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 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. Mal- practice Nonfacility CPT 1 / HCPCS 2 Mod Status Description RVUs 3 Non-facility Facility PE RVUs RVUs RVUs Total Total Global 62120 A Repair skull cavity lesion 23.36 NA 18.07 2.99 NA 44.42 090 62121 A Incise skull repair 21.59 NA 15.08 4.16 NA 40.83 090 62140 A Repair of skull defect 13.52 NA 8.16 3.46 NA 25.14 090 62141 A Repair of skull defect 14.92 NA 8.86 3.75 NA 27.53 090 62142 A Remove skull plate/flap 10.79 NA 6.86 2.72 NA 20.37 090 62143 A Replace skull plate/flap 13.06 NA 7.89 3.36 NA 24.30 090 62145 A Repair of skull & brain 18.83 NA 10.66 4.49 NA 33.98 090 62146 A Repair of skull with graft 16.13 NA 9.43 3.61 NA 29.17 090 62147 A Repair of skull with graft 19.35 NA 11.05 4.31 NA 34.71 090 62148 A Retr bone flap to fix skull 2.00 NA 0.84 0.48 NA 3.32 ZZZ 62160 A Neuroendoscopy add-on 3.01 NA 1.49 0.77 NA 5.27 ZZZ 62161 A Dissect brain w/scope 20.01 NA 11.85 5.17 NA 37.03 090 62162 A Remove colloid cyst w/scope 25.26 NA 14.54 5.89 NA 45.69 090 62163 A Neuroendoscopy w/fb removal 15.51 NA 9.73 4.00 NA 29.24 090 62164 A Remove brain tumor w/scope 27.51 NA 14.65 5.36 NA 47.53 090 62165 A Remove pituit tumor w/scope 22.01 NA 13.05 3.00 NA 38.07 090 62180 A Establish brain cavity shunt 21.07 NA 12.03 4.97 NA 38.07 090 62190 A Establish brain cavity shunt 11.07 NA 6.95 2.79 NA 20.81 090 62192 A Establish brain cavity shunt 12.25 NA 7.48 3.01 NA 22.74 090 62194 A Replace/irrigate catheter 5.03 NA 2.47 0.92 NA 8.42 010 62200 A Establish brain cavity shunt 18.33 NA 10.62 4.64 NA 33.59 090 62201 A Brain cavity shunt w/scope 14.87 NA 9.26 3.67 NA 27.80 090 62220 A Establish brain cavity shunt 13.01 NA 7.83 3.34 NA 24.18 090 62223 A Establish brain cavity shunt 12.88 NA 8.10 3.13 NA 24.11 090 62225 A Replace/irrigate catheter 5.41 NA 4.03 1.39 NA 10.83 090 62230 A Replace/revise brain shunt 10.54 NA 6.36 2.70 NA 19.60 090 62252 A Csf shunt reprogram 0.74 1.35 NA 0.21 2.30 NA XXX 62252 26 A Csf shunt reprogram 0.74 0.36 0.36 0.19 1.29 1.29 XXX 62252 TC A Csf shunt reprogram 0.00 0.99 NA 0.02 1.01 NA XXX 62256 A Remove brain cavity shunt 6.60 NA 4.62 1.71 NA 12.93 090 62258 A Replace brain cavity shunt 14.55 NA 8.54 3.73 NA 26.82 090

ADDENDUM B: RELATIVE VALUE UNITS (RVUs) AND RELATED INFORMATION Physician work Facility PE 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. Mal- practice Nonfacility CPT 1 / HCPCS 2 Mod Status Description RVUs 3 Non-facility Facility PE RVUs RVUs RVUs Total Total Global 62263 A Epidural lysis mult sessions 6.14 12.01 3.10 0.41 18.56 9.65 010 62264 A Epidural lysis on single day 4.43 7.34 1.38 0.27 12.04 6.08 010 62268 A Drain spinal cord cyst 4.74 10.84 2.19 0.43 16.01 7.36 000 62269 A Needle biopsy, spinal cord 5.02 13.60 2.02 0.37 18.99 7.41 000 62270 A Spinal fluid tap, diagnostic 1.13 2.88 0.56 0.08 4.09 1.78 000 62272 A Drain cerebro spinal fluid 1.35 3.51 0.71 0.18 5.05 2.24 000 62273 A Inject epidural patch 2.15 2.60 0.69 0.13 4.88 2.98 000 62280 A Treat spinal cord lesion 2.64 6.38 0.99 0.30 9.32 3.93 010 62281 A Treat spinal cord lesion 2.67 5.32 0.87 0.19 8.18 3.72 010 62282 A Treat spinal canal lesion 2.33 7.60 0.90 0.17 10.10 3.40 010 62284 A Injection for myelogram 1.54 4.79 0.69 0.13 6.46 2.36 000 62287 A Percutaneous diskectomy 8.09 NA 5.57 0.58 NA 14.23 090 62290 A Inject for spine disk x-ray 3.01 6.76 1.38 0.23 9.99 4.61 000 62291 A Inject for spine disk x-ray 2.92 5.66 1.23 0.26 8.83 4.41 000 62292 A Injection into disk lesion 7.87 NA 4.34 0.82 NA 13.03 090 62294 A Injection into spinal artery 11.83 NA 5.73 1.24 NA 18.80 090 62310 A Inject spine c/t 1.91 4.51 0.63 0.12 6.55 2.67 000 62311 A Inject spine l/s (cd) 1.54 4.58 0.58 0.09 6.21 2.21 000 62318 A Inject spine w/cath, c/t 2.04 5.36 0.63 0.12 7.53 2.80 000 62319 A Inject spine w/cath l/s (cd) 1.87 4.65 0.59 0.11 6.64 2.58 000 62350 A Implant spinal canal cath 6.87 NA 3.85 1.02 NA 11.74 090 62351 A Implant spinal canal cath 10.01 NA 6.96 2.24 NA 19.21 090 62355 A Remove spinal canal catheter 5.45 NA 3.09 0.71 NA 9.25 090 62360 A Insert spine infusion device 2.63 NA 2.63 0.34 NA 5.59 090 62361 A Implant spine infusion pump 5.42 NA 3.82 0.80 NA 10.04 090 62362 A Implant spine infusion pump 7.04 NA 4.27 1.18 NA 12.50 090 62365 A Remove spine infusion device 5.42 NA 3.50 0.86 NA 9.79 090 62367 A Analyze spine infusion pump 0.48 0.22 0.12 0.00 0.70 0.60 XXX 62368 A Analyze spine infusion pump 0.75 0.29 0.18 0.00 1.04 0.93 XXX 63001 A Removal of spinal lamina 15.83 NA 9.30 3.76 NA 28.90 090 63003 A Removal of spinal lamina 15.96 NA 9.63 3.72 NA 29.31 090

ADDENDUM B: RELATIVE VALUE UNITS (RVUs) AND RELATED INFORMATION<br />

Physician<br />

work<br />

Facility<br />

PE<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 />

Mal-<br />

practice<br />

Nonfacility<br />

CPT 1 /<br />

HCPCS 2 Mod Status Description<br />

RVUs 3<br />

Non-facility<br />

Facility<br />

PE RVUs RVUs RVUs Total Total Global<br />

62120 A Repair skull cavity lesion 23.36 NA 18.07 2.99 NA 44.42 090<br />

62121 A Incise skull repair 21.59 NA 15.08 4.16 NA 40.83 090<br />

62140 A Repair <strong>of</strong> skull defect 13.52 NA 8.16 3.46 NA 25.14 090<br />

62141 A Repair <strong>of</strong> skull defect 14.92 NA 8.86 3.75 NA 27.53 090<br />

62142 A Remove skull plate/flap 10.79 NA 6.86 2.72 NA 20.37 090<br />

62143 A Replace skull plate/flap 13.06 NA 7.89 3.36 NA 24.30 090<br />

62145 A Repair <strong>of</strong> skull & brain 18.83 NA 10.66 4.49 NA 33.98 090<br />

62146 A Repair <strong>of</strong> skull with graft 16.13 NA 9.43 3.61 NA 29.17 090<br />

62147 A Repair <strong>of</strong> skull with graft 19.35 NA 11.05 4.31 NA 34.71 090<br />

62148 A Retr bone flap to fix skull 2.00 NA 0.84 0.48 NA 3.32 ZZZ<br />

62160 A Neuroendoscopy add-on 3.01 NA 1.49 0.77 NA 5.27 ZZZ<br />

62161 A Dissect brain w/scope 20.01 NA 11.85 5.17 NA 37.03 090<br />

62162 A Remove colloid cyst w/scope 25.26 NA 14.54 5.89 NA 45.69 090<br />

62163 A Neuroendoscopy w/fb removal 15.51 NA 9.73 4.00 NA 29.24 090<br />

62164 A Remove brain tumor w/scope 27.51 NA 14.65 5.36 NA 47.53 090<br />

62165 A Remove pituit tumor w/scope 22.01 NA 13.05 3.00 NA 38.07 090<br />

62180 A Establish brain cavity shunt 21.07 NA 12.03 4.97 NA 38.07 090<br />

62190 A Establish brain cavity shunt 11.07 NA 6.95 2.79 NA 20.81 090<br />

62192 A Establish brain cavity shunt 12.25 NA 7.48 3.01 NA 22.74 090<br />

62194 A Replace/irrigate catheter 5.03 NA 2.47 0.92 NA 8.42 010<br />

62200 A Establish brain cavity shunt 18.33 NA 10.62 4.64 NA 33.59 090<br />

62201 A Brain cavity shunt w/scope 14.87 NA 9.26 3.67 NA 27.80 090<br />

62220 A Establish brain cavity shunt 13.01 NA 7.83 3.34 NA 24.18 090<br />

62223 A Establish brain cavity shunt 12.88 NA 8.10 3.13 NA 24.11 090<br />

62225 A Replace/irrigate catheter 5.41 NA 4.03 1.39 NA 10.83 090<br />

62230 A Replace/revise brain shunt 10.54 NA 6.36 2.70 NA 19.60 090<br />

62252 A Csf shunt reprogram 0.74 1.35 NA 0.21 2.30 NA XXX<br />

62252 26 A Csf shunt reprogram 0.74 0.36 0.36 0.19 1.29 1.29 XXX<br />

62252 TC A Csf shunt reprogram 0.00 0.99 NA 0.02 1.01 NA XXX<br />

62256 A Remove brain cavity shunt 6.60 NA 4.62 1.71 NA 12.93 090<br />

62258 A Replace brain cavity shunt 14.55 NA 8.54 3.73 NA 26.82 090

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