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
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 72100 TC A X-ray exam of lower spine 0.00 0.70 NA 0.04 0.74 NA XXX 72110 A X-ray exam of lower spine 0.31 1.08 NA 0.07 1.46 NA XXX 72110 26 A X-ray exam of lower spine 0.31 0.11 0.11 0.01 0.43 0.43 XXX 72110 TC A X-ray exam of lower spine 0.00 0.97 NA 0.06 1.03 NA XXX 72114 A X-ray exam of lower spine 0.36 1.41 NA 0.08 1.85 NA XXX 72114 26 A X-ray exam of lower spine 0.36 0.13 0.13 0.02 0.51 0.51 XXX 72114 TC A X-ray exam of lower spine 0.00 1.29 NA 0.06 1.35 NA XXX 72120 A X-ray exam of lower spine 0.22 1.00 NA 0.07 1.29 NA XXX 72120 26 A X-ray exam of lower spine 0.22 0.07 0.07 0.01 0.30 0.30 XXX 72120 TC A X-ray exam of lower spine 0.00 0.93 NA 0.06 0.99 NA XXX 72125 A Ct neck spine w/o dye 1.16 6.29 NA 0.36 7.81 NA XXX 72125 26 A Ct neck spine w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX 72125 TC A Ct neck spine w/o dye 0.00 5.89 NA 0.31 6.20 NA XXX 72126 A Ct neck spine w/dye 1.22 7.60 NA 0.42 9.25 NA XXX 72126 26 A Ct neck spine w/dye 1.22 0.42 0.42 0.05 1.69 1.69 XXX 72126 TC A Ct neck spine w/dye 0.00 7.18 NA 0.37 7.55 NA XXX 72127 A Ct neck spine w/o & w/dye 1.27 9.40 NA 0.52 11.19 NA XXX 72127 26 A Ct neck spine w/o & w/dye 1.27 0.44 0.44 0.06 1.77 1.77 XXX 72127 TC A Ct neck spine w/o & w/dye 0.00 8.96 NA 0.46 9.42 NA XXX 72128 A Ct chest spine w/o dye 1.16 6.29 NA 0.36 7.81 NA XXX 72128 26 A Ct chest spine w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX 72128 TC A Ct chest spine w/o dye 0.00 5.89 NA 0.31 6.20 NA XXX 72129 A Ct chest spine w/dye 1.22 7.58 NA 0.42 9.22 NA XXX 72129 26 A Ct chest spine w/dye 1.22 0.42 0.42 0.05 1.69 1.69 XXX 72129 TC A Ct chest spine w/dye 0.00 7.15 NA 0.37 7.52 NA XXX 72130 A Ct chest spine w/o & w/dye 1.27 9.44 NA 0.52 11.23 NA XXX 72130 26 A Ct chest spine w/o & w/dye 1.27 0.44 0.44 0.06 1.77 1.77 XXX 72130 TC A Ct chest spine w/o & w/dye 0.00 9.00 NA 0.46 9.46 NA XXX 72131 A Ct lumbar spine w/o dye 1.16 6.30 NA 0.36 7.82 NA XXX 72131 26 A Ct lumbar spine w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX 72131 TC A Ct lumbar spine w/o dye 0.00 5.90 NA 0.31 6.21 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 72132 A Ct lumbar spine w/dye 1.22 7.57 NA 0.42 9.22 NA XXX 72132 26 A Ct lumbar spine w/dye 1.22 0.42 0.42 0.05 1.69 1.69 XXX 72132 TC A Ct lumbar spine w/dye 0.00 7.15 NA 0.37 7.52 NA XXX 72133 A Ct lumbar spine w/o & w/dye 1.27 9.42 NA 0.52 11.22 NA XXX 72133 26 A Ct lumbar spine w/o & w/dye 1.27 0.44 0.44 0.06 1.77 1.77 XXX 72133 TC A Ct lumbar spine w/o & w/dye 0.00 8.98 NA 0.46 9.44 NA XXX 72141 A Mri neck spine w/o dye 1.60 11.72 NA 0.66 13.99 NA XXX 72141 26 A Mri neck spine w/o dye 1.60 0.56 0.56 0.07 2.23 2.23 XXX 72141 TC A Mri neck spine w/o dye 0.00 11.17 NA 0.59 11.76 NA XXX 72142 A Mri neck spine w/dye 1.92 14.23 NA 0.79 16.94 NA XXX 72142 26 A Mri neck spine w/dye 1.92 0.67 0.67 0.09 2.68 2.68 XXX 72142 TC A Mri neck spine w/dye 0.00 13.56 NA 0.70 14.26 NA XXX 72146 A Mri chest spine w/o dye 1.60 12.68 NA 0.71 14.99 NA XXX 72146 26 A Mri chest spine w/o dye 1.60 0.56 0.56 0.07 2.23 2.23 XXX 72146 TC A Mri chest spine w/o dye 0.00 12.12 NA 0.64 12.76 NA XXX 72147 A Mri chest spine w/dye 1.92 13.76 NA 0.79 16.48 NA XXX 72147 26 A Mri chest spine w/dye 1.92 0.66 0.66 0.09 2.68 2.68 XXX 72147 TC A Mri chest spine w/dye 0.00 13.10 NA 0.70 13.80 NA XXX 72148 A Mri lumbar spine w/o dye 1.48 12.61 NA 0.71 14.80 NA XXX 72148 26 A Mri lumbar spine w/o dye 1.48 0.51 0.51 0.07 2.07 2.07 XXX 72148 TC A Mri lumbar spine w/o dye 0.00 12.10 NA 0.64 12.74 NA XXX 72149 A Mri lumbar spine w/dye 1.78 14.26 NA 0.78 16.82 NA XXX 72149 26 A Mri lumbar spine w/dye 1.78 0.63 0.63 0.08 2.49 2.49 XXX 72149 TC A Mri lumbar spine w/dye 0.00 13.63 NA 0.70 14.33 NA XXX 72156 A Mri neck spine w/o & w/dye 2.58 23.52 NA 1.42 27.52 NA XXX 72156 26 A Mri neck spine w/o & w/dye 2.58 0.89 0.89 0.11 3.57 3.57 XXX 72156 TC A Mri neck spine w/o & w/dye 0.00 22.63 NA 1.31 23.94 NA XXX 72157 A Mri chest spine w/o & w/dye 2.58 23.15 NA 1.42 27.15 NA XXX 72157 26 A Mri chest spine w/o & w/dye 2.58 0.88 0.88 0.11 3.57 3.57 XXX 72157 TC A Mri chest spine w/o & w/dye 0.00 22.27 NA 1.31 23.58 NA XXX 72158 A Mri lumbar spine w/o & w/dye 2.36 23.45 NA 1.41 27.22 NA XXX
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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 />
72100 TC A X-ray exam <strong>of</strong> lower spine 0.00 0.70 NA 0.04 0.74 NA XXX<br />
72110 A X-ray exam <strong>of</strong> lower spine 0.31 1.08 NA 0.07 1.46 NA XXX<br />
72110 26 A X-ray exam <strong>of</strong> lower spine 0.31 0.11 0.11 0.01 0.43 0.43 XXX<br />
72110 TC A X-ray exam <strong>of</strong> lower spine 0.00 0.97 NA 0.06 1.03 NA XXX<br />
72114 A X-ray exam <strong>of</strong> lower spine 0.36 1.41 NA 0.08 1.85 NA XXX<br />
72114 26 A X-ray exam <strong>of</strong> lower spine 0.36 0.13 0.13 0.02 0.51 0.51 XXX<br />
72114 TC A X-ray exam <strong>of</strong> lower spine 0.00 1.29 NA 0.06 1.35 NA XXX<br />
72120 A X-ray exam <strong>of</strong> lower spine 0.22 1.00 NA 0.07 1.29 NA XXX<br />
72120 26 A X-ray exam <strong>of</strong> lower spine 0.22 0.07 0.07 0.01 0.30 0.30 XXX<br />
72120 TC A X-ray exam <strong>of</strong> lower spine 0.00 0.93 NA 0.06 0.99 NA XXX<br />
72125 A Ct neck spine w/o dye 1.16 6.29 NA 0.36 7.81 NA XXX<br />
72125 26 A Ct neck spine w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX<br />
72125 TC A Ct neck spine w/o dye 0.00 5.89 NA 0.31 6.20 NA XXX<br />
72126 A Ct neck spine w/dye 1.22 7.60 NA 0.42 9.25 NA XXX<br />
72126 26 A Ct neck spine w/dye 1.22 0.42 0.42 0.05 1.69 1.69 XXX<br />
72126 TC A Ct neck spine w/dye 0.00 7.18 NA 0.37 7.55 NA XXX<br />
72127 A Ct neck spine w/o & w/dye 1.27 9.40 NA 0.52 11.19 NA XXX<br />
72127 26 A Ct neck spine w/o & w/dye 1.27 0.44 0.44 0.06 1.77 1.77 XXX<br />
72127 TC A Ct neck spine w/o & w/dye 0.00 8.96 NA 0.46 9.42 NA XXX<br />
72128 A Ct chest spine w/o dye 1.16 6.29 NA 0.36 7.81 NA XXX<br />
72128 26 A Ct chest spine w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX<br />
72128 TC A Ct chest spine w/o dye 0.00 5.89 NA 0.31 6.20 NA XXX<br />
72129 A Ct chest spine w/dye 1.22 7.58 NA 0.42 9.22 NA XXX<br />
72129 26 A Ct chest spine w/dye 1.22 0.42 0.42 0.05 1.69 1.69 XXX<br />
72129 TC A Ct chest spine w/dye 0.00 7.15 NA 0.37 7.52 NA XXX<br />
72130 A Ct chest spine w/o & w/dye 1.27 9.44 NA 0.52 11.23 NA XXX<br />
72130 26 A Ct chest spine w/o & w/dye 1.27 0.44 0.44 0.06 1.77 1.77 XXX<br />
72130 TC A Ct chest spine w/o & w/dye 0.00 9.00 NA 0.46 9.46 NA XXX<br />
72131 A Ct lumbar spine w/o dye 1.16 6.30 NA 0.36 7.82 NA XXX<br />
72131 26 A Ct lumbar spine w/o dye 1.16 0.40 0.40 0.05 1.61 1.61 XXX<br />
72131 TC A Ct lumbar spine w/o dye 0.00 5.90 NA 0.31 6.21 NA XXX