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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. 1206 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 28456 A Treat midfoot fracture 2.75 NA NA 3.53 3.70 0.44 090 28465 A Treat midfoot fracture, each 8.64 NA NA 5.99 6.09 1.10 090 28470 A Treat metatarsal fracture 1.99 2.76 2.86 2.34 2.37 0.30 090 28475 A Treat metatarsal fracture 2.97 3.08 3.15 2.49 2.67 0.44 090 28476 A Treat metatarsal fracture 3.46 NA NA 4.37 4.53 0.54 090 28485 A Treat metatarsal fracture 7.28 NA NA 5.51 5.51 0.83 090 28490 A Treat big toe fracture 1.12 2.04 2.04 1.63 1.64 0.14 090 28495 A Treat big toe fracture 1.62 2.42 2.36 1.84 1.90 0.20 090 28496 A Treat big toe fracture 2.39 7.04 7.36 2.88 2.97 0.36 090 28505 A Treat big toe fracture 7.28 8.32 8.28 4.82 4.60 0.56 090 28510 A Treatment of toe fracture 1.12 1.63 1.61 1.56 1.56 0.14 090 28515 A Treatment of toe fracture 1.50 2.16 2.10 1.77 1.81 0.18 090 28525 A Treat toe fracture 5.46 7.65 7.63 4.12 3.96 0.49 090 28530 A Treat sesamoid bone fracture 1.08 1.59 1.55 1.31 1.35 0.14 090 28531 A Treat sesamoid bone fracture 2.51 5.67 6.09 2.10 2.10 0.34 090 28540 A Treat foot dislocation 2.10 2.61 2.56 2.19 2.25 0.26 090 28545 A Treat foot dislocation 2.51 3.46 3.19 2.85 2.73 0.37 090 28546 A Treat foot dislocation 3.28 7.79 7.59 3.57 3.78 0.52 090 28555 A Repair foot dislocation 9.49 10.88 10.66 6.48 6.29 1.04 090 28570 A Treat foot dislocation 1.70 2.28 2.32 1.77 1.91 0.23 090 28575 A Treat foot dislocation 3.38 4.40 4.24 3.72 3.73 0.56 090 28576 A Treat foot dislocation 4.48 NA NA 3.72 3.84 0.69 090 28585 A Repair foot dislocation 10.92 11.50 10.48 7.06 6.77 1.25 090 28600 A Treat foot dislocation 1.94 2.95 2.92 2.32 2.42 0.27 090 28605 A Treat foot dislocation 2.78 3.57 3.47 3.01 3.05 0.40 090 28606 A Treat foot dislocation 4.97 NA NA 4.03 4.20 0.82 090 28615 A Repair foot dislocation 10.46 NA NA 8.15 8.14 1.30 090 28630 A Treat toe dislocation 1.72 1.79 1.74 0.90 0.93 0.20 010 28635 A Treat toe dislocation 1.93 2.23 2.19 1.33 1.38 0.26 010 28636 A Treat toe dislocation 2.77 4.06 4.02 1.93 2.11 0.43 010 28645 A Repair toe dislocation 7.28 8.22 7.42 4.63 4.30 0.57 090 28660 A Treat toe dislocation 1.25 1.29 1.28 0.78 0.79 0.13 010 28665 A Treat toe dislocation 1.94 1.80 1.71 1.32 1.35 0.26 010 28666 A Treat toe dislocation 2.66 NA NA 1.80 2.00 0.43 010 28675 A Repair of toe dislocation 5.46 8.22 7.97 4.50 4.23 0.45 090 28705 A Fusion of foot bones 20.12 NA NA 10.93 11.34 3.09 090 28715 A Fusion of foot bones 14.40 NA NA 8.68 8.97 2.17 090 28725 A Fusion of foot bones 11.97 NA NA 6.84 7.21 1.87 090 28730 A Fusion of foot bones 12.21 NA NA 7.85 8.02 1.71 090 28735 A Fusion of foot bones 12.03 NA NA 7.08 7.28 1.69 090 28737 A Revision of foot bones 10.83 NA NA 6.13 6.31 1.47 090 28740 A Fusion of foot bones 9.09 10.66 10.74 5.99 6.12 1.22 090 28750 A Fusion of big toe joint 8.37 10.64 10.98 5.93 6.13 1.13 090 28755 A Fusion of big toe joint 4.79 7.11 6.88 3.34 3.45 0.65 090 28760 A Fusion of big toe joint 8.94 9.80 9.37 5.33 5.39 1.05 090 28800 A Amputation of midfoot 8.65 NA NA 5.01 5.22 1.15 090 28805 A Amputation thru metatarsal 12.55 NA NA 5.99 5.92 1.18 090 28810 A Amputation toe & metatarsal 6.52 NA NA 4.08 4.18 0.86 090

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. 1207 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 28820 A Amputation of toe 4.89 7.47 7.51 3.52 3.60 0.61 090 28825 A Partial amputation of toe 5.85 7.90 7.69 4.09 3.95 0.50 090 28890 A High energy eswt, plantar f 3.36 4.46 4.79 2.18 2.16 0.41 090 28899 C Foot/toes surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 29000 A Application of body cast 2.25 4.31 3.98 1.77 1.76 0.41 000 29010 A Application of body cast 2.06 3.65 3.57 1.53 1.59 0.45 000 29015 A Application of body cast 2.41 3.21 3.16 1.40 1.45 0.28 000 29020 A Application of body cast 2.11 3.22 3.21 1.32 1.34 0.28 000 29025 A Application of body cast 2.40 3.69 3.56 1.69 1.74 0.44 000 29035 A Application of body cast 1.77 3.89 3.83 1.54 1.55 0.28 000 29040 A Application of body cast 2.22 3.35 3.13 1.44 1.46 0.36 000 29044 A Application of body cast 2.12 3.89 3.92 1.67 1.73 0.35 000 29046 A Application of body cast 2.41 4.45 4.16 1.95 1.99 0.42 000 29049 A Application of figure eight 0.89 1.03 1.10 0.55 0.55 0.13 000 29055 A Application of shoulder cast 1.78 2.98 2.99 1.36 1.39 0.30 000 29058 A Application of shoulder cast 1.31 1.16 1.26 0.63 0.66 0.17 000 29065 A Application of long arm cast 0.87 1.27 1.29 0.71 0.72 0.15 000 29075 A Application of forearm cast 0.77 1.23 1.24 0.67 0.67 0.13 000 29085 A Apply hand/wrist cast 0.87 1.26 1.27 0.70 0.68 0.14 000 29086 A Apply finger cast 0.62 1.06 1.04 0.55 0.54 0.07 000 29105 A Apply long arm splint 0.87 1.08 1.12 0.53 0.53 0.12 000 29125 A Apply forearm splint 0.59 0.95 0.97 0.42 0.42 0.07 000 29126 A Apply forearm splint 0.77 0.97 1.03 0.48 0.48 0.07 000 29130 A Application of finger splint 0.50 0.43 0.44 0.19 0.19 0.06 000 29131 A Application of finger splint 0.55 0.61 0.64 0.26 0.25 0.03 000 29200 A Strapping of chest 0.65 0.59 0.62 0.34 0.34 0.04 000 29220 A Strapping of low back 0.64 0.66 0.67 0.39 0.39 0.04 000 29240 A Strapping of shoulder 0.71 0.65 0.70 0.38 0.38 0.06 000 29260 A Strapping of elbow or wrist 0.55 0.64 0.67 0.36 0.35 0.05 000 29280 A Strapping of hand or finger 0.51 0.64 0.68 0.36 0.35 0.03 000 29305 A Application of hip cast 2.03 3.34 3.35 1.63 1.67 0.35 000 29325 A Application of hip casts 2.32 3.70 3.66 1.82 1.86 0.40 000 29345 A Application of long leg cast 1.40 1.66 1.69 0.96 0.99 0.24 000 29355 A Application of long leg cast 1.53 1.64 1.66 0.97 1.01 0.26 000 29358 A Apply long leg cast brace 1.43 2.06 2.06 0.97 1.00 0.25 000 29365 A Application of long leg cast 1.18 1.58 1.60 0.88 0.90 0.20 000 29405 A Apply short leg cast 0.86 1.17 1.19 0.65 0.67 0.14 000 29425 A Apply short leg cast 1.01 1.20 1.21 0.66 0.68 0.15 000 29435 A Apply short leg cast 1.18 1.51 1.53 0.82 0.85 0.20 000 29440 A Addition of walker to cast 0.57 0.63 0.65 0.26 0.26 0.08 000 29445 A Apply rigid leg cast 1.78 1.54 1.61 0.89 0.91 0.27 000 29450 A Application of leg cast 2.08 1.52 1.51 0.88 0.93 0.27 000 29505 A Application, long leg splint 0.69 1.05 1.08 0.45 0.45 0.08 000 29515 A Application lower leg splint 0.73 0.93 0.92 0.45 0.46 0.09 000 29520 A Strapping of hip 0.54 0.60 0.66 0.34 0.37 0.03 000 29530 A Strapping of knee 0.57 0.62 0.67 0.35 0.35 0.05 000 29540 A Strapping of ankle and/or ft 0.51 0.53 0.50 0.30 0.30 0.06 000 29550 A Strapping of toes 0.47 0.54 0.51 0.29 0.29 0.06 000

<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 />

1206<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 />

28456 A Treat midfoot fracture 2.75 NA NA 3.53 3.70 0.44 090<br />

28465 A Treat midfoot fracture, each 8.64 NA NA 5.99 6.09 1.10 090<br />

28470 A Treat metatarsal fracture 1.99 2.76 2.86 2.34 2.37 0.30 090<br />

28475 A Treat metatarsal fracture 2.97 3.08 3.15 2.49 2.67 0.44 090<br />

28476 A Treat metatarsal fracture 3.46 NA NA 4.37 4.53 0.54 090<br />

28485 A Treat metatarsal fracture 7.28 NA NA 5.51 5.51 0.83 090<br />

28490 A Treat big toe fracture 1.12 2.04 2.04 1.63 1.64 0.14 090<br />

28495 A Treat big toe fracture 1.62 2.42 2.36 1.84 1.90 0.20 090<br />

28496 A Treat big toe fracture 2.39 7.04 7.36 2.88 2.97 0.36 090<br />

28505 A Treat big toe fracture 7.28 8.32 8.28 4.82 4.60 0.56 090<br />

28510 A Treatment of toe fracture 1.12 1.63 1.61 1.56 1.56 0.14 090<br />

28515 A Treatment of toe fracture 1.50 2.16 2.10 1.77 1.81 0.18 090<br />

28525 A Treat toe fracture 5.46 7.65 7.63 4.12 3.96 0.49 090<br />

28530 A Treat sesamoid bone fracture 1.08 1.59 1.55 1.31 1.35 0.14 090<br />

28531 A Treat sesamoid bone fracture 2.51 5.67 6.09 2.10 2.10 0.34 090<br />

28540 A Treat foot dislocation 2.10 2.61 2.56 2.19 2.25 0.26 090<br />

28545 A Treat foot dislocation 2.51 3.46 3.19 2.85 2.73 0.37 090<br />

28546 A Treat foot dislocation 3.28 7.79 7.59 3.57 3.78 0.52 090<br />

28555 A Repair foot dislocation 9.49 10.88 10.66 6.48 6.29 1.04 090<br />

28570 A Treat foot dislocation 1.70 2.28 2.32 1.77 1.91 0.23 090<br />

28575 A Treat foot dislocation 3.38 4.40 4.24 3.72 3.73 0.56 090<br />

28576 A Treat foot dislocation 4.48 NA NA 3.72 3.84 0.69 090<br />

28585 A Repair foot dislocation 10.92 11.50 10.48 7.06 6.77 1.25 090<br />

28600 A Treat foot dislocation 1.94 2.95 2.92 2.32 2.42 0.27 090<br />

28605 A Treat foot dislocation 2.78 3.57 3.47 3.01 3.05 0.40 090<br />

28606 A Treat foot dislocation 4.97 NA NA 4.03 4.20 0.82 090<br />

28615 A Repair foot dislocation 10.46 NA NA 8.15 8.14 1.30 090<br />

28630 A Treat toe dislocation 1.72 1.79 1.74 0.90 0.93 0.20 010<br />

28635 A Treat toe dislocation 1.93 2.23 2.19 1.33 1.38 0.26 010<br />

28636 A Treat toe dislocation 2.77 4.06 4.02 1.93 2.11 0.43 010<br />

28645 A Repair toe dislocation 7.28 8.22 7.42 4.63 4.30 0.57 090<br />

28660 A Treat toe dislocation 1.25 1.29 1.28 0.78 0.79 0.13 010<br />

28665 A Treat toe dislocation 1.94 1.80 1.71 1.32 1.35 0.26 010<br />

28666 A Treat toe dislocation 2.66 NA NA 1.80 2.00 0.43 010<br />

28675 A Repair of toe dislocation 5.46 8.22 7.97 4.50 4.23 0.45 090<br />

28705 A Fusion of foot bones 20.12 NA NA 10.93 11.34 3.09 090<br />

28715 A Fusion of foot bones 14.40 NA NA 8.68 8.97 2.17 090<br />

28725 A Fusion of foot bones 11.97 NA NA 6.84 7.21 1.87 090<br />

28730 A Fusion of foot bones 12.21 NA NA 7.85 8.02 1.71 090<br />

28735 A Fusion of foot bones 12.03 NA NA 7.08 7.28 1.69 090<br />

28737 A Revision of foot bones 10.83 NA NA 6.13 6.31 1.47 090<br />

28740 A Fusion of foot bones 9.09 10.66 10.74 5.99 6.12 1.22 090<br />

28750 A Fusion of big toe joint 8.37 10.64 10.98 5.93 6.13 1.13 090<br />

28755 A Fusion of big toe joint 4.79 7.11 6.88 3.34 3.45 0.65 090<br />

28760 A Fusion of big toe joint 8.94 9.80 9.37 5.33 5.39 1.05 090<br />

28800 A Amputation of midfoot 8.65 NA NA 5.01 5.22 1.15 090<br />

28805 A Amputation thru metatarsal 12.55 NA NA 5.99 5.92 1.18 090<br />

28810 A Amputation toe & metatarsal 6.52 NA NA 4.08 4.18 0.86 090

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