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
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 50800 A Implant ureter in bowel 14.53 NA 7.37 1.19 NA 23.09 090 50810 A Fusion of ureter & bowel 20.06 NA 9.22 2.31 NA 31.59 090 50815 A Urine shunt to intestine 19.94 NA 9.51 1.54 NA 30.99 090 50820 A Construct bowel bladder 21.90 NA 9.64 1.89 NA 33.44 090 50825 A Construct bowel bladder 28.20 NA 12.72 2.07 NA 42.98 090 50830 A Revise urine flow 31.29 NA 13.62 2.37 NA 47.28 090 50840 A Replace ureter by bowel 20.01 NA 9.67 1.47 NA 31.15 090 50845 A Appendico-vesicostomy 20.90 NA 10.32 1.57 NA 32.79 090 50860 A Transplant ureter to skin 15.37 NA 7.50 1.29 NA 24.16 090 50900 A Repair of ureter 13.63 NA 6.74 1.14 NA 21.51 090 50920 A Closure ureter/skin fistula 14.34 NA 7.23 1.01 NA 22.58 090 50930 A Closure ureter/bowel fistula 18.73 NA 8.70 1.28 NA 28.71 090 50940 A Release of ureter 14.52 NA 7.19 1.26 NA 22.97 090 50945 A Laparoscopy ureterolithotomy 17.00 NA 8.00 1.36 NA 26.37 090 50947 A Laparo new ureter/bladder 24.51 NA 11.02 2.16 NA 37.69 090 50948 A Laparo new ureter/bladder 22.51 NA 9.77 1.70 NA 33.99 090 50949 C Laparoscope proc, ureter 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50951 A Endoscopy of ureter 5.84 4.63 2.43 0.41 10.88 8.68 000 50953 A Endoscopy of ureter 6.24 4.79 2.81 0.43 11.46 9.49 000 50955 A Ureter endoscopy & biopsy 6.75 6.34 3.09 0.48 13.58 10.32 000 50957 A Ureter endoscopy & treatment 6.79 4.97 2.79 0.48 12.24 10.06 000 50961 A Ureter endoscopy & treatment 6.05 4.74 2.53 0.41 11.20 8.99 000 50970 A Ureter endoscopy 7.14 NA 2.91 0.52 NA 10.57 000 50972 A Ureter endoscopy & catheter 6.89 NA 2.84 0.49 NA 10.23 000 50974 A Ureter endoscopy & biopsy 9.18 NA 3.63 0.64 NA 13.45 000 50976 A Ureter endoscopy & treatment 9.05 NA 3.62 0.66 NA 13.33 000 50980 A Ureter endoscopy & treatment 6.85 NA 2.80 0.48 NA 10.13 000 51000 A Drainage of bladder 0.78 1.80 0.26 0.05 2.63 1.09 000 51005 A Drainage of bladder 1.02 4.33 0.36 0.10 5.45 1.48 000 51010 A Drainage of bladder 3.53 5.61 2.03 0.28 9.42 5.83 010
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 51020 A Incise & treat bladder 6.71 NA 4.32 0.47 NA 11.50 090 51030 A Incise & treat bladder 6.77 NA 4.37 0.58 NA 11.72 090 51040 A Incise & drain bladder 4.40 NA 3.13 0.31 NA 7.84 090 51045 A Incise bladder/drain ureter 6.77 NA 4.21 0.52 NA 11.50 090 51050 A Removal of bladder stone 6.92 NA 4.21 0.49 NA 11.62 090 51060 A Removal of ureter stone 8.86 NA 5.16 0.62 NA 14.64 090 51065 A Remove ureter calculus 8.86 NA 5.01 0.63 NA 14.50 090 51080 A Drainage of bladder abscess 5.96 NA 3.93 0.43 NA 10.32 090 51500 A Removal of bladder cyst 10.14 NA 5.26 1.03 NA 16.43 090 51520 A Removal of bladder lesion 9.30 NA 5.29 0.69 NA 15.28 090 51525 A Removal of bladder lesion 13.98 NA 7.05 0.99 NA 22.01 090 51530 A Removal of bladder lesion 12.38 NA 6.32 1.05 NA 19.76 090 51535 A Repair of ureter lesion 12.58 NA 6.54 1.23 NA 20.35 090 51550 A Partial removal of bladder 15.67 NA 7.46 1.31 NA 24.44 090 51555 A Partial removal of bladder 21.24 NA 9.74 1.69 NA 32.68 090 51565 A Revise bladder & ureter(s) 21.63 NA 10.17 1.63 NA 33.44 090 51570 A Removal of bladder 24.25 NA 11.12 1.71 NA 37.08 090 51575 A Removal of bladder & nodes 30.46 NA 13.75 2.16 NA 46.37 090 51580 A Remove bladder/revise tract 31.09 NA 14.21 2.24 NA 47.54 090 51585 A Removal of bladder & nodes 35.25 NA 15.79 2.48 NA 53.52 090 51590 A Remove bladder/revise tract 32.68 NA 14.45 2.27 NA 49.39 090 51595 A Remove bladder/revise tract 37.15 NA 16.33 2.59 NA 56.08 090 51596 A Remove bladder/create pouch 39.54 NA 17.59 2.77 NA 59.90 090 51597 A Removal of pelvic structures 38.37 NA 16.73 2.81 NA 57.90 090 51600 A Injection for bladder x-ray 0.88 5.08 0.32 0.06 6.02 1.26 000 51605 A Preparation for bladder xray 0.64 NA 0.39 0.04 NA 1.07 000 51610 A Injection for bladder x-ray 1.05 2.29 0.68 0.07 3.41 1.80 000 51700 A Irrigation of bladder 0.88 1.65 0.32 0.06 2.59 1.26 000 51701 A Insert bladder catheter 0.50 1.55 0.20 0.04 2.09 0.74 000 51702 A Insert temp bladder cath 0.50 2.06 0.25 0.04 2.60 0.79 000
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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 />
51020 A Incise & treat bladder 6.71 NA 4.32 0.47 NA 11.50 090<br />
51030 A Incise & treat bladder 6.77 NA 4.37 0.58 NA 11.72 090<br />
51040 A Incise & drain bladder 4.40 NA 3.13 0.31 NA 7.84 090<br />
51045 A Incise bladder/drain ureter 6.77 NA 4.21 0.52 NA 11.50 090<br />
51050 A Removal <strong>of</strong> bladder stone 6.92 NA 4.21 0.49 NA 11.62 090<br />
51060 A Removal <strong>of</strong> ureter stone 8.86 NA 5.16 0.62 NA 14.64 090<br />
51065 A Remove ureter calculus 8.86 NA 5.01 0.63 NA 14.50 090<br />
51080 A Drainage <strong>of</strong> bladder abscess 5.96 NA 3.93 0.43 NA 10.32 090<br />
51500 A Removal <strong>of</strong> bladder cyst 10.14 NA 5.26 1.03 NA 16.43 090<br />
51520 A Removal <strong>of</strong> bladder lesion 9.30 NA 5.29 0.69 NA 15.28 090<br />
51525 A Removal <strong>of</strong> bladder lesion 13.98 NA 7.05 0.99 NA 22.01 090<br />
51530 A Removal <strong>of</strong> bladder lesion 12.38 NA 6.32 1.05 NA 19.76 090<br />
51535 A Repair <strong>of</strong> ureter lesion 12.58 NA 6.54 1.23 NA 20.35 090<br />
51550 A Partial removal <strong>of</strong> bladder 15.67 NA 7.46 1.31 NA 24.44 090<br />
51555 A Partial removal <strong>of</strong> bladder 21.24 NA 9.74 1.69 NA 32.68 090<br />
51565 A Revise bladder & ureter(s) 21.63 NA 10.17 1.63 NA 33.44 090<br />
51570 A Removal <strong>of</strong> bladder 24.25 NA 11.12 1.71 NA 37.08 090<br />
51575 A Removal <strong>of</strong> bladder & nodes 30.46 NA 13.75 2.16 NA 46.37 090<br />
51580 A Remove bladder/revise tract 31.09 NA 14.21 2.24 NA 47.54 090<br />
51585 A Removal <strong>of</strong> bladder & nodes 35.25 NA 15.79 2.48 NA 53.52 090<br />
51590 A Remove bladder/revise tract 32.68 NA 14.45 2.27 NA 49.39 090<br />
51595 A Remove bladder/revise tract 37.15 NA 16.33 2.59 NA 56.08 090<br />
51596 A Remove bladder/create pouch 39.54 NA 17.59 2.77 NA 59.90 090<br />
51597 A Removal <strong>of</strong> pelvic structures 38.37 NA 16.73 2.81 NA 57.90 090<br />
51600 A Injection for bladder x-ray 0.88 5.08 0.32 0.06 6.02 1.26 000<br />
51605 A Preparation for bladder xray 0.64 NA 0.39 0.04 NA 1.07 000<br />
51610 A Injection for bladder x-ray 1.05 2.29 0.68 0.07 3.41 1.80 000<br />
51700 A Irrigation <strong>of</strong> bladder 0.88 1.65 0.32 0.06 2.59 1.26 000<br />
51701 A Insert bladder catheter 0.50 1.55 0.20 0.04 2.09 0.74 000<br />
51702 A Insert temp bladder cath 0.50 2.06 0.25 0.04 2.60 0.79 000