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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. 1278 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 66150 A Glaucoma surgery 10.18 NA NA 9.09 9.19 0.46 090 66155 A Glaucoma surgery 10.17 NA NA 9.08 9.17 0.41 090 66160 A Glaucoma surgery 12.04 NA NA 9.82 9.94 0.50 090 66165 A Glaucoma surgery 9.89 NA NA 8.97 9.06 0.40 090 66170 A Glaucoma surgery 14.57 NA NA 11.95 12.05 0.60 090 66172 A Incision of eye 18.26 NA NA 15.15 15.20 0.74 090 66180 A Implant eye shunt 16.02 NA NA 10.19 10.36 0.71 090 66185 A Revise eye shunt 9.35 NA NA 7.32 7.35 0.40 090 66220 A Repair eye lesion 8.98 NA NA 7.39 7.33 0.40 090 66225 A Repair/graft eye lesion 12.38 NA NA 8.49 8.57 0.55 090 66250 A Follow-up surgery of eye 6.92 9.37 9.98 5.45 5.47 0.30 090 66500 A Incision of iris 3.75 NA NA 4.03 4.19 0.18 090 66505 A Incision of iris 4.13 NA NA 4.40 4.56 0.20 090 66600 A Remove iris and lesion 9.89 NA NA 8.55 8.49 0.43 090 66605 A Removal of iris 13.99 NA NA 9.62 9.74 0.77 090 66625 A Removal of iris 5.19 NA NA 4.35 4.45 0.26 090 66630 A Removal of iris 7.10 NA NA 5.55 5.60 0.31 090 66635 A Removal of iris 7.19 NA NA 5.58 5.64 0.31 090 66680 A Repair iris & ciliary body 6.24 NA NA 5.23 5.25 0.27 090 66682 A Repair iris & ciliary body 7.15 NA NA 6.89 6.84 0.31 090 66700 A Destruction, ciliary body 5.06 4.92 5.02 3.75 3.80 0.24 090 66710 A Ciliary transsleral therapy 5.06 4.73 4.85 3.75 3.78 0.23 090 66711 A Ciliary endoscopic ablation 7.70 NA NA 6.52 6.52 0.30 090 66720 A Destruction, ciliary body 4.86 5.42 5.53 4.39 4.49 0.26 090 66740 A Destruction, ciliary body 5.06 4.66 4.78 3.75 3.82 0.23 090 66761 A Revision of iris 4.87 5.14 5.26 4.32 4.33 0.20 090 66762 A Revision of iris 5.25 5.23 5.35 4.22 4.24 0.23 090 66770 A Removal of inner eye lesion 5.98 5.68 5.79 4.75 4.78 0.26 090 66820 A Incision, secondary cataract 3.93 NA NA 4.71 5.00 0.19 090 66821 A After cataract laser surgery 3.32 3.90 3.96 3.50 3.54 0.11 090 66825 A Reposition intraocular lens 8.82 NA NA 8.00 8.29 0.40 090 66830 A Removal of lens lesion 9.27 NA NA 6.65 6.74 0.36 090 66840 A Removal of lens material 8.98 NA NA 6.49 6.60 0.39 090 66850 A Removal of lens material 10.32 NA NA 7.38 7.46 0.45 090 66852 A Removal of lens material 11.18 NA NA 7.72 7.84 0.49 090 66920 A Extraction of lens 9.93 NA NA 6.93 7.04 0.44 090 66930 A Extraction of lens 11.38 NA NA 7.81 7.91 0.49 090 66940 A Extraction of lens 10.14 NA NA 7.30 7.39 0.43 090 66982 A Cataract surgery, complex 14.83 NA NA 9.03 9.26 0.63 090 66983 A Cataract surg w/iol, 1 stage 10.20 NA NA 6.76 6.61 0.14 090 66984 A Cataract surg w/iol, 1 stage 10.36 NA NA 6.79 6.96 0.39 090 66985 A Insert lens prosthesis 9.73 NA NA 7.40 7.43 0.36 090 66986 A Exchange lens prosthesis 12.26 NA NA 8.43 8.63 0.60 090 66990 A Ophthalmic endoscope add-on 1.51 NA NA 0.59 0.62 0.07 ZZZ 66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67005 A Partial removal of eye fluid 5.77 NA NA 4.74 4.78 0.28 090 67010 A Partial removal of eye fluid 6.94 NA NA 5.20 5.26 0.34 090 67015 A Release of eye fluid 7.00 NA NA 5.89 6.04 0.34 090

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. 1279 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 67025 A Replace eye fluid 7.91 8.06 8.37 6.14 6.17 0.34 090 67027 A Implant eye drug system 11.43 NA NA 7.71 7.80 0.54 090 67028 A Injection eye drug 2.52 2.22 2.35 1.32 1.36 0.12 000 67030 A Incise inner eye strands 5.91 NA NA 5.75 5.79 0.24 090 67031 A Laser surgery, eye strands 4.34 4.21 4.31 3.55 3.58 0.18 090 67036 A Removal of inner eye fluid 13.09 NA NA 8.46 8.65 0.58 090 67039 A Laser treatment of retina 16.39 NA NA 11.21 11.48 0.71 090 67040 A Laser treatment of retina 19.23 NA NA 12.59 12.90 0.85 090 67041 A Vit for macular pucker 19.00 NA NA 10.99 10.99 0.86 090 67042 A Vit for macular hole 22.13 NA NA 12.21 12.21 1.00 090 67043 A Vit for membrane dissect 22.94 NA NA 13.10 13.10 1.04 090 67101 A Repair detached retina 8.60 8.70 8.83 6.42 6.46 0.37 090 67105 A Repair detached retina 8.35 7.63 7.76 6.03 6.08 0.37 090 67107 A Repair detached retina 16.35 NA NA 10.85 10.99 0.73 090 67108 A Repair detached retina 22.49 NA NA 13.65 13.87 1.02 090 67110 A Repair detached retina 10.02 9.20 9.48 7.27 7.31 0.44 090 67112 A Rerepair detached retina 18.45 NA NA 11.43 11.56 0.83 090 67113 A Repair retinal detach, cplx 25.00 NA NA 14.47 14.47 1.13 090 67115 A Release encircling material 5.93 NA NA 5.11 5.11 0.25 090 67120 A Remove eye implant material 6.92 7.52 7.80 5.48 5.51 0.29 090 67121 A Remove eye implant material 12.00 NA NA 8.32 8.39 0.53 090 67141 A Treatment of retina 6.00 5.57 5.65 4.82 4.84 0.26 090 67145 A Treatment of retina 6.17 5.51 5.57 4.89 4.91 0.27 090 67208 A Treatment of retinal lesion 7.50 5.87 5.94 5.43 5.46 0.33 090 67210 A Treatment of retinal lesion 9.35 6.20 6.31 5.73 5.78 0.44 090 67218 A Treatment of retinal lesion 20.22 NA NA 11.28 11.52 0.92 090 67220 A Treatment of choroid lesion 14.19 9.65 9.87 8.61 8.73 0.65 090 67221 R Ocular photodynamic ther 3.45 3.01 3.35 1.49 1.58 0.20 000 67225 A Eye photodynamic ther add-on 0.47 0.22 0.23 0.18 0.19 0.02 ZZZ 67227 A Treatment of retinal lesion 7.38 6.20 6.31 5.37 5.42 0.33 090 67228 A Treatment of retinal lesion 13.67 13.93 13.35 10.59 10.10 0.63 090 67229 A Tr retinal les preterm inf 16.00 NA NA 10.00 10.00 0.71 090 67250 A Reinforce eye wall 9.46 NA NA 7.93 8.26 0.47 090 67255 A Reinforce/graft eye wall 9.97 NA NA 8.70 9.02 0.44 090 67299 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67311 A Revise eye muscle 7.59 NA NA 5.73 5.82 0.37 090 67312 A Revise two eye muscles 9.48 NA NA 6.48 6.56 0.43 090 67314 A Revise eye muscle 8.59 NA NA 6.41 6.46 0.39 090 67316 A Revise two eye muscles 10.73 NA NA 7.17 7.27 0.49 090 67318 A Revise eye muscle(s) 8.92 NA NA 6.77 6.83 0.41 090 67320 A Revise eye muscle(s) add-on 5.40 NA NA 2.11 2.08 0.22 ZZZ 67331 A Eye surgery follow-up add-on 5.13 NA NA 1.99 1.95 0.21 ZZZ 67332 A Rerevise eye muscles add-on 5.56 NA NA 2.17 2.14 0.23 ZZZ 67334 A Revise eye muscle w/suture 5.05 NA NA 1.98 1.94 0.20 ZZZ 67335 A Eye suture during surgery 2.49 NA NA 0.97 1.01 0.13 ZZZ 67340 A Revise eye muscle add-on 6.00 NA NA 2.35 2.32 0.25 ZZZ 67343 A Release eye tissue 8.29 NA NA 6.27 6.34 0.37 090 67345 A Destroy nerve of eye muscle 2.98 2.24 2.33 1.78 1.84 0.17 010

<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 />

1278<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 />

66150 A Glaucoma surgery 10.18 NA NA 9.09 9.19 0.46 090<br />

66155 A Glaucoma surgery 10.17 NA NA 9.08 9.17 0.41 090<br />

66160 A Glaucoma surgery 12.04 NA NA 9.82 9.94 0.50 090<br />

66165 A Glaucoma surgery 9.89 NA NA 8.97 9.06 0.40 090<br />

66170 A Glaucoma surgery 14.57 NA NA 11.95 12.05 0.60 090<br />

66172 A Incision of eye 18.26 NA NA 15.15 15.20 0.74 090<br />

66180 A Implant eye shunt 16.02 NA NA 10.19 10.36 0.71 090<br />

66185 A Revise eye shunt 9.35 NA NA 7.32 7.35 0.40 090<br />

66220 A Repair eye lesion 8.98 NA NA 7.39 7.33 0.40 090<br />

66225 A Repair/graft eye lesion 12.38 NA NA 8.49 8.57 0.55 090<br />

66250 A Follow-up surgery of eye 6.92 9.37 9.98 5.45 5.47 0.30 090<br />

66500 A Incision of iris 3.75 NA NA 4.03 4.19 0.18 090<br />

66505 A Incision of iris 4.13 NA NA 4.40 4.56 0.20 090<br />

66600 A Remove iris and lesion 9.89 NA NA 8.55 8.49 0.43 090<br />

66605 A Removal of iris 13.99 NA NA 9.62 9.74 0.77 090<br />

66625 A Removal of iris 5.19 NA NA 4.35 4.45 0.26 090<br />

66630 A Removal of iris 7.10 NA NA 5.55 5.60 0.31 090<br />

66635 A Removal of iris 7.19 NA NA 5.58 5.64 0.31 090<br />

66680 A Repair iris & ciliary body 6.24 NA NA 5.23 5.25 0.27 090<br />

66682 A Repair iris & ciliary body 7.15 NA NA 6.89 6.84 0.31 090<br />

66700 A Destruction, ciliary body 5.06 4.92 5.02 3.75 3.80 0.24 090<br />

66710 A Ciliary transsleral therapy 5.06 4.73 4.85 3.75 3.78 0.23 090<br />

66711 A Ciliary endoscopic ablation 7.70 NA NA 6.52 6.52 0.30 090<br />

66720 A Destruction, ciliary body 4.86 5.42 5.53 4.39 4.49 0.26 090<br />

66740 A Destruction, ciliary body 5.06 4.66 4.78 3.75 3.82 0.23 090<br />

66761 A Revision of iris 4.87 5.14 5.26 4.32 4.33 0.20 090<br />

66762 A Revision of iris 5.25 5.23 5.35 4.22 4.24 0.23 090<br />

66770 A Removal of inner eye lesion 5.98 5.68 5.79 4.75 4.78 0.26 090<br />

66820 A Incision, secondary cataract 3.93 NA NA 4.71 5.00 0.19 090<br />

66821 A After cataract laser surgery 3.32 3.90 3.96 3.50 3.54 0.11 090<br />

66825 A Reposition intraocular lens 8.82 NA NA 8.00 8.29 0.40 090<br />

66830 A Removal of lens lesion 9.27 NA NA 6.65 6.74 0.36 090<br />

66840 A Removal of lens material 8.98 NA NA 6.49 6.60 0.39 090<br />

66850 A Removal of lens material 10.32 NA NA 7.38 7.46 0.45 090<br />

66852 A Removal of lens material 11.18 NA NA 7.72 7.84 0.49 090<br />

66920 A Extraction of lens 9.93 NA NA 6.93 7.04 0.44 090<br />

66930 A Extraction of lens 11.38 NA NA 7.81 7.91 0.49 090<br />

66940 A Extraction of lens 10.14 NA NA 7.30 7.39 0.43 090<br />

66982 A Cataract surgery, complex 14.83 NA NA 9.03 9.26 0.63 090<br />

66983 A Cataract surg w/iol, 1 stage 10.20 NA NA 6.76 6.61 0.14 090<br />

66984 A Cataract surg w/iol, 1 stage 10.36 NA NA 6.79 6.96 0.39 090<br />

66985 A Insert lens prosthesis 9.73 NA NA 7.40 7.43 0.36 090<br />

66986 A Exchange lens prosthesis 12.26 NA NA 8.43 8.63 0.60 090<br />

66990 A Ophthalmic endoscope add-on 1.51 NA NA 0.59 0.62 0.07 ZZZ<br />

66999 C Eye surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

67005 A Partial removal of eye fluid 5.77 NA NA 4.74 4.78 0.28 090<br />

67010 A Partial removal of eye fluid 6.94 NA NA 5.20 5.26 0.34 090<br />

67015 A Release of eye fluid 7.00 NA NA 5.89 6.04 0.34 090

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