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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. 1248 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 49429 A Removal of shunt 7.41 NA NA 3.17 3.24 1.02 010 49435 A Insert subq exten to ip cath 2.25 NA NA 0.60 0.60 0.28 ZZZ 49436 A Embedded ip cath exit-site 2.69 NA NA 1.61 1.61 0.28 010 49440 A Place gastrostomy tube perc 4.18 24.42 24.42 1.91 1.91 0.49 010 49441 A Place duod/jej tube perc 4.77 26.44 26.44 2.12 2.12 0.29 010 49442 A Place cecostomy tube perc 4.00 23.99 23.99 1.69 1.69 0.24 010 49446 A Change g-tube to g-j perc 3.31 22.87 22.87 1.28 1.28 0.18 000 49450 A Replace g/c tube perc 1.36 18.27 18.27 0.47 0.47 0.08 000 49451 A Replace duod/jej tube perc 1.84 16.82 16.82 0.71 0.71 0.11 000 49452 A Replace g-j tube perc 2.86 20.61 20.61 1.11 1.11 0.18 000 49460 A Fix g/colon tube w/device 0.96 20.59 20.59 0.35 0.35 0.05 000 49465 A Fluoro exam of g/colon tube 0.62 3.87 3.87 0.24 0.24 0.03 000 49491 A Rpr hern preemie reduc 12.42 NA NA 5.58 5.46 1.40 090 49492 A Rpr ing hern premie, blocked 15.32 NA NA 6.55 6.45 1.81 090 49495 A Rpr ing hernia baby, reduc 6.15 NA NA 2.91 2.93 0.74 090 49496 A Rpr ing hernia baby, blocked 9.32 NA NA 4.56 4.49 1.07 090 49500 A Rpr ing hernia, init, reduce 5.76 NA NA 3.35 3.30 0.71 090 49501 A Rpr ing hernia, init blocked 9.28 NA NA 4.45 4.39 1.12 090 49505 A Prp i/hern init reduc >5 yr 7.88 NA NA 3.97 3.93 1.03 090 49507 A Prp i/hern init block >5 yr 9.97 NA NA 4.59 4.56 1.27 090 49520 A Rerepair ing hernia, reduce 9.91 NA NA 4.51 4.50 1.28 090 49521 A Rerepair ing hernia, blocked 12.36 NA NA 5.16 5.19 1.59 090 49525 A Repair ing hernia, sliding 8.85 NA NA 4.23 4.20 1.13 090 49540 A Repair lumbar hernia 10.66 NA NA 4.74 4.75 1.37 090 49550 A Rpr rem hernia, init, reduce 8.91 NA NA 4.22 4.20 1.14 090 49553 A Rpr fem hernia, init blocked 9.84 NA NA 4.53 4.51 1.24 090 49555 A Rerepair fem hernia, reduce 9.31 NA NA 4.33 4.33 1.20 090 49557 A Rerepair fem hernia, blocked 11.54 NA NA 5.00 5.01 1.47 090 49560 A Rpr ventral hern init, reduc 11.84 NA NA 5.04 5.07 1.52 090 49561 A Rpr ventral hern init, block 15.30 NA NA 6.02 6.04 1.89 090 49565 A Rerepair ventrl hern, reduce 12.29 NA NA 5.28 5.28 1.52 090 49566 A Rerepair ventrl hern, block 15.45 NA NA 6.08 6.11 1.91 090 49568 A Hernia repair w/mesh 4.88 NA NA 1.33 1.42 0.64 ZZZ 49570 A Rpr epigastric hern, reduce 5.97 NA NA 3.43 3.37 0.75 090 49572 A Rpr epigastric hern, blocked 7.79 NA NA 3.91 3.81 0.88 090 49580 A Rpr umbil hern, reduc < 5 yr 4.39 NA NA 3.02 2.92 0.54 090 49582 A Rpr umbil hern, block < 5 yr 7.05 NA NA 3.83 3.74 0.88 090 49585 A Rpr umbil hern, reduc > 5 yr 6.51 NA NA 3.58 3.52 0.82 090 49587 A Rpr umbil hern, block > 5 yr 7.96 NA NA 3.96 3.91 0.99 090 49590 A Repair spigelian hernia 8.82 NA NA 4.20 4.18 1.13 090 49600 A Repair umbilical lesion 11.47 NA NA 5.41 5.40 1.32 090 49605 A Repair umbilical lesion 86.85 NA NA 29.51 29.33 9.39 090 49606 A Repair umbilical lesion 18.92 NA NA 6.99 7.18 2.46 090 49610 A Repair umbilical lesion 10.83 NA NA 4.86 4.96 1.07 090 49611 A Repair umbilical lesion 9.26 NA NA 4.45 5.10 0.78 090 49650 A Lap ing hernia repair init 6.30 NA NA 3.41 3.37 0.93 090 49651 A Lap ing hernia repair recur 8.29 NA NA 4.31 4.25 1.14 090 49652 A Lap vent/abd hernia repair 12.80 NA NA 5.43 5.43 1.64 090

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. 1249 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 49653 A Lap vent/abd hern proc comp 16.10 NA NA 6.71 6.71 1.99 090 49654 A Lap inc hernia repair 14.95 NA NA 6.02 6.02 1.83 090 49655 A Lap inc hern repair comp 18.00 NA NA 7.23 7.23 2.22 090 49656 A Lap inc hernia repair recur 15.00 NA NA 6.03 6.03 1.86 090 49657 A Lap inc hern recur comp 22.00 NA NA 8.32 8.32 2.73 090 49659 C Laparo proc, hernia repair 0.00 0.00 0.00 0.00 0.00 0.00 YYY 49900 A Repair of abdominal wall 12.26 NA NA 6.45 6.41 1.62 090 49904 A Omental flap, extra-abdom 22.16 NA NA 12.05 12.87 2.70 090 49905 A Omental flap, intra-abdom 6.54 NA NA 1.81 1.94 0.75 ZZZ 49906 C Free omental flap, microvasc 0.00 0.00 0.00 0.00 0.00 0.00 090 49999 C Abdomen surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 50010 A Exploration of kidney 12.13 NA NA 7.03 6.59 0.93 090 50020 A Renal abscess, open drain 17.88 NA NA 9.12 8.80 1.34 090 50021 A Renal abscess, percut drain 3.37 21.01 21.22 1.34 1.28 0.20 000 50040 A Drainage of kidney 16.48 NA NA 9.49 8.83 1.03 090 50045 A Exploration of kidney 16.67 NA NA 9.44 8.75 1.24 090 50060 A Removal of kidney stone 20.80 NA NA 11.51 10.61 1.36 090 50065 A Incision of kidney 22.17 NA NA 12.25 10.73 1.59 090 50070 A Incision of kidney 21.70 NA NA 12.05 11.11 1.44 090 50075 A Removal of kidney stone 26.91 NA NA 14.51 13.39 1.81 090 50080 A Removal of kidney stone 15.61 NA NA 9.07 8.39 1.04 090 50081 A Removal of kidney stone 23.32 NA NA 12.93 11.91 1.54 090 50100 A Revise kidney blood vessels 17.30 NA NA 7.67 7.72 2.07 090 50120 A Exploration of kidney 17.06 NA NA 9.58 8.89 1.21 090 50125 A Explore and drain kidney 17.67 NA NA 9.71 9.04 1.43 090 50130 A Removal of kidney stone 18.67 NA NA 10.66 9.80 1.22 090 50135 A Exploration of kidney 20.44 NA NA 11.23 10.38 1.33 090 50200 A Biopsy of kidney 2.63 NA NA 1.27 1.27 0.16 000 50205 A Biopsy of kidney 12.19 NA NA 5.71 5.54 1.30 090 5020F I Txmnts 2 main Dr by 1 mon 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50220 A Remove kidney, open 18.53 NA NA 10.08 9.39 1.35 090 50225 A Removal kidney open, complex 21.73 NA NA 11.45 10.65 1.50 090 50230 A Removal kidney open, radical 23.68 NA NA 12.42 11.48 1.55 090 50234 A Removal of kidney & ureter 23.90 NA NA 12.74 11.79 1.59 090 50236 A Removal of kidney & ureter 26.74 NA NA 14.79 13.68 1.77 090 50240 A Partial removal of kidney 24.01 NA NA 13.39 12.32 1.55 090 50250 A Cryoablate renal mass open 22.06 NA NA 12.49 11.69 1.39 090 50280 A Removal of kidney lesion 16.94 NA NA 9.62 8.91 1.19 090 50290 A Removal of kidney lesion 16.00 NA NA 8.00 7.63 1.41 090 50300 X Remove cadaver donor kidney 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50320 A Remove kidney, living donor 22.28 NA NA 13.02 12.45 2.36 090 50323 C Prep cadaver renal allograft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50325 C Prep donor renal graft 0.00 0.00 0.00 0.00 0.00 0.00 XXX 50327 A Prep renal graft/venous 4.00 NA NA 1.18 1.23 0.29 XXX 50328 A Prep renal graft/arterial 3.50 NA NA 1.05 1.09 0.26 XXX 50329 A Prep renal graft/ureteral 3.34 NA NA 1.23 1.20 0.25 XXX 50340 A Removal of kidney 13.86 NA NA 7.71 7.42 1.65 090 50360 A Transplantation of kidney 40.45 NA NA 19.24 18.34 3.82 090

<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 />

1248<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 />

49429 A Removal of shunt 7.41 NA NA 3.17 3.24 1.02 010<br />

49435 A Insert subq exten to ip cath 2.25 NA NA 0.60 0.60 0.28 ZZZ<br />

49436 A Embedded ip cath exit-site 2.69 NA NA 1.61 1.61 0.28 010<br />

49440 A Place gastrostomy tube perc 4.18 24.42 24.42 1.91 1.91 0.49 010<br />

49441 A Place duod/jej tube perc 4.77 26.44 26.44 2.12 2.12 0.29 010<br />

49442 A Place cecostomy tube perc 4.00 23.99 23.99 1.69 1.69 0.24 010<br />

49446 A Change g-tube to g-j perc 3.31 22.87 22.87 1.28 1.28 0.18 000<br />

49450 A Replace g/c tube perc 1.36 18.27 18.27 0.47 0.47 0.08 000<br />

49451 A Replace duod/jej tube perc 1.84 16.82 16.82 0.71 0.71 0.11 000<br />

49452 A Replace g-j tube perc 2.86 20.61 20.61 1.11 1.11 0.18 000<br />

49460 A Fix g/colon tube w/device 0.96 20.59 20.59 0.35 0.35 0.05 000<br />

49465 A Fluoro exam of g/colon tube 0.62 3.87 3.87 0.24 0.24 0.03 000<br />

49491 A Rpr hern preemie reduc 12.42 NA NA 5.58 5.46 1.40 090<br />

49492 A Rpr ing hern premie, blocked 15.32 NA NA 6.55 6.45 1.81 090<br />

49495 A Rpr ing hernia baby, reduc 6.15 NA NA 2.91 2.93 0.74 090<br />

49496 A Rpr ing hernia baby, blocked 9.32 NA NA 4.56 4.49 1.07 090<br />

49500 A Rpr ing hernia, init, reduce 5.76 NA NA 3.35 3.30 0.71 090<br />

49501 A Rpr ing hernia, init blocked 9.28 NA NA 4.45 4.39 1.12 090<br />

49505 A Prp i/hern init reduc >5 yr 7.88 NA NA 3.97 3.93 1.03 090<br />

49507 A Prp i/hern init block >5 yr 9.97 NA NA 4.59 4.56 1.27 090<br />

49520 A Rerepair ing hernia, reduce 9.91 NA NA 4.51 4.50 1.28 090<br />

49521 A Rerepair ing hernia, blocked 12.36 NA NA 5.16 5.19 1.59 090<br />

49525 A Repair ing hernia, sliding 8.85 NA NA 4.23 4.20 1.13 090<br />

49540 A Repair lumbar hernia 10.66 NA NA 4.74 4.75 1.37 090<br />

49550 A Rpr rem hernia, init, reduce 8.91 NA NA 4.22 4.20 1.14 090<br />

49553 A Rpr fem hernia, init blocked 9.84 NA NA 4.53 4.51 1.24 090<br />

49555 A Rerepair fem hernia, reduce 9.31 NA NA 4.33 4.33 1.20 090<br />

49557 A Rerepair fem hernia, blocked 11.54 NA NA 5.00 5.01 1.47 090<br />

49560 A Rpr ventral hern init, reduc 11.84 NA NA 5.04 5.07 1.52 090<br />

49561 A Rpr ventral hern init, block 15.30 NA NA 6.02 6.04 1.89 090<br />

49565 A Rerepair ventrl hern, reduce 12.29 NA NA 5.28 5.28 1.52 090<br />

49566 A Rerepair ventrl hern, block 15.45 NA NA 6.08 6.11 1.91 090<br />

49568 A Hernia repair w/mesh 4.88 NA NA 1.33 1.42 0.64 ZZZ<br />

49570 A Rpr epigastric hern, reduce 5.97 NA NA 3.43 3.37 0.75 090<br />

49572 A Rpr epigastric hern, blocked 7.79 NA NA 3.91 3.81 0.88 090<br />

49580 A Rpr umbil hern, reduc < 5 yr 4.39 NA NA 3.02 2.92 0.54 090<br />

49582 A Rpr umbil hern, block < 5 yr 7.05 NA NA 3.83 3.74 0.88 090<br />

49585 A Rpr umbil hern, reduc > 5 yr 6.51 NA NA 3.58 3.52 0.82 090<br />

49587 A Rpr umbil hern, block > 5 yr 7.96 NA NA 3.96 3.91 0.99 090<br />

49590 A Repair spigelian hernia 8.82 NA NA 4.20 4.18 1.13 090<br />

49600 A Repair umbilical lesion 11.47 NA NA 5.41 5.40 1.32 090<br />

49605 A Repair umbilical lesion 86.85 NA NA 29.51 29.33 9.39 090<br />

49606 A Repair umbilical lesion 18.92 NA NA 6.99 7.18 2.46 090<br />

49610 A Repair umbilical lesion 10.83 NA NA 4.86 4.96 1.07 090<br />

49611 A Repair umbilical lesion 9.26 NA NA 4.45 5.10 0.78 090<br />

49650 A Lap ing hernia repair init 6.30 NA NA 3.41 3.37 0.93 090<br />

49651 A Lap ing hernia repair recur 8.29 NA NA 4.31 4.25 1.14 090<br />

49652 A Lap vent/abd hernia repair 12.80 NA NA 5.43 5.43 1.64 090

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