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 86325 26 A Other immunoelectrophoresis 0.37 0.13 0.13 0.01 0.51 0.51 XXX 86327 26 A Immunoelectrophoresis assay 0.42 0.18 0.18 0.02 0.62 0.62 XXX 86334 26 A Immunofix e-phoresis, serum 0.37 0.15 0.15 0.01 0.53 0.53 XXX 86335 26 A Immunfix e-phorsis/urine/csf 0.37 0.14 0.14 0.01 0.52 0.52 XXX 86485 C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 XXX 86490 A Coccidioidomycosis skin test 0.00 0.28 NA 0.02 0.30 NA XXX 86510 A Histoplasmosis skin test 0.00 0.30 NA 0.02 0.32 NA XXX 86580 A TB intradermal test 0.00 0.22 NA 0.02 0.24 NA XXX 86585 A TB tine test 0.00 0.21 NA 0.01 0.22 NA XXX 86586 C Skin test, unlisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX 87164 26 A Dark field examination 0.37 0.12 0.12 0.01 0.50 0.50 XXX 87207 26 A Smear, special stain 0.37 0.17 0.16 0.01 0.55 0.54 XXX 88104 A Cytopathology, fluids 0.56 0.87 NA 0.04 1.47 NA XXX 88104 26 A Cytopathology, fluids 0.56 0.23 0.23 0.02 0.81 0.81 XXX 88104 TC A Cytopathology, fluids 0.00 0.64 NA 0.02 0.66 NA XXX 88106 A Cytopathology, fluids 0.56 1.35 NA 0.04 1.95 NA XXX 88106 26 A Cytopathology, fluids 0.56 0.23 0.23 0.02 0.81 0.81 XXX 88106 TC A Cytopathology, fluids 0.00 1.11 NA 0.02 1.13 NA XXX 88107 A Cytopathology, fluids 0.76 1.54 NA 0.05 2.35 NA XXX 88107 26 A Cytopathology, fluids 0.76 0.32 0.32 0.03 1.11 1.11 XXX 88107 TC A Cytopathology, fluids 0.00 1.21 NA 0.02 1.23 NA XXX 88108 A Cytopath, concentrate tech 0.56 1.22 NA 0.04 1.82 NA XXX 88108 26 A Cytopath, concentrate tech 0.56 0.23 0.23 0.02 0.81 0.81 XXX 88108 TC A Cytopath, concentrate tech 0.00 0.99 NA 0.02 1.01 NA XXX 88112 A Cytopath, cell enhance tech 1.18 1.91 NA 0.04 3.14 NA XXX 88112 26 A Cytopath, cell enhance tech 1.18 0.50 0.50 0.02 1.70 1.70 XXX 88112 TC A Cytopath, cell enhance tech 0.00 1.42 NA 0.02 1.44 NA XXX 88125 A Forensic cytopathology 0.26 0.25 NA 0.02 0.53 NA XXX 88125 26 A Forensic cytopathology 0.26 0.11 0.11 0.01 0.38 0.38 XXX 88125 TC A Forensic cytopathology 0.00 0.14 NA 0.01 0.15 NA XXX 88141 A Cytopath, c/v, interpret 0.42 0.23 0.15 0.02 0.67 0.59 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 88160 A Cytopath smear, other source 0.50 0.83 NA 0.04 1.38 NA XXX 88160 26 A Cytopath smear, other source 0.50 0.21 0.21 0.02 0.73 0.73 XXX 88160 TC A Cytopath smear, other source 0.00 0.63 NA 0.02 0.65 NA XXX 88161 A Cytopath smear, other source 0.50 0.93 NA 0.04 1.47 NA XXX 88161 26 A Cytopath smear, other source 0.50 0.21 0.21 0.02 0.73 0.73 XXX 88161 TC A Cytopath smear, other source 0.00 0.73 NA 0.02 0.75 NA XXX 88162 A Cytopath smear, other source 0.76 1.03 NA 0.05 1.84 NA XXX 88162 26 A Cytopath smear, other source 0.76 0.32 0.32 0.03 1.11 1.11 XXX 88162 TC A Cytopath smear, other source 0.00 0.71 NA 0.02 0.73 NA XXX 88172 A Cytopathology eval of fna 0.60 0.73 NA 0.04 1.37 NA XXX 88172 26 A Cytopathology eval of fna 0.60 0.25 0.25 0.02 0.87 0.87 XXX 88172 TC A Cytopathology eval of fna 0.00 0.47 NA 0.02 0.49 NA XXX 88173 A Cytopath eval, fna, report 1.39 2.11 NA 0.07 3.57 NA XXX 88173 26 A Cytopath eval, fna, report 1.39 0.58 0.58 0.05 2.02 2.02 XXX 88173 TC A Cytopath eval, fna, report 0.00 1.53 NA 0.02 1.55 NA XXX 88182 A Cell marker study 0.77 2.00 NA 0.07 2.84 NA XXX 88182 26 A Cell marker study 0.77 0.32 0.32 0.03 1.12 1.12 XXX 88182 TC A Cell marker study 0.00 1.67 NA 0.04 1.71 NA XXX 88184 A Flowcytometry/ tc, 1 marker 0.00 1.62 NA 0.02 1.64 NA XXX 88185 A Flowcytometry/tc, add-on 0.00 0.86 NA 0.02 0.88 NA ZZZ 88187 A Flowcytometry/read, 2-8 1.36 0.42 0.42 0.01 1.79 1.79 XXX 88188 A Flowcytometry/read, 9-15 1.69 0.53 0.53 0.01 2.23 2.23 XXX 88189 A Flowcytometry/read, 16 & > 2.23 0.69 0.69 0.01 2.94 2.94 XXX 88199 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199 26 C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88199 TC C Cytopathology procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88291 A Cyto/molecular report 0.52 0.21 0.18 0.02 0.75 0.72 XXX 88299 C Cytogenetic study 0.00 0.00 0.00 0.00 0.00 0.00 XXX 88300 A Surgical path, gross 0.08 0.45 NA 0.02 0.55 NA XXX 88300 26 A Surgical path, gross 0.08 0.03 0.03 0.01 0.12 0.12 XXX 88300 TC A Surgical path, gross 0.00 0.42 NA 0.01 0.43 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 />

86325 26 A Other immunoelectrophoresis 0.37 0.13 0.13 0.01 0.51 0.51 XXX<br />

86327 26 A Immunoelectrophoresis assay 0.42 0.18 0.18 0.02 0.62 0.62 XXX<br />

86334 26 A Immun<strong>of</strong>ix e-phoresis, serum 0.37 0.15 0.15 0.01 0.53 0.53 XXX<br />

86335 26 A Immunfix e-phorsis/urine/csf 0.37 0.14 0.14 0.01 0.52 0.52 XXX<br />

86485 C Skin test, candida 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

86490 A Coccidioidomycosis skin test 0.00 0.28 NA 0.02 0.30 NA XXX<br />

86510 A Histoplasmosis skin test 0.00 0.30 NA 0.02 0.32 NA XXX<br />

86580 A TB intradermal test 0.00 0.22 NA 0.02 0.24 NA XXX<br />

86585 A TB tine test 0.00 0.21 NA 0.01 0.22 NA XXX<br />

86586 C Skin test, unlisted 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

87164 26 A Dark field examination 0.37 0.12 0.12 0.01 0.50 0.50 XXX<br />

87207 26 A Smear, special stain 0.37 0.17 0.16 0.01 0.55 0.54 XXX<br />

88104 A Cytopathology, fluids 0.56 0.87 NA 0.04 1.47 NA XXX<br />

88104 26 A Cytopathology, fluids 0.56 0.23 0.23 0.02 0.81 0.81 XXX<br />

88104 TC A Cytopathology, fluids 0.00 0.64 NA 0.02 0.66 NA XXX<br />

88106 A Cytopathology, fluids 0.56 1.35 NA 0.04 1.95 NA XXX<br />

88106 26 A Cytopathology, fluids 0.56 0.23 0.23 0.02 0.81 0.81 XXX<br />

88106 TC A Cytopathology, fluids 0.00 1.11 NA 0.02 1.13 NA XXX<br />

88107 A Cytopathology, fluids 0.76 1.54 NA 0.05 2.35 NA XXX<br />

88107 26 A Cytopathology, fluids 0.76 0.32 0.32 0.03 1.11 1.11 XXX<br />

88107 TC A Cytopathology, fluids 0.00 1.21 NA 0.02 1.23 NA XXX<br />

88108 A Cytopath, concentrate tech 0.56 1.22 NA 0.04 1.82 NA XXX<br />

88108 26 A Cytopath, concentrate tech 0.56 0.23 0.23 0.02 0.81 0.81 XXX<br />

88108 TC A Cytopath, concentrate tech 0.00 0.99 NA 0.02 1.01 NA XXX<br />

88112 A Cytopath, cell enhance tech 1.18 1.91 NA 0.04 3.14 NA XXX<br />

88112 26 A Cytopath, cell enhance tech 1.18 0.50 0.50 0.02 1.70 1.70 XXX<br />

88112 TC A Cytopath, cell enhance tech 0.00 1.42 NA 0.02 1.44 NA XXX<br />

88125 A Forensic cytopathology 0.26 0.25 NA 0.02 0.53 NA XXX<br />

88125 26 A Forensic cytopathology 0.26 0.11 0.11 0.01 0.38 0.38 XXX<br />

88125 TC A Forensic cytopathology 0.00 0.14 NA 0.01 0.15 NA XXX<br />

88141 A Cytopath, c/v, interpret 0.42 0.23 0.15 0.02 0.67 0.59 XXX

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