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 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 71130 A X-ray exam of breastbone 0.22 0.79 NA 0.05 1.06 NA XXX 71130 26 A X-ray exam of breastbone 0.22 0.08 0.08 0.01 0.31 0.31 XXX 71130 TC A X-ray exam of breastbone 0.00 0.72 NA 0.04 0.76 NA XXX 71250 A Ct thorax w/o dye 1.16 6.29 NA 0.36 7.81 NA XXX 71250 26 A Ct thorax w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX 71250 TC A Ct thorax w/o dye 0.00 5.89 NA 0.31 6.20 NA XXX 71260 A Ct thorax w/dye 1.24 7.63 NA 0.42 9.30 NA XXX 71260 26 A Ct thorax w/dye 1.24 0.43 0.43 0.05 1.72 1.72 XXX 71260 TC A Ct thorax w/dye 0.00 7.20 NA 0.37 7.57 NA XXX 71270 A Ct thorax w/o & w/dye 1.38 9.45 NA 0.52 11.35 NA XXX 71270 26 A Ct thorax w/o & w/dye 1.38 0.47 0.47 0.06 1.92 1.92 XXX 71270 TC A Ct thorax w/o & w/dye 0.00 8.98 NA 0.46 9.44 NA XXX 71275 A Ct angiography, chest 1.92 12.83 NA 0.48 15.23 NA XXX 71275 26 A Ct angiography, chest 1.92 0.66 0.66 0.09 2.68 2.68 XXX 71275 TC A Ct angiography, chest 0.00 12.17 NA 0.39 12.56 NA XXX 71550 A Mri chest w/o dye 1.46 12.57 NA 0.51 14.55 NA XXX 71550 26 A Mri chest w/o dye 1.46 0.50 0.50 0.06 2.03 2.03 XXX 71550 TC A Mri chest w/o dye 0.00 12.07 NA 0.45 12.52 NA XXX 71551 A Mri chest w/dye 1.73 14.97 NA 0.60 17.30 NA XXX 71551 26 A Mri chest w/dye 1.73 0.60 0.60 0.08 2.41 2.41 XXX 71551 TC A Mri chest w/dye 0.00 14.37 NA 0.52 14.89 NA XXX 71552 A Mri chest w/o & w/dye 2.26 24.34 NA 0.78 27.38 NA XXX 71552 26 A Mri chest w/o & w/dye 2.26 0.78 0.78 0.10 3.14 3.14 XXX 71552 TC A Mri chest w/o & w/dye 0.00 23.56 NA 0.68 24.24 NA XXX 71555 R Mri angio chest w or w/o dye 1.81 12.49 NA 0.67 14.97 NA XXX 71555 26 R Mri angio chest w or w/o dye 1.81 0.63 0.63 0.08 2.52 2.52 XXX 71555 TC R Mri angio chest w or w/o dye 0.00 11.86 NA 0.59 12.45 NA XXX 72010 A X-ray exam of spine 0.45 1.29 NA 0.08 1.82 NA XXX 72010 26 A X-ray exam of spine 0.45 0.16 0.16 0.02 0.63 0.63 XXX 72010 TC A X-ray exam of spine 0.00 1.13 NA 0.06 1.19 NA XXX 72020 A X-ray exam of spine 0.15 0.48 NA 0.03 0.66 NA XXX

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 72020 26 A X-ray exam of spine 0.15 0.05 0.05 0.01 0.21 0.21 XXX 72020 TC A X-ray exam of spine 0.00 0.43 NA 0.02 0.45 NA XXX 72040 A X-ray exam of neck spine 0.22 0.71 NA 0.05 0.98 NA XXX 72040 26 A X-ray exam of neck spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX 72040 TC A X-ray exam of neck spine 0.00 0.63 NA 0.04 0.67 NA XXX 72050 A X-ray exam of neck spine 0.31 1.04 NA 0.07 1.42 NA XXX 72050 26 A X-ray exam of neck spine 0.31 0.11 0.11 0.01 0.43 0.43 XXX 72050 TC A X-ray exam of neck spine 0.00 0.93 NA 0.06 0.99 NA XXX 72052 A X-ray exam of neck spine 0.36 1.32 NA 0.08 1.76 NA XXX 72052 26 A X-ray exam of neck spine 0.36 0.13 0.13 0.02 0.51 0.51 XXX 72052 TC A X-ray exam of neck spine 0.00 1.20 NA 0.06 1.26 NA XXX 72069 A X-ray exam of trunk spine 0.22 0.64 NA 0.03 0.89 NA XXX 72069 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX 72069 TC A X-ray exam of trunk spine 0.00 0.56 NA 0.02 0.58 NA XXX 72070 A X-ray exam of thoracic spine 0.22 0.72 NA 0.05 0.99 NA XXX 72070 26 A X-ray exam of thoracic spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX 72070 TC A X-ray exam of thoracic spine 0.00 0.65 NA 0.04 0.69 NA XXX 72072 A X-ray exam of thoracic spine 0.22 0.82 NA 0.06 1.10 NA XXX 72072 26 A X-ray exam of thoracic spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX 72072 TC A X-ray exam of thoracic spine 0.00 0.75 NA 0.05 0.80 NA XXX 72074 A X-ray exam of thoracic spine 0.22 1.00 NA 0.07 1.29 NA XXX 72074 26 A X-ray exam of thoracic spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX 72074 TC A X-ray exam of thoracic spine 0.00 0.93 NA 0.06 0.99 NA XXX 72080 A X-ray exam of trunk spine 0.22 0.74 NA 0.05 1.01 NA XXX 72080 26 A X-ray exam of trunk spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX 72080 TC A X-ray exam of trunk spine 0.00 0.67 NA 0.04 0.71 NA XXX 72090 A X-ray exam of trunk spine 0.28 0.85 NA 0.05 1.18 NA XXX 72090 26 A X-ray exam of trunk spine 0.28 0.10 0.10 0.01 0.39 0.39 XXX 72090 TC A X-ray exam of trunk spine 0.00 0.76 NA 0.04 0.80 NA XXX 72100 A X-ray exam of lower spine 0.22 0.77 NA 0.05 1.04 NA XXX 72100 26 A X-ray exam of lower spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX

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 />

72020 26 A X-ray exam <strong>of</strong> spine 0.15 0.05 0.05 0.01 0.21 0.21 XXX<br />

72020 TC A X-ray exam <strong>of</strong> spine 0.00 0.43 NA 0.02 0.45 NA XXX<br />

72040 A X-ray exam <strong>of</strong> neck spine 0.22 0.71 NA 0.05 0.98 NA XXX<br />

72040 26 A X-ray exam <strong>of</strong> neck spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX<br />

72040 TC A X-ray exam <strong>of</strong> neck spine 0.00 0.63 NA 0.04 0.67 NA XXX<br />

72050 A X-ray exam <strong>of</strong> neck spine 0.31 1.04 NA 0.07 1.42 NA XXX<br />

72050 26 A X-ray exam <strong>of</strong> neck spine 0.31 0.11 0.11 0.01 0.43 0.43 XXX<br />

72050 TC A X-ray exam <strong>of</strong> neck spine 0.00 0.93 NA 0.06 0.99 NA XXX<br />

72052 A X-ray exam <strong>of</strong> neck spine 0.36 1.32 NA 0.08 1.76 NA XXX<br />

72052 26 A X-ray exam <strong>of</strong> neck spine 0.36 0.13 0.13 0.02 0.51 0.51 XXX<br />

72052 TC A X-ray exam <strong>of</strong> neck spine 0.00 1.20 NA 0.06 1.26 NA XXX<br />

72069 A X-ray exam <strong>of</strong> trunk spine 0.22 0.64 NA 0.03 0.89 NA XXX<br />

72069 26 A X-ray exam <strong>of</strong> trunk spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX<br />

72069 TC A X-ray exam <strong>of</strong> trunk spine 0.00 0.56 NA 0.02 0.58 NA XXX<br />

72070 A X-ray exam <strong>of</strong> thoracic spine 0.22 0.72 NA 0.05 0.99 NA XXX<br />

72070 26 A X-ray exam <strong>of</strong> thoracic spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX<br />

72070 TC A X-ray exam <strong>of</strong> thoracic spine 0.00 0.65 NA 0.04 0.69 NA XXX<br />

72072 A X-ray exam <strong>of</strong> thoracic spine 0.22 0.82 NA 0.06 1.10 NA XXX<br />

72072 26 A X-ray exam <strong>of</strong> thoracic spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX<br />

72072 TC A X-ray exam <strong>of</strong> thoracic spine 0.00 0.75 NA 0.05 0.80 NA XXX<br />

72074 A X-ray exam <strong>of</strong> thoracic spine 0.22 1.00 NA 0.07 1.29 NA XXX<br />

72074 26 A X-ray exam <strong>of</strong> thoracic spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX<br />

72074 TC A X-ray exam <strong>of</strong> thoracic spine 0.00 0.93 NA 0.06 0.99 NA XXX<br />

72080 A X-ray exam <strong>of</strong> trunk spine 0.22 0.74 NA 0.05 1.01 NA XXX<br />

72080 26 A X-ray exam <strong>of</strong> trunk spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX<br />

72080 TC A X-ray exam <strong>of</strong> trunk spine 0.00 0.67 NA 0.04 0.71 NA XXX<br />

72090 A X-ray exam <strong>of</strong> trunk spine 0.28 0.85 NA 0.05 1.18 NA XXX<br />

72090 26 A X-ray exam <strong>of</strong> trunk spine 0.28 0.10 0.10 0.01 0.39 0.39 XXX<br />

72090 TC A X-ray exam <strong>of</strong> trunk spine 0.00 0.76 NA 0.04 0.80 NA XXX<br />

72100 A X-ray exam <strong>of</strong> lower spine 0.22 0.77 NA 0.05 1.04 NA XXX<br />

72100 26 A X-ray exam <strong>of</strong> lower spine 0.22 0.08 0.08 0.01 0.31 0.31 XXX

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