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

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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 40490 A Biopsy of lip 1.22 1.72 0.62 0.05 3.00 1.89 000 40500 A Partial excision of lip 4.28 7.24 4.29 0.38 11.90 8.95 090 40510 A Partial excision of lip 4.70 6.69 3.93 0.49 11.88 9.12 090 40520 A Partial excision of lip 4.67 7.48 4.01 0.52 12.67 9.20 090 40525 A Reconstruct lip with flap 7.56 NA 6.14 0.85 NA 14.55 090 40527 A Reconstruct lip with flap 9.14 NA 7.15 0.97 NA 17.26 090 40530 A Partial removal of lip 5.40 7.88 4.49 0.55 13.83 10.44 090 40650 A Repair lip 3.64 6.63 3.19 0.38 10.65 7.21 090 40652 A Repair lip 4.26 7.65 4.15 0.52 12.43 8.93 090 40654 A Repair lip 5.31 8.62 4.82 0.60 14.53 10.73 090 40700 A Repair cleft lip/nasal 12.80 NA 8.83 0.95 NA 22.57 090 40701 A Repair cleft lip/nasal 15.86 NA 10.99 1.65 NA 28.51 090 40702 A Repair cleft lip/nasal 13.05 NA 8.06 1.23 NA 22.34 090 40720 A Repair cleft lip/nasal 13.56 NA 9.60 1.79 NA 24.95 090 40761 A Repair cleft lip/nasal 14.73 NA 9.96 1.93 NA 26.62 090 40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 40800 A Drainage of mouth lesion 1.17 3.06 1.77 0.13 4.36 3.07 010 40801 A Drainage of mouth lesion 2.54 4.13 2.73 0.31 6.98 5.57 010 40804 A Removal, foreign body, mouth 1.24 3.40 1.80 0.11 4.75 3.15 010 40805 A Removal, foreign body, mouth 2.70 4.51 2.77 0.32 7.52 5.79 010 40806 A Incision of lip fold 0.31 1.86 0.50 0.04 2.21 0.85 000 40808 A Biopsy of mouth lesion 0.96 2.75 1.48 0.10 3.81 2.54 010 40810 A Excision of mouth lesion 1.31 2.97 1.65 0.13 4.41 3.09 010 40812 A Excise/repair mouth lesion 2.31 3.83 2.37 0.28 6.42 4.96 010 40814 A Excise/repair mouth lesion 3.42 5.05 3.85 0.41 8.88 7.67 090 40816 A Excision of mouth lesion 3.67 5.28 3.95 0.40 9.35 8.02 090 40818 A Excise oral mucosa for graft 2.41 5.21 3.88 0.21 7.84 6.50 090 40819 A Excise lip or cheek fold 2.41 4.19 3.09 0.29 6.90 5.79 090 40820 A Treatment of mouth lesion 1.28 4.09 2.45 0.11 5.48 3.84 010 40830 A Repair mouth laceration 1.76 3.71 2.00 0.19 5.66 3.96 010

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 40831 A Repair mouth laceration 2.46 4.69 2.96 0.30 7.45 5.73 010 40840 R Reconstruction of mouth 8.74 9.82 6.80 1.08 19.64 16.62 090 40842 R Reconstruction of mouth 8.74 10.09 6.62 1.08 19.91 16.44 090 40843 R Reconstruction of mouth 12.10 12.11 7.61 1.39 25.60 21.11 090 40844 R Reconstruction of mouth 16.02 15.74 11.32 1.99 33.76 29.33 090 40845 R Reconstruction of mouth 18.59 17.02 12.90 2.00 37.61 33.48 090 40899 C Mouth surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 41000 A Drainage of mouth lesion 1.30 2.32 1.40 0.12 3.74 2.82 010 41005 A Drainage of mouth lesion 1.26 3.42 1.71 0.12 4.80 3.09 010 41006 A Drainage of mouth lesion 3.25 4.87 3.13 0.35 8.47 6.73 090 41007 A Drainage of mouth lesion 3.11 5.08 2.98 0.31 8.50 6.40 090 41008 A Drainage of mouth lesion 3.37 4.79 3.16 0.42 8.58 6.95 090 41009 A Drainage of mouth lesion 3.59 5.09 3.53 0.47 9.15 7.59 090 41010 A Incision of tongue fold 1.06 3.43 1.65 0.07 4.56 2.78 010 41015 A Drainage of mouth lesion 3.96 5.52 4.14 0.46 9.93 8.56 090 41016 A Drainage of mouth lesion 4.07 5.70 4.22 0.53 10.30 8.82 090 41017 A Drainage of mouth lesion 4.07 5.72 4.29 0.53 10.32 8.89 090 41018 A Drainage of mouth lesion 5.10 6.20 4.53 0.68 11.98 10.31 090 41100 A Biopsy of tongue 1.63 2.45 1.40 0.15 4.24 3.18 010 41105 A Biopsy of tongue 1.42 2.34 1.30 0.13 3.89 2.85 010 41108 A Biopsy of floor of mouth 1.05 2.11 1.11 0.10 3.26 2.27 010 41110 A Excision of tongue lesion 1.51 3.04 1.63 0.13 4.68 3.27 010 41112 A Excision of tongue lesion 2.74 4.56 3.19 0.28 7.57 6.21 090 41113 A Excision of tongue lesion 3.20 4.84 3.44 0.34 8.38 6.97 090 41114 A Excision of tongue lesion 8.48 NA 7.11 0.83 NA 16.41 090 41115 A Excision of tongue fold 1.74 3.40 1.83 0.18 5.33 3.75 010 41116 A Excision of mouth lesion 2.44 4.49 2.78 0.23 7.16 5.45 090 41120 A Partial removal of tongue 9.78 NA 15.03 0.79 NA 25.60 090 41130 A Partial removal of tongue 11.15 NA 15.86 0.93 NA 27.94 090 41135 A Tongue and neck surgery 23.11 NA 22.62 1.88 NA 47.60 090

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 />

40490 A Biopsy <strong>of</strong> lip 1.22 1.72 0.62 0.05 3.00 1.89 000<br />

40500 A Partial excision <strong>of</strong> lip 4.28 7.24 4.29 0.38 11.90 8.95 090<br />

40510 A Partial excision <strong>of</strong> lip 4.70 6.69 3.93 0.49 11.88 9.12 090<br />

40520 A Partial excision <strong>of</strong> lip 4.67 7.48 4.01 0.52 12.67 9.20 090<br />

40525 A Reconstruct lip with flap 7.56 NA 6.14 0.85 NA 14.55 090<br />

40527 A Reconstruct lip with flap 9.14 NA 7.15 0.97 NA 17.26 090<br />

40530 A Partial removal <strong>of</strong> lip 5.40 7.88 4.49 0.55 13.83 10.44 090<br />

40650 A Repair lip 3.64 6.63 3.19 0.38 10.65 7.21 090<br />

40652 A Repair lip 4.26 7.65 4.15 0.52 12.43 8.93 090<br />

40654 A Repair lip 5.31 8.62 4.82 0.60 14.53 10.73 090<br />

40700 A Repair cleft lip/nasal 12.80 NA 8.83 0.95 NA 22.57 090<br />

40701 A Repair cleft lip/nasal 15.86 NA 10.99 1.65 NA 28.51 090<br />

40702 A Repair cleft lip/nasal 13.05 NA 8.06 1.23 NA 22.34 090<br />

40720 A Repair cleft lip/nasal 13.56 NA 9.60 1.79 NA 24.95 090<br />

40761 A Repair cleft lip/nasal 14.73 NA 9.96 1.93 NA 26.62 090<br />

40799 C Lip surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

40800 A Drainage <strong>of</strong> mouth lesion 1.17 3.06 1.77 0.13 4.36 3.07 010<br />

40801 A Drainage <strong>of</strong> mouth lesion 2.54 4.13 2.73 0.31 6.98 5.57 010<br />

40804 A Removal, foreign body, mouth 1.24 3.40 1.80 0.11 4.75 3.15 010<br />

40805 A Removal, foreign body, mouth 2.70 4.51 2.77 0.32 7.52 5.79 010<br />

40806 A Incision <strong>of</strong> lip fold 0.31 1.86 0.50 0.04 2.21 0.85 000<br />

40808 A Biopsy <strong>of</strong> mouth lesion 0.96 2.75 1.48 0.10 3.81 2.54 010<br />

40810 A Excision <strong>of</strong> mouth lesion 1.31 2.97 1.65 0.13 4.41 3.09 010<br />

40812 A Excise/repair mouth lesion 2.31 3.83 2.37 0.28 6.42 4.96 010<br />

40814 A Excise/repair mouth lesion 3.42 5.05 3.85 0.41 8.88 7.67 090<br />

40816 A Excision <strong>of</strong> mouth lesion 3.67 5.28 3.95 0.40 9.35 8.02 090<br />

40818 A Excise oral mucosa for graft 2.41 5.21 3.88 0.21 7.84 6.50 090<br />

40819 A Excise lip or cheek fold 2.41 4.19 3.09 0.29 6.90 5.79 090<br />

40820 A Treatment <strong>of</strong> mouth lesion 1.28 4.09 2.45 0.11 5.48 3.84 010<br />

40830 A Repair mouth laceration 1.76 3.71 2.00 0.19 5.66 3.96 010

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