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 43261 A Endo cholangiopancreatograph 6.27 NA 2.60 0.46 NA 9.33 000 43262 A Endo cholangiopancreatograph 7.39 NA 3.02 0.54 NA 10.96 000 43263 A Endo cholangiopancreatograph 7.29 NA 3.02 0.54 NA 10.85 000 43264 A Endo cholangiopancreatograph 8.91 NA 3.59 0.65 NA 13.15 000 43265 A Endo cholangiopancreatograph 10.02 NA 4.00 0.73 NA 14.75 000 43267 A Endo cholangiopancreatograph 7.39 NA 3.00 0.54 NA 10.94 000 43268 A Endo cholangiopancreatograph 7.39 NA 3.15 0.54 NA 11.08 000 43269 A Endo cholangiopancreatograph 8.22 NA 3.33 0.60 NA 12.15 000 43271 A Endo cholangiopancreatograph 7.39 NA 3.01 0.54 NA 10.94 000 43272 A Endo cholangiopancreatograph 7.39 NA 3.01 0.54 NA 10.94 000 43280 A Laparoscopy, fundoplasty 17.25 NA 7.17 2.27 NA 26.69 090 43289 C Laparoscope proc, esoph 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43300 A Repair of esophagus 9.15 NA 6.22 1.12 NA 16.49 090 43305 A Repair esophagus and fistula 17.39 NA 10.37 1.54 NA 29.30 090 43310 A Repair of esophagus 25.40 NA 10.89 3.60 NA 39.89 090 43312 A Repair esophagus and fistula 28.44 NA 11.55 4.00 NA 43.99 090 43313 A Esophagoplasty congenital 45.30 NA 18.40 5.45 NA 69.15 090 43314 A Tracheo-esophagoplasty cong 50.29 NA 18.88 6.63 NA 75.80 090 43320 A Fuse esophagus & stomach 19.94 NA 9.05 2.73 NA 31.72 090 43324 A Revise esophagus & stomach 20.58 NA 8.62 2.75 NA 31.95 090 43325 A Revise esophagus & stomach 20.07 NA 8.66 2.59 NA 31.32 090 43326 A Revise esophagus & stomach 19.75 NA 9.17 2.84 NA 31.76 090 43330 A Repair of esophagus 19.78 NA 8.46 2.62 NA 30.86 090 43331 A Repair of esophagus 20.14 NA 9.83 2.93 NA 32.90 090 43340 A Fuse esophagus & intestine 19.62 NA 8.81 2.45 NA 30.87 090 43341 A Fuse esophagus & intestine 20.86 NA 10.35 2.91 NA 34.12 090 43350 A Surgical opening, esophagus 15.79 NA 8.31 1.42 NA 25.52 090 43351 A Surgical opening, esophagus 18.36 NA 9.70 2.46 NA 30.51 090 43352 A Surgical opening, esophagus 15.27 NA 8.27 2.05 NA 25.59 090 43360 A Gastrointestinal repair 35.72 NA 14.98 4.96 NA 55.66 090

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 43361 A Gastrointestinal repair 40.52 NA 16.63 4.49 NA 61.64 090 43400 A Ligate esophagus veins 21.21 NA 10.06 1.95 NA 33.22 090 43401 A Esophagus surgery for veins 22.10 NA 9.26 3.04 NA 34.40 090 43405 A Ligate/staple esophagus 20.02 NA 9.60 2.83 NA 32.45 090 43410 A Repair esophagus wound 13.48 NA 7.54 1.71 NA 22.72 090 43415 A Repair esophagus wound 25.01 NA 11.61 3.52 NA 40.14 090 43420 A Repair esophagus opening 14.36 NA 7.24 1.43 NA 23.03 090 43425 A Repair esophagus opening 21.04 NA 9.84 3.02 NA 33.90 090 43450 A Dilate esophagus 1.38 2.83 0.77 0.11 4.32 2.26 000 43453 A Dilate esophagus 1.51 6.53 0.82 0.11 8.15 2.44 000 43456 A Dilate esophagus 2.58 14.11 1.21 0.20 16.89 3.99 000 43458 A Dilate esophagus 3.07 7.20 1.40 0.24 10.51 4.70 000 43460 A Pressure treatment esophagus 3.80 NA 1.57 0.31 NA 5.68 000 43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090 43499 C Esophagus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43500 A Surgical opening of stomach 11.05 NA 4.93 1.45 NA 17.43 090 43501 A Surgical repair of stomach 20.05 NA 8.20 2.64 NA 30.89 090 43502 A Surgical repair of stomach 23.15 NA 9.34 3.09 NA 35.57 090 43510 A Surgical opening of stomach 13.09 NA 6.97 1.48 NA 21.54 090 43520 A Incision of pyloric muscle 10.00 NA 5.09 1.36 NA 16.45 090 43600 A Biopsy of stomach 1.91 NA 0.69 0.14 NA 2.74 000 43605 A Biopsy of stomach 11.98 NA 5.22 1.58 NA 18.79 090 43610 A Excision of stomach lesion 14.61 NA 6.07 1.93 NA 22.61 090 43611 A Excision of stomach lesion 17.85 NA 7.47 2.35 NA 27.67 090 43620 A Removal of stomach 30.05 NA 11.60 3.95 NA 45.60 090 43621 A Removal of stomach 30.74 NA 11.77 4.03 NA 46.54 090 43622 A Removal of stomach 32.54 NA 12.36 4.29 NA 49.20 090 43631 A Removal of stomach, partial 22.61 NA 9.03 2.98 NA 34.61 090 43632 A Removal of stomach, partial 22.61 NA 9.03 2.98 NA 34.61 090 43633 A Removal of stomach, partial 23.12 NA 9.19 3.05 NA 35.35 090

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 />

43361 A Gastrointestinal repair 40.52 NA 16.63 4.49 NA 61.64 090<br />

43400 A Ligate esophagus veins 21.21 NA 10.06 1.95 NA 33.22 090<br />

43401 A Esophagus surgery for veins 22.10 NA 9.26 3.04 NA 34.40 090<br />

43405 A Ligate/staple esophagus 20.02 NA 9.60 2.83 NA 32.45 090<br />

43410 A Repair esophagus wound 13.48 NA 7.54 1.71 NA 22.72 090<br />

43415 A Repair esophagus wound 25.01 NA 11.61 3.52 NA 40.14 090<br />

43420 A Repair esophagus opening 14.36 NA 7.24 1.43 NA 23.03 090<br />

43425 A Repair esophagus opening 21.04 NA 9.84 3.02 NA 33.90 090<br />

43450 A Dilate esophagus 1.38 2.83 0.77 0.11 4.32 2.26 000<br />

43453 A Dilate esophagus 1.51 6.53 0.82 0.11 8.15 2.44 000<br />

43456 A Dilate esophagus 2.58 14.11 1.21 0.20 16.89 3.99 000<br />

43458 A Dilate esophagus 3.07 7.20 1.40 0.24 10.51 4.70 000<br />

43460 A Pressure treatment esophagus 3.80 NA 1.57 0.31 NA 5.68 000<br />

43496 C Free jejunum flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090<br />

43499 C Esophagus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

43500 A Surgical opening <strong>of</strong> stomach 11.05 NA 4.93 1.45 NA 17.43 090<br />

43501 A Surgical repair <strong>of</strong> stomach 20.05 NA 8.20 2.64 NA 30.89 090<br />

43502 A Surgical repair <strong>of</strong> stomach 23.15 NA 9.34 3.09 NA 35.57 090<br />

43510 A Surgical opening <strong>of</strong> stomach 13.09 NA 6.97 1.48 NA 21.54 090<br />

43520 A Incision <strong>of</strong> pyloric muscle 10.00 NA 5.09 1.36 NA 16.45 090<br />

43600 A Biopsy <strong>of</strong> stomach 1.91 NA 0.69 0.14 NA 2.74 000<br />

43605 A Biopsy <strong>of</strong> stomach 11.98 NA 5.22 1.58 NA 18.79 090<br />

43610 A Excision <strong>of</strong> stomach lesion 14.61 NA 6.07 1.93 NA 22.61 090<br />

43611 A Excision <strong>of</strong> stomach lesion 17.85 NA 7.47 2.35 NA 27.67 090<br />

43620 A Removal <strong>of</strong> stomach 30.05 NA 11.60 3.95 NA 45.60 090<br />

43621 A Removal <strong>of</strong> stomach 30.74 NA 11.77 4.03 NA 46.54 090<br />

43622 A Removal <strong>of</strong> stomach 32.54 NA 12.36 4.29 NA 49.20 090<br />

43631 A Removal <strong>of</strong> stomach, partial 22.61 NA 9.03 2.98 NA 34.61 090<br />

43632 A Removal <strong>of</strong> stomach, partial 22.61 NA 9.03 2.98 NA 34.61 090<br />

43633 A Removal <strong>of</strong> stomach, partial 23.12 NA 9.19 3.05 NA 35.35 090

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