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 95816 A Eeg, awake and drowsy 1.08 3.52 NA 0.16 4.77 NA XXX 95816 26 A Eeg, awake and drowsy 1.08 0.45 0.45 0.06 1.59 1.59 XXX 95816 TC A Eeg, awake and drowsy 0.00 3.08 NA 0.10 3.18 NA XXX 95819 A Eeg, awake and asleep 1.08 3.00 NA 0.16 4.24 NA XXX 95819 26 A Eeg, awake and asleep 1.08 0.45 0.45 0.06 1.59 1.59 XXX 95819 TC A Eeg, awake and asleep 0.00 2.55 NA 0.10 2.65 NA XXX 95822 A Eeg, coma or sleep only 1.08 4.29 NA 0.19 5.56 NA XXX 95822 26 A Eeg, coma or sleep only 1.08 0.45 0.45 0.06 1.59 1.59 XXX 95822 TC A Eeg, coma or sleep only 0.00 3.84 NA 0.13 3.97 NA XXX 95824 C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95824 26 A Eeg, cerebral death only 0.74 0.30 0.30 0.04 1.08 1.08 XXX 95824 TC C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 XXX 95827 A Eeg, all night recording 1.08 5.15 NA 0.19 6.42 NA XXX 95827 26 A Eeg, all night recording 1.08 0.40 0.40 0.05 1.53 1.53 XXX 95827 TC A Eeg, all night recording 0.00 4.75 NA 0.14 4.89 NA XXX 95829 A Surgery electrocorticogram 6.21 28.77 NA 0.50 35.49 NA XXX 95829 26 A Surgery electrocorticogram 6.21 2.25 2.25 0.48 8.94 8.94 XXX 95829 TC A Surgery electrocorticogram 0.00 26.53 NA 0.02 26.55 NA XXX 95830 A Insert electrodes for EEG 1.70 3.14 0.71 0.11 4.95 2.52 XXX 95831 A Limb muscle testing, manual 0.28 0.44 NA 0.01 0.73 NA XXX 95832 A Hand muscle testing, manual 0.29 0.33 NA 0.02 0.64 NA XXX 95833 A Body muscle testing, manual 0.47 0.56 NA 0.02 1.05 NA XXX 95834 A Body muscle testing, manual 0.60 0.62 NA 0.03 1.25 NA XXX 95851 A Range of motion measurements 0.16 0.35 NA 0.01 0.52 NA XXX 95852 A Range of motion measurements 0.11 0.25 NA 0.01 0.37 NA XXX 95857 A Tensilon test 0.53 0.59 0.22 0.02 1.14 0.77 XXX 95858 A Tensilon test & myogram 1.56 NA NA 0.12 NA NA XXX 95858 26 A Tensilon test & myogram 1.56 0.65 0.65 0.08 2.30 2.30 XXX 95858 TC A Tensilon test & myogram 0.00 NA NA 0.04 NA NA XXX 95860 A Muscle test, one limb 0.96 1.35 NA 0.07 2.38 NA XXX 95860 26 A Muscle test, one limb 0.96 0.41 0.41 0.05 1.42 1.42 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 95860 TC A Muscle test, one limb 0.00 0.94 NA 0.02 0.96 NA XXX 95861 A Muscle test, 2 limbs 1.54 1.47 NA 0.13 3.15 NA XXX 95861 26 A Muscle test, 2 limbs 1.54 0.66 0.66 0.07 2.27 2.27 XXX 95861 TC A Muscle test, 2 limbs 0.00 0.81 NA 0.06 0.87 NA XXX 95863 A Muscle test, 3 limbs 1.87 1.78 NA 0.15 3.80 NA XXX 95863 26 A Muscle test, 3 limbs 1.87 0.78 0.78 0.09 2.74 2.74 XXX 95863 TC A Muscle test, 3 limbs 0.00 0.99 NA 0.06 1.05 NA XXX 95864 A Muscle test, 4 limbs 1.99 2.53 NA 0.21 4.73 NA XXX 95864 26 A Muscle test, 4 limbs 1.99 0.85 0.85 0.09 2.93 2.93 XXX 95864 TC A Muscle test, 4 limbs 0.00 1.68 NA 0.12 1.80 NA XXX 95867 A Muscle test cran nerv unilat 0.79 0.96 NA 0.07 1.82 NA XXX 95867 26 A Muscle test cran nerv unilat 0.79 0.34 0.34 0.03 1.16 1.16 XXX 95867 TC A Muscle test cran nerv unilat 0.00 0.62 NA 0.04 0.66 NA XXX 95868 A Muscle test cran nerve bilat 1.18 1.26 NA 0.10 2.54 NA XXX 95868 26 A Muscle test cran nerve bilat 1.18 0.49 0.49 0.05 1.73 1.73 XXX 95868 TC A Muscle test cran nerve bilat 0.00 0.77 NA 0.05 0.82 NA XXX 95869 A Muscle test, thor paraspinal 0.37 0.52 NA 0.04 0.93 NA XXX 95869 26 A Muscle test, thor paraspinal 0.37 0.16 0.16 0.02 0.55 0.55 XXX 95869 TC A Muscle test, thor paraspinal 0.00 0.37 NA 0.02 0.39 NA XXX 95870 A Muscle test, nonparaspinal 0.37 0.51 NA 0.04 0.92 NA XXX 95870 26 A Muscle test, nonparaspinal 0.37 0.16 0.16 0.02 0.55 0.55 XXX 95870 TC A Muscle test, nonparaspinal 0.00 0.35 NA 0.02 0.37 NA XXX 95872 A Muscle test, one fiber 1.50 1.28 NA 0.13 2.91 NA XXX 95872 26 A Muscle test, one fiber 1.50 0.61 0.61 0.08 2.20 2.20 XXX 95872 TC A Muscle test, one fiber 0.00 0.66 NA 0.05 0.71 NA XXX 95875 A Limb exercise test 1.10 1.40 NA 0.11 2.61 NA XXX 95875 26 A Limb exercise test 1.10 0.46 0.46 0.05 1.61 1.61 XXX 95875 TC A Limb exercise test 0.00 0.94 NA 0.06 1.00 NA XXX 95900 A Motor nerve conduction test 0.42 1.18 NA 0.04 1.64 NA XXX 95900 26 A Motor nerve conduction test 0.42 0.18 0.18 0.02 0.62 0.62 XXX 95900 TC A Motor nerve conduction test 0.00 1.00 NA 0.02 1.02 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 />

95816 A Eeg, awake and drowsy 1.08 3.52 NA 0.16 4.77 NA XXX<br />

95816 26 A Eeg, awake and drowsy 1.08 0.45 0.45 0.06 1.59 1.59 XXX<br />

95816 TC A Eeg, awake and drowsy 0.00 3.08 NA 0.10 3.18 NA XXX<br />

95819 A Eeg, awake and asleep 1.08 3.00 NA 0.16 4.24 NA XXX<br />

95819 26 A Eeg, awake and asleep 1.08 0.45 0.45 0.06 1.59 1.59 XXX<br />

95819 TC A Eeg, awake and asleep 0.00 2.55 NA 0.10 2.65 NA XXX<br />

95822 A Eeg, coma or sleep only 1.08 4.29 NA 0.19 5.56 NA XXX<br />

95822 26 A Eeg, coma or sleep only 1.08 0.45 0.45 0.06 1.59 1.59 XXX<br />

95822 TC A Eeg, coma or sleep only 0.00 3.84 NA 0.13 3.97 NA XXX<br />

95824 C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

95824 26 A Eeg, cerebral death only 0.74 0.30 0.30 0.04 1.08 1.08 XXX<br />

95824 TC C Eeg, cerebral death only 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

95827 A Eeg, all night recording 1.08 5.15 NA 0.19 6.42 NA XXX<br />

95827 26 A Eeg, all night recording 1.08 0.40 0.40 0.05 1.53 1.53 XXX<br />

95827 TC A Eeg, all night recording 0.00 4.75 NA 0.14 4.89 NA XXX<br />

95829 A Surgery electrocorticogram 6.21 28.77 NA 0.50 35.49 NA XXX<br />

95829 26 A Surgery electrocorticogram 6.21 2.25 2.25 0.48 8.94 8.94 XXX<br />

95829 TC A Surgery electrocorticogram 0.00 26.53 NA 0.02 26.55 NA XXX<br />

95830 A Insert electrodes for EEG 1.70 3.14 0.71 0.11 4.95 2.52 XXX<br />

95831 A Limb muscle testing, manual 0.28 0.44 NA 0.01 0.73 NA XXX<br />

95832 A Hand muscle testing, manual 0.29 0.33 NA 0.02 0.64 NA XXX<br />

95833 A Body muscle testing, manual 0.47 0.56 NA 0.02 1.05 NA XXX<br />

95834 A Body muscle testing, manual 0.60 0.62 NA 0.03 1.25 NA XXX<br />

95851 A Range <strong>of</strong> motion measurements 0.16 0.35 NA 0.01 0.52 NA XXX<br />

95852 A Range <strong>of</strong> motion measurements 0.11 0.25 NA 0.01 0.37 NA XXX<br />

95857 A Tensilon test 0.53 0.59 0.22 0.02 1.14 0.77 XXX<br />

95858 A Tensilon test & myogram 1.56 NA NA 0.12 NA NA XXX<br />

95858 26 A Tensilon test & myogram 1.56 0.65 0.65 0.08 2.30 2.30 XXX<br />

95858 TC A Tensilon test & myogram 0.00 NA NA 0.04 NA NA XXX<br />

95860 A Muscle test, one limb 0.96 1.35 NA 0.07 2.38 NA XXX<br />

95860 26 A Muscle test, one limb 0.96 0.41 0.41 0.05 1.42 1.42 XXX

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