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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. 1218 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 33517 A CABG, artery-vein, single 3.61 NA NA 1.18 1.10 0.39 ZZZ 33518 A CABG, artery-vein, two 7.93 NA NA 2.59 2.34 0.73 ZZZ 33519 A CABG, artery-vein, three 10.49 NA NA 3.44 3.17 1.04 ZZZ 3351F I Neg scrn dep symp by deptool 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33521 A CABG, artery-vein, four 12.59 NA NA 4.13 3.87 1.37 ZZZ 33522 A CABG, artery-vein, five 14.14 NA NA 4.63 4.44 1.78 ZZZ 33523 A Cabg, art-vein, six or more 16.08 NA NA 5.23 5.06 2.13 ZZZ 3352F I No sig dep symp by dep tool 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33530 A Coronary artery, bypass/reop 10.13 NA NA 3.30 2.96 0.88 ZZZ 33533 A CABG, arterial, single 33.64 NA NA 13.47 14.26 4.56 090 33534 A CABG, arterial, two 39.77 NA NA 15.80 16.31 4.70 090 33535 A CABG, arterial, three 44.64 NA NA 17.55 17.74 5.03 090 33536 A Cabg, arterial, four or more 48.32 NA NA 18.47 18.47 5.44 090 3353F I Mild-mod dep symp by deptool 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33542 A Removal of heart lesion 48.08 NA NA 18.04 16.82 4.38 090 33545 A Repair of heart damage 56.93 NA NA 20.88 19.61 5.21 090 33548 A Restore/remodel, ventricle 53.96 NA NA 21.39 20.91 5.53 090 3354F I Clin sig dep sym by dep tool 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33572 A Open coronary endarterectomy 4.44 NA NA 1.44 1.44 0.65 ZZZ 33600 A Closure of valve 30.15 NA NA 12.46 12.50 4.42 090 33602 A Closure of valve 29.18 NA NA 11.42 11.70 3.82 090 33606 A Anastomosis/artery-aorta 31.37 NA NA 12.75 13.01 4.41 090 33608 A Repair anomaly w/conduit 31.72 NA NA 13.54 13.72 4.74 090 33610 A Repair by enlargement 31.24 NA NA 12.93 13.13 4.56 090 33611 A Repair double ventricle 35.49 NA NA 13.48 13.68 4.37 090 33612 A Repair double ventricle 36.49 NA NA 13.26 13.76 5.30 090 33615 A Repair, modified fontan 35.76 NA NA 15.56 14.99 4.32 090 33617 A Repair single ventricle 38.96 NA NA 14.33 14.78 5.66 090 33619 A Repair single ventricle 48.60 NA NA 16.40 17.54 6.46 090 33641 A Repair heart septum defect 29.50 NA NA 11.64 11.15 3.23 090 33645 A Revision of heart veins 27.98 NA NA 11.62 11.68 3.79 090 33647 A Repair heart septum defects 29.37 NA NA 13.11 13.31 3.32 090 33660 A Repair of heart defects 31.75 NA NA 11.80 12.25 4.49 090 33665 A Repair of heart defects 34.77 NA NA 13.23 13.41 4.00 090 33670 A Repair of heart chambers 36.58 NA NA 13.14 13.18 4.65 090 33675 A Close mult vsd 35.87 NA NA 13.60 13.60 4.95 090 33676 A Close mult vsd w/resection 36.87 NA NA 14.44 14.44 5.44 090 33677 A Cl mult vsd w/rem pul band 38.37 NA NA 14.94 14.94 5.68 090 33681 A Repair heart septum defect 32.16 NA NA 13.35 13.71 4.45 090 33684 A Repair heart septum defect 34.29 NA NA 13.09 13.26 3.39 090 33688 A Repair heart septum defect 34.67 NA NA 12.71 12.18 4.73 090 33690 A Reinforce pulmonary artery 20.20 NA NA 8.93 9.26 1.97 090 33692 A Repair of heart defects 31.38 NA NA 12.22 12.68 4.58 090 33694 A Repair of heart defects 35.49 NA NA 13.95 14.05 5.28 090 33697 A Repair of heart defects 37.49 NA NA 17.62 16.97 4.09 090 33702 A Repair of heart defects 27.11 NA NA 10.85 11.31 3.68 090 33710 A Repair of heart defects 30.28 NA NA 17.07 16.33 4.43 090 33720 A Repair of heart defect 27.13 NA NA 11.53 11.74 3.84 090

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. 1219 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 33722 A Repair of heart defect 29.05 NA NA 10.37 11.27 1.30 090 33724 A Repair venous anomaly 27.55 NA NA 11.83 11.83 4.00 090 33726 A Repair pul venous stenosis 37.04 NA NA 14.50 14.50 5.03 090 33730 A Repair heart-vein defect(s) 36.01 NA NA 12.48 12.92 5.03 090 33732 A Repair heart-vein defect 28.80 NA NA 12.08 12.44 3.68 090 33735 A Revision of heart chamber 22.04 NA NA 10.26 9.96 1.92 090 33736 A Revision of heart chamber 24.16 NA NA 10.55 10.90 3.09 090 33737 A Revision of heart chamber 22.34 NA NA 9.81 10.12 3.25 090 33750 A Major vessel shunt 22.06 NA NA 12.65 12.07 1.16 090 33755 A Major vessel shunt 22.44 NA NA 10.10 9.80 3.26 090 33762 A Major vessel shunt 22.44 NA NA 9.68 9.82 3.14 090 33764 A Major vessel shunt & graft 22.44 NA NA 9.08 9.39 3.01 090 33766 A Major vessel shunt 23.41 NA NA 11.32 11.43 3.70 090 33767 A Major vessel shunt 25.14 NA NA 9.38 9.99 3.82 090 33768 A Cavopulmonary shunting 8.00 NA NA 2.68 2.68 1.19 ZZZ 33770 A Repair great vessels defect 39.02 NA NA 14.28 14.41 5.74 090 33771 A Repair great vessels defect 40.58 NA NA 14.90 14.30 5.68 090 33774 A Repair great vessels defect 31.54 NA NA 13.17 13.58 4.81 090 33775 A Repair great vessels defect 32.83 NA NA 13.79 14.12 4.99 090 33776 A Repair great vessels defect 34.53 NA NA 14.66 14.98 5.09 090 33777 A Repair great vessels defect 33.95 NA NA 13.68 14.20 5.49 090 33778 A Repair great vessels defect 42.62 NA NA 16.81 16.87 6.20 090 33779 A Repair great vessels defect 43.15 NA NA 16.00 15.88 2.92 090 33780 A Repair great vessels defect 43.85 NA NA 16.40 17.12 3.68 090 33781 A Repair great vessels defect 43.16 NA NA 15.76 15.19 5.97 090 33786 A Repair arterial trunk 41.74 NA NA 15.41 15.77 5.71 090 33788 A Revision of pulmonary artery 27.26 NA NA 11.29 11.48 4.03 090 33800 A Aortic suspension 17.23 NA NA 6.76 7.11 2.46 090 33802 A Repair vessel defect 18.24 NA NA 7.83 8.20 2.27 090 33803 A Repair vessel defect 20.18 NA NA 7.49 8.08 3.20 090 33813 A Repair septal defect 21.23 NA NA 11.29 11.22 3.13 090 33814 A Repair septal defect 26.41 NA NA 11.30 11.67 3.85 090 33820 A Revise major vessel 16.61 NA NA 7.67 7.86 2.35 090 33822 A Revise major vessel 17.63 NA NA 7.97 8.23 2.68 090 33824 A Revise major vessel 20.10 NA NA 8.96 9.23 2.89 090 33840 A Remove aorta constriction 21.21 NA NA 8.43 8.92 2.16 090 33845 A Remove aorta constriction 22.77 NA NA 11.61 11.57 3.22 090 33851 A Remove aorta constriction 21.85 NA NA 9.13 9.54 3.18 090 33852 A Repair septal defect 24.28 NA NA 10.41 10.67 2.16 090 33853 A Repair septal defect 32.35 NA NA 14.87 14.89 4.48 090 33860 A Ascending aortic graft 59.33 NA NA 21.84 20.54 5.76 090 33861 A Ascending aortic graft 43.94 NA NA 16.81 17.08 6.37 090 33863 A Ascending aortic graft 58.71 NA NA 21.10 20.55 6.59 090 33864 A Ascending aortic graft 60.00 NA NA 21.50 21.50 6.73 090 33870 A Transverse aortic arch graft 45.93 NA NA 17.53 17.78 6.62 090 33875 A Thoracic aortic graft 35.68 NA NA 13.84 13.93 4.89 090 33877 A Thoracoabdominal graft 68.85 NA NA 22.60 21.08 5.94 090 33880 A Endovasc taa repr incl subcl 34.48 NA NA 11.90 12.32 2.75 090

<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 />

1218<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 />

33517 A CABG, artery-vein, single 3.61 NA NA 1.18 1.10 0.39 ZZZ<br />

33518 A CABG, artery-vein, two 7.93 NA NA 2.59 2.34 0.73 ZZZ<br />

33519 A CABG, artery-vein, three 10.49 NA NA 3.44 3.17 1.04 ZZZ<br />

3351F I Neg scrn dep symp by deptool 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

33521 A CABG, artery-vein, four 12.59 NA NA 4.13 3.87 1.37 ZZZ<br />

33522 A CABG, artery-vein, five 14.14 NA NA 4.63 4.44 1.78 ZZZ<br />

33523 A Cabg, art-vein, six or more 16.08 NA NA 5.23 5.06 2.13 ZZZ<br />

3352F I No sig dep symp by dep tool 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

33530 A Coronary artery, bypass/reop 10.13 NA NA 3.30 2.96 0.88 ZZZ<br />

33533 A CABG, arterial, single 33.64 NA NA 13.47 14.26 4.56 090<br />

33534 A CABG, arterial, two 39.77 NA NA 15.80 16.31 4.70 090<br />

33535 A CABG, arterial, three 44.64 NA NA 17.55 17.74 5.03 090<br />

33536 A Cabg, arterial, four or more 48.32 NA NA 18.47 18.47 5.44 090<br />

3353F I Mild-mod dep symp by deptool 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

33542 A Removal of heart lesion 48.08 NA NA 18.04 16.82 4.38 090<br />

33545 A Repair of heart damage 56.93 NA NA 20.88 19.61 5.21 090<br />

33548 A Restore/remodel, ventricle 53.96 NA NA 21.39 20.91 5.53 090<br />

3354F I Clin sig dep sym by dep tool 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

33572 A Open coronary endarterectomy 4.44 NA NA 1.44 1.44 0.65 ZZZ<br />

33600 A Closure of valve 30.15 NA NA 12.46 12.50 4.42 090<br />

33602 A Closure of valve 29.18 NA NA 11.42 11.70 3.82 090<br />

33606 A Anastomosis/artery-aorta 31.37 NA NA 12.75 13.01 4.41 090<br />

33608 A Repair anomaly w/conduit 31.72 NA NA 13.54 13.72 4.74 090<br />

33610 A Repair by enlargement 31.24 NA NA 12.93 13.13 4.56 090<br />

33611 A Repair double ventricle 35.49 NA NA 13.48 13.68 4.37 090<br />

33612 A Repair double ventricle 36.49 NA NA 13.26 13.76 5.30 090<br />

33615 A Repair, modified fontan 35.76 NA NA 15.56 14.99 4.32 090<br />

33617 A Repair single ventricle 38.96 NA NA 14.33 14.78 5.66 090<br />

33619 A Repair single ventricle 48.60 NA NA 16.40 17.54 6.46 090<br />

33641 A Repair heart septum defect 29.50 NA NA 11.64 11.15 3.23 090<br />

33645 A Revision of heart veins 27.98 NA NA 11.62 11.68 3.79 090<br />

33647 A Repair heart septum defects 29.37 NA NA 13.11 13.31 3.32 090<br />

33660 A Repair of heart defects 31.75 NA NA 11.80 12.25 4.49 090<br />

33665 A Repair of heart defects 34.77 NA NA 13.23 13.41 4.00 090<br />

33670 A Repair of heart chambers 36.58 NA NA 13.14 13.18 4.65 090<br />

33675 A Close mult vsd 35.87 NA NA 13.60 13.60 4.95 090<br />

33676 A Close mult vsd w/resection 36.87 NA NA 14.44 14.44 5.44 090<br />

33677 A Cl mult vsd w/rem pul band 38.37 NA NA 14.94 14.94 5.68 090<br />

33681 A Repair heart septum defect 32.16 NA NA 13.35 13.71 4.45 090<br />

33684 A Repair heart septum defect 34.29 NA NA 13.09 13.26 3.39 090<br />

33688 A Repair heart septum defect 34.67 NA NA 12.71 12.18 4.73 090<br />

33690 A Reinforce pulmonary artery 20.20 NA NA 8.93 9.26 1.97 090<br />

33692 A Repair of heart defects 31.38 NA NA 12.22 12.68 4.58 090<br />

33694 A Repair of heart defects 35.49 NA NA 13.95 14.05 5.28 090<br />

33697 A Repair of heart defects 37.49 NA NA 17.62 16.97 4.09 090<br />

33702 A Repair of heart defects 27.11 NA NA 10.85 11.31 3.68 090<br />

33710 A Repair of heart defects 30.28 NA NA 17.07 16.33 4.43 090<br />

33720 A Repair of heart defect 27.13 NA NA 11.53 11.74 3.84 090

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