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 63005 A Removal of spinal lamina 14.93 NA 9.73 3.34 NA 28.00 090 63011 A Removal of spinal lamina 14.53 NA 8.08 3.37 NA 25.98 090 63012 A Removal of spinal lamina 15.41 NA 9.87 3.48 NA 28.76 090 63015 A Removal of spinal lamina 19.36 NA 11.62 4.75 NA 35.73 090 63016 A Removal of spinal lamina 19.21 NA 11.52 4.58 NA 35.30 090 63017 A Removal of spinal lamina 15.95 NA 10.15 3.63 NA 29.73 090 63020 A Neck spine disk surgery 14.82 NA 9.47 3.71 NA 28.00 090 63030 A Low back disk surgery 12.00 NA 8.23 3.00 NA 23.24 090 63035 A Spinal disk surgery add-on 3.16 NA 1.55 0.79 NA 5.49 ZZZ 63040 A Laminotomy, single cervical 18.82 NA 11.23 4.67 NA 34.72 090 63042 A Laminotomy, single lumbar 17.47 NA 11.06 4.25 NA 32.78 090 63043 C Laminotomy, addªl cervical 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 C Laminotomy, addªl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 16.51 NA 10.13 3.98 NA 30.62 090 63046 A Removal of spinal lamina 15.81 NA 9.94 3.55 NA 29.30 090 63047 A Removal of spinal lamina 14.62 NA 9.65 3.23 NA 27.50 090 63048 A Remove spinal lamina add-on 3.27 NA 1.62 0.72 NA 5.60 ZZZ 63050 A Cervical laminoplasty 20.79 NA 11.41 4.66 NA 36.86 090 63051 A C-laminoplasty w/graft/plate 24.30 NA 12.97 4.66 NA 41.93 090 63055 A Decompress spinal cord 22.00 NA 12.84 5.27 NA 40.11 090 63056 A Decompress spinal cord 20.37 NA 12.25 4.75 NA 37.37 090 63057 A Decompress spine cord add-on 5.26 NA 2.56 1.22 NA 9.04 ZZZ 63064 A Decompress spinal cord 24.62 NA 14.08 5.69 NA 44.39 090 63066 A Decompress spine cord add-on 3.27 NA 1.62 0.69 NA 5.57 ZZZ 63075 A Neck spine disk surgery 19.42 NA 11.81 4.62 NA 35.85 090 63076 A Neck spine disk surgery 4.05 NA 2.00 0.96 NA 7.00 ZZZ 63077 A Spine disk surgery, thorax 21.45 NA 12.43 3.98 NA 37.87 090 63078 A Spine disk surgery, thorax 3.29 NA 1.59 0.66 NA 5.54 ZZZ 63081 A Removal of vertebral body 23.74 NA 13.98 5.54 NA 43.26 090 63082 A Remove vertebral body add-on 4.37 NA 2.16 1.02 NA 7.55 ZZZ 63085 A Removal of vertebral body 26.93 NA 15.05 4.48 NA 46.47 090

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 63086 A Remove vertebral body add-on 3.20 NA 1.55 0.59 NA 5.33 ZZZ 63087 A Removal of vertebral body 35.59 NA 18.93 6.20 NA 60.72 090 63088 A Remove vertebral body add-on 4.33 NA 2.11 0.82 NA 7.26 ZZZ 63090 A Removal of vertebral body 28.18 NA 15.60 4.21 NA 47.99 090 63091 A Remove vertebral body add-on 3.04 NA 1.42 0.48 NA 4.93 ZZZ 63101 A Removal of vertebral body 32.01 NA 18.84 5.69 NA 56.54 090 63102 A Removal of vertebral body 32.01 NA 18.78 5.69 NA 56.48 090 63103 A Remove vertebral body add-on 4.83 NA 2.41 0.69 NA 7.93 ZZZ 63170 A Incise spinal cord tract(s) 19.84 NA 11.62 4.86 NA 36.32 090 63172 A Drainage of spinal cyst 17.67 NA 10.42 4.48 NA 32.57 090 63173 A Drainage of spinal cyst 22.00 NA 12.54 5.68 NA 40.22 090 63180 A Revise spinal cord ligaments 18.28 NA 10.77 3.95 NA 33.00 090 63182 A Revise spinal cord ligaments 20.51 NA 10.76 5.30 NA 36.57 090 63185 A Incise spinal column/nerves 15.05 NA 7.93 2.79 NA 25.77 090 63190 A Incise spinal column/nerves 17.45 NA 9.90 3.24 NA 30.59 090 63191 A Incise spinal column/nerves 17.55 NA 10.21 6.34 NA 34.10 090 63194 A Incise spinal column & cord 19.20 NA 11.48 3.26 NA 33.94 090 63195 A Incise spinal column & cord 18.85 NA 10.81 4.87 NA 34.53 090 63196 A Incise spinal column & cord 22.31 NA 13.11 5.76 NA 41.18 090 63197 A Incise spinal column & cord 21.12 NA 11.95 5.36 NA 38.44 090 63198 A Incise spinal column & cord 25.39 NA 8.28 6.43 NA 40.10 090 63199 A Incise spinal column & cord 26.90 NA 14.73 1.40 NA 43.04 090 63200 A Release of spinal cord 19.19 NA 11.10 4.96 NA 35.25 090 63250 A Revise spinal cord vessels 40.78 NA 19.47 9.01 NA 69.26 090 63251 A Revise spinal cord vessels 41.22 NA 22.08 10.41 NA 73.72 090 63252 A Revise spinal cord vessels 41.21 NA 21.75 10.64 NA 73.60 090 63265 A Excise intraspinal lesion 21.57 NA 12.49 5.43 NA 39.49 090 63266 A Excise intraspinal lesion 22.31 NA 12.89 5.54 NA 40.74 090 63267 A Excise intraspinal lesion 17.96 NA 10.83 4.37 NA 33.16 090 63268 A Excise intraspinal lesion 18.53 NA 10.13 3.69 NA 32.35 090 63270 A Excise intraspinal lesion 26.81 NA 15.13 6.82 NA 48.76 090

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 />

63086 A Remove vertebral body add-on 3.20 NA 1.55 0.59 NA 5.33 ZZZ<br />

63087 A Removal <strong>of</strong> vertebral body 35.59 NA 18.93 6.20 NA 60.72 090<br />

63088 A Remove vertebral body add-on 4.33 NA 2.11 0.82 NA 7.26 ZZZ<br />

63090 A Removal <strong>of</strong> vertebral body 28.18 NA 15.60 4.21 NA 47.99 090<br />

63091 A Remove vertebral body add-on 3.04 NA 1.42 0.48 NA 4.93 ZZZ<br />

63101 A Removal <strong>of</strong> vertebral body 32.01 NA 18.84 5.69 NA 56.54 090<br />

63102 A Removal <strong>of</strong> vertebral body 32.01 NA 18.78 5.69 NA 56.48 090<br />

63103 A Remove vertebral body add-on 4.83 NA 2.41 0.69 NA 7.93 ZZZ<br />

63170 A Incise spinal cord tract(s) 19.84 NA 11.62 4.86 NA 36.32 090<br />

63172 A Drainage <strong>of</strong> spinal cyst 17.67 NA 10.42 4.48 NA 32.57 090<br />

63173 A Drainage <strong>of</strong> spinal cyst 22.00 NA 12.54 5.68 NA 40.22 090<br />

63180 A Revise spinal cord ligaments 18.28 NA 10.77 3.95 NA 33.00 090<br />

63182 A Revise spinal cord ligaments 20.51 NA 10.76 5.30 NA 36.57 090<br />

63185 A Incise spinal column/nerves 15.05 NA 7.93 2.79 NA 25.77 090<br />

63190 A Incise spinal column/nerves 17.45 NA 9.90 3.24 NA 30.59 090<br />

63191 A Incise spinal column/nerves 17.55 NA 10.21 6.34 NA 34.10 090<br />

63194 A Incise spinal column & cord 19.20 NA 11.48 3.26 NA 33.94 090<br />

63195 A Incise spinal column & cord 18.85 NA 10.81 4.87 NA 34.53 090<br />

63196 A Incise spinal column & cord 22.31 NA 13.11 5.76 NA 41.18 090<br />

63197 A Incise spinal column & cord 21.12 NA 11.95 5.36 NA 38.44 090<br />

63198 A Incise spinal column & cord 25.39 NA 8.28 6.43 NA 40.10 090<br />

63199 A Incise spinal column & cord 26.90 NA 14.73 1.40 NA 43.04 090<br />

63200 A Release <strong>of</strong> spinal cord 19.19 NA 11.10 4.96 NA 35.25 090<br />

63250 A Revise spinal cord vessels 40.78 NA 19.47 9.01 NA 69.26 090<br />

63251 A Revise spinal cord vessels 41.22 NA 22.08 10.41 NA 73.72 090<br />

63252 A Revise spinal cord vessels 41.21 NA 21.75 10.64 NA 73.60 090<br />

63265 A Excise intraspinal lesion 21.57 NA 12.49 5.43 NA 39.49 090<br />

63266 A Excise intraspinal lesion 22.31 NA 12.89 5.54 NA 40.74 090<br />

63267 A Excise intraspinal lesion 17.96 NA 10.83 4.37 NA 33.16 090<br />

63268 A Excise intraspinal lesion 18.53 NA 10.13 3.69 NA 32.35 090<br />

63270 A Excise intraspinal lesion 26.81 NA 15.13 6.82 NA 48.76 090

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