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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 />

1292<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 />

72157 TC A Mri chest spine w/o & w/dye 0.00 15.05 17.55 NA NA 1.31 XXX<br />

72157 26 A Mri chest spine w/o & w/dye 2.57 0.98 0.95 0.98 0.95 0.11 XXX<br />

72158 A Mri lumbar spine w/o & w/dye 2.36 17.48 19.57 NA NA 1.41 XXX<br />

72158 TC A Mri lumbar spine w/o & w/dye 0.00 16.59 18.71 NA NA 1.31 XXX<br />

72158 26 A Mri lumbar spine w/o & w/dye 2.36 0.89 0.86 0.89 0.86 0.10 XXX<br />

72159 N Mr angio spine w/o&w/dye 1.80 16.24 15.46 NA NA 0.74 XXX<br />

72159 TC N Mr angio spine w/o&w/dye 0.00 15.64 14.83 NA NA 0.64 XXX<br />

72159 26 N Mr angio spine w/o&w/dye 1.80 0.60 0.63 0.60 0.63 0.10 XXX<br />

72170 A X-ray exam of pelvis 0.17 0.50 0.51 NA NA 0.03 XXX<br />

72170 TC A X-ray exam of pelvis 0.00 0.43 0.45 NA NA 0.02 XXX<br />

72170 26 A X-ray exam of pelvis 0.17 0.07 0.06 0.07 0.06 0.01 XXX<br />

72190 A X-ray exam of pelvis 0.21 0.84 0.82 NA NA 0.05 XXX<br />

72190 TC A X-ray exam of pelvis 0.00 0.76 0.74 NA NA 0.04 XXX<br />

72190 26 A X-ray exam of pelvis 0.21 0.08 0.08 0.08 0.08 0.01 XXX<br />

72191 A Ct angiograph pelv w/o&w/dye 1.81 11.21 11.59 NA NA 0.47 XXX<br />

72191 TC A Ct angiograph pelv w/o&w/dye 0.00 10.50 10.91 NA NA 0.39 XXX<br />

72191 26 A Ct angiograph pelv w/o&w/dye 1.81 0.71 0.68 0.71 0.68 0.08 XXX<br />

72192 A Ct pelvis w/o dye 1.09 5.98 6.07 NA NA 0.36 XXX<br />

72192 TC A Ct pelvis w/o dye 0.00 5.56 5.66 NA NA 0.31 XXX<br />

72192 26 A Ct pelvis w/o dye 1.09 0.42 0.41 0.42 0.41 0.05 XXX<br />

72193 A Ct pelvis w/dye 1.16 7.48 7.43 NA NA 0.41 XXX<br />

72193 TC A Ct pelvis w/dye 0.00 7.03 7.00 NA NA 0.36 XXX<br />

72193 26 A Ct pelvis w/dye 1.16 0.45 0.43 0.45 0.43 0.05 XXX<br />

72194 A Ct pelvis w/o & w/dye 1.22 10.04 9.77 NA NA 0.48 XXX<br />

72194 TC A Ct pelvis w/o & w/dye 0.00 9.57 9.32 NA NA 0.43 XXX<br />

72194 26 A Ct pelvis w/o & w/dye 1.22 0.47 0.45 0.47 0.45 0.05 XXX<br />

72195 A Mri pelvis w/o dye 1.46 14.24 13.63 NA NA 0.51 XXX<br />

72195 TC A Mri pelvis w/o dye 0.00 13.69 13.10 NA NA 0.45 XXX<br />

72195 26 A Mri pelvis w/o dye 1.46 0.55 0.53 0.55 0.53 0.06 XXX<br />

72196 A Mri pelvis w/dye 1.73 15.25 14.97 NA NA 0.60 XXX<br />

72196 TC A Mri pelvis w/dye 0.00 14.59 14.33 NA NA 0.52 XXX<br />

72196 26 A Mri pelvis w/dye 1.73 0.66 0.64 0.66 0.64 0.08 XXX<br />

72197 A Mri pelvis w/o & w/dye 2.26 18.71 20.49 NA NA 1.02 XXX<br />

72197 TC A Mri pelvis w/o & w/dye 0.00 17.85 19.66 NA NA 0.92 XXX<br />

72197 26 A Mri pelvis w/o & w/dye 2.26 0.86 0.83 0.86 0.83 0.10 XXX<br />

72198 A Mr angio pelvis w/o & w/dye 1.80 14.97 14.21 NA NA 0.67 XXX<br />

72198 TC A Mr angio pelvis w/o & w/dye 0.00 14.27 13.54 NA NA 0.59 XXX<br />

72198 26 A Mr angio pelvis w/o & w/dye 1.80 0.70 0.67 0.70 0.67 0.08 XXX<br />

72200 A X-ray exam sacroiliac joints 0.17 0.59 0.59 NA NA 0.03 XXX<br />

72200 TC A X-ray exam sacroiliac joints 0.00 0.53 0.53 NA NA 0.02 XXX<br />

72200 26 A X-ray exam sacroiliac joints 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

72202 A X-ray exam sacroiliac joints 0.19 0.73 0.72 NA NA 0.05 XXX<br />

72202 TC A X-ray exam sacroiliac joints 0.00 0.66 0.65 NA NA 0.04 XXX<br />

72202 26 A X-ray exam sacroiliac joints 0.19 0.07 0.07 0.07 0.07 0.01 XXX<br />

72220 A X-ray exam of tailbone 0.17 0.57 0.59 NA NA 0.05 XXX<br />

72220 TC A X-ray exam of tailbone 0.00 0.51 0.53 NA NA 0.04 XXX<br />

72220 26 A X-ray exam of tailbone 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

72240 A Contrast x-ray of neck spine 0.91 2.57 3.19 NA NA 0.29 XXX

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