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 68328 A Revise/graft eyelid lining 8.19 NA 7.08 0.54 NA 15.81 090 68330 A Revise eyelid lining 4.83 9.00 4.62 0.24 14.07 9.69 090 68335 A Revise/graft eyelid lining 7.19 NA 6.24 0.36 NA 13.80 090 68340 A Separate eyelid adhesions 4.17 8.47 4.02 0.21 12.85 8.39 090 68360 A Revise eyelid lining 4.37 7.70 4.10 0.22 12.29 8.68 090 68362 A Revise eyelid lining 7.34 NA 6.27 0.36 NA 13.97 090 68371 A Harvest eye tissue, alograft 4.90 NA 4.61 0.44 NA 9.95 010 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68400 A Incise/drain tear gland 1.69 5.61 1.72 0.08 7.38 3.49 010 68420 A Incise/drain tear sac 2.30 5.90 1.99 0.11 8.31 4.40 010 68440 A Incise tear duct opening 0.94 1.93 1.24 0.05 2.92 2.23 010 68500 A Removal of tear gland 11.02 NA 9.45 0.55 NA 21.02 090 68505 A Partial removal, tear gland 10.94 NA 10.29 0.55 NA 21.78 090 68510 A Biopsy of tear gland 4.61 6.97 2.13 0.23 11.81 6.97 000 68520 A Removal of tear sac 7.52 NA 7.21 0.37 NA 15.09 090 68525 A Biopsy of tear sac 4.43 NA 1.97 0.22 NA 6.62 000 68530 A Clearance of tear duct 3.66 7.71 2.55 0.18 11.55 6.39 010 68540 A Remove tear gland lesion 10.60 NA 9.14 0.52 NA 20.26 090 68550 A Remove tear gland lesion 13.27 NA 11.03 0.80 NA 25.09 090 68700 A Repair tear ducts 6.60 NA 5.84 0.32 NA 12.76 090 68705 A Revise tear duct opening 2.06 3.97 1.75 0.10 6.13 3.92 010 68720 A Create tear sac drain 8.97 NA 7.65 0.44 NA 17.05 090 68745 A Create tear duct drain 8.64 NA 7.65 0.52 NA 16.80 090 68750 A Create tear duct drain 8.67 NA 8.04 0.43 NA 17.14 090 68760 A Close tear duct opening 1.73 3.37 1.60 0.09 5.19 3.42 010 68761 A Close tear duct opening 1.36 2.19 1.31 0.06 3.62 2.73 010 68770 A Close tear system fistula 7.02 NA 3.78 0.35 NA 11.15 090 68801 A Dilate tear duct opening 0.94 1.90 1.46 0.05 2.89 2.45 010 68810 A Probe nasolacrimal duct 1.90 3.55 2.62 0.10 5.56 4.62 010 68811 A Probe nasolacrimal duct 2.35 NA 2.35 0.13 NA 4.84 010 68815 A Probe nasolacrimal duct 3.21 7.87 2.75 0.17 11.25 6.12 010

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 68840 A Explore/irrigate tear ducts 1.25 1.55 1.11 0.06 2.86 2.42 010 68850 A Injection for tear sac x-ray 0.80 0.87 0.71 0.04 1.71 1.55 000 68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69000 A Drain external ear lesion 1.45 2.83 1.32 0.12 4.41 2.90 010 69005 A Drain external ear lesion 2.11 2.90 1.79 0.17 5.18 4.07 010 69020 A Drain outer ear canal lesion 1.48 3.93 2.00 0.12 5.54 3.60 010 69090 N Pierce earlobes 0.00 0.00 0.00 0.00 0.00 0.00 XXX 69100 A Biopsy of external ear 0.81 1.76 0.41 0.03 2.61 1.25 000 69105 A Biopsy of external ear canal 0.85 2.35 0.76 0.07 3.27 1.68 000 69110 A Remove external ear, partial 3.44 7.01 4.35 0.30 10.75 8.09 090 69120 A Removal of external ear 4.05 NA 5.99 0.38 NA 10.42 090 69140 A Remove ear canal lesion(s) 7.98 NA 13.09 0.65 NA 21.72 090 69145 A Remove ear canal lesion(s) 2.63 5.85 3.28 0.21 8.68 6.11 090 69150 A Extensive ear canal surgery 13.44 NA 13.05 1.22 NA 27.71 090 69155 A Extensive ear/neck surgery 20.81 NA 19.00 1.92 NA 41.73 090 69200 A Clear outer ear canal 0.77 2.30 0.54 0.06 3.13 1.37 000 69205 A Clear outer ear canal 1.20 NA 1.34 0.10 NA 2.64 010 69210 A Remove impacted ear wax 0.61 0.62 0.22 0.05 1.28 0.88 000 69220 A Clean out mastoid cavity 0.83 2.34 0.72 0.07 3.24 1.62 000 69222 A Clean out mastoid cavity 1.40 3.80 2.01 0.12 5.32 3.53 010 69300 R Revise external ear 6.36 0.00 4.43 0.72 7.08 11.51 YYY 69310 A Rebuild outer ear canal 10.79 NA 15.97 0.85 NA 27.61 090 69320 A Rebuild outer ear canal 16.96 NA 21.39 1.37 NA 39.72 090 69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 69400 A Inflate middle ear canal 0.83 2.20 0.67 0.07 3.11 1.57 000 69401 A Inflate middle ear canal 0.63 1.27 0.64 0.05 1.95 1.32 000 69405 A Catheterize middle ear canal 2.64 3.49 2.26 0.21 6.33 5.10 010 69410 A Inset middle ear (baffle) 0.33 2.06 0.48 0.03 2.42 0.84 000 69420 A Incision of eardrum 1.33 3.12 1.57 0.11 4.56 3.01 010 69421 A Incision of eardrum 1.73 NA 2.10 0.15 NA 3.98 010 69424 A Remove ventilating tube 0.85 2.16 0.67 0.07 3.09 1.60 000

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 />

68840 A Explore/irrigate tear ducts 1.25 1.55 1.11 0.06 2.86 2.42 010<br />

68850 A Injection for tear sac x-ray 0.80 0.87 0.71 0.04 1.71 1.55 000<br />

68899 C Tear duct system surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

69000 A Drain external ear lesion 1.45 2.83 1.32 0.12 4.41 2.90 010<br />

69005 A Drain external ear lesion 2.11 2.90 1.79 0.17 5.18 4.07 010<br />

69020 A Drain outer ear canal lesion 1.48 3.93 2.00 0.12 5.54 3.60 010<br />

69090 N Pierce earlobes 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

69100 A Biopsy <strong>of</strong> external ear 0.81 1.76 0.41 0.03 2.61 1.25 000<br />

69105 A Biopsy <strong>of</strong> external ear canal 0.85 2.35 0.76 0.07 3.27 1.68 000<br />

69110 A Remove external ear, partial 3.44 7.01 4.35 0.30 10.75 8.09 090<br />

69120 A Removal <strong>of</strong> external ear 4.05 NA 5.99 0.38 NA 10.42 090<br />

69140 A Remove ear canal lesion(s) 7.98 NA 13.09 0.65 NA 21.72 090<br />

69145 A Remove ear canal lesion(s) 2.63 5.85 3.28 0.21 8.68 6.11 090<br />

69150 A Extensive ear canal surgery 13.44 NA 13.05 1.22 NA 27.71 090<br />

69155 A Extensive ear/neck surgery 20.81 NA 19.00 1.92 NA 41.73 090<br />

69200 A Clear outer ear canal 0.77 2.30 0.54 0.06 3.13 1.37 000<br />

69205 A Clear outer ear canal 1.20 NA 1.34 0.10 NA 2.64 010<br />

69210 A Remove impacted ear wax 0.61 0.62 0.22 0.05 1.28 0.88 000<br />

69220 A Clean out mastoid cavity 0.83 2.34 0.72 0.07 3.24 1.62 000<br />

69222 A Clean out mastoid cavity 1.40 3.80 2.01 0.12 5.32 3.53 010<br />

69300 R Revise external ear 6.36 0.00 4.43 0.72 7.08 11.51 YYY<br />

69310 A Rebuild outer ear canal 10.79 NA 15.97 0.85 NA 27.61 090<br />

69320 A Rebuild outer ear canal 16.96 NA 21.39 1.37 NA 39.72 090<br />

69399 C Outer ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

69400 A Inflate middle ear canal 0.83 2.20 0.67 0.07 3.11 1.57 000<br />

69401 A Inflate middle ear canal 0.63 1.27 0.64 0.05 1.95 1.32 000<br />

69405 A Catheterize middle ear canal 2.64 3.49 2.26 0.21 6.33 5.10 010<br />

69410 A Inset middle ear (baffle) 0.33 2.06 0.48 0.03 2.42 0.84 000<br />

69420 A Incision <strong>of</strong> eardrum 1.33 3.12 1.57 0.11 4.56 3.01 010<br />

69421 A Incision <strong>of</strong> eardrum 1.73 NA 2.10 0.15 NA 3.98 010<br />

69424 A Remove ventilating tube 0.85 2.16 0.67 0.07 3.09 1.60 000

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