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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.
1352
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
95812 TC A Eeg, 41-60 minutes 0.00 5.36 4.92 NA NA 0.11 XXX
95812 26 A Eeg, 41-60 minutes 1.08 0.32 0.35 0.32 0.35 0.06 XXX
95813 A Eeg, over 1 hour 1.73 6.40 6.06 NA NA 0.20 XXX
95813 TC A Eeg, over 1 hour 0.00 5.90 5.51 NA NA 0.11 XXX
95813 26 A Eeg, over 1 hour 1.73 0.50 0.55 0.50 0.55 0.09 XXX
95816 A Eeg, awake and drowsy 1.08 5.08 4.74 NA NA 0.16 XXX
95816 TC A Eeg, awake and drowsy 0.00 4.76 4.39 NA NA 0.10 XXX
95816 26 A Eeg, awake and drowsy 1.08 0.32 0.35 0.32 0.35 0.06 XXX
95819 A Eeg, awake and asleep 1.08 5.90 5.18 NA NA 0.16 XXX
95819 TC A Eeg, awake and asleep 0.00 5.58 4.83 NA NA 0.10 XXX
95819 26 A Eeg, awake and asleep 1.08 0.32 0.35 0.32 0.35 0.06 XXX
95822 A Eeg, coma or sleep only 1.08 5.30 5.13 NA NA 0.19 XXX
95822 TC A Eeg, coma or sleep only 0.00 4.98 4.78 NA NA 0.13 XXX
95822 26 A Eeg, coma or sleep only 1.08 0.32 0.35 0.32 0.35 0.06 XXX
95824 C Eeg, cerebral death only 0.00 0.00 0.00 NA NA 0.00 XXX
95824 TC C Eeg, cerebral death only 0.00 0.00 0.00 NA NA 0.00 XXX
95824 26 A Eeg, cerebral death only 0.74 0.22 0.24 0.22 0.24 0.04 XXX
95827 A Eeg, all night recording 1.08 11.15 9.06 NA NA 0.19 XXX
95827 TC A Eeg, all night recording 0.00 10.84 8.72 NA NA 0.14 XXX
95827 26 A Eeg, all night recording 1.08 0.31 0.34 0.31 0.34 0.05 XXX
95829 A Surgery electrocorticogram 6.20 24.91 26.50 NA NA 0.50 XXX
95829 TC A Surgery electrocorticogram 0.00 23.01 24.49 NA NA 0.02 XXX
95829 26 A Surgery electrocorticogram 6.20 1.90 2.01 1.90 2.01 0.48 XXX
95830 A Insert electrodes for EEG 1.70 2.92 3.02 0.47 0.54 0.11 XXX
95831 A Limb muscle testing, manual 0.28 0.40 0.41 0.09 0.10 0.01 XXX
95832 A Hand muscle testing, manual 0.29 0.36 0.35 0.10 0.10 0.02 XXX
95833 A Body muscle testing, manual 0.47 0.45 0.48 0.13 0.16 0.02 XXX
95834 A Body muscle testing, manual 0.60 0.49 0.52 0.16 0.19 0.03 XXX
95851 A Range of motion measurements 0.16 0.25 0.28 0.04 0.05 0.01 XXX
95852 A Range of motion measurements 0.11 0.22 0.23 0.04 0.04 0.01 XXX
95857 A Tensilon test 0.53 0.58 0.58 0.17 0.19 0.02 XXX
95860 A Muscle test, one limb 0.96 1.13 1.20 NA NA 0.07 XXX
95860 TC A Muscle test, one limb 0.00 0.80 0.85 NA NA 0.02 XXX
95860 26 A Muscle test, one limb 0.96 0.33 0.35 0.33 0.35 0.05 XXX
95861 A Muscle test, 2 limbs 1.54 1.62 1.57 NA NA 0.13 XXX
95861 TC A Muscle test, 2 limbs 0.00 1.10 1.01 NA NA 0.06 XXX
95861 26 A Muscle test, 2 limbs 1.54 0.52 0.56 0.52 0.56 0.07 XXX
95863 A Muscle test, 3 limbs 1.87 1.87 1.84 NA NA 0.15 XXX
95863 TC A Muscle test, 3 limbs 0.00 1.28 1.20 NA NA 0.06 XXX
95863 26 A Muscle test, 3 limbs 1.87 0.59 0.64 0.59 0.64 0.09 XXX
95864 A Muscle test, 4 limbs 1.99 2.10 2.24 NA NA 0.21 XXX
95864 TC A Muscle test, 4 limbs 0.00 1.46 1.54 NA NA 0.12 XXX
95864 26 A Muscle test, 4 limbs 1.99 0.64 0.70 0.64 0.70 0.09 XXX
95865 A Muscle test, larynx 1.57 1.41 1.42 NA NA 0.11 XXX
95865 TC A Muscle test, larynx 0.00 0.88 0.83 NA NA 0.03 XXX
95865 26 A Muscle test, larynx 1.57 0.53 0.59 0.53 0.59 0.08 XXX
95866 A Muscle test, hemidiaphragm 1.25 1.33 1.19 NA NA 0.10 XXX
95866 TC A Muscle test, hemidiaphragm 0.00 0.90 0.73 NA NA 0.03 XXX