9.02 XXX 36218 A Place catheter in artery 1.01 5.04 0.36 0.07 6.12 1.44 ZZZ 36245 A Place catheter in artery 4.68 32.95 1.76 0.31 37.94 6.75 XXX 36246 A Place catheter in artery 5.28 30.80 1.91 0.38 36.46 7.57 XXX 36247 A Place catheter in artery 6.30 50.01 2.25 0.47 56.79 9.02 XXX 36248 A Place catheter in artery 1.01 4.05 0.36 0.07 5.13 1.44 ZZZ 36260 A Insertion of infusion pump 9.72 NA 4.82 1.29 NA 15.83 090 36261 A Revision of infusion pump 5.45 NA 3.59 0.70 NA 9.75 090 36262 A Removal of infusion pump 4.02 NA 2.71 0.54 NA 7.27 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 36400 A Bl draw < 3 yrs fem/jugular 0.38 0.29 0.09 0.03 0.70 0.50 XXX 36405 A Bl draw < 3 yrs scalp vein 0.31 0.26 0.08 0.03 0.60 0.42 XXX 36406 A Bl draw < 3 yrs other vein 0.18 0.28 0.05 0.01 0.47 0.24 XXX 36410 A Non-routine bl draw > 3 yrs 0.18 0.30 0.05 0.01 0.49 0.24 XXX 36416 B Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36420 A Vein access cutdown < 1 yr 1.01 NA 0.27 0.07 NA 1.35 XXX 36425 A Vein access cutdown > 1 yr 0.76 NA 0.22 0.06 NA 1.04 XXX 36430 A Blood transfusion service 0.00 0.96 NA 0.06 1.02 NA XXX 36440 A Bl push transfuse, 2 yr or < 1.03 NA 0.28 0.10 NA 1.42 XXX

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 36450 A Bl exchange/transfuse, nb 2.23 NA 0.69 0.21 NA 3.14 XXX 36455 A Bl exchange/transfuse non-nb 2.43 NA 0.98 0.15 NA 3.57 XXX 36460 A Transfusion service, fetal 6.59 NA 2.18 0.79 NA 9.57 XXX 36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36470 A Injection therapy of vein 1.09 2.62 0.76 0.12 3.83 1.97 010 36471 A Injection therapy of veins 1.57 2.99 0.95 0.19 4.75 2.71 010 36475 A Endovenous rf, 1st vein 6.73 48.94 2.56 0.37 56.05 9.67 000 36476 A Endovenous rf, vein add-on 3.39 7.59 1.16 0.18 11.15 4.72 ZZZ 36478 A Endovenous laser, 1st vein 6.73 44.54 2.56 0.37 51.64 9.67 000 36479 A Endovenous laser vein addon 3.39 7.69 1.16 0.18 11.26 4.72 ZZZ 36481 A Insertion of catheter, vein 6.99 NA 2.68 0.55 NA 10.22 000 36500 A Insertion of catheter, vein 3.52 NA 1.39 0.20 NA 5.11 000 36510 A Insertion of catheter, vein 1.09 3.44 0.56 0.10 4.63 1.75 000 36511 A Apheresis wbc 1.74 NA 0.71 0.08 NA 2.53 000 36512 A Apheresis rbc 1.74 NA 0.72 0.08 NA 2.54 000 36513 A Apheresis platelets 1.74 NA 0.71 0.17 NA 2.62 000 36514 A Apheresis plasma 1.74 15.88 0.69 0.08 17.70 2.52 000 36515 A Apheresis, adsorp/reinfuse 1.74 62.05 0.65 0.08 63.87 2.47 000 36516 A Apheresis, selective 1.22 76.84 0.47 0.08 78.15 1.77 000 36522 A Photopheresis 1.67 32.02 1.04 0.13 33.83 2.85 000 36540 B Collect blood venous device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36550 A Declot vascular device 0.00 0.38 NA 0.37 0.75 NA XXX 36555 A Insert non-tunnel cv cath 2.69 5.43 0.79 0.11 8.22 3.58 000 36556 A Insert non-tunnel cv cath 2.51 5.21 0.72 0.19 7.91 3.42 000 36557 A Insert tunneled cv cath 5.10 20.41 2.67 0.57 26.08 8.34 010 36558 A Insert tunneled cv cath 4.80 20.32 2.61 0.57 25.69 7.97 010 36560 A Insert tunneled cv cath 6.25 28.86 3.04 0.57 35.68 9.87 010 36561 A Insert tunneled cv cath 6.00 28.25 2.93 0.57 34.82 9.50 010 36563 A Insert tunneled cv cath 6.20 24.94 2.90 0.84 31.99 9.95 010

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 />

36013 A Place catheter in artery 2.53 20.81 0.69 0.25 23.58 3.46 XXX<br />

36014 A Place catheter in artery 3.03 20.65 1.09 0.19 23.86 4.31 XXX<br />

36015 A Place catheter in artery 3.52 23.90 1.26 0.21 27.63 4.98 XXX<br />

36100 A Establish access to artery 3.03 12.20 1.14 0.26 15.49 4.43 XXX<br />

36120 A Establish access to artery 2.01 10.97 0.67 0.14 13.13 2.83 XXX<br />

36140 A Establish access to artery 2.01 12.60 0.66 0.16 14.77 2.83 XXX<br />

36145 A Artery to vein shunt 2.01 12.69 0.69 0.11 14.81 2.82 XXX<br />

36160 A Establish access to aorta 2.53 13.15 0.85 0.26 15.93 3.63 XXX<br />

36200 A Place catheter in aorta 3.03 16.72 1.06 0.24 19.99 4.33 XXX<br />

36215 A Place catheter in artery 4.68 27.47 1.69 0.27 32.42 6.64 XXX<br />

36216 A Place catheter in artery 5.28 29.85 1.88 0.31 35.44 7.47 XXX<br />

36217 A Place catheter in artery 6.30 55.46 2.28 0.44 62.20 9.02 XXX<br />

36218 A Place catheter in artery 1.01 5.04 0.36 0.07 6.12 1.44 ZZZ<br />

36245 A Place catheter in artery 4.68 32.95 1.76 0.31 37.94 6.75 XXX<br />

36246 A Place catheter in artery 5.28 30.80 1.91 0.38 36.46 7.57 XXX<br />

36247 A Place catheter in artery 6.30 50.01 2.25 0.47 56.79 9.02 XXX<br />

36248 A Place catheter in artery 1.01 4.05 0.36 0.07 5.13 1.44 ZZZ<br />

36260 A Insertion <strong>of</strong> infusion pump 9.72 NA 4.82 1.29 NA 15.83 090<br />

36261 A Revision <strong>of</strong> infusion pump 5.45 NA 3.59 0.70 NA 9.75 090<br />

36262 A Removal <strong>of</strong> infusion pump 4.02 NA 2.71 0.54 NA 7.27 090<br />

36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

36400 A Bl draw < 3 yrs fem/jugular 0.38 0.29 0.09 0.03 0.70 0.50 XXX<br />

36405 A Bl draw < 3 yrs scalp vein 0.31 0.26 0.08 0.03 0.60 0.42 XXX<br />

36406 A Bl draw < 3 yrs other vein 0.18 0.28 0.05 0.01 0.47 0.24 XXX<br />

36410 A Non-routine bl draw > 3 yrs 0.18 0.30 0.05 0.01 0.49 0.24 XXX<br />

36416 B Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

36420 A Vein access cutdown < 1 yr 1.01 NA 0.27 0.07 NA 1.35 XXX<br />

36425 A Vein access cutdown > 1 yr 0.76 NA 0.22 0.06 NA 1.04 XXX<br />

36430 A Blood transfusion service 0.00 0.96 NA 0.06 1.02 NA XXX<br />

36440 A Bl push transfuse, 2 yr or < 1.03 NA 0.28 0.10 NA 1.42 XXX

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