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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.
1309
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
76700 TC A Us exam, abdom, complete 0.00 2.70 2.52 NA NA 0.11 XXX
76700 26 A Us exam, abdom, complete 0.81 0.30 0.29 0.30 0.29 0.04 XXX
76705 A Echo exam of abdomen 0.59 2.34 2.16 NA NA 0.11 XXX
76705 TC A Echo exam of abdomen 0.00 2.11 1.94 NA NA 0.08 XXX
76705 26 A Echo exam of abdomen 0.59 0.23 0.22 0.23 0.22 0.03 XXX
76770 A Us exam abdo back wall, comp 0.74 2.90 2.73 NA NA 0.14 XXX
76770 TC A Us exam abdo back wall, comp 0.00 2.62 2.46 NA NA 0.11 XXX
76770 26 A Us exam abdo back wall, comp 0.74 0.28 0.27 0.28 0.27 0.03 XXX
76775 A Us exam abdo back wall, lim 0.58 2.39 2.39 NA NA 0.11 XXX
76775 TC A Us exam abdo back wall, lim 0.00 2.16 2.16 NA NA 0.08 XXX
76775 26 A Us exam abdo back wall, lim 0.58 0.23 0.23 0.23 0.22 0.03 XXX
76776 A Us exam k transpl w/doppler 0.76 3.39 3.11 NA NA 0.14 XXX
76776 TC A Us exam k transpl w/doppler 0.00 3.10 2.83 NA NA 0.11 XXX
76776 26 A Us exam k transpl w/doppler 0.76 0.29 0.28 0.29 0.28 0.03 XXX
76800 A Us exam, spinal canal 1.13 2.25 2.13 NA NA 0.13 XXX
76800 TC A Us exam, spinal canal 0.00 1.93 1.81 NA NA 0.08 XXX
76800 26 A Us exam, spinal canal 1.13 0.32 0.32 0.32 0.32 0.05 XXX
76801 A Ob us < 14 wks, single fetus 0.99 2.46 2.47 NA NA 0.16 XXX
76801 TC A Ob us < 14 wks, single fetus 0.00 2.11 2.12 NA NA 0.12 XXX
76801 26 A Ob us < 14 wks, single fetus 0.99 0.35 0.35 0.35 0.35 0.04 XXX
76802 A Ob us < 14 wks, addÆl fetus 0.83 0.98 1.07 NA NA 0.16 ZZZ
76802 TC A Ob us < 14 wks, addÆl fetus 0.00 0.70 0.79 NA NA 0.12 ZZZ
76802 26 A Ob us < 14 wks, addÆl fetus 0.83 0.28 0.28 0.28 0.28 0.04 ZZZ
76805 A Ob us >/= 14 wks, sngl fetus 0.99 3.01 2.88 NA NA 0.16 XXX
76805 TC A Ob us >/= 14 wks, sngl fetus 0.00 2.68 2.54 NA NA 0.12 XXX
76805 26 A Ob us >/= 14 wks, sngl fetus 0.99 0.33 0.34 0.33 0.34 0.04 XXX
76810 A Ob us >/= 14 wks, addl fetus 0.98 1.64 1.58 NA NA 0.26 ZZZ
76810 TC A Ob us >/= 14 wks, addl fetus 0.00 1.31 1.25 NA NA 0.22 ZZZ
76810 26 A Ob us >/= 14 wks, addl fetus 0.98 0.33 0.33 0.33 0.33 0.04 ZZZ
76811 A Ob us, detailed, sngl fetus 1.90 3.03 3.33 NA NA 0.52 XXX
76811 TC A Ob us, detailed, sngl fetus 0.00 2.45 2.72 NA NA 0.43 XXX
76811 26 A Ob us, detailed, sngl fetus 1.90 0.58 0.61 0.58 0.61 0.09 XXX
76812 A Ob us, detailed, addl fetus 1.78 3.90 3.36 NA NA 0.49 ZZZ
76812 TC A Ob us, detailed, addl fetus 0.00 3.36 2.79 NA NA 0.41 ZZZ
76812 26 A Ob us, detailed, addl fetus 1.78 0.54 0.57 0.54 0.57 0.08 ZZZ
76813 A Ob us nuchal meas, 1 gest 1.18 2.17 2.17 NA NA 0.19 XXX
76813 TC A Ob us nuchal meas, 1 gest 0.00 1.81 1.81 NA NA 0.14 XXX
76813 26 A Ob us nuchal meas, 1 gest 1.18 0.36 0.36 0.36 0.36 0.05 XXX
76814 A Ob us nuchal meas, add-on 0.99 1.14 1.14 NA NA 0.19 XXX
76814 TC A Ob us nuchal meas, add-on 0.00 0.84 0.84 NA NA 0.14 XXX
76814 26 A Ob us nuchal meas, add-on 0.99 0.30 0.30 0.30 0.30 0.05 XXX
76815 A Ob us, limited, fetus(s) 0.65 1.79 1.75 NA NA 0.11 XXX
76815 TC A Ob us, limited, fetus(s) 0.00 1.57 1.53 NA NA 0.08 XXX
76815 26 A Ob us, limited, fetus(s) 0.65 0.22 0.22 0.22 0.22 0.03 XXX
76816 A Ob us, follow-up, per fetus 0.85 2.34 2.12 NA NA 0.10 XXX
76816 TC A Ob us, follow-up, per fetus 0.00 2.08 1.84 NA NA 0.06 XXX
76816 26 A Ob us, follow-up, per fetus 0.85 0.26 0.28 0.26 0.28 0.04 XXX
76817 A Transvaginal us, obstetric 0.75 2.00 1.95 NA NA 0.09 XXX