Ingenix 2010 Relative Values for Physicians Data Files

Ingenix 2010 Relative Values for Physicians Data FilesFilesIngenix 2010 Relative Values for Physicians Data Files provide tab delimited and fixed format data files of CPT andHCPCS codes, descriptions, and data from Relative Value Studies, Inc. All revisions are effective January 1, 2010.RVP10T.TXT:RVP10F.TXT:CPT & HCPCS Codes and Descriptions with Relative Value Study data; tab-delimitedCPT & HCPCS Codes and Descriptions with Relative Value Study data; fixed formatRecord Layout: RVP10T.TXT, RVP10F.TXTField Position Length DescriptionCode 1-5 5 CPT 1 , HCPCS or Relative 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 formsRefer Code 9-27 19 Referral to active CPT or HCPCS code for 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 = 2010 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 ChangePreviousUpdateIndicatorRelative ValueUnit32 1 Previous Update Indicator:33-37 5 Relative 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 Relative 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 = Relative Value not established (no value)SDC = significant direct cost;T = Per testX = Relative 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 Ingenix 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 inRelative Values for Physicians 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 for codes that have been designated as having significantdirect cost.SDC High 59-66 8 Maximum direct cost for 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.