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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 />

1293<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 />

72240 TC A Contrast x-ray of neck spine 0.00 2.22 2.86 NA NA 0.25 XXX<br />

72240 26 A Contrast x-ray of neck spine 0.91 0.35 0.33 0.35 0.33 0.04 XXX<br />

72255 A Contrast x-ray, thorax spine 0.91 2.25 2.84 NA NA 0.26 XXX<br />

72255 TC A Contrast x-ray, thorax spine 0.00 1.94 2.54 NA NA 0.22 XXX<br />

72255 26 A Contrast x-ray, thorax spine 0.91 0.31 0.30 0.31 0.30 0.04 XXX<br />

72265 A Contrast x-ray, lower spine 0.83 2.53 2.99 NA NA 0.26 XXX<br />

72265 TC A Contrast x-ray, lower spine 0.00 2.22 2.69 NA NA 0.22 XXX<br />

72265 26 A Contrast x-ray, lower spine 0.83 0.31 0.30 0.31 0.30 0.04 XXX<br />

72270 A Contrast x-ray, spine 1.33 4.00 4.64 NA NA 0.39 XXX<br />

72270 TC A Contrast x-ray, spine 0.00 3.48 4.15 NA NA 0.33 XXX<br />

72270 26 A Contrast x-ray, spine 1.33 0.52 0.49 0.52 0.49 0.06 XXX<br />

72275 A Epidurography 0.76 1.74 1.88 NA NA 0.26 XXX<br />

72275 TC A Epidurography 0.00 1.52 1.67 NA NA 0.22 XXX<br />

72275 26 A Epidurography 0.76 0.22 0.21 0.22 0.21 0.04 XXX<br />

72285 A X-ray c/t spine disk 1.16 1.49 3.30 NA NA 0.50 XXX<br />

72285 TC A X-ray c/t spine disk 0.00 1.15 2.96 NA NA 0.43 XXX<br />

72285 26 A X-ray c/t spine disk 1.16 0.34 0.34 0.34 0.34 0.07 XXX<br />

72291 C Perq vertebroplasty, fluor 0.00 0.00 0.00 NA NA 0.00 XXX<br />

72291 TC C Perq vertebroplasty, fluor 0.00 0.00 0.00 NA NA 0.00 XXX<br />

72291 26 A Perq vertebroplasty, fluor 1.31 0.52 0.51 0.52 0.51 0.10 XXX<br />

72292 C Perq vertebroplasty, ct 0.00 0.00 0.00 NA NA 0.00 XXX<br />

72292 TC C Perq vertebroplasty, ct 0.00 0.00 0.00 NA NA 0.00 XXX<br />

72292 26 A Perq vertebroplasty, ct 1.38 0.56 0.54 0.56 0.54 0.07 XXX<br />

72295 A X-ray of lower spine disk 0.83 1.46 3.13 NA NA 0.46 XXX<br />

72295 TC A X-ray of lower spine disk 0.00 1.20 2.87 NA NA 0.40 XXX<br />

72295 26 A X-ray of lower spine disk 0.83 0.26 0.26 0.26 0.26 0.06 XXX<br />

73000 A X-ray exam of collar bone 0.16 0.55 0.56 NA NA 0.03 XXX<br />

73000 TC A X-ray exam of collar bone 0.00 0.49 0.50 NA NA 0.02 XXX<br />

73000 26 A X-ray exam of collar bone 0.16 0.06 0.06 0.06 0.06 0.01 XXX<br />

73010 A X-ray exam of shoulder blade 0.17 0.58 0.57 NA NA 0.03 XXX<br />

73010 TC A X-ray exam of shoulder blade 0.00 0.51 0.51 NA NA 0.02 XXX<br />

73010 26 A X-ray exam of shoulder blade 0.17 0.07 0.06 0.07 0.06 0.01 XXX<br />

73020 A X-ray exam of shoulder 0.15 0.44 0.46 NA NA 0.03 XXX<br />

73020 TC A X-ray exam of shoulder 0.00 0.38 0.41 NA NA 0.02 XXX<br />

73020 26 A X-ray exam of shoulder 0.15 0.06 0.05 0.06 0.05 0.01 XXX<br />

73030 A X-ray exam of shoulder 0.18 0.57 0.59 NA NA 0.05 XXX<br />

73030 TC A X-ray exam of shoulder 0.00 0.50 0.52 NA NA 0.04 XXX<br />

73030 26 A X-ray exam of shoulder 0.18 0.07 0.07 0.07 0.07 0.01 XXX<br />

73040 A Contrast x-ray of shoulder 0.54 2.23 2.25 NA NA 0.14 XXX<br />

73040 TC A Contrast x-ray of shoulder 0.00 2.02 2.05 NA NA 0.12 XXX<br />

73040 26 A Contrast x-ray of shoulder 0.54 0.21 0.20 0.21 0.20 0.02 XXX<br />

73050 A X-ray exam of shoulders 0.20 0.73 0.73 NA NA 0.05 XXX<br />

73050 TC A X-ray exam of shoulders 0.00 0.65 0.65 NA NA 0.04 XXX<br />

73050 26 A X-ray exam of shoulders 0.20 0.08 0.08 0.08 0.08 0.01 XXX<br />

73060 A X-ray exam of humerus 0.17 0.56 0.58 NA NA 0.05 XXX<br />

73060 TC A X-ray exam of humerus 0.00 0.50 0.52 NA NA 0.04 XXX<br />

73060 26 A X-ray exam of humerus 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

73070 A X-ray exam of elbow 0.15 0.55 0.55 NA NA 0.03 XXX

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