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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. 1246 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 47600 A Removal of gallbladder 17.35 NA NA 7.46 7.14 1.80 090 47605 A Removal of gallbladder 15.90 NA NA 6.60 6.58 1.95 090 47610 A Removal of gallbladder 20.84 NA NA 7.98 7.98 2.49 090 47612 A Removal of gallbladder 21.13 NA NA 8.04 8.01 2.48 090 47620 A Removal of gallbladder 22.99 NA NA 8.61 8.61 2.74 090 47630 A Remove bile duct stone 9.57 NA NA 5.05 5.02 0.65 090 47700 A Exploration of bile ducts 16.39 NA NA 7.67 7.62 2.07 090 47701 A Bile duct revision 28.62 NA NA 12.93 12.60 3.68 090 47711 A Excision of bile duct tumor 25.77 NA NA 10.05 10.04 3.05 090 47712 A Excision of bile duct tumor 33.59 NA NA 12.14 12.24 3.93 090 47715 A Excision of bile duct cyst 21.42 NA NA 8.81 8.73 2.49 090 47720 A Fuse gallbladder & bowel 18.21 NA NA 7.98 7.87 2.11 090 47721 A Fuse upper gi structures 21.86 NA NA 8.96 8.88 2.53 090 47740 A Fuse gallbladder & bowel 21.10 NA NA 8.68 8.62 2.42 090 47741 A Fuse gallbladder & bowel 24.08 NA NA 9.59 9.53 2.83 090 47760 A Fuse bile ducts and bowel 38.14 NA NA 13.67 12.99 3.42 090 47765 A Fuse liver ducts & bowel 52.01 NA NA 18.02 16.25 3.30 090 47780 A Fuse bile ducts and bowel 42.14 NA NA 14.79 13.92 3.50 090 47785 A Fuse bile ducts and bowel 56.01 NA NA 18.80 17.36 4.10 090 47800 A Reconstruction of bile ducts 26.04 NA NA 10.11 10.12 3.08 090 47801 A Placement, bile duct support 17.47 NA NA 8.99 8.80 1.16 090 47802 A Fuse liver duct & intestine 24.80 NA NA 10.06 9.98 2.86 090 47900 A Suture bile duct injury 22.31 NA NA 9.01 8.99 2.65 090 47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 48000 A Drainage of abdomen 31.82 NA NA 11.71 11.68 3.48 090 48001 A Placement of drain, pancreas 39.56 NA NA 13.51 13.63 4.69 090 48020 A Removal of pancreatic stone 18.96 NA NA 8.07 7.89 2.13 090 48100 A Biopsy of pancreas, open 14.38 NA NA 6.12 6.00 1.62 090 48102 A Needle biopsy, pancreas 4.68 9.70 9.28 2.09 2.06 0.28 010 48105 A Resect/debride pancreas 49.05 NA NA 16.63 16.65 5.56 090 48120 A Removal of pancreas lesion 18.33 NA NA 7.13 7.07 2.10 090 48140 A Partial removal of pancreas 26.19 NA NA 9.77 9.73 3.03 090 48145 A Partial removal of pancreas 27.26 NA NA 10.06 10.02 3.18 090 48146 A Pancreatectomy 30.42 NA NA 12.27 12.22 3.50 090 48148 A Removal of pancreatic duct 20.26 NA NA 8.20 8.07 2.30 090 48150 A Partial removal of pancreas 52.63 NA NA 18.85 19.06 6.32 090 48152 A Pancreatectomy 48.47 NA NA 17.68 17.85 5.80 090 48153 A Pancreatectomy 52.61 NA NA 18.74 18.98 6.31 090 48154 A Pancreatectomy 48.70 NA NA 17.56 17.77 5.84 090 48155 A Removal of pancreas 29.27 NA NA 12.32 12.18 3.27 090 48160 N Pancreas removal/transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48400 A Injection, intraop add-on 1.95 NA NA 0.74 0.71 0.15 ZZZ 48500 A Surgery of pancreatic cyst 18.03 NA NA 8.14 7.96 2.03 090 48510 A Drain pancreatic pseudocyst 17.06 NA NA 7.75 7.69 1.83 090 48511 A Drain pancreatic pseudocyst 3.99 20.21 20.43 1.59 1.53 0.24 000 48520 A Fuse pancreas cyst and bowel 18.07 NA NA 7.15 7.05 2.06 090 48540 A Fuse pancreas cyst and bowel 21.86 NA NA 8.02 8.06 2.61 090 48545 A Pancreatorrhaphy 22.10 NA NA 8.48 8.37 2.38 090

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. 1247 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 48547 A Duodenal exclusion 30.25 NA NA 10.74 10.70 3.42 090 48548 A Fuse pancreas and bowel 27.96 NA NA 10.38 10.35 3.28 090 48550 X Donor pancreatectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48551 C Prep donor pancreas 0.00 0.00 0.00 0.00 0.00 0.00 XXX 48552 A Prep donor pancreas/venous 4.30 NA NA 1.23 1.29 0.31 XXX 48554 R Transpl allograft pancreas 37.03 NA NA 21.04 20.39 4.19 090 48556 A Removal, allograft pancreas 19.24 NA NA 9.78 9.37 2.08 090 48999 C Pancreas surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49000 A Exploration of abdomen 12.44 NA NA 5.40 5.41 1.52 090 49002 A Reopening of abdomen 17.55 NA NA 6.65 6.26 1.37 090 49010 A Exploration behind abdomen 15.98 NA NA 6.52 6.38 1.51 090 49020 A Drain abdominal abscess 26.46 NA NA 10.31 10.30 2.85 090 49021 A Drain abdominal abscess 3.37 19.57 19.99 1.34 1.29 0.20 000 49040 A Drain, open, abdom abscess 16.41 NA NA 6.76 6.69 1.70 090 49041 A Drain, percut, abdom abscess 3.99 19.87 19.83 1.59 1.52 0.24 000 49060 A Drain, open, retrop abscess 18.42 NA NA 7.56 7.54 1.75 090 49061 A Drain, percut, retroper absc 3.69 19.70 19.73 1.47 1.41 0.22 000 49062 A Drain to peritoneal cavity 12.12 NA NA 5.37 5.40 1.39 090 49080 A Puncture, peritoneal cavity 1.35 2.72 3.05 0.52 0.51 0.08 000 49081 A Removal of abdominal fluid 1.26 2.92 2.84 0.50 0.48 0.09 000 49180 A Biopsy, abdominal mass 1.73 2.52 2.67 0.68 0.66 0.10 000 49203 A Exc abd tum 5 cm or less 20.00 NA NA 8.03 8.03 2.27 090 49204 A Exc abd tum over 5 cm 26.00 NA NA 9.76 9.76 2.94 090 49205 A Exc abd tum over 10 cm 30.00 NA NA 10.92 10.92 3.40 090 49215 A Excise sacral spine tumor 37.66 NA NA 13.37 13.57 4.38 090 49220 A Multiple surgery, abdomen 15.70 NA NA 6.59 6.61 1.89 090 49250 A Excision of umbilicus 8.93 NA NA 4.49 4.44 1.08 090 49255 A Removal of omentum 12.41 NA NA 5.79 5.76 1.43 090 49320 A Diag laparo separate proc 5.09 NA NA 2.51 2.55 0.65 010 49321 A Laparoscopy, biopsy 5.39 NA NA 2.63 2.64 0.70 010 49322 A Laparoscopy, aspiration 5.96 NA NA 2.73 2.80 0.71 010 49323 A Laparo drain lymphocele 10.13 NA NA 4.82 4.75 1.20 090 49324 A Lap insertion perm ip cath 6.27 NA NA 2.85 2.85 0.73 010 49325 A Lap revision perm ip cath 6.77 NA NA 2.97 2.97 0.86 010 49326 A Lap w/omentopexy add-on 3.50 NA NA 0.95 0.95 0.44 ZZZ 49329 C Laparo proc, abdm/per/oment 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49400 A Air injection into abdomen 1.88 2.52 2.67 0.69 0.68 0.15 000 49402 A Remove foreign body, adbomen 14.01 NA NA 5.78 5.72 1.62 090 49419 A Insrt abdom cath for chemotx 7.03 NA NA 3.57 3.58 0.81 090 49420 A Insert abdom drain, temp 2.22 NA NA 1.21 1.18 0.21 000 49421 A Insert abdom drain, perm 5.87 NA NA 3.20 3.20 0.74 090 49422 A Remove perm cannula/catheter 6.26 NA NA 2.72 2.77 0.83 010 49423 A Exchange drainage catheter 1.46 13.06 13.35 0.63 0.60 0.09 000 49424 A Assess cyst, contrast inject 0.76 3.08 3.25 0.33 0.32 0.04 000 49425 A Insert abdomen-venous drain 12.13 NA NA 5.53 5.56 1.54 090 49426 A Revise abdomen-venous shunt 10.33 NA NA 4.74 4.76 1.28 090 49427 A Injection, abdominal shunt 0.89 NA NA 0.35 0.34 0.07 000 49428 A Ligation of shunt 6.79 NA NA 3.22 3.41 0.80 010

<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 />

1246<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 />

47600 A Removal of gallbladder 17.35 NA NA 7.46 7.14 1.80 090<br />

47605 A Removal of gallbladder 15.90 NA NA 6.60 6.58 1.95 090<br />

47610 A Removal of gallbladder 20.84 NA NA 7.98 7.98 2.49 090<br />

47612 A Removal of gallbladder 21.13 NA NA 8.04 8.01 2.48 090<br />

47620 A Removal of gallbladder 22.99 NA NA 8.61 8.61 2.74 090<br />

47630 A Remove bile duct stone 9.57 NA NA 5.05 5.02 0.65 090<br />

47700 A Exploration of bile ducts 16.39 NA NA 7.67 7.62 2.07 090<br />

47701 A Bile duct revision 28.62 NA NA 12.93 12.60 3.68 090<br />

47711 A Excision of bile duct tumor 25.77 NA NA 10.05 10.04 3.05 090<br />

47712 A Excision of bile duct tumor 33.59 NA NA 12.14 12.24 3.93 090<br />

47715 A Excision of bile duct cyst 21.42 NA NA 8.81 8.73 2.49 090<br />

47720 A Fuse gallbladder & bowel 18.21 NA NA 7.98 7.87 2.11 090<br />

47721 A Fuse upper gi structures 21.86 NA NA 8.96 8.88 2.53 090<br />

47740 A Fuse gallbladder & bowel 21.10 NA NA 8.68 8.62 2.42 090<br />

47741 A Fuse gallbladder & bowel 24.08 NA NA 9.59 9.53 2.83 090<br />

47760 A Fuse bile ducts and bowel 38.14 NA NA 13.67 12.99 3.42 090<br />

47765 A Fuse liver ducts & bowel 52.01 NA NA 18.02 16.25 3.30 090<br />

47780 A Fuse bile ducts and bowel 42.14 NA NA 14.79 13.92 3.50 090<br />

47785 A Fuse bile ducts and bowel 56.01 NA NA 18.80 17.36 4.10 090<br />

47800 A Reconstruction of bile ducts 26.04 NA NA 10.11 10.12 3.08 090<br />

47801 A Placement, bile duct support 17.47 NA NA 8.99 8.80 1.16 090<br />

47802 A Fuse liver duct & intestine 24.80 NA NA 10.06 9.98 2.86 090<br />

47900 A Suture bile duct injury 22.31 NA NA 9.01 8.99 2.65 090<br />

47999 C Bile tract surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

48000 A Drainage of abdomen 31.82 NA NA 11.71 11.68 3.48 090<br />

48001 A Placement of drain, pancreas 39.56 NA NA 13.51 13.63 4.69 090<br />

48020 A Removal of pancreatic stone 18.96 NA NA 8.07 7.89 2.13 090<br />

48100 A Biopsy of pancreas, open 14.38 NA NA 6.12 6.00 1.62 090<br />

48102 A Needle biopsy, pancreas 4.68 9.70 9.28 2.09 2.06 0.28 010<br />

48105 A Resect/debride pancreas 49.05 NA NA 16.63 16.65 5.56 090<br />

48120 A Removal of pancreas lesion 18.33 NA NA 7.13 7.07 2.10 090<br />

48140 A Partial removal of pancreas 26.19 NA NA 9.77 9.73 3.03 090<br />

48145 A Partial removal of pancreas 27.26 NA NA 10.06 10.02 3.18 090<br />

48146 A Pancreatectomy 30.42 NA NA 12.27 12.22 3.50 090<br />

48148 A Removal of pancreatic duct 20.26 NA NA 8.20 8.07 2.30 090<br />

48150 A Partial removal of pancreas 52.63 NA NA 18.85 19.06 6.32 090<br />

48152 A Pancreatectomy 48.47 NA NA 17.68 17.85 5.80 090<br />

48153 A Pancreatectomy 52.61 NA NA 18.74 18.98 6.31 090<br />

48154 A Pancreatectomy 48.70 NA NA 17.56 17.77 5.84 090<br />

48155 A Removal of pancreas 29.27 NA NA 12.32 12.18 3.27 090<br />

48160 N Pancreas removal/transplant 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

48400 A Injection, intraop add-on 1.95 NA NA 0.74 0.71 0.15 ZZZ<br />

48500 A Surgery of pancreatic cyst 18.03 NA NA 8.14 7.96 2.03 090<br />

48510 A Drain pancreatic pseudocyst 17.06 NA NA 7.75 7.69 1.83 090<br />

48511 A Drain pancreatic pseudocyst 3.99 20.21 20.43 1.59 1.53 0.24 000<br />

48520 A Fuse pancreas cyst and bowel 18.07 NA NA 7.15 7.05 2.06 090<br />

48540 A Fuse pancreas cyst and bowel 21.86 NA NA 8.02 8.06 2.61 090<br />

48545 A Pancreatorrhaphy 22.10 NA NA 8.48 8.37 2.38 090

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