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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 />

1307<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 />

75996 TC C Atherectomy, x-ray exam 0.00 0.00 0.00 NA NA 0.00 ZZZ<br />

75996 26 A Atherectomy, x-ray exam 0.36 0.13 0.13 0.13 0.13 0.02 ZZZ<br />

76000 A Fluoroscope examination 0.17 2.72 2.39 NA NA 0.08 XXX<br />

76000 TC A Fluoroscope examination 0.00 2.66 2.33 NA NA 0.07 XXX<br />

76000 26 A Fluoroscope examination 0.17 0.06 0.06 0.06 0.06 0.01 XXX<br />

76001 C Fluoroscope exam, extensive 0.00 0.00 0.00 NA NA 0.00 XXX<br />

76001 TC C Fluoroscope exam, extensive 0.00 0.00 0.00 NA NA 0.00 XXX<br />

76001 26 A Fluoroscope exam, extensive 0.67 0.26 0.25 0.26 0.25 0.05 XXX<br />

76010 A X-ray, nose to rectum 0.18 0.54 0.56 NA NA 0.03 XXX<br />

76010 TC A X-ray, nose to rectum 0.00 0.47 0.49 NA NA 0.02 XXX<br />

76010 26 A X-ray, nose to rectum 0.18 0.07 0.07 0.07 0.07 0.01 XXX<br />

76080 A X-ray exam of fistula 0.54 1.10 1.14 NA NA 0.08 XXX<br />

76080 TC A X-ray exam of fistula 0.00 0.89 0.93 NA NA 0.06 XXX<br />

76080 26 A X-ray exam of fistula 0.54 0.21 0.21 0.21 0.21 0.02 XXX<br />

76098 A X-ray exam, breast specimen 0.16 0.32 0.36 NA NA 0.03 XXX<br />

76098 TC A X-ray exam, breast specimen 0.00 0.26 0.30 NA NA 0.02 XXX<br />

76098 26 A X-ray exam, breast specimen 0.16 0.06 0.06 0.06 0.06 0.01 XXX<br />

76100 A X-ray exam of body section 0.58 3.53 3.01 NA NA 0.10 XXX<br />

76100 TC A X-ray exam of body section 0.00 3.31 2.80 NA NA 0.07 XXX<br />

76100 26 A X-ray exam of body section 0.58 0.22 0.21 0.22 0.21 0.03 XXX<br />

76101 A Complex body section x-ray 0.58 5.32 4.41 NA NA 0.11 XXX<br />

76101 TC A Complex body section x-ray 0.00 5.12 4.21 NA NA 0.08 XXX<br />

76101 26 A Complex body section x-ray 0.58 0.20 0.20 0.20 0.20 0.03 XXX<br />

76102 A Complex body section x-rays 0.58 7.50 6.12 NA NA 0.14 XXX<br />

76102 TC A Complex body section x-rays 0.00 7.31 5.93 NA NA 0.11 XXX<br />

76102 26 A Complex body section x-rays 0.58 0.19 0.19 0.19 0.19 0.03 XXX<br />

76120 A Cine/video x-rays 0.38 1.75 1.62 NA NA 0.08 XXX<br />

76120 TC A Cine/video x-rays 0.00 1.63 1.49 NA NA 0.06 XXX<br />

76120 26 A Cine/video x-rays 0.38 0.12 0.13 0.12 0.13 0.02 XXX<br />

76125 C Cine/video x-rays add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ<br />

76125 TC C Cine/video x-rays add-on 0.00 0.00 0.00 NA NA 0.00 ZZZ<br />

76125 26 A Cine/video x-rays add-on 0.27 0.13 0.12 0.13 0.12 0.01 ZZZ<br />

76140 I X-ray consultation 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

76150 A X-ray exam, dry process 0.00 0.51 0.49 NA NA 0.02 XXX<br />

76350 C Special x-ray contrast study 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

76376 A 3d render w/o postprocess 0.20 1.39 1.92 NA NA 0.10 XXX<br />

76376 TC A 3d render w/o postprocess 0.00 1.31 1.84 NA NA 0.08 XXX<br />

76376 26 A 3d render w/o postprocess 0.20 0.08 0.08 0.08 0.08 0.02 XXX<br />

76377 A 3d rendering w/postprocess 0.79 1.40 1.98 NA NA 0.39 XXX<br />

76377 TC A 3d rendering w/postprocess 0.00 1.10 1.69 NA NA 0.31 XXX<br />

76377 26 A 3d rendering w/postprocess 0.79 0.30 0.29 0.30 0.29 0.08 XXX<br />

76380 A CAT scan follow-up study 0.98 4.68 4.48 NA NA 0.22 XXX<br />

76380 TC A CAT scan follow-up study 0.00 4.31 4.12 NA NA 0.18 XXX<br />

76380 26 A CAT scan follow-up study 0.98 0.37 0.36 0.37 0.36 0.04 XXX<br />

76390 N Mr spectroscopy 1.40 10.47 10.74 NA NA 0.66 XXX<br />

76390 TC N Mr spectroscopy 0.00 10.00 10.27 NA NA 0.59 XXX<br />

76390 26 N Mr spectroscopy 1.40 0.47 0.47 0.47 0.47 0.07 XXX<br />

76496 C Fluoroscopic procedure 0.00 0.00 0.00 NA NA 0.00 XXX

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