Ingenix 2010 Relative Values for Physicians Data Files
Ingenix 2010 Relative Values for Physicians Data Files
Ingenix 2010 Relative Values for Physicians Data Files
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<strong>Ingenix</strong> <strong>2010</strong> <strong>Relative</strong> <strong>Values</strong> <strong>for</strong> <strong>Physicians</strong> <strong>Data</strong> <strong>Files</strong><strong>Files</strong><strong>Ingenix</strong> <strong>2010</strong> <strong>Relative</strong> <strong>Values</strong> <strong>for</strong> <strong>Physicians</strong> <strong>Data</strong> <strong>Files</strong> provide tab delimited and fixed <strong>for</strong>mat data files of CPT andHCPCS codes, descriptions, and data from <strong>Relative</strong> Value Studies, Inc. All revisions are effective January 1, <strong>2010</strong>.RVP10T.TXT:RVP10F.TXT:CPT & HCPCS Codes and Descriptions with <strong>Relative</strong> Value Study data; tab-delimitedCPT & HCPCS Codes and Descriptions with <strong>Relative</strong> Value Study data; fixed <strong>for</strong>matRecord Layout: RVP10T.TXT, RVP10F.TXTField Position Length DescriptionCode 1-5 5 CPT 1 , HCPCS or <strong>Relative</strong> Value Studies, Inc. codeModifier 6-7 2 Code modifierCode Type 8 1 Indicates code type:Blank = Total Value00 = RVSI specific modifier26 = Professional ComponentTC = Technical Component53 = Discontinued surgical or diagnostic procedureA = AMA CPT code or HCPCS codeM = Deleted code not found in current CPT or HCPCSR = Code developed by RVSI that refers to an unlisted CPT procedureNote: R codes are not CPT codes; DO NOT place on any claim <strong>for</strong>msRefer Code 9-27 19 Referral to active CPT or HCPCS code <strong>for</strong> marked codes that have beendeleted++ = Indicates that there are more than one referral code and you should referto the book.Update Stamp 28-30 3 Indicates when the last update or change to the code occurred. Update stampsare removed after three years.100 = <strong>2010</strong> update091 = midyear 2009 update090 = 2009 update081 = midyear 2008 update080 = 2008 update1 CPT Only © 2009 American Medical Association. All Rights Reserved.05/10/10 *CPT is a registered trademark of the American Medical AssociationTechnical Support 800-765-6797
Field Position Length DescriptionCurrent UpdateIndicator31 1 Current Update Indicator: indicates the last type of update or change made tothe code at the Update Stamp time:A = Added codeB = Both value and description changeC = AMA description changeD = AMA deleted codeV = Value ChangePreviousUpdateIndicator<strong>Relative</strong> ValueUnit32 1 Previous Update Indicator:33-37 5 <strong>Relative</strong> Value UnitA = Added CodeB = Both value and description changeC = AMA (or HCPCS) description changeD = AMA (or HCPCS) Deleted CodeV = Value changeValue Flag 38-41 4 Describes the <strong>Relative</strong> Value Unit:BR = By ReportH = Per hourI = Interim valueINR = Interim no reductionINRS =Interim no reduction to significant direct costISDC = Interim significant direct costM = Per minuteNA = Not ApplicableNR = No reductionNRS = no reduction to significant direct cost;RNE = <strong>Relative</strong> Value not established (no value)SDC = significant direct cost;T = Per testX = <strong>Relative</strong> Value unit contains an established valueNote: Codes marked ISDC and SDC in the value flag column are indicated withan S in the type column of the book.AnesthesiaBase Unit42-43 2 Anesthesia Base UnitFUD 44-46 3 Follow up Days000 = 0 days010 = 10 days090 = 90 daysMMM = Uncomplicated Maternity Care, includes antepartum, delivery, andpostpartum care. The usual global surgery concept does not apply.XXX = Global Surgery concept does not applyYYY = Global period is to be set by local carrierZZZ = Code is an add-on service and treated in the global period of anotherprocedure.1=Add on code; 47 1 Add on code as designated by the CPT book*CPT is a registered trademark of the American Medical Association.
Field Position Length Description1=Modifier 51exempt;1=Modifier 63exempt;1=Conscioussedation1=ResequencedCode48 1 Modifier 51 exempt codes as designated by <strong>Ingenix</strong> based on CPT guidelines.49 1 Modifier 63 exempt codes as designated by the CPT book50 1 Conscious (moderate) sedation codes as designated by the CPT book.51 1 An AMA/CPT resequenced code. These codes fall into numeric order in<strong>Relative</strong> <strong>Values</strong> <strong>for</strong> <strong>Physicians</strong> but by description belong in a different section ofthe CPT book. Check descriptions carefully when using a new code or a code ina hierarchy.SDC Low 52-58 7 Minimum direct cost <strong>for</strong> codes that have been designated as having significantdirect cost.SDC High 59-66 8 Maximum direct cost <strong>for</strong> codes that have been designated as having significantdirect cost.Description 67-448 382 CPT Short description or RVSI description*CPT is a registered trademark of the American Medical Association.