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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. 1202 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27702 A Reconstruct ankle joint 14.28 NA NA 8.90 9.31 2.38 090 27703 A Reconstruction, ankle joint 16.79 NA NA 10.22 10.50 2.77 090 27704 A Removal of ankle implant 7.69 NA NA 5.74 5.72 1.27 090 27705 A Incision of tibia 10.74 NA NA 7.08 7.37 1.81 090 27707 A Incision of fibula 4.67 NA NA 4.51 4.63 0.76 090 27709 A Incision of tibia & fibula 17.32 NA NA 10.22 9.72 1.74 090 27712 A Realignment of lower leg 15.67 NA NA 10.02 10.22 2.48 090 27715 A Revision of lower leg 15.36 NA NA 9.54 9.87 2.50 090 27720 A Repair of tibia 12.22 NA NA 8.20 8.52 2.05 090 27722 A Repair/graft of tibia 12.31 NA NA 8.09 8.37 2.06 090 27724 A Repair/graft of tibia 19.18 NA NA 10.76 11.19 3.17 090 27725 A Repair of lower leg 17.15 NA NA 10.99 11.25 2.72 090 27726 A Repair fibula nonunion 14.20 NA NA 7.87 7.87 1.43 090 27727 A Repair of lower leg 14.69 NA NA 7.47 8.21 2.44 090 27730 A Repair of tibia epiphysis 7.59 NA NA 5.80 5.97 1.73 090 27732 A Repair of fibula epiphysis 5.37 NA NA 3.82 4.11 0.77 090 27734 A Repair lower leg epiphyses 8.72 NA NA 5.05 5.37 1.35 090 27740 A Repair of leg epiphyses 9.49 NA NA 5.41 6.07 1.62 090 27742 A Repair of leg epiphyses 10.49 NA NA 5.91 5.83 1.80 090 27745 A Reinforce tibia 10.37 NA NA 7.14 7.42 1.76 090 27750 A Treatment of tibia fracture 3.26 4.30 4.43 3.74 3.77 0.55 090 27752 A Treatment of tibia fracture 6.15 5.98 6.17 5.17 5.31 1.01 090 27756 A Treatment of tibia fracture 7.33 NA NA 5.82 5.99 1.17 090 27758 A Treatment of tibia fracture 12.40 NA NA 8.28 8.52 2.04 090 27759 A Treatment of tibia fracture 14.31 NA NA 9.00 9.35 2.39 090 27760 A Cltx medial ankle fx 3.09 4.23 4.35 3.65 3.64 0.48 090 27762 A Cltx med ankle fx w/mnpj 5.33 5.51 5.73 4.70 4.86 0.85 090 27766 A Optx medial ankle fx 7.73 NA NA 6.23 6.49 1.44 090 27767 A Cltx post ankle fx 2.50 3.46 3.46 3.49 3.49 0.30 090 27768 A Cltx post ankle fx w/mnpj 5.00 NA NA 4.41 4.41 0.79 090 27769 A Optx post ankle fx 10.00 NA NA 6.34 6.34 1.45 090 27780 A Treatment of fibula fracture 2.72 3.86 3.95 3.32 3.30 0.41 090 27781 A Treatment of fibula fracture 4.47 4.97 5.11 4.36 4.44 0.73 090 27784 A Treatment of fibula fracture 9.51 NA NA 7.00 6.89 1.23 090 27786 A Treatment of ankle fracture 2.91 4.02 4.14 3.42 3.41 0.46 090 27788 A Treatment of ankle fracture 4.52 4.96 5.14 4.25 4.36 0.74 090 27792 A Treatment of ankle fracture 9.55 NA NA 6.96 6.98 1.32 090 27808 A Treatment of ankle fracture 2.91 4.36 4.48 3.69 3.70 0.46 090 27810 A Treatment of ankle fracture 5.20 5.41 5.63 4.59 4.74 0.82 090 27814 A Treatment of ankle fracture 10.46 NA NA 7.44 7.74 1.86 090 27816 A Treatment of ankle fracture 2.96 3.92 4.04 3.28 3.32 0.43 090 27818 A Treatment of ankle fracture 5.57 5.33 5.61 4.40 4.60 0.82 090 27822 A Treatment of ankle fracture 11.03 NA NA 8.40 8.98 1.92 090 27823 A Treatment of ankle fracture 12.98 NA NA 9.17 9.77 2.26 090 27824 A Treat lower leg fracture 3.20 3.72 3.82 3.54 3.55 0.45 090 27825 A Treat lower leg fracture 6.60 5.88 6.08 4.88 5.02 1.02 090 27826 A Treat lower leg fracture 10.92 NA NA 8.39 8.52 1.47 090 27827 A Treat lower leg fracture 14.56 NA NA 10.45 11.05 2.44 090

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. 1203 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 27828 A Treat lower leg fracture 18.20 NA NA 11.97 12.49 2.82 090 27829 A Treat lower leg joint 8.64 NA NA 7.11 7.04 0.95 090 27830 A Treat lower leg dislocation 3.85 4.26 4.30 3.74 3.77 0.54 090 27831 A Treat lower leg dislocation 4.62 NA NA 4.09 4.19 0.73 090 27832 A Treat lower leg dislocation 10.01 NA NA 7.06 6.86 1.03 090 27840 A Treat ankle dislocation 4.65 NA NA 3.55 3.61 0.46 090 27842 A Treat ankle dislocation 6.34 NA NA 4.93 4.99 1.00 090 27846 A Treat ankle dislocation 10.16 NA NA 7.00 7.25 1.71 090 27848 A Treat ankle dislocation 11.56 NA NA 7.59 8.14 1.95 090 27860 A Fixation of ankle joint 2.36 NA NA 1.82 1.86 0.39 010 27870 A Fusion of ankle joint, open 15.21 NA NA 9.39 9.69 2.37 090 27871 A Fusion of tibiofibular joint 9.42 NA NA 6.67 6.91 1.59 090 27880 A Amputation of lower leg 15.24 NA NA 6.90 6.98 1.76 090 27881 A Amputation of lower leg 13.32 NA NA 7.59 7.92 1.99 090 27882 A Amputation of lower leg 9.67 NA NA 4.98 5.37 1.29 090 27884 A Amputation follow-up surgery 8.64 NA NA 5.17 5.33 1.22 090 27886 A Amputation follow-up surgery 9.88 NA NA 5.88 6.05 1.40 090 27888 A Amputation of foot at ankle 10.23 NA NA 6.28 6.60 1.51 090 27889 A Amputation of foot at ankle 10.72 NA NA 5.45 5.72 1.46 090 27892 A Decompression of leg 7.82 NA NA 4.96 5.13 1.10 090 27893 A Decompression of leg 7.78 NA NA 5.28 5.34 1.10 090 27894 A Decompression of leg 12.42 NA NA 7.72 7.75 1.65 090 27899 C Leg/ankle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 28001 A Drainage of bursa of foot 2.75 3.87 3.66 1.58 1.68 0.33 010 28002 A Treatment of foot infection 5.78 6.55 6.17 3.56 3.62 0.61 010 28003 A Treatment of foot infection 8.95 7.67 7.33 4.57 4.75 1.12 090 28005 A Treat foot bone lesion 9.30 NA NA 5.52 5.67 1.16 090 28008 A Incision of foot fascia 4.50 5.92 5.59 2.91 2.99 0.57 090 28010 A Incision of toe tendon 2.89 2.78 2.69 2.29 2.32 0.36 090 28011 A Incision of toe tendons 4.19 3.77 3.66 3.03 3.10 0.59 090 28020 A Exploration of foot joint 5.06 7.17 6.89 3.55 3.70 0.72 090 28022 A Exploration of foot joint 4.72 6.70 6.34 3.27 3.42 0.62 090 28024 A Exploration of toe joint 4.43 6.36 6.09 3.07 3.29 0.58 090 28035 A Decompression of tibia nerve 5.14 7.22 6.90 3.59 3.72 0.70 090 28043 A Excision of foot lesion 3.58 4.65 4.45 2.69 2.81 0.46 090 28045 A Excision of foot lesion 4.77 6.86 6.50 3.22 3.32 0.63 090 28046 A Resection of tumor, foot 10.55 10.14 9.82 5.74 5.94 1.36 090 28050 A Biopsy of foot joint lining 4.30 6.74 6.29 3.25 3.34 0.60 090 28052 A Biopsy of foot joint lining 3.98 6.09 5.80 2.82 2.98 0.53 090 28054 A Biopsy of toe joint lining 3.49 6.04 5.72 2.74 2.87 0.46 090 28055 A Neurectomy, foot 6.20 NA NA 3.47 3.53 0.74 090 28060 A Partial removal, foot fascia 5.29 6.91 6.57 3.51 3.61 0.70 090 28062 A Removal of foot fascia 6.58 7.63 7.37 3.78 3.85 0.83 090 28070 A Removal of foot joint lining 5.15 7.02 6.59 3.42 3.53 0.73 090 28072 A Removal of foot joint lining 4.63 7.43 6.97 3.61 3.79 0.68 090 28080 A Removal of foot lesion 4.65 7.42 6.86 4.10 4.00 0.47 090 28086 A Excise foot tendon sheath 4.83 7.45 7.60 3.67 3.93 0.76 090 28088 A Excise foot tendon sheath 3.90 6.96 6.67 3.25 3.41 0.61 090

<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 />

1202<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 />

27702 A Reconstruct ankle joint 14.28 NA NA 8.90 9.31 2.38 090<br />

27703 A Reconstruction, ankle joint 16.79 NA NA 10.22 10.50 2.77 090<br />

27704 A Removal of ankle implant 7.69 NA NA 5.74 5.72 1.27 090<br />

27705 A Incision of tibia 10.74 NA NA 7.08 7.37 1.81 090<br />

27707 A Incision of fibula 4.67 NA NA 4.51 4.63 0.76 090<br />

27709 A Incision of tibia & fibula 17.32 NA NA 10.22 9.72 1.74 090<br />

27712 A Realignment of lower leg 15.67 NA NA 10.02 10.22 2.48 090<br />

27715 A Revision of lower leg 15.36 NA NA 9.54 9.87 2.50 090<br />

27720 A Repair of tibia 12.22 NA NA 8.20 8.52 2.05 090<br />

27722 A Repair/graft of tibia 12.31 NA NA 8.09 8.37 2.06 090<br />

27724 A Repair/graft of tibia 19.18 NA NA 10.76 11.19 3.17 090<br />

27725 A Repair of lower leg 17.15 NA NA 10.99 11.25 2.72 090<br />

27726 A Repair fibula nonunion 14.20 NA NA 7.87 7.87 1.43 090<br />

27727 A Repair of lower leg 14.69 NA NA 7.47 8.21 2.44 090<br />

27730 A Repair of tibia epiphysis 7.59 NA NA 5.80 5.97 1.73 090<br />

27732 A Repair of fibula epiphysis 5.37 NA NA 3.82 4.11 0.77 090<br />

27734 A Repair lower leg epiphyses 8.72 NA NA 5.05 5.37 1.35 090<br />

27740 A Repair of leg epiphyses 9.49 NA NA 5.41 6.07 1.62 090<br />

27742 A Repair of leg epiphyses 10.49 NA NA 5.91 5.83 1.80 090<br />

27745 A Reinforce tibia 10.37 NA NA 7.14 7.42 1.76 090<br />

27750 A Treatment of tibia fracture 3.26 4.30 4.43 3.74 3.77 0.55 090<br />

27752 A Treatment of tibia fracture 6.15 5.98 6.17 5.17 5.31 1.01 090<br />

27756 A Treatment of tibia fracture 7.33 NA NA 5.82 5.99 1.17 090<br />

27758 A Treatment of tibia fracture 12.40 NA NA 8.28 8.52 2.04 090<br />

27759 A Treatment of tibia fracture 14.31 NA NA 9.00 9.35 2.39 090<br />

27760 A Cltx medial ankle fx 3.09 4.23 4.35 3.65 3.64 0.48 090<br />

27762 A Cltx med ankle fx w/mnpj 5.33 5.51 5.73 4.70 4.86 0.85 090<br />

27766 A Optx medial ankle fx 7.73 NA NA 6.23 6.49 1.44 090<br />

27767 A Cltx post ankle fx 2.50 3.46 3.46 3.49 3.49 0.30 090<br />

27768 A Cltx post ankle fx w/mnpj 5.00 NA NA 4.41 4.41 0.79 090<br />

27769 A Optx post ankle fx 10.00 NA NA 6.34 6.34 1.45 090<br />

27780 A Treatment of fibula fracture 2.72 3.86 3.95 3.32 3.30 0.41 090<br />

27781 A Treatment of fibula fracture 4.47 4.97 5.11 4.36 4.44 0.73 090<br />

27784 A Treatment of fibula fracture 9.51 NA NA 7.00 6.89 1.23 090<br />

27786 A Treatment of ankle fracture 2.91 4.02 4.14 3.42 3.41 0.46 090<br />

27788 A Treatment of ankle fracture 4.52 4.96 5.14 4.25 4.36 0.74 090<br />

27792 A Treatment of ankle fracture 9.55 NA NA 6.96 6.98 1.32 090<br />

27808 A Treatment of ankle fracture 2.91 4.36 4.48 3.69 3.70 0.46 090<br />

27810 A Treatment of ankle fracture 5.20 5.41 5.63 4.59 4.74 0.82 090<br />

27814 A Treatment of ankle fracture 10.46 NA NA 7.44 7.74 1.86 090<br />

27816 A Treatment of ankle fracture 2.96 3.92 4.04 3.28 3.32 0.43 090<br />

27818 A Treatment of ankle fracture 5.57 5.33 5.61 4.40 4.60 0.82 090<br />

27822 A Treatment of ankle fracture 11.03 NA NA 8.40 8.98 1.92 090<br />

27823 A Treatment of ankle fracture 12.98 NA NA 9.17 9.77 2.26 090<br />

27824 A Treat lower leg fracture 3.20 3.72 3.82 3.54 3.55 0.45 090<br />

27825 A Treat lower leg fracture 6.60 5.88 6.08 4.88 5.02 1.02 090<br />

27826 A Treat lower leg fracture 10.92 NA NA 8.39 8.52 1.47 090<br />

27827 A Treat lower leg fracture 14.56 NA NA 10.45 11.05 2.44 090

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