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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. 1280 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 67346 A Biopsy, eye muscle 2.87 NA NA 1.72 1.76 0.15 000 67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67400 A Explore/biopsy eye socket 10.97 NA NA 9.69 10.11 0.56 090 67405 A Explore/drain eye socket 9.00 NA NA 8.67 8.97 0.44 090 67412 A Explore/treat eye socket 10.17 NA NA 8.82 9.37 0.48 090 67413 A Explore/treat eye socket 10.09 NA NA 8.98 9.45 0.50 090 67414 A Explr/decompress eye socket 17.78 NA NA 12.21 12.19 0.65 090 67415 A Aspiration, orbital contents 1.76 NA NA 0.67 0.69 0.09 000 67420 A Explore/treat eye socket 21.62 NA NA 14.85 15.52 1.15 090 67430 A Explore/treat eye socket 14.99 NA NA 12.69 13.27 0.86 090 67440 A Explore/drain eye socket 14.56 NA NA 12.23 12.77 0.70 090 67445 A Explr/decompress eye socket 18.96 NA NA 12.75 13.07 0.90 090 67450 A Explore/biopsy eye socket 15.11 NA NA 12.76 13.28 0.68 090 67500 A Inject/treat eye socket 1.44 0.61 0.63 0.48 0.43 0.05 000 67505 A Inject/treat eye socket 1.27 0.77 0.75 0.61 0.54 0.05 000 67515 A Inject/treat eye socket 1.40 0.82 0.76 0.66 0.59 0.03 000 67550 A Insert eye socket implant 11.52 NA NA 10.02 10.36 0.72 090 67560 A Revise eye socket implant 11.93 NA NA 10.08 10.43 0.60 090 67570 A Decompress optic nerve 14.21 NA NA 11.54 12.08 0.68 090 67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 67700 A Drainage of eyelid abscess 1.37 4.29 4.74 1.21 1.22 0.07 010 67710 A Incision of eyelid 1.04 3.68 4.12 1.10 1.13 0.05 010 67715 A Incision of eyelid fold 1.24 3.78 4.19 1.18 1.21 0.06 010 67800 A Remove eyelid lesion 1.39 1.43 1.48 0.94 0.97 0.07 010 67801 A Remove eyelid lesions 1.89 1.73 1.79 1.14 1.17 0.09 010 67805 A Remove eyelid lesions 2.24 2.24 2.32 1.48 1.52 0.11 010 67808 A Remove eyelid lesion(s) 4.47 NA NA 3.70 3.73 0.19 090 67810 A Biopsy of eyelid 1.48 3.91 3.77 0.73 0.72 0.06 000 67820 A Revise eyelashes 0.71 0.45 0.49 0.52 0.53 0.04 000 67825 A Revise eyelashes 1.40 1.43 1.51 1.30 1.33 0.07 010 67830 A Revise eyelashes 1.72 3.99 4.39 1.37 1.40 0.08 010 67835 A Revise eyelashes 5.61 NA NA 4.22 4.33 0.28 090 67840 A Remove eyelid lesion 2.06 3.93 4.32 1.51 1.55 0.10 010 67850 A Treat eyelid lesion 1.71 3.43 3.43 1.56 1.54 0.07 010 67875 A Closure of eyelid by suture 1.35 2.40 2.63 0.87 0.89 0.07 000 67880 A Revision of eyelid 4.47 5.53 5.81 3.69 3.73 0.19 090 67882 A Revision of eyelid 5.87 6.50 6.80 4.63 4.69 0.25 090 67900 A Repair brow defect 6.69 7.49 7.90 4.79 4.91 0.38 090 67901 A Repair eyelid defect 7.47 9.10 8.20 5.48 5.47 0.54 090 67902 A Repair eyelid defect 9.68 NA NA 6.67 6.38 0.60 090 67903 A Repair eyelid defect 6.42 6.73 7.46 4.49 4.76 0.47 090 67904 A Repair eyelid defect 7.83 8.34 8.68 5.59 5.52 0.41 090 67906 A Repair eyelid defect 6.84 NA NA 4.66 4.76 0.46 090 67908 A Repair eyelid defect 5.19 5.67 5.93 4.27 4.55 0.28 090 67909 A Revise eyelid defect 5.46 6.30 6.75 4.32 4.49 0.31 090 67911 A Revise eyelid defect 7.38 NA NA 5.26 5.15 0.31 090 67912 A Correction eyelid w/implant 6.23 13.10 14.60 4.87 5.05 0.28 090 67914 A Repair eyelid defect 3.70 4.82 5.21 2.78 2.86 0.19 090

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. 1281 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 67915 A Repair eyelid defect 3.21 4.36 4.78 2.51 2.59 0.16 090 67916 A Repair eyelid defect 5.37 6.47 6.88 4.29 4.42 0.28 090 67917 A Repair eyelid defect 6.08 6.85 7.27 4.57 4.71 0.36 090 67921 A Repair eyelid defect 3.42 4.68 5.07 2.65 2.72 0.17 090 67922 A Repair eyelid defect 3.09 4.21 4.65 2.41 2.50 0.15 090 67923 A Repair eyelid defect 5.94 6.57 6.97 4.49 4.62 0.30 090 67924 A Repair eyelid defect 5.84 7.04 7.53 4.24 4.36 0.30 090 67930 A Repair eyelid wound 3.62 4.46 4.78 1.91 1.98 0.19 010 67935 A Repair eyelid wound 6.27 6.89 7.31 3.77 3.94 0.39 090 67938 A Remove eyelid foreign body 1.35 3.83 4.23 1.25 1.26 0.06 010 67950 A Revision of eyelid 5.88 6.77 7.25 4.53 4.71 0.36 090 67961 A Revision of eyelid 5.75 6.92 7.38 4.46 4.61 0.33 090 67966 A Revision of eyelid 8.83 8.26 8.50 5.99 5.90 0.37 090 67971 A Reconstruction of eyelid 9.87 NA NA 6.47 6.69 0.53 090 67973 A Reconstruction of eyelid 12.96 NA NA 8.14 8.45 0.75 090 67974 A Reconstruction of eyelid 12.93 NA NA 8.08 8.39 0.75 090 67975 A Reconstruction of eyelid 9.21 NA NA 6.23 6.43 0.50 090 67999 C Revision of eyelid 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68020 A Incise/drain eyelid lining 1.39 1.27 1.31 1.09 1.12 0.06 010 68040 A Treatment of eyelid lesions 0.85 0.62 0.65 0.38 0.39 0.04 000 68100 A Biopsy of eyelid lining 1.35 2.37 2.60 0.90 0.91 0.07 000 68110 A Remove eyelid lining lesion 1.79 3.08 3.35 1.52 1.56 0.09 010 68115 A Remove eyelid lining lesion 2.38 4.34 4.76 1.75 1.79 0.12 010 68130 A Remove eyelid lining lesion 4.99 6.75 7.26 4.17 4.29 0.24 090 68135 A Remove eyelid lining lesion 1.86 1.63 1.68 1.52 1.56 0.09 010 68200 A Treat eyelid by injection 0.49 0.46 0.48 0.30 0.31 0.02 000 68320 A Revise/graft eyelid lining 6.44 9.29 9.81 5.49 5.51 0.27 090 68325 A Revise/graft eyelid lining 8.43 NA NA 6.28 6.36 0.44 090 68326 A Revise/graft eyelid lining 8.22 NA NA 6.15 6.23 0.35 090 68328 A Revise/graft eyelid lining 9.25 NA NA 6.60 6.79 0.54 090 68330 A Revise eyelid lining 5.63 7.51 8.01 4.60 4.64 0.24 090 68335 A Revise/graft eyelid lining 8.26 NA NA 6.16 6.23 0.36 090 68340 A Separate eyelid adhesions 4.84 6.96 7.45 4.00 4.03 0.21 090 68360 A Revise eyelid lining 5.04 6.54 6.93 4.10 4.13 0.22 090 68362 A Revise eyelid lining 8.41 NA NA 6.22 6.28 0.36 090 68371 A Harvest eye tissue, alograft 4.97 NA NA 4.19 4.34 0.44 010 68399 C Eyelid lining surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY 68400 A Incise/drain tear gland 1.71 4.33 4.74 1.24 1.39 0.08 010 68420 A Incise/drain tear sac 2.32 4.61 5.02 1.49 1.65 0.11 010 68440 A Incise tear duct opening 0.96 1.27 1.47 1.20 1.22 0.05 010 68500 A Removal of tear gland 12.49 NA NA 9.24 9.39 0.55 090 68505 A Partial removal, tear gland 12.41 NA NA 9.23 9.61 0.55 090 68510 A Biopsy of tear gland 4.60 5.30 5.82 2.17 2.16 0.23 000 68520 A Removal of tear sac 8.58 NA NA 6.74 6.93 0.37 090 68525 A Biopsy of tear sac 4.42 NA NA 1.71 1.79 0.22 000 68530 A Clearance of tear duct 3.67 5.66 6.30 2.19 2.31 0.18 010 68540 A Remove tear gland lesion 11.93 NA NA 8.84 9.00 0.52 090 68550 A Remove tear gland lesion 14.86 NA NA 10.53 10.76 0.80 090

<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 />

1280<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 />

67346 A Biopsy, eye muscle 2.87 NA NA 1.72 1.76 0.15 000<br />

67399 C Eye muscle surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

67400 A Explore/biopsy eye socket 10.97 NA NA 9.69 10.11 0.56 090<br />

67405 A Explore/drain eye socket 9.00 NA NA 8.67 8.97 0.44 090<br />

67412 A Explore/treat eye socket 10.17 NA NA 8.82 9.37 0.48 090<br />

67413 A Explore/treat eye socket 10.09 NA NA 8.98 9.45 0.50 090<br />

67414 A Explr/decompress eye socket 17.78 NA NA 12.21 12.19 0.65 090<br />

67415 A Aspiration, orbital contents 1.76 NA NA 0.67 0.69 0.09 000<br />

67420 A Explore/treat eye socket 21.62 NA NA 14.85 15.52 1.15 090<br />

67430 A Explore/treat eye socket 14.99 NA NA 12.69 13.27 0.86 090<br />

67440 A Explore/drain eye socket 14.56 NA NA 12.23 12.77 0.70 090<br />

67445 A Explr/decompress eye socket 18.96 NA NA 12.75 13.07 0.90 090<br />

67450 A Explore/biopsy eye socket 15.11 NA NA 12.76 13.28 0.68 090<br />

67500 A Inject/treat eye socket 1.44 0.61 0.63 0.48 0.43 0.05 000<br />

67505 A Inject/treat eye socket 1.27 0.77 0.75 0.61 0.54 0.05 000<br />

67515 A Inject/treat eye socket 1.40 0.82 0.76 0.66 0.59 0.03 000<br />

67550 A Insert eye socket implant 11.52 NA NA 10.02 10.36 0.72 090<br />

67560 A Revise eye socket implant 11.93 NA NA 10.08 10.43 0.60 090<br />

67570 A Decompress optic nerve 14.21 NA NA 11.54 12.08 0.68 090<br />

67599 C Orbit surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

67700 A Drainage of eyelid abscess 1.37 4.29 4.74 1.21 1.22 0.07 010<br />

67710 A Incision of eyelid 1.04 3.68 4.12 1.10 1.13 0.05 010<br />

67715 A Incision of eyelid fold 1.24 3.78 4.19 1.18 1.21 0.06 010<br />

67800 A Remove eyelid lesion 1.39 1.43 1.48 0.94 0.97 0.07 010<br />

67801 A Remove eyelid lesions 1.89 1.73 1.79 1.14 1.17 0.09 010<br />

67805 A Remove eyelid lesions 2.24 2.24 2.32 1.48 1.52 0.11 010<br />

67808 A Remove eyelid lesion(s) 4.47 NA NA 3.70 3.73 0.19 090<br />

67810 A Biopsy of eyelid 1.48 3.91 3.77 0.73 0.72 0.06 000<br />

67820 A Revise eyelashes 0.71 0.45 0.49 0.52 0.53 0.04 000<br />

67825 A Revise eyelashes 1.40 1.43 1.51 1.30 1.33 0.07 010<br />

67830 A Revise eyelashes 1.72 3.99 4.39 1.37 1.40 0.08 010<br />

67835 A Revise eyelashes 5.61 NA NA 4.22 4.33 0.28 090<br />

67840 A Remove eyelid lesion 2.06 3.93 4.32 1.51 1.55 0.10 010<br />

67850 A Treat eyelid lesion 1.71 3.43 3.43 1.56 1.54 0.07 010<br />

67875 A Closure of eyelid by suture 1.35 2.40 2.63 0.87 0.89 0.07 000<br />

67880 A Revision of eyelid 4.47 5.53 5.81 3.69 3.73 0.19 090<br />

67882 A Revision of eyelid 5.87 6.50 6.80 4.63 4.69 0.25 090<br />

67900 A Repair brow defect 6.69 7.49 7.90 4.79 4.91 0.38 090<br />

67901 A Repair eyelid defect 7.47 9.10 8.20 5.48 5.47 0.54 090<br />

67902 A Repair eyelid defect 9.68 NA NA 6.67 6.38 0.60 090<br />

67903 A Repair eyelid defect 6.42 6.73 7.46 4.49 4.76 0.47 090<br />

67904 A Repair eyelid defect 7.83 8.34 8.68 5.59 5.52 0.41 090<br />

67906 A Repair eyelid defect 6.84 NA NA 4.66 4.76 0.46 090<br />

67908 A Repair eyelid defect 5.19 5.67 5.93 4.27 4.55 0.28 090<br />

67909 A Revise eyelid defect 5.46 6.30 6.75 4.32 4.49 0.31 090<br />

67911 A Revise eyelid defect 7.38 NA NA 5.26 5.15 0.31 090<br />

67912 A Correction eyelid w/implant 6.23 13.10 14.60 4.87 5.05 0.28 090<br />

67914 A Repair eyelid defect 3.70 4.82 5.21 2.78 2.86 0.19 090

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