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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. 1244 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 46614 A Anoscopy, control bleeding 1.00 1.91 2.02 0.53 0.61 0.20 000 46615 A Anoscopy 1.50 1.72 1.91 0.65 0.76 0.33 000 46700 A Repair of anal stricture 9.68 NA NA 5.27 5.01 0.94 090 46705 A Repair of anal stricture 7.32 NA NA 5.06 4.72 0.91 090 46706 A Repr of anal fistula w/glue 2.41 NA NA 1.53 1.46 0.28 010 46710 A Repr per/vag pouch sngl proc 17.01 NA NA 8.24 8.14 1.38 090 46712 A Repr per/vag pouch dbl proc 36.32 NA NA 14.14 14.40 3.67 090 46715 A Rep perf anoper fistu 7.54 NA NA 4.58 4.34 0.92 090 46716 A Rep perf anoper/vestib fistu 17.14 NA NA 13.84 12.40 1.58 090 46730 A Construction of absent anus 30.17 NA NA 15.18 14.42 2.47 090 46735 A Construction of absent anus 35.66 NA NA 17.02 16.19 3.21 090 46740 A Construction of absent anus 33.42 NA NA 14.96 14.56 2.42 090 46742 A Repair of imperforated anus 39.66 NA NA 16.59 16.82 3.20 090 46744 A Repair of cloacal anomaly 58.46 NA NA 20.70 20.85 6.40 090 46746 A Repair of cloacal anomaly 64.93 NA NA 26.94 26.55 7.70 090 46748 A Repair of cloacal anomaly 70.91 NA NA 28.94 27.68 3.37 090 46750 A Repair of anal sphincter 12.02 NA NA 5.98 5.76 1.10 090 46751 A Repair of anal sphincter 9.19 NA NA 5.62 5.58 0.94 090 46753 A Reconstruction of anus 8.81 NA NA 4.77 4.55 0.94 090 46754 A Removal of suture from anus 2.88 3.72 3.69 2.29 2.14 0.19 010 46760 A Repair of anal sphincter 17.21 NA NA 8.18 7.92 1.59 090 46761 A Repair of anal sphincter 15.16 NA NA 6.69 6.53 1.43 090 46762 A Implant artificial sphincter 14.66 NA NA 7.26 6.84 1.24 090 46900 A Destruction, anal lesion(s) 1.91 3.66 3.40 1.35 1.33 0.17 010 46910 A Destruction, anal lesion(s) 1.88 3.89 3.65 1.25 1.20 0.19 010 46916 A Cryosurgery, anal lesion(s) 1.88 3.80 3.65 1.64 1.58 0.11 010 46917 A Laser surgery, anal lesions 1.88 8.65 8.79 1.24 1.21 0.21 010 46922 A Excision of anal lesion(s) 1.88 4.06 3.87 1.22 1.18 0.22 010 46924 A Destruction, anal lesion(s) 2.78 9.47 9.29 1.57 1.52 0.26 010 46930 A Destroy internal hemorrhoids 1.56 3.02 3.54 1.79 2.09 0.16 090 46937 A Cryotherapy of rectal lesion 2.70 3.42 3.27 1.56 1.48 0.14 010 46938 A Cryotherapy of rectal lesion 4.70 5.99 5.50 3.84 3.65 0.58 090 46940 A Treatment of anal fissure 2.33 2.82 2.62 1.07 1.08 0.23 010 46942 A Treatment of anal fissure 2.05 2.78 2.55 0.98 0.99 0.19 010 46945 A Ligation of hemorrhoids 2.13 4.69 4.34 2.93 2.82 0.19 090 46946 A Ligation of hemorrhoids 2.60 4.56 4.36 2.63 2.58 0.27 090 46947 A Hemorrhoidopexy by stapling 5.49 NA NA 3.16 3.06 0.75 090 46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47000 A Needle biopsy of liver 1.90 7.60 6.48 0.76 0.73 0.12 000 47001 A Needle biopsy, liver add-on 1.90 NA NA 0.52 0.55 0.25 ZZZ 47010 A Open drainage, liver lesion 19.27 NA NA 8.56 8.54 1.81 090 47011 A Percut drain, liver lesion 3.69 NA NA 1.47 1.41 0.22 000 47015 A Inject/aspirate liver cyst 18.37 NA NA 8.05 7.93 1.84 090 47100 A Wedge biopsy of liver 12.78 NA NA 6.48 6.38 1.53 090 47120 A Partial removal of liver 38.82 NA NA 14.67 14.82 4.66 090 47122 A Extensive removal of liver 59.35 NA NA 19.80 20.26 7.21 090 47125 A Partial removal of liver 52.91 NA NA 17.96 18.39 6.47 090 47130 A Partial removal of liver 57.06 NA NA 19.08 19.60 6.96 090

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. 1245 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 47133 X Removal of donor liver 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47135 R Transplantation of liver 83.29 NA NA 29.06 29.74 9.96 090 47136 R Transplantation of liver 70.39 NA NA 25.66 26.06 8.44 090 47140 A Partial removal, donor liver 59.22 NA NA 22.52 22.51 5.19 090 47141 A Partial removal, donor liver 71.27 NA NA 26.46 26.63 5.19 090 47142 A Partial removal, donor liver 79.21 NA NA 28.62 28.90 5.19 090 47143 C Prep donor liver, whole 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47144 C Prep donor liver, 3-segment 0.00 0.00 0.00 0.00 0.00 0.00 090 47145 C Prep donor liver, lobe split 0.00 0.00 0.00 0.00 0.00 0.00 XXX 47146 A Prep donor liver/venous 6.00 NA NA 1.63 1.74 0.83 XXX 47147 A Prep donor liver/arterial 7.00 NA NA 1.90 2.03 0.97 XXX 47300 A Surgery for liver lesion 18.01 NA NA 7.90 7.75 1.99 090 47350 A Repair liver wound 22.36 NA NA 9.21 9.15 2.59 090 47360 A Repair liver wound 31.18 NA NA 11.82 11.78 3.38 090 47361 A Repair liver wound 52.47 NA NA 17.67 17.92 5.87 090 47362 A Repair liver wound 23.41 NA NA 9.59 9.40 2.51 090 47370 A Laparo ablate liver tumor rf 20.67 NA NA 7.95 8.01 2.56 090 47371 A Laparo ablate liver cryosurg 20.67 NA NA 8.66 8.55 2.61 090 47379 C Laparoscope procedure, liver 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47380 A Open ablate liver tumor rf 24.43 NA NA 9.09 9.18 2.87 090 47381 A Open ablate liver tumor cryo 24.72 NA NA 9.57 9.60 2.85 090 47382 A Percut ablate liver rf 15.19 NA NA 6.81 6.64 0.96 010 47399 C Liver surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 47400 A Incision of liver duct 36.23 NA NA 13.21 13.29 3.08 090 47420 A Incision of bile duct 21.92 NA NA 8.88 8.87 2.63 090 47425 A Incision of bile duct 22.20 NA NA 8.93 8.92 2.62 090 47460 A Incise bile duct sphincter 20.41 NA NA 9.39 9.16 2.21 090 47480 A Incision of gallbladder 13.12 NA NA 6.83 6.61 1.42 090 47490 A Incision of gallbladder 8.05 NA NA 5.58 5.59 0.43 090 47500 A Injection for liver x-rays 1.96 NA NA 0.79 0.75 0.12 000 47505 A Injection for liver x-rays 0.76 NA NA 0.31 0.29 0.04 000 47510 A Insert catheter, bile duct 7.94 NA NA 4.90 4.94 0.46 090 47511 A Insert bile duct drain 10.74 NA NA 5.49 5.40 0.62 090 47525 A Change bile duct catheter 1.54 13.38 13.84 1.29 1.67 0.33 010 47530 A Revise/reinsert bile tube 5.96 30.57 31.45 3.68 3.70 0.37 090 47550 A Bile duct endoscopy add-on 3.02 NA NA 0.85 0.90 0.40 ZZZ 47552 A Biliary endoscopy thru skin 6.03 NA NA 2.76 2.67 0.42 000 47553 A Biliary endoscopy thru skin 6.34 NA NA 2.50 2.39 0.37 000 47554 A Biliary endoscopy thru skin 9.05 NA NA 3.49 3.46 0.96 000 47555 A Biliary endoscopy thru skin 7.55 NA NA 3.06 2.92 0.45 000 47556 A Biliary endoscopy thru skin 8.55 NA NA 3.46 3.30 0.50 000 47560 A Laparoscopy w/cholangio 4.88 NA NA 1.37 1.45 0.65 000 47561 A Laparo w/cholangio/biopsy 5.17 NA NA 1.66 1.73 0.66 000 47562 A Laparoscopic cholecystectomy 11.63 NA NA 5.42 5.32 1.46 090 47563 A Laparo cholecystectomy/graph 12.03 NA NA 5.24 5.26 1.58 090 47564 A Laparo cholecystectomy/explr 14.21 NA NA 5.63 5.72 1.89 090 47570 A Laparo cholecystoenterostomy 12.56 NA NA 5.21 5.26 1.65 090 47579 C Laparoscope proc, biliary 0.00 0.00 0.00 0.00 0.00 0.00 YYY

<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 />

1244<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 />

46614 A Anoscopy, control bleeding 1.00 1.91 2.02 0.53 0.61 0.20 000<br />

46615 A Anoscopy 1.50 1.72 1.91 0.65 0.76 0.33 000<br />

46700 A Repair of anal stricture 9.68 NA NA 5.27 5.01 0.94 090<br />

46705 A Repair of anal stricture 7.32 NA NA 5.06 4.72 0.91 090<br />

46706 A Repr of anal fistula w/glue 2.41 NA NA 1.53 1.46 0.28 010<br />

46710 A Repr per/vag pouch sngl proc 17.01 NA NA 8.24 8.14 1.38 090<br />

46712 A Repr per/vag pouch dbl proc 36.32 NA NA 14.14 14.40 3.67 090<br />

46715 A Rep perf anoper fistu 7.54 NA NA 4.58 4.34 0.92 090<br />

46716 A Rep perf anoper/vestib fistu 17.14 NA NA 13.84 12.40 1.58 090<br />

46730 A Construction of absent anus 30.17 NA NA 15.18 14.42 2.47 090<br />

46735 A Construction of absent anus 35.66 NA NA 17.02 16.19 3.21 090<br />

46740 A Construction of absent anus 33.42 NA NA 14.96 14.56 2.42 090<br />

46742 A Repair of imperforated anus 39.66 NA NA 16.59 16.82 3.20 090<br />

46744 A Repair of cloacal anomaly 58.46 NA NA 20.70 20.85 6.40 090<br />

46746 A Repair of cloacal anomaly 64.93 NA NA 26.94 26.55 7.70 090<br />

46748 A Repair of cloacal anomaly 70.91 NA NA 28.94 27.68 3.37 090<br />

46750 A Repair of anal sphincter 12.02 NA NA 5.98 5.76 1.10 090<br />

46751 A Repair of anal sphincter 9.19 NA NA 5.62 5.58 0.94 090<br />

46753 A Reconstruction of anus 8.81 NA NA 4.77 4.55 0.94 090<br />

46754 A Removal of suture from anus 2.88 3.72 3.69 2.29 2.14 0.19 010<br />

46760 A Repair of anal sphincter 17.21 NA NA 8.18 7.92 1.59 090<br />

46761 A Repair of anal sphincter 15.16 NA NA 6.69 6.53 1.43 090<br />

46762 A Implant artificial sphincter 14.66 NA NA 7.26 6.84 1.24 090<br />

46900 A Destruction, anal lesion(s) 1.91 3.66 3.40 1.35 1.33 0.17 010<br />

46910 A Destruction, anal lesion(s) 1.88 3.89 3.65 1.25 1.20 0.19 010<br />

46916 A Cryosurgery, anal lesion(s) 1.88 3.80 3.65 1.64 1.58 0.11 010<br />

46917 A Laser surgery, anal lesions 1.88 8.65 8.79 1.24 1.21 0.21 010<br />

46922 A Excision of anal lesion(s) 1.88 4.06 3.87 1.22 1.18 0.22 010<br />

46924 A Destruction, anal lesion(s) 2.78 9.47 9.29 1.57 1.52 0.26 010<br />

46930 A Destroy internal hemorrhoids 1.56 3.02 3.54 1.79 2.09 0.16 090<br />

46937 A Cryotherapy of rectal lesion 2.70 3.42 3.27 1.56 1.48 0.14 010<br />

46938 A Cryotherapy of rectal lesion 4.70 5.99 5.50 3.84 3.65 0.58 090<br />

46940 A Treatment of anal fissure 2.33 2.82 2.62 1.07 1.08 0.23 010<br />

46942 A Treatment of anal fissure 2.05 2.78 2.55 0.98 0.99 0.19 010<br />

46945 A Ligation of hemorrhoids 2.13 4.69 4.34 2.93 2.82 0.19 090<br />

46946 A Ligation of hemorrhoids 2.60 4.56 4.36 2.63 2.58 0.27 090<br />

46947 A Hemorrhoidopexy by stapling 5.49 NA NA 3.16 3.06 0.75 090<br />

46999 C Anus surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

47000 A Needle biopsy of liver 1.90 7.60 6.48 0.76 0.73 0.12 000<br />

47001 A Needle biopsy, liver add-on 1.90 NA NA 0.52 0.55 0.25 ZZZ<br />

47010 A Open drainage, liver lesion 19.27 NA NA 8.56 8.54 1.81 090<br />

47011 A Percut drain, liver lesion 3.69 NA NA 1.47 1.41 0.22 000<br />

47015 A Inject/aspirate liver cyst 18.37 NA NA 8.05 7.93 1.84 090<br />

47100 A Wedge biopsy of liver 12.78 NA NA 6.48 6.38 1.53 090<br />

47120 A Partial removal of liver 38.82 NA NA 14.67 14.82 4.66 090<br />

47122 A Extensive removal of liver 59.35 NA NA 19.80 20.26 7.21 090<br />

47125 A Partial removal of liver 52.91 NA NA 17.96 18.39 6.47 090<br />

47130 A Partial removal of liver 57.06 NA NA 19.08 19.60 6.96 090

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