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

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 57550 A Removal of residual cervix 5.53 NA 3.79 0.67 NA 9.99 090 57555 A Remove cervix/repair vagina 8.96 NA 5.03 1.09 NA 15.08 090 57556 A Remove cervix, repair bowel 8.38 NA 4.85 0.92 NA 14.15 090 57700 A Revision of cervix 3.55 NA 3.14 0.41 NA 7.10 090 57720 A Revision of cervix 4.13 NA 3.09 0.49 NA 7.71 090 57800 A Dilation of cervical canal 0.77 0.75 0.47 0.09 1.62 1.33 000 57820 A D & c of residual cervix 1.67 1.46 1.13 0.20 3.33 3.00 010 58100 A Biopsy of uterus lining 1.53 1.30 0.71 0.18 3.01 2.42 000 58120 A Dilation and curettage 3.28 2.27 1.85 0.39 5.94 5.51 010 58140 A Myomectomy abdom method 14.61 NA 6.99 1.81 NA 23.41 090 58145 A Myomectomy vag method 8.05 NA 4.74 0.97 NA 13.75 090 58146 A Myomectomy abdom complex 19.01 NA 8.83 2.32 NA 30.16 090 58150 A Total hysterectomy 15.25 NA 7.36 1.84 NA 24.45 090 58152 A Total hysterectomy 20.61 NA 9.68 2.47 NA 32.76 090 58180 A Partial hysterectomy 15.30 NA 7.32 1.64 NA 24.27 090 58200 A Extensive hysterectomy 21.60 NA 9.79 2.54 NA 33.93 090 58210 A Extensive hysterectomy 28.87 NA 12.91 3.37 NA 45.14 090 58240 A Removal of pelvis contents 38.41 NA 17.43 4.22 NA 60.06 090 58260 A Vaginal hysterectomy 12.99 NA 6.61 1.57 NA 21.16 090 58262 A Vag hyst including t/o 14.78 NA 7.28 1.79 NA 23.85 090 58263 A Vag hyst w/t/o & vag repair 16.07 NA 7.77 1.94 NA 25.78 090 58267 A Vag hyst w/urinary repair 17.04 NA 8.25 2.06 NA 27.35 090 58270 A Vag hyst w/enterocele repair 14.27 NA 6.96 1.73 NA 22.96 090 58275 A Hysterectomy/revise vagina 15.77 NA 7.66 1.91 NA 25.34 090 58280 A Hysterectomy/revise vagina 17.01 NA 8.15 2.06 NA 27.23 090 58285 A Extensive hysterectomy 22.27 NA 9.74 2.70 NA 34.72 090 58290 A Vag hyst complex 19.01 NA 8.96 2.29 NA 30.26 090 58291 A Vag hyst incl t/o, complex 20.80 NA 9.69 2.52 NA 33.01 090 58292 A Vag hyst t/o & repair, compl 22.09 NA 10.16 2.67 NA 34.93 090 58293 A Vag hyst w/uro repair, compl 23.08 NA 10.44 2.78 NA 36.29 090

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 58294 A Vag hyst w/enterocele, compl 20.29 NA 9.37 2.39 NA 32.05 090 58300 N Insert intrauterine device 1.01 1.33 0.38 0.12 2.46 1.51 XXX 58301 A Remove intrauterine device 1.27 1.28 0.47 0.15 2.70 1.89 000 58321 A Artificial insemination 0.92 1.12 0.36 0.10 2.14 1.38 000 58322 A Artificial insemination 1.10 1.18 0.41 0.13 2.41 1.64 000 58323 A Sperm washing 0.23 0.47 0.09 0.03 0.73 0.35 000 58340 A Catheter for hysterography 0.88 3.02 0.68 0.09 3.99 1.65 000 58345 A Reopen fallopian tube 4.66 NA 2.48 0.41 NA 7.55 010 58346 A Insert heyman uteri capsule 6.75 NA 3.93 0.56 NA 11.24 090 58350 A Reopen fallopian tube 1.01 1.50 0.92 0.12 2.64 2.05 010 58353 A Endometr ablate, thermal 3.56 33.29 2.02 0.43 37.28 6.01 010 58356 A Endometrial cryoablation 6.37 6.85 2.59 0.82 14.05 9.78 010 58400 A Suspension of uterus 6.36 NA 3.91 0.75 NA 11.03 090 58410 A Suspension of uterus 12.74 NA 6.33 1.45 NA 20.51 090 58520 A Repair of ruptured uterus 11.92 NA 5.92 1.47 NA 19.31 090 58540 A Revision of uterus 14.65 NA 6.85 1.78 NA 23.28 090 58545 A Laparoscopic myomectomy 14.61 NA 7.06 1.77 NA 23.44 090 58546 A Laparo-myomectomy, complex 19.01 NA 8.75 2.30 NA 30.06 090 58550 A Laparo-asst vag hysterectomy 14.20 NA 7.18 1.72 NA 23.10 090 58552 A Laparo-vag hyst incl t/o 16.01 NA 7.88 1.72 NA 25.62 090 58553 A Laparo-vag hyst, complex 19.01 NA 8.78 2.30 NA 30.09 090 58554 A Laparo-vag hyst w/t/o, compl 22.01 NA 10.24 2.27 NA 34.52 090 58555 A Hysteroscopy, dx, sep proc 3.34 2.16 1.52 0.40 5.90 5.26 000 58558 A Hysteroscopy, biopsy 4.75 NA 2.13 0.57 NA 7.45 000 58559 A Hysteroscopy, lysis 6.17 NA 2.68 0.74 NA 9.60 000 58560 A Hysteroscopy, resect septum 7.00 NA 3.02 0.84 NA 10.86 000 58561 A Hysteroscopy, remove myoma 10.01 NA 4.19 1.21 NA 15.41 000 58562 A Hysteroscopy, remove fb 5.21 NA 2.30 0.63 NA 8.14 000 58563 A Hysteroscopy, ablation 6.17 52.70 2.70 0.74 59.62 9.61 000 58565 A Hysteroscopy, sterilization 7.03 46.78 3.88 1.19 55.01 12.11 090

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 />

57550 A Removal <strong>of</strong> residual cervix 5.53 NA 3.79 0.67 NA 9.99 090<br />

57555 A Remove cervix/repair vagina 8.96 NA 5.03 1.09 NA 15.08 090<br />

57556 A Remove cervix, repair bowel 8.38 NA 4.85 0.92 NA 14.15 090<br />

57700 A Revision <strong>of</strong> cervix 3.55 NA 3.14 0.41 NA 7.10 090<br />

57720 A Revision <strong>of</strong> cervix 4.13 NA 3.09 0.49 NA 7.71 090<br />

57800 A Dilation <strong>of</strong> cervical canal 0.77 0.75 0.47 0.09 1.62 1.33 000<br />

57820 A D & c <strong>of</strong> residual cervix 1.67 1.46 1.13 0.20 3.33 3.00 010<br />

58100 A Biopsy <strong>of</strong> uterus lining 1.53 1.30 0.71 0.18 3.01 2.42 000<br />

58120 A Dilation and curettage 3.28 2.27 1.85 0.39 5.94 5.51 010<br />

58140 A Myomectomy abdom method 14.61 NA 6.99 1.81 NA 23.41 090<br />

58145 A Myomectomy vag method 8.05 NA 4.74 0.97 NA 13.75 090<br />

58146 A Myomectomy abdom complex 19.01 NA 8.83 2.32 NA 30.16 090<br />

58150 A Total hysterectomy 15.25 NA 7.36 1.84 NA 24.45 090<br />

58152 A Total hysterectomy 20.61 NA 9.68 2.47 NA 32.76 090<br />

58180 A Partial hysterectomy 15.30 NA 7.32 1.64 NA 24.27 090<br />

58200 A Extensive hysterectomy 21.60 NA 9.79 2.54 NA 33.93 090<br />

58210 A Extensive hysterectomy 28.87 NA 12.91 3.37 NA 45.14 090<br />

58240 A Removal <strong>of</strong> pelvis contents 38.41 NA 17.43 4.22 NA 60.06 090<br />

58260 A Vaginal hysterectomy 12.99 NA 6.61 1.57 NA 21.16 090<br />

58262 A Vag hyst including t/o 14.78 NA 7.28 1.79 NA 23.85 090<br />

58263 A Vag hyst w/t/o & vag repair 16.07 NA 7.77 1.94 NA 25.78 090<br />

58267 A Vag hyst w/urinary repair 17.04 NA 8.25 2.06 NA 27.35 090<br />

58270 A Vag hyst w/enterocele repair 14.27 NA 6.96 1.73 NA 22.96 090<br />

58275 A Hysterectomy/revise vagina 15.77 NA 7.66 1.91 NA 25.34 090<br />

58280 A Hysterectomy/revise vagina 17.01 NA 8.15 2.06 NA 27.23 090<br />

58285 A Extensive hysterectomy 22.27 NA 9.74 2.70 NA 34.72 090<br />

58290 A Vag hyst complex 19.01 NA 8.96 2.29 NA 30.26 090<br />

58291 A Vag hyst incl t/o, complex 20.80 NA 9.69 2.52 NA 33.01 090<br />

58292 A Vag hyst t/o & repair, compl 22.09 NA 10.16 2.67 NA 34.93 090<br />

58293 A Vag hyst w/uro repair, compl 23.08 NA 10.44 2.78 NA 36.29 090

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