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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 />

1296<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 />

73564 TC A X-ray exam, knee, 4 or more 0.00 0.76 0.73 NA NA 0.04 XXX<br />

73564 26 A X-ray exam, knee, 4 or more 0.22 0.09 0.08 0.09 0.08 0.01 XXX<br />

73565 A X-ray exam of knees 0.17 0.64 0.62 NA NA 0.03 XXX<br />

73565 TC A X-ray exam of knees 0.00 0.57 0.55 NA NA 0.02 XXX<br />

73565 26 A X-ray exam of knees 0.17 0.07 0.07 0.07 0.07 0.01 XXX<br />

73580 A Contrast x-ray of knee joint 0.54 2.51 2.59 NA NA 0.17 XXX<br />

73580 TC A Contrast x-ray of knee joint 0.00 2.30 2.39 NA NA 0.14 XXX<br />

73580 26 A Contrast x-ray of knee joint 0.54 0.21 0.20 0.21 0.20 0.03 XXX<br />

73590 A X-ray exam of lower leg 0.17 0.53 0.54 NA NA 0.03 XXX<br />

73590 TC A X-ray exam of lower leg 0.00 0.47 0.48 NA NA 0.02 XXX<br />

73590 26 A X-ray exam of lower leg 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

73592 A X-ray exam of leg, infant 0.16 0.58 0.57 NA NA 0.03 XXX<br />

73592 TC A X-ray exam of leg, infant 0.00 0.53 0.52 NA NA 0.02 XXX<br />

73592 26 A X-ray exam of leg, infant 0.16 0.05 0.05 0.05 0.05 0.01 XXX<br />

73600 A X-ray exam of ankle 0.16 0.55 0.54 NA NA 0.03 XXX<br />

73600 TC A X-ray exam of ankle 0.00 0.49 0.49 NA NA 0.02 XXX<br />

73600 26 A X-ray exam of ankle 0.16 0.06 0.05 0.06 0.05 0.01 XXX<br />

73610 A X-ray exam of ankle 0.17 0.66 0.64 NA NA 0.03 XXX<br />

73610 TC A X-ray exam of ankle 0.00 0.60 0.58 NA NA 0.02 XXX<br />

73610 26 A X-ray exam of ankle 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

73615 A Contrast x-ray of ankle 0.54 1.94 2.03 NA NA 0.15 XXX<br />

73615 TC A Contrast x-ray of ankle 0.00 1.75 1.84 NA NA 0.12 XXX<br />

73615 26 A Contrast x-ray of ankle 0.54 0.19 0.19 0.19 0.19 0.03 XXX<br />

73620 A X-ray exam of foot 0.16 0.52 0.52 NA NA 0.03 XXX<br />

73620 TC A X-ray exam of foot 0.00 0.47 0.47 NA NA 0.02 XXX<br />

73620 26 A X-ray exam of foot 0.16 0.05 0.05 0.05 0.05 0.01 XXX<br />

73630 A X-ray exam of foot 0.17 0.64 0.63 NA NA 0.03 XXX<br />

73630 TC A X-ray exam of foot 0.00 0.58 0.57 NA NA 0.02 XXX<br />

73630 26 A X-ray exam of foot 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

73650 A X-ray exam of heel 0.16 0.54 0.53 NA NA 0.03 XXX<br />

73650 TC A X-ray exam of heel 0.00 0.48 0.48 NA NA 0.02 XXX<br />

73650 26 A X-ray exam of heel 0.16 0.06 0.05 0.06 0.05 0.01 XXX<br />

73660 A X-ray exam of toe(s) 0.13 0.62 0.58 NA NA 0.03 XXX<br />

73660 TC A X-ray exam of toe(s) 0.00 0.58 0.54 NA NA 0.02 XXX<br />

73660 26 A X-ray exam of toe(s) 0.13 0.04 0.04 0.04 0.04 0.01 XXX<br />

73700 A Ct lower extremity w/o dye 1.09 6.35 6.10 NA NA 0.30 XXX<br />

73700 TC A Ct lower extremity w/o dye 0.00 5.93 5.70 NA NA 0.25 XXX<br />

73700 26 A Ct lower extremity w/o dye 1.09 0.42 0.40 0.42 0.40 0.05 XXX<br />

73701 A Ct lower extremity w/dye 1.16 7.90 7.52 NA NA 0.36 XXX<br />

73701 TC A Ct lower extremity w/dye 0.00 7.45 7.08 NA NA 0.31 XXX<br />

73701 26 A Ct lower extremity w/dye 1.16 0.45 0.44 0.45 0.44 0.05 XXX<br />

73702 A Ct lwr extremity w/o&w/dye 1.22 10.50 9.86 NA NA 0.44 XXX<br />

73702 TC A Ct lwr extremity w/o&w/dye 0.00 10.03 9.40 NA NA 0.39 XXX<br />

73702 26 A Ct lwr extremity w/o&w/dye 1.22 0.47 0.46 0.47 0.46 0.05 XXX<br />

73706 A Ct angio lwr extr w/o&w/dye 1.90 12.18 12.06 NA NA 0.47 XXX<br />

73706 TC A Ct angio lwr extr w/o&w/dye 0.00 11.40 11.32 NA NA 0.39 XXX<br />

73706 26 A Ct angio lwr extr w/o&w/dye 1.90 0.78 0.74 0.78 0.74 0.08 XXX<br />

73718 A Mri lower extremity w/o dye 1.35 14.10 13.52 NA NA 0.45 XXX

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