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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. 1198 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27268 A Cltx thigh fx w/mnpj 7.00 NA NA 4.93 4.93 1.16 090 27269 A Optx thigh fx 18.75 NA NA 9.89 9.89 2.93 090 27275 A Manipulation of hip joint 2.29 NA NA 1.83 1.91 0.39 010 27280 A Fusion of sacroiliac joint 14.49 NA NA 9.38 9.62 2.54 090 27282 A Fusion of pubic bones 11.71 NA NA 6.98 7.26 1.87 090 27284 A Fusion of hip joint 24.91 NA NA 10.68 11.73 3.93 090 27286 A Fusion of hip joint 24.97 NA NA 13.93 14.43 3.13 090 27290 A Amputation of leg at hip 24.38 NA NA 12.52 12.94 3.44 090 27295 A Amputation of leg at hip 19.54 NA NA 10.17 10.48 2.96 090 27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27301 A Drain thigh/knee lesion 6.67 8.24 8.72 4.78 4.88 1.04 090 27303 A Drainage of bone lesion 8.52 NA NA 6.17 6.39 1.43 090 27305 A Incise thigh tendon & fascia 6.09 NA NA 4.65 4.80 1.01 090 27306 A Incision of thigh tendon 4.66 NA NA 3.92 4.13 0.85 090 27307 A Incision of thigh tendons 5.97 NA NA 4.67 4.86 1.04 090 27310 A Exploration of knee joint 9.88 NA NA 6.98 7.14 1.61 090 27323 A Biopsy, thigh soft tissues 2.30 4.17 4.01 1.96 1.95 0.24 010 27324 A Biopsy, thigh soft tissues 4.95 NA NA 3.89 3.97 0.75 090 27325 A Neurectomy, hamstring 7.09 NA NA 5.32 5.24 1.09 090 27326 A Neurectomy, popliteal 6.36 NA NA 4.87 4.98 1.06 090 27327 A Removal of thigh lesion 4.52 6.01 6.02 3.62 3.66 0.64 090 27328 A Removal of thigh lesion 5.62 NA NA 4.14 4.21 0.84 090 27329 A Remove tumor, thigh/knee 15.68 NA NA 8.75 8.84 2.15 090 27330 A Biopsy, knee joint lining 5.02 NA NA 4.17 4.28 0.86 090 27331 A Explore/treat knee joint 5.93 NA NA 4.88 5.06 1.02 090 27332 A Removal of knee cartilage 8.34 NA NA 6.34 6.55 1.43 090 27333 A Removal of knee cartilage 7.43 NA NA 5.87 6.08 1.26 090 27334 A Remove knee joint lining 9.07 NA NA 6.56 6.79 1.51 090 27335 A Remove knee joint lining 10.43 NA NA 7.23 7.49 1.75 090 27340 A Removal of kneecap bursa 4.23 NA NA 4.09 4.22 0.72 090 27345 A Removal of knee cyst 5.98 NA NA 5.00 5.17 1.00 090 27347 A Remove knee cyst 6.58 NA NA 5.43 5.44 0.98 090 27350 A Removal of kneecap 8.54 NA NA 6.42 6.64 1.41 090 27355 A Remove femur lesion 7.89 NA NA 5.95 6.17 1.32 090 27356 A Remove femur lesion/graft 9.97 NA NA 7.05 7.26 1.65 090 27357 A Remove femur lesion/graft 11.02 NA NA 7.73 8.00 1.96 090 27358 A Remove femur lesion/fixation 4.73 NA NA 2.01 2.14 0.82 ZZZ 27360 A Partial removal, leg bone(s) 11.34 NA NA 8.24 8.59 1.84 090 27365 A Extensive leg surgery 17.93 NA NA 10.81 11.05 2.80 090 27370 A Injection for knee x-ray 0.96 2.93 3.14 0.38 0.36 0.08 000 27372 A Removal of foreign body 5.12 8.31 8.77 4.14 4.28 0.84 090 27380 A Repair of kneecap tendon 7.34 NA NA 6.16 6.46 1.24 090 27381 A Repair/graft kneecap tendon 10.64 NA NA 7.77 8.12 1.80 090 27385 A Repair of thigh muscle 8.00 NA NA 6.45 6.76 1.36 090 27386 A Repair/graft of thigh muscle 10.99 NA NA 8.09 8.47 1.86 090 27390 A Incision of thigh tendon 5.44 NA NA 4.67 4.79 0.92 090 27391 A Incision of thigh tendons 7.38 NA NA 5.71 5.94 1.23 090 27392 A Incision of thigh tendons 9.51 NA NA 6.62 6.88 1.57 090
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. 1199 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27393 A Lengthening of thigh tendon 6.50 NA NA 5.11 5.30 1.10 090 27394 A Lengthening of thigh tendons 8.68 NA NA 6.31 6.55 1.47 090 27395 A Lengthening of thigh tendons 12.10 NA NA 8.20 8.50 2.05 090 27396 A Transplant of thigh tendon 8.04 NA NA 6.04 6.30 1.34 090 27397 A Transplants of thigh tendons 12.46 NA NA 8.64 8.77 1.83 090 27400 A Revise thigh muscles/tendons 9.21 NA NA 6.75 6.89 1.31 090 27403 A Repair of knee cartilage 8.51 NA NA 6.23 6.48 1.44 090 27405 A Repair of knee ligament 8.96 NA NA 6.60 6.84 1.51 090 27407 A Repair of knee ligament 10.71 NA NA 6.94 7.30 1.79 090 27409 A Repair of knee ligaments 13.57 NA NA 8.77 9.09 2.25 090 27412 A Autochondrocyte implant knee 24.53 NA NA 14.26 14.43 4.36 090 27415 A Osteochondral knee allograft 19.79 NA NA 12.24 12.35 4.36 090 27416 A Osteochondral knee autograft 14.00 NA NA 8.67 8.67 2.32 090 27418 A Repair degenerated kneecap 11.46 NA NA 7.83 8.12 1.89 090 27420 A Revision of unstable kneecap 10.14 NA NA 7.10 7.37 1.72 090 27422 A Revision of unstable kneecap 10.09 NA NA 7.06 7.35 1.71 090 27424 A Revision/removal of kneecap 10.12 NA NA 7.10 7.37 1.71 090 27425 A Lat retinacular release open 5.28 NA NA 4.77 4.97 0.90 090 27427 A Reconstruction, knee 9.67 NA NA 6.88 7.13 1.63 090 27428 A Reconstruction, knee 15.33 NA NA 10.37 10.61 2.43 090 27429 A Reconstruction, knee 17.24 NA NA 11.58 11.82 2.71 090 27430 A Revision of thigh muscles 10.04 NA NA 7.03 7.29 1.70 090 27435 A Incision of knee joint 10.68 NA NA 7.80 7.99 1.70 090 27437 A Revise kneecap 8.82 NA NA 6.36 6.60 1.49 090 27438 A Revise kneecap with implant 11.77 NA NA 7.75 7.97 1.96 090 27440 A Revision of knee joint 10.97 NA NA 7.37 7.04 1.82 090 27441 A Revision of knee joint 11.42 NA NA 7.29 7.17 1.89 090 27442 A Revision of knee joint 12.25 NA NA 7.87 8.15 2.10 090 27443 A Revision of knee joint 11.29 NA NA 7.53 7.85 1.91 090 27445 A Revision of knee joint 18.52 NA NA 10.84 11.25 3.09 090 27446 A Revision of knee joint 16.26 NA NA 9.67 10.09 2.81 090 27447 A Total knee arthroplasty 23.04 NA NA 13.14 13.54 3.80 090 27448 A Incision of thigh 11.48 NA NA 7.48 7.78 1.95 090 27450 A Incision of thigh 14.47 NA NA 9.16 9.54 2.43 090 27454 A Realignment of thigh bone 18.97 NA NA 10.85 11.29 3.13 090 27455 A Realignment of knee 13.24 NA NA 8.60 8.94 2.25 090 27457 A Realignment of knee 13.92 NA NA 8.54 8.91 2.35 090 27465 A Shortening of thigh bone 18.44 NA NA 10.75 10.64 2.48 090 27466 A Lengthening of thigh bone 17.13 NA NA 10.46 10.83 2.78 090 27468 A Shorten/lengthen thighs 19.82 NA NA 11.16 11.75 3.31 090 27470 A Repair of thigh 16.97 NA NA 10.55 10.89 2.80 090 27472 A Repair/graft of thigh 18.57 NA NA 11.09 11.52 3.08 090 27475 A Surgery to stop leg growth 8.82 NA NA 6.37 6.60 1.36 090 27477 A Surgery to stop leg growth 10.03 NA NA 6.89 7.12 1.74 090 27479 A Surgery to stop leg growth 13.04 NA NA 8.35 8.69 2.79 090 27485 A Surgery to stop leg growth 9.02 NA NA 6.40 6.67 1.53 090 27486 A Revise/replace knee joint 20.92 NA NA 12.14 12.51 3.37 090 27487 A Revise/replace knee joint 26.91 NA NA 14.67 15.18 4.40 090
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<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 />
1198<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 />
27268 A Cltx thigh fx w/mnpj 7.00 NA NA 4.93 4.93 1.16 090<br />
27269 A Optx thigh fx 18.75 NA NA 9.89 9.89 2.93 090<br />
27275 A Manipulation of hip joint 2.29 NA NA 1.83 1.91 0.39 010<br />
27280 A Fusion of sacroiliac joint 14.49 NA NA 9.38 9.62 2.54 090<br />
27282 A Fusion of pubic bones 11.71 NA NA 6.98 7.26 1.87 090<br />
27284 A Fusion of hip joint 24.91 NA NA 10.68 11.73 3.93 090<br />
27286 A Fusion of hip joint 24.97 NA NA 13.93 14.43 3.13 090<br />
27290 A Amputation of leg at hip 24.38 NA NA 12.52 12.94 3.44 090<br />
27295 A Amputation of leg at hip 19.54 NA NA 10.17 10.48 2.96 090<br />
27299 C Pelvis/hip joint surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />
27301 A Drain thigh/knee lesion 6.67 8.24 8.72 4.78 4.88 1.04 090<br />
27303 A Drainage of bone lesion 8.52 NA NA 6.17 6.39 1.43 090<br />
27305 A Incise thigh tendon & fascia 6.09 NA NA 4.65 4.80 1.01 090<br />
27306 A Incision of thigh tendon 4.66 NA NA 3.92 4.13 0.85 090<br />
27307 A Incision of thigh tendons 5.97 NA NA 4.67 4.86 1.04 090<br />
27310 A Exploration of knee joint 9.88 NA NA 6.98 7.14 1.61 090<br />
27323 A Biopsy, thigh soft tissues 2.30 4.17 4.01 1.96 1.95 0.24 010<br />
27324 A Biopsy, thigh soft tissues 4.95 NA NA 3.89 3.97 0.75 090<br />
27325 A Neurectomy, hamstring 7.09 NA NA 5.32 5.24 1.09 090<br />
27326 A Neurectomy, popliteal 6.36 NA NA 4.87 4.98 1.06 090<br />
27327 A Removal of thigh lesion 4.52 6.01 6.02 3.62 3.66 0.64 090<br />
27328 A Removal of thigh lesion 5.62 NA NA 4.14 4.21 0.84 090<br />
27329 A Remove tumor, thigh/knee 15.68 NA NA 8.75 8.84 2.15 090<br />
27330 A Biopsy, knee joint lining 5.02 NA NA 4.17 4.28 0.86 090<br />
27331 A Explore/treat knee joint 5.93 NA NA 4.88 5.06 1.02 090<br />
27332 A Removal of knee cartilage 8.34 NA NA 6.34 6.55 1.43 090<br />
27333 A Removal of knee cartilage 7.43 NA NA 5.87 6.08 1.26 090<br />
27334 A Remove knee joint lining 9.07 NA NA 6.56 6.79 1.51 090<br />
27335 A Remove knee joint lining 10.43 NA NA 7.23 7.49 1.75 090<br />
27340 A Removal of kneecap bursa 4.23 NA NA 4.09 4.22 0.72 090<br />
27345 A Removal of knee cyst 5.98 NA NA 5.00 5.17 1.00 090<br />
27347 A Remove knee cyst 6.58 NA NA 5.43 5.44 0.98 090<br />
27350 A Removal of kneecap 8.54 NA NA 6.42 6.64 1.41 090<br />
27355 A Remove femur lesion 7.89 NA NA 5.95 6.17 1.32 090<br />
27356 A Remove femur lesion/graft 9.97 NA NA 7.05 7.26 1.65 090<br />
27357 A Remove femur lesion/graft 11.02 NA NA 7.73 8.00 1.96 090<br />
27358 A Remove femur lesion/fixation 4.73 NA NA 2.01 2.14 0.82 ZZZ<br />
27360 A Partial removal, leg bone(s) 11.34 NA NA 8.24 8.59 1.84 090<br />
27365 A Extensive leg surgery 17.93 NA NA 10.81 11.05 2.80 090<br />
27370 A Injection for knee x-ray 0.96 2.93 3.14 0.38 0.36 0.08 000<br />
27372 A Removal of foreign body 5.12 8.31 8.77 4.14 4.28 0.84 090<br />
27380 A Repair of kneecap tendon 7.34 NA NA 6.16 6.46 1.24 090<br />
27381 A Repair/graft kneecap tendon 10.64 NA NA 7.77 8.12 1.80 090<br />
27385 A Repair of thigh muscle 8.00 NA NA 6.45 6.76 1.36 090<br />
27386 A Repair/graft of thigh muscle 10.99 NA NA 8.09 8.47 1.86 090<br />
27390 A Incision of thigh tendon 5.44 NA NA 4.67 4.79 0.92 090<br />
27391 A Incision of thigh tendons 7.38 NA NA 5.71 5.94 1.23 090<br />
27392 A Incision of thigh tendons 9.51 NA NA 6.62 6.88 1.57 090