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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.
1333
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
90802 A Intac psy dx interview 3.01 1.51 1.44 0.66 0.74 0.07 XXX
90804 A Psytx, office, 20-30 min 1.21 0.54 0.53 0.23 0.26 0.03 XXX
90805 A Psytx, off, 20-30 min w/e&m 1.37 0.59 0.57 0.25 0.29 0.03 XXX
90806 A Psytx, off, 45-50 min 1.86 0.53 0.57 0.34 0.40 0.04 XXX
90807 A Psytx, off, 45-50 min w/e&m 2.02 0.70 0.70 0.37 0.43 0.05 XXX
90808 A Psytx, office, 75-80 min 2.79 0.69 0.78 0.51 0.61 0.06 XXX
90809 A Psytx, off, 75-80, w/e&m 2.95 0.86 0.90 0.54 0.64 0.07 XXX
90810 A Intac psytx, off, 20-30 min 1.32 0.53 0.52 0.24 0.28 0.04 XXX
90811 A Intac psytx, 20-30, w/e&m 1.48 0.70 0.67 0.27 0.32 0.04 XXX
90812 A Intac psytx, off, 45-50 min 1.97 0.64 0.68 0.36 0.43 0.04 XXX
90813 A Intac psytx, 45-50 min w/e&m 2.13 0.82 0.81 0.39 0.46 0.05 XXX
90814 A Intac psytx, off, 75-80 min 2.90 0.88 0.94 0.61 0.70 0.06 XXX
90815 A Intac psytx, 75-80 w/e&m 3.06 0.99 1.01 0.56 0.66 0.07 XXX
90816 A Psytx, hosp, 20-30 min 1.25 NA NA 0.33 0.36 0.03 XXX
90817 A Psytx, hosp, 20-30 min w/e&m 1.41 NA NA 0.36 0.38 0.03 XXX
90818 A Psytx, hosp, 45-50 min 1.89 NA NA 0.45 0.51 0.04 XXX
90819 A Psytx, hosp, 45-50 min w/e&m 2.05 NA NA 0.47 0.52 0.05 XXX
90821 A Psytx, hosp, 75-80 min 2.83 NA NA 0.61 0.71 0.06 XXX
90822 A Psytx, hosp, 75-80 min w/e&m 2.99 NA NA 0.64 0.72 0.08 XXX
90823 A Intac psytx, hosp, 20-30 min 1.36 NA NA 0.35 0.38 0.03 XXX
90824 A Intac psytx, hsp 20-30 w/e&m 1.52 NA NA 0.38 0.41 0.04 XXX
90826 A Intac psytx, hosp, 45-50 min 2.01 NA NA 0.46 0.53 0.05 XXX
90827 A Intac psytx, hsp 45-50 w/e&m 2.16 NA NA 0.49 0.54 0.05 XXX
90828 A Intac psytx, hosp, 75-80 min 2.94 NA NA 0.63 0.74 0.06 XXX
90829 A Intac psytx, hsp 75-80 w/e&m 3.10 NA NA 0.66 0.74 0.07 XXX
90845 A Psychoanalysis 1.79 0.40 0.44 0.33 0.39 0.04 XXX
90846 R Family psytx w/o patient 1.83 0.51 0.55 0.43 0.49 0.04 XXX
90847 R Family psytx w/patient 2.21 0.73 0.75 0.50 0.57 0.05 XXX
90849 R Multiple family group psytx 0.59 0.31 0.30 0.21 0.22 0.02 XXX
90853 A Group psychotherapy 0.59 0.26 0.26 0.20 0.21 0.01 XXX
90857 A Intac group psytx 0.63 0.35 0.33 0.21 0.22 0.01 XXX
90862 A Medication management 0.95 0.61 0.56 0.27 0.28 0.02 XXX
90865 A Narcosynthesis 2.84 1.32 1.33 0.67 0.73 0.12 XXX
90870 A Electroconvulsive therapy 1.88 1.85 1.87 0.39 0.44 0.04 000
90875 N Psychophysiological therapy 1.20 0.67 0.73 0.40 0.42 0.04 XXX
90876 N Psychophysiological therapy 1.90 0.90 0.96 0.64 0.66 0.05 XXX
90880 A Hypnotherapy 2.19 0.58 0.70 0.41 0.48 0.05 XXX
90882 N Environmental manipulation 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90885 B Psy evaluation of records 0.97 0.32 0.34 0.32 0.34 0.02 XXX
90887 B Consultation with family 1.48 0.79 0.80 0.50 0.51 0.04 XXX
90889 B Preparation of report 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90899 C Psychiatric service/therapy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90901 A Biofeedback train, any meth 0.41 0.45 0.50 0.11 0.12 0.02 000
90911 A Biofeedback peri/uro/rectal 0.89 1.39 1.43 0.33 0.32 0.06 000
90935 A Hemodialysis, one evaluation 1.22 NA NA 0.54 0.58 0.04 000
90937 A Hemodialysis, repeated eval 2.11 NA NA 0.79 0.84 0.07 000
90940 X Hemodialysis access study 0.00 0.00 0.00 0.00 0.00 0.00 XXX
90945 A Dialysis, one evaluation 1.28 NA NA 0.56 0.59 0.04 000