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CMS-1403-FC facility settings. 9. Transitional facility practice expense RVUs. These are the 2009 resource-based PE RVUs for facility settings. 10. Malpractice expense RVUs. These are the RVUs for the malpractice expense for the service for 2009. 11. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). An explanation of the alpha codes follows: MMM = Code describes a service furnished in uncomplicated maternity cases including antepartum care, delivery, and postpartum care. The usual global surgical concept does not apply. See the 1999 Physicians' Current Procedural Terminology for specific definitions. XXX = The global concept does not apply. YYY = The global period is to be set by the carrier (for example, unlisted surgery codes). ZZZ = Code related to another service that is always included in the global period of the other service. (Note: Physician work and PE are associated with intra service time and in some instances in the post service time. *Codes with these indicators had a 90-day grace period before January 1, 2005. 1164
CMS-1403-FC ADDENDUM B: Relative Value Units and Related Information Used in Determining Medicare Payments for CY 2009 Physi- cian Work Fully Implemented Non- Facility PE Year 2009 Transitional Non- Facility PE Fully Imple- mented Facility PE Year 2009 Transi- tional Facility PE 1 CPT codes and descriptions only are copyright 2008 American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply. 2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare payment. 1165 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 0016T C Thermotx choroid vasc lesion 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0017T C Photocoagulat macular drusen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0019T C Extracorp shock wv tx,ms nos 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0030T C Antiprothrombin antibody 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0042T C Ct perfusion w/contrast, cbf 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0048T C Implant ventricular device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0050T C Removal circulation assist 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0051T C Implant total heart system 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0052T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0053T C Replace component heart syst 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0054T C Bone surgery using computer 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0055T C Bone surgery using computer 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0062T C Rep intradisc annulus;1 lev 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0063T C Rep intradisc annulus;>1lev 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0064T C Spectroscop eval expired gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0066T N Ct colonography;screen 0.00 0.00 0.00 NA NA 0.00 XXX 0066T TC N Ct colonography;screen 0.00 0.00 0.00 NA NA 0.00 XXX 0066T 26 N Ct colonography;screen 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0067T C Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX 0067T TC C Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX 0067T 26 C Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0068T C Interp/rept heart sound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0069T C Analysis only heart sound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0070T C Interp only heart sound 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0071T C U/s leiomyomata ablate 200 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0073T A Delivery, comp imrt 0.00 12.88 14.20 NA NA 0.13 XXX 0075T C Perq stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0075T TC C Perq stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0075T 26 C Perq stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0076T C S&i stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0076T TC C S&i stent/chest vert art 0.00 0.00 0.00 NA NA 0.00 XXX 0076T 26 C S&i stent/chest vert art 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0077T C Cereb therm perfusion probe 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0078T C Endovasc aort repr w/device 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0079T C Endovasc visc extnsn repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0080T C Endovasc aort repr rad s&i 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0081T C Endovasc visc extnsn s&i 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0084T C Temp prostate urethral stent 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0085T C Breath test heart reject 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0086T C L ventricle fill pressure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0087T C Sperm eval hyaluronan 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0092T C Artific disc addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX 0095T C Artific diskectomy addl 0.00 0.00 0.00 0.00 0.00 0.00 XXX
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<strong>CMS</strong>-1403-FC<br />
facility settings.<br />
9. Transitional facility practice expense RVUs.<br />
These are the 2009 resource-based PE RVUs for facility<br />
settings.<br />
10. Malpractice expense RVUs. These are the RVUs for<br />
the malpractice expense for the service for 2009.<br />
11. Global period. <strong>This</strong> indicator shows the number<br />
of days in the global period for the code (0, 10, or<br />
90 days). An explanation of the alpha codes follows:<br />
MMM = Code describes a service furnished in<br />
uncomplicated maternity cases including antepartum care,<br />
delivery, and postpartum care. The usual global surgical<br />
concept does not apply. See the 1999 Physicians' Current<br />
Procedural Terminology for specific definitions.<br />
XXX = The global concept does not apply.<br />
YYY = The global period is to be set by the carrier<br />
(for example, unlisted surgery codes).<br />
ZZZ = Code related to another service that is always<br />
included in the global period of the other service. (Note:<br />
Physician work and PE are associated with intra service<br />
time and in some instances in the post service time.<br />
*Codes with these indicators had a 90-day grace period<br />
before January 1, 2005.<br />
1164