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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. 1226 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 36002 A Pseudoaneurysm injection trt 1.96 2.27 2.43 0.91 0.93 0.17 000 36005 A Injection ext venography 0.95 8.17 8.06 0.39 0.37 0.05 000 36010 A Place catheter in vein 2.43 10.92 13.05 0.85 0.84 0.20 XXX 36011 A Place catheter in vein 3.14 19.18 21.40 1.09 1.08 0.27 XXX 36012 A Place catheter in vein 3.51 19.73 19.58 1.33 1.30 0.23 XXX 36013 A Place catheter in artery 2.52 17.87 18.79 0.94 0.88 0.25 XXX 36014 A Place catheter in artery 3.02 18.90 19.26 1.21 1.17 0.19 XXX 36015 A Place catheter in artery 3.51 19.93 20.92 1.39 1.34 0.21 XXX 36100 A Establish access to artery 3.02 10.67 11.05 1.20 1.18 0.26 XXX 36120 A Establish access to artery 2.01 9.31 9.68 0.65 0.65 0.14 XXX 36140 A Establish access to artery 2.01 10.24 10.90 0.75 0.72 0.16 XXX 36145 A Artery to vein shunt 2.01 10.19 10.81 0.70 0.69 0.11 XXX 36160 A Establish access to aorta 2.52 10.98 11.63 1.05 1.00 0.26 XXX 36200 A Place catheter in aorta 3.02 13.40 14.22 1.07 1.06 0.24 XXX 36215 A Place catheter in artery 4.67 25.30 25.80 1.96 1.88 0.27 XXX 36216 A Place catheter in artery 5.27 27.58 28.02 2.21 2.11 0.31 XXX 36217 A Place catheter in artery 6.29 45.37 48.00 2.60 2.50 0.44 XXX 36218 A Place catheter in artery 1.01 3.74 4.08 0.41 0.39 0.07 ZZZ 36245 A Place catheter in artery 4.67 27.79 28.93 2.19 2.06 0.31 XXX 36246 A Place catheter in artery 5.27 26.84 27.69 2.10 2.04 0.38 XXX 36247 A Place catheter in artery 6.29 44.08 45.55 2.47 2.40 0.47 XXX 36248 A Place catheter in artery 1.01 3.12 3.36 0.40 0.39 0.07 ZZZ 36260 A Insertion of infusion pump 9.82 NA NA 4.74 4.78 1.29 090 36261 A Revision of infusion pump 5.55 NA NA 3.31 3.41 0.70 090 36262 A Removal of infusion pump 4.05 NA NA 2.77 2.77 0.54 090 36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 36400 A Bl draw < 3 yrs fem/jugular 0.38 0.29 0.28 0.07 0.08 0.03 XXX 36405 A Bl draw < 3 yrs scalp vein 0.31 0.30 0.29 0.09 0.09 0.03 XXX 36406 A Bl draw < 3 yrs other vein 0.18 0.25 0.26 0.06 0.06 0.01 XXX 36410 A Non-routine bl draw > 3 yrs 0.18 0.31 0.31 0.05 0.05 0.01 XXX 36415 X Routine venipuncture 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36416 B Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX 36420 A Vein access cutdown < 1 yr 1.01 NA NA 0.24 0.25 0.07 XXX 36425 A Vein access cutdown > 1 yr 0.76 NA NA 0.23 0.23 0.06 XXX 36430 A Blood transfusion service 0.00 0.92 0.94 NA NA 0.06 XXX 36440 A Bl push transfuse, 2 yr or < 1.03 NA NA 0.28 0.28 0.10 XXX 36450 A Bl exchange/transfuse, nb 2.23 NA NA 0.83 0.80 0.21 XXX 36455 A Bl exchange/transfuse non-nb 2.43 NA NA 0.91 0.93 0.15 XXX 36460 A Transfusion service, fetal 6.58 NA NA 1.81 1.92 0.79 XXX 36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000 36470 A Injection therapy of vein 1.09 2.33 2.43 0.64 0.67 0.12 010 36471 A Injection therapy of veins 1.60 2.58 2.71 0.82 0.86 0.19 010 36475 A Endovenous rf, 1st vein 6.72 36.08 40.01 2.08 2.20 0.37 000 36476 A Endovenous rf, vein add-on 3.38 6.11 6.57 0.92 0.98 0.18 ZZZ 36478 A Endovenous laser, 1st vein 6.72 26.62 31.74 2.20 2.29 0.37 000 36479 A Endovenous laser vein addon 3.38 6.77 7.09 0.97 1.01 0.18 ZZZ 36481 A Insertion of catheter, vein 6.98 3.18 3.83 NA NA 0.55 000
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. 1227 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 36500 A Insertion of catheter, vein 3.51 NA NA 1.30 1.32 0.20 000 36510 A Insertion of catheter, vein 1.09 1.00 1.73 0.30 0.38 0.10 000 36511 A Apheresis wbc 1.74 NA NA 0.59 0.62 0.08 000 36512 A Apheresis rbc 1.74 NA NA 0.63 0.66 0.08 000 36513 A Apheresis platelets 1.74 NA NA 0.66 0.68 0.17 000 36514 A Apheresis plasma 1.74 10.18 11.91 0.56 0.60 0.08 000 36515 A Apheresis, adsorp/reinfuse 1.74 43.53 49.35 0.51 0.55 0.08 000 36516 A Apheresis, selective 1.22 47.29 56.63 0.38 0.41 0.08 000 36522 A Photopheresis 1.67 34.90 34.35 0.97 0.97 0.13 000 36555 A Insert non-tunnel cv cath 2.68 4.05 4.49 0.62 0.67 0.11 000 36556 A Insert non-tunnel cv cath 2.50 2.84 3.55 0.59 0.62 0.19 000 36557 A Insert tunneled cv cath 5.11 15.26 16.77 2.52 2.56 0.57 010 36558 A Insert tunneled cv cath 4.81 14.73 16.35 2.48 2.51 0.57 010 36560 A Insert tunneled cv cath 6.26 21.94 23.93 2.82 2.88 0.57 010 36561 A Insert tunneled cv cath 6.01 21.87 23.86 2.77 2.82 0.57 010 36563 A Insert tunneled cv cath 6.21 22.76 23.81 2.72 2.79 0.84 010 36565 A Insert tunneled cv cath 6.01 17.29 19.19 2.58 2.68 0.57 010 36566 A Insert tunneled cv cath 6.51 109.47 88.66 2.71 2.82 0.57 010 36568 A Insert picc cath 1.92 5.79 6.24 0.66 0.64 0.11 000 36569 A Insert picc cath 1.82 4.48 5.21 0.73 0.69 0.19 000 36570 A Insert picvad cath 5.33 22.70 25.38 2.81 2.80 0.57 010 36571 A Insert picvad cath 5.31 24.24 26.56 2.53 2.58 0.57 010 36575 A Repair tunneled cv cath 0.67 3.25 3.46 0.25 0.25 0.20 000 36576 A Repair tunneled cv cath 3.21 5.86 6.15 1.62 1.68 0.19 010 36578 A Replace tunneled cv cath 3.51 9.11 9.64 2.04 2.11 0.19 010 36580 A Replace cvad cath 1.31 3.95 4.71 0.47 0.46 0.19 000 36581 A Replace tunneled cv cath 3.45 15.41 16.48 1.83 1.86 0.19 010 36582 A Replace tunneled cv cath 5.21 21.45 22.64 2.56 2.64 0.19 010 36583 A Replace tunneled cv cath 5.26 21.38 22.60 2.49 2.60 0.19 010 36584 A Replace picc cath 1.20 3.97 4.73 0.66 0.63 0.19 000 36585 A Replace picvad cath 4.81 22.38 23.80 2.50 2.56 0.19 010 36589 A Removal tunneled cv cath 2.27 1.89 1.99 1.28 1.31 0.24 010 36590 A Removal tunneled cv cath 3.32 3.64 3.58 1.66 1.68 0.44 010 36591 T Draw blood off venous device 0.00 0.60 0.60 NA NA 0.01 XXX 36592 T Collect blood from picc 0.00 0.66 0.66 NA NA 0.01 XXX 36593 A Declot vascular device 0.00 0.81 0.71 NA NA 0.37 XXX 36595 A Mech remov tunneled cv cath 3.59 10.81 12.45 1.52 1.51 0.21 000 36596 A Mech remov tunneled cv cath 0.75 2.56 2.85 0.45 0.46 0.05 000 36597 A Reposition venous catheter 1.21 2.06 2.15 0.50 0.49 0.07 000 36598 T Inj w/fluor, eval cv device 0.74 2.17 2.29 0.29 0.88 0.05 000 36600 A Withdrawal of arterial blood 0.32 0.48 0.48 0.08 0.08 0.02 XXX 36620 A Insertion catheter, artery 1.15 NA NA 0.15 0.17 0.07 000 36625 A Insertion catheter, artery 2.11 NA NA 0.56 0.56 0.26 000 36640 A Insertion catheter, artery 2.10 NA NA 0.93 0.96 0.21 000 36660 A Insertion catheter, artery 1.40 NA NA 0.27 0.31 0.14 000 36680 A Insert needle, bone cavity 1.20 NA NA 0.27 0.32 0.11 000 36800 A Insertion of cannula 2.43 NA NA 1.55 1.62 0.25 000 36810 A Insertion of cannula 3.96 NA NA 1.26 1.37 0.45 000
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<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 />
1226<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 />
36002 A Pseudoaneurysm injection trt 1.96 2.27 2.43 0.91 0.93 0.17 000<br />
36005 A Injection ext venography 0.95 8.17 8.06 0.39 0.37 0.05 000<br />
36010 A Place catheter in vein 2.43 10.92 13.05 0.85 0.84 0.20 XXX<br />
36011 A Place catheter in vein 3.14 19.18 21.40 1.09 1.08 0.27 XXX<br />
36012 A Place catheter in vein 3.51 19.73 19.58 1.33 1.30 0.23 XXX<br />
36013 A Place catheter in artery 2.52 17.87 18.79 0.94 0.88 0.25 XXX<br />
36014 A Place catheter in artery 3.02 18.90 19.26 1.21 1.17 0.19 XXX<br />
36015 A Place catheter in artery 3.51 19.93 20.92 1.39 1.34 0.21 XXX<br />
36100 A Establish access to artery 3.02 10.67 11.05 1.20 1.18 0.26 XXX<br />
36120 A Establish access to artery 2.01 9.31 9.68 0.65 0.65 0.14 XXX<br />
36140 A Establish access to artery 2.01 10.24 10.90 0.75 0.72 0.16 XXX<br />
36145 A Artery to vein shunt 2.01 10.19 10.81 0.70 0.69 0.11 XXX<br />
36160 A Establish access to aorta 2.52 10.98 11.63 1.05 1.00 0.26 XXX<br />
36200 A Place catheter in aorta 3.02 13.40 14.22 1.07 1.06 0.24 XXX<br />
36215 A Place catheter in artery 4.67 25.30 25.80 1.96 1.88 0.27 XXX<br />
36216 A Place catheter in artery 5.27 27.58 28.02 2.21 2.11 0.31 XXX<br />
36217 A Place catheter in artery 6.29 45.37 48.00 2.60 2.50 0.44 XXX<br />
36218 A Place catheter in artery 1.01 3.74 4.08 0.41 0.39 0.07 ZZZ<br />
36245 A Place catheter in artery 4.67 27.79 28.93 2.19 2.06 0.31 XXX<br />
36246 A Place catheter in artery 5.27 26.84 27.69 2.10 2.04 0.38 XXX<br />
36247 A Place catheter in artery 6.29 44.08 45.55 2.47 2.40 0.47 XXX<br />
36248 A Place catheter in artery 1.01 3.12 3.36 0.40 0.39 0.07 ZZZ<br />
36260 A Insertion of infusion pump 9.82 NA NA 4.74 4.78 1.29 090<br />
36261 A Revision of infusion pump 5.55 NA NA 3.31 3.41 0.70 090<br />
36262 A Removal of infusion pump 4.05 NA NA 2.77 2.77 0.54 090<br />
36299 C Vessel injection procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />
36400 A Bl draw < 3 yrs fem/jugular 0.38 0.29 0.28 0.07 0.08 0.03 XXX<br />
36405 A Bl draw < 3 yrs scalp vein 0.31 0.30 0.29 0.09 0.09 0.03 XXX<br />
36406 A Bl draw < 3 yrs other vein 0.18 0.25 0.26 0.06 0.06 0.01 XXX<br />
36410 A Non-routine bl draw > 3 yrs 0.18 0.31 0.31 0.05 0.05 0.01 XXX<br />
36415 X Routine venipuncture 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />
36416 B Capillary blood draw 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />
36420 A Vein access cutdown < 1 yr 1.01 NA NA 0.24 0.25 0.07 XXX<br />
36425 A Vein access cutdown > 1 yr 0.76 NA NA 0.23 0.23 0.06 XXX<br />
36430 A Blood transfusion service 0.00 0.92 0.94 NA NA 0.06 XXX<br />
36440 A Bl push transfuse, 2 yr or < 1.03 NA NA 0.28 0.28 0.10 XXX<br />
36450 A Bl exchange/transfuse, nb 2.23 NA NA 0.83 0.80 0.21 XXX<br />
36455 A Bl exchange/transfuse non-nb 2.43 NA NA 0.91 0.93 0.15 XXX<br />
36460 A Transfusion service, fetal 6.58 NA NA 1.81 1.92 0.79 XXX<br />
36468 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000<br />
36469 R Injection(s), spider veins 0.00 0.00 0.00 0.00 0.00 0.00 000<br />
36470 A Injection therapy of vein 1.09 2.33 2.43 0.64 0.67 0.12 010<br />
36471 A Injection therapy of veins 1.60 2.58 2.71 0.82 0.86 0.19 010<br />
36475 A Endovenous rf, 1st vein 6.72 36.08 40.01 2.08 2.20 0.37 000<br />
36476 A Endovenous rf, vein add-on 3.38 6.11 6.57 0.92 0.98 0.18 ZZZ<br />
36478 A Endovenous laser, 1st vein 6.72 26.62 31.74 2.20 2.29 0.37 000<br />
36479 A Endovenous laser vein addon 3.38 6.77 7.09 0.97 1.01 0.18 ZZZ<br />
36481 A Insertion of catheter, vein 6.98 3.18 3.83 NA NA 0.55 000