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 45300 A Proctosigmoidoscopy dx 0.38 1.56 0.29 0.04 1.98 0.71 000 45303 A Proctosigmoidoscopy dilate 0.44 18.29 0.37 0.05 18.78 0.86 000 45305 A Proctosigmoidoscopy w/bx 1.01 2.68 0.51 0.11 3.80 1.63 000 45307 A Proctosigmoidoscopy fb 0.94 3.03 0.49 0.11 4.09 1.54 000 45308 A Proctosigmoidoscopy removal 0.83 2.10 0.45 0.09 3.02 1.37 000 45309 A Proctosigmoidoscopy removal 2.01 2.86 0.85 0.22 5.09 3.09 000 45315 A Proctosigmoidoscopy removal 1.40 2.95 0.65 0.15 4.50 2.20 000 45317 A Proctosigmoidoscopy bleed 1.50 2.57 0.68 0.15 4.22 2.33 000 45320 A Proctosigmoidoscopy ablate 1.58 3.10 0.74 0.16 4.84 2.48 000 45321 A Proctosigmoidoscopy volvul 1.17 NA 0.58 0.13 NA 1.89 000 45327 A Proctosigmoidoscopy w/stent 1.65 NA 0.69 0.16 NA 2.51 000 45330 A Diagnostic sigmoidoscopy 0.96 2.33 0.55 0.08 3.37 1.59 000 45331 A Sigmoidoscopy and biopsy 1.15 3.20 0.65 0.09 4.44 1.90 000 45332 A Sigmoidoscopy w/fb removal 1.79 5.02 0.86 0.16 6.97 2.82 000 45333 A Sigmoidoscopy & polypectomy 1.79 5.08 0.87 0.15 7.02 2.81 000 45334 A Sigmoidoscopy for bleeding 2.74 NA 1.24 0.20 NA 4.18 000 45335 A Sigmoidoscopy w/submuc inj 1.46 3.34 0.75 0.11 4.91 2.33 000 45337 A Sigmoidoscopy & decompress 2.36 NA 1.07 0.21 NA 3.65 000 45338 A Sigmoidoscopy w/tumr remove 2.34 5.50 1.09 0.19 8.04 3.62 000 45339 A Sigmoidoscopy w/ablate tumr 3.15 3.72 1.39 0.26 7.12 4.79 000 45340 A Sig w/balloon dilation 1.89 6.40 0.89 0.15 8.44 2.94 000 45341 A Sigmoidoscopy w/ultrasound 2.61 NA 1.11 0.19 NA 3.90 000 45342 A Sigmoidoscopy w/us guide bx 4.06 NA 1.61 0.30 NA 5.97 000 45345 A Sigmoidoscopy w/stent 2.93 NA 1.21 0.23 NA 4.37 000 45355 A Surgical colonoscopy 3.52 NA 1.41 0.36 NA 5.29 000 45378 A Diagnostic colonoscopy 3.70 6.60 1.58 0.30 10.59 5.57 000 45378 53 A Diagnostic colonoscopy 0.96 2.33 0.55 0.08 3.37 1.59 000 45379 A Colonoscopy w/fb removal 4.69 7.80 1.93 0.39 12.88 7.01 000 45380 A Colonoscopy and biopsy 4.44 7.80 1.86 0.35 12.59 6.65 000 45381 A Colonoscopy, submucous inj 4.20 7.72 1.79 0.30 12.22 6.29 000

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 45382 A Colonoscopy/control bleeding 5.69 10.76 2.36 0.41 16.86 8.47 000 45383 A Lesion removal colonoscopy 5.87 8.55 2.37 0.48 14.91 8.72 000 45384 A Lesion remove colonoscopy 4.70 7.38 1.96 0.38 12.46 7.04 000 45385 A Lesion removal colonoscopy 5.31 8.44 2.18 0.42 14.17 7.91 000 45386 A Colonoscopy dilate stricture 4.58 13.23 1.91 0.39 18.20 6.88 000 45387 A Colonoscopy w/stent 5.91 NA 2.50 0.48 NA 8.89 000 45391 A Colonoscopy w/endoscope us 5.10 NA 2.15 0.42 NA 7.67 000 45392 A Colonoscopy w/endoscopic fnb 6.55 NA 2.69 0.42 NA 9.66 000 45500 A Repair of rectum 7.29 NA 3.57 0.75 NA 11.61 090 45505 A Repair of rectum 7.59 NA 3.91 0.86 NA 12.36 090 45520 A Treatment of rectal prolapse 0.55 1.77 0.40 0.05 2.37 1.00 000 45540 A Correct rectal prolapse 16.28 NA 6.73 1.84 NA 24.85 090 45541 A Correct rectal prolapse 13.41 NA 5.92 1.55 NA 20.88 090 45550 A Repair rectum/remove sigmoid 23.02 NA 9.11 2.61 NA 34.74 090 45560 A Repair of rectocele 10.58 NA 5.13 1.13 NA 16.84 090 45562 A Exploration/repair of rectum 15.39 NA 7.05 1.83 NA 24.27 090 45563 A Exploration/repair of rectum 23.48 NA 10.44 3.10 NA 37.02 090 45800 A Repair rect/bladder fistula 17.78 NA 7.84 1.85 NA 27.46 090 45805 A Repair fistula w/colostomy 20.79 NA 9.62 2.02 NA 32.43 090 45820 A Repair rectourethral fistula 18.49 NA 8.03 1.58 NA 28.09 090 45825 A Repair fistula w/colostomy 21.26 NA 9.95 2.31 NA 33.53 090 45900 A Reduction of rectal prolapse 2.62 NA 1.50 0.30 NA 4.41 010 45905 A Dilation of anal sphincter 2.30 NA 1.47 0.27 NA 4.05 010 45910 A Dilation of rectal narrowing 2.81 NA 1.76 0.30 NA 4.86 010 45915 A Remove rectal obstruction 3.15 4.28 2.06 0.30 7.72 5.51 010 45999 C Rectum surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 46020 A Placement of seton 2.91 2.40 1.89 0.31 5.62 5.10 010 46030 A Removal of rectal marker 1.23 1.41 0.72 0.14 2.78 2.09 010 46040 A Incision of rectal abscess 4.96 5.50 3.59 0.62 11.08 9.17 090 46045 A Incision of rectal abscess 4.32 NA 2.92 0.54 NA 7.78 090

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 />

45300 A Proctosigmoidoscopy dx 0.38 1.56 0.29 0.04 1.98 0.71 000<br />

45303 A Proctosigmoidoscopy dilate 0.44 18.29 0.37 0.05 18.78 0.86 000<br />

45305 A Proctosigmoidoscopy w/bx 1.01 2.68 0.51 0.11 3.80 1.63 000<br />

45307 A Proctosigmoidoscopy fb 0.94 3.03 0.49 0.11 4.09 1.54 000<br />

45308 A Proctosigmoidoscopy removal 0.83 2.10 0.45 0.09 3.02 1.37 000<br />

45309 A Proctosigmoidoscopy removal 2.01 2.86 0.85 0.22 5.09 3.09 000<br />

45315 A Proctosigmoidoscopy removal 1.40 2.95 0.65 0.15 4.50 2.20 000<br />

45317 A Proctosigmoidoscopy bleed 1.50 2.57 0.68 0.15 4.22 2.33 000<br />

45320 A Proctosigmoidoscopy ablate 1.58 3.10 0.74 0.16 4.84 2.48 000<br />

45321 A Proctosigmoidoscopy volvul 1.17 NA 0.58 0.13 NA 1.89 000<br />

45327 A Proctosigmoidoscopy w/stent 1.65 NA 0.69 0.16 NA 2.51 000<br />

45330 A Diagnostic sigmoidoscopy 0.96 2.33 0.55 0.08 3.37 1.59 000<br />

45331 A Sigmoidoscopy and biopsy 1.15 3.20 0.65 0.09 4.44 1.90 000<br />

45332 A Sigmoidoscopy w/fb removal 1.79 5.02 0.86 0.16 6.97 2.82 000<br />

45333 A Sigmoidoscopy & polypectomy 1.79 5.08 0.87 0.15 7.02 2.81 000<br />

45334 A Sigmoidoscopy for bleeding 2.74 NA 1.24 0.20 NA 4.18 000<br />

45335 A Sigmoidoscopy w/submuc inj 1.46 3.34 0.75 0.11 4.91 2.33 000<br />

45337 A Sigmoidoscopy & decompress 2.36 NA 1.07 0.21 NA 3.65 000<br />

45338 A Sigmoidoscopy w/tumr remove 2.34 5.50 1.09 0.19 8.04 3.62 000<br />

45339 A Sigmoidoscopy w/ablate tumr 3.15 3.72 1.39 0.26 7.12 4.79 000<br />

45340 A Sig w/balloon dilation 1.89 6.40 0.89 0.15 8.44 2.94 000<br />

45341 A Sigmoidoscopy w/ultrasound 2.61 NA 1.11 0.19 NA 3.90 000<br />

45342 A Sigmoidoscopy w/us guide bx 4.06 NA 1.61 0.30 NA 5.97 000<br />

45345 A Sigmoidoscopy w/stent 2.93 NA 1.21 0.23 NA 4.37 000<br />

45355 A Surgical colonoscopy 3.52 NA 1.41 0.36 NA 5.29 000<br />

45378 A Diagnostic colonoscopy 3.70 6.60 1.58 0.30 10.59 5.57 000<br />

45378 53 A Diagnostic colonoscopy 0.96 2.33 0.55 0.08 3.37 1.59 000<br />

45379 A Colonoscopy w/fb removal 4.69 7.80 1.93 0.39 12.88 7.01 000<br />

45380 A Colonoscopy and biopsy 4.44 7.80 1.86 0.35 12.59 6.65 000<br />

45381 A Colonoscopy, submucous inj 4.20 7.72 1.79 0.30 12.22 6.29 000

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