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CMS-1403-FC
Physi-
cian
Work
Fully
Implemented
Non-
Facility
PE
Year
2009
Transitional
Non-
Facility
PE
Fully
Imple-
mented
Facility
PE
Year
2009
Transi-
tional
Facility
PE
1 CPT codes and descriptions only are copyright 2008 American Medical Association. All Rights
Reserved. Applicable FARS/DFARS apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been
established as a courtesy to the general public and are not used for Medicare
payment.
1302
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
75635 TC A Ct angio abdominal arteries 0.00 11.75 12.83 NA NA 0.39 XXX
75635 26 A Ct angio abdominal arteries 2.40 1.00 0.95 1.00 0.95 0.11 XXX
75650 A Artery x-rays, head & neck 1.49 3.49 5.91 NA NA 0.72 XXX
75650 TC A Artery x-rays, head & neck 0.00 2.88 5.33 NA NA 0.65 XXX
75650 26 A Artery x-rays, head & neck 1.49 0.61 0.58 0.61 0.58 0.07 XXX
75658 A Artery x-rays, arm 1.31 3.63 6.00 NA NA 0.72 XXX
75658 TC A Artery x-rays, arm 0.00 3.17 5.54 NA NA 0.65 XXX
75658 26 A Artery x-rays, arm 1.31 0.46 0.46 0.46 0.46 0.07 XXX
75660 A Artery x-rays, head & neck 1.31 3.82 6.15 NA NA 0.71 XXX
75660 TC A Artery x-rays, head & neck 0.00 3.29 5.64 NA NA 0.65 XXX
75660 26 A Artery x-rays, head & neck 1.31 0.53 0.51 0.53 0.51 0.06 XXX
75662 A Artery x-rays, head & neck 1.66 4.89 6.98 NA NA 0.71 XXX
75662 TC A Artery x-rays, head & neck 0.00 4.16 6.29 NA NA 0.65 XXX
75662 26 A Artery x-rays, head & neck 1.66 0.73 0.69 0.73 0.69 0.06 XXX
75665 A Artery x-rays, head & neck 1.31 4.08 6.34 NA NA 0.74 XXX
75665 TC A Artery x-rays, head & neck 0.00 3.56 5.84 NA NA 0.65 XXX
75665 26 A Artery x-rays, head & neck 1.31 0.52 0.50 0.52 0.50 0.09 XXX
75671 A Artery x-rays, head & neck 1.66 5.05 7.09 NA NA 0.72 XXX
75671 TC A Artery x-rays, head & neck 0.00 4.37 6.44 NA NA 0.65 XXX
75671 26 A Artery x-rays, head & neck 1.66 0.68 0.65 0.68 0.65 0.07 XXX
75676 A Artery x-rays, neck 1.31 3.83 6.15 NA NA 0.72 XXX
75676 TC A Artery x-rays, neck 0.00 3.31 5.65 NA NA 0.65 XXX
75676 26 A Artery x-rays, neck 1.31 0.52 0.50 0.52 0.50 0.07 XXX
75680 A Artery x-rays, neck 1.66 4.55 6.72 NA NA 0.72 XXX
75680 TC A Artery x-rays, neck 0.00 3.85 6.06 NA NA 0.65 XXX
75680 26 A Artery x-rays, neck 1.66 0.70 0.66 0.70 0.66 0.07 XXX
75685 A Artery x-rays, spine 1.31 3.86 6.17 NA NA 0.71 XXX
75685 TC A Artery x-rays, spine 0.00 3.32 5.66 NA NA 0.65 XXX
75685 26 A Artery x-rays, spine 1.31 0.54 0.51 0.54 0.51 0.06 XXX
75705 A Artery x-rays, spine 2.18 4.15 6.46 NA NA 0.78 XXX
75705 TC A Artery x-rays, spine 0.00 3.27 5.62 NA NA 0.65 XXX
75705 26 A Artery x-rays, spine 2.18 0.88 0.84 0.88 0.84 0.13 XXX
75710 A Artery x-rays, arm/leg 1.14 3.84 6.15 NA NA 0.72 XXX
75710 TC A Artery x-rays, arm/leg 0.00 3.40 5.72 NA NA 0.65 XXX
75710 26 A Artery x-rays, arm/leg 1.14 0.44 0.43 0.44 0.43 0.07 XXX
75716 A Artery x-rays, arms/legs 1.31 4.82 6.88 NA NA 0.72 XXX
75716 TC A Artery x-rays, arms/legs 0.00 4.29 6.38 NA NA 0.65 XXX
75716 26 A Artery x-rays, arms/legs 1.31 0.53 0.50 0.53 0.50 0.07 XXX
75722 A Artery x-rays, kidney 1.14 3.74 6.07 NA NA 0.70 XXX
75722 TC A Artery x-rays, kidney 0.00 3.24 5.60 NA NA 0.65 XXX
75722 26 A Artery x-rays, kidney 1.14 0.50 0.47 0.50 0.47 0.05 XXX
75724 A Artery x-rays, kidneys 1.49 4.90 6.99 NA NA 0.70 XXX
75724 TC A Artery x-rays, kidneys 0.00 4.15 6.28 NA NA 0.65 XXX
75724 26 A Artery x-rays, kidneys 1.49 0.75 0.71 0.75 0.71 0.05 XXX
75726 A Artery x-rays, abdomen 1.14 3.75 6.08 NA NA 0.70 XXX
75726 TC A Artery x-rays, abdomen 0.00 3.29 5.64 NA NA 0.65 XXX
75726 26 A Artery x-rays, abdomen 1.14 0.46 0.44 0.46 0.44 0.05 XXX
75731 A Artery x-rays, adrenal gland 1.14 4.10 6.34 NA NA 0.71 XXX