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 78215 TC A Liver and spleen imaging 0.00 3.31 NA 0.14 3.45 NA XXX 78216 A Liver & spleen image/flow 0.57 3.49 NA 0.20 4.26 NA XXX 78216 26 A Liver & spleen image/flow 0.57 0.20 0.20 0.02 0.79 0.79 XXX 78216 TC A Liver & spleen image/flow 0.00 3.29 NA 0.18 3.47 NA XXX 78220 A Liver function study 0.49 3.67 NA 0.21 4.37 NA XXX 78220 26 A Liver function study 0.49 0.17 0.17 0.02 0.68 0.68 XXX 78220 TC A Liver function study 0.00 3.50 NA 0.19 3.69 NA XXX 78223 A Hepatobiliary imaging 0.84 4.79 NA 0.23 5.86 NA XXX 78223 26 A Hepatobiliary imaging 0.84 0.29 0.29 0.04 1.17 1.17 XXX 78223 TC A Hepatobiliary imaging 0.00 4.49 NA 0.19 4.68 NA XXX 78230 A Salivary gland imaging 0.45 2.74 NA 0.15 3.34 NA XXX 78230 26 A Salivary gland imaging 0.45 0.15 0.15 0.02 0.62 0.62 XXX 78230 TC A Salivary gland imaging 0.00 2.58 NA 0.13 2.71 NA XXX 78231 A Serial salivary imaging 0.52 3.14 NA 0.19 3.85 NA XXX 78231 26 A Serial salivary imaging 0.52 0.19 0.19 0.02 0.73 0.73 XXX 78231 TC A Serial salivary imaging 0.00 2.96 NA 0.17 3.13 NA XXX 78232 A Salivary gland function exam 0.47 3.47 NA 0.20 4.14 NA XXX 78232 26 A Salivary gland function exam 0.47 0.17 0.17 0.02 0.66 0.66 XXX 78232 TC A Salivary gland function exam 0.00 3.30 NA 0.18 3.48 NA XXX 78258 A Esophageal motility study 0.74 3.70 NA 0.17 4.61 NA XXX 78258 26 A Esophageal motility study 0.74 0.26 0.26 0.03 1.03 1.03 XXX 78258 TC A Esophageal motility study 0.00 3.44 NA 0.14 3.58 NA XXX 78261 A Gastric mucosa imaging 0.69 4.56 NA 0.25 5.51 NA XXX 78261 26 A Gastric mucosa imaging 0.69 0.25 0.25 0.03 0.97 0.97 XXX 78261 TC A Gastric mucosa imaging 0.00 4.31 NA 0.22 4.53 NA XXX 78262 A Gastroesophageal reflux exam 0.68 4.57 NA 0.25 5.50 NA XXX 78262 26 A Gastroesophageal reflux exam 0.68 0.24 0.24 0.03 0.95 0.95 XXX 78262 TC A Gastroesophageal reflux exam 0.00 4.33 NA 0.22 4.55 NA XXX 78264 A Gastric emptying study 0.78 4.86 NA 0.25 5.89 NA XXX 78264 26 A Gastric emptying study 0.78 0.27 0.27 0.03 1.08 1.08 XXX 78264 TC A Gastric emptying study 0.00 4.59 NA 0.22 4.81 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 78270 A Vit B-12 absorption exam 0.20 1.55 NA 0.11 1.86 NA XXX 78270 26 A Vit B-12 absorption exam 0.20 0.07 0.07 0.01 0.28 0.28 XXX 78270 TC A Vit B-12 absorption exam 0.00 1.48 NA 0.10 1.58 NA XXX 78271 A Vit b-12 absrp exam, int fac 0.20 1.64 NA 0.11 1.95 NA XXX 78271 26 A Vit b-12 absrp exam, int fac 0.20 0.07 0.07 0.01 0.28 0.28 XXX 78271 TC A Vit b-12 absrp exam, int fac 0.00 1.56 NA 0.10 1.66 NA XXX 78272 A Vit B-12 absorp, combined 0.27 2.15 NA 0.14 2.56 NA XXX 78272 26 A Vit B-12 absorp, combined 0.27 0.10 0.10 0.01 0.38 0.38 XXX 78272 TC A Vit B-12 absorp, combined 0.00 2.06 NA 0.13 2.19 NA XXX 78278 A Acute GI blood loss imaging 0.99 6.10 NA 0.29 7.38 NA XXX 78278 26 A Acute GI blood loss imaging 0.99 0.35 0.35 0.04 1.38 1.38 XXX 78278 TC A Acute GI blood loss imaging 0.00 5.75 NA 0.25 6.00 NA XXX 78282 C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78282 26 A GI protein loss exam 0.38 0.14 0.14 0.02 0.54 0.54 XXX 78282 TC C GI protein loss exam 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78290 A Meckelªs divert exam 0.68 4.32 NA 0.19 5.19 NA XXX 78290 26 A Meckelªs divert exam 0.68 0.24 0.24 0.03 0.95 0.95 XXX 78290 TC A Meckelªs divert exam 0.00 4.08 NA 0.16 4.24 NA XXX 78291 A Leveen/shunt patency exam 0.88 4.00 NA 0.20 5.08 NA XXX 78291 26 A Leveen/shunt patency exam 0.88 0.31 0.31 0.04 1.23 1.23 XXX 78291 TC A Leveen/shunt patency exam 0.00 3.68 NA 0.16 3.84 NA XXX 78299 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78299 26 C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78299 TC C GI nuclear procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 78300 A Bone imaging, limited area 0.62 2.97 NA 0.17 3.76 NA XXX 78300 26 A Bone imaging, limited area 0.62 0.22 0.22 0.03 0.87 0.87 XXX 78300 TC A Bone imaging, limited area 0.00 2.75 NA 0.14 2.89 NA XXX 78305 A Bone imaging, multiple areas 0.83 4.16 NA 0.23 5.22 NA XXX 78305 26 A Bone imaging, multiple areas 0.83 0.29 0.29 0.04 1.16 1.16 XXX 78305 TC A Bone imaging, multiple areas 0.00 3.87 NA 0.19 4.06 NA XXX 78306 A Bone imaging, whole body 0.86 4.77 NA 0.26 5.89 NA 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 />

78215 TC A Liver and spleen imaging 0.00 3.31 NA 0.14 3.45 NA XXX<br />

78216 A Liver & spleen image/flow 0.57 3.49 NA 0.20 4.26 NA XXX<br />

78216 26 A Liver & spleen image/flow 0.57 0.20 0.20 0.02 0.79 0.79 XXX<br />

78216 TC A Liver & spleen image/flow 0.00 3.29 NA 0.18 3.47 NA XXX<br />

78220 A Liver function study 0.49 3.67 NA 0.21 4.37 NA XXX<br />

78220 26 A Liver function study 0.49 0.17 0.17 0.02 0.68 0.68 XXX<br />

78220 TC A Liver function study 0.00 3.50 NA 0.19 3.69 NA XXX<br />

78223 A Hepatobiliary imaging 0.84 4.79 NA 0.23 5.86 NA XXX<br />

78223 26 A Hepatobiliary imaging 0.84 0.29 0.29 0.04 1.17 1.17 XXX<br />

78223 TC A Hepatobiliary imaging 0.00 4.49 NA 0.19 4.68 NA XXX<br />

78230 A Salivary gland imaging 0.45 2.74 NA 0.15 3.34 NA XXX<br />

78230 26 A Salivary gland imaging 0.45 0.15 0.15 0.02 0.62 0.62 XXX<br />

78230 TC A Salivary gland imaging 0.00 2.58 NA 0.13 2.71 NA XXX<br />

78231 A Serial salivary imaging 0.52 3.14 NA 0.19 3.85 NA XXX<br />

78231 26 A Serial salivary imaging 0.52 0.19 0.19 0.02 0.73 0.73 XXX<br />

78231 TC A Serial salivary imaging 0.00 2.96 NA 0.17 3.13 NA XXX<br />

78232 A Salivary gland function exam 0.47 3.47 NA 0.20 4.14 NA XXX<br />

78232 26 A Salivary gland function exam 0.47 0.17 0.17 0.02 0.66 0.66 XXX<br />

78232 TC A Salivary gland function exam 0.00 3.30 NA 0.18 3.48 NA XXX<br />

78258 A Esophageal motility study 0.74 3.70 NA 0.17 4.61 NA XXX<br />

78258 26 A Esophageal motility study 0.74 0.26 0.26 0.03 1.03 1.03 XXX<br />

78258 TC A Esophageal motility study 0.00 3.44 NA 0.14 3.58 NA XXX<br />

78261 A Gastric mucosa imaging 0.69 4.56 NA 0.25 5.51 NA XXX<br />

78261 26 A Gastric mucosa imaging 0.69 0.25 0.25 0.03 0.97 0.97 XXX<br />

78261 TC A Gastric mucosa imaging 0.00 4.31 NA 0.22 4.53 NA XXX<br />

78262 A Gastroesophageal reflux exam 0.68 4.57 NA 0.25 5.50 NA XXX<br />

78262 26 A Gastroesophageal reflux exam 0.68 0.24 0.24 0.03 0.95 0.95 XXX<br />

78262 TC A Gastroesophageal reflux exam 0.00 4.33 NA 0.22 4.55 NA XXX<br />

78264 A Gastric emptying study 0.78 4.86 NA 0.25 5.89 NA XXX<br />

78264 26 A Gastric emptying study 0.78 0.27 0.27 0.03 1.08 1.08 XXX<br />

78264 TC A Gastric emptying study 0.00 4.59 NA 0.22 4.81 NA XXX

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