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<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 />

1288<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 />

70552 TC A Mri brain w/dye 0.00 14.75 14.45 NA NA 0.70 XXX<br />

70552 26 A Mri brain w/dye 1.78 0.68 0.66 0.68 0.66 0.08 XXX<br />

70553 A Mri brain w/o & w/dye 2.36 17.87 19.87 NA NA 1.41 XXX<br />

70553 TC A Mri brain w/o & w/dye 0.00 16.98 19.00 NA NA 1.31 XXX<br />

70553 26 A Mri brain w/o & w/dye 2.36 0.89 0.87 0.89 0.87 0.10 XXX<br />

70554 A Fmri brain by tech 2.11 14.14 14.14 NA NA 0.92 XXX<br />

70554 TC A Fmri brain by tech 0.00 13.34 13.34 NA NA 0.82 XXX<br />

70554 26 A Fmri brain by tech 2.11 0.80 0.80 0.80 0.80 0.10 XXX<br />

70555 C Fmri brain by phys/psych 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70555 TC C Fmri brain by phys/psych 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70555 26 A Fmri brain by phys/psych 2.54 0.98 0.98 0.98 0.98 0.11 XXX<br />

70557 C Mri brain w/o dye 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70557 TC C Mri brain w/o dye 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70557 26 A Mri brain w/o dye 2.90 1.12 1.13 1.12 1.13 0.08 XXX<br />

70558 C Mri brain w/dye 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70558 TC C Mri brain w/dye 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70558 26 A Mri brain w/dye 3.20 1.17 1.19 1.17 1.19 0.10 XXX<br />

70559 C Mri brain w/o & w/dye 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70559 TC C Mri brain w/o & w/dye 0.00 0.00 0.00 NA NA 0.00 XXX<br />

70559 26 A Mri brain w/o & w/dye 3.20 1.25 1.25 1.25 1.25 0.12 XXX<br />

71010 A Chest x-ray 0.18 0.44 0.45 NA NA 0.03 XXX<br />

71010 TC A Chest x-ray 0.00 0.37 0.39 NA NA 0.02 XXX<br />

71010 26 A Chest x-ray 0.18 0.07 0.06 0.07 0.06 0.01 XXX<br />

71015 A Chest x-ray 0.21 0.56 0.57 NA NA 0.03 XXX<br />

71015 TC A Chest x-ray 0.00 0.49 0.50 NA NA 0.02 XXX<br />

71015 26 A Chest x-ray 0.21 0.07 0.07 0.07 0.07 0.01 XXX<br />

71020 A Chest x-ray 0.22 0.57 0.61 NA NA 0.05 XXX<br />

71020 TC A Chest x-ray 0.00 0.49 0.53 NA NA 0.04 XXX<br />

71020 26 A Chest x-ray 0.22 0.08 0.08 0.08 0.08 0.01 XXX<br />

71021 A Chest x-ray 0.27 0.70 0.73 NA NA 0.06 XXX<br />

71021 TC A Chest x-ray 0.00 0.61 0.64 NA NA 0.05 XXX<br />

71021 26 A Chest x-ray 0.27 0.09 0.09 0.09 0.09 0.01 XXX<br />

71022 A Chest x-ray 0.31 0.91 0.90 NA NA 0.06 XXX<br />

71022 TC A Chest x-ray 0.00 0.80 0.79 NA NA 0.05 XXX<br />

71022 26 A Chest x-ray 0.31 0.11 0.11 0.11 0.11 0.01 XXX<br />

71023 A Chest x-ray and fluoroscopy 0.38 1.55 1.39 NA NA 0.06 XXX<br />

71023 TC A Chest x-ray and fluoroscopy 0.00 1.39 1.24 NA NA 0.05 XXX<br />

71023 26 A Chest x-ray and fluoroscopy 0.38 0.16 0.15 0.16 0.15 0.01 XXX<br />

71030 A Chest x-ray 0.31 0.91 0.91 NA NA 0.06 XXX<br />

71030 TC A Chest x-ray 0.00 0.80 0.80 NA NA 0.05 XXX<br />

71030 26 A Chest x-ray 0.31 0.11 0.11 0.11 0.11 0.01 XXX<br />

71034 A Chest x-ray and fluoroscopy 0.46 2.07 1.96 NA NA 0.10 XXX<br />

71034 TC A Chest x-ray and fluoroscopy 0.00 1.85 1.75 NA NA 0.08 XXX<br />

71034 26 A Chest x-ray and fluoroscopy 0.46 0.22 0.21 0.22 0.21 0.02 XXX<br />

71035 A Chest x-ray 0.18 0.78 0.73 NA NA 0.03 XXX<br />

71035 TC A Chest x-ray 0.00 0.71 0.66 NA NA 0.02 XXX<br />

71035 26 A Chest x-ray 0.18 0.07 0.07 0.07 0.07 0.01 XXX<br />

71040 A Contrast x-ray of bronchi 0.58 2.03 1.94 NA NA 0.11 XXX

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