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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.
1358
Mal-
Practice
RVUs 2 Global
CPT 1 /
HCPCS Mod Status Description
RVUs 2
RVUs 2
RVUs 2
RVUs 2
RVUs 2
97542 A Wheelchair mngment training 0.45 0.29 0.29 NA NA 0.01 XXX
97545 R Work hardening 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97546 R Work hardening add-on 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
97597 A Active wound care/20 cm or < 0.58 1.09 0.99 0.13 0.26 0.05 XXX
97598 A Active wound care > 20 cm 0.80 1.27 1.15 0.18 0.33 0.05 XXX
97602 B Wound(s) care non-selective 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97605 A Neg press wound tx, < 50 cm 0.55 0.41 0.39 0.13 0.15 0.02 XXX
97606 A Neg press wound tx, > 50 cm 0.60 0.42 0.40 0.14 0.16 0.03 XXX
97750 A Physical performance test 0.45 0.33 0.33 NA NA 0.02 XXX
97755 A Assistive technology assess 0.62 0.28 0.28 NA NA 0.02 XXX
97760 A Orthotic mgmt and training 0.45 0.43 0.41 NA NA 0.03 XXX
97761 A Prosthetic training 0.45 0.33 0.32 NA NA 0.02 XXX
97762 A C/o for orthotic/prosth use 0.25 0.73 0.65 NA NA 0.02 XXX
97799 C Physical medicine procedure 0.00 0.00 0.00 0.00 0.00 0.00 XXX
97802 A Medical nutrition, indiv, in 0.53 0.21 0.27 0.14 0.22 0.01 XXX
97803 A Med nutrition, indiv, subseq 0.45 0.18 0.25 0.11 0.20 0.01 XXX
97804 A Medical nutrition, group 0.25 0.07 0.10 0.07 0.10 0.01 XXX
97810 N Acupunct w/o stimul 15 min 0.60 0.33 0.34 0.20 0.21 0.03 XXX
97811 N Acupunct w/o stimul addl 15m 0.50 0.21 0.22 0.17 0.17 0.03 ZZZ
97813 N Acupunct w/stimul 15 min 0.65 0.35 0.36 0.22 0.23 0.03 XXX
97814 N Acupunct w/stimul addl 15m 0.55 0.25 0.26 0.18 0.19 0.03 ZZZ
98925 A Osteopathic manipulation 0.45 0.29 0.30 0.13 0.13 0.02 000
98926 A Osteopathic manipulation 0.65 0.37 0.38 0.18 0.20 0.03 000
98927 A Osteopathic manipulation 0.87 0.46 0.47 0.23 0.25 0.03 000
98928 A Osteopathic manipulation 1.03 0.52 0.54 0.28 0.29 0.04 000
98929 A Osteopathic manipulation 1.19 0.59 0.61 0.33 0.34 0.05 000
98940 A Chiropractic manipulation 0.45 0.21 0.22 0.13 0.12 0.01 000
98941 A Chiropractic manipulation 0.65 0.28 0.28 0.18 0.18 0.01 000
98942 A Chiropractic manipulation 0.87 0.34 0.34 0.24 0.24 0.02 000
98943 N Chiropractic manipulation 0.40 0.22 0.23 0.13 0.14 0.01 XXX
98960 B Self-mgmt educ & train, 1 pt 0.00 0.65 0.65 NA NA 0.01 XXX
98961 B Self-mgmt educ/train, 2-4 pt 0.00 0.31 0.31 NA NA 0.01 XXX
98962 B Self-mgmt educ/train, 5-8 pt 0.00 0.23 0.23 NA NA 0.01 XXX
98966 N Hc pro phone call 5-10 min 0.25 0.12 0.12 0.08 0.08 0.01 XXX
98967 N Hc pro phone call 11-20 min 0.50 0.20 0.20 0.17 0.17 0.02 XXX
98968 N Hc pro phone call 21-30 min 0.75 0.28 0.28 0.25 0.25 0.03 XXX
98969 N Online service by hc pro 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99000 B Specimen handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99001 B Specimen handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99002 B Device handling 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99024 B Postop follow-up visit 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99026 N In-hospital on call service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99027 N Out-of-hosp on call service 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99050 B Medical services after hrs 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99051 B Med serv, eve/wkend/holiday 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99053 B Med serv 10pm-8am, 24 hr fac 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99056 B Med service out of office 0.00 0.00 0.00 0.00 0.00 0.00 XXX
99058 B Office emergency care 0.00 0.00 0.00 0.00 0.00 0.00 XXX