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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. 1264 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 59001 A Amniocentesis, therapeutic 3.00 NA NA 1.29 1.32 0.71 000 59012 A Fetal cord puncture,prenatal 3.44 NA NA 1.20 1.29 0.82 000 59015 A Chorion biopsy 2.20 1.45 1.48 0.84 0.89 0.52 000 59020 A Fetal contract stress test 0.66 1.05 0.99 NA NA 0.26 000 59020 TC A Fetal contract stress test 0.00 0.86 0.78 NA NA 0.10 000 59020 26 A Fetal contract stress test 0.66 0.19 0.21 0.19 0.21 0.16 000 59025 A Fetal non-stress test 0.53 0.63 0.58 NA NA 0.15 000 59025 TC A Fetal non-stress test 0.00 0.47 0.41 NA NA 0.02 000 59025 26 A Fetal non-stress test 0.53 0.16 0.17 0.16 0.17 0.13 000 59030 A Fetal scalp blood sample 1.99 NA NA 0.59 0.63 0.47 000 59050 A Fetal monitor w/report 0.89 NA NA 0.26 0.28 0.21 XXX 59051 A Fetal monitor/interpret only 0.74 NA NA 0.21 0.23 0.17 XXX 59070 A Transabdom amnioinfus w/us 5.24 4.67 4.80 2.03 2.11 0.28 000 59072 A Umbilical cord occlud w/us 8.99 NA NA 3.36 3.31 0.16 000 59074 A Fetal fluid drainage w/us 5.24 4.14 4.26 1.94 2.04 0.28 000 59076 A Fetal shunt placement, w/us 8.99 NA NA 2.99 3.03 0.16 000 59100 A Remove uterus lesion 13.26 NA NA 5.67 5.88 2.95 090 59120 A Treat ectopic pregnancy 12.56 NA NA 5.61 5.79 2.73 090 59121 A Treat ectopic pregnancy 12.64 NA NA 5.55 5.76 2.79 090 59130 A Treat ectopic pregnancy 14.98 NA NA 6.92 6.40 3.39 090 59135 A Treat ectopic pregnancy 14.82 NA NA 6.80 6.92 3.31 090 59136 A Treat ectopic pregnancy 14.15 NA NA 5.94 6.12 3.14 090 59140 A Treat ectopic pregnancy 5.86 NA NA 3.69 3.32 1.29 090 59150 A Treat ectopic pregnancy 12.19 NA NA 5.39 5.56 2.79 090 59151 A Treat ectopic pregnancy 12.01 NA NA 5.06 5.32 2.74 090 59160 A D & c after delivery 2.73 2.02 2.34 1.22 1.46 0.64 010 59200 A Insert cervical dilator 0.79 0.94 1.00 0.23 0.25 0.19 000 59300 A Episiotomy or vaginal repair 2.41 2.15 2.16 1.00 0.99 0.57 000 59320 A Revision of cervix 2.48 NA NA 1.04 1.09 0.59 000 59325 A Revision of cervix 4.06 NA NA 1.49 1.60 0.88 000 59350 A Repair of uterus 4.94 NA NA 1.31 1.46 1.17 000 59400 A Obstetrical care 26.80 NA NA 14.46 14.71 5.50 MMM 59409 A Obstetrical care 13.48 NA NA 3.94 4.29 3.22 MMM 59410 A Obstetrical care 15.29 NA NA 5.20 5.49 3.52 MMM 59412 A Antepartum manipulation 1.71 NA NA 0.67 0.70 0.40 MMM 59414 A Deliver placenta 1.61 NA NA 0.46 0.51 0.38 MMM 59425 A Antepartum care only 6.22 4.30 4.29 1.80 1.82 1.14 MMM 59426 A Antepartum care only 11.04 7.88 7.81 3.20 3.21 1.98 MMM 59430 A Care after delivery 2.13 1.11 1.14 0.74 0.79 0.50 MMM 59510 A Cesarean delivery 30.34 NA NA 16.39 16.65 6.25 MMM 59514 A Cesarean delivery only 15.95 NA NA 4.72 5.10 3.80 MMM 59515 A Cesarean delivery 18.26 NA NA 6.49 6.84 4.13 MMM 59525 A Remove uterus after cesarean 8.53 NA NA 2.52 2.72 1.95 ZZZ 59610 A Vbac delivery 28.21 NA NA 15.26 15.45 5.87 MMM 59612 A Vbac delivery only 15.04 NA NA 4.47 4.88 3.59 MMM 59614 A Vbac care after delivery 16.59 NA NA 5.43 5.82 3.89 MMM 59618 A Attempted vbac delivery 31.78 NA NA 16.98 17.33 6.61 MMM 59620 A Attempted vbac delivery only 17.50 NA NA 5.21 5.61 4.17 MMM

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. 1265 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 59622 A Attempted vbac after care 19.70 NA NA 7.10 7.50 4.50 MMM 59812 A Treatment of miscarriage 4.39 3.14 3.00 2.41 2.45 0.95 090 59820 A Care of miscarriage 4.68 4.09 4.19 3.50 3.52 0.95 090 59821 A Treatment of miscarriage 4.97 3.88 3.99 3.24 3.28 1.06 090 59830 A Treat uterus infection 6.51 NA NA 3.53 3.65 1.44 090 59840 R Abortion 3.01 2.05 2.08 1.83 1.90 0.71 010 59841 R Abortion 5.57 3.19 3.27 2.63 2.72 1.24 010 59850 R Abortion 5.90 NA NA 3.18 3.20 1.28 090 59851 R Abortion 5.92 NA NA 3.35 3.45 1.28 090 59852 R Abortion 8.23 NA NA 4.87 4.92 1.81 090 59855 R Abortion 6.38 NA NA 3.17 3.27 1.45 090 59856 R Abortion 7.74 NA NA 3.44 3.60 1.79 090 59857 R Abortion 9.30 NA NA 4.21 4.35 2.02 090 59866 R Abortion (mpr) 3.99 NA NA 1.52 1.62 0.87 000 59870 A Evacuate mole of uterus 6.40 NA NA 4.66 4.63 1.42 090 59871 A Remove cerclage suture 2.13 NA NA 0.95 1.00 0.50 000 59897 C Fetal invas px w/us 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 0.00 0.00 YYY 59899 C Maternity care procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 60000 A Drain thyroid/tongue cyst 1.78 2.19 2.13 1.80 1.78 0.15 010 60100 A Biopsy of thyroid 1.56 1.36 1.37 0.57 0.56 0.10 000 60200 A Remove thyroid lesion 9.91 NA NA 5.66 5.75 1.01 090 60210 A Partial thyroid excision 11.15 NA NA 5.42 5.49 1.23 090 60212 A Partial thyroid excision 16.32 NA NA 7.35 7.45 1.95 090 60220 A Partial removal of thyroid 12.29 NA NA 5.89 5.97 1.32 090 60225 A Partial removal of thyroid 14.67 NA NA 7.16 7.24 1.64 090 60240 A Removal of thyroid 16.18 NA NA 6.69 6.93 1.86 090 60252 A Removal of thyroid 21.88 NA NA 9.24 9.47 2.30 090 60254 A Extensive thyroid surgery 28.29 NA NA 11.71 12.35 2.61 090 60260 A Repeat thyroid surgery 18.18 NA NA 7.75 7.99 1.94 090 60270 A Removal of thyroid 23.07 NA NA 9.79 9.98 2.33 090 60271 A Removal of thyroid 17.54 NA NA 7.55 7.83 1.75 090 60280 A Remove thyroid duct lesion 6.05 NA NA 4.55 4.59 0.54 090 60281 A Remove thyroid duct lesion 8.71 NA NA 5.35 5.48 0.73 090 60300 A Aspir/inj thyroid cyst 0.97 1.93 1.80 0.33 0.33 0.07 000 60500 A Explore parathyroid glands 16.69 NA NA 7.14 7.22 2.01 090 60502 A Re-explore parathyroids 21.01 NA NA 8.84 8.99 2.54 090 60505 A Explore parathyroid glands 22.91 NA NA 9.85 10.14 2.65 090 60512 A Autotransplant parathyroid 4.44 NA NA 1.30 1.38 0.53 ZZZ 60520 A Removal of thymus gland 17.07 NA NA 7.19 7.48 2.20 090 60521 A Removal of thymus gland 19.11 NA NA 8.64 8.89 2.82 090 60522 A Removal of thymus gland 23.37 NA NA 10.19 10.48 3.27 090 60540 A Explore adrenal gland 17.91 NA NA 8.61 8.37 1.75 090 60545 A Explore adrenal gland 20.82 NA NA 9.14 9.01 2.08 090 60600 A Remove carotid body lesion 24.99 NA NA 9.38 9.80 2.20 090 60605 A Remove carotid body lesion 31.86 NA NA 11.97 12.07 2.50 090 60650 A Laparoscopy adrenalectomy 20.63 NA NA 8.51 8.40 2.29 090 60659 C Laparo proc, endocrine 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 />

1265<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 />

59622 A Attempted vbac after care 19.70 NA NA 7.10 7.50 4.50 MMM<br />

59812 A Treatment of miscarriage 4.39 3.14 3.00 2.41 2.45 0.95 090<br />

59820 A Care of miscarriage 4.68 4.09 4.19 3.50 3.52 0.95 090<br />

59821 A Treatment of miscarriage 4.97 3.88 3.99 3.24 3.28 1.06 090<br />

59830 A Treat uterus infection 6.51 NA NA 3.53 3.65 1.44 090<br />

59840 R Abortion 3.01 2.05 2.08 1.83 1.90 0.71 010<br />

59841 R Abortion 5.57 3.19 3.27 2.63 2.72 1.24 010<br />

59850 R Abortion 5.90 NA NA 3.18 3.20 1.28 090<br />

59851 R Abortion 5.92 NA NA 3.35 3.45 1.28 090<br />

59852 R Abortion 8.23 NA NA 4.87 4.92 1.81 090<br />

59855 R Abortion 6.38 NA NA 3.17 3.27 1.45 090<br />

59856 R Abortion 7.74 NA NA 3.44 3.60 1.79 090<br />

59857 R Abortion 9.30 NA NA 4.21 4.35 2.02 090<br />

59866 R Abortion (mpr) 3.99 NA NA 1.52 1.62 0.87 000<br />

59870 A Evacuate mole of uterus 6.40 NA NA 4.66 4.63 1.42 090<br />

59871 A Remove cerclage suture 2.13 NA NA 0.95 1.00 0.50 000<br />

59897 C Fetal invas px w/us 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

59898 C Laparo proc, ob care/deliver 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

59899 C Maternity care procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

60000 A Drain thyroid/tongue cyst 1.78 2.19 2.13 1.80 1.78 0.15 010<br />

60100 A Biopsy of thyroid 1.56 1.36 1.37 0.57 0.56 0.10 000<br />

60200 A Remove thyroid lesion 9.91 NA NA 5.66 5.75 1.01 090<br />

60210 A Partial thyroid excision 11.15 NA NA 5.42 5.49 1.23 090<br />

60212 A Partial thyroid excision 16.32 NA NA 7.35 7.45 1.95 090<br />

60220 A Partial removal of thyroid 12.29 NA NA 5.89 5.97 1.32 090<br />

60225 A Partial removal of thyroid 14.67 NA NA 7.16 7.24 1.64 090<br />

60240 A Removal of thyroid 16.18 NA NA 6.69 6.93 1.86 090<br />

60252 A Removal of thyroid 21.88 NA NA 9.24 9.47 2.30 090<br />

60254 A Extensive thyroid surgery 28.29 NA NA 11.71 12.35 2.61 090<br />

60260 A Repeat thyroid surgery 18.18 NA NA 7.75 7.99 1.94 090<br />

60270 A Removal of thyroid 23.07 NA NA 9.79 9.98 2.33 090<br />

60271 A Removal of thyroid 17.54 NA NA 7.55 7.83 1.75 090<br />

60280 A Remove thyroid duct lesion 6.05 NA NA 4.55 4.59 0.54 090<br />

60281 A Remove thyroid duct lesion 8.71 NA NA 5.35 5.48 0.73 090<br />

60300 A Aspir/inj thyroid cyst 0.97 1.93 1.80 0.33 0.33 0.07 000<br />

60500 A Explore parathyroid glands 16.69 NA NA 7.14 7.22 2.01 090<br />

60502 A Re-explore parathyroids 21.01 NA NA 8.84 8.99 2.54 090<br />

60505 A Explore parathyroid glands 22.91 NA NA 9.85 10.14 2.65 090<br />

60512 A Autotransplant parathyroid 4.44 NA NA 1.30 1.38 0.53 ZZZ<br />

60520 A Removal of thymus gland 17.07 NA NA 7.19 7.48 2.20 090<br />

60521 A Removal of thymus gland 19.11 NA NA 8.64 8.89 2.82 090<br />

60522 A Removal of thymus gland 23.37 NA NA 10.19 10.48 3.27 090<br />

60540 A Explore adrenal gland 17.91 NA NA 8.61 8.37 1.75 090<br />

60545 A Explore adrenal gland 20.82 NA NA 9.14 9.01 2.08 090<br />

60600 A Remove carotid body lesion 24.99 NA NA 9.38 9.80 2.20 090<br />

60605 A Remove carotid body lesion 31.86 NA NA 11.97 12.07 2.50 090<br />

60650 A Laparoscopy adrenalectomy 20.63 NA NA 8.51 8.40 2.29 090<br />

60659 C Laparo proc, endocrine 0.00 0.00 0.00 0.00 0.00 0.00 YYY

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