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CMS-1403-FC 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. 1196 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27035 A Denervation of hip joint 17.23 NA NA 8.01 8.84 2.16 090 27036 A Excision of hip joint/muscle 14.18 NA NA 9.24 9.45 2.27 090 27040 A Biopsy of soft tissues 2.89 5.24 5.25 1.96 1.98 0.27 010 27041 A Biopsy of soft tissues 10.07 NA NA 6.05 6.21 1.35 090 27047 A Remove hip/pelvis lesion 7.51 7.01 7.05 4.56 4.62 1.03 090 27048 A Remove hip/pelvis lesion 6.44 NA NA 4.70 4.73 0.92 090 27049 A Remove tumor, hip/pelvis 15.20 NA NA 8.37 8.40 2.07 090 27050 A Biopsy of sacroiliac joint 4.65 NA NA 3.27 3.57 0.60 090 27052 A Biopsy of hip joint 7.27 NA NA 5.72 5.77 1.08 090 27054 A Removal of hip joint lining 9.09 NA NA 6.64 6.83 1.47 090 27057 A Buttock fasciotomy w/dbrdmt 14.77 NA NA 8.32 8.32 1.52 090 27060 A Removal of ischial bursa 5.78 NA NA 4.29 4.32 0.80 090 27062 A Remove femur lesion/bursa 5.66 NA NA 4.70 4.83 0.93 090 27065 A Removal of hip bone lesion 6.44 NA NA 5.21 5.28 1.01 090 27066 A Removal of hip bone lesion 11.06 NA NA 7.69 7.89 1.80 090 27067 A Remove/graft hip bone lesion 14.57 NA NA 9.43 9.76 1.85 090 27070 A Partial removal of hip bone 11.44 NA NA 8.26 8.50 1.75 090 27071 A Partial removal of hip bone 12.25 NA NA 8.75 9.12 1.93 090 27075 A Extensive hip surgery 36.77 NA NA 17.29 17.81 5.66 090 27076 A Extensive hip surgery 24.25 NA NA 13.18 13.54 3.71 090 27077 A Extensive hip surgery 42.54 NA NA 20.12 20.81 6.14 090 27078 A Extensive hip surgery 14.54 NA NA 9.21 9.42 2.23 090 27079 A Extensive hip surgery 14.91 NA NA 7.65 8.14 1.95 090 27080 A Removal of tail bone 6.80 NA NA 4.77 4.80 0.93 090 27086 A Remove hip foreign body 1.89 3.69 3.91 1.53 1.61 0.25 010 27087 A Remove hip foreign body 8.72 NA NA 5.91 6.11 1.35 090 27090 A Removal of hip prosthesis 11.57 NA NA 7.66 7.96 1.95 090 27091 A Removal of hip prosthesis 24.15 NA NA 13.48 13.64 3.85 090 27093 A Injection for hip x-ray 1.30 3.13 3.47 0.51 0.50 0.13 000 27095 A Injection for hip x-ray 1.50 3.77 4.27 0.57 0.56 0.14 000 27096 A Inject sacroiliac joint 1.40 2.54 3.00 0.36 0.35 0.08 000 27097 A Revision of hip tendon 9.16 NA NA 6.37 6.40 1.57 090 27098 A Transfer tendon to pelvis 9.20 NA NA 5.18 5.66 0.95 090 27100 A Transfer of abdominal muscle 11.21 NA NA 7.80 8.03 1.86 090 27105 A Transfer of spinal muscle 11.90 NA NA 8.10 8.39 1.73 090 27110 A Transfer of iliopsoas muscle 13.63 NA NA 8.74 8.86 2.19 090 27111 A Transfer of iliopsoas muscle 12.46 NA NA 7.06 7.60 1.95 090 27120 A Reconstruction of hip socket 19.10 NA NA 11.12 11.32 3.09 090 27122 A Reconstruction of hip socket 15.95 NA NA 9.78 10.12 2.62 090 27125 A Partial hip replacement 16.46 NA NA 9.97 10.16 2.55 090 27130 A Total hip arthroplasty 21.61 NA NA 12.31 12.58 3.51 090 27132 A Total hip arthroplasty 25.49 NA NA 14.07 14.50 4.05 090 27134 A Revise hip joint replacement 30.13 NA NA 15.48 16.10 4.95 090 27137 A Revise hip joint replacement 22.55 NA NA 12.31 12.74 3.68 090 27138 A Revise hip joint replacement 23.55 NA NA 12.73 13.17 3.85 090 27140 A Transplant femur ridge 12.66 NA NA 8.17 8.50 2.12 090 27146 A Incision of hip bone 18.72 NA NA 10.77 11.14 2.97 090 27147 A Revision of hip bone 21.87 NA NA 12.67 12.85 3.58 090

CMS-1403-FC 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. 1197 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27151 A Incision of hip bones 23.92 NA NA 13.48 12.12 3.92 090 27156 A Revision of hip bones 26.03 NA NA 13.86 14.45 4.22 090 27158 A Revision of pelvis 20.89 NA NA 12.03 11.79 3.17 090 27161 A Incision of neck of femur 17.74 NA NA 10.71 11.09 2.95 090 27165 A Incision/fixation of femur 20.06 NA NA 12.01 12.27 3.11 090 27170 A Repair/graft femur head/neck 17.46 NA NA 10.15 10.46 2.82 090 27175 A Treat slipped epiphysis 9.29 NA NA 6.16 6.30 1.46 090 27176 A Treat slipped epiphysis 12.78 NA NA 8.48 8.63 2.23 090 27177 A Treat slipped epiphysis 15.94 NA NA 10.00 10.25 2.62 090 27178 A Treat slipped epiphysis 12.78 NA NA 8.48 8.48 2.09 090 27179 A Revise head/neck of femur 13.83 NA NA 8.74 9.07 2.26 090 27181 A Treat slipped epiphysis 15.98 NA NA 10.10 10.15 1.57 090 27185 A Revision of femur epiphysis 9.67 NA NA 5.45 5.98 2.40 090 27187 A Reinforce hip bones 14.09 NA NA 9.00 9.35 2.38 090 27193 A Treat pelvic ring fracture 5.98 4.73 4.83 4.86 4.93 0.96 090 27194 A Treat pelvic ring fracture 10.08 NA NA 6.33 6.67 1.65 090 27200 A Treat tail bone fracture 1.87 2.05 2.10 2.19 2.19 0.28 090 27202 A Treat tail bone fracture 7.25 NA NA 4.93 7.93 1.06 090 27215 I Treat pelvic fracture(s) 10.45 NA NA 6.57 6.71 1.98 090 27216 I Treat pelvic ring fracture 15.73 NA NA 9.48 9.53 2.64 090 27217 I Treat pelvic ring fracture 14.65 NA NA 9.00 9.31 2.42 090 27218 I Treat pelvic ring fracture 20.93 NA NA 11.73 11.68 3.49 090 27220 A Treat hip socket fracture 6.72 5.37 5.47 5.28 5.38 1.07 090 27222 A Treat hip socket fracture 13.97 NA NA 8.77 9.09 2.20 090 27226 A Treat hip wall fracture 15.45 NA NA 9.36 8.99 2.49 090 27227 A Treat hip fracture(s) 25.21 NA NA 13.98 14.37 4.06 090 27228 A Treat hip fracture(s) 29.13 NA NA 15.66 16.19 4.67 090 27230 A Treat thigh fracture 5.69 5.03 5.16 4.96 5.01 0.95 090 27232 A Treat thigh fracture 11.66 NA NA 6.36 6.58 1.86 090 27235 A Treat thigh fracture 12.88 NA NA 8.27 8.59 2.12 090 27236 A Treat thigh fracture 17.43 NA NA 10.55 10.70 2.72 090 27238 A Treat thigh fracture 5.64 NA NA 4.77 4.87 0.89 090 27240 A Treat thigh fracture 13.66 NA NA 8.59 8.83 2.17 090 27244 A Treat thigh fracture 18.00 NA NA 10.79 10.95 2.78 090 27245 A Treat thigh fracture 18.00 NA NA 10.82 11.58 3.53 090 27246 A Treat thigh fracture 4.75 3.98 4.11 4.02 4.13 0.81 090 27248 A Treat thigh fracture 10.64 NA NA 6.65 7.05 1.82 090 27250 A Treat hip dislocation 3.82 NA NA 0.74 1.72 0.62 000 27252 A Treat hip dislocation 10.92 NA NA 6.67 6.88 1.66 090 27253 A Treat hip dislocation 13.46 NA NA 8.46 8.82 2.25 090 27254 A Treat hip dislocation 18.80 NA NA 10.93 11.23 3.18 090 27256 A Treat hip dislocation 4.25 2.42 2.70 1.40 1.58 0.46 010 27257 A Treat hip dislocation 5.35 NA NA 2.55 2.62 0.69 010 27258 A Treat hip dislocation 16.04 NA NA 9.78 10.08 2.65 090 27259 A Treat hip dislocation 23.03 NA NA 13.37 13.59 3.75 090 27265 A Treat hip dislocation 5.12 NA NA 3.83 4.08 0.63 090 27266 A Treat hip dislocation 7.67 NA NA 5.65 5.84 1.29 090 27267 A Cltx thigh fx 5.38 NA NA 4.28 4.28 0.89 090

<strong>CMS</strong>-1403-FC<br />

Physi-<br />

cian<br />

Work<br />

Fully<br />

Implemented<br />

Non-<br />

Facility<br />

PE<br />

Year<br />

2009<br />

Transitional<br />

Non-<br />

Facility<br />

PE<br />

Fully<br />

Imple-<br />

mented<br />

Facility<br />

PE<br />

Year<br />

2009<br />

Transi-<br />

tional<br />

Facility<br />

PE<br />

1 CPT codes and descriptions only are copyright 2008 American Medical Association. All Rights<br />

Reserved. Applicable FARS/DFARS apply.<br />

2 If values are reflected for codes not payable by Medicare, please note that these values have <strong>been</strong><br />

established as a courtesy to the general public and are not used for Medicare<br />

payment.<br />

1197<br />

Mal-<br />

Practice<br />

RVUs 2 Global<br />

CPT 1 /<br />

HCPCS Mod Status Description<br />

RVUs 2<br />

RVUs 2<br />

RVUs 2<br />

RVUs 2<br />

RVUs 2<br />

27151 A Incision of hip bones 23.92 NA NA 13.48 12.12 3.92 090<br />

27156 A Revision of hip bones 26.03 NA NA 13.86 14.45 4.22 090<br />

27158 A Revision of pelvis 20.89 NA NA 12.03 11.79 3.17 090<br />

27161 A Incision of neck of femur 17.74 NA NA 10.71 11.09 2.95 090<br />

27165 A Incision/fixation of femur 20.06 NA NA 12.01 12.27 3.11 090<br />

27170 A Repair/graft femur head/neck 17.46 NA NA 10.15 10.46 2.82 090<br />

27175 A Treat slipped epiphysis 9.29 NA NA 6.16 6.30 1.46 090<br />

27176 A Treat slipped epiphysis 12.78 NA NA 8.48 8.63 2.23 090<br />

27177 A Treat slipped epiphysis 15.94 NA NA 10.00 10.25 2.62 090<br />

27178 A Treat slipped epiphysis 12.78 NA NA 8.48 8.48 2.09 090<br />

27179 A Revise head/neck of femur 13.83 NA NA 8.74 9.07 2.26 090<br />

27181 A Treat slipped epiphysis 15.98 NA NA 10.10 10.15 1.57 090<br />

27185 A Revision of femur epiphysis 9.67 NA NA 5.45 5.98 2.40 090<br />

27187 A Reinforce hip bones 14.09 NA NA 9.00 9.35 2.38 090<br />

27193 A Treat pelvic ring fracture 5.98 4.73 4.83 4.86 4.93 0.96 090<br />

27194 A Treat pelvic ring fracture 10.08 NA NA 6.33 6.67 1.65 090<br />

27200 A Treat tail bone fracture 1.87 2.05 2.10 2.19 2.19 0.28 090<br />

27202 A Treat tail bone fracture 7.25 NA NA 4.93 7.93 1.06 090<br />

27215 I Treat pelvic fracture(s) 10.45 NA NA 6.57 6.71 1.98 090<br />

27216 I Treat pelvic ring fracture 15.73 NA NA 9.48 9.53 2.64 090<br />

27217 I Treat pelvic ring fracture 14.65 NA NA 9.00 9.31 2.42 090<br />

27218 I Treat pelvic ring fracture 20.93 NA NA 11.73 11.68 3.49 090<br />

27220 A Treat hip socket fracture 6.72 5.37 5.47 5.28 5.38 1.07 090<br />

27222 A Treat hip socket fracture 13.97 NA NA 8.77 9.09 2.20 090<br />

27226 A Treat hip wall fracture 15.45 NA NA 9.36 8.99 2.49 090<br />

27227 A Treat hip fracture(s) 25.21 NA NA 13.98 14.37 4.06 090<br />

27228 A Treat hip fracture(s) 29.13 NA NA 15.66 16.19 4.67 090<br />

27230 A Treat thigh fracture 5.69 5.03 5.16 4.96 5.01 0.95 090<br />

27232 A Treat thigh fracture 11.66 NA NA 6.36 6.58 1.86 090<br />

27235 A Treat thigh fracture 12.88 NA NA 8.27 8.59 2.12 090<br />

27236 A Treat thigh fracture 17.43 NA NA 10.55 10.70 2.72 090<br />

27238 A Treat thigh fracture 5.64 NA NA 4.77 4.87 0.89 090<br />

27240 A Treat thigh fracture 13.66 NA NA 8.59 8.83 2.17 090<br />

27244 A Treat thigh fracture 18.00 NA NA 10.79 10.95 2.78 090<br />

27245 A Treat thigh fracture 18.00 NA NA 10.82 11.58 3.53 090<br />

27246 A Treat thigh fracture 4.75 3.98 4.11 4.02 4.13 0.81 090<br />

27248 A Treat thigh fracture 10.64 NA NA 6.65 7.05 1.82 090<br />

27250 A Treat hip dislocation 3.82 NA NA 0.74 1.72 0.62 000<br />

27252 A Treat hip dislocation 10.92 NA NA 6.67 6.88 1.66 090<br />

27253 A Treat hip dislocation 13.46 NA NA 8.46 8.82 2.25 090<br />

27254 A Treat hip dislocation 18.80 NA NA 10.93 11.23 3.18 090<br />

27256 A Treat hip dislocation 4.25 2.42 2.70 1.40 1.58 0.46 010<br />

27257 A Treat hip dislocation 5.35 NA NA 2.55 2.62 0.69 010<br />

27258 A Treat hip dislocation 16.04 NA NA 9.78 10.08 2.65 090<br />

27259 A Treat hip dislocation 23.03 NA NA 13.37 13.59 3.75 090<br />

27265 A Treat hip dislocation 5.12 NA NA 3.83 4.08 0.63 090<br />

27266 A Treat hip dislocation 7.67 NA NA 5.65 5.84 1.29 090<br />

27267 A Cltx thigh fx 5.38 NA NA 4.28 4.28 0.89 090

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