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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. 1212 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 31510 A Laryngoscopy with biopsy 1.92 3.20 3.24 1.05 1.10 0.16 000 31511 A Remove foreign body, larynx 2.16 2.94 2.99 1.07 1.07 0.19 000 31512 A Removal of larynx lesion 2.07 2.95 3.02 1.11 1.18 0.18 000 31513 A Injection into vocal cord 2.10 NA NA 1.14 1.22 0.17 000 31515 A Laryngoscopy for aspiration 1.80 3.23 3.31 0.93 0.96 0.14 000 31520 A Dx laryngoscopy, newborn 2.56 NA NA 1.21 1.30 0.20 000 31525 A Dx laryngoscopy excl nb 2.63 3.43 3.49 1.28 1.38 0.21 000 31526 A Dx laryngoscopy w/oper scope 2.57 NA NA 1.30 1.41 0.21 000 31527 A Laryngoscopy for treatment 3.27 NA NA 1.49 1.59 0.26 000 31528 A Laryngoscopy and dilation 2.37 NA NA 1.19 1.26 0.19 000 31529 A Laryngoscopy and dilation 2.68 NA NA 1.31 1.41 0.22 000 31530 A Laryngoscopy w/fb removal 3.38 NA NA 1.49 1.61 0.29 000 31531 A Laryngoscopy w/fb & op scope 3.58 NA NA 1.66 1.81 0.29 000 31535 A Laryngoscopy w/biopsy 3.16 NA NA 1.51 1.63 0.26 000 31536 A Laryngoscopy w/bx & op scope 3.55 NA NA 1.65 1.80 0.29 000 31540 A Laryngoscopy w/exc of tumor 4.12 NA NA 1.85 2.03 0.33 000 31541 A Larynscop w/tumr exc + scope 4.52 NA NA 2.00 2.20 0.37 000 31545 A Remove vc lesion w/scope 6.30 NA NA 2.67 2.88 0.37 000 31546 A Remove vc lesion scope/graft 9.73 NA NA 3.81 4.11 0.78 000 31560 A Laryngoscop w/arytenoidectom 5.45 NA NA 2.29 2.51 0.43 000 31561 A Larynscop, remve cart + scop 5.99 NA NA 2.49 2.72 0.49 000 31570 A Laryngoscope w/vc inj 3.86 4.29 4.65 1.73 1.90 0.31 000 31571 A Laryngoscop w/vc inj + scope 4.26 NA NA 1.90 2.08 0.35 000 31575 A Diagnostic laryngoscopy 1.10 1.69 1.74 0.78 0.81 0.09 000 31576 A Laryngoscopy with biopsy 1.97 3.52 3.57 1.09 1.14 0.14 000 31577 A Remove foreign body, larynx 2.47 3.37 3.47 1.19 1.28 0.21 000 31578 A Removal of larynx lesion 2.84 3.98 4.07 1.40 1.43 0.23 000 31579 A Diagnostic laryngoscopy 2.26 2.87 3.10 1.19 1.27 0.18 000 31580 A Revision of larynx 14.46 NA NA 14.42 14.83 1.00 090 31582 A Revision of larynx 22.87 NA NA 22.78 23.59 1.76 090 31584 A Treat larynx fracture 20.35 NA NA 16.05 16.61 1.72 090 31587 A Revision of larynx 15.12 NA NA 9.04 9.12 0.97 090 31588 A Revision of larynx 14.62 NA NA 12.66 12.93 1.06 090 31590 A Reinnervate larynx 7.63 NA NA 13.36 13.93 0.84 090 31595 A Larynx nerve surgery 8.75 NA NA 9.67 9.91 0.68 090 31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 31600 A Incision of windpipe 7.17 NA NA 2.42 2.62 0.80 000 31601 A Incision of windpipe 4.44 NA NA 2.01 2.12 0.40 000 31603 A Incision of windpipe 4.14 NA NA 1.29 1.39 0.44 000 31605 A Incision of windpipe 3.57 NA NA 0.88 0.96 0.40 000 31610 A Incision of windpipe 9.29 NA NA 7.80 7.94 0.79 090 31611 A Surgery/speech prosthesis 5.92 NA NA 7.08 7.09 0.46 090 31612 A Puncture/clear windpipe 0.91 1.06 1.07 0.27 0.29 0.08 000 31613 A Repair windpipe opening 4.63 NA NA 6.13 6.11 0.42 090 31614 A Repair windpipe opening 8.47 NA NA 9.62 9.42 0.58 090 31615 A Visualization of windpipe 2.09 2.37 2.43 1.08 1.11 0.16 000 31620 A Endobronchial us add-on 1.40 5.82 5.79 0.34 0.40 0.11 ZZZ 31622 A Dx bronchoscope/wash 2.78 5.10 5.25 0.92 0.96 0.18 000

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. 1213 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 31623 A Dx bronchoscope/brush 2.88 5.78 5.96 0.91 0.94 0.13 000 31624 A Dx bronchoscope/lavage 2.88 5.16 5.33 0.91 0.95 0.13 000 31625 A Bronchoscopy w/biopsy(s) 3.36 5.32 5.46 1.03 1.08 0.18 000 31628 A Bronchoscopy/lung bx, each 3.80 6.73 6.82 1.12 1.17 0.18 000 31629 A Bronchoscopy/needle bx, each 4.09 11.56 12.26 1.20 1.25 0.16 000 31630 A Bronchoscopy dilate/fx repr 3.81 NA NA 1.32 1.42 0.32 000 31631 A Bronchoscopy, dilate w/stent 4.36 NA NA 1.47 1.55 0.34 000 31632 A Bronchoscopy/lung bx, addÆl 1.03 0.84 0.83 0.25 0.26 0.18 ZZZ 31633 A Bronchoscopy/needle bx addÆl 1.32 0.97 0.96 0.32 0.34 0.16 ZZZ 31635 A Bronchoscopy w/fb removal 3.67 5.08 5.35 1.16 1.23 0.24 000 31636 A Bronchoscopy, bronch stents 4.30 NA NA 1.39 1.49 0.31 000 31637 A Bronchoscopy, stent add-on 1.58 NA NA 0.43 0.46 0.13 ZZZ 31638 A Bronchoscopy, revise stent 4.88 NA NA 1.60 1.70 0.22 000 31640 A Bronchoscopy w/tumor excise 4.93 NA NA 1.61 1.73 0.46 000 31641 A Bronchoscopy, treat blockage 5.02 NA NA 1.55 1.63 0.35 000 31643 A Diag bronchoscope/catheter 3.49 NA NA 1.06 1.10 0.20 000 31645 A Bronchoscopy, clear airways 3.16 4.59 4.74 0.98 1.02 0.16 000 31646 A Bronchoscopy, reclear airway 2.72 4.32 4.46 0.87 0.90 0.14 000 31656 A Bronchoscopy, inj for x-ray 2.17 5.62 6.05 0.71 0.74 0.15 000 31715 A Injection for bronchus x-ray 1.11 NA NA 0.32 0.33 0.07 000 31717 A Bronchial brush biopsy 2.12 4.70 5.60 0.73 0.74 0.14 000 31720 A Clearance of airways 1.06 NA NA 0.28 0.29 0.07 000 31725 A Clearance of airways 1.96 NA NA 0.42 0.46 0.14 000 31730 A Intro, windpipe wire/tube 2.85 24.90 19.26 0.81 0.86 0.21 000 31750 A Repair of windpipe 15.19 NA NA 17.51 17.56 1.05 090 31755 A Repair of windpipe 17.19 NA NA 24.23 24.36 1.29 090 31760 A Repair of windpipe 23.36 NA NA 10.75 10.76 2.95 090 31766 A Reconstruction of windpipe 31.58 NA NA 12.07 12.50 4.53 090 31770 A Repair/graft of bronchus 23.48 NA NA 9.25 9.52 2.84 090 31775 A Reconstruct bronchus 24.51 NA NA 8.77 9.55 3.02 090 31780 A Reconstruct windpipe 19.70 NA NA 9.23 9.71 1.65 090 31781 A Reconstruct windpipe 24.77 NA NA 10.20 10.71 2.25 090 31785 A Remove windpipe lesion 18.29 NA NA 8.02 8.58 1.59 090 31786 A Remove windpipe lesion 25.34 NA NA 10.69 11.32 3.30 090 31800 A Repair of windpipe injury 8.10 NA NA 8.74 8.89 0.79 090 31805 A Repair of windpipe injury 13.34 NA NA 6.72 6.86 1.83 090 31820 A Closure of windpipe lesion 4.58 5.85 5.82 3.32 3.41 0.38 090 31825 A Repair of windpipe defect 6.98 7.51 7.57 4.62 4.82 0.53 090 31830 A Revise windpipe scar 4.54 5.93 5.90 3.61 3.71 0.44 090 31899 C Airways surgical procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 32035 A Exploration of chest 11.20 NA NA 6.30 6.20 1.26 090 32036 A Exploration of chest 12.21 NA NA 6.66 6.62 1.43 090 32095 A Biopsy through chest wall 10.06 NA NA 5.34 5.36 1.22 090 32100 A Exploration/biopsy of chest 16.08 NA NA 7.39 7.51 2.24 090 32110 A Explore/repair chest 25.15 NA NA 10.37 10.49 3.22 090 32120 A Re-exploration of chest 14.27 NA NA 7.13 7.13 1.63 090 32124 A Explore chest free adhesions 15.33 NA NA 7.32 7.31 1.90 090 32140 A Removal of lung lesion(s) 16.54 NA NA 7.71 7.72 1.97 090

<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 />

1212<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 />

31510 A Laryngoscopy with biopsy 1.92 3.20 3.24 1.05 1.10 0.16 000<br />

31511 A Remove foreign body, larynx 2.16 2.94 2.99 1.07 1.07 0.19 000<br />

31512 A Removal of larynx lesion 2.07 2.95 3.02 1.11 1.18 0.18 000<br />

31513 A Injection into vocal cord 2.10 NA NA 1.14 1.22 0.17 000<br />

31515 A Laryngoscopy for aspiration 1.80 3.23 3.31 0.93 0.96 0.14 000<br />

31520 A Dx laryngoscopy, newborn 2.56 NA NA 1.21 1.30 0.20 000<br />

31525 A Dx laryngoscopy excl nb 2.63 3.43 3.49 1.28 1.38 0.21 000<br />

31526 A Dx laryngoscopy w/oper scope 2.57 NA NA 1.30 1.41 0.21 000<br />

31527 A Laryngoscopy for treatment 3.27 NA NA 1.49 1.59 0.26 000<br />

31528 A Laryngoscopy and dilation 2.37 NA NA 1.19 1.26 0.19 000<br />

31529 A Laryngoscopy and dilation 2.68 NA NA 1.31 1.41 0.22 000<br />

31530 A Laryngoscopy w/fb removal 3.38 NA NA 1.49 1.61 0.29 000<br />

31531 A Laryngoscopy w/fb & op scope 3.58 NA NA 1.66 1.81 0.29 000<br />

31535 A Laryngoscopy w/biopsy 3.16 NA NA 1.51 1.63 0.26 000<br />

31536 A Laryngoscopy w/bx & op scope 3.55 NA NA 1.65 1.80 0.29 000<br />

31540 A Laryngoscopy w/exc of tumor 4.12 NA NA 1.85 2.03 0.33 000<br />

31541 A Larynscop w/tumr exc + scope 4.52 NA NA 2.00 2.20 0.37 000<br />

31545 A Remove vc lesion w/scope 6.30 NA NA 2.67 2.88 0.37 000<br />

31546 A Remove vc lesion scope/graft 9.73 NA NA 3.81 4.11 0.78 000<br />

31560 A Laryngoscop w/arytenoidectom 5.45 NA NA 2.29 2.51 0.43 000<br />

31561 A Larynscop, remve cart + scop 5.99 NA NA 2.49 2.72 0.49 000<br />

31570 A Laryngoscope w/vc inj 3.86 4.29 4.65 1.73 1.90 0.31 000<br />

31571 A Laryngoscop w/vc inj + scope 4.26 NA NA 1.90 2.08 0.35 000<br />

31575 A Diagnostic laryngoscopy 1.10 1.69 1.74 0.78 0.81 0.09 000<br />

31576 A Laryngoscopy with biopsy 1.97 3.52 3.57 1.09 1.14 0.14 000<br />

31577 A Remove foreign body, larynx 2.47 3.37 3.47 1.19 1.28 0.21 000<br />

31578 A Removal of larynx lesion 2.84 3.98 4.07 1.40 1.43 0.23 000<br />

31579 A Diagnostic laryngoscopy 2.26 2.87 3.10 1.19 1.27 0.18 000<br />

31580 A Revision of larynx 14.46 NA NA 14.42 14.83 1.00 090<br />

31582 A Revision of larynx 22.87 NA NA 22.78 23.59 1.76 090<br />

31584 A Treat larynx fracture 20.35 NA NA 16.05 16.61 1.72 090<br />

31587 A Revision of larynx 15.12 NA NA 9.04 9.12 0.97 090<br />

31588 A Revision of larynx 14.62 NA NA 12.66 12.93 1.06 090<br />

31590 A Reinnervate larynx 7.63 NA NA 13.36 13.93 0.84 090<br />

31595 A Larynx nerve surgery 8.75 NA NA 9.67 9.91 0.68 090<br />

31599 C Larynx surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

31600 A Incision of windpipe 7.17 NA NA 2.42 2.62 0.80 000<br />

31601 A Incision of windpipe 4.44 NA NA 2.01 2.12 0.40 000<br />

31603 A Incision of windpipe 4.14 NA NA 1.29 1.39 0.44 000<br />

31605 A Incision of windpipe 3.57 NA NA 0.88 0.96 0.40 000<br />

31610 A Incision of windpipe 9.29 NA NA 7.80 7.94 0.79 090<br />

31611 A Surgery/speech prosthesis 5.92 NA NA 7.08 7.09 0.46 090<br />

31612 A Puncture/clear windpipe 0.91 1.06 1.07 0.27 0.29 0.08 000<br />

31613 A Repair windpipe opening 4.63 NA NA 6.13 6.11 0.42 090<br />

31614 A Repair windpipe opening 8.47 NA NA 9.62 9.42 0.58 090<br />

31615 A Visualization of windpipe 2.09 2.37 2.43 1.08 1.11 0.16 000<br />

31620 A Endobronchial us add-on 1.40 5.82 5.79 0.34 0.40 0.11 ZZZ<br />

31622 A Dx bronchoscope/wash 2.78 5.10 5.25 0.92 0.96 0.18 000

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