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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. 1200 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27488 A Removal of knee prosthesis 17.40 NA NA 10.65 10.94 2.75 090 27495 A Reinforce thigh 16.40 NA NA 9.99 10.37 2.72 090 27496 A Decompression of thigh/knee 6.66 NA NA 4.95 5.13 0.99 090 27497 A Decompression of thigh/knee 7.70 NA NA 4.92 5.06 1.15 090 27498 A Decompression of thigh/knee 8.54 NA NA 5.18 5.38 1.24 090 27499 A Decompression of thigh/knee 9.31 NA NA 5.80 6.07 1.47 090 27500 A Treatment of thigh fracture 6.21 5.47 5.65 4.71 4.79 1.02 090 27501 A Treatment of thigh fracture 6.34 5.12 5.30 5.03 5.13 1.03 090 27502 A Treatment of thigh fracture 11.24 NA NA 6.95 7.26 1.79 090 27503 A Treatment of thigh fracture 11.13 NA NA 7.45 7.68 1.85 090 27506 A Treatment of thigh fracture 19.42 NA NA 11.82 12.09 3.04 090 27507 A Treatment of thigh fracture 14.39 NA NA 8.47 8.84 2.43 090 27508 A Treatment of thigh fracture 6.08 5.72 5.92 5.11 5.22 0.97 090 27509 A Treatment of thigh fracture 8.02 NA NA 6.69 7.02 1.34 090 27510 A Treatment of thigh fracture 9.68 NA NA 6.47 6.70 1.53 090 27511 A Treatment of thigh fracture 14.97 NA NA 8.47 9.18 2.38 090 27513 A Treatment of thigh fracture 19.11 NA NA 10.24 11.18 3.13 090 27514 A Treatment of thigh fracture 14.46 NA NA 8.25 9.55 3.01 090 27516 A Treat thigh fx growth plate 5.45 5.65 5.84 5.05 5.18 0.81 090 27517 A Treat thigh fx growth plate 8.98 NA NA 6.70 6.90 1.22 090 27519 A Treat thigh fx growth plate 13.11 NA NA 7.73 8.71 2.56 090 27520 A Treat kneecap fracture 2.93 4.08 4.21 3.53 3.51 0.47 090 27524 A Treat kneecap fracture 10.25 NA NA 7.14 7.43 1.75 090 27530 A Treat knee fracture 3.97 4.82 4.96 4.28 4.32 0.65 090 27532 A Treat knee fracture 7.43 6.50 6.73 5.75 5.94 1.26 090 27535 A Treat knee fracture 13.27 NA NA 7.75 8.36 2.01 090 27536 A Treat knee fracture 17.19 NA NA 10.59 10.87 2.74 090 27538 A Treat knee fracture(s) 4.95 5.54 5.70 4.94 5.01 0.84 090 27540 A Treat knee fracture 11.16 NA NA 7.68 8.16 2.28 090 27550 A Treat knee dislocation 5.84 5.33 5.51 4.62 4.71 0.76 090 27552 A Treat knee dislocation 8.04 NA NA 6.23 6.42 1.36 090 27556 A Treat knee dislocation 12.86 NA NA 7.56 8.60 2.51 090 27557 A Treat knee dislocation 15.76 NA NA 8.84 9.94 2.98 090 27558 A Treat knee dislocation 18.25 NA NA 9.96 10.76 3.09 090 27560 A Treat kneecap dislocation 3.88 4.42 4.53 3.90 3.73 0.40 090 27562 A Treat kneecap dislocation 5.86 NA NA 4.87 4.85 0.94 090 27566 A Treat kneecap dislocation 12.59 NA NA 8.12 8.44 2.13 090 27570 A Fixation of knee joint 1.76 NA NA 1.64 1.68 0.30 010 27580 A Fusion of knee 20.90 NA NA 12.69 13.25 3.38 090 27590 A Amputate leg at thigh 13.35 NA NA 6.18 6.32 1.75 090 27591 A Amputate leg at thigh 13.82 NA NA 7.64 7.91 2.03 090 27592 A Amputate leg at thigh 10.86 NA NA 5.72 5.85 1.45 090 27594 A Amputation follow-up surgery 7.17 NA NA 4.83 4.93 1.02 090 27596 A Amputation follow-up surgery 11.15 NA NA 6.14 6.32 1.57 090 27598 A Amputate lower leg at knee 11.08 NA NA 6.49 6.64 1.65 090 27599 C Leg surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 27600 A Decompression of lower leg 5.94 NA NA 3.95 4.10 0.86 090 27601 A Decompression of lower leg 5.94 NA NA 4.41 4.53 0.80 090

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. 1201 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27602 A Decompression of lower leg 7.71 NA NA 4.37 4.57 1.10 090 27603 A Drain lower leg lesion 5.12 6.99 7.13 3.94 4.00 0.74 090 27604 A Drain lower leg bursa 4.51 6.23 6.21 3.34 3.50 0.69 090 27605 A Incision of achilles tendon 2.89 5.09 5.75 1.76 1.91 0.41 010 27606 A Incision of achilles tendon 4.15 NA NA 2.67 2.85 0.69 010 27607 A Treat lower leg bone lesion 8.51 NA NA 5.89 5.98 1.31 090 27610 A Explore/treat ankle joint 9.01 NA NA 6.26 6.46 1.40 090 27612 A Exploration of ankle joint 8.01 NA NA 5.35 5.55 1.13 090 27613 A Biopsy lower leg soft tissue 2.19 3.91 3.75 1.82 1.82 0.20 010 27614 A Biopsy lower leg soft tissue 5.71 7.54 7.46 3.90 4.04 0.78 090 27615 A Remove tumor, lower leg 12.93 NA NA 7.42 7.93 1.84 090 27618 A Remove lower leg lesion 5.14 6.41 6.33 3.86 3.90 0.72 090 27619 A Remove lower leg lesion 8.47 9.81 9.76 5.28 5.46 1.25 090 27620 A Explore/treat ankle joint 6.04 NA NA 4.63 4.85 0.97 090 27625 A Remove ankle joint lining 8.37 NA NA 5.44 5.71 1.28 090 27626 A Remove ankle joint lining 8.98 NA NA 5.88 6.16 1.48 090 27630 A Removal of tendon lesion 4.85 7.77 7.74 3.79 3.94 0.74 090 27635 A Remove lower leg bone lesion 7.91 NA NA 5.82 6.06 1.31 090 27637 A Remove/graft leg bone lesion 10.17 NA NA 7.28 7.55 1.66 090 27638 A Remove/graft leg bone lesion 10.87 NA NA 7.24 7.52 1.85 090 27640 A Partial removal of tibia 12.10 NA NA 7.71 8.38 1.89 090 27641 A Partial removal of fibula 9.73 NA NA 6.16 6.72 1.46 090 27645 A Extensive lower leg surgery 14.78 NA NA 9.26 9.98 2.42 090 27646 A Extensive lower leg surgery 13.21 NA NA 7.94 8.74 2.06 090 27647 A Extensive ankle/heel surgery 12.85 NA NA 6.26 6.61 1.76 090 27648 A Injection for ankle x-ray 0.96 2.81 2.99 0.36 0.35 0.08 000 27650 A Repair achilles tendon 9.00 NA NA 6.68 6.90 1.59 090 27652 A Repair/graft achilles tendon 10.64 NA NA 6.49 6.89 1.72 090 27654 A Repair of achilles tendon 10.32 NA NA 6.75 6.86 1.58 090 27656 A Repair leg fascia defect 4.62 7.91 8.08 3.65 3.69 0.69 090 27658 A Repair of leg tendon, each 5.03 NA NA 3.89 4.06 0.79 090 27659 A Repair of leg tendon, each 6.99 NA NA 4.67 4.92 1.09 090 27664 A Repair of leg tendon, each 4.64 NA NA 3.83 4.02 0.76 090 27665 A Repair of leg tendon, each 5.46 NA NA 4.27 4.45 0.89 090 27675 A Repair lower leg tendons 7.24 NA NA 4.61 4.90 1.11 090 27676 A Repair lower leg tendons 8.61 NA NA 5.88 6.11 1.37 090 27680 A Release of lower leg tendon 5.79 NA NA 4.26 4.49 0.93 090 27681 A Release of lower leg tendons 6.94 NA NA 5.05 5.28 1.15 090 27685 A Revision of lower leg tendon 6.57 8.62 8.31 4.58 4.81 0.97 090 27686 A Revise lower leg tendons 7.64 NA NA 5.43 5.71 1.24 090 27687 A Revision of calf tendon 6.30 NA NA 4.48 4.70 1.00 090 27690 A Revise lower leg tendon 8.96 NA NA 6.15 6.22 1.33 090 27691 A Revise lower leg tendon 10.28 NA NA 7.36 7.48 1.64 090 27692 A Revise additional leg tendon 1.87 NA NA 0.74 0.79 0.32 ZZZ 27695 A Repair of ankle ligament 6.58 NA NA 4.88 5.14 1.05 090 27696 A Repair of ankle ligaments 8.46 NA NA 5.20 5.52 1.28 090 27698 A Repair of ankle ligament 9.49 NA NA 5.92 6.19 1.47 090 27700 A Revision of ankle joint 9.54 NA NA 5.22 5.35 1.30 090

<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 />

1201<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 />

27602 A Decompression of lower leg 7.71 NA NA 4.37 4.57 1.10 090<br />

27603 A Drain lower leg lesion 5.12 6.99 7.13 3.94 4.00 0.74 090<br />

27604 A Drain lower leg bursa 4.51 6.23 6.21 3.34 3.50 0.69 090<br />

27605 A Incision of achilles tendon 2.89 5.09 5.75 1.76 1.91 0.41 010<br />

27606 A Incision of achilles tendon 4.15 NA NA 2.67 2.85 0.69 010<br />

27607 A Treat lower leg bone lesion 8.51 NA NA 5.89 5.98 1.31 090<br />

27610 A Explore/treat ankle joint 9.01 NA NA 6.26 6.46 1.40 090<br />

27612 A Exploration of ankle joint 8.01 NA NA 5.35 5.55 1.13 090<br />

27613 A Biopsy lower leg soft tissue 2.19 3.91 3.75 1.82 1.82 0.20 010<br />

27614 A Biopsy lower leg soft tissue 5.71 7.54 7.46 3.90 4.04 0.78 090<br />

27615 A Remove tumor, lower leg 12.93 NA NA 7.42 7.93 1.84 090<br />

27618 A Remove lower leg lesion 5.14 6.41 6.33 3.86 3.90 0.72 090<br />

27619 A Remove lower leg lesion 8.47 9.81 9.76 5.28 5.46 1.25 090<br />

27620 A Explore/treat ankle joint 6.04 NA NA 4.63 4.85 0.97 090<br />

27625 A Remove ankle joint lining 8.37 NA NA 5.44 5.71 1.28 090<br />

27626 A Remove ankle joint lining 8.98 NA NA 5.88 6.16 1.48 090<br />

27630 A Removal of tendon lesion 4.85 7.77 7.74 3.79 3.94 0.74 090<br />

27635 A Remove lower leg bone lesion 7.91 NA NA 5.82 6.06 1.31 090<br />

27637 A Remove/graft leg bone lesion 10.17 NA NA 7.28 7.55 1.66 090<br />

27638 A Remove/graft leg bone lesion 10.87 NA NA 7.24 7.52 1.85 090<br />

27640 A Partial removal of tibia 12.10 NA NA 7.71 8.38 1.89 090<br />

27641 A Partial removal of fibula 9.73 NA NA 6.16 6.72 1.46 090<br />

27645 A Extensive lower leg surgery 14.78 NA NA 9.26 9.98 2.42 090<br />

27646 A Extensive lower leg surgery 13.21 NA NA 7.94 8.74 2.06 090<br />

27647 A Extensive ankle/heel surgery 12.85 NA NA 6.26 6.61 1.76 090<br />

27648 A Injection for ankle x-ray 0.96 2.81 2.99 0.36 0.35 0.08 000<br />

27650 A Repair achilles tendon 9.00 NA NA 6.68 6.90 1.59 090<br />

27652 A Repair/graft achilles tendon 10.64 NA NA 6.49 6.89 1.72 090<br />

27654 A Repair of achilles tendon 10.32 NA NA 6.75 6.86 1.58 090<br />

27656 A Repair leg fascia defect 4.62 7.91 8.08 3.65 3.69 0.69 090<br />

27658 A Repair of leg tendon, each 5.03 NA NA 3.89 4.06 0.79 090<br />

27659 A Repair of leg tendon, each 6.99 NA NA 4.67 4.92 1.09 090<br />

27664 A Repair of leg tendon, each 4.64 NA NA 3.83 4.02 0.76 090<br />

27665 A Repair of leg tendon, each 5.46 NA NA 4.27 4.45 0.89 090<br />

27675 A Repair lower leg tendons 7.24 NA NA 4.61 4.90 1.11 090<br />

27676 A Repair lower leg tendons 8.61 NA NA 5.88 6.11 1.37 090<br />

27680 A Release of lower leg tendon 5.79 NA NA 4.26 4.49 0.93 090<br />

27681 A Release of lower leg tendons 6.94 NA NA 5.05 5.28 1.15 090<br />

27685 A Revision of lower leg tendon 6.57 8.62 8.31 4.58 4.81 0.97 090<br />

27686 A Revise lower leg tendons 7.64 NA NA 5.43 5.71 1.24 090<br />

27687 A Revision of calf tendon 6.30 NA NA 4.48 4.70 1.00 090<br />

27690 A Revise lower leg tendon 8.96 NA NA 6.15 6.22 1.33 090<br />

27691 A Revise lower leg tendon 10.28 NA NA 7.36 7.48 1.64 090<br />

27692 A Revise additional leg tendon 1.87 NA NA 0.74 0.79 0.32 ZZZ<br />

27695 A Repair of ankle ligament 6.58 NA NA 4.88 5.14 1.05 090<br />

27696 A Repair of ankle ligaments 8.46 NA NA 5.20 5.52 1.28 090<br />

27698 A Repair of ankle ligament 9.49 NA NA 5.92 6.19 1.47 090<br />

27700 A Revision of ankle joint 9.54 NA NA 5.22 5.35 1.30 090

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