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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 />

1295<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 />

73219 TC A Mri upper extremity w/dye 0.00 14.64 14.38 NA NA 0.47 XXX<br />

73219 26 A Mri upper extremity w/dye 1.62 0.61 0.59 0.61 0.59 0.07 XXX<br />

73220 A Mri uppr extremity w/o&w/dye 2.15 18.78 20.53 NA NA 0.94 XXX<br />

73220 TC A Mri uppr extremity w/o&w/dye 0.00 17.97 19.74 NA NA 0.84 XXX<br />

73220 26 A Mri uppr extremity w/o&w/dye 2.15 0.81 0.79 0.81 0.79 0.10 XXX<br />

73221 A Mri joint upr extrem w/o dye 1.35 13.37 12.96 NA NA 0.45 XXX<br />

73221 TC A Mri joint upr extrem w/o dye 0.00 12.86 12.47 NA NA 0.39 XXX<br />

73221 26 A Mri joint upr extrem w/o dye 1.35 0.51 0.49 0.51 0.49 0.06 XXX<br />

73222 A Mri joint upr extrem w/dye 1.62 14.14 14.13 NA NA 0.54 XXX<br />

73222 TC A Mri joint upr extrem w/dye 0.00 13.53 13.54 NA NA 0.47 XXX<br />

73222 26 A Mri joint upr extrem w/dye 1.62 0.61 0.59 0.61 0.59 0.07 XXX<br />

73223 A Mri joint upr extr w/o&w/dye 2.15 17.42 19.51 NA NA 0.94 XXX<br />

73223 TC A Mri joint upr extr w/o&w/dye 0.00 16.61 18.73 NA NA 0.84 XXX<br />

73223 26 A Mri joint upr extr w/o&w/dye 2.15 0.81 0.78 0.81 0.78 0.10 XXX<br />

73225 N Mr angio upr extr w/o&w/dye 1.73 16.22 15.12 NA NA 0.69 XXX<br />

73225 TC N Mr angio upr extr w/o&w/dye 0.00 15.64 14.52 NA NA 0.59 XXX<br />

73225 26 N Mr angio upr extr w/o&w/dye 1.73 0.58 0.60 0.58 0.60 0.10 XXX<br />

73500 A X-ray exam of hip 0.17 0.49 0.49 NA NA 0.03 XXX<br />

73500 TC A X-ray exam of hip 0.00 0.42 0.43 NA NA 0.02 XXX<br />

73500 26 A X-ray exam of hip 0.17 0.07 0.06 0.07 0.06 0.01 XXX<br />

73510 A X-ray exam of hip 0.21 0.77 0.74 NA NA 0.05 XXX<br />

73510 TC A X-ray exam of hip 0.00 0.69 0.66 NA NA 0.04 XXX<br />

73510 26 A X-ray exam of hip 0.21 0.08 0.08 0.08 0.08 0.01 XXX<br />

73520 A X-ray exam of hips 0.26 0.77 0.77 NA NA 0.05 XXX<br />

73520 TC A X-ray exam of hips 0.00 0.68 0.68 NA NA 0.04 XXX<br />

73520 26 A X-ray exam of hips 0.26 0.09 0.09 0.09 0.09 0.01 XXX<br />

73525 A Contrast x-ray of hip 0.54 1.84 1.96 NA NA 0.15 XXX<br />

73525 TC A Contrast x-ray of hip 0.00 1.64 1.76 NA NA 0.12 XXX<br />

73525 26 A Contrast x-ray of hip 0.54 0.20 0.20 0.20 0.20 0.03 XXX<br />

73530 C X-ray exam of hip 0.00 0.00 0.00 NA NA 0.00 XXX<br />

73530 TC C X-ray exam of hip 0.00 0.00 0.00 NA NA 0.00 XXX<br />

73530 26 A X-ray exam of hip 0.29 0.11 0.11 0.11 0.11 0.01 XXX<br />

73540 A X-ray exam of pelvis & hips 0.20 0.80 0.75 NA NA 0.05 XXX<br />

73540 TC A X-ray exam of pelvis & hips 0.00 0.72 0.68 NA NA 0.04 XXX<br />

73540 26 A X-ray exam of pelvis & hips 0.20 0.08 0.07 0.08 0.07 0.01 XXX<br />

73542 A X-ray exam, sacroiliac joint 0.59 1.16 1.44 NA NA 0.15 XXX<br />

73542 TC A X-ray exam, sacroiliac joint 0.00 1.00 1.28 NA NA 0.12 XXX<br />

73542 26 A X-ray exam, sacroiliac joint 0.59 0.16 0.16 0.16 0.16 0.03 XXX<br />

73550 A X-ray exam of thigh 0.17 0.54 0.56 NA NA 0.05 XXX<br />

73550 TC A X-ray exam of thigh 0.00 0.48 0.50 NA NA 0.04 XXX<br />

73550 26 A X-ray exam of thigh 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

73560 A X-ray exam of knee, 1 or 2 0.17 0.57 0.57 NA NA 0.03 XXX<br />

73560 TC A X-ray exam of knee, 1 or 2 0.00 0.51 0.51 NA NA 0.02 XXX<br />

73560 26 A X-ray exam of knee, 1 or 2 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

73562 A X-ray exam of knee, 3 0.18 0.72 0.70 NA NA 0.05 XXX<br />

73562 TC A X-ray exam of knee, 3 0.00 0.65 0.63 NA NA 0.04 XXX<br />

73562 26 A X-ray exam of knee, 3 0.18 0.07 0.07 0.07 0.07 0.01 XXX<br />

73564 A X-ray exam, knee, 4 or more 0.22 0.85 0.81 NA NA 0.05 XXX

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