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
19.02.2013 Views

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 42971 A Control nose/throat bleeding 6.21 NA 5.02 0.51 NA 11.74 090 42972 A Control nose/throat bleeding 7.20 NA 5.58 0.62 NA 13.41 090 42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43020 A Incision of esophagus 8.10 NA 5.31 0.87 NA 14.27 090 43030 A Throat muscle surgery 7.70 NA 5.34 0.70 NA 13.74 090 43045 A Incision of esophagus 20.13 NA 10.51 2.58 NA 33.22 090 43100 A Excision of esophagus lesion 9.20 NA 6.06 0.93 NA 16.19 090 43101 A Excision of esophagus lesion 16.25 NA 7.77 2.31 NA 26.33 090 43107 A Removal of esophagus 40.02 NA 17.70 5.22 NA 62.94 090 43108 A Removal of esophagus 34.21 NA 13.87 4.07 NA 52.14 090 43112 A Removal of esophagus 43.52 NA 18.73 5.79 NA 68.04 090 43113 A Removal of esophagus 35.29 NA 14.88 4.42 NA 54.59 090 43116 A Partial removal of esophagus 31.23 NA 16.17 3.05 NA 50.45 090 43117 A Partial removal of esophagus 40.02 NA 16.75 5.17 NA 61.94 090 43118 A Partial removal of esophagus 33.22 NA 13.41 4.10 NA 50.73 090 43121 A Partial removal of esophagus 29.21 NA 13.19 3.90 NA 46.30 090 43122 A Partial removal of esophagus 40.02 NA 16.93 5.40 NA 62.35 090 43123 A Partial removal of esophagus 33.22 NA 13.85 4.15 NA 51.22 090 43124 A Removal of esophagus 27.33 NA 12.85 3.73 NA 43.92 090 43130 A Removal of esophagus pouch 11.75 NA 7.35 1.16 NA 20.27 090 43135 A Removal of esophagus pouch 16.11 NA 7.95 2.33 NA 26.39 090 43200 A Esophagus endoscopy 1.59 4.08 1.08 0.13 5.80 2.80 000 43201 A Esoph scope w/submucous inj 2.09 4.71 1.14 0.15 6.95 3.39 000 43202 A Esophagus endoscopy, biopsy 1.89 5.75 0.98 0.15 7.79 3.03 000 43204 A Esoph scope w/sclerosis inj 3.77 NA 1.66 0.30 NA 5.73 000 43205 A Esophagus endoscopy/ligation 3.79 NA 1.66 0.28 NA 5.73 000 43215 A Esophagus endoscopy 2.61 NA 1.25 0.22 NA 4.08 000 43216 A Esophagus endoscopy/lesion 2.40 0.00 1.13 0.20 2.60 3.73 000 43217 A Esophagus endoscopy 2.91 7.19 1.27 0.26 10.35 4.43 000 43219 A Esophagus endoscopy 2.81 NA 1.45 0.24 NA 4.50 000

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 43220 A Esoph endoscopy, dilation 2.10 NA 1.04 0.17 NA 3.32 000 43226 A Esoph endoscopy, dilation 2.34 NA 1.13 0.19 NA 3.66 000 43227 A Esoph endoscopy, repair 3.60 NA 1.57 0.28 NA 5.45 000 43228 A Esoph endoscopy, ablation 3.77 NA 1.64 0.34 NA 5.75 000 43231 A Esoph endoscopy w/us exam 3.20 NA 1.42 0.23 NA 4.85 000 43232 A Esoph endoscopy w/us fn bx 4.48 NA 1.92 0.34 NA 6.74 000 43234 A Upper GI endoscopy, exam 2.01 5.49 0.92 0.17 7.67 3.11 000 43235 A Uppr gi endoscopy, diagnosis 2.39 5.55 1.11 0.19 8.13 3.70 000 43236 A Uppr gi scope w/submuc inj 2.93 6.89 1.34 0.21 10.02 4.48 000 43237 A Endoscopic us exam, esoph 3.99 NA 1.75 0.43 NA 6.17 000 43238 A Uppr gi endoscopy w/us fn bx 5.03 NA 2.14 0.43 NA 7.60 000 43239 A Upper GI endoscopy, biopsy 2.88 6.18 1.30 0.22 9.28 4.39 000 43240 A Esoph endoscope w/drain cyst 6.86 NA 2.83 0.56 NA 10.25 000 43241 A Upper GI endoscopy with tube 2.60 NA 1.19 0.21 NA 4.00 000 43242 A Uppr gi endoscopy w/us fn bx 7.31 NA 2.93 0.53 NA 10.78 000 43243 A Upper gi endoscopy & inject 4.57 NA 1.95 0.33 NA 6.85 000 43244 A Upper GI endoscopy/ligation 5.05 NA 2.14 0.37 NA 7.56 000 43245 A Uppr gi scope dilate strictr 3.19 NA 1.40 0.26 NA 4.85 000 43246 A Place gastrostomy tube 4.33 NA 1.81 0.34 NA 6.48 000 43247 A Operative upper GI endoscopy 3.39 NA 1.49 0.27 NA 5.14 000 43248 A Uppr gi endoscopy/guide wire 3.16 NA 1.45 0.23 NA 4.83 000 43249 A Esoph endoscopy, dilation 2.91 NA 1.33 0.22 NA 4.46 000 43250 A Upper GI endoscopy/tumor 3.21 NA 1.42 0.26 NA 4.89 000 43251 A Operative upper GI endoscopy 3.70 NA 1.61 0.29 NA 5.59 000 43255 A Operative upper GI endoscopy 4.82 NA 2.05 0.35 NA 7.22 000 43256 A Uppr gi endoscopy w/stent 4.35 NA 1.85 0.32 NA 6.52 000 43257 A Uppr gi scope w/thrml txmnt 5.51 NA 2.27 0.36 NA 8.14 000 43258 A Operative upper GI endoscopy 4.55 NA 1.93 0.33 NA 6.81 000 43259 A Endoscopic ultrasound exam 5.20 NA 2.15 0.35 NA 7.70 000 43260 A Endo cholangiopancreatograph 5.96 NA 2.48 0.43 NA 8.87 000

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 />

42971 A Control nose/throat bleeding 6.21 NA 5.02 0.51 NA 11.74 090<br />

42972 A Control nose/throat bleeding 7.20 NA 5.58 0.62 NA 13.41 090<br />

42999 C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

43020 A Incision <strong>of</strong> esophagus 8.10 NA 5.31 0.87 NA 14.27 090<br />

43030 A Throat muscle surgery 7.70 NA 5.34 0.70 NA 13.74 090<br />

43045 A Incision <strong>of</strong> esophagus 20.13 NA 10.51 2.58 NA 33.22 090<br />

43100 A Excision <strong>of</strong> esophagus lesion 9.20 NA 6.06 0.93 NA 16.19 090<br />

43101 A Excision <strong>of</strong> esophagus lesion 16.25 NA 7.77 2.31 NA 26.33 090<br />

43107 A Removal <strong>of</strong> esophagus 40.02 NA 17.70 5.22 NA 62.94 090<br />

43108 A Removal <strong>of</strong> esophagus 34.21 NA 13.87 4.07 NA 52.14 090<br />

43112 A Removal <strong>of</strong> esophagus 43.52 NA 18.73 5.79 NA 68.04 090<br />

43113 A Removal <strong>of</strong> esophagus 35.29 NA 14.88 4.42 NA 54.59 090<br />

43116 A Partial removal <strong>of</strong> esophagus 31.23 NA 16.17 3.05 NA 50.45 090<br />

43117 A Partial removal <strong>of</strong> esophagus 40.02 NA 16.75 5.17 NA 61.94 090<br />

43118 A Partial removal <strong>of</strong> esophagus 33.22 NA 13.41 4.10 NA 50.73 090<br />

43121 A Partial removal <strong>of</strong> esophagus 29.21 NA 13.19 3.90 NA 46.30 090<br />

43122 A Partial removal <strong>of</strong> esophagus 40.02 NA 16.93 5.40 NA 62.35 090<br />

43123 A Partial removal <strong>of</strong> esophagus 33.22 NA 13.85 4.15 NA 51.22 090<br />

43124 A Removal <strong>of</strong> esophagus 27.33 NA 12.85 3.73 NA 43.92 090<br />

43130 A Removal <strong>of</strong> esophagus pouch 11.75 NA 7.35 1.16 NA 20.27 090<br />

43135 A Removal <strong>of</strong> esophagus pouch 16.11 NA 7.95 2.33 NA 26.39 090<br />

43200 A Esophagus endoscopy 1.59 4.08 1.08 0.13 5.80 2.80 000<br />

43201 A Esoph scope w/submucous inj 2.09 4.71 1.14 0.15 6.95 3.39 000<br />

43202 A Esophagus endoscopy, biopsy 1.89 5.75 0.98 0.15 7.79 3.03 000<br />

43204 A Esoph scope w/sclerosis inj 3.77 NA 1.66 0.30 NA 5.73 000<br />

43205 A Esophagus endoscopy/ligation 3.79 NA 1.66 0.28 NA 5.73 000<br />

43215 A Esophagus endoscopy 2.61 NA 1.25 0.22 NA 4.08 000<br />

43216 A Esophagus endoscopy/lesion 2.40 0.00 1.13 0.20 2.60 3.73 000<br />

43217 A Esophagus endoscopy 2.91 7.19 1.27 0.26 10.35 4.43 000<br />

43219 A Esophagus endoscopy 2.81 NA 1.45 0.24 NA 4.50 000

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