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 76075 TC A Dxa bone density, axial 0.00 2.47 NA 0.17 2.64 NA XXX 76076 A Dxa bone density/peripheral 0.22 0.75 NA 0.06 1.03 NA XXX 76076 26 A Dxa bone density/peripheral 0.22 0.08 0.08 0.01 0.31 0.31 XXX 76076 TC A Dxa bone density/peripheral 0.00 0.67 NA 0.05 0.72 NA XXX 76077 A Dxa bone density/v-fracture 0.17 0.71 NA 0.06 0.94 NA XXX 76077 26 A Dxa bone density/v-fracture 0.17 0.06 0.06 0.01 0.24 0.24 XXX 76077 TC A Dxa bone density/v-fracture 0.00 0.65 NA 0.05 0.70 NA XXX 76078 A Radiographic absorptiometry 0.20 0.70 NA 0.06 0.96 NA XXX 76078 26 A Radiographic absorptiometry 0.20 0.07 0.07 0.01 0.28 0.28 XXX 76078 TC A Radiographic absorptiometry 0.00 0.63 NA 0.05 0.68 NA XXX 76080 A X-ray exam of fistula 0.54 1.23 NA 0.08 1.86 NA XXX 76080 26 A X-ray exam of fistula 0.54 0.19 0.19 0.02 0.75 0.75 XXX 76080 TC A X-ray exam of fistula 0.00 1.05 NA 0.06 1.11 NA XXX 76082 A Computer mammogram add-on 0.06 0.39 NA 0.02 0.47 NA ZZZ 76082 26 A Computer mammogram add-on 0.06 0.02 0.02 0.01 0.09 0.09 ZZZ 76082 TC A Computer mammogram add-on 0.00 0.37 NA 0.01 0.38 NA ZZZ 76083 A Computer mammogram add-on 0.06 0.39 NA 0.02 0.47 NA ZZZ 76083 26 A Computer mammogram add-on 0.06 0.02 0.02 0.01 0.09 0.09 ZZZ 76083 TC A Computer mammogram add-on 0.00 0.37 NA 0.01 0.38 NA ZZZ 76086 A X-ray of mammary duct 0.36 2.40 NA 0.16 2.92 NA XXX 76086 26 A X-ray of mammary duct 0.36 0.13 0.13 0.02 0.51 0.51 XXX 76086 TC A X-ray of mammary duct 0.00 2.28 NA 0.14 2.42 NA XXX 76088 A X-ray of mammary ducts 0.45 3.32 NA 0.21 3.99 NA XXX 76088 26 A X-ray of mammary ducts 0.45 0.16 0.16 0.02 0.63 0.63 XXX 76088 TC A X-ray of mammary ducts 0.00 3.17 NA 0.19 3.36 NA XXX 76090 A Mammogram, one breast 0.70 1.44 NA 0.09 2.23 NA XXX 76090 26 A Mammogram, one breast 0.70 0.24 0.24 0.03 0.97 0.97 XXX 76090 TC A Mammogram, one breast 0.00 1.20 NA 0.06 1.26 NA XXX 76091 A Mammogram, both breasts 0.87 1.82 NA 0.11 2.80 NA XXX 76091 26 A Mammogram, both breasts 0.87 0.30 0.30 0.04 1.21 1.21 XXX 76091 TC A Mammogram, both breasts 0.00 1.52 NA 0.07 1.59 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 76092 A Mammogram, screening 0.70 1.51 NA 0.10 2.31 NA XXX 76092 26 A Mammogram, screening 0.70 0.24 0.24 0.03 0.97 0.97 XXX 76092 TC A Mammogram, screening 0.00 1.27 NA 0.07 1.34 NA XXX 76093 A Magnetic image, breast 1.63 18.79 NA 0.99 21.41 NA XXX 76093 26 A Magnetic image, breast 1.63 0.56 0.56 0.07 2.26 2.26 XXX 76093 TC A Magnetic image, breast 0.00 18.23 NA 0.92 19.15 NA XXX 76094 A Magnetic image, both breasts 1.63 23.36 NA 1.31 26.31 NA XXX 76094 26 A Magnetic image, both breasts 1.63 0.56 0.56 0.07 2.26 2.26 XXX 76094 TC A Magnetic image, both breasts 0.00 22.81 NA 1.24 24.05 NA XXX 76095 A Stereotactic breast biopsy 1.59 6.38 NA 0.46 8.43 NA XXX 76095 26 A Stereotactic breast biopsy 1.59 0.54 0.54 0.09 2.22 2.22 XXX 76095 TC A Stereotactic breast biopsy 0.00 5.84 NA 0.37 6.21 NA XXX 76096 A X-ray of needle wire, breast 0.56 1.37 NA 0.09 2.02 NA XXX 76096 26 A X-ray of needle wire, breast 0.56 0.19 0.19 0.02 0.77 0.77 XXX 76096 TC A X-ray of needle wire, breast 0.00 1.17 NA 0.07 1.24 NA XXX 76098 A X-ray exam, breast specimen 0.16 0.46 NA 0.03 0.65 NA XXX 76098 26 A X-ray exam, breast specimen 0.16 0.05 0.05 0.01 0.22 0.22 XXX 76098 TC A X-ray exam, breast specimen 0.00 0.40 NA 0.02 0.42 NA XXX 76100 A X-ray exam of body section 0.58 2.02 NA 0.10 2.70 NA XXX 76100 26 A X-ray exam of body section 0.58 0.20 0.20 0.03 0.81 0.81 XXX 76100 TC A X-ray exam of body section 0.00 1.82 NA 0.07 1.89 NA XXX 76101 A Complex body section x-ray 0.58 2.53 NA 0.11 3.22 NA XXX 76101 26 A Complex body section x-ray 0.58 0.20 0.20 0.03 0.81 0.81 XXX 76101 TC A Complex body section x-ray 0.00 2.32 NA 0.08 2.40 NA XXX 76102 A Complex body section x-rays 0.58 3.39 NA 0.14 4.11 NA XXX 76102 26 A Complex body section x-rays 0.58 0.20 0.20 0.03 0.81 0.81 XXX 76102 TC A Complex body section x-rays 0.00 3.19 NA 0.11 3.30 NA XXX 76120 A Cine/video x-rays 0.38 1.78 NA 0.08 2.24 NA XXX 76120 26 A Cine/video x-rays 0.38 0.14 0.14 0.02 0.54 0.54 XXX 76120 TC A Cine/video x-rays 0.00 1.65 NA 0.06 1.71 NA XXX 76125 A Cine/video x-rays add-on 0.27 NA NA 0.06 NA NA ZZZ

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 />

76092 A Mammogram, screening 0.70 1.51 NA 0.10 2.31 NA XXX<br />

76092 26 A Mammogram, screening 0.70 0.24 0.24 0.03 0.97 0.97 XXX<br />

76092 TC A Mammogram, screening 0.00 1.27 NA 0.07 1.34 NA XXX<br />

76093 A Magnetic image, breast 1.63 18.79 NA 0.99 21.41 NA XXX<br />

76093 26 A Magnetic image, breast 1.63 0.56 0.56 0.07 2.26 2.26 XXX<br />

76093 TC A Magnetic image, breast 0.00 18.23 NA 0.92 19.15 NA XXX<br />

76094 A Magnetic image, both breasts 1.63 23.36 NA 1.31 26.31 NA XXX<br />

76094 26 A Magnetic image, both breasts 1.63 0.56 0.56 0.07 2.26 2.26 XXX<br />

76094 TC A Magnetic image, both breasts 0.00 22.81 NA 1.24 24.05 NA XXX<br />

76095 A Stereotactic breast biopsy 1.59 6.38 NA 0.46 8.43 NA XXX<br />

76095 26 A Stereotactic breast biopsy 1.59 0.54 0.54 0.09 2.22 2.22 XXX<br />

76095 TC A Stereotactic breast biopsy 0.00 5.84 NA 0.37 6.21 NA XXX<br />

76096 A X-ray <strong>of</strong> needle wire, breast 0.56 1.37 NA 0.09 2.02 NA XXX<br />

76096 26 A X-ray <strong>of</strong> needle wire, breast 0.56 0.19 0.19 0.02 0.77 0.77 XXX<br />

76096 TC A X-ray <strong>of</strong> needle wire, breast 0.00 1.17 NA 0.07 1.24 NA XXX<br />

76098 A X-ray exam, breast specimen 0.16 0.46 NA 0.03 0.65 NA XXX<br />

76098 26 A X-ray exam, breast specimen 0.16 0.05 0.05 0.01 0.22 0.22 XXX<br />

76098 TC A X-ray exam, breast specimen 0.00 0.40 NA 0.02 0.42 NA XXX<br />

76100 A X-ray exam <strong>of</strong> body section 0.58 2.02 NA 0.10 2.70 NA XXX<br />

76100 26 A X-ray exam <strong>of</strong> body section 0.58 0.20 0.20 0.03 0.81 0.81 XXX<br />

76100 TC A X-ray exam <strong>of</strong> body section 0.00 1.82 NA 0.07 1.89 NA XXX<br />

76101 A Complex body section x-ray 0.58 2.53 NA 0.11 3.22 NA XXX<br />

76101 26 A Complex body section x-ray 0.58 0.20 0.20 0.03 0.81 0.81 XXX<br />

76101 TC A Complex body section x-ray 0.00 2.32 NA 0.08 2.40 NA XXX<br />

76102 A Complex body section x-rays 0.58 3.39 NA 0.14 4.11 NA XXX<br />

76102 26 A Complex body section x-rays 0.58 0.20 0.20 0.03 0.81 0.81 XXX<br />

76102 TC A Complex body section x-rays 0.00 3.19 NA 0.11 3.30 NA XXX<br />

76120 A Cine/video x-rays 0.38 1.78 NA 0.08 2.24 NA XXX<br />

76120 26 A Cine/video x-rays 0.38 0.14 0.14 0.02 0.54 0.54 XXX<br />

76120 TC A Cine/video x-rays 0.00 1.65 NA 0.06 1.71 NA XXX<br />

76125 A Cine/video x-rays add-on 0.27 NA NA 0.06 NA NA ZZZ

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