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<strong>CMS</strong>-1403-FC<br />

AMA<br />

RUC<br />

Rec<br />

Site of<br />

Service<br />

Screen<br />

High<br />

IWPUT<br />

Screen<br />

Shift<br />

from<br />

PE to<br />

Work<br />

Other<br />

<strong>CMS</strong><br />

Request<br />

CPT<br />

<strong>CMS</strong> 2009<br />

New<br />

Code Descriptor<br />

Decision WRVU<br />

Tech<br />

49507 Prp i/hern init block >5 yr 9.97 Agree 9.97 X<br />

49521 Rerepair ing hernia, blocked 12.36 Agree 12.36 X<br />

49587 Rpr umbil hern, block > 5 yr 7.96 Agree 7.96 X<br />

50605 Insert ureteral support CPT Agree 16.66 X<br />

51102 Drain bl w/cath insertion 2.70 Agree 2.70 X<br />

51726 Complex cystometrogram CPT Agree 1.71 X<br />

51772 Urethra pressure profile CPT Agree 1.61 X X<br />

51795 Urine voiding pressure study CPT Agree 1.53 X<br />

51797 Intraabdominal pressure test CPT Agree 0.80 X<br />

52341 Cysto w/ureter stricture tx 5.35 Agree 5.35 X<br />

52342 Cysto w/up stricture tx 5.85 Agree 5.85 X<br />

52343 Cysto w/renal stricture tx 6.55 Agree 6.55 X<br />

52344 Cysto/uretero, stricture tx 7.05 Agree 7.05 X<br />

52345 Cysto/uretero w/up stricture 7.55 Agree 7.55 X<br />

52346 Cystouretero w/renal strict 8.58 Agree 8.58 X<br />

52400 Cystouretero w/congen repr 8.66 Agree 8.66 X<br />

52500 Revision of bladder neck 7.99 Agree 7.99 X<br />

52640 Relieve bladder contracture 4.73 Agree 4.73 X<br />

53445 Insert uro/ves nck sphincter 15.21 Agree 15.21 X<br />

54405 Insert multi-comp penis pros 14.39 Agree 14.39 X<br />

54410 Remove/replace penis prosth 15.00 Agree 15.00 X<br />

54530 Removal of testis 8.35 Agree 8.35 X<br />

55866 Lapro radical prostetectomy CPT Agree 32.25 X X<br />

56620 Partial removal of vulva 7.35 Agree 7.35 X<br />

57155 Insert uteri tandems/ovoids CPT Agree 6.79 X<br />

57287 Revise/remove sling repair 10.97 Agree 10.97 X<br />

57288 Repair bladder defect 12.00 Agree 12.00 X<br />

60220 Partial removal of thyroid 12.29 Agree 12.29 X<br />

60225 Partial removal of thyroid 14.67 Agree 14.67 X<br />

High<br />

Volume<br />

890

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