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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. 1256 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 53520 A Repair of urethra defect 9.35 NA NA 6.38 5.92 0.61 090 53600 A Dilate urethra stricture 1.21 1.18 1.17 0.61 0.57 0.09 000 53601 A Dilate urethra stricture 0.98 1.38 1.35 0.55 0.51 0.07 000 53605 A Dilate urethra stricture 1.28 NA NA 0.55 0.51 0.09 000 53620 A Dilate urethra stricture 1.62 1.73 1.80 0.88 0.81 0.11 000 53621 A Dilate urethra stricture 1.35 1.83 1.89 0.71 0.66 0.10 000 53660 A Dilation of urethra 0.71 1.32 1.32 0.47 0.43 0.05 000 53661 A Dilation of urethra 0.72 1.30 1.30 0.44 0.40 0.05 000 53665 A Dilation of urethra 0.76 NA NA 0.29 0.28 0.06 000 53850 A Prostatic microwave thermotx 9.98 48.53 60.07 6.18 5.63 0.67 090 53852 A Prostatic rf thermotx 10.68 45.78 56.68 6.98 6.34 0.70 090 53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 54000 A Slitting of prepuce 1.56 2.72 2.78 1.53 1.38 0.11 010 54001 A Slitting of prepuce 2.21 3.08 3.11 1.72 1.57 0.15 010 54015 A Drain penis lesion 5.33 NA NA 3.37 3.17 0.38 010 54050 A Destruction, penis lesion(s) 1.26 2.13 2.01 1.43 1.33 0.08 010 54055 A Destruction, penis lesion(s) 1.23 1.99 1.89 1.26 1.15 0.08 010 54056 A Cryosurgery, penis lesion(s) 1.26 2.33 2.17 1.53 1.43 0.06 010 54057 A Laser surg, penis lesion(s) 1.26 2.59 2.50 1.37 1.24 0.09 010 54060 A Excision of penis lesion(s) 1.95 3.11 3.12 1.69 1.53 0.13 010 54065 A Destruction, penis lesion(s) 2.44 3.27 3.12 2.02 1.83 0.13 010 54100 A Biopsy of penis 1.90 3.35 3.22 1.42 1.27 0.10 000 54105 A Biopsy of penis 3.51 4.06 4.12 2.54 2.40 0.25 010 54110 A Treatment of penis lesion 10.79 NA NA 6.83 6.33 0.72 090 54111 A Treat penis lesion, graft 14.29 NA NA 8.47 7.81 0.96 090 54112 A Treat penis lesion, graft 16.83 NA NA 9.86 9.12 1.11 090 54115 A Treatment of penis lesion 6.82 5.97 5.58 5.16 4.74 0.43 090 54120 A Partial removal of penis 10.88 NA NA 7.05 6.47 0.68 090 54125 A Removal of penis 14.43 NA NA 8.54 7.88 0.95 090 54130 A Remove penis & nodes 21.66 NA NA 12.28 11.28 1.52 090 54135 A Remove penis & nodes 27.99 NA NA 15.04 13.85 1.88 090 54150 A Circumcision w/regionl block 1.90 2.34 2.73 0.76 0.75 0.16 000 54160 A Circumcision, neonate 2.50 3.86 3.94 1.59 1.47 0.19 010 54161 A Circum 28 days or older 3.29 NA NA 2.30 2.12 0.23 010 54162 A Lysis penil circumic lesion 3.27 4.04 4.20 2.34 2.12 0.21 010 54163 A Repair of circumcision 3.27 NA NA 2.95 2.72 0.21 010 54164 A Frenulotomy of penis 2.77 NA NA 2.73 2.51 0.18 010 54200 A Treatment of penis lesion 1.08 2.02 1.97 1.32 1.24 0.08 010 54205 A Treatment of penis lesion 8.84 NA NA 6.31 5.92 0.56 090 54220 A Treatment of penis lesion 2.42 3.33 3.47 1.40 1.29 0.17 000 54230 A Prepare penis study 1.34 1.44 1.36 0.95 0.87 0.09 000 54231 A Dynamic cavernosometry 2.04 2.01 1.85 1.30 1.20 0.16 000 54235 A Penile injection 1.19 1.42 1.31 0.93 0.84 0.08 000 54240 A Penis study 1.31 1.59 1.45 NA NA 0.17 000 54240 TC A Penis study 0.00 1.04 0.93 NA NA 0.06 000 54240 26 A Penis study 1.31 0.55 0.52 0.55 0.52 0.11 000 54250 A Penis study 2.22 1.33 1.23 NA NA 0.18 000 54250 TC A Penis study 0.00 0.37 0.33 NA NA 0.02 000

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. 1257 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 54250 26 A Penis study 2.22 0.96 0.90 0.96 0.90 0.16 000 54300 A Revision of penis 11.07 NA NA 7.15 6.77 0.76 090 54304 A Revision of penis 13.15 NA NA 8.21 7.75 0.88 090 54308 A Reconstruction of urethra 12.49 NA NA 7.87 7.41 0.84 090 54312 A Reconstruction of urethra 14.36 NA NA 8.93 8.46 1.24 090 54316 A Reconstruction of urethra 17.90 NA NA 10.52 9.89 1.21 090 54318 A Reconstruction of urethra 12.28 NA NA 7.94 7.42 1.39 090 54322 A Reconstruction of urethra 13.85 NA NA 8.38 7.91 0.92 090 54324 A Reconstruction of urethra 17.40 NA NA 10.18 9.64 1.14 090 54326 A Reconstruction of urethra 16.87 NA NA 8.71 8.50 1.11 090 54328 A Revise penis/urethra 16.74 NA NA 9.69 9.10 0.98 090 54332 A Revise penis/urethra 18.22 NA NA 10.66 9.94 1.21 090 54336 A Revise penis/urethra 21.44 NA NA 9.79 9.93 2.21 090 54340 A Secondary urethral surgery 9.58 NA NA 6.22 5.93 0.63 090 54344 A Secondary urethral surgery 16.91 NA NA 10.08 9.51 1.54 090 54348 A Secondary urethral surgery 18.17 NA NA 10.71 10.14 1.23 090 54352 A Reconstruct urethra/penis 25.95 NA NA 14.39 13.61 2.25 090 54360 A Penis plastic surgery 12.65 NA NA 7.85 7.41 0.84 090 54380 A Repair penis 14.03 NA NA 8.71 8.20 0.93 090 54385 A Repair penis 16.38 NA NA 11.45 10.68 0.86 090 54390 A Repair penis and bladder 22.59 NA NA 10.00 9.87 1.54 090 54400 A Insert semi-rigid prosthesis 9.09 NA NA 5.99 5.59 0.64 090 54401 A Insert self-contd prosthesis 10.26 NA NA 8.41 7.75 0.73 090 54405 A Insert multi-comp penis pros 14.39 NA NA 8.57 7.93 0.95 090 54406 A Remove muti-comp penis pros 12.76 NA NA 7.99 7.36 0.86 090 54408 A Repair multi-comp penis pros 13.73 NA NA 8.67 7.95 0.90 090 54410 A Remove/replace penis prosth 15.00 NA NA 9.40 8.72 1.10 090 54411 A Remov/replc penis pros, comp 18.14 NA NA 10.99 10.03 1.13 090 54415 A Remove self-contd penis pros 8.75 NA NA 6.23 5.74 0.58 090 54416 A Remv/repl penis contain pros 11.87 NA NA 8.26 7.55 0.77 090 54417 A Remv/replc penis pros, compl 15.94 NA NA 9.61 8.77 1.00 090 54420 A Revision of penis 12.26 NA NA 7.81 7.26 0.81 090 54430 A Revision of penis 10.93 NA NA 7.30 6.77 0.72 090 54435 A Revision of penis 6.71 NA NA 5.15 4.78 0.43 090 54440 C Repair of penis 0.00 0.00 0.00 0.00 0.00 0.00 090 54450 A Preputial stretching 1.12 0.88 0.90 0.52 0.50 0.08 000 54500 A Biopsy of testis 1.31 NA NA 0.84 0.77 0.10 000 54505 A Biopsy of testis 3.47 NA NA 2.53 2.38 0.27 010 54512 A Excise lesion testis 9.23 NA NA 5.88 5.45 0.67 090 54520 A Removal of testis 5.25 NA NA 3.84 3.59 0.50 090 54522 A Orchiectomy, partial 10.15 NA NA 5.93 5.67 0.89 090 54530 A Removal of testis 8.35 NA NA 5.93 5.52 0.66 090 54535 A Extensive testis surgery 13.06 NA NA 7.55 7.06 0.95 090 54550 A Exploration for testis 8.31 NA NA 5.50 5.09 0.59 090 54560 A Exploration for testis 11.97 NA NA 6.56 6.22 0.90 090 54600 A Reduce testis torsion 7.54 NA NA 5.31 4.88 0.51 090 54620 A Suspension of testis 5.16 NA NA 3.39 3.16 0.37 010 54640 A Suspension of testis 7.57 NA NA 5.59 5.13 0.62 090

<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 />

1256<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 />

53520 A Repair of urethra defect 9.35 NA NA 6.38 5.92 0.61 090<br />

53600 A Dilate urethra stricture 1.21 1.18 1.17 0.61 0.57 0.09 000<br />

53601 A Dilate urethra stricture 0.98 1.38 1.35 0.55 0.51 0.07 000<br />

53605 A Dilate urethra stricture 1.28 NA NA 0.55 0.51 0.09 000<br />

53620 A Dilate urethra stricture 1.62 1.73 1.80 0.88 0.81 0.11 000<br />

53621 A Dilate urethra stricture 1.35 1.83 1.89 0.71 0.66 0.10 000<br />

53660 A Dilation of urethra 0.71 1.32 1.32 0.47 0.43 0.05 000<br />

53661 A Dilation of urethra 0.72 1.30 1.30 0.44 0.40 0.05 000<br />

53665 A Dilation of urethra 0.76 NA NA 0.29 0.28 0.06 000<br />

53850 A Prostatic microwave thermotx 9.98 48.53 60.07 6.18 5.63 0.67 090<br />

53852 A Prostatic rf thermotx 10.68 45.78 56.68 6.98 6.34 0.70 090<br />

53899 C Urology surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

54000 A Slitting of prepuce 1.56 2.72 2.78 1.53 1.38 0.11 010<br />

54001 A Slitting of prepuce 2.21 3.08 3.11 1.72 1.57 0.15 010<br />

54015 A Drain penis lesion 5.33 NA NA 3.37 3.17 0.38 010<br />

54050 A Destruction, penis lesion(s) 1.26 2.13 2.01 1.43 1.33 0.08 010<br />

54055 A Destruction, penis lesion(s) 1.23 1.99 1.89 1.26 1.15 0.08 010<br />

54056 A Cryosurgery, penis lesion(s) 1.26 2.33 2.17 1.53 1.43 0.06 010<br />

54057 A Laser surg, penis lesion(s) 1.26 2.59 2.50 1.37 1.24 0.09 010<br />

54060 A Excision of penis lesion(s) 1.95 3.11 3.12 1.69 1.53 0.13 010<br />

54065 A Destruction, penis lesion(s) 2.44 3.27 3.12 2.02 1.83 0.13 010<br />

54100 A Biopsy of penis 1.90 3.35 3.22 1.42 1.27 0.10 000<br />

54105 A Biopsy of penis 3.51 4.06 4.12 2.54 2.40 0.25 010<br />

54110 A Treatment of penis lesion 10.79 NA NA 6.83 6.33 0.72 090<br />

54111 A Treat penis lesion, graft 14.29 NA NA 8.47 7.81 0.96 090<br />

54112 A Treat penis lesion, graft 16.83 NA NA 9.86 9.12 1.11 090<br />

54115 A Treatment of penis lesion 6.82 5.97 5.58 5.16 4.74 0.43 090<br />

54120 A Partial removal of penis 10.88 NA NA 7.05 6.47 0.68 090<br />

54125 A Removal of penis 14.43 NA NA 8.54 7.88 0.95 090<br />

54130 A Remove penis & nodes 21.66 NA NA 12.28 11.28 1.52 090<br />

54135 A Remove penis & nodes 27.99 NA NA 15.04 13.85 1.88 090<br />

54150 A Circumcision w/regionl block 1.90 2.34 2.73 0.76 0.75 0.16 000<br />

54160 A Circumcision, neonate 2.50 3.86 3.94 1.59 1.47 0.19 010<br />

54161 A Circum 28 days or older 3.29 NA NA 2.30 2.12 0.23 010<br />

54162 A Lysis penil circumic lesion 3.27 4.04 4.20 2.34 2.12 0.21 010<br />

54163 A Repair of circumcision 3.27 NA NA 2.95 2.72 0.21 010<br />

54164 A Frenulotomy of penis 2.77 NA NA 2.73 2.51 0.18 010<br />

54200 A Treatment of penis lesion 1.08 2.02 1.97 1.32 1.24 0.08 010<br />

54205 A Treatment of penis lesion 8.84 NA NA 6.31 5.92 0.56 090<br />

54220 A Treatment of penis lesion 2.42 3.33 3.47 1.40 1.29 0.17 000<br />

54230 A Prepare penis study 1.34 1.44 1.36 0.95 0.87 0.09 000<br />

54231 A Dynamic cavernosometry 2.04 2.01 1.85 1.30 1.20 0.16 000<br />

54235 A Penile injection 1.19 1.42 1.31 0.93 0.84 0.08 000<br />

54240 A Penis study 1.31 1.59 1.45 NA NA 0.17 000<br />

54240 TC A Penis study 0.00 1.04 0.93 NA NA 0.06 000<br />

54240 26 A Penis study 1.31 0.55 0.52 0.55 0.52 0.11 000<br />

54250 A Penis study 2.22 1.33 1.23 NA NA 0.18 000<br />

54250 TC A Penis study 0.00 0.37 0.33 NA NA 0.02 000

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