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CMS-1403-FC
In addition, we believe that although the surveyed
25 th percentile of 1.18 work RVUs was chosen for valuation
of CPT code 93283, the increment of 0.33 work RVUs between
CPT codes 93282 and 93283 is excessive. Therefore, we
believe that the appropriate value for CPT code 93283 is
1.05 work RVUs, slightly below the 25th percentile. We
believe that an appropriate comparison CPT code for 93283
is CPT code 93890 (Transcranial Doppler study of the
intracranial arteries; vasoreactivity study) which has a
work RVU of 1.00. CPT code 93286 (0.30 work RVUs)
describes periprocedural programming of a pacemaker. CPT
code 93287 (0.45 work RVUs) describes periprocedural
programming of an ICD. These codes have recommended work
RVU differences of 0.15 work RVUs and 0.30 work RVUs
between the pacemakers and ICDs for a single service and
for services pre- and postsurgery, respectively. CPT code
93288 (0.43 work RVUs) describes in person interrogation of
pacemakers. CPT Code 93289 (0.92 work RVUs, which was
developed by means of a crosswalk to a 99213 office visit)
describes in person interrogation of an ICD, a work RVU
difference of 0.49 RVUs between the pacemakers and ICDs.
As noted above, the work RVU difference between
programming pacemakers and ICDs varies from 0.20 to 0.35.
Therefore, we believe that the appropriate value for CPT
917