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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.
1284
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
69801 A Incise inner ear 8.61 NA NA 9.64 9.62 0.69 090
69802 A Incise inner ear 13.39 NA NA 11.99 12.11 1.06 090
69805 A Explore inner ear 14.55 NA NA 11.04 11.27 1.12 090
69806 A Explore inner ear 12.52 NA NA 10.53 10.68 1.00 090
69820 A Establish inner ear window 10.40 NA NA 10.45 10.66 0.90 090
69840 A Revise inner ear window 10.32 NA NA 11.47 11.92 0.79 090
69905 A Remove inner ear 11.15 NA NA 11.29 11.33 0.90 090
69910 A Remove inner ear & mastoid 13.80 NA NA 11.04 11.29 1.07 090
69915 A Incise inner ear nerve 22.65 NA NA 14.84 15.29 1.70 090
69930 A Implant cochlear device 17.60 NA NA 12.24 12.90 1.36 090
69949 C Inner ear surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY
69950 A Incise inner ear nerve 27.44 NA NA 16.71 17.30 2.29 090
69955 A Release facial nerve 29.22 NA NA 19.11 19.73 2.49 090
69960 A Release inner ear canal 29.22 NA NA 17.76 18.38 2.18 090
69970 A Remove inner ear lesion 32.21 NA NA 20.12 20.96 2.42 090
69979 C Temporal bone surgery 0.00 0.00 0.00 0.00 0.00 0.00 YYY
69990 R Microsurgery add-on 3.46 NA NA 1.35 1.46 0.89 ZZZ
70010 A Contrast x-ray of brain 1.19 2.80 3.28 NA NA 0.27 XXX
70010 TC A Contrast x-ray of brain 0.00 2.35 2.85 NA NA 0.22 XXX
70010 26 A Contrast x-ray of brain 1.19 0.45 0.43 0.45 0.43 0.05 XXX
70015 A Contrast x-ray of brain 1.19 2.86 2.59 NA NA 0.16 XXX
70015 TC A Contrast x-ray of brain 0.00 2.40 2.14 NA NA 0.08 XXX
70015 26 A Contrast x-ray of brain 1.19 0.46 0.45 0.46 0.45 0.08 XXX
70030 A X-ray eye for foreign body 0.17 0.61 0.57 NA NA 0.03 XXX
70030 TC A X-ray eye for foreign body 0.00 0.54 0.51 NA NA 0.02 XXX
70030 26 A X-ray eye for foreign body 0.17 0.07 0.06 0.07 0.06 0.01 XXX
70100 A X-ray exam of jaw 0.18 0.63 0.62 NA NA 0.03 XXX
70100 TC A X-ray exam of jaw 0.00 0.57 0.56 NA NA 0.02 XXX
70100 26 A X-ray exam of jaw 0.18 0.06 0.06 0.06 0.06 0.01 XXX
70110 A X-ray exam of jaw 0.25 0.80 0.78 NA NA 0.05 XXX
70110 TC A X-ray exam of jaw 0.00 0.71 0.69 NA NA 0.04 XXX
70110 26 A X-ray exam of jaw 0.25 0.09 0.09 0.09 0.09 0.01 XXX
70120 A X-ray exam of mastoids 0.18 0.68 0.68 NA NA 0.05 XXX
70120 TC A X-ray exam of mastoids 0.00 0.62 0.62 NA NA 0.04 XXX
70120 26 A X-ray exam of mastoids 0.18 0.06 0.06 0.06 0.06 0.01 XXX
70130 A X-ray exam of mastoids 0.34 1.15 1.09 NA NA 0.07 XXX
70130 TC A X-ray exam of mastoids 0.00 1.03 0.97 NA NA 0.05 XXX
70130 26 A X-ray exam of mastoids 0.34 0.12 0.12 0.12 0.12 0.02 XXX
70134 A X-ray exam of middle ear 0.34 0.90 0.88 NA NA 0.07 XXX
70134 TC A X-ray exam of middle ear 0.00 0.77 0.76 NA NA 0.05 XXX
70134 26 A X-ray exam of middle ear 0.34 0.13 0.12 0.13 0.12 0.02 XXX
70140 A X-ray exam of facial bones 0.19 0.54 0.58 NA NA 0.05 XXX
70140 TC A X-ray exam of facial bones 0.00 0.48 0.52 NA NA 0.04 XXX
70140 26 A X-ray exam of facial bones 0.19 0.06 0.06 0.06 0.06 0.01 XXX
70150 A X-ray exam of facial bones 0.26 0.84 0.85 NA NA 0.06 XXX
70150 TC A X-ray exam of facial bones 0.00 0.75 0.76 NA NA 0.05 XXX
70150 26 A X-ray exam of facial bones 0.26 0.09 0.09 0.09 0.09 0.01 XXX
70160 A X-ray exam of nasal bones 0.17 0.70 0.67 NA NA 0.03 XXX