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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.
1337
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
92265 TC A Eye muscle evaluation 0.00 0.72 0.85 NA NA 0.02 XXX
92265 26 A Eye muscle evaluation 0.81 0.24 0.25 0.24 0.25 0.04 XXX
92270 A Electro-oculography 0.81 1.37 1.40 NA NA 0.05 XXX
92270 TC A Electro-oculography 0.00 1.11 1.13 NA NA 0.02 XXX
92270 26 A Electro-oculography 0.81 0.26 0.27 0.26 0.27 0.03 XXX
92275 A Electroretinography 1.01 2.43 2.31 NA NA 0.05 XXX
92275 TC A Electroretinography 0.00 2.05 1.91 NA NA 0.02 XXX
92275 26 A Electroretinography 1.01 0.38 0.40 0.38 0.40 0.03 XXX
92283 A Color vision examination 0.17 1.00 0.96 NA NA 0.02 XXX
92283 TC A Color vision examination 0.00 0.94 0.90 NA NA 0.01 XXX
92283 26 A Color vision examination 0.17 0.06 0.06 0.06 0.06 0.01 XXX
92284 A Dark adaptation eye exam 0.24 1.08 1.28 NA NA 0.02 XXX
92284 TC A Dark adaptation eye exam 0.00 1.01 1.21 NA NA 0.01 XXX
92284 26 A Dark adaptation eye exam 0.24 0.07 0.07 0.07 0.07 0.01 XXX
92285 A Eye photography 0.20 0.78 0.84 NA NA 0.02 XXX
92285 TC A Eye photography 0.00 0.71 0.76 NA NA 0.01 XXX
92285 26 A Eye photography 0.20 0.07 0.08 0.07 0.08 0.01 XXX
92286 A Internal eye photography 0.66 2.07 2.32 NA NA 0.04 XXX
92286 TC A Internal eye photography 0.00 1.83 2.07 NA NA 0.02 XXX
92286 26 A Internal eye photography 0.66 0.24 0.25 0.24 0.25 0.02 XXX
92287 A Internal eye photography 0.81 1.91 2.03 0.30 0.31 0.02 XXX
92310 N Contact lens fitting 1.17 1.26 1.23 0.39 0.41 0.04 XXX
92311 A Contact lens fitting 1.08 1.30 1.25 0.34 0.34 0.03 XXX
92312 A Contact lens fitting 1.26 1.49 1.39 0.38 0.41 0.03 XXX
92313 A Contact lens fitting 0.92 1.42 1.33 0.33 0.32 0.02 XXX
92314 N Prescription of contact lens 0.69 1.30 1.21 0.23 0.24 0.01 XXX
92315 A Prescription of contact lens 0.45 1.28 1.18 0.14 0.14 0.01 XXX
92316 A Prescription of contact lens 0.68 1.62 1.44 0.24 0.25 0.02 XXX
92317 A Prescription of contact lens 0.45 1.33 1.23 0.13 0.13 0.01 XXX
92325 A Modification of contact lens 0.00 0.82 0.72 NA NA 0.01 XXX
92326 A Replacement of contact lens 0.00 0.72 0.95 NA NA 0.06 XXX
92340 N Fitting of spectacles 0.37 0.51 0.56 0.12 0.13 0.01 XXX
92341 N Fitting of spectacles 0.47 0.55 0.60 0.16 0.16 0.01 XXX
92342 N Fitting of spectacles 0.53 0.57 0.62 0.18 0.19 0.01 XXX
92352 B Special spectacles fitting 0.37 0.65 0.66 0.12 0.13 0.01 XXX
92353 B Special spectacles fitting 0.50 0.69 0.70 0.17 0.17 0.02 XXX
92354 B Special spectacles fitting 0.00 0.32 2.46 NA NA 0.10 XXX
92355 B Special spectacles fitting 0.00 0.50 1.46 NA NA 0.01 XXX
92358 B Eye prosthesis service 0.00 0.26 0.44 NA NA 0.05 XXX
92370 N Repair & adjust spectacles 0.32 0.45 0.48 0.11 0.11 0.02 XXX
92371 B Repair & adjust spectacles 0.00 0.27 0.36 NA NA 0.02 XXX
92499 C Eye service or procedure 0.00 0.00 0.00 NA NA 0.00 XXX
92499 TC C Eye service or procedure 0.00 0.00 0.00 NA NA 0.00 XXX
92499 26 C Eye service or procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92502 A Ear and throat examination 1.51 NA NA 0.93 0.97 0.05 000
92504 A Ear microscopy examination 0.18 0.59 0.57 0.06 0.07 0.01 XXX
92506 A Speech/hearing evaluation 0.86 3.38 3.19 0.29 0.32 0.03 XXX
92507 A Speech/hearing therapy 0.52 1.17 1.16 0.16 0.18 0.02 XXX