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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. 1224 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 35515 A Artery bypass graft 25.99 NA NA 8.13 8.44 2.78 090 35516 A Artery bypass graft 24.11 NA NA 7.78 7.55 2.34 090 35518 A Artery bypass graft 22.57 NA NA 8.24 8.45 3.03 090 3551F I Intrmed rsk thromboembolism 0.00 0.00 0.00 0.00 0.00 0.00 XXX 35521 A Artery bypass graft 24.00 NA NA 8.26 8.67 3.13 090 35522 A Artery bypass graft 23.05 NA NA 7.91 8.39 2.12 090 35523 A Artery bypass graft 24.00 NA NA 9.37 9.37 2.14 090 35525 A Artery bypass graft 21.59 NA NA 7.28 7.83 2.12 090 35526 A Artery bypass graft 31.47 NA NA 11.28 11.62 3.63 090 3552F I Hgh risk for thromboembolism 0.00 0.00 0.00 0.00 0.00 0.00 XXX 35531 A Artery bypass graft 38.98 NA NA 12.54 13.05 5.18 090 35533 A Artery bypass graft 29.79 NA NA 10.21 10.61 3.85 090 35535 A Artery bypass graft 38.00 NA NA 13.58 13.58 5.23 090 35536 A Artery bypass graft 33.60 NA NA 10.52 11.16 4.62 090 35537 A Artery bypass graft 41.75 NA NA 13.77 13.77 5.72 090 35538 A Artery bypass graft 46.82 NA NA 15.52 15.52 6.39 090 35539 A Artery bypass graft 43.98 NA NA 13.75 13.75 6.02 090 35540 A Artery bypass graft 49.20 NA NA 15.46 15.46 6.76 090 35548 A Artery bypass graft 22.57 NA NA 8.04 8.41 2.98 090 35549 A Artery bypass graft 24.34 NA NA 8.90 9.29 3.30 090 35551 A Artery bypass graft 27.72 NA NA 10.29 10.61 3.75 090 35556 A Artery bypass graft 26.62 NA NA 9.03 9.23 3.10 090 35558 A Artery bypass graft 23.00 NA NA 8.25 8.59 3.00 090 3555F I Pt inr measurement performed 0.00 0.00 0.00 0.00 0.00 0.00 XXX 35560 A Artery bypass graft 33.90 NA NA 11.24 11.79 4.75 090 35563 A Artery bypass graft 25.99 NA NA 8.61 9.11 3.52 090 35565 A Artery bypass graft 25.00 NA NA 8.70 9.08 3.30 090 35566 A Artery bypass graft 32.22 NA NA 10.47 10.72 3.83 090 35570 A Artery bypass graft 29.00 NA NA 10.95 10.95 3.91 090 35571 A Artery bypass graft 25.39 NA NA 8.53 9.13 3.43 090 35572 A Harvest femoropopliteal vein 6.81 NA NA 2.09 2.13 0.99 ZZZ 35583 A Vein bypass graft 27.62 NA NA 9.15 9.42 3.17 090 35585 A Vein bypass graft 32.22 NA NA 10.49 10.95 4.02 090 35587 A Vein bypass graft 26.08 NA NA 8.86 9.53 3.52 090 35600 A Harvest art for cabg add-on 4.94 NA NA 1.64 1.64 0.73 ZZZ 35601 A Artery bypass graft 26.99 NA NA 10.53 10.07 3.72 090 35606 A Artery bypass graft 22.36 NA NA 7.66 8.02 2.70 090 35612 A Artery bypass graft 16.71 NA NA 6.82 7.10 2.09 090 35616 A Artery bypass graft 21.74 NA NA 7.40 7.59 2.20 090 35621 A Artery bypass graft 20.95 NA NA 7.10 7.51 2.92 090 35623 A Bypass graft, not vein 25.79 NA NA 8.76 9.22 3.46 090 35626 A Artery bypass graft 29.06 NA NA 10.75 11.08 4.08 090 35631 A Artery bypass graft 35.90 NA NA 11.14 11.84 4.96 090 35632 A Artery bypass graft 36.00 NA NA 12.97 12.97 4.97 090 35633 A Artery bypass graft 38.98 NA NA 13.88 13.88 5.39 090 35634 A Artery bypass graft 35.20 NA NA 12.73 12.73 4.86 090 35636 A Artery bypass graft 31.62 NA NA 10.49 10.97 4.10 090 35637 A Artery bypass graft 32.92 NA NA 11.00 11.00 4.44 090

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. 1225 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 35638 A Artery bypass graft 33.47 NA NA 11.42 11.42 4.52 090 35642 A Artery bypass graft 18.85 NA NA 7.79 8.04 2.28 090 35645 A Artery bypass graft 18.34 NA NA 6.44 6.91 2.50 090 35646 A Artery bypass graft 32.84 NA NA 10.95 11.51 4.44 090 35647 A Artery bypass graft 29.62 NA NA 10.11 10.55 3.99 090 35650 A Artery bypass graft 20.08 NA NA 7.06 7.40 2.72 090 35651 A Artery bypass graft 25.97 NA NA 9.36 9.72 3.36 090 35654 A Artery bypass graft 26.17 NA NA 8.79 9.28 3.53 090 35656 A Artery bypass graft 20.39 NA NA 7.16 7.54 2.80 090 35661 A Artery bypass graft 20.22 NA NA 7.40 7.80 2.72 090 35663 A Artery bypass graft 23.80 NA NA 8.26 8.71 3.11 090 35665 A Artery bypass graft 22.22 NA NA 7.72 8.17 3.01 090 35666 A Artery bypass graft 23.53 NA NA 8.84 9.31 3.16 090 35671 A Artery bypass graft 20.64 NA NA 7.91 8.30 2.78 090 35681 A Composite bypass graft 1.60 NA NA 0.44 0.46 0.23 ZZZ 35682 A Composite bypass graft 7.19 NA NA 1.86 2.00 1.03 ZZZ 35683 A Composite bypass graft 8.49 NA NA 2.20 2.36 1.20 ZZZ 35685 A Bypass graft patency/patch 4.04 NA NA 1.04 1.12 0.58 ZZZ 35686 A Bypass graft/av fist patency 3.34 NA NA 0.94 0.99 0.47 ZZZ 35691 A Arterial transposition 18.32 NA NA 6.63 7.09 2.59 090 35693 A Arterial transposition 15.64 NA NA 6.68 6.96 2.22 090 35694 A Arterial transposition 19.19 NA NA 6.52 7.06 2.70 090 35695 A Arterial transposition 19.97 NA NA 7.02 7.42 2.74 090 35697 A Reimplant artery each 3.00 NA NA 0.80 0.86 0.41 ZZZ 35700 A Reoperation, bypass graft 3.08 NA NA 0.83 0.88 0.44 ZZZ 35701 A Exploration, carotid artery 9.11 NA NA 4.53 4.70 1.12 090 3570F I Rprt bone scint x-refw/x-ray 0.00 0.00 0.00 0.00 0.00 0.00 XXX 35721 A Exploration, femoral artery 7.66 NA NA 3.87 4.02 1.03 090 3572F I Pt consid poss risk fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 3573F I Pt not consid poss risk fx 0.00 0.00 0.00 0.00 0.00 0.00 XXX 35741 A Exploration popliteal artery 8.61 NA NA 4.01 4.18 1.12 090 35761 A Exploration of artery/vein 5.84 NA NA 3.55 3.67 0.75 090 35800 A Explore neck vessels 7.99 NA NA 4.09 4.24 0.95 090 35820 A Explore chest vessels 36.81 NA NA 13.83 12.20 1.95 090 35840 A Explore abdominal vessels 10.87 NA NA 4.94 5.04 1.34 090 35860 A Explore limb vessels 6.72 NA NA 3.49 3.63 0.78 090 35870 A Repair vessel graft defect 24.39 NA NA 8.35 8.73 3.01 090 35875 A Removal of clot in graft 10.64 NA NA 4.42 4.62 1.41 090 35876 A Removal of clot in graft 17.74 NA NA 6.27 6.59 2.40 090 35879 A Revise graft w/vein 17.28 NA NA 6.19 6.58 2.28 090 35881 A Revise graft w/vein 19.22 NA NA 6.80 7.29 2.56 090 35883 A Revise graft w/nonauto graft 23.07 NA NA 7.69 7.69 3.19 090 35884 A Revise graft w/vein 24.57 NA NA 7.84 7.84 3.41 090 35901 A Excision, graft, neck 8.26 NA NA 4.33 4.58 1.15 090 35903 A Excision, graft, extremity 9.44 NA NA 4.70 5.08 1.30 090 35905 A Excision, graft, thorax 33.39 NA NA 10.81 11.43 4.44 090 35907 A Excision, graft, abdomen 37.14 NA NA 11.52 12.21 4.92 090 36000 A Place needle in vein 0.18 0.45 0.48 0.07 0.07 0.01 XXX

<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 />

1224<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 />

35515 A Artery bypass graft 25.99 NA NA 8.13 8.44 2.78 090<br />

35516 A Artery bypass graft 24.11 NA NA 7.78 7.55 2.34 090<br />

35518 A Artery bypass graft 22.57 NA NA 8.24 8.45 3.03 090<br />

3551F I Intrmed rsk thromboembolism 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

35521 A Artery bypass graft 24.00 NA NA 8.26 8.67 3.13 090<br />

35522 A Artery bypass graft 23.05 NA NA 7.91 8.39 2.12 090<br />

35523 A Artery bypass graft 24.00 NA NA 9.37 9.37 2.14 090<br />

35525 A Artery bypass graft 21.59 NA NA 7.28 7.83 2.12 090<br />

35526 A Artery bypass graft 31.47 NA NA 11.28 11.62 3.63 090<br />

3552F I Hgh risk for thromboembolism 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

35531 A Artery bypass graft 38.98 NA NA 12.54 13.05 5.18 090<br />

35533 A Artery bypass graft 29.79 NA NA 10.21 10.61 3.85 090<br />

35535 A Artery bypass graft 38.00 NA NA 13.58 13.58 5.23 090<br />

35536 A Artery bypass graft 33.60 NA NA 10.52 11.16 4.62 090<br />

35537 A Artery bypass graft 41.75 NA NA 13.77 13.77 5.72 090<br />

35538 A Artery bypass graft 46.82 NA NA 15.52 15.52 6.39 090<br />

35539 A Artery bypass graft 43.98 NA NA 13.75 13.75 6.02 090<br />

35540 A Artery bypass graft 49.20 NA NA 15.46 15.46 6.76 090<br />

35548 A Artery bypass graft 22.57 NA NA 8.04 8.41 2.98 090<br />

35549 A Artery bypass graft 24.34 NA NA 8.90 9.29 3.30 090<br />

35551 A Artery bypass graft 27.72 NA NA 10.29 10.61 3.75 090<br />

35556 A Artery bypass graft 26.62 NA NA 9.03 9.23 3.10 090<br />

35558 A Artery bypass graft 23.00 NA NA 8.25 8.59 3.00 090<br />

3555F I Pt inr measurement performed 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

35560 A Artery bypass graft 33.90 NA NA 11.24 11.79 4.75 090<br />

35563 A Artery bypass graft 25.99 NA NA 8.61 9.11 3.52 090<br />

35565 A Artery bypass graft 25.00 NA NA 8.70 9.08 3.30 090<br />

35566 A Artery bypass graft 32.22 NA NA 10.47 10.72 3.83 090<br />

35570 A Artery bypass graft 29.00 NA NA 10.95 10.95 3.91 090<br />

35571 A Artery bypass graft 25.39 NA NA 8.53 9.13 3.43 090<br />

35572 A Harvest femoropopliteal vein 6.81 NA NA 2.09 2.13 0.99 ZZZ<br />

35583 A Vein bypass graft 27.62 NA NA 9.15 9.42 3.17 090<br />

35585 A Vein bypass graft 32.22 NA NA 10.49 10.95 4.02 090<br />

35587 A Vein bypass graft 26.08 NA NA 8.86 9.53 3.52 090<br />

35600 A Harvest art for cabg add-on 4.94 NA NA 1.64 1.64 0.73 ZZZ<br />

35601 A Artery bypass graft 26.99 NA NA 10.53 10.07 3.72 090<br />

35606 A Artery bypass graft 22.36 NA NA 7.66 8.02 2.70 090<br />

35612 A Artery bypass graft 16.71 NA NA 6.82 7.10 2.09 090<br />

35616 A Artery bypass graft 21.74 NA NA 7.40 7.59 2.20 090<br />

35621 A Artery bypass graft 20.95 NA NA 7.10 7.51 2.92 090<br />

35623 A Bypass graft, not vein 25.79 NA NA 8.76 9.22 3.46 090<br />

35626 A Artery bypass graft 29.06 NA NA 10.75 11.08 4.08 090<br />

35631 A Artery bypass graft 35.90 NA NA 11.14 11.84 4.96 090<br />

35632 A Artery bypass graft 36.00 NA NA 12.97 12.97 4.97 090<br />

35633 A Artery bypass graft 38.98 NA NA 13.88 13.88 5.39 090<br />

35634 A Artery bypass graft 35.20 NA NA 12.73 12.73 4.86 090<br />

35636 A Artery bypass graft 31.62 NA NA 10.49 10.97 4.10 090<br />

35637 A Artery bypass graft 32.92 NA NA 11.00 11.00 4.44 090

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