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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. 1220 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 33881 A Endovasc taa repr w/o subcl 29.48 NA NA 10.28 10.72 2.33 090 33883 A Insert endovasc prosth, taa 20.99 NA NA 7.73 8.11 2.11 090 33884 A Endovasc prosth, taa, add-on 8.20 NA NA 2.30 2.37 0.86 ZZZ 33886 A Endovasc prosth, delayed 17.99 NA NA 6.60 7.02 1.80 090 33889 A Artery transpose/endovas taa 15.92 NA NA 4.27 4.51 2.18 000 33891 A Car-car bp grft/endovas taa 20.00 NA NA 5.06 5.55 2.73 000 33910 A Remove lung artery emboli 29.59 NA NA 12.42 12.20 3.70 090 33915 A Remove lung artery emboli 24.83 NA NA 9.52 9.57 1.44 090 33916 A Surgery of great vessel 28.30 NA NA 14.33 13.61 3.67 090 33917 A Repair pulmonary artery 25.14 NA NA 12.64 12.55 3.70 090 33920 A Repair pulmonary atresia 32.58 NA NA 12.59 12.93 4.38 090 33922 A Transect pulmonary artery 24.09 NA NA 10.32 10.49 3.10 090 33924 A Remove pulmonary shunt 5.49 NA NA 1.65 1.70 0.82 ZZZ 33925 A Rpr pul art unifocal w/o cpb 31.25 NA NA 12.16 12.82 4.61 090 33926 A Repr pul art, unifocal w/cpb 44.68 NA NA 12.49 13.82 6.22 090 33930 X Removal of donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33933 C Prepare donor heart/lung 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33935 R Transplantation, heart/lung 61.68 NA NA 23.72 25.04 9.06 090 33940 X Removal of donor heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33944 C Prepare donor heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX 33945 R Transplantation of heart 89.08 NA NA 32.74 29.97 6.26 090 33960 A External circulation assist 19.33 NA NA 6.04 5.77 2.67 000 33961 A External circulation assist 10.91 NA NA 3.42 3.48 0.88 ZZZ 33967 A Insert ia percut device 4.84 NA NA 2.45 2.31 0.35 000 33968 A Remove aortic assist device 0.64 NA NA 0.27 0.26 0.07 000 33970 A Aortic circulation assist 6.74 NA NA 2.73 2.62 0.82 000 33971 A Aortic circulation assist 11.91 NA NA 6.39 6.31 1.25 090 33973 A Insert balloon device 9.75 NA NA 4.02 3.85 1.26 000 33974 A Remove intra-aortic balloon 14.93 NA NA 8.26 8.19 1.74 090 33975 A Implant ventricular device 20.97 NA NA 7.00 6.84 3.07 XXX 33976 A Implant ventricular device 22.97 NA NA 8.18 8.04 3.26 XXX 33977 A Remove ventricular device 20.07 NA NA 9.89 10.21 2.81 090 33978 A Remove ventricular device 22.51 NA NA 10.28 10.68 3.31 090 33979 A Insert intracorporeal device 45.93 NA NA 14.85 14.90 6.97 XXX 33980 A Remove intracorporeal device 64.86 NA NA 25.77 25.70 8.59 090 33999 C Cardiac surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 34001 A Removal of artery clot 17.78 NA NA 6.86 6.84 1.85 090 34051 A Removal of artery clot 16.91 NA NA 7.46 7.56 2.21 090 34101 A Removal of artery clot 10.85 NA NA 4.44 4.68 1.41 090 34111 A Removal of arm artery clot 10.85 NA NA 4.45 4.68 1.40 090 34151 A Removal of artery clot 26.41 NA NA 8.93 9.32 3.56 090 34201 A Removal of artery clot 19.38 NA NA 6.83 6.49 1.45 090 34203 A Removal of leg artery clot 17.73 NA NA 6.66 7.03 2.36 090 34401 A Removal of vein clot 26.41 NA NA 10.85 10.83 3.10 090 34421 A Removal of vein clot 13.29 NA NA 5.39 5.63 1.55 090 34451 A Removal of vein clot 28.41 NA NA 9.72 10.18 3.84 090 34471 A Removal of vein clot 21.00 NA NA 7.56 7.01 1.18 090 34490 A Removal of vein clot 10.83 NA NA 4.56 4.79 1.41 090

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. 1221 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 34501 A Repair valve, femoral vein 16.74 NA NA 6.97 7.37 2.35 090 34502 A Reconstruct vena cava 27.86 NA NA 10.89 11.27 3.63 090 3450F I Dyspnea scrnd, no-mild dysp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 34510 A Transposition of vein valve 19.80 NA NA 7.22 7.79 2.33 090 3451F I Dyspnea scrnd mod-high dysp 0.00 0.00 0.00 0.00 0.00 0.00 XXX 34520 A Cross-over vein graft 19.05 NA NA 7.04 7.41 2.29 090 3452F I Dyspnea not screened 0.00 0.00 0.00 0.00 0.00 0.00 XXX 34530 A Leg vein fusion 17.77 NA NA 6.95 7.38 1.74 090 3455F I TB scrng done-interpd 6mon 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3470F I RA disease activity, low 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3471F I RA disease activity, mod 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3472F I RA disease activity, high 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3475F I Disease progn RA poor docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3476F I Disease progn RA good docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX 34800 A Endovas aaa repr w/sm tube 21.46 NA NA 7.86 8.21 2.46 090 34802 A Endovas aaa repr w/2-p part 23.71 NA NA 8.60 8.92 2.33 090 34803 A Endovas aaa repr w/3-p part 24.74 NA NA 8.42 8.89 2.01 090 34804 A Endovas aaa repr w/1-p part 23.71 NA NA 8.60 8.92 2.30 090 34805 A Endovas aaa repr w/long tube 22.59 NA NA 7.62 8.15 2.01 090 34806 A Aneurysm press sensor add-on 2.06 0.64 0.64 0.64 0.64 0.30 ZZZ 34808 A Endovas iliac a device addon 4.12 NA NA 1.13 1.19 0.59 ZZZ 34812 A Xpose for endoprosth, femorl 6.74 NA NA 1.79 1.91 1.18 000 34813 A Femoral endovas graft add-on 4.79 NA NA 1.23 1.32 0.67 ZZZ 34820 A Xpose for endoprosth, iliac 9.74 NA NA 2.66 2.81 1.50 000 34825 A Endovasc extend prosth, init 12.72 NA NA 5.37 5.58 1.28 090 34826 A Endovasc exten prosth, addÆl 4.12 NA NA 1.20 1.25 0.44 ZZZ 34830 A Open aortic tube prosth repr 35.10 NA NA 11.23 11.87 4.55 090 34831 A Open aortoiliac prosth repr 37.85 NA NA 11.87 11.86 4.89 090 34832 A Open aortofemor prosth repr 37.85 NA NA 11.94 12.64 4.85 090 34833 A Xpose for endoprosth, iliac 11.98 NA NA 3.51 3.75 1.70 000 34834 A Xpose, endoprosth, brachial 5.34 NA NA 1.66 1.80 0.76 000 34900 A Endovasc iliac repr w/graft 16.77 NA NA 6.47 6.76 2.00 090 3491F I HIV unsure baby of HIV+moms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3491F I HIV unsure baby of HIV+moms 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3497F I CD4+ cell percentage =15% 0.00 0.00 0.00 0.00 0.00 0.00 XXX 35001 A Repair defect of artery 20.70 NA NA 8.04 8.44 2.81 090 35002 A Repair artery rupture, neck 22.12 NA NA 8.24 8.62 3.00 090 35005 A Repair defect of artery 19.18 NA NA 7.87 8.13 1.77 090 35011 A Repair defect of artery 18.50 NA NA 6.67 7.01 2.55 090 35013 A Repair artery rupture, arm 23.10 NA NA 8.20 8.59 3.10 090 35021 A Repair defect of artery 22.09 NA NA 8.99 9.12 2.87 090 35022 A Repair artery rupture, chest 25.62 NA NA 9.61 9.70 3.17 090 35045 A Repair defect of arm artery 17.94 NA NA 6.66 6.89 2.45 090 35081 A Repair defect of artery 33.37 NA NA 11.30 11.36 4.01 090 35082 A Repair artery rupture, aorta 41.93 NA NA 13.49 13.98 5.44 090 35091 A Repair defect of artery 35.35 NA NA 10.60 11.37 5.14 090 35092 A Repair artery rupture, aorta 50.81 NA NA 15.43 16.02 6.40 090

<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 />

1221<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 />

34501 A Repair valve, femoral vein 16.74 NA NA 6.97 7.37 2.35 090<br />

34502 A Reconstruct vena cava 27.86 NA NA 10.89 11.27 3.63 090<br />

3450F I Dyspnea scrnd, no-mild dysp 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

34510 A Transposition of vein valve 19.80 NA NA 7.22 7.79 2.33 090<br />

3451F I Dyspnea scrnd mod-high dysp 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

34520 A Cross-over vein graft 19.05 NA NA 7.04 7.41 2.29 090<br />

3452F I Dyspnea not screened 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

34530 A Leg vein fusion 17.77 NA NA 6.95 7.38 1.74 090<br />

3455F I TB scrng done-interpd 6mon 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3470F I RA disease activity, low 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3471F I RA disease activity, mod 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3472F I RA disease activity, high 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3475F I Disease progn RA poor docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3476F I Disease progn RA good docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

34800 A Endovas aaa repr w/sm tube 21.46 NA NA 7.86 8.21 2.46 090<br />

34802 A Endovas aaa repr w/2-p part 23.71 NA NA 8.60 8.92 2.33 090<br />

34803 A Endovas aaa repr w/3-p part 24.74 NA NA 8.42 8.89 2.01 090<br />

34804 A Endovas aaa repr w/1-p part 23.71 NA NA 8.60 8.92 2.30 090<br />

34805 A Endovas aaa repr w/long tube 22.59 NA NA 7.62 8.15 2.01 090<br />

34806 A Aneurysm press sensor add-on 2.06 0.64 0.64 0.64 0.64 0.30 ZZZ<br />

34808 A Endovas iliac a device addon 4.12 NA NA 1.13 1.19 0.59 ZZZ<br />

34812 A Xpose for endoprosth, femorl 6.74 NA NA 1.79 1.91 1.18 000<br />

34813 A Femoral endovas graft add-on 4.79 NA NA 1.23 1.32 0.67 ZZZ<br />

34820 A Xpose for endoprosth, iliac 9.74 NA NA 2.66 2.81 1.50 000<br />

34825 A Endovasc extend prosth, init 12.72 NA NA 5.37 5.58 1.28 090<br />

34826 A Endovasc exten prosth, addÆl 4.12 NA NA 1.20 1.25 0.44 ZZZ<br />

34830 A Open aortic tube prosth repr 35.10 NA NA 11.23 11.87 4.55 090<br />

34831 A Open aortoiliac prosth repr 37.85 NA NA 11.87 11.86 4.89 090<br />

34832 A Open aortofemor prosth repr 37.85 NA NA 11.94 12.64 4.85 090<br />

34833 A Xpose for endoprosth, iliac 11.98 NA NA 3.51 3.75 1.70 000<br />

34834 A Xpose, endoprosth, brachial 5.34 NA NA 1.66 1.80 0.76 000<br />

34900 A Endovasc iliac repr w/graft 16.77 NA NA 6.47 6.76 2.00 090<br />

3491F I HIV unsure baby of HIV+moms 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3491F I HIV unsure baby of HIV+moms 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

3497F I CD4+ cell percentage =15% 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

35001 A Repair defect of artery 20.70 NA NA 8.04 8.44 2.81 090<br />

35002 A Repair artery rupture, neck 22.12 NA NA 8.24 8.62 3.00 090<br />

35005 A Repair defect of artery 19.18 NA NA 7.87 8.13 1.77 090<br />

35011 A Repair defect of artery 18.50 NA NA 6.67 7.01 2.55 090<br />

35013 A Repair artery rupture, arm 23.10 NA NA 8.20 8.59 3.10 090<br />

35021 A Repair defect of artery 22.09 NA NA 8.99 9.12 2.87 090<br />

35022 A Repair artery rupture, chest 25.62 NA NA 9.61 9.70 3.17 090<br />

35045 A Repair defect of arm artery 17.94 NA NA 6.66 6.89 2.45 090<br />

35081 A Repair defect of artery 33.37 NA NA 11.30 11.36 4.01 090<br />

35082 A Repair artery rupture, aorta 41.93 NA NA 13.49 13.98 5.44 090<br />

35091 A Repair defect of artery 35.35 NA NA 10.60 11.37 5.14 090<br />

35092 A Repair artery rupture, aorta 50.81 NA NA 15.43 16.02 6.40 090

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