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 55725 A Drainage of prostate abscess 8.69 NA 5.02 0.70 NA 14.40 090 55801 A Removal of prostate 17.81 NA 8.72 1.34 NA 27.86 090 55810 A Extensive prostate surgery 22.60 NA 10.31 1.60 NA 34.51 090 55812 A Extensive prostate surgery 27.52 NA 12.47 2.04 NA 42.03 090 55815 A Extensive prostate surgery 30.47 NA 13.65 2.16 NA 46.28 090 55821 A Removal of prostate 14.26 NA 7.15 1.01 NA 22.42 090 55831 A Removal of prostate 15.63 NA 7.67 1.10 NA 24.40 090 55840 A Extensive prostate surgery 22.71 NA 10.68 1.61 NA 35.00 090 55842 A Extensive prostate surgery 24.39 NA 11.28 1.72 NA 37.39 090 55845 A Extensive prostate surgery 28.57 NA 12.67 2.02 NA 43.25 090 55859 A Percut/needle insert, pros 12.53 NA 6.72 0.89 NA 20.13 090 55860 A Surgical exposure, prostate 14.46 NA 7.23 1.02 NA 22.71 090 55862 A Extensive prostate surgery 18.40 NA 8.62 1.49 NA 28.51 090 55865 A Extensive prostate surgery 22.89 NA 10.64 1.63 NA 35.16 090 55866 A Laparo radical prostatectomy 30.75 NA 13.70 2.16 NA 46.62 090 55870 A Electroejaculation 2.59 1.83 1.25 0.16 4.57 3.99 000 55873 A Cryoablate prostate 19.48 NA 10.16 1.38 NA 31.02 090 55899 C Genital surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 55970 N Sex transformation, M to F 0.00 0.00 0.00 0.00 0.00 0.00 XXX 55980 N Sex transformation, F to M 0.00 0.00 0.00 0.00 0.00 0.00 XXX 56405 A I & D of vulva/perineum 1.44 1.31 1.14 0.17 2.92 2.75 010 56420 A Drainage of gland abscess 1.39 2.14 0.98 0.16 3.69 2.53 010 56440 A Surgery for vulva lesion 2.85 NA 1.70 0.34 NA 4.88 010 56441 A Lysis of labial lesion(s) 1.97 1.82 1.48 0.20 4.00 3.65 010 56501 A Destroy, vulva lesions, sim 1.53 1.76 1.24 0.18 3.48 2.95 010 56515 A Destroy vulva lesion/s compl 2.77 2.55 1.79 0.33 5.64 4.89 010 56605 A Biopsy of vulva/perineum 1.10 1.05 0.45 0.13 2.28 1.68 000 56606 A Biopsy of vulva/perineum 0.55 0.47 0.22 0.07 1.09 0.84 ZZZ 56620 A Partial removal of vulva 7.47 NA 4.72 0.90 NA 13.09 090 56625 A Complete removal of vulva 8.41 NA 5.22 1.02 NA 14.64 090
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 56630 A Extensive vulva surgery 12.36 NA 6.69 1.49 NA 20.55 090 56631 A Extensive vulva surgery 16.21 NA 8.62 1.95 NA 26.78 090 56632 A Extensive vulva surgery 20.30 NA 9.30 2.38 NA 31.98 090 56633 A Extensive vulva surgery 16.48 NA 8.40 1.97 NA 26.86 090 56634 A Extensive vulva surgery 17.89 NA 9.22 2.16 NA 29.26 090 56637 A Extensive vulva surgery 21.98 NA 10.81 2.60 NA 35.39 090 56640 A Extensive vulva surgery 22.18 NA 10.38 2.88 NA 35.44 090 56700 A Partial removal of hymen 2.53 NA 1.84 0.30 NA 4.67 010 56720 A Incision of hymen 0.68 NA 0.51 0.08 NA 1.27 000 56740 A Remove vagina gland lesion 4.57 NA 2.53 0.56 NA 7.66 010 56800 A Repair of vagina 3.89 NA 2.21 0.44 NA 6.54 010 56805 A Repair clitoris 18.87 NA 9.45 2.14 NA 30.46 090 56810 A Repair of perineum 4.13 NA 2.27 0.49 NA 6.89 010 56820 A Exam of vulva w/scope 1.50 1.30 0.66 0.18 2.98 2.34 000 56821 A Exam/biopsy of vulva w/scope 2.05 1.72 0.89 0.25 4.03 3.20 000 57000 A Exploration of vagina 2.98 NA 1.78 0.31 NA 5.06 010 57010 A Drainage of pelvic abscess 6.03 NA 3.81 0.71 NA 10.55 090 57020 A Drainage of pelvic fluid 1.50 0.92 0.58 0.18 2.60 2.26 000 57022 A I & d vaginal hematoma, pp 2.57 NA 1.49 0.26 NA 4.32 010 57023 A I & d vag hematoma, non-ob 4.75 NA 2.57 0.58 NA 7.90 010 57061 A Destroy vag lesions, simple 1.25 1.63 1.13 0.15 3.03 2.53 010 57065 A Destroy vag lesions, complex 2.62 2.26 1.66 0.31 5.19 4.58 010 57100 A Biopsy of vagina 1.20 1.06 0.48 0.14 2.40 1.82 000 57105 A Biopsy of vagina 1.69 1.76 1.42 0.20 3.65 3.31 010 57106 A Remove vagina wall, partial 6.36 NA 4.16 0.73 NA 11.25 090 57107 A Remove vagina tissue, part 23.02 NA 10.42 2.71 NA 36.14 090 57109 A Vaginectomy partial w/nodes 27.01 NA 12.16 3.21 NA 42.39 090 57110 A Remove vagina wall, complete 14.30 NA 7.17 1.73 NA 23.20 090 57111 A Remove vagina tissue, compl 27.01 NA 12.41 3.17 NA 42.60 090 57112 A Vaginectomy w/nodes, compl 29.02 NA 12.99 3.07 NA 45.08 090
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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 />
56630 A Extensive vulva surgery 12.36 NA 6.69 1.49 NA 20.55 090<br />
56631 A Extensive vulva surgery 16.21 NA 8.62 1.95 NA 26.78 090<br />
56632 A Extensive vulva surgery 20.30 NA 9.30 2.38 NA 31.98 090<br />
56633 A Extensive vulva surgery 16.48 NA 8.40 1.97 NA 26.86 090<br />
56634 A Extensive vulva surgery 17.89 NA 9.22 2.16 NA 29.26 090<br />
56637 A Extensive vulva surgery 21.98 NA 10.81 2.60 NA 35.39 090<br />
56640 A Extensive vulva surgery 22.18 NA 10.38 2.88 NA 35.44 090<br />
56700 A Partial removal <strong>of</strong> hymen 2.53 NA 1.84 0.30 NA 4.67 010<br />
56720 A Incision <strong>of</strong> hymen 0.68 NA 0.51 0.08 NA 1.27 000<br />
56740 A Remove vagina gland lesion 4.57 NA 2.53 0.56 NA 7.66 010<br />
56800 A Repair <strong>of</strong> vagina 3.89 NA 2.21 0.44 NA 6.54 010<br />
56805 A Repair clitoris 18.87 NA 9.45 2.14 NA 30.46 090<br />
56810 A Repair <strong>of</strong> perineum 4.13 NA 2.27 0.49 NA 6.89 010<br />
56820 A Exam <strong>of</strong> vulva w/scope 1.50 1.30 0.66 0.18 2.98 2.34 000<br />
56821 A Exam/biopsy <strong>of</strong> vulva w/scope 2.05 1.72 0.89 0.25 4.03 3.20 000<br />
57000 A Exploration <strong>of</strong> vagina 2.98 NA 1.78 0.31 NA 5.06 010<br />
57010 A Drainage <strong>of</strong> pelvic abscess 6.03 NA 3.81 0.71 NA 10.55 090<br />
57020 A Drainage <strong>of</strong> pelvic fluid 1.50 0.92 0.58 0.18 2.60 2.26 000<br />
57022 A I & d vaginal hematoma, pp 2.57 NA 1.49 0.26 NA 4.32 010<br />
57023 A I & d vag hematoma, non-ob 4.75 NA 2.57 0.58 NA 7.90 010<br />
57061 A Destroy vag lesions, simple 1.25 1.63 1.13 0.15 3.03 2.53 010<br />
57065 A Destroy vag lesions, complex 2.62 2.26 1.66 0.31 5.19 4.58 010<br />
57100 A Biopsy <strong>of</strong> vagina 1.20 1.06 0.48 0.14 2.40 1.82 000<br />
57105 A Biopsy <strong>of</strong> vagina 1.69 1.76 1.42 0.20 3.65 3.31 010<br />
57106 A Remove vagina wall, partial 6.36 NA 4.16 0.73 NA 11.25 090<br />
57107 A Remove vagina tissue, part 23.02 NA 10.42 2.71 NA 36.14 090<br />
57109 A Vaginectomy partial w/nodes 27.01 NA 12.16 3.21 NA 42.39 090<br />
57110 A Remove vagina wall, complete 14.30 NA 7.17 1.73 NA 23.20 090<br />
57111 A Remove vagina tissue, compl 27.01 NA 12.41 3.17 NA 42.60 090<br />
57112 A Vaginectomy w/nodes, compl 29.02 NA 12.99 3.07 NA 45.08 090