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CMS-1403-FC
clinical labor portions of the direct PE RVUs to allocate
the indirect PE for that service.
c. Facility/Nonfacility Costs
Procedures that can be furnished in a physician’s
office as well as in a hospital or facility setting have two
PE RVUs: facility and nonfacility. The nonfacility setting
includes physicians’ offices, patients’ homes, freestanding
imaging centers, and independent pathology labs. Facility
settings include hospitals, ambulatory surgical centers
(ASCs), and skilled nursing facilities (SNFs). The
methodology for calculating PE RVUs is the same for both
facility and nonfacility RVUs, but is applied independently
to yield two separate PE RVUs. Because the PEs for services
provided in a facility setting are generally included in the
payment to the facility (rather than the payment to the
physician under the PFS), the PE RVUs are generally lower
for services provided in the facility setting.
d. Services with Technical Components (TCs) and
Professional Components (PCs)
Diagnostic services are generally comprised of two
components: a professional component (PC) and a technical
component (TC), both of which may be performed independently
or by different providers. When services have TCs, PCs, and
global components that can be billed separately, the payment
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