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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. 1270 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 62180 A Establish brain cavity shunt 22.45 NA NA 12.74 12.66 4.98 090 62190 A Establish brain cavity shunt 12.07 NA NA 8.20 7.94 2.80 090 62192 A Establish brain cavity shunt 13.25 NA NA 8.16 8.05 3.02 090 62194 A Replace/irrigate catheter 5.68 NA NA 3.47 3.22 0.92 010 62200 A Establish brain cavity shunt 19.19 NA NA 10.95 10.95 4.65 090 62201 A Brain cavity shunt w/scope 15.89 NA NA 10.41 10.20 3.68 090 62220 A Establish brain cavity shunt 14.00 NA NA 8.32 8.26 3.35 090 62223 A Establish brain cavity shunt 13.90 NA NA 9.43 9.16 3.14 090 62225 A Replace/irrigate catheter 6.11 NA NA 5.25 4.97 1.39 090 62230 A Replace/revise brain shunt 11.35 NA NA 7.27 7.09 2.71 090 62252 A Csf shunt reprogram 0.74 1.70 1.65 NA NA 0.21 XXX 62252 TC A Csf shunt reprogram 0.00 1.41 1.34 NA NA 0.02 XXX 62252 26 A Csf shunt reprogram 0.74 0.29 0.31 0.29 0.31 0.19 XXX 62256 A Remove brain cavity shunt 7.30 NA NA 5.91 5.62 1.72 090 62258 A Replace brain cavity shunt 15.54 NA NA 9.32 9.19 3.74 090 62263 A Epidural lysis mult sessions 6.41 8.72 9.74 2.88 2.96 0.41 010 62264 A Epidural lysis on single day 4.42 4.67 5.45 1.25 1.29 0.27 010 62267 A Interdiscal perq aspir, dx 3.00 3.38 3.38 1.15 1.15 0.23 000 62268 A Drain spinal cord cyst 4.73 5.33 6.90 1.86 1.94 0.43 000 62269 A Needle biopsy, spinal cord 5.01 5.31 7.67 1.77 1.82 0.37 000 62270 A Spinal fluid tap, diagnostic 1.37 2.37 2.53 0.60 0.59 0.08 000 62272 A Drain cerebro spinal fluid 1.35 3.04 3.19 0.64 0.66 0.18 000 62273 A Inject epidural patch 2.15 1.70 1.96 0.61 0.63 0.13 000 62280 A Treat spinal cord lesion 2.63 4.26 4.94 1.13 1.10 0.30 010 62281 A Treat spinal cord lesion 2.66 3.98 4.41 1.04 1.00 0.19 010 62282 A Treat spinal canal lesion 2.33 3.89 5.02 1.09 1.05 0.17 010 62284 A Injection for myelogram 1.54 3.77 4.07 0.75 0.74 0.13 000 62287 A Percutaneous diskectomy 8.88 NA NA 4.40 4.70 0.58 090 62290 A Inject for spine disk x-ray 3.00 4.48 5.15 1.20 1.25 0.23 000 62291 A Inject for spine disk x-ray 2.91 4.26 4.69 1.14 1.17 0.26 000 62292 A Injection into disk lesion 9.14 NA NA 2.33 2.87 0.82 090 62294 A Injection into spinal artery 12.77 NA NA 6.90 6.59 1.24 090 62310 A Inject spine c/t 1.91 3.04 3.49 0.60 0.61 0.12 000 62311 A Inject spine l/s (cd) 1.54 2.67 3.24 0.55 0.56 0.09 000 62318 A Inject spine w/cath, c/t 2.04 3.07 3.74 0.44 0.49 0.12 000 62319 A Inject spine w/cath l/s (cd) 1.87 2.81 3.36 0.46 0.50 0.11 000 62350 A Implant spinal canal cath 6.00 NA NA 2.80 3.09 1.02 010 62351 A Implant spinal canal cath 11.54 NA NA 7.68 7.56 2.25 090 62355 A Remove spinal canal catheter 4.30 NA NA 2.35 2.56 0.71 010 62360 A Insert spine infusion device 4.28 NA NA 2.50 2.55 0.34 010 62361 A Implant spine infusion pump 5.60 NA NA 3.48 3.60 0.80 010 62362 A Implant spine infusion pump 6.05 NA NA 3.11 3.43 1.18 010 62365 A Remove spine infusion device 4.60 NA NA 2.72 2.94 0.86 010 62367 A Analyze spine infusion pump 0.48 0.44 0.48 0.13 0.12 0.03 XXX 62368 A Analyze spine infusion pump 0.75 0.58 0.61 0.19 0.18 0.06 XXX 63001 A Removal of spinal lamina 17.51 NA NA 10.03 9.92 3.77 090 63003 A Removal of spinal lamina 17.64 NA NA 10.02 10.00 3.73 090 63005 A Removal of spinal lamina 16.28 NA NA 10.11 10.10 3.35 090

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. 1271 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 63011 A Removal of spinal lamina 15.78 NA NA 9.22 9.00 3.38 090 63012 A Removal of spinal lamina 16.72 NA NA 10.01 10.06 3.49 090 63015 A Removal of spinal lamina 20.70 NA NA 12.15 12.10 4.76 090 63016 A Removal of spinal lamina 21.90 NA NA 12.07 12.03 4.59 090 63017 A Removal of spinal lamina 17.18 NA NA 10.60 10.57 3.64 090 63020 A Neck spine disk surgery 16.05 NA NA 10.10 10.02 3.72 090 63030 A Low back disk surgery 13.03 NA NA 8.75 8.69 3.01 090 63035 A Spinal disk surgery add-on 3.15 NA NA 1.27 1.36 0.79 ZZZ 63040 A Laminotomy, single cervical 20.18 NA NA 11.29 11.37 4.68 090 63042 A Laminotomy, single lumbar 18.61 NA NA 10.88 11.02 4.26 090 63043 C Laminotomy, addÆl cervical 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63044 C Laminotomy, addÆl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ 63045 A Removal of spinal lamina 17.82 NA NA 10.56 10.53 3.99 090 63046 A Removal of spinal lamina 17.12 NA NA 10.11 10.15 3.56 090 63047 A Removal of spinal lamina 15.22 NA NA 9.58 9.68 3.24 090 63048 A Remove spinal lamina add-on 3.47 NA NA 1.40 1.47 0.72 ZZZ 63050 A Cervical laminoplasty 21.88 NA NA 12.38 12.27 4.67 090 63051 A C-laminoplasty w/graft/plate 25.38 NA NA 13.58 13.59 4.67 090 63055 A Decompress spinal cord 23.42 NA NA 12.85 12.95 5.29 090 63056 A Decompress spinal cord 21.73 NA NA 11.69 11.94 4.76 090 63057 A Decompress spine cord add-on 5.25 NA NA 2.10 2.24 1.22 ZZZ 63064 A Decompress spinal cord 26.09 NA NA 13.45 13.73 5.71 090 63066 A Decompress spine cord add-on 3.26 NA NA 1.31 1.40 0.69 ZZZ 63075 A Neck spine disk surgery 19.47 NA NA 11.28 11.51 4.63 090 63076 A Neck spine disk surgery 4.04 NA NA 1.62 1.73 0.96 ZZZ 63077 A Spine disk surgery, thorax 22.75 NA NA 11.62 11.94 3.99 090 63078 A Spine disk surgery, thorax 3.28 NA NA 1.29 1.38 0.66 ZZZ 63081 A Removal of vertebral body 25.97 NA NA 13.95 14.07 5.56 090 63082 A Remove vertebral body add-on 4.36 NA NA 1.75 1.88 1.02 ZZZ 63085 A Removal of vertebral body 29.34 NA NA 14.04 14.43 4.49 090 63086 A Remove vertebral body add-on 3.19 NA NA 1.24 1.33 0.59 ZZZ 63087 A Removal of vertebral body 37.38 NA NA 17.69 18.18 6.22 090 63088 A Remove vertebral body add-on 4.32 NA NA 1.75 1.86 0.82 ZZZ 63090 A Removal of vertebral body 30.78 NA NA 14.98 15.28 4.22 090 63091 A Remove vertebral body add-on 3.03 NA NA 1.21 1.27 0.48 ZZZ 63101 A Removal of vertebral body 33.92 NA NA 17.85 18.25 5.71 090 63102 A Removal of vertebral body 33.92 NA NA 17.53 18.01 5.71 090 63103 A Remove vertebral body add-on 4.82 NA NA 1.96 2.10 0.69 ZZZ 63170 A Incise spinal cord tract(s) 22.08 NA NA 12.24 12.17 4.87 090 63172 A Drainage of spinal cyst 19.66 NA NA 11.23 11.11 4.49 090 63173 A Drainage of spinal cyst 24.18 NA NA 13.88 13.64 5.70 090 63180 A Revise spinal cord ligaments 20.40 NA NA 10.81 10.88 3.96 090 63182 A Revise spinal cord ligaments 22.69 NA NA 9.75 10.07 5.32 090 63185 A Incise spinal column/nerves 16.36 NA NA 9.79 9.39 2.80 090 63190 A Incise spinal column/nerves 18.76 NA NA 11.01 10.82 3.25 090 63191 A Incise spinal column/nerves 18.79 NA NA 6.09 7.20 6.36 090 63194 A Incise spinal column & cord 21.97 NA NA 11.96 11.93 3.27 090 63195 A Incise spinal column & cord 21.54 NA NA 11.92 11.72 4.88 090

<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 />

1271<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 />

63011 A Removal of spinal lamina 15.78 NA NA 9.22 9.00 3.38 090<br />

63012 A Removal of spinal lamina 16.72 NA NA 10.01 10.06 3.49 090<br />

63015 A Removal of spinal lamina 20.70 NA NA 12.15 12.10 4.76 090<br />

63016 A Removal of spinal lamina 21.90 NA NA 12.07 12.03 4.59 090<br />

63017 A Removal of spinal lamina 17.18 NA NA 10.60 10.57 3.64 090<br />

63020 A Neck spine disk surgery 16.05 NA NA 10.10 10.02 3.72 090<br />

63030 A Low back disk surgery 13.03 NA NA 8.75 8.69 3.01 090<br />

63035 A Spinal disk surgery add-on 3.15 NA NA 1.27 1.36 0.79 ZZZ<br />

63040 A Laminotomy, single cervical 20.18 NA NA 11.29 11.37 4.68 090<br />

63042 A Laminotomy, single lumbar 18.61 NA NA 10.88 11.02 4.26 090<br />

63043 C Laminotomy, addÆl cervical 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ<br />

63044 C Laminotomy, addÆl lumbar 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ<br />

63045 A Removal of spinal lamina 17.82 NA NA 10.56 10.53 3.99 090<br />

63046 A Removal of spinal lamina 17.12 NA NA 10.11 10.15 3.56 090<br />

63047 A Removal of spinal lamina 15.22 NA NA 9.58 9.68 3.24 090<br />

63048 A Remove spinal lamina add-on 3.47 NA NA 1.40 1.47 0.72 ZZZ<br />

63050 A Cervical laminoplasty 21.88 NA NA 12.38 12.27 4.67 090<br />

63051 A C-laminoplasty w/graft/plate 25.38 NA NA 13.58 13.59 4.67 090<br />

63055 A Decompress spinal cord 23.42 NA NA 12.85 12.95 5.29 090<br />

63056 A Decompress spinal cord 21.73 NA NA 11.69 11.94 4.76 090<br />

63057 A Decompress spine cord add-on 5.25 NA NA 2.10 2.24 1.22 ZZZ<br />

63064 A Decompress spinal cord 26.09 NA NA 13.45 13.73 5.71 090<br />

63066 A Decompress spine cord add-on 3.26 NA NA 1.31 1.40 0.69 ZZZ<br />

63075 A Neck spine disk surgery 19.47 NA NA 11.28 11.51 4.63 090<br />

63076 A Neck spine disk surgery 4.04 NA NA 1.62 1.73 0.96 ZZZ<br />

63077 A Spine disk surgery, thorax 22.75 NA NA 11.62 11.94 3.99 090<br />

63078 A Spine disk surgery, thorax 3.28 NA NA 1.29 1.38 0.66 ZZZ<br />

63081 A Removal of vertebral body 25.97 NA NA 13.95 14.07 5.56 090<br />

63082 A Remove vertebral body add-on 4.36 NA NA 1.75 1.88 1.02 ZZZ<br />

63085 A Removal of vertebral body 29.34 NA NA 14.04 14.43 4.49 090<br />

63086 A Remove vertebral body add-on 3.19 NA NA 1.24 1.33 0.59 ZZZ<br />

63087 A Removal of vertebral body 37.38 NA NA 17.69 18.18 6.22 090<br />

63088 A Remove vertebral body add-on 4.32 NA NA 1.75 1.86 0.82 ZZZ<br />

63090 A Removal of vertebral body 30.78 NA NA 14.98 15.28 4.22 090<br />

63091 A Remove vertebral body add-on 3.03 NA NA 1.21 1.27 0.48 ZZZ<br />

63101 A Removal of vertebral body 33.92 NA NA 17.85 18.25 5.71 090<br />

63102 A Removal of vertebral body 33.92 NA NA 17.53 18.01 5.71 090<br />

63103 A Remove vertebral body add-on 4.82 NA NA 1.96 2.10 0.69 ZZZ<br />

63170 A Incise spinal cord tract(s) 22.08 NA NA 12.24 12.17 4.87 090<br />

63172 A Drainage of spinal cyst 19.66 NA NA 11.23 11.11 4.49 090<br />

63173 A Drainage of spinal cyst 24.18 NA NA 13.88 13.64 5.70 090<br />

63180 A Revise spinal cord ligaments 20.40 NA NA 10.81 10.88 3.96 090<br />

63182 A Revise spinal cord ligaments 22.69 NA NA 9.75 10.07 5.32 090<br />

63185 A Incise spinal column/nerves 16.36 NA NA 9.79 9.39 2.80 090<br />

63190 A Incise spinal column/nerves 18.76 NA NA 11.01 10.82 3.25 090<br />

63191 A Incise spinal column/nerves 18.79 NA NA 6.09 7.20 6.36 090<br />

63194 A Incise spinal column & cord 21.97 NA NA 11.96 11.93 3.27 090<br />

63195 A Incise spinal column & cord 21.54 NA NA 11.92 11.72 4.88 090

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