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CMS-1403-FC descriptors. We believe the following codes represent these services more appropriately: ● G0412, Open treatment of iliac spine(s), tuberosity avulsion, or iliac wing fractures(s), unilateral or bilateral for pelvic bone fracture patterns which do not disrupt the pelvic ring includes internal fixation, when performed. ● G0413, Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, (includes ilium, sacroiliac joint and/or sacrum). ● G0414, Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation when performed (includes pubic symphysis and/or superior/inferior rami). ● G0415, Open treatment of posterior pelvic bone fracture and/or dislocation, for fracture patterns which disrupt the pelvic ring, unilateral or bilateral, includes internal fixation, when performed (includes ilium, sacroiliac joint and/or sacrum). We have decided to assign the same work RVU values for the G codes as for the corresponding CPT codes: 10.45 work 910
CMS-1403-FC RVUs for G0412; 15.73 work RVUs for G0413; 14.65 work RVUs for G0414; and 20.93 work RVUs for G0415. For CY 2009, we will not recognize CPT codes 27215, 27216, 27217, and 27218 as covered services under the PFS and have assigned a status indicator of “I” (Not valid for Medicare purposes, Medicare recognizes another code). 2. Stereotactic Radiosurgery Codes The CPT Editorial Panel made a significant revision to the stereotactic radiosurgery codes for cranial and spinal stereotactic radiosurgery (SRS) codes, for which the AMA RUC provided recommended work and PE valuations. For CY 2009, the CPT Editorial Panel deleted CPT code 61793, Stereotactic radiosurgery (particle beam, gamma ray, or linear accelerator), one or more sessions, and created seven new codes for cranial and spinal lesions to replace CPT code 61793. We believe that the deleted CPT code 61793 accurately describes a complete course of stereotactic radiosurgery, inclusive of all lesions and anatomic sites. Delivery of radiation as a therapeutic modality consists of many components, including planning, physics, dosimetry, simulation, treatment delivery, and management. Regardless of the clinical background or training received by the clinician, we believe the work involved in providing radiation therapy services or radiosurgery radiation 911
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<strong>CMS</strong>-1403-FC<br />
RVUs for G0412; 15.73 work RVUs for G0413; 14.65 work RVUs<br />
for G0414; and 20.93 work RVUs for G0415. For CY 2009, we<br />
will not recognize CPT codes 27215, 27216, 27217, and 27218<br />
as covered services under the PFS and have assigned a<br />
status indicator of “I” (Not valid for Medicare purposes,<br />
Medicare recognizes another code).<br />
2. Stereotactic Radiosurgery Codes<br />
The CPT Editorial Panel made a significant revision to<br />
the stereotactic radiosurgery codes for cranial and spinal<br />
stereotactic radiosurgery (SRS) codes, for which the AMA<br />
RUC provided recommended work and PE valuations. For CY<br />
2009, the CPT Editorial Panel deleted CPT code 61793,<br />
Stereotactic radiosurgery (particle beam, gamma ray, or<br />
linear accelerator), one or more sessions, and created<br />
seven new codes for cranial and spinal lesions to replace<br />
CPT code 61793. We believe that the deleted CPT code 61793<br />
accurately describes a complete course of stereotactic<br />
radiosurgery, inclusive of all lesions and anatomic sites.<br />
Delivery of radiation as a therapeutic modality<br />
consists of many components, including planning, physics,<br />
dosimetry, simulation, treatment delivery, and management.<br />
Regardless of the clinical background or training received<br />
by the clinician, we believe the work involved in providing<br />
radiation therapy services or radiosurgery radiation<br />
911