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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. 1346 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 93631 C Heart pacing, mapping 0.00 0.00 0.00 NA NA 0.00 000 93631 TC C Heart pacing, mapping 0.00 0.00 0.00 NA NA 0.00 000 93631 26 A Heart pacing, mapping 7.59 2.75 2.76 2.75 2.76 0.97 000 93640 C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 000 93640 TC C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 000 93640 26 A Evaluation heart device 3.51 1.84 1.72 1.84 1.72 0.24 000 93641 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93641 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000 93641 26 A Electrophysiology evaluation 5.92 3.13 2.93 3.13 2.93 0.41 000 93642 A Electrophysiology evaluation 4.88 7.06 7.66 NA NA 0.57 000 93642 TC A Electrophysiology evaluation 0.00 4.46 5.15 NA NA 0.42 000 93642 26 A Electrophysiology evaluation 4.88 2.60 2.51 2.60 2.51 0.15 000 93650 A Ablate heart dysrhythm focus 10.49 NA NA 5.80 5.47 0.73 000 93651 A Ablate heart dysrhythm focus 16.23 NA NA 8.58 8.03 1.13 000 93652 A Ablate heart dysrhythm focus 17.65 NA NA 9.35 8.75 1.23 000 93660 A Tilt table evaluation 1.89 2.90 2.78 NA NA 0.08 000 93660 TC A Tilt table evaluation 0.00 1.91 1.85 NA NA 0.02 000 93660 26 A Tilt table evaluation 1.89 0.99 0.93 0.99 0.93 0.06 000 93662 C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ 93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ 93662 26 A Intracardiac ecg (ice) 2.80 1.47 1.38 1.47 1.38 0.09 ZZZ 93668 N Peripheral vascular rehab 0.00 0.46 0.46 NA NA 0.01 XXX 93701 A Bioimpedance, thoracic 0.17 0.67 0.75 NA NA 0.02 XXX 93701 TC A Bioimpedance, thoracic 0.00 0.61 0.68 NA NA 0.01 XXX 93701 26 A Bioimpedance, thoracic 0.17 0.06 0.07 0.06 0.07 0.01 XXX 93720 A Total body plethysmography 0.17 1.13 1.04 NA NA 0.07 XXX 93721 A Plethysmography tracing 0.00 1.09 0.99 NA NA 0.06 XXX 93722 A Plethysmography report 0.17 0.04 0.05 0.04 0.05 0.01 XXX 93724 A Analyze pacemaker system 4.88 3.38 4.01 NA NA 0.39 000 93724 TC A Analyze pacemaker system 0.00 0.85 1.63 NA NA 0.24 000 93724 26 A Analyze pacemaker system 4.88 2.53 2.38 2.53 2.38 0.15 000 93740 B Temperature gradient studies 0.16 0.05 0.09 NA NA 0.02 XXX 93740 TC B Temperature gradient studies 0.00 0.00 0.04 NA NA 0.01 XXX 93740 26 B Temperature gradient studies 0.16 0.05 0.05 0.05 0.05 0.01 XXX 93745 C Set-up cardiovert-defibrill 0.00 0.00 0.00 NA NA 0.00 XXX 93745 TC C Set-up cardiovert-defibrill 0.00 0.00 0.00 NA NA 0.00 XXX 93745 26 C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93770 B Measure venous pressure 0.16 0.05 0.06 NA NA 0.02 XXX 93770 TC B Measure venous pressure 0.00 0.00 0.01 NA NA 0.01 XXX 93770 26 B Measure venous pressure 0.16 0.05 0.05 0.05 0.05 0.01 XXX 93784 A Ambulatory BP monitoring 0.38 1.36 1.40 NA NA 0.03 XXX 93786 A Ambulatory BP recording 0.00 0.78 0.81 NA NA 0.01 XXX 93788 A Ambulatory BP analysis 0.00 0.43 0.45 NA NA 0.01 XXX 93790 A Review/report BP recording 0.38 0.15 0.14 0.15 0.14 0.01 XXX 93797 A Cardiac rehab 0.18 0.31 0.31 0.09 0.08 0.01 000 93798 A Cardiac rehab/monitor 0.28 0.42 0.43 0.13 0.13 0.01 000 93799 C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX 93799 TC C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX
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. 1347 Mal- Practice RVUs 2 Global CPT 1 / HCPCS Mod Status Description RVUs 2 RVUs 2 RVUs 2 RVUs 2 RVUs 2 93799 26 C Cardiovascular procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX 93875 A Extracranial study 0.22 2.50 2.47 NA NA 0.12 XXX 93875 TC A Extracranial study 0.00 2.43 2.39 NA NA 0.11 XXX 93875 26 A Extracranial study 0.22 0.07 0.08 0.07 0.08 0.01 XXX 93880 A Extracranial study 0.60 5.99 5.90 NA NA 0.39 XXX 93880 TC A Extracranial study 0.00 5.77 5.68 NA NA 0.35 XXX 93880 26 A Extracranial study 0.60 0.22 0.22 0.22 0.22 0.04 XXX 93882 A Extracranial study 0.40 3.99 3.88 NA NA 0.26 XXX 93882 TC A Extracranial study 0.00 3.87 3.75 NA NA 0.22 XXX 93882 26 A Extracranial study 0.40 0.12 0.13 0.12 0.13 0.04 XXX 93886 A Intracranial study 0.94 6.90 6.87 NA NA 0.45 XXX 93886 TC A Intracranial study 0.00 6.61 6.56 NA NA 0.39 XXX 93886 26 A Intracranial study 0.94 0.29 0.31 0.29 0.31 0.06 XXX 93888 A Intracranial study 0.62 4.82 4.69 NA NA 0.32 XXX 93888 TC A Intracranial study 0.00 4.61 4.47 NA NA 0.27 XXX 93888 26 A Intracranial study 0.62 0.21 0.22 0.21 0.22 0.05 XXX 93890 A Tcd, vasoreactivity study 1.00 6.09 5.81 NA NA 0.45 XXX 93890 TC A Tcd, vasoreactivity study 0.00 5.79 5.48 NA NA 0.39 XXX 93890 26 A Tcd, vasoreactivity study 1.00 0.30 0.33 0.30 0.33 0.06 XXX 93892 A Tcd, emboli detect w/o inj 1.15 6.72 6.35 NA NA 0.45 XXX 93892 TC A Tcd, emboli detect w/o inj 0.00 6.39 5.98 NA NA 0.39 XXX 93892 26 A Tcd, emboli detect w/o inj 1.15 0.33 0.37 0.33 0.37 0.06 XXX 93893 A Tcd, emboli detect w/inj 1.15 6.74 6.33 NA NA 0.45 XXX 93893 TC A Tcd, emboli detect w/inj 0.00 6.39 5.95 NA NA 0.39 XXX 93893 26 A Tcd, emboli detect w/inj 1.15 0.35 0.38 0.35 0.38 0.06 XXX 93922 A Extremity study 0.25 3.01 2.94 NA NA 0.15 XXX 93922 TC A Extremity study 0.00 2.93 2.86 NA NA 0.13 XXX 93922 26 A Extremity study 0.25 0.08 0.08 0.08 0.08 0.02 XXX 93923 A Extremity study 0.45 4.58 4.45 NA NA 0.26 XXX 93923 TC A Extremity study 0.00 4.43 4.30 NA NA 0.22 XXX 93923 26 A Extremity study 0.45 0.15 0.15 0.15 0.15 0.04 XXX 93924 A Extremity study 0.50 5.78 5.55 NA NA 0.30 XXX 93924 TC A Extremity study 0.00 5.60 5.37 NA NA 0.25 XXX 93924 26 A Extremity study 0.50 0.18 0.18 0.18 0.18 0.05 XXX 93925 A Lower extremity study 0.58 7.84 7.58 NA NA 0.39 XXX 93925 TC A Lower extremity study 0.00 7.63 7.38 NA NA 0.35 XXX 93925 26 A Lower extremity study 0.58 0.21 0.20 0.21 0.20 0.04 XXX 93926 A Lower extremity study 0.39 5.04 4.80 NA NA 0.27 XXX 93926 TC A Lower extremity study 0.00 4.91 4.67 NA NA 0.23 XXX 93926 26 A Lower extremity study 0.39 0.13 0.13 0.13 0.13 0.04 XXX 93930 A Upper extremity study 0.46 6.07 5.90 NA NA 0.41 XXX 93930 TC A Upper extremity study 0.00 5.91 5.74 NA NA 0.37 XXX 93930 26 A Upper extremity study 0.46 0.16 0.16 0.16 0.16 0.04 XXX 93931 A Upper extremity study 0.31 4.09 3.95 NA NA 0.27 XXX 93931 TC A Upper extremity study 0.00 3.99 3.85 NA NA 0.24 XXX 93931 26 A Upper extremity study 0.31 0.10 0.10 0.10 0.10 0.03 XXX 93965 A Extremity study 0.35 2.95 2.92 NA NA 0.14 XXX 93965 TC A Extremity study 0.00 2.83 2.80 NA NA 0.12 XXX
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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 />
1346<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 />
93631 C Heart pacing, mapping 0.00 0.00 0.00 NA NA 0.00 000<br />
93631 TC C Heart pacing, mapping 0.00 0.00 0.00 NA NA 0.00 000<br />
93631 26 A Heart pacing, mapping 7.59 2.75 2.76 2.75 2.76 0.97 000<br />
93640 C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 000<br />
93640 TC C Evaluation heart device 0.00 0.00 0.00 NA NA 0.00 000<br />
93640 26 A Evaluation heart device 3.51 1.84 1.72 1.84 1.72 0.24 000<br />
93641 C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000<br />
93641 TC C Electrophysiology evaluation 0.00 0.00 0.00 NA NA 0.00 000<br />
93641 26 A Electrophysiology evaluation 5.92 3.13 2.93 3.13 2.93 0.41 000<br />
93642 A Electrophysiology evaluation 4.88 7.06 7.66 NA NA 0.57 000<br />
93642 TC A Electrophysiology evaluation 0.00 4.46 5.15 NA NA 0.42 000<br />
93642 26 A Electrophysiology evaluation 4.88 2.60 2.51 2.60 2.51 0.15 000<br />
93650 A Ablate heart dysrhythm focus 10.49 NA NA 5.80 5.47 0.73 000<br />
93651 A Ablate heart dysrhythm focus 16.23 NA NA 8.58 8.03 1.13 000<br />
93652 A Ablate heart dysrhythm focus 17.65 NA NA 9.35 8.75 1.23 000<br />
93660 A Tilt table evaluation 1.89 2.90 2.78 NA NA 0.08 000<br />
93660 TC A Tilt table evaluation 0.00 1.91 1.85 NA NA 0.02 000<br />
93660 26 A Tilt table evaluation 1.89 0.99 0.93 0.99 0.93 0.06 000<br />
93662 C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ<br />
93662 TC C Intracardiac ecg (ice) 0.00 0.00 0.00 NA NA 0.00 ZZZ<br />
93662 26 A Intracardiac ecg (ice) 2.80 1.47 1.38 1.47 1.38 0.09 ZZZ<br />
93668 N Peripheral vascular rehab 0.00 0.46 0.46 NA NA 0.01 XXX<br />
93701 A Bioimpedance, thoracic 0.17 0.67 0.75 NA NA 0.02 XXX<br />
93701 TC A Bioimpedance, thoracic 0.00 0.61 0.68 NA NA 0.01 XXX<br />
93701 26 A Bioimpedance, thoracic 0.17 0.06 0.07 0.06 0.07 0.01 XXX<br />
93720 A Total body plethysmography 0.17 1.13 1.04 NA NA 0.07 XXX<br />
93721 A Plethysmography tracing 0.00 1.09 0.99 NA NA 0.06 XXX<br />
93722 A Plethysmography report 0.17 0.04 0.05 0.04 0.05 0.01 XXX<br />
93724 A Analyze pacemaker system 4.88 3.38 4.01 NA NA 0.39 000<br />
93724 TC A Analyze pacemaker system 0.00 0.85 1.63 NA NA 0.24 000<br />
93724 26 A Analyze pacemaker system 4.88 2.53 2.38 2.53 2.38 0.15 000<br />
93740 B Temperature gradient studies 0.16 0.05 0.09 NA NA 0.02 XXX<br />
93740 TC B Temperature gradient studies 0.00 0.00 0.04 NA NA 0.01 XXX<br />
93740 26 B Temperature gradient studies 0.16 0.05 0.05 0.05 0.05 0.01 XXX<br />
93745 C Set-up cardiovert-defibrill 0.00 0.00 0.00 NA NA 0.00 XXX<br />
93745 TC C Set-up cardiovert-defibrill 0.00 0.00 0.00 NA NA 0.00 XXX<br />
93745 26 C Set-up cardiovert-defibrill 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />
93770 B Measure venous pressure 0.16 0.05 0.06 NA NA 0.02 XXX<br />
93770 TC B Measure venous pressure 0.00 0.00 0.01 NA NA 0.01 XXX<br />
93770 26 B Measure venous pressure 0.16 0.05 0.05 0.05 0.05 0.01 XXX<br />
93784 A Ambulatory BP monitoring 0.38 1.36 1.40 NA NA 0.03 XXX<br />
93786 A Ambulatory BP recording 0.00 0.78 0.81 NA NA 0.01 XXX<br />
93788 A Ambulatory BP analysis 0.00 0.43 0.45 NA NA 0.01 XXX<br />
93790 A Review/report BP recording 0.38 0.15 0.14 0.15 0.14 0.01 XXX<br />
93797 A Cardiac rehab 0.18 0.31 0.31 0.09 0.08 0.01 000<br />
93798 A Cardiac rehab/monitor 0.28 0.42 0.43 0.13 0.13 0.01 000<br />
93799 C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX<br />
93799 TC C Cardiovascular procedure 0.00 0.00 0.00 NA NA 0.00 XXX