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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. 1240 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 44227 A Lap, close enterostomy 28.49 NA NA 10.07 10.24 3.38 090 44238 C Laparoscope proc, intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44300 A Open bowel to skin 13.65 NA NA 5.75 5.70 1.60 090 44310 A Ileostomy/jejunostomy 17.49 NA NA 6.68 6.70 1.99 090 44312 A Revision of ileostomy 9.33 NA NA 4.78 4.59 0.92 090 44314 A Revision of ileostomy 16.61 NA NA 7.05 6.94 1.75 090 44316 A Devise bowel pouch 23.46 NA NA 8.82 8.77 2.38 090 44320 A Colostomy 19.75 NA NA 7.89 7.85 2.26 090 44322 A Colostomy with biopsies 13.15 NA NA 9.16 9.03 1.54 090 44340 A Revision of colostomy 9.12 NA NA 5.03 4.85 0.99 090 44345 A Revision of colostomy 17.06 NA NA 7.17 7.11 1.97 090 44346 A Revision of colostomy 19.47 NA NA 7.79 7.71 2.13 090 44360 A Small bowel endoscopy 2.59 NA NA 1.54 1.44 0.19 000 44361 A Small bowel endoscopy/biopsy 2.87 NA NA 1.68 1.57 0.21 000 44363 A Small bowel endoscopy 3.49 NA NA 1.86 1.75 0.27 000 44364 A Small bowel endoscopy 3.73 NA NA 2.07 1.93 0.27 000 44365 A Small bowel endoscopy 3.31 NA NA 1.85 1.73 0.24 000 44366 A Small bowel endoscopy 4.40 NA NA 2.44 2.27 0.32 000 44369 A Small bowel endoscopy 4.51 NA NA 2.49 2.30 0.33 000 44370 A Small bowel endoscopy/stent 4.79 NA NA 2.72 2.54 0.37 000 44372 A Small bowel endoscopy 4.40 NA NA 2.17 2.06 0.35 000 44373 A Small bowel endoscopy 3.49 NA NA 1.86 1.75 0.27 000 44376 A Small bowel endoscopy 5.25 NA NA 2.62 2.48 0.42 000 44377 A Small bowel endoscopy/biopsy 5.52 NA NA 2.90 2.71 0.40 000 44378 A Small bowel endoscopy 7.12 NA NA 3.66 3.43 0.52 000 44379 A S bowel endoscope w/stent 7.46 NA NA 3.92 3.68 0.62 000 44380 A Small bowel endoscopy 1.05 NA NA 0.76 0.71 0.08 000 44382 A Small bowel endoscopy 1.27 NA NA 0.89 0.83 0.12 000 44383 A Ileoscopy w/stent 2.94 NA NA 1.69 1.59 0.21 000 44385 A Endoscopy of bowel pouch 1.82 4.74 4.40 0.89 0.86 0.15 000 44386 A Endoscopy, bowel pouch/biop 2.12 6.49 6.54 1.06 1.01 0.20 000 44388 A Colonoscopy 2.82 5.98 5.76 1.40 1.34 0.26 000 44389 A Colonoscopy with biopsy 3.13 6.92 6.86 1.62 1.53 0.27 000 44390 A Colonoscopy for foreign body 3.82 7.89 7.71 1.87 1.77 0.32 000 44391 A Colonoscopy for bleeding 4.31 8.56 8.62 2.20 2.08 0.34 000 44392 A Colonoscopy & polypectomy 3.81 7.09 6.98 1.72 1.67 0.34 000 44393 A Colonoscopy, lesion removal 4.83 7.93 7.69 2.25 2.16 0.42 000 44394 A Colonoscopy w/snare 4.42 8.33 8.22 2.17 2.06 0.38 000 44397 A Colonoscopy w/stent 4.70 NA NA 2.47 2.31 0.39 000 44500 A Intro, gastrointestinal tube 0.49 NA NA 0.19 0.18 0.03 000 44602 A Suture, small intestine 24.64 NA NA 7.93 7.56 2.12 090 44603 A Suture, small intestine 28.03 NA NA 9.41 8.89 2.42 090 44604 A Suture, large intestine 18.06 NA NA 6.35 6.39 2.12 090 44605 A Repair of bowel lesion 22.00 NA NA 8.14 8.22 2.52 090 44615 A Intestinal stricturoplasty 18.08 NA NA 6.85 6.82 2.07 090 44620 A Repair bowel opening 14.35 NA NA 5.71 5.63 1.51 090 44625 A Repair bowel opening 17.20 NA NA 6.43 6.41 1.86 090 44626 A Repair bowel opening 27.82 NA NA 9.37 9.50 3.27 090

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. 1241 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 44640 A Repair bowel-skin fistula 24.12 NA NA 8.44 8.49 2.78 090 44650 A Repair bowel fistula 25.04 NA NA 8.80 8.85 2.93 090 44660 A Repair bowel-bladder fistula 23.83 NA NA 9.88 9.52 2.14 090 44661 A Repair bowel-bladder fistula 27.27 NA NA 9.88 9.82 2.81 090 44680 A Surgical revision, intestine 17.88 NA NA 6.81 6.74 2.00 090 44700 A Suspend bowel w/prosthesis 17.40 NA NA 6.42 6.50 1.84 090 44701 A Intraop colon lavage add-on 3.10 NA NA 0.82 0.88 0.37 ZZZ 44715 C Prepare donor intestine 0.00 0.00 0.00 0.00 0.00 0.00 XXX 44720 A Prep donor intestine/venous 5.00 NA NA 1.67 1.69 0.37 XXX 44721 A Prep donor intestine/artery 7.00 NA NA 1.78 2.08 0.97 XXX 44799 C Unlisted procedure intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44800 A Excision of bowel pouch 11.94 NA NA 5.63 5.58 1.47 090 44820 A Excision of mesentery lesion 13.63 NA NA 5.80 5.73 1.59 090 44850 A Repair of mesentery 12.03 NA NA 5.06 5.06 1.39 090 44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 44900 A Drain app abscess, open 12.44 NA NA 5.26 5.13 1.33 090 44901 A Drain app abscess, percut 3.37 19.76 21.85 1.29 1.24 0.22 000 44950 A Appendectomy 10.52 NA NA 4.20 4.24 1.31 090 44955 A Appendectomy add-on 1.53 NA NA 0.43 0.46 0.20 ZZZ 44960 A Appendectomy 14.39 NA NA 5.63 5.57 1.63 090 44970 A Laparoscopy, appendectomy 9.35 NA NA 4.32 4.27 1.14 090 44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 0.00 0.00 YYY 45000 A Drainage of pelvic abscess 6.20 NA NA 3.68 3.51 0.52 090 45005 A Drainage of rectal abscess 2.00 3.89 3.94 1.58 1.58 0.25 010 45020 A Drainage of rectal abscess 8.43 NA NA 4.66 4.32 0.55 090 45100 A Biopsy of rectum 3.96 NA NA 2.86 2.74 0.44 090 45108 A Removal of anorectal lesion 5.04 NA NA 3.16 3.07 0.59 090 45110 A Removal of rectum 30.57 NA NA 12.28 12.34 3.36 090 45111 A Partial removal of rectum 17.89 NA NA 7.25 7.25 2.07 090 45112 A Removal of rectum 33.05 NA NA 10.94 11.17 3.43 090 45113 A Partial proctectomy 33.09 NA NA 12.15 12.29 3.49 090 45114 A Partial removal of rectum 30.63 NA NA 10.60 10.69 3.36 090 45116 A Partial removal of rectum 27.56 NA NA 9.51 9.66 2.88 090 45119 A Remove rectum w/reservoir 33.35 NA NA 12.05 12.18 3.36 090 45120 A Removal of rectum 26.25 NA NA 9.93 10.00 2.90 090 45121 A Removal of rectum and colon 28.93 NA NA 10.51 10.68 3.25 090 45123 A Partial proctectomy 18.70 NA NA 7.22 7.14 1.86 090 45126 A Pelvic exenteration 48.89 NA NA 18.65 18.83 4.33 090 45130 A Excision of rectal prolapse 18.37 NA NA 6.94 6.91 1.80 090 45135 A Excision of rectal prolapse 22.15 NA NA 8.79 8.71 2.36 090 45136 A Excise ileoanal reservior 30.63 NA NA 12.33 12.40 2.82 090 45150 A Excision of rectal stricture 5.77 NA NA 3.67 3.50 0.61 090 45160 A Excision of rectal lesion 16.17 NA NA 6.86 6.82 1.68 090 45170 A Excision of rectal lesion 12.48 NA NA 5.52 5.47 1.35 090 45190 A Destruction, rectal tumor 10.29 NA NA 5.61 5.37 1.13 090 45300 A Proctosigmoidoscopy dx 0.80 1.93 1.84 0.46 0.42 0.04 000 45303 A Proctosigmoidoscopy dilate 1.50 19.34 19.22 0.67 0.59 0.05 000 45305 A Proctosigmoidoscopy w/bx 1.25 3.14 3.02 0.61 0.59 0.11 000

<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 />

1241<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 />

44640 A Repair bowel-skin fistula 24.12 NA NA 8.44 8.49 2.78 090<br />

44650 A Repair bowel fistula 25.04 NA NA 8.80 8.85 2.93 090<br />

44660 A Repair bowel-bladder fistula 23.83 NA NA 9.88 9.52 2.14 090<br />

44661 A Repair bowel-bladder fistula 27.27 NA NA 9.88 9.82 2.81 090<br />

44680 A Surgical revision, intestine 17.88 NA NA 6.81 6.74 2.00 090<br />

44700 A Suspend bowel w/prosthesis 17.40 NA NA 6.42 6.50 1.84 090<br />

44701 A Intraop colon lavage add-on 3.10 NA NA 0.82 0.88 0.37 ZZZ<br />

44715 C Prepare donor intestine 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

44720 A Prep donor intestine/venous 5.00 NA NA 1.67 1.69 0.37 XXX<br />

44721 A Prep donor intestine/artery 7.00 NA NA 1.78 2.08 0.97 XXX<br />

44799 C Unlisted procedure intestine 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

44800 A Excision of bowel pouch 11.94 NA NA 5.63 5.58 1.47 090<br />

44820 A Excision of mesentery lesion 13.63 NA NA 5.80 5.73 1.59 090<br />

44850 A Repair of mesentery 12.03 NA NA 5.06 5.06 1.39 090<br />

44899 C Bowel surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

44900 A Drain app abscess, open 12.44 NA NA 5.26 5.13 1.33 090<br />

44901 A Drain app abscess, percut 3.37 19.76 21.85 1.29 1.24 0.22 000<br />

44950 A Appendectomy 10.52 NA NA 4.20 4.24 1.31 090<br />

44955 A Appendectomy add-on 1.53 NA NA 0.43 0.46 0.20 ZZZ<br />

44960 A Appendectomy 14.39 NA NA 5.63 5.57 1.63 090<br />

44970 A Laparoscopy, appendectomy 9.35 NA NA 4.32 4.27 1.14 090<br />

44979 C Laparoscope proc, app 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

45000 A Drainage of pelvic abscess 6.20 NA NA 3.68 3.51 0.52 090<br />

45005 A Drainage of rectal abscess 2.00 3.89 3.94 1.58 1.58 0.25 010<br />

45020 A Drainage of rectal abscess 8.43 NA NA 4.66 4.32 0.55 090<br />

45100 A Biopsy of rectum 3.96 NA NA 2.86 2.74 0.44 090<br />

45108 A Removal of anorectal lesion 5.04 NA NA 3.16 3.07 0.59 090<br />

45110 A Removal of rectum 30.57 NA NA 12.28 12.34 3.36 090<br />

45111 A Partial removal of rectum 17.89 NA NA 7.25 7.25 2.07 090<br />

45112 A Removal of rectum 33.05 NA NA 10.94 11.17 3.43 090<br />

45113 A Partial proctectomy 33.09 NA NA 12.15 12.29 3.49 090<br />

45114 A Partial removal of rectum 30.63 NA NA 10.60 10.69 3.36 090<br />

45116 A Partial removal of rectum 27.56 NA NA 9.51 9.66 2.88 090<br />

45119 A Remove rectum w/reservoir 33.35 NA NA 12.05 12.18 3.36 090<br />

45120 A Removal of rectum 26.25 NA NA 9.93 10.00 2.90 090<br />

45121 A Removal of rectum and colon 28.93 NA NA 10.51 10.68 3.25 090<br />

45123 A Partial proctectomy 18.70 NA NA 7.22 7.14 1.86 090<br />

45126 A Pelvic exenteration 48.89 NA NA 18.65 18.83 4.33 090<br />

45130 A Excision of rectal prolapse 18.37 NA NA 6.94 6.91 1.80 090<br />

45135 A Excision of rectal prolapse 22.15 NA NA 8.79 8.71 2.36 090<br />

45136 A Excise ileoanal reservior 30.63 NA NA 12.33 12.40 2.82 090<br />

45150 A Excision of rectal stricture 5.77 NA NA 3.67 3.50 0.61 090<br />

45160 A Excision of rectal lesion 16.17 NA NA 6.86 6.82 1.68 090<br />

45170 A Excision of rectal lesion 12.48 NA NA 5.52 5.47 1.35 090<br />

45190 A Destruction, rectal tumor 10.29 NA NA 5.61 5.37 1.13 090<br />

45300 A Proctosigmoidoscopy dx 0.80 1.93 1.84 0.46 0.42 0.04 000<br />

45303 A Proctosigmoidoscopy dilate 1.50 19.34 19.22 0.67 0.59 0.05 000<br />

45305 A Proctosigmoidoscopy w/bx 1.25 3.14 3.02 0.61 0.59 0.11 000

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