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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 />

1303<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 />

75731 TC A Artery x-rays, adrenal gland 0.00 3.53 5.82 NA NA 0.65 XXX<br />

75731 26 A Artery x-rays, adrenal gland 1.14 0.57 0.52 0.57 0.52 0.06 XXX<br />

75733 A Artery x-rays, adrenals 1.31 5.26 7.23 NA NA 0.71 XXX<br />

75733 TC A Artery x-rays, adrenals 0.00 4.57 6.60 NA NA 0.65 XXX<br />

75733 26 A Artery x-rays, adrenals 1.31 0.69 0.63 0.69 0.63 0.06 XXX<br />

75736 A Artery x-rays, pelvis 1.14 3.83 6.14 NA NA 0.71 XXX<br />

75736 TC A Artery x-rays, pelvis 0.00 3.36 5.69 NA NA 0.65 XXX<br />

75736 26 A Artery x-rays, pelvis 1.14 0.47 0.45 0.47 0.45 0.06 XXX<br />

75741 A Artery x-rays, lung 1.31 3.17 5.66 NA NA 0.71 XXX<br />

75741 TC A Artery x-rays, lung 0.00 2.64 5.15 NA NA 0.65 XXX<br />

75741 26 A Artery x-rays, lung 1.31 0.53 0.51 0.53 0.51 0.06 XXX<br />

75743 A Artery x-rays, lungs 1.66 3.62 6.01 NA NA 0.72 XXX<br />

75743 TC A Artery x-rays, lungs 0.00 2.92 5.35 NA NA 0.65 XXX<br />

75743 26 A Artery x-rays, lungs 1.66 0.70 0.66 0.70 0.66 0.07 XXX<br />

75746 A Artery x-rays, lung 1.14 3.53 5.91 NA NA 0.70 XXX<br />

75746 TC A Artery x-rays, lung 0.00 3.08 5.48 NA NA 0.65 XXX<br />

75746 26 A Artery x-rays, lung 1.14 0.45 0.43 0.45 0.43 0.05 XXX<br />

75756 A Artery x-rays, chest 1.14 4.13 6.38 NA NA 0.69 XXX<br />

75756 TC A Artery x-rays, chest 0.00 3.55 5.83 NA NA 0.65 XXX<br />

75756 26 A Artery x-rays, chest 1.14 0.58 0.55 0.58 0.55 0.04 XXX<br />

75774 A Artery x-ray, each vessel 0.36 2.44 5.03 NA NA 0.67 ZZZ<br />

75774 TC A Artery x-ray, each vessel 0.00 2.30 4.89 NA NA 0.65 ZZZ<br />

75774 26 A Artery x-ray, each vessel 0.36 0.14 0.14 0.14 0.14 0.02 ZZZ<br />

75790 A Visualize A-V shunt 1.84 3.12 2.83 NA NA 0.17 XXX<br />

75790 TC A Visualize A-V shunt 0.00 2.48 2.20 NA NA 0.08 XXX<br />

75790 26 A Visualize A-V shunt 1.84 0.64 0.63 0.64 0.63 0.09 XXX<br />

75801 C Lymph vessel x-ray, arm/leg 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75801 TC C Lymph vessel x-ray, arm/leg 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75801 26 A Lymph vessel x-ray, arm/leg 0.81 0.25 0.25 0.25 0.25 0.08 XXX<br />

75803 C Lymph vessel x-ray,arms/legs 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75803 TC C Lymph vessel x-ray,arms/legs 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75803 26 A Lymph vessel x-ray,arms/legs 1.17 0.48 0.45 0.48 0.45 0.05 XXX<br />

75805 C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75805 TC C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75805 26 A Lymph vessel x-ray, trunk 0.81 0.32 0.31 0.32 0.31 0.05 XXX<br />

75807 C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75807 TC C Lymph vessel x-ray, trunk 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75807 26 A Lymph vessel x-ray, trunk 1.17 0.48 0.45 0.48 0.45 0.05 XXX<br />

75809 A Nonvascular shunt, x-ray 0.47 2.15 1.85 NA NA 0.07 XXX<br />

75809 TC A Nonvascular shunt, x-ray 0.00 1.98 1.68 NA NA 0.05 XXX<br />

75809 26 A Nonvascular shunt, x-ray 0.47 0.17 0.17 0.17 0.17 0.02 XXX<br />

75810 C Vein x-ray, spleen/liver 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75810 TC C Vein x-ray, spleen/liver 0.00 0.00 0.00 NA NA 0.00 XXX<br />

75810 26 A Vein x-ray, spleen/liver 1.14 0.47 0.45 0.47 0.45 0.05 XXX<br />

75820 A Vein x-ray, arm/leg 0.70 2.92 2.49 NA NA 0.09 XXX<br />

75820 TC A Vein x-ray, arm/leg 0.00 2.62 2.21 NA NA 0.06 XXX<br />

75820 26 A Vein x-ray, arm/leg 0.70 0.30 0.28 0.30 0.28 0.03 XXX<br />

75822 A Vein x-ray, arms/legs 1.06 3.15 2.83 NA NA 0.13 XXX

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