Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, and Other Part B Payment Policies for CY 2008; Revisions to the Payment Policies of Ambulance Services Under the Ambulance Fee Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption for Computer-Generated Facsimile Transmissions; Corrections, 2568-2710 [07-6308]
Download as PDF
2568
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
Department of Health and Human
Services
comment period. Accordingly, the
corrections are effective January 1, 2008.
Centers for Medicare & Medicaid
Services
II. Summary of Errors
A. Errors in the Preamble
42 CFR Parts 409, 410, 411, 413, 414,
415, 418, 423, 424, 482, 484, and 485
[CMS–1385–CN2]
RIN 0938–A065
Medicare Program; Revisions to
Payment Policies Under the Physician
Fee Schedule, and Other Part B
Payment Policies for CY 2008;
Revisions to the Payment Policies of
Ambulance Services Under the
Ambulance Fee Schedule for CY 2008;
and the Amendment of the EPrescribing Exemption for ComputerGenerated Facsimile Transmissions;
Corrections
Centers for Medicare &
Medicaid Services (CMS), HHS.
ACTION: Correction Notice of Final Rule
with Comment Period.
AGENCY:
sroberts on PROD1PC70 with RULES
SUMMARY: This correction notice
corrects several technical and
typographical errors in the final rule
with comment period that appeared in
the November 27, 2007 Federal Register
(72 FR 66222). The final rule with
comment period addressed Medicare
Part B payment policy, including the
physician fee schedule (PFS) that is
applicable for calendar year (CY) 2008;
the competitive acquisition program
(CAP); clinical lab fee schedule issues;
performance standards for diagnostic
testing facilities; conforming and
clarifying changes for comprehensive
outpatient rehabilitation facilities
(CORFs); physician self-referral issues;
and standards and requirements related
to therapy services under Medicare
Parts A and B. The final rule with
comment period also updated the list of
services subject to the physician selfreferral prohibitions.
EFFECTIVE DATE: This correction notice is
effective January 1, 2008.
FOR FURTHER INFORMATION CONTACT:
Diane Milstead, (410) 786–3355.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 07–5506 of November 27,
2007 (72 FR 66222) (hereinafter referred
to as the CY 2008 PFS final rule with
comment period), there were a number
of technical and typographical errors
that are identified and corrected in the
Correction of Errors section of this
notice. The provisions of this notice are
effective as if they had been included in
the CY 2008 PFS final rule with
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
On page 66276, the third column, the
third paragraph, lines are 10 through 13,
the sentence ‘‘It is not unusual for us to
provide for discretionary reopening or
reconsideration of final agency action’’
is deleted because the sentence was
inadvertently repeated.
On page 66392, Table 40, Impact of
Final Rule with Comment Period and
Estimated Physician Update on 2008
Payment for Selected Procedures, the
columns for 2008 payment amount and
the percent change for both facility and
non-facility are corrected due to a
methodological error.
B. Errors in the Addenda
On pages 66410 through 66543,
Addendum B, Relative Value Units and
Related Information Used in
Determining Medicare Payments for
2008, incorrect PE RVUs were listed for
many CPT codes due to a
methodological error. Therefore, for the
convenience of health care providers
and the public, we are republishing
Addendum B in its entirety. In addition,
the work RVUs are corrected for CPT
code 67113 and the status indicator,
work RVUs, and malpractice RVUs are
corrected for CPT code 93503 in this
revised addendum.
On pages 66543 through 66545,
Addendum C, Codes with Interim
RVUs, incorrect PE RVUs were listed for
many CPT codes due to a
methodological error. Therefore, for the
convenience of health care providers
and the public, we are republishing
Addendum C in its entirety.
On pages 66545 through 66546,
Addendum D, 2008 Geographic
Adjustment Factors (GAFs), we
identified errors in the data used to
calculate the GAFs, and therefore, we
are republishing Addendum D in its
entirety.
On pages 66546 through 66547,
Addendum E, 2008 * * * Geographic
Practice Cost Indices by State and
Medicare Locality, we identified errors
in the data used to calculate the
Geographic Practice Cost Indices
(GPCIs), and therefore, we are
republishing Addendum E in its
entirety.
On pages 66575 through 66578,
Addendum I, List of CPT 1/HCPCS
Codes Used to Describe Certain
Designated Health Service Categories 2
Under Section 1877 of the Social
Security Act, Correction to Addendum I,
we incorrectly included CPT code
PO 00000
Frm 00002
Fmt 4701
Sfmt 4700
0147T and its short descriptor within
the short descriptor for CPT code 0146T,
and CPT code 71015 and its short
descriptor within the short descriptor
for CPT code 71010. Therefore, we are
republishing the entries for CPT 0146T,
0147T, 71010, and 71015 on separate
lines. We are removing CPT codes
75558, 75560, 75562, and 75564 because
these codes are considered non-covered
services and were incorrectly included
on the Code List. We are removing
HCPCS code C2637 because it is paid
for as part of an ASC service and should
not have been included on the Code
List. (We note that when provided in an
inpatient or outpatient hospital setting,
this source is considered to be a
Designated Health Service.) In addition,
the short descriptor for the HCPCS code
G0103 was incorrect, and therefore, we
are revising. Also, we omitted CPT code
76801 and we are adding it to
Addendum I.
III. Correction of Errors
A. Corrections to the Preamble
1. On page 66226, 3rd column, 4th
paragraph, lines 5 through 7, the phrase
‘‘we are applying a separate budget
neutrality (BN) adjustor’’ is corrected to
read ‘‘we applied a separate budget
neutrality (BN) adjustor’’.
2. On page 66227, at the top of the 1st
column, the formula ‘‘Payment = [(RVU
work × budget neutrality adjustor ×
work GPCI) + (RVU PE × PE GPCI) +
(MP RVU × MP GPCI)] × CF’’ is
corrected to read ‘‘Payment = [(RVU
work × budget neutrality adjustor
(round product to two decimal places)
× GPCI work) + (RVU PE × GPCI PE) +
(RVU malpractice × GPCI malpractice)]
× CF’’.
3. On page 66241, in Table 4, Practice
Expense Supply Item Additions for CY
2008, the 8th row, with the supply
description ‘‘fee, image analysis’’ is
corrected by deleting this row.
4. On page 66242, in Table 5, Practice
Expense Equipment Item Additions for
CY 2008,
a. In the 2nd row, in the 5th column,
CPT codes ‘‘7557’’ and ‘‘7558’’ are
corrected to read ‘‘75557’’ and ‘‘75558’’.
b. In the 5th row, the equipment
description ‘‘Camera, ocular
photoscreening, w-laptop and software’’
is corrected by deleting this row.
5. On page 66253, in the 2nd column,
following the 2nd full paragraph, 2nd
bullet, line 1, the term ‘‘angioscopy’’ is
corrected to read ‘‘angiography’’.
6. On page 66254,
a. First column, after the 1st full
paragraph, the title of item 2, lines 3 and
4, the phrase ‘‘(CPT codes 17311
Through 17315)’’ is corrected to read
‘‘(CPT codes 17311 and 17313)’’.
E:\FR\FM\15JAR2.SGM
15JAR2
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
b. Second column, the 2nd full
paragraph,
(1) Line 6, the phrase ‘‘17311 through
17315’’ is corrected to read ‘‘17311 and
17313’’.
(2) Line 11, following the phrase
‘‘created in 2007.’’ insert the sentence
‘‘(Note: CPT codes 17312, 17314, and
17315 are not subject to the multiple
surgery payment reduction because they
are add-on codes.)’’
7. On page 66262, 3rd column, 3rd
full paragraph, lines 32 through 35, the
Web site reference to ‘‘https://
www.cmsm.hhs.gov/Competitive
AcquisforBios/15____Approved
____Vendor.asp#TopOfPage’’ is
corrected to read ‘‘https://www.cms.hhs
.gov/CompetitiveAcquisforBios/
15____Approved
____Vendor.asp#TopOfPage.’’
8. On page 66263, 1st column, 1st
partial paragraph, lines 20 and 21, the
Web site reference to ‘‘https://
www.cms.hhs.gov/manuals/downloads/
pim83co2pdf’’ is corrected to read
‘‘https://www.cms.hhs.gov/Manuals/01
_Overview.asp.’’
9. On page 66268, 1st column, the last
paragraph, line 1, the phrase ‘‘section
1847B((b)(4)(E)’’ is corrected to read
‘‘section 1847B(b)(4)(E)’’.
10. On page 66270, 2nd column, 1st
full paragraph, line 1, the phrase
‘‘commercially-available’’ is corrected to
read ‘‘commercially available’’.
11. On page 66273, 3rd column, 1st
full paragraph, lines 14 and 15, the Web
site reference to ‘‘https://www.grants.nih.
gov/grants/guide/rfa-files/FRA-HS-06001.html’’ is corrected to read ‘‘https://
www.grants.nih.gov/grants/guide/rfafiles/RFA-HS-06-001.html.’’
12. On page 66276, 3rd column, 3rd
full paragraph, lines 10 through 13, the
sentence ‘‘It is not unusual for us to
provide for discretionary reopening or
reconsideration of final agency action’’
is corrected by deleting the sentence.
13. On page 66285, 3rd column, 1st
partial paragraph, line 3, the term
‘‘Administrator’’ is corrected to
‘‘Administrative’’.
14. On page 66287, 1st column, 5th
full paragraph, line 6, the phrase ‘‘by
noting that term’’ is corrected to read
‘‘by noting that the term’’.
15. On page 66291, 1st column, 2nd
paragraph, line 14, the phrase
‘‘procedure to another Medicareenrolled’’ is corrected to read
‘‘procedure from another Medicareenrolled’’.
16. On page 66292, 3rd column, 2nd
paragraph,
a. Line 6, the phrase ‘‘a fixed-base
IDTF does not–’’ is corrected to read ‘‘a
fixed-base IDTF is prohibited from—’’.
b. Line 7 (1st bullet), the term ‘‘Share’’
is corrected to read ‘‘Sharing.’’
c. Line 10 (2nd bullet), the phrase
‘‘Lease or sublease’’ is corrected to read
‘‘Leasing or subleasing.’’
d. Line 14 (3rd bullet), the term
‘‘Share’’ is corrected to read ‘‘Sharing.’’
17. On page 66301, 3rd column, 1st
partial paragraph, lines 3 and 4, the
phrase ‘‘and should not be referring’’ is
corrected to read ‘‘and should not be
understood to refer’’.
18. In Table 16, ‘‘AMA RUC and
HCPAC Recommendations and CMS’
Decisions for New and Revised 2008
CPT Codes’’, in the second column
labeled ‘‘Mod’’, the ‘‘26’’ following CPT
code 93503 is removed.
19. On page 66372, 3rd column, 1st
partial paragraph, line 1, the reference
to ‘‘Addendum x’’ is corrected to read
‘‘Addendum I.’’
20. On pages 66372 and 66373, Table
19, Additions to the Physician SelfReferral List of CPT/HCPCS Codes, the
table is corrected by—
a. Deleting the following entries:
(1) Under the heading ‘‘Radiology and
Certain Other Imaging Services’’,
Radiology and Certain Other Imaging
Services
75558
75560
75562
75564
..........
..........
..........
..........
Cardiac mri flow/velocity.
Cardiac mri flow/vel/stress.
Card mri flow/vel w/dye.
Ht mri w/flow/vel/strs & dye.
(2). Under the heading ‘‘Radiation
Therapy Services and Supplies’’,
Radiation Therapy Services and Supplies
C2637 ..........
Brachytx, Ytterbium-169
b. Correcting the following entries:
C1716
C1717
C1719
C2616
C2634
C2635
C2636
C2640
C2641
..........
..........
..........
..........
..........
..........
..........
..........
..........
2569
Brachytx, non-str, Gold-198.
Brachytx, non-str, HDR Ir-192.
Brachytx, NS, Non-HDRIr-192.
Brachytx, non-str, Yttrium-90.
Brachytx, non-str, HA, I-125.
Brachytx, non-str, HA, P-103.
Brachy linear, non-str, P-103.
Brachytx, stranded, P-103.
Brachytx, non-stranded, P103.
21. On page 66383, Table 35,
Calculation for the 2008 Anesthesia
Conversion Factor,
a. Third row (2007 Combined
Adjustment for PE and BN), 2nd
column, the figure ‘‘0.9089’’ is corrected
to read ‘‘0.911’’.
b. Fourth row (CY 2007 Pre-TRHCA
Anesthesia Conversion Factor), 2nd
column, the figure ‘‘$15.3328’’ is
corrected to read ‘‘$15.3682’’.
c. Seventh row (CY 2008 Anesthesia
CF after MEI and 2008 Adjustment
Factor), 2nd column, the figure
‘‘$14.5162’’ is corrected to read
‘‘$14.5497’’.
d. Eighth row (2008 Combined
Adjustment for PE and BN), 2nd
column, the figure ‘‘1.1250’’ is corrected
to read ‘‘1.2277’’.
e. Ninth row (CY 2008 Anesthesia
Conversion Factor), 2nd column, the
figure ‘‘16.3307’’ is corrected to read
‘‘$17.8627’’.
22. On page 66391, Table 39,
Combined CY 2008 Total Allowed
Charge Impact for the Remaining 5-Year
Review of Work RVUs and Practice
Expense Changes, OPPS Imagining Cap,
and the CY 2008 Update, the 1st
footnote ‘‘*PE changes are CY 2008
second year transition changes. For fully
implemented CY 2010 PE changes see
Table 1.’’ is corrected to read ‘‘*PE
changes are CY 2008 second year
transition changes. For fully
implemented CY 2010 PE changes see
Table 38.’’
23. On page 66392, Table 40, Impact
of Final Rule with Comment Period and
Estimated Physician Update on 2008
Payment for Selected Procedures, the
columns for 2008 payment amount and
the percent change are corrected to read
as follows:
TABLE 40.—IMPACT OF FINAL RULE WITH COMMENT PERIOD AND PHYSICIAN UPDATE ON 2008 PAYMENT FOR SELECTED
PROCEDURES
Facility
CPT/HCPCS
MOD
Description
sroberts on PROD1PC70 with RULES
2007
11721
17000
27130
27244
..........
..........
..........
..........
VerDate Aug<31>2005
............
............
............
............
Debride nail, 6 or more ..................................
Destruct premalg lesion .................................
Total hip arthroplasty .....................................
Treat thigh fracture .........................................
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2008
$28.80
44.72
1,360.52
1,100.92
Non-facility
Percent
change
$24.53
41.56
1,195.11
963.45
Sfmt 4700
E:\FR\FM\15JAR2.SGM
¥15
¥7
¥12
¥12
15JAR2
2007
2008
$39.03
63.29
na
na
$35.43
60.30
na
na
Percent
change
¥9
¥5
na
na
2570
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
TABLE 40.—IMPACT OF FINAL RULE WITH COMMENT PERIOD AND PHYSICIAN UPDATE ON 2008 PAYMENT FOR SELECTED
PROCEDURES—Continued
Facility
CPT/HCPCS
MOD
Description
2007
sroberts on PROD1PC70 with RULES
27447
33533
35301
43239
66821
66984
67210
71010
71010
77056
77056
77057
77057
77427
78465
88305
90801
90862
90935
92012
92014
92980
93000
93010
93015
93307
93510
98941
99203
99213
99214
99222
99223
99231
99232
99233
99236
99239
99243
99244
99253
99254
99283
99284
99291
99292
99348
99350
G0008
G0317
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
..........
............
............
............
............
............
............
............
............
26
............
26
............
26
............
26
26
............
............
............
............
............
............
............
............
............
26
26
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Total knee arthroplasty ..................................
CABG, arterial, single ....................................
Rechanneling of artery ...................................
Upper GI endoscopy, biopsy .........................
After cataract laser surgery ............................
Cataract surg w/iol, 1 stage ...........................
Treatment of retinal lesion .............................
Chest x-ray .....................................................
Chest x-ray .....................................................
Mammogram, both breasts ............................
Mammogram, both breasts ............................
Mammogram, screening ................................
Mammogram, screening ................................
Radiation tx management, x5 ........................
Heart image (3d), multiple .............................
Tissue exam by pathologist ...........................
Psy dx interview .............................................
Medication management ................................
Hemodialysis, one evaluation ........................
Eye exam established pat ..............................
Eye exam & treatment ...................................
Insert intracoronary stent ...............................
Electrocardiogram, complete .........................
Electrocardiogram report ................................
Cardiovascular stress test ..............................
Echo exam of heart ........................................
Left heart catheterization ...............................
Chiropractic manipulation ...............................
Office/outpatient visit, new .............................
Office/outpatient visit, est ...............................
Office/outpatient visit, est ...............................
Initial hospital care .........................................
Initial hospital care .........................................
Subsequent hospital care ..............................
Subsequent hospital care ..............................
Subsequent hospital care ..............................
Observ/hosp same date .................................
Hospital discharge day ...................................
Office consultation ..........................................
Office consultation ..........................................
Inpatient consultation .....................................
Inpatient consultation .....................................
Emergency dept visit ......................................
Emergency dept visit ......................................
Critical care, first hour ....................................
Critical care, add’l 30 min ..............................
Home visit, est patient ...................................
Home visit, est patient ...................................
Admin influenza virus vac ..............................
ESRD related svs 4+mo 20+yrs ....................
23. On page 66393,
a. First column, after the 2nd full
paragraph, the following paragraph is
inserted as a result of corrections to
Addendum D noted below in this
notice. The insertion reads as follows:
‘‘In 2008, the counties with the three
highest GAFs were in California. Thirtyone payment localities had increases in
the GAF of less than one percent.
Thirty-eight payment localities had
decreases of less than 1 percent. Fifteen
payment localities had decreases of over
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
2008
1,464.74
1,908.52
1,071.74
155.00
253.53
641.98
556.34
na
8.72
na
41.31
na
33.35
176.22
73.14
37.90
129.99
44.72
67.46
34.11
55.71
795.85
24.63
8.34
104.22
46.99
242.92
28.80
67.08
42.07
66.32
119.00
173.57
35.62
63.67
90.95
205.40
94.74
93.23
145.91
108.77
156.52
60.64
110.28
208.82
104.60
na
na
na
283.09
Frm 00004
Fmt 4701
Percent
change
1,283.69
1,659.12
934.83
140.36
223.15
560.08
488.20
na
7.84
na
37.48
na
30.32
158.42
66.43
32.36
112.08
39.18
58.26
38.50
59.28
721.22
20.78
7.50
93.01
42.24
215.65
25.55
58.60
37.48
58.60
104.59
153.65
31.68
56.55
81.08
179.20
83.13
83.13
130.14
97.09
140.02
52.81
97.44
182.61
91.64
na
na
na
245.63
1 percent and eight payment localities
had increases of over 1 percent.’’
b. First column, the 3rd full paragraph
and 4th partial paragraph are deleted as
a result of corrections to Addendum D
noted below in this notice.
c. Second column, the 1st partial
paragraph is deleted as a result of
corrections to Addendum D noted
below in this notice.
PO 00000
Non-facility
Sfmt 4700
¥12
¥13
¥13
¥9
¥12
¥13
¥12
na
¥10
na
¥9
na
¥9
¥10
¥9
¥15
¥14
¥12
¥14
13
6
¥9
¥16
¥10
¥11
¥10
¥11
¥11
¥13
¥11
¥12
¥12
¥11
¥11
¥11
¥11
¥13
¥12
¥11
¥11
¥11
¥11
¥13
¥12
¥13
¥12
na
na
na
¥13
2007
2008
na
na
na
325.16
270.97
na
580.59
26.15
8.72
97.40
41.31
81.86
33.35
176.22
73.14
37.90
145.15
50.40
na
61.77
91.33
na
24.63
8.34
104.22
46.99
242.92
33.35
91.71
59.50
90.20
na
na
na
na
na
na
na
122.41
179.26
na
na
na
na
256.19
114.45
66.32
150.83
18.95
283.09
na
na
na
294.35
238.14
na
507.96
22.83
7.84
93.69
37.48
73.93
30.32
158.42
66.43
32.36
131.50
46.67
na
62.69
90.96
na
20.78
7.50
93.01
42.24
215.65
29.64
81.42
53.49
80.40
na
na
na
na
na
na
na
109.36
160.12
na
na
na
na
224.51
100.16
68.14
139.34
18.40
245.63
Percent
change
na
na
na
¥9
¥12
na
¥13
¥13
¥10
¥4
¥9
¥10
¥9
¥10
¥9
¥15
¥9
¥7
na
1
0
na
¥16
¥10
¥11
¥10
¥11
¥11
¥11
¥10
¥11
na
na
na
na
na
na
na
¥11
¥11
na
na
na
na
¥12
¥12
3
¥8
¥3
¥13
B. Corrections to the Addenda
The corrections to Addenda B, C, D,
E, F, and I will not appear in the Code
of Federal Regulations.
1. On pages 66410 through 66543,
Addendum B, Relative Value Units and
Related Information Used in
Determining Medicare Payments for
2008, the table is corrected to read as
follows:
E:\FR\FM\15JAR2.SGM
15JAR2
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Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
0016T
0017T
0019T
0026T
0027T
0028T
0029T
0030T
0031T
0032T
0041T
0042T
0043T
0046T
0047T
0048T
0049T
0050T
0051T
0052T
0053T
0058T
0059T
0060T
0061T
0062T
0063T
0064T
0066T
0066T
0066T
0067T
0067T
0067T
0068T
0069T
0070T
0071T
0072T
0073T
0075T
0075T
0075T
0076T
0076T
0076T
0077T
0078T
0079T
0080T
0081T
0084T
0085T
0086T
0087T
0088T
0089T
0090T
0092T
0093T
0095T
0096T
0098T
0099T
0100T
0101T
0102T
0103T
0104T
0105T
0106T
0107T
0108T
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
N
N
N
C
C
C
C
C
C
C
C
A
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
C
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Thermotx choroid vasc lesion .............
Photocoagulat macular drusen ...........
Extracorp shock wv tx,ms nos ............
Measure remnant lipoproteins ............
Endoscopic epidural lysis ...................
Dexa body composition study .............
Magnetic tx for incontinence ...............
Antiprothrombin antibody ....................
Speculoscopy ......................................
Speculoscopy w/direct sample ...........
Detect ur infect agnt w/cpas ...............
Ct perfusion w/contrast, cbf ................
Co expired gas analysis .....................
Cath lavage, mammary duct(s) ..........
Cath lavage, mammary duct(s) ..........
Implant ventricular device ...................
External circulation assist ...................
Removal circulation assist ..................
Implant total heart system ..................
Replace component heart syst ...........
Replace component heart syst ...........
Cryopreservation, ovary tiss ...............
Cryopreservation, oocyte ....................
Electrical impedance scan ..................
Destruction of tumor, breast ...............
Rep intradisc annulus;1 lev ................
Rep intradisc annulus;>1lev ................
Spectroscop eval expired gas ............
Ct colonography;screen ......................
Ct colonography;screen ......................
Ct colonography;screen ......................
Ct colonography;dx .............................
Ct colonography;dx .............................
Ct colonography;dx .............................
Interp/rept heart sound .......................
Analysis only heart sound ...................
Interp only heart sound .......................
U/s leiomyomata ablate <200 .............
U/s leiomyomata ablate >200 .............
Delivery, comp imrt .............................
Perq stent/chest vert art .....................
Perq stent/chest vert art .....................
Perq stent/chest vert art .....................
S&i stent/chest vert art .......................
S&i stent/chest vert art .......................
S&i stent/chest vert art .......................
Cereb therm perfusion probe ..............
Endovasc aort repr w/device ..............
Endovasc visc extnsn repr ..................
Endovasc aort repr rad s&i .................
Endovasc visc extnsn s&i ...................
Temp prostate urethral stent ..............
Breath test heart reject .......................
L ventricle fill pressure ........................
Sperm eval hyaluronan .......................
Rf tongue base vol reduxn .................
Actigraphy testing, 3-day ....................
Cervical artific disc ..............................
Artific disc addl ....................................
Cervical artific diskectomy ..................
Artific diskectomy addl ........................
Rev cervical artific disc .......................
Rev artific disc addl ............................
Implant corneal ring ............................
Prosth retina receive&gen ..................
Extracorp shockwv tx,hi enrg ..............
Extracorp shockwv tx,anesth ..............
Holotranscobalamin ............................
At rest cardio gas rebreathe ...............
Exerc cardio gas rebreathe ................
Touch quant sensory test ...................
Vibrate quant sensory test ..................
Cool quant sensory test ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
13.17
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
15.60
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.13
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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2572
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
0109T
0110T
0111T
0123T
0124T
0126T
0130T
0137T
0140T
0141T
0142T
0143T
0144T
0144T
0144T
0145T
0145T
0145T
0146T
0146T
0146T
0147T
0147T
0147T
0148T
0148T
0148T
0149T
0149T
0149T
0150T
0150T
0150T
0151T
0151T
0151T
0155T
0156T
0157T
0158T
0159T
0159T
0159T
0160T
0161T
0162T
0163T
0164T
0165T
0166T
0167T
0168T
0169T
0170T
0171T
0172T
0173T
0174T
0175T
0176T
0177T
0178T
0179T
0180T
0181T
0182T
0183T
0184T
0185T
0186T
0187T
10021
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
I ..........
I ..........
I ..........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
A ........
Heat quant sensory test ......................
Nos quant sensory test .......................
Rbc membranes fatty acids ................
Scleral fistulization ..............................
Conjunctival drug placement ..............
Chd risk imt study ...............................
Chron care drug investigatn ...............
Prostate saturation sampling ..............
Exhaled breath condensate ph ...........
Perq islet transplant ............................
Open islet transplant ...........................
Laparoscopic islet transplnt ................
CT heart wo dye; qual calc .................
CT heart wo dye; qual calc .................
CT heart wo dye; qual calc .................
CT heart w/wo dye funct .....................
CT heart w/wo dye funct .....................
CT heart w/wo dye funct .....................
CCTA w/wo dye ..................................
CCTA w/wo dye ..................................
CCTA w/wo dye ..................................
CCTA w/wo, quan calcium .................
CCTA w/wo, quan calcium .................
CCTA w/wo, quan calcium .................
CCTA w/wo, strxr ................................
CCTA w/wo, strxr ................................
CCTA w/wo, strxr ................................
CCTA w/wo, strxr quan calc ...............
CCTA w/wo, strxr quan calc ...............
CCTA w/wo, strxr quan calc ...............
CCTA w/wo, disease strxr ..................
CCTA w/wo, disease strxr ..................
CCTA w/wo, disease strxr ..................
CT heart funct add-on .........................
CT heart funct add-on .........................
CT heart funct add-on .........................
Lap impl gast curve electrd ................
Lap remv gast curve electrd ...............
Open impl gast curve electrd ..............
Open remv gast curve electrd ............
Cad breast mri ....................................
Cad breast mri ....................................
Cad breast mri ....................................
Tcranial magn stim tx plan .................
Tcranial magn stim tx deliv .................
Anal program gast neurostim .............
Lumb artif diskectomy addl .................
Remove lumb artif disc addl ...............
Revise lumb artif disc addl .................
Tcath vsd close w/o bypass ...............
Tcath vsd close w bypass ..................
Rhinophototx light app bilat ................
Place stereo cath brain .......................
Anorectal fistula plug rpr .....................
Lumbar spine proces distract .............
Lumbar spine process addl ................
Iop monit io pressure ..........................
Cad cxr with interp ..............................
Cad cxr remote ...................................
Aqu canal dilat w/o retent ...................
Aqu canal dilat w retent ......................
64 lead ecg w i&r ................................
64 lead ecg w tracing .........................
64 lead ecg w i&r only ........................
Corneal hysteresis ..............................
Hdr elect brachytherapy ......................
Wound ultrasound ...............................
Exc rectal tumor endoscopic ..............
Comptr probability analysis .................
Suprachoroidal drug delivery ..............
Ophthalmic dx image anterior .............
Fna w/o image ....................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.27
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.18
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.17
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.37
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.46
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.10
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
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15JAR2
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
YYY
YYY
YYY
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2573
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
10022
10040
10060
10061
10080
10081
10120
10121
10140
10160
10180
11000
11001
11004
11005
11006
11008
11010
11011
11012
11040
11041
11042
11043
11044
11055
11056
11057
11100
11101
11200
11201
11300
11301
11302
11303
11305
11306
11307
11308
11310
11311
11312
11313
11400
11401
11402
11403
11404
11406
11420
11421
11422
11423
11424
11426
11440
11441
11442
11443
11444
11446
11450
11451
11462
11463
11470
11471
11600
11601
11602
11603
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Fna w/image .......................................
Acne surgery .......................................
Drainage of skin abscess ...................
Drainage of skin abscess ...................
Drainage of pilonidal cyst ...................
Drainage of pilonidal cyst ...................
Remove foreign body ..........................
Remove foreign body ..........................
Drainage of hematoma/fluid ................
Puncture drainage of lesion ................
Complex drainage, wound ..................
Debride infected skin ..........................
Debride infected skin add-on ..............
Debride genitalia & perineum .............
Debride abdom wall ............................
Debride genit/per/abdom wall .............
Remove mesh from abd wall ..............
Debride skin, fx ...................................
Debride skin/muscle, fx .......................
Debride skin/muscle/bone, fx ..............
Debride skin, partial ............................
Debride skin, full .................................
Debride skin/tissue ..............................
Debride tissue/muscle .........................
Debride tissue/muscle/bone ................
Trim skin lesion ...................................
Trim skin lesions, 2 to 4 .....................
Trim skin lesions, over 4 .....................
Biopsy, skin lesion ..............................
Biopsy, skin add-on ............................
Removal of skin tags ..........................
Remove skin tags add-on ...................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Shave skin lesion ................................
Exc tr-ext b9+marg 0.5 < cm ..............
Exc tr-ext b9+marg 0.6-1 cm ..............
Exc tr-ext b9+marg 1.1-2 cm ..............
Exc tr-ext b9+marg 2.1-3 cm ..............
Exc tr-ext b9+marg 3.1-4 cm ..............
Exc tr-ext b9+marg > 4.0 cm ..............
Exc h-f-nk-sp b9+marg 0.5 < ..............
Exc h-f-nk-sp b9+marg 0.6-1 ..............
Exc h-f-nk-sp b9+marg 1.1-2 ..............
Exc h-f-nk-sp b9+marg 2.1-3 ..............
Exc h-f-nk-sp b9+marg 3.1-4 ..............
Exc h-f-nk-sp b9+marg > 4 cm ...........
Exc face-mm b9+marg 0.5 < cm ........
Exc face-mm b9+marg 0.6-1 cm ........
Exc face-mm b9+marg 1.1-2 cm ........
Exc face-mm b9+marg 2.1-3 cm ........
Exc face-mm b9+marg 3.1-4 cm ........
Exc face-mm b9+marg > 4 cm ...........
Removal, sweat gland lesion ..............
Removal, sweat gland lesion ..............
Removal, sweat gland lesion ..............
Removal, sweat gland lesion ..............
Removal, sweat gland lesion ..............
Removal, sweat gland lesion ..............
Exc tr-ext mlg+marg 0.5 < cm ............
Exc tr-ext mlg+marg 0.6-1 cm ............
Exc tr-ext mlg+marg 1.1-2 cm ............
Exc tr-ext mlg+marg 2.1-3 cm ............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.27
1.19
1.19
2.42
1.19
2.47
1.23
2.71
1.55
1.22
2.27
0.60
0.30
10.80
14.24
13.10
5.00
4.19
4.94
6.87
0.50
0.60
0.80
3.04
4.11
0.43
0.61
0.79
0.81
0.41
0.79
0.29
0.51
0.85
1.05
1.24
0.67
0.99
1.14
1.41
0.73
1.05
1.20
1.62
0.87
1.25
1.42
1.81
2.08
3.47
1.00
1.44
1.65
2.03
2.45
4.04
1.02
1.50
1.74
2.31
3.16
4.75
3.14
4.35
2.92
4.35
3.66
4.81
1.58
2.02
2.22
2.77
2.15
1.33
1.51
2.07
2.68
3.49
1.95
3.51
2.26
1.85
3.25
0.72
0.23
NA
NA
NA
NA
6.81
7.04
9.01
0.68
0.72
0.95
3.51
4.84
0.81
0.88
0.99
1.88
0.41
1.23
0.16
1.19
1.51
1.76
2.03
1.07
1.43
1.70
1.71
1.38
1.64
1.92
2.19
1.88
2.19
2.40
2.56
2.86
3.54
1.83
2.22
2.44
2.67
2.97
3.59
2.00
2.38
2.65
2.89
3.32
4.10
5.13
6.38
5.33
6.53
5.47
6.51
2.74
3.44
3.85
4.05
2.35
1.17
1.36
1.95
2.89
3.78
2.06
3.51
2.02
1.72
3.12
0.65
0.23
NA
NA
NA
NA
6.84
7.60
10.56
0.60
0.69
0.96
3.44
4.65
0.68
0.76
0.86
1.56
0.37
1.13
0.16
1.09
1.31
1.53
1.81
0.96
1.26
1.49
1.58
1.25
1.43
1.67
2.00
1.94
2.12
2.31
2.48
2.78
3.30
1.80
2.14
2.35
2.63
2.89
3.54
2.10
2.36
2.59
2.90
3.40
4.07
5.08
6.49
5.22
6.68
5.27
6.61
2.69
3.07
3.34
3.56
0.41
0.98
1.08
1.51
1.10
1.45
0.94
1.65
1.29
1.08
1.80
0.16
0.08
3.21
3.78
3.96
1.29
2.34
2.01
3.11
0.16
0.19
0.24
2.60
3.58
0.11
0.16
0.20
0.38
0.20
0.90
0.11
0.21
0.38
0.48
0.55
0.20
0.38
0.47
0.49
0.31
0.48
0.56
0.73
0.93
1.15
1.21
1.57
1.63
2.10
0.93
1.16
1.53
1.66
1.77
2.31
1.31
1.55
1.66
1.84
2.10
2.68
2.41
2.91
2.47
2.94
2.63
3.01
1.14
1.51
1.69
1.87
0.41
0.88
1.01
1.50
1.11
1.47
0.96
1.72
1.29
1.08
1.89
0.19
0.10
3.55
4.67
4.40
1.66
2.48
2.18
3.47
0.18
0.26
0.34
2.60
3.67
0.14
0.19
0.25
0.38
0.19
0.83
0.12
0.21
0.38
0.47
0.54
0.24
0.40
0.48
0.54
0.32
0.48
0.55
0.72
0.91
1.09
1.14
1.44
1.51
1.87
0.93
1.14
1.43
1.55
1.69
2.21
1.31
1.52
1.61
1.83
2.14
2.73
2.22
2.73
2.24
2.81
2.45
2.89
1.05
1.36
1.47
1.60
0.08
0.05
0.12
0.26
0.11
0.24
0.12
0.33
0.19
0.14
0.35
0.07
0.04
0.67
0.96
1.28
0.61
0.66
0.74
1.16
0.06
0.10
0.13
0.32
0.43
0.05
0.07
0.10
0.03
0.02
0.04
0.02
0.03
0.04
0.05
0.07
0.07
0.07
0.07
0.13
0.04
0.05
0.06
0.10
0.06
0.10
0.13
0.17
0.21
0.32
0.09
0.13
0.16
0.20
0.25
0.44
0.08
0.13
0.16
0.22
0.30
0.43
0.34
0.53
0.32
0.54
0.40
0.58
0.10
0.12
0.12
0.16
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00007
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
010
010
010
010
010
010
010
010
010
010
000
ZZZ
000
000
000
ZZZ
010
000
000
000
000
000
010
010
000
000
000
000
ZZZ
010
ZZZ
000
000
000
000
000
000
000
000
000
000
000
000
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
090
090
090
090
090
090
010
010
010
010
2574
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
11604
11606
11620
11621
11622
11623
11624
11626
11640
11641
11642
11643
11644
11646
11719
11720
11721
11730
11732
11740
11750
11752
11755
11760
11762
11765
11770
11771
11772
11900
11901
11920
11921
11922
11950
11951
11952
11954
11960
11970
11971
11975
11976
11977
11980
11981
11982
11983
12001
12002
12004
12005
12006
12007
12011
12013
12014
12015
12016
12017
12018
12020
12021
12031
12032
12034
12035
12036
12037
12041
12042
12044
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
R
R
R
R
A
A
A
N
R
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Exc tr-ext mlg+marg 3.1-4 cm ............
Exc tr-ext mlg+marg > 4 cm ...............
Exc h-f-nk-sp mlg+marg 0.5 < ............
Exc h-f-nk-sp mlg+marg 0.6-1 ............
Exc h-f-nk-sp mlg+marg 1.1-2 ............
Exc h-f-nk-sp mlg+marg 2.1-3 ............
Exc h-f-nk-sp mlg+marg 3.1-4 ............
Exc h-f-nk-sp mlg+mar > 4 cm ...........
Exc face-mm malig+marg 0.5 < .........
Exc face-mm malig+marg 0.6-1 ..........
Exc face-mm malig+marg 1.1-2 ..........
Exc face-mm malig+marg 2.1-3 ..........
Exc face-mm malig+marg 3.1-4 ..........
Exc face-mm mlg+marg > 4 cm .........
Trim nail(s) ..........................................
Debride nail, 1-5 .................................
Debride nail, 6 or more .......................
Removal of nail plate ..........................
Remove nail plate, add-on ..................
Drain blood from under nail ................
Removal of nail bed ............................
Remove nail bed/finger tip ..................
Biopsy, nail unit ...................................
Repair of nail bed ...............................
Reconstruction of nail bed ..................
Excision of nail fold, toe ......................
Removal of pilonidal lesion .................
Removal of pilonidal lesion .................
Removal of pilonidal lesion .................
Injection into skin lesions ....................
Added skin lesions injection ...............
Correct skin color defects ...................
Correct skin color defects ...................
Correct skin color defects ...................
Therapy for contour defects ................
Therapy for contour defects ................
Therapy for contour defects ................
Therapy for contour defects ................
Insert tissue expander(s) ....................
Replace tissue expander ....................
Remove tissue expander(s) ................
Insert contraceptive cap ......................
Removal of contraceptive cap ............
Removal/reinsert contra cap ...............
Implant hormone pellet(s) ...................
Insert drug implant device ..................
Remove drug implant device ..............
Remove/insert drug implant ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Repair superficial wound(s) ................
Closure of split wound ........................
Closure of split wound ........................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.12
4.97
1.59
2.03
2.36
3.06
3.57
4.56
1.62
2.12
2.57
3.37
4.29
6.21
0.17
0.32
0.54
1.10
0.57
0.37
2.40
3.48
1.31
1.60
2.91
0.71
2.63
5.98
7.23
0.52
0.80
1.61
1.93
0.49
0.84
1.19
1.69
1.85
11.01
7.86
3.21
1.48
1.78
3.30
1.48
1.48
1.78
3.30
1.72
1.88
2.26
2.88
3.68
4.13
1.78
2.01
2.48
3.21
3.94
4.72
5.54
2.64
1.86
2.17
2.49
2.94
3.44
4.06
4.68
2.39
2.76
3.16
4.34
5.50
2.85
3.51
3.90
4.12
4.43
4.96
3.06
3.64
4.04
4.28
5.07
5.91
0.38
0.47
0.55
1.33
0.55
0.80
2.96
4.06
2.03
3.40
3.70
2.67
3.46
6.64
8.04
0.92
1.01
2.35
2.66
0.92
0.88
0.90
1.63
1.79
NA
NA
7.40
1.54
1.73
1.98
1.07
1.90
2.02
2.64
1.73
1.80
2.08
2.52
3.06
3.36
1.91
2.07
2.29
2.79
3.17
NA
NA
3.69
1.85
3.90
5.22
4.61
5.30
5.41
5.99
3.87
4.50
5.41
3.86
4.78
2.72
3.10
3.43
3.73
4.09
4.80
2.86
3.33
3.72
4.04
4.88
5.83
0.31
0.40
0.49
1.18
0.49
0.67
2.56
3.53
1.80
3.01
3.29
2.23
3.47
6.14
7.77
0.78
0.83
3.02
3.31
1.03
1.01
1.20
1.74
2.12
NA
NA
8.26
1.48
1.72
2.13
1.08
1.80
1.98
2.46
1.86
1.92
2.20
2.67
3.23
3.59
2.02
2.17
2.43
2.96
3.36
NA
NA
3.76
1.84
3.09
4.53
3.90
5.25
5.48
6.04
3.21
3.88
4.31
1.93
2.46
1.19
1.54
1.75
1.95
2.08
2.33
1.29
1.61
1.84
2.11
2.47
3.14
0.04
0.08
0.14
0.28
0.15
0.43
1.88
2.78
0.76
1.43
1.68
1.01
1.52
3.69
5.56
0.25
0.39
1.09
1.26
0.22
0.36
0.36
0.77
0.77
10.58
6.17
4.02
0.34
0.48
0.76
0.49
0.58
0.70
1.32
0.73
0.84
0.92
1.06
1.30
1.46
0.76
0.89
0.98
1.12
1.28
1.52
1.92
1.75
1.33
1.77
2.28
2.00
2.11
2.23
2.63
1.78
2.13
1.95
1.66
2.10
1.07
1.39
1.57
1.77
1.93
2.36
1.20
1.57
1.78
2.04
2.46
3.30
0.06
0.10
0.17
0.36
0.18
0.39
1.82
2.88
0.76
1.61
2.01
0.88
1.51
3.50
5.31
0.23
0.37
1.09
1.26
0.24
0.37
0.43
0.72
0.83
10.49
6.15
3.91
0.45
0.58
1.01
0.51
0.63
0.76
1.39
0.75
0.87
0.97
1.13
1.40
1.64
0.77
0.91
1.02
1.18
1.40
1.71
2.09
1.84
1.37
1.37
2.04
1.72
2.13
2.39
2.80
1.45
1.79
1.77
0.20
0.36
0.09
0.12
0.14
0.20
0.27
0.45
0.11
0.16
0.19
0.26
0.37
0.61
0.02
0.04
0.07
0.14
0.07
0.04
0.22
0.35
0.14
0.21
0.36
0.08
0.33
0.74
0.89
0.02
0.03
0.24
0.29
0.07
0.06
0.11
0.16
0.25
1.31
1.05
0.32
0.17
0.21
0.37
0.13
0.12
0.17
0.23
0.15
0.17
0.21
0.27
0.35
0.45
0.16
0.18
0.23
0.29
0.37
0.47
0.64
0.30
0.24
0.17
0.16
0.25
0.39
0.55
0.66
0.19
0.17
0.27
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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Fmt 4742
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15JAR2
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010
010
010
010
010
010
010
010
010
010
010
010
010
010
000
000
000
000
ZZZ
000
010
010
000
010
010
010
010
090
090
000
000
000
000
ZZZ
000
000
000
000
090
090
090
XXX
000
XXX
000
XXX
XXX
XXX
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
2575
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
12045
12046
12047
12051
12052
12053
12054
12055
12056
12057
13100
13101
13102
13120
13121
13122
13131
13132
13133
13150
13151
13152
13153
13160
14000
14001
14020
14021
14040
14041
14060
14061
14300
14350
15002
15003
15004
15005
15040
15050
15100
15101
15110
15111
15115
15116
15120
15121
15130
15131
15135
15136
15150
15151
15152
15155
15156
15157
15170
15171
15175
15176
15200
15201
15220
15221
15240
15241
15260
15261
15300
15301
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Layer closure of wound(s) ..................
Repair of wound or lesion ...................
Repair of wound or lesion ...................
Repair wound/lesion add-on ...............
Repair of wound or lesion ...................
Repair of wound or lesion ...................
Repair wound/lesion add-on ...............
Repair of wound or lesion ...................
Repair of wound or lesion ...................
Repair wound/lesion add-on ...............
Repair of wound or lesion ...................
Repair of wound or lesion ...................
Repair of wound or lesion ...................
Repair wound/lesion add-on ...............
Late closure of wound ........................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Skin tissue rearrangement ..................
Wnd prep, ch/inf, trk/arm/lg ................
Wnd prep, ch/inf addl 100 cm ............
Wnd prep ch/inf, f/n/hf/g .....................
Wnd prep, f/n/hf/g, addl cm ................
Harvest cultured skin graft ..................
Skin pinch graft ...................................
Skin splt grft, trnk/arm/leg ...................
Skin splt grft t/a/l, add-on ....................
Epidrm autogrft trnk/arm/leg ...............
Epidrm autogrft t/a/l add-on ................
Epidrm a-grft face/nck/hf/g ..................
Epidrm a-grft f/n/hf/g addl ...................
Skn splt a-grft fac/nck/hf/g ..................
Skn splt a-grft f/n/hf/g add ..................
Derm autograft, trnk/arm/leg ...............
Derm autograft t/a/l add-on .................
Derm autograft face/nck/hf/g ..............
Derm autograft, f/n/hf/g add ................
Cult epiderm grft t/arm/leg ..................
Cult epiderm grft t/a/l addl ..................
Cult epiderm graft t/a/l +% ..................
Cult epiderm graft, f/n/hf/g ..................
Cult epidrm grft f/n/hfg add .................
Cult epiderm grft f/n/hfg +% ................
Acell graft trunk/arms/legs ..................
Acell graft t/arm/leg add-on ................
Acellular graft, f/n/hf/g .........................
Acell graft, f/n/hf/g add-on ..................
Skin full graft, trunk .............................
Skin full graft trunk add-on .................
Skin full graft sclp/arm/leg ..................
Skin full graft add-on ...........................
Skin full grft face/genit/hf ....................
Skin full graft add-on ...........................
Skin full graft een & lips ......................
Skin full graft add-on ...........................
Apply skinallogrft, t/arm/lg ...................
Apply sknallogrft t/a/l addl ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.65
4.26
4.66
2.49
2.81
3.14
3.47
4.44
5.25
5.97
3.14
3.93
1.24
3.32
4.36
1.44
3.80
6.48
2.19
3.82
4.46
6.34
2.38
11.84
6.83
9.60
7.66
11.18
8.44
12.67
9.07
13.67
13.26
10.82
3.65
0.80
4.58
1.60
2.00
5.37
9.74
1.72
10.88
1.85
11.19
2.50
10.96
2.67
7.41
1.50
10.91
1.50
9.30
2.00
2.50
10.05
2.75
3.00
5.99
1.55
7.99
2.45
8.97
1.32
7.95
1.19
10.15
1.86
11.39
2.23
4.65
1.00
5.03
5.66
6.50
4.11
4.87
5.39
5.43
6.01
6.57
7.76
4.42
5.95
1.35
4.58
6.72
1.37
5.01
7.89
1.88
4.72
5.52
7.54
2.05
NA
8.95
11.02
10.04
12.47
10.20
13.58
9.69
14.84
13.53
NA
4.22
0.90
4.88
1.24
3.94
7.63
9.77
2.47
8.75
0.87
9.23
1.19
11.35
3.44
7.96
0.66
9.49
0.66
7.05
0.88
1.05
7.66
1.15
1.34
4.01
0.60
4.47
1.04
9.91
2.02
10.47
2.00
12.04
2.54
13.02
2.98
3.44
0.46
5.15
6.08
6.42
3.69
4.04
4.32
4.50
5.25
6.66
6.95
4.24
5.30
1.26
4.36
5.78
1.44
4.69
6.90
1.77
4.80
5.16
6.79
1.99
NA
8.40
10.22
9.32
11.23
9.50
12.09
9.24
13.22
12.33
NA
4.22
0.90
4.88
1.24
4.25
7.27
11.18
3.10
9.71
1.08
9.23
1.39
11.04
3.97
8.91
0.86
9.68
0.77
7.75
1.09
1.30
7.74
1.35
1.56
3.92
0.64
4.95
1.07
9.66
2.29
9.83
2.16
11.12
2.49
11.62
2.84
3.32
0.46
2.06
2.29
2.66
1.92
2.56
2.13
2.06
2.09
2.58
2.93
2.47
2.97
0.53
2.58
3.64
0.58
2.88
4.96
0.98
2.72
3.22
3.92
1.03
7.02
6.04
7.49
6.89
8.66
6.99
9.35
7.18
10.18
9.45
6.90
1.69
0.26
2.02
0.53
1.05
5.01
6.68
0.85
6.36
0.62
6.74
0.86
7.45
1.29
5.58
0.48
7.05
0.51
5.76
0.67
0.84
6.31
0.94
1.03
2.60
0.46
3.15
0.79
6.35
0.47
6.70
0.50
8.90
0.81
9.34
1.16
2.15
0.32
2.17
2.52
2.87
1.69
2.00
1.83
1.84
2.11
2.82
3.34
2.39
2.83
0.55
2.46
3.22
0.60
2.78
4.56
1.00
2.74
3.18
3.98
1.08
7.09
5.76
7.28
6.71
8.47
7.10
9.01
7.31
9.84
9.31
7.02
1.69
0.26
2.02
0.53
1.09
5.06
7.25
1.01
6.68
0.70
7.05
0.99
7.62
1.57
5.96
0.56
7.59
0.59
6.10
0.76
0.95
6.64
1.09
1.19
2.48
0.54
3.57
0.89
6.28
0.54
6.69
0.53
8.43
0.86
8.96
1.28
2.19
0.36
0.41
0.54
0.58
0.20
0.17
0.23
0.30
0.45
0.59
0.56
0.26
0.26
0.13
0.26
0.25
0.15
0.26
0.32
0.18
0.34
0.31
0.40
0.24
1.54
0.59
0.82
0.64
0.81
0.62
0.73
0.68
0.76
1.16
1.34
0.49
0.11
0.62
0.22
0.24
0.57
1.28
0.24
1.31
0.26
1.15
0.33
1.16
0.36
0.97
0.21
1.23
0.20
1.14
0.28
0.35
1.05
0.36
0.39
0.55
0.19
0.82
0.29
0.98
0.19
0.84
0.16
0.92
0.23
0.69
0.21
0.49
0.14
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00009
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
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010
010
ZZZ
010
010
ZZZ
010
010
010
ZZZ
090
090
090
090
090
090
090
090
090
090
090
000
ZZZ
000
ZZZ
000
090
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
ZZZ
090
ZZZ
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
2576
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
15320
15321
15330
15331
15335
15336
15340
15341
15360
15361
15365
15366
15400
15401
15420
15421
15430
15431
15570
15572
15574
15576
15600
15610
15620
15630
15650
15731
15732
15734
15736
15738
15740
15750
15756
15757
15758
15760
15770
15775
15776
15780
15781
15782
15783
15786
15787
15788
15789
15792
15793
15819
15820
15821
15822
15823
15824
15825
15826
15828
15829
15830
15832
15833
15834
15835
15836
15837
15838
15839
15840
15841
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
A
A
A
A
A
A
R
R
R
A
A
A
A
A
A
R
R
R
R
R
R
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Apply skin allogrft f/n/hf/g ...................
Aply sknallogrft f/n/hfg add .................
Aply acell alogrft t/arm/leg ..................
Aply acell grft t/a/l add-on ...................
Apply acell graft, f/n/hf/g .....................
Aply acell grft f/n/hf/g add ...................
Apply cult skin substitute ....................
Apply cult skin sub add-on .................
Apply cult derm sub, t/a/l ....................
Aply cult derm sub t/a/l add ................
Apply cult derm sub f/n/hf/g ................
Apply cult derm f/hf/g add ...................
Apply skin xenograft, t/a/l ...................
Apply skn xenogrft t/a/l add ................
Apply skin xgraft, f/n/hf/g ....................
Apply skn xgrft f/n/hf/g add .................
Apply acellular xenograft ....................
Apply acellular xgraft add ...................
Form skin pedicle flap .........................
Form skin pedicle flap .........................
Form skin pedicle flap .........................
Form skin pedicle flap .........................
Skin graft .............................................
Skin graft .............................................
Skin graft .............................................
Skin graft .............................................
Transfer skin pedicle flap ....................
Forehead flap w/vasc pedicle .............
Muscle-skin graft, head/neck ..............
Muscle-skin graft, trunk .......................
Muscle-skin graft, arm ........................
Muscle-skin graft, leg ..........................
Island pedicle flap graft .......................
Neurovascular pedicle graft ................
Free myo/skin flap microvasc .............
Free skin flap, microvasc ....................
Free fascial flap, microvasc ................
Composite skin graft ...........................
Derma-fat-fascia graft .........................
Hair transplant punch grafts ...............
Hair transplant punch grafts ...............
Abrasion treatment of skin ..................
Abrasion treatment of skin ..................
Abrasion treatment of skin ..................
Abrasion treatment of skin ..................
Abrasion, lesion, single .......................
Abrasion, lesions, add-on ...................
Chemical peel, face, epiderm .............
Chemical peel, face, dermal ...............
Chemical peel, nonfacial .....................
Chemical peel, nonfacial .....................
Plastic surgery, neck ...........................
Revision of lower eyelid ......................
Revision of lower eyelid ......................
Revision of upper eyelid .....................
Revision of upper eyelid .....................
Removal of forehead wrinkles ............
Removal of neck wrinkles ...................
Removal of brow wrinkles ...................
Removal of face wrinkles ....................
Removal of skin wrinkles ....................
Exc skin abd .......................................
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Excise excessive skin tissue ..............
Graft for face nerve palsy ...................
Graft for face nerve palsy ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
5.36
1.50
3.99
1.00
4.50
1.43
3.76
0.50
3.93
1.15
4.21
1.45
4.38
1.00
4.89
1.50
5.93
0.00
10.00
9.94
10.52
9.24
1.95
2.46
3.62
3.95
4.64
14.12
19.70
19.62
16.92
18.92
11.57
12.73
36.74
36.95
36.70
9.68
8.73
3.95
5.53
8.50
4.91
4.36
4.33
2.05
0.33
2.09
4.91
1.86
3.82
10.45
6.09
6.66
4.51
8.12
0.00
0.00
0.00
0.00
0.00
16.90
12.65
11.70
11.97
12.79
10.41
9.37
8.07
10.32
14.76
25.69
3.78
0.69
3.50
0.49
3.32
0.74
3.69
0.64
4.85
0.50
4.22
0.67
5.00
1.01
5.43
1.16
6.61
0.00
10.09
9.79
10.55
9.67
5.32
5.57
6.47
7.08
7.28
11.90
14.66
15.70
13.40
13.78
13.58
NA
NA
NA
NA
10.42
NA
2.88
4.85
11.24
8.68
8.72
7.92
3.90
0.83
9.47
9.43
8.98
8.10
NA
6.39
6.57
5.23
7.39
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
8.68
NA
9.76
NA
NA
3.70
0.69
3.34
0.47
3.40
0.71
3.84
0.62
4.66
0.54
4.38
0.68
4.50
1.45
5.11
1.24
6.76
0.00
10.70
9.64
10.62
9.72
6.46
5.13
7.13
7.06
7.21
11.90
16.36
16.91
15.82
15.88
11.86
NA
NA
NA
NA
10.23
NA
3.56
5.11
11.38
7.80
9.29
7.40
3.63
0.96
8.09
8.76
8.04
7.20
NA
6.68
6.96
5.53
7.62
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
8.62
NA
9.30
NA
NA
2.36
0.51
2.14
0.36
2.01
0.51
2.64
0.13
3.54
0.32
3.10
0.47
3.76
0.33
4.18
0.48
6.06
0.00
6.27
6.66
7.04
6.52
2.75
3.05
3.90
4.32
4.39
9.34
11.10
11.85
9.60
10.20
9.43
8.86
18.57
17.87
17.58
7.06
6.64
1.23
2.14
6.53
5.64
4.97
4.97
1.25
0.08
4.13
5.83
4.58
4.90
6.68
5.20
5.28
4.09
6.11
0.00
0.00
0.00
0.00
0.00
9.82
8.28
7.50
8.16
7.86
6.83
5.79
5.45
6.47
8.93
13.54
2.45
0.55
2.18
0.38
2.23
0.54
2.70
0.17
3.31
0.39
3.15
0.53
3.89
0.39
3.98
0.55
6.34
0.00
6.52
6.56
7.42
6.70
2.91
3.24
3.89
4.23
4.30
9.34
11.66
12.12
10.41
10.96
8.84
8.95
19.57
19.74
19.58
7.16
6.66
1.26
2.47
7.39
5.51
5.76
4.58
1.28
0.12
3.60
5.32
4.52
4.64
6.93
5.38
5.50
4.29
6.27
0.00
0.00
0.00
0.00
0.00
9.82
8.31
7.86
7.93
7.70
6.81
6.58
5.76
6.43
9.45
14.27
0.58
0.21
0.49
0.14
0.55
0.20
0.41
0.06
0.43
0.14
0.46
0.17
0.47
0.14
0.52
0.21
0.66
0.00
1.34
1.20
1.20
0.87
0.27
0.35
0.35
0.34
0.42
1.28
2.00
2.62
2.46
2.66
0.63
1.42
4.62
3.90
4.24
0.85
1.05
0.52
0.72
0.67
0.34
0.34
0.28
0.11
0.04
0.11
0.20
0.13
0.19
0.97
0.40
0.45
0.37
0.50
0.00
0.00
0.00
0.00
0.00
2.93
1.66
1.49
1.61
1.60
1.34
1.18
0.58
1.22
1.32
2.55
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00010
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
ZZZ
090
ZZZ
090
ZZZ
010
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
090
090
090
090
010
ZZZ
090
090
090
090
090
090
090
090
090
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
2577
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
15842
15845
15847
15850
15851
15852
15860
15876
15877
15878
15879
15920
15922
15931
15933
15934
15935
15936
15937
15940
15941
15944
15945
15946
15950
15951
15952
15953
15956
15958
15999
16000
16020
16025
16030
16035
16036
17000
17003
17004
17106
17107
17108
17110
17111
17250
17260
17261
17262
17263
17264
17266
17270
17271
17272
17273
17274
17276
17280
17281
17282
17283
17284
17286
17311
17312
17313
17314
17315
17340
17360
17380
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
C
B
A
A
A
R
R
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Flap for face nerve palsy ....................
Skin and muscle repair, face ..............
Exc skin abd add-on ...........................
Removal of sutures .............................
Removal of sutures .............................
Dressing change not for burn .............
Test for blood flow in graft ..................
Suction assisted lipectomy .................
Suction assisted lipectomy .................
Suction assisted lipectomy .................
Suction assisted lipectomy .................
Removal of tail bone ulcer ..................
Removal of tail bone ulcer ..................
Remove sacrum pressure sore ..........
Remove sacrum pressure sore ..........
Remove sacrum pressure sore ..........
Remove sacrum pressure sore ..........
Remove sacrum pressure sore ..........
Remove sacrum pressure sore ..........
Remove hip pressure sore .................
Remove hip pressure sore .................
Remove hip pressure sore .................
Remove hip pressure sore .................
Remove hip pressure sore .................
Remove thigh pressure sore ..............
Remove thigh pressure sore ..............
Remove thigh pressure sore ..............
Remove thigh pressure sore ..............
Remove thigh pressure sore ..............
Remove thigh pressure sore ..............
Removal of pressure sore ..................
Initial treatment of burn(s) ...................
Dress/debrid p-thick burn, s ................
Dress/debrid p-thick burn, m ..............
Dress/debrid p-thick burn, l .................
Incision of burn scab, initi ...................
Escharotomy; add"l incision .............
Destruct premalg lesion ......................
Destruct premalg les, 2-14 .................
Destroy premlg lesions 15+ ................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruct b9 lesion, 1-14 ......................
Destruct lesion, 15 or more ................
Chemical cautery, tissue .....................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Destruction of skin lesions ..................
Mohs, 1 stage, h/n/hf/g .......................
Mohs addl stage .................................
Mohs, 1 stage, t/a/l .............................
Mohs, addl stage, t/a/l ........................
Mohs surg, addl block .........................
Cryotherapy of skin .............................
Skin peel therapy ................................
Hair removal by electrolysis ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
40.68
14.04
0.00
0.78
0.86
0.86
1.95
0.00
0.00
0.00
0.00
8.15
10.23
9.96
11.60
13.54
15.58
13.04
15.00
10.11
12.24
12.27
13.57
23.80
7.91
11.41
12.14
13.39
16.59
16.55
0.00
0.89
0.80
1.85
2.08
3.74
1.50
0.62
0.07
1.82
4.62
9.19
13.22
0.67
0.94
0.50
0.93
1.19
1.60
1.81
1.96
2.36
1.34
1.51
1.79
2.07
2.61
3.22
1.19
1.74
2.06
2.66
3.23
4.45
6.20
3.30
5.56
3.06
0.87
0.76
1.44
0.00
NA
NA
0.00
1.20
1.33
NA
NA
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.72
1.11
1.57
2.08
NA
NA
1.41
0.10
2.44
4.69
6.98
8.87
1.79
2.25
1.32
1.41
2.49
2.84
3.07
3.27
3.50
2.44
2.66
2.97
3.21
3.61
3.89
2.36
2.74
3.14
3.56
3.97
4.45
10.71
6.89
9.88
6.37
1.14
0.35
1.86
0.00
NA
NA
0.00
1.38
1.51
NA
NA
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.79
1.20
1.67
2.13
NA
NA
1.19
0.11
2.37
4.65
7.09
9.07
1.70
1.96
1.27
1.34
2.05
2.36
2.56
2.75
3.00
2.07
2.22
2.49
2.71
3.09
3.42
1.99
2.32
2.65
3.05
3.45
4.06
10.71
6.89
9.88
6.37
1.14
0.36
1.65
0.00
20.89
8.36
0.00
0.18
0.24
0.25
0.64
0.00
0.00
0.00
0.00
5.35
7.17
5.56
7.31
7.73
9.18
7.42
8.94
5.81
8.43
8.14
8.81
13.71
5.40
7.34
7.46
8.23
9.55
10.43
0.00
0.23
0.56
0.86
1.02
1.22
0.46
0.74
0.03
1.38
3.28
4.95
6.39
0.88
1.11
0.38
0.71
1.07
1.27
1.37
1.44
1.59
1.10
1.22
1.37
1.49
1.74
1.97
1.03
1.33
1.49
1.77
2.03
2.49
3.05
1.62
2.74
1.50
0.43
0.38
1.01
0.00
21.91
8.84
0.00
0.24
0.27
0.29
0.71
0.00
0.00
0.00
0.00
5.45
7.19
5.63
7.58
7.88
9.75
7.82
9.38
5.99
8.94
8.37
9.23
14.04
5.41
7.60
7.61
8.62
10.16
10.74
0.00
0.25
0.57
0.91
1.07
1.40
0.53
0.64
0.05
1.48
3.31
5.20
7.03
0.79
0.96
0.36
0.69
0.95
1.15
1.23
1.28
1.40
0.98
1.10
1.24
1.35
1.59
1.82
0.92
1.21
1.36
1.63
1.89
2.47
3.05
1.62
2.74
1.50
0.43
0.37
0.94
0.00
4.94
0.81
0.00
0.05
0.06
0.09
0.27
0.00
0.00
0.00
0.00
1.04
1.42
1.25
1.52
1.79
2.10
1.77
2.07
1.31
1.66
1.65
1.85
3.17
1.04
1.49
1.60
1.80
2.22
2.26
0.00
0.08
0.08
0.19
0.24
0.46
0.20
0.03
0.01
0.11
0.35
0.63
0.54
0.05
0.05
0.06
0.04
0.05
0.06
0.07
0.08
0.09
0.05
0.06
0.07
0.08
0.10
0.16
0.05
0.07
0.08
0.11
0.13
0.23
0.24
0.13
0.22
0.12
0.03
0.05
0.06
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00011
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
YYY
XXX
000
000
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
000
000
000
000
000
ZZZ
010
ZZZ
010
090
090
090
010
010
000
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
010
000
ZZZ
000
ZZZ
ZZZ
010
010
000
2578
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
17999
19000
19001
19020
19030
19100
19101
19102
19103
19105
19110
19112
19120
19125
19126
19260
19271
19272
19290
19291
19295
19296
19297
19298
19300
19301
19302
19303
19304
19305
19306
19307
19316
19318
19324
19325
19328
19330
19340
19342
19350
19355
19357
19361
19364
19366
19367
19368
19369
19370
19371
19380
19396
19499
20000
20005
20100
20101
20102
20103
20150
20200
20205
20206
20220
20225
20240
20245
20250
20251
20500
20501
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Skin tissue procedure .........................
Drainage of breast lesion ....................
Drain breast lesion add-on .................
Incision of breast lesion ......................
Injection for breast x-ray .....................
Bx breast percut w/o image ................
Biopsy of breast, open ........................
Bx breast percut w/image ...................
Bx breast percut w/device ..................
Cryosurg ablate fa, each ....................
Nipple exploration ...............................
Excise breast duct fistula ....................
Removal of breast lesion ....................
Excision, breast lesion ........................
Excision, addl breast lesion ................
Removal of chest wall lesion ..............
Revision of chest wall .........................
Extensive chest wall surgery ..............
Place needle wire, breast ...................
Place needle wire, breast ...................
Place breast clip, percut .....................
Place po breast cath for rad ...............
Place breast cath for rad ....................
Place breast rad tube/caths ................
Removal of breast tissue ....................
Partical mastectomy ............................
P-mastectomy w/ln removal ................
Mast, simple, complete .......................
Mast, subq ..........................................
Mast, radical ........................................
Mast, rad, urban type ..........................
Mast, mod rad .....................................
Suspension of breast ..........................
Reduction of large breast ...................
Enlarge breast .....................................
Enlarge breast with implant ................
Removal of breast implant ..................
Removal of implant material ...............
Immediate breast prosthesis ...............
Delayed breast prosthesis ..................
Breast reconstruction ..........................
Correct inverted nipple(s) ...................
Breast reconstruction ..........................
Breast reconstr w/lat flap ....................
Breast reconstruction ..........................
Breast reconstruction ..........................
Breast reconstruction ..........................
Breast reconstruction ..........................
Breast reconstruction ..........................
Surgery of breast capsule ...................
Removal of breast capsule .................
Revise breast reconstruction ..............
Design custom breast implant ............
Breast surgery procedure ...................
Incision of abscess .............................
Incision of deep abscess ....................
Explore wound, neck ..........................
Explore wound, chest .........................
Explore wound, abdomen ...................
Explore wound, extremity ...................
Excise epiphyseal bar .........................
Muscle biopsy .....................................
Deep muscle biopsy ...........................
Needle biopsy, muscle ........................
Bone biopsy, trocar/needle .................
Bone biopsy, trocar/needle .................
Bone biopsy, excisional ......................
Bone biopsy, excisional ......................
Open bone biopsy ...............................
Open bone biopsy ...............................
Injection of sinus tract .........................
Inject sinus tract for x-ray ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.84
0.42
3.74
1.53
1.27
3.20
2.00
3.69
3.69
4.35
3.72
5.84
6.59
2.93
17.60
21.86
24.82
1.27
0.63
0.00
3.63
1.72
6.00
5.20
10.00
13.88
15.67
7.81
17.23
17.85
17.95
10.98
15.91
6.65
8.52
6.35
8.39
6.32
12.40
8.99
8.37
20.57
23.17
42.40
21.70
26.59
33.61
31.02
8.99
10.42
10.21
2.17
0.00
2.14
3.55
10.33
3.22
3.95
5.31
14.60
1.46
2.35
0.99
1.27
1.87
3.25
8.77
5.16
5.69
1.25
0.76
0.00
1.91
0.26
6.63
2.67
2.08
4.37
3.47
10.10
46.51
6.07
6.23
5.09
5.56
NA
NA
NA
NA
2.89
1.14
2.28
86.03
NA
22.02
8.06
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.89
7.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.53
0.00
2.78
3.67
NA
6.60
6.95
7.81
NA
3.09
3.83
5.22
2.71
12.00
NA
NA
NA
NA
1.34
2.37
0.00
1.95
0.25
6.48
2.77
2.08
4.44
3.65
10.80
46.51
5.93
6.15
4.81
5.17
NA
NA
NA
NA
2.87
1.17
2.49
105.75
NA
32.10
7.60
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.87
8.83
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.81
0.00
2.74
3.58
NA
6.26
7.21
8.20
NA
3.06
3.86
5.86
3.63
18.23
NA
NA
NA
NA
1.80
2.64
0.00
0.26
0.14
3.04
0.54
0.33
1.78
0.68
1.19
1.00
3.10
3.13
3.37
3.65
0.75
10.15
15.83
16.97
0.45
0.22
NA
1.19
0.44
2.11
3.86
4.63
6.14
7.00
4.94
8.12
8.72
8.77
6.95
9.91
4.47
6.41
4.99
5.95
2.81
8.93
6.59
4.68
15.39
16.80
22.17
9.91
15.19
18.04
16.33
6.79
7.69
7.61
1.28
0.00
1.53
2.01
3.58
1.53
1.84
2.79
7.65
0.69
1.10
0.57
0.68
1.02
2.02
5.75
3.63
3.85
0.88
0.27
0.00
0.29
0.14
2.86
0.52
0.37
1.85
0.67
1.21
1.00
2.98
2.91
3.21
3.47
0.87
10.65
16.90
17.95
0.43
0.21
NA
1.36
0.54
2.26
3.63
4.02
6.24
6.01
4.85
8.04
8.48
8.49
7.23
10.54
4.68
6.47
5.01
6.00
2.96
8.93
6.88
4.69
15.51
14.62
22.87
10.75
15.95
18.48
17.37
6.85
7.76
7.66
1.14
0.00
1.63
2.13
4.02
1.57
1.87
3.09
7.34
0.72
1.14
0.60
0.73
1.08
2.29
6.16
3.57
4.00
1.20
0.26
0.00
0.08
0.04
0.45
0.09
0.16
0.39
0.14
0.30
0.30
0.57
0.48
0.73
0.80
0.38
2.14
2.63
3.00
0.07
0.04
0.01
0.36
0.17
0.43
0.69
0.79
1.80
1.18
1.04
1.93
2.08
2.13
1.64
2.93
0.84
1.33
0.91
1.26
1.06
1.84
1.41
0.92
2.94
2.93
6.24
3.25
4.04
5.54
4.51
1.29
1.62
1.44
0.30
0.00
0.25
0.46
1.21
0.44
0.49
0.75
2.04
0.23
0.33
0.07
0.08
0.22
0.44
1.31
1.02
1.15
0.12
0.04
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00012
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
YYY
000
ZZZ
090
000
000
010
000
000
000
090
090
090
090
ZZZ
090
090
090
000
ZZZ
ZZZ
000
ZZZ
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
000
YYY
010
010
010
010
010
010
090
000
000
000
000
000
010
010
010
010
010
000
2579
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
20520
20525
20526
20550
20551
20552
20553
20555
20600
20605
20610
20612
20615
20650
20660
20661
20662
20663
20664
20665
20670
20680
20690
20692
20693
20694
20802
20805
20808
20816
20822
20824
20827
20838
20900
20902
20910
20912
20920
20922
20924
20926
20930
20931
20936
20937
20938
20950
20955
20956
20957
20962
20969
20970
20972
20973
20974
20975
20979
20982
20985
20986
20987
20999
21010
21015
21025
21026
21029
21030
21031
21032
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of foreign body .....................
Removal of foreign body .....................
Ther injection, carp tunnel ..................
Inj tendon sheath/ligament ..................
Inj tendon origin/insertion ....................
Inj trigger point, 1/2 muscl ..................
Inject trigger points, =/> 3 ...................
Place ndl musc/tis for rt ......................
Drain/inject, joint/bursa .......................
Drain/inject, joint/bursa .......................
Drain/inject, joint/bursa .......................
Aspirate/inj ganglion cyst ....................
Treatment of bone cyst .......................
Insert and remove bone pin ................
Apply, rem fixation device ...................
Application of head brace ...................
Application of pelvis brace ..................
Application of thigh brace ...................
Halo brace application ........................
Removal of fixation device ..................
Removal of support implant ................
Removal of support implant ................
Apply bone fixation device ..................
Apply bone fixation device ..................
Adjust bone fixation device .................
Remove bone fixation device .............
Replantation, arm, complete ...............
Replant forearm, complete .................
Replantation hand, complete ..............
Replantation digit, complete ...............
Replantation digit, complete ...............
Replantation thumb, complete ............
Replantation thumb, complete ............
Replantation foot, complete ................
Removal of bone for graft ...................
Removal of bone for graft ...................
Remove cartilage for graft ..................
Remove cartilage for graft ..................
Removal of fascia for graft .................
Removal of fascia for graft .................
Removal of tendon for graft ................
Removal of tissue for graft .................
Sp bone algrft morsel add-on .............
Sp bone algrft struct add-on ...............
Sp bone agrft local add-on .................
Sp bone agrft morsel add-on ..............
Sp bone agrft struct add-on ................
Fluid pressure, muscle ........................
Fibula bone graft, microvasc ..............
Iliac bone graft, microvasc ..................
Mt bone graft, microvasc ....................
Other bone graft, microvasc ...............
Bone/skin graft, microvasc ..................
Bone/skin graft, iliac crest ...................
Bone/skin graft, metatarsal .................
Bone/skin graft, great toe ...................
Electrical bone stimulation ..................
Electrical bone stimulation ..................
Us bone stimulation ............................
Ablate, bone tumor(s) perq .................
Cptr-asst dir ms px .............................
Cptr-asst dir ms px io img ..................
Cptr-asst dir ms px pre img ................
Musculoskeletal surgery .....................
Incision of jaw joint .............................
Resection of facial tumor ....................
Excision of bone, lower jaw ................
Excision of facial bone(s) ....................
Contour of face bone lesion ...............
Excise max/zygoma b9 tumor ............
Remove exostosis, mandible ..............
Remove exostosis, maxilla .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.87
3.51
0.94
0.75
0.75
0.66
0.75
6.00
0.66
0.68
0.79
0.70
2.30
2.25
4.00
5.14
6.26
5.62
9.86
1.33
1.76
5.90
8.65
16.00
5.97
4.20
42.30
51.14
62.77
31.74
26.42
31.74
27.24
42.56
5.77
7.98
5.41
6.42
5.42
6.84
6.59
5.70
0.00
1.81
0.00
2.79
3.02
1.26
40.02
40.93
42.33
39.21
45.11
44.26
44.19
46.95
0.62
2.60
0.62
7.27
2.50
0.00
0.00
0.00
10.90
5.59
11.07
5.54
8.26
4.80
3.26
3.28
2.61
7.11
0.81
0.63
0.64
0.58
0.64
NA
0.66
0.74
1.07
0.70
2.71
2.46
1.50
NA
NA
NA
NA
1.37
6.63
8.14
NA
NA
NA
5.31
NA
NA
NA
NA
NA
NA
NA
NA
9.23
NA
NA
NA
NA
7.56
NA
NA
0.00
NA
0.00
NA
NA
4.23
NA
NA
NA
NA
NA
NA
NA
NA
0.98
NA
0.61
80.09
0.99
0.00
0.00
0.00
NA
NA
12.55
8.83
9.56
7.19
5.92
6.04
2.76
8.13
0.89
0.67
0.66
0.65
0.73
NA
0.66
0.75
1.01
0.70
3.11
2.41
2.28
NA
NA
NA
NA
1.76
9.08
8.47
NA
NA
NA
6.23
NA
NA
NA
NA
NA
NA
NA
NA
8.83
NA
NA
NA
NA
7.55
NA
NA
0.00
NA
0.00
NA
NA
5.54
NA
NA
NA
NA
NA
NA
NA
NA
0.83
NA
0.71
94.85
0.99
0.00
0.00
0.00
NA
NA
12.40
8.35
9.47
6.76
5.54
5.70
1.45
2.21
0.41
0.28
0.29
0.24
0.26
2.18
0.31
0.32
0.40
0.32
1.42
1.45
1.50
6.05
4.81
4.86
7.81
0.98
1.67
4.07
4.91
9.81
4.49
3.53
13.23
17.99
30.34
16.37
15.07
16.21
14.75
14.03
4.90
5.98
4.57
4.95
4.34
5.00
4.97
4.50
0.00
0.68
0.00
1.08
1.15
0.88
18.55
20.34
15.89
21.32
21.12
20.92
14.93
14.16
0.48
1.46
0.20
2.69
0.99
0.00
0.00
0.00
6.29
4.31
8.75
5.94
6.52
4.69
3.47
3.37
1.61
2.42
0.46
0.26
0.31
0.22
0.24
2.18
0.33
0.34
0.41
0.34
1.63
1.50
1.55
5.48
5.17
4.84
7.43
1.16
1.89
3.89
3.71
6.79
4.97
3.78
17.10
26.16
36.29
27.09
24.84
26.39
25.62
18.16
5.29
6.43
4.88
5.37
4.28
4.93
5.43
4.62
0.00
0.80
0.00
1.26
1.35
0.94
21.42
22.55
17.42
23.93
23.88
23.16
17.76
19.67
0.51
1.58
0.27
2.83
0.99
0.00
0.00
0.00
6.69
4.66
9.05
6.13
6.77
4.86
3.55
3.44
0.21
0.51
0.13
0.09
0.08
0.05
0.04
0.43
0.08
0.08
0.11
0.10
0.20
0.31
0.59
1.14
0.56
0.94
1.75
0.19
0.28
0.56
0.59
1.05
0.98
0.71
3.82
4.85
6.88
4.53
4.19
4.62
3.67
1.12
0.94
1.30
0.71
0.69
0.66
0.70
1.04
0.87
0.00
0.43
0.00
0.54
0.64
0.20
4.90
7.03
7.07
6.57
4.80
6.62
5.32
5.56
0.11
0.51
0.09
0.69
0.48
0.00
0.00
0.00
1.11
0.70
1.32
0.60
0.94
0.54
0.48
0.47
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00013
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
010
000
000
000
000
000
000
000
000
000
000
010
010
000
090
090
090
090
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
XXX
ZZZ
XXX
ZZZ
ZZZ
000
090
090
090
090
090
090
090
090
000
000
000
000
ZZZ
ZZZ
ZZZ
YYY
090
090
090
090
090
090
090
090
2580
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
21034
21040
21044
21045
21046
21047
21048
21049
21050
21060
21070
21073
21076
21077
21079
21080
21081
21082
21083
21084
21085
21086
21087
21088
21089
21100
21110
21116
21120
21121
21122
21123
21125
21127
21137
21138
21139
21141
21142
21143
21145
21146
21147
21150
21151
21154
21155
21159
21160
21172
21175
21179
21180
21181
21182
21183
21184
21188
21193
21194
21195
21196
21198
21199
21206
21208
21209
21210
21215
21230
21235
21240
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Excise max/zygoma mlg tumor ...........
Excise mandible lesion .......................
Removal of jaw bone lesion ...............
Extensive jaw surgery .........................
Remove mandible cyst complex .........
Excise lwr jaw cyst w/repair ................
Remove maxilla cyst complex ............
Excis uppr jaw cyst w/repair ...............
Removal of jaw joint ...........................
Remove jaw joint cartilage ..................
Remove coronoid process ..................
Mnpj of tmj w/anesth ...........................
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Prepare face/oral prosthesis ...............
Maxillofacial fixation ............................
Interdental fixation ...............................
Injection, jaw joint x-ray ......................
Reconstruction of chin ........................
Reconstruction of chin ........................
Reconstruction of chin ........................
Reconstruction of chin ........................
Augmentation, lower jaw bone ...........
Augmentation, lower jaw bone ...........
Reduction of forehead ........................
Reduction of forehead ........................
Reduction of forehead ........................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct midface, lefort .................
Reconstruct orbit/forehead ..................
Reconstruct orbit/forehead ..................
Reconstruct entire forehead ...............
Reconstruct entire forehead ...............
Contour cranial bone lesion ................
Reconstruct cranial bone ....................
Reconstruct cranial bone ....................
Reconstruct cranial bone ....................
Reconstruction of midface ..................
Reconst lwr jaw w/o graft ...................
Reconst lwr jaw w/graft .......................
Reconst lwr jaw w/o fixation ...............
Reconst lwr jaw w/fixation ..................
Reconstr lwr jaw segment ..................
Reconstr lwr jaw w/advance ...............
Reconstruct upper jaw bone ...............
Augmentation of facial bones .............
Reduction of facial bones ...................
Face bone graft ...................................
Lower jaw bone graft ..........................
Rib cartilage graft ................................
Ear cartilage graft ...............................
Reconstruction of jaw joint ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
17.17
4.80
12.61
18.13
13.97
19.83
14.47
19.08
11.54
10.91
8.50
3.33
13.40
33.70
22.31
25.06
22.85
20.84
19.27
22.48
8.99
24.88
24.88
0.00
0.00
4.56
5.80
0.81
4.99
7.70
8.59
11.22
10.68
12.24
10.12
12.73
14.90
19.27
19.98
20.75
23.64
24.54
26.14
25.78
28.84
31.05
34.98
42.90
46.95
28.07
33.43
22.53
25.46
10.18
32.45
35.57
38.49
22.97
18.65
21.54
18.88
20.55
15.48
16.62
15.36
11.15
7.58
11.40
11.94
11.06
7.31
15.77
13.94
7.20
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.50
8.02
18.44
13.97
16.16
15.02
14.91
14.91
16.85
6.93
12.91
13.05
0.00
0.00
14.87
13.06
2.52
9.65
10.65
NA
NA
64.01
85.03
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
33.18
12.20
43.50
86.14
NA
10.12
NA
14.94
6.80
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.50
10.19
24.89
17.74
20.33
18.67
17.13
16.86
19.65
7.61
18.34
18.17
0.00
0.00
13.20
11.31
3.42
10.12
10.19
NA
NA
59.63
63.93
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
27.76
11.50
34.19
64.02
NA
9.98
NA
10.12
4.64
8.11
10.79
11.50
10.22
11.39
10.29
8.21
7.20
6.27
2.31
4.69
11.83
8.10
9.02
8.41
8.27
7.78
8.95
3.52
8.45
8.55
0.00
0.00
5.53
9.74
0.23
6.65
7.59
8.46
7.03
6.43
7.50
7.44
7.79
6.99
11.87
10.08
11.81
12.98
9.18
14.31
16.93
11.61
17.89
18.17
15.13
23.24
13.75
13.53
11.22
13.00
6.83
15.27
19.23
15.63
15.65
9.82
12.13
13.08
13.95
11.89
7.57
10.89
8.01
7.40
7.64
7.97
7.02
6.19
9.44
11.40
4.68
8.74
11.58
11.70
11.83
11.77
11.66
8.83
7.90
6.69
2.31
7.35
18.93
12.63
14.20
12.95
12.01
11.11
13.33
5.15
13.95
13.88
0.00
0.00
5.14
9.05
0.28
7.07
7.71
8.54
8.92
7.38
8.48
7.59
8.66
9.03
12.76
11.46
13.06
13.44
12.26
14.68
16.85
17.29
20.52
21.04
22.12
25.37
13.75
15.67
12.68
14.19
7.15
17.20
20.03
18.79
17.27
11.24
12.95
13.95
14.83
12.30
8.35
11.77
8.80
7.73
8.50
8.67
7.53
6.30
10.75
1.72
0.54
1.12
1.52
1.86
2.13
1.77
1.59
1.47
1.38
1.27
0.43
2.00
4.56
3.16
3.75
3.21
3.12
2.89
2.19
1.27
3.72
3.45
0.00
0.00
0.34
0.72
0.06
0.60
0.90
1.07
1.40
0.79
1.52
1.32
1.75
1.18
2.36
2.39
1.66
2.85
3.10
1.85
2.56
2.31
2.49
6.66
8.20
4.14
3.56
4.84
2.81
3.49
1.32
2.81
4.48
5.72
1.70
2.24
2.03
1.64
2.08
1.44
1.39
1.33
1.09
0.90
1.30
1.53
1.29
0.61
2.25
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00014
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
010
090
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2581
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
21242
21243
21244
21245
21246
21247
21248
21249
21255
21256
21260
21261
21263
21267
21268
21270
21275
21280
21282
21295
21296
21299
21310
21315
21320
21325
21330
21335
21336
21337
21338
21339
21340
21343
21344
21345
21346
21347
21348
21355
21356
21360
21365
21366
21385
21386
21387
21390
21395
21400
21401
21406
21407
21408
21421
21422
21423
21431
21432
21433
21435
21436
21440
21445
21450
21451
21452
21453
21454
21461
21462
21465
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Reconstruction of jaw joint ..................
Reconstruction of jaw joint ..................
Reconstruction of lower jaw ................
Reconstruction of jaw .........................
Reconstruction of jaw .........................
Reconstruct lower jaw bone ...............
Reconstruction of jaw .........................
Reconstruction of jaw .........................
Reconstruct lower jaw bone ...............
Reconstruction of orbit ........................
Revise eye sockets .............................
Revise eye sockets .............................
Revise eye sockets .............................
Revise eye sockets .............................
Revise eye sockets .............................
Augmentation, cheek bone .................
Revision, orbitofacial bones ................
Revision of eyelid ................................
Revision of eyelid ................................
Revision of jaw muscle/bone ..............
Revision of jaw muscle/bone ..............
Cranio/maxillofacial surgery ................
Treatment of nose fracture .................
Treatment of nose fracture .................
Treatment of nose fracture .................
Treatment of nose fracture .................
Treatment of nose fracture .................
Treatment of nose fracture .................
Treat nasal septal fracture ..................
Treat nasal septal fracture ..................
Treat nasoethmoid fracture .................
Treat nasoethmoid fracture .................
Treatment of nose fracture .................
Treatment of sinus fracture .................
Treatment of sinus fracture .................
Treat nose/jaw fracture .......................
Treat nose/jaw fracture .......................
Treat nose/jaw fracture .......................
Treat nose/jaw fracture .......................
Treat cheek bone fracture ..................
Treat cheek bone fracture ..................
Treat cheek bone fracture ..................
Treat cheek bone fracture ..................
Treat cheek bone fracture ..................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat eye socket fracture ....................
Treat mouth roof fracture ....................
Treat mouth roof fracture ....................
Treat mouth roof fracture ....................
Treat craniofacial fracture ...................
Treat craniofacial fracture ...................
Treat craniofacial fracture ...................
Treat craniofacial fracture ...................
Treat craniofacial fracture ...................
Treat dental ridge fracture ..................
Treat dental ridge fracture ..................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Treat lower jaw fracture ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
14.32
24.03
13.35
12.88
12.78
24.05
12.54
18.57
18.14
17.42
17.74
33.78
30.72
20.45
26.78
10.52
11.65
6.92
4.11
1.82
4.67
0.00
0.58
1.78
1.86
4.07
5.68
8.91
6.56
3.26
6.76
8.39
11.33
14.11
21.36
8.87
11.29
13.37
17.36
4.32
4.70
7.03
16.52
18.44
9.46
9.46
10.00
11.07
14.62
1.44
3.57
7.31
8.91
12.67
5.80
8.62
10.71
7.74
8.76
26.13
20.02
30.01
3.28
6.04
3.55
5.46
2.29
6.40
7.17
9.07
10.77
12.88
NA
NA
NA
14.22
NA
NA
12.61
15.74
NA
NA
NA
NA
NA
NA
NA
11.16
NA
NA
NA
NA
NA
0.00
2.00
4.72
4.30
NA
NA
NA
NA
6.15
NA
NA
NA
NA
NA
10.50
NA
NA
NA
5.91
6.98
NA
NA
NA
NA
NA
NA
NA
NA
2.71
7.04
NA
NA
NA
12.47
NA
NA
NA
NA
NA
NA
NA
10.07
12.29
10.51
12.99
12.04
14.81
NA
41.73
43.02
NA
NA
NA
NA
14.31
NA
NA
12.38
16.24
NA
NA
NA
NA
NA
NA
NA
11.41
NA
NA
NA
NA
NA
0.00
2.14
4.48
4.11
NA
NA
NA
NA
6.14
NA
NA
NA
NA
NA
10.17
NA
NA
NA
6.07
7.05
NA
NA
NA
NA
NA
NA
NA
NA
2.66
7.52
NA
NA
NA
10.90
NA
NA
NA
NA
NA
NA
NA
8.59
11.02
8.95
11.17
12.54
12.78
NA
33.10
35.32
NA
9.02
14.16
11.53
8.62
7.43
12.70
7.52
9.62
14.05
9.59
12.96
14.75
14.05
16.05
13.14
5.90
7.16
5.66
4.16
2.23
5.43
0.00
0.11
1.78
1.36
6.98
7.63
8.48
8.67
3.56
9.93
9.84
7.25
12.80
13.06
6.56
10.83
11.74
11.00
3.25
4.06
5.40
9.10
10.51
7.14
6.01
7.45
7.01
8.34
1.96
3.05
5.29
5.92
7.45
9.22
7.05
7.40
10.85
6.81
12.14
11.08
13.15
7.46
8.47
7.72
9.68
6.06
11.66
5.72
12.82
13.41
8.12
10.27
15.80
11.81
9.24
8.24
15.03
8.46
11.16
15.10
10.70
12.87
19.50
16.57
17.92
16.68
6.58
7.66
5.79
4.32
2.38
5.17
0.00
0.13
1.83
1.49
7.80
8.67
9.05
9.14
3.57
11.98
11.87
7.83
14.14
14.79
6.87
11.52
13.97
11.06
3.37
4.30
5.67
9.97
10.92
7.71
6.54
8.21
7.41
8.69
1.92
3.27
5.69
6.39
8.17
8.76
7.56
8.37
10.19
7.44
14.28
11.90
15.69
6.81
8.42
7.30
9.04
5.34
11.20
6.00
12.74
13.07
8.97
1.79
3.26
1.25
1.19
1.35
2.84
1.55
2.49
2.39
1.50
0.97
3.43
2.63
1.71
3.66
0.72
1.29
0.42
0.26
0.16
0.34
0.00
0.05
0.14
0.18
0.31
0.56
0.74
0.55
0.28
0.82
0.96
1.15
1.47
2.44
0.92
1.21
1.47
2.49
0.34
0.46
0.74
1.70
2.50
0.97
0.97
1.08
0.90
1.44
0.15
0.38
0.73
0.94
1.44
0.73
0.99
1.27
0.70
0.81
2.79
1.99
3.10
0.38
0.78
0.33
0.63
0.27
0.74
0.82
0.98
1.27
1.50
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00015
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
000
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2582
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
21470
21480
21485
21490
21495
21497
21499
21501
21502
21510
21550
21555
21556
21557
21600
21610
21615
21616
21620
21627
21630
21632
21685
21700
21705
21720
21725
21740
21742
21743
21750
21800
21805
21810
21820
21825
21899
21920
21925
21930
21935
22010
22015
22100
22101
22102
22103
22110
22112
22114
22116
22206
22207
22208
22210
22212
22214
22216
22220
22222
22224
22226
22305
22310
22315
22318
22319
22325
22326
22327
22328
22505
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treat lower jaw fracture ......................
Reset dislocated jaw ...........................
Reset dislocated jaw ...........................
Repair dislocated jaw ..........................
Treat hyoid bone fracture ...................
Interdental wiring .................................
Head surgery procedure .....................
Drain neck/chest lesion .......................
Drain chest lesion ...............................
Drainage of bone lesion ......................
Biopsy of neck/chest ...........................
Remove lesion, neck/chest .................
Remove lesion, neck/chest .................
Remove tumor, neck/chest .................
Partial removal of rib ...........................
Partial removal of rib ...........................
Removal of rib .....................................
Removal of rib and nerves .................
Partial removal of sternum ..................
Sternal debridement ............................
Extensive sternum surgery .................
Extensive sternum surgery .................
Hyoid myotomy & suspension ............
Revision of neck muscle .....................
Revision of neck muscle/rib ................
Revision of neck muscle .....................
Revision of neck muscle .....................
Reconstruction of sternum ..................
Repair stern/nuss w/o scope ..............
Repair sternum/nuss w/scope ............
Repair of sternum separation .............
Treatment of rib fracture .....................
Treatment of rib fracture .....................
Treatment of rib fracture(s) .................
Treat sternum fracture ........................
Treat sternum fracture ........................
Neck/chest surgery procedure ............
Biopsy soft tissue of back ...................
Biopsy soft tissue of back ...................
Remove lesion, back or flank .............
Remove tumor, back ...........................
I&d, p-spine, c/t/cerv-thor ....................
I&d, p-spine, l/s/ls ...............................
Remove part of neck vertebra ............
Remove part, thorax vertebra .............
Remove part, lumbar vertebra ............
Remove extra spine segment .............
Remove part of neck vertebra ............
Remove part, thorax vertebra .............
Remove part, lumbar vertebra ............
Remove extra spine segment .............
Cut spine 3 col, thor ...........................
Cut spine 3 col, lumb ..........................
Cut spine 3 col, addl seg ....................
Revision of neck spine ........................
Revision of thorax spine .....................
Revision of lumbar spine ....................
Revise, extra spine segment ..............
Revision of neck spine ........................
Revision of thorax spine .....................
Revision of lumbar spine ....................
Revise, extra spine segment ..............
Treat spine process fracture ...............
Treat spine fracture .............................
Treat spine fracture .............................
Treat odontoid fx w/o graft ..................
Treat odontoid fx w/graft .....................
Treat spine fracture .............................
Treat neck spine fracture ....................
Treat thorax spine fracture .................
Treat each add spine fx ......................
Manipulation of spine ..........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
17.24
0.61
4.58
12.71
6.55
4.45
0.00
3.87
7.43
6.06
2.08
4.40
5.63
8.91
7.14
15.76
10.31
12.54
7.16
7.18
19.01
19.51
14.89
6.23
9.83
5.72
7.10
17.47
0.00
0.00
11.35
0.98
2.80
6.92
1.31
7.65
0.00
2.08
4.54
5.06
18.38
12.57
12.46
10.80
10.88
10.88
2.34
13.80
13.87
13.87
2.32
37.00
36.50
9.66
25.13
20.74
20.77
6.03
22.69
22.84
22.84
6.03
2.08
3.69
9.91
22.54
25.15
19.62
20.64
20.52
4.60
1.87
NA
1.52
12.10
NA
NA
12.23
0.00
6.56
NA
NA
4.36
5.79
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
1.36
NA
NA
1.83
NA
0.00
4.44
5.35
6.05
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.73
NA
NA
NA
NA
NA
NA
NA
NA
2.15
2.99
9.89
NA
NA
NA
NA
NA
NA
NA
NA
1.65
10.16
NA
NA
10.34
0.00
6.49
NA
NA
3.97
5.65
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
1.35
NA
NA
1.83
NA
0.00
3.86
5.26
5.88
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.73
NA
NA
NA
NA
NA
NA
NA
NA
2.23
2.90
9.79
NA
NA
NA
NA
NA
NA
NA
10.18
0.18
9.11
8.13
10.48
9.35
0.00
3.52
4.56
4.81
1.79
3.43
4.14
4.51
5.97
8.90
5.17
6.52
4.76
5.55
10.36
9.43
8.77
4.40
4.36
4.11
5.15
8.21
0.00
0.00
5.32
1.43
3.27
5.38
1.89
5.38
0.00
1.88
3.36
3.78
8.45
8.36
8.34
8.20
8.12
7.93
0.90
9.12
9.03
9.01
0.89
17.73
17.61
3.73
14.56
12.45
12.54
2.32
13.36
10.47
12.90
2.28
1.80
2.50
7.44
13.27
13.46
12.15
12.03
12.34
1.76
1.10
11.10
0.18
8.39
8.91
9.45
8.50
0.00
3.67
5.10
5.24
1.75
3.31
4.12
4.94
5.85
8.89
5.93
7.27
5.37
5.93
11.10
10.27
9.37
4.42
4.97
3.29
5.30
8.36
0.00
0.00
5.72
1.38
3.24
5.17
1.83
5.89
0.00
1.68
3.30
3.59
9.04
8.62
8.59
7.87
7.94
8.02
1.05
9.15
9.16
9.14
1.03
17.73
17.61
3.73
14.99
12.87
13.18
2.73
13.50
10.80
13.57
2.69
1.86
2.43
7.39
13.33
14.09
12.12
12.37
12.36
2.01
1.02
1.97
0.06
0.51
1.97
0.46
0.50
0.00
0.43
0.97
0.80
0.16
0.56
0.65
1.08
0.99
3.08
1.45
1.87
0.98
1.02
2.59
2.66
1.06
0.32
1.43
0.91
1.21
2.37
0.00
0.00
1.63
0.09
0.38
0.94
0.16
1.11
0.00
0.14
0.60
0.66
2.48
1.74
1.72
2.14
1.91
1.88
0.44
2.77
2.53
2.64
0.50
6.23
6.07
2.07
5.46
3.91
3.92
1.29
5.08
4.13
4.19
1.29
0.39
0.50
1.86
5.30
6.05
3.88
4.43
3.99
0.94
0.36
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00016
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
000
090
090
090
090
YYY
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
010
090
090
090
090
090
090
090
090
ZZZ
090
090
090
ZZZ
090
090
ZZZ
090
090
090
ZZZ
090
090
090
ZZZ
090
090
090
090
090
090
090
090
ZZZ
010
2583
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
22520
22521
22522
22523
22524
22525
22526
22527
22532
22533
22534
22548
22554
22556
22558
22585
22590
22595
22600
22610
22612
22614
22630
22632
22800
22802
22804
22808
22810
22812
22818
22819
22830
22840
22841
22842
22843
22844
22845
22846
22847
22848
22849
22850
22851
22852
22855
22857
22862
22865
22899
22900
22999
23000
23020
23030
23031
23035
23040
23044
23065
23066
23075
23076
23077
23100
23101
23105
23106
23107
23120
23125
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
C
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Percut vertebroplasty thor ...................
Percut vertebroplasty lumb .................
Percut vertebroplasty add"l ..............
Percut kyphoplasty, thor .....................
Percut kyphoplasty, lumbar ................
Percut kyphoplasty, add-on ................
Idet, single level ..................................
Idet, 1 or more levels ..........................
Lat thorax spine fusion .......................
Lat lumbar spine fusion ......................
Lat thor/lumb, add"l seg ...................
Neck spine fusion ...............................
Neck spine fusion ...............................
Thorax spine fusion ............................
Lumbar spine fusion ...........................
Additional spinal fusion .......................
Spine & skull spinal fusion ..................
Neck spinal fusion ...............................
Neck spine fusion ...............................
Thorax spine fusion ............................
Lumbar spine fusion ...........................
Spine fusion, extra segment ...............
Lumbar spine fusion ...........................
Spine fusion, extra segment ...............
Fusion of spine ...................................
Fusion of spine ...................................
Fusion of spine ...................................
Fusion of spine ...................................
Fusion of spine ...................................
Fusion of spine ...................................
Kyphectomy, 1-2 segments ................
Kyphectomy, 3 or more ......................
Exploration of spinal fusion .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert spine fixation device .................
Insert pelv fixation device ...................
Reinsert spinal fixation ........................
Remove spine fixation device .............
Apply spine prosth device ...................
Remove spine fixation device .............
Remove spine fixation device .............
Lumbar artif diskectomy ......................
Revise lumbar artif disc ......................
Remove lumb artif disc .......................
Spine surgery procedure ....................
Remove abdominal wall lesion ...........
Abdomen surgery procedure ..............
Removal of calcium deposits ..............
Release shoulder joint ........................
Drain shoulder lesion ..........................
Drain shoulder bursa ..........................
Drain shoulder bone lesion .................
Exploratory shoulder surgery ..............
Exploratory shoulder surgery ..............
Biopsy shoulder tissues ......................
Biopsy shoulder tissues ......................
Removal of shoulder lesion ................
Removal of shoulder lesion ................
Remove tumor of shoulder .................
Biopsy of shoulder joint ......................
Shoulder joint surgery .........................
Remove shoulder joint lining ..............
Incision of collarbone joint ..................
Explore treat shoulder joint .................
Partial removal, collar bone ................
Removal of collar bone .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
9.17
8.60
4.30
9.21
8.81
4.47
6.07
3.03
25.81
24.61
5.99
26.86
17.54
24.50
23.33
5.52
21.56
20.44
17.20
17.08
23.38
6.43
21.89
5.22
19.30
31.91
37.30
27.31
31.30
34.00
34.18
39.18
11.13
12.52
0.00
12.56
13.44
16.42
11.94
12.40
13.78
5.99
19.08
9.74
6.70
9.29
15.77
26.93
32.43
31.55
0.00
6.14
0.00
4.40
9.24
3.44
2.76
9.04
9.63
7.48
2.28
4.21
2.41
7.77
18.08
6.09
5.63
8.36
6.02
8.75
7.23
9.52
43.83
45.01
NA
NA
NA
NA
46.73
40.40
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
0.00
7.89
NA
6.29
6.52
NA
NA
NA
2.96
7.76
3.70
NA
NA
NA
NA
NA
NA
NA
NA
NA
52.77
50.51
NA
NA
NA
NA
46.73
40.40
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
0.00
8.21
NA
6.84
7.19
NA
NA
NA
2.72
7.72
3.68
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.58
4.36
1.51
4.67
4.53
1.69
2.05
0.70
13.79
13.58
2.28
14.94
10.65
12.96
11.44
2.06
13.08
12.65
11.20
10.82
12.50
2.46
12.54
1.99
11.16
16.00
18.13
14.06
14.92
17.39
16.63
18.88
7.06
4.78
0.00
4.80
5.16
6.41
4.49
4.66
5.20
2.34
10.17
6.41
2.54
6.18
9.18
14.82
16.09
15.74
0.00
3.54
0.00
3.74
6.49
2.40
2.22
6.46
6.75
5.52
1.74
3.61
1.72
5.32
9.61
5.00
4.54
6.10
4.79
6.26
5.47
6.39
4.84
4.65
1.59
5.29
5.11
1.98
2.05
0.70
14.31
13.59
2.66
15.38
11.50
13.85
12.37
2.43
13.21
12.75
11.20
11.12
13.36
2.90
13.08
2.33
11.97
17.80
20.42
15.19
16.64
18.73
17.75
19.47
7.51
5.64
0.00
5.65
5.88
7.58
5.28
5.50
6.11
2.76
10.95
6.70
2.95
6.49
9.43
14.82
16.09
15.74
0.00
3.38
0.00
4.08
7.02
2.65
2.47
7.36
7.31
5.98
1.68
3.80
1.75
5.44
9.92
5.33
4.94
6.61
5.25
6.83
5.97
6.98
1.72
1.60
0.82
1.72
1.60
0.82
1.16
0.58
4.35
3.16
1.25
5.61
4.46
4.35
3.16
1.25
4.79
4.41
3.73
3.53
4.47
1.38
4.73
1.16
3.76
6.17
7.00
4.93
5.15
5.30
6.47
7.67
2.30
2.79
0.00
2.75
2.86
3.19
2.86
2.96
3.00
1.15
3.90
2.05
1.49
1.90
3.52
3.56
5.36
5.18
0.00
0.76
0.00
0.68
1.54
0.57
0.46
1.47
1.60
1.24
0.20
0.63
0.34
1.13
2.34
1.04
0.96
1.42
0.99
1.49
1.23
1.62
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00017
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
010
ZZZ
010
010
ZZZ
010
ZZZ
090
090
ZZZ
090
090
090
090
ZZZ
090
090
090
090
090
ZZZ
090
ZZZ
090
090
090
090
090
090
090
090
090
ZZZ
XXX
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
090
090
ZZZ
090
090
090
090
090
YYY
090
YYY
090
090
010
010
090
090
090
010
090
010
090
090
090
090
090
090
090
090
090
2584
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
23130
23140
23145
23146
23150
23155
23156
23170
23172
23174
23180
23182
23184
23190
23195
23200
23210
23220
23221
23222
23330
23331
23332
23350
23395
23397
23400
23405
23406
23410
23412
23415
23420
23430
23440
23450
23455
23460
23462
23465
23466
23470
23472
23480
23485
23490
23491
23500
23505
23515
23520
23525
23530
23532
23540
23545
23550
23552
23570
23575
23585
23600
23605
23615
23616
23620
23625
23630
23650
23655
23660
23665
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Remove shoulder bone, part ..............
Removal of bone lesion ......................
Removal of bone lesion ......................
Removal of bone lesion ......................
Removal of humerus lesion ................
Removal of humerus lesion ................
Removal of humerus lesion ................
Remove collar bone lesion .................
Remove shoulder blade lesion ...........
Remove humerus lesion .....................
Remove collar bone lesion .................
Remove shoulder blade lesion ...........
Remove humerus lesion .....................
Partial removal of scapula ..................
Removal of head of humerus .............
Removal of collar bone .......................
Removal of shoulder blade .................
Partial removal of humerus .................
Partial removal of humerus .................
Partial removal of humerus .................
Remove shoulder foreign body ...........
Remove shoulder foreign body ...........
Remove shoulder foreign body ...........
Injection for shoulder x-ray .................
Muscle transfer,shoulder/arm .............
Muscle transfers ..................................
Fixation of shoulder blade ..................
Incision of tendon & muscle ...............
Incise tendon(s) & muscle(s) ..............
Repair rotator cuff, acute ....................
Repair rotator cuff, chronic .................
Release of shoulder ligament .............
Repair of shoulder ..............................
Repair biceps tendon ..........................
Remove/transplant tendon ..................
Repair shoulder capsule .....................
Repair shoulder capsule .....................
Repair shoulder capsule .....................
Repair shoulder capsule .....................
Repair shoulder capsule .....................
Repair shoulder capsule .....................
Reconstruct shoulder joint ..................
Reconstruct shoulder joint ..................
Revision of collar bone .......................
Revision of collar bone .......................
Reinforce clavicle ................................
Reinforce shoulder bones ...................
Treat clavicle fracture .........................
Treat clavicle fracture .........................
Treat clavicle fracture .........................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat clavicle dislocation .....................
Treat shoulder blade fx .......................
Treat shoulder blade fx .......................
Treat scapula fracture .........................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat shoulder dislocation ...................
Treat shoulder dislocation ...................
Treat shoulder dislocation ...................
Treat dislocation/fracture ....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
7.63
7.01
9.28
7.96
8.79
10.72
8.99
7.10
7.20
9.90
8.85
8.47
9.76
7.36
10.24
12.69
13.16
15.36
18.41
25.44
1.87
7.51
12.23
1.00
18.29
16.62
13.73
8.43
10.90
12.63
13.55
10.09
14.75
10.05
10.53
13.58
14.55
15.68
15.60
16.16
15.55
17.75
22.47
11.42
13.79
12.04
14.40
2.13
3.74
9.53
2.21
3.67
7.37
8.08
2.28
3.32
7.48
8.70
2.28
4.12
14.07
3.00
4.94
12.12
18.19
2.46
3.99
10.39
3.44
4.64
7.55
4.54
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.36
NA
NA
2.73
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.64
4.01
NA
2.77
4.17
NA
NA
2.67
3.74
NA
NA
2.78
4.59
NA
4.07
5.38
NA
NA
3.41
4.45
NA
3.29
NA
NA
4.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.52
NA
NA
3.10
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.76
4.21
NA
2.81
4.35
NA
NA
2.77
3.97
NA
NA
2.90
4.74
NA
4.31
5.77
NA
NA
3.51
4.69
NA
3.53
NA
NA
5.09
6.08
4.90
6.49
5.92
6.26
7.26
6.29
5.00
5.52
7.18
6.42
6.43
6.93
5.31
6.92
7.12
7.81
9.15
10.62
13.35
1.51
5.84
7.97
0.35
11.21
9.56
8.55
5.92
6.91
7.78
8.16
6.59
9.71
6.78
6.78
8.18
8.56
9.37
9.09
9.50
10.00
10.13
12.15
7.30
8.21
6.75
8.72
2.71
3.62
7.01
2.84
3.64
5.31
6.02
2.74
3.26
5.54
6.26
2.92
4.08
8.51
3.65
4.60
8.06
10.46
3.15
3.92
7.37
2.83
4.15
5.69
4.27
6.61
5.07
6.97
6.52
6.59
7.79
6.84
5.51
5.90
7.77
7.71
7.49
8.12
5.74
7.33
7.92
8.41
9.99
11.17
14.57
1.70
6.32
8.65
0.34
12.04
10.47
9.31
6.42
7.63
8.60
9.03
7.29
10.28
7.44
7.52
9.02
9.50
10.37
9.92
10.34
10.69
11.19
13.28
8.04
9.05
7.73
9.72
2.62
3.73
6.78
2.79
3.79
5.62
6.50
2.55
3.31
5.96
6.79
2.91
4.20
8.08
3.60
4.85
8.45
12.30
3.07
4.10
7.00
2.79
4.16
6.04
4.49
1.30
1.08
1.49
1.35
1.32
1.81
1.50
1.12
1.01
1.65
1.47
1.37
1.63
1.17
1.71
1.94
2.03
2.49
3.06
3.95
0.24
1.27
2.03
0.06
2.94
2.74
2.30
1.45
1.88
2.17
2.32
1.74
2.32
1.74
1.83
2.33
2.50
2.67
2.60
2.77
2.47
2.99
3.67
1.95
2.34
1.47
2.47
0.30
0.61
1.28
0.34
0.46
1.20
1.38
0.29
0.35
1.25
1.46
0.36
0.59
1.54
0.48
0.84
1.62
3.70
0.40
0.67
1.27
0.30
0.69
1.29
0.71
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00018
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2585
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
23670
23675
23680
23700
23800
23802
23900
23920
23921
23929
23930
23931
23935
24000
24006
24065
24066
24075
24076
24077
24100
24101
24102
24105
24110
24115
24116
24120
24125
24126
24130
24134
24136
24138
24140
24145
24147
24149
24150
24151
24152
24153
24155
24160
24164
24200
24201
24220
24300
24301
24305
24310
24320
24330
24331
24332
24340
24341
24342
24343
24344
24345
24346
24357
24358
24359
24360
24361
24362
24363
24365
24366
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treat dislocation/fracture ....................
Treat dislocation/fracture ....................
Treat dislocation/fracture ....................
Fixation of shoulder ............................
Fusion of shoulder joint ......................
Fusion of shoulder joint ......................
Amputation of arm & girdle .................
Amputation at shoulder joint ...............
Amputation follow-up surgery .............
Shoulder surgery procedure ...............
Drainage of arm lesion .......................
Drainage of arm bursa ........................
Drain arm/elbow bone lesion ..............
Exploratory elbow surgery ..................
Release elbow joint .............................
Biopsy arm/elbow soft tissue ..............
Biopsy arm/elbow soft tissue ..............
Remove arm/elbow lesion ..................
Remove arm/elbow lesion ..................
Remove tumor of arm/elbow ..............
Biopsy elbow joint lining .....................
Explore/treat elbow joint .....................
Remove elbow joint lining ...................
Removal of elbow bursa .....................
Remove humerus lesion .....................
Remove/graft bone lesion ...................
Remove/graft bone lesion ...................
Remove elbow lesion ..........................
Remove/graft bone lesion ...................
Remove/graft bone lesion ...................
Removal of head of radius .................
Removal of arm bone lesion ...............
Remove radius bone lesion ................
Remove elbow bone lesion ................
Partial removal of arm bone ...............
Partial removal of radius .....................
Partial removal of elbow .....................
Radical resection of elbow ..................
Extensive humerus surgery ................
Extensive humerus surgery ................
Extensive radius surgery ....................
Extensive radius surgery ....................
Removal of elbow joint .......................
Remove elbow joint implant ................
Remove radius head implant ..............
Removal of arm foreign body .............
Removal of arm foreign body .............
Injection for elbow x-ray ......................
Manipulate elbow w/anesth ................
Muscle/tendon transfer .......................
Arm tendon lengthening ......................
Revision of arm tendon .......................
Repair of arm tendon ..........................
Revision of arm muscles ....................
Revision of arm muscles ....................
Tenolysis, triceps ................................
Repair of biceps tendon ......................
Repair arm tendon/muscle ..................
Repair of ruptured tendon ...................
Repr elbow lat ligmnt w/tiss ................
Reconstruct elbow lat ligmnt ...............
Repr elbw med ligmnt w/tissu .............
Reconstruct elbow med ligmnt ...........
Repair elbow, perc ..............................
Repair elbow w/deb, open ..................
Repair elbow deb/attch open ..............
Reconstruct elbow joint .......................
Reconstruct elbow joint .......................
Reconstruct elbow joint .......................
Replace elbow joint .............................
Reconstruct head of radius .................
Reconstruct head of radius .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
12.12
6.13
12.99
2.54
14.59
18.17
20.57
16.03
5.61
0.00
2.96
1.81
6.27
5.99
9.62
2.10
5.26
3.96
6.36
11.95
4.98
6.19
8.15
3.67
7.46
10.00
12.11
6.71
8.02
8.50
6.31
10.10
8.29
8.33
9.43
7.70
7.69
15.92
13.70
16.08
10.24
11.73
11.97
7.89
6.34
1.78
4.61
1.31
3.86
10.26
7.51
6.03
10.74
9.67
10.83
7.77
7.96
9.24
10.74
8.99
14.97
8.99
14.97
5.32
6.54
8.86
12.53
14.27
15.18
22.47
8.51
9.25
NA
6.13
NA
NA
NA
NA
NA
NA
NA
0.00
4.98
4.36
NA
NA
NA
4.15
8.27
7.19
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.74
7.80
2.66
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.48
NA
NA
NA
NA
NA
NA
NA
0.00
5.65
5.14
NA
NA
NA
3.68
8.61
7.27
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.08
8.81
3.15
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.93
5.13
8.24
1.90
8.87
11.22
10.43
9.22
4.85
0.00
1.98
1.75
5.10
4.75
6.60
1.92
3.92
3.27
4.59
6.86
4.09
5.05
5.81
4.03
5.65
4.32
7.68
5.18
5.99
6.01
5.13
6.91
5.77
6.49
6.58
5.64
6.28
10.77
8.50
9.70
6.17
4.87
7.42
5.83
4.90
1.36
3.66
0.46
5.16
6.83
5.66
4.73
7.03
6.64
6.95
5.92
5.96
7.53
7.07
6.99
9.96
6.94
10.04
4.72
5.28
6.20
7.84
8.76
5.74
12.18
5.97
6.31
7.38
5.49
8.17
2.04
9.64
10.70
11.07
9.58
4.97
0.00
2.15
1.96
5.51
5.08
7.18
1.83
4.03
3.33
4.72
7.30
4.31
5.49
6.34
4.21
6.16
5.77
8.38
5.55
6.08
6.52
5.58
7.88
6.50
7.14
7.84
6.85
7.44
11.20
9.25
10.61
6.95
5.22
7.91
6.36
5.34
1.49
3.95
0.45
5.44
7.51
6.19
5.16
7.28
7.26
7.82
6.35
6.47
7.72
7.79
7.57
10.74
7.48
10.69
5.15
5.73
6.20
8.66
9.67
7.89
12.95
6.59
6.93
1.36
1.01
1.76
0.44
2.36
2.71
3.19
2.47
0.78
0.00
0.43
0.28
1.05
0.97
1.50
0.17
0.80
0.56
0.95
1.73
0.85
1.03
1.33
0.61
1.28
1.68
2.06
1.10
1.06
1.16
1.04
1.64
1.38
1.34
1.51
1.25
1.30
2.35
2.33
2.60
1.48
0.74
1.93
1.30
1.03
0.20
0.72
0.08
0.65
1.66
1.15
0.96
1.74
1.60
1.78
1.23
1.36
1.36
1.86
1.43
2.37
1.44
2.34
0.87
1.07
1.41
2.06
2.19
2.61
3.02
1.41
1.52
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00019
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
010
090
090
090
090
090
YYY
010
010
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2586
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
24400
24410
24420
24430
24435
24470
24495
24498
24500
24505
24515
24516
24530
24535
24538
24545
24546
24560
24565
24566
24575
24576
24577
24579
24582
24586
24587
24600
24605
24615
24620
24635
24640
24650
24655
24665
24666
24670
24675
24685
24800
24802
24900
24920
24925
24930
24931
24935
24940
24999
25000
25001
25020
25023
25024
25025
25028
25031
25035
25040
25065
25066
25075
25076
25077
25085
25100
25101
25105
25107
25109
25110
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Revision of humerus ...........................
Revision of humerus ...........................
Revision of humerus ...........................
Repair of humerus ..............................
Repair humerus with graft ..................
Revision of elbow joint ........................
Decompression of forearm .................
Reinforce humerus ..............................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat elbow fracture ............................
Treat elbow fracture ............................
Treat elbow dislocation .......................
Treat elbow dislocation .......................
Treat elbow dislocation .......................
Treat elbow fracture ............................
Treat elbow fracture ............................
Treat elbow dislocation .......................
Treat radius fracture ...........................
Treat radius fracture ...........................
Treat radius fracture ...........................
Treat radius fracture ...........................
Treat ulnar fracture .............................
Treat ulnar fracture .............................
Treat ulnar fracture .............................
Fusion of elbow joint ...........................
Fusion/graft of elbow joint ...................
Amputation of upper arm ....................
Amputation of upper arm ....................
Amputation follow-up surgery .............
Amputation follow-up surgery .............
Amputate upper arm & implant ...........
Revision of amputation .......................
Revision of upper arm ........................
Upper arm/elbow surgery ...................
Incision of tendon sheath ....................
Incise flexor carpi radialis ...................
Decompress forearm 1 space ............
Decompress forearm 1 space ............
Decompress forearm 2 spaces ...........
Decompress forearm 2 spaces ...........
Drainage of forearm lesion .................
Drainage of forearm bursa ..................
Treat forearm bone lesion ..................
Explore/treat wrist joint .......................
Biopsy forearm soft tissues ................
Biopsy forearm soft tissues ................
Removal forearm lesion subcu ...........
Removal forearm lesion deep .............
Remove tumor, forearm/wrist .............
Incision of wrist capsule ......................
Biopsy of wrist joint .............................
Explore/treat wrist joint .......................
Remove wrist joint lining .....................
Remove wrist joint cartilage ................
Excise tendon forearm/wrist ...............
Remove wrist tendon lesion ...............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
11.19
14.96
13.58
15.07
14.74
8.81
8.30
12.16
3.29
5.25
11.97
12.07
3.57
6.96
9.63
12.99
14.73
2.87
5.64
8.86
9.53
2.94
5.87
11.26
9.89
15.64
15.65
4.28
5.50
9.72
7.07
8.64
1.22
2.22
4.48
8.22
9.74
2.60
4.79
8.21
11.27
14.18
10.04
10.02
7.19
10.72
13.32
16.30
0.00
0.00
3.44
3.68
5.97
13.69
10.62
17.77
5.30
4.18
7.54
7.41
2.01
4.18
3.78
4.97
9.90
5.55
3.94
4.74
5.91
7.50
6.81
3.96
NA
NA
NA
NA
NA
NA
NA
NA
4.45
5.84
NA
NA
4.73
6.82
NA
NA
NA
4.11
5.94
NA
NA
4.41
6.04
NA
NA
NA
NA
3.86
NA
NA
NA
NA
1.53
3.43
5.18
NA
NA
3.73
5.38
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.33
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.65
6.22
NA
NA
4.97
7.33
NA
NA
NA
4.30
6.28
NA
NA
4.59
6.49
NA
NA
NA
NA
4.36
NA
NA
NA
NA
1.69
3.60
5.57
NA
NA
3.92
5.69
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.78
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.50
9.25
8.51
9.23
9.82
5.66
6.41
7.67
3.81
4.88
8.04
7.65
4.00
5.86
7.19
8.28
9.11
3.43
5.05
6.80
6.97
3.71
5.08
7.74
8.18
9.33
9.32
3.28
4.91
6.56
5.49
6.55
0.83
2.99
4.40
6.51
6.96
3.15
4.57
6.52
6.89
8.03
6.42
6.04
4.95
6.20
5.08
10.47
0.00
0.00
3.98
3.95
6.95
11.33
7.08
9.70
6.20
3.49
5.63
5.40
1.98
3.84
3.31
4.11
6.18
4.62
3.77
4.35
4.98
6.24
5.24
3.62
8.18
9.78
9.53
9.49
10.35
6.69
7.58
8.47
3.75
5.14
8.72
8.38
4.02
6.24
7.95
8.37
10.22
3.31
5.29
7.48
7.69
3.71
5.47
8.29
8.65
10.28
10.17
3.39
5.14
7.19
5.87
10.31
0.81
2.87
4.60
7.01
7.51
3.11
4.77
7.02
7.82
9.21
6.74
6.49
5.52
6.72
5.40
9.25
0.00
0.00
5.43
4.09
8.26
13.14
7.28
9.84
7.18
5.71
9.61
6.35
1.94
5.45
4.60
6.83
9.14
5.87
4.53
5.12
6.14
7.29
5.24
5.34
1.93
2.58
2.18
2.22
2.28
1.48
1.18
2.07
0.50
0.89
2.03
2.03
0.57
1.18
1.64
1.83
2.74
0.44
0.93
1.30
1.87
0.46
0.95
2.03
1.48
2.65
2.53
0.50
0.89
1.60
1.07
2.29
0.12
0.35
0.70
1.41
1.62
0.41
0.81
1.52
1.63
2.38
1.53
1.61
1.14
1.68
1.90
2.14
0.00
0.00
0.55
0.55
0.93
2.04
1.36
1.83
0.81
0.63
1.24
1.15
0.15
0.64
0.55
0.74
1.42
0.85
0.59
0.75
0.92
0.99
0.96
0.62
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00020
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
2587
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
25111
25112
25115
25116
25118
25119
25120
25125
25126
25130
25135
25136
25145
25150
25151
25170
25210
25215
25230
25240
25246
25248
25250
25251
25259
25260
25263
25265
25270
25272
25274
25275
25280
25290
25295
25300
25301
25310
25312
25315
25316
25320
25332
25335
25337
25350
25355
25360
25365
25370
25375
25390
25391
25392
25393
25394
25400
25405
25415
25420
25425
25426
25430
25431
25440
25441
25442
25443
25444
25445
25446
25447
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Remove wrist tendon lesion ...............
Reremove wrist tendon lesion ............
Remove wrist/forearm lesion ..............
Remove wrist/forearm lesion ..............
Excise wrist tendon sheath .................
Partial removal of ulna ........................
Removal of forearm lesion ..................
Remove/graft forearm lesion ..............
Remove/graft forearm lesion ..............
Removal of wrist lesion .......................
Remove & graft wrist lesion ................
Remove & graft wrist lesion ................
Remove forearm bone lesion .............
Partial removal of ulna ........................
Partial removal of radius .....................
Extensive forearm surgery ..................
Removal of wrist bone ........................
Removal of wrist bones ......................
Partial removal of radius .....................
Partial removal of ulna ........................
Injection for wrist x-ray ........................
Remove forearm foreign body ............
Removal of wrist prosthesis ................
Removal of wrist prosthesis ................
Manipulate wrist w/anesthes ...............
Repair forearm tendon/muscle ...........
Repair forearm tendon/muscle ...........
Repair forearm tendon/muscle ...........
Repair forearm tendon/muscle ...........
Repair forearm tendon/muscle ...........
Repair forearm tendon/muscle ...........
Repair forearm tendon sheath ............
Revise wrist/forearm tendon ...............
Incise wrist/forearm tendon .................
Release wrist/forearm tendon .............
Fusion of tendons at wrist ..................
Fusion of tendons at wrist ..................
Transplant forearm tendon .................
Transplant forearm tendon .................
Revise palsy hand tendon(s) ..............
Revise palsy hand tendon(s) ..............
Repair/revise wrist joint .......................
Revise wrist joint .................................
Realignment of hand ...........................
Reconstruct ulna/radioulnar ................
Revision of radius ...............................
Revision of radius ...............................
Revision of ulna ..................................
Revise radius & ulna ...........................
Revise radius or ulna ..........................
Revise radius & ulna ...........................
Shorten radius or ulna ........................
Lengthen radius or ulna ......................
Shorten radius & ulna .........................
Lengthen radius & ulna .......................
Repair carpal bone, shorten ...............
Repair radius or ulna ..........................
Repair/graft radius or ulna ..................
Repair radius & ulna ...........................
Repair/graft radius & ulna ...................
Repair/graft radius or ulna ..................
Repair/graft radius & ulna ...................
Vasc graft into carpal bone .................
Repair nonunion carpal bone .............
Repair/graft wrist bone ........................
Reconstruct wrist joint .........................
Reconstruct wrist joint .........................
Reconstruct wrist joint .........................
Reconstruct wrist joint .........................
Reconstruct wrist joint .........................
Wrist replacement ...............................
Repair wrist joint(s) .............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.44
4.58
9.89
7.38
4.42
6.10
6.16
7.55
7.62
5.32
6.96
6.03
6.43
7.27
7.57
11.34
6.01
8.02
5.28
5.22
1.45
5.20
6.66
9.70
3.86
7.89
7.90
9.96
6.06
7.10
8.82
8.82
7.28
5.34
6.61
8.88
8.47
8.26
9.70
10.56
12.76
12.38
11.60
13.25
11.44
8.97
10.41
8.62
12.77
13.93
13.41
10.58
14.14
14.44
16.42
10.71
11.16
14.87
13.66
16.89
13.58
16.31
9.57
10.75
10.56
13.15
10.98
10.52
11.28
9.76
17.16
10.95
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.73
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.62
4.08
7.34
6.19
4.15
5.07
5.10
5.68
5.86
4.73
5.62
5.10
5.21
5.53
5.65
7.37
5.05
6.03
4.50
4.47
0.53
4.05
5.27
6.75
5.16
6.38
6.10
7.11
4.97
5.49
6.37
6.48
5.56
4.50
5.29
6.66
6.19
5.94
6.71
7.11
7.82
9.87
7.61
8.31
8.63
6.35
6.75
6.24
8.18
9.01
8.37
7.07
8.67
8.91
9.57
6.95
7.27
8.93
8.80
9.93
8.49
9.20
7.04
7.16
6.90
8.11
7.51
7.22
7.44
6.70
9.99
7.87
4.16
4.67
10.69
9.67
4.95
6.33
8.60
9.27
9.44
5.58
6.57
5.85
8.64
6.87
9.19
11.26
5.92
7.40
5.32
5.71
0.50
6.29
5.69
7.33
5.44
9.85
9.68
10.71
8.50
9.14
10.00
7.03
9.10
9.75
8.73
7.56
7.13
9.49
10.33
10.76
12.03
10.63
8.40
9.95
9.86
10.17
10.68
10.06
11.92
12.55
12.40
10.83
12.62
12.44
13.58
7.51
11.23
13.11
12.66
14.11
14.94
12.88
7.19
7.78
8.15
9.06
8.20
8.00
8.24
7.35
10.96
8.27
0.53
0.70
1.31
1.11
0.68
0.96
1.00
1.06
1.27
0.80
1.02
1.03
1.01
1.14
1.18
1.78
0.88
1.19
0.79
0.81
0.09
0.72
1.01
1.26
0.62
1.19
1.18
1.47
0.95
1.11
1.36
1.31
1.08
0.82
1.00
1.26
1.29
1.21
1.41
1.58
1.75
1.61
1.84
1.93
1.61
1.46
1.74
1.41
2.16
2.29
2.27
1.65
2.22
2.11
2.77
1.59
1.83
2.33
2.18
2.62
2.09
2.55
1.27
1.91
1.63
2.08
1.53
1.37
1.72
1.55
2.48
1.61
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00021
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2588
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
25449
25450
25455
25490
25491
25492
25500
25505
25515
25520
25525
25526
25530
25535
25545
25560
25565
25574
25575
25600
25605
25606
25607
25608
25609
25622
25624
25628
25630
25635
25645
25650
25651
25652
25660
25670
25671
25675
25676
25680
25685
25690
25695
25800
25805
25810
25820
25825
25830
25900
25905
25907
25909
25915
25920
25922
25924
25927
25929
25931
25999
26010
26011
26020
26025
26030
26034
26035
26037
26040
26045
26055
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Remove wrist joint implant ..................
Revision of wrist joint ..........................
Revision of wrist joint ..........................
Reinforce radius ..................................
Reinforce ulna .....................................
Reinforce radius and ulna ...................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of ulna ..........................
Treat fracture of ulna ..........................
Treat fracture of ulna ..........................
Treat fracture radius & ulna ................
Treat fracture radius & ulna ................
Treat fracture radius & ulna ................
Treat fracture radius/ulna ....................
Treat fracture radius/ulna ....................
Treat fracture radius/ulna ....................
Treat fx distal radial ............................
Treat fx rad extra-articul .....................
Treat fx rad intra-articul ......................
Treat fx radial 3+ frag .........................
Treat wrist bone fracture .....................
Treat wrist bone fracture .....................
Treat wrist bone fracture .....................
Treat wrist bone fracture .....................
Treat wrist bone fracture .....................
Treat wrist bone fracture .....................
Treat wrist bone fracture .....................
Pin ulnar styloid fracture .....................
Treat fracture ulnar styloid ..................
Treat wrist dislocation .........................
Treat wrist dislocation .........................
Pin radioulnar dislocation ....................
Treat wrist dislocation .........................
Treat wrist dislocation .........................
Treat wrist fracture ..............................
Treat wrist fracture ..............................
Treat wrist dislocation .........................
Treat wrist dislocation .........................
Fusion of wrist joint .............................
Fusion/graft of wrist joint .....................
Fusion/graft of wrist joint .....................
Fusion of hand bones .........................
Fuse hand bones with graft ................
Fusion, radioulnar jnt/ulna ..................
Amputation of forearm ........................
Amputation of forearm ........................
Amputation follow-up surgery .............
Amputation follow-up surgery .............
Amputation of forearm ........................
Amputate hand at wrist .......................
Amputate hand at wrist .......................
Amputation follow-up surgery .............
Amputation of hand .............................
Amputation follow-up surgery .............
Amputation follow-up surgery .............
Forearm or wrist surgery ....................
Drainage of finger abscess .................
Drainage of finger abscess .................
Drain hand tendon sheath ..................
Drainage of palm bursa ......................
Drainage of palm bursa(s) ..................
Treat hand bone lesion .......................
Decompress fingers/hand ...................
Decompress fingers/hand ...................
Release palm contracture ...................
Release palm contracture ...................
Incise finger tendon sheath ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
14.80
7.94
9.57
9.61
10.03
12.52
2.51
5.30
8.64
6.35
10.37
12.96
2.15
5.22
7.78
2.50
5.71
8.64
12.10
2.69
7.02
8.10
9.35
10.86
14.12
2.68
4.62
9.51
2.94
4.47
7.31
3.12
5.68
7.92
4.84
7.98
6.32
4.75
8.17
6.08
9.97
5.58
8.40
9.95
11.59
11.75
7.52
9.54
10.69
9.46
9.48
7.98
9.20
17.38
8.92
7.54
8.70
8.98
7.71
7.93
0.00
1.56
2.21
4.97
4.99
6.16
6.49
11.14
7.48
3.38
5.62
3.00
NA
NA
NA
NA
NA
NA
3.31
5.83
NA
5.70
NA
NA
3.48
5.57
NA
3.37
5.91
NA
NA
3.68
6.87
NA
NA
NA
NA
3.91
5.64
NA
3.76
5.12
NA
3.85
NA
NA
NA
NA
NA
4.72
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.06
6.25
NA
NA
NA
NA
NA
NA
NA
NA
9.05
NA
NA
NA
NA
NA
NA
3.44
6.19
NA
6.28
NA
NA
3.62
5.79
NA
3.53
6.31
NA
NA
3.89
7.05
NA
NA
NA
NA
4.09
5.97
NA
3.97
5.53
NA
4.08
NA
NA
NA
NA
NA
5.19
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.81
7.54
NA
NA
NA
NA
NA
NA
NA
NA
11.70
8.96
3.84
6.85
6.58
6.79
8.34
2.86
4.98
6.47
5.14
7.42
8.69
2.98
4.84
6.23
2.85
4.93
6.55
8.37
3.17
6.14
6.70
7.20
7.80
9.66
3.36
4.78
6.85
3.25
4.34
5.56
3.45
5.15
6.16
4.33
5.82
5.54
4.00
6.14
4.39
6.63
4.85
6.01
6.80
7.68
8.04
6.41
7.66
10.59
6.74
6.07
5.77
6.33
5.98
6.59
6.28
6.13
8.66
5.67
8.33
0.00
1.52
1.96
4.74
4.46
5.00
5.58
8.13
5.50
3.60
4.89
3.83
9.82
7.02
8.86
10.16
10.63
11.82
2.79
5.20
6.97
5.60
8.71
11.10
2.92
5.07
6.95
2.73
5.18
6.88
8.94
3.07
6.18
7.83
7.20
7.80
9.66
3.23
4.92
7.34
3.10
4.12
6.10
3.31
5.32
6.58
4.52
6.41
5.85
4.32
6.72
4.56
7.21
5.18
6.55
7.95
8.97
8.98
7.13
8.45
12.50
9.66
9.19
8.77
9.31
12.43
7.22
6.67
7.11
10.17
5.77
9.90
0.00
1.57
2.14
5.05
4.79
5.36
5.97
8.00
5.91
3.83
5.27
3.88
2.22
1.36
0.96
1.43
1.60
2.15
0.35
0.90
1.59
1.08
2.13
2.20
0.34
0.89
1.53
0.35
0.93
1.21
1.82
0.42
1.00
1.26
1.36
1.84
2.38
0.41
0.76
1.37
0.45
0.74
1.20
0.45
0.86
1.21
0.58
1.28
1.00
0.62
1.34
0.78
1.60
0.88
1.32
1.57
1.81
1.68
1.22
1.41
1.55
1.30
1.40
1.10
1.44
2.94
1.35
1.12
1.32
1.27
1.14
1.15
0.00
0.18
0.33
0.73
0.76
0.92
1.01
1.47
1.13
0.53
0.93
0.43
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00022
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
010
010
090
090
090
090
090
090
090
090
090
2589
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
26060
26070
26075
26080
26100
26105
26110
26115
26116
26117
26121
26123
26125
26130
26135
26140
26145
26160
26170
26180
26185
26200
26205
26210
26215
26230
26235
26236
26250
26255
26260
26261
26262
26320
26340
26350
26352
26356
26357
26358
26370
26372
26373
26390
26392
26410
26412
26415
26416
26418
26420
26426
26428
26432
26433
26434
26437
26440
26442
26445
26449
26450
26455
26460
26471
26474
26476
26477
26478
26479
26480
26483
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Incision of finger tendon .....................
Explore/treat hand joint .......................
Explore/treat finger joint ......................
Explore/treat finger joint ......................
Biopsy hand joint lining .......................
Biopsy finger joint lining ......................
Biopsy finger joint lining ......................
Removal hand lesion subcut ..............
Removal hand lesion, deep ................
Remove tumor, hand/finger ................
Release palm contracture ...................
Release palm contracture ...................
Release palm contracture ...................
Remove wrist joint lining .....................
Revise finger joint, each .....................
Revise finger joint, each .....................
Tendon excision, palm/finger ..............
Remove tendon sheath lesion ............
Removal of palm tendon, each ...........
Removal of finger tendon ...................
Remove finger bone ...........................
Remove hand bone lesion ..................
Remove/graft bone lesion ...................
Removal of finger lesion .....................
Remove/graft finger lesion ..................
Partial removal of hand bone .............
Partial removal, finger bone ................
Partial removal, finger bone ................
Extensive hand surgery ......................
Extensive hand surgery ......................
Extensive finger surgery .....................
Extensive finger surgery .....................
Partial removal of finger ......................
Removal of implant from hand ...........
Manipulate finger w/anesth .................
Repair finger/hand tendon ..................
Repair/graft hand tendon ....................
Repair finger/hand tendon ..................
Repair finger/hand tendon ..................
Repair/graft hand tendon ....................
Repair finger/hand tendon ..................
Repair/graft hand tendon ....................
Repair finger/hand tendon ..................
Revise hand/finger tendon ..................
Repair/graft hand tendon ....................
Repair hand tendon ............................
Repair/graft hand tendon ....................
Excision, hand/finger tendon ..............
Graft hand or finger tendon ................
Repair finger tendon ...........................
Repair/graft finger tendon ...................
Repair finger/hand tendon ..................
Repair/graft finger tendon ...................
Repair finger tendon ...........................
Repair finger tendon ...........................
Repair/graft finger tendon ...................
Realignment of tendons ......................
Release palm/finger tendon ................
Release palm & finger tendon ............
Release hand/finger tendon ................
Release forearm/hand tendon ............
Incision of palm tendon .......................
Incision of finger tendon .....................
Incise hand/finger tendon ...................
Fusion of finger tendons .....................
Fusion of finger tendons .....................
Tendon lengthening ............................
Tendon shortening ..............................
Lengthening of hand tendon ...............
Shortening of hand tendon .................
Transplant hand tendon ......................
Transplant/graft hand tendon ..............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.85
3.73
3.83
4.36
3.71
3.75
3.57
3.92
5.61
8.62
7.61
10.63
4.60
5.48
7.02
6.23
6.38
3.46
4.82
5.24
6.32
5.56
7.82
5.21
7.16
6.38
6.24
5.37
7.61
12.80
7.09
9.28
5.72
4.02
2.62
6.07
7.75
10.22
8.65
9.22
7.17
8.89
8.29
9.31
10.38
4.68
6.37
8.40
9.44
4.33
6.83
6.21
7.28
4.07
4.61
6.15
5.88
5.07
9.50
4.36
8.34
3.71
3.68
3.50
5.79
5.38
5.24
5.21
5.86
5.80
6.76
8.36
NA
NA
NA
NA
NA
NA
NA
9.84
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.04
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
10.71
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.06
3.06
3.37
4.32
3.67
3.68
3.61
4.23
5.31
6.19
5.93
8.22
1.87
4.89
5.47
5.17
5.19
3.94
4.37
4.71
5.73
4.56
5.85
4.74
5.54
4.95
4.95
4.58
5.72
8.29
5.47
6.73
4.75
3.79
4.61
9.54
10.07
13.72
10.36
10.96
9.51
10.54
10.17
9.21
11.17
7.64
8.63
7.47
9.05
8.15
8.81
5.12
9.26
6.79
7.02
7.94
7.82
8.49
11.83
8.24
7.28
5.19
5.15
5.12
7.80
7.61
7.36
7.58
7.79
7.74
9.67
10.23
3.28
3.21
3.58
4.59
3.90
3.96
3.83
4.50
5.66
6.63
6.45
8.54
2.16
5.12
5.97
5.61
5.62
4.03
4.66
5.06
5.89
4.96
6.37
5.08
5.93
5.43
5.38
4.95
6.08
8.83
5.83
6.45
5.04
4.05
4.74
12.08
12.72
16.05
13.00
13.81
12.31
13.54
13.11
11.25
13.95
9.79
10.95
9.63
11.83
10.24
11.22
9.14
11.57
8.53
8.91
9.74
9.69
10.97
13.89
10.69
11.53
6.26
6.22
6.13
9.52
9.50
9.15
9.32
9.81
9.65
12.36
12.87
0.45
0.48
0.53
0.66
0.54
0.59
0.53
0.59
0.84
1.26
1.17
1.43
0.70
0.94
1.07
0.92
0.97
0.49
0.69
0.78
0.81
0.88
1.20
0.79
0.98
1.01
0.95
0.81
1.07
1.69
1.01
1.14
0.88
0.59
0.39
0.93
1.13
1.21
1.33
1.38
1.12
1.40
1.23
1.40
1.57
0.73
0.97
0.98
0.79
0.67
1.07
0.95
1.09
0.64
0.72
0.93
0.89
0.75
1.20
0.65
1.06
0.59
0.58
0.55
0.88
0.76
0.79
0.81
0.90
0.92
1.02
1.26
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00023
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2590
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
26485
26489
26490
26492
26494
26496
26497
26498
26499
26500
26502
26508
26510
26516
26517
26518
26520
26525
26530
26531
26535
26536
26540
26541
26542
26545
26546
26548
26550
26551
26553
26554
26555
26556
26560
26561
26562
26565
26567
26568
26580
26587
26590
26591
26593
26596
26600
26605
26607
26608
26615
26641
26645
26650
26665
26670
26675
26676
26685
26686
26700
26705
26706
26715
26720
26725
26727
26735
26740
26742
26746
26750
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Transplant palm tendon ......................
Transplant/graft palm tendon ..............
Revise thumb tendon ..........................
Tendon transfer with graft ...................
Hand tendon/muscle transfer ..............
Revise thumb tendon ..........................
Finger tendon transfer ........................
Finger tendon transfer ........................
Revision of finger ................................
Hand tendon reconstruction ................
Hand tendon reconstruction ................
Release thumb contracture .................
Thumb tendon transfer .......................
Fusion of knuckle joint ........................
Fusion of knuckle joints ......................
Fusion of knuckle joints ......................
Release knuckle contracture ..............
Release finger contracture ..................
Revise knuckle joint ............................
Revise knuckle with implant ...............
Revise finger joint ...............................
Revise/implant finger joint ...................
Repair hand joint .................................
Repair hand joint with graft .................
Repair hand joint with graft .................
Reconstruct finger joint .......................
Repair nonunion hand ........................
Reconstruct finger joint .......................
Construct thumb replacement .............
Great toe-hand transfer ......................
Single transfer, toe-hand ....................
Double transfer, toe-hand ...................
Positional change of finger .................
Toe joint transfer .................................
Repair of web finger ...........................
Repair of web finger ...........................
Repair of web finger ...........................
Correct metacarpal flaw ......................
Correct finger deformity ......................
Lengthen metacarpal/finger ................
Repair hand deformity ........................
Reconstruct extra finger ......................
Repair finger deformity .......................
Repair muscles of hand ......................
Release muscles of hand ...................
Excision constricting tissue .................
Treat metacarpal fracture ...................
Treat metacarpal fracture ...................
Treat metacarpal fracture ...................
Treat metacarpal fracture ...................
Treat metacarpal fracture ...................
Treat thumb dislocation ......................
Treat thumb fracture ...........................
Treat thumb fracture ...........................
Treat thumb fracture ...........................
Treat hand dislocation ........................
Treat hand dislocation ........................
Pin hand dislocation ............................
Treat hand dislocation ........................
Treat hand dislocation ........................
Treat knuckle dislocation ....................
Treat knuckle dislocation ....................
Pin knuckle dislocation .......................
Treat knuckle dislocation ....................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
7.77
9.74
8.48
9.70
8.54
9.66
9.64
14.07
9.05
6.02
7.20
6.07
5.49
7.21
8.96
9.15
5.36
5.39
6.76
7.99
5.30
6.44
6.49
8.69
6.84
6.99
10.53
8.10
21.54
48.23
47.92
56.73
16.94
49.43
5.43
10.98
16.40
6.80
6.88
9.15
19.50
14.36
18.51
3.30
5.38
9.02
2.48
2.92
5.40
5.43
6.91
4.01
4.47
5.19
7.78
3.74
4.71
5.60
6.91
8.06
3.74
4.26
5.19
6.87
1.70
3.39
5.30
7.26
1.99
3.90
9.59
1.74
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.84
4.09
NA
NA
NA
4.04
4.61
NA
NA
3.62
5.26
NA
NA
NA
3.30
4.75
NA
NA
2.58
4.09
NA
NA
3.01
4.27
NA
2.25
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.73
4.32
NA
NA
NA
4.30
4.89
NA
NA
3.94
5.37
NA
NA
NA
3.53
5.04
NA
NA
2.68
4.43
NA
NA
3.07
4.63
NA
2.37
10.09
10.83
8.88
9.83
9.24
9.58
9.54
11.66
8.86
7.75
8.33
7.80
7.64
8.31
9.00
8.97
8.87
8.89
5.41
6.17
4.09
9.25
8.06
9.12
8.20
8.46
11.43
8.81
14.55
17.17
27.38
35.82
14.01
18.05
6.65
9.51
8.77
8.16
8.12
10.70
9.74
8.02
12.43
6.22
7.80
7.49
3.49
3.51
4.89
5.23
6.02
3.40
3.92
4.89
6.32
3.03
4.52
5.57
5.97
6.08
2.93
4.04
4.70
6.00
2.30
3.41
5.18
6.13
2.72
3.57
7.20
2.26
12.73
11.45
10.86
11.72
11.11
11.41
11.56
13.92
10.95
9.60
10.18
9.74
9.49
10.28
11.26
11.18
11.39
11.44
5.78
6.65
3.92
9.45
9.97
11.26
10.12
10.30
13.24
10.83
16.07
24.82
25.04
36.69
16.10
25.70
8.23
10.93
12.96
10.08
10.04
13.07
11.70
8.62
13.19
7.92
9.47
8.16
3.07
3.58
5.58
5.74
5.66
3.47
4.06
5.79
6.47
2.99
4.49
6.13
6.06
6.49
2.90
4.17
4.90
5.76
2.18
3.46
5.71
5.84
2.71
3.72
6.38
2.14
1.15
1.26
1.21
1.40
1.28
1.45
1.41
2.11
1.35
0.90
1.13
0.98
0.79
1.10
1.41
1.35
0.80
0.81
1.04
1.17
0.71
0.96
0.99
1.28
1.02
1.05
1.44
1.20
2.46
7.98
2.42
9.44
2.49
2.58
0.85
1.45
2.24
1.00
1.04
1.49
2.29
1.53
2.78
0.48
0.78
1.43
0.30
0.49
0.87
0.88
0.86
0.39
0.67
0.94
0.90
0.39
0.77
0.91
1.09
1.24
0.35
0.66
0.81
0.91
0.24
0.53
0.84
0.95
0.31
0.58
0.91
0.22
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00024
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2591
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
26755
26756
26765
26770
26775
26776
26785
26820
26841
26842
26843
26844
26850
26852
26860
26861
26862
26863
26910
26951
26952
26989
26990
26991
26992
27000
27001
27003
27005
27006
27025
27030
27033
27035
27036
27040
27041
27047
27048
27049
27050
27052
27054
27060
27062
27065
27066
27067
27070
27071
27075
27076
27077
27078
27079
27080
27086
27087
27090
27091
27093
27095
27096
27097
27098
27100
27105
27110
27111
27120
27122
27125
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treat finger fracture, each ..................
Pin finger fracture, each .....................
Treat finger fracture, each ..................
Treat finger dislocation .......................
Treat finger dislocation .......................
Pin finger dislocation ...........................
Treat finger dislocation .......................
Thumb fusion with graft ......................
Fusion of thumb ..................................
Thumb fusion with graft ......................
Fusion of hand joint ............................
Fusion/graft of hand joint ....................
Fusion of knuckle ................................
Fusion of knuckle with graft ................
Fusion of finger joint ...........................
Fusion of finger jnt, add-on .................
Fusion/graft of finger joint ...................
Fuse/graft added joint .........................
Amputate metacarpal bone .................
Amputation of finger/thumb .................
Amputation of finger/thumb .................
Hand/finger surgery ............................
Drainage of pelvis lesion ....................
Drainage of pelvis bursa .....................
Drainage of bone lesion ......................
Incision of hip tendon ..........................
Incision of hip tendon ..........................
Incision of hip tendon ..........................
Incision of hip tendon ..........................
Incision of hip tendons ........................
Incision of hip/thigh fascia ..................
Drainage of hip joint ............................
Exploration of hip joint ........................
Denervation of hip joint .......................
Excision of hip joint/muscle ................
Biopsy of soft tissues ..........................
Biopsy of soft tissues ..........................
Remove hip/pelvis lesion ....................
Remove hip/pelvis lesion ....................
Remove tumor, hip/pelvis ...................
Biopsy of sacroiliac joint .....................
Biopsy of hip joint ...............................
Removal of hip joint lining ..................
Removal of ischial bursa ....................
Remove femur lesion/bursa ................
Removal of hip bone lesion ................
Removal of hip bone lesion ................
Remove/graft hip bone lesion .............
Partial removal of hip bone .................
Partial removal of hip bone .................
Extensive hip surgery .........................
Extensive hip surgery .........................
Extensive hip surgery .........................
Extensive hip surgery .........................
Extensive hip surgery .........................
Removal of tail bone ...........................
Remove hip foreign body ....................
Remove hip foreign body ....................
Removal of hip prosthesis ..................
Removal of hip prosthesis ..................
Injection for hip x-ray ..........................
Injection for hip x-ray ..........................
Inject sacroiliac joint ............................
Revision of hip tendon ........................
Transfer tendon to pelvis ....................
Transfer of abdominal muscle ............
Transfer of spinal muscle ...................
Transfer of iliopsoas muscle ...............
Transfer of iliopsoas muscle ...............
Reconstruction of hip socket ..............
Reconstruction of hip socket ..............
Partial hip replacement .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.15
4.46
5.70
3.07
3.78
4.87
6.44
8.33
7.21
8.37
7.67
8.86
7.03
8.59
4.76
1.74
7.44
3.89
7.67
5.85
6.37
0.00
7.84
6.97
13.37
5.66
7.05
7.70
9.96
9.99
12.66
13.54
13.99
17.23
14.18
2.89
10.07
7.51
6.44
15.20
4.65
7.27
9.09
5.78
5.66
6.44
11.06
14.57
11.44
12.25
36.77
24.25
42.54
14.54
14.91
6.80
1.89
8.72
11.57
24.15
1.30
1.50
1.40
9.16
9.20
11.21
11.90
13.63
12.46
19.10
15.95
16.46
3.75
NA
NA
2.92
4.62
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
8.62
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.19
NA
7.03
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.66
NA
NA
NA
3.15
3.71
2.52
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.08
NA
NA
3.18
4.91
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
9.89
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.22
NA
7.07
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.11
NA
NA
NA
3.81
4.72
3.44
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.94
4.86
5.47
2.55
3.88
4.99
5.78
8.97
8.77
9.02
8.57
9.16
8.27
9.14
7.54
0.70
8.67
1.58
8.28
8.40
7.91
0.00
6.21
4.88
8.42
4.51
5.23
5.73
6.49
6.76
8.21
8.04
8.40
8.53
8.92
1.87
5.74
4.50
4.61
8.17
3.01
5.65
6.49
4.37
4.60
4.99
7.44
8.85
8.03
8.48
16.15
12.83
19.95
8.82
8.01
4.59
1.48
5.66
7.41
12.91
0.47
0.51
0.33
6.34
4.91
7.40
7.36
8.28
8.07
10.82
9.44
9.60
2.97
5.29
4.93
2.48
3.85
5.50
5.15
11.11
11.00
11.20
10.46
11.27
10.24
11.02
9.37
0.82
10.51
1.85
9.75
9.28
9.79
0.00
6.71
5.16
9.40
4.90
5.66
6.11
7.15
7.37
8.38
8.84
9.16
9.88
9.47
1.94
6.19
4.63
4.70
8.29
3.72
5.77
6.92
4.37
4.90
5.22
7.94
9.76
8.59
9.31
17.68
13.68
21.31
9.38
8.78
4.71
1.65
6.16
8.10
13.46
0.48
0.51
0.33
6.38
5.97
8.04
8.26
8.70
8.61
11.33
10.24
10.11
0.42
0.71
0.66
0.27
0.54
0.77
0.68
1.30
1.18
1.32
1.15
1.33
1.06
1.22
0.73
0.27
1.10
0.56
1.16
0.71
0.95
0.00
1.22
1.11
2.17
0.98
1.24
1.12
1.73
1.70
1.85
2.27
2.33
2.16
2.27
0.27
1.35
1.03
0.92
2.07
0.60
1.08
1.47
0.80
0.93
1.01
1.80
1.85
1.75
1.93
5.66
3.71
6.14
2.23
1.95
0.93
0.25
1.35
1.95
3.85
0.13
0.14
0.08
1.57
0.95
1.86
1.73
2.19
1.95
3.09
2.62
2.55
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00025
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
ZZZ
090
090
090
YYY
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
000
000
000
090
090
090
090
090
090
090
090
090
2592
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
27130
27132
27134
27137
27138
27140
27146
27147
27151
27156
27158
27161
27165
27170
27175
27176
27177
27178
27179
27181
27185
27187
27193
27194
27200
27202
27215
27216
27217
27218
27220
27222
27226
27227
27228
27230
27232
27235
27236
27238
27240
27244
27245
27246
27248
27250
27252
27253
27254
27256
27257
27258
27259
27265
27266
27267
27268
27269
27275
27280
27282
27284
27286
27290
27295
27299
27301
27303
27305
27306
27307
27310
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Total hip arthroplasty ..........................
Total hip arthroplasty ..........................
Revise hip joint replacement ..............
Revise hip joint replacement ..............
Revise hip joint replacement ..............
Transplant femur ridge ........................
Incision of hip bone .............................
Revision of hip bone ...........................
Incision of hip bones ...........................
Revision of hip bones .........................
Revision of pelvis ................................
Incision of neck of femur ....................
Incision/fixation of femur .....................
Repair/graft femur head/neck .............
Treat slipped epiphysis .......................
Treat slipped epiphysis .......................
Treat slipped epiphysis .......................
Treat slipped epiphysis .......................
Revise head/neck of femur .................
Treat slipped epiphysis .......................
Revision of femur epiphysis ................
Reinforce hip bones ............................
Treat pelvic ring fracture .....................
Treat pelvic ring fracture .....................
Treat tail bone fracture .......................
Treat tail bone fracture .......................
Treat pelvic fracture(s) ........................
Treat pelvic ring fracture .....................
Treat pelvic ring fracture .....................
Treat pelvic ring fracture .....................
Treat hip socket fracture .....................
Treat hip socket fracture .....................
Treat hip wall fracture .........................
Treat hip fracture(s) ............................
Treat hip fracture(s) ............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat thigh fracture .............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Treat hip dislocation ............................
Cltx thigh fx .........................................
Cltx thigh fx w/mnpj ............................
Optx thigh fx ........................................
Manipulation of hip joint ......................
Fusion of sacroiliac joint .....................
Fusion of pubic bones ........................
Fusion of hip joint ...............................
Fusion of hip joint ...............................
Amputation of leg at hip ......................
Amputation of leg at hip ......................
Pelvis/hip joint surgery ........................
Drain thigh/knee lesion .......................
Drainage of bone lesion ......................
Incise thigh tendon & fascia ...............
Incision of thigh tendon .......................
Incision of thigh tendons .....................
Exploration of knee joint .....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
21.61
25.49
30.13
22.55
23.55
12.66
18.72
21.87
23.92
26.03
20.89
17.74
20.06
17.46
9.29
12.78
15.94
12.78
13.83
15.98
9.67
14.09
5.98
10.08
1.87
7.25
10.45
15.73
14.65
20.93
6.72
13.97
15.45
25.21
29.13
5.69
11.66
12.88
17.43
5.64
13.66
17.08
21.09
4.75
10.64
7.21
10.92
13.46
18.80
4.25
5.35
16.04
23.03
5.12
7.67
5.38
7.00
18.75
2.29
14.49
11.71
24.91
24.97
24.38
19.54
0.00
6.67
8.52
6.09
4.66
5.97
9.88
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.63
NA
2.08
NA
NA
NA
NA
NA
5.25
NA
NA
NA
NA
4.93
NA
NA
NA
NA
NA
NA
NA
3.91
NA
NA
NA
NA
NA
2.52
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
8.20
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.86
NA
2.15
NA
NA
NA
NA
NA
5.49
NA
NA
NA
NA
5.23
NA
NA
NA
NA
NA
NA
NA
4.18
NA
NA
NA
NA
NA
3.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
9.14
NA
NA
NA
NA
NA
11.77
13.43
14.69
11.73
12.12
7.88
10.69
12.02
12.89
13.72
11.52
10.36
11.58
9.76
5.17
8.18
9.64
7.98
8.57
9.74
6.65
8.69
4.76
6.61
2.22
4.91
6.55
9.14
8.63
11.33
5.15
8.52
8.93
13.38
14.85
4.87
6.10
7.98
10.14
4.65
8.21
9.62
11.34
3.95
6.38
4.30
6.49
8.17
10.54
1.41
2.54
9.48
12.78
3.95
5.51
4.40
5.02
9.89
1.85
8.88
7.78
12.01
12.61
12.11
9.59
0.00
4.65
5.99
4.68
4.08
4.74
6.78
12.54
14.54
16.25
12.84
13.26
8.65
11.42
12.64
10.42
14.90
11.25
11.24
12.25
10.53
5.92
8.60
10.27
8.20
9.29
9.98
7.08
9.51
4.92
7.13
2.19
10.89
6.82
9.37
9.39
11.37
5.39
9.25
8.37
14.39
16.24
4.98
6.64
8.72
10.60
4.90
8.84
10.46
12.55
4.18
7.30
4.46
6.96
8.98
11.28
1.75
2.68
10.18
13.45
4.37
5.93
4.40
5.02
9.89
1.98
9.58
7.89
13.39
14.21
13.09
10.45
0.00
4.89
6.49
4.93
4.40
5.06
7.18
3.51
4.05
4.95
3.68
3.85
2.12
2.97
3.58
3.92
4.22
3.17
2.95
3.11
2.82
1.46
2.23
2.62
2.09
2.26
1.57
2.40
2.38
0.96
1.65
0.28
1.06
1.98
2.64
2.42
3.49
1.07
2.20
2.49
4.06
4.67
0.95
1.86
2.12
2.72
0.89
2.17
2.78
3.53
0.81
1.82
0.62
1.66
2.25
3.18
0.46
0.69
2.65
3.75
0.63
1.29
0.89
1.16
2.93
0.39
2.54
1.87
3.93
3.13
3.44
2.96
0.00
1.04
1.43
1.01
0.85
1.04
1.61
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00026
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
010
090
090
090
090
090
090
090
010
090
090
090
090
090
090
YYY
090
090
090
090
090
090
2593
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
27323
27324
27325
27326
27327
27328
27329
27330
27331
27332
27333
27334
27335
27340
27345
27347
27350
27355
27356
27357
27358
27360
27365
27370
27372
27380
27381
27385
27386
27390
27391
27392
27393
27394
27395
27396
27397
27400
27403
27405
27407
27409
27412
27415
27416
27418
27420
27422
27424
27425
27427
27428
27429
27430
27435
27437
27438
27440
27441
27442
27443
27445
27446
27447
27448
27450
27454
27455
27457
27465
27466
27468
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Biopsy, thigh soft tissues ....................
Biopsy, thigh soft tissues ....................
Neurectomy, hamstring .......................
Neurectomy, popliteal .........................
Removal of thigh lesion ......................
Removal of thigh lesion ......................
Remove tumor, thigh/knee ..................
Biopsy, knee joint lining ......................
Explore/treat knee joint .......................
Removal of knee cartilage ..................
Removal of knee cartilage ..................
Remove knee joint lining ....................
Remove knee joint lining ....................
Removal of kneecap bursa .................
Removal of knee cyst .........................
Remove knee cyst ..............................
Removal of kneecap ...........................
Remove femur lesion ..........................
Remove femur lesion/graft ..................
Remove femur lesion/graft ..................
Remove femur lesion/fixation .............
Partial removal, leg bone(s) ................
Extensive leg surgery .........................
Injection for knee x-ray .......................
Removal of foreign body .....................
Repair of kneecap tendon ..................
Repair/graft kneecap tendon ..............
Repair of thigh muscle ........................
Repair/graft of thigh muscle ................
Incision of thigh tendon .......................
Incision of thigh tendons .....................
Incision of thigh tendons .....................
Lengthening of thigh tendon ...............
Lengthening of thigh tendons .............
Lengthening of thigh tendons .............
Transplant of thigh tendon ..................
Transplants of thigh tendons ..............
Revise thigh muscles/tendons ............
Repair of knee cartilage ......................
Repair of knee ligament ......................
Repair of knee ligament ......................
Repair of knee ligaments ....................
Autochondrocyte implant knee ...........
Osteochondral knee allograft ..............
Osteochondral knee autograft ............
Repair degenerated kneecap .............
Revision of unstable kneecap .............
Revision of unstable kneecap .............
Revision/removal of kneecap ..............
Lat retinacular release open ...............
Reconstruction, knee ..........................
Reconstruction, knee ..........................
Reconstruction, knee ..........................
Revision of thigh muscles ...................
Incision of knee joint ...........................
Revise kneecap ..................................
Revise kneecap with implant ..............
Revision of knee joint .........................
Revision of knee joint .........................
Revision of knee joint .........................
Revision of knee joint .........................
Revision of knee joint .........................
Revision of knee joint .........................
Total knee arthroplasty .......................
Incision of thigh ...................................
Incision of thigh ...................................
Realignment of thigh bone ..................
Realignment of knee ...........................
Realignment of knee ...........................
Shortening of thigh bone ....................
Lengthening of thigh bone ..................
Shorten/lengthen thighs ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.30
4.95
7.09
6.36
4.52
5.62
15.68
5.02
5.93
8.34
7.43
9.07
10.43
4.23
5.98
6.58
8.54
7.89
9.97
11.02
4.73
11.34
17.93
0.96
5.12
7.34
10.64
8.00
10.99
5.44
7.38
9.51
6.50
8.68
12.10
8.04
12.46
9.21
8.51
8.96
10.71
13.57
24.53
19.79
14.00
11.46
10.14
10.09
10.12
5.28
9.67
15.33
17.24
10.04
10.68
8.82
11.77
10.97
11.42
12.25
11.29
18.52
16.26
23.04
11.48
14.47
18.97
13.24
13.92
18.44
17.13
19.82
4.20
NA
NA
NA
6.04
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.00
8.31
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.86
NA
NA
NA
6.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.36
9.18
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.93
3.82
4.99
5.12
3.58
4.07
8.47
4.26
4.80
6.12
5.69
6.43
7.02
4.04
4.89
5.26
6.25
5.81
6.84
7.48
1.81
8.05
10.42
0.36
4.04
6.06
7.56
6.31
7.93
4.47
5.55
6.67
4.96
6.15
7.93
5.83
8.35
6.51
6.03
6.39
6.83
8.26
13.66
11.79
8.39
7.57
6.91
6.88
6.90
4.70
6.70
10.05
11.26
6.84
7.59
6.19
7.50
7.00
7.36
7.64
7.35
10.42
9.29
12.58
7.32
8.84
10.73
8.31
8.23
10.29
10.06
11.17
1.91
4.00
4.97
5.18
3.65
4.22
8.75
4.42
5.16
6.62
6.18
6.92
7.62
4.30
5.26
5.34
6.75
6.29
7.34
8.09
2.17
8.81
11.05
0.34
4.36
6.67
8.33
6.97
8.72
4.79
6.06
7.13
5.40
6.69
8.63
6.42
8.70
6.88
6.61
6.94
7.58
9.11
14.23
12.17
8.39
8.24
7.51
7.50
7.50
5.12
7.25
10.65
11.84
7.42
8.04
6.72
8.02
6.50
7.04
8.28
8.04
11.39
10.28
13.59
7.96
9.71
11.62
9.10
9.08
10.26
10.95
11.77
0.24
0.75
1.09
1.06
0.64
0.84
2.15
0.86
1.02
1.43
1.26
1.51
1.75
0.72
1.00
0.98
1.41
1.32
1.65
1.96
0.82
1.84
2.80
0.08
0.84
1.24
1.80
1.36
1.86
0.92
1.23
1.57
1.10
1.47
2.05
1.34
1.83
1.31
1.44
1.51
1.79
2.25
4.36
4.36
2.32
1.89
1.72
1.71
1.71
0.90
1.63
2.43
2.71
1.70
1.70
1.49
1.96
1.82
1.89
2.10
1.91
3.09
2.81
3.80
1.95
2.43
3.13
2.25
2.35
2.48
2.78
3.31
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00027
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2594
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
27470
27472
27475
27477
27479
27485
27486
27487
27488
27495
27496
27497
27498
27499
27500
27501
27502
27503
27506
27507
27508
27509
27510
27511
27513
27514
27516
27517
27519
27520
27524
27530
27532
27535
27536
27538
27540
27550
27552
27556
27557
27558
27560
27562
27566
27570
27580
27590
27591
27592
27594
27596
27598
27599
27600
27601
27602
27603
27604
27605
27606
27607
27610
27612
27613
27614
27615
27618
27619
27620
27625
27626
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Repair of thigh ....................................
Repair/graft of thigh ............................
Surgery to stop leg growth .................
Surgery to stop leg growth .................
Surgery to stop leg growth .................
Surgery to stop leg growth .................
Revise/replace knee joint ....................
Revise/replace knee joint ....................
Removal of knee prosthesis ...............
Reinforce thigh ....................................
Decompression of thigh/knee .............
Decompression of thigh/knee .............
Decompression of thigh/knee .............
Decompression of thigh/knee .............
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treat thigh fx growth plate ..................
Treat thigh fx growth plate ..................
Treat thigh fx growth plate ..................
Treat kneecap fracture ........................
Treat kneecap fracture ........................
Treat knee fracture .............................
Treat knee fracture .............................
Treat knee fracture .............................
Treat knee fracture .............................
Treat knee fracture(s) .........................
Treat knee fracture .............................
Treat knee dislocation .........................
Treat knee dislocation .........................
Treat knee dislocation .........................
Treat knee dislocation .........................
Treat knee dislocation .........................
Treat kneecap dislocation ...................
Treat kneecap dislocation ...................
Treat kneecap dislocation ...................
Fixation of knee joint ...........................
Fusion of knee ....................................
Amputate leg at thigh ..........................
Amputate leg at thigh ..........................
Amputate leg at thigh ..........................
Amputation follow-up surgery .............
Amputation follow-up surgery .............
Amputate lower leg at knee ................
Leg surgery procedure ........................
Decompression of lower leg ...............
Decompression of lower leg ...............
Decompression of lower leg ...............
Drain lower leg lesion .........................
Drain lower leg bursa ..........................
Incision of achilles tendon ..................
Incision of achilles tendon ..................
Treat lower leg bone lesion ................
Explore/treat ankle joint ......................
Exploration of ankle joint ....................
Biopsy lower leg soft tissue ................
Biopsy lower leg soft tissue ................
Remove tumor, lower leg ....................
Remove lower leg lesion ....................
Remove lower leg lesion ....................
Explore/treat ankle joint ......................
Remove ankle joint lining ....................
Remove ankle joint lining ....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
16.97
18.57
8.82
10.03
13.04
9.02
20.92
26.91
17.40
16.40
6.66
7.70
8.54
9.31
6.21
6.34
11.24
11.13
19.42
14.39
6.08
8.02
9.68
14.97
19.11
14.46
5.45
8.98
13.11
2.93
10.25
3.97
7.43
13.27
17.19
4.95
11.16
5.84
8.04
12.86
15.76
18.25
3.88
5.86
12.59
1.76
20.90
13.35
13.82
10.86
7.17
11.15
11.08
0.00
5.94
5.94
7.71
5.12
4.51
2.89
4.15
8.51
9.01
8.01
2.19
5.71
12.93
5.14
8.47
6.04
8.37
8.98
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.36
5.01
NA
NA
NA
NA
5.69
NA
NA
NA
NA
NA
5.72
NA
NA
4.10
NA
4.82
6.40
NA
NA
5.51
NA
5.21
NA
NA
NA
NA
4.25
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
7.05
6.49
5.16
NA
NA
NA
NA
3.91
7.76
NA
6.44
10.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.75
5.40
NA
NA
NA
NA
6.08
NA
NA
NA
NA
NA
6.04
NA
NA
4.32
NA
5.07
6.88
NA
NA
5.83
NA
5.62
NA
NA
NA
NA
4.54
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
7.27
6.29
6.42
NA
NA
NA
NA
3.57
7.45
NA
6.23
9.76
NA
NA
NA
10.16
10.64
6.20
6.60
8.85
6.22
11.63
13.98
10.25
9.60
4.98
4.99
5.19
5.98
4.58
4.92
6.86
7.22
11.37
8.13
5.05
6.54
6.27
8.11
9.75
7.89
5.07
6.42
7.39
3.53
6.94
4.26
5.63
7.45
10.20
4.89
7.39
4.51
6.09
7.26
8.45
9.29
3.72
4.61
7.89
1.62
12.19
6.02
7.35
5.45
4.73
5.98
6.20
0.00
3.80
4.18
4.29
3.90
3.43
1.74
2.63
5.70
6.11
5.18
1.78
3.94
7.28
3.80
5.28
4.57
5.50
5.78
10.98
11.67
6.71
7.17
9.25
6.81
12.57
15.27
10.98
10.51
5.29
5.21
5.57
6.40
4.79
5.15
7.49
7.75
12.08
8.99
5.27
7.25
6.80
9.66
11.82
10.62
5.30
6.94
9.49
3.48
7.59
4.34
6.04
8.78
10.91
5.05
8.45
4.72
6.52
9.46
10.79
11.17
3.45
4.69
8.61
1.70
13.50
6.35
8.00
5.81
4.95
6.40
6.61
0.00
4.16
4.51
4.71
4.03
3.69
2.03
2.99
5.94
6.56
5.64
1.79
4.19
8.34
3.90
5.62
5.02
5.98
6.35
2.80
3.08
1.36
1.74
2.79
1.53
3.37
4.40
2.75
2.72
0.99
1.15
1.24
1.47
1.02
1.03
1.79
1.85
3.04
2.43
0.97
1.34
1.53
2.38
3.13
3.01
0.81
1.22
2.56
0.47
1.75
0.65
1.26
2.01
2.74
0.84
2.28
0.76
1.36
2.51
2.98
3.09
0.40
0.94
2.13
0.30
3.38
1.75
2.03
1.45
1.02
1.57
1.65
0.00
0.86
0.80
1.10
0.74
0.69
0.41
0.69
1.31
1.40
1.13
0.20
0.78
1.84
0.72
1.25
0.97
1.28
1.48
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
YYY
090
090
090
090
090
010
010
090
090
090
010
090
090
090
090
090
090
090
2595
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
27630
27635
27637
27638
27640
27641
27645
27646
27647
27648
27650
27652
27654
27656
27658
27659
27664
27665
27675
27676
27680
27681
27685
27686
27687
27690
27691
27692
27695
27696
27698
27700
27702
27703
27704
27705
27707
27709
27712
27715
27720
27722
27724
27725
27726
27727
27730
27732
27734
27740
27742
27745
27750
27752
27756
27758
27759
27760
27762
27766
27767
27768
27769
27780
27781
27784
27786
27788
27792
27808
27810
27814
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of tendon lesion ...................
Remove lower leg bone lesion ...........
Remove/graft leg bone lesion .............
Remove/graft leg bone lesion .............
Partial removal of tibia ........................
Partial removal of fibula ......................
Extensive lower leg surgery ................
Extensive lower leg surgery ................
Extensive ankle/heel surgery ..............
Injection for ankle x-ray ......................
Repair achilles tendon ........................
Repair/graft achilles tendon ................
Repair of achilles tendon ....................
Repair leg fascia defect ......................
Repair of leg tendon, each .................
Repair of leg tendon, each .................
Repair of leg tendon, each .................
Repair of leg tendon, each .................
Repair lower leg tendons ....................
Repair lower leg tendons ....................
Release of lower leg tendon ...............
Release of lower leg tendons .............
Revision of lower leg tendon ..............
Revise lower leg tendons ...................
Revision of calf tendon .......................
Revise lower leg tendon .....................
Revise lower leg tendon .....................
Revise additional leg tendon ..............
Repair of ankle ligament .....................
Repair of ankle ligaments ...................
Repair of ankle ligament .....................
Revision of ankle joint .........................
Reconstruct ankle joint .......................
Reconstruction, ankle joint ..................
Removal of ankle implant ...................
Incision of tibia ....................................
Incision of fibula ..................................
Incision of tibia & fibula .......................
Realignment of lower leg ....................
Revision of lower leg ..........................
Repair of tibia ......................................
Repair/graft of tibia .............................
Repair/graft of tibia .............................
Repair of lower leg ..............................
Repair fibula nonunion ........................
Repair of lower leg ..............................
Repair of tibia epiphysis .....................
Repair of fibula epiphysis ...................
Repair lower leg epiphyses ................
Repair of leg epiphyses ......................
Repair of leg epiphyses ......................
Reinforce tibia .....................................
Treatment of tibia fracture ..................
Treatment of tibia fracture ..................
Treatment of tibia fracture ..................
Treatment of tibia fracture ..................
Treatment of tibia fracture ..................
Cltx medial ankle fx ............................
Cltx med ankle fx w/mnpj ...................
Optx medial ankle fx ...........................
Cltx post ankle fx ................................
Cltx post ankle fx w/mnpj ....................
Optx post ankle fx ...............................
Treatment of fibula fracture ................
Treatment of fibula fracture ................
Treatment of fibula fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
4.85
7.91
10.17
10.87
12.10
9.73
14.78
13.21
12.85
0.96
9.94
10.64
10.32
4.62
5.03
6.99
4.64
5.46
7.24
8.61
5.79
6.94
6.57
7.64
6.30
8.96
10.28
1.87
6.58
8.46
9.49
9.54
14.28
16.79
7.69
10.74
4.67
17.32
15.67
15.36
12.22
12.31
19.18
17.15
14.20
14.69
7.59
5.37
8.72
9.49
10.49
10.37
3.26
6.15
7.33
12.40
14.31
3.09
5.33
7.73
2.50
5.00
10.00
2.72
4.47
9.51
2.91
4.52
9.55
2.91
5.20
10.46
7.99
NA
NA
NA
NA
NA
NA
NA
NA
2.88
NA
NA
NA
7.96
NA
NA
NA
NA
NA
NA
NA
NA
8.78
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.32
5.95
NA
NA
NA
4.28
5.48
NA
3.62
NA
NA
3.87
4.88
NA
4.05
4.97
NA
4.40
5.41
NA
7.77
NA
NA
NA
NA
NA
NA
NA
NA
3.20
NA
NA
NA
8.25
NA
NA
NA
NA
NA
NA
NA
NA
8.04
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.54
6.30
NA
NA
NA
4.48
5.91
NA
3.62
NA
NA
4.02
5.19
NA
4.26
5.31
NA
4.60
5.83
NA
3.81
5.63
6.91
7.05
7.47
6.09
8.74
7.64
6.54
0.34
6.16
6.44
5.99
3.58
3.89
4.68
3.88
4.33
4.67
5.73
4.16
5.09
4.57
5.29
4.47
5.37
6.66
0.71
4.88
5.26
5.87
5.21
8.65
9.78
5.62
6.96
4.49
9.96
9.45
9.04
7.93
7.89
10.29
10.59
7.68
9.07
5.31
4.17
6.17
6.61
4.60
7.00
3.74
5.11
5.76
8.03
8.67
3.68
4.65
6.13
3.65
4.30
6.08
3.31
4.26
6.85
3.43
4.23
6.81
3.71
4.55
7.24
4.09
6.19
7.60
7.67
8.89
7.22
10.40
9.34
7.08
0.34
6.84
7.24
6.57
3.68
4.22
5.16
4.22
4.65
5.21
6.24
4.64
5.51
5.02
5.89
4.90
5.86
7.21
0.82
5.38
5.85
6.41
5.45
9.56
10.51
5.61
7.57
4.71
9.05
10.10
9.91
8.67
8.51
11.33
11.25
7.68
9.71
5.87
4.55
6.23
7.30
5.08
7.58
3.79
5.39
6.11
8.61
9.50
3.63
4.97
6.68
3.65
4.30
6.08
3.26
4.45
6.66
3.38
4.44
6.89
3.70
4.85
7.90
0.74
1.31
1.66
1.85
1.89
1.46
2.42
2.06
1.76
0.08
1.59
1.72
1.58
0.69
0.79
1.09
0.76
0.89
1.11
1.37
0.93
1.15
0.97
1.24
1.00
1.33
1.64
0.32
1.05
1.28
1.47
1.30
2.38
2.77
1.27
1.81
0.76
1.74
2.48
2.50
2.05
2.06
3.17
2.72
1.43
2.44
1.73
0.77
1.35
1.62
1.80
1.76
0.55
1.01
1.17
2.04
2.39
0.48
0.85
1.44
0.30
0.79
1.45
0.41
0.73
1.23
0.46
0.74
1.32
0.46
0.82
1.86
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00029
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2596
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
27816
27818
27822
27823
27824
27825
27826
27827
27828
27829
27830
27831
27832
27840
27842
27846
27848
27860
27870
27871
27880
27881
27882
27884
27886
27888
27889
27892
27893
27894
27899
28001
28002
28003
28005
28008
28010
28011
28020
28022
28024
28035
28043
28045
28046
28050
28052
28054
28055
28060
28062
28070
28072
28080
28086
28088
28090
28092
28100
28102
28103
28104
28106
28107
28108
28110
28111
28112
28113
28114
28116
28118
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treat lower leg fracture .......................
Treat lower leg fracture .......................
Treat lower leg fracture .......................
Treat lower leg fracture .......................
Treat lower leg fracture .......................
Treat lower leg joint ............................
Treat lower leg dislocation ..................
Treat lower leg dislocation ..................
Treat lower leg dislocation ..................
Treat ankle dislocation ........................
Treat ankle dislocation ........................
Treat ankle dislocation ........................
Treat ankle dislocation ........................
Fixation of ankle joint ..........................
Fusion of ankle joint, open .................
Fusion of tibiofibular joint ....................
Amputation of lower leg ......................
Amputation of lower leg ......................
Amputation of lower leg ......................
Amputation follow-up surgery .............
Amputation follow-up surgery .............
Amputation of foot at ankle .................
Amputation of foot at ankle .................
Decompression of leg .........................
Decompression of leg .........................
Decompression of leg .........................
Leg/ankle surgery procedure ..............
Drainage of bursa of foot ....................
Treatment of foot infection ..................
Treatment of foot infection ..................
Treat foot bone lesion .........................
Incision of foot fascia ..........................
Incision of toe tendon .........................
Incision of toe tendons ........................
Exploration of foot joint .......................
Exploration of foot joint .......................
Exploration of toe joint ........................
Decompression of tibia nerve .............
Excision of foot lesion .........................
Excision of foot lesion .........................
Resection of tumor, foot .....................
Biopsy of foot joint lining .....................
Biopsy of foot joint lining .....................
Biopsy of toe joint lining ......................
Neurectomy, foot .................................
Partial removal, foot fascia .................
Removal of foot fascia ........................
Removal of foot joint lining .................
Removal of foot joint lining .................
Removal of foot lesion ........................
Excise foot tendon sheath ..................
Excise foot tendon sheath ..................
Removal of foot lesion ........................
Removal of toe lesions .......................
Removal of ankle/heel lesion ..............
Remove/graft foot lesion .....................
Remove/graft foot lesion .....................
Removal of foot lesion ........................
Remove/graft foot lesion .....................
Remove/graft foot lesion .....................
Removal of toe lesions .......................
Part removal of metatarsal .................
Part removal of metatarsal .................
Part removal of metatarsal .................
Part removal of metatarsal .................
Removal of metatarsal heads .............
Revision of foot ...................................
Removal of heel bone .........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.96
5.57
11.03
12.98
3.20
6.60
10.92
14.56
18.20
8.64
3.85
4.62
10.01
4.65
6.34
10.16
11.56
2.36
15.21
9.42
15.24
13.32
9.67
8.64
9.88
10.23
10.72
7.82
7.78
12.42
0.00
2.75
5.78
8.95
9.30
4.50
2.89
4.19
5.06
4.72
4.43
5.14
3.58
4.77
10.55
4.30
3.98
3.49
6.20
5.29
6.58
5.15
4.63
4.65
4.83
3.90
4.46
3.69
5.72
7.80
6.56
5.17
7.23
5.62
4.21
4.13
5.06
4.54
5.88
11.61
8.94
6.02
3.99
5.41
NA
NA
3.65
5.78
NA
NA
NA
NA
4.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.00
6.68
7.78
NA
6.17
2.86
3.80
7.37
6.93
6.56
7.28
4.78
7.03
10.37
6.95
6.30
6.25
NA
7.08
7.83
7.37
7.57
7.67
7.87
7.00
6.77
6.47
8.10
NA
NA
7.23
NA
7.70
6.35
6.93
7.10
7.19
8.37
13.40
9.45
7.93
4.19
5.89
NA
NA
3.86
6.19
NA
NA
NA
NA
4.24
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
3.49
5.83
7.01
NA
5.36
2.62
3.55
6.69
6.06
5.89
6.57
4.30
6.20
9.57
5.92
5.61
5.49
NA
6.28
7.17
6.29
6.55
6.39
7.93
6.38
5.96
5.84
8.03
NA
NA
6.36
NA
7.11
5.47
6.07
6.69
6.50
7.21
12.51
8.12
7.09
3.33
4.44
8.21
8.94
3.47
4.76
8.21
10.19
11.58
6.97
3.56
4.06
6.83
3.65
4.85
6.77
7.32
1.69
9.08
6.54
6.65
7.38
4.91
5.11
5.65
6.01
5.44
5.10
5.13
7.34
0.00
1.61
3.57
4.56
5.53
3.00
2.35
3.03
3.58
3.33
3.12
3.55
2.73
3.24
5.76
3.30
2.87
2.80
3.44
3.54
3.82
3.54
3.60
4.19
3.81
3.19
3.18
2.99
4.00
4.84
4.03
3.47
4.23
3.66
2.99
3.06
3.20
3.24
4.61
8.30
5.34
4.02
3.37
4.81
9.43
10.21
3.52
5.07
8.52
11.48
12.76
6.88
3.71
4.26
6.50
3.71
4.98
7.35
8.52
1.84
9.81
7.06
6.89
8.12
5.70
5.43
6.08
6.76
5.96
5.35
5.30
7.56
0.00
1.78
3.67
4.89
5.79
3.10
2.36
3.17
3.86
3.59
3.52
3.82
2.95
3.42
6.12
3.44
3.15
3.01
3.55
3.71
3.92
3.68
3.95
3.94
4.25
3.54
3.32
3.26
4.34
5.40
4.32
3.69
4.33
3.93
3.12
3.14
3.43
3.41
4.46
8.34
5.26
4.18
0.43
0.82
1.92
2.26
0.45
1.02
1.47
2.44
2.82
0.95
0.54
0.73
1.03
0.46
1.00
1.71
1.95
0.39
2.37
1.59
1.76
1.99
1.29
1.22
1.40
1.51
1.46
1.10
1.10
1.65
0.00
0.33
0.61
1.12
1.16
0.57
0.36
0.59
0.72
0.62
0.58
0.70
0.46
0.63
1.36
0.60
0.53
0.46
0.74
0.70
0.83
0.73
0.68
0.47
0.76
0.61
0.59
0.49
0.82
1.14
0.91
0.70
0.97
0.74
0.53
0.54
0.67
0.61
0.63
1.42
1.03
0.84
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00030
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
YYY
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2597
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
28119
28120
28122
28124
28126
28130
28140
28150
28153
28160
28171
28173
28175
28190
28192
28193
28200
28202
28208
28210
28220
28222
28225
28226
28230
28232
28234
28238
28240
28250
28260
28261
28262
28264
28270
28272
28280
28285
28286
28288
28289
28290
28292
28293
28294
28296
28297
28298
28299
28300
28302
28304
28305
28306
28307
28308
28309
28310
28312
28313
28315
28320
28322
28340
28341
28344
28345
28360
28400
28405
28406
28415
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of heel spur ..........................
Part removal of ankle/heel ..................
Partial removal of foot bone ...............
Partial removal of toe ..........................
Partial removal of toe ..........................
Removal of ankle bone .......................
Removal of metatarsal ........................
Removal of toe ....................................
Partial removal of toe ..........................
Partial removal of toe ..........................
Extensive foot surgery ........................
Extensive foot surgery ........................
Extensive foot surgery ........................
Removal of foot foreign body .............
Removal of foot foreign body .............
Removal of foot foreign body .............
Repair of foot tendon ..........................
Repair/graft of foot tendon ..................
Repair of foot tendon ..........................
Repair/graft of foot tendon ..................
Release of foot tendon .......................
Release of foot tendons ......................
Release of foot tendon .......................
Release of foot tendons ......................
Incision of foot tendon(s) ....................
Incision of toe tendon .........................
Incision of foot tendon ........................
Revision of foot tendon .......................
Release of big toe ...............................
Revision of foot fascia ........................
Release of midfoot joint ......................
Revision of foot tendon .......................
Revision of foot and ankle ..................
Release of midfoot joint ......................
Release of foot contracture ................
Release of toe joint, each ...................
Fusion of toes .....................................
Repair of hammertoe ..........................
Repair of hammertoe ..........................
Partial removal of foot bone ...............
Repair hallux rigidus ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Correction of bunion ...........................
Incision of heel bone ...........................
Incision of ankle bone .........................
Incision of midfoot bones ....................
Incise/graft midfoot bones ...................
Incision of metatarsal ..........................
Incision of metatarsal ..........................
Incision of metatarsal ..........................
Incision of metatarsals ........................
Revision of big toe ..............................
Revision of toe ....................................
Repair deformity of toe .......................
Removal of sesamoid bone ................
Repair of foot bones ...........................
Repair of metatarsals ..........................
Resect enlarged toe tissue .................
Resect enlarged toe ............................
Repair extra toe(s) ..............................
Repair webbed toe(s) .........................
Reconstruct cleft foot ..........................
Treatment of heel fracture ..................
Treatment of heel fracture ..................
Treatment of heel fracture ..................
Treat heel fracture ..............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
5.45
5.64
7.56
4.88
3.56
9.30
7.03
4.14
3.71
3.79
9.85
9.05
6.17
1.98
4.69
5.79
4.65
6.96
4.42
6.41
4.58
5.67
3.70
4.58
4.28
3.43
3.43
7.85
4.40
5.97
8.08
12.91
17.01
10.53
4.82
3.84
5.24
4.65
4.61
5.81
8.11
5.72
8.72
11.10
8.63
9.31
9.31
8.01
11.39
9.61
9.62
9.29
10.63
5.91
6.39
5.36
13.96
5.48
4.60
5.06
4.91
9.25
8.41
7.04
8.60
4.31
5.98
14.67
2.22
4.63
6.44
15.96
7.22
8.09
8.47
6.78
5.96
NA
7.82
6.36
6.21
6.31
NA
8.74
7.14
4.01
6.72
7.34
6.88
7.77
6.70
7.63
6.42
6.93
6.02
6.89
6.27
5.94
6.30
8.39
6.36
7.56
8.45
10.68
15.54
10.32
6.92
5.84
7.29
6.71
6.53
8.60
9.43
8.19
10.35
14.48
9.46
9.58
10.47
9.30
10.55
NA
NA
9.56
NA
8.42
9.28
7.92
NA
7.55
7.38
7.27
6.68
NA
9.75
8.10
8.60
6.42
7.62
NA
3.37
4.43
NA
NA
6.32
7.69
7.65
5.88
5.09
NA
7.52
5.60
5.26
5.44
NA
8.16
6.43
3.70
6.10
6.47
5.99
7.49
5.75
6.92
5.54
6.09
5.15
5.84
5.47
5.23
5.48
7.82
5.49
6.59
7.39
9.64
14.55
9.03
5.90
5.01
6.77
5.79
5.66
7.27
8.71
7.22
8.91
12.61
8.45
8.87
9.71
8.26
9.66
NA
NA
8.75
NA
7.63
10.15
6.83
NA
6.65
6.41
6.28
5.79
NA
9.46
7.27
7.77
6.08
6.91
NA
3.50
4.63
NA
NA
3.58
3.97
4.78
3.46
2.66
6.16
4.12
2.98
2.89
2.93
5.26
4.61
3.63
1.34
3.19
3.63
3.23
3.94
3.19
3.93
3.08
3.35
2.72
3.25
2.88
2.68
3.06
4.37
2.95
3.82
4.61
6.33
9.74
5.95
3.44
2.65
3.54
3.35
3.06
4.69
5.34
3.96
6.16
6.92
4.77
4.79
5.33
4.59
5.73
6.04
6.21
5.08
5.79
3.89
4.33
3.83
7.69
3.42
3.23
3.61
3.22
5.69
5.32
4.08
4.42
2.93
3.79
6.35
2.92
3.68
5.56
10.25
3.65
4.19
5.02
3.56
2.83
6.44
4.44
3.13
2.79
3.13
5.34
4.91
3.67
1.41
3.42
3.78
3.39
4.21
3.24
3.98
3.25
3.73
2.81
3.50
3.27
2.99
3.21
4.65
3.22
3.98
4.80
6.82
10.33
6.62
3.59
2.75
4.01
3.39
3.16
4.79
5.55
4.34
5.85
6.51
4.74
5.10
5.80
4.79
5.90
6.54
6.55
5.41
6.26
4.03
4.81
3.75
7.82
3.49
3.43
4.22
3.28
6.20
5.83
4.16
4.62
3.28
4.23
8.42
2.99
4.15
6.18
11.77
0.70
0.77
0.98
0.60
0.45
1.26
0.92
0.53
0.47
0.49
1.33
1.12
0.73
0.22
0.61
0.73
0.61
0.91
0.58
0.81
0.57
0.69
0.46
0.58
0.55
0.44
0.44
1.06
0.58
0.82
1.14
1.57
2.60
1.54
0.62
0.46
0.73
0.59
0.57
0.65
1.02
0.82
0.91
1.13
1.09
1.19
1.32
1.05
1.37
1.54
1.42
1.27
1.27
0.84
0.90
0.70
2.05
0.70
0.63
0.73
0.63
1.43
1.27
0.84
1.01
0.51
0.80
2.29
0.35
0.73
1.11
2.67
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00031
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
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090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2598
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
28420
28430
28435
28436
28445
28446
28450
28455
28456
28465
28470
28475
28476
28485
28490
28495
28496
28505
28510
28515
28525
28530
28531
28540
28545
28546
28555
28570
28575
28576
28585
28600
28605
28606
28615
28630
28635
28636
28645
28660
28665
28666
28675
28705
28715
28725
28730
28735
28737
28740
28750
28755
28760
28800
28805
28810
28820
28825
28890
28899
29000
29010
29015
29020
29025
29035
29040
29044
29046
29049
29055
29058
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treat/graft heel fracture ......................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treat ankle fracture .............................
Osteochondral talus autogrft ...............
Treat midfoot fracture, each ...............
Treat midfoot fracture, each ...............
Treat midfoot fracture .........................
Treat midfoot fracture, each ...............
Treat metatarsal fracture ....................
Treat metatarsal fracture ....................
Treat metatarsal fracture ....................
Treat metatarsal fracture ....................
Treat big toe fracture ..........................
Treat big toe fracture ..........................
Treat big toe fracture ..........................
Treat big toe fracture ..........................
Treatment of toe fracture ....................
Treatment of toe fracture ....................
Treat toe fracture ................................
Treat sesamoid bone fracture .............
Treat sesamoid bone fracture .............
Treat foot dislocation ..........................
Treat foot dislocation ..........................
Treat foot dislocation ..........................
Repair foot dislocation ........................
Treat foot dislocation ..........................
Treat foot dislocation ..........................
Treat foot dislocation ..........................
Repair foot dislocation ........................
Treat foot dislocation ..........................
Treat foot dislocation ..........................
Treat foot dislocation ..........................
Repair foot dislocation ........................
Treat toe dislocation ...........................
Treat toe dislocation ...........................
Treat toe dislocation ...........................
Repair toe dislocation .........................
Treat toe dislocation ...........................
Treat toe dislocation ...........................
Treat toe dislocation ...........................
Repair of toe dislocation .....................
Fusion of foot bones ...........................
Fusion of foot bones ...........................
Fusion of foot bones ...........................
Fusion of foot bones ...........................
Fusion of foot bones ...........................
Revision of foot bones ........................
Fusion of foot bones ...........................
Fusion of big toe joint .........................
Fusion of big toe joint .........................
Fusion of big toe joint .........................
Amputation of midfoot .........................
Amputation thru metatarsal .................
Amputation toe & metatarsal ..............
Amputation of toe ................................
Partial amputation of toe .....................
High energy eswt, plantar f .................
Foot/toes surgery procedure ...............
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of body cast ......................
Application of figure eight ...................
Application of shoulder cast ................
Application of shoulder cast ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
17.29
2.14
3.45
4.78
15.53
17.50
1.95
3.15
2.75
8.64
1.99
2.97
3.46
7.28
1.12
1.62
2.39
7.28
1.12
1.50
5.46
1.08
2.51
2.10
2.51
3.28
9.49
1.70
3.38
4.48
10.92
1.94
2.78
4.97
10.46
1.72
1.93
2.77
7.28
1.25
1.94
2.66
5.46
20.12
14.40
11.97
12.21
12.03
10.83
9.09
8.37
4.79
8.94
8.65
12.55
6.52
4.89
3.71
3.36
0.00
2.25
2.06
2.41
2.11
2.40
1.77
2.22
2.12
2.41
0.89
1.78
1.31
NA
3.12
3.99
NA
NA
NA
2.92
3.74
NA
NA
2.80
3.13
NA
NA
2.09
2.46
7.42
8.46
1.69
2.22
8.12
1.62
6.55
2.75
3.43
8.06
10.81
2.49
4.42
NA
11.57
3.03
3.89
NA
NA
1.85
2.27
4.39
8.34
1.30
1.82
NA
8.24
NA
NA
NA
NA
NA
NA
10.87
10.77
7.26
9.87
NA
NA
NA
7.65
7.13
4.57
0.00
4.01
4.38
3.61
3.81
4.04
3.70
3.28
3.58
4.49
1.12
2.82
1.26
NA
3.26
3.93
NA
NA
NA
3.02
3.58
NA
NA
2.96
3.23
NA
NA
2.05
2.32
7.83
8.28
1.61
2.06
7.82
1.53
6.91
2.58
2.89
7.49
10.36
2.46
4.07
NA
9.45
2.92
3.51
NA
NA
1.71
2.15
4.13
6.65
1.28
1.63
NA
7.69
NA
NA
NA
NA
NA
NA
10.87
11.34
6.68
8.92
NA
NA
NA
7.60
7.06
5.14
0.00
3.49
3.83
3.29
3.50
3.59
3.66
2.87
3.77
3.86
1.21
2.90
1.41
10.28
2.57
3.26
4.75
9.49
10.36
2.42
3.10
3.73
6.07
2.36
2.52
4.33
5.56
1.67
1.87
2.99
4.82
1.61
1.82
4.32
1.34
2.43
2.31
2.81
3.64
6.29
1.91
3.72
4.06
6.97
2.37
3.27
4.12
8.14
0.91
1.33
2.05
4.62
0.78
1.33
1.83
4.45
10.66
8.49
6.82
7.76
6.97
6.07
5.99
5.88
3.35
5.27
5.01
5.90
4.06
3.55
3.13
2.20
0.00
1.64
1.62
1.56
1.41
1.76
1.48
1.34
1.47
1.91
0.59
1.23
0.67
11.60
2.57
3.50
5.33
10.26
10.36
2.45
3.26
3.94
6.19
2.40
2.86
4.65
5.51
1.65
1.97
3.09
4.36
1.57
1.86
3.88
1.39
2.25
2.36
2.58
4.01
5.99
2.12
3.72
4.12
6.41
2.53
3.20
4.40
8.09
0.95
1.43
2.34
3.95
0.79
1.38
2.21
3.90
11.55
9.12
7.53
8.12
7.40
6.44
6.23
6.27
3.55
5.39
5.40
5.77
4.27
3.67
3.30
2.14
0.00
1.69
1.70
1.58
1.41
1.81
1.53
1.42
1.69
2.00
0.56
1.35
0.70
2.81
0.31
0.55
0.81
2.59
2.45
0.28
0.44
0.44
1.10
0.30
0.44
0.54
0.83
0.14
0.20
0.36
0.56
0.14
0.18
0.49
0.14
0.34
0.26
0.37
0.52
1.04
0.23
0.56
0.69
1.25
0.27
0.40
0.82
1.30
0.20
0.26
0.43
0.57
0.13
0.26
0.43
0.45
3.09
2.17
1.87
1.71
1.69
1.47
1.22
1.13
0.65
1.05
1.15
1.18
0.86
0.61
0.50
0.41
0.00
0.41
0.45
0.28
0.28
0.44
0.28
0.36
0.35
0.42
0.13
0.30
0.17
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00032
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
010
010
090
010
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
000
000
000
000
000
000
000
000
000
000
000
000
2599
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
29065
29075
29085
29086
29105
29125
29126
29130
29131
29200
29220
29240
29260
29280
29305
29325
29345
29355
29358
29365
29405
29425
29435
29440
29445
29450
29505
29515
29520
29530
29540
29550
29580
29590
29700
29705
29710
29715
29720
29730
29740
29750
29799
29800
29804
29805
29806
29807
29819
29820
29821
29822
29823
29824
29825
29826
29827
29828
29830
29834
29835
29836
29837
29838
29840
29843
29844
29845
29846
29847
29848
29850
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Application of long arm cast ...............
Application of forearm cast .................
Apply hand/wrist cast ..........................
Apply finger cast .................................
Apply long arm splint ..........................
Apply forearm splint ............................
Apply forearm splint ............................
Application of finger splint ...................
Application of finger splint ...................
Strapping of chest ...............................
Strapping of low back .........................
Strapping of shoulder ..........................
Strapping of elbow or wrist .................
Strapping of hand or finger .................
Application of hip cast .........................
Application of hip casts .......................
Application of long leg cast .................
Application of long leg cast .................
Apply long leg cast brace ...................
Application of long leg cast .................
Apply short leg cast ............................
Apply short leg cast ............................
Apply short leg cast ............................
Addition of walker to cast ...................
Apply rigid leg cast .............................
Application of leg cast .........................
Application, long leg splint ..................
Application lower leg splint .................
Strapping of hip ...................................
Strapping of knee ................................
Strapping of ankle and/or ft ................
Strapping of toes .................................
Application of paste boot ....................
Application of foot splint ......................
Removal/revision of cast .....................
Removal/revision of cast .....................
Removal/revision of cast .....................
Removal/revision of cast .....................
Repair of body cast .............................
Windowing of cast ...............................
Wedging of cast ..................................
Wedging of clubfoot cast ....................
Casting/strapping procedure ...............
Jaw arthroscopy/surgery .....................
Jaw arthroscopy/surgery .....................
Shoulder arthroscopy, dx ....................
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Shoulder arthroscopy/surgery .............
Arthroscop rotator cuff repr .................
Arthroscopy biceps tenodesis .............
Elbow arthroscopy ..............................
Elbow arthroscopy/surgery .................
Elbow arthroscopy/surgery .................
Elbow arthroscopy/surgery .................
Elbow arthroscopy/surgery .................
Elbow arthroscopy/surgery .................
Wrist arthroscopy ................................
Wrist arthroscopy/surgery ...................
Wrist arthroscopy/surgery ...................
Wrist arthroscopy/surgery ...................
Wrist arthroscopy/surgery ...................
Wrist arthroscopy/surgery ...................
Wrist endoscopy/surgery ....................
Knee arthroscopy/surgery ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.87
0.77
0.87
0.62
0.87
0.59
0.77
0.50
0.55
0.65
0.64
0.71
0.55
0.51
2.03
2.32
1.40
1.53
1.43
1.18
0.86
1.01
1.18
0.57
1.78
2.08
0.69
0.73
0.54
0.57
0.51
0.47
0.55
0.76
0.57
0.76
1.34
0.94
0.68
0.75
1.12
1.26
0.00
6.73
8.71
5.94
14.95
14.48
7.68
7.12
7.78
7.49
8.24
8.82
7.68
9.05
15.44
13.00
5.80
6.33
6.53
7.61
6.92
7.77
5.59
6.06
6.42
7.58
6.80
7.13
6.24
8.18
1.28
1.24
1.26
1.08
1.09
0.97
1.01
0.43
0.59
0.61
0.65
0.68
0.67
0.67
3.29
3.33
1.66
1.62
2.01
1.58
1.20
1.22
1.53
0.64
1.56
1.59
1.07
0.96
0.66
0.66
0.55
0.56
0.71
0.59
0.95
0.76
1.32
1.20
1.17
0.74
1.03
1.07
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.30
1.25
1.27
1.02
1.16
0.99
1.11
0.45
0.66
0.66
0.69
0.76
0.71
0.73
3.31
3.43
1.72
1.66
2.04
1.62
1.21
1.23
1.54
0.67
1.68
1.53
1.13
0.91
0.75
0.72
0.48
0.49
0.68
0.55
0.92
0.79
1.43
1.19
1.16
0.77
1.09
1.06
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.70
0.66
0.68
0.55
0.53
0.42
0.48
0.18
0.24
0.35
0.38
0.40
0.37
0.37
1.56
1.58
0.94
0.94
0.91
0.86
0.65
0.66
0.81
0.26
0.89
0.90
0.45
0.46
0.37
0.37
0.31
0.30
0.33
0.26
0.25
0.36
0.55
0.43
0.35
0.34
0.47
0.52
0.00
4.63
5.70
4.71
9.36
9.20
5.63
5.18
5.66
5.58
6.05
6.54
5.64
6.18
9.32
8.18
4.49
4.86
4.97
5.54
5.07
5.66
4.63
4.81
4.88
5.60
5.11
5.28
5.28
4.72
0.73
0.67
0.66
0.52
0.52
0.41
0.47
0.18
0.24
0.34
0.38
0.38
0.35
0.35
1.66
1.77
1.00
1.03
1.00
0.90
0.68
0.70
0.87
0.26
0.92
0.99
0.45
0.46
0.42
0.35
0.31
0.29
0.34
0.27
0.26
0.37
0.63
0.42
0.37
0.34
0.48
0.55
0.00
5.80
6.66
5.19
10.26
10.10
6.21
5.70
6.23
6.14
6.64
7.03
6.20
6.86
10.43
8.18
4.92
5.35
5.43
6.17
5.60
6.28
4.98
5.22
5.35
6.04
5.59
5.74
5.44
4.88
0.15
0.13
0.14
0.07
0.12
0.07
0.07
0.06
0.03
0.04
0.04
0.06
0.05
0.03
0.35
0.40
0.24
0.26
0.25
0.20
0.14
0.15
0.20
0.08
0.27
0.27
0.08
0.09
0.03
0.05
0.06
0.06
0.07
0.09
0.08
0.13
0.20
0.09
0.12
0.12
0.18
0.21
0.00
0.99
1.38
1.02
2.50
2.42
1.32
1.22
1.33
1.28
1.41
1.42
1.32
1.55
2.67
2.17
0.99
1.08
1.13
1.22
1.19
1.30
0.84
0.92
1.04
0.99
1.07
1.08
0.86
1.25
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00033
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
YYY
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2600
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
29851
29855
29856
29860
29861
29862
29863
29866
29867
29868
29870
29871
29873
29874
29875
29876
29877
29879
29880
29881
29882
29883
29884
29885
29886
29887
29888
29889
29891
29892
29893
29894
29895
29897
29898
29899
29900
29901
29902
29904
29905
29906
29907
29999
30000
30020
30100
30110
30115
30117
30118
30120
30124
30125
30130
30140
30150
30160
30200
30210
30220
30300
30310
30320
30400
30410
30420
30430
30435
30450
30460
30462
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
R
R
R
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Knee arthroscopy/surgery ...................
Tibial arthroscopy/surgery ...................
Tibial arthroscopy/surgery ...................
Hip arthroscopy, dx .............................
Hip arthroscopy/surgery ......................
Hip arthroscopy/surgery ......................
Hip arthroscopy/surgery ......................
Autgrft implnt, knee w/scope ..............
Allgrft implnt, knee w/scope ................
Meniscal trnspl, knee w/scpe ..............
Knee arthroscopy, dx ..........................
Knee arthroscopy/drainage .................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Knee arthroscopy/surgery ...................
Ankle arthroscopy/surgery ..................
Ankle arthroscopy/surgery ..................
Scope, plantar fasciotomy ..................
Ankle arthroscopy/surgery ..................
Ankle arthroscopy/surgery ..................
Ankle arthroscopy/surgery ..................
Ankle arthroscopy/surgery ..................
Ankle arthroscopy/surgery ..................
Mcp joint arthroscopy, dx ....................
Mcp joint arthroscopy, surg ................
Mcp joint arthroscopy, surg ................
Subtalar arthro w/fb rmvl ....................
Subtalar arthro w/exc ..........................
Subtalar arthro w/deb .........................
Subtalar arthro w/fusion ......................
Arthroscopy of joint .............................
Drainage of nose lesion ......................
Drainage of nose lesion ......................
Intranasal biopsy .................................
Removal of nose polyp(s) ...................
Removal of nose polyp(s) ...................
Removal of intranasal lesion ..............
Removal of intranasal lesion ..............
Revision of nose .................................
Removal of nose lesion ......................
Removal of nose lesion ......................
Excise inferior turbinate ......................
Resect inferior turbinate ......................
Partial removal of nose .......................
Removal of nose .................................
Injection treatment of nose .................
Nasal sinus therapy ............................
Insert nasal septal button ...................
Remove nasal foreign body ................
Remove nasal foreign body ................
Remove nasal foreign body ................
Reconstruction of nose .......................
Reconstruction of nose .......................
Reconstruction of nose .......................
Revision of nose .................................
Revision of nose .................................
Revision of nose .................................
Revision of nose .................................
Revision of nose .................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
13.08
10.60
14.12
8.85
9.95
10.97
10.97
14.48
18.18
24.89
5.11
6.60
6.09
7.10
6.36
8.72
8.15
8.84
9.30
8.56
9.45
11.61
8.13
10.03
8.34
9.98
14.14
17.15
9.47
10.07
6.08
7.26
7.04
7.23
8.38
15.21
5.74
6.45
7.02
8.50
9.00
9.47
12.00
0.00
1.45
1.45
0.94
1.65
4.38
3.20
9.81
5.31
3.14
7.21
3.41
3.48
9.44
9.88
0.78
1.10
1.56
1.06
1.98
4.56
10.58
13.72
16.62
7.96
12.45
19.38
10.24
20.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
8.84
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.02
4.17
2.58
3.90
NA
18.17
NA
7.08
NA
NA
NA
NA
NA
NA
2.02
2.51
5.82
4.30
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.56
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.04
3.72
2.28
3.57
NA
15.66
NA
6.79
NA
NA
NA
NA
NA
NA
1.82
2.31
5.03
4.46
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
8.22
7.28
8.70
6.25
6.40
7.57
7.49
9.47
11.04
13.80
4.18
5.06
5.60
5.09
4.89
6.19
5.98
6.23
6.43
6.14
6.46
7.59
5.96
7.03
6.04
6.97
8.27
10.62
6.65
6.39
4.67
4.72
4.52
4.82
5.24
9.21
4.67
5.10
4.71
5.89
6.52
6.88
7.87
0.00
1.34
1.39
0.75
1.45
5.99
4.92
8.56
5.09
3.68
7.41
5.64
7.11
9.04
8.88
0.67
1.27
1.43
1.87
2.91
6.36
13.92
15.34
15.84
13.25
15.43
16.90
7.49
14.66
9.01
8.03
9.69
6.60
6.87
8.07
8.00
10.41
12.13
15.30
4.53
5.47
6.09
5.58
5.37
6.61
6.36
6.68
6.90
6.55
6.85
8.33
6.33
7.50
6.45
7.45
9.24
11.53
7.08
7.07
4.33
5.10
5.00
5.35
5.72
9.88
5.27
5.68
5.63
5.89
6.52
6.88
7.87
0.00
1.37
1.43
0.78
1.51
5.88
4.77
8.88
5.55
3.65
7.87
5.62
6.65
10.03
9.55
0.71
1.29
1.48
1.89
3.01
6.70
14.71
16.86
16.88
14.64
17.40
19.40
8.72
17.46
2.35
1.85
2.40
1.36
1.59
1.62
1.42
2.40
2.79
4.36
0.85
1.14
1.04
1.11
1.09
1.37
1.28
1.39
1.47
1.34
1.50
1.93
1.27
1.58
1.30
1.57
2.42
2.79
1.39
1.41
0.63
1.15
1.11
1.17
1.28
2.41
0.94
1.06
1.12
1.25
1.32
1.39
1.90
0.00
0.12
0.12
0.07
0.14
0.41
0.26
0.78
0.52
0.25
0.63
0.31
0.35
0.93
0.88
0.06
0.09
0.12
0.08
0.16
0.39
1.04
1.42
1.46
0.77
1.22
1.97
1.03
2.54
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00034
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
010
010
000
010
090
090
090
090
090
090
090
090
090
090
000
010
010
010
010
090
090
090
090
090
090
090
090
090
2601
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
30465
30520
30540
30545
30560
30580
30600
30620
30630
30801
30802
30901
30903
30905
30906
30915
30920
30930
30999
31000
31002
31020
31030
31032
31040
31050
31051
31070
31075
31080
31081
31084
31085
31086
31087
31090
31200
31201
31205
31225
31230
31231
31233
31235
31237
31238
31239
31240
31254
31255
31256
31267
31276
31287
31288
31290
31291
31292
31293
31294
31299
31300
31320
31360
31365
31367
31368
31370
31375
31380
31382
31390
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Repair nasal stenosis .........................
Repair of nasal septum .......................
Repair nasal defect .............................
Repair nasal defect .............................
Release of nasal adhesions ...............
Repair upper jaw fistula ......................
Repair mouth/nose fistula ...................
Intranasal reconstruction .....................
Repair nasal septum defect ................
Ablate inf turbinate, superf ..................
Cauterization, inner nose ....................
Control of nosebleed ...........................
Control of nosebleed ...........................
Control of nosebleed ...........................
Repeat control of nosebleed ...............
Ligation, nasal sinus artery .................
Ligation, upper jaw artery ...................
Ther fx, nasal inf turbinate ..................
Nasal surgery procedure ....................
Irrigation, maxillary sinus ....................
Irrigation, sphenoid sinus ....................
Exploration, maxillary sinus ................
Exploration, maxillary sinus ................
Explore sinus, remove polyps .............
Exploration behind upper jaw .............
Exploration, sphenoid sinus ................
Sphenoid sinus surgery ......................
Exploration of frontal sinus .................
Exploration of frontal sinus .................
Removal of frontal sinus .....................
Removal of frontal sinus .....................
Removal of frontal sinus .....................
Removal of frontal sinus .....................
Removal of frontal sinus .....................
Removal of frontal sinus .....................
Exploration of sinuses .........................
Removal of ethmoid sinus ..................
Removal of ethmoid sinus ..................
Removal of ethmoid sinus ..................
Removal of upper jaw .........................
Removal of upper jaw .........................
Nasal endoscopy, dx ..........................
Nasal/sinus endoscopy, dx .................
Nasal/sinus endoscopy, dx .................
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Revision of ethmoid sinus ...................
Removal of ethmoid sinus ..................
Exploration maxillary sinus .................
Endoscopy, maxillary sinus ................
Sinus endoscopy, surgical ..................
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Nasal/sinus endoscopy, surg ..............
Sinus surgery procedure .....................
Removal of larynx lesion ....................
Diagnostic incision, larynx ..................
Removal of larynx ...............................
Removal of larynx ...............................
Partial removal of larynx .....................
Partial removal of larynx .....................
Partial removal of larynx .....................
Partial removal of larynx .....................
Partial removal of larynx .....................
Partial removal of larynx .....................
Removal of larynx & pharynx .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
12.20
6.85
7.81
11.50
1.28
6.76
6.07
6.04
7.18
1.11
2.05
1.21
1.54
1.97
2.45
7.36
11.03
1.28
0.00
1.17
1.93
2.99
5.95
6.61
9.66
5.31
7.16
4.32
9.40
12.54
13.99
14.75
15.44
14.16
14.39
10.88
5.03
8.49
10.47
26.44
30.56
1.10
2.18
2.64
2.98
3.26
9.23
2.61
4.64
6.95
3.29
5.45
8.84
3.91
4.57
18.50
19.45
15.79
17.36
20.20
0.00
15.71
5.62
29.57
38.47
30.23
33.85
27.23
25.73
25.23
28.23
42.17
NA
NA
NA
NA
5.28
8.14
7.68
NA
NA
4.30
4.98
1.27
3.28
3.94
4.29
NA
NA
NA
0.00
3.22
NA
8.61
10.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.60
4.27
4.65
4.90
4.83
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.03
7.96
7.60
NA
NA
4.22
4.79
1.32
3.00
3.73
4.09
NA
NA
NA
0.00
3.03
NA
8.57
10.96
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.49
4.28
4.78
5.05
5.03
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.08
8.05
8.55
11.09
2.03
4.69
4.18
8.67
7.73
2.12
2.51
0.31
0.43
0.51
0.76
6.46
8.97
1.64
0.00
1.34
2.69
5.55
6.45
7.00
7.38
6.51
8.37
6.19
9.33
10.63
15.38
12.88
14.44
12.79
11.65
13.41
7.44
9.00
9.52
17.90
19.50
0.77
1.12
1.26
1.39
1.48
6.43
1.27
1.94
2.69
1.49
2.20
3.31
1.69
1.91
9.05
9.54
8.06
8.69
9.67
0.00
14.59
10.15
20.08
23.00
22.52
24.61
22.16
21.16
20.81
22.71
25.99
11.53
7.36
8.92
11.50
2.08
5.24
4.60
8.76
7.84
2.02
2.44
0.31
0.46
0.63
0.98
6.58
8.97
1.63
0.00
1.37
2.97
5.37
6.56
7.12
8.60
6.43
8.31
6.06
9.53
12.08
14.69
13.20
14.20
13.04
12.10
12.99
8.33
9.09
10.70
17.87
19.44
0.82
1.30
1.49
1.64
1.79
7.21
1.50
2.39
3.40
1.80
2.75
4.21
2.07
2.36
10.55
11.01
9.34
10.04
11.28
0.00
14.79
10.23
18.41
21.69
22.21
25.06
22.22
20.78
20.71
22.17
25.19
1.06
0.46
0.67
1.71
0.10
0.89
0.70
0.57
0.61
0.09
0.16
0.11
0.13
0.17
0.20
0.58
0.80
0.12
0.00
0.09
0.15
0.29
0.60
0.59
0.87
0.49
0.62
0.38
0.75
1.23
2.47
1.19
1.73
1.07
1.44
0.94
0.29
0.82
0.67
1.59
1.78
0.09
0.20
0.26
0.28
0.27
0.62
0.24
0.45
0.73
0.33
0.55
0.92
0.39
0.46
1.40
1.69
1.21
1.28
1.53
0.00
1.17
0.46
1.38
1.98
1.79
2.21
1.75
1.63
1.71
1.68
2.24
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
010
090
090
090
090
010
010
000
000
000
000
090
090
010
YYY
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
000
000
010
000
000
000
000
000
000
000
000
010
010
010
010
010
YYY
090
090
090
090
090
090
090
090
090
090
090
2602
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
31395
31400
31420
31500
31502
31505
31510
31511
31512
31513
31515
31520
31525
31526
31527
31528
31529
31530
31531
31535
31536
31540
31541
31545
31546
31560
31561
31570
31571
31575
31576
31577
31578
31579
31580
31582
31584
31587
31588
31590
31595
31599
31600
31601
31603
31605
31610
31611
31612
31613
31614
31615
31620
31622
31623
31624
31625
31628
31629
31630
31631
31632
31633
31635
31636
31637
31638
31640
31641
31643
31645
31646
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Reconstruct larynx & pharynx .............
Revision of larynx ...............................
Removal of epiglottis ..........................
Insert emergency airway .....................
Change of windpipe airway ................
Diagnostic laryngoscopy .....................
Laryngoscopy with biopsy ...................
Remove foreign body, larynx ..............
Removal of larynx lesion ....................
Injection into vocal cord ......................
Laryngoscopy for aspiration ................
Dx laryngoscopy, newborn .................
Dx laryngoscopy excl nb .....................
Dx laryngoscopy w/oper scope ...........
Laryngoscopy for treatment ................
Laryngoscopy and dilation ..................
Laryngoscopy and dilation ..................
Laryngoscopy w/fb removal ................
Laryngoscopy w/fb & op scope ..........
Laryngoscopy w/biopsy .......................
Laryngoscopy w/bx & op scope ..........
Laryngoscopy w/exc of tumor .............
Larynscop w/tumr exc + scope ...........
Remove vc lesion w/scope .................
Remove vc lesion scope/graft ............
Laryngoscop w/arytenoidectom ..........
Larynscop, remve cart + scop ............
Laryngoscope w/vc inj ........................
Laryngoscop w/vc inj + scope ............
Diagnostic laryngoscopy .....................
Laryngoscopy with biopsy ...................
Remove foreign body, larynx ..............
Removal of larynx lesion ....................
Diagnostic laryngoscopy .....................
Revision of larynx ...............................
Revision of larynx ...............................
Treat larynx fracture ............................
Revision of larynx ...............................
Revision of larynx ...............................
Reinnervate larynx ..............................
Larynx nerve surgery ..........................
Larynx surgery procedure ...................
Incision of windpipe ............................
Incision of windpipe ............................
Incision of windpipe ............................
Incision of windpipe ............................
Incision of windpipe ............................
Surgery/speech prosthesis .................
Puncture/clear windpipe ......................
Repair windpipe opening ....................
Repair windpipe opening ....................
Visualization of windpipe ....................
Endobronchial us add-on ....................
Dx bronchoscope/wash .......................
Dx bronchoscope/brush ......................
Dx bronchoscope/lavage ....................
Bronchoscopy w/biopsy(s) ..................
Bronchoscopy/lung bx, each ...............
Bronchoscopy/needle bx, each ...........
Bronchoscopy dilate/fx repr ................
Bronchoscopy, dilate w/stent ..............
Bronchoscopy/lung bx, add"l ............
Bronchoscopy/needle bx add"l .........
Bronchoscopy w/fb removal ................
Bronchoscopy, bronch stents .............
Bronchoscopy, stent add-on ...............
Bronchoscopy, revise stent .................
Bronchoscopy w/tumor excise ............
Bronchoscopy, treat blockage ............
Diag bronchoscope/catheter ...............
Bronchoscopy, clear airways ..............
Bronchoscopy, reclear airway .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
43.46
11.48
11.32
2.33
0.65
0.61
1.92
2.16
2.07
2.10
1.80
2.56
2.63
2.57
3.27
2.37
2.68
3.38
3.58
3.16
3.55
4.12
4.52
6.30
9.73
5.45
5.99
3.86
4.26
1.10
1.97
2.47
2.84
2.26
14.46
22.87
20.35
15.12
14.62
7.63
8.75
0.00
7.17
4.44
4.14
3.57
9.29
5.92
0.91
4.63
8.47
2.09
1.40
2.78
2.88
2.88
3.36
3.80
4.09
3.81
4.36
1.03
1.32
3.67
4.30
1.58
4.88
4.93
5.02
3.49
3.16
2.72
NA
NA
NA
NA
NA
1.43
3.23
2.94
2.97
NA
3.20
NA
3.45
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.26
NA
1.70
3.52
3.38
4.00
2.87
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
1.09
NA
NA
2.38
6.02
5.24
5.98
5.34
5.48
6.96
12.01
NA
NA
0.86
0.99
5.20
NA
NA
NA
NA
NA
NA
4.72
4.42
NA
NA
NA
NA
NA
1.44
3.26
3.03
3.09
NA
3.37
NA
3.55
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.97
NA
1.80
3.59
3.57
4.14
3.32
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
1.09
NA
NA
2.49
5.83
5.45
6.20
5.56
5.65
6.99
13.14
NA
NA
0.83
0.95
5.66
NA
NA
NA
NA
NA
NA
4.93
4.64
28.53
12.50
8.59
0.42
0.21
0.59
1.00
1.03
1.06
1.09
0.88
1.21
1.23
1.25
1.40
1.09
1.25
1.45
1.59
1.44
1.57
1.76
1.89
2.52
3.43
2.16
2.32
1.65
1.81
0.76
1.04
1.17
1.34
1.15
13.83
22.57
15.28
8.64
12.52
12.80
9.65
0.00
2.28
1.74
1.19
0.82
7.73
7.08
0.26
6.14
9.59
1.05
0.33
0.90
0.89
0.89
1.01
1.10
1.17
1.27
1.42
0.24
0.31
1.13
1.34
0.41
1.54
1.53
1.49
1.04
0.96
0.85
28.42
13.14
9.07
0.48
0.25
0.60
1.13
1.04
1.21
1.27
0.97
1.38
1.44
1.48
1.64
1.27
1.48
1.70
1.93
1.72
1.91
2.15
2.34
2.99
4.20
2.65
2.85
2.02
2.21
0.83
1.17
1.35
1.43
1.31
14.88
24.19
16.72
8.96
13.07
14.17
10.10
0.00
2.74
2.07
1.45
1.00
8.00
7.07
0.30
6.07
9.15
1.12
0.44
0.98
0.97
0.97
1.11
1.20
1.28
1.49
1.59
0.27
0.35
1.28
1.55
0.48
1.76
1.80
1.69
1.13
1.04
0.92
2.49
0.83
0.83
0.17
0.05
0.05
0.16
0.19
0.18
0.17
0.14
0.20
0.21
0.21
0.26
0.19
0.22
0.29
0.29
0.26
0.29
0.33
0.37
0.37
0.78
0.43
0.49
0.31
0.35
0.09
0.14
0.21
0.23
0.18
1.00
1.76
1.72
0.97
1.06
0.84
0.68
0.00
0.80
0.40
0.44
0.40
0.79
0.46
0.08
0.42
0.58
0.16
0.11
0.18
0.13
0.13
0.18
0.18
0.16
0.32
0.34
0.18
0.16
0.24
0.31
0.13
0.22
0.46
0.35
0.20
0.16
0.14
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00036
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
090
090
090
090
090
090
090
YYY
000
000
000
000
090
090
000
090
090
000
ZZZ
000
000
000
000
000
000
000
000
ZZZ
ZZZ
000
000
ZZZ
000
000
000
000
000
000
2603
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
31656
31715
31717
31720
31725
31730
31750
31755
31760
31766
31770
31775
31780
31781
31785
31786
31800
31805
31820
31825
31830
31899
32035
32036
32095
32100
32110
32120
32124
32140
32141
32150
32151
32160
32200
32201
32215
32220
32225
32310
32320
32400
32402
32405
32420
32421
32422
32440
32442
32445
32480
32482
32484
32486
32488
32491
32500
32501
32503
32504
32540
32550
32551
32560
32601
32602
32603
32604
32605
32606
32650
32651
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Bronchoscopy, inj for x-ray .................
Injection for bronchus x-ray ................
Bronchial brush biopsy .......................
Clearance of airways ..........................
Clearance of airways ..........................
Intro, windpipe wire/tube .....................
Repair of windpipe ..............................
Repair of windpipe ..............................
Repair of windpipe ..............................
Reconstruction of windpipe .................
Repair/graft of bronchus .....................
Reconstruct bronchus .........................
Reconstruct windpipe ..........................
Reconstruct windpipe ..........................
Remove windpipe lesion .....................
Remove windpipe lesion .....................
Repair of windpipe injury ....................
Repair of windpipe injury ....................
Closure of windpipe lesion ..................
Repair of windpipe defect ...................
Revise windpipe scar ..........................
Airways surgical procedure .................
Exploration of chest ............................
Exploration of chest ............................
Biopsy through chest wall ...................
Exploration/biopsy of chest .................
Explore/repair chest ............................
Re-exploration of chest .......................
Explore chest free adhesions .............
Removal of lung lesion(s) ...................
Remove/treat lung lesions ..................
Removal of lung lesion(s) ...................
Remove lung foreign body ..................
Open chest heart massage ................
Drain, open, lung lesion ......................
Drain, percut, lung lesion ....................
Treat chest lining ................................
Release of lung ...................................
Partial release of lung .........................
Removal of chest lining ......................
Free/remove chest lining ....................
Needle biopsy chest lining ..................
Open biopsy chest lining ....................
Biopsy, lung or mediastinum ..............
Puncture/clear lung .............................
Thoracentesis for aspiration ...............
Thoracentesis w/tube insert ................
Removal of lung ..................................
Sleeve pneumonectomy .....................
Removal of lung ..................................
Partial removal of lung ........................
Bilobectomy .........................................
Segmentectomy ..................................
Sleeve lobectomy ................................
Completion pneumonectomy ..............
Lung volume reduction .......................
Partial removal of lung ........................
Repair bronchus add-on .....................
Resect apical lung tumor ....................
Resect apical lung tum/chest ..............
Removal of lung lesion .......................
Insert pleural cath ...............................
Insertion of chest tube ........................
Treat lung lining chemically ................
Thoracoscopy, diagnostic ...................
Thoracoscopy, diagnostic ...................
Thoracoscopy, diagnostic ...................
Thoracoscopy, diagnostic ...................
Thoracoscopy, diagnostic ...................
Thoracoscopy, diagnostic ...................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.17
1.11
2.12
1.06
1.96
2.85
15.19
17.19
23.36
31.58
23.48
24.51
19.70
24.77
18.29
25.34
8.10
13.34
4.58
6.98
4.54
0.00
11.20
12.21
10.06
16.08
25.15
14.27
15.33
16.54
27.10
16.70
16.82
13.02
18.48
3.99
12.93
26.41
16.63
15.16
27.04
1.76
8.89
1.93
2.18
1.54
2.19
27.17
56.37
63.60
25.71
27.28
25.30
42.80
42.83
25.09
24.48
4.68
31.61
36.41
30.22
4.17
3.29
2.19
5.45
5.95
7.80
8.77
6.92
8.39
10.77
18.70
5.69
NA
5.84
NA
NA
25.74
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.86
7.45
5.93
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
19.87
NA
NA
NA
NA
NA
2.15
NA
0.69
NA
2.41
2.88
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
14.97
NA
5.06
NA
NA
NA
NA
NA
NA
NA
NA
6.49
NA
7.05
NA
NA
13.97
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.76
7.56
5.85
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
20.29
NA
NA
NA
NA
NA
2.14
NA
0.68
NA
2.73
3.05
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
17.47
NA
5.76
NA
NA
NA
NA
NA
NA
NA
NA
0.68
0.25
0.72
0.27
0.41
0.74
17.46
24.00
9.78
11.70
8.54
9.52
8.80
9.67
7.68
9.62
8.68
6.22
3.26
4.48
3.56
0.00
6.09
6.30
5.10
7.01
9.88
6.78
6.96
7.40
10.19
7.51
7.92
5.84
8.77
1.43
6.24
11.91
7.46
6.93
11.46
0.57
4.69
0.69
0.71
0.47
1.03
10.92
18.74
22.80
10.19
11.10
9.57
14.62
15.58
10.43
10.27
1.34
12.09
13.48
11.49
1.51
0.97
0.58
2.07
2.22
2.74
3.05
2.58
2.97
5.24
7.70
0.76
0.30
0.75
0.30
0.49
0.87
17.51
24.27
10.25
12.68
9.39
10.66
9.93
10.90
8.93
11.36
8.97
6.72
3.46
4.93
3.77
0.00
5.97
6.37
5.24
7.42
10.31
6.93
7.09
7.54
8.87
7.56
7.96
5.56
8.69
1.36
6.57
12.44
7.56
7.16
11.81
0.56
4.90
0.66
0.70
0.47
1.05
11.91
16.75
18.43
11.13
12.01
10.48
13.94
14.68
11.53
11.32
1.44
13.58
15.08
10.56
1.58
1.16
0.64
2.21
2.37
2.89
3.25
2.74
3.15
6.00
7.47
0.15
0.07
0.14
0.07
0.14
0.21
1.05
1.29
2.95
4.53
2.84
3.02
1.65
2.25
1.59
3.30
0.79
1.83
0.38
0.53
0.44
0.00
1.26
1.43
1.22
2.24
3.22
1.63
1.90
1.97
2.01
2.01
2.04
1.31
2.14
0.24
1.69
3.57
2.07
2.00
3.52
0.10
1.07
0.11
0.12
0.08
0.12
3.69
3.85
3.72
3.50
3.67
3.04
3.52
3.81
2.99
3.26
0.65
4.38
5.09
2.08
0.42
0.43
0.23
0.80
0.87
1.14
1.25
1.00
1.22
1.58
1.87
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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090
090
090
090
090
090
090
090
090
090
YYY
090
090
090
090
090
090
090
090
090
090
090
090
090
000
090
090
090
090
090
000
090
000
000
000
000
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
000
000
000
000
000
000
000
000
000
090
090
2604
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
32652
32653
32654
32655
32656
32657
32658
32659
32660
32661
32662
32663
32664
32665
32800
32810
32815
32820
32850
32851
32852
32853
32854
32855
32856
32900
32905
32906
32940
32960
32997
32998
32999
33010
33011
33015
33020
33025
33030
33031
33050
33120
33130
33140
33141
33202
33203
33206
33207
33208
33210
33211
33212
33213
33214
33215
33216
33217
33218
33220
33222
33223
33224
33225
33226
33233
33234
33235
33236
33237
33238
33240
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
X
A
A
A
A
C
C
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Thoracoscopy, surgical .......................
Repair lung hernia ..............................
Close chest after drainage ..................
Close bronchial fistula .........................
Reconstruct injured chest ...................
Donor pneumonectomy .......................
Lung transplant, single ........................
Lung transplant with bypass ...............
Lung transplant, double ......................
Lung transplant with bypass ...............
Prepare donor lung, single .................
Prepare donor lung, double ................
Removal of rib(s) ................................
Revise & repair chest wall ..................
Revise & repair chest wall ..................
Revision of lung ..................................
Therapeutic pneumothorax .................
Total lung lavage ................................
Perq rf ablate tx, pul tumor .................
Chest surgery procedure ....................
Drainage of heart sac .........................
Repeat drainage of heart sac .............
Incision of heart sac ............................
Incision of heart sac ............................
Incision of heart sac ............................
Partial removal of heart sac ................
Partial removal of heart sac ................
Removal of heart sac lesion ...............
Removal of heart lesion ......................
Removal of heart lesion ......................
Heart revascularize (tmr) ....................
Heart tmr w/other procedure ...............
Insert epicard eltrd, open ....................
Insert epicard eltrd, endo ....................
Insertion of heart pacemaker ..............
Insertion of heart pacemaker ..............
Insertion of heart pacemaker ..............
Insertion of heart electrode .................
Insertion of heart electrode .................
Insertion of pulse generator ................
Insertion of pulse generator ................
Upgrade of pacemaker system ...........
Reposition pacing-defib lead ..............
Insert lead pace-defib, one .................
Insert lead pace-defib, dual ................
Repair lead pace-defib, one ...............
Repair lead pace-defib, dual ...............
Revise pocket, pacemaker .................
Revise pocket, pacing-defib ................
Insert pacing lead & connect ..............
L ventric pacing lead add-on ..............
Reposition l ventric lead .....................
Removal of pacemaker system ..........
Removal of pacemaker system ..........
Removal pacemaker electrode ...........
Remove electrode/thoracotomy ..........
Remove electrode/thoracotomy ..........
Remove electrode/thoracotomy ..........
Insert pulse generator .........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
29.00
18.09
20.44
16.09
13.18
12.85
11.65
11.86
17.69
13.27
14.91
24.56
14.22
21.45
15.59
14.83
49.79
22.33
0.00
40.94
44.65
50.11
53.88
0.00
0.00
23.69
23.17
29.18
21.22
1.84
7.31
5.68
0.00
2.24
2.24
8.44
14.87
13.65
22.27
25.30
16.85
27.33
24.05
28.26
2.54
13.15
13.92
7.31
8.00
8.72
3.30
3.39
5.51
6.36
7.78
4.89
5.81
5.78
5.97
6.05
5.01
6.49
9.04
8.33
8.68
3.33
7.85
9.93
12.64
13.75
15.28
7.61
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
1.61
NA
70.26
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
1.68
NA
70.26
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
11.14
7.46
7.96
6.88
5.96
5.97
5.50
5.80
7.59
6.05
6.64
9.40
5.62
8.57
6.93
6.98
18.60
10.57
0.00
20.19
22.58
22.80
25.79
0.00
0.00
9.57
9.53
11.04
8.49
0.68
1.84
1.99
0.00
1.04
1.13
5.16
6.37
5.85
9.12
9.58
7.37
10.57
9.37
10.31
0.78
6.08
6.13
5.13
5.23
5.66
1.66
1.59
3.71
4.21
5.36
3.49
4.54
4.43
4.82
4.78
4.30
4.88
4.91
4.35
4.74
3.27
5.49
7.24
6.38
8.02
8.05
5.25
10.64
7.22
7.75
7.06
6.95
6.83
6.43
6.63
8.54
6.92
7.74
10.08
6.62
8.35
7.17
7.25
14.79
11.37
0.00
23.94
27.88
27.29
30.27
0.00
0.00
9.73
9.84
11.55
8.99
0.62
1.88
1.99
0.00
0.91
0.97
5.05
6.58
6.10
9.33
9.81
7.61
11.08
9.75
10.60
1.18
6.08
6.13
4.79
4.94
5.21
1.46
1.45
3.53
3.97
5.13
3.33
4.37
4.33
4.56
4.53
4.30
4.74
4.45
3.80
4.28
3.27
5.20
7.03
6.91
7.90
8.13
4.92
2.73
1.89
1.63
1.90
1.90
2.00
1.70
1.62
2.09
1.93
2.18
2.73
2.33
2.16
1.99
1.94
3.28
2.53
0.00
5.58
6.02
7.07
7.22
0.00
0.00
2.94
3.16
3.98
2.89
0.16
0.55
0.36
0.00
0.14
0.15
0.65
1.80
1.81
2.84
3.14
2.15
3.70
3.01
2.86
0.69
1.71
1.39
0.52
0.59
0.56
0.18
0.21
0.43
0.45
0.58
0.37
0.36
0.39
0.37
0.37
0.42
0.45
0.54
0.45
0.59
0.22
0.56
0.73
1.69
1.59
2.03
0.41
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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15JAR2
Global
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090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
XXX
090
090
090
090
XXX
XXX
090
090
090
090
000
000
000
YYY
000
000
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
000
000
090
090
090
090
090
090
090
090
090
090
000
ZZZ
000
090
090
090
090
090
090
090
2605
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
33241
33243
33244
33249
33250
33251
33254
33255
33256
33257
33258
33259
33261
33265
33266
33282
33284
33300
33305
33310
33315
33320
33321
33322
33330
33332
33335
33400
33401
33403
33404
33405
33406
33410
33411
33412
33413
33414
33415
33416
33417
33420
33422
33425
33426
33427
33430
33460
33463
33464
33465
33468
33470
33471
33472
33474
33475
33476
33478
33496
33500
33501
33502
33503
33504
33505
33506
33507
33508
33510
33511
33512
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Remove pulse generator ....................
Remove eltrd/thoracotomy ..................
Remove eltrd, transven .......................
Eltrd/insert pace-defib .........................
Ablate heart dysrhythm focus .............
Ablate heart dysrhythm focus .............
Ablate atria, lmtd .................................
Ablate atria w/o bypass, ext ...............
Ablate atria w/bypass, exten ...............
Ablate atria, lmtd, add-on ...................
Ablate atria, x10sv, add-on .................
Ablate atria w/bypass add-on .............
Ablate heart dysrhythm focus .............
Ablate atria, lmtd, endo .......................
Ablate atria, x10sv, endo ....................
Implant pat-active ht record ................
Remove pat-active ht record ..............
Repair of heart wound ........................
Repair of heart wound ........................
Exploratory heart surgery ...................
Exploratory heart surgery ...................
Repair major blood vessel(s) ..............
Repair major vessel ............................
Repair major blood vessel(s) ..............
Insert major vessel graft .....................
Insert major vessel graft .....................
Insert major vessel graft .....................
Repair of aortic valve ..........................
Valvuloplasty, open .............................
Valvuloplasty, w/cp bypass .................
Prepare heart-aorta conduit ................
Replacement of aortic valve ...............
Replacement of aortic valve ...............
Replacement of aortic valve ...............
Replacement of aortic valve ...............
Replacement of aortic valve ...............
Replacement of aortic valve ...............
Repair of aortic valve ..........................
Revision, subvalvular tissue ...............
Revise ventricle muscle ......................
Repair of aortic valve ..........................
Revision of mitral valve .......................
Revision of mitral valve .......................
Repair of mitral valve ..........................
Repair of mitral valve ..........................
Repair of mitral valve ..........................
Replacement of mitral valve ...............
Revision of tricuspid valve ..................
Valvuloplasty, tricuspid .......................
Valvuloplasty, tricuspid .......................
Replace tricuspid valve .......................
Revision of tricuspid valve ..................
Revision of pulmonary valve ...............
Valvotomy, pulmonary valve ...............
Revision of pulmonary valve ...............
Revision of pulmonary valve ...............
Replacement, pulmonary valve ..........
Revision of heart chamber ..................
Revision of heart chamber ..................
Repair, prosth valve clot .....................
Repair heart vessel fistula ..................
Repair heart vessel fistula ..................
Coronary artery correction ..................
Coronary artery graft ...........................
Coronary artery graft ...........................
Repair artery w/tunnel .........................
Repair artery, translocation .................
Repair art, intramural ..........................
Endoscopic vein harvest .....................
CABG, vein, single ..............................
CABG, vein, two .................................
CABG, vein, three ...............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.26
23.42
13.84
15.02
25.78
28.80
23.58
28.91
34.77
9.63
11.00
14.14
28.80
23.58
32.91
4.70
3.04
44.89
76.85
20.22
26.05
18.46
20.71
24.30
25.17
24.46
33.79
41.37
24.41
25.39
31.25
41.19
52.55
46.28
61.94
43.77
59.74
39.29
37.19
36.43
29.17
25.67
29.61
49.83
43.15
44.70
50.75
44.62
56.95
44.49
50.59
32.82
21.32
22.83
22.90
39.27
42.27
26.41
27.38
29.71
27.82
19.43
21.69
22.29
25.30
38.35
37.80
31.35
0.31
34.87
38.34
43.87
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.00
10.94
9.44
10.16
10.89
10.97
9.77
11.37
13.12
5.47
5.99
7.80
11.69
9.77
12.57
4.24
3.38
15.06
25.14
8.36
10.36
8.01
8.38
9.55
9.50
9.46
12.49
14.58
10.28
12.53
12.02
15.12
18.39
16.53
21.11
16.22
23.55
14.29
13.15
13.24
11.71
9.50
11.36
17.61
15.76
15.70
18.57
14.72
19.73
15.85
17.65
15.25
7.93
11.60
8.79
12.95
15.07
10.37
11.02
11.10
11.04
8.00
9.34
12.33
10.59
15.14
12.71
11.10
0.09
12.92
14.16
15.95
2.98
11.20
9.17
9.26
10.96
11.32
9.77
11.37
13.12
5.47
5.99
7.80
11.73
9.77
12.57
4.13
3.45
12.15
17.88
8.97
10.62
8.11
9.08
9.96
9.89
9.99
12.92
15.13
11.89
13.42
13.28
16.71
18.76
16.56
19.93
18.32
22.19
14.21
12.59
13.38
12.66
9.53
12.51
15.34
16.45
17.54
17.93
13.01
16.33
14.69
15.31
14.45
9.31
10.68
10.33
11.92
15.22
11.17
12.04
11.93
11.25
8.14
10.21
11.03
11.20
14.03
13.64
12.37
0.10
14.63
15.62
16.78
0.18
2.10
0.99
0.77
3.19
3.60
3.35
3.94
4.95
0.89
1.09
1.78
3.46
3.35
4.80
0.23
0.14
2.66
3.13
2.59
3.28
2.08
2.91
2.86
2.82
3.03
4.28
4.11
3.57
3.55
4.33
5.33
5.45
4.69
5.48
6.39
6.53
4.57
4.14
4.57
4.10
1.82
3.94
4.07
5.03
6.09
5.10
3.45
3.87
4.15
4.39
4.07
1.03
3.39
3.55
3.22
4.93
2.42
3.89
4.13
3.87
1.91
3.00
1.78
3.36
2.19
4.66
4.06
0.04
4.41
4.56
4.67
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00039
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
2606
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
33513
33514
33516
33517
33518
33519
33521
33522
33523
33530
33533
33534
33535
33536
33542
33545
33548
33572
33600
33602
33606
33608
33610
33611
33612
33615
33617
33619
33641
33645
33647
33660
33665
33670
33675
33676
33677
33681
33684
33688
33690
33692
33694
33697
33702
33710
33720
33722
33724
33726
33730
33732
33735
33736
33737
33750
33755
33762
33764
33766
33767
33768
33770
33771
33774
33775
33776
33777
33778
33779
33780
33781
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
CABG, vein, four .................................
CABG, vein, five .................................
Cabg, vein, six or more ......................
CABG, artery-vein, single ...................
CABG, artery-vein, two .......................
CABG, artery-vein, three ....................
CABG, artery-vein, four ......................
CABG, artery-vein, five .......................
Cabg, art-vein, six or more .................
Coronary artery, bypass/reop .............
CABG, arterial, single .........................
CABG, arterial, two .............................
CABG, arterial, three ..........................
Cabg, arterial, four or more ................
Removal of heart lesion ......................
Repair of heart damage ......................
Restore/remodel, ventricle ..................
Open coronary endarterectomy ..........
Closure of valve ..................................
Closure of valve ..................................
Anastomosis/artery-aorta ....................
Repair anomaly w/conduit ..................
Repair by enlargement .......................
Repair double ventricle .......................
Repair double ventricle .......................
Repair, modified fontan .......................
Repair single ventricle ........................
Repair single ventricle ........................
Repair heart septum defect ................
Revision of heart veins .......................
Repair heart septum defects ..............
Repair of heart defects .......................
Repair of heart defects .......................
Repair of heart chambers ...................
Close mult vsd ....................................
Close mult vsd w/resection .................
Cl mult vsd w/rem pul band ................
Repair heart septum defect ................
Repair heart septum defect ................
Repair heart septum defect ................
Reinforce pulmonary artery ................
Repair of heart defects .......................
Repair of heart defects .......................
Repair of heart defects .......................
Repair of heart defects .......................
Repair of heart defects .......................
Repair of heart defect .........................
Repair of heart defect .........................
Repair venous anomaly ......................
Repair pul venous stenosis ................
Repair heart-vein defect(s) .................
Repair heart-vein defect .....................
Revision of heart chamber ..................
Revision of heart chamber ..................
Revision of heart chamber ..................
Major vessel shunt ..............................
Major vessel shunt ..............................
Major vessel shunt ..............................
Major vessel shunt & graft ..................
Major vessel shunt ..............................
Major vessel shunt ..............................
Cavopulmonary shunting ....................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Repair great vessels defect ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
45.26
47.97
49.65
3.61
7.93
10.49
12.59
14.14
16.08
10.13
33.64
39.77
44.64
48.32
48.08
56.93
53.96
4.44
30.15
29.18
31.37
31.72
31.24
35.49
36.49
35.76
38.96
48.60
29.50
27.98
29.37
31.75
34.77
36.58
35.87
36.87
38.37
32.16
34.29
34.67
20.20
31.38
35.49
37.49
27.11
30.28
27.13
29.05
27.55
37.04
36.01
28.80
22.04
24.16
22.34
22.06
22.44
22.44
22.44
23.41
25.14
8.00
39.02
40.58
31.54
32.83
34.53
33.95
42.62
43.15
43.85
43.16
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
16.38
17.36
17.97
1.08
2.37
3.14
3.78
4.24
4.78
2.95
12.57
14.75
16.31
17.34
16.90
20.16
19.35
1.31
12.15
11.17
11.92
12.86
13.56
12.37
14.32
13.80
13.96
17.99
10.89
10.68
12.72
11.83
12.17
15.64
15.76
16.06
16.63
12.89
13.29
11.63
8.64
19.59
10.05
16.95
10.53
11.26
10.69
10.61
10.38
13.23
12.87
12.66
11.04
12.07
9.13
9.43
7.80
8.69
8.95
8.48
8.51
1.84
11.92
13.09
12.21
10.11
10.25
9.93
14.93
12.46
13.15
11.13
17.09
17.71
18.39
0.96
1.97
2.73
3.42
4.02
4.66
2.43
14.52
16.24
17.22
17.82
14.95
17.90
19.33
1.38
12.34
11.81
12.80
13.49
13.58
13.26
14.74
13.48
14.98
19.40
10.24
11.23
13.25
12.66
13.01
14.41
15.76
16.06
16.63
13.79
13.46
11.05
9.40
16.76
12.14
15.91
11.55
12.62
11.49
12.24
10.38
13.23
13.50
13.03
10.00
11.96
10.03
9.82
8.30
9.43
9.59
10.08
10.12
2.25
13.30
12.74
13.44
12.55
13.03
12.78
15.92
13.92
16.12
12.23
4.88
4.77
5.13
0.39
0.73
1.04
1.37
1.78
2.13
0.88
4.56
4.70
5.03
5.44
4.38
5.21
5.53
0.65
4.42
3.82
4.41
4.74
4.56
4.37
5.30
4.32
5.66
6.46
3.23
3.79
3.32
4.49
4.00
4.65
4.95
5.44
5.68
4.45
3.39
4.73
1.97
4.58
5.28
4.09
3.68
4.43
3.84
1.30
4.00
5.03
5.03
3.68
1.92
3.09
3.25
1.16
3.26
3.14
3.01
3.70
3.82
1.19
5.74
5.68
4.81
4.99
5.09
5.49
6.20
2.92
3.68
5.97
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00040
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
2607
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
33786
33788
33800
33802
33803
33813
33814
33820
33822
33824
33840
33845
33851
33852
33853
33860
33861
33863
33864
33870
33875
33877
33880
33881
33883
33884
33886
33889
33891
33910
33915
33916
33917
33920
33922
33924
33925
33926
33930
33933
33935
33940
33944
33945
33960
33961
33967
33968
33970
33971
33973
33974
33975
33976
33977
33978
33979
33980
33999
34001
34051
34101
34111
34151
34201
34203
34401
34421
34451
34471
34490
34501
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
X
C
R
X
C
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Repair arterial trunk ............................
Revision of pulmonary artery ..............
Aortic suspension ................................
Repair vessel defect ...........................
Repair vessel defect ...........................
Repair septal defect ............................
Repair septal defect ............................
Revise major vessel ............................
Revise major vessel ............................
Revise major vessel ............................
Remove aorta constriction ..................
Remove aorta constriction ..................
Remove aorta constriction ..................
Repair septal defect ............................
Repair septal defect ............................
Ascending aortic graft .........................
Ascending aortic graft .........................
Ascending aortic graft .........................
Ascending aortic graft .........................
Transverse aortic arch graft ................
Thoracic aortic graft ............................
Thoracoabdominal graft ......................
Endovasc taa repr incl subcl ..............
Endovasc taa repr w/o subcl ..............
Insert endovasc prosth, taa ................
Endovasc prosth, taa, add-on .............
Endovasc prosth, delayed ..................
Artery transpose/endovas taa .............
Car-car bp grft/endovas taa ................
Remove lung artery emboli .................
Remove lung artery emboli .................
Surgery of great vessel .......................
Repair pulmonary artery .....................
Repair pulmonary atresia ....................
Transect pulmonary artery ..................
Remove pulmonary shunt ...................
Rpr pul art unifocal w/o cpb ................
Repr pul art, unifocal w/cpb ................
Removal of donor heart/lung ..............
Prepare donor heart/lung ....................
Transplantation, heart/lung .................
Removal of donor heart ......................
Prepare donor heart ............................
Transplantation of heart ......................
External circulation assist ...................
External circulation assist ...................
Insert ia percut device ........................
Remove aortic assist device ...............
Aortic circulation assist .......................
Aortic circulation assist .......................
Insert balloon device ...........................
Remove intra-aortic balloon ................
Implant ventricular device ...................
Implant ventricular device ...................
Remove ventricular device .................
Remove ventricular device .................
Insert intracorporeal device ................
Remove intracorporeal device ............
Cardiac surgery procedure .................
Removal of artery clot .........................
Removal of artery clot .........................
Removal of artery clot .........................
Removal of arm artery clot .................
Removal of artery clot .........................
Removal of artery clot .........................
Removal of leg artery clot ...................
Removal of vein clot ...........................
Removal of vein clot ...........................
Removal of vein clot ...........................
Removal of vein clot ...........................
Removal of vein clot ...........................
Repair valve, femoral vein ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
41.74
27.26
17.23
18.24
20.18
21.23
26.41
16.61
17.63
20.10
21.21
22.77
21.85
24.28
32.35
59.33
43.94
58.71
60.00
45.93
35.68
68.85
34.48
29.48
20.99
8.20
17.99
15.92
20.00
29.59
24.83
28.30
25.14
32.58
24.09
5.49
31.25
44.68
0.00
0.00
61.68
0.00
0.00
89.08
19.33
10.91
4.84
0.64
6.74
11.91
9.75
14.93
20.97
22.97
20.07
22.51
45.93
64.86
0.00
17.78
16.91
10.85
10.85
26.41
19.38
17.73
26.41
13.29
28.41
21.00
10.83
16.74
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
14.10
8.25
6.82
7.95
6.39
8.82
10.41
6.96
5.94
8.46
9.34
9.39
8.88
14.77
12.26
20.22
15.71
19.61
20.11
16.29
12.92
21.03
10.93
9.67
7.24
2.08
6.34
3.98
5.82
11.35
9.12
10.83
10.04
9.47
10.25
1.59
16.44
14.81
0.00
0.00
22.96
0.00
0.00
30.40
5.26
2.99
2.41
0.26
2.54
6.01
3.94
7.74
6.30
7.67
9.42
10.43
13.29
23.09
0.00
6.37
7.44
4.30
4.28
8.66
6.55
6.38
9.27
5.20
9.39
7.87
4.35
6.43
15.41
10.10
7.47
8.59
8.08
9.87
11.53
7.66
7.45
9.22
9.82
10.37
9.78
13.07
13.54
18.34
16.71
19.15
20.11
17.34
13.51
18.68
12.20
10.82
8.21
2.33
7.29
4.58
6.39
11.39
9.38
11.09
11.12
11.65
10.58
1.72
15.56
16.25
0.00
0.00
25.87
0.00
0.00
25.90
5.08
3.30
2.13
0.24
2.41
6.01
3.63
7.81
6.29
7.61
10.25
11.09
14.11
24.17
0.00
6.54
7.61
4.83
4.82
9.53
5.98
7.22
9.97
5.75
10.42
6.59
4.89
7.46
5.71
4.03
2.46
2.27
3.20
3.13
3.85
2.35
2.68
2.89
2.16
3.22
3.18
2.16
4.48
5.76
6.37
6.59
6.73
6.62
4.89
5.94
2.75
2.33
2.11
0.86
1.80
2.18
2.73
3.70
1.44
3.67
3.70
4.38
3.10
0.82
4.61
6.22
0.00
0.00
9.06
0.00
0.00
6.26
2.67
0.88
0.35
0.07
0.82
1.25
1.26
1.74
3.07
3.26
2.81
3.31
6.97
8.59
0.00
1.85
2.21
1.41
1.40
3.56
1.45
2.36
3.10
1.55
3.84
1.18
1.41
2.35
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00041
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
000
000
090
090
090
090
090
090
ZZZ
090
090
XXX
XXX
090
XXX
XXX
090
000
ZZZ
000
000
000
090
000
090
XXX
XXX
090
090
XXX
090
YYY
090
090
090
090
090
090
090
090
090
090
090
090
090
2608
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
34502
34510
34520
34530
34800
34802
34803
34804
34805
34806
34808
34812
34813
34820
34825
34826
34830
34831
34832
34833
34834
34900
35001
35002
35005
35011
35013
35021
35022
35045
35081
35082
35091
35092
35102
35103
35111
35112
35121
35122
35131
35132
35141
35142
35151
35152
35180
35182
35184
35188
35189
35190
35201
35206
35207
35211
35216
35221
35226
35231
35236
35241
35246
35251
35256
35261
35266
35271
35276
35281
35286
35301
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Reconstruct vena cava .......................
Transposition of vein valve .................
Cross-over vein graft ..........................
Leg vein fusion ....................................
Endovas aaa repr w/sm tube ..............
Endovas aaa repr w/2-p part ..............
Endovas aaa repr w/3-p part ..............
Endovas aaa repr w/1-p part ..............
Endovas aaa repr w/long tube ............
Aneurysm press sensor add-on ..........
Endovas iliac a device addon .............
Xpose for endoprosth, femorl .............
Femoral endovas graft add-on ...........
Xpose for endoprosth, iliac .................
Endovasc extend prosth, init ..............
Endovasc exten prosth, add"l ...........
Open aortic tube prosth repr ..............
Open aortoiliac prosth repr .................
Open aortofemor prosth repr ..............
Xpose for endoprosth, iliac .................
Xpose, endoprosth, brachial ...............
Endovasc iliac repr w/graft .................
Repair defect of artery ........................
Repair artery rupture, neck .................
Repair defect of artery ........................
Repair defect of artery ........................
Repair artery rupture, arm ..................
Repair defect of artery ........................
Repair artery rupture, chest ................
Repair defect of arm artery .................
Repair defect of artery ........................
Repair artery rupture, aorta ................
Repair defect of artery ........................
Repair artery rupture, aorta ................
Repair defect of artery ........................
Repair artery rupture, groin ................
Repair defect of artery ........................
Repair artery rupture,spleen ...............
Repair defect of artery ........................
Repair artery rupture, belly .................
Repair defect of artery ........................
Repair artery rupture, groin ................
Repair defect of artery ........................
Repair artery rupture, thigh .................
Repair defect of artery ........................
Repair artery rupture, knee .................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Repair blood vessel lesion ..................
Rechanneling of artery ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
27.86
19.80
19.05
17.77
21.46
23.71
24.74
23.71
22.59
2.06
4.12
6.74
4.79
9.74
12.72
4.12
35.10
37.85
37.85
11.98
5.34
16.77
20.70
22.12
19.18
18.50
23.10
22.09
25.62
17.94
33.37
41.93
35.35
50.81
36.37
43.49
26.17
32.44
31.41
37.76
26.29
32.44
20.83
25.03
23.61
27.53
15.01
31.58
18.72
15.05
29.85
13.33
16.84
13.76
10.85
24.50
36.47
26.54
15.22
21.08
17.94
25.50
28.15
31.83
18.98
18.88
15.75
24.50
25.72
29.93
17.06
19.53
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.51
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.51
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
10.49
7.53
7.02
6.77
7.25
8.18
8.02
8.07
7.27
0.51
1.05
1.67
1.16
2.45
5.15
1.14
10.34
11.28
11.81
3.29
1.57
6.06
7.71
7.52
8.53
6.30
7.77
8.47
10.59
6.28
10.71
12.78
10.00
14.51
11.30
12.64
8.51
10.08
9.98
11.52
8.64
10.29
6.94
8.25
7.65
9.12
6.26
10.84
6.51
6.29
10.68
5.24
6.32
5.30
6.64
9.72
13.58
8.34
5.80
7.73
6.30
10.03
10.11
9.46
6.38
6.98
5.47
9.69
9.79
9.29
6.31
6.69
11.39
8.47
7.74
7.69
8.21
8.99
9.12
8.94
8.46
0.51
1.21
1.95
1.36
2.84
5.65
1.25
12.02
11.51
13.22
3.86
1.88
6.82
8.63
8.61
8.69
7.14
8.72
8.94
10.22
6.89
11.09
14.04
11.79
16.08
11.83
14.25
9.49
11.02
11.17
12.66
9.69
11.34
7.93
9.31
8.82
10.25
6.60
11.82
7.40
6.96
11.32
5.86
7.16
5.93
7.00
10.17
11.28
9.14
6.62
8.75
7.09
10.58
10.77
10.63
7.36
7.50
6.24
10.10
10.50
10.50
7.18
7.56
3.63
2.33
2.29
1.74
2.46
2.33
2.01
2.30
2.01
0.30
0.59
1.18
0.67
1.50
1.28
0.44
4.55
4.89
4.85
1.70
0.76
2.00
2.81
3.00
1.77
2.55
3.10
2.87
3.17
2.45
4.01
5.44
5.14
6.40
4.48
5.76
3.47
4.08
4.30
4.75
3.80
4.30
2.90
3.36
3.24
3.61
1.00
4.36
2.53
2.16
4.01
1.80
2.34
1.87
1.48
3.20
2.65
3.37
2.02
2.89
2.43
3.53
3.86
4.13
2.63
2.61
2.10
3.16
3.49
3.97
2.35
2.68
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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15JAR2
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090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
000
ZZZ
000
090
ZZZ
090
090
090
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2609
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
35302
35303
35304
35305
35306
35311
35321
35331
35341
35351
35355
35361
35363
35371
35372
35390
35400
35450
35452
35454
35456
35458
35459
35460
35470
35471
35472
35473
35474
35475
35476
35480
35481
35482
35483
35484
35485
35490
35491
35492
35493
35494
35495
35500
35501
35506
35508
35509
35510
35511
35512
35515
35516
35518
35521
35522
35523
35525
35526
35531
35533
35536
35537
35538
35539
35540
35548
35549
35551
35556
35558
35560
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Rechanneling of artery ........................
Reoperation, carotid add-on ...............
Angioscopy ..........................................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair venous blockage .....................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair venous blockage .....................
Atherectomy, open ..............................
Atherectomy, open ..............................
Atherectomy, open ..............................
Atherectomy, open ..............................
Atherectomy, open ..............................
Atherectomy, open ..............................
Atherectomy, percutaneous ................
Atherectomy, percutaneous ................
Atherectomy, percutaneous ................
Atherectomy, percutaneous ................
Atherectomy, percutaneous ................
Atherectomy, percutaneous ................
Harvest vein for bypass ......................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
21.27
23.52
24.52
23.52
9.25
28.52
16.51
27.61
26.10
24.53
19.78
30.11
32.22
15.23
18.50
3.19
3.00
10.05
6.90
6.03
7.34
9.48
8.62
6.03
8.62
10.05
6.90
6.03
7.35
9.48
6.03
11.06
7.60
6.64
8.09
10.42
9.48
11.06
7.60
6.64
8.09
10.42
9.48
6.44
28.99
25.23
25.99
27.99
24.29
22.12
23.79
25.99
24.11
22.57
24.00
23.05
24.00
21.59
31.47
38.98
29.79
33.60
41.75
46.82
43.98
49.20
22.57
24.34
27.72
26.62
23.00
33.90
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
61.19
66.05
47.53
46.56
60.44
48.69
37.15
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
75.06
83.19
55.97
53.22
74.11
52.41
40.96
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.91
7.46
7.71
7.46
2.28
9.64
5.78
8.82
8.25
7.65
6.36
9.60
10.44
5.33
6.13
0.82
0.72
2.97
2.06
1.76
2.12
2.80
2.65
1.75
3.44
4.69
2.81
2.50
2.98
3.39
2.23
4.05
2.57
2.01
2.57
2.90
2.87
5.18
3.86
3.49
3.97
5.15
4.45
1.60
11.07
8.32
8.77
10.79
7.70
7.66
7.48
9.09
7.46
7.33
7.95
7.40
9.22
7.04
14.04
11.48
9.50
9.51
13.10
14.45
13.47
14.82
7.74
8.74
9.38
8.64
7.87
10.63
6.91
7.46
7.71
7.46
2.28
10.69
6.58
10.03
9.56
8.62
7.22
10.65
11.52
6.14
7.09
0.94
0.91
3.27
2.33
2.04
2.44
3.14
2.91
2.01
3.40
4.32
2.78
2.46
2.94
3.47
2.29
4.04
2.72
2.29
2.79
3.34
3.20
4.94
3.57
3.34
3.88
4.81
4.42
1.81
9.77
8.89
9.11
9.78
8.94
8.51
8.74
9.19
7.13
8.15
8.89
8.58
9.22
8.21
13.28
12.98
10.61
11.23
13.10
14.45
13.47
14.82
8.58
9.56
10.44
9.18
8.71
11.97
2.98
3.26
3.41
3.26
1.34
3.42
2.25
3.83
3.78
3.35
2.67
4.15
4.33
2.14
2.63
0.46
0.43
1.25
0.94
0.87
1.04
1.26
1.21
0.83
0.69
0.67
0.58
0.51
0.57
0.62
0.34
1.28
1.13
0.89
1.15
1.27
1.35
0.71
0.74
0.43
0.56
0.59
0.69
0.93
4.10
2.87
2.78
3.92
2.12
2.91
2.12
2.78
2.34
3.03
3.13
2.12
2.14
2.12
3.63
5.18
3.85
4.62
5.72
6.39
6.02
6.76
2.98
3.30
3.75
3.10
3.00
4.75
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00043
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2610
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
35563
35565
35566
35571
35572
35583
35585
35587
35600
35601
35606
35612
35616
35621
35623
35626
35631
35636
35637
35638
35642
35645
35646
35647
35650
35651
35654
35656
35661
35663
35665
35666
35671
35681
35682
35683
35685
35686
35691
35693
35694
35695
35697
35700
35701
35721
35741
35761
35800
35820
35840
35860
35870
35875
35876
35879
35881
35883
35884
35901
35903
35905
35907
36000
36002
36005
36010
36011
36012
36013
36014
36015
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Harvest femoropopliteal vein ..............
Vein bypass graft ................................
Vein bypass graft ................................
Vein bypass graft ................................
Harvest art for cabg add-on ................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Bypass graft, not vein .........................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Artery bypass graft ..............................
Composite bypass graft ......................
Composite bypass graft ......................
Composite bypass graft ......................
Bypass graft patency/patch ................
Bypass graft/av fist patency ................
Arterial transposition ...........................
Arterial transposition ...........................
Arterial transposition ...........................
Arterial transposition ...........................
Reimplant artery each .........................
Reoperation, bypass graft ...................
Exploration, carotid artery ...................
Exploration, femoral artery ..................
Exploration popliteal artery .................
Exploration of artery/vein ....................
Explore neck vessels ..........................
Explore chest vessels .........................
Explore abdominal vessels .................
Explore limb vessels ...........................
Repair vessel graft defect ...................
Removal of clot in graft .......................
Removal of clot in graft .......................
Revise graft w/vein .............................
Revise graft w/vein .............................
Revise graft w/nonauto graft ...............
Revise graft w/vein .............................
Excision, graft, neck ............................
Excision, graft, extremity .....................
Excision, graft, thorax .........................
Excision, graft, abdomen ....................
Place needle in vein ...........................
Pseudoaneurysm injection trt .............
Injection ext venography .....................
Place catheter in vein .........................
Place catheter in vein .........................
Place catheter in vein .........................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
25.99
25.00
32.22
25.39
6.81
27.62
32.22
26.08
4.94
26.99
22.36
16.71
21.74
20.95
25.79
29.06
35.90
31.62
32.92
33.47
18.85
18.34
32.84
29.62
20.08
25.97
26.17
20.39
20.22
23.80
22.22
23.53
20.64
1.60
7.19
8.49
4.04
3.34
18.32
15.64
19.19
19.97
3.00
3.08
9.11
7.66
8.61
5.84
7.99
36.81
10.87
6.72
24.39
10.64
17.74
17.28
19.22
23.07
24.57
8.26
9.44
33.39
37.14
0.18
1.96
0.95
2.43
3.14
3.51
2.52
3.02
3.51
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.46
2.24
8.47
11.10
19.63
20.26
18.79
18.96
18.56
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.51
2.55
8.06
15.21
23.73
19.61
20.08
19.55
21.12
8.88
8.17
9.85
8.09
1.92
8.64
10.11
8.51
1.52
10.43
7.30
6.31
7.13
6.78
8.44
10.28
10.56
9.72
10.65
10.79
6.22
7.98
10.45
9.66
6.93
8.71
8.36
6.84
7.04
7.90
7.36
8.51
7.63
0.40
1.70
1.96
0.96
0.85
5.95
6.12
6.32
6.71
0.74
0.77
4.32
3.83
3.87
3.44
3.95
12.91
4.81
3.38
7.92
4.29
5.95
5.98
6.46
8.50
8.94
4.24
4.60
10.66
10.89
0.06
0.86
0.39
0.78
1.01
1.28
0.93
1.11
1.05
9.70
9.15
10.62
9.47
2.08
9.40
11.17
9.98
1.57
9.53
8.16
7.10
7.62
7.73
9.47
11.13
12.20
11.01
10.65
10.79
7.45
8.13
11.78
10.72
7.65
9.72
9.51
7.72
7.99
8.94
8.41
9.58
8.50
0.47
2.04
2.39
1.15
0.99
7.18
6.92
7.46
7.63
0.88
0.89
4.73
4.13
4.26
3.72
4.30
10.06
5.05
3.71
8.85
4.74
6.73
6.83
7.57
8.50
8.94
4.77
5.38
11.92
12.53
0.06
0.91
0.35
0.79
1.03
1.23
0.81
1.07
1.12
3.52
3.30
3.83
3.43
0.99
3.17
4.02
3.52
0.73
3.72
2.70
2.09
2.20
2.92
3.46
4.08
4.96
4.10
4.44
4.52
2.28
2.50
4.44
3.99
2.72
3.36
3.53
2.80
2.72
3.11
3.01
3.16
2.78
0.23
1.03
1.20
0.58
0.47
2.59
2.22
2.70
2.74
0.41
0.44
1.12
1.03
1.12
0.75
0.95
1.95
1.34
0.78
3.01
1.41
2.40
2.28
2.56
3.19
3.41
1.15
1.30
4.44
4.92
0.01
0.17
0.05
0.20
0.27
0.23
0.25
0.19
0.21
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00044
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
ZZZ
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
090
090
090
090
ZZZ
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
XXX
000
000
XXX
XXX
XXX
XXX
XXX
XXX
2611
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
36100
36120
36140
36145
36160
36200
36215
36216
36217
36218
36245
36246
36247
36248
36260
36261
36262
36299
36400
36405
36406
36410
36415
36416
36420
36425
36430
36440
36450
36455
36460
36468
36469
36470
36471
36475
36476
36478
36479
36481
36500
36510
36511
36512
36513
36514
36515
36516
36522
36555
36556
36557
36558
36560
36561
36563
36565
36566
36568
36569
36570
36571
36575
36576
36578
36580
36581
36582
36583
36584
36585
36589
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
X
B
A
A
A
A
A
A
A
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Establish access to artery ...................
Establish access to artery ...................
Establish access to artery ...................
Artery to vein shunt .............................
Establish access to aorta ....................
Place catheter in aorta ........................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Place catheter in artery .......................
Insertion of infusion pump ..................
Revision of infusion pump ..................
Removal of infusion pump ..................
Vessel injection procedure ..................
Bl draw < 3 yrs fem/jugular .................
Bl draw < 3 yrs scalp vein ..................
Bl draw < 3 yrs other vein ..................
Non-routine bl draw > 3 yrs ................
Routine venipuncture ..........................
Capillary blood draw ...........................
Vein access cutdown < 1 yr ...............
Vein access cutdown > 1 yr ...............
Blood transfusion service ....................
Bl push transfuse, 2 yr or < ................
Bl exchange/transfuse, nb ..................
Bl exchange/transfuse non-nb ............
Transfusion service, fetal ....................
Injection(s), spider veins .....................
Injection(s), spider veins .....................
Injection therapy of vein ......................
Injection therapy of veins ....................
Endovenous rf, 1st vein ......................
Endovenous rf, vein add-on ................
Endovenous laser, 1st vein ................
Endovenous laser vein addon ............
Insertion of catheter, vein ...................
Insertion of catheter, vein ...................
Insertion of catheter, vein ...................
Apheresis wbc .....................................
Apheresis rbc ......................................
Apheresis platelets ..............................
Apheresis plasma ...............................
Apheresis, adsorp/reinfuse .................
Apheresis, selective ............................
Photopheresis .....................................
Insert non-tunnel cv cath ....................
Insert non-tunnel cv cath ....................
Insert tunneled cv cath .......................
Insert tunneled cv cath .......................
Insert tunneled cv cath .......................
Insert tunneled cv cath .......................
Insert tunneled cv cath .......................
Insert tunneled cv cath .......................
Insert tunneled cv cath .......................
Insert picc cath ....................................
Insert picc cath ....................................
Insert picvad cath ................................
Insert picvad cath ................................
Repair tunneled cv cath ......................
Repair tunneled cv cath ......................
Replace tunneled cv cath ...................
Replace cvad cath ..............................
Replace tunneled cv cath ...................
Replace tunneled cv cath ...................
Replace tunneled cv cath ...................
Replace picc cath ...............................
Replace picvad cath ...........................
Removal tunneled cv cath ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.02
2.01
2.01
2.01
2.52
3.02
4.67
5.27
6.29
1.01
4.67
5.27
6.29
1.01
9.82
5.55
4.05
0.00
0.38
0.31
0.18
0.18
0.00
0.00
1.01
0.76
0.00
1.03
2.23
2.43
6.58
0.00
0.00
1.09
1.60
6.72
3.38
6.72
3.38
6.98
3.51
1.09
1.74
1.74
1.74
1.74
1.74
1.22
1.67
2.68
2.50
5.11
4.81
6.26
6.01
6.21
6.01
6.51
1.92
1.82
5.33
5.31
0.67
3.21
3.51
1.31
3.45
5.21
5.26
1.20
4.81
2.27
11.25
9.21
10.49
10.29
11.55
13.67
25.97
28.06
45.91
3.77
28.80
27.45
45.20
3.18
NA
NA
NA
0.00
0.28
0.27
0.25
0.32
0.00
0.00
NA
NA
0.94
NA
NA
NA
NA
0.00
0.00
2.41
2.56
35.78
6.14
26.98
6.36
NA
NA
1.08
NA
NA
NA
10.51
45.51
49.59
37.44
3.81
2.86
15.11
14.85
21.33
22.27
23.11
17.53
111.95
5.88
4.47
21.25
24.53
3.31
5.91
9.18
3.96
15.51
21.55
21.60
3.97
22.57
1.86
11.66
9.96
11.63
11.43
12.52
15.10
26.51
28.58
50.69
4.43
30.46
28.72
47.37
3.61
NA
NA
NA
0.00
0.28
0.27
0.26
0.30
0.00
0.00
NA
NA
0.97
NA
NA
NA
NA
0.00
0.00
2.55
2.82
43.60
7.01
36.90
7.18
NA
NA
2.48
NA
NA
NA
13.74
55.93
66.85
34.92
4.78
4.24
18.13
17.95
25.51
25.94
24.94
21.12
68.73
6.70
5.91
27.22
28.90
3.68
6.43
10.16
5.45
17.51
23.79
23.82
5.47
25.20
2.05
1.21
0.59
0.71
0.66
1.05
1.02
1.89
2.09
2.43
0.39
2.12
1.99
2.36
0.38
4.65
3.06
2.71
0.00
0.09
0.08
0.04
0.05
0.00
0.00
0.21
0.21
NA
0.25
0.77
0.67
1.81
0.00
0.00
0.64
0.79
1.88
0.83
2.04
0.95
2.36
1.25
0.30
0.58
0.60
0.55
0.53
0.48
0.39
0.94
0.59
0.55
2.29
2.36
2.72
2.64
2.60
2.47
2.60
0.59
0.67
2.10
2.45
0.23
1.57
2.00
0.43
1.74
2.46
2.49
0.61
2.43
1.23
1.16
0.62
0.67
0.66
0.95
1.01
1.75
1.94
2.30
0.36
1.90
1.91
2.25
0.36
4.76
3.36
2.73
0.00
0.09
0.08
0.05
0.05
0.00
0.00
0.24
0.21
NA
0.27
0.74
0.84
2.03
0.00
0.00
0.69
0.88
2.21
0.98
2.29
1.04
2.48
1.31
0.45
0.65
0.67
0.64
0.62
0.57
0.43
0.95
0.69
0.65
2.47
2.46
2.88
2.80
2.79
2.71
2.86
0.59
0.62
2.41
2.58
0.25
1.71
2.15
0.42
1.83
2.66
2.68
0.58
2.58
1.31
0.26
0.14
0.16
0.11
0.26
0.24
0.27
0.31
0.44
0.07
0.31
0.38
0.47
0.07
1.29
0.70
0.54
0.00
0.03
0.03
0.01
0.01
0.00
0.00
0.07
0.06
0.06
0.10
0.21
0.15
0.79
0.00
0.00
0.12
0.19
0.37
0.18
0.37
0.18
0.55
0.20
0.10
0.08
0.08
0.17
0.08
0.08
0.08
0.13
0.11
0.19
0.57
0.57
0.57
0.57
0.84
0.57
0.57
0.11
0.19
0.57
0.57
0.20
0.19
0.19
0.19
0.19
0.19
0.19
0.19
0.19
0.24
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00045
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
XXX
XXX
ZZZ
090
090
090
YYY
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
010
010
000
ZZZ
000
ZZZ
000
000
000
000
000
000
000
000
000
000
000
000
010
010
010
010
010
010
010
000
000
010
010
000
010
010
000
010
010
010
000
010
010
2612
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
36590
36591
36592
36593
36595
36596
36597
36598
36600
36620
36625
36640
36660
36680
36800
36810
36815
36818
36819
36820
36821
36822
36823
36825
36830
36831
36832
36833
36834
36835
36838
36860
36861
36870
37140
37145
37160
37180
37181
37182
37183
37184
37185
37186
37187
37188
37195
37200
37201
37202
37203
37204
37205
37206
37207
37208
37209
37210
37215
37216
37250
37251
37500
37501
37565
37600
37605
37606
37607
37609
37615
37616
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A ........
T .........
T .........
A ........
A ........
A ........
A ........
T .........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
R ........
N ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
Removal tunneled cv cath ..................
Draw blood off venous device ............
Collect blood from picc .......................
Declot vascular device ........................
Mech remov tunneled cv cath ............
Mech remov tunneled cv cath ............
Reposition venous catheter ................
Inj w/fluor, eval cv device ...................
Withdrawal of arterial blood ................
Insertion catheter, artery .....................
Insertion catheter, artery .....................
Insertion catheter, artery .....................
Insertion catheter, artery .....................
Insert needle, bone cavity ...................
Insertion of cannula ............................
Insertion of cannula ............................
Insertion of cannula ............................
Av fuse, uppr arm, cephalic ................
Av fuse, uppr arm, basilic ...................
Av fusion/forearm vein ........................
Av fusion direct any site .....................
Insertion of cannula(s) ........................
Insertion of cannula(s) ........................
Artery-vein autograft ...........................
Artery-vein nonautograft .....................
Open thrombect av fistula ...................
Av fistula revision, open ......................
Av fistula revision ................................
Repair A-V aneurysm .........................
Artery to vein shunt .............................
Dist revas ligation, hemo ....................
External cannula declotting .................
Cannula declotting ..............................
Percut thrombect av fistula .................
Revision of circulation .........................
Revision of circulation .........................
Revision of circulation .........................
Revision of circulation .........................
Splice spleen/kidney veins ..................
Insert hepatic shunt (tips) ...................
Remove hepatic shunt (tips) ...............
Prim art mech thrombectomy .............
Prim art m-thrombect add-on ..............
Sec art m-thrombect add-on ...............
Venous mech thrombectomy ..............
Venous m-thrombectomy add-on .......
Thrombolytic therapy, stroke ..............
Transcatheter biopsy ..........................
Transcatheter therapy infuse ..............
Transcatheter therapy infuse ..............
Transcatheter retrieval ........................
Transcatheter occlusion ......................
Transcath iv stent, percut ...................
Transcath iv stent/perc addl ...............
Transcath iv stent, open .....................
Transcath iv stent/open addl ..............
Change iv cath at thromb tx ...............
Embolization uterine fibroid ................
Transcath stent, cca w/eps .................
Transcath stent, cca w/o eps ..............
Iv us first vessel add-on ......................
Iv us each add vessel add-on ............
Endoscopy ligate perf veins ................
Vascular endoscopy procedure ..........
Ligation of neck vein ...........................
Ligation of neck artery ........................
Ligation of neck artery ........................
Ligation of neck artery ........................
Ligation of a-v fistula ...........................
Temporal artery procedure .................
Ligation of neck artery ........................
Ligation of chest artery .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.32
0.00
0.00
0.00
3.59
0.75
1.21
0.74
0.32
1.15
2.11
2.10
1.40
1.20
2.43
3.96
2.62
11.81
14.39
14.39
9.15
5.51
22.82
10.00
12.00
8.01
10.50
11.95
11.11
7.43
21.59
2.01
2.52
5.17
25.12
26.13
23.13
26.13
28.26
16.97
7.99
8.66
3.28
4.92
8.03
5.71
0.00
4.55
4.99
5.67
5.02
18.11
8.27
4.12
8.27
4.12
2.27
10.60
19.58
18.85
2.10
1.60
11.54
0.00
11.97
12.34
14.20
8.72
6.19
3.02
7.72
18.89
3.62
0.54
0.67
0.82
10.84
2.58
2.04
2.22
0.50
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.36
NA
40.83
NA
NA
NA
NA
NA
NA
NA
49.97
16.39
34.94
48.27
42.27
0.00
NA
NA
NA
30.14
NA
108.78
66.53
NA
NA
NA
83.31
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
4.20
NA
NA
3.50
0.54
0.67
0.60
14.05
3.13
2.22
2.43
0.49
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.57
NA
46.94
NA
NA
NA
NA
NA
NA
NA
60.86
19.65
42.18
59.25
52.14
0.00
NA
NA
NA
31.52
NA
56.26
33.98
NA
NA
NA
83.31
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
4.35
NA
NA
1.60
NA
NA
NA
1.38
0.43
0.46
0.27
0.07
0.15
0.50
0.91
0.41
0.28
1.53
1.32
1.04
4.49
5.12
5.24
3.94
3.75
8.64
4.23
4.13
3.19
3.75
4.12
4.22
3.74
7.05
0.63
1.22
2.76
8.93
10.46
7.93
9.28
8.84
6.33
3.09
3.24
1.12
1.79
2.99
2.18
0.00
1.65
2.33
3.34
2.07
6.24
3.25
1.58
2.38
1.01
0.77
3.68
9.94
5.76
0.77
0.50
5.35
0.00
5.14
4.92
5.45
4.86
3.03
1.82
4.09
7.93
1.66
NA
NA
NA
1.41
0.47
0.45
1.46
0.08
0.19
0.52
0.97
0.42
0.39
1.67
1.50
1.10
5.26
5.75
5.82
4.30
4.06
9.01
4.64
4.68
3.57
4.23
4.66
4.50
4.03
8.22
0.65
1.35
2.96
9.71
10.66
8.60
9.79
9.92
6.20
3.05
3.29
1.12
1.72
3.07
2.27
0.00
1.58
2.44
3.19
2.06
6.07
3.50
1.50
2.77
1.19
0.75
3.68
9.52
7.29
0.76
0.52
6.10
0.00
5.38
5.78
6.18
4.71
3.29
1.89
4.10
8.01
0.44
0.01
0.01
0.37
0.21
0.05
0.07
0.05
0.02
0.07
0.26
0.21
0.14
0.11
0.25
0.45
0.35
1.90
1.96
1.95
1.23
0.79
2.89
1.35
1.66
1.09
1.44
1.65
1.37
0.98
3.02
0.11
0.27
0.29
2.02
3.26
2.82
3.35
3.41
1.00
0.47
0.55
0.21
0.32
0.51
0.37
0.00
0.27
0.33
0.43
0.29
1.48
0.60
0.31
1.17
0.59
0.15
0.60
1.09
1.04
0.21
0.19
1.54
0.00
1.33
1.41
1.99
1.23
0.85
0.36
0.68
2.33
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00046
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
XXX
XXX
XXX
000
000
000
000
XXX
000
000
000
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
090
090
090
090
090
090
000
000
000
ZZZ
ZZZ
000
000
XXX
000
000
000
000
000
000
ZZZ
000
ZZZ
000
000
090
090
ZZZ
ZZZ
090
YYY
090
090
090
090
090
010
090
090
2613
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
37617
37618
37620
37650
37660
37700
37718
37722
37735
37760
37765
37766
37780
37785
37788
37790
37799
38100
38101
38102
38115
38120
38129
38200
38204
38205
38206
38207
38208
38209
38210
38211
38212
38213
38214
38215
38220
38221
38230
38240
38241
38242
38300
38305
38308
38380
38381
38382
38500
38505
38510
38520
38525
38530
38542
38550
38555
38562
38564
38570
38571
38572
38589
38700
38720
38724
38740
38745
38746
38747
38760
38765
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
B ........
R ........
R ........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
A ........
A ........
R ........
R ........
R ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
Ligation of abdomen artery .................
Ligation of extremity artery .................
Revision of major vein ........................
Revision of major vein ........................
Revision of major vein ........................
Revise leg vein ...................................
Ligate/strip short leg vein ....................
Ligate/strip long leg vein .....................
Removal of leg veins/lesion ................
Ligation, leg veins, open .....................
Phleb veins extrem 10-20 ...................
Phleb veins extrem 20+ ......................
Revision of leg vein ............................
Ligate/divide/excise vein .....................
Revascularization, penis .....................
Penile venous occlusion .....................
Vascular surgery procedure ................
Removal of spleen, total .....................
Removal of spleen, partial ..................
Removal of spleen, total .....................
Repair of ruptured spleen ...................
Laparoscopy, splenectomy .................
Laparoscope proc, spleen ..................
Injection for spleen x-ray ....................
Bl donor search management ............
Harvest allogenic stem cells ...............
Harvest auto stem cells ......................
Cryopreserve stem cells .....................
Thaw preserved stem cells .................
Wash harvest stem cells .....................
T-cell depletion of harvest ..................
Tumor cell deplete of harvst ...............
Rbc depletion of harvest .....................
Platelet deplete of harvest ..................
Volume deplete of harvest ..................
Harvest stem cell concentrte ..............
Bone marrow aspiration ......................
Bone marrow biopsy ...........................
Bone marrow collection ......................
Bone marrow/stem transplant .............
Bone marrow/stem transplant .............
Lymphocyte infuse transplant .............
Drainage, lymph node lesion ..............
Drainage, lymph node lesion ..............
Incision of lymph channels .................
Thoracic duct procedure .....................
Thoracic duct procedure .....................
Thoracic duct procedure .....................
Biopsy/removal, lymph nodes .............
Needle biopsy, lymph nodes ..............
Biopsy/removal, lymph nodes .............
Biopsy/removal, lymph nodes .............
Biopsy/removal, lymph nodes .............
Biopsy/removal, lymph nodes .............
Explore deep node(s), neck ................
Removal, neck/armpit lesion ...............
Removal, neck/armpit lesion ...............
Removal, pelvic lymph nodes .............
Removal, abdomen lymph nodes .......
Laparoscopy, lymph node biop ...........
Laparoscopy, lymphadenectomy ........
Laparoscopy, lymphadenectomy ........
Laparoscope proc, lymphatic ..............
Removal of lymph nodes, neck ..........
Removal of lymph nodes, neck ..........
Removal of lymph nodes, neck ..........
Remove armpit lymph nodes ..............
Remove armpit lymph nodes ..............
Remove thoracic lymph nodes ...........
Remove abdominal lymph nodes .......
Remove groin lymph nodes ................
Remove groin lymph nodes ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
23.71
5.95
11.49
8.41
22.20
3.76
7.05
8.08
10.81
10.69
7.63
9.58
3.87
3.87
23.21
8.37
0.00
19.47
19.47
4.79
21.80
16.97
0.00
2.64
2.00
1.50
1.50
0.89
0.56
0.24
1.57
1.42
0.94
0.24
0.81
0.94
1.08
1.37
4.80
2.24
2.24
1.71
2.28
6.55
6.73
8.34
13.32
10.51
3.76
1.14
6.69
6.95
6.35
8.26
6.08
6.99
15.42
10.92
11.29
9.28
14.70
16.86
0.00
12.68
21.72
23.72
10.57
13.71
4.88
4.88
13.49
21.78
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.92
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
NA
0.46
NA
NA
0.40
0.25
0.11
0.71
0.64
0.42
0.11
0.36
0.42
2.68
2.79
NA
NA
NA
NA
4.22
NA
NA
NA
NA
NA
3.75
2.11
5.38
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.06
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
NA
0.46
NA
NA
0.40
0.25
0.11
0.71
0.64
0.42
0.11
0.36
0.42
3.20
3.36
NA
NA
NA
NA
4.26
NA
NA
NA
NA
NA
3.72
2.08
5.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
7.89
3.37
5.45
4.23
7.59
2.39
3.48
3.69
4.69
4.48
3.57
4.13
2.39
2.58
12.05
5.15
0.00
6.85
6.92
1.23
7.44
6.93
0.00
1.09
0.46
0.53
0.55
0.40
0.25
0.11
0.71
0.64
0.42
0.11
0.36
0.42
0.45
0.57
3.13
0.94
0.94
0.67
2.04
4.20
3.54
5.06
6.08
5.43
2.03
0.74
3.09
3.75
3.47
4.12
3.97
4.28
7.45
5.77
5.21
4.04
6.80
5.94
0.00
6.51
10.18
10.93
5.00
6.05
1.42
1.27
5.92
8.35
8.53
3.49
5.58
4.46
8.33
2.59
3.77
4.05
5.10
4.91
4.09
4.73
2.62
2.65
10.57
4.76
0.00
6.51
6.72
1.43
7.04
7.16
0.00
0.99
0.46
0.60
0.61
0.40
0.25
0.11
0.71
0.64
0.42
0.11
0.36
0.42
0.48
0.61
3.18
0.98
0.99
0.73
2.05
4.32
3.64
5.37
6.48
5.60
2.06
0.76
3.29
3.90
3.38
4.26
4.22
4.10
7.99
5.77
5.23
4.00
6.22
6.51
0.00
6.38
9.77
10.38
4.97
6.06
1.51
1.47
6.02
8.58
2.98
0.67
0.91
1.01
2.49
0.53
0.14
0.86
1.48
1.44
0.48
0.48
0.53
0.54
2.26
0.59
0.00
1.92
2.05
0.63
2.09
2.25
0.00
0.14
0.06
0.07
0.07
0.01
0.02
0.01
0.03
0.02
0.02
0.01
0.01
0.02
0.05
0.07
0.48
0.11
0.11
0.08
0.25
0.88
0.85
0.74
1.85
1.37
0.49
0.09
0.72
0.84
0.80
1.12
0.60
0.88
1.76
1.20
1.32
1.13
1.15
1.91
0.00
0.72
1.20
1.28
1.32
1.74
0.72
0.64
1.72
2.48
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00047
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
090
090
ZZZ
090
090
YYY
000
XXX
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
010
XXX
XXX
000
010
090
090
090
090
090
010
000
010
090
090
090
090
090
090
090
090
010
010
010
YYY
090
090
090
090
090
ZZZ
ZZZ
090
090
2614
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
38770
38780
38790
38792
38794
38999
39000
39010
39200
39220
39400
39499
39501
39502
39503
39520
39530
39531
39540
39541
39545
39560
39561
39599
40490
40500
40510
40520
40525
40527
40530
40650
40652
40654
40700
40701
40702
40720
40761
40799
40800
40801
40804
40805
40806
40808
40810
40812
40814
40816
40818
40819
40820
40830
40831
40840
40842
40843
40844
40845
40899
41000
41005
41006
41007
41008
41009
41010
41015
41016
41017
41018
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
C
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
R
R
C
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Remove pelvis lymph nodes ...............
Remove abdomen lymph nodes .........
Inject for lymphatic x-ray .....................
Identify sentinel node ..........................
Access thoracic lymph duct ................
Blood/lymph system procedure ..........
Exploration of chest ............................
Exploration of chest ............................
Removal chest lesion ..........................
Removal chest lesion ..........................
Visualization of chest ..........................
Chest procedure .................................
Repair diaphragm laceration ...............
Repair paraesophageal hernia ...........
Repair of diaphragm hernia ................
Repair of diaphragm hernia ................
Repair of diaphragm hernia ................
Repair of diaphragm hernia ................
Repair of diaphragm hernia ................
Repair of diaphragm hernia ................
Revision of diaphragm ........................
Resect diaphragm, simple ..................
Resect diaphragm, complex ...............
Diaphragm surgery procedure ............
Biopsy of lip ........................................
Partial excision of lip ...........................
Partial excision of lip ...........................
Partial excision of lip ...........................
Reconstruct lip with flap ......................
Reconstruct lip with flap ......................
Partial removal of lip ...........................
Repair lip .............................................
Repair lip .............................................
Repair lip .............................................
Repair cleft lip/nasal ...........................
Repair cleft lip/nasal ...........................
Repair cleft lip/nasal ...........................
Repair cleft lip/nasal ...........................
Repair cleft lip/nasal ...........................
Lip surgery procedure .........................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Removal, foreign body, mouth ............
Removal, foreign body, mouth ............
Incision of lip fold ................................
Biopsy of mouth lesion .......................
Excision of mouth lesion .....................
Excise/repair mouth lesion ..................
Excise/repair mouth lesion ..................
Excision of mouth lesion .....................
Excise oral mucosa for graft ...............
Excise lip or cheek fold .......................
Treatment of mouth lesion ..................
Repair mouth laceration ......................
Repair mouth laceration ......................
Reconstruction of mouth .....................
Reconstruction of mouth .....................
Reconstruction of mouth .....................
Reconstruction of mouth .....................
Reconstruction of mouth .....................
Mouth surgery procedure ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Incision of tongue fold .........................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Drainage of mouth lesion ....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
13.98
17.56
1.29
0.52
4.51
0.00
7.49
13.11
15.04
19.47
8.00
0.00
13.89
17.09
108.67
16.63
16.22
17.23
14.51
15.67
14.58
12.97
19.75
0.00
1.22
4.35
4.74
4.71
7.61
9.20
5.45
3.69
4.32
5.37
13.97
17.03
14.09
14.54
15.69
0.00
1.19
2.57
1.26
2.73
0.31
0.98
1.33
2.33
3.45
3.70
2.72
2.45
1.30
1.78
2.50
9.03
9.03
12.62
16.57
19.13
0.00
1.32
1.28
3.28
3.14
3.40
3.63
1.08
4.00
4.11
4.11
5.14
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
2.08
7.91
6.74
7.00
NA
NA
7.59
5.99
7.26
8.09
NA
NA
NA
NA
NA
0.00
3.84
4.88
3.79
5.14
2.43
3.61
3.69
4.54
5.69
5.91
5.83
4.93
5.30
4.04
5.24
10.03
10.22
11.34
15.23
16.04
0.00
2.56
4.33
5.44
5.35
5.52
5.83
3.90
6.29
6.23
6.37
6.76
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
1.85
7.40
6.68
7.27
NA
NA
7.70
6.39
7.50
8.35
NA
NA
NA
NA
NA
0.00
3.40
4.45
3.59
4.81
2.13
3.13
3.29
4.13
5.32
5.54
5.50
4.51
4.62
3.88
4.95
9.91
10.14
11.65
15.50
16.55
0.00
2.44
3.83
5.11
5.24
5.10
5.40
3.66
5.85
5.92
6.01
6.45
6.72
7.99
0.75
0.49
3.18
0.00
4.27
6.34
6.20
8.00
4.15
0.00
5.82
6.59
27.41
6.80
6.23
6.58
5.70
6.07
6.93
5.52
9.32
0.00
0.58
4.36
3.62
3.82
5.33
6.14
4.27
3.17
4.12
4.68
8.66
7.82
5.82
9.53
9.29
0.00
1.88
2.58
1.83
2.66
0.51
1.62
1.72
2.28
3.70
3.77
3.75
3.11
2.94
2.00
2.70
5.59
5.72
5.75
9.12
10.22
0.00
1.33
1.77
2.82
2.72
2.85
3.15
1.56
3.98
4.07
4.12
4.48
6.23
8.09
0.75
0.46
3.31
0.00
4.46
6.94
6.87
8.68
4.50
0.00
6.14
6.87
30.40
7.42
6.68
6.98
5.96
6.33
7.24
5.90
9.33
0.00
0.59
4.35
3.82
3.97
5.82
6.75
4.42
3.23
4.19
4.81
8.87
9.58
7.03
9.71
9.79
0.00
1.83
2.66
1.85
2.74
0.50
1.55
1.69
2.34
3.79
3.89
3.86
3.10
2.69
2.05
2.88
6.28
6.25
6.78
10.34
11.72
0.00
1.37
1.75
3.00
2.87
3.02
3.36
1.58
4.06
4.15
4.21
4.53
1.40
1.89
0.13
0.06
0.32
0.00
0.89
1.76
2.03
2.46
0.82
0.00
1.78
2.17
10.98
2.24
2.11
2.22
1.80
1.93
1.84
1.59
2.45
0.00
0.05
0.38
0.49
0.52
0.85
0.97
0.55
0.38
0.52
0.60
0.95
1.65
1.23
1.80
1.94
0.00
0.13
0.31
0.11
0.32
0.04
0.10
0.13
0.28
0.41
0.40
0.21
0.29
0.11
0.19
0.30
1.08
1.08
1.39
2.00
2.01
0.00
0.12
0.12
0.35
0.31
0.42
0.47
0.07
0.46
0.53
0.53
0.68
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00048
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
000
000
090
YYY
090
090
090
090
010
YYY
090
090
090
090
090
090
090
090
090
090
090
YYY
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
010
010
010
010
000
010
010
010
090
090
090
090
010
010
010
090
090
090
090
090
YYY
010
010
090
090
090
090
010
090
090
090
090
2615
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
41019
41100
41105
41108
41110
41112
41113
41114
41115
41116
41120
41130
41135
41140
41145
41150
41153
41155
41250
41251
41252
41500
41510
41520
41599
41800
41805
41806
41820
41821
41822
41823
41825
41826
41827
41828
41830
41850
41870
41872
41874
41899
42000
42100
42104
42106
42107
42120
42140
42145
42160
42180
42182
42200
42205
42210
42215
42220
42225
42226
42227
42235
42260
42280
42281
42299
42300
42305
42310
42320
42330
42335
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
R
R
R
R
A
A
A
R
R
R
R
R
R
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Place needles h&n for rt .....................
Biopsy of tongue .................................
Biopsy of tongue .................................
Biopsy of floor of mouth ......................
Excision of tongue lesion ....................
Excision of tongue lesion ....................
Excision of tongue lesion ....................
Excision of tongue lesion ....................
Excision of tongue fold .......................
Excision of mouth lesion .....................
Partial removal of tongue ....................
Partial removal of tongue ....................
Tongue and neck surgery ...................
Removal of tongue ..............................
Tongue removal, neck surgery ...........
Tongue, mouth, jaw surgery ...............
Tongue, mouth, neck surgery .............
Tongue, jaw, & neck surgery ..............
Repair tongue laceration .....................
Repair tongue laceration .....................
Repair tongue laceration .....................
Fixation of tongue ...............................
Tongue to lip surgery ..........................
Reconstruction, tongue fold ................
Tongue and mouth surgery ................
Drainage of gum lesion .......................
Removal foreign body, gum ................
Removal foreign body,jawbone ..........
Excision, gum, each quadrant ............
Excision of gum flap ...........................
Excision of gum lesion ........................
Excision of gum lesion ........................
Excision of gum lesion ........................
Excision of gum lesion ........................
Excision of gum lesion ........................
Excision of gum lesion ........................
Removal of gum tissue .......................
Treatment of gum lesion .....................
Gum graft ............................................
Repair gum .........................................
Repair tooth socket .............................
Dental surgery procedure ...................
Drainage mouth roof lesion ................
Biopsy roof of mouth ...........................
Excision lesion, mouth roof .................
Excision lesion, mouth roof .................
Excision lesion, mouth roof .................
Remove palate/lesion .........................
Excision of uvula .................................
Repair palate, pharynx/uvula ..............
Treatment mouth roof lesion ...............
Repair palate .......................................
Repair palate .......................................
Reconstruct cleft palate ......................
Reconstruct cleft palate ......................
Reconstruct cleft palate ......................
Reconstruct cleft palate ......................
Reconstruct cleft palate ......................
Reconstruct cleft palate ......................
Lengthening of palate .........................
Lengthening of palate .........................
Repair palate .......................................
Repair nose to lip fistula .....................
Preparation, palate mold .....................
Insertion, palate prosthesis .................
Palate/uvula surgery ...........................
Drainage of salivary gland ..................
Drainage of salivary gland ..................
Drainage of salivary gland ..................
Drainage of salivary gland ..................
Removal of salivary stone ..................
Removal of salivary stone ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
8.84
1.39
1.44
1.07
1.53
2.77
3.23
8.71
1.76
2.47
10.91
15.51
29.83
28.81
37.59
29.52
33.28
43.96
1.93
2.29
2.99
3.74
3.45
2.77
0.00
1.21
1.28
2.73
0.00
0.00
2.35
3.63
1.35
2.35
3.72
3.11
3.38
0.00
0.00
2.90
3.13
0.00
1.25
1.33
1.66
2.12
4.48
11.70
1.65
9.63
1.82
2.52
3.84
12.41
13.57
14.91
8.88
7.07
9.66
10.24
9.81
7.92
10.10
1.56
1.95
0.00
1.95
6.23
1.58
2.37
2.23
3.35
NA
2.68
2.68
2.52
3.66
5.26
5.52
NA
4.19
5.56
NA
NA
NA
NA
NA
NA
NA
NA
3.86
3.49
4.60
NA
NA
5.81
0.00
4.80
4.64
5.83
0.00
0.00
4.80
6.46
3.69
5.09
6.65
4.09
5.99
0.00
0.00
6.05
5.67
0.00
2.48
2.27
3.58
4.45
6.54
NA
4.58
NA
3.78
3.38
3.99
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.74
2.23
3.03
0.00
3.14
NA
2.29
3.74
3.41
5.77
NA
2.55
2.49
2.30
3.32
4.87
5.13
NA
3.74
4.96
NA
NA
NA
NA
NA
NA
NA
NA
3.30
3.38
4.24
NA
NA
5.22
0.00
3.70
3.66
4.71
0.00
0.00
4.35
6.01
3.38
3.76
6.08
3.95
5.47
0.00
0.00
5.53
5.25
0.00
2.52
2.18
3.06
3.84
6.13
NA
4.15
NA
4.01
3.22
3.93
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.97
2.10
2.83
0.00
2.98
NA
2.28
3.51
3.28
5.34
3.28
1.17
1.20
1.08
1.65
3.24
3.39
6.30
1.72
2.80
14.34
15.89
21.87
23.59
28.83
23.05
23.95
27.62
1.61
1.78
2.12
7.53
6.48
3.26
0.00
2.12
2.70
3.34
0.00
0.00
1.85
3.73
1.47
2.58
3.38
1.64
3.12
0.00
0.00
3.31
2.72
0.00
1.21
1.26
1.67
2.07
3.69
12.29
2.12
7.49
1.69
1.86
2.40
8.63
7.37
10.25
7.42
7.22
12.25
11.91
11.22
10.35
6.03
0.83
1.69
0.00
1.74
3.99
1.39
1.88
1.73
2.85
3.28
1.29
1.26
1.11
1.64
3.23
3.43
6.75
1.79
2.80
14.83
16.05
22.55
25.14
29.70
23.89
24.49
27.22
1.39
1.66
2.19
7.49
7.21
3.44
0.00
1.70
2.46
3.19
0.00
0.00
1.86
3.87
1.86
2.34
3.52
2.30
3.37
0.00
0.00
3.38
2.95
0.00
1.23
1.31
1.61
2.26
3.82
12.03
2.11
7.49
1.99
1.98
2.71
9.42
8.72
10.86
8.25
7.00
14.66
13.31
13.39
11.11
6.55
0.99
1.78
0.00
1.78
4.36
1.46
1.99
1.79
3.00
0.59
0.15
0.13
0.10
0.13
0.28
0.34
0.83
0.18
0.23
0.79
0.93
1.89
2.27
2.55
1.95
2.01
2.34
0.18
0.22
0.29
0.30
0.20
0.27
0.00
0.12
0.13
0.37
0.00
0.00
0.31
0.47
0.15
0.30
0.35
0.44
0.44
0.00
0.00
0.30
0.45
0.00
0.12
0.13
0.16
0.25
0.44
0.52
0.13
0.65
0.17
0.21
0.40
1.27
1.58
2.17
1.31
0.73
0.86
1.01
0.98
0.72
1.26
0.19
0.17
0.00
0.16
0.51
0.13
0.21
0.19
0.29
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00049
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
000
010
010
010
010
090
090
090
010
090
090
090
090
090
090
090
090
090
010
010
010
090
090
090
YYY
010
010
010
000
000
010
090
010
010
090
010
010
000
000
090
090
YYY
010
010
010
010
090
090
090
090
010
010
010
090
090
090
090
090
090
090
090
090
090
010
010
YYY
010
090
010
010
010
090
2616
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
42340
42400
42405
42408
42409
42410
42415
42420
42425
42426
42440
42450
42500
42505
42507
42508
42509
42510
42550
42600
42650
42660
42665
42699
42700
42720
42725
42800
42802
42804
42806
42808
42809
42810
42815
42820
42821
42825
42826
42830
42831
42835
42836
42842
42844
42845
42860
42870
42890
42892
42894
42900
42950
42953
42955
42960
42961
42962
42970
42971
42972
42999
43020
43030
43045
43100
43101
43107
43108
43112
43113
43116
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of salivary stone ..................
Biopsy of salivary gland ......................
Biopsy of salivary gland ......................
Excision of salivary cyst ......................
Drainage of salivary cyst ....................
Excise parotid gland/lesion .................
Excise parotid gland/lesion .................
Excise parotid gland/lesion .................
Excise parotid gland/lesion .................
Excise parotid gland/lesion .................
Excise submaxillary gland ..................
Excise sublingual gland ......................
Repair salivary duct ............................
Repair salivary duct ............................
Parotid duct diversion .........................
Parotid duct diversion .........................
Parotid duct diversion .........................
Parotid duct diversion .........................
Injection for salivary x-ray ...................
Closure of salivary fistula ....................
Dilation of salivary duct .......................
Dilation of salivary duct .......................
Ligation of salivary duct ......................
Salivary surgery procedure .................
Drainage of tonsil abscess .................
Drainage of throat abscess .................
Drainage of throat abscess .................
Biopsy of throat ...................................
Biopsy of throat ...................................
Biopsy of upper nose/throat ................
Biopsy of upper nose/throat ................
Excise pharynx lesion .........................
Remove pharynx foreign body ............
Excision of neck cyst ..........................
Excision of neck cyst ..........................
Remove tonsils and adenoids ............
Remove tonsils and adenoids ............
Removal of tonsils ..............................
Removal of tonsils ..............................
Removal of adenoids ..........................
Removal of adenoids ..........................
Removal of adenoids ..........................
Removal of adenoids ..........................
Extensive surgery of throat .................
Extensive surgery of throat .................
Extensive surgery of throat .................
Excision of tonsil tags .........................
Excision of lingual tonsil .....................
Partial removal of pharynx ..................
Revision of pharyngeal walls ..............
Revision of pharyngeal walls ..............
Repair throat wound ...........................
Reconstruction of throat ......................
Repair throat, esophagus ...................
Surgical opening of throat ...................
Control throat bleeding .......................
Control throat bleeding .......................
Control throat bleeding .......................
Control nose/throat bleeding ...............
Control nose/throat bleeding ...............
Control nose/throat bleeding ...............
Throat surgery procedure ...................
Incision of esophagus .........................
Throat muscle surgery ........................
Incision of esophagus .........................
Excision of esophagus lesion .............
Excision of esophagus lesion .............
Removal of esophagus .......................
Removal of esophagus .......................
Removal of esophagus .......................
Removal of esophagus .......................
Partial removal of esophagus .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
4.64
0.78
3.31
4.58
2.85
9.46
17.99
20.87
13.31
22.54
7.05
4.66
4.34
6.23
6.16
9.22
11.65
8.26
1.25
4.86
0.77
1.13
2.57
0.00
1.64
6.31
12.28
1.41
1.56
1.26
1.60
2.32
1.83
3.30
7.23
4.17
4.31
3.45
3.40
2.60
2.75
2.33
3.21
12.02
17.57
32.35
2.25
5.44
18.92
25.77
33.61
5.26
8.16
9.33
7.92
2.35
5.69
7.31
5.76
6.54
7.53
0.00
8.14
7.91
21.70
9.55
16.99
43.97
82.66
47.27
79.85
92.78
6.71
2.00
3.97
6.42
5.32
NA
NA
NA
NA
NA
NA
6.38
6.12
7.28
NA
NA
NA
NA
2.28
6.57
1.29
1.46
5.00
0.00
2.97
4.70
NA
2.47
4.14
3.59
3.83
3.22
2.23
6.23
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.38
1.82
3.98
6.17
4.92
NA
NA
NA
NA
NA
NA
6.14
5.90
7.20
NA
NA
NA
NA
2.75
6.58
1.19
1.40
4.59
0.00
2.81
4.76
NA
2.33
4.45
3.66
3.95
3.16
2.28
5.97
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.48
0.65
2.15
3.27
2.53
5.37
8.63
9.58
6.84
10.01
3.86
4.03
3.86
4.71
6.34
8.08
8.92
6.90
0.44
3.43
0.66
0.75
2.40
0.00
1.65
3.17
7.09
1.30
1.67
1.50
1.61
1.60
1.32
3.73
6.26
2.85
2.99
2.90
2.69
2.43
2.66
1.78
2.65
12.05
15.48
21.17
2.30
8.71
15.26
19.22
23.55
2.96
11.08
13.79
10.11
1.72
4.49
5.19
3.59
4.51
4.99
0.00
4.58
4.52
9.31
5.21
7.17
16.27
24.49
17.02
25.37
30.34
3.71
0.68
2.30
3.44
2.65
5.80
9.75
10.98
7.72
11.52
4.33
4.14
4.02
5.04
6.44
8.21
9.56
7.35
0.43
3.77
0.68
0.80
2.50
0.00
1.67
3.48
7.65
1.35
1.87
1.62
1.77
1.77
1.32
3.64
6.34
3.07
3.25
3.04
2.86
2.50
2.75
2.12
2.81
11.52
15.86
22.18
2.35
8.64
14.71
18.20
22.79
3.31
11.47
15.56
10.39
1.84
4.72
5.55
3.88
4.81
5.35
0.00
5.00
5.01
10.01
5.72
7.53
17.27
19.35
18.20
20.24
23.52
0.42
0.06
0.28
0.45
0.27
0.91
1.43
1.65
1.05
1.81
0.59
0.42
0.41
0.55
0.49
1.04
0.93
0.66
0.07
0.43
0.07
0.09
0.23
0.00
0.13
0.44
0.91
0.11
0.12
0.10
0.13
0.19
0.16
0.29
0.61
0.31
0.35
0.25
0.27
0.20
0.22
0.21
0.26
0.71
1.16
1.99
0.18
0.44
1.05
1.28
1.87
0.50
0.72
0.88
0.80
0.19
0.45
0.58
0.39
0.51
0.62
0.00
0.87
0.70
2.59
0.93
2.32
5.24
4.08
5.81
4.43
3.06
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00050
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
000
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
090
000
000
090
YYY
010
010
090
010
010
010
010
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
010
090
090
090
090
090
YYY
090
090
090
090
090
090
090
090
090
090
2617
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
43117
43118
43121
43122
43123
43124
43130
43135
43200
43201
43202
43204
43205
43215
43216
43217
43219
43220
43226
43227
43228
43231
43232
43234
43235
43236
43237
43238
43239
43240
43241
43242
43243
43244
43245
43246
43247
43248
43249
43250
43251
43255
43256
43257
43258
43259
43260
43261
43262
43263
43264
43265
43267
43268
43269
43271
43272
43280
43289
43300
43305
43310
43312
43313
43314
43320
43324
43325
43326
43330
43331
43340
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Partial removal of esophagus .............
Partial removal of esophagus .............
Partial removal of esophagus .............
Partial removal of esophagus .............
Partial removal of esophagus .............
Removal of esophagus .......................
Removal of esophagus pouch ............
Removal of esophagus pouch ............
Esophagus endoscopy ........................
Esoph scope w/submucous inj ...........
Esophagus endoscopy, biopsy ...........
Esoph scope w/sclerosis inj ................
Esophagus endoscopy/ligation ...........
Esophagus endoscopy ........................
Esophagus endoscopy/lesion .............
Esophagus endoscopy ........................
Esophagus endoscopy ........................
Esoph endoscopy, dilation ..................
Esoph endoscopy, dilation ..................
Esoph endoscopy, repair ....................
Esoph endoscopy, ablation .................
Esoph endoscopy w/us exam .............
Esoph endoscopy w/us fn bx ..............
Upper GI endoscopy, exam ................
Uppr gi endoscopy, diagnosis ............
Uppr gi scope w/submuc inj ...............
Endoscopic us exam, esoph ...............
Uppr gi endoscopy w/us fn bx ............
Upper GI endoscopy, biopsy ..............
Esoph endoscope w/drain cyst ...........
Upper GI endoscopy with tube ...........
Uppr gi endoscopy w/us fn bx ............
Upper gi endoscopy & inject ...............
Upper GI endoscopy/ligation ..............
Uppr gi scope dilate strictr ..................
Place gastrostomy tube ......................
Operative upper GI endoscopy ...........
Uppr gi endoscopy/guide wire ............
Esoph endoscopy, dilation ..................
Upper GI endoscopy/tumor .................
Operative upper GI endoscopy ...........
Operative upper GI endoscopy ...........
Uppr gi endoscopy w/stent .................
Uppr gi scope w/thrml txmnt ...............
Operative upper GI endoscopy ...........
Endoscopic ultrasound exam ..............
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Endo cholangiopancreatograph ..........
Laparoscopy, fundoplasty ...................
Laparoscope proc, esoph ...................
Repair of esophagus ...........................
Repair esophagus and fistula .............
Repair of esophagus ...........................
Repair esophagus and fistula .............
Esophagoplasty congenital .................
Tracheo-esophagoplasty cong ............
Fuse esophagus & stomach ...............
Revise esophagus & stomach ............
Revise esophagus & stomach ............
Revise esophagus & stomach ............
Repair of esophagus ...........................
Repair of esophagus ...........................
Fuse esophagus & intestine ...............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
43.52
66.86
51.22
43.97
82.91
68.83
12.41
26.09
1.59
2.09
1.89
3.76
3.78
2.60
2.40
2.90
2.80
2.10
2.34
3.59
3.76
3.19
4.47
2.01
2.39
2.92
3.98
5.02
2.87
6.85
2.59
7.30
4.56
5.04
3.18
4.32
3.38
3.15
2.90
3.20
3.69
4.81
4.34
5.50
4.54
5.19
5.95
6.26
7.38
7.28
8.89
10.00
7.38
7.38
8.20
7.38
7.38
18.00
0.00
9.21
17.98
26.18
29.23
48.17
53.15
23.18
22.86
22.47
22.15
22.06
22.93
22.86
NA
NA
NA
NA
NA
NA
NA
NA
3.73
5.63
5.17
NA
NA
NA
3.08
6.58
NA
NA
NA
NA
NA
NA
NA
4.98
5.29
6.72
NA
NA
6.06
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.93
5.13
5.36
NA
NA
NA
2.07
6.77
NA
NA
NA
NA
NA
NA
NA
5.16
5.23
6.56
NA
NA
5.89
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
15.16
21.53
18.29
15.62
25.78
24.37
6.38
9.93
0.98
1.19
0.98
2.01
2.06
1.29
1.26
1.38
1.55
1.13
1.29
1.77
1.89
1.76
2.39
1.02
1.35
1.65
2.16
2.57
1.56
3.29
1.40
3.68
2.36
2.65
1.63
2.11
1.79
1.77
1.62
1.61
1.92
2.53
2.25
2.14
2.37
2.69
3.06
3.20
3.73
3.64
4.44
4.99
3.39
3.89
4.10
3.71
3.78
6.66
0.00
5.41
8.34
9.82
10.28
17.48
15.11
8.61
8.35
8.39
9.21
8.10
9.83
9.28
16.22
17.66
15.98
16.51
19.95
18.73
6.97
9.01
1.02
1.15
0.96
1.76
1.79
1.24
1.16
1.28
1.45
1.05
1.16
1.61
1.72
1.53
2.10
0.94
1.18
1.43
1.88
2.27
1.37
2.95
1.25
3.21
2.08
2.31
1.46
1.90
1.58
1.54
1.41
1.46
1.70
2.21
1.98
2.17
2.08
2.34
2.67
2.80
3.26
3.20
3.88
4.34
3.09
3.39
3.59
3.25
3.28
6.96
0.00
5.90
9.52
10.44
11.09
18.15
17.15
8.91
8.56
8.59
9.25
8.32
9.81
9.13
5.19
4.11
3.91
5.42
4.16
3.74
1.16
2.34
0.13
0.15
0.15
0.30
0.28
0.22
0.20
0.26
0.24
0.17
0.19
0.28
0.34
0.23
0.34
0.17
0.19
0.21
0.43
0.43
0.22
0.56
0.21
0.53
0.33
0.37
0.26
0.34
0.27
0.23
0.22
0.26
0.29
0.35
0.32
0.36
0.33
0.35
0.43
0.46
0.54
0.54
0.65
0.73
0.54
0.54
0.60
0.54
0.54
2.28
0.00
1.12
1.54
3.61
4.01
5.47
6.65
2.74
2.76
2.60
2.85
2.63
2.94
2.46
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00051
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
090
YYY
090
090
090
090
090
090
090
090
090
090
090
090
090
2618
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
43341
43350
43351
43352
43360
43361
43400
43401
43405
43410
43415
43420
43425
43450
43453
43456
43458
43460
43496
43499
43500
43501
43502
43510
43520
43600
43605
43610
43611
43620
43621
43622
43631
43632
43633
43634
43635
43640
43641
43644
43645
43647
43648
43651
43652
43653
43659
43752
43760
43761
43770
43771
43772
43773
43774
43800
43810
43820
43825
43830
43831
43832
43840
43842
43843
43845
43846
43847
43848
43850
43855
43860
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Fuse esophagus & intestine ...............
Surgical opening, esophagus .............
Surgical opening, esophagus .............
Surgical opening, esophagus .............
Gastrointestinal repair .........................
Gastrointestinal repair .........................
Ligate esophagus veins ......................
Esophagus surgery for veins ..............
Ligate/staple esophagus .....................
Repair esophagus wound ...................
Repair esophagus wound ...................
Repair esophagus opening .................
Repair esophagus opening .................
Dilate esophagus ................................
Dilate esophagus ................................
Dilate esophagus ................................
Dilate esophagus ................................
Pressure treatment esophagus ...........
Free jejunum flap, microvasc ..............
Esophagus surgery procedure ............
Surgical opening of stomach ..............
Surgical repair of stomach ..................
Surgical repair of stomach ..................
Surgical opening of stomach ..............
Incision of pyloric muscle ....................
Biopsy of stomach ..............................
Biopsy of stomach ..............................
Excision of stomach lesion .................
Excision of stomach lesion .................
Removal of stomach ...........................
Removal of stomach ...........................
Removal of stomach ...........................
Removal of stomach, partial ...............
Removal of stomach, partial ...............
Removal of stomach, partial ...............
Removal of stomach, partial ...............
Removal of stomach, partial ...............
Vagotomy & pylorus repair .................
Vagotomy & pylorus repair .................
Lap gastric bypass/roux-en-y ..............
Lap gastr bypass incl smll i ................
Lap impl electrode, antrum .................
Lap revise/remv eltrd antrum ..............
Laparoscopy, vagus nerve ..................
Laparoscopy, vagus nerve ..................
Laparoscopy, gastrostomy ..................
Laparoscope proc, stom .....................
Nasal/orogastric w/stent ......................
Change gastrostomy tube ...................
Reposition gastrostomy tube ..............
Lap place gastr adj device ..................
Lap revise gastr adj device .................
Lap rmvl gastr adj device ...................
Lap replace gastr adj device ..............
Lap rmvl gastr adj all parts .................
Reconstruction of pylorus ...................
Fusion of stomach and bowel .............
Fusion of stomach and bowel .............
Fusion of stomach and bowel .............
Place gastrostomy tube ......................
Place gastrostomy tube ......................
Place gastrostomy tube ......................
Repair of stomach lesion ....................
V-band gastroplasty ............................
Gastroplasty w/o v-band .....................
Gastroplasty duodenal switch .............
Gastric bypass for obesity ..................
Gastric bypass incl small i ..................
Revision gastroplasty ..........................
Revise stomach-bowel fusion .............
Revise stomach-bowel fusion .............
Revise stomach-bowel fusion .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
24.10
19.31
21.87
17.68
39.90
45.50
25.47
26.36
24.55
16.28
28.70
16.65
24.91
1.38
1.51
2.57
3.06
3.79
0.00
0.00
12.71
22.47
25.56
15.01
11.21
1.91
13.64
16.26
20.25
33.91
39.40
39.90
24.38
35.01
33.01
36.51
2.06
19.43
19.68
29.24
31.37
0.00
0.00
10.13
12.13
8.38
0.00
0.81
0.90
2.01
17.85
20.64
15.62
20.64
15.66
15.35
16.80
22.40
21.63
10.75
8.38
17.26
22.70
20.90
21.08
33.12
27.23
30.10
32.57
27.45
28.56
27.76
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.68
6.31
13.02
6.93
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
0.00
NA
5.99
1.04
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.66
6.19
13.39
6.79
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
0.00
NA
4.04
1.10
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.66
8.76
10.87
7.95
14.90
18.15
13.60
9.55
10.68
7.67
11.84
7.48
10.46
0.93
1.01
1.45
1.59
1.76
0.00
0.00
5.29
8.10
8.97
9.14
4.82
0.77
5.36
6.03
7.49
11.10
12.41
12.51
8.59
11.28
10.76
11.79
0.52
7.34
7.63
10.11
10.49
0.00
0.00
4.62
5.23
4.47
0.00
0.27
0.33
0.70
7.40
8.13
6.00
8.11
6.18
5.82
6.14
8.08
7.90
5.17
4.93
7.07
8.15
6.75
7.85
12.89
9.98
10.52
11.31
9.50
9.71
9.48
9.84
8.60
10.33
8.17
14.99
17.52
11.52
9.52
10.13
7.65
11.79
7.44
10.22
0.81
0.87
1.27
1.44
1.62
0.00
0.00
5.13
8.20
9.22
7.86
5.04
0.71
5.32
6.09
7.53
11.45
12.19
12.55
8.88
10.22
10.04
10.94
0.61
7.30
7.50
10.66
11.25
0.00
0.00
4.69
5.49
4.32
0.00
0.26
0.39
0.68
7.56
8.36
6.21
8.35
6.37
5.86
6.16
7.24
7.96
5.01
4.72
6.96
7.46
7.27
7.80
11.83
10.01
10.71
11.56
9.66
10.02
9.73
2.92
1.42
2.47
2.06
4.97
4.50
1.96
3.05
2.84
1.72
3.53
1.43
3.03
0.11
0.11
0.20
0.24
0.31
0.00
0.00
1.45
2.65
3.10
1.48
1.36
0.14
1.58
1.94
2.36
3.96
4.04
4.30
2.99
2.99
3.06
3.33
0.27
2.26
2.25
3.16
3.54
0.00
0.00
1.33
1.55
1.01
0.00
0.02
0.09
0.13
2.19
2.55
1.93
2.56
1.85
1.82
1.94
2.04
2.54
1.25
1.03
1.98
2.06
2.45
2.46
4.06
3.19
3.56
3.88
3.28
3.47
3.31
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00052
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
000
000
090
YYY
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
YYY
YYY
090
090
090
YYY
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2619
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
43865
43870
43880
43881
43882
43886
43887
43888
43999
44005
44010
44015
44020
44021
44025
44050
44055
44100
44110
44111
44120
44121
44125
44126
44127
44128
44130
44132
44133
44135
44136
44137
44139
44140
44141
44143
44144
44145
44146
44147
44150
44151
44155
44156
44157
44158
44160
44180
44186
44187
44188
44202
44203
44204
44205
44206
44207
44208
44210
44211
44212
44213
44227
44238
44300
44310
44312
44314
44316
44320
44322
44340
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
C
C
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
R
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Revise stomach-bowel fusion .............
Repair stomach opening .....................
Repair stomach-bowel fistula ..............
Impl/redo electrd, antrum ....................
Revise/remove electrd antrum ............
Revise gastric port, open ....................
Remove gastric port, open .................
Change gastric port, open ..................
Stomach surgery procedure ...............
Freeing of bowel adhesion .................
Incision of small bowel ........................
Insert needle cath bowel .....................
Explore small intestine ........................
Decompress small bowel ....................
Incision of large bowel ........................
Reduce bowel obstruction ..................
Correct malrotation of bowel ...............
Biopsy of bowel ...................................
Excise intestine lesion(s) ....................
Excision of bowel lesion(s) .................
Removal of small intestine ..................
Removal of small intestine ..................
Removal of small intestine ..................
Enterectomy w/o taper, cong ..............
Enterectomy w/taper, cong .................
Enterectomy cong, add-on ..................
Bowel to bowel fusion .........................
Enterectomy, cadaver donor ...............
Enterectomy, live donor ......................
Intestine transplnt, cadaver .................
Intestine transplant, live ......................
Remove intestinal allograft .................
Mobilization of colon ...........................
Partial removal of colon ......................
Partial removal of colon ......................
Partial removal of colon ......................
Partial removal of colon ......................
Partial removal of colon ......................
Partial removal of colon ......................
Partial removal of colon ......................
Removal of colon ................................
Removal of colon/ileostomy ................
Removal of colon/ileostomy ................
Removal of colon/ileostomy ................
Colectomy w/ileoanal anast ................
Colectomy w/neo-rectum pouch .........
Removal of colon ................................
Lap, enterolysis ...................................
Lap, jejunostomy .................................
Lap, ileo/jejuno-stomy .........................
Lap, colostomy ....................................
Lap, enterectomy ................................
Lap resect s/intestine, addl .................
Laparo partial colectomy .....................
Lap colectomy part w/ileum ................
Lap part colectomy w/stoma ...............
L colectomy/coloproctostomy ..............
L colectomy/coloproctostomy ..............
Laparo total proctocolectomy ..............
Lap colectomy w/proctectomy ............
Laparo total proctocolectomy ..............
Lap, mobil splenic fl add-on ................
Lap, close enterostomy .......................
Laparoscope proc, intestine ................
Open bowel to skin .............................
Ileostomy/jejunostomy .........................
Revision of ileostomy ..........................
Revision of ileostomy ..........................
Devise bowel pouch ............................
Colostomy ...........................................
Colostomy with biopsies .....................
Revision of colostomy .........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
28.92
11.36
27.05
0.00
0.00
4.54
4.24
6.34
0.00
18.38
14.18
2.62
16.14
16.23
16.43
15.44
25.53
2.01
13.96
16.44
20.74
4.44
19.93
42.02
49.09
4.44
21.98
0.00
0.00
0.00
0.00
0.00
2.23
22.46
29.75
27.63
29.75
28.45
35.14
33.56
29.99
34.73
34.23
37.23
35.49
36.49
20.78
15.19
10.30
17.27
19.20
23.26
4.44
26.29
22.86
29.63
31.79
33.86
29.88
36.87
34.37
3.50
28.49
0.00
13.65
17.49
9.33
16.61
23.46
19.75
13.15
9.12
NA
NA
NA
0.00
0.00
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
9.74
4.95
9.28
0.00
0.00
3.45
3.06
4.01
0.00
6.59
5.53
0.68
6.01
6.15
6.06
5.83
8.49
0.91
5.51
6.10
7.15
1.12
7.03
13.61
15.65
1.22
7.98
0.00
0.00
0.00
0.00
0.00
0.56
8.07
11.85
10.29
10.63
9.49
13.37
10.79
12.62
13.93
13.46
14.49
17.10
17.44
7.52
5.81
4.59
8.13
8.68
8.32
1.12
8.89
7.81
10.48
10.11
12.02
11.19
13.60
13.05
0.86
9.49
0.00
5.56
6.40
4.66
6.78
8.88
7.60
9.11
4.94
10.12
4.73
9.59
0.00
0.00
3.29
2.91
3.89
0.00
6.65
5.49
0.78
5.97
6.06
6.04
5.89
8.61
0.81
5.37
6.10
7.11
1.32
7.14
13.86
15.69
1.37
7.10
0.00
0.00
0.00
0.00
0.00
0.66
8.36
10.95
10.49
10.12
10.15
13.12
9.74
12.32
13.67
13.38
14.76
17.10
17.44
7.63
6.02
4.69
8.20
8.76
8.62
1.31
9.42
8.33
10.87
10.80
12.58
11.53
14.14
13.37
1.04
10.06
0.00
5.52
6.55
4.32
6.67
8.71
7.63
8.84
4.60
3.51
1.27
3.27
0.00
0.00
0.25
0.51
0.70
0.00
2.15
1.64
0.35
1.86
1.87
1.90
1.86
2.91
0.17
1.55
1.87
2.25
0.58
2.27
4.69
5.77
0.61
1.88
0.00
0.00
0.00
0.00
0.00
0.28
2.71
2.53
3.05
2.86
3.29
3.41
2.56
3.04
3.49
3.28
3.95
3.93
4.06
2.37
1.86
1.27
1.96
2.24
2.85
0.57
3.11
2.75
3.46
3.67
3.88
3.42
4.17
3.78
0.44
3.38
0.00
1.60
1.99
0.92
1.75
2.38
2.26
1.54
0.99
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00053
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
YYY
YYY
090
090
090
YYY
090
090
ZZZ
090
090
090
090
090
000
090
090
090
ZZZ
090
090
090
ZZZ
090
XXX
XXX
XXX
XXX
XXX
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
ZZZ
090
YYY
090
090
090
090
090
090
090
090
2620
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
44345
44346
44360
44361
44363
44364
44365
44366
44369
44370
44372
44373
44376
44377
44378
44379
44380
44382
44383
44385
44386
44388
44389
44390
44391
44392
44393
44394
44397
44500
44602
44603
44604
44605
44615
44620
44625
44626
44640
44650
44660
44661
44680
44700
44701
44715
44720
44721
44799
44800
44820
44850
44899
44900
44901
44950
44955
44960
44970
44979
45000
45005
45020
45100
45108
45110
45111
45112
45113
45114
45116
45119
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
C
A
A
A
C
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Revision of colostomy .........................
Revision of colostomy .........................
Small bowel endoscopy ......................
Small bowel endoscopy/biopsy ...........
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Small bowel endoscopy/stent .............
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Small bowel endoscopy/biopsy ...........
Small bowel endoscopy ......................
S bowel endoscope w/stent ................
Small bowel endoscopy ......................
Small bowel endoscopy ......................
Ileoscopy w/stent ................................
Endoscopy of bowel pouch .................
Endoscopy, bowel pouch/biop ............
Colonoscopy .......................................
Colonoscopy with biopsy ....................
Colonoscopy for foreign body .............
Colonoscopy for bleeding ...................
Colonoscopy & polypectomy ..............
Colonoscopy, lesion removal ..............
Colonoscopy w/snare ..........................
Colonoscopy w/stent ...........................
Intro, gastrointestinal tube ..................
Suture, small intestine ........................
Suture, small intestine ........................
Suture, large intestine .........................
Repair of bowel lesion ........................
Intestinal stricturoplasty ......................
Repair bowel opening .........................
Repair bowel opening .........................
Repair bowel opening .........................
Repair bowel-skin fistula .....................
Repair bowel fistula ............................
Repair bowel-bladder fistula ...............
Repair bowel-bladder fistula ...............
Surgical revision, intestine ..................
Suspend bowel w/prosthesis ..............
Intraop colon lavage add-on ...............
Prepare donor intestine ......................
Prep donor intestine/venous ...............
Prep donor intestine/artery .................
Unlisted procedure intestine ...............
Excision of bowel pouch .....................
Excision of mesentery lesion ..............
Repair of mesentery ...........................
Bowel surgery procedure ....................
Drain app abscess, open ....................
Drain app abscess, percut ..................
Appendectomy ....................................
Appendectomy add-on ........................
Appendectomy ....................................
Laparoscopy, appendectomy ..............
Laparoscope proc, app .......................
Drainage of pelvic abscess .................
Drainage of rectal abscess .................
Drainage of rectal abscess .................
Biopsy of rectum .................................
Removal of anorectal lesion ...............
Removal of rectum ..............................
Partial removal of rectum ....................
Removal of rectum ..............................
Partial proctectomy .............................
Partial removal of rectum ....................
Partial removal of rectum ....................
Remove rectum w/reservoir ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
17.06
19.47
2.59
2.87
3.49
3.73
3.31
4.40
4.51
4.79
4.40
3.49
5.25
5.52
7.12
7.46
1.05
1.27
2.94
1.82
2.12
2.82
3.13
3.82
4.31
3.81
4.83
4.42
4.70
0.49
24.64
28.03
18.06
22.00
18.08
14.35
17.20
27.82
24.12
25.04
23.83
27.27
17.88
17.40
3.10
0.00
5.00
7.00
0.00
11.94
13.63
12.03
0.00
12.44
3.37
10.52
1.53
14.39
9.35
0.00
6.20
2.00
8.43
3.96
5.04
30.57
17.89
33.05
33.09
30.63
27.56
33.35
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.90
6.65
6.12
7.11
8.34
8.94
7.37
8.04
8.51
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
0.00
NA
NA
NA
0.00
NA
19.81
NA
NA
NA
NA
0.00
NA
3.99
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.13
6.65
5.60
6.87
7.73
8.84
6.98
7.47
8.16
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
0.00
NA
NA
NA
0.00
NA
23.86
NA
NA
NA
NA
0.00
NA
4.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.92
7.53
1.50
1.63
1.85
1.98
1.74
2.37
2.36
2.56
2.12
1.77
2.47
2.76
3.58
3.93
0.74
0.84
1.61
0.89
1.02
1.35
1.58
1.92
2.22
1.72
2.13
2.07
2.16
0.17
7.62
8.97
6.07
7.83
6.54
5.51
6.15
8.89
8.02
8.31
9.76
9.40
6.69
6.16
0.76
0.00
1.27
1.78
0.00
5.49
5.56
5.01
0.00
5.03
1.20
4.05
0.40
5.40
4.19
0.00
3.57
1.59
4.55
2.81
3.10
11.86
7.00
10.31
11.59
10.30
9.65
11.54
6.90
7.46
1.30
1.41
1.61
1.73
1.55
2.05
2.05
2.27
1.93
1.59
2.25
2.45
3.14
3.42
0.65
0.73
1.44
0.82
0.95
1.25
1.42
1.70
1.95
1.60
2.00
1.89
1.98
0.17
7.01
8.12
6.26
8.11
6.61
5.42
6.23
9.35
8.30
8.60
9.05
9.48
6.57
6.41
0.91
0.00
1.49
2.09
0.00
5.44
5.53
5.01
0.00
4.86
1.15
4.18
0.47
5.37
4.14
0.00
3.27
1.58
3.91
2.59
2.94
12.13
7.08
11.04
12.09
10.59
9.84
12.00
1.97
2.13
0.19
0.21
0.27
0.27
0.24
0.32
0.33
0.37
0.35
0.27
0.42
0.40
0.52
0.62
0.08
0.12
0.21
0.15
0.20
0.26
0.27
0.32
0.34
0.34
0.42
0.38
0.39
0.03
2.12
2.42
2.12
2.52
2.07
1.51
1.86
3.27
2.78
2.93
2.14
2.81
2.00
1.84
0.37
0.00
0.37
0.97
0.00
1.47
1.59
1.39
0.00
1.33
0.22
1.31
0.20
1.63
1.14
0.00
0.52
0.25
0.55
0.44
0.59
3.36
2.07
3.43
3.49
3.36
2.88
3.36
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00054
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
XXX
XXX
XXX
YYY
090
090
090
YYY
090
000
090
ZZZ
090
090
YYY
090
010
090
090
090
090
090
090
090
090
090
090
2621
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
45120
45121
45123
45126
45130
45135
45136
45150
45160
45170
45190
45300
45303
45305
45307
45308
45309
45315
45317
45320
45321
45327
45330
45331
45332
45333
45334
45335
45337
45338
45339
45340
45341
45342
45345
45355
45378
45378
45379
45380
45381
45382
45383
45384
45385
45386
45387
45391
45392
45395
45397
45400
45402
45499
45500
45505
45520
45540
45541
45550
45560
45562
45563
45800
45805
45820
45825
45900
45905
45910
45915
45990
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
53 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of rectum ..............................
Removal of rectum and colon .............
Partial proctectomy .............................
Pelvic exenteration ..............................
Excision of rectal prolapse ..................
Excision of rectal prolapse ..................
Excise ileoanal reservior .....................
Excision of rectal stricture ...................
Excision of rectal lesion ......................
Excision of rectal lesion ......................
Destruction, rectal tumor .....................
Proctosigmoidoscopy dx .....................
Proctosigmoidoscopy dilate ................
Proctosigmoidoscopy w/bx .................
Proctosigmoidoscopy fb ......................
Proctosigmoidoscopy removal ............
Proctosigmoidoscopy removal ............
Proctosigmoidoscopy removal ............
Proctosigmoidoscopy bleed ................
Proctosigmoidoscopy ablate ...............
Proctosigmoidoscopy volvul ................
Proctosigmoidoscopy w/stent .............
Diagnostic sigmoidoscopy ..................
Sigmoidoscopy and biopsy .................
Sigmoidoscopy w/fb removal ..............
Sigmoidoscopy & polypectomy ...........
Sigmoidoscopy for bleeding ................
Sigmoidoscopy w/submuc inj ..............
Sigmoidoscopy & decompress ...........
Sigmoidoscopy w/tumr remove ...........
Sigmoidoscopy w/ablate tumr .............
Sig w/balloon dilation ..........................
Sigmoidoscopy w/ultrasound ..............
Sigmoidoscopy w/us guide bx ............
Sigmoidoscopy w/stent .......................
Surgical colonoscopy ..........................
Diagnostic colonoscopy ......................
Diagnostic colonoscopy ......................
Colonoscopy w/fb removal ..................
Colonoscopy and biopsy .....................
Colonoscopy, submucous inj ..............
Colonoscopy/control bleeding .............
Lesion removal colonoscopy ..............
Lesion remove colonoscopy ...............
Lesion removal colonoscopy ..............
Colonoscopy dilate stricture ................
Colonoscopy w/stent ...........................
Colonoscopy w/endoscope us ............
Colonoscopy w/endoscopic fnb ..........
Lap, removal of rectum .......................
Lap, remove rectum w/pouch .............
Laparoscopic proc ...............................
Lap proctopexy w/sig resect ...............
Laparoscope proc, rectum ..................
Repair of rectum .................................
Repair of rectum .................................
Treatment of rectal prolapse ...............
Correct rectal prolapse .......................
Correct rectal prolapse .......................
Repair rectum/remove sigmoid ...........
Repair of rectocele ..............................
Exploration/repair of rectum ................
Exploration/repair of rectum ................
Repair rect/bladder fistula ...................
Repair fistula w/colostomy ..................
Repair rectourethral fistula ..................
Repair fistula w/colostomy ..................
Reduction of rectal prolapse ...............
Dilation of anal sphincter ....................
Dilation of rectal narrowing .................
Remove rectal obstruction ..................
Surg dx exam, anorectal .....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
26.25
28.93
18.70
48.89
18.37
22.15
30.63
5.77
16.17
12.48
10.29
0.80
1.50
1.25
1.70
1.40
1.50
1.80
2.00
1.78
1.75
2.00
0.96
1.15
1.79
1.79
2.73
1.46
2.36
2.34
3.14
1.89
2.60
4.05
2.92
3.51
3.69
0.96
4.68
4.43
4.19
5.68
5.86
4.69
5.30
4.57
5.90
5.09
6.54
32.79
36.29
19.31
26.38
0.00
7.64
8.20
0.55
18.02
14.72
24.67
11.42
17.82
26.22
20.18
23.19
20.24
24.01
2.96
2.32
2.82
3.16
1.80
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.96
19.93
3.19
3.25
3.41
3.53
3.82
3.37
3.40
NA
NA
2.52
3.28
5.54
5.67
NA
5.34
NA
5.91
5.73
10.27
NA
NA
NA
NA
6.39
2.52
8.08
7.76
7.73
10.36
8.56
7.20
8.38
12.37
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
2.86
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.21
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.74
19.31
2.91
3.14
2.70
3.17
3.34
2.90
3.16
NA
NA
2.40
3.18
5.27
5.27
NA
4.28
NA
5.57
4.60
8.22
NA
NA
NA
NA
6.27
2.40
7.87
7.48
7.42
10.15
8.24
7.00
8.09
12.39
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
2.25
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.26
NA
9.27
10.04
6.94
17.89
6.67
8.61
11.96
3.34
6.44
5.36
5.52
0.45
0.66
0.59
0.70
0.63
0.67
0.88
0.77
0.80
0.86
0.91
0.62
0.79
0.99
0.99
1.54
0.90
1.25
1.28
1.66
1.03
1.47
2.17
1.50
1.58
1.82
0.62
2.17
2.24
2.16
2.89
2.63
2.18
2.59
2.18
2.80
2.60
3.21
12.96
13.40
7.08
8.74
0.00
4.46
5.04
0.38
5.84
6.59
8.96
5.52
8.11
10.76
9.15
9.93
9.10
9.47
1.66
1.60
1.85
2.02
0.72
9.70
10.57
6.90
18.55
6.72
8.51
12.24
3.15
6.54
5.30
5.07
0.37
0.49
0.55
0.59
0.53
0.75
0.75
0.71
0.75
0.71
0.80
0.56
0.69
0.90
0.89
1.34
0.79
1.12
1.14
1.47
0.93
1.27
1.85
1.33
1.48
1.65
0.56
1.99
1.99
1.90
2.54
2.43
2.01
2.31
1.98
2.57
2.29
2.85
13.32
13.83
7.46
9.37
0.00
4.00
4.45
0.38
6.32
6.27
9.09
5.29
7.55
10.64
8.29
9.72
8.36
9.64
1.58
1.51
1.75
2.06
0.76
2.90
3.25
1.86
4.33
1.80
2.36
2.82
0.61
1.68
1.35
1.13
0.04
0.05
0.11
0.11
0.09
0.22
0.15
0.15
0.16
0.13
0.16
0.08
0.09
0.16
0.15
0.20
0.11
0.21
0.19
0.26
0.15
0.19
0.30
0.23
0.36
0.30
0.08
0.39
0.35
0.30
0.41
0.48
0.38
0.42
0.39
0.48
0.42
0.42
3.63
3.67
2.03
2.82
0.00
0.75
0.86
0.05
1.85
1.55
2.62
1.13
1.84
3.11
1.86
2.03
1.58
2.32
0.30
0.27
0.30
0.30
0.17
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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000
000
000
000
000
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000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
090
090
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000
2622
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
45999
46020
46030
46040
46045
46050
46060
46070
46080
46083
46200
46210
46211
46220
46221
46230
46250
46255
46257
46258
46260
46261
46262
46270
46275
46280
46285
46288
46320
46500
46505
46600
46604
46606
46608
46610
46611
46612
46614
46615
46700
46705
46706
46710
46712
46715
46716
46730
46735
46740
46742
46744
46746
46748
46750
46751
46753
46754
46760
46761
46762
46900
46910
46916
46917
46922
46924
46934
46935
46936
46937
46938
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Rectum surgery procedure .................
Placement of seton .............................
Removal of rectal marker ...................
Incision of rectal abscess ...................
Incision of rectal abscess ...................
Incision of anal abscess .....................
Incision of rectal abscess ...................
Incision of anal septum .......................
Incision of anal sphincter ....................
Incise external hemorrhoid .................
Removal of anal fissure ......................
Removal of anal crypt .........................
Removal of anal crypts .......................
Removal of anal tag ............................
Ligation of hemorrhoid(s) ....................
Removal of anal tags ..........................
Hemorrhoidectomy ..............................
Hemorrhoidectomy ..............................
Remove hemorrhoids & fissure ..........
Remove hemorrhoids & fistula ...........
Hemorrhoidectomy ..............................
Remove hemorrhoids & fissure ..........
Remove hemorrhoids & fistula ...........
Removal of anal fistula .......................
Removal of anal fistula .......................
Removal of anal fistula .......................
Removal of anal fistula .......................
Repair anal fistula ...............................
Removal of hemorrhoid clot ................
Injection into hemorrhoid(s) ................
Chemodenervation anal musc ............
Diagnostic anoscopy ...........................
Anoscopy and dilation .........................
Anoscopy and biopsy ..........................
Anoscopy, remove for body ................
Anoscopy, remove lesion ....................
Anoscopy ............................................
Anoscopy, remove lesions ..................
Anoscopy, control bleeding .................
Anoscopy ............................................
Repair of anal stricture .......................
Repair of anal stricture .......................
Repr of anal fistula w/glue ..................
Repr per/vag pouch sngl proc ............
Repr per/vag pouch dbl proc ..............
Rep perf anoper fistu ..........................
Rep perf anoper/vestib fistu ................
Construction of absent anus ...............
Construction of absent anus ...............
Construction of absent anus ...............
Repair of imperforated anus ...............
Repair of cloacal anomaly ..................
Repair of cloacal anomaly ..................
Repair of cloacal anomaly ..................
Repair of anal sphincter ......................
Repair of anal sphincter ......................
Reconstruction of anus .......................
Removal of suture from anus .............
Repair of anal sphincter ......................
Repair of anal sphincter ......................
Implant artificial sphincter ...................
Destruction, anal lesion(s) ..................
Destruction, anal lesion(s) ..................
Cryosurgery, anal lesion(s) .................
Laser surgery, anal lesions .................
Excision of anal lesion(s) ....................
Destruction, anal lesion(s) ..................
Destruction of hemorrhoids .................
Destruction of hemorrhoids .................
Destruction of hemorrhoids .................
Cryotherapy of rectal lesion ................
Cryotherapy of rectal lesion ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
2.94
1.24
5.26
5.79
1.21
6.24
2.74
2.50
1.42
3.48
2.73
4.31
1.58
2.31
2.59
4.17
4.88
5.68
6.28
6.65
7.63
7.80
4.81
5.31
6.28
5.31
7.68
1.62
1.64
3.13
0.55
1.03
1.20
1.30
1.28
1.30
1.50
1.00
1.50
9.68
7.32
2.41
17.01
36.32
7.54
17.14
30.17
35.66
33.42
39.66
58.46
64.93
70.91
12.02
9.19
8.81
2.88
17.21
15.16
14.66
1.91
1.88
1.88
1.88
1.88
2.78
3.79
2.44
3.70
2.70
4.70
0.00
3.26
1.89
6.54
NA
3.20
NA
NA
3.07
2.37
6.29
5.83
7.85
3.02
3.73
3.51
5.96
6.34
NA
NA
NA
NA
NA
6.39
6.63
NA
6.53
NA
2.41
3.61
3.28
1.37
12.52
3.88
3.76
3.80
2.53
4.70
1.93
1.74
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.64
NA
NA
NA
3.66
3.88
3.77
8.79
4.14
9.58
5.57
3.86
6.24
3.41
5.63
0.00
2.80
1.62
6.02
NA
2.87
NA
NA
2.72
2.44
5.07
5.47
6.63
2.66
3.19
3.29
5.63
6.09
NA
NA
NA
NA
NA
5.69
5.63
NA
5.15
NA
2.27
2.86
3.16
1.47
10.83
3.83
4.08
3.91
2.93
4.94
2.13
2.11
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.61
NA
NA
NA
3.12
3.39
3.46
8.96
3.71
9.14
5.32
3.66
5.56
3.09
4.81
0.00
2.35
0.81
3.99
3.94
0.98
4.42
2.35
1.12
0.96
3.73
3.30
4.67
1.10
2.00
1.33
2.83
3.07
3.85
3.96
4.07
4.30
4.66
3.92
3.97
4.27
3.96
4.68
0.88
1.25
2.28
0.38
0.51
0.58
0.58
0.59
0.57
0.72
0.52
0.64
5.16
4.07
1.49
7.55
14.02
3.76
9.60
12.50
15.02
15.30
13.76
18.15
19.69
21.06
5.77
5.02
4.59
2.21
8.06
6.47
7.08
1.31
1.20
1.58
1.22
1.20
1.52
2.88
1.11
2.66
1.43
3.55
0.00
2.10
0.76
3.78
3.42
0.91
3.83
2.09
1.13
0.94
3.30
2.96
4.09
1.02
1.87
1.31
2.72
2.95
3.36
3.61
3.63
3.95
4.20
3.37
3.47
3.76
3.35
4.17
0.86
1.20
2.12
0.36
0.56
0.50
0.61
0.60
0.67
0.85
0.68
0.85
4.68
3.87
1.37
7.65
14.53
3.66
8.79
12.26
14.28
14.26
15.58
19.64
22.42
22.35
5.41
5.22
4.22
1.94
7.57
6.24
6.30
1.29
1.13
1.48
1.17
1.13
1.43
2.91
1.16
2.57
1.32
3.30
0.00
0.31
0.14
0.62
0.54
0.14
0.67
0.36
0.30
0.15
0.39
0.31
0.48
0.17
0.23
0.30
0.48
0.58
0.64
0.68
0.76
0.79
0.83
0.46
0.52
0.66
0.44
0.79
0.18
0.16
0.14
0.05
0.12
0.09
0.16
0.15
0.19
0.28
0.20
0.33
0.94
0.91
0.28
1.38
3.67
0.92
1.58
2.47
3.21
2.42
3.20
6.40
7.70
3.37
1.10
0.94
0.94
0.19
1.59
1.43
1.24
0.17
0.19
0.11
0.21
0.22
0.26
0.32
0.23
0.34
0.14
0.58
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
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15JAR2
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YYY
010
010
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090
010
090
090
010
010
090
090
090
010
010
010
090
090
090
090
090
090
090
090
090
090
090
090
010
010
010
000
000
000
000
000
000
000
000
000
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
090
090
010
010
010
010
010
010
090
010
090
010
090
2623
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
46940
46942
46945
46946
46947
46999
47000
47001
47010
47011
47015
47100
47120
47122
47125
47130
47133
47135
47136
47140
47141
47142
47143
47144
47145
47146
47147
47300
47350
47360
47361
47362
47370
47371
47379
47380
47381
47382
47399
47400
47420
47425
47460
47480
47490
47500
47505
47510
47511
47525
47530
47550
47552
47553
47554
47555
47556
47560
47561
47562
47563
47564
47570
47579
47600
47605
47610
47612
47620
47630
47700
47701
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
X
R
R
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
C
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treatment of anal fissure ....................
Treatment of anal fissure ....................
Ligation of hemorrhoids ......................
Ligation of hemorrhoids ......................
Hemorrhoidopexy by stapling .............
Anus surgery procedure .....................
Needle biopsy of liver .........................
Needle biopsy, liver add-on ................
Open drainage, liver lesion .................
Percut drain, liver lesion .....................
Inject/aspirate liver cyst ......................
Wedge biopsy of liver .........................
Partial removal of liver ........................
Extensive removal of liver ...................
Partial removal of liver ........................
Partial removal of liver ........................
Removal of donor liver ........................
Transplantation of liver .......................
Transplantation of liver .......................
Partial removal, donor liver .................
Partial removal, donor liver .................
Partial removal, donor liver .................
Prep donor liver, whole .......................
Prep donor liver, 3-segment ...............
Prep donor liver, lobe split ..................
Prep donor liver/venous ......................
Prep donor liver/arterial ......................
Surgery for liver lesion ........................
Repair liver wound ..............................
Repair liver wound ..............................
Repair liver wound ..............................
Repair liver wound ..............................
Laparo ablate liver tumor rf ................
Laparo ablate liver cryosurg ...............
Laparoscope procedure, liver .............
Open ablate liver tumor rf ...................
Open ablate liver tumor cryo ..............
Percut ablate liver rf ............................
Liver surgery procedure ......................
Incision of liver duct ............................
Incision of bile duct .............................
Incision of bile duct .............................
Incise bile duct sphincter ....................
Incision of gallbladder .........................
Incision of gallbladder .........................
Injection for liver x-rays .......................
Injection for liver x-rays .......................
Insert catheter, bile duct .....................
Insert bile duct drain ...........................
Change bile duct catheter ...................
Revise/reinsert bile tube .....................
Bile duct endoscopy add-on ...............
Biliary endoscopy thru skin .................
Biliary endoscopy thru skin .................
Biliary endoscopy thru skin .................
Biliary endoscopy thru skin .................
Biliary endoscopy thru skin .................
Laparoscopy w/cholangio ...................
Laparo w/cholangio/biopsy .................
Laparoscopic cholecystectomy ...........
Laparo cholecystectomy/graph ...........
Laparo cholecystectomy/explr ............
Laparo cholecystoenterostomy ...........
Laparoscope proc, biliary ....................
Removal of gallbladder .......................
Removal of gallbladder .......................
Removal of gallbladder .......................
Removal of gallbladder .......................
Removal of gallbladder .......................
Remove bile duct stone ......................
Exploration of bile ducts .....................
Bile duct revision .................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.33
2.05
2.13
2.60
5.49
0.00
1.90
1.90
19.27
3.69
18.37
12.78
38.82
59.35
52.91
57.06
0.00
83.29
70.39
59.22
71.27
79.21
0.00
0.00
0.00
6.00
7.00
18.01
22.36
31.18
52.47
23.41
20.67
20.67
0.00
24.43
24.72
15.19
0.00
36.23
21.92
22.20
20.41
13.12
8.05
1.96
0.76
7.94
10.74
5.55
5.96
3.02
6.03
6.34
9.05
7.55
8.55
4.88
5.17
11.63
12.03
14.21
12.56
0.00
17.35
15.90
20.84
21.13
22.99
9.57
16.39
28.62
2.85
2.80
4.80
4.64
NA
0.00
7.67
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
14.87
30.60
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
2.42
2.32
4.03
4.18
NA
0.00
5.37
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
14.98
32.20
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
1.04
0.96
2.98
2.65
3.11
0.00
0.70
0.48
8.32
1.32
8.17
6.32
14.08
18.76
17.18
18.12
0.00
27.76
24.56
21.63
25.36
27.37
0.00
0.00
0.00
1.52
1.77
7.75
8.78
11.25
17.40
9.31
7.70
7.90
0.00
8.61
9.32
6.21
0.00
13.02
8.55
8.65
9.14
6.64
5.30
0.71
0.27
4.63
5.05
2.69
3.45
0.78
2.48
2.25
3.30
2.75
3.09
1.24
1.58
5.27
5.07
5.42
4.97
0.00
7.22
6.39
7.66
7.68
8.16
4.73
7.31
10.65
1.07
0.99
2.73
2.52
2.91
0.00
0.66
0.57
8.36
1.26
7.83
6.18
14.61
20.11
18.35
19.55
0.00
29.64
25.80
21.95
26.14
28.43
0.00
0.00
0.00
1.79
2.08
7.49
8.82
11.41
17.96
9.01
7.91
8.02
0.00
8.98
9.46
6.14
0.00
13.23
8.66
8.73
8.75
6.28
5.43
0.67
0.26
4.82
5.06
2.75
3.58
0.90
2.43
2.16
3.32
2.61
2.94
1.45
1.75
5.13
5.18
5.68
5.17
0.00
6.68
6.44
7.79
7.78
8.34
4.81
7.36
11.06
0.23
0.19
0.19
0.27
0.75
0.00
0.12
0.25
1.81
0.22
1.84
1.53
4.66
7.21
6.47
6.96
0.00
9.96
8.44
5.19
5.19
5.19
0.00
0.00
0.00
0.83
0.97
1.99
2.59
3.38
5.87
2.51
2.56
2.61
0.00
2.87
2.85
0.96
0.00
3.08
2.63
2.62
2.21
1.42
0.43
0.12
0.04
0.46
0.62
0.33
0.37
0.40
0.42
0.37
0.96
0.45
0.50
0.65
0.66
1.46
1.58
1.89
1.65
0.00
1.80
1.95
2.49
2.48
2.74
0.65
2.07
3.68
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00057
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
010
090
090
090
YYY
000
ZZZ
090
000
090
090
090
090
090
090
XXX
090
090
090
090
090
XXX
090
XXX
XXX
XXX
090
090
090
090
090
090
090
YYY
090
090
010
YYY
090
090
090
090
090
090
000
000
090
090
010
090
ZZZ
000
000
000
000
000
000
000
090
090
090
090
YYY
090
090
090
090
090
090
090
090
2624
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
47711
47712
47715
47720
47721
47740
47741
47760
47765
47780
47785
47800
47801
47802
47900
47999
48000
48001
48020
48100
48102
48105
48120
48140
48145
48146
48148
48150
48152
48153
48154
48155
48160
48400
48500
48510
48511
48520
48540
48545
48547
48548
48550
48551
48552
48554
48556
48999
49000
49002
49010
49020
49021
49040
49041
49060
49061
49062
49080
49081
49180
49203
49204
49205
49215
49220
49250
49255
49320
49321
49322
49323
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
A
A
A
A
A
A
X
C
A
R
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Excision of bile duct tumor .................
Excision of bile duct tumor .................
Excision of bile duct cyst ....................
Fuse gallbladder & bowel ...................
Fuse upper gi structures .....................
Fuse gallbladder & bowel ...................
Fuse gallbladder & bowel ...................
Fuse bile ducts and bowel ..................
Fuse liver ducts & bowel ....................
Fuse bile ducts and bowel ..................
Fuse bile ducts and bowel ..................
Reconstruction of bile ducts ...............
Placement, bile duct support ..............
Fuse liver duct & intestine ..................
Suture bile duct injury .........................
Bile tract surgery procedure ...............
Drainage of abdomen .........................
Placement of drain, pancreas .............
Removal of pancreatic stone ..............
Biopsy of pancreas, open ...................
Needle biopsy, pancreas ....................
Resect/debride pancreas ....................
Removal of pancreas lesion ...............
Partial removal of pancreas ................
Partial removal of pancreas ................
Pancreatectomy ..................................
Removal of pancreatic duct ................
Partial removal of pancreas ................
Pancreatectomy ..................................
Pancreatectomy ..................................
Pancreatectomy ..................................
Removal of pancreas ..........................
Pancreas removal/transplant ..............
Injection, intraop add-on .....................
Surgery of pancreatic cyst ..................
Drain pancreatic pseudocyst ..............
Drain pancreatic pseudocyst ..............
Fuse pancreas cyst and bowel ...........
Fuse pancreas cyst and bowel ...........
Pancreatorrhaphy ................................
Duodenal exclusion .............................
Fuse pancreas and bowel ..................
Donor pancreatectomy ........................
Prep donor pancreas ..........................
Prep donor pancreas/venous ..............
Transpl allograft pancreas ..................
Removal, allograft pancreas ...............
Pancreas surgery procedure ..............
Exploration of abdomen ......................
Reopening of abdomen ......................
Exploration behind abdomen ..............
Drain abdominal abscess ...................
Drain abdominal abscess ...................
Drain, open, abdom abscess ..............
Drain, percut, abdom abscess ............
Drain, open, retrop abscess ...............
Drain, percut, retroper absc ................
Drain to peritoneal cavity ....................
Puncture, peritoneal cavity .................
Removal of abdominal fluid ................
Biopsy, abdominal mass .....................
Exc abd tum 5 cm or less ...................
Exc abd tum over 5 cm ......................
Exc abd tum over 10 cm ....................
Excise sacral spine tumor ...................
Multiple surgery, abdomen .................
Excision of umbilicus ..........................
Removal of omentum ..........................
Diag laparo separate proc ..................
Laparoscopy, biopsy ...........................
Laparoscopy, aspiration ......................
Laparo drain lymphocele ....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
25.77
33.59
21.42
18.21
21.86
21.10
24.08
38.14
52.01
42.14
56.01
26.04
17.47
24.80
22.31
0.00
31.82
39.56
18.96
14.38
4.68
49.05
18.33
26.19
27.26
30.42
20.26
52.63
48.47
52.61
48.70
29.27
0.00
1.95
18.03
17.06
3.99
18.07
21.86
22.10
30.25
27.96
0.00
0.00
4.30
37.03
19.24
0.00
12.44
17.55
15.98
26.46
3.37
16.41
3.99
18.42
3.69
12.12
1.35
1.26
1.73
20.00
26.00
30.00
37.66
15.70
8.93
12.41
5.09
5.39
5.96
10.13
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
9.62
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
20.20
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
0.00
NA
NA
NA
NA
19.65
NA
19.93
NA
19.76
NA
2.73
2.94
2.48
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
8.78
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
20.55
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
0.00
NA
NA
NA
NA
20.36
NA
19.73
NA
19.70
NA
3.36
2.76
2.79
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.65
11.66
8.61
7.71
8.55
8.34
9.26
13.05
16.96
14.13
17.86
9.78
8.44
9.69
8.86
0.00
10.87
12.77
7.60
5.96
1.91
15.78
6.86
9.38
9.56
11.94
8.21
18.03
16.84
17.92
17.07
11.97
0.00
0.66
7.67
7.61
1.43
6.83
7.80
8.42
10.29
9.89
0.00
0.00
1.14
20.53
9.23
0.00
5.21
6.39
6.20
9.89
1.21
6.52
1.43
7.25
1.33
5.12
0.48
0.47
0.62
7.66
9.27
10.35
12.69
6.46
4.34
5.63
2.44
2.56
2.63
4.69
9.78
12.04
8.52
7.59
8.55
8.35
9.27
11.94
13.87
12.66
15.38
9.91
8.29
9.68
8.86
0.00
11.18
13.32
7.45
5.77
1.93
16.17
6.85
9.46
9.69
11.96
7.90
18.77
17.52
18.73
17.64
11.81
0.00
0.65
7.50
7.52
1.37
6.76
7.95
8.20
10.38
10.02
0.00
0.00
1.30
19.40
8.65
0.00
5.29
5.70
6.05
10.04
1.16
6.47
1.37
7.34
1.27
5.27
0.47
0.45
0.59
7.66
9.27
10.35
13.37
6.54
4.30
5.62
2.54
2.60
2.81
4.59
3.05
3.93
2.49
2.11
2.53
2.42
2.83
3.42
3.30
3.50
4.10
3.08
1.16
2.86
2.65
0.00
3.48
4.69
2.13
1.62
0.28
5.56
2.10
3.03
3.18
3.50
2.30
6.32
5.80
6.31
5.84
3.27
0.00
0.15
2.03
1.83
0.24
2.06
2.61
2.38
3.42
3.28
0.00
0.00
0.31
4.19
2.08
0.00
1.52
1.37
1.51
2.85
0.20
1.70
0.24
1.75
0.22
1.39
0.08
0.09
0.10
2.27
2.94
3.40
4.38
1.89
1.08
1.43
0.65
0.70
0.71
1.20
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00058
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
XXX
ZZZ
090
090
000
090
090
090
090
090
XXX
XXX
XXX
090
090
YYY
090
090
090
090
000
090
000
090
000
090
000
000
000
090
090
090
090
090
090
090
010
010
010
090
2625
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
49324
49325
49326
49329
49400
49402
49419
49420
49421
49422
49423
49424
49425
49426
49427
49428
49429
49435
49436
49440
49441
49442
49446
49450
49451
49452
49460
49465
49491
49492
49495
49496
49500
49501
49505
49507
49520
49521
49525
49540
49550
49553
49555
49557
49560
49561
49565
49566
49568
49570
49572
49580
49582
49585
49587
49590
49600
49605
49606
49610
49611
49650
49651
49659
49900
49904
49905
49906
49999
50010
50020
50021
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
C
C
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Lap insertion perm ip cath ..................
Lap revision perm ip cath ...................
Lap w/omentopexy add-on .................
Laparo proc, abdm/per/oment ............
Air injection into abdomen ..................
Remove foreign body, adbomen ........
Insrt abdom cath for chemotx .............
Insert abdom drain, temp ....................
Insert abdom drain, perm ...................
Remove perm cannula/catheter ..........
Exchange drainage catheter ...............
Assess cyst, contrast inject ................
Insert abdomen-venous drain .............
Revise abdomen-venous shunt ..........
Injection, abdominal shunt ..................
Ligation of shunt .................................
Removal of shunt ................................
Insert subq exten to ip cath ................
Embedded ip cath exit-site .................
Place gastrostomy tube perc ..............
Place duod/jej tube perc .....................
Place cecostomy tube perc ................
Change g-tube to g-j perc ...................
Replace g/c tube perc .........................
Replace duod/jej tube perc .................
Replace g-j tube perc .........................
Fix g/colon tube w/device ...................
Fluoro exam of g/colon tube ...............
Rpr hern preemie reduc ......................
Rpr ing hern premie, blocked .............
Rpr ing hernia baby, reduc .................
Rpr ing hernia baby, blocked ..............
Rpr ing hernia, init, reduce .................
Rpr ing hernia, init blocked .................
Prp i/hern init reduc >5 yr ...................
Prp i/hern init block >5 yr ....................
Rerepair ing hernia, reduce ................
Rerepair ing hernia, blocked ...............
Repair ing hernia, sliding ....................
Repair lumbar hernia ..........................
Rpr rem hernia, init, reduce ................
Rpr fem hernia, init blocked ................
Rerepair fem hernia, reduce ...............
Rerepair fem hernia, blocked .............
Rpr ventral hern init, reduc .................
Rpr ventral hern init, block ..................
Rerepair ventrl hern, reduce ...............
Rerepair ventrl hern, block .................
Hernia repair w/mesh ..........................
Rpr epigastric hern, reduce ................
Rpr epigastric hern, blocked ...............
Rpr umbil hern, reduc < 5 yr ..............
Rpr umbil hern, block < 5 yr ...............
Rpr umbil hern, reduc > 5 yr ..............
Rpr umbil hern, block > 5 yr ...............
Repair spigelian hernia .......................
Repair umbilical lesion ........................
Repair umbilical lesion ........................
Repair umbilical lesion ........................
Repair umbilical lesion ........................
Repair umbilical lesion ........................
Laparo hernia repair initial ..................
Laparo hernia repair recur ..................
Laparo proc, hernia repair ..................
Repair of abdominal wall ....................
Omental flap, extra-abdom .................
Omental flap, intra-abdom ..................
Free omental flap, microvasc .............
Abdomen surgery procedure ..............
Exploration of kidney ..........................
Renal abscess, open drain .................
Renal abscess, percut drain ...............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
6.27
6.77
3.50
0.00
1.88
14.01
7.03
2.22
5.87
6.26
1.46
0.76
12.13
10.33
0.89
6.79
7.41
2.25
2.69
4.18
4.77
4.00
3.31
1.36
1.84
2.86
0.96
0.62
12.42
15.32
6.15
9.32
5.76
9.28
7.88
9.97
9.91
12.36
8.85
10.66
8.91
9.84
9.31
11.54
11.84
15.30
12.29
15.45
4.88
5.97
7.79
4.39
7.05
6.51
7.96
8.82
11.47
86.85
18.92
10.83
9.26
6.30
8.29
0.00
12.26
22.16
6.54
0.00
0.00
12.13
17.88
3.37
NA
NA
NA
0.00
2.47
NA
NA
NA
NA
NA
13.10
3.08
NA
NA
NA
NA
NA
NA
NA
25.06
30.13
24.46
25.78
18.97
19.71
23.51
20.59
3.89
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
0.00
0.00
NA
NA
21.11
NA
NA
NA
0.00
2.77
NA
NA
NA
NA
NA
13.59
3.40
NA
NA
NA
NA
NA
NA
NA
25.06
30.13
24.46
25.78
18.97
19.71
23.51
20.59
3.89
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
0.00
0.00
NA
NA
21.39
2.79
2.91
0.92
0.00
0.62
5.52
3.43
1.18
3.12
2.61
0.56
0.30
5.29
4.56
0.32
3.00
2.99
0.62
1.66
1.81
2.01
1.63
1.15
0.44
0.64
1.00
0.31
0.22
4.62
6.23
3.06
4.45
3.65
4.27
3.88
4.45
4.38
4.98
4.12
4.58
4.11
4.42
4.20
4.83
4.88
5.80
5.08
5.85
1.24
3.38
3.83
2.95
3.69
3.51
3.86
4.09
5.38
27.59
6.78
5.29
4.21
3.35
4.23
0.00
6.29
11.89
1.69
0.00
0.00
6.73
8.49
1.22
2.79
2.91
0.92
0.00
0.62
5.51
3.50
1.13
3.14
2.75
0.54
0.30
5.44
4.66
0.31
3.46
3.21
0.62
1.66
1.81
2.01
1.63
1.15
0.44
0.64
1.00
0.31
0.22
4.83
6.17
3.01
4.36
3.38
4.23
3.81
4.45
4.40
5.11
4.10
4.66
4.12
4.41
4.23
4.91
5.01
5.93
5.15
5.99
1.45
3.27
3.64
2.77
3.58
3.40
3.80
4.08
5.35
28.05
7.23
5.24
5.59
3.27
4.13
0.00
6.26
13.55
1.99
0.00
0.00
5.98
8.12
1.16
0.73
0.86
0.44
0.00
0.15
1.62
0.81
0.21
0.74
0.83
0.09
0.04
1.54
1.28
0.07
0.80
1.02
0.28
0.28
0.49
0.29
0.24
0.18
0.08
0.11
0.18
0.05
0.03
1.40
1.81
0.74
1.07
0.71
1.12
1.03
1.27
1.28
1.59
1.13
1.37
1.14
1.24
1.20
1.47
1.52
1.89
1.52
1.91
0.64
0.75
0.88
0.54
0.88
0.82
0.99
1.13
1.32
9.39
2.46
1.07
0.78
0.93
1.14
0.00
1.62
2.70
0.75
0.00
0.00
0.93
1.34
0.20
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00059
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
010
ZZZ
YYY
000
090
090
000
090
010
000
000
090
090
000
010
010
ZZZ
010
010
010
010
000
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
090
090
ZZZ
090
YYY
090
090
000
2626
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
50040
50045
50060
50065
50070
50075
50080
50081
50100
50120
50125
50130
50135
50200
50205
50220
50225
50230
50234
50236
50240
50250
50280
50290
50300
50320
50323
50325
50327
50328
50329
50340
50360
50365
50370
50380
50382
50384
50385
50386
50387
50389
50390
50391
50392
50393
50394
50395
50396
50398
50400
50405
50500
50520
50525
50526
50540
50541
50542
50543
50544
50545
50546
50547
50548
50549
50551
50553
50555
50557
50561
50562
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
X
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Drainage of kidney ..............................
Exploration of kidney ..........................
Removal of kidney stone ....................
Incision of kidney ................................
Incision of kidney ................................
Removal of kidney stone ....................
Removal of kidney stone ....................
Removal of kidney stone ....................
Revise kidney blood vessels ..............
Exploration of kidney ..........................
Explore and drain kidney ....................
Removal of kidney stone ....................
Exploration of kidney ..........................
Biopsy of kidney ..................................
Biopsy of kidney ..................................
Remove kidney, open .........................
Removal kidney open, complex ..........
Removal kidney open, radical ............
Removal of kidney & ureter ................
Removal of kidney & ureter ................
Partial removal of kidney ....................
Cryoablate renal mass open ...............
Removal of kidney lesion ....................
Removal of kidney lesion ....................
Remove cadaver donor kidney ...........
Remove kidney, living donor ..............
Prep cadaver renal allograft ...............
Prep donor renal graft .........................
Prep renal graft/venous ......................
Prep renal graft/arterial .......................
Prep renal graft/ureteral ......................
Removal of kidney ..............................
Transplantation of kidney ....................
Transplantation of kidney ....................
Remove transplanted kidney ..............
Reimplantation of kidney ....................
Change ureter stent, percut ................
Remove ureter stent, percut ...............
Change stent via transureth ...............
Remove stent via transureth ...............
Change ext/int ureter stent .................
Remove renal tube w/fluoro ................
Drainage of kidney lesion ...................
Instll rx agnt into rnal tub ....................
Insert kidney drain ..............................
Insert ureteral tube ..............................
Injection for kidney x-ray .....................
Create passage to kidney ...................
Measure kidney pressure ...................
Change kidney tube ............................
Revision of kidney/ureter ....................
Revision of kidney/ureter ....................
Repair of kidney wound ......................
Close kidney-skin fistula .....................
Repair renal-abdomen fistula ..............
Repair renal-abdomen fistula ..............
Revision of horseshoe kidney .............
Laparo ablate renal cyst .....................
Laparo ablate renal mass ...................
Laparo partial nephrectomy ................
Laparoscopy, pyeloplasty ...................
Laparo radical nephrectomy ...............
Laparoscopic nephrectomy .................
Laparo removal donor kidney .............
Laparo remove w/ureter ......................
Laparoscope proc, renal .....................
Kidney endoscopy ...............................
Kidney endoscopy ...............................
Kidney endoscopy & biopsy ...............
Kidney endoscopy & treatment ...........
Kidney endoscopy & treatment ...........
Renal scope w/tumor resect ...............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
16.48
16.67
20.80
22.17
21.70
26.91
15.61
23.32
17.30
17.06
17.67
18.67
20.44
2.63
12.19
18.53
21.73
23.68
23.90
26.74
24.01
22.06
16.94
16.00
0.00
22.28
0.00
0.00
4.00
3.50
3.34
13.86
40.45
45.68
18.68
29.66
5.50
5.00
4.44
3.30
2.00
1.10
1.96
1.96
3.37
4.15
0.76
3.37
2.09
1.46
21.12
25.68
21.07
18.73
24.21
26.13
20.95
16.76
21.18
27.18
23.27
24.93
21.69
26.24
25.26
0.00
5.59
5.98
6.52
6.61
7.58
10.90
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
26.38
20.68
30.64
19.38
12.61
6.68
NA
1.38
NA
NA
1.87
NA
NA
11.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.60
4.50
5.10
5.27
5.81
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
31.26
27.96
30.64
19.38
15.42
9.72
NA
1.48
NA
NA
2.28
NA
NA
14.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.37
4.43
4.95
4.92
5.45
NA
8.83
8.15
10.83
11.53
11.34
13.51
8.56
12.18
6.52
9.12
9.72
10.06
10.70
1.19
5.51
9.52
11.02
11.65
12.04
13.92
12.61
11.49
9.07
7.74
0.00
12.31
0.00
0.00
1.10
0.98
1.05
7.81
18.68
19.42
9.19
16.21
2.05
1.86
2.05
1.61
0.73
0.40
0.71
0.72
1.52
1.80
0.58
1.57
1.08
0.57
10.95
12.91
8.70
9.25
11.80
8.16
10.62
8.70
11.18
14.10
11.44
12.15
11.29
12.48
12.12
0.00
2.65
2.63
3.02
3.07
3.41
5.36
7.82
7.37
9.33
8.80
9.77
11.70
7.42
10.47
7.15
7.94
8.34
8.61
9.24
1.24
5.26
8.38
9.58
10.11
10.44
12.08
10.81
10.33
7.88
7.10
0.00
11.48
0.00
0.00
1.22
1.08
1.09
7.15
17.08
18.81
8.17
14.12
1.96
1.78
2.05
1.61
0.70
0.39
0.67
0.67
1.52
1.80
0.62
1.53
1.08
0.54
9.41
10.97
8.54
8.34
10.40
9.01
9.47
7.59
9.66
12.15
9.98
10.67
9.83
11.79
10.65
0.00
2.31
2.40
2.68
2.68
3.03
4.84
1.03
1.24
1.36
1.59
1.44
1.81
1.04
1.54
2.07
1.21
1.43
1.22
1.33
0.16
1.30
1.35
1.50
1.55
1.59
1.77
1.55
1.39
1.19
1.41
0.00
2.36
0.00
0.00
0.29
0.26
0.25
1.65
3.82
4.43
1.68
2.51
0.34
0.31
0.27
0.20
0.12
0.07
0.12
0.14
0.20
0.25
0.05
0.21
0.13
0.09
1.38
1.79
2.02
1.49
1.84
1.97
1.36
1.13
1.39
1.81
1.58
1.71
1.57
2.77
1.73
0.00
0.40
0.39
0.45
0.47
0.54
0.73
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00060
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
XXX
090
XXX
XXX
XXX
XXX
XXX
090
090
090
090
090
000
000
000
000
000
000
000
000
000
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
000
000
000
000
000
090
2627
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
50570
50572
50574
50575
50576
50580
50590
50592
50593
50600
50605
50610
50620
50630
50650
50660
50684
50686
50688
50690
50700
50715
50722
50725
50727
50728
50740
50750
50760
50770
50780
50782
50783
50785
50800
50810
50815
50820
50825
50830
50840
50845
50860
50900
50920
50930
50940
50945
50947
50948
50949
50951
50953
50955
50957
50961
50970
50972
50974
50976
50980
51020
51030
51040
51045
51050
51060
51065
51080
51100
51101
51102
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Kidney endoscopy ...............................
Kidney endoscopy ...............................
Kidney endoscopy & biopsy ...............
Kidney endoscopy ...............................
Kidney endoscopy & treatment ...........
Kidney endoscopy & treatment ...........
Fragmenting of kidney stone ..............
Perc rf ablate renal tumor ...................
Perc cryo ablate renal tum .................
Exploration of ureter ...........................
Insert ureteral support .........................
Removal of ureter stone .....................
Removal of ureter stone .....................
Removal of ureter stone .....................
Removal of ureter ...............................
Removal of ureter ...............................
Injection for ureter x-ray ......................
Measure ureter pressure ....................
Change of ureter tube/stent ................
Injection for ureter x-ray ......................
Revision of ureter ................................
Release of ureter ................................
Release of ureter ................................
Release/revise ureter ..........................
Revise ureter .......................................
Revise ureter .......................................
Fusion of ureter & kidney ...................
Fusion of ureter & kidney ...................
Fusion of ureters .................................
Splicing of ureters ...............................
Reimplant ureter in bladder ................
Reimplant ureter in bladder ................
Reimplant ureter in bladder ................
Reimplant ureter in bladder ................
Implant ureter in bowel .......................
Fusion of ureter & bowel ....................
Urine shunt to intestine .......................
Construct bowel bladder .....................
Construct bowel bladder .....................
Revise urine flow ................................
Replace ureter by bowel .....................
Appendico-vesicostomy ......................
Transplant ureter to skin .....................
Repair of ureter ...................................
Closure ureter/skin fistula ...................
Closure ureter/bowel fistula ................
Release of ureter ................................
Laparoscopy ureterolithotomy .............
Laparo new ureter/bladder ..................
Laparo new ureter/bladder ..................
Laparoscope proc, ureter ....................
Endoscopy of ureter ............................
Endoscopy of ureter ............................
Ureter endoscopy & biopsy ................
Ureter endoscopy & treatment ............
Ureter endoscopy & treatment ............
Ureter endoscopy ................................
Ureter endoscopy & catheter ..............
Ureter endoscopy & biopsy ................
Ureter endoscopy & treatment ............
Ureter endoscopy & treatment ............
Incise & treat bladder ..........................
Incise & treat bladder ..........................
Incise & drain bladder .........................
Incise bladder/drain ureter ..................
Removal of bladder stone ...................
Removal of ureter stone .....................
Remove ureter calculus ......................
Drainage of bladder abscess ..............
Drain bladder by needle .....................
Drain bladder by trocar/cath ...............
Drain bl w/cath insertion .....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
9.53
10.33
11.00
13.96
10.97
11.84
9.64
6.77
9.08
17.04
16.66
17.12
16.30
16.08
18.67
20.87
0.76
1.51
1.18
1.16
16.54
20.49
17.80
20.05
8.17
12.00
19.92
21.07
19.92
21.07
19.80
19.51
20.52
22.08
16.23
22.38
22.06
23.89
30.48
33.57
22.19
22.21
16.93
14.89
15.66
20.04
15.78
17.87
25.63
23.69
0.00
5.83
6.23
6.74
6.78
6.04
7.13
6.88
9.16
9.03
6.84
7.56
7.68
4.43
7.68
7.87
9.82
9.82
6.61
0.78
1.02
4.27
NA
NA
NA
NA
NA
NA
17.10
75.49
114.62
NA
NA
NA
NA
NA
NA
NA
3.97
2.30
NA
1.45
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.82
4.93
5.15
5.38
4.75
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.92
2.41
4.75
NA
NA
NA
NA
NA
NA
14.75
112.31
114.62
NA
NA
NA
NA
NA
NA
NA
4.47
2.87
NA
1.64
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
4.56
4.67
5.78
4.97
4.55
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.92
2.41
4.75
4.15
4.32
4.79
5.96
4.78
5.10
6.13
3.00
3.45
8.51
7.89
8.98
8.88
8.20
9.96
10.73
0.63
0.81
0.95
0.75
8.76
8.54
7.27
8.82
5.73
6.75
8.98
11.08
9.90
10.88
10.11
9.89
10.12
11.20
9.17
10.58
11.47
11.86
14.91
15.62
11.93
12.07
9.22
7.99
8.52
9.49
7.79
9.29
12.29
11.19
0.00
2.76
3.22
3.45
3.14
2.79
3.24
3.05
3.77
3.85
3.12
5.39
4.90
3.69
5.15
5.33
6.42
6.25
4.61
0.27
0.34
2.37
3.68
3.91
4.27
5.29
4.22
4.53
5.12
2.99
3.45
7.59
7.31
7.97
7.61
7.24
8.59
9.34
0.55
0.82
1.01
0.73
7.94
8.64
7.54
8.43
5.00
6.15
8.35
9.53
8.78
9.43
8.85
9.33
9.17
9.74
7.82
9.83
9.95
10.25
13.02
13.90
10.18
10.48
7.92
7.06
7.54
8.73
7.09
8.16
10.99
9.94
0.00
2.41
2.79
3.07
2.76
2.49
2.85
2.76
3.44
3.46
2.75
4.62
4.43
3.23
4.54
4.48
5.46
5.30
4.07
0.27
0.34
2.37
0.68
0.85
0.77
0.99
0.78
0.83
0.65
0.43
0.58
1.13
1.45
1.43
1.07
1.09
1.23
1.38
0.05
0.11
0.07
0.07
1.27
2.14
1.91
1.52
0.61
1.00
1.97
1.38
1.55
1.45
1.51
1.61
1.99
1.45
1.19
2.32
1.54
1.90
2.08
2.38
1.47
1.57
1.29
1.14
1.01
1.28
1.26
1.36
2.17
1.71
0.00
0.41
0.43
0.48
0.48
0.41
0.52
0.49
0.64
0.66
0.48
0.47
0.58
0.31
0.52
0.49
0.62
0.63
0.43
0.05
0.10
0.28
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00061
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
000
000
000
000
000
000
090
010
010
090
090
090
090
090
090
090
000
000
010
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
YYY
000
000
000
000
000
000
000
000
000
000
090
090
090
090
090
090
090
090
000
000
010
2628
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
51500
51520
51525
51530
51535
51550
51555
51565
51570
51575
51580
51585
51590
51595
51596
51597
51600
51605
51610
51700
51701
51702
51703
51705
51710
51715
51720
51725
51725
51725
51726
51726
51726
51736
51736
51736
51741
51741
51741
51772
51772
51772
51784
51784
51784
51785
51785
51785
51792
51792
51792
51795
51795
51795
51797
51797
51797
51798
51800
51820
51840
51841
51845
51860
51865
51880
51900
51920
51925
51940
51960
51980
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of bladder cyst .....................
Removal of bladder lesion ..................
Removal of bladder lesion ..................
Removal of bladder lesion ..................
Repair of ureter lesion ........................
Partial removal of bladder ...................
Partial removal of bladder ...................
Revise bladder & ureter(s) ..................
Removal of bladder .............................
Removal of bladder & nodes ..............
Remove bladder/revise tract ...............
Removal of bladder & nodes ..............
Remove bladder/revise tract ...............
Remove bladder/revise tract ...............
Remove bladder/create pouch ............
Removal of pelvic structures ..............
Injection for bladder x-ray ...................
Preparation for bladder xray ...............
Injection for bladder x-ray ...................
Irrigation of bladder .............................
Insert bladder catheter ........................
Insert temp bladder cath .....................
Insert bladder cath, complex ..............
Change of bladder tube ......................
Change of bladder tube ......................
Endoscopic injection/implant ...............
Treatment of bladder lesion ................
Simple cystometrogram ......................
Simple cystometrogram ......................
Simple cystometrogram ......................
Complex cystometrogram ...................
Complex cystometrogram ...................
Complex cystometrogram ...................
Urine flow measurement .....................
Urine flow measurement .....................
Urine flow measurement .....................
Electro-uroflowmetry, first ...................
Electro-uroflowmetry, first ...................
Electro-uroflowmetry, first ...................
Urethra pressure profile ......................
Urethra pressure profile ......................
Urethra pressure profile ......................
Anal/urinary muscle study ...................
Anal/urinary muscle study ...................
Anal/urinary muscle study ...................
Anal/urinary muscle study ...................
Anal/urinary muscle study ...................
Anal/urinary muscle study ...................
Urinary reflex study .............................
Urinary reflex study .............................
Urinary reflex study .............................
Urine voiding pressure study ..............
Urine voiding pressure study ..............
Urine voiding pressure study ..............
Intraabdominal pressure test ..............
Intraabdominal pressure test ..............
Intraabdominal pressure test ..............
Us urine capacity measure .................
Revision of bladder/urethra .................
Revision of urinary tract ......................
Attach bladder/urethra ........................
Attach bladder/urethra ........................
Repair bladder neck ............................
Repair of bladder wound ....................
Repair of bladder wound ....................
Repair of bladder opening ..................
Repair bladder/vagina lesion ..............
Close bladder-uterus fistula ................
Hysterectomy/bladder repair ...............
Correction of bladder defect ...............
Revision of bladder & bowel ...............
Construct bladder opening ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
10.92
10.08
15.29
13.58
13.77
17.10
23.03
23.50
27.31
34.00
35.14
39.41
36.15
41.12
44.01
42.61
0.88
0.64
1.05
0.88
0.50
0.50
1.47
1.03
1.50
3.73
1.50
1.51
0.00
1.51
1.71
0.00
1.71
0.61
0.00
0.61
1.14
0.00
1.14
1.61
0.00
1.61
1.53
0.00
1.53
1.53
0.00
1.53
1.10
0.00
1.10
1.53
0.00
1.53
0.80
0.00
0.80
0.00
18.74
19.41
11.28
13.60
10.07
12.49
15.69
7.81
14.48
13.26
17.35
30.48
25.20
12.44
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.23
NA
1.91
1.50
1.04
1.53
2.26
2.02
2.73
4.41
1.62
4.23
3.68
0.55
7.11
6.47
0.64
0.94
0.70
0.24
1.27
0.83
0.44
5.06
4.51
0.55
4.12
3.56
0.56
4.55
3.99
0.56
5.05
4.66
0.39
6.72
6.15
0.57
2.44
2.14
0.30
0.59
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.64
NA
2.10
1.55
1.31
1.81
2.50
2.15
3.03
4.16
1.68
4.91
4.39
0.52
7.31
6.71
0.60
0.76
0.54
0.22
1.03
0.62
0.41
5.32
4.77
0.55
4.05
3.52
0.53
4.50
3.97
0.53
5.52
5.12
0.40
7.00
6.47
0.53
4.11
3.70
0.41
0.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.76
6.31
8.47
7.38
7.38
8.71
11.36
12.12
13.49
16.45
17.59
19.26
17.25
19.58
21.20
20.19
0.33
0.43
0.71
0.34
0.24
0.33
0.80
0.85
1.18
1.73
0.74
NA
NA
0.55
NA
NA
0.64
NA
NA
0.24
NA
NA
0.44
NA
NA
0.55
NA
NA
0.56
NA
NA
0.56
NA
NA
0.39
NA
NA
0.57
NA
NA
0.30
NA
9.72
9.75
5.76
6.86
5.89
6.73
8.33
4.73
7.98
8.04
12.42
11.73
12.89
7.07
5.38
5.49
7.30
6.57
6.74
7.72
10.01
10.54
11.62
14.24
15.04
16.48
14.93
16.85
18.21
17.51
0.31
0.39
0.65
0.31
0.22
0.29
0.68
0.73
0.97
1.54
0.71
NA
NA
0.52
NA
NA
0.60
NA
NA
0.22
NA
NA
0.41
NA
NA
0.55
NA
NA
0.53
NA
NA
0.53
NA
NA
0.40
NA
NA
0.53
NA
NA
0.41
NA
8.64
9.02
5.66
6.62
5.31
6.25
7.50
4.34
7.02
6.84
10.51
11.91
11.27
6.22
1.03
0.69
0.99
1.05
1.23
1.31
1.70
1.63
1.72
2.17
2.25
2.49
2.28
2.60
2.78
2.82
0.06
0.04
0.07
0.06
0.04
0.04
0.10
0.07
0.11
0.29
0.14
0.16
0.04
0.12
0.18
0.05
0.13
0.06
0.01
0.05
0.11
0.02
0.09
0.20
0.05
0.15
0.16
0.04
0.12
0.15
0.04
0.11
0.20
0.13
0.07
0.22
0.10
0.12
0.17
0.05
0.12
0.08
1.32
1.75
1.06
1.24
0.79
1.16
1.23
0.72
1.21
1.18
2.04
2.15
1.63
0.86
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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15JAR2
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090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
000
000
000
000
010
010
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
ZZZ
ZZZ
ZZZ
XXX
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2629
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
51990
51992
51999
52000
52001
52005
52007
52010
52204
52214
52224
52234
52235
52240
52250
52260
52265
52270
52275
52276
52277
52281
52282
52283
52285
52290
52300
52301
52305
52310
52315
52317
52318
52320
52325
52327
52330
52332
52334
52341
52342
52343
52344
52345
52346
52351
52352
52353
52354
52355
52400
52402
52450
52500
52601
52606
52612
52614
52620
52630
52640
52647
52648
52649
52700
53000
53010
53020
53025
53040
53060
53080
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Laparo urethral suspension ................
Laparo sling operation ........................
Laparoscope proc, bla ........................
Cystoscopy ..........................................
Cystoscopy, removal of clots ..............
Cystoscopy & ureter catheter .............
Cystoscopy and biopsy .......................
Cystoscopy & duct catheter ................
Cystoscopy w/biopsy(s) ......................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and radiotracer ................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy & revise urethra ...............
Cystoscopy & revise urethra ...............
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy, implant stent ...................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Remove bladder stone ........................
Remove bladder stone ........................
Cystoscopy and treatment ..................
Cystoscopy, stone removal .................
Cystoscopy, inject material .................
Cystoscopy and treatment ..................
Cystoscopy and treatment ..................
Create passage to kidney ...................
Cysto w/ureter stricture tx ...................
Cysto w/up stricture tx ........................
Cysto w/renal stricture tx ....................
Cysto/uretero, stricture tx ....................
Cysto/uretero w/up stricture ................
Cystouretero w/renal strict ..................
Cystouretero & or pyeloscope ............
Cystouretero w/stone remove .............
Cystouretero w/lithotripsy ....................
Cystouretero w/biopsy ........................
Cystouretero w/excise tumor ..............
Cystouretero w/congen repr ...............
Cystourethro cut ejacul duct ...............
Incision of prostate ..............................
Revision of bladder neck ....................
Prostatectomy (TURP) ........................
Control postop bleeding ......................
Prostatectomy, first stage ...................
Prostatectomy, second stage .............
Remove residual prostate ...................
Remove prostate regrowth .................
Relieve bladder contracture ................
Laser surgery of prostate ....................
Laser surgery of prostate ....................
2Prostate laser enucleation ................
Drainage of prostate abscess .............
Incision of urethra ...............................
Incision of urethra ...............................
Incision of urethra ...............................
Incision of urethra ...............................
Drainage of urethra abscess ..............
Drainage of urethra abscess ..............
Drainage of urinary leakage ...............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
13.26
14.77
0.00
2.23
5.44
2.37
3.02
3.02
2.59
3.70
3.14
4.62
5.44
9.71
4.49
3.91
2.94
3.36
4.69
4.99
6.16
2.80
6.39
3.73
3.60
4.58
5.30
5.50
5.30
2.81
5.20
6.71
9.18
4.69
6.15
5.18
5.03
2.83
4.82
6.11
6.61
7.31
7.81
8.31
9.34
5.85
6.87
7.96
7.33
8.81
10.06
5.27
7.63
9.39
15.13
8.84
9.07
7.81
7.19
7.65
6.89
11.15
12.00
17.16
7.39
2.30
4.35
1.77
1.13
6.49
2.65
6.82
NA
NA
0.00
3.66
5.05
5.73
10.71
8.08
8.31
19.89
19.07
NA
NA
NA
NA
NA
7.49
7.02
9.30
NA
NA
5.29
NA
4.06
4.33
NA
NA
NA
NA
4.00
6.63
17.07
NA
NA
NA
2.04
20.41
12.42
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
41.95
42.49
NA
NA
NA
NA
NA
NA
NA
2.09
NA
NA
NA
0.00
3.48
5.06
5.65
13.58
9.42
11.41
29.01
27.77
NA
NA
NA
NA
NA
10.42
9.03
12.43
NA
NA
6.19
NA
4.00
4.17
NA
NA
NA
NA
4.35
7.65
23.01
NA
NA
NA
16.94
29.63
9.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
57.97
58.24
NA
NA
NA
NA
NA
NA
NA
2.09
NA
5.93
6.51
0.00
1.31
2.57
1.37
1.62
1.62
1.38
1.83
1.60
2.27
2.64
4.34
2.30
1.93
1.47
1.74
2.27
2.44
2.90
1.54
2.96
1.86
1.83
2.26
2.56
2.68
2.49
1.43
2.47
2.99
4.04
2.21
2.78
2.04
2.35
1.55
2.33
3.04
3.25
3.49
3.90
4.11
4.51
2.95
3.46
3.90
3.64
4.24
5.39
2.15
5.48
6.18
8.43
5.48
5.88
5.37
4.61
4.80
4.41
6.89
7.22
9.32
4.90
1.78
3.83
0.95
0.82
4.40
1.54
4.97
6.04
6.36
0.00
1.03
2.22
1.13
1.38
1.38
1.14
1.58
1.38
1.96
2.29
3.82
1.97
1.67
1.29
1.49
1.96
2.11
2.56
1.31
2.60
1.62
1.58
1.95
2.23
2.33
2.17
1.23
2.15
2.64
3.57
1.92
2.45
1.93
2.05
1.30
2.03
2.63
2.80
3.04
3.35
3.53
3.90
2.55
2.98
3.38
3.16
3.69
4.56
1.92
4.58
5.05
6.76
4.52
4.81
4.36
3.80
3.99
3.69
5.71
6.00
9.32
4.04
1.66
3.37
0.81
0.66
3.92
1.45
5.46
1.39
1.41
0.00
0.14
0.39
0.17
0.22
0.21
0.17
0.26
0.22
0.33
0.39
0.69
0.32
0.28
0.22
0.24
0.33
0.35
0.44
0.20
0.45
0.26
0.26
0.32
0.38
0.46
0.38
0.20
0.37
0.48
0.65
0.33
0.44
0.37
0.36
0.21
0.35
0.43
0.46
0.51
0.55
0.58
0.65
0.41
0.49
0.57
0.52
0.63
0.68
0.40
0.54
0.60
0.87
0.57
0.56
0.48
0.47
0.51
0.47
0.73
0.79
1.11
0.48
0.16
0.24
0.13
0.08
0.45
0.28
0.52
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00063
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
YYY
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
010
090
000
000
090
010
090
2630
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
53085
53200
53210
53215
53220
53230
53235
53240
53250
53260
53265
53270
53275
53400
53405
53410
53415
53420
53425
53430
53431
53440
53442
53444
53445
53446
53447
53448
53449
53450
53460
53500
53502
53505
53510
53515
53520
53600
53601
53605
53620
53621
53660
53661
53665
53850
53852
53853
53899
54000
54001
54015
54050
54055
54056
54057
54060
54065
54100
54105
54110
54111
54112
54115
54120
54125
54130
54135
54150
54160
54161
54162
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Drainage of urinary leakage ...............
Biopsy of urethra .................................
Removal of urethra .............................
Removal of urethra .............................
Treatment of urethra lesion ................
Removal of urethra lesion ...................
Removal of urethra lesion ...................
Surgery for urethra pouch ...................
Removal of urethra gland ...................
Treatment of urethra lesion ................
Treatment of urethra lesion ................
Removal of urethra gland ...................
Repair of urethra defect ......................
Revise urethra, stage 1 ......................
Revise urethra, stage 2 ......................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Reconstruct urethra, stage 1 ..............
Reconstruct urethra, stage 2 ..............
Reconstruction of urethra ...................
Reconstruct urethra/bladder ...............
Male sling procedure ..........................
Remove/revise male sling ...................
Insert tandem cuff ...............................
Insert uro/ves nck sphincter ................
Remove uro sphincter .........................
Remove/replace ur sphincter ..............
Remov/replc ur sphinctr comp ............
Repair uro sphincter ...........................
Revision of urethra ..............................
Revision of urethra ..............................
Urethrlys, transvag w/ scope ..............
Repair of urethra injury .......................
Repair of urethra injury .......................
Repair of urethra injury .......................
Repair of urethra injury .......................
Repair of urethra defect ......................
Dilate urethra stricture ........................
Dilate urethra stricture ........................
Dilate urethra stricture ........................
Dilate urethra stricture ........................
Dilate urethra stricture ........................
Dilation of urethra ...............................
Dilation of urethra ...............................
Dilation of urethra ...............................
Prostatic microwave thermotx .............
Prostatic rf thermotx ............................
Prostatic water thermother ..................
Urology surgery procedure .................
Slitting of prepuce ...............................
Slitting of prepuce ...............................
Drain penis lesion ...............................
Destruction, penis lesion(s) ................
Destruction, penis lesion(s) ................
Cryosurgery, penis lesion(s) ...............
Laser surg, penis lesion(s) .................
Excision of penis lesion(s) ..................
Destruction, penis lesion(s) ................
Biopsy of penis ...................................
Biopsy of penis ...................................
Treatment of penis lesion ...................
Treat penis lesion, graft ......................
Treat penis lesion, graft ......................
Treatment of penis lesion ...................
Partial removal of penis ......................
Removal of penis ................................
Remove penis & nodes ......................
Remove penis & nodes ......................
Circumcision w/regionl block ..............
Circumcision, neonate ........................
Circum 28 days or older .....................
Lysis penil circumic lesion ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
11.05
2.59
13.59
16.72
7.53
10.31
10.86
6.98
6.42
3.00
3.14
3.11
4.54
13.98
15.51
17.53
20.55
15.04
16.94
17.30
21.03
15.34
13.29
14.06
15.21
10.89
14.15
23.26
10.43
6.67
7.65
12.87
8.16
8.16
10.83
14.09
9.35
1.21
0.98
1.28
1.62
1.35
0.71
0.72
0.76
9.98
10.68
5.54
0.00
1.56
2.21
5.33
1.26
1.23
1.26
1.26
1.95
2.44
1.90
3.51
10.79
14.29
16.83
6.82
10.88
14.43
21.66
27.99
1.90
2.50
3.29
3.27
NA
1.70
NA
NA
NA
NA
NA
NA
NA
2.45
2.94
2.46
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.15
1.36
NA
1.70
1.81
1.32
1.29
NA
49.25
46.37
29.10
0.00
2.70
3.06
NA
2.10
1.97
2.37
2.63
3.09
3.30
3.35
3.98
NA
NA
NA
5.76
NA
NA
NA
NA
2.40
3.80
NA
4.01
NA
1.51
NA
NA
NA
NA
NA
NA
NA
2.35
2.82
2.33
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.14
1.32
NA
1.85
1.94
1.31
1.30
NA
71.68
67.60
42.24
0.00
2.80
3.12
NA
1.88
1.77
2.03
2.42
3.10
2.97
3.08
4.13
NA
NA
NA
5.07
NA
NA
NA
NA
3.13
3.97
NA
4.33
4.41
1.29
7.76
9.12
4.98
6.37
6.92
4.87
4.38
1.84
1.98
1.84
2.77
8.17
8.69
9.68
10.70
7.12
9.00
8.81
10.98
9.19
8.36
8.02
8.75
7.00
8.38
12.33
6.61
4.75
5.05
7.41
5.10
5.38
6.83
7.96
6.20
0.57
0.52
0.51
0.83
0.67
0.45
0.41
0.27
5.86
6.66
4.35
0.00
1.48
1.67
3.21
1.39
1.23
1.53
1.37
1.64
2.00
1.36
2.43
6.72
8.03
9.31
4.94
6.72
8.07
11.58
14.11
0.73
1.48
2.20
2.26
5.91
1.14
6.80
7.88
4.35
5.54
5.91
4.20
3.84
1.63
1.70
1.69
2.51
7.10
7.50
8.36
9.01
6.70
7.94
7.90
9.52
7.58
6.90
6.95
7.92
6.11
7.40
10.69
5.66
4.02
4.37
6.81
4.54
4.62
6.00
6.95
5.34
0.50
0.44
0.46
0.71
0.58
0.38
0.35
0.26
4.90
5.51
3.60
0.00
1.20
1.39
2.88
1.21
1.02
1.33
1.10
1.35
1.61
1.09
2.18
5.74
6.90
8.05
4.20
5.70
6.95
9.87
12.14
0.73
1.28
1.88
1.85
0.92
0.20
0.89
1.10
0.49
0.73
0.72
0.52
0.49
0.25
0.24
0.30
0.32
0.98
1.10
1.16
1.37
0.96
1.13
1.15
1.41
0.96
0.82
0.94
0.99
0.72
0.95
1.50
0.68
0.43
0.50
0.90
0.62
0.54
0.74
1.05
0.61
0.09
0.07
0.09
0.11
0.10
0.05
0.05
0.06
0.67
0.70
0.37
0.00
0.11
0.15
0.38
0.08
0.08
0.06
0.09
0.13
0.13
0.10
0.25
0.72
0.96
1.11
0.43
0.68
0.95
1.52
1.88
0.16
0.19
0.23
0.21
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00064
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
000
090
090
090
090
090
090
090
010
010
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
000
000
000
000
000
090
090
090
YYY
010
010
010
010
010
010
010
010
010
000
010
090
090
090
090
090
090
090
090
000
010
010
010
2631
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
54163
54164
54200
54205
54220
54230
54231
54235
54240
54240
54240
54250
54250
54250
54300
54304
54308
54312
54316
54318
54322
54324
54326
54328
54332
54336
54340
54344
54348
54352
54360
54380
54385
54390
54400
54401
54405
54406
54408
54410
54411
54415
54416
54417
54420
54430
54435
54440
54450
54500
54505
54512
54520
54522
54530
54535
54550
54560
54600
54620
54640
54650
54660
54670
54680
54690
54692
54699
54700
54800
54830
54840
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Repair of circumcision ........................
Frenulotomy of penis ..........................
Treatment of penis lesion ...................
Treatment of penis lesion ...................
Treatment of penis lesion ...................
Prepare penis study ............................
Dynamic cavernosometry ...................
Penile injection ....................................
Penis study .........................................
Penis study .........................................
Penis study .........................................
Penis study .........................................
Penis study .........................................
Penis study .........................................
Revision of penis ................................
Revision of penis ................................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Reconstruction of urethra ...................
Revise penis/urethra ...........................
Revise penis/urethra ...........................
Revise penis/urethra ...........................
Secondary urethral surgery ................
Secondary urethral surgery ................
Secondary urethral surgery ................
Reconstruct urethra/penis ...................
Penis plastic surgery ...........................
Repair penis ........................................
Repair penis ........................................
Repair penis and bladder ...................
Insert semi-rigid prosthesis .................
Insert self-contd prosthesis .................
Insert multi-comp penis pros ..............
Remove muti-comp penis pros ...........
Repair multi-comp penis pros .............
Remove/replace penis prosth .............
Remov/replc penis pros, comp ...........
Remove self-contd penis pros ............
Remv/repl penis contain pros .............
Remv/replc penis pros, compl ............
Revision of penis ................................
Revision of penis ................................
Revision of penis ................................
Repair of penis ....................................
Preputial stretching .............................
Biopsy of testis ....................................
Biopsy of testis ....................................
Excise lesion testis .............................
Removal of testis ................................
Orchiectomy, partial ............................
Removal of testis ................................
Extensive testis surgery ......................
Exploration for testis ...........................
Exploration for testis ...........................
Reduce testis torsion ..........................
Suspension of testis ............................
Suspension of testis ............................
Orchiopexy (Fowler-Stephens) ...........
Revision of testis .................................
Repair testis injury ..............................
Relocation of testis(es) .......................
Laparoscopy, orchiectomy ..................
Laparoscopy, orchiopexy ....................
Laparoscope proc, testis .....................
Drainage of scrotum ...........................
Biopsy of epididymis ...........................
Remove epididymis lesion ..................
Remove epididymis lesion ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.27
2.77
1.08
8.84
2.42
1.34
2.04
1.19
1.31
0.00
1.31
2.22
0.00
2.22
11.07
13.15
12.49
14.36
17.90
12.28
13.85
17.40
16.87
16.74
18.22
21.44
9.58
16.91
18.17
25.95
12.65
14.03
16.38
22.59
9.09
10.26
14.39
12.76
13.73
16.48
18.14
8.75
11.87
15.94
12.26
10.93
6.71
0.00
1.12
1.31
3.47
9.23
5.25
10.15
9.31
13.06
8.31
11.97
7.54
5.16
7.57
12.24
5.64
6.57
13.91
11.60
13.64
0.00
3.44
2.33
5.91
5.22
NA
NA
2.02
NA
3.32
1.40
1.97
1.39
1.51
1.03
0.48
1.22
0.37
0.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.85
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
1.91
NA
3.58
1.24
1.67
1.17
1.26
0.81
0.45
1.06
0.28
0.78
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.90
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
2.85
2.66
1.30
6.06
1.35
0.91
1.24
0.89
NA
NA
0.48
NA
NA
0.85
6.70
7.80
4.76
8.87
9.94
4.83
7.94
9.75
9.16
9.48
10.07
7.31
6.36
9.54
10.13
14.00
7.45
8.04
11.31
7.42
5.75
8.15
8.12
7.60
8.25
9.35
10.41
6.00
7.90
9.10
7.39
6.97
4.99
0.00
0.48
0.76
2.44
5.67
3.72
5.59
6.06
6.91
5.21
6.87
5.11
3.22
5.35
5.66
4.35
4.79
7.70
5.59
7.56
0.00
2.37
1.22
4.43
3.80
2.43
2.25
1.14
5.37
1.15
0.77
1.06
0.73
NA
NA
0.45
NA
NA
0.78
6.14
7.06
5.36
7.93
8.94
5.31
7.20
8.85
8.47
8.36
8.90
8.80
5.70
8.64
9.23
12.59
6.74
7.32
9.78
8.42
5.05
6.94
7.02
6.51
6.99
7.98
8.72
5.10
6.64
7.63
6.48
6.03
4.30
0.00
0.46
0.66
2.18
4.90
3.25
5.22
5.15
6.22
4.51
6.01
4.33
2.83
4.54
5.53
3.67
4.16
6.92
5.26
6.49
0.00
2.16
1.06
3.72
3.29
0.21
0.18
0.08
0.56
0.17
0.09
0.16
0.08
0.17
0.06
0.11
0.18
0.02
0.16
0.76
0.88
0.84
1.24
1.21
1.39
0.92
1.14
1.11
0.98
1.21
2.21
0.63
1.54
1.23
2.25
0.84
0.93
0.86
1.54
0.64
0.73
0.95
0.86
0.90
1.10
1.13
0.58
0.77
1.00
0.81
0.72
0.43
0.00
0.08
0.10
0.27
0.67
0.50
0.89
0.66
0.95
0.59
0.90
0.51
0.37
0.62
1.16
0.44
0.47
1.16
1.02
1.30
0.00
0.28
0.23
0.41
0.37
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00065
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
010
010
090
000
000
000
000
000
000
000
000
000
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
010
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
YYY
010
000
090
090
2632
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
54860
54861
54865
54900
54901
55000
55040
55041
55060
55100
55110
55120
55150
55175
55180
55200
55250
55300
55400
55450
55500
55520
55530
55535
55540
55550
55559
55600
55605
55650
55680
55700
55705
55720
55725
55801
55810
55812
55815
55821
55831
55840
55842
55845
55860
55862
55865
55866
55870
55873
55875
55876
55899
55920
55970
55980
56405
56420
56440
56441
56442
56501
56515
56605
56606
56620
56625
56630
56631
56632
56633
56634
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
N
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of epididymis ........................
Removal of epididymis ........................
Explore epididymis ..............................
Fusion of spermatic ducts ...................
Fusion of spermatic ducts ...................
Drainage of hydrocele .........................
Removal of hydrocele .........................
Removal of hydroceles .......................
Repair of hydrocele .............................
Drainage of scrotum abscess .............
Explore scrotum ..................................
Removal of scrotum lesion .................
Removal of scrotum ............................
Revision of scrotum ............................
Revision of scrotum ............................
Incision of sperm duct .........................
Removal of sperm duct(s) ..................
Prepare, sperm duct x-ray ..................
Repair of sperm duct ..........................
Ligation of sperm duct ........................
Removal of hydrocele .........................
Removal of sperm cord lesion ............
Revise spermatic cord veins ...............
Revise spermatic cord veins ...............
Revise hernia & sperm veins ..............
Laparo ligate spermatic vein ...............
Laparo proc, spermatic cord ...............
Incise sperm duct pouch .....................
Incise sperm duct pouch .....................
Remove sperm duct pouch .................
Remove sperm pouch lesion ..............
Biopsy of prostate ...............................
Biopsy of prostate ...............................
Drainage of prostate abscess .............
Drainage of prostate abscess .............
Removal of prostate ............................
Extensive prostate surgery .................
Extensive prostate surgery .................
Extensive prostate surgery .................
Removal of prostate ............................
Removal of prostate ............................
Extensive prostate surgery .................
Extensive prostate surgery .................
Extensive prostate surgery .................
Surgical exposure, prostate ................
Extensive prostate surgery .................
Extensive prostate surgery .................
Laparo radical prostatectomy .............
Electroejaculation ................................
Cryoablate prostate .............................
Transperi needle place, pros ..............
Place rt device/marker, pros ...............
Genital surgery procedure ..................
Place needles pelvic for rt ..................
Sex transformation, M to F .................
Sex transformation, F to M .................
I & D of vulva/perineum ......................
Drainage of gland abscess .................
Surgery for vulva lesion ......................
Lysis of labial lesion(s) .......................
Hymenotomy .......................................
Destroy, vulva lesions, sim .................
Destroy vulva lesion/s compl ..............
Biopsy of vulva/perineum ....................
Biopsy of vulva/perineum ....................
Partial removal of vulva ......................
Complete removal of vulva .................
Extensive vulva surgery ......................
Extensive vulva surgery ......................
Extensive vulva surgery ......................
Extensive vulva surgery ......................
Extensive vulva surgery ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
6.85
9.57
5.67
14.05
18.92
1.43
5.39
8.41
6.05
2.40
6.23
5.62
8.01
5.77
11.63
4.50
3.32
3.50
8.53
4.38
6.12
6.56
5.69
7.09
8.20
7.10
0.00
6.91
8.63
12.52
5.59
2.58
4.58
7.67
9.90
19.62
24.14
29.69
32.75
15.63
17.06
24.45
26.31
30.52
15.71
19.89
24.39
32.25
2.58
20.25
13.31
1.73
0.00
8.31
0.00
0.00
1.46
1.41
2.86
1.99
0.68
1.55
3.03
1.10
0.55
8.44
9.55
14.67
18.81
21.61
19.47
20.48
NA
NA
NA
NA
NA
1.85
NA
NA
NA
3.49
NA
NA
NA
NA
NA
8.01
7.83
NA
NA
5.46
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
3.71
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.49
NA
NA
2.07
0.00
NA
0.00
0.00
1.18
1.52
NA
1.71
NA
1.63
2.40
0.93
0.36
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.96
NA
NA
NA
3.58
NA
NA
NA
NA
NA
10.17
9.65
NA
NA
6.23
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
3.95
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.01
NA
NA
2.07
0.00
NA
0.00
0.00
1.25
1.90
NA
1.76
NA
1.71
2.47
1.00
0.43
NA
NA
NA
NA
NA
NA
NA
4.87
6.25
4.26
5.24
10.51
0.91
3.96
5.68
4.45
2.11
4.48
4.21
5.45
4.34
7.27
3.30
3.06
1.75
5.41
2.57
4.20
3.82
4.09
4.83
4.25
4.55
0.00
4.90
4.63
7.40
3.93
1.32
2.85
4.89
6.28
10.34
12.34
14.21
16.20
8.67
9.24
12.69
13.48
14.86
8.54
10.70
12.41
15.96
1.45
11.29
7.84
1.05
0.00
3.14
0.00
0.00
1.16
0.78
1.56
1.56
0.52
1.21
1.74
0.34
0.15
4.40
4.81
6.28
7.79
9.30
7.80
8.19
4.09
5.28
3.60
5.52
9.01
0.78
3.42
4.82
3.76
1.83
3.80
3.58
4.64
3.67
6.32
2.84
2.64
1.53
4.73
2.22
3.64
3.53
3.55
4.11
4.02
3.92
0.00
4.11
4.45
6.33
3.45
0.98
2.57
4.35
5.38
8.97
10.64
12.59
14.03
7.43
7.94
10.98
11.65
12.89
7.47
9.27
10.83
13.83
1.27
10.11
6.84
1.05
0.00
3.14
0.00
0.00
1.15
0.91
1.63
1.48
0.51
1.23
1.78
0.40
0.19
4.59
5.06
6.56
8.30
9.41
8.20
8.81
0.45
0.63
0.40
0.93
1.83
0.11
0.43
0.60
0.46
0.17
0.43
0.39
0.56
0.37
0.90
0.33
0.25
0.25
0.64
0.29
0.55
0.75
0.45
0.47
0.94
0.57
0.00
0.62
0.64
0.92
0.47
0.11
0.32
0.95
0.70
1.34
1.60
2.05
2.17
1.01
1.10
1.61
1.73
2.03
1.02
1.49
1.63
2.17
0.16
1.38
0.89
0.28
0.00
0.58
0.00
0.00
0.17
0.16
0.34
0.20
0.08
0.18
0.33
0.13
0.07
0.90
1.02
1.49
1.96
2.39
1.98
2.17
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00066
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
000
090
090
090
010
090
090
090
090
090
090
090
000
090
010
090
090
090
090
090
090
YYY
090
090
090
090
000
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
090
090
000
YYY
000
XXX
XXX
010
010
010
010
000
010
010
000
ZZZ
090
090
090
090
090
090
090
2633
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
56637
56640
56700
56740
56800
56805
56810
56820
56821
57000
57010
57020
57022
57023
57061
57065
57100
57105
57106
57107
57109
57110
57111
57112
57120
57130
57135
57150
57155
57160
57170
57180
57200
57210
57220
57230
57240
57250
57260
57265
57267
57268
57270
57280
57282
57283
57284
57285
57287
57288
57289
57291
57292
57295
57296
57300
57305
57307
57308
57310
57311
57320
57330
57335
57400
57410
57415
57420
57421
57423
57425
57452
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Extensive vulva surgery ......................
Extensive vulva surgery ......................
Partial removal of hymen ....................
Remove vagina gland lesion ..............
Repair of vagina ..................................
Repair clitoris ......................................
Repair of perineum .............................
Exam of vulva w/scope .......................
Exam/biopsy of vulva w/scope ...........
Exploration of vagina ..........................
Drainage of pelvic abscess .................
Drainage of pelvic fluid .......................
I & d vaginal hematoma, pp ...............
I & d vag hematoma, non-ob ..............
Destroy vag lesions, simple ................
Destroy vag lesions, complex .............
Biopsy of vagina .................................
Biopsy of vagina .................................
Remove vagina wall, partial ................
Remove vagina tissue, part ................
Vaginectomy partial w/nodes ..............
Remove vagina wall, complete ...........
Remove vagina tissue, compl .............
Vaginectomy w/nodes, compl .............
Closure of vagina ................................
Remove vagina lesion ........................
Remove vagina lesion ........................
Treat vagina infection .........................
Insert uteri tandems/ovoids .................
Insert pessary/other device .................
Fitting of diaphragm/cap .....................
Treat vaginal bleeding ........................
Repair of vagina ..................................
Repair vagina/perineum ......................
Revision of urethra ..............................
Repair of urethral lesion .....................
Repair bladder & vagina .....................
Repair rectum & vagina ......................
Repair of vagina ..................................
Extensive repair of vagina ..................
Insert mesh/pelvic flr addon ................
Repair of bowel bulge .........................
Repair of bowel pouch ........................
Suspension of vagina .........................
Colpopexy, extraperitoneal .................
Colpopexy, intraperitoneal ..................
Repair paravag defect, open ..............
Repair paravag defect, vag ................
Revise/remove sling repair .................
Repair bladder defect .........................
Repair bladder & vagina .....................
Construction of vagina ........................
Construct vagina with graft .................
Revise vag graft via vagina ................
Revise vag graft, open abd ................
Repair rectum-vagina fistula ...............
Repair rectum-vagina fistula ...............
Fistula repair & colostomy ..................
Fistula repair, transperine ...................
Repair urethrovaginal lesion ...............
Repair urethrovaginal lesion ...............
Repair bladder-vagina lesion ..............
Repair bladder-vagina lesion ..............
Repair vagina ......................................
Dilation of vagina ................................
Pelvic examination ..............................
Remove vaginal foreign body .............
Exam of vagina w/scope .....................
Exam/biopsy of vag w/scope ..............
Repair paravag defect, lap .................
Laparoscopy, surg, colpopexy ............
Exam of cervix w/scope ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
24.57
24.65
2.79
4.83
3.90
19.75
4.26
1.50
2.05
2.99
6.74
1.50
2.70
5.13
1.27
2.63
1.20
1.71
7.35
24.43
28.25
15.38
28.25
30.37
8.18
2.44
2.68
0.55
6.79
0.89
0.91
1.60
4.34
5.63
4.77
6.22
11.42
11.42
14.36
15.86
4.88
7.47
13.57
16.62
7.84
11.58
14.25
11.52
11.49
14.01
12.69
8.54
13.91
7.74
16.46
8.58
15.24
17.02
10.48
7.55
8.81
8.78
13.11
19.87
2.27
1.75
2.44
1.60
2.20
16.00
16.93
1.50
NA
NA
NA
NA
NA
NA
NA
1.19
1.53
NA
NA
0.77
NA
NA
1.52
2.03
0.95
1.59
NA
NA
NA
NA
NA
NA
NA
1.96
2.03
0.58
NA
1.04
0.57
1.86
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.23
1.59
NA
NA
1.18
NA
NA
NA
NA
NA
NA
NA
1.25
1.65
NA
NA
0.86
NA
NA
1.59
2.16
1.02
1.69
NA
NA
NA
NA
NA
NA
NA
2.06
2.15
0.84
NA
1.03
1.02
2.01
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.29
1.72
NA
NA
1.23
9.31
8.84
1.77
2.33
1.96
7.69
2.04
0.53
0.68
1.75
3.80
0.45
1.43
2.37
1.12
1.49
0.37
1.33
4.27
9.06
10.26
6.19
10.43
10.62
4.20
1.47
1.53
0.15
3.49
0.25
0.25
0.93
2.99
3.27
3.01
3.64
5.49
5.04
5.86
6.33
1.50
4.34
5.84
6.97
4.50
5.12
5.99
5.16
6.35
7.02
6.71
4.90
5.91
4.09
6.67
4.44
6.20
6.91
4.96
5.02
5.51
5.28
7.20
7.83
1.00
0.91
1.49
0.56
0.72
6.52
6.91
0.74
10.19
9.73
1.80
2.45
2.08
8.55
2.17
0.59
0.80
1.73
3.80
0.52
1.46
2.47
1.12
1.58
0.42
1.37
4.23
9.76
10.75
6.73
11.53
11.36
4.40
1.50
1.59
0.18
4.03
0.30
0.29
1.09
2.94
3.35
3.06
3.52
4.65
4.31
5.34
6.18
1.74
4.26
6.04
7.17
4.50
5.52
6.57
5.16
5.92
6.46
6.37
4.91
6.42
4.26
6.67
4.36
6.23
6.95
5.03
4.43
4.81
4.82
6.46
8.43
1.05
0.90
1.46
0.61
0.84
6.52
6.77
0.75
2.61
2.89
0.30
0.56
0.44
2.15
0.49
0.18
0.25
0.31
0.71
0.18
0.26
0.58
0.15
0.31
0.14
0.20
0.73
2.72
3.22
1.74
3.18
3.08
0.89
0.29
0.31
0.07
0.43
0.10
0.11
0.19
0.46
0.62
0.51
0.54
0.62
0.65
0.97
1.32
0.64
0.79
1.42
1.68
1.02
1.02
1.41
0.63
0.90
1.12
1.21
0.93
1.58
0.91
1.68
0.87
1.73
2.02
1.14
0.54
0.65
0.69
1.06
1.92
0.26
0.18
0.24
0.19
0.27
1.65
1.76
0.18
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00067
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
010
010
010
090
010
000
000
010
090
000
010
010
010
010
000
010
090
090
090
090
090
090
090
010
010
000
090
000
000
010
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
010
000
000
090
090
000
2634
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
57454
57455
57456
57460
57461
57500
57505
57510
57511
57513
57520
57522
57530
57531
57540
57545
57550
57555
57556
57558
57700
57720
57800
58100
58110
58120
58140
58145
58146
58150
58152
58180
58200
58210
58240
58260
58262
58263
58267
58270
58275
58280
58285
58290
58291
58292
58293
58294
58300
58301
58321
58322
58323
58340
58345
58346
58350
58353
58356
58400
58410
58520
58540
58541
58542
58543
58544
58545
58546
58548
58550
58552
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Bx/curett of cervix w/scope .................
Biopsy of cervix w/scope ....................
Endocerv curettage w/scope ..............
Bx of cervix w/scope, leep ..................
Conz of cervix w/scope, leep ..............
Biopsy of cervix ...................................
Endocervical curettage .......................
Cauterization of cervix ........................
Cryocautery of cervix ..........................
Laser surgery of cervix .......................
Conization of cervix ............................
Conization of cervix ............................
Removal of cervix ...............................
Removal of cervix, radical ..................
Removal of residual cervix .................
Remove cervix/repair pelvis ................
Removal of residual cervix .................
Remove cervix/repair vagina ..............
Remove cervix, repair bowel ..............
D&c of cervical stump .........................
Revision of cervix ................................
Revision of cervix ................................
Dilation of cervical canal .....................
Biopsy of uterus lining ........................
Bx done w/colposcopy add-on ............
Dilation and curettage .........................
Myomectomy abdom method .............
Myomectomy vag method ...................
Myomectomy abdom complex ............
Total hysterectomy ..............................
Total hysterectomy ..............................
Partial hysterectomy ...........................
Extensive hysterectomy ......................
Extensive hysterectomy ......................
Removal of pelvis contents .................
Vaginal hysterectomy ..........................
Vag hyst including t/o .........................
Vag hyst w/t/o & vag repair ................
Vag hyst w/urinary repair ....................
Vag hyst w/enterocele repair ..............
Hysterectomy/revise vagina ................
Hysterectomy/revise vagina ................
Extensive hysterectomy ......................
Vag hyst complex ...............................
Vag hyst incl t/o, complex ...................
Vag hyst t/o & repair, compl ...............
Vag hyst w/uro repair, compl ..............
Vag hyst w/enterocele, compl .............
Insert intrauterine device ....................
Remove intrauterine device ................
Artificial insemination ..........................
Artificial insemination ..........................
Sperm washing ...................................
Catheter for hysterography .................
Reopen fallopian tube .........................
Insert heyman uteri capsule ...............
Reopen fallopian tube .........................
Endometr ablate, thermal ...................
Endometrial cryoablation ....................
Suspension of uterus ..........................
Suspension of uterus ..........................
Repair of ruptured uterus ....................
Revision of uterus ...............................
Lsh, uterus 250 g or less ....................
Lsh w/t/o ut 250 g or less ...................
Lsh uterus above 250 g ......................
Lsh w/t/o uterus above 250 g .............
Laparoscopic myomectomy ................
Laparo-myomectomy, complex ...........
Lap radical hyst ...................................
Laparo-asst vag hysterectomy ............
Laparo-vag hyst incl t/o ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.33
1.99
1.85
2.83
3.43
1.20
1.16
1.90
1.92
1.92
4.06
3.62
5.19
29.77
13.19
14.00
6.24
9.84
9.26
1.69
4.22
4.53
0.77
1.53
0.77
3.54
15.69
8.81
20.24
17.21
21.73
16.50
23.00
30.76
49.02
14.02
15.81
17.10
18.23
15.20
16.90
18.20
23.30
20.17
21.96
23.25
24.23
21.45
1.01
1.27
0.92
1.10
0.23
0.88
4.67
7.48
1.03
3.57
6.36
7.06
13.70
13.38
15.61
14.57
16.43
16.74
18.24
15.45
19.84
31.45
14.97
16.78
1.39
1.50
1.46
4.28
4.57
2.02
1.33
1.30
1.60
1.57
3.38
2.77
NA
NA
NA
NA
NA
NA
NA
1.35
NA
NA
0.72
1.14
0.40
2.70
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.63
1.05
0.94
1.03
0.16
2.15
NA
NA
1.35
22.84
43.38
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.52
1.61
1.55
5.06
5.34
2.28
1.39
1.43
1.71
1.64
3.66
2.96
NA
NA
NA
NA
NA
NA
NA
1.41
NA
NA
0.74
1.23
0.47
2.50
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.03
1.18
1.04
1.12
0.34
2.66
NA
NA
1.42
29.26
52.43
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.95
0.66
0.62
1.09
1.05
0.64
1.07
0.90
1.27
1.28
2.51
2.25
3.10
10.86
5.44
5.72
3.61
4.75
4.61
1.05
3.28
2.94
0.41
0.58
0.21
1.66
6.18
4.23
7.34
6.56
8.03
6.33
8.15
10.72
17.64
5.79
6.23
6.64
6.97
5.93
6.61
6.96
7.94
7.35
7.82
8.21
8.52
7.51
0.23
0.34
0.23
0.31
0.07
0.56
2.11
3.74
0.88
1.71
1.85
3.86
5.55
5.49
6.15
6.13
6.64
6.71
7.11
5.87
7.05
12.47
6.13
6.56
1.05
0.76
0.72
1.23
1.26
0.64
1.08
0.97
1.32
1.34
2.69
2.35
3.24
12.02
5.84
6.20
3.72
4.92
4.73
1.09
3.19
3.02
0.44
0.65
0.26
1.77
6.64
4.51
8.18
7.02
8.95
6.89
9.07
11.96
17.63
6.24
6.81
7.26
7.67
6.50
7.19
7.60
8.94
8.24
8.85
9.29
9.59
8.53
0.31
0.41
0.30
0.36
0.08
0.61
2.27
3.83
0.90
1.88
2.27
3.90
5.99
5.76
6.55
6.13
6.64
6.71
7.11
6.52
7.99
12.47
6.71
7.29
0.28
0.24
0.22
0.34
0.41
0.12
0.14
0.23
0.23
0.23
0.49
0.41
0.58
3.35
1.49
1.52
0.67
1.09
0.92
0.20
0.41
0.49
0.09
0.18
0.09
0.39
1.82
0.97
2.33
1.85
2.48
1.64
2.55
3.38
4.23
1.57
1.80
1.95
2.07
1.74
1.92
2.07
2.71
2.30
2.53
2.68
2.79
2.40
0.12
0.15
0.10
0.13
0.03
0.09
0.41
0.56
0.12
0.43
0.82
0.75
1.45
1.47
1.79
1.68
1.69
1.73
1.89
1.78
2.31
3.52
1.73
1.73
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00068
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
000
000
000
000
000
000
010
010
010
010
090
090
090
090
090
090
090
090
090
010
090
090
000
000
ZZZ
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
XXX
000
000
000
000
000
010
090
010
010
010
090
090
090
090
090
090
090
090
090
090
090
090
090
2635
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
58553
58554
58555
58558
58559
58560
58561
58562
58563
58565
58570
58571
58572
58573
58578
58579
58600
58605
58611
58615
58660
58661
58662
58670
58671
58672
58673
58679
58700
58720
58740
58750
58752
58760
58770
58800
58805
58820
58822
58823
58825
58900
58920
58925
58940
58943
58950
58951
58952
58953
58954
58956
58957
58958
58960
58970
58974
58976
58999
59000
59001
59012
59015
59020
59020
59020
59025
59025
59025
59030
59050
59051
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Laparo-vag hyst, complex ...................
Laparo-vag hyst w/t/o, compl ..............
Hysteroscopy, dx, sep proc ................
Hysteroscopy, biopsy ..........................
Hysteroscopy, lysis .............................
Hysteroscopy, resect septum .............
Hysteroscopy, remove myoma ...........
Hysteroscopy, remove fb ....................
Hysteroscopy, ablation ........................
Hysteroscopy, sterilization ..................
Tlh, uterus 250 g or less .....................
Tlh w/t/o 250 g or less ........................
Tlh, uterus over 250 g ........................
Tlh w/t/o uterus over 250 g .................
Laparo proc, uterus .............................
Hysteroscope procedure .....................
Division of fallopian tube .....................
Division of fallopian tube .....................
Ligate oviduct(s) add-on .....................
Occlude fallopian tube(s) ....................
Laparoscopy, lysis ..............................
Laparoscopy, remove adnexa ............
Laparoscopy, excise lesions ...............
Laparoscopy, tubal cautery .................
Laparoscopy, tubal block ....................
Laparoscopy, fimbrioplasty .................
Laparoscopy, salpingostomy ..............
Laparo proc, oviduct-ovary .................
Removal of fallopian tube ...................
Removal of ovary/tube(s) ....................
Revise fallopian tube(s) ......................
Repair oviduct .....................................
Revise ovarian tube(s) ........................
Remove tubal obstruction ...................
Create new tubal opening ...................
Drainage of ovarian cyst(s) .................
Drainage of ovarian cyst(s) .................
Drain ovary abscess, open .................
Drain ovary abscess, percut ...............
Drain pelvic abscess, percut ...............
Transposition, ovary(s) .......................
Biopsy of ovary(s) ...............................
Partial removal of ovary(s) ..................
Removal of ovarian cyst(s) .................
Removal of ovary(s) ............................
Removal of ovary(s) ............................
Resect ovarian malignancy .................
Resect ovarian malignancy .................
Resect ovarian malignancy .................
Tah, rad dissect for debulk .................
Tah rad debulk/lymph remove ............
Bso, omentectomy w/tah ....................
Resect recurrent gyn mal ...................
Resect recur gyn mal w/lym ...............
Exploration of abdomen ......................
Retrieval of oocyte ..............................
Transfer of embryo .............................
Transfer of embryo .............................
Genital surgery procedure ..................
Amniocentesis, diagnostic ..................
Amniocentesis, therapeutic .................
Fetal cord puncture,prenatal ...............
Chorion biopsy ....................................
Fetal contract stress test ....................
Fetal contract stress test ....................
Fetal contract stress test ....................
Fetal non-stress test ...........................
Fetal non-stress test ...........................
Fetal non-stress test ...........................
Fetal scalp blood sample ....................
Fetal monitor w/report .........................
Fetal monitor/interpret only .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
19.96
22.98
3.33
4.74
6.16
6.99
9.99
5.20
6.16
7.06
15.75
17.56
19.96
22.98
0.00
0.00
5.86
5.25
1.45
3.91
11.54
11.30
12.08
5.86
5.86
12.88
13.99
0.00
12.84
12.08
14.79
15.56
15.56
13.85
14.69
4.54
6.34
4.62
11.71
3.37
11.70
6.51
11.87
12.33
8.12
19.42
18.24
24.15
27.15
33.97
36.97
22.65
26.06
29.06
15.68
3.52
0.00
3.82
0.00
1.30
3.00
3.44
2.20
0.66
0.00
0.66
0.53
0.00
0.53
1.99
0.89
0.74
NA
NA
2.76
3.62
NA
NA
NA
3.53
37.26
41.99
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
3.21
NA
NA
NA
20.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.85
0.00
1.94
0.00
1.75
NA
NA
1.42
1.07
0.89
0.18
0.63
0.48
0.15
NA
NA
NA
NA
NA
2.48
2.90
NA
NA
NA
2.94
46.74
45.79
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
3.43
NA
NA
NA
20.67
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.08
0.00
2.31
0.00
1.91
NA
NA
1.48
0.92
0.70
0.22
0.54
0.36
0.18
NA
NA
NA
7.09
8.24
1.23
1.65
2.04
2.32
3.11
1.75
2.04
3.37
6.46
6.95
7.60
8.42
0.00
0.00
2.92
2.71
0.40
2.04
4.49
3.99
4.76
2.95
2.94
4.78
5.13
0.00
5.49
5.09
6.05
6.05
5.99
5.59
5.75
2.69
3.51
2.90
5.16
1.16
4.84
3.55
5.05
5.25
4.04
7.18
7.25
8.60
9.82
11.63
12.52
8.59
9.57
10.36
6.25
1.28
0.00
1.20
0.00
0.55
1.07
1.13
0.79
NA
NA
0.18
NA
NA
0.15
0.46
0.27
0.20
8.00
9.32
1.39
1.91
2.39
2.70
3.70
2.05
2.40
3.64
6.46
6.95
7.60
8.42
0.00
0.00
3.13
2.91
0.48
2.37
4.88
4.55
5.27
3.11
3.11
5.48
5.85
0.00
5.74
5.43
6.59
6.71
6.47
6.15
6.33
2.80
3.50
3.10
5.19
1.14
5.32
3.56
5.31
5.47
4.07
7.91
7.82
9.52
10.79
13.09
14.12
9.45
9.57
10.36
6.80
1.38
0.00
1.51
0.00
0.61
1.24
1.34
0.92
NA
NA
0.22
NA
NA
0.18
0.61
0.31
0.25
2.31
2.28
0.40
0.57
0.74
0.84
1.21
0.63
0.74
1.19
1.82
1.81
2.31
2.28
0.00
0.00
0.66
0.59
0.18
0.47
1.40
1.34
1.43
0.67
0.68
1.60
1.70
0.00
1.51
1.39
1.72
1.85
1.81
1.80
1.74
0.43
0.69
0.52
1.16
0.24
1.32
0.69
1.43
1.41
0.91
2.23
2.05
2.64
3.03
3.84
4.18
4.01
2.95
3.29
1.80
0.43
0.00
0.47
0.00
0.31
0.71
0.82
0.52
0.26
0.10
0.16
0.15
0.02
0.13
0.47
0.21
0.17
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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15JAR2
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090
090
000
000
000
000
000
000
000
090
090
090
090
090
YYY
YYY
090
090
ZZZ
010
090
010
090
090
090
090
090
YYY
090
090
090
090
090
090
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
YYY
000
000
000
000
000
000
000
000
000
000
000
XXX
XXX
2636
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
59070
59072
59074
59076
59100
59120
59121
59130
59135
59136
59140
59150
59151
59160
59200
59300
59320
59325
59350
59400
59409
59410
59412
59414
59425
59426
59430
59510
59514
59515
59525
59610
59612
59614
59618
59620
59622
59812
59820
59821
59830
59840
59841
59850
59851
59852
59855
59856
59857
59866
59870
59871
59897
59898
59899
60000
60100
60200
60210
60212
60220
60225
60240
60252
60254
60260
60270
60271
60280
60281
60300
60500
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
R
R
R
R
R
R
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Transabdom amnioinfus w/us .............
Umbilical cord occlud w/us .................
Fetal fluid drainage w/us .....................
Fetal shunt placement, w/us ...............
Remove uterus lesion .........................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
Treat ectopic pregnancy .....................
D & c after delivery .............................
Insert cervical dilator ...........................
Episiotomy or vaginal repair ...............
Revision of cervix ................................
Revision of cervix ................................
Repair of uterus ..................................
Obstetrical care ...................................
Obstetrical care ...................................
Obstetrical care ...................................
Antepartum manipulation ....................
Deliver placenta ..................................
Antepartum care only ..........................
Antepartum care only ..........................
Care after delivery ..............................
Cesarean delivery ...............................
Cesarean delivery only .......................
Cesarean delivery ...............................
Remove uterus after cesarean ...........
Vbac delivery ......................................
Vbac delivery only ...............................
Vbac care after delivery ......................
Attempted vbac delivery .....................
Attempted vbac delivery only ..............
Attempted vbac after care ..................
Treatment of miscarriage ....................
Care of miscarriage ............................
Treatment of miscarriage ....................
Treat uterus infection ..........................
Abortion ...............................................
Abortion ...............................................
Abortion ...............................................
Abortion ...............................................
Abortion ...............................................
Abortion ...............................................
Abortion ...............................................
Abortion ...............................................
Abortion (mpr) .....................................
Evacuate mole of uterus .....................
Remove cerclage suture .....................
Fetal invas px w/us .............................
Laparo proc, ob care/deliver ...............
Maternity care procedure ....................
Drain thyroid/tongue cyst ....................
Biopsy of thyroid .................................
Remove thyroid lesion ........................
Partial thyroid excision ........................
Partial thyroid excision ........................
Partial removal of thyroid ....................
Partial removal of thyroid ....................
Removal of thyroid ..............................
Removal of thyroid ..............................
Extensive thyroid surgery ...................
Repeat thyroid surgery .......................
Removal of thyroid ..............................
Removal of thyroid ..............................
Remove thyroid duct lesion ................
Remove thyroid duct lesion ................
Aspir/inj thyroid cyst ............................
Explore parathyroid glands .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
5.24
8.99
5.24
8.99
13.26
12.56
12.64
14.98
14.82
14.15
5.86
12.19
12.01
2.73
0.79
2.41
2.48
4.06
4.94
26.80
13.48
15.29
1.71
1.61
6.22
11.04
2.13
30.34
15.95
18.26
8.53
28.21
15.04
16.59
31.78
17.50
19.70
4.39
4.68
4.97
6.51
3.01
5.57
5.90
5.92
8.23
6.38
7.74
9.30
3.99
6.40
2.13
0.00
0.00
0.00
1.78
1.56
9.91
11.15
16.32
12.29
14.67
16.18
21.88
28.29
18.18
23.07
17.54
6.05
8.71
0.97
16.69
4.39
NA
3.61
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.99
0.94
2.19
NA
NA
NA
NA
NA
NA
NA
NA
4.24
7.79
1.08
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.10
4.07
3.91
NA
2.00
3.12
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.00
2.09
1.32
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.94
NA
4.77
NA
4.09
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.64
1.06
2.18
NA
NA
NA
NA
NA
NA
NA
NA
4.22
7.67
1.15
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.82
4.25
4.09
NA
2.06
3.30
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.00
2.01
1.36
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.67
NA
1.77
2.39
1.53
2.39
5.55
5.40
5.35
6.74
5.09
4.93
3.30
5.23
4.87
1.17
0.22
1.00
1.00
1.44
1.21
14.09
3.70
4.92
0.64
0.44
1.68
2.99
0.71
15.98
4.43
6.13
2.25
14.94
4.19
5.11
16.37
4.66
6.71
2.36
3.46
3.24
3.44
1.77
2.55
2.46
3.29
3.82
3.08
3.32
3.64
1.36
4.38
0.91
0.00
0.00
0.00
1.70
0.52
5.50
5.23
6.95
5.67
6.92
6.40
8.83
11.22
7.41
9.33
7.15
4.48
5.32
0.30
6.86
2.04
2.76
1.92
2.76
6.00
5.82
5.84
5.76
6.16
5.77
2.76
5.61
5.46
1.65
0.26
0.98
1.12
1.67
1.54
14.71
4.51
5.61
0.72
0.54
1.77
3.11
0.82
16.63
5.32
6.98
2.78
15.41
5.13
6.02
17.30
5.71
7.67
2.45
3.51
3.32
3.71
1.95
2.76
2.86
3.51
4.43
3.31
3.69
4.18
1.63
4.43
1.02
0.00
0.00
0.00
1.70
0.52
5.74
5.43
7.31
5.91
7.16
6.99
9.46
12.69
8.03
9.89
7.87
4.57
5.58
0.32
7.13
0.28
0.16
0.28
0.16
2.95
2.73
2.79
3.39
3.31
3.14
1.29
2.79
2.74
0.64
0.19
0.57
0.59
0.88
1.17
5.50
3.22
3.52
0.40
0.38
1.14
1.98
0.50
6.25
3.80
4.13
1.95
5.87
3.59
3.89
6.61
4.17
4.50
0.95
0.95
1.06
1.44
0.71
1.24
1.28
1.28
1.81
1.45
1.79
2.02
0.87
1.42
0.50
0.00
0.00
0.00
0.15
0.10
1.01
1.23
1.95
1.32
1.64
1.86
2.30
2.61
1.94
2.33
1.75
0.54
0.73
0.07
2.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
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15JAR2
Global
000
000
000
000
090
090
090
090
090
090
090
090
090
010
000
000
000
000
000
MMM
MMM
MMM
MMM
MMM
MMM
MMM
MMM
MMM
MMM
MMM
ZZZ
MMM
MMM
MMM
MMM
MMM
MMM
090
090
090
090
010
010
090
090
090
090
090
090
000
090
000
YYY
YYY
YYY
010
000
090
090
090
090
090
090
090
090
090
090
090
090
090
000
090
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
2637
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
60502
60505
60512
60520
60521
60522
60540
60545
60600
60605
60650
60659
60699
61000
61001
61020
61026
61050
61055
61070
61105
61107
61108
61120
61140
61150
61151
61154
61156
61210
61215
61250
61253
61304
61305
61312
61313
61314
61315
61316
61320
61321
61322
61323
61330
61332
61333
61334
61340
61343
61345
61440
61450
61458
61460
61470
61480
61490
61500
61501
61510
61512
61514
61516
61517
61518
61519
61520
61521
61522
61524
61526
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Re-explore parathyroids ......................
Explore parathyroid glands .................
Autotransplant parathyroid ..................
Removal of thymus gland ...................
Removal of thymus gland ...................
Removal of thymus gland ...................
Explore adrenal gland .........................
Explore adrenal gland .........................
Remove carotid body lesion ...............
Remove carotid body lesion ...............
Laparoscopy adrenalectomy ...............
Laparo proc, endocrine .......................
Endocrine surgery procedure .............
Remove cranial cavity fluid .................
Remove cranial cavity fluid .................
Remove brain cavity fluid ...................
Injection into brain canal .....................
Remove brain canal fluid ....................
Injection into brain canal .....................
Brain canal shunt procedure ...............
Twist drill hole .....................................
Drill skull for implantation ....................
Drill skull for drainage .........................
Burr hole for puncture .........................
Pierce skull for biopsy .........................
Pierce skull for drainage .....................
Pierce skull for drainage .....................
Pierce skull & remove clot ..................
Pierce skull for drainage .....................
Pierce skull, implant device ................
Insert brain-fluid device .......................
Pierce skull & explore .........................
Pierce skull & explore .........................
Open skull for exploration ...................
Open skull for exploration ...................
Open skull for drainage ......................
Open skull for drainage ......................
Open skull for drainage ......................
Open skull for drainage ......................
Implt cran bone flap to abdo ...............
Open skull for drainage ......................
Open skull for drainage ......................
Decompressive craniotomy .................
Decompressive lobectomy ..................
Decompress eye socket .....................
Explore/biopsy eye socket ..................
Explore orbit/remove lesion ................
Explore orbit/remove object ................
Subtemporal decompression ..............
Incise skull (press relief) .....................
Relieve cranial pressure .....................
Incise skull for surgery ........................
Incise skull for surgery ........................
Incise skull for brain wound ................
Incise skull for surgery ........................
Incise skull for surgery ........................
Incise skull for surgery ........................
Incise skull for surgery ........................
Removal of skull lesion .......................
Remove infected skull bone ...............
Removal of brain lesion ......................
Remove brain lining lesion .................
Removal of brain abscess ..................
Removal of brain lesion ......................
Implt brain chemotx add-on ................
Removal of brain lesion ......................
Remove brain lining lesion .................
Removal of brain lesion ......................
Removal of brain lesion ......................
Removal of brain abscess ..................
Removal of brain lesion ......................
Removal of brain lesion ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
21.01
22.91
4.44
17.07
19.11
23.37
17.91
20.82
24.99
31.86
20.63
0.00
0.00
1.58
1.49
1.51
1.69
1.51
2.10
0.89
5.40
4.99
11.51
9.52
17.10
18.80
13.41
16.92
17.37
5.83
5.77
11.41
13.41
23.31
28.51
30.07
27.94
25.77
29.52
1.39
27.32
30.40
34.08
34.93
25.17
28.50
29.17
19.50
20.01
31.73
29.10
28.53
27.59
28.71
30.11
27.52
27.95
27.12
19.05
16.22
30.63
36.99
27.10
26.45
1.38
39.69
43.28
56.89
46.84
31.41
29.76
53.90
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
8.61
9.39
1.21
7.01
8.13
9.61
8.25
8.95
8.83
12.14
8.09
0.00
0.00
1.24
1.08
1.63
1.30
1.15
1.33
1.16
4.91
1.83
8.35
6.78
10.42
10.68
8.44
10.83
9.72
2.15
5.45
7.38
7.49
12.54
14.97
15.24
15.37
14.15
15.51
0.51
14.25
16.07
17.48
17.31
11.53
12.96
12.88
9.02
11.68
15.94
14.86
15.23
14.06
14.89
14.58
14.06
8.14
14.23
10.69
9.45
16.95
18.47
14.42
14.06
0.51
20.31
20.65
25.96
22.16
15.77
15.70
22.53
8.99
10.16
1.41
7.65
8.84
10.44
7.92
8.74
9.90
12.20
8.04
0.00
0.00
1.09
1.07
1.48
1.34
1.21
1.37
1.08
4.42
2.18
7.75
6.39
10.15
10.53
8.13
10.16
9.78
2.53
4.72
7.12
7.61
12.69
15.14
15.14
15.09
13.60
15.77
0.56
14.50
16.10
16.58
16.70
12.63
14.28
14.24
9.83
11.40
16.37
15.13
14.72
14.18
15.20
15.50
13.96
11.71
14.28
10.75
9.33
16.83
19.08
14.43
14.16
0.58
20.71
21.66
28.15
23.19
16.10
15.69
26.02
2.54
2.65
0.53
2.20
2.82
3.27
1.75
2.08
2.20
2.50
2.29
0.00
0.00
0.13
0.16
0.34
0.33
0.11
0.17
0.17
1.32
1.29
2.64
2.10
4.12
4.32
3.01
4.21
4.23
1.50
1.26
2.77
2.62
5.63
6.09
6.36
6.45
6.28
7.16
0.35
6.62
7.14
7.63
8.03
2.32
4.83
3.92
1.75
4.84
7.64
7.04
6.90
5.79
7.03
6.04
5.90
6.73
6.92
4.11
3.22
7.35
9.08
6.54
6.35
0.35
9.65
10.63
11.21
11.39
7.62
7.16
7.07
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00071
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
ZZZ
090
090
090
090
090
090
090
090
YYY
YYY
000
000
000
000
000
000
000
090
000
090
090
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
2638
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
61530
61531
61533
61534
61535
61536
61537
61538
61539
61540
61541
61542
61543
61544
61545
61546
61548
61550
61552
61556
61557
61558
61559
61563
61564
61566
61567
61570
61571
61575
61576
61580
61581
61582
61583
61584
61585
61586
61590
61591
61592
61595
61596
61597
61598
61600
61601
61605
61606
61607
61608
61609
61610
61611
61612
61613
61615
61616
61618
61619
61623
61624
61626
61630
61635
61640
61641
61642
61680
61682
61684
61686
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
N
N
N
N
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of brain lesion ......................
Implant brain electrodes .....................
Implant brain electrodes .....................
Removal of brain lesion ......................
Remove brain electrodes ....................
Removal of brain lesion ......................
Removal of brain tissue ......................
Removal of brain tissue ......................
Removal of brain tissue ......................
Removal of brain tissue ......................
Incision of brain tissue ........................
Removal of brain tissue ......................
Removal of brain tissue ......................
Remove & treat brain lesion ...............
Excision of brain tumor .......................
Removal of pituitary gland ..................
Removal of pituitary gland ..................
Release of skull seams .......................
Release of skull seams .......................
Incise skull/sutures ..............................
Incise skull/sutures ..............................
Excision of skull/sutures .....................
Excision of skull/sutures .....................
Excision of skull tumor ........................
Excision of skull tumor ........................
Removal of brain tissue ......................
Incision of brain tissue ........................
Remove foreign body, brain ...............
Incise skull for brain wound ................
Skull base/brainstem surgery .............
Skull base/brainstem surgery .............
Craniofacial approach, skull ................
Craniofacial approach, skull ................
Craniofacial approach, skull ................
Craniofacial approach, skull ................
Orbitocranial approach/skull ...............
Orbitocranial approach/skull ...............
Resect nasopharynx, skull ..................
Infratemporal approach/skull ...............
Infratemporal approach/skull ...............
Orbitocranial approach/skull ...............
Transtemporal approach/skull .............
Transcochlear approach/skull .............
Transcondylar approach/skull .............
Transpetrosal approach/skull ..............
Resect/excise cranial lesion ...............
Resect/excise cranial lesion ...............
Resect/excise cranial lesion ...............
Resect/excise cranial lesion ...............
Resect/excise cranial lesion ...............
Resect/excise cranial lesion ...............
Transect artery, sinus .........................
Transect artery, sinus .........................
Transect artery, sinus .........................
Transect artery, sinus .........................
Remove aneurysm, sinus ...................
Resect/excise lesion, skull ..................
Resect/excise lesion, skull ..................
Repair dura .........................................
Repair dura .........................................
Endovasc tempory vessel occl ...........
Transcath occlusion, cns ....................
Transcath occlusion, non-cns .............
Intracranial angioplasty .......................
Intracran angioplsty w/stent ................
Dilate ic vasospasm, init .....................
Dilate ic vasospasm add-on ...............
Dilate ic vasospasm add-on ...............
Intracranial vessel surgery ..................
Intracranial vessel surgery ..................
Intracranial vessel surgery ..................
Intracranial vessel surgery ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
45.43
16.28
21.36
22.88
13.05
37.59
36.35
39.35
34.15
31.30
30.81
33.03
31.18
27.26
46.23
33.31
23.27
15.44
20.27
24.00
23.16
26.35
33.82
28.35
34.59
32.32
36.84
26.38
28.29
36.43
55.11
34.34
38.88
34.93
38.41
37.61
42.46
27.28
46.87
46.87
42.98
33.57
39.31
40.73
36.41
29.84
31.04
32.40
41.94
40.82
45.45
9.88
29.63
7.41
27.84
44.94
35.63
46.60
18.58
22.01
9.95
20.12
16.60
22.07
24.28
12.32
4.33
8.66
32.40
63.31
41.49
67.32
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
19.49
10.46
11.79
13.13
8.84
18.53
17.04
18.37
16.83
16.30
16.09
16.78
13.86
14.28
22.83
16.74
11.62
5.65
12.15
13.29
13.64
14.70
18.38
13.09
17.91
16.65
19.07
14.02
14.64
16.10
28.09
22.85
27.83
30.48
25.90
26.04
25.13
22.64
24.81
24.60
26.80
21.14
20.95
23.27
22.16
19.76
22.38
19.47
23.77
21.00
26.32
3.25
11.06
1.71
6.41
27.35
21.30
27.24
10.44
11.67
3.72
7.29
5.97
6.44
6.95
2.83
1.00
1.99
16.75
27.54
20.38
30.47
22.28
9.80
11.66
12.61
8.13
19.17
15.89
16.84
17.30
16.78
16.15
17.31
15.13
14.06
23.53
17.12
12.20
6.29
10.64
12.33
13.63
14.45
18.85
14.17
18.10
17.21
19.88
13.97
14.89
17.87
31.42
24.22
25.65
28.90
25.51
25.29
25.82
22.62
26.73
27.07
26.66
21.75
22.70
23.14
22.70
19.77
21.44
20.72
24.47
22.40
26.46
4.05
12.11
2.76
9.86
26.82
22.02
27.96
10.44
11.96
3.90
7.09
5.75
9.47
10.25
2.83
1.00
1.99
17.09
29.89
21.19
32.61
6.15
3.79
5.12
5.44
3.02
9.21
6.94
6.94
8.32
8.32
6.60
8.03
7.56
5.97
10.63
7.67
3.43
0.98
1.06
4.65
5.80
1.36
8.51
5.17
8.78
6.94
6.54
5.88
6.79
5.34
5.58
3.37
3.92
7.21
9.21
8.18
7.03
4.37
5.31
5.66
10.07
3.98
3.40
8.84
5.70
3.79
6.63
2.86
8.97
6.90
10.75
2.56
7.68
1.89
4.31
8.45
4.73
8.26
3.72
3.95
1.05
1.96
1.24
2.02
2.21
0.71
0.25
0.50
7.95
15.90
10.31
16.71
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00072
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
ZZZ
ZZZ
090
090
090
090
090
000
000
000
090
090
000
ZZZ
ZZZ
090
090
090
090
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
2639
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
61690
61692
61697
61698
61700
61702
61703
61705
61708
61710
61711
61720
61735
61750
61751
61760
61770
61790
61791
61793
61795
61850
61860
61863
61864
61867
61868
61870
61875
61880
61885
61886
61888
62000
62005
62010
62100
62115
62116
62117
62120
62121
62140
62141
62142
62143
62145
62146
62147
62148
62160
62161
62162
62163
62164
62165
62180
62190
62192
62194
62200
62201
62220
62223
62225
62230
62252
62252
62252
62256
62258
62263
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Intracranial vessel surgery ..................
Intracranial vessel surgery ..................
Brain aneurysm repr, complx ..............
Brain aneurysm repr, complx ..............
Brain aneurysm repr, simple ...............
Inner skull vessel surgery ...................
Clamp neck artery ...............................
Revise circulation to head ..................
Revise circulation to head ..................
Revise circulation to head ..................
Fusion of skull arteries ........................
Incise skull/brain surgery ....................
Incise skull/brain surgery ....................
Incise skull/brain biopsy ......................
Brain biopsy w/ct/mr guide .................
Implant brain electrodes .....................
Incise skull for treatment .....................
Treat trigeminal nerve .........................
Treat trigeminal tract ...........................
Focus radiation beam .........................
Brain surgery using computer .............
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrode .......................
Implant neuroelectrde, addl ................
Implant neuroelectrode .......................
Implant neuroelectrde, add"l .............
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Revise/remove neuroelectrode ...........
Insrt/redo neurostim 1 array ...............
Implant neurostim arrays ....................
Revise/remove neuroreceiver .............
Treat skull fracture ..............................
Treat skull fracture ..............................
Treatment of head injury .....................
Repair brain fluid leakage ...................
Reduction of skull defect ....................
Reduction of skull defect ....................
Reduction of skull defect ....................
Repair skull cavity lesion ....................
Incise skull repair ................................
Repair of skull defect ..........................
Repair of skull defect ..........................
Remove skull plate/flap .......................
Replace skull plate/flap .......................
Repair of skull & brain ........................
Repair of skull with graft .....................
Repair of skull with graft .....................
Retr bone flap to fix skull ....................
Neuroendoscopy add-on .....................
Dissect brain w/scope .........................
Remove colloid cyst w/scope .............
Neuroendoscopy w/fb removal ...........
Remove brain tumor w/scope .............
Remove pituit tumor w/scope .............
Establish brain cavity shunt ................
Establish brain cavity shunt ................
Establish brain cavity shunt ................
Replace/irrigate catheter .....................
Establish brain cavity shunt ................
Brain cavity shunt w/scope .................
Establish brain cavity shunt ................
Establish brain cavity shunt ................
Replace/irrigate catheter .....................
Replace/revise brain shunt .................
Csf shunt reprogram ...........................
Csf shunt reprogram ...........................
Csf shunt reprogram ...........................
Remove brain cavity shunt .................
Replace brain cavity shunt .................
Epidural lysis mult sessions ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
31.18
54.43
63.22
69.45
50.44
59.86
18.70
37.97
37.07
31.19
38.10
17.52
22.22
19.73
18.64
22.24
23.09
11.50
15.31
17.75
4.03
13.26
22.16
20.56
4.49
32.88
7.91
16.24
16.36
6.87
7.37
9.73
5.20
13.83
17.53
21.30
23.40
22.71
24.90
28.26
24.39
22.93
14.45
15.97
11.73
14.05
19.99
17.18
20.57
2.00
3.00
21.10
26.67
16.40
29.27
23.10
22.45
12.07
13.25
5.68
19.19
15.89
14.00
13.90
6.11
11.35
0.74
0.00
0.74
7.30
15.54
6.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.77
1.50
0.27
NA
NA
9.46
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.62
1.30
0.32
NA
NA
11.08
16.52
24.35
28.64
30.59
24.03
27.50
10.06
18.32
14.87
13.79
18.61
7.89
9.17
10.95
11.37
12.06
9.89
7.70
8.21
9.55
1.43
7.89
11.60
12.42
1.68
16.37
2.94
9.69
5.33
5.18
7.06
8.52
3.47
7.61
9.59
11.81
12.09
13.89
13.35
12.74
17.33
14.24
8.64
9.34
7.79
8.73
10.26
9.52
11.00
0.74
1.11
12.15
14.65
9.25
15.93
11.78
12.37
7.37
8.02
3.14
10.70
10.35
8.62
9.36
5.48
7.21
NA
NA
0.27
5.90
9.30
2.98
16.63
25.92
28.33
28.65
25.92
26.78
10.27
18.79
15.02
13.72
19.21
8.93
10.67
10.79
11.10
10.39
11.08
6.81
8.57
9.84
1.73
7.78
11.83
12.10
1.98
17.20
3.48
9.70
6.95
4.87
6.19
7.44
3.57
6.57
9.20
11.76
12.44
12.77
13.36
14.06
17.91
14.85
8.48
9.19
7.39
8.39
10.58
9.58
11.15
0.80
1.32
12.13
14.75
9.59
15.44
12.58
12.33
7.23
7.82
2.79
10.77
9.90
8.30
8.80
4.79
6.85
NA
NA
0.32
5.30
9.01
3.09
6.94
13.43
12.85
12.54
13.02
10.79
4.06
8.87
2.51
4.52
9.42
2.79
2.73
4.72
4.56
5.42
3.55
2.82
3.40
4.46
0.79
3.22
4.95
5.43
5.43
5.43
5.43
3.87
2.95
1.66
1.59
1.97
1.33
1.06
3.87
5.14
4.84
5.51
6.11
4.53
3.00
4.17
3.47
3.76
2.73
3.37
4.50
3.62
4.32
0.48
0.77
5.19
5.91
4.01
5.38
3.01
4.98
2.80
3.02
0.92
4.65
3.68
3.35
3.14
1.39
2.71
0.21
0.02
0.19
1.72
3.74
0.41
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
ZZZ
090
ZZZ
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
XXX
XXX
XXX
090
090
010
2640
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
62264
62268
62269
62270
62272
62273
62280
62281
62282
62284
62287
62290
62291
62292
62294
62310
62311
62318
62319
62350
62351
62355
62360
62361
62362
62365
62367
62368
63001
63003
63005
63011
63012
63015
63016
63017
63020
63030
63035
63040
63042
63043
63044
63045
63046
63047
63048
63050
63051
63055
63056
63057
63064
63066
63075
63076
63077
63078
63081
63082
63085
63086
63087
63088
63090
63091
63101
63102
63103
63170
63172
63173
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Epidural lysis on single day ................
Drain spinal cord cyst .........................
Needle biopsy, spinal cord .................
Spinal fluid tap, diagnostic ..................
Drain cerebro spinal fluid ....................
Inject epidural patch ............................
Treat spinal cord lesion ......................
Treat spinal cord lesion ......................
Treat spinal canal lesion .....................
Injection for myelogram ......................
Percutaneous diskectomy ...................
Inject for spine disk x-ray ....................
Inject for spine disk x-ray ....................
Injection into disk lesion ......................
Injection into spinal artery ...................
Inject spine c/t .....................................
Inject spine l/s (cd) ..............................
Inject spine w/cath, c/t ........................
Inject spine w/cath l/s (cd) ..................
Implant spinal canal cath ....................
Implant spinal canal cath ....................
Remove spinal canal catheter ............
Insert spine infusion device ................
Implant spine infusion pump ...............
Implant spine infusion pump ...............
Remove spine infusion device ............
Analyze spine infusion pump ..............
Analyze spine infusion pump ..............
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Neck spine disk surgery .....................
Low back disk surgery ........................
Spinal disk surgery add-on .................
Laminotomy, single cervical ................
Laminotomy, single lumbar .................
Laminotomy, add"l cervical ...............
Laminotomy, add"l lumbar ................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Removal of spinal lamina ...................
Remove spinal lamina add-on ............
Cervical laminoplasty ..........................
C-laminoplasty w/graft/plate ................
Decompress spinal cord .....................
Decompress spinal cord .....................
Decompress spine cord add-on ..........
Decompress spinal cord .....................
Decompress spine cord add-on ..........
Neck spine disk surgery .....................
Neck spine disk surgery .....................
Spine disk surgery, thorax ..................
Spine disk surgery, thorax ..................
Removal of vertebral body ..................
Remove vertebral body add-on ..........
Removal of vertebral body ..................
Remove vertebral body add-on ..........
Removal of vertebral body ..................
Remove vertebral body add-on ..........
Removal of vertebral body ..................
Remove vertebral body add-on ..........
Removal of vertebral body ..................
Removal of vertebral body ..................
Remove vertebral body add-on ..........
Incise spinal cord tract(s) ....................
Drainage of spinal cyst .......................
Drainage of spinal cyst .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
4.42
4.73
5.01
1.37
1.35
2.15
2.63
2.66
2.33
1.54
8.88
3.00
2.91
9.14
12.77
1.91
1.54
2.04
1.87
8.04
11.54
6.60
3.68
6.59
8.58
6.57
0.48
0.75
17.51
17.64
16.28
15.78
16.72
20.70
21.90
17.18
16.05
13.03
3.15
20.18
18.61
0.00
0.00
17.82
17.12
15.22
3.47
21.88
25.38
23.42
21.73
5.25
26.09
3.26
19.47
4.04
22.75
3.28
25.97
4.36
29.34
3.19
37.38
4.32
30.78
3.03
33.92
33.92
4.82
22.08
19.66
24.18
5.63
6.70
6.25
2.40
3.13
1.67
4.63
4.08
4.08
3.79
NA
4.50
4.24
NA
NA
3.00
2.66
3.09
2.80
NA
NA
NA
NA
NA
NA
NA
0.42
0.58
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.68
9.12
10.47
2.69
3.37
2.19
5.78
4.87
6.22
4.38
NA
5.82
5.09
NA
NA
3.90
3.79
4.41
3.89
NA
NA
NA
NA
NA
NA
NA
0.52
0.63
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.24
1.81
1.48
0.58
0.62
0.57
1.15
1.03
1.11
0.71
4.30
1.15
1.08
2.87
6.49
0.56
0.52
0.43
0.44
3.99
7.65
3.52
3.17
4.07
4.65
3.71
0.11
0.17
9.77
9.73
9.74
9.01
9.76
11.85
11.65
10.35
9.88
8.60
1.19
11.03
10.59
0.00
0.00
10.34
9.79
9.34
1.32
11.82
13.08
12.45
11.38
1.98
13.22
1.21
11.01
1.52
11.08
1.21
13.49
1.64
13.54
1.17
16.65
1.59
14.39
1.14
17.04
16.83
1.74
10.44
11.07
13.57
1.33
1.98
1.73
0.57
0.66
0.64
1.08
0.96
1.02
0.70
4.93
1.26
1.15
3.67
6.04
0.60
0.56
0.54
0.52
3.96
7.39
3.34
2.93
3.99
4.51
3.65
0.11
0.17
9.64
9.80
9.86
8.64
9.95
11.86
11.72
10.37
9.78
8.51
1.39
11.27
10.97
0.00
0.00
10.35
9.99
9.62
1.49
11.83
13.28
12.80
11.98
2.31
13.82
1.43
11.55
1.79
11.94
1.43
13.91
1.94
14.51
1.38
18.06
1.88
15.22
1.30
18.16
18.06
2.12
11.15
10.86
13.19
0.27
0.43
0.37
0.08
0.18
0.13
0.30
0.19
0.17
0.13
0.58
0.23
0.26
0.82
1.24
0.12
0.09
0.12
0.11
1.02
2.25
0.71
0.34
0.80
1.18
0.86
0.03
0.06
3.77
3.73
3.35
3.38
3.49
4.76
4.59
3.64
3.72
3.01
0.79
4.68
4.26
0.00
0.00
3.99
3.56
3.24
0.72
4.67
4.67
5.29
4.76
1.22
5.71
0.69
4.63
0.96
3.99
0.66
5.56
1.02
4.49
0.59
6.22
0.82
4.22
0.48
5.71
5.71
0.69
4.87
4.49
5.70
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00074
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
000
000
000
000
000
010
010
010
000
090
000
000
090
090
000
000
000
000
090
090
090
090
090
090
090
XXX
XXX
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
ZZZ
ZZZ
090
090
090
ZZZ
090
090
090
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
ZZZ
090
090
ZZZ
090
090
090
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
2641
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
63180
63182
63185
63190
63191
63194
63195
63196
63197
63198
63199
63200
63250
63251
63252
63265
63266
63267
63268
63270
63271
63272
63273
63275
63276
63277
63278
63280
63281
63282
63283
63285
63286
63287
63290
63295
63300
63301
63302
63303
63304
63305
63306
63307
63308
63600
63610
63615
63650
63655
63660
63685
63688
63700
63702
63704
63706
63707
63709
63710
63740
63741
63744
63746
64400
64402
64405
64408
64410
64412
64413
64415
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Revise spinal cord ligaments ..............
Revise spinal cord ligaments ..............
Incise spinal column/nerves ................
Incise spinal column/nerves ................
Incise spinal column/nerves ................
Incise spinal column & cord ................
Incise spinal column & cord ................
Incise spinal column & cord ................
Incise spinal column & cord ................
Incise spinal column & cord ................
Incise spinal column & cord ................
Release of spinal cord ........................
Revise spinal cord vessels .................
Revise spinal cord vessels .................
Revise spinal cord vessels .................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Excise intraspinal lesion .....................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Biopsy/excise spinal tumor .................
Repair of laminectomy defect .............
Removal of vertebral body ..................
Removal of vertebral body ..................
Removal of vertebral body ..................
Removal of vertebral body ..................
Removal of vertebral body ..................
Removal of vertebral body ..................
Removal of vertebral body ..................
Removal of vertebral body ..................
Remove vertebral body add-on ..........
Remove spinal cord lesion .................
Stimulation of spinal cord ...................
Remove lesion of spinal cord .............
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Revise/remove neuroelectrode ...........
Insrt/redo spine n generator ...............
Revise/remove neuroreceiver .............
Repair of spinal herniation ..................
Repair of spinal herniation ..................
Repair of spinal herniation ..................
Repair of spinal herniation ..................
Repair spinal fluid leakage .................
Repair spinal fluid leakage .................
Graft repair of spine defect .................
Install spinal shunt ..............................
Install spinal shunt ..............................
Revision of spinal shunt ......................
Removal of spinal shunt .....................
N block inj, trigeminal .........................
N block inj, facial .................................
N block inj, occipital ............................
N block inj, vagus ...............................
N block inj, phrenic .............................
N block inj, spinal accessor ................
N block inj, cervical plexus .................
N block inj, brachial plexus .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
20.40
22.69
16.36
18.76
18.79
21.97
21.54
25.14
23.95
29.75
31.32
21.31
43.73
44.49
44.48
23.69
24.55
19.32
19.89
29.67
29.79
27.37
26.34
25.73
25.56
22.26
21.99
30.14
29.84
28.00
26.61
37.90
37.47
39.93
40.67
5.25
26.67
31.42
31.00
33.42
33.70
36.09
35.40
34.81
5.24
15.02
8.72
17.22
7.57
11.43
6.87
7.87
6.10
17.32
19.26
22.23
25.15
12.52
15.52
15.27
12.50
9.02
8.86
7.25
1.11
1.25
1.32
1.41
1.43
1.18
1.40
1.48
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
13.95
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.42
1.41
1.16
1.45
1.92
2.13
1.31
1.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
36.83
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.66
1.51
1.31
1.51
2.21
2.39
1.58
2.11
10.95
7.18
9.80
9.60
4.10
11.20
12.10
13.79
7.47
8.93
9.29
12.10
20.91
21.53
20.87
12.99
13.18
11.13
11.25
15.36
15.32
14.29
14.08
13.74
13.52
12.13
11.92
15.88
15.87
15.01
14.68
18.10
18.71
19.62
19.29
1.95
13.80
14.21
13.78
15.00
17.58
16.99
16.65
14.83
1.95
4.03
1.49
8.53
2.92
7.63
3.42
3.65
3.53
9.95
9.98
11.66
14.30
7.83
8.97
9.19
8.28
4.93
5.76
5.69
0.45
0.50
0.49
0.71
0.56
0.59
0.48
0.30
10.97
9.07
8.95
9.87
7.29
11.46
11.57
13.59
9.84
8.68
12.16
11.70
20.42
22.07
21.56
12.88
13.18
11.10
10.81
15.41
15.45
14.49
14.21
13.76
13.60
12.32
12.16
16.10
16.02
15.17
14.67
19.02
19.31
20.02
19.94
2.05
14.05
14.88
14.82
15.96
17.43
17.52
17.22
15.82
2.28
4.72
1.87
8.90
3.05
7.26
3.52
3.90
3.54
10.13
10.51
12.29
13.94
7.77
9.19
9.12
7.81
4.84
5.51
4.73
0.44
0.55
0.48
0.78
0.51
0.51
0.49
0.38
3.96
5.32
2.80
3.25
6.36
3.27
4.88
5.78
5.38
6.45
1.40
4.97
9.04
10.44
10.67
5.45
5.56
4.38
3.70
6.84
6.92
6.20
5.76
5.82
5.85
5.03
4.56
7.29
7.19
6.78
6.28
9.21
9.24
9.42
9.05
1.03
5.99
5.41
5.55
4.69
6.43
5.73
8.35
4.47
1.29
1.52
0.86
2.85
0.53
2.44
0.78
1.05
0.89
3.53
4.13
4.58
6.25
2.52
3.10
3.41
2.94
1.66
1.90
1.53
0.07
0.09
0.08
0.10
0.09
0.08
0.08
0.09
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00075
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
090
090
090
090
090
ZZZ
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
000
000
000
000
000
2642
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
64416
64417
64418
64420
64421
64425
64430
64435
64445
64446
64447
64448
64449
64450
64470
64472
64475
64476
64479
64480
64483
64484
64505
64508
64510
64517
64520
64530
64550
64553
64555
64560
64561
64565
64573
64575
64577
64580
64581
64585
64590
64595
64600
64605
64610
64612
64613
64614
64620
64622
64623
64626
64627
64630
64640
64650
64653
64680
64681
64702
64704
64708
64712
64713
64714
64716
64718
64719
64721
64722
64726
64727
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
N block cont infuse, b plex .................
N block inj, axillary ..............................
N block inj, suprascapular ..................
N block inj, intercost, sng ...................
N block inj, intercost, mlt ....................
N block inj, ilio-ing/hypogi ...................
N block inj, pudendal ..........................
N block inj, paracervical ......................
N block inj, sciatic, sng .......................
N blk inj, sciatic, cont inf .....................
N block inj fem, single ........................
N block inj fem, cont inf ......................
N block inj, lumbar plexus ..................
N block, other peripheral ....................
Inj paravertebral c/t .............................
Inj paravertebral c/t add-on .................
Inj paravertebral l/s .............................
Inj paravertebral l/s add-on .................
Inj foramen epidural c/t .......................
Inj foramen epidural add-on ................
Inj foramen epidural l/s .......................
Inj foramen epidural add-on ................
N block, spenopalatine gangl .............
N block, carotid sinus s/p ...................
N block, stellate ganglion ....................
N block inj, hypogas plxs ....................
N block, lumbar/thoracic .....................
N block inj, celiac pelus ......................
Apply neurostimulator .........................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Implant neuroelectrodes .....................
Revise/remove neuroelectrode ...........
Insrt/redo pn/gastr stimul ....................
Revise/rmv pn/gastr stimul .................
Injection treatment of nerve ................
Injection treatment of nerve ................
Injection treatment of nerve ................
Destroy nerve, face muscle ................
Destroy nerve, neck muscle ...............
Destroy nerve, extrem musc ...............
Injection treatment of nerve ................
Destr paravertebrl nerve l/s ................
Destr paravertebral n add-on ..............
Destr paravertebrl nerve c/t ................
Destr paravertebral n add-on ..............
Injection treatment of nerve ................
Injection treatment of nerve ................
Chemodenerv eccrine glands .............
Chemodenerv eccrine glands .............
Injection treatment of nerve ................
Injection treatment of nerve ................
Revise finger/toe nerve .......................
Revise hand/foot nerve .......................
Revise arm/leg nerve ..........................
Revision of sciatic nerve .....................
Revision of arm nerve(s) ....................
Revise low back nerve(s) ...................
Revision of cranial nerve ....................
Revise ulnar nerve at elbow ...............
Revise ulnar nerve at wrist .................
Carpal tunnel surgery .........................
Relieve pressure on nerve(s) .............
Release foot/toe nerve ........................
Internal nerve revision ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.85
1.44
1.32
1.18
1.68
1.75
1.46
1.45
1.48
3.61
1.50
3.36
3.24
1.27
1.85
1.29
1.41
0.98
2.20
1.54
1.90
1.33
1.36
1.12
1.22
2.20
1.35
1.58
0.18
2.33
2.29
2.38
7.07
1.78
8.15
4.37
4.64
4.14
14.15
2.08
2.42
1.75
3.46
5.62
7.17
1.98
1.98
2.20
2.86
3.02
0.99
3.82
1.16
3.02
2.78
0.70
0.88
2.64
3.78
6.10
4.61
6.22
7.98
11.29
10.44
6.86
7.06
4.89
4.84
4.74
4.21
3.10
NA
1.43
1.89
2.40
3.55
1.29
2.39
2.00
1.63
NA
NA
NA
NA
1.28
3.83
1.22
3.64
1.10
3.75
1.55
3.82
1.63
1.13
2.04
1.90
1.72
2.57
2.79
0.20
2.65
2.78
2.41
19.61
2.47
NA
NA
NA
NA
NA
5.92
6.41
6.45
5.43
7.22
9.18
1.58
1.37
1.62
3.30
4.06
1.68
4.74
2.37
2.76
2.42
0.72
0.75
4.25
4.82
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.71
NA
NA
NA
NA
2.23
2.26
3.14
4.82
1.47
2.45
2.26
2.15
NA
NA
NA
NA
1.26
5.53
1.78
5.26
1.61
5.62
2.20
5.86
2.45
1.18
2.68
2.68
2.22
3.86
3.62
0.24
2.74
2.94
2.52
24.84
2.88
NA
NA
NA
NA
NA
8.60
6.77
8.42
7.39
8.39
9.02
2.03
2.15
2.42
4.18
5.91
2.32
6.26
3.45
2.75
3.30
0.79
0.83
5.48
7.06
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.04
NA
NA
NA
0.46
0.32
0.52
0.45
0.53
0.53
0.77
0.56
0.50
0.48
0.17
0.39
0.42
0.49
0.70
0.33
0.58
0.22
0.81
0.39
0.75
0.32
0.74
0.56
0.43
0.68
0.51
0.65
0.05
1.45
1.49
1.26
3.76
1.29
5.16
2.06
4.79
2.71
6.60
2.29
2.46
2.18
1.63
2.27
3.43
1.34
1.14
1.31
1.11
1.26
0.22
1.87
0.25
1.84
1.42
0.16
0.19
1.20
1.27
5.19
3.28
4.20
4.38
6.05
4.37
5.46
6.20
4.14
4.65
3.00
2.80
1.19
0.63
0.40
0.48
0.43
0.52
0.53
0.66
0.62
0.50
0.74
0.30
0.60
0.69
0.48
0.70
0.33
0.60
0.23
0.85
0.43
0.79
0.35
0.70
0.65
0.47
0.78
0.53
0.65
0.05
1.65
1.34
1.27
3.27
1.28
5.21
2.37
4.03
3.13
5.99
2.21
2.37
2.05
1.64
2.23
3.57
1.33
1.18
1.31
1.22
1.31
0.22
1.92
0.26
1.62
1.63
0.23
0.29
1.31
1.67
4.53
3.30
4.53
4.67
5.96
4.29
5.72
6.10
4.33
5.01
3.02
2.80
1.34
0.31
0.11
0.07
0.08
0.11
0.13
0.10
0.16
0.10
0.20
0.09
0.18
0.15
0.13
0.11
0.08
0.10
0.07
0.12
0.10
0.11
0.08
0.10
0.07
0.07
0.11
0.08
0.10
0.01
0.18
0.19
0.22
0.51
0.13
1.60
0.61
1.04
0.36
1.05
0.20
0.19
0.19
0.34
0.79
1.58
0.11
0.11
0.10
0.20
0.18
0.06
0.20
0.07
0.22
0.29
0.06
0.08
0.18
0.28
0.61
0.61
0.96
0.95
1.83
1.19
0.63
1.05
0.77
0.73
0.48
0.54
0.48
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00076
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
010
000
000
000
000
000
000
000
000
010
000
010
010
000
000
ZZZ
000
ZZZ
000
ZZZ
000
ZZZ
000
000
000
000
000
000
000
010
010
010
010
010
090
090
090
090
090
010
010
010
010
010
010
010
010
010
010
010
ZZZ
010
ZZZ
010
010
000
000
010
010
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
2643
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
64732
64734
64736
64738
64740
64742
64744
64746
64752
64755
64760
64761
64763
64766
64771
64772
64774
64776
64778
64782
64783
64784
64786
64787
64788
64790
64792
64795
64802
64804
64809
64818
64820
64821
64822
64823
64831
64832
64834
64835
64836
64837
64840
64856
64857
64858
64859
64861
64862
64864
64865
64866
64868
64870
64872
64874
64876
64885
64886
64890
64891
64892
64893
64895
64896
64897
64898
64901
64902
64905
64907
64910
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Incision of brow nerve .........................
Incision of cheek nerve .......................
Incision of chin nerve ..........................
Incision of jaw nerve ...........................
Incision of tongue nerve .....................
Incision of facial nerve ........................
Incise nerve, back of head .................
Incise diaphragm nerve ......................
Incision of vagus nerve .......................
Incision of stomach nerves .................
Incision of vagus nerve .......................
Incision of pelvis nerve .......................
Incise hip/thigh nerve ..........................
Incise hip/thigh nerve ..........................
Sever cranial nerve .............................
Incision of spinal nerve .......................
Remove skin nerve lesion ..................
Remove digit nerve lesion ..................
Digit nerve surgery add-on .................
Remove limb nerve lesion ..................
Limb nerve surgery add-on .................
Remove nerve lesion ..........................
Remove sciatic nerve lesion ...............
Implant nerve end ...............................
Remove skin nerve lesion ..................
Removal of nerve lesion .....................
Removal of nerve lesion .....................
Biopsy of nerve ...................................
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Remove sympathetic nerves ..............
Repair of digit nerve ...........................
Repair nerve add-on ...........................
Repair of hand or foot nerve ..............
Repair of hand or foot nerve ..............
Repair of hand or foot nerve ..............
Repair nerve add-on ...........................
Repair of leg nerve .............................
Repair/transpose nerve .......................
Repair arm/leg nerve ..........................
Repair sciatic nerve ............................
Nerve surgery .....................................
Repair of arm nerves ..........................
Repair of low back nerves ..................
Repair of facial nerve ..........................
Repair of facial nerve ..........................
Fusion of facial/other nerve ................
Fusion of facial/other nerve ................
Fusion of facial/other nerve ................
Subsequent repair of nerve ................
Repair & revise nerve add-on .............
Repair nerve/shorten bone .................
Nerve graft, head or neck ...................
Nerve graft, head or neck ...................
Nerve graft, hand or foot ....................
Nerve graft, hand or foot ....................
Nerve graft, arm or leg .......................
Nerve graft, arm or leg .......................
Nerve graft, hand or foot ....................
Nerve graft, hand or foot ....................
Nerve graft, arm or leg .......................
Nerve graft, arm or leg .......................
Nerve graft add-on ..............................
Nerve graft add-on ..............................
Nerve pedicle transfer .........................
Nerve pedicle transfer .........................
Nerve repair w/allograft .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
4.81
5.45
5.13
6.26
6.12
6.75
5.64
6.46
7.59
14.97
7.49
6.94
7.46
9.34
8.02
7.74
5.70
5.52
3.11
6.76
3.71
10.49
16.12
4.29
5.14
11.97
15.71
3.01
10.24
15.78
14.61
11.24
10.64
9.19
9.19
10.80
10.23
5.65
10.71
11.60
11.60
6.25
13.87
14.94
15.69
17.69
4.25
20.74
20.94
13.31
15.96
16.70
14.80
16.95
1.99
2.98
3.37
17.50
20.72
16.11
17.22
15.61
16.74
20.26
21.81
19.25
20.82
10.20
11.81
14.98
19.90
11.21
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.66
4.44
3.72
4.65
4.98
4.28
4.04
3.86
3.79
5.50
3.78
4.33
3.91
4.74
5.64
5.12
4.03
3.73
1.21
4.22
1.37
6.41
8.44
1.64
4.06
6.98
8.30
1.43
3.51
5.97
7.04
4.32
6.94
6.54
6.43
6.47
6.62
2.32
6.45
6.91
7.07
2.57
7.52
8.48
8.76
9.57
1.75
10.01
10.14
7.47
11.53
11.11
9.79
8.06
0.78
1.26
1.43
8.95
10.38
8.98
9.67
9.13
9.63
11.04
11.67
10.50
11.46
3.63
4.66
7.00
6.35
4.66
3.58
4.24
3.87
4.63
5.05
4.49
3.91
4.18
4.04
5.57
3.62
3.92
4.55
4.99
5.60
5.02
3.93
3.70
1.35
4.00
1.60
6.50
9.14
1.88
3.76
7.09
8.57
1.49
4.32
6.57
6.40
4.80
7.03
6.94
6.83
7.30
6.85
2.62
6.77
7.30
7.37
2.90
7.89
8.84
9.20
10.17
1.97
10.89
11.03
8.12
12.53
12.14
10.61
8.40
0.93
1.39
1.59
10.28
11.96
9.49
8.62
9.00
9.75
10.35
11.33
10.60
11.63
4.45
5.31
7.75
9.44
4.66
0.98
0.89
0.52
1.08
0.69
0.73
1.16
0.82
0.93
1.84
0.81
0.53
0.94
1.06
1.23
1.40
0.74
0.76
0.46
0.86
0.51
1.38
2.61
0.58
0.73
2.11
2.49
0.52
1.29
2.15
1.50
1.33
1.49
1.24
1.30
1.57
1.41
0.85
1.54
1.74
1.68
0.97
1.37
2.13
2.22
3.34
0.67
4.09
4.32
1.26
1.50
2.05
1.43
1.30
0.29
0.42
0.47
1.63
2.09
2.30
1.63
2.48
2.62
2.58
3.17
2.55
2.78
1.37
1.55
2.01
3.17
1.74
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00077
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
090
ZZZ
090
090
ZZZ
090
090
090
000
090
090
090
090
090
090
090
090
090
ZZZ
090
090
090
ZZZ
090
090
090
090
ZZZ
090
090
090
090
090
090
090
ZZZ
ZZZ
ZZZ
090
090
090
090
090
090
090
090
090
090
ZZZ
ZZZ
090
090
090
2644
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
64911
64999
65091
65093
65101
65103
65105
65110
65112
65114
65125
65130
65135
65140
65150
65155
65175
65205
65210
65220
65222
65235
65260
65265
65270
65272
65273
65275
65280
65285
65286
65290
65400
65410
65420
65426
65430
65435
65436
65450
65600
65710
65730
65750
65755
65760
65765
65767
65770
65771
65772
65775
65780
65781
65782
65800
65805
65810
65815
65820
65850
65855
65860
65865
65870
65875
65880
65900
65920
65930
66020
66030
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
N
N
A
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Neurorraphy w/vein autograft .............
Nervous system surgery .....................
Revise eye ..........................................
Revise eye with implant ......................
Removal of eye ...................................
Remove eye/insert implant .................
Remove eye/attach implant ................
Removal of eye ...................................
Remove eye/revise socket ..................
Remove eye/revise socket ..................
Revise ocular implant .........................
Insert ocular implant ...........................
Insert ocular implant ...........................
Attach ocular implant ..........................
Revise ocular implant .........................
Reinsert ocular implant .......................
Removal of ocular implant ..................
Remove foreign body from eye ..........
Remove foreign body from eye ..........
Remove foreign body from eye ..........
Remove foreign body from eye ..........
Remove foreign body from eye ..........
Remove foreign body from eye ..........
Remove foreign body from eye ..........
Repair of eye wound ...........................
Repair of eye wound ...........................
Repair of eye wound ...........................
Repair of eye wound ...........................
Repair of eye wound ...........................
Repair of eye wound ...........................
Repair of eye wound ...........................
Repair of eye socket wound ...............
Removal of eye lesion ........................
Biopsy of cornea .................................
Removal of eye lesion ........................
Removal of eye lesion ........................
Corneal smear ....................................
Curette/treat cornea ............................
Curette/treat cornea ............................
Treatment of corneal lesion ................
Revision of cornea ..............................
Corneal transplant ...............................
Corneal transplant ...............................
Corneal transplant ...............................
Corneal transplant ...............................
Revision of cornea ..............................
Revision of cornea ..............................
Corneal tissue transplant ....................
Revise cornea with implant .................
Radial keratotomy ...............................
Correction of astigmatism ...................
Correction of astigmatism ...................
Ocular reconst, transplant ...................
Ocular reconst, transplant ...................
Ocular reconst, transplant ...................
Drainage of eye ..................................
Drainage of eye ..................................
Drainage of eye ..................................
Drainage of eye ..................................
Relieve inner eye pressure .................
Incision of eye .....................................
Laser surgery of eye ...........................
Incise inner eye adhesions .................
Incise inner eye adhesions .................
Incise inner eye adhesions .................
Incise inner eye adhesions .................
Incise inner eye adhesions .................
Remove eye lesion .............................
Remove implant of eye .......................
Remove blood clot from eye ...............
Injection treatment of eye ...................
Injection treatment of eye ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
14.21
0.00
7.13
6.93
8.10
8.64
9.70
15.42
18.18
19.32
3.18
8.22
8.40
9.23
6.32
9.87
7.22
0.71
0.84
0.71
0.93
8.78
12.29
14.06
1.92
4.49
5.03
6.14
8.87
14.43
6.45
6.35
7.27
1.47
4.24
5.93
1.47
0.92
4.72
3.35
4.07
14.09
15.99
16.60
16.49
0.00
0.00
0.00
19.41
0.00
4.96
6.73
10.43
17.84
15.16
1.91
1.91
5.67
5.85
8.72
11.24
3.90
3.56
5.66
7.21
7.61
8.16
12.26
9.74
8.24
1.61
1.27
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
6.71
NA
NA
NA
NA
NA
NA
0.57
0.71
0.59
0.78
NA
NA
NA
3.82
6.30
NA
6.30
NA
NA
8.70
NA
7.44
1.66
6.85
8.09
1.09
0.86
3.76
3.67
4.43
NA
NA
NA
NA
0.00
0.00
0.00
NA
0.00
4.84
NA
NA
NA
NA
1.39
1.70
NA
7.91
NA
NA
3.49
3.26
NA
NA
NA
NA
NA
NA
NA
2.42
2.29
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
7.76
NA
NA
NA
NA
NA
NA
0.60
0.76
0.62
0.83
NA
NA
NA
4.52
7.00
NA
6.31
NA
NA
9.92
NA
7.88
1.89
7.86
9.13
1.19
0.93
3.92
3.87
4.72
NA
NA
NA
NA
0.00
0.00
0.00
NA
0.00
5.19
NA
NA
NA
NA
1.60
1.94
NA
8.96
NA
NA
3.90
3.65
NA
NA
NA
NA
NA
NA
NA
2.77
2.63
5.32
0.00
6.73
6.79
7.96
8.12
8.77
11.42
13.30
13.57
3.17
7.68
7.74
8.38
6.29
8.77
7.04
0.32
0.39
0.28
0.41
6.78
8.74
9.59
1.20
3.15
3.36
3.90
5.83
8.39
4.38
4.43
5.84
0.86
3.96
4.50
0.86
0.64
3.43
3.60
3.38
10.14
10.96
10.61
10.58
0.00
0.00
0.00
11.65
0.00
3.91
5.30
8.93
11.57
10.19
1.02
1.02
4.66
4.57
7.50
7.32
2.62
2.07
4.69
5.70
6.13
6.30
8.89
7.46
5.77
1.27
1.15
5.32
0.00
7.54
7.76
8.75
8.93
9.62
12.55
14.72
14.96
3.38
8.42
8.53
9.13
7.13
9.63
7.76
0.30
0.38
0.28
0.40
6.76
9.20
10.11
1.29
3.22
3.47
3.92
6.03
8.80
4.50
4.59
5.98
0.91
4.20
4.71
0.92
0.68
3.55
3.77
3.37
10.67
11.49
11.29
11.24
0.00
0.00
0.00
12.43
0.00
4.02
5.63
9.61
12.63
11.09
1.10
1.11
4.68
4.69
8.28
7.88
2.86
2.29
5.16
6.06
6.46
6.67
9.58
7.82
6.30
1.36
1.21
1.91
0.00
0.32
0.34
0.35
0.37
0.42
0.81
1.30
1.02
0.19
0.35
0.36
0.40
0.31
0.50
0.31
0.03
0.04
0.05
0.04
0.37
0.57
0.62
0.09
0.19
0.22
0.26
0.38
0.64
0.27
0.31
0.30
0.07
0.21
0.25
0.07
0.04
0.21
0.16
0.17
0.61
0.70
0.74
0.73
0.00
0.00
0.00
0.87
0.00
0.21
0.28
0.44
0.44
0.44
0.09
0.09
0.24
0.25
0.40
0.52
0.19
0.18
0.28
0.31
0.32
0.35
0.54
0.41
0.37
0.08
0.06
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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15JAR2
Global
090
YYY
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
000
000
000
090
090
090
010
090
090
090
090
090
090
090
090
000
090
090
000
000
090
090
090
090
090
090
090
XXX
XXX
XXX
090
XXX
090
090
090
090
090
000
000
090
090
090
090
010
090
090
090
090
090
090
090
090
010
010
2645
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
66130
66150
66155
66160
66165
66170
66172
66180
66185
66220
66225
66250
66500
66505
66600
66605
66625
66630
66635
66680
66682
66700
66710
66711
66720
66740
66761
66762
66770
66820
66821
66825
66830
66840
66850
66852
66920
66930
66940
66982
66983
66984
66985
66986
66990
66999
67005
67010
67015
67025
67027
67028
67030
67031
67036
67039
67040
67041
67042
67043
67101
67105
67107
67108
67110
67112
67113
67115
67120
67121
67141
67145
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Remove eye lesion .............................
Glaucoma surgery ...............................
Glaucoma surgery ...............................
Glaucoma surgery ...............................
Glaucoma surgery ...............................
Glaucoma surgery ...............................
Incision of eye .....................................
Implant eye shunt ...............................
Revise eye shunt ................................
Repair eye lesion ................................
Repair/graft eye lesion ........................
Follow-up surgery of eye ....................
Incision of iris ......................................
Incision of iris ......................................
Remove iris and lesion .......................
Removal of iris ....................................
Removal of iris ....................................
Removal of iris ....................................
Removal of iris ....................................
Repair iris & ciliary body .....................
Repair iris & ciliary body .....................
Destruction, ciliary body ......................
Ciliary transsleral therapy ...................
Ciliary endoscopic ablation .................
Destruction, ciliary body ......................
Destruction, ciliary body ......................
Revision of iris ....................................
Revision of iris ....................................
Removal of inner eye lesion ...............
Incision, secondary cataract ...............
After cataract laser surgery ................
Reposition intraocular lens .................
Removal of lens lesion .......................
Removal of lens material ....................
Removal of lens material ....................
Removal of lens material ....................
Extraction of lens ................................
Extraction of lens ................................
Extraction of lens ................................
Cataract surgery, complex ..................
Cataract surg w/iol, 1 stage ................
Cataract surg w/iol, 1 stage ................
Insert lens prosthesis ..........................
Exchange lens prosthesis ...................
Ophthalmic endoscope add-on ...........
Eye surgery procedure .......................
Partial removal of eye fluid .................
Partial removal of eye fluid .................
Release of eye fluid ............................
Replace eye fluid ................................
Implant eye drug system ....................
Injection eye drug ...............................
Incise inner eye strands ......................
Laser surgery, eye strands .................
Removal of inner eye fluid ..................
Laser treatment of retina ....................
Laser treatment of retina ....................
Vit for macular pucker .........................
Vit for macular hole .............................
Vit for membrane dissect ....................
Repair detached retina .......................
Repair detached retina .......................
Repair detached retina .......................
Repair detached retina .......................
Repair detached retina .......................
Rerepair detached retina ....................
Repair retinal detach, cplx ..................
Release encircling material .................
Remove eye implant material .............
Remove eye implant material .............
Treatment of retina .............................
Treatment of retina .............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
7.74
10.18
10.17
12.04
9.89
14.57
18.26
16.02
9.35
8.98
12.38
6.92
3.75
4.13
9.89
13.99
5.19
7.10
7.19
6.24
7.15
5.06
5.06
7.70
4.86
5.06
4.87
5.25
5.98
3.93
3.32
8.82
9.27
8.98
10.32
11.18
9.93
11.38
10.14
14.83
10.20
10.36
9.73
12.26
1.51
0.00
5.77
6.94
7.00
7.91
11.43
2.52
5.91
4.34
13.09
16.39
19.23
19.00
22.13
22.94
8.60
8.35
16.35
22.49
10.02
18.45
25.00
5.93
6.92
12.00
6.00
6.17
7.51
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
9.24
NA
NA
NA
NA
NA
NA
NA
NA
NA
4.78
4.60
NA
5.37
4.53
5.02
5.10
5.53
NA
3.82
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
7.86
NA
2.15
NA
4.09
NA
NA
NA
NA
NA
NA
8.49
7.41
NA
NA
8.92
NA
NA
NA
7.35
NA
5.41
5.34
8.57
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
10.47
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.01
4.88
NA
5.58
4.81
5.31
5.38
5.81
NA
3.96
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
8.54
NA
2.43
NA
4.35
NA
NA
NA
NA
NA
NA
8.81
7.75
NA
NA
9.58
NA
NA
NA
7.97
NA
5.63
5.53
4.86
8.81
8.81
9.47
8.77
11.54
14.63
9.69
7.04
7.17
8.11
5.25
3.95
4.30
8.25
9.45
4.21
5.34
5.37
5.06
6.71
3.59
3.60
6.29
4.32
3.60
4.19
4.06
4.59
4.62
3.42
7.77
6.37
6.29
7.06
7.38
6.64
7.45
7.00
8.95
6.51
6.44
7.12
8.05
0.54
0.00
4.57
4.99
5.70
5.91
7.37
1.24
5.60
3.43
8.06
10.69
12.00
10.37
11.49
12.35
6.17
5.78
10.35
12.93
6.96
10.86
13.75
4.92
5.28
7.95
4.65
4.71
5.24
9.11
9.08
9.83
9.01
11.89
14.92
10.23
7.21
7.13
8.43
5.37
4.29
4.65
8.24
9.74
4.47
5.53
5.56
5.17
6.66
3.76
3.72
6.38
4.52
3.79
4.25
4.18
4.69
5.22
3.52
8.42
6.66
6.58
7.35
7.74
6.97
7.80
7.30
9.41
6.31
6.93
7.29
8.62
0.61
0.00
4.72
5.21
6.08
6.07
7.68
1.35
5.73
3.53
8.59
11.44
12.84
10.37
11.49
12.35
6.35
5.97
10.83
13.68
7.18
11.33
13.75
5.00
5.41
8.24
4.76
4.82
0.38
0.46
0.41
0.50
0.40
0.60
0.74
0.71
0.40
0.40
0.55
0.30
0.18
0.20
0.43
0.77
0.26
0.31
0.31
0.27
0.31
0.24
0.23
0.30
0.26
0.23
0.20
0.23
0.26
0.19
0.11
0.40
0.36
0.39
0.45
0.49
0.44
0.49
0.43
0.63
0.14
0.39
0.36
0.60
0.07
0.00
0.28
0.34
0.34
0.34
0.54
0.12
0.24
0.18
0.58
0.71
0.85
0.86
1.00
1.04
0.37
0.37
0.73
1.02
0.44
0.83
1.13
0.25
0.29
0.53
0.26
0.27
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00079
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
ZZZ
YYY
090
090
090
090
090
000
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2646
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
67208
67210
67218
67220
67221
67225
67227
67228
67229
67250
67255
67299
67311
67312
67314
67316
67318
67320
67331
67332
67334
67335
67340
67343
67345
67346
67399
67400
67405
67412
67413
67414
67415
67420
67430
67440
67445
67450
67500
67505
67515
67550
67560
67570
67599
67700
67710
67715
67800
67801
67805
67808
67810
67820
67825
67830
67835
67840
67850
67875
67880
67882
67900
67901
67902
67903
67904
67906
67908
67909
67911
67912
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
R
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Treatment of retinal lesion ..................
Treatment of retinal lesion ..................
Treatment of retinal lesion ..................
Treatment of choroid lesion ................
Ocular photodynamic ther ...................
Eye photodynamic ther add-on ...........
Treatment of retinal lesion ..................
Treatment of retinal lesion ..................
Tr retinal les preterm inf .....................
Reinforce eye wall ..............................
Reinforce/graft eye wall ......................
Eye surgery procedure .......................
Revise eye muscle ..............................
Revise two eye muscles .....................
Revise eye muscle ..............................
Revise two eye muscles .....................
Revise eye muscle(s) .........................
Revise eye muscle(s) add-on .............
Eye surgery follow-up add-on .............
Rerevise eye muscles add-on ............
Revise eye muscle w/suture ...............
Eye suture during surgery ..................
Revise eye muscle add-on .................
Release eye tissue .............................
Destroy nerve of eye muscle ..............
Biopsy, eye muscle .............................
Eye muscle surgery procedure ...........
Explore/biopsy eye socket ..................
Explore/drain eye socket ....................
Explore/treat eye socket .....................
Explore/treat eye socket .....................
Explr/decompress eye socket .............
Aspiration, orbital contents .................
Explore/treat eye socket .....................
Explore/treat eye socket .....................
Explore/drain eye socket ....................
Explr/decompress eye socket .............
Explore/biopsy eye socket ..................
Inject/treat eye socket .........................
Inject/treat eye socket .........................
Inject/treat eye socket .........................
Insert eye socket implant ....................
Revise eye socket implant ..................
Decompress optic nerve .....................
Orbit surgery procedure ......................
Drainage of eyelid abscess ................
Incision of eyelid .................................
Incision of eyelid fold ..........................
Remove eyelid lesion ..........................
Remove eyelid lesions ........................
Remove eyelid lesions ........................
Remove eyelid lesion(s) .....................
Biopsy of eyelid ...................................
Revise eyelashes ................................
Revise eyelashes ................................
Revise eyelashes ................................
Revise eyelashes ................................
Remove eyelid lesion ..........................
Treat eyelid lesion ...............................
Closure of eyelid by suture .................
Revision of eyelid ................................
Revision of eyelid ................................
Repair brow defect ..............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Revise eyelid defect ............................
Revise eyelid defect ............................
Correction eyelid w/implant .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
7.50
9.35
20.22
14.19
3.45
0.47
7.38
13.67
16.00
9.46
9.97
0.00
7.59
9.48
8.59
10.73
8.92
5.40
5.13
5.56
5.05
2.49
6.00
8.29
2.98
2.87
0.00
10.97
9.00
10.17
10.09
17.78
1.76
21.62
14.99
14.56
18.96
15.11
1.44
1.27
1.40
11.52
11.93
14.21
0.00
1.37
1.04
1.24
1.39
1.89
2.24
4.47
1.48
0.71
1.40
1.72
5.61
2.06
1.71
1.35
4.47
5.87
6.69
7.47
9.68
6.42
7.83
6.84
5.19
5.46
7.38
6.23
5.64
5.91
NA
9.22
2.92
0.22
6.00
13.60
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.17
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.57
0.65
0.77
NA
NA
NA
0.00
4.31
3.70
3.83
1.39
1.67
2.18
NA
3.94
0.43
1.40
3.99
NA
3.90
3.29
2.38
5.44
6.36
7.37
8.99
NA
6.63
8.17
NA
5.55
6.18
NA
13.14
5.89
6.24
NA
9.82
3.62
0.24
6.29
12.54
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.38
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.62
0.67
0.68
NA
NA
NA
0.00
5.17
4.54
4.61
1.50
1.82
2.35
NA
3.64
0.52
1.57
4.76
NA
4.69
3.33
2.84
6.03
6.99
8.22
7.20
NA
8.10
8.90
NA
6.09
7.11
NA
16.04
5.20
5.44
10.61
8.16
1.38
0.17
5.16
10.19
9.52
7.66
8.43
0.00
5.50
6.19
6.15
6.92
6.51
1.92
1.81
1.97
1.80
0.88
2.14
6.06
1.69
1.62
0.00
9.42
8.34
8.53
8.70
11.64
0.62
14.24
11.87
11.88
12.14
12.30
0.44
0.50
0.61
9.83
9.78
11.01
0.00
1.17
1.08
1.15
0.90
1.08
1.41
3.61
0.68
0.50
1.26
1.32
4.12
1.45
1.45
0.83
3.57
4.46
4.61
5.29
6.34
4.34
5.37
4.47
4.12
4.17
5.05
4.74
5.36
5.66
11.39
8.59
1.59
0.19
5.34
9.37
9.52
8.42
9.16
0.00
5.76
6.47
6.35
7.21
6.72
1.94
1.82
2.00
1.80
1.00
2.17
6.29
1.85
1.75
0.00
10.34
9.06
9.73
9.74
11.84
0.69
15.82
13.38
13.07
13.03
13.50
0.37
0.41
0.50
10.57
10.58
12.30
0.00
1.22
1.14
1.22
0.97
1.17
1.53
3.69
0.68
0.53
1.33
1.41
4.37
1.55
1.46
0.89
3.69
4.63
4.93
5.35
5.90
4.93
5.30
4.75
4.74
4.56
4.91
5.14
0.33
0.44
0.92
0.65
0.20
0.02
0.33
0.63
0.71
0.47
0.44
0.00
0.37
0.43
0.39
0.49
0.41
0.22
0.21
0.23
0.20
0.13
0.25
0.37
0.17
0.15
0.00
0.56
0.44
0.48
0.50
0.65
0.09
1.15
0.86
0.70
0.90
0.68
0.05
0.05
0.03
0.72
0.60
0.68
0.00
0.07
0.05
0.06
0.07
0.09
0.11
0.19
0.06
0.04
0.07
0.08
0.28
0.10
0.07
0.07
0.19
0.25
0.38
0.54
0.60
0.47
0.41
0.46
0.28
0.31
0.31
0.28
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00080
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
000
ZZZ
090
090
090
090
090
YYY
090
090
090
090
090
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
090
010
000
YYY
090
090
090
090
090
000
090
090
090
090
090
000
000
000
090
090
090
YYY
010
010
010
010
010
010
090
000
000
010
010
090
010
010
000
090
090
090
090
090
090
090
090
090
090
090
090
2647
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
67914
67915
67916
67917
67921
67922
67923
67924
67930
67935
67938
67950
67961
67966
67971
67973
67974
67975
67999
68020
68040
68100
68110
68115
68130
68135
68200
68320
68325
68326
68328
68330
68335
68340
68360
68362
68371
68399
68400
68420
68440
68500
68505
68510
68520
68525
68530
68540
68550
68700
68705
68720
68745
68750
68760
68761
68770
68801
68810
68811
68815
68816
68840
68850
68899
69000
69005
69020
69090
69100
69105
69110
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
N
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid defect ............................
Repair eyelid wound ...........................
Repair eyelid wound ...........................
Remove eyelid foreign body ...............
Revision of eyelid ................................
Revision of eyelid ................................
Revision of eyelid ................................
Reconstruction of eyelid .....................
Reconstruction of eyelid .....................
Reconstruction of eyelid .....................
Reconstruction of eyelid .....................
Revision of eyelid ................................
Incise/drain eyelid lining ......................
Treatment of eyelid lesions .................
Biopsy of eyelid lining .........................
Remove eyelid lining lesion ................
Remove eyelid lining lesion ................
Remove eyelid lining lesion ................
Remove eyelid lining lesion ................
Treat eyelid by injection ......................
Revise/graft eyelid lining .....................
Revise/graft eyelid lining .....................
Revise/graft eyelid lining .....................
Revise/graft eyelid lining .....................
Revise eyelid lining .............................
Revise/graft eyelid lining .....................
Separate eyelid adhesions .................
Revise eyelid lining .............................
Revise eyelid lining .............................
Harvest eye tissue, alograft ................
Eyelid lining surgery ............................
Incise/drain tear gland ........................
Incise/drain tear sac ............................
Incise tear duct opening .....................
Removal of tear gland ........................
Partial removal, tear gland ..................
Biopsy of tear gland ............................
Removal of tear sac ............................
Biopsy of tear sac ...............................
Clearance of tear duct ........................
Remove tear gland lesion ...................
Remove tear gland lesion ...................
Repair tear ducts ................................
Revise tear duct opening ....................
Create tear sac drain ..........................
Create tear duct drain .........................
Create tear duct drain .........................
Close tear duct opening ......................
Close tear duct opening ......................
Close tear system fistula ....................
Dilate tear duct opening ......................
Probe nasolacrimal duct .....................
Probe nasolacrimal duct .....................
Probe nasolacrimal duct .....................
Probe nl duct w/balloon ......................
Explore/irrigate tear ducts ...................
Injection for tear sac x-ray ..................
Tear duct system surgery ...................
Drain external ear lesion .....................
Drain external ear lesion .....................
Drain outer ear canal lesion ...............
Pierce earlobes ...................................
Biopsy of external ear .........................
Biopsy of external ear canal ...............
Remove external ear, partial ..............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.70
3.21
5.37
6.08
3.42
3.09
5.94
5.84
3.62
6.27
1.35
5.88
5.75
8.83
9.87
12.96
12.93
9.21
0.00
1.39
0.85
1.35
1.79
2.38
4.99
1.86
0.49
6.44
8.43
8.22
9.25
5.63
8.26
4.84
5.04
8.41
4.97
0.00
1.71
2.32
0.96
12.49
12.41
4.60
8.58
4.42
3.67
11.93
14.86
7.67
2.08
9.78
9.70
9.87
1.75
1.38
8.09
0.96
2.63
2.39
3.24
3.00
1.27
0.80
0.00
1.47
2.13
1.50
0.00
0.81
0.85
3.47
4.75
4.32
6.37
6.72
4.62
4.16
6.44
6.91
4.37
6.76
3.83
6.66
6.81
8.05
NA
NA
NA
NA
0.00
1.24
0.60
2.36
3.07
4.33
6.64
1.58
0.45
9.16
NA
NA
NA
7.41
NA
6.87
6.43
NA
NA
0.00
4.42
4.59
1.25
NA
NA
5.21
NA
NA
5.60
NA
NA
NA
3.03
NA
NA
NA
2.59
1.83
NA
1.77
3.39
NA
6.42
12.75
1.51
0.72
0.00
2.89
2.99
4.09
0.00
1.85
2.64
7.84
5.55
5.15
7.21
7.59
5.41
5.04
7.28
7.92
5.04
7.64
4.61
7.65
7.75
8.59
NA
NA
NA
NA
0.00
1.32
0.66
2.81
3.59
5.15
7.68
1.70
0.49
10.22
NA
NA
NA
8.42
NA
7.88
7.24
NA
NA
0.00
5.16
5.39
1.67
NA
NA
6.27
NA
NA
6.89
NA
NA
NA
3.60
NA
NA
NA
3.06
2.05
NA
1.86
3.53
NA
7.33
12.75
1.55
0.80
0.00
2.88
2.96
4.04
0.00
1.78
2.49
7.29
2.68
2.43
4.15
4.41
2.56
2.33
4.33
4.06
1.78
3.58
1.22
4.37
4.30
5.74
6.18
7.71
7.69
5.94
0.00
1.05
0.35
0.86
1.48
1.69
4.02
1.47
0.29
5.31
6.10
5.92
6.38
4.44
5.92
3.87
3.96
5.97
4.06
0.00
1.21
1.42
1.19
9.53
8.91
2.02
6.49
1.57
2.07
8.49
9.68
5.56
1.58
6.88
6.98
7.43
1.45
1.25
5.75
1.41
2.68
2.12
2.43
2.51
1.28
0.60
0.00
1.34
1.61
1.90
0.00
0.39
0.71
4.45
2.86
2.62
4.45
4.74
2.73
2.54
4.65
4.37
1.98
4.00
1.24
4.80
4.67
5.66
6.73
8.52
8.46
6.45
0.00
1.13
0.39
0.90
1.56
1.80
4.31
1.56
0.31
5.42
6.32
6.17
6.84
4.58
6.15
3.98
4.07
6.19
4.39
0.00
1.52
1.76
1.23
9.63
9.79
2.06
6.96
1.80
2.36
8.94
10.52
5.77
1.69
7.37
7.42
7.85
1.54
1.28
4.47
1.45
2.68
2.27
2.62
2.51
1.20
0.64
0.00
1.35
1.73
1.98
0.00
0.39
0.74
4.46
0.19
0.16
0.28
0.36
0.17
0.15
0.30
0.30
0.19
0.39
0.06
0.36
0.33
0.37
0.53
0.75
0.75
0.50
0.00
0.06
0.04
0.07
0.09
0.12
0.24
0.09
0.02
0.27
0.44
0.35
0.54
0.24
0.36
0.21
0.22
0.36
0.44
0.00
0.08
0.11
0.05
0.55
0.55
0.23
0.37
0.22
0.18
0.52
0.80
0.32
0.10
0.44
0.52
0.43
0.09
0.06
0.35
0.05
0.10
0.13
0.17
0.16
0.06
0.04
0.00
0.12
0.17
0.12
0.00
0.03
0.07
0.30
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00081
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
010
090
010
090
090
090
090
090
090
090
YYY
010
000
000
010
010
090
010
000
090
090
090
090
090
090
090
090
090
010
YYY
010
010
010
090
090
000
090
000
010
090
090
090
010
090
090
090
010
010
090
010
010
010
010
010
010
000
YYY
010
010
010
XXX
000
000
090
2648
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
69120
69140
69145
69150
69155
69200
69205
69210
69220
69222
69300
69310
69320
69399
69400
69401
69405
69420
69421
69424
69433
69436
69440
69450
69501
69502
69505
69511
69530
69535
69540
69550
69552
69554
69601
69602
69603
69604
69605
69610
69620
69631
69632
69633
69635
69636
69637
69641
69642
69643
69644
69645
69646
69650
69660
69661
69662
69666
69667
69670
69676
69700
69710
69711
69714
69715
69717
69718
69720
69725
69740
69745
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
R
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Removal of external ear .....................
Remove ear canal lesion(s) ................
Remove ear canal lesion(s) ................
Extensive ear canal surgery ...............
Extensive ear/neck surgery ................
Clear outer ear canal ..........................
Clear outer ear canal ..........................
Remove impacted ear wax .................
Clean out mastoid cavity ....................
Clean out mastoid cavity ....................
Revise external ear .............................
Rebuild outer ear canal ......................
Rebuild outer ear canal ......................
Outer ear surgery procedure ..............
Inflate middle ear canal ......................
Inflate middle ear canal ......................
Catheterize middle ear canal ..............
Incision of eardrum .............................
Incision of eardrum .............................
Remove ventilating tube .....................
Create eardrum opening .....................
Create eardrum opening .....................
Exploration of middle ear ....................
Eardrum revision .................................
Mastoidectomy ....................................
Mastoidectomy ....................................
Remove mastoid structures ................
Extensive mastoid surgery ..................
Extensive mastoid surgery ..................
Remove part of temporal bone ...........
Remove ear lesion ..............................
Remove ear lesion ..............................
Remove ear lesion ..............................
Remove ear lesion ..............................
Mastoid surgery revision .....................
Mastoid surgery revision .....................
Mastoid surgery revision .....................
Mastoid surgery revision .....................
Mastoid surgery revision .....................
Repair of eardrum ...............................
Repair of eardrum ...............................
Repair eardrum structures ..................
Rebuild eardrum structures ................
Rebuild eardrum structures ................
Repair eardrum structures ..................
Rebuild eardrum structures ................
Rebuild eardrum structures ................
Revise middle ear & mastoid ..............
Revise middle ear & mastoid ..............
Revise middle ear & mastoid ..............
Revise middle ear & mastoid ..............
Revise middle ear & mastoid ..............
Revise middle ear & mastoid ..............
Release middle ear bone ....................
Revise middle ear bone ......................
Revise middle ear bone ......................
Revise middle ear bone ......................
Repair middle ear structures ..............
Repair middle ear structures ..............
Remove mastoid air cells ...................
Remove middle ear nerve ..................
Close mastoid fistula ...........................
Implant/replace hearing aid ................
Remove/repair hearing aid .................
Implant temple bone w/stimul .............
Temple bne implnt w/stimulat .............
Temple bone implant revision .............
Revise temple bone implant ...............
Release facial nerve ...........................
Release facial nerve ...........................
Repair facial nerve ..............................
Repair facial nerve ..............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
4.08
8.03
2.65
13.49
23.06
0.77
1.20
0.61
0.83
1.42
6.69
10.85
17.03
0.00
0.83
0.63
2.65
1.35
1.75
0.85
1.54
1.98
7.62
5.61
9.12
12.44
13.05
13.58
20.24
37.27
1.22
11.04
19.69
35.71
13.31
13.64
14.08
14.08
18.55
4.44
5.94
9.93
12.82
12.17
13.39
15.29
15.18
12.77
16.91
15.45
17.09
16.57
18.23
9.71
11.94
15.80
15.49
9.80
9.81
11.62
9.58
8.28
0.00
10.50
14.31
18.80
15.29
19.05
14.57
27.44
16.18
16.91
NA
NA
7.03
NA
NA
2.15
NA
0.58
2.56
3.97
10.72
NA
NA
0.00
2.82
1.53
3.66
3.32
NA
2.34
3.32
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.90
NA
NA
NA
NA
NA
NA
NA
NA
4.91
10.92
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
6.41
NA
NA
2.27
NA
0.60
2.46
3.91
7.47
NA
NA
0.00
2.49
1.38
3.58
3.24
NA
2.26
3.21
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.82
NA
NA
NA
NA
NA
NA
NA
NA
5.24
11.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
5.36
13.23
3.37
11.46
17.00
0.61
1.24
0.17
0.68
1.90
5.19
15.50
20.07
0.00
0.68
0.59
1.96
1.56
1.85
0.68
1.60
1.90
9.12
7.62
8.66
11.05
16.15
16.34
19.67
26.78
1.85
14.28
18.20
24.01
11.93
12.81
16.45
12.79
19.30
2.59
5.84
11.53
13.32
13.09
16.30
18.21
18.12
12.48
15.54
14.17
18.75
18.61
19.12
9.54
10.51
13.47
12.51
9.81
9.84
11.25
10.62
8.68
0.00
10.42
11.80
13.34
11.97
13.42
14.03
18.04
11.59
9.94
5.77
13.26
3.34
12.44
18.28
0.58
1.30
0.20
0.70
1.98
4.70
15.90
20.96
0.00
0.67
0.62
2.14
1.57
2.01
0.68
1.62
2.10
8.95
7.33
8.84
11.32
16.68
16.91
20.66
29.38
1.92
14.58
19.44
27.18
12.31
13.03
17.41
13.24
20.13
2.93
6.07
11.37
13.40
13.08
16.53
18.76
18.68
12.64
15.92
14.50
19.58
19.32
19.95
9.73
10.85
14.09
13.13
9.89
9.92
11.48
10.69
8.97
0.00
10.61
12.23
14.19
13.22
14.36
14.28
19.09
12.51
12.46
0.38
0.65
0.21
1.22
1.93
0.06
0.10
0.05
0.07
0.12
0.72
0.85
1.37
0.00
0.07
0.05
0.21
0.11
0.15
0.07
0.13
0.19
0.61
0.45
0.73
1.00
1.05
1.09
1.54
2.93
0.10
0.89
1.59
2.92
1.07
1.10
1.14
1.14
1.50
0.36
0.48
0.80
1.03
0.98
1.08
1.23
1.22
1.03
1.36
1.24
1.37
1.33
1.46
0.78
0.96
1.27
1.25
0.79
0.79
0.93
0.81
0.67
0.00
0.83
1.13
1.48
0.90
3.22
1.16
2.45
1.27
1.14
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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15JAR2
Global
090
090
090
090
090
000
010
000
000
010
YYY
090
090
YYY
000
000
010
010
010
000
010
010
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
010
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
XXX
090
090
090
090
090
090
090
090
090
2649
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
69799
69801
69802
69805
69806
69820
69840
69905
69910
69915
69930
69949
69950
69955
69960
69970
69979
69990
70010
70010
70010
70015
70015
70015
70030
70030
70030
70100
70100
70100
70110
70110
70110
70120
70120
70120
70130
70130
70130
70134
70134
70134
70140
70140
70140
70150
70150
70150
70160
70160
70160
70170
70170
70170
70190
70190
70190
70200
70200
70200
70210
70210
70210
70220
70220
70220
70240
70240
70240
70250
70250
70250
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
C
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
C
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Middle ear surgery procedure .............
Incise inner ear ...................................
Incise inner ear ...................................
Explore inner ear ................................
Explore inner ear ................................
Establish inner ear window .................
Revise inner ear window ....................
Remove inner ear ...............................
Remove inner ear & mastoid ..............
Incise inner ear nerve .........................
Implant cochlear device ......................
Inner ear surgery procedure ...............
Incise inner ear nerve .........................
Release facial nerve ...........................
Release inner ear canal ......................
Remove inner ear lesion .....................
Temporal bone surgery .......................
Microsurgery add-on ...........................
Contrast x-ray of brain ........................
Contrast x-ray of brain ........................
Contrast x-ray of brain ........................
Contrast x-ray of brain ........................
Contrast x-ray of brain ........................
Contrast x-ray of brain ........................
X-ray eye for foreign body ..................
X-ray eye for foreign body ..................
X-ray eye for foreign body ..................
X-ray exam of jaw ...............................
X-ray exam of jaw ...............................
X-ray exam of jaw ...............................
X-ray exam of jaw ...............................
X-ray exam of jaw ...............................
X-ray exam of jaw ...............................
X-ray exam of mastoids ......................
X-ray exam of mastoids ......................
X-ray exam of mastoids ......................
X-ray exam of mastoids ......................
X-ray exam of mastoids ......................
X-ray exam of mastoids ......................
X-ray exam of middle ear ...................
X-ray exam of middle ear ...................
X-ray exam of middle ear ...................
X-ray exam of facial bones .................
X-ray exam of facial bones .................
X-ray exam of facial bones .................
X-ray exam of facial bones .................
X-ray exam of facial bones .................
X-ray exam of facial bones .................
X-ray exam of nasal bones .................
X-ray exam of nasal bones .................
X-ray exam of nasal bones .................
X-ray exam of tear duct ......................
X-ray exam of tear duct ......................
X-ray exam of tear duct ......................
X-ray exam of eye sockets .................
X-ray exam of eye sockets .................
X-ray exam of eye sockets .................
X-ray exam of eye sockets .................
X-ray exam of eye sockets .................
X-ray exam of eye sockets .................
X-ray exam of sinuses ........................
X-ray exam of sinuses ........................
X-ray exam of sinuses ........................
X-ray exam of sinuses ........................
X-ray exam of sinuses ........................
X-ray exam of sinuses ........................
X-ray exam, pituitary saddle ...............
X-ray exam, pituitary saddle ...............
X-ray exam, pituitary saddle ...............
X-ray exam of skull .............................
X-ray exam of skull .............................
X-ray exam of skull .............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
8.61
13.39
14.55
12.52
10.40
10.32
11.15
13.80
22.65
17.60
0.00
27.44
29.22
29.22
32.21
0.00
3.46
1.19
0.00
1.19
1.19
0.00
1.19
0.17
0.00
0.17
0.18
0.00
0.18
0.25
0.00
0.25
0.18
0.00
0.18
0.34
0.00
0.34
0.34
0.00
0.34
0.19
0.00
0.19
0.26
0.00
0.26
0.17
0.00
0.17
0.00
0.00
0.30
0.21
0.00
0.21
0.28
0.00
0.28
0.17
0.00
0.17
0.25
0.00
0.25
0.19
0.00
0.19
0.24
0.00
0.24
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
0.00
NA
2.82
2.40
0.42
2.92
2.49
0.43
0.61
0.55
0.06
0.63
0.58
0.05
0.81
0.72
0.09
0.69
0.64
0.05
1.15
1.04
0.11
0.92
0.80
0.12
0.54
0.49
0.05
0.85
0.77
0.08
0.71
0.65
0.06
0.00
0.00
0.10
0.72
0.65
0.07
0.87
0.78
0.09
0.58
0.53
0.05
0.73
0.65
0.08
0.61
0.55
0.06
0.70
0.63
0.07
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
0.00
NA
3.77
3.37
0.40
2.33
1.92
0.41
0.54
0.48
0.06
0.61
0.55
0.06
0.75
0.67
0.08
0.69
0.63
0.06
1.02
0.91
0.11
0.87
0.76
0.11
0.62
0.56
0.06
0.85
0.77
0.08
0.64
0.58
0.06
0.00
0.00
0.10
0.71
0.64
0.07
0.87
0.78
0.09
0.62
0.57
0.05
0.80
0.72
0.08
0.54
0.48
0.06
0.69
0.62
0.07
0.00
9.63
11.87
10.90
10.40
10.26
11.38
11.04
10.89
14.83
13.12
0.00
16.86
19.41
17.92
19.54
0.00
1.27
NA
NA
0.42
NA
NA
0.43
NA
NA
0.06
NA
NA
0.05
NA
NA
0.09
NA
NA
0.05
NA
NA
0.11
NA
NA
0.12
NA
NA
0.05
NA
NA
0.08
NA
NA
0.06
NA
NA
0.10
NA
NA
0.07
NA
NA
0.09
NA
NA
0.05
NA
NA
0.08
NA
NA
0.06
NA
NA
0.07
0.00
9.55
12.10
11.39
10.72
10.74
12.28
11.20
11.41
15.65
13.94
0.00
17.89
20.40
18.99
21.41
0.00
1.53
NA
NA
0.40
NA
NA
0.41
NA
NA
0.06
NA
NA
0.06
NA
NA
0.08
NA
NA
0.06
NA
NA
0.11
NA
NA
0.11
NA
NA
0.06
NA
NA
0.08
NA
NA
0.06
NA
NA
0.10
NA
NA
0.07
NA
NA
0.09
NA
NA
0.05
NA
NA
0.08
NA
NA
0.06
NA
NA
0.07
0.00
0.69
1.06
1.12
1.00
0.90
0.79
0.90
1.07
1.70
1.36
0.00
2.29
2.49
2.18
2.42
0.00
0.89
0.27
0.22
0.05
0.16
0.08
0.08
0.03
0.02
0.01
0.03
0.02
0.01
0.05
0.04
0.01
0.05
0.04
0.01
0.07
0.05
0.02
0.07
0.05
0.02
0.05
0.04
0.01
0.06
0.05
0.01
0.03
0.02
0.01
0.00
0.00
0.01
0.05
0.04
0.01
0.06
0.05
0.01
0.05
0.04
0.01
0.06
0.05
0.01
0.03
0.02
0.01
0.05
0.04
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
YYY
090
090
090
090
090
090
090
090
090
090
YYY
090
090
090
090
YYY
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2650
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
70260
70260
70260
70300
70300
70300
70310
70310
70310
70320
70320
70320
70328
70328
70328
70330
70330
70330
70332
70332
70332
70336
70336
70336
70350
70350
70350
70355
70355
70355
70360
70360
70360
70370
70370
70370
70371
70371
70371
70373
70373
70373
70380
70380
70380
70390
70390
70390
70450
70450
70450
70460
70460
70460
70470
70470
70470
70480
70480
70480
70481
70481
70481
70482
70482
70482
70486
70486
70486
70487
70487
70487
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-ray exam of skull .............................
X-ray exam of skull .............................
X-ray exam of skull .............................
X-ray exam of teeth ............................
X-ray exam of teeth ............................
X-ray exam of teeth ............................
X-ray exam of teeth ............................
X-ray exam of teeth ............................
X-ray exam of teeth ............................
Full mouth x-ray of teeth .....................
Full mouth x-ray of teeth .....................
Full mouth x-ray of teeth .....................
X-ray exam of jaw joint .......................
X-ray exam of jaw joint .......................
X-ray exam of jaw joint .......................
X-ray exam of jaw joints .....................
X-ray exam of jaw joints .....................
X-ray exam of jaw joints .....................
X-ray exam of jaw joint .......................
X-ray exam of jaw joint .......................
X-ray exam of jaw joint .......................
Magnetic image, jaw joint ...................
Magnetic image, jaw joint ...................
Magnetic image, jaw joint ...................
X-ray head for orthodontia ..................
X-ray head for orthodontia ..................
X-ray head for orthodontia ..................
Panoramic x-ray of jaws .....................
Panoramic x-ray of jaws .....................
Panoramic x-ray of jaws .....................
X-ray exam of neck .............................
X-ray exam of neck .............................
X-ray exam of neck .............................
Throat x-ray & fluoroscopy .................
Throat x-ray & fluoroscopy .................
Throat x-ray & fluoroscopy .................
Speech evaluation, complex ...............
Speech evaluation, complex ...............
Speech evaluation, complex ...............
Contrast x-ray of larynx ......................
Contrast x-ray of larynx ......................
Contrast x-ray of larynx ......................
X-ray exam of salivary gland ..............
X-ray exam of salivary gland ..............
X-ray exam of salivary gland ..............
X-ray exam of salivary duct ................
X-ray exam of salivary duct ................
X-ray exam of salivary duct ................
Ct head/brain w/o dye .........................
Ct head/brain w/o dye .........................
Ct head/brain w/o dye .........................
Ct head/brain w/dye ............................
Ct head/brain w/dye ............................
Ct head/brain w/dye ............................
Ct head/brain w/o & w/dye .................
Ct head/brain w/o & w/dye .................
Ct head/brain w/o & w/dye .................
Ct orbit/ear/fossa w/o dye ...................
Ct orbit/ear/fossa w/o dye ...................
Ct orbit/ear/fossa w/o dye ...................
Ct orbit/ear/fossa w/dye ......................
Ct orbit/ear/fossa w/dye ......................
Ct orbit/ear/fossa w/dye ......................
Ct orbit/ear/fossa w/o&w/dye ..............
Ct orbit/ear/fossa w/o&w/dye ..............
Ct orbit/ear/fossa w/o&w/dye ..............
Ct maxillofacial w/o dye ......................
Ct maxillofacial w/o dye ......................
Ct maxillofacial w/o dye ......................
Ct maxillofacial w/dye .........................
Ct maxillofacial w/dye .........................
Ct maxillofacial w/dye .........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.34
0.00
0.34
0.10
0.00
0.10
0.16
0.00
0.16
0.22
0.00
0.22
0.18
0.00
0.18
0.24
0.00
0.24
0.54
0.00
0.54
1.48
0.00
1.48
0.17
0.00
0.17
0.20
0.00
0.20
0.17
0.00
0.17
0.32
0.00
0.32
0.84
0.00
0.84
0.44
0.00
0.44
0.17
0.00
0.17
0.38
0.00
0.38
0.85
0.00
0.85
1.13
0.00
1.13
1.27
0.00
1.27
1.28
0.00
1.28
1.38
0.00
1.38
1.45
0.00
1.45
1.14
0.00
1.14
1.30
0.00
1.30
0.88
0.78
0.10
0.24
0.21
0.03
0.82
0.77
0.05
1.07
1.00
0.07
0.63
0.57
0.06
1.01
0.93
0.08
1.45
1.29
0.16
12.17
11.67
0.50
0.32
0.27
0.05
0.30
0.23
0.07
0.56
0.51
0.05
1.65
1.55
0.10
1.48
1.22
0.26
1.58
1.47
0.11
0.82
0.76
0.06
2.34
2.21
0.13
4.92
4.62
0.30
6.51
6.11
0.40
7.94
7.49
0.45
8.49
8.04
0.45
9.98
9.49
0.49
11.41
10.90
0.51
6.80
6.40
0.40
8.35
7.89
0.46
0.94
0.83
0.11
0.27
0.23
0.04
0.65
0.59
0.06
0.97
0.89
0.08
0.59
0.53
0.06
0.96
0.88
0.08
1.88
1.70
0.18
11.94
11.44
0.50
0.39
0.33
0.06
0.47
0.40
0.07
0.52
0.46
0.06
1.53
1.43
0.10
1.93
1.66
0.27
1.76
1.63
0.13
0.78
0.72
0.06
2.13
2.00
0.13
4.96
4.67
0.29
6.28
5.89
0.39
7.71
7.28
0.43
6.81
6.38
0.43
8.05
7.58
0.47
9.48
8.99
0.49
5.94
5.56
0.38
7.23
6.78
0.45
NA
NA
0.10
NA
NA
0.03
NA
NA
0.05
NA
NA
0.07
NA
NA
0.06
NA
NA
0.08
NA
NA
0.16
NA
NA
0.50
NA
NA
0.05
NA
NA
0.07
NA
NA
0.05
NA
NA
0.10
NA
NA
0.26
NA
NA
0.11
NA
NA
0.06
NA
NA
0.13
NA
NA
0.30
NA
NA
0.40
NA
NA
0.45
NA
NA
0.45
NA
NA
0.49
NA
NA
0.51
NA
NA
0.40
NA
NA
0.46
NA
NA
0.11
NA
NA
0.04
NA
NA
0.06
NA
NA
0.08
NA
NA
0.06
NA
NA
0.08
NA
NA
0.18
NA
NA
0.50
NA
NA
0.06
NA
NA
0.07
NA
NA
0.06
NA
NA
0.10
NA
NA
0.27
NA
NA
0.13
NA
NA
0.06
NA
NA
0.13
NA
NA
0.29
NA
NA
0.39
NA
NA
0.43
NA
NA
0.43
NA
NA
0.47
NA
NA
0.49
NA
NA
0.38
NA
NA
0.45
0.08
0.06
0.02
0.03
0.02
0.01
0.03
0.02
0.01
0.06
0.05
0.01
0.03
0.02
0.01
0.06
0.05
0.01
0.14
0.12
0.02
0.66
0.59
0.07
0.03
0.02
0.01
0.05
0.04
0.01
0.03
0.02
0.01
0.08
0.07
0.01
0.16
0.12
0.04
0.13
0.11
0.02
0.05
0.04
0.01
0.13
0.11
0.02
0.29
0.25
0.04
0.35
0.30
0.05
0.43
0.37
0.06
0.31
0.25
0.06
0.36
0.30
0.06
0.43
0.37
0.06
0.30
0.25
0.05
0.36
0.30
0.06
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2651
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
70488
70488
70488
70490
70490
70490
70491
70491
70491
70492
70492
70492
70496
70496
70496
70498
70498
70498
70540
70540
70540
70542
70542
70542
70543
70543
70543
70544
70544
70544
70545
70545
70545
70546
70546
70546
70547
70547
70547
70548
70548
70548
70549
70549
70549
70551
70551
70551
70552
70552
70552
70553
70553
70553
70554
70554
70554
70555
70555
70555
70557
70557
70557
70558
70558
70558
70559
70559
70559
71010
71010
71010
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
C
C
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Ct maxillofacial w/o & w/dye ...............
Ct maxillofacial w/o & w/dye ...............
Ct maxillofacial w/o & w/dye ...............
Ct soft tissue neck w/o dye ................
Ct soft tissue neck w/o dye ................
Ct soft tissue neck w/o dye ................
Ct soft tissue neck w/dye ....................
Ct soft tissue neck w/dye ....................
Ct soft tissue neck w/dye ....................
Ct sft tsue nck w/o & w/dye ................
Ct sft tsue nck w/o & w/dye ................
Ct sft tsue nck w/o & w/dye ................
Ct angiography, head .........................
Ct angiography, head .........................
Ct angiography, head .........................
Ct angiography, neck ..........................
Ct angiography, neck ..........................
Ct angiography, neck ..........................
Mri orbit/face/neck w/o dye .................
Mri orbit/face/neck w/o dye .................
Mri orbit/face/neck w/o dye .................
Mri orbit/face/neck w/dye ....................
Mri orbit/face/neck w/dye ....................
Mri orbit/face/neck w/dye ....................
Mri orbt/fac/nck w/o & w/dye ..............
Mri orbt/fac/nck w/o & w/dye ..............
Mri orbt/fac/nck w/o & w/dye ..............
Mr angiography head w/o dye ............
Mr angiography head w/o dye ............
Mr angiography head w/o dye ............
Mr angiography head w/dye ...............
Mr angiography head w/dye ...............
Mr angiography head w/dye ...............
Mr angiograph head w/o&w/dye .........
Mr angiograph head w/o&w/dye .........
Mr angiograph head w/o&w/dye .........
Mr angiography neck w/o dye ............
Mr angiography neck w/o dye ............
Mr angiography neck w/o dye ............
Mr angiography neck w/dye ................
Mr angiography neck w/dye ................
Mr angiography neck w/dye ................
Mr angiograph neck w/o&w/dye .........
Mr angiograph neck w/o&w/dye .........
Mr angiograph neck w/o&w/dye .........
Mri brain w/o dye ................................
Mri brain w/o dye ................................
Mri brain w/o dye ................................
Mri brain w/dye ...................................
Mri brain w/dye ...................................
Mri brain w/dye ...................................
Mri brain w/o & w/dye .........................
Mri brain w/o & w/dye .........................
Mri brain w/o & w/dye .........................
Fmri brain by tech ...............................
Fmri brain by tech ...............................
Fmri brain by tech ...............................
Fmri brain by phys/psych ....................
Fmri brain by phys/psych ....................
Fmri brain by phys/psych ....................
Mri brain w/o dye ................................
Mri brain w/o dye ................................
Mri brain w/o dye ................................
Mri brain w/dye ...................................
Mri brain w/dye ...................................
Mri brain w/dye ...................................
Mri brain w/o & w/dye .........................
Mri brain w/o & w/dye .........................
Mri brain w/o & w/dye .........................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.42
0.00
1.42
1.28
0.00
1.28
1.38
0.00
1.38
1.45
0.00
1.45
1.75
0.00
1.75
1.75
0.00
1.75
1.35
0.00
1.35
1.62
0.00
1.62
2.15
0.00
2.15
1.20
0.00
1.20
1.20
0.00
1.20
1.80
0.00
1.80
1.20
0.00
1.20
1.20
0.00
1.20
1.80
0.00
1.80
1.48
0.00
1.48
1.78
0.00
1.78
2.36
0.00
2.36
2.11
0.00
2.11
0.00
0.00
2.54
0.00
0.00
2.90
0.00
0.00
3.20
0.00
0.00
3.20
0.18
0.00
0.18
10.40
9.91
0.49
6.49
6.04
0.45
8.04
7.55
0.49
10.04
9.53
0.51
17.10
16.47
0.63
17.24
16.59
0.65
14.18
13.72
0.46
15.29
14.73
0.56
18.77
18.03
0.74
15.86
15.44
0.42
15.74
15.32
0.42
24.03
23.41
0.62
15.79
15.38
0.41
16.65
16.23
0.42
24.05
23.42
0.63
14.44
13.93
0.51
15.59
14.97
0.62
18.09
17.27
0.82
15.42
14.73
0.69
0.00
0.00
0.90
0.00
0.00
1.03
0.00
0.00
1.10
0.00
0.00
1.14
0.43
0.37
0.06
8.97
8.49
0.48
5.82
5.38
0.44
7.08
6.61
0.47
8.79
8.30
0.49
14.14
13.54
0.60
14.21
13.60
0.61
12.91
12.46
0.45
14.64
14.09
0.55
22.18
21.46
0.72
13.73
13.32
0.41
13.67
13.26
0.41
23.53
22.92
0.61
13.69
13.29
0.40
14.13
13.72
0.41
23.53
22.92
0.61
13.07
12.57
0.50
14.82
14.21
0.61
21.88
21.08
0.80
15.42
14.73
0.69
0.00
0.00
0.90
0.00
0.00
1.08
0.00
0.00
1.17
0.00
0.00
1.19
0.48
0.42
0.06
NA
NA
0.49
NA
NA
0.45
NA
NA
0.49
NA
NA
0.51
NA
NA
0.63
NA
NA
0.65
NA
NA
0.46
NA
NA
0.56
NA
NA
0.74
NA
NA
0.42
NA
NA
0.42
NA
NA
0.62
NA
NA
0.41
NA
NA
0.42
NA
NA
0.63
NA
NA
0.51
NA
NA
0.62
NA
NA
0.82
NA
NA
0.69
NA
NA
0.90
NA
NA
1.03
NA
NA
1.10
NA
NA
1.14
NA
NA
0.06
NA
NA
0.48
NA
NA
0.44
NA
NA
0.47
NA
NA
0.49
NA
NA
0.60
NA
NA
0.61
NA
NA
0.45
NA
NA
0.55
NA
NA
0.72
NA
NA
0.41
NA
NA
0.41
NA
NA
0.61
NA
NA
0.40
NA
NA
0.41
NA
NA
0.61
NA
NA
0.50
NA
NA
0.61
NA
NA
0.80
NA
NA
0.69
NA
NA
0.90
NA
NA
1.08
NA
NA
1.17
NA
NA
1.19
NA
NA
0.06
0.43
0.37
0.06
0.31
0.25
0.06
0.36
0.30
0.06
0.43
0.37
0.06
0.66
0.58
0.08
0.66
0.58
0.08
0.45
0.39
0.06
0.54
0.47
0.07
0.94
0.84
0.10
0.64
0.59
0.05
0.64
0.59
0.05
0.67
0.59
0.08
0.64
0.59
0.05
0.64
0.59
0.05
0.67
0.59
0.08
0.66
0.59
0.07
0.78
0.70
0.08
1.41
1.31
0.10
0.92
0.82
0.10
0.00
0.00
0.11
0.00
0.00
0.08
0.00
0.00
0.10
0.00
0.00
0.12
0.03
0.02
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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XXX
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
XXX
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2652
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
71015
71015
71015
71020
71020
71020
71021
71021
71021
71022
71022
71022
71023
71023
71023
71030
71030
71030
71034
71034
71034
71035
71035
71035
71040
71040
71040
71060
71060
71060
71090
71090
71090
71100
71100
71100
71101
71101
71101
71110
71110
71110
71111
71111
71111
71120
71120
71120
71130
71130
71130
71250
71250
71250
71260
71260
71260
71270
71270
71270
71275
71275
71275
71550
71550
71550
71551
71551
71551
71552
71552
71552
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray and fluoroscopy ...............
Chest x-ray and fluoroscopy ...............
Chest x-ray and fluoroscopy ...............
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray and fluoroscopy ...............
Chest x-ray and fluoroscopy ...............
Chest x-ray and fluoroscopy ...............
Chest x-ray ..........................................
Chest x-ray ..........................................
Chest x-ray ..........................................
Contrast x-ray of bronchi ....................
Contrast x-ray of bronchi ....................
Contrast x-ray of bronchi ....................
Contrast x-ray of bronchi ....................
Contrast x-ray of bronchi ....................
Contrast x-ray of bronchi ....................
X-ray & pacemaker insertion ..............
X-ray & pacemaker insertion ..............
X-ray & pacemaker insertion ..............
X-ray exam of ribs ..............................
X-ray exam of ribs ..............................
X-ray exam of ribs ..............................
X-ray exam of ribs/chest .....................
X-ray exam of ribs/chest .....................
X-ray exam of ribs/chest .....................
X-ray exam of ribs ..............................
X-ray exam of ribs ..............................
X-ray exam of ribs ..............................
X-ray exam of ribs/chest .....................
X-ray exam of ribs/chest .....................
X-ray exam of ribs/chest .....................
X-ray exam of breastbone ..................
X-ray exam of breastbone ..................
X-ray exam of breastbone ..................
X-ray exam of breastbone ..................
X-ray exam of breastbone ..................
X-ray exam of breastbone ..................
Ct thorax w/o dye ................................
Ct thorax w/o dye ................................
Ct thorax w/o dye ................................
Ct thorax w/dye ...................................
Ct thorax w/dye ...................................
Ct thorax w/dye ...................................
Ct thorax w/o & w/dye ........................
Ct thorax w/o & w/dye ........................
Ct thorax w/o & w/dye ........................
Ct angiography, chest .........................
Ct angiography, chest .........................
Ct angiography, chest .........................
Mri chest w/o dye ................................
Mri chest w/o dye ................................
Mri chest w/o dye ................................
Mri chest w/dye ...................................
Mri chest w/dye ...................................
Mri chest w/dye ...................................
Mri chest w/o & w/dye ........................
Mri chest w/o & w/dye ........................
Mri chest w/o & w/dye ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.21
0.00
0.21
0.22
0.00
0.22
0.27
0.00
0.27
0.31
0.00
0.31
0.38
0.00
0.38
0.31
0.00
0.31
0.46
0.00
0.46
0.18
0.00
0.18
0.58
0.00
0.58
0.74
0.00
0.74
0.00
0.00
0.54
0.22
0.00
0.22
0.27
0.00
0.27
0.27
0.00
0.27
0.32
0.00
0.32
0.20
0.00
0.20
0.22
0.00
0.22
1.16
0.00
1.16
1.24
0.00
1.24
1.38
0.00
1.38
1.92
0.00
1.92
1.46
0.00
1.46
1.73
0.00
1.73
2.26
0.00
2.26
0.58
0.51
0.07
0.57
0.50
0.07
0.71
0.62
0.09
0.90
0.80
0.10
1.54
1.40
0.14
0.92
0.82
0.10
2.12
1.91
0.21
0.78
0.72
0.06
2.06
1.88
0.18
3.11
2.85
0.26
0.00
0.00
0.28
0.62
0.55
0.07
0.77
0.68
0.09
0.77
0.69
0.08
1.06
0.96
0.10
0.63
0.56
0.07
0.76
0.68
0.08
6.45
6.04
0.41
8.00
7.56
0.44
10.04
9.56
0.48
11.77
11.08
0.69
16.38
15.87
0.51
17.94
17.34
0.60
22.58
21.77
0.81
0.58
0.51
0.07
0.63
0.56
0.07
0.77
0.68
0.09
0.86
0.76
0.10
1.23
1.09
0.14
0.90
0.80
0.10
1.85
1.67
0.18
0.68
0.62
0.06
1.85
1.67
0.18
2.78
2.53
0.25
0.00
0.00
0.24
0.63
0.56
0.07
0.76
0.67
0.09
0.82
0.73
0.09
1.03
0.93
0.10
0.68
0.61
0.07
0.76
0.69
0.07
6.37
5.98
0.39
7.74
7.32
0.42
9.68
9.21
0.47
12.39
11.73
0.66
14.03
13.54
0.49
15.97
15.39
0.58
24.10
23.33
0.77
NA
NA
0.07
NA
NA
0.07
NA
NA
0.09
NA
NA
0.10
NA
NA
0.14
NA
NA
0.10
NA
NA
0.21
NA
NA
0.06
NA
NA
0.18
NA
NA
0.26
NA
NA
0.28
NA
NA
0.07
NA
NA
0.09
NA
NA
0.08
NA
NA
0.10
NA
NA
0.07
NA
NA
0.08
NA
NA
0.41
NA
NA
0.44
NA
NA
0.48
NA
NA
0.69
NA
NA
0.51
NA
NA
0.60
NA
NA
0.81
NA
NA
0.07
NA
NA
0.07
NA
NA
0.09
NA
NA
0.10
NA
NA
0.14
NA
NA
0.10
NA
NA
0.18
NA
NA
0.06
NA
NA
0.18
NA
NA
0.25
NA
NA
0.24
NA
NA
0.07
NA
NA
0.09
NA
NA
0.09
NA
NA
0.10
NA
NA
0.07
NA
NA
0.07
NA
NA
0.39
NA
NA
0.42
NA
NA
0.47
NA
NA
0.66
NA
NA
0.49
NA
NA
0.58
NA
NA
0.77
0.03
0.02
0.01
0.05
0.04
0.01
0.06
0.05
0.01
0.06
0.05
0.01
0.06
0.05
0.01
0.06
0.05
0.01
0.10
0.08
0.02
0.03
0.02
0.01
0.11
0.08
0.03
0.16
0.13
0.03
0.00
0.00
0.02
0.05
0.04
0.01
0.05
0.04
0.01
0.06
0.05
0.01
0.07
0.06
0.01
0.05
0.04
0.01
0.05
0.04
0.01
0.36
0.31
0.05
0.42
0.37
0.05
0.52
0.46
0.06
0.48
0.39
0.09
0.51
0.45
0.06
0.60
0.52
0.08
0.78
0.68
0.10
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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Fmt 4742
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2653
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
71555
71555
71555
72010
72010
72010
72020
72020
72020
72040
72040
72040
72050
72050
72050
72052
72052
72052
72069
72069
72069
72070
72070
72070
72072
72072
72072
72074
72074
72074
72080
72080
72080
72090
72090
72090
72100
72100
72100
72110
72110
72110
72114
72114
72114
72120
72120
72120
72125
72125
72125
72126
72126
72126
72127
72127
72127
72128
72128
72128
72129
72129
72129
72130
72130
72130
72131
72131
72131
72132
72132
72132
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
R
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Mri angio chest w or w/o dye .............
Mri angio chest w or w/o dye .............
Mri angio chest w or w/o dye .............
X-ray exam of spine ............................
X-ray exam of spine ............................
X-ray exam of spine ............................
X-ray exam of spine ............................
X-ray exam of spine ............................
X-ray exam of spine ............................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of neck spine ...................
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of thoracic spine ..............
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of trunk spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
X-ray exam of lower spine ..................
Ct neck spine w/o dye ........................
Ct neck spine w/o dye ........................
Ct neck spine w/o dye ........................
Ct neck spine w/dye ...........................
Ct neck spine w/dye ...........................
Ct neck spine w/dye ...........................
Ct neck spine w/o & w/dye .................
Ct neck spine w/o & w/dye .................
Ct neck spine w/o & w/dye .................
Ct chest spine w/o dye .......................
Ct chest spine w/o dye .......................
Ct chest spine w/o dye .......................
Ct chest spine w/dye ..........................
Ct chest spine w/dye ..........................
Ct chest spine w/dye ..........................
Ct chest spine w/o & w/dye ................
Ct chest spine w/o & w/dye ................
Ct chest spine w/o & w/dye ................
Ct lumbar spine w/o dye .....................
Ct lumbar spine w/o dye .....................
Ct lumbar spine w/o dye .....................
Ct lumbar spine w/dye ........................
Ct lumbar spine w/dye ........................
Ct lumbar spine w/dye ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.81
0.00
1.81
0.45
0.00
0.45
0.15
0.00
0.15
0.22
0.00
0.22
0.31
0.00
0.31
0.36
0.00
0.36
0.22
0.00
0.22
0.22
0.00
0.22
0.22
0.00
0.22
0.22
0.00
0.22
0.22
0.00
0.22
0.28
0.00
0.28
0.22
0.00
0.22
0.31
0.00
0.31
0.36
0.00
0.36
0.22
0.00
0.22
1.16
0.00
1.16
1.22
0.00
1.22
1.27
0.00
1.27
1.16
0.00
1.16
1.22
0.00
1.22
1.27
0.00
1.27
1.16
0.00
1.16
1.22
0.00
1.22
15.31
14.65
0.66
1.43
1.30
0.13
0.47
0.42
0.05
0.76
0.69
0.07
1.08
0.97
0.11
1.39
1.27
0.12
0.76
0.68
0.08
0.64
0.57
0.07
0.77
0.70
0.07
0.95
0.88
0.07
0.70
0.62
0.08
1.00
0.90
0.10
0.81
0.74
0.07
1.15
1.04
0.11
1.57
1.44
0.13
1.08
1.00
0.08
6.47
6.06
0.41
8.00
7.57
0.43
10.05
9.61
0.44
6.46
6.05
0.41
8.00
7.57
0.43
9.98
9.54
0.44
6.43
6.03
0.40
7.98
7.55
0.43
13.56
12.93
0.63
1.30
1.16
0.14
0.47
0.42
0.05
0.72
0.65
0.07
1.03
0.93
0.10
1.32
1.20
0.12
0.66
0.58
0.08
0.68
0.61
0.07
0.78
0.71
0.07
0.96
0.89
0.07
0.71
0.64
0.07
0.89
0.79
0.10
0.77
0.70
0.07
1.07
0.97
0.10
1.43
1.31
0.12
1.01
0.94
0.07
6.38
5.99
0.39
7.73
7.32
0.41
9.66
9.23
0.43
6.37
5.98
0.39
7.74
7.32
0.42
9.63
9.20
0.43
6.36
5.97
0.39
7.72
7.31
0.41
NA
NA
0.66
NA
NA
0.13
NA
NA
0.05
NA
NA
0.07
NA
NA
0.11
NA
NA
0.12
NA
NA
0.08
NA
NA
0.07
NA
NA
0.07
NA
NA
0.07
NA
NA
0.08
NA
NA
0.10
NA
NA
0.07
NA
NA
0.11
NA
NA
0.13
NA
NA
0.08
NA
NA
0.41
NA
NA
0.43
NA
NA
0.44
NA
NA
0.41
NA
NA
0.43
NA
NA
0.44
NA
NA
0.40
NA
NA
0.43
NA
NA
0.63
NA
NA
0.14
NA
NA
0.05
NA
NA
0.07
NA
NA
0.10
NA
NA
0.12
NA
NA
0.08
NA
NA
0.07
NA
NA
0.07
NA
NA
0.07
NA
NA
0.07
NA
NA
0.10
NA
NA
0.07
NA
NA
0.10
NA
NA
0.12
NA
NA
0.07
NA
NA
0.39
NA
NA
0.41
NA
NA
0.43
NA
NA
0.39
NA
NA
0.42
NA
NA
0.43
NA
NA
0.39
NA
NA
0.41
0.67
0.59
0.08
0.08
0.06
0.02
0.03
0.02
0.01
0.05
0.04
0.01
0.07
0.06
0.01
0.08
0.06
0.02
0.03
0.02
0.01
0.05
0.04
0.01
0.06
0.05
0.01
0.07
0.06
0.01
0.05
0.04
0.01
0.05
0.04
0.01
0.05
0.04
0.01
0.07
0.06
0.01
0.08
0.06
0.02
0.07
0.06
0.01
0.36
0.31
0.05
0.42
0.37
0.05
0.52
0.46
0.06
0.36
0.31
0.05
0.42
0.37
0.05
0.52
0.46
0.06
0.36
0.31
0.05
0.42
0.37
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2654
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
72133
72133
72133
72141
72141
72141
72142
72142
72142
72146
72146
72146
72147
72147
72147
72148
72148
72148
72149
72149
72149
72156
72156
72156
72157
72157
72157
72158
72158
72158
72159
72159
72159
72170
72170
72170
72190
72190
72190
72191
72191
72191
72192
72192
72192
72193
72193
72193
72194
72194
72194
72195
72195
72195
72196
72196
72196
72197
72197
72197
72198
72198
72198
72200
72200
72200
72202
72202
72202
72220
72220
72220
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
N
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Ct lumbar spine w/o & w/dye ..............
Ct lumbar spine w/o & w/dye ..............
Ct lumbar spine w/o & w/dye ..............
Mri neck spine w/o dye .......................
Mri neck spine w/o dye .......................
Mri neck spine w/o dye .......................
Mri neck spine w/dye ..........................
Mri neck spine w/dye ..........................
Mri neck spine w/dye ..........................
Mri chest spine w/o dye ......................
Mri chest spine w/o dye ......................
Mri chest spine w/o dye ......................
Mri chest spine w/dye .........................
Mri chest spine w/dye .........................
Mri chest spine w/dye .........................
Mri lumbar spine w/o dye ...................
Mri lumbar spine w/o dye ...................
Mri lumbar spine w/o dye ...................
Mri lumbar spine w/dye .......................
Mri lumbar spine w/dye .......................
Mri lumbar spine w/dye .......................
Mri neck spine w/o & w/dye ................
Mri neck spine w/o & w/dye ................
Mri neck spine w/o & w/dye ................
Mri chest spine w/o & w/dye ...............
Mri chest spine w/o & w/dye ...............
Mri chest spine w/o & w/dye ...............
Mri lumbar spine w/o & w/dye ............
Mri lumbar spine w/o & w/dye ............
Mri lumbar spine w/o & w/dye ............
Mr angio spine w/o&w/dye ..................
Mr angio spine w/o&w/dye ..................
Mr angio spine w/o&w/dye ..................
X-ray exam of pelvis ...........................
X-ray exam of pelvis ...........................
X-ray exam of pelvis ...........................
X-ray exam of pelvis ...........................
X-ray exam of pelvis ...........................
X-ray exam of pelvis ...........................
Ct angiograph pelv w/o&w/dye ...........
Ct angiograph pelv w/o&w/dye ...........
Ct angiograph pelv w/o&w/dye ...........
Ct pelvis w/o dye ................................
Ct pelvis w/o dye ................................
Ct pelvis w/o dye ................................
Ct pelvis w/dye ....................................
Ct pelvis w/dye ....................................
Ct pelvis w/dye ....................................
Ct pelvis w/o & w/dye .........................
Ct pelvis w/o & w/dye .........................
Ct pelvis w/o & w/dye .........................
Mri pelvis w/o dye ...............................
Mri pelvis w/o dye ...............................
Mri pelvis w/o dye ...............................
Mri pelvis w/dye ..................................
Mri pelvis w/dye ..................................
Mri pelvis w/dye ..................................
Mri pelvis w/o & w/dye ........................
Mri pelvis w/o & w/dye ........................
Mri pelvis w/o & w/dye ........................
Mr angio pelvis w/o & w/dye ...............
Mr angio pelvis w/o & w/dye ...............
Mr angio pelvis w/o & w/dye ...............
X-ray exam sacroiliac joints ................
X-ray exam sacroiliac joints ................
X-ray exam sacroiliac joints ................
X-ray exam sacroiliac joints ................
X-ray exam sacroiliac joints ................
X-ray exam sacroiliac joints ................
X-ray exam of tailbone ........................
X-ray exam of tailbone ........................
X-ray exam of tailbone ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.27
0.00
1.27
1.60
0.00
1.60
1.92
0.00
1.92
1.60
0.00
1.60
1.92
0.00
1.92
1.48
0.00
1.48
1.78
0.00
1.78
2.57
0.00
2.57
2.57
0.00
2.57
2.36
0.00
2.36
1.80
0.00
1.80
0.17
0.00
0.17
0.21
0.00
0.21
1.81
0.00
1.81
1.09
0.00
1.09
1.16
0.00
1.16
1.22
0.00
1.22
1.46
0.00
1.46
1.73
0.00
1.73
2.26
0.00
2.26
1.80
0.00
1.80
0.17
0.00
0.17
0.19
0.00
0.19
0.17
0.00
0.17
10.02
9.58
0.44
12.46
11.91
0.55
15.62
14.96
0.66
12.48
11.93
0.55
13.58
12.91
0.67
12.42
11.91
0.51
15.52
14.90
0.62
17.79
16.90
0.89
16.22
15.32
0.90
17.70
16.88
0.82
14.67
14.25
0.42
0.50
0.44
0.06
0.84
0.77
0.07
11.34
10.69
0.65
6.04
5.65
0.39
7.55
7.14
0.41
10.13
9.70
0.43
14.44
13.93
0.51
15.54
14.93
0.61
18.97
18.18
0.79
15.09
14.45
0.64
0.59
0.54
0.05
0.74
0.67
0.07
0.58
0.52
0.06
9.65
9.22
0.43
12.10
11.56
0.54
14.85
14.20
0.65
12.73
12.19
0.54
13.83
13.18
0.65
12.68
12.18
0.50
14.79
14.18
0.61
21.77
20.90
0.87
20.98
20.11
0.87
21.69
20.89
0.80
13.80
13.25
0.55
0.54
0.48
0.06
0.79
0.72
0.07
11.99
11.36
0.63
6.15
5.78
0.37
7.39
6.99
0.40
9.51
9.10
0.41
13.06
12.57
0.49
14.78
14.19
0.59
22.30
21.54
0.76
13.44
12.83
0.61
0.59
0.53
0.06
0.71
0.65
0.06
0.61
0.55
0.06
NA
NA
0.44
NA
NA
0.55
NA
NA
0.66
NA
NA
0.55
NA
NA
0.67
NA
NA
0.51
NA
NA
0.62
NA
NA
0.89
NA
NA
0.90
NA
NA
0.82
NA
NA
0.42
NA
NA
0.06
NA
NA
0.07
NA
NA
0.65
NA
NA
0.39
NA
NA
0.41
NA
NA
0.43
NA
NA
0.51
NA
NA
0.61
NA
NA
0.79
NA
NA
0.64
NA
NA
0.05
NA
NA
0.07
NA
NA
0.06
NA
NA
0.43
NA
NA
0.54
NA
NA
0.65
NA
NA
0.54
NA
NA
0.65
NA
NA
0.50
NA
NA
0.61
NA
NA
0.87
NA
NA
0.87
NA
NA
0.80
NA
NA
0.55
NA
NA
0.06
NA
NA
0.07
NA
NA
0.63
NA
NA
0.37
NA
NA
0.40
NA
NA
0.41
NA
NA
0.49
NA
NA
0.59
NA
NA
0.76
NA
NA
0.61
NA
NA
0.06
NA
NA
0.06
NA
NA
0.06
0.52
0.46
0.06
0.66
0.59
0.07
0.79
0.70
0.09
0.71
0.64
0.07
0.79
0.70
0.09
0.71
0.64
0.07
0.78
0.70
0.08
1.42
1.31
0.11
1.42
1.31
0.11
1.41
1.31
0.10
0.74
0.64
0.10
0.03
0.02
0.01
0.05
0.04
0.01
0.47
0.39
0.08
0.36
0.31
0.05
0.41
0.36
0.05
0.48
0.43
0.05
0.51
0.45
0.06
0.60
0.52
0.08
1.02
0.92
0.10
0.67
0.59
0.08
0.03
0.02
0.01
0.05
0.04
0.01
0.05
0.04
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00088
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2655
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
72240
72240
72240
72255
72255
72255
72265
72265
72265
72270
72270
72270
72275
72275
72275
72285
72285
72285
72291
72291
72291
72292
72292
72292
72295
72295
72295
73000
73000
73000
73010
73010
73010
73020
73020
73020
73030
73030
73030
73040
73040
73040
73050
73050
73050
73060
73060
73060
73070
73070
73070
73080
73080
73080
73085
73085
73085
73090
73090
73090
73092
73092
73092
73100
73100
73100
73110
73110
73110
73115
73115
73115
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Contrast x-ray of neck spine ...............
Contrast x-ray of neck spine ...............
Contrast x-ray of neck spine ...............
Contrast x-ray, thorax spine ...............
Contrast x-ray, thorax spine ...............
Contrast x-ray, thorax spine ...............
Contrast x-ray, lower spine .................
Contrast x-ray, lower spine .................
Contrast x-ray, lower spine .................
Contrast x-ray, spine ...........................
Contrast x-ray, spine ...........................
Contrast x-ray, spine ...........................
Epidurography .....................................
Epidurography .....................................
Epidurography .....................................
X-ray c/t spine disk .............................
X-ray c/t spine disk .............................
X-ray c/t spine disk .............................
Perq vertebroplasty, fluor ....................
Perq vertebroplasty, fluor ....................
Perq vertebroplasty, fluor ....................
Perq vertebroplasty, ct ........................
Perq vertebroplasty, ct ........................
Perq vertebroplasty, ct ........................
X-ray of lower spine disk ....................
X-ray of lower spine disk ....................
X-ray of lower spine disk ....................
X-ray exam of collar bone ..................
X-ray exam of collar bone ..................
X-ray exam of collar bone ..................
X-ray exam of shoulder blade ............
X-ray exam of shoulder blade ............
X-ray exam of shoulder blade ............
X-ray exam of shoulder ......................
X-ray exam of shoulder ......................
X-ray exam of shoulder ......................
X-ray exam of shoulder ......................
X-ray exam of shoulder ......................
X-ray exam of shoulder ......................
Contrast x-ray of shoulder ..................
Contrast x-ray of shoulder ..................
Contrast x-ray of shoulder ..................
X-ray exam of shoulders .....................
X-ray exam of shoulders .....................
X-ray exam of shoulders .....................
X-ray exam of humerus ......................
X-ray exam of humerus ......................
X-ray exam of humerus ......................
X-ray exam of elbow ...........................
X-ray exam of elbow ...........................
X-ray exam of elbow ...........................
X-ray exam of elbow ...........................
X-ray exam of elbow ...........................
X-ray exam of elbow ...........................
Contrast x-ray of elbow .......................
Contrast x-ray of elbow .......................
Contrast x-ray of elbow .......................
X-ray exam of forearm ........................
X-ray exam of forearm ........................
X-ray exam of forearm ........................
X-ray exam of arm, infant ...................
X-ray exam of arm, infant ...................
X-ray exam of arm, infant ...................
X-ray exam of wrist .............................
X-ray exam of wrist .............................
X-ray exam of wrist .............................
X-ray exam of wrist .............................
X-ray exam of wrist .............................
X-ray exam of wrist .............................
Contrast x-ray of wrist .........................
Contrast x-ray of wrist .........................
Contrast x-ray of wrist .........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.91
0.00
0.91
0.91
0.00
0.91
0.83
0.00
0.83
1.33
0.00
1.33
0.76
0.00
0.76
1.16
0.00
1.16
0.00
0.00
1.31
0.00
0.00
1.38
0.83
0.00
0.83
0.16
0.00
0.16
0.17
0.00
0.17
0.15
0.00
0.15
0.18
0.00
0.18
0.54
0.00
0.54
0.20
0.00
0.20
0.17
0.00
0.17
0.15
0.00
0.15
0.17
0.00
0.17
0.54
0.00
0.54
0.16
0.00
0.16
0.16
0.00
0.16
0.16
0.00
0.16
0.17
0.00
0.17
0.54
0.00
0.54
2.58
2.26
0.32
2.24
1.96
0.28
2.54
2.25
0.29
3.99
3.52
0.47
1.73
1.53
0.20
1.44
1.14
0.30
0.00
0.00
0.48
0.00
0.00
0.50
1.46
1.22
0.24
0.55
0.50
0.05
0.58
0.52
0.06
0.44
0.39
0.05
0.57
0.51
0.06
2.25
2.06
0.19
0.74
0.66
0.08
0.58
0.52
0.06
0.55
0.50
0.05
0.76
0.70
0.06
1.84
1.66
0.18
0.55
0.50
0.05
0.58
0.53
0.05
0.61
0.55
0.06
0.78
0.72
0.06
2.33
2.14
0.19
3.80
3.50
0.30
3.43
3.15
0.28
3.43
3.16
0.27
5.27
4.82
0.45
2.02
1.82
0.20
5.09
4.76
0.33
0.00
0.00
0.47
0.00
0.00
0.49
4.80
4.54
0.26
0.56
0.51
0.05
0.58
0.52
0.06
0.48
0.43
0.05
0.60
0.54
0.06
2.27
2.08
0.19
0.73
0.66
0.07
0.60
0.54
0.06
0.56
0.51
0.05
0.69
0.63
0.06
2.07
1.88
0.19
0.56
0.51
0.05
0.56
0.51
0.05
0.57
0.52
0.05
0.68
0.62
0.06
2.04
1.86
0.18
NA
NA
0.32
NA
NA
0.28
NA
NA
0.29
NA
NA
0.47
NA
NA
0.20
NA
NA
0.30
NA
NA
0.48
NA
NA
0.50
NA
NA
0.24
NA
NA
0.05
NA
NA
0.06
NA
NA
0.05
NA
NA
0.06
NA
NA
0.19
NA
NA
0.08
NA
NA
0.06
NA
NA
0.05
NA
NA
0.06
NA
NA
0.18
NA
NA
0.05
NA
NA
0.05
NA
NA
0.06
NA
NA
0.06
NA
NA
0.19
NA
NA
0.30
NA
NA
0.28
NA
NA
0.27
NA
NA
0.45
NA
NA
0.20
NA
NA
0.33
NA
NA
0.47
NA
NA
0.49
NA
NA
0.26
NA
NA
0.05
NA
NA
0.06
NA
NA
0.05
NA
NA
0.06
NA
NA
0.19
NA
NA
0.07
NA
NA
0.06
NA
NA
0.05
NA
NA
0.06
NA
NA
0.19
NA
NA
0.05
NA
NA
0.05
NA
NA
0.05
NA
NA
0.06
NA
NA
0.18
0.29
0.25
0.04
0.26
0.22
0.04
0.26
0.22
0.04
0.39
0.33
0.06
0.26
0.22
0.04
0.50
0.43
0.07
0.00
0.00
0.10
0.00
0.00
0.07
0.46
0.40
0.06
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.05
0.04
0.01
0.14
0.12
0.02
0.05
0.04
0.01
0.05
0.04
0.01
0.03
0.02
0.01
0.05
0.04
0.01
0.14
0.12
0.02
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.12
0.10
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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XXX
XXX
XXX
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2656
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
73120
73120
73120
73130
73130
73130
73140
73140
73140
73200
73200
73200
73201
73201
73201
73202
73202
73202
73206
73206
73206
73218
73218
73218
73219
73219
73219
73220
73220
73220
73221
73221
73221
73222
73222
73222
73223
73223
73223
73225
73225
73225
73500
73500
73500
73510
73510
73510
73520
73520
73520
73525
73525
73525
73530
73530
73530
73540
73540
73540
73542
73542
73542
73550
73550
73550
73560
73560
73560
73562
73562
73562
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
N
N
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-ray exam of hand ............................
X-ray exam of hand ............................
X-ray exam of hand ............................
X-ray exam of hand ............................
X-ray exam of hand ............................
X-ray exam of hand ............................
X-ray exam of finger(s) .......................
X-ray exam of finger(s) .......................
X-ray exam of finger(s) .......................
Ct upper extremity w/o dye .................
Ct upper extremity w/o dye .................
Ct upper extremity w/o dye .................
Ct upper extremity w/dye ....................
Ct upper extremity w/dye ....................
Ct upper extremity w/dye ....................
Ct uppr extremity w/o&w/dye ..............
Ct uppr extremity w/o&w/dye ..............
Ct uppr extremity w/o&w/dye ..............
Ct angio upr extrm w/o&w/dye ...........
Ct angio upr extrm w/o&w/dye ...........
Ct angio upr extrm w/o&w/dye ...........
Mri upper extremity w/o dye ...............
Mri upper extremity w/o dye ...............
Mri upper extremity w/o dye ...............
Mri upper extremity w/dye ..................
Mri upper extremity w/dye ..................
Mri upper extremity w/dye ..................
Mri uppr extremity w/o&w/dye ............
Mri uppr extremity w/o&w/dye ............
Mri uppr extremity w/o&w/dye ............
Mri joint upr extrem w/o dye ...............
Mri joint upr extrem w/o dye ...............
Mri joint upr extrem w/o dye ...............
Mri joint upr extrem w/dye ..................
Mri joint upr extrem w/dye ..................
Mri joint upr extrem w/dye ..................
Mri joint upr extr w/o&w/dye ...............
Mri joint upr extr w/o&w/dye ...............
Mri joint upr extr w/o&w/dye ...............
Mr angio upr extr w/o&w/dye ..............
Mr angio upr extr w/o&w/dye ..............
Mr angio upr extr w/o&w/dye ..............
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of hips ..............................
X-ray exam of hips ..............................
X-ray exam of hips ..............................
Contrast x-ray of hip ...........................
Contrast x-ray of hip ...........................
Contrast x-ray of hip ...........................
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of hip ...............................
X-ray exam of pelvis & hips ................
X-ray exam of pelvis & hips ................
X-ray exam of pelvis & hips ................
X-ray exam, sacroiliac joint .................
X-ray exam, sacroiliac joint .................
X-ray exam, sacroiliac joint .................
X-ray exam of thigh ............................
X-ray exam of thigh ............................
X-ray exam of thigh ............................
X-ray exam of knee, 1 or 2 .................
X-ray exam of knee, 1 or 2 .................
X-ray exam of knee, 1 or 2 .................
X-ray exam of knee, 3 ........................
X-ray exam of knee, 3 ........................
X-ray exam of knee, 3 ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.16
0.00
0.16
0.17
0.00
0.17
0.13
0.00
0.13
1.09
0.00
1.09
1.16
0.00
1.16
1.22
0.00
1.22
1.81
0.00
1.81
1.35
0.00
1.35
1.62
0.00
1.62
2.15
0.00
2.15
1.35
0.00
1.35
1.62
0.00
1.62
2.15
0.00
2.15
1.73
0.00
1.73
0.17
0.00
0.17
0.21
0.00
0.21
0.26
0.00
0.26
0.54
0.00
0.54
0.00
0.00
0.29
0.20
0.00
0.20
0.59
0.00
0.59
0.17
0.00
0.17
0.17
0.00
0.17
0.18
0.00
0.18
0.56
0.51
0.05
0.66
0.60
0.06
0.67
0.63
0.04
6.40
6.02
0.38
7.92
7.51
0.41
10.55
10.13
0.42
10.94
10.26
0.68
14.65
14.19
0.46
15.41
14.85
0.56
19.06
18.31
0.75
13.56
13.09
0.47
14.31
13.75
0.56
17.58
16.84
0.74
14.65
14.25
0.40
0.49
0.43
0.06
0.77
0.70
0.07
0.79
0.70
0.09
1.83
1.65
0.18
0.00
0.00
0.11
0.81
0.74
0.07
1.13
0.99
0.14
0.55
0.49
0.06
0.58
0.52
0.06
0.73
0.66
0.07
0.55
0.50
0.05
0.63
0.57
0.06
0.57
0.53
0.04
5.86
5.49
0.37
7.10
6.71
0.39
9.19
8.78
0.41
11.24
10.61
0.63
13.15
12.70
0.45
14.70
14.15
0.55
22.33
21.60
0.73
12.60
12.15
0.45
14.15
13.60
0.55
21.59
20.87
0.72
13.16
12.63
0.53
0.51
0.45
0.06
0.71
0.64
0.07
0.77
0.68
0.09
2.06
1.88
0.18
0.00
0.00
0.10
0.72
0.65
0.07
1.70
1.55
0.15
0.59
0.53
0.06
0.58
0.52
0.06
0.68
0.62
0.06
NA
NA
0.05
NA
NA
0.06
NA
NA
0.04
NA
NA
0.38
NA
NA
0.41
NA
NA
0.42
NA
NA
0.68
NA
NA
0.46
NA
NA
0.56
NA
NA
0.75
NA
NA
0.47
NA
NA
0.56
NA
NA
0.74
NA
NA
0.40
NA
NA
0.06
NA
NA
0.07
NA
NA
0.09
NA
NA
0.18
NA
NA
0.11
NA
NA
0.07
NA
NA
0.14
NA
NA
0.06
NA
NA
0.06
NA
NA
0.07
NA
NA
0.05
NA
NA
0.06
NA
NA
0.04
NA
NA
0.37
NA
NA
0.39
NA
NA
0.41
NA
NA
0.63
NA
NA
0.45
NA
NA
0.55
NA
NA
0.73
NA
NA
0.45
NA
NA
0.55
NA
NA
0.72
NA
NA
0.53
NA
NA
0.06
NA
NA
0.07
NA
NA
0.09
NA
NA
0.18
NA
NA
0.10
NA
NA
0.07
NA
NA
0.15
NA
NA
0.06
NA
NA
0.06
NA
NA
0.06
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.30
0.25
0.05
0.36
0.31
0.05
0.44
0.39
0.05
0.47
0.39
0.08
0.45
0.39
0.06
0.54
0.47
0.07
0.94
0.84
0.10
0.45
0.39
0.06
0.54
0.47
0.07
0.94
0.84
0.10
0.69
0.59
0.10
0.03
0.02
0.01
0.05
0.04
0.01
0.05
0.04
0.01
0.15
0.12
0.03
0.00
0.00
0.01
0.05
0.04
0.01
0.15
0.12
0.03
0.05
0.04
0.01
0.03
0.02
0.01
0.05
0.04
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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Fmt 4742
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2657
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
73564
73564
73564
73565
73565
73565
73580
73580
73580
73590
73590
73590
73592
73592
73592
73600
73600
73600
73610
73610
73610
73615
73615
73615
73620
73620
73620
73630
73630
73630
73650
73650
73650
73660
73660
73660
73700
73700
73700
73701
73701
73701
73702
73702
73702
73706
73706
73706
73718
73718
73718
73719
73719
73719
73720
73720
73720
73721
73721
73721
73722
73722
73722
73723
73723
73723
73725
73725
73725
74000
74000
74000
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-ray exam, knee, 4 or more ..............
X-ray exam, knee, 4 or more ..............
X-ray exam, knee, 4 or more ..............
X-ray exam of knees ...........................
X-ray exam of knees ...........................
X-ray exam of knees ...........................
Contrast x-ray of knee joint ................
Contrast x-ray of knee joint ................
Contrast x-ray of knee joint ................
X-ray exam of lower leg ......................
X-ray exam of lower leg ......................
X-ray exam of lower leg ......................
X-ray exam of leg, infant ....................
X-ray exam of leg, infant ....................
X-ray exam of leg, infant ....................
X-ray exam of ankle ............................
X-ray exam of ankle ............................
X-ray exam of ankle ............................
X-ray exam of ankle ............................
X-ray exam of ankle ............................
X-ray exam of ankle ............................
Contrast x-ray of ankle .......................
Contrast x-ray of ankle .......................
Contrast x-ray of ankle .......................
X-ray exam of foot ..............................
X-ray exam of foot ..............................
X-ray exam of foot ..............................
X-ray exam of foot ..............................
X-ray exam of foot ..............................
X-ray exam of foot ..............................
X-ray exam of heel .............................
X-ray exam of heel .............................
X-ray exam of heel .............................
X-ray exam of toe(s) ...........................
X-ray exam of toe(s) ...........................
X-ray exam of toe(s) ...........................
Ct lower extremity w/o dye .................
Ct lower extremity w/o dye .................
Ct lower extremity w/o dye .................
Ct lower extremity w/dye ....................
Ct lower extremity w/dye ....................
Ct lower extremity w/dye ....................
Ct lwr extremity w/o&w/dye ................
Ct lwr extremity w/o&w/dye ................
Ct lwr extremity w/o&w/dye ................
Ct angio lwr extr w/o&w/dye ...............
Ct angio lwr extr w/o&w/dye ...............
Ct angio lwr extr w/o&w/dye ...............
Mri lower extremity w/o dye ................
Mri lower extremity w/o dye ................
Mri lower extremity w/o dye ................
Mri lower extremity w/dye ...................
Mri lower extremity w/dye ...................
Mri lower extremity w/dye ...................
Mri lwr extremity w/o&w/dye ...............
Mri lwr extremity w/o&w/dye ...............
Mri lwr extremity w/o&w/dye ...............
Mri jnt of lwr extre w/o dye .................
Mri jnt of lwr extre w/o dye .................
Mri jnt of lwr extre w/o dye .................
Mri joint of lwr extr w/dye ....................
Mri joint of lwr extr w/dye ....................
Mri joint of lwr extr w/dye ....................
Mri joint lwr extr w/o&w/dye ................
Mri joint lwr extr w/o&w/dye ................
Mri joint lwr extr w/o&w/dye ................
Mr ang lwr ext w or w/o dye ...............
Mr ang lwr ext w or w/o dye ...............
Mr ang lwr ext w or w/o dye ...............
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.22
0.00
0.22
0.17
0.00
0.17
0.54
0.00
0.54
0.17
0.00
0.17
0.16
0.00
0.16
0.16
0.00
0.16
0.17
0.00
0.17
0.54
0.00
0.54
0.16
0.00
0.16
0.17
0.00
0.17
0.16
0.00
0.16
0.13
0.00
0.13
1.09
0.00
1.09
1.16
0.00
1.16
1.22
0.00
1.22
1.90
0.00
1.90
1.35
0.00
1.35
1.62
0.00
1.62
2.15
0.00
2.15
1.35
0.00
1.35
1.62
0.00
1.62
2.15
0.00
2.15
1.82
0.00
1.82
0.18
0.00
0.18
0.86
0.78
0.08
0.65
0.59
0.06
2.56
2.37
0.19
0.54
0.48
0.06
0.58
0.53
0.05
0.56
0.51
0.05
0.68
0.62
0.06
2.00
1.82
0.18
0.52
0.48
0.04
0.65
0.60
0.05
0.55
0.50
0.05
0.64
0.60
0.04
6.41
6.03
0.38
7.98
7.57
0.41
10.73
10.29
0.44
12.35
11.63
0.72
14.27
13.81
0.46
15.41
14.84
0.57
19.00
18.25
0.75
13.88
13.41
0.47
14.49
13.92
0.57
17.56
16.82
0.74
15.13
14.49
0.64
0.46
0.40
0.06
0.77
0.70
0.07
0.60
0.54
0.06
2.68
2.50
0.18
0.56
0.50
0.06
0.56
0.51
0.05
0.55
0.50
0.05
0.63
0.57
0.06
2.14
1.96
0.18
0.54
0.49
0.05
0.63
0.57
0.06
0.53
0.48
0.05
0.55
0.51
0.04
5.86
5.49
0.37
7.14
6.74
0.40
9.28
8.86
0.42
11.97
11.30
0.67
12.96
12.51
0.45
14.70
14.15
0.55
22.29
21.57
0.72
12.76
12.31
0.45
14.24
13.69
0.55
21.59
20.86
0.73
13.47
12.85
0.62
0.52
0.46
0.06
NA
NA
0.08
NA
NA
0.06
NA
NA
0.19
NA
NA
0.06
NA
NA
0.05
NA
NA
0.05
NA
NA
0.06
NA
NA
0.18
NA
NA
0.04
NA
NA
0.05
NA
NA
0.05
NA
NA
0.04
NA
NA
0.38
NA
NA
0.41
NA
NA
0.44
NA
NA
0.72
NA
NA
0.46
NA
NA
0.57
NA
NA
0.75
NA
NA
0.47
NA
NA
0.57
NA
NA
0.74
NA
NA
0.64
NA
NA
0.06
NA
NA
0.07
NA
NA
0.06
NA
NA
0.18
NA
NA
0.06
NA
NA
0.05
NA
NA
0.05
NA
NA
0.06
NA
NA
0.18
NA
NA
0.05
NA
NA
0.06
NA
NA
0.05
NA
NA
0.04
NA
NA
0.37
NA
NA
0.40
NA
NA
0.42
NA
NA
0.67
NA
NA
0.45
NA
NA
0.55
NA
NA
0.72
NA
NA
0.45
NA
NA
0.55
NA
NA
0.73
NA
NA
0.62
NA
NA
0.06
0.05
0.04
0.01
0.03
0.02
0.01
0.17
0.14
0.03
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.15
0.12
0.03
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.30
0.25
0.05
0.36
0.31
0.05
0.44
0.39
0.05
0.47
0.39
0.08
0.45
0.39
0.06
0.54
0.47
0.07
0.94
0.84
0.10
0.45
0.39
0.06
0.54
0.47
0.07
0.94
0.84
0.10
0.67
0.59
0.08
0.03
0.02
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00091
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2658
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
74010
74010
74010
74020
74020
74020
74022
74022
74022
74150
74150
74150
74160
74160
74160
74170
74170
74170
74175
74175
74175
74181
74181
74181
74182
74182
74182
74183
74183
74183
74185
74185
74185
74190
74190
74190
74210
74210
74210
74220
74220
74220
74230
74230
74230
74235
74235
74235
74240
74240
74240
74241
74241
74241
74245
74245
74245
74246
74246
74246
74247
74247
74247
74249
74249
74249
74250
74250
74250
74251
74251
74251
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
R
R
C
C
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
X-ray exam of abdomen .....................
X-ray exam series, abdomen ..............
X-ray exam series, abdomen ..............
X-ray exam series, abdomen ..............
Ct abdomen w/o dye ...........................
Ct abdomen w/o dye ...........................
Ct abdomen w/o dye ...........................
Ct abdomen w/dye ..............................
Ct abdomen w/dye ..............................
Ct abdomen w/dye ..............................
Ct abdomen w/o & w/dye ...................
Ct abdomen w/o & w/dye ...................
Ct abdomen w/o & w/dye ...................
Ct angio abdom w/o & w/dye .............
Ct angio abdom w/o & w/dye .............
Ct angio abdom w/o & w/dye .............
Mri abdomen w/o dye .........................
Mri abdomen w/o dye .........................
Mri abdomen w/o dye .........................
Mri abdomen w/dye ............................
Mri abdomen w/dye ............................
Mri abdomen w/dye ............................
Mri abdomen w/o & w/dye ..................
Mri abdomen w/o & w/dye ..................
Mri abdomen w/o & w/dye ..................
Mri angio, abdom w orw/o dye ...........
Mri angio, abdom w orw/o dye ...........
Mri angio, abdom w orw/o dye ...........
X-ray exam of peritoneum ..................
X-ray exam of peritoneum ..................
X-ray exam of peritoneum ..................
Contrst x-ray exam of throat ...............
Contrst x-ray exam of throat ...............
Contrst x-ray exam of throat ...............
Contrast x-ray, esophagus ..................
Contrast x-ray, esophagus ..................
Contrast x-ray, esophagus ..................
Cine/vid x-ray, throat/esoph ................
Cine/vid x-ray, throat/esoph ................
Cine/vid x-ray, throat/esoph ................
Remove esophagus obstruction .........
Remove esophagus obstruction .........
Remove esophagus obstruction .........
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
X-ray exam, upper gi tract ..................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
Contrst x-ray uppr gi tract ...................
X-ray exam of small bowel .................
X-ray exam of small bowel .................
X-ray exam of small bowel .................
X-ray exam of small bowel .................
X-ray exam of small bowel .................
X-ray exam of small bowel .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.23
0.00
0.23
0.27
0.00
0.27
0.32
0.00
0.32
1.19
0.00
1.19
1.27
0.00
1.27
1.40
0.00
1.40
1.90
0.00
1.90
1.46
0.00
1.46
1.73
0.00
1.73
2.26
0.00
2.26
1.80
0.00
1.80
0.00
0.00
0.48
0.36
0.00
0.36
0.46
0.00
0.46
0.53
0.00
0.53
0.00
0.00
1.19
0.69
0.00
0.69
0.69
0.00
0.69
0.91
0.00
0.91
0.69
0.00
0.69
0.69
0.00
0.69
0.91
0.00
0.91
0.47
0.00
0.47
0.69
0.00
0.69
0.79
0.71
0.08
0.81
0.72
0.09
0.99
0.88
0.11
6.07
5.65
0.42
8.82
8.37
0.45
12.19
11.70
0.49
12.28
11.59
0.69
12.45
11.94
0.51
17.45
16.84
0.61
19.00
18.21
0.79
15.09
14.45
0.64
0.00
0.00
0.17
1.77
1.64
0.13
2.01
1.85
0.16
1.95
1.76
0.19
0.00
0.00
0.47
2.30
2.06
0.24
2.57
2.33
0.24
3.96
3.64
0.32
2.81
2.56
0.25
3.22
2.98
0.24
4.35
4.03
0.32
2.49
2.32
0.17
10.02
9.77
0.25
0.72
0.64
0.08
0.76
0.67
0.09
0.91
0.80
0.11
6.07
5.66
0.41
8.05
7.61
0.44
10.57
10.09
0.48
12.46
11.81
0.65
12.07
11.57
0.50
15.74
15.15
0.59
22.31
21.55
0.76
13.44
12.83
0.61
0.00
0.00
0.16
1.54
1.42
0.12
1.68
1.52
0.16
1.72
1.54
0.18
0.00
0.00
0.43
2.00
1.76
0.24
2.14
1.91
0.23
3.32
3.01
0.31
2.34
2.10
0.24
2.57
2.33
0.24
3.61
3.30
0.31
1.97
1.81
0.16
5.78
5.54
0.24
NA
NA
0.08
NA
NA
0.09
NA
NA
0.11
NA
NA
0.42
NA
NA
0.45
NA
NA
0.49
NA
NA
0.69
NA
NA
0.51
NA
NA
0.61
NA
NA
0.79
NA
NA
0.64
NA
NA
0.17
NA
NA
0.13
NA
NA
0.16
NA
NA
0.19
NA
NA
0.47
NA
NA
0.24
NA
NA
0.24
NA
NA
0.32
NA
NA
0.25
NA
NA
0.24
NA
NA
0.32
NA
NA
0.17
NA
NA
0.25
NA
NA
0.08
NA
NA
0.09
NA
NA
0.11
NA
NA
0.41
NA
NA
0.44
NA
NA
0.48
NA
NA
0.65
NA
NA
0.50
NA
NA
0.59
NA
NA
0.76
NA
NA
0.61
NA
NA
0.16
NA
NA
0.12
NA
NA
0.16
NA
NA
0.18
NA
NA
0.43
NA
NA
0.24
NA
NA
0.23
NA
NA
0.31
NA
NA
0.24
NA
NA
0.24
NA
NA
0.31
NA
NA
0.16
NA
NA
0.24
0.05
0.04
0.01
0.05
0.04
0.01
0.06
0.05
0.01
0.35
0.30
0.05
0.42
0.36
0.06
0.49
0.43
0.06
0.47
0.39
0.08
0.51
0.45
0.06
0.60
0.52
0.08
1.02
0.92
0.10
0.67
0.59
0.08
0.00
0.00
0.02
0.08
0.06
0.02
0.08
0.06
0.02
0.09
0.07
0.02
0.00
0.00
0.05
0.11
0.08
0.03
0.11
0.08
0.03
0.17
0.13
0.04
0.13
0.10
0.03
0.14
0.11
0.03
0.18
0.14
0.04
0.09
0.07
0.02
0.10
0.07
0.03
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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XXX
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2659
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
74260
74260
74260
74270
74270
74270
74280
74280
74280
74283
74283
74283
74290
74290
74290
74291
74291
74291
74300
74300
74300
74301
74301
74301
74305
74305
74305
74320
74320
74320
74327
74327
74327
74328
74328
74328
74329
74329
74329
74330
74330
74330
74340
74340
74340
74355
74355
74355
74360
74360
74360
74363
74363
74363
74400
74400
74400
74410
74410
74410
74415
74415
74415
74420
74420
74420
74425
74425
74425
74430
74430
74430
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-ray exam of small bowel .................
X-ray exam of small bowel .................
X-ray exam of small bowel .................
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray exam of colon .............
Contrast x-ray, gallbladder ..................
Contrast x-ray, gallbladder ..................
Contrast x-ray, gallbladder ..................
Contrast x-rays, gallbladder ................
Contrast x-rays, gallbladder ................
Contrast x-rays, gallbladder ................
X-ray bile ducts/pancreas ...................
X-ray bile ducts/pancreas ...................
X-ray bile ducts/pancreas ...................
X-rays at surgery add-on ....................
X-rays at surgery add-on ....................
X-rays at surgery add-on ....................
X-ray bile ducts/pancreas ...................
X-ray bile ducts/pancreas ...................
X-ray bile ducts/pancreas ...................
Contrast x-ray of bile ducts .................
Contrast x-ray of bile ducts .................
Contrast x-ray of bile ducts .................
X-ray bile stone removal .....................
X-ray bile stone removal .....................
X-ray bile stone removal .....................
X-ray bile duct endoscopy ..................
X-ray bile duct endoscopy ..................
X-ray bile duct endoscopy ..................
X-ray for pancreas endoscopy ............
X-ray for pancreas endoscopy ............
X-ray for pancreas endoscopy ............
X-ray bile/panc endoscopy .................
X-ray bile/panc endoscopy .................
X-ray bile/panc endoscopy .................
X-ray guide for GI tube .......................
X-ray guide for GI tube .......................
X-ray guide for GI tube .......................
X-ray guide, intestinal tube .................
X-ray guide, intestinal tube .................
X-ray guide, intestinal tube .................
X-ray guide, GI dilation .......................
X-ray guide, GI dilation .......................
X-ray guide, GI dilation .......................
X-ray, bile duct dilation .......................
X-ray, bile duct dilation .......................
X-ray, bile duct dilation .......................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrst x-ray, urinary tract ..................
Contrast x-ray, bladder .......................
Contrast x-ray, bladder .......................
Contrast x-ray, bladder .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.50
0.00
0.50
0.69
0.00
0.69
0.99
0.00
0.99
2.02
0.00
2.02
0.32
0.00
0.32
0.20
0.00
0.20
0.00
0.00
0.36
0.00
0.00
0.21
0.00
0.00
0.42
0.54
0.00
0.54
0.70
0.00
0.70
0.00
0.00
0.70
0.00
0.00
0.70
0.00
0.00
0.90
0.00
0.00
0.54
0.00
0.00
0.76
0.00
0.00
0.54
0.00
0.00
0.88
0.49
0.00
0.49
0.49
0.00
0.49
0.49
0.00
0.49
0.00
0.00
0.36
0.00
0.00
0.36
0.32
0.00
0.32
8.31
8.13
0.18
3.59
3.34
0.25
4.95
4.60
0.35
3.49
2.80
0.69
1.58
1.47
0.11
1.56
1.49
0.07
0.00
0.00
0.13
0.00
0.00
0.07
0.00
0.00
0.15
2.14
1.94
0.20
2.97
2.72
0.25
0.00
0.00
0.26
0.00
0.00
0.27
0.00
0.00
0.33
0.00
0.00
0.19
0.00
0.00
0.28
0.00
0.00
0.24
0.00
0.00
0.32
2.60
2.43
0.17
2.69
2.51
0.18
3.27
3.10
0.17
0.00
0.00
0.14
0.00
0.00
0.13
1.96
1.84
0.12
4.98
4.81
0.17
2.76
2.52
0.24
3.75
3.42
0.33
3.35
2.68
0.67
1.21
1.10
0.11
1.02
0.95
0.07
0.00
0.00
0.12
0.00
0.00
0.07
0.00
0.00
0.15
2.73
2.54
0.19
2.48
2.24
0.24
0.00
0.00
0.25
0.00
0.00
0.25
0.00
0.00
0.31
0.00
0.00
0.19
0.00
0.00
0.26
0.00
0.00
0.21
0.00
0.00
0.30
2.22
2.05
0.17
2.40
2.23
0.17
2.78
2.61
0.17
0.00
0.00
0.13
0.00
0.00
0.13
1.56
1.45
0.11
NA
NA
0.18
NA
NA
0.25
NA
NA
0.35
NA
NA
0.69
NA
NA
0.11
NA
NA
0.07
NA
NA
0.13
NA
NA
0.07
NA
NA
0.15
NA
NA
0.20
NA
NA
0.25
NA
NA
0.26
NA
NA
0.27
NA
NA
0.33
NA
NA
0.19
NA
NA
0.28
NA
NA
0.24
NA
NA
0.32
NA
NA
0.17
NA
NA
0.18
NA
NA
0.17
NA
NA
0.14
NA
NA
0.13
NA
NA
0.12
NA
NA
0.17
NA
NA
0.24
NA
NA
0.33
NA
NA
0.67
NA
NA
0.11
NA
NA
0.07
NA
NA
0.12
NA
NA
0.07
NA
NA
0.15
NA
NA
0.19
NA
NA
0.24
NA
NA
0.25
NA
NA
0.25
NA
NA
0.31
NA
NA
0.19
NA
NA
0.26
NA
NA
0.21
NA
NA
0.30
NA
NA
0.17
NA
NA
0.17
NA
NA
0.17
NA
NA
0.13
NA
NA
0.13
NA
NA
0.11
0.10
0.08
0.02
0.14
0.11
0.03
0.17
0.13
0.04
0.23
0.14
0.09
0.06
0.05
0.01
0.03
0.02
0.01
0.00
0.00
0.02
0.00
0.00
0.01
0.00
0.00
0.02
0.19
0.17
0.02
0.14
0.11
0.03
0.00
0.00
0.03
0.00
0.00
0.03
0.00
0.00
0.04
0.00
0.00
0.02
0.00
0.00
0.03
0.00
0.00
0.02
0.00
0.00
0.04
0.13
0.11
0.02
0.13
0.11
0.02
0.14
0.12
0.02
0.00
0.00
0.02
0.00
0.00
0.02
0.08
0.06
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00093
Fmt 4742
Sfmt 4742
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XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2660
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
74440
74440
74440
74445
74445
74445
74450
74450
74450
74455
74455
74455
74470
74470
74470
74475
74475
74475
74480
74480
74480
74485
74485
74485
74710
74710
74710
74740
74740
74740
74742
74742
74742
74775
74775
74775
75557
75557
75557
75558
75558
75558
75559
75559
75559
75560
75560
75560
75561
75561
75561
75562
75562
75562
75563
75563
75563
75564
75564
75564
75600
75600
75600
75605
75605
75605
75625
75625
75625
75630
75630
75630
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
C
C
A
C
C
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
A
A
A
N
N
N
A
A
A
N
N
N
A
A
A
N
N
N
A
A
A
N
N
N
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-ray, male genital tract ......................
X-ray, male genital tract ......................
X-ray, male genital tract ......................
X-ray exam of penis ............................
X-ray exam of penis ............................
X-ray exam of penis ............................
X-ray, urethra/bladder .........................
X-ray, urethra/bladder .........................
X-ray, urethra/bladder .........................
X-ray, urethra/bladder .........................
X-ray, urethra/bladder .........................
X-ray, urethra/bladder .........................
X-ray exam of kidney lesion ...............
X-ray exam of kidney lesion ...............
X-ray exam of kidney lesion ...............
X-ray control, cath insert .....................
X-ray control, cath insert .....................
X-ray control, cath insert .....................
X-ray control, cath insert .....................
X-ray control, cath insert .....................
X-ray control, cath insert .....................
X-ray guide, GU dilation .....................
X-ray guide, GU dilation .....................
X-ray guide, GU dilation .....................
X-ray measurement of pelvis ..............
X-ray measurement of pelvis ..............
X-ray measurement of pelvis ..............
X-ray, female genital tract ...................
X-ray, female genital tract ...................
X-ray, female genital tract ...................
X-ray, fallopian tube ............................
X-ray, fallopian tube ............................
X-ray, fallopian tube ............................
X-ray exam of perineum .....................
X-ray exam of perineum .....................
X-ray exam of perineum .....................
Cardiac mri for morph .........................
Cardiac mri for morph .........................
Cardiac mri for morph .........................
Cardiac mri flow/velocity .....................
Cardiac mri flow/velocity .....................
Cardiac mri flow/velocity .....................
Cardiac mri w/stress img ....................
Cardiac mri w/stress img ....................
Cardiac mri w/stress img ....................
Cardiac mri flow/vel/stress ..................
Cardiac mri flow/vel/stress ..................
Cardiac mri flow/vel/stress ..................
Cardiac mri for morph w/dye ..............
Cardiac mri for morph w/dye ..............
Cardiac mri for morph w/dye ..............
Card mri flow/vel w/dye ......................
Card mri flow/vel w/dye ......................
Card mri flow/vel w/dye ......................
Card mri w/stress img & dye ..............
Card mri w/stress img & dye ..............
Card mri w/stress img & dye ..............
Ht mri w/flo/vel/strs & dye ...................
Ht mri w/flo/vel/strs & dye ...................
Ht mri w/flo/vel/strs & dye ...................
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
Contrast x-ray exam of aorta ..............
X-ray aorta, leg arteries ......................
X-ray aorta, leg arteries ......................
X-ray aorta, leg arteries ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.38
0.00
0.38
0.00
0.00
1.14
0.00
0.00
0.33
0.33
0.00
0.33
0.00
0.00
0.54
0.54
0.00
0.54
0.54
0.00
0.54
0.54
0.00
0.54
0.34
0.00
0.34
0.38
0.00
0.38
0.00
0.00
0.61
0.00
0.00
0.62
2.35
0.00
2.35
2.60
0.00
2.60
2.95
0.00
2.95
3.00
0.00
3.00
2.60
0.00
2.60
2.86
0.00
2.86
3.00
0.00
3.00
3.35
0.00
3.35
0.49
0.00
0.49
1.14
0.00
1.14
1.14
0.00
1.14
1.79
0.00
1.79
2.12
1.98
0.14
0.00
0.00
0.45
0.00
0.00
0.12
2.18
2.06
0.12
0.00
0.00
0.17
2.12
1.92
0.20
2.13
1.93
0.20
2.27
2.07
0.20
0.64
0.53
0.11
1.77
1.64
0.13
0.00
0.00
0.19
0.00
0.00
0.22
11.27
10.33
0.94
12.39
11.79
0.60
17.26
15.99
1.27
16.84
16.15
0.69
15.98
14.94
1.04
16.77
16.11
0.66
20.22
18.84
1.38
19.73
18.96
0.77
6.42
6.18
0.24
3.55
3.06
0.49
3.35
2.93
0.42
3.76
3.05
0.71
1.68
1.55
0.13
0.00
0.00
0.41
0.00
0.00
0.12
1.94
1.82
0.12
0.00
0.00
0.18
3.19
3.00
0.19
3.19
3.00
0.19
2.80
2.61
0.19
0.90
0.79
0.11
1.60
1.47
0.13
0.00
0.00
0.20
0.00
0.00
0.21
11.27
10.33
0.94
12.39
11.79
0.60
17.26
15.99
1.27
16.84
16.15
0.69
15.98
14.94
1.04
16.77
16.11
0.66
20.22
18.84
1.38
19.73
18.96
0.77
9.62
9.40
0.22
8.28
7.84
0.44
8.17
7.77
0.40
8.76
8.10
0.66
NA
NA
0.14
NA
NA
0.45
NA
NA
0.12
NA
NA
0.12
NA
NA
0.17
NA
NA
0.20
NA
NA
0.20
NA
NA
0.20
NA
NA
0.11
NA
NA
0.13
NA
NA
0.19
NA
NA
0.22
NA
NA
0.94
NA
NA
0.60
NA
NA
1.27
NA
NA
0.69
NA
NA
1.04
NA
NA
0.66
NA
NA
1.38
NA
NA
0.77
NA
NA
0.24
NA
NA
0.49
NA
NA
0.42
NA
NA
0.71
NA
NA
0.13
NA
NA
0.41
NA
NA
0.12
NA
NA
0.12
NA
NA
0.18
NA
NA
0.19
NA
NA
0.19
NA
NA
0.19
NA
NA
0.11
NA
NA
0.13
NA
NA
0.20
NA
NA
0.21
NA
NA
0.94
NA
NA
0.60
NA
NA
1.27
NA
NA
0.69
NA
NA
1.04
NA
NA
0.66
NA
NA
1.38
NA
NA
0.77
NA
NA
0.22
NA
NA
0.44
NA
NA
0.40
NA
NA
0.66
0.08
0.06
0.02
0.00
0.00
0.07
0.00
0.00
0.02
0.12
0.10
0.02
0.00
0.00
0.02
0.24
0.22
0.02
0.24
0.22
0.02
0.20
0.17
0.03
0.08
0.06
0.02
0.09
0.07
0.02
0.00
0.00
0.03
0.00
0.00
0.03
0.97
0.87
0.10
1.07
0.96
0.11
0.97
0.87
0.10
1.00
0.89
0.11
1.07
0.96
0.11
1.03
0.92
0.11
1.08
0.97
0.11
1.21
1.08
0.13
0.67
0.65
0.02
0.70
0.65
0.05
0.71
0.65
0.06
0.80
0.69
0.11
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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2661
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
75635
75635
75635
75650
75650
75650
75658
75658
75658
75660
75660
75660
75662
75662
75662
75665
75665
75665
75671
75671
75671
75676
75676
75676
75680
75680
75680
75685
75685
75685
75705
75705
75705
75710
75710
75710
75716
75716
75716
75722
75722
75722
75724
75724
75724
75726
75726
75726
75731
75731
75731
75733
75733
75733
75736
75736
75736
75741
75741
75741
75743
75743
75743
75746
75746
75746
75756
75756
75756
75774
75774
75774
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Ct angio abdominal arteries ................
Ct angio abdominal arteries ................
Ct angio abdominal arteries ................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, arm ...............................
Artery x-rays, arm ...............................
Artery x-rays, arm ...............................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, head & neck .................
Artery x-rays, neck ..............................
Artery x-rays, neck ..............................
Artery x-rays, neck ..............................
Artery x-rays, neck ..............................
Artery x-rays, neck ..............................
Artery x-rays, neck ..............................
Artery x-rays, spine .............................
Artery x-rays, spine .............................
Artery x-rays, spine .............................
Artery x-rays, spine .............................
Artery x-rays, spine .............................
Artery x-rays, spine .............................
Artery x-rays, arm/leg .........................
Artery x-rays, arm/leg .........................
Artery x-rays, arm/leg .........................
Artery x-rays, arms/legs ......................
Artery x-rays, arms/legs ......................
Artery x-rays, arms/legs ......................
Artery x-rays, kidney ...........................
Artery x-rays, kidney ...........................
Artery x-rays, kidney ...........................
Artery x-rays, kidneys .........................
Artery x-rays, kidneys .........................
Artery x-rays, kidneys .........................
Artery x-rays, abdomen ......................
Artery x-rays, abdomen ......................
Artery x-rays, abdomen ......................
Artery x-rays, adrenal gland ...............
Artery x-rays, adrenal gland ...............
Artery x-rays, adrenal gland ...............
Artery x-rays, adrenals ........................
Artery x-rays, adrenals ........................
Artery x-rays, adrenals ........................
Artery x-rays, pelvis ............................
Artery x-rays, pelvis ............................
Artery x-rays, pelvis ............................
Artery x-rays, lung ...............................
Artery x-rays, lung ...............................
Artery x-rays, lung ...............................
Artery x-rays, lungs .............................
Artery x-rays, lungs .............................
Artery x-rays, lungs .............................
Artery x-rays, lung ...............................
Artery x-rays, lung ...............................
Artery x-rays, lung ...............................
Artery x-rays, chest .............................
Artery x-rays, chest .............................
Artery x-rays, chest .............................
Artery x-ray, each vessel ....................
Artery x-ray, each vessel ....................
Artery x-ray, each vessel ....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.40
0.00
2.40
1.49
0.00
1.49
1.31
0.00
1.31
1.31
0.00
1.31
1.66
0.00
1.66
1.31
0.00
1.31
1.66
0.00
1.66
1.31
0.00
1.31
1.66
0.00
1.66
1.31
0.00
1.31
2.18
0.00
2.18
1.14
0.00
1.14
1.31
0.00
1.31
1.14
0.00
1.14
1.49
0.00
1.49
1.14
0.00
1.14
1.14
0.00
1.14
1.31
0.00
1.31
1.14
0.00
1.14
1.31
0.00
1.31
1.66
0.00
1.66
1.14
0.00
1.14
1.14
0.00
1.14
0.36
0.00
0.36
12.94
12.02
0.92
3.53
2.95
0.58
3.73
3.29
0.44
3.88
3.39
0.49
5.01
4.31
0.70
4.10
3.62
0.48
5.10
4.46
0.64
3.87
3.38
0.49
4.61
3.95
0.66
3.89
3.39
0.50
4.18
3.38
0.80
3.95
3.53
0.42
4.92
4.42
0.50
3.84
3.37
0.47
5.13
4.39
0.74
3.77
3.35
0.42
4.10
3.60
0.50
5.46
4.81
0.65
3.87
3.44
0.43
3.18
2.69
0.49
3.56
2.94
0.62
3.52
3.12
0.40
4.34
3.76
0.58
2.51
2.37
0.14
14.82
13.97
0.85
8.31
7.78
0.53
8.41
7.95
0.46
8.47
8.00
0.47
9.11
8.46
0.65
8.58
8.12
0.46
9.13
8.54
0.59
8.46
8.00
0.46
8.88
8.28
0.60
8.47
8.00
0.47
8.75
7.99
0.76
8.48
8.07
0.41
8.98
8.52
0.46
8.43
7.99
0.44
9.15
8.50
0.65
8.37
7.98
0.39
8.54
8.10
0.44
9.26
8.71
0.55
8.44
8.03
0.41
8.11
7.65
0.46
8.36
7.78
0.58
8.26
7.87
0.39
8.70
8.19
0.51
7.62
7.49
0.13
NA
NA
0.92
NA
NA
0.58
NA
NA
0.44
NA
NA
0.49
NA
NA
0.70
NA
NA
0.48
NA
NA
0.64
NA
NA
0.49
NA
NA
0.66
NA
NA
0.50
NA
NA
0.80
NA
NA
0.42
NA
NA
0.50
NA
NA
0.47
NA
NA
0.74
NA
NA
0.42
NA
NA
0.50
NA
NA
0.65
NA
NA
0.43
NA
NA
0.49
NA
NA
0.62
NA
NA
0.40
NA
NA
0.58
NA
NA
0.14
NA
NA
0.85
NA
NA
0.53
NA
NA
0.46
NA
NA
0.47
NA
NA
0.65
NA
NA
0.46
NA
NA
0.59
NA
NA
0.46
NA
NA
0.60
NA
NA
0.47
NA
NA
0.76
NA
NA
0.41
NA
NA
0.46
NA
NA
0.44
NA
NA
0.65
NA
NA
0.39
NA
NA
0.44
NA
NA
0.55
NA
NA
0.41
NA
NA
0.46
NA
NA
0.58
NA
NA
0.39
NA
NA
0.51
NA
NA
0.13
0.50
0.39
0.11
0.72
0.65
0.07
0.72
0.65
0.07
0.71
0.65
0.06
0.71
0.65
0.06
0.74
0.65
0.09
0.72
0.65
0.07
0.72
0.65
0.07
0.72
0.65
0.07
0.71
0.65
0.06
0.78
0.65
0.13
0.72
0.65
0.07
0.72
0.65
0.07
0.70
0.65
0.05
0.70
0.65
0.05
0.70
0.65
0.05
0.71
0.65
0.06
0.71
0.65
0.06
0.71
0.65
0.06
0.71
0.65
0.06
0.72
0.65
0.07
0.70
0.65
0.05
0.69
0.65
0.04
0.67
0.65
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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ZZZ
ZZZ
ZZZ
2662
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
75790
75790
75790
75801
75801
75801
75803
75803
75803
75805
75805
75805
75807
75807
75807
75809
75809
75809
75810
75810
75810
75820
75820
75820
75822
75822
75822
75825
75825
75825
75827
75827
75827
75831
75831
75831
75833
75833
75833
75840
75840
75840
75842
75842
75842
75860
75860
75860
75870
75870
75870
75872
75872
75872
75880
75880
75880
75885
75885
75885
75887
75887
75887
75889
75889
75889
75891
75891
75891
75893
75893
75893
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
C
C
A
C
C
A
C
C
A
C
C
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Visualize A-V shunt .............................
Visualize A-V shunt .............................
Visualize A-V shunt .............................
Lymph vessel x-ray, arm/leg ...............
Lymph vessel x-ray, arm/leg ...............
Lymph vessel x-ray, arm/leg ...............
Lymph vessel x-ray,arms/legs ............
Lymph vessel x-ray,arms/legs ............
Lymph vessel x-ray,arms/legs ............
Lymph vessel x-ray, trunk ...................
Lymph vessel x-ray, trunk ...................
Lymph vessel x-ray, trunk ...................
Lymph vessel x-ray, trunk ...................
Lymph vessel x-ray, trunk ...................
Lymph vessel x-ray, trunk ...................
Nonvascular shunt, x-ray ....................
Nonvascular shunt, x-ray ....................
Nonvascular shunt, x-ray ....................
Vein x-ray, spleen/liver .......................
Vein x-ray, spleen/liver .......................
Vein x-ray, spleen/liver .......................
Vein x-ray, arm/leg ..............................
Vein x-ray, arm/leg ..............................
Vein x-ray, arm/leg ..............................
Vein x-ray, arms/legs ..........................
Vein x-ray, arms/legs ..........................
Vein x-ray, arms/legs ..........................
Vein x-ray, trunk ..................................
Vein x-ray, trunk ..................................
Vein x-ray, trunk ..................................
Vein x-ray, chest .................................
Vein x-ray, chest .................................
Vein x-ray, chest .................................
Vein x-ray, kidney ...............................
Vein x-ray, kidney ...............................
Vein x-ray, kidney ...............................
Vein x-ray, kidneys .............................
Vein x-ray, kidneys .............................
Vein x-ray, kidneys .............................
Vein x-ray, adrenal gland ....................
Vein x-ray, adrenal gland ....................
Vein x-ray, adrenal gland ....................
Vein x-ray, adrenal glands ..................
Vein x-ray, adrenal glands ..................
Vein x-ray, adrenal glands ..................
Vein x-ray, neck ..................................
Vein x-ray, neck ..................................
Vein x-ray, neck ..................................
Vein x-ray, skull ..................................
Vein x-ray, skull ..................................
Vein x-ray, skull ..................................
Vein x-ray, skull ..................................
Vein x-ray, skull ..................................
Vein x-ray, skull ..................................
Vein x-ray, eye socket ........................
Vein x-ray, eye socket ........................
Vein x-ray, eye socket ........................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Vein x-ray, liver ...................................
Venous sampling by catheter .............
Venous sampling by catheter .............
Venous sampling by catheter .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.84
0.00
1.84
0.00
0.00
0.81
0.00
0.00
1.17
0.00
0.00
0.81
0.00
0.00
1.17
0.47
0.00
0.47
0.00
0.00
1.14
0.70
0.00
0.70
1.06
0.00
1.06
1.14
0.00
1.14
1.14
0.00
1.14
1.14
0.00
1.14
1.49
0.00
1.49
1.14
0.00
1.14
1.49
0.00
1.49
1.14
0.00
1.14
1.14
0.00
1.14
1.14
0.00
1.14
0.70
0.00
0.70
1.44
0.00
1.44
1.44
0.00
1.44
1.14
0.00
1.14
1.14
0.00
1.14
0.54
0.00
0.54
3.12
2.52
0.60
0.00
0.00
0.22
0.00
0.00
0.40
0.00
0.00
0.27
0.00
0.00
0.39
2.17
2.01
0.16
0.00
0.00
0.39
3.01
2.72
0.29
3.18
2.81
0.37
2.93
2.55
0.38
2.95
2.58
0.37
3.05
2.67
0.38
3.68
3.18
0.50
2.96
2.60
0.36
3.75
3.20
0.55
3.40
2.91
0.49
3.29
2.89
0.40
4.04
3.60
0.44
3.21
2.94
0.27
3.18
2.66
0.52
3.42
2.85
0.57
3.07
2.66
0.41
3.07
2.66
0.41
2.86
2.66
0.20
2.54
1.94
0.60
0.00
0.00
0.25
0.00
0.00
0.39
0.00
0.00
0.27
0.00
0.00
0.39
1.54
1.39
0.15
0.00
0.00
0.38
2.09
1.83
0.26
2.50
2.14
0.36
7.96
7.58
0.38
7.97
7.60
0.37
8.01
7.64
0.37
8.39
7.89
0.50
7.98
7.61
0.37
8.42
7.91
0.51
8.20
7.76
0.44
8.15
7.75
0.40
8.52
8.11
0.41
2.20
1.95
0.25
8.13
7.64
0.49
8.25
7.73
0.52
8.03
7.64
0.39
8.02
7.63
0.39
7.83
7.64
0.19
NA
NA
0.60
NA
NA
0.22
NA
NA
0.40
NA
NA
0.27
NA
NA
0.39
NA
NA
0.16
NA
NA
0.39
NA
NA
0.29
NA
NA
0.37
NA
NA
0.38
NA
NA
0.37
NA
NA
0.38
NA
NA
0.50
NA
NA
0.36
NA
NA
0.55
NA
NA
0.49
NA
NA
0.40
NA
NA
0.44
NA
NA
0.27
NA
NA
0.52
NA
NA
0.57
NA
NA
0.41
NA
NA
0.41
NA
NA
0.20
NA
NA
0.60
NA
NA
0.25
NA
NA
0.39
NA
NA
0.27
NA
NA
0.39
NA
NA
0.15
NA
NA
0.38
NA
NA
0.26
NA
NA
0.36
NA
NA
0.38
NA
NA
0.37
NA
NA
0.37
NA
NA
0.50
NA
NA
0.37
NA
NA
0.51
NA
NA
0.44
NA
NA
0.40
NA
NA
0.41
NA
NA
0.25
NA
NA
0.49
NA
NA
0.52
NA
NA
0.39
NA
NA
0.39
NA
NA
0.19
0.17
0.08
0.09
0.00
0.00
0.08
0.00
0.00
0.05
0.00
0.00
0.05
0.00
0.00
0.05
0.07
0.05
0.02
0.00
0.00
0.05
0.09
0.06
0.03
0.13
0.08
0.05
0.72
0.65
0.07
0.70
0.65
0.05
0.71
0.65
0.06
0.74
0.65
0.09
0.72
0.65
0.07
0.72
0.65
0.07
0.69
0.65
0.04
0.70
0.65
0.05
0.79
0.65
0.14
0.09
0.06
0.03
0.71
0.65
0.06
0.71
0.65
0.06
0.70
0.65
0.05
0.70
0.65
0.05
0.67
0.65
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2663
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
75894
75894
75894
75896
75896
75896
75898
75898
75898
75900
75900
75900
75901
75901
75901
75902
75902
75902
75940
75940
75940
75945
75945
75945
75946
75946
75946
75952
75952
75952
75953
75953
75953
75954
75954
75954
75956
75956
75956
75957
75957
75957
75958
75958
75958
75959
75959
75959
75960
75960
75960
75961
75961
75961
75962
75962
75962
75964
75964
75964
75966
75966
75966
75968
75968
75968
75970
75970
75970
75978
75978
75978
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
C
C
A
C
C
A
C
C
A
C
C
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
X-rays, transcath therapy ....................
X-rays, transcath therapy ....................
X-rays, transcath therapy ....................
X-rays, transcath therapy ....................
X-rays, transcath therapy ....................
X-rays, transcath therapy ....................
Follow-up angiography ........................
Follow-up angiography ........................
Follow-up angiography ........................
Intravascular cath exchange ...............
Intravascular cath exchange ...............
Intravascular cath exchange ...............
Remove cva device obstruct ..............
Remove cva device obstruct ..............
Remove cva device obstruct ..............
Remove cva lumen obstruct ...............
Remove cva lumen obstruct ...............
Remove cva lumen obstruct ...............
X-ray placement, vein filter .................
X-ray placement, vein filter .................
X-ray placement, vein filter .................
Intravascular us ...................................
Intravascular us ...................................
Intravascular us ...................................
Intravascular us add-on ......................
Intravascular us add-on ......................
Intravascular us add-on ......................
Endovasc repair abdom aorta ............
Endovasc repair abdom aorta ............
Endovasc repair abdom aorta ............
Abdom aneurysm endovas rpr ...........
Abdom aneurysm endovas rpr ...........
Abdom aneurysm endovas rpr ...........
Iliac aneurysm endovas rpr ................
Iliac aneurysm endovas rpr ................
Iliac aneurysm endovas rpr ................
Xray, endovasc thor ao repr ...............
Xray, endovasc thor ao repr ...............
Xray, endovasc thor ao repr ...............
Xray, endovasc thor ao repr ...............
Xray, endovasc thor ao repr ...............
Xray, endovasc thor ao repr ...............
Xray, place prox ext thor ao ...............
Xray, place prox ext thor ao ...............
Xray, place prox ext thor ao ...............
Xray, place dist ext thor ao .................
Xray, place dist ext thor ao .................
Xray, place dist ext thor ao .................
Transcath iv stent rs&i ........................
Transcath iv stent rs&i ........................
Transcath iv stent rs&i ........................
Retrieval, broken catheter ...................
Retrieval, broken catheter ...................
Retrieval, broken catheter ...................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair artery blockage, each ..............
Repair artery blockage, each ..............
Repair artery blockage, each ..............
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair arterial blockage ......................
Repair artery blockage, each ..............
Repair artery blockage, each ..............
Repair artery blockage, each ..............
Vascular biopsy ...................................
Vascular biopsy ...................................
Vascular biopsy ...................................
Repair venous blockage .....................
Repair venous blockage .....................
Repair venous blockage .....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
1.31
0.00
0.00
1.31
0.00
0.00
1.65
0.00
0.00
0.49
0.49
0.00
0.49
0.39
0.00
0.39
0.00
0.00
0.54
0.00
0.00
0.40
0.00
0.00
0.40
0.00
0.00
4.49
0.00
0.00
1.36
0.00
0.00
2.25
0.00
0.00
7.00
0.00
0.00
6.00
0.00
0.00
4.00
0.00
0.00
3.50
0.82
0.00
0.82
4.24
0.00
4.24
0.54
0.00
0.54
0.36
0.00
0.36
1.31
0.00
1.31
0.36
0.00
0.36
0.00
0.00
0.83
0.54
0.00
0.54
0.00
0.00
0.46
0.00
0.00
0.52
0.00
0.00
0.63
0.00
0.00
0.17
4.15
3.98
0.17
1.63
1.50
0.13
0.00
0.00
0.18
0.00
0.00
0.14
0.00
0.00
0.12
0.00
0.00
1.30
0.00
0.00
0.40
0.00
0.00
0.63
0.00
0.00
1.88
0.00
0.00
1.63
0.00
0.00
1.05
0.00
0.00
0.92
2.71
2.39
0.32
4.68
3.19
1.49
3.50
3.30
0.20
2.35
2.22
0.13
4.17
3.60
0.57
2.41
2.25
0.16
0.00
0.00
0.31
3.27
3.09
0.18
0.00
0.00
0.44
0.00
0.00
0.48
0.00
0.00
0.59
0.00
0.00
0.16
2.81
2.64
0.17
1.53
1.40
0.13
0.00
0.00
0.18
0.00
0.00
0.14
0.00
0.00
0.13
0.00
0.00
1.39
0.00
0.00
0.42
0.00
0.00
0.70
0.00
0.00
2.29
0.00
0.00
1.97
0.00
0.00
1.30
0.00
0.00
1.14
8.95
8.65
0.30
8.29
6.85
1.44
9.72
9.53
0.19
5.43
5.31
0.12
10.19
9.68
0.51
5.46
5.32
0.14
0.00
0.00
0.29
9.60
9.42
0.18
NA
NA
0.46
NA
NA
0.52
NA
NA
0.63
NA
NA
0.17
NA
NA
0.17
NA
NA
0.13
NA
NA
0.18
NA
NA
0.14
NA
NA
0.12
NA
NA
1.30
NA
NA
0.40
NA
NA
0.63
NA
NA
1.88
NA
NA
1.63
NA
NA
1.05
NA
NA
0.92
NA
NA
0.32
NA
NA
1.49
NA
NA
0.20
NA
NA
0.13
NA
NA
0.57
NA
NA
0.16
NA
NA
0.31
NA
NA
0.18
NA
NA
0.44
NA
NA
0.48
NA
NA
0.59
NA
NA
0.16
NA
NA
0.17
NA
NA
0.13
NA
NA
0.18
NA
NA
0.14
NA
NA
0.13
NA
NA
1.39
NA
NA
0.42
NA
NA
0.70
NA
NA
2.29
NA
NA
1.97
NA
NA
1.30
NA
NA
1.14
NA
NA
0.30
NA
NA
1.44
NA
NA
0.19
NA
NA
0.12
NA
NA
0.51
NA
NA
0.14
NA
NA
0.29
NA
NA
0.18
0.00
0.00
0.08
0.00
0.00
0.05
0.00
0.00
0.07
0.00
0.00
0.03
0.85
0.83
0.02
0.85
0.83
0.02
0.00
0.00
0.04
0.00
0.00
0.04
0.00
0.00
0.05
0.00
0.00
0.43
0.00
0.00
0.13
0.00
0.00
0.15
0.00
0.00
0.69
0.00
0.00
0.59
0.00
0.00
0.39
0.00
0.00
0.34
0.82
0.77
0.05
0.73
0.55
0.18
0.86
0.83
0.03
0.46
0.43
0.03
0.89
0.83
0.06
0.45
0.43
0.02
0.00
0.00
0.04
0.85
0.83
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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Global
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2664
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
75980
75980
75980
75982
75982
75982
75984
75984
75984
75989
75989
75989
75992
75992
75992
75993
75993
75993
75994
75994
75994
75995
75995
75995
75996
75996
75996
76000
76000
76000
76001
76001
76001
76010
76010
76010
76080
76080
76080
76098
76098
76098
76100
76100
76100
76101
76101
76101
76102
76102
76102
76120
76120
76120
76125
76125
76125
76140
76150
76350
76376
76376
76376
76377
76377
76377
76380
76380
76380
76390
76390
76390
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
C ........
C ........
A ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
C ........
A ........
C ........
C ........
A ........
C ........
C ........
A ........
C ........
C ........
A ........
C ........
C ........
A ........
A ........
A ........
A ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
C ........
A ........
I ..........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
N ........
N ........
N ........
Contrast xray exam bile duct ..............
Contrast xray exam bile duct ..............
Contrast xray exam bile duct ..............
Contrast xray exam bile duct ..............
Contrast xray exam bile duct ..............
Contrast xray exam bile duct ..............
Xray control catheter change ..............
Xray control catheter change ..............
Xray control catheter change ..............
Abscess drainage under x-ray ............
Abscess drainage under x-ray ............
Abscess drainage under x-ray ............
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Atherectomy, x-ray exam ....................
Fluoroscope examination ....................
Fluoroscope examination ....................
Fluoroscope examination ....................
Fluoroscope exam, extensive .............
Fluoroscope exam, extensive .............
Fluoroscope exam, extensive .............
X-ray, nose to rectum .........................
X-ray, nose to rectum .........................
X-ray, nose to rectum .........................
X-ray exam of fistula ...........................
X-ray exam of fistula ...........................
X-ray exam of fistula ...........................
X-ray exam, breast specimen .............
X-ray exam, breast specimen .............
X-ray exam, breast specimen .............
X-ray exam of body section ................
X-ray exam of body section ................
X-ray exam of body section ................
Complex body section x-ray ...............
Complex body section x-ray ...............
Complex body section x-ray ...............
Complex body section x-rays .............
Complex body section x-rays .............
Complex body section x-rays .............
Cine/video x-rays ................................
Cine/video x-rays ................................
Cine/video x-rays ................................
Cine/video x-rays add-on ....................
Cine/video x-rays add-on ....................
Cine/video x-rays add-on ....................
X-ray consultation ...............................
X-ray exam, dry process .....................
Special x-ray contrast study ...............
3d render w/o postprocess .................
3d render w/o postprocess .................
3d render w/o postprocess .................
3d rendering w/postprocess ................
3d rendering w/postprocess ................
3d rendering w/postprocess ................
CAT scan follow-up study ...................
CAT scan follow-up study ...................
CAT scan follow-up study ...................
Mr spectroscopy ..................................
Mr spectroscopy ..................................
Mr spectroscopy ..................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
1.44
0.00
0.00
1.44
0.72
0.00
0.72
1.19
0.00
1.19
0.00
0.00
0.54
0.00
0.00
0.36
0.00
0.00
1.31
0.00
0.00
1.31
0.00
0.00
0.36
0.17
0.00
0.17
0.00
0.00
0.67
0.18
0.00
0.18
0.54
0.00
0.54
0.16
0.00
0.16
0.58
0.00
0.58
0.58
0.00
0.58
0.58
0.00
0.58
0.38
0.00
0.38
0.00
0.00
0.27
0.00
0.00
0.00
0.20
0.00
0.20
0.79
0.00
0.79
0.98
0.00
0.98
1.40
0.00
1.40
0.00
0.00
0.52
0.00
0.00
0.52
2.31
2.05
0.26
2.24
1.82
0.42
0.00
0.00
0.22
0.00
0.00
0.14
0.00
0.00
0.54
0.00
0.00
0.48
0.00
0.00
0.12
2.77
2.71
0.06
0.00
0.00
0.24
0.54
0.48
0.06
1.10
0.90
0.20
0.32
0.27
0.05
3.55
3.35
0.20
5.47
5.28
0.19
7.65
7.47
0.18
1.87
1.74
0.13
0.00
0.00
0.12
0.00
0.68
0.00
1.41
1.34
0.07
1.40
1.12
0.28
4.72
4.38
0.34
9.43
9.11
0.32
0.00
0.00
0.50
0.00
0.00
0.50
2.24
2.00
0.24
2.90
2.49
0.41
0.00
0.00
0.21
0.00
0.00
0.13
0.00
0.00
0.50
0.00
0.00
0.47
0.00
0.00
0.12
2.06
2.01
0.05
0.00
0.00
0.23
0.56
0.50
0.06
1.16
0.97
0.19
0.39
0.34
0.05
2.50
2.30
0.20
3.54
3.35
0.19
4.78
4.60
0.18
1.53
1.40
0.13
0.00
0.00
0.11
0.00
0.55
0.00
2.45
2.38
0.07
2.54
2.27
0.27
4.27
3.94
0.33
10.46
10.06
0.40
NA
NA
0.52
NA
NA
0.52
NA
NA
0.26
NA
NA
0.42
NA
NA
0.22
NA
NA
0.14
NA
NA
0.54
NA
NA
0.48
NA
NA
0.12
NA
NA
0.06
NA
NA
0.24
NA
NA
0.06
NA
NA
0.20
NA
NA
0.05
NA
NA
0.20
NA
NA
0.19
NA
NA
0.18
NA
NA
0.13
NA
NA
0.12
0.00
NA
0.00
NA
NA
0.07
NA
NA
0.28
NA
NA
0.34
NA
NA
0.32
NA
NA
0.50
NA
NA
0.50
NA
NA
0.24
NA
NA
0.41
NA
NA
0.21
NA
NA
0.13
NA
NA
0.50
NA
NA
0.47
NA
NA
0.12
NA
NA
0.05
NA
NA
0.23
NA
NA
0.06
NA
NA
0.19
NA
NA
0.05
NA
NA
0.20
NA
NA
0.19
NA
NA
0.18
NA
NA
0.13
NA
NA
0.11
0.00
NA
0.00
NA
NA
0.07
NA
NA
0.27
NA
NA
0.33
NA
NA
0.40
0.00
0.00
0.06
0.00
0.00
0.06
0.14
0.11
0.03
0.22
0.17
0.05
0.00
0.00
0.03
0.00
0.00
0.02
0.00
0.00
0.07
0.00
0.00
0.05
0.00
0.00
0.02
0.08
0.07
0.01
0.00
0.00
0.05
0.03
0.02
0.01
0.08
0.06
0.02
0.03
0.02
0.01
0.10
0.07
0.03
0.11
0.08
0.03
0.14
0.11
0.03
0.08
0.06
0.02
0.00
0.00
0.01
0.00
0.02
0.00
0.10
0.08
0.02
0.39
0.31
0.08
0.22
0.18
0.04
0.66
0.59
0.07
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00098
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2665
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
76496
76496
76496
76497
76497
76497
76498
76498
76498
76499
76499
76499
76506
76506
76506
76510
76510
76510
76511
76511
76511
76512
76512
76512
76513
76513
76513
76514
76514
76514
76516
76516
76516
76519
76519
76519
76529
76529
76529
76536
76536
76536
76604
76604
76604
76645
76645
76645
76700
76700
76700
76705
76705
76705
76770
76770
76770
76775
76775
76775
76776
76776
76776
76800
76800
76800
76801
76801
76801
76802
76802
76802
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
C
C
C
C
C
C
C
C
C
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Fluoroscopic procedure ......................
Fluoroscopic procedure ......................
Fluoroscopic procedure ......................
Ct procedure .......................................
Ct procedure .......................................
Ct procedure .......................................
Mri procedure ......................................
Mri procedure ......................................
Mri procedure ......................................
Radiographic procedure ......................
Radiographic procedure ......................
Radiographic procedure ......................
Echo exam of head .............................
Echo exam of head .............................
Echo exam of head .............................
Ophth us, b & quant a ........................
Ophth us, b & quant a ........................
Ophth us, b & quant a ........................
Ophth us, quant a only .......................
Ophth us, quant a only .......................
Ophth us, quant a only .......................
Ophth us, b w/non-quant a .................
Ophth us, b w/non-quant a .................
Ophth us, b w/non-quant a .................
Echo exam of eye, water bath ............
Echo exam of eye, water bath ............
Echo exam of eye, water bath ............
Echo exam of eye, thickness ..............
Echo exam of eye, thickness ..............
Echo exam of eye, thickness ..............
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Echo exam of eye ...............................
Us exam of head and neck ................
Us exam of head and neck ................
Us exam of head and neck ................
Us exam, chest ...................................
Us exam, chest ...................................
Us exam, chest ...................................
Us exam, breast(s) .............................
Us exam, breast(s) .............................
Us exam, breast(s) .............................
Us exam, abdom, complete ................
Us exam, abdom, complete ................
Us exam, abdom, complete ................
Echo exam of abdomen ......................
Echo exam of abdomen ......................
Echo exam of abdomen ......................
Us exam abdo back wall, comp .........
Us exam abdo back wall, comp .........
Us exam abdo back wall, comp .........
Us exam abdo back wall, lim ..............
Us exam abdo back wall, lim ..............
Us exam abdo back wall, lim ..............
Us exam k transpl w/doppler ..............
Us exam k transpl w/doppler ..............
Us exam k transpl w/doppler ..............
Us exam, spinal canal ........................
Us exam, spinal canal ........................
Us exam, spinal canal ........................
Ob us < 14 wks, single fetus ..............
Ob us < 14 wks, single fetus ..............
Ob us < 14 wks, single fetus ..............
Ob us < 14 wks, add"l fetus .............
Ob us < 14 wks, add"l fetus .............
Ob us < 14 wks, add"l fetus .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.63
0.00
0.63
1.55
0.00
1.55
0.94
0.00
0.94
0.94
0.00
0.94
0.66
0.00
0.66
0.17
0.00
0.17
0.54
0.00
0.54
0.54
0.00
0.54
0.57
0.00
0.57
0.56
0.00
0.56
0.55
0.00
0.55
0.54
0.00
0.54
0.81
0.00
0.81
0.59
0.00
0.59
0.74
0.00
0.74
0.58
0.00
0.58
0.76
0.00
0.76
1.13
0.00
1.13
0.99
0.00
0.99
0.83
0.00
0.83
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.76
2.56
0.20
2.25
1.70
0.55
1.35
1.02
0.33
1.16
0.83
0.33
1.52
1.29
0.23
0.16
0.10
0.06
1.15
0.97
0.18
1.29
1.10
0.19
1.15
0.95
0.20
2.68
2.50
0.18
1.83
1.64
0.19
2.12
1.93
0.19
3.02
2.75
0.27
2.36
2.15
0.21
2.93
2.67
0.26
2.42
2.21
0.21
3.43
3.16
0.27
2.31
2.03
0.28
2.46
2.16
0.30
0.97
0.71
0.26
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.21
1.99
0.22
2.55
1.94
0.61
1.89
1.53
0.36
1.69
1.32
0.37
1.67
1.41
0.26
0.15
0.08
0.07
1.31
1.10
0.21
1.42
1.20
0.22
1.26
1.04
0.22
2.14
1.96
0.18
1.66
1.47
0.19
1.67
1.49
0.18
2.63
2.36
0.27
1.98
1.78
0.20
2.57
2.32
0.25
2.01
1.81
0.20
2.83
2.57
0.26
2.03
1.72
0.31
2.45
2.13
0.32
1.16
0.88
0.28
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.20
NA
NA
0.55
NA
NA
0.33
NA
NA
0.33
NA
NA
0.23
NA
NA
0.06
NA
NA
0.18
NA
NA
0.19
NA
NA
0.20
NA
NA
0.18
NA
NA
0.19
NA
NA
0.19
NA
NA
0.27
NA
NA
0.21
NA
NA
0.26
NA
NA
0.21
NA
NA
0.27
NA
NA
0.28
NA
NA
0.30
NA
NA
0.26
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
NA
NA
0.22
NA
NA
0.61
NA
NA
0.36
NA
NA
0.37
NA
NA
0.26
NA
NA
0.07
NA
NA
0.21
NA
NA
0.22
NA
NA
0.22
NA
NA
0.18
NA
NA
0.19
NA
NA
0.18
NA
NA
0.27
NA
NA
0.20
NA
NA
0.25
NA
NA
0.20
NA
NA
0.26
NA
NA
0.31
NA
NA
0.32
NA
NA
0.28
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.14
0.08
0.06
0.10
0.07
0.03
0.10
0.07
0.03
0.12
0.10
0.02
0.12
0.10
0.02
0.02
0.01
0.01
0.08
0.07
0.01
0.08
0.07
0.01
0.10
0.08
0.02
0.10
0.08
0.02
0.09
0.07
0.02
0.08
0.06
0.02
0.15
0.11
0.04
0.11
0.08
0.03
0.14
0.11
0.03
0.11
0.08
0.03
0.14
0.11
0.03
0.13
0.08
0.05
0.16
0.12
0.04
0.16
0.12
0.04
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
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2666
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
76805
76805
76805
76810
76810
76810
76811
76811
76811
76812
76812
76812
76813
76813
76813
76814
76814
76814
76815
76815
76815
76816
76816
76816
76817
76817
76817
76818
76818
76818
76819
76819
76819
76820
76820
76820
76821
76821
76821
76825
76825
76825
76826
76826
76826
76827
76827
76827
76828
76828
76828
76830
76830
76830
76831
76831
76831
76856
76856
76856
76857
76857
76857
76870
76870
76870
76872
76872
76872
76873
76873
76873
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Ob us >/= 14 wks, sngl fetus ..............
Ob us >/= 14 wks, sngl fetus ..............
Ob us >/= 14 wks, sngl fetus ..............
Ob us >/= 14 wks, addl fetus .............
Ob us >/= 14 wks, addl fetus .............
Ob us >/= 14 wks, addl fetus .............
Ob us, detailed, sngl fetus ..................
Ob us, detailed, sngl fetus ..................
Ob us, detailed, sngl fetus ..................
Ob us, detailed, addl fetus ..................
Ob us, detailed, addl fetus ..................
Ob us, detailed, addl fetus ..................
Ob us nuchal meas, 1 gest ................
Ob us nuchal meas, 1 gest ................
Ob us nuchal meas, 1 gest ................
Ob us nuchal meas, add-on ...............
Ob us nuchal meas, add-on ...............
Ob us nuchal meas, add-on ...............
Ob us, limited, fetus(s) ........................
Ob us, limited, fetus(s) ........................
Ob us, limited, fetus(s) ........................
Ob us, follow-up, per fetus .................
Ob us, follow-up, per fetus .................
Ob us, follow-up, per fetus .................
Transvaginal us, obstetric ...................
Transvaginal us, obstetric ...................
Transvaginal us, obstetric ...................
Fetal biophys profile w/nst ..................
Fetal biophys profile w/nst ..................
Fetal biophys profile w/nst ..................
Fetal biophys profil w/o nst .................
Fetal biophys profil w/o nst .................
Fetal biophys profil w/o nst .................
Umbilical artery echo ..........................
Umbilical artery echo ..........................
Umbilical artery echo ..........................
Middle cerebral artery echo ................
Middle cerebral artery echo ................
Middle cerebral artery echo ................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Echo exam of fetal heart ....................
Transvaginal us, non-ob .....................
Transvaginal us, non-ob .....................
Transvaginal us, non-ob .....................
Echo exam, uterus ..............................
Echo exam, uterus ..............................
Echo exam, uterus ..............................
Us exam, pelvic, complete ..................
Us exam, pelvic, complete ..................
Us exam, pelvic, complete ..................
Us exam, pelvic, limited ......................
Us exam, pelvic, limited ......................
Us exam, pelvic, limited ......................
Us exam, scrotum ...............................
Us exam, scrotum ...............................
Us exam, scrotum ...............................
Us, transrectal .....................................
Us, transrectal .....................................
Us, transrectal .....................................
Echograp trans r, pros study ..............
Echograp trans r, pros study ..............
Echograp trans r, pros study ..............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.99
0.00
0.99
0.98
0.00
0.98
1.90
0.00
1.90
1.78
0.00
1.78
1.18
0.00
1.18
0.99
0.00
0.99
0.65
0.00
0.65
0.85
0.00
0.85
0.75
0.00
0.75
1.05
0.00
1.05
0.77
0.00
0.77
0.50
0.00
0.50
0.70
0.00
0.70
1.67
0.00
1.67
0.83
0.00
0.83
0.58
0.00
0.58
0.56
0.00
0.56
0.69
0.00
0.69
0.72
0.00
0.72
0.69
0.00
0.69
0.38
0.00
0.38
0.64
0.00
0.64
0.69
0.00
0.69
1.55
0.00
1.55
3.05
2.74
0.31
1.65
1.35
0.30
3.05
2.51
0.54
3.98
3.48
0.50
2.21
1.81
0.40
1.15
0.86
0.29
1.80
1.60
0.20
2.38
2.13
0.25
2.02
1.79
0.23
2.22
1.92
0.30
1.63
1.40
0.23
0.56
0.42
0.14
1.87
1.67
0.20
4.37
3.87
0.50
2.76
2.52
0.24
1.07
0.90
0.17
0.63
0.48
0.15
2.76
2.54
0.22
2.74
2.53
0.21
2.80
2.56
0.24
2.49
2.35
0.14
2.83
2.60
0.23
3.41
3.14
0.27
3.40
2.85
0.55
2.74
2.42
0.32
1.52
1.20
0.32
3.64
3.02
0.62
2.84
2.26
0.58
2.21
1.81
0.40
1.15
0.86
0.29
1.72
1.51
0.21
1.90
1.62
0.28
1.89
1.65
0.24
2.11
1.76
0.35
1.76
1.50
0.26
1.18
1.01
0.17
1.88
1.64
0.24
3.47
2.92
0.55
1.88
1.61
0.27
1.50
1.31
0.19
0.98
0.79
0.19
2.26
2.03
0.23
2.25
2.02
0.23
2.27
2.04
0.23
2.16
2.03
0.13
2.28
2.06
0.22
2.82
2.58
0.24
3.00
2.48
0.52
NA
NA
0.31
NA
NA
0.30
NA
NA
0.54
NA
NA
0.50
NA
NA
0.40
NA
NA
0.29
NA
NA
0.20
NA
NA
0.25
NA
NA
0.23
NA
NA
0.30
NA
NA
0.23
NA
NA
0.14
NA
NA
0.20
NA
NA
0.50
NA
NA
0.24
NA
NA
0.17
NA
NA
0.15
NA
NA
0.22
NA
NA
0.21
NA
NA
0.24
NA
NA
0.14
NA
NA
0.23
NA
NA
0.27
NA
NA
0.55
NA
NA
0.32
NA
NA
0.32
NA
NA
0.62
NA
NA
0.58
NA
NA
0.40
NA
NA
0.29
NA
NA
0.21
NA
NA
0.28
NA
NA
0.24
NA
NA
0.35
NA
NA
0.26
NA
NA
0.17
NA
NA
0.24
NA
NA
0.55
NA
NA
0.27
NA
NA
0.19
NA
NA
0.19
NA
NA
0.23
NA
NA
0.23
NA
NA
0.23
NA
NA
0.13
NA
NA
0.22
NA
NA
0.24
NA
NA
0.52
0.16
0.12
0.04
0.26
0.22
0.04
0.52
0.43
0.09
0.49
0.41
0.08
0.19
0.14
0.05
0.19
0.14
0.05
0.11
0.08
0.03
0.10
0.06
0.04
0.09
0.06
0.03
0.15
0.10
0.05
0.13
0.10
0.03
0.15
0.12
0.03
0.15
0.12
0.03
0.18
0.11
0.07
0.08
0.05
0.03
0.14
0.12
0.02
0.11
0.08
0.03
0.13
0.10
0.03
0.13
0.10
0.03
0.13
0.10
0.03
0.08
0.06
0.02
0.13
0.10
0.03
0.14
0.10
0.04
0.25
0.16
0.09
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00100
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2667
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
76880
76880
76880
76885
76885
76885
76886
76886
76886
76930
76930
76930
76932
76932
76932
76936
76936
76936
76937
76937
76937
76940
76940
76940
76941
76941
76941
76942
76942
76942
76945
76945
76945
76946
76946
76946
76948
76948
76948
76950
76950
76950
76965
76965
76965
76970
76970
76970
76975
76975
76975
76977
76977
76977
76998
76998
76998
76999
76999
76999
77001
77001
77001
77002
77002
77002
77003
77003
77003
77011
77011
77011
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
C
C
A
C
C
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
C
C
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Us exam, extremity .............................
Us exam, extremity .............................
Us exam, extremity .............................
Us exam infant hips, dynamic ............
Us exam infant hips, dynamic ............
Us exam infant hips, dynamic ............
Us exam infant hips, static .................
Us exam infant hips, static .................
Us exam infant hips, static .................
Echo guide, cardiocentesis .................
Echo guide, cardiocentesis .................
Echo guide, cardiocentesis .................
Echo guide for heart biopsy ................
Echo guide for heart biopsy ................
Echo guide for heart biopsy ................
Echo guide for artery repair ................
Echo guide for artery repair ................
Echo guide for artery repair ................
Us guide, vascular access ..................
Us guide, vascular access ..................
Us guide, vascular access ..................
Us guide, tissue ablation ....................
Us guide, tissue ablation ....................
Us guide, tissue ablation ....................
Echo guide for transfusion ..................
Echo guide for transfusion ..................
Echo guide for transfusion ..................
Echo guide for biopsy .........................
Echo guide for biopsy .........................
Echo guide for biopsy .........................
Echo guide, villus sampling ................
Echo guide, villus sampling ................
Echo guide, villus sampling ................
Echo guide for amniocentesis ............
Echo guide for amniocentesis ............
Echo guide for amniocentesis ............
Echo guide, ova aspiration .................
Echo guide, ova aspiration .................
Echo guide, ova aspiration .................
Echo guidance radiotherapy ...............
Echo guidance radiotherapy ...............
Echo guidance radiotherapy ...............
Echo guidance radiotherapy ...............
Echo guidance radiotherapy ...............
Echo guidance radiotherapy ...............
Ultrasound exam follow-up .................
Ultrasound exam follow-up .................
Ultrasound exam follow-up .................
GI endoscopic ultrasound ...................
GI endoscopic ultrasound ...................
GI endoscopic ultrasound ...................
Us bone density measure ...................
Us bone density measure ...................
Us bone density measure ...................
Us guide, intraop .................................
Us guide, intraop .................................
Us guide, intraop .................................
Echo examination procedure ..............
Echo examination procedure ..............
Echo examination procedure ..............
Fluoroguide for vein device ................
Fluoroguide for vein device ................
Fluoroguide for vein device ................
Needle localization by xray .................
Needle localization by xray .................
Needle localization by xray .................
Fluoroguide for spine inject ................
Fluoroguide for spine inject ................
Fluoroguide for spine inject ................
Ct scan for localization .......................
Ct scan for localization .......................
Ct scan for localization .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.59
0.00
0.59
0.74
0.00
0.74
0.62
0.00
0.62
0.67
0.00
0.67
0.00
0.00
0.67
1.99
0.00
1.99
0.30
0.00
0.30
0.00
0.00
2.00
0.00
0.00
1.34
0.67
0.00
0.67
0.00
0.00
0.67
0.38
0.00
0.38
0.38
0.00
0.38
0.58
0.00
0.58
1.34
0.00
1.34
0.40
0.00
0.40
0.00
0.00
0.81
0.05
0.00
0.05
0.00
0.00
1.20
0.00
0.00
0.00
0.38
0.00
0.38
0.54
0.00
0.54
0.60
0.00
0.60
1.21
0.00
1.21
3.19
3.01
0.18
3.26
3.01
0.25
2.28
2.06
0.22
2.08
1.74
0.34
0.00
0.00
0.35
6.13
5.42
0.71
0.62
0.52
0.10
0.00
0.00
0.65
0.00
0.00
0.38
4.80
4.56
0.24
0.00
0.00
0.21
0.45
0.34
0.11
0.45
0.35
0.10
1.21
1.02
0.19
1.20
0.70
0.50
1.99
1.88
0.11
0.00
0.00
0.30
0.10
0.09
0.01
0.00
0.00
0.35
0.00
0.00
0.00
2.73
2.60
0.13
1.23
1.07
0.16
0.76
0.62
0.14
20.28
19.88
0.40
2.40
2.21
0.19
2.50
2.26
0.24
1.95
1.74
0.21
1.92
1.63
0.29
0.00
0.00
0.30
6.55
5.86
0.69
0.55
0.45
0.10
0.00
0.00
0.65
0.00
0.00
0.43
3.91
3.68
0.23
0.00
0.00
0.21
1.05
0.93
0.12
1.04
0.93
0.11
1.35
1.16
0.19
3.60
3.14
0.46
1.58
1.46
0.12
0.00
0.00
0.29
0.48
0.46
0.02
0.00
0.00
0.38
0.00
0.00
0.00
2.08
1.95
0.13
1.35
1.19
0.16
1.11
0.96
0.15
14.47
14.07
0.40
NA
NA
0.18
NA
NA
0.25
NA
NA
0.22
NA
NA
0.34
NA
NA
0.35
NA
NA
0.71
NA
NA
0.10
NA
NA
0.65
NA
NA
0.38
NA
NA
0.24
NA
NA
0.21
NA
NA
0.11
NA
NA
0.10
NA
NA
0.19
NA
NA
0.50
NA
NA
0.11
NA
NA
0.30
NA
NA
0.01
NA
NA
0.35
NA
NA
0.00
NA
NA
0.13
NA
NA
0.16
NA
NA
0.14
NA
NA
0.40
NA
NA
0.19
NA
NA
0.24
NA
NA
0.21
NA
NA
0.29
NA
NA
0.30
NA
NA
0.69
NA
NA
0.10
NA
NA
0.65
NA
NA
0.43
NA
NA
0.23
NA
NA
0.21
NA
NA
0.12
NA
NA
0.11
NA
NA
0.19
NA
NA
0.46
NA
NA
0.12
NA
NA
0.29
NA
NA
0.02
NA
NA
0.38
NA
NA
0.00
NA
NA
0.13
NA
NA
0.16
NA
NA
0.15
NA
NA
0.40
0.11
0.08
0.03
0.13
0.10
0.03
0.11
0.08
0.03
0.12
0.10
0.02
0.00
0.00
0.02
0.47
0.34
0.13
0.13
0.10
0.03
0.00
0.00
0.31
0.00
0.00
0.07
0.13
0.10
0.03
0.00
0.00
0.03
0.12
0.10
0.02
0.12
0.10
0.02
0.10
0.07
0.03
0.37
0.29
0.08
0.08
0.06
0.02
0.00
0.00
0.04
0.06
0.05
0.01
0.00
0.00
0.13
0.00
0.00
0.00
0.11
0.10
0.01
0.09
0.07
0.02
0.10
0.07
0.03
0.47
0.42
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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2668
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
77012
77012
77012
77013
77013
77013
77014
77014
77014
77021
77021
77021
77022
77022
77022
77031
77031
77031
77032
77032
77032
77051
77051
77051
77052
77052
77052
77053
77053
77053
77054
77054
77054
77055
77055
77055
77056
77056
77056
77057
77057
77057
77058
77058
77058
77059
77059
77059
77071
77072
77072
77072
77073
77073
77073
77074
77074
77074
77075
77075
77075
77076
77076
77076
77077
77077
77077
77078
77078
77078
77079
77079
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
C
C
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Ct scan for needle biopsy ...................
Ct scan for needle biopsy ...................
Ct scan for needle biopsy ...................
Ct guide for tissue ablation .................
Ct guide for tissue ablation .................
Ct guide for tissue ablation .................
Ct scan for therapy guide ...................
Ct scan for therapy guide ...................
Ct scan for therapy guide ...................
Mr guidance for needle place .............
Mr guidance for needle place .............
Mr guidance for needle place .............
Mri for tissue ablation .........................
Mri for tissue ablation .........................
Mri for tissue ablation .........................
Stereotact guide for brst bx ................
Stereotact guide for brst bx ................
Stereotact guide for brst bx ................
Guidance for needle, breast ...............
Guidance for needle, breast ...............
Guidance for needle, breast ...............
Computer dx mammogram add-on .....
Computer dx mammogram add-on .....
Computer dx mammogram add-on .....
Comp screen mammogram add-on ....
Comp screen mammogram add-on ....
Comp screen mammogram add-on ....
X-ray of mammary duct ......................
X-ray of mammary duct ......................
X-ray of mammary duct ......................
X-ray of mammary ducts ....................
X-ray of mammary ducts ....................
X-ray of mammary ducts ....................
Mammogram, one breast ....................
Mammogram, one breast ....................
Mammogram, one breast ....................
Mammogram, both breasts .................
Mammogram, both breasts .................
Mammogram, both breasts .................
Mammogram, screening .....................
Mammogram, screening .....................
Mammogram, screening .....................
Mri, one breast ....................................
Mri, one breast ....................................
Mri, one breast ....................................
Mri, both breasts .................................
Mri, both breasts .................................
Mri, both breasts .................................
X-ray stress view ................................
X-rays for bone age ............................
X-rays for bone age ............................
X-rays for bone age ............................
X-rays, bone length studies ................
X-rays, bone length studies ................
X-rays, bone length studies ................
X-rays, bone survey, limited ...............
X-rays, bone survey, limited ...............
X-rays, bone survey, limited ...............
X-rays, bone survey complete ............
X-rays, bone survey complete ............
X-rays, bone survey complete ............
X-rays, bone survey, infant .................
X-rays, bone survey, infant .................
X-rays, bone survey, infant .................
Joint survey, single view .....................
Joint survey, single view .....................
Joint survey, single view .....................
Ct bone density, axial .........................
Ct bone density, axial .........................
Ct bone density, axial .........................
Ct bone density, peripheral .................
Ct bone density, peripheral .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.16
0.00
1.16
0.00
0.00
3.99
0.85
0.00
0.85
1.50
0.00
1.50
0.00
0.00
4.24
1.59
0.00
1.59
0.56
0.00
0.56
0.06
0.00
0.06
0.06
0.00
0.06
0.36
0.00
0.36
0.45
0.00
0.45
0.70
0.00
0.70
0.87
0.00
0.87
0.70
0.00
0.70
1.63
0.00
1.63
1.63
0.00
1.63
0.41
0.19
0.00
0.19
0.27
0.00
0.27
0.45
0.00
0.45
0.54
0.00
0.54
0.70
0.00
0.70
0.31
0.00
0.31
0.25
0.00
0.25
0.22
0.00
2.33
1.92
0.41
0.00
0.00
1.43
4.48
4.20
0.28
9.71
9.19
0.52
0.00
0.00
1.52
1.87
1.34
0.53
0.84
0.64
0.20
0.20
0.18
0.02
0.20
0.18
0.02
1.24
1.11
0.13
1.68
1.52
0.16
1.65
1.40
0.25
2.15
1.84
0.31
1.44
1.20
0.24
21.65
21.09
0.56
21.58
21.01
0.57
0.77
0.42
0.36
0.06
0.67
0.57
0.10
1.45
1.29
0.16
2.29
2.10
0.19
2.13
1.90
0.23
0.66
0.55
0.11
4.75
4.66
0.09
0.83
0.75
5.49
5.09
0.40
0.00
0.00
1.36
3.86
3.58
0.28
10.71
10.20
0.51
0.00
0.00
1.45
4.78
4.25
0.53
1.17
0.98
0.19
0.32
0.30
0.02
0.32
0.30
0.02
1.99
1.87
0.12
2.74
2.59
0.15
1.46
1.22
0.24
1.86
1.57
0.29
1.46
1.22
0.24
19.91
19.36
0.55
23.02
22.47
0.55
0.48
0.42
0.36
0.06
0.78
0.68
0.10
1.30
1.14
0.16
1.96
1.77
0.19
1.55
1.32
0.23
0.93
0.83
0.10
3.88
3.80
0.08
1.92
1.85
NA
NA
0.41
NA
NA
1.43
NA
NA
0.28
NA
NA
0.52
NA
NA
1.52
NA
NA
0.53
NA
NA
0.20
NA
NA
0.02
NA
NA
0.02
NA
NA
0.13
NA
NA
0.16
NA
NA
0.25
NA
NA
0.31
NA
NA
0.24
NA
NA
0.56
NA
NA
0.57
0.77
NA
NA
0.06
NA
NA
0.10
NA
NA
0.16
NA
NA
0.19
NA
NA
0.23
NA
NA
0.11
NA
NA
0.09
NA
NA
NA
NA
0.40
NA
NA
1.36
NA
NA
0.28
NA
NA
0.51
NA
NA
1.45
NA
NA
0.53
NA
NA
0.19
NA
NA
0.02
NA
NA
0.02
NA
NA
0.12
NA
NA
0.15
NA
NA
0.24
NA
NA
0.29
NA
NA
0.24
NA
NA
0.55
NA
NA
0.55
0.48
NA
NA
0.06
NA
NA
0.10
NA
NA
0.16
NA
NA
0.19
NA
NA
0.23
NA
NA
0.10
NA
NA
0.08
NA
NA
0.47
0.42
0.05
0.00
0.00
0.18
0.20
0.16
0.04
0.64
0.55
0.09
0.00
0.00
0.24
0.46
0.37
0.09
0.09
0.07
0.02
0.02
0.01
0.01
0.02
0.01
0.01
0.16
0.14
0.02
0.21
0.19
0.02
0.09
0.06
0.03
0.11
0.07
0.04
0.10
0.07
0.03
0.99
0.92
0.07
1.31
1.24
0.07
0.06
0.03
0.02
0.01
0.06
0.05
0.01
0.08
0.06
0.02
0.10
0.08
0.02
0.08
0.05
0.03
0.08
0.06
0.02
0.17
0.16
0.01
0.06
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00102
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2669
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
77079
77080
77080
77080
77081
77081
77081
77082
77082
77082
77083
77083
77083
77084
77084
77084
77261
77262
77263
77280
77280
77280
77285
77285
77285
77290
77290
77290
77295
77295
77295
77299
77299
77299
77300
77300
77300
77301
77301
77301
77305
77305
77305
77310
77310
77310
77315
77315
77315
77321
77321
77321
77326
77326
77326
77327
77327
77327
77328
77328
77328
77331
77331
77331
77332
77332
77332
77333
77333
77333
77334
77334
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Ct bone density, peripheral .................
Dxa bone density, axial ......................
Dxa bone density, axial ......................
Dxa bone density, axial ......................
Dxa bone density/peripheral ...............
Dxa bone density/peripheral ...............
Dxa bone density/peripheral ...............
Dxa bone density, vert fx ....................
Dxa bone density, vert fx ....................
Dxa bone density, vert fx ....................
Radiographic absorptiometry ..............
Radiographic absorptiometry ..............
Radiographic absorptiometry ..............
Magnetic image, bone marrow ...........
Magnetic image, bone marrow ...........
Magnetic image, bone marrow ...........
Radiation therapy planning .................
Radiation therapy planning .................
Radiation therapy planning .................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Set radiation therapy field ...................
Radiation therapy planning .................
Radiation therapy planning .................
Radiation therapy planning .................
Radiation therapy dose plan ...............
Radiation therapy dose plan ...............
Radiation therapy dose plan ...............
Radiotherapy dose plan, imrt ..............
Radiotherapy dose plan, imrt ..............
Radiotherapy dose plan, imrt ..............
Teletx isodose plan simple .................
Teletx isodose plan simple .................
Teletx isodose plan simple .................
Teletx isodose plan intermed ..............
Teletx isodose plan intermed ..............
Teletx isodose plan intermed ..............
Teletx isodose plan complex ..............
Teletx isodose plan complex ..............
Teletx isodose plan complex ..............
Special teletx port plan .......................
Special teletx port plan .......................
Special teletx port plan .......................
Brachytx isodose calc simp ................
Brachytx isodose calc simp ................
Brachytx isodose calc simp ................
Brachytx isodose calc interm ..............
Brachytx isodose calc interm ..............
Brachytx isodose calc interm ..............
Brachytx isodose plan compl ..............
Brachytx isodose plan compl ..............
Brachytx isodose plan compl ..............
Special radiation dosimetry .................
Special radiation dosimetry .................
Special radiation dosimetry .................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Radiation treatment aid(s) ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.22
0.20
0.00
0.20
0.22
0.00
0.22
0.17
0.00
0.17
0.20
0.00
0.20
1.60
0.00
1.60
1.39
2.11
3.14
0.70
0.00
0.70
1.05
0.00
1.05
1.56
0.00
1.56
4.56
0.00
4.56
0.00
0.00
0.00
0.62
0.00
0.62
7.99
0.00
7.99
0.70
0.00
0.70
1.05
0.00
1.05
1.56
0.00
1.56
0.95
0.00
0.95
0.93
0.00
0.93
1.39
0.00
1.39
2.09
0.00
2.09
0.87
0.00
0.87
0.54
0.00
0.54
0.84
0.00
0.84
1.24
0.00
0.08
1.10
1.04
0.06
0.47
0.41
0.06
0.53
0.48
0.05
0.37
0.32
0.05
13.57
13.05
0.52
0.48
0.69
1.03
4.43
4.20
0.23
8.02
7.68
0.34
13.43
12.92
0.51
7.46
5.96
1.50
0.00
0.00
0.00
1.18
0.98
0.20
57.48
54.86
2.62
0.90
0.67
0.23
1.24
0.90
0.34
2.08
1.57
0.51
1.51
1.20
0.31
2.98
2.68
0.30
4.09
3.64
0.45
5.26
4.57
0.69
0.81
0.52
0.29
1.55
1.37
0.18
0.52
0.24
0.28
2.72
2.31
0.07
2.15
2.07
0.08
0.65
0.58
0.07
0.66
0.61
0.05
0.59
0.53
0.06
12.65
12.13
0.52
0.49
0.72
1.07
4.07
3.84
0.23
6.97
6.63
0.34
10.22
9.72
0.50
18.43
16.95
1.48
0.00
0.00
0.00
1.36
1.16
0.20
43.99
41.40
2.59
1.50
1.27
0.23
1.96
1.62
0.34
2.62
2.12
0.50
2.93
2.62
0.31
2.82
2.52
0.30
4.01
3.56
0.45
5.44
4.76
0.68
0.79
0.51
0.28
1.53
1.36
0.17
1.34
1.07
0.27
3.18
2.78
0.08
NA
NA
0.06
NA
NA
0.06
NA
NA
0.05
NA
NA
0.05
NA
NA
0.52
0.48
0.69
1.03
NA
NA
0.23
NA
NA
0.34
NA
NA
0.51
NA
NA
1.50
NA
NA
0.00
NA
NA
0.20
NA
NA
2.62
NA
NA
0.23
NA
NA
0.34
NA
NA
0.51
NA
NA
0.31
NA
NA
0.30
NA
NA
0.45
NA
NA
0.69
NA
NA
0.29
NA
NA
0.18
NA
NA
0.28
NA
NA
0.07
NA
NA
0.08
NA
NA
0.07
NA
NA
0.05
NA
NA
0.06
NA
NA
0.52
0.49
0.72
1.07
NA
NA
0.23
NA
NA
0.34
NA
NA
0.50
NA
NA
1.48
NA
NA
0.00
NA
NA
0.20
NA
NA
2.59
NA
NA
0.23
NA
NA
0.34
NA
NA
0.50
NA
NA
0.31
NA
NA
0.30
NA
NA
0.45
NA
NA
0.68
NA
NA
0.28
NA
NA
0.17
NA
NA
0.27
NA
NA
0.01
0.18
0.17
0.01
0.06
0.05
0.01
0.06
0.05
0.01
0.06
0.05
0.01
0.66
0.59
0.07
0.07
0.11
0.16
0.22
0.18
0.04
0.35
0.30
0.05
0.43
0.35
0.08
1.71
1.48
0.23
0.00
0.00
0.00
0.10
0.07
0.03
1.88
1.48
0.40
0.15
0.11
0.04
0.18
0.13
0.05
0.22
0.14
0.08
0.26
0.21
0.05
0.18
0.13
0.05
0.25
0.18
0.07
0.36
0.25
0.11
0.06
0.02
0.04
0.10
0.07
0.03
0.15
0.11
0.04
0.23
0.17
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
2670
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
77334
77336
77370
77371
77372
77373
77399
77399
77399
77401
77402
77403
77404
77406
77407
77408
77409
77411
77412
77413
77414
77416
77417
77418
77421
77421
77421
77422
77423
77427
77431
77432
77435
77470
77470
77470
77499
77499
77499
77520
77522
77523
77525
77600
77600
77600
77605
77605
77605
77610
77610
77610
77615
77615
77615
77620
77620
77620
77750
77750
77750
77761
77761
77761
77762
77762
77762
77763
77763
77763
77776
77776
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
C
C
C
C
R
R
R
R
R
R
R
R
R
R
R
R
R
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Radiation treatment aid(s) ..................
Radiation physics consult ...................
Radiation physics consult ...................
Srs, multisource ..................................
Srs, linear based .................................
Sbrt delivery ........................................
External radiation dosimetry ...............
External radiation dosimetry ...............
External radiation dosimetry ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiation treatment delivery ...............
Radiology port film(s) ..........................
Radiation tx delivery, imrt ...................
Stereoscopic x-ray guidance ..............
Stereoscopic x-ray guidance ..............
Stereoscopic x-ray guidance ..............
Neutron beam tx, simple .....................
Neutron beam tx, complex ..................
Radiation tx management, x5 .............
Radiation therapy management ..........
Stereotactic radiation trmt ...................
Sbrt management ...............................
Special radiation treatment .................
Special radiation treatment .................
Special radiation treatment .................
Radiation therapy management ..........
Radiation therapy management ..........
Radiation therapy management ..........
Proton trmt, simple w/o comp .............
Proton trmt, simple w/comp ................
Proton trmt, intermediate ....................
Proton treatment, complex ..................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Hyperthermia treatment ......................
Infuse radioactive materials ................
Infuse radioactive materials ................
Infuse radioactive materials ................
Apply intrcav radiat simple ..................
Apply intrcav radiat simple ..................
Apply intrcav radiat simple ..................
Apply intrcav radiat interm ..................
Apply intrcav radiat interm ..................
Apply intrcav radiat interm ..................
Apply intrcav radiat compl ..................
Apply intrcav radiat compl ..................
Apply intrcav radiat compl ..................
Apply interstit radiat simpl ...................
Apply interstit radiat simpl ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.24
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.39
0.00
0.39
0.00
0.00
3.70
1.81
7.92
13.00
2.09
0.00
2.09
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.56
0.00
1.56
2.09
0.00
2.09
1.56
0.00
1.56
2.09
0.00
2.09
1.56
0.00
1.56
4.94
0.00
4.94
3.82
0.00
3.82
5.73
0.00
5.73
8.60
0.00
8.60
4.67
0.00
0.41
1.14
3.05
30.11
22.83
42.67
0.00
0.00
0.00
0.47
4.35
3.76
4.21
4.24
5.78
5.19
5.77
5.74
6.79
6.86
7.72
7.73
0.36
13.17
2.39
2.26
0.13
5.36
7.47
1.39
0.78
2.59
4.76
1.92
1.24
0.68
0.00
0.00
0.00
0.00
0.00
0.00
0.00
10.24
9.74
0.50
18.48
17.93
0.55
17.94
17.58
0.36
25.93
25.29
0.64
10.50
10.10
0.40
4.55
2.93
1.62
6.34
5.10
1.24
7.63
5.75
1.88
10.35
7.53
2.82
7.46
5.79
0.40
2.06
3.27
30.11
22.83
42.67
0.00
0.00
0.00
1.12
3.06
2.77
2.99
3.01
3.94
3.64
3.93
3.92
4.56
4.60
5.03
5.03
0.48
15.60
2.93
2.80
0.13
3.53
4.86
1.22
0.73
2.75
4.76
6.88
6.20
0.68
0.00
0.00
0.00
0.00
0.00
0.00
0.00
6.90
6.40
0.50
11.60
11.00
0.60
10.75
10.32
0.43
15.32
14.67
0.65
7.04
6.58
0.46
3.73
2.13
1.60
4.97
3.80
1.17
6.54
4.68
1.86
8.79
6.01
2.78
5.30
3.99
0.41
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.13
NA
NA
1.39
0.78
2.59
NA
NA
NA
0.68
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
0.50
NA
NA
0.55
NA
NA
0.36
NA
NA
0.64
NA
NA
0.40
NA
NA
1.62
NA
NA
1.24
NA
NA
1.88
NA
NA
2.82
NA
NA
0.40
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.13
NA
NA
1.22
0.73
2.75
NA
NA
NA
0.68
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
0.50
NA
NA
0.60
NA
NA
0.43
NA
NA
0.65
NA
NA
0.46
NA
NA
1.60
NA
NA
1.17
NA
NA
1.86
NA
NA
2.78
NA
NA
0.06
0.16
0.18
0.13
0.13
0.13
0.00
0.00
0.00
0.11
0.11
0.11
0.11
0.11
0.12
0.12
0.12
0.12
0.13
0.13
0.13
0.13
0.04
0.13
0.12
0.10
0.02
0.13
0.13
0.17
0.09
0.41
0.67
0.70
0.59
0.11
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.24
0.16
0.08
0.38
0.22
0.16
0.24
0.16
0.08
0.33
0.22
0.11
0.36
0.16
0.20
0.32
0.07
0.25
0.33
0.14
0.19
0.48
0.19
0.29
0.66
0.23
0.43
0.57
0.13
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00104
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2671
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
77776
77777
77777
77777
77778
77778
77778
77781
77781
77781
77782
77782
77782
77783
77783
77783
77784
77784
77784
77789
77789
77789
77790
77790
77790
77799
77799
77799
78000
78000
78000
78001
78001
78001
78003
78003
78003
78006
78006
78006
78007
78007
78007
78010
78010
78010
78011
78011
78011
78015
78015
78015
78016
78016
78016
78018
78018
78018
78020
78020
78020
78070
78070
78070
78075
78075
78075
78099
78099
78099
78102
78102
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Apply interstit radiat simpl ...................
Apply interstit radiat inter ....................
Apply interstit radiat inter ....................
Apply interstit radiat inter ....................
Apply interstit radiat compl .................
Apply interstit radiat compl .................
Apply interstit radiat compl .................
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
High intensity brachytherapy ..............
Apply surface radiation .......................
Apply surface radiation .......................
Apply surface radiation .......................
Radiation handling ..............................
Radiation handling ..............................
Radiation handling ..............................
Radium/radioisotope therapy ..............
Radium/radioisotope therapy ..............
Radium/radioisotope therapy ..............
Thyroid, single uptake .........................
Thyroid, single uptake .........................
Thyroid, single uptake .........................
Thyroid, multiple uptakes ....................
Thyroid, multiple uptakes ....................
Thyroid, multiple uptakes ....................
Thyroid suppress/stimul ......................
Thyroid suppress/stimul ......................
Thyroid suppress/stimul ......................
Thyroid imaging with uptake ...............
Thyroid imaging with uptake ...............
Thyroid imaging with uptake ...............
Thyroid image, mult uptakes ..............
Thyroid image, mult uptakes ..............
Thyroid image, mult uptakes ..............
Thyroid imaging ..................................
Thyroid imaging ..................................
Thyroid imaging ..................................
Thyroid imaging with flow ...................
Thyroid imaging with flow ...................
Thyroid imaging with flow ...................
Thyroid met imaging ...........................
Thyroid met imaging ...........................
Thyroid met imaging ...........................
Thyroid met imaging/studies ...............
Thyroid met imaging/studies ...............
Thyroid met imaging/studies ...............
Thyroid met imaging, body .................
Thyroid met imaging, body .................
Thyroid met imaging, body .................
Thyroid met uptake .............................
Thyroid met uptake .............................
Thyroid met uptake .............................
Parathyroid nuclear imaging ...............
Parathyroid nuclear imaging ...............
Parathyroid nuclear imaging ...............
Adrenal nuclear imaging .....................
Adrenal nuclear imaging .....................
Adrenal nuclear imaging .....................
Endocrine nuclear procedure ..............
Endocrine nuclear procedure ..............
Endocrine nuclear procedure ..............
Bone marrow imaging, ltd ...................
Bone marrow imaging, ltd ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
4.67
7.49
0.00
7.49
11.23
0.00
11.23
1.21
0.00
1.21
2.04
0.00
2.04
3.27
0.00
3.27
5.15
0.00
5.15
1.14
0.00
1.14
1.05
0.00
1.05
0.00
0.00
0.00
0.19
0.00
0.19
0.26
0.00
0.26
0.33
0.00
0.33
0.49
0.00
0.49
0.50
0.00
0.50
0.39
0.00
0.39
0.45
0.00
0.45
0.67
0.00
0.67
0.82
0.00
0.82
0.86
0.00
0.86
0.60
0.00
0.60
0.82
0.00
0.82
0.74
0.00
0.74
0.00
0.00
0.00
0.55
0.00
1.67
7.92
5.47
2.45
11.33
7.63
3.70
4.41
4.01
0.40
12.42
11.75
0.67
24.21
23.14
1.07
45.71
44.03
1.68
2.02
1.64
0.38
1.46
1.12
0.34
0.00
0.00
0.00
1.85
1.79
0.06
2.31
2.22
0.09
1.94
1.82
0.12
6.23
6.06
0.17
3.06
2.89
0.17
4.19
4.06
0.13
4.55
4.39
0.16
5.34
5.12
0.22
8.54
8.26
0.28
7.94
7.64
0.30
1.80
1.60
0.20
3.48
3.20
0.28
11.63
11.38
0.25
0.00
0.00
0.00
4.18
3.99
1.31
7.26
4.85
2.41
10.01
6.38
3.63
12.62
12.16
0.46
16.76
16.03
0.73
22.86
21.73
1.13
33.91
32.17
1.74
1.42
1.04
0.38
1.15
0.81
0.34
0.00
0.00
0.00
1.44
1.38
0.06
1.85
1.76
0.09
1.50
1.39
0.11
4.38
4.22
0.16
2.90
2.73
0.17
3.07
2.94
0.13
3.55
3.40
0.15
4.08
3.85
0.23
6.15
5.87
0.28
6.83
6.53
0.30
1.66
1.45
0.21
4.02
3.74
0.28
8.65
8.40
0.25
0.00
0.00
0.00
3.21
3.02
1.67
NA
NA
2.45
NA
NA
3.70
NA
NA
0.40
NA
NA
0.67
NA
NA
1.07
NA
NA
1.68
NA
NA
0.38
NA
NA
0.34
NA
NA
0.00
NA
NA
0.06
NA
NA
0.09
NA
NA
0.12
NA
NA
0.17
NA
NA
0.17
NA
NA
0.13
NA
NA
0.16
NA
NA
0.22
NA
NA
0.28
NA
NA
0.30
NA
NA
0.20
NA
NA
0.28
NA
NA
0.25
NA
NA
0.00
NA
NA
1.31
NA
NA
2.41
NA
NA
3.63
NA
NA
0.46
NA
NA
0.73
NA
NA
1.13
NA
NA
1.74
NA
NA
0.38
NA
NA
0.34
NA
NA
0.00
NA
NA
0.06
NA
NA
0.09
NA
NA
0.11
NA
NA
0.16
NA
NA
0.17
NA
NA
0.13
NA
NA
0.15
NA
NA
0.23
NA
NA
0.28
NA
NA
0.30
NA
NA
0.21
NA
NA
0.28
NA
NA
0.25
NA
NA
0.00
NA
NA
0.44
0.61
0.22
0.39
0.84
0.27
0.57
1.14
1.06
0.08
1.19
1.06
0.13
1.25
1.06
0.19
1.35
1.06
0.29
0.08
0.02
0.06
0.07
0.02
0.05
0.00
0.00
0.00
0.07
0.06
0.01
0.08
0.07
0.01
0.07
0.06
0.01
0.15
0.13
0.02
0.16
0.14
0.02
0.13
0.11
0.02
0.15
0.13
0.02
0.17
0.14
0.03
0.21
0.18
0.03
0.33
0.29
0.04
0.16
0.14
0.02
0.15
0.11
0.04
0.32
0.29
0.03
0.00
0.00
0.00
0.14
0.12
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00105
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2672
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
78102
78103
78103
78103
78104
78104
78104
78110
78110
78110
78111
78111
78111
78120
78120
78120
78121
78121
78121
78122
78122
78122
78130
78130
78130
78135
78135
78135
78140
78140
78140
78185
78185
78185
78190
78190
78190
78191
78191
78191
78195
78195
78195
78199
78199
78199
78201
78201
78201
78202
78202
78202
78205
78205
78205
78206
78206
78206
78215
78215
78215
78216
78216
78216
78220
78220
78220
78223
78223
78223
78230
78230
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Bone marrow imaging, ltd ...................
Bone marrow imaging, mult ................
Bone marrow imaging, mult ................
Bone marrow imaging, mult ................
Bone marrow imaging, body ...............
Bone marrow imaging, body ...............
Bone marrow imaging, body ...............
Plasma volume, single ........................
Plasma volume, single ........................
Plasma volume, single ........................
Plasma volume, multiple .....................
Plasma volume, multiple .....................
Plasma volume, multiple .....................
Red cell mass, single ..........................
Red cell mass, single ..........................
Red cell mass, single ..........................
Red cell mass, multiple .......................
Red cell mass, multiple .......................
Red cell mass, multiple .......................
Blood volume ......................................
Blood volume ......................................
Blood volume ......................................
Red cell survival study ........................
Red cell survival study ........................
Red cell survival study ........................
Red cell survival kinetics ....................
Red cell survival kinetics ....................
Red cell survival kinetics ....................
Red cell sequestration ........................
Red cell sequestration ........................
Red cell sequestration ........................
Spleen imaging ...................................
Spleen imaging ...................................
Spleen imaging ...................................
Platelet survival, kinetics .....................
Platelet survival, kinetics .....................
Platelet survival, kinetics .....................
Platelet survival ...................................
Platelet survival ...................................
Platelet survival ...................................
Lymph system imaging .......................
Lymph system imaging .......................
Lymph system imaging .......................
Blood/lymph nuclear exam .................
Blood/lymph nuclear exam .................
Blood/lymph nuclear exam .................
Liver imaging .......................................
Liver imaging .......................................
Liver imaging .......................................
Liver imaging with flow .......................
Liver imaging with flow .......................
Liver imaging with flow .......................
Liver imaging (3D) ..............................
Liver imaging (3D) ..............................
Liver imaging (3D) ..............................
Liver image (3d) with flow ...................
Liver image (3d) with flow ...................
Liver image (3d) with flow ...................
Liver and spleen imaging ....................
Liver and spleen imaging ....................
Liver and spleen imaging ....................
Liver & spleen image/flow ...................
Liver & spleen image/flow ...................
Liver & spleen image/flow ...................
Liver function study .............................
Liver function study .............................
Liver function study .............................
Hepatobiliary imaging .........................
Hepatobiliary imaging .........................
Hepatobiliary imaging .........................
Salivary gland imaging ........................
Salivary gland imaging ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.55
0.75
0.00
0.75
0.80
0.00
0.80
0.19
0.00
0.19
0.22
0.00
0.22
0.23
0.00
0.23
0.32
0.00
0.32
0.45
0.00
0.45
0.61
0.00
0.61
0.64
0.00
0.64
0.61
0.00
0.61
0.40
0.00
0.40
1.09
0.00
1.09
0.61
0.00
0.61
1.20
0.00
1.20
0.00
0.00
0.00
0.44
0.00
0.44
0.51
0.00
0.51
0.71
0.00
0.71
0.96
0.00
0.96
0.49
0.00
0.49
0.57
0.00
0.57
0.49
0.00
0.49
0.84
0.00
0.84
0.45
0.00
0.19
5.44
5.18
0.26
6.23
5.94
0.29
2.13
2.06
0.07
2.14
2.07
0.07
2.10
2.02
0.08
2.20
2.10
0.10
2.25
2.10
0.15
3.50
3.29
0.21
8.68
8.46
0.22
2.95
2.73
0.22
5.20
5.06
0.14
8.38
8.13
0.25
3.52
3.31
0.21
8.69
8.28
0.41
0.00
0.00
0.00
4.60
4.47
0.13
5.35
5.18
0.17
5.27
5.02
0.25
8.61
8.27
0.34
4.82
4.65
0.17
2.86
2.66
0.20
3.08
2.91
0.17
8.51
8.22
0.29
4.17
4.01
0.19
4.44
4.18
0.26
5.29
5.01
0.28
1.58
1.51
0.07
2.40
2.32
0.08
1.96
1.88
0.08
2.62
2.51
0.11
3.51
3.35
0.16
3.28
3.07
0.21
6.89
6.67
0.22
3.54
3.33
0.21
3.85
3.71
0.14
7.24
6.92
0.32
5.53
5.32
0.21
6.58
6.17
0.41
0.00
0.00
0.00
3.56
3.42
0.14
4.20
4.03
0.17
5.71
5.47
0.24
7.42
7.09
0.33
3.97
3.80
0.17
3.26
3.07
0.19
3.48
3.32
0.16
6.23
5.94
0.29
3.25
3.10
0.19
NA
NA
0.26
NA
NA
0.29
NA
NA
0.07
NA
NA
0.07
NA
NA
0.08
NA
NA
0.10
NA
NA
0.15
NA
NA
0.21
NA
NA
0.22
NA
NA
0.22
NA
NA
0.14
NA
NA
0.25
NA
NA
0.21
NA
NA
0.41
NA
NA
0.00
NA
NA
0.13
NA
NA
0.17
NA
NA
0.25
NA
NA
0.34
NA
NA
0.17
NA
NA
0.20
NA
NA
0.17
NA
NA
0.29
NA
NA
0.19
NA
NA
0.26
NA
NA
0.28
NA
NA
0.07
NA
NA
0.08
NA
NA
0.08
NA
NA
0.11
NA
NA
0.16
NA
NA
0.21
NA
NA
0.22
NA
NA
0.21
NA
NA
0.14
NA
NA
0.32
NA
NA
0.21
NA
NA
0.41
NA
NA
0.00
NA
NA
0.14
NA
NA
0.17
NA
NA
0.24
NA
NA
0.33
NA
NA
0.17
NA
NA
0.19
NA
NA
0.16
NA
NA
0.29
NA
NA
0.02
0.20
0.17
0.03
0.25
0.22
0.03
0.07
0.06
0.01
0.15
0.14
0.01
0.12
0.11
0.01
0.15
0.14
0.01
0.26
0.24
0.02
0.17
0.14
0.03
0.28
0.25
0.03
0.24
0.21
0.03
0.15
0.13
0.02
0.38
0.30
0.08
0.40
0.37
0.03
0.28
0.22
0.06
0.00
0.00
0.00
0.15
0.13
0.02
0.16
0.14
0.02
0.34
0.31
0.03
0.15
0.11
0.04
0.16
0.14
0.02
0.20
0.18
0.02
0.21
0.19
0.02
0.23
0.19
0.04
0.15
0.13
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2673
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
78230
78231
78231
78231
78232
78232
78232
78258
78258
78258
78261
78261
78261
78262
78262
78262
78264
78264
78264
78267
78268
78270
78270
78270
78271
78271
78271
78272
78272
78272
78278
78278
78278
78282
78282
78282
78290
78290
78290
78291
78291
78291
78299
78299
78299
78300
78300
78300
78305
78305
78305
78306
78306
78306
78315
78315
78315
78320
78320
78320
78350
78350
78350
78351
78399
78399
78399
78414
78414
78414
78428
78428
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
X
X
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
N
N
N
C
C
C
C
C
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Salivary gland imaging ........................
Serial salivary imaging ........................
Serial salivary imaging ........................
Serial salivary imaging ........................
Salivary gland function exam ..............
Salivary gland function exam ..............
Salivary gland function exam ..............
Esophageal motility study ...................
Esophageal motility study ...................
Esophageal motility study ...................
Gastric mucosa imaging .....................
Gastric mucosa imaging .....................
Gastric mucosa imaging .....................
Gastroesophageal reflux exam ...........
Gastroesophageal reflux exam ...........
Gastroesophageal reflux exam ...........
Gastric emptying study .......................
Gastric emptying study .......................
Gastric emptying study .......................
Breath tst attain/anal c-14 ...................
Breath test analysis, c-14 ...................
Vit B-12 absorption exam ...................
Vit B-12 absorption exam ...................
Vit B-12 absorption exam ...................
Vit b-12 absrp exam, int fac ...............
Vit b-12 absrp exam, int fac ...............
Vit b-12 absrp exam, int fac ...............
Vit B-12 absorp, combined .................
Vit B-12 absorp, combined .................
Vit B-12 absorp, combined .................
Acute GI blood loss imaging ...............
Acute GI blood loss imaging ...............
Acute GI blood loss imaging ...............
GI protein loss exam ...........................
GI protein loss exam ...........................
GI protein loss exam ...........................
Meckel"s divert exam .......................
Meckel"s divert exam .......................
Meckel"s divert exam .......................
Leveen/shunt patency exam ...............
Leveen/shunt patency exam ...............
Leveen/shunt patency exam ...............
GI nuclear procedure ..........................
GI nuclear procedure ..........................
GI nuclear procedure ..........................
Bone imaging, limited area .................
Bone imaging, limited area .................
Bone imaging, limited area .................
Bone imaging, multiple areas .............
Bone imaging, multiple areas .............
Bone imaging, multiple areas .............
Bone imaging, whole body .................
Bone imaging, whole body .................
Bone imaging, whole body .................
Bone imaging, 3 phase .......................
Bone imaging, 3 phase .......................
Bone imaging, 3 phase .......................
Bone imaging (3D) ..............................
Bone imaging (3D) ..............................
Bone imaging (3D) ..............................
Bone mineral, single photon ...............
Bone mineral, single photon ...............
Bone mineral, single photon ...............
Bone mineral, dual photon ..................
Musculoskeletal nuclear exam ............
Musculoskeletal nuclear exam ............
Musculoskeletal nuclear exam ............
Non-imaging heart function .................
Non-imaging heart function .................
Non-imaging heart function .................
Cardiac shunt imaging ........................
Cardiac shunt imaging ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.45
0.52
0.00
0.52
0.47
0.00
0.47
0.74
0.00
0.74
0.69
0.00
0.69
0.68
0.00
0.68
0.78
0.00
0.78
0.00
0.00
0.20
0.00
0.20
0.20
0.00
0.20
0.27
0.00
0.27
0.99
0.00
0.99
0.00
0.00
0.38
0.68
0.00
0.68
0.88
0.00
0.88
0.00
0.00
0.00
0.62
0.00
0.62
0.83
0.00
0.83
0.86
0.00
0.86
1.02
0.00
1.02
1.04
0.00
1.04
0.22
0.00
0.22
0.30
0.00
0.00
0.00
0.00
0.00
0.45
0.78
0.00
0.16
2.81
2.64
0.17
2.78
2.63
0.15
5.52
5.25
0.27
6.01
5.77
0.24
5.96
5.74
0.22
7.16
6.89
0.27
0.00
0.00
1.95
1.88
0.07
1.89
1.84
0.05
2.06
1.99
0.07
8.61
8.26
0.35
0.00
0.00
0.13
8.52
8.28
0.24
6.15
5.85
0.30
0.00
0.00
0.00
4.23
4.01
0.22
5.48
5.20
0.28
6.07
5.77
0.30
8.60
8.24
0.36
5.35
4.99
0.36
0.51
0.46
0.05
NA
0.00
0.00
0.00
0.00
0.00
0.17
5.26
4.90
0.15
3.07
2.90
0.17
3.24
3.08
0.16
4.33
4.07
0.26
5.17
4.93
0.24
5.22
5.00
0.22
5.78
5.51
0.27
0.00
0.00
1.78
1.71
0.07
1.80
1.74
0.06
2.24
2.16
0.08
6.91
6.57
0.34
0.00
0.00
0.13
5.91
5.67
0.24
4.76
4.46
0.30
0.00
0.00
0.00
3.46
3.25
0.21
4.71
4.43
0.28
5.32
5.02
0.30
6.86
6.51
0.35
5.82
5.46
0.36
0.67
0.61
0.06
NA
0.00
0.00
0.00
0.00
0.00
0.17
3.90
3.58
0.16
NA
NA
0.17
NA
NA
0.15
NA
NA
0.27
NA
NA
0.24
NA
NA
0.22
NA
NA
0.27
0.00
0.00
NA
NA
0.07
NA
NA
0.05
NA
NA
0.07
NA
NA
0.35
NA
NA
0.13
NA
NA
0.24
NA
NA
0.30
NA
NA
0.00
NA
NA
0.22
NA
NA
0.28
NA
NA
0.30
NA
NA
0.36
NA
NA
0.36
NA
NA
0.05
0.07
NA
NA
0.00
NA
NA
0.17
NA
NA
0.15
NA
NA
0.17
NA
NA
0.16
NA
NA
0.26
NA
NA
0.24
NA
NA
0.22
NA
NA
0.27
0.00
0.00
NA
NA
0.07
NA
NA
0.06
NA
NA
0.08
NA
NA
0.34
NA
NA
0.13
NA
NA
0.24
NA
NA
0.30
NA
NA
0.00
NA
NA
0.21
NA
NA
0.28
NA
NA
0.30
NA
NA
0.35
NA
NA
0.36
NA
NA
0.06
0.09
NA
NA
0.00
NA
NA
0.17
NA
NA
0.02
0.19
0.17
0.02
0.20
0.18
0.02
0.17
0.14
0.03
0.25
0.22
0.03
0.25
0.22
0.03
0.25
0.22
0.03
0.00
0.00
0.11
0.10
0.01
0.11
0.10
0.01
0.14
0.13
0.01
0.29
0.25
0.04
0.00
0.00
0.02
0.19
0.16
0.03
0.20
0.16
0.04
0.00
0.00
0.00
0.17
0.14
0.03
0.23
0.19
0.04
0.26
0.22
0.04
0.29
0.25
0.04
0.35
0.31
0.04
0.06
0.05
0.01
0.01
0.00
0.00
0.00
0.00
0.00
0.02
0.16
0.13
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00107
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2674
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
78428
78445
78445
78445
78456
78456
78456
78457
78457
78457
78458
78458
78458
78459
78459
78459
78460
78460
78460
78461
78461
78461
78464
78464
78464
78465
78465
78465
78466
78466
78466
78468
78468
78468
78469
78469
78469
78472
78472
78472
78473
78473
78473
78478
78478
78478
78480
78480
78480
78481
78481
78481
78483
78483
78483
78491
78491
78491
78492
78492
78492
78494
78494
78494
78496
78496
78496
78499
78499
78499
78580
78580
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
A
A
A
A
A
A
C
C
C
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Cardiac shunt imaging ........................
Vascular flow imaging .........................
Vascular flow imaging .........................
Vascular flow imaging .........................
Acute venous thrombus image ...........
Acute venous thrombus image ...........
Acute venous thrombus image ...........
Venous thrombosis imaging ...............
Venous thrombosis imaging ...............
Venous thrombosis imaging ...............
Ven thrombosis images, bilat .............
Ven thrombosis images, bilat .............
Ven thrombosis images, bilat .............
Heart muscle imaging (PET) ..............
Heart muscle imaging (PET) ..............
Heart muscle imaging (PET) ..............
Heart muscle blood, single .................
Heart muscle blood, single .................
Heart muscle blood, single .................
Heart muscle blood, multiple ..............
Heart muscle blood, multiple ..............
Heart muscle blood, multiple ..............
Heart image (3d), single .....................
Heart image (3d), single .....................
Heart image (3d), single .....................
Heart image (3d), multiple ..................
Heart image (3d), multiple ..................
Heart image (3d), multiple ..................
Heart infarct image .............................
Heart infarct image .............................
Heart infarct image .............................
Heart infarct image (ef) .......................
Heart infarct image (ef) .......................
Heart infarct image (ef) .......................
Heart infarct image (3D) .....................
Heart infarct image (3D) .....................
Heart infarct image (3D) .....................
Gated heart, planar, single .................
Gated heart, planar, single .................
Gated heart, planar, single .................
Gated heart, multiple ..........................
Gated heart, multiple ..........................
Gated heart, multiple ..........................
Heart wall motion add-on ....................
Heart wall motion add-on ....................
Heart wall motion add-on ....................
Heart function add-on .........................
Heart function add-on .........................
Heart function add-on .........................
Heart first pass, single ........................
Heart first pass, single ........................
Heart first pass, single ........................
Heart first pass, multiple .....................
Heart first pass, multiple .....................
Heart first pass, multiple .....................
Heart image (pet), single ....................
Heart image (pet), single ....................
Heart image (pet), single ....................
Heart image (pet), multiple .................
Heart image (pet), multiple .................
Heart image (pet), multiple .................
Heart image, spect ..............................
Heart image, spect ..............................
Heart image, spect ..............................
Heart first pass add-on .......................
Heart first pass add-on .......................
Heart first pass add-on .......................
Cardiovascular nuclear exam .............
Cardiovascular nuclear exam .............
Cardiovascular nuclear exam .............
Lung perfusion imaging ......................
Lung perfusion imaging ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.78
0.49
0.00
0.49
1.00
0.00
1.00
0.77
0.00
0.77
0.90
0.00
0.90
0.00
0.00
1.50
0.86
0.00
0.86
1.23
0.00
1.23
1.09
0.00
1.09
1.46
0.00
1.46
0.69
0.00
0.69
0.80
0.00
0.80
0.92
0.00
0.92
0.98
0.00
0.98
1.47
0.00
1.47
0.50
0.00
0.50
0.30
0.00
0.30
0.98
0.00
0.98
1.47
0.00
1.47
0.00
0.00
1.50
0.00
0.00
1.87
1.19
0.00
1.19
0.50
0.00
0.50
0.00
0.00
0.00
0.74
0.00
0.36
4.49
4.32
0.17
8.81
8.44
0.37
4.66
4.41
0.25
4.51
4.22
0.29
0.00
0.00
0.61
4.66
4.34
0.32
4.07
3.61
0.46
5.86
5.36
0.50
11.46
10.75
0.71
4.58
4.29
0.29
5.88
5.48
0.40
6.29
5.85
0.44
6.03
5.62
0.41
7.76
7.12
0.64
0.80
0.56
0.24
0.70
0.56
0.14
5.07
4.58
0.49
6.87
6.09
0.78
0.00
0.00
0.63
0.00
0.00
0.91
6.23
5.69
0.54
0.88
0.65
0.23
0.00
0.00
0.00
5.13
4.87
0.32
3.26
3.09
0.17
6.57
6.21
0.36
3.79
3.54
0.25
4.43
4.12
0.31
0.00
0.00
0.59
3.65
3.35
0.30
4.61
4.17
0.44
6.66
6.22
0.44
11.88
11.27
0.61
3.72
3.46
0.26
4.90
4.57
0.33
5.92
5.54
0.38
5.94
5.57
0.37
8.27
7.69
0.58
1.30
1.06
0.24
1.24
1.06
0.18
5.33
4.90
0.43
7.64
6.98
0.66
0.00
0.00
0.61
0.00
0.00
0.82
6.86
6.38
0.48
4.06
3.86
0.20
0.00
0.00
0.00
4.41
4.15
0.36
NA
NA
0.17
NA
NA
0.37
NA
NA
0.25
NA
NA
0.29
NA
NA
0.61
NA
NA
0.32
NA
NA
0.46
NA
NA
0.50
NA
NA
0.71
NA
NA
0.29
NA
NA
0.40
NA
NA
0.44
NA
NA
0.41
NA
NA
0.64
NA
NA
0.24
NA
NA
0.14
NA
NA
0.49
NA
NA
0.78
NA
NA
0.63
NA
NA
0.91
NA
NA
0.54
NA
NA
0.23
NA
NA
0.00
NA
NA
0.32
NA
NA
0.17
NA
NA
0.36
NA
NA
0.25
NA
NA
0.31
NA
NA
0.59
NA
NA
0.30
NA
NA
0.44
NA
NA
0.44
NA
NA
0.61
NA
NA
0.26
NA
NA
0.33
NA
NA
0.38
NA
NA
0.37
NA
NA
0.58
NA
NA
0.24
NA
NA
0.18
NA
NA
0.43
NA
NA
0.66
NA
NA
0.61
NA
NA
0.82
NA
NA
0.48
NA
NA
0.20
NA
NA
0.00
NA
NA
0.03
0.13
0.11
0.02
0.33
0.29
0.04
0.17
0.14
0.03
0.25
0.21
0.04
0.00
0.00
0.05
0.17
0.13
0.04
0.30
0.25
0.05
0.41
0.37
0.04
0.67
0.62
0.05
0.17
0.14
0.03
0.22
0.19
0.03
0.31
0.28
0.03
0.34
0.30
0.04
0.48
0.42
0.06
0.12
0.10
0.02
0.12
0.10
0.02
0.31
0.28
0.03
0.46
0.41
0.05
0.00
0.00
0.06
0.00
0.00
0.07
0.35
0.30
0.05
0.32
0.30
0.02
0.00
0.00
0.00
0.21
0.18
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2675
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
78580
78584
78584
78584
78585
78585
78585
78586
78586
78586
78587
78587
78587
78588
78588
78588
78591
78591
78591
78593
78593
78593
78594
78594
78594
78596
78596
78596
78599
78599
78599
78600
78600
78600
78601
78601
78601
78605
78605
78605
78606
78606
78606
78607
78607
78607
78608
78608
78608
78609
78609
78609
78610
78610
78610
78630
78630
78630
78635
78635
78635
78645
78645
78645
78647
78647
78647
78650
78650
78650
78660
78660
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
N
N
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Lung perfusion imaging ......................
Lung V/Q image single breath ............
Lung V/Q image single breath ............
Lung V/Q image single breath ............
Lung V/Q imaging ...............................
Lung V/Q imaging ...............................
Lung V/Q imaging ...............................
Aerosol lung image, single .................
Aerosol lung image, single .................
Aerosol lung image, single .................
Aerosol lung image, multiple ..............
Aerosol lung image, multiple ..............
Aerosol lung image, multiple ..............
Perfusion lung image ..........................
Perfusion lung image ..........................
Perfusion lung image ..........................
Vent image, 1 breath, 1 proj ...............
Vent image, 1 breath, 1 proj ...............
Vent image, 1 breath, 1 proj ...............
Vent image, 1 proj, gas ......................
Vent image, 1 proj, gas ......................
Vent image, 1 proj, gas ......................
Vent image, mult proj, gas ..................
Vent image, mult proj, gas ..................
Vent image, mult proj, gas ..................
Lung differential function .....................
Lung differential function .....................
Lung differential function .....................
Respiratory nuclear exam ...................
Respiratory nuclear exam ...................
Respiratory nuclear exam ...................
Brain image < 4 views ........................
Brain image < 4 views ........................
Brain image < 4 views ........................
Brain image w/flow < 4 views .............
Brain image w/flow < 4 views .............
Brain image w/flow < 4 views .............
Brain image 4+ views .........................
Brain image 4+ views .........................
Brain image 4+ views .........................
Brain image w/flow 4 + views .............
Brain image w/flow 4 + views .............
Brain image w/flow 4 + views .............
Brain imaging (3D) ..............................
Brain imaging (3D) ..............................
Brain imaging (3D) ..............................
Brain imaging (PET) ...........................
Brain imaging (PET) ...........................
Brain imaging (PET) ...........................
Brain imaging (PET) ...........................
Brain imaging (PET) ...........................
Brain imaging (PET) ...........................
Brain flow imaging only .......................
Brain flow imaging only .......................
Brain flow imaging only .......................
Cerebrospinal fluid scan .....................
Cerebrospinal fluid scan .....................
Cerebrospinal fluid scan .....................
CSF ventriculography .........................
CSF ventriculography .........................
CSF ventriculography .........................
CSF shunt evaluation .........................
CSF shunt evaluation .........................
CSF shunt evaluation .........................
Cerebrospinal fluid scan .....................
Cerebrospinal fluid scan .....................
Cerebrospinal fluid scan .....................
CSF leakage imaging .........................
CSF leakage imaging .........................
CSF leakage imaging .........................
Nuclear exam of tear flow ...................
Nuclear exam of tear flow ...................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.74
0.99
0.00
0.99
1.09
0.00
1.09
0.40
0.00
0.40
0.49
0.00
0.49
1.09
0.00
1.09
0.40
0.00
0.40
0.49
0.00
0.49
0.53
0.00
0.53
1.27
0.00
1.27
0.00
0.00
0.00
0.44
0.00
0.44
0.51
0.00
0.51
0.53
0.00
0.53
0.64
0.00
0.64
1.23
0.00
1.23
0.00
0.00
1.50
1.50
0.00
1.50
0.30
0.00
0.30
0.68
0.00
0.68
0.61
0.00
0.61
0.57
0.00
0.57
0.90
0.00
0.90
0.61
0.00
0.61
0.53
0.00
0.26
3.02
2.67
0.35
8.63
8.25
0.38
4.17
4.03
0.14
5.44
5.27
0.17
8.66
8.28
0.38
4.17
4.03
0.14
4.82
4.65
0.17
5.29
5.11
0.18
8.68
8.29
0.39
0.00
0.00
0.00
4.39
4.24
0.15
5.39
5.21
0.18
4.85
4.66
0.19
8.54
8.32
0.22
8.64
8.23
0.41
0.00
0.00
0.49
0.00
0.00
0.00
4.46
4.36
0.10
8.66
8.42
0.24
8.80
8.59
0.21
8.49
8.29
0.20
8.53
8.24
0.29
8.57
8.36
0.21
4.26
4.07
0.26
3.28
2.94
0.34
7.32
6.95
0.37
3.44
3.31
0.13
4.21
4.04
0.17
6.11
5.74
0.37
3.58
3.44
0.14
4.21
4.05
0.16
5.23
5.05
0.18
8.09
7.68
0.41
0.00
0.00
0.00
3.71
3.56
0.15
4.47
4.30
0.17
4.22
4.03
0.19
6.31
6.10
0.21
7.81
7.39
0.42
0.00
0.00
0.50
0.49
0.00
0.49
4.24
4.11
0.13
6.96
6.73
0.23
5.79
5.57
0.22
6.05
5.86
0.19
7.38
7.08
0.30
6.71
6.50
0.21
3.28
3.10
0.26
NA
NA
0.35
NA
NA
0.38
NA
NA
0.14
NA
NA
0.17
NA
NA
0.38
NA
NA
0.14
NA
NA
0.17
NA
NA
0.18
NA
NA
0.39
NA
NA
0.00
NA
NA
0.15
NA
NA
0.18
NA
NA
0.19
NA
NA
0.22
NA
NA
0.41
NA
NA
0.49
NA
NA
0.00
NA
NA
0.10
NA
NA
0.24
NA
NA
0.21
NA
NA
0.20
NA
NA
0.29
NA
NA
0.21
NA
NA
0.26
NA
NA
0.34
NA
NA
0.37
NA
NA
0.13
NA
NA
0.17
NA
NA
0.37
NA
NA
0.14
NA
NA
0.16
NA
NA
0.18
NA
NA
0.41
NA
NA
0.00
NA
NA
0.15
NA
NA
0.17
NA
NA
0.19
NA
NA
0.21
NA
NA
0.42
NA
NA
0.50
NA
NA
0.49
NA
NA
0.13
NA
NA
0.23
NA
NA
0.22
NA
NA
0.19
NA
NA
0.30
NA
NA
0.21
NA
NA
0.03
0.21
0.17
0.04
0.35
0.30
0.05
0.16
0.14
0.02
0.16
0.14
0.02
0.23
0.18
0.05
0.16
0.14
0.02
0.20
0.18
0.02
0.27
0.25
0.02
0.42
0.37
0.05
0.00
0.00
0.00
0.16
0.14
0.02
0.20
0.18
0.02
0.20
0.18
0.02
0.24
0.21
0.03
0.40
0.35
0.05
0.00
0.00
0.06
0.06
0.00
0.06
0.11
0.10
0.01
0.30
0.27
0.03
0.16
0.14
0.02
0.20
0.18
0.02
0.35
0.31
0.04
0.27
0.24
0.03
0.14
0.12
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00109
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2676
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
78660
78699
78699
78699
78700
78700
78700
78701
78701
78701
78707
78707
78707
78708
78708
78708
78709
78709
78709
78710
78710
78710
78725
78725
78725
78730
78730
78730
78740
78740
78740
78761
78761
78761
78799
78799
78799
78800
78800
78800
78801
78801
78801
78802
78802
78802
78803
78803
78803
78804
78804
78804
78805
78805
78805
78806
78806
78806
78807
78807
78807
78811
78811
78811
78812
78812
78812
78813
78813
78813
78814
78814
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
Status
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
C
C
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Nuclear exam of tear flow ...................
Nervous system nuclear exam ...........
Nervous system nuclear exam ...........
Nervous system nuclear exam ...........
Kidney imaging, morphol ....................
Kidney imaging, morphol ....................
Kidney imaging, morphol ....................
Kidney imaging with flow ....................
Kidney imaging with flow ....................
Kidney imaging with flow ....................
K flow/funct image w/o drug ...............
K flow/funct image w/o drug ...............
K flow/funct image w/o drug ...............
K flow/funct image w/drug ..................
K flow/funct image w/drug ..................
K flow/funct image w/drug ..................
K flow/funct image, multiple ................
K flow/funct image, multiple ................
K flow/funct image, multiple ................
Kidney imaging (3D) ...........................
Kidney imaging (3D) ...........................
Kidney imaging (3D) ...........................
Kidney function study ..........................
Kidney function study ..........................
Kidney function study ..........................
Urinary bladder retention ....................
Urinary bladder retention ....................
Urinary bladder retention ....................
Ureteral reflux study ............................
Ureteral reflux study ............................
Ureteral reflux study ............................
Testicular imaging w/flow ....................
Testicular imaging w/flow ....................
Testicular imaging w/flow ....................
Genitourinary nuclear exam ................
Genitourinary nuclear exam ................
Genitourinary nuclear exam ................
Tumor imaging, limited area ...............
Tumor imaging, limited area ...............
Tumor imaging, limited area ...............
Tumor imaging, mult areas .................
Tumor imaging, mult areas .................
Tumor imaging, mult areas .................
Tumor imaging, whole body ...............
Tumor imaging, whole body ...............
Tumor imaging, whole body ...............
Tumor imaging (3D) ............................
Tumor imaging (3D) ............................
Tumor imaging (3D) ............................
Tumor imaging, whole body ...............
Tumor imaging, whole body ...............
Tumor imaging, whole body ...............
Abscess imaging, ltd area ..................
Abscess imaging, ltd area ..................
Abscess imaging, ltd area ..................
Abscess imaging, whole body ............
Abscess imaging, whole body ............
Abscess imaging, whole body ............
Nuclear localization/abscess ...............
Nuclear localization/abscess ...............
Nuclear localization/abscess ...............
Pet image, ltd area .............................
Pet image, ltd area .............................
Pet image, ltd area .............................
Pet image, skull-thigh .........................
Pet image, skull-thigh .........................
Pet image, skull-thigh .........................
Pet image, full body ............................
Pet image, full body ............................
Pet image, full body ............................
Pet image w/ct, lmtd ...........................
Pet image w/ct, lmtd ...........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.53
0.00
0.00
0.00
0.45
0.00
0.45
0.49
0.00
0.49
0.96
0.00
0.96
1.21
0.00
1.21
1.41
0.00
1.41
0.66
0.00
0.66
0.38
0.00
0.38
0.15
0.00
0.15
0.57
0.00
0.57
0.71
0.00
0.71
0.00
0.00
0.00
0.66
0.00
0.66
0.79
0.00
0.79
0.86
0.00
0.86
1.09
0.00
1.09
1.07
0.00
1.07
0.73
0.00
0.73
0.86
0.00
0.86
1.09
0.00
1.09
0.00
0.00
1.54
0.00
0.00
1.93
0.00
0.00
2.00
0.00
0.00
0.19
0.00
0.00
0.00
4.39
4.23
0.16
5.39
5.22
0.17
5.49
5.15
0.34
3.48
3.05
0.43
8.89
8.40
0.49
5.28
5.06
0.22
2.35
2.23
0.12
1.99
1.93
0.06
5.65
5.46
0.19
5.06
4.81
0.25
0.00
0.00
0.00
4.34
4.13
0.21
6.06
5.79
0.27
8.15
7.85
0.30
8.54
8.17
0.37
14.85
14.48
0.37
4.23
3.98
0.25
8.36
8.06
0.30
8.52
8.15
0.37
0.00
0.00
0.54
0.00
0.00
0.67
0.00
0.00
0.68
0.00
0.00
0.18
0.00
0.00
0.00
3.80
3.64
0.16
4.56
4.39
0.17
5.14
4.81
0.33
4.18
3.76
0.42
6.91
6.43
0.48
5.71
5.49
0.22
2.14
2.01
0.13
1.78
1.69
0.09
3.98
3.79
0.19
4.24
4.00
0.24
0.00
0.00
0.00
3.99
3.77
0.22
5.27
5.00
0.27
6.98
6.69
0.29
7.74
7.36
0.38
13.14
12.77
0.37
3.94
3.69
0.25
7.54
7.25
0.29
7.73
7.35
0.38
0.00
0.00
0.53
0.00
0.00
0.66
0.00
0.00
0.69
0.00
0.00
0.19
NA
NA
0.00
NA
NA
0.16
NA
NA
0.17
NA
NA
0.34
NA
NA
0.43
NA
NA
0.49
NA
NA
0.22
NA
NA
0.12
NA
NA
0.06
NA
NA
0.19
NA
NA
0.25
NA
NA
0.00
NA
NA
0.21
NA
NA
0.27
NA
NA
0.30
NA
NA
0.37
NA
NA
0.37
NA
NA
0.25
NA
NA
0.30
NA
NA
0.37
NA
NA
0.54
NA
NA
0.67
NA
NA
0.68
NA
NA
0.18
NA
NA
0.00
NA
NA
0.16
NA
NA
0.17
NA
NA
0.33
NA
NA
0.42
NA
NA
0.48
NA
NA
0.22
NA
NA
0.13
NA
NA
0.09
NA
NA
0.19
NA
NA
0.24
NA
NA
0.00
NA
NA
0.22
NA
NA
0.27
NA
NA
0.29
NA
NA
0.38
NA
NA
0.37
NA
NA
0.25
NA
NA
0.29
NA
NA
0.38
NA
NA
0.53
NA
NA
0.66
NA
NA
0.69
NA
NA
0.02
0.00
0.00
0.00
0.18
0.16
0.02
0.20
0.18
0.02
0.27
0.23
0.04
0.28
0.23
0.05
0.29
0.23
0.06
0.34
0.31
0.03
0.13
0.11
0.02
0.10
0.08
0.02
0.15
0.12
0.03
0.20
0.17
0.03
0.00
0.00
0.00
0.22
0.18
0.04
0.27
0.22
0.05
0.34
0.30
0.04
0.40
0.35
0.05
0.34
0.30
0.04
0.21
0.18
0.03
0.39
0.35
0.04
0.39
0.35
0.04
0.00
0.00
0.11
0.00
0.00
0.11
0.00
0.00
0.11
0.00
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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XXX
XXX
XXX
XXX
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XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2677
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
78814
78815
78815
78815
78816
78816
78816
78890
78890
78890
78891
78891
78891
78999
78999
78999
79005
79005
79005
79101
79101
79101
79200
79200
79200
79300
79300
79300
79403
79403
79403
79440
79440
79440
79445
79445
79445
79999
79999
79999
80500
80502
83020
83912
84165
84166
84181
84182
85060
85097
85390
85396
85576
86077
86078
86079
86255
86256
86320
86325
86327
86334
86335
86485
86486
86490
86510
86580
87164
87207
88104
88104
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
26 .......
26 .......
26 .......
26 .......
26 .......
26 .......
............
............
26 .......
............
26 .......
............
............
............
26 .......
26 .......
26 .......
26 .......
26 .......
26 .......
26 .......
............
............
............
............
............
26 .......
26 .......
............
TC ......
Status
A
C
C
A
C
C
A
B
B
B
B
B
B
C
C
C
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
C
C
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Pet image w/ct, lmtd ...........................
Pet image w/ct, skull-thigh ..................
Pet image w/ct, skull-thigh ..................
Pet image w/ct, skull-thigh ..................
Pet image w/ct, full body ....................
Pet image w/ct, full body ....................
Pet image w/ct, full body ....................
Nuclear medicine data proc ................
Nuclear medicine data proc ................
Nuclear medicine data proc ................
Nuclear med data proc .......................
Nuclear med data proc .......................
Nuclear med data proc .......................
Nuclear diagnostic exam ....................
Nuclear diagnostic exam ....................
Nuclear diagnostic exam ....................
Nuclear rx, oral admin ........................
Nuclear rx, oral admin ........................
Nuclear rx, oral admin ........................
Nuclear rx, iv admin ............................
Nuclear rx, iv admin ............................
Nuclear rx, iv admin ............................
Nuclear rx, intracav admin ..................
Nuclear rx, intracav admin ..................
Nuclear rx, intracav admin ..................
Nuclr rx, interstit colloid ......................
Nuclr rx, interstit colloid ......................
Nuclr rx, interstit colloid ......................
Hematopoietic nuclear tx ....................
Hematopoietic nuclear tx ....................
Hematopoietic nuclear tx ....................
Nuclear rx, intra-articular ....................
Nuclear rx, intra-articular ....................
Nuclear rx, intra-articular ....................
Nuclear rx, intra-arterial ......................
Nuclear rx, intra-arterial ......................
Nuclear rx, intra-arterial ......................
Nuclear medicine therapy ...................
Nuclear medicine therapy ...................
Nuclear medicine therapy ...................
Lab pathology consultation .................
Lab pathology consultation .................
Hemoglobin electrophoresis ...............
Genetic examination ...........................
Protein e-phoresis, serum ...................
Protein e-phoresis/urine/csf ................
Western blot test .................................
Protein, western blot test ....................
Blood smear interpretation ..................
Bone marrow interpretation ................
Fibrinolysins screen ............................
Clotting assay, whole blood ................
Blood platelet aggregation ..................
Physician blood bank service .............
Physician blood bank service .............
Physician blood bank service .............
Fluorescent antibody, screen ..............
Fluorescent antibody, titer ..................
Serum immunoelectrophoresis ...........
Other immunoelectrophoresis .............
Immunoelectrophoresis assay ............
Immunofix e-phoresis, serum .............
Immunfix e-phorsis/urine/csf ...............
Skin test, candida ...............................
Skin test, nos antigen .........................
Coccidioidomycosis skin test ..............
Histoplasmosis skin test .....................
TB intradermal test .............................
Dark field examination ........................
Smear, special stain ...........................
Cytopath fl nongyn, smears ................
Cytopath fl nongyn, smears ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.20
0.00
0.00
2.44
0.00
0.00
2.50
0.05
0.00
0.05
0.10
0.00
0.10
0.00
0.00
0.00
1.80
0.00
1.80
1.96
0.00
1.96
1.99
0.00
1.99
0.00
0.00
1.60
2.25
0.00
2.25
1.99
0.00
1.99
0.00
0.00
2.40
0.00
0.00
0.00
0.37
1.33
0.37
0.37
0.37
0.37
0.37
0.37
0.45
0.94
0.37
0.37
0.37
0.94
0.94
0.94
0.37
0.37
0.37
0.37
0.42
0.37
0.37
0.00
0.00
0.00
0.00
0.00
0.37
0.37
0.56
0.00
0.74
0.00
0.00
0.84
0.00
0.00
0.85
0.39
0.38
0.01
0.88
0.86
0.02
0.00
0.00
0.00
1.85
1.27
0.58
2.17
1.43
0.74
2.22
1.57
0.65
0.00
0.00
0.54
2.92
2.17
0.75
1.84
1.16
0.68
0.00
0.00
0.85
0.00
0.00
0.00
0.20
0.31
0.12
0.11
0.12
0.12
0.12
0.12
0.14
1.25
0.13
NA
0.12
0.38
0.38
0.39
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.00
0.13
0.13
0.13
0.16
0.12
0.12
1.19
1.03
0.75
0.00
0.00
0.84
0.00
0.00
0.86
0.86
0.84
0.02
1.77
1.74
0.03
0.00
0.00
0.00
2.54
1.95
0.59
2.73
2.03
0.70
2.77
2.10
0.67
0.00
0.00
0.55
4.04
3.22
0.82
2.59
1.89
0.70
0.00
0.00
0.83
0.00
0.00
0.00
0.20
0.43
0.13
0.12
0.13
0.13
0.13
0.14
0.16
1.58
0.13
NA
0.14
0.39
0.42
0.42
0.13
0.14
0.14
0.13
0.15
0.13
0.13
0.00
0.13
0.21
0.22
0.20
0.12
0.14
1.02
0.82
0.74
NA
NA
0.84
NA
NA
0.85
NA
NA
0.01
NA
NA
0.02
NA
NA
0.00
NA
NA
0.58
NA
NA
0.74
NA
NA
0.65
NA
NA
0.54
NA
NA
0.75
NA
NA
0.68
NA
NA
0.85
NA
NA
0.00
0.11
0.25
0.12
0.11
0.12
0.12
0.12
0.12
0.14
0.27
0.13
0.10
0.12
0.30
0.30
0.30
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.00
NA
NA
NA
NA
0.12
0.12
NA
NA
0.75
NA
NA
0.84
NA
NA
0.86
NA
NA
0.02
NA
NA
0.03
NA
NA
0.00
NA
NA
0.59
NA
NA
0.70
NA
NA
0.67
NA
NA
0.55
NA
NA
0.82
NA
NA
0.70
NA
NA
0.83
NA
NA
0.00
0.14
0.40
0.13
0.12
0.13
0.13
0.13
0.14
0.16
0.34
0.13
0.13
0.14
0.34
0.35
0.36
0.13
0.14
0.14
0.13
0.15
0.13
0.13
0.00
NA
NA
NA
NA
0.12
0.14
NA
NA
0.11
0.00
0.00
0.11
0.00
0.00
0.11
0.07
0.06
0.01
0.14
0.13
0.01
0.00
0.00
0.00
0.22
0.14
0.08
0.22
0.14
0.08
0.23
0.14
0.09
0.00
0.00
0.13
0.24
0.14
0.10
0.22
0.14
0.08
0.00
0.00
0.12
0.00
0.00
0.00
0.01
0.04
0.01
0.01
0.01
0.01
0.01
0.02
0.02
0.04
0.01
0.04
0.01
0.03
0.03
0.03
0.01
0.01
0.01
0.01
0.02
0.01
0.01
0.00
0.02
0.02
0.02
0.02
0.01
0.01
0.04
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00111
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2678
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
88104
88106
88106
88106
88107
88107
88107
88108
88108
88108
88112
88112
88112
88125
88125
88125
88141
88160
88160
88160
88161
88161
88161
88162
88162
88162
88172
88172
88172
88173
88173
88173
88182
88182
88182
88184
88185
88187
88188
88189
88199
88199
88199
88291
88299
88300
88300
88300
88302
88302
88302
88304
88304
88304
88305
88305
88305
88307
88307
88307
88309
88309
88309
88311
88311
88311
88312
88312
88312
88313
88313
88313
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
TC ......
26 .......
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Cytopath fl nongyn, smears ................
Cytopath fl nongyn, filter .....................
Cytopath fl nongyn, filter .....................
Cytopath fl nongyn, filter .....................
Cytopath fl nongyn, sm/fltr ..................
Cytopath fl nongyn, sm/fltr ..................
Cytopath fl nongyn, sm/fltr ..................
Cytopath, concentrate tech .................
Cytopath, concentrate tech .................
Cytopath, concentrate tech .................
Cytopath, cell enhance tech ...............
Cytopath, cell enhance tech ...............
Cytopath, cell enhance tech ...............
Forensic cytopathology .......................
Forensic cytopathology .......................
Forensic cytopathology .......................
Cytopath, c/v, interpret ........................
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopath smear, other source ............
Cytopathology eval of fna ...................
Cytopathology eval of fna ...................
Cytopathology eval of fna ...................
Cytopath eval, fna, report ...................
Cytopath eval, fna, report ...................
Cytopath eval, fna, report ...................
Cell marker study ................................
Cell marker study ................................
Cell marker study ................................
Flowcytometry/ tc, 1 marker ...............
Flowcytometry/tc, add-on ....................
Flowcytometry/read, 2-8 .....................
Flowcytometry/read, 9-15 ...................
Flowcytometry/read, 16 & > ................
Cytopathology procedure ....................
Cytopathology procedure ....................
Cytopathology procedure ....................
Cyto/molecular report ..........................
Cytogenetic study ...............................
Surgical path, gross ............................
Surgical path, gross ............................
Surgical path, gross ............................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Tissue exam by pathologist ................
Decalcify tissue ...................................
Decalcify tissue ...................................
Decalcify tissue ...................................
Special stains ......................................
Special stains ......................................
Special stains ......................................
Special stains ......................................
Special stains ......................................
Special stains ......................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.56
0.56
0.00
0.56
0.76
0.00
0.76
0.56
0.00
0.56
1.18
0.00
1.18
0.26
0.00
0.26
0.42
0.50
0.00
0.50
0.50
0.00
0.50
0.76
0.00
0.76
0.60
0.00
0.60
1.39
0.00
1.39
0.77
0.00
0.77
0.00
0.00
1.36
1.69
2.23
0.00
0.00
0.00
0.52
0.00
0.08
0.00
0.08
0.13
0.00
0.13
0.22
0.00
0.22
0.75
0.00
0.75
1.59
0.00
1.59
2.80
0.00
2.80
0.24
0.00
0.24
0.54
0.00
0.54
0.24
0.00
0.24
0.16
1.52
1.37
0.15
2.00
1.77
0.23
1.47
1.32
0.15
1.47
1.18
0.29
0.21
0.16
0.05
0.38
0.91
0.78
0.13
1.06
0.92
0.14
1.58
1.35
0.23
0.81
0.64
0.17
2.20
1.82
0.38
2.02
1.88
0.14
2.47
1.50
0.40
0.44
0.47
0.00
0.00
0.00
0.27
0.00
0.56
0.54
0.02
1.29
1.25
0.04
1.48
1.42
0.06
2.05
1.85
0.20
4.41
3.94
0.47
6.17
5.34
0.83
0.24
0.17
0.07
2.30
2.16
0.14
1.95
1.89
0.06
0.20
1.44
1.24
0.20
1.77
1.49
0.28
1.34
1.14
0.20
1.72
1.32
0.40
0.24
0.16
0.08
0.26
0.87
0.70
0.17
1.00
0.82
0.18
1.30
1.02
0.28
0.77
0.55
0.22
2.16
1.68
0.48
1.99
1.76
0.23
1.89
1.07
0.42
0.51
0.61
0.00
0.00
0.00
0.22
0.00
0.51
0.48
0.03
1.16
1.11
0.05
1.39
1.32
0.07
1.97
1.71
0.26
3.79
3.21
0.58
5.28
4.38
0.90
0.23
0.15
0.08
1.90
1.72
0.18
1.60
1.52
0.08
0.16
NA
NA
0.15
NA
NA
0.23
NA
NA
0.15
NA
NA
0.29
NA
NA
0.05
0.38
NA
NA
0.13
NA
NA
0.14
NA
NA
0.23
NA
NA
0.17
NA
NA
0.38
NA
NA
0.14
NA
NA
0.40
0.44
0.47
NA
NA
0.00
0.27
0.00
NA
NA
0.02
NA
NA
0.04
NA
NA
0.06
NA
NA
0.20
NA
NA
0.47
NA
NA
0.83
NA
NA
0.07
NA
NA
0.14
NA
NA
0.06
0.20
NA
NA
0.20
NA
NA
0.28
NA
NA
0.20
NA
NA
0.40
NA
NA
0.08
0.26
NA
NA
0.17
NA
NA
0.18
NA
NA
0.28
NA
NA
0.22
NA
NA
0.48
NA
NA
0.23
NA
NA
0.42
0.51
0.61
NA
NA
0.00
0.22
0.00
NA
NA
0.03
NA
NA
0.05
NA
NA
0.07
NA
NA
0.26
NA
NA
0.58
NA
NA
0.90
NA
NA
0.08
NA
NA
0.18
NA
NA
0.08
0.02
0.04
0.02
0.02
0.05
0.02
0.03
0.04
0.02
0.02
0.04
0.02
0.02
0.02
0.01
0.01
0.02
0.04
0.02
0.02
0.04
0.02
0.02
0.05
0.02
0.03
0.04
0.02
0.02
0.07
0.02
0.05
0.07
0.04
0.03
0.02
0.02
0.01
0.01
0.01
0.00
0.00
0.00
0.02
0.00
0.02
0.01
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.07
0.04
0.03
0.12
0.06
0.06
0.14
0.06
0.08
0.02
0.01
0.01
0.03
0.01
0.02
0.02
0.01
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00112
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2679
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
88314
88314
88314
88318
88318
88318
88319
88319
88319
88321
88323
88323
88323
88325
88329
88331
88331
88331
88332
88332
88332
88333
88333
88333
88334
88334
88334
88342
88342
88342
88346
88346
88346
88347
88347
88347
88348
88348
88348
88349
88349
88349
88355
88355
88355
88356
88356
88356
88358
88358
88358
88360
88360
88360
88361
88361
88361
88362
88362
88362
88365
88365
88365
88367
88367
88367
88368
88368
88368
88371
88372
88380
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
26 .......
26 .......
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Histochemical stain .............................
Histochemical stain .............................
Histochemical stain .............................
Chemical histochemistry .....................
Chemical histochemistry .....................
Chemical histochemistry .....................
Enzyme histochemistry .......................
Enzyme histochemistry .......................
Enzyme histochemistry .......................
Microslide consultation ........................
Microslide consultation ........................
Microslide consultation ........................
Microslide consultation ........................
Comprehensive review of data ...........
Path consult introp ..............................
Path consult intraop, 1 bloc ................
Path consult intraop, 1 bloc ................
Path consult intraop, 1 bloc ................
Path consult intraop, add"l ...............
Path consult intraop, add"l ...............
Path consult intraop, add"l ...............
Intraop cyto path consult, 1 ................
Intraop cyto path consult, 1 ................
Intraop cyto path consult, 1 ................
Intraop cyto path consult, 2 ................
Intraop cyto path consult, 2 ................
Intraop cyto path consult, 2 ................
Immunohistochemistry ........................
Immunohistochemistry ........................
Immunohistochemistry ........................
Immunofluorescent study ....................
Immunofluorescent study ....................
Immunofluorescent study ....................
Immunofluorescent study ....................
Immunofluorescent study ....................
Immunofluorescent study ....................
Electron microscopy ............................
Electron microscopy ............................
Electron microscopy ............................
Scanning electron microscopy ............
Scanning electron microscopy ............
Scanning electron microscopy ............
Analysis, skeletal muscle ....................
Analysis, skeletal muscle ....................
Analysis, skeletal muscle ....................
Analysis, nerve ....................................
Analysis, nerve ....................................
Analysis, nerve ....................................
Analysis, tumor ...................................
Analysis, tumor ...................................
Analysis, tumor ...................................
Tumor immunohistochem/manual .......
Tumor immunohistochem/manual .......
Tumor immunohistochem/manual .......
Tumor immunohistochem/comput .......
Tumor immunohistochem/comput .......
Tumor immunohistochem/comput .......
Nerve teasing preparations .................
Nerve teasing preparations .................
Nerve teasing preparations .................
Insitu hybridization (fish) .....................
Insitu hybridization (fish) .....................
Insitu hybridization (fish) .....................
Insitu hybridization, auto .....................
Insitu hybridization, auto .....................
Insitu hybridization, auto .....................
Insitu hybridization, manual ................
Insitu hybridization, manual ................
Insitu hybridization, manual ................
Protein, western blot tissue ................
Protein analysis w/probe .....................
Microdissection, laser .........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.45
0.00
0.45
0.42
0.00
0.42
0.53
0.00
0.53
1.63
1.83
0.00
1.83
2.50
0.67
1.19
0.00
1.19
0.59
0.00
0.59
1.20
0.00
1.20
0.73
0.00
0.73
0.85
0.00
0.85
0.86
0.00
0.86
0.86
0.00
0.86
1.51
0.00
1.51
0.76
0.00
0.76
1.85
0.00
1.85
3.02
0.00
3.02
0.95
0.00
0.95
1.10
0.00
1.10
1.18
0.00
1.18
2.17
0.00
2.17
1.20
0.00
1.20
1.30
0.00
1.30
1.40
0.00
1.40
0.37
0.37
1.56
1.96
1.82
0.14
2.95
2.83
0.12
3.23
3.08
0.15
0.71
2.21
1.75
0.46
2.40
0.66
1.21
0.84
0.37
0.48
0.30
0.18
1.32
0.95
0.37
0.78
0.56
0.22
2.00
1.77
0.23
1.91
1.68
0.23
1.31
1.13
0.18
18.26
17.84
0.42
9.40
9.17
0.23
3.22
2.85
0.37
5.36
4.78
0.58
1.10
0.94
0.16
2.22
1.95
0.27
2.80
2.53
0.27
5.00
4.43
0.57
3.34
3.04
0.30
5.16
4.94
0.22
4.97
4.72
0.25
0.10
0.12
2.66
2.01
1.85
0.16
2.30
2.15
0.15
3.32
3.13
0.19
0.75
2.00
1.48
0.52
2.67
0.66
1.16
0.72
0.44
0.47
0.25
0.22
1.20
0.75
0.45
0.69
0.45
0.24
1.72
1.43
0.29
1.74
1.45
0.29
1.29
1.02
0.27
13.81
13.28
0.53
6.48
6.20
0.28
6.00
5.42
0.58
4.77
3.85
0.92
0.97
0.69
0.28
1.98
1.61
0.37
2.91
2.53
0.38
4.85
4.10
0.75
2.73
2.33
0.40
4.60
4.22
0.38
3.69
3.26
0.43
0.12
0.14
2.66
NA
NA
0.14
NA
NA
0.12
NA
NA
0.15
0.46
NA
NA
0.46
0.69
0.20
NA
NA
0.37
NA
NA
0.18
NA
NA
0.37
NA
NA
0.22
NA
NA
0.23
NA
NA
0.23
NA
NA
0.18
NA
NA
0.42
NA
NA
0.23
NA
NA
0.37
NA
NA
0.58
NA
NA
0.16
NA
NA
0.27
NA
NA
0.27
NA
NA
0.57
NA
NA
0.30
NA
NA
0.22
NA
NA
0.25
0.10
0.12
NA
NA
NA
0.16
NA
NA
0.15
NA
NA
0.19
0.51
NA
NA
0.52
0.82
0.24
NA
NA
0.44
NA
NA
0.22
NA
NA
0.45
NA
NA
0.24
NA
NA
0.29
NA
NA
0.29
NA
NA
0.27
NA
NA
0.53
NA
NA
0.28
NA
NA
0.58
NA
NA
0.92
NA
NA
0.28
NA
NA
0.37
NA
NA
0.38
NA
NA
0.75
NA
NA
0.40
NA
NA
0.38
NA
NA
0.43
0.12
0.14
NA
0.04
0.02
0.02
0.03
0.01
0.02
0.04
0.02
0.02
0.05
0.07
0.02
0.05
0.07
0.02
0.08
0.04
0.04
0.04
0.02
0.02
0.08
0.04
0.04
0.04
0.02
0.02
0.05
0.02
0.03
0.05
0.02
0.03
0.05
0.02
0.03
0.13
0.07
0.06
0.09
0.06
0.03
0.13
0.06
0.07
0.19
0.07
0.12
0.17
0.07
0.10
0.08
0.02
0.06
0.17
0.07
0.10
0.15
0.06
0.09
0.05
0.02
0.03
0.12
0.06
0.06
0.12
0.06
0.06
0.01
0.01
0.14
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2680
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
88380
88380
88381
88381
88381
88384
88384
88384
88385
88385
88385
88386
88386
88386
88399
88399
88399
89049
89060
89100
89105
89130
89132
89135
89136
89140
89141
89220
89230
89240
90281
90283
90284
90287
90288
90291
90296
90371
90375
90376
90378
90379
90384
90385
90386
90389
90393
90396
90399
90465
90466
90467
90468
90471
90472
90473
90474
90476
90477
90581
90585
90586
90632
90633
90634
90636
90645
90646
90647
90648
90649
90655
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A ........
A ........
A ........
A ........
A ........
C ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
I ..........
I ..........
X ........
I ..........
I ..........
I ..........
E ........
E ........
E ........
E ........
X ........
I ..........
I ..........
E ........
I ..........
I ..........
E ........
E ........
I ..........
A ........
A ........
R ........
R ........
A ........
A ........
R ........
R ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
X ........
Microdissection, laser .........................
Microdissection, laser .........................
Microdissection, manual .....................
Microdissection, manual .....................
Microdissection, manual .....................
Eval molecular probes, 11-50 .............
Eval molecular probes, 11-50 .............
Eval molecular probes, 11-50 .............
Eval molecul probes, 51-250 ..............
Eval molecul probes, 51-250 ..............
Eval molecul probes, 51-250 ..............
Eval molecul probes, 251-500 ............
Eval molecul probes, 251-500 ............
Eval molecul probes, 251-500 ............
Surgical pathology procedure .............
Surgical pathology procedure .............
Surgical pathology procedure .............
Chct for mal hyperthermia ..................
Exam,synovial fluid crystals ................
Sample intestinal contents ..................
Sample intestinal contents ..................
Sample stomach contents ..................
Sample stomach contents ..................
Sample stomach contents ..................
Sample stomach contents ..................
Sample stomach contents ..................
Sample stomach contents ..................
Sputum specimen collection ...............
Collect sweat for test ..........................
Pathology lab procedure .....................
Human ig, im .......................................
Human ig, iv ........................................
Human ig, sc .......................................
Botulinum antitoxin ..............................
Botulism ig, iv ......................................
Cmv ig, iv ............................................
Diphtheria antitoxin .............................
Hep b ig, im ........................................
Rabies ig, im/sc ..................................
Rabies ig, heat treated .......................
Rsv ig, im, 50mg .................................
Rsv ig, iv .............................................
Rh ig, full-dose, im ..............................
Rh ig, minidose, im .............................
Rh ig, iv ...............................................
Tetanus ig, im .....................................
Vaccina ig, im .....................................
Varicella-zoster ig, im .........................
Immune globulin ..................................
Immune admin 1 inj, < 8 yrs ...............
Immune admin addl inj, < 8 y .............
Immune admin o or n, < 8 yrs ............
Immune admin o/n, addl < 8 y ............
Immunization admin ............................
Immunization admin, each add ...........
Immune admin oral/nasal ...................
Immune admin oral/nasal addl ...........
Adenovirus vaccine, type 4 .................
Adenovirus vaccine, type 7 .................
Anthrax vaccine, sc .............................
Bcg vaccine, percut ............................
Bcg vaccine, intravesical ....................
Hep a vaccine, adult im ......................
Hep a vacc, ped/adol, 2 dose .............
Hep a vacc, ped/adol, 3 dose .............
Hep a/hep b vacc, adult im .................
Hib vaccine, hboc, im .........................
Hib vaccine, prp-d, im .........................
Hib vaccine, prp-omp, im ....................
Hib vaccine, prp-t, im ..........................
H papilloma vacc 3 dose im ...............
Flu vaccine no preserv 6-35m ............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
1.56
1.18
0.00
1.18
0.00
0.00
0.00
1.50
0.00
1.50
1.88
0.00
1.88
0.00
0.00
0.00
1.40
0.37
0.60
0.50
0.45
0.19
0.79
0.21
0.94
0.85
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.17
0.15
0.17
0.15
0.17
0.15
0.17
0.15
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.23
0.43
4.47
4.15
0.32
0.00
0.00
0.00
15.55
15.28
0.27
15.46
15.12
0.34
0.00
0.00
0.00
3.56
0.12
7.90
7.85
6.55
8.39
8.83
5.95
6.22
6.36
0.37
0.07
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.44
0.12
0.17
0.11
0.44
0.12
0.17
0.08
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
2.23
0.43
4.47
4.15
0.32
0.00
0.00
0.00
11.32
10.86
0.46
11.25
10.67
0.58
0.00
0.00
0.00
3.56
0.14
4.87
5.04
4.15
4.97
5.36
3.84
4.15
4.58
0.40
0.09
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.38
0.12
0.17
0.11
0.38
0.13
0.18
0.09
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.43
NA
NA
0.32
NA
NA
0.00
NA
NA
0.27
NA
NA
0.34
NA
NA
0.00
0.19
0.12
0.54
0.46
0.38
0.39
0.67
0.26
0.43
0.49
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.04
0.07
0.04
NA
0.04
0.04
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.43
NA
NA
0.32
NA
NA
0.00
NA
NA
0.46
NA
NA
0.58
NA
NA
0.00
0.23
0.14
0.37
0.32
0.25
0.22
0.46
0.18
0.35
0.41
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.08
0.08
0.05
NA
0.08
0.06
0.05
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.07
0.07
0.08
0.02
0.06
0.00
0.00
0.00
0.12
0.06
0.06
0.16
0.08
0.08
0.00
0.00
0.00
0.06
0.01
0.03
0.02
0.02
0.01
0.04
0.01
0.04
0.03
0.02
0.02
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00114
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
ZZZ
XXX
ZZZ
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2681
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
90656
90657
90658
90660
90661
90662
90663
90665
90669
90675
90676
90680
90690
90691
90692
90693
90698
90700
90701
90702
90703
90704
90705
90706
90707
90708
90710
90712
90713
90714
90715
90716
90717
90718
90719
90720
90721
90723
90725
90727
90732
90733
90734
90735
90736
90740
90743
90744
90746
90747
90748
90749
90760
90761
90765
90766
90767
90768
90769
90770
90771
90772
90773
90774
90775
90776
90779
90801
90802
90804
90805
90806
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
X ........
X ........
X ........
X ........
X ........
X ........
X ........
E ........
X ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
E ........
I ..........
E ........
E ........
X ........
E ........
E ........
E ........
E ........
X ........
X ........
X ........
X ........
X ........
I ..........
E ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
X ........
C ........
A ........
A ........
A ........
A ........
A ........
Flu vaccine no preserv 3 & > .............
Flu vaccine, 3 yrs, im ..........................
Flu vaccine, 3 yrs & >, im ...................
Flu vaccine, nasal ...............................
Flu vacc cell cult prsv free ..................
Flu vacc prsv free inc antig ................
Flu vacc pandemic ..............................
Lyme disease vaccine, im ..................
Pneumococcal vacc, ped <5 ...............
Rabies vaccine, im ..............................
Rabies vaccine, id ...............................
Rotovirus vacc 3 dose, oral ................
Typhoid vaccine, oral ..........................
Typhoid vaccine, im ............................
Typhoid vaccine, h-p, sc/id .................
Typhoid vaccine, akd, sc ....................
Dtap-hib-ip vaccine, im .......................
Dtap vaccine, < 7 yrs, im ....................
Dtp vaccine, im ...................................
Dt vaccine < 7, im ...............................
Tetanus vaccine, im ............................
Mumps vaccine, sc .............................
Measles vaccine, sc ............................
Rubella vaccine, sc .............................
Mmr vaccine, sc ..................................
Measles-rubella vaccine, sc ................
Mmrv vaccine, sc ................................
Oral poliovirus vaccine ........................
Poliovirus, ipv, sc/im ...........................
Td vaccine no prsrv >/= 7 im ..............
Tdap vaccine >7 im ............................
Chicken pox vaccine, sc .....................
Yellow fever vaccine, sc .....................
Td vaccine > 7, im ..............................
Diphtheria vaccine, im ........................
Dtp/hib vaccine, im .............................
Dtap/hib vaccine, im ...........................
Dtap-hep b-ipv vaccine, im .................
Cholera vaccine, injectable .................
Plague vaccine, im ..............................
Pneumococcal vaccine .......................
Meningococcal vaccine, sc .................
Meningococcal vaccine, im .................
Encephalitis vaccine, sc ......................
Zoster vacc, sc ....................................
Hepb vacc, ill pat 3 dose im ...............
Hep b vacc, adol, 2 dose, im ..............
Hepb vacc ped/adol 3 dose im ...........
Hep b vaccine, adult, im .....................
Hepb vacc, ill pat 4 dose im ...............
Hep b/hib vaccine, im .........................
Vaccine toxoid .....................................
Hydration iv infusion, init .....................
Hydrate iv infusion, add-on .................
Ther/proph/diag iv inf, init ...................
Ther/proph/dg iv inf, add-on ...............
Tx/proph/dg addl seq iv inf .................
Ther/diag concurrent inf ......................
Sc ther infusion, up to 1 hr .................
Sc ther infusion, addl hr ......................
Sc ther infusion, reset pump ...............
Ther/proph/diag inj, sc/im ...................
Ther/proph/diag inj, ia .........................
Ther/proph/diag inj, iv push ................
Tx/pro/dx inj new drug addon .............
Tx/pro/dx inj same drug adon .............
Ther/prop/diag inj/inf proc ...................
Psy dx interview ..................................
Intac psy dx interview .........................
Psytx, office, 20-30 min ......................
Psytx, off, 20-30 min w/e&m ...............
Psytx, off, 45-50 min ...........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.17
0.09
0.21
0.18
0.19
0.17
0.21
0.18
0.00
0.17
0.17
0.18
0.10
0.00
0.00
2.80
3.01
1.21
1.37
1.86
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.32
0.32
1.62
0.37
0.69
0.33
3.93
0.22
1.86
0.44
0.30
1.33
0.51
0.00
0.00
1.49
1.54
0.56
0.60
0.53
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.37
0.36
1.69
0.42
0.79
0.39
3.93
0.22
1.86
0.38
0.31
1.32
0.54
0.00
0.00
1.33
1.37
0.52
0.55
0.61
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.60
0.68
0.22
0.24
0.33
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.76
0.83
0.30
0.33
0.46
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.07
0.04
0.07
0.04
0.04
0.04
0.06
0.04
0.01
0.01
0.02
0.04
0.04
0.00
0.00
0.06
0.07
0.03
0.03
0.04
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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XXX
XXX
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XXX
XXX
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2682
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
90807
90808
90809
90810
90811
90812
90813
90814
90815
90816
90817
90818
90819
90821
90822
90823
90824
90826
90827
90828
90829
90845
90846
90847
90849
90853
90857
90862
90865
90870
90875
90876
90880
90882
90885
90887
90889
90899
90901
90911
90918
90919
90920
90921
90922
90923
90924
90925
90935
90937
90940
90945
90947
90989
90993
90997
90999
91000
91000
91000
91010
91010
91010
91011
91011
91011
91012
91012
91012
91020
91020
91020
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
R ........
R ........
R ........
A ........
A ........
A ........
A ........
A ........
N ........
N ........
A ........
N ........
B ........
B ........
B ........
C ........
A ........
A ........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
A ........
A ........
X ........
A ........
A ........
X ........
X ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
Psytx, off, 45-50 min w/e&m ...............
Psytx, office, 75-80 min ......................
Psytx, off, 75-80, w/e&m .....................
Intac psytx, off, 20-30 min ..................
Intac psytx, 20-30, w/e&m ..................
Intac psytx, off, 45-50 min ..................
Intac psytx, 45-50 min w/e&m ............
Intac psytx, off, 75-80 min ..................
Intac psytx, 75-80 w/e&m ...................
Psytx, hosp, 20-30 min .......................
Psytx, hosp, 20-30 min w/e&m ...........
Psytx, hosp, 45-50 min .......................
Psytx, hosp, 45-50 min w/e&m ...........
Psytx, hosp, 75-80 min .......................
Psytx, hosp, 75-80 min w/e&m ...........
Intac psytx, hosp, 20-30 min ..............
Intac psytx, hsp 20-30 w/e&m ............
Intac psytx, hosp, 45-50 min ..............
Intac psytx, hsp 45-50 w/e&m ............
Intac psytx, hosp, 75-80 min ..............
Intac psytx, hsp 75-80 w/e&m ............
Psychoanalysis ...................................
Family psytx w/o patient .....................
Family psytx w/patient ........................
Multiple family group psytx .................
Group psychotherapy ..........................
Intac group psytx ................................
Medication management .....................
Narcosynthesis ....................................
Electroconvulsive therapy ...................
Psychophysiological therapy ...............
Psychophysiological therapy ...............
Hypnotherapy ......................................
Environmental manipulation ................
Psy evaluation of records ...................
Consultation with family ......................
Preparation of report ...........................
Psychiatric service/therapy .................
Biofeedback train, any meth ...............
Biofeedback peri/uro/rectal .................
ESRD related services, month ...........
ESRD related services, month ...........
ESRD related services, month ...........
ESRD related services, month ...........
ESRD related services, day ................
Esrd related services, day ..................
Esrd related services, day ..................
Esrd related services, day ..................
Hemodialysis, one evaluation .............
Hemodialysis, repeated eval ...............
Hemodialysis access study .................
Dialysis, one evaluation ......................
Dialysis, repeated eval ........................
Dialysis training, complete ..................
Dialysis training, incompl ....................
Hemoperfusion ....................................
Dialysis procedure ..............................
Esophageal intubation ........................
Esophageal intubation ........................
Esophageal intubation ........................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Esophagus motility study ....................
Gastric motility studies ........................
Gastric motility studies ........................
Gastric motility studies ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.02
2.79
2.95
1.32
1.48
1.97
2.13
2.90
3.06
1.25
1.41
1.89
2.05
2.83
2.99
1.36
1.52
2.01
2.16
2.94
3.10
1.79
1.83
2.21
0.59
0.59
0.63
0.95
2.84
1.88
1.20
1.90
2.19
0.00
0.97
1.48
0.00
0.00
0.41
0.89
11.16
8.53
7.26
4.46
0.37
0.28
0.24
0.15
1.22
2.11
0.00
1.28
2.16
0.00
0.00
1.84
0.00
0.73
0.00
0.73
1.25
0.00
1.25
1.50
0.00
1.50
1.46
0.00
1.46
1.44
0.00
1.44
0.70
0.69
0.86
0.54
0.72
0.65
0.83
0.81
0.99
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.39
0.51
0.74
0.33
0.26
0.38
0.62
1.17
1.92
0.53
0.67
0.58
0.00
0.22
0.61
0.00
0.00
0.46
1.37
4.70
3.03
2.74
1.71
0.16
0.10
0.09
0.05
NA
NA
0.00
NA
NA
0.00
0.00
NA
0.00
2.13
1.91
0.22
3.67
3.12
0.55
5.38
4.66
0.72
5.44
4.76
0.68
4.82
4.21
0.61
0.70
0.86
0.93
0.52
0.64
0.72
0.80
0.95
1.02
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.48
0.58
0.78
0.30
0.26
0.33
0.51
1.26
1.93
0.71
0.92
0.81
0.00
0.30
0.71
0.00
0.00
0.56
1.47
5.41
3.52
3.24
2.08
0.18
0.11
0.10
0.07
NA
NA
0.00
NA
NA
0.00
0.00
NA
0.00
1.23
0.99
0.24
4.04
3.55
0.49
5.30
4.68
0.62
5.60
5.00
0.60
4.67
4.12
0.55
0.35
0.49
0.52
0.23
0.26
0.34
0.37
0.53
0.53
0.33
0.35
0.44
0.46
0.60
0.63
0.35
0.37
0.46
0.48
0.62
0.64
0.32
0.43
0.49
0.21
0.20
0.21
0.27
0.63
0.38
0.28
0.44
0.39
0.00
0.22
0.34
0.00
0.00
0.10
0.30
3.74
2.55
2.27
1.61
0.13
0.08
0.07
0.05
0.54
0.77
0.00
0.55
0.79
0.00
0.00
0.50
0.00
NA
NA
0.22
NA
NA
0.55
NA
NA
0.72
NA
NA
0.68
NA
NA
0.61
0.49
0.70
0.72
0.33
0.36
0.49
0.52
0.75
0.74
0.39
0.40
0.56
0.56
0.80
0.79
0.41
0.43
0.59
0.58
0.84
0.81
0.43
0.54
0.63
0.22
0.21
0.23
0.29
0.77
0.49
0.37
0.58
0.54
0.00
0.30
0.45
0.00
0.00
0.12
0.30
4.93
3.28
3.01
2.03
0.17
0.11
0.10
0.07
0.60
0.87
0.00
0.62
0.89
0.00
0.00
0.58
0.00
NA
NA
0.24
NA
NA
0.49
NA
NA
0.62
NA
NA
0.60
NA
NA
0.55
0.05
0.06
0.07
0.04
0.04
0.04
0.05
0.06
0.07
0.03
0.03
0.04
0.05
0.06
0.08
0.03
0.04
0.05
0.05
0.06
0.07
0.04
0.04
0.05
0.02
0.01
0.01
0.02
0.12
0.04
0.04
0.05
0.05
0.00
0.02
0.04
0.00
0.00
0.02
0.06
0.36
0.29
0.23
0.14
0.01
0.01
0.01
0.01
0.04
0.07
0.00
0.04
0.07
0.00
0.00
0.06
0.00
0.04
0.01
0.03
0.12
0.06
0.06
0.13
0.06
0.07
0.13
0.07
0.06
0.13
0.06
0.07
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00116
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
XXX
000
000
XXX
XXX
000
XXX
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
2683
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
91022
91022
91022
91030
91030
91030
91034
91034
91034
91035
91035
91035
91037
91037
91037
91038
91038
91038
91040
91040
91040
91052
91052
91052
91055
91055
91055
91065
91065
91065
91100
91105
91110
91110
91110
91111
91111
91111
91120
91120
91120
91122
91122
91122
91123
91132
91132
91132
91133
91133
91133
91299
91299
91299
92002
92004
92012
92014
92015
92018
92019
92020
92025
92025
92025
92060
92060
92060
92065
92065
92065
92070
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
C
C
A
C
C
A
C
C
C
A
A
A
A
N
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Duodenal motility study .......................
Duodenal motility study .......................
Duodenal motility study .......................
Acid perfusion of esophagus ..............
Acid perfusion of esophagus ..............
Acid perfusion of esophagus ..............
Gastroesophageal reflux test ..............
Gastroesophageal reflux test ..............
Gastroesophageal reflux test ..............
G-esoph reflx tst w/electrod ................
G-esoph reflx tst w/electrod ................
G-esoph reflx tst w/electrod ................
Esoph imped function test ..................
Esoph imped function test ..................
Esoph imped function test ..................
Esoph imped funct test > 1h ...............
Esoph imped funct test > 1h ...............
Esoph imped funct test > 1h ...............
Esoph balloon distension tst ...............
Esoph balloon distension tst ...............
Esoph balloon distension tst ...............
Gastric analysis test ............................
Gastric analysis test ............................
Gastric analysis test ............................
Gastric intubation for smear ...............
Gastric intubation for smear ...............
Gastric intubation for smear ...............
Breath hydrogen test ..........................
Breath hydrogen test ..........................
Breath hydrogen test ..........................
Pass intestine bleeding tube ...............
Gastric intubation treatment ................
Gi tract capsule endoscopy ................
Gi tract capsule endoscopy ................
Gi tract capsule endoscopy ................
Esophageal capsule endoscopy .........
Esophageal capsule endoscopy .........
Esophageal capsule endoscopy .........
Rectal sensation test ..........................
Rectal sensation test ..........................
Rectal sensation test ..........................
Anal pressure record ..........................
Anal pressure record ..........................
Anal pressure record ..........................
Irrigate fecal impaction ........................
Electrogastrography ............................
Electrogastrography ............................
Electrogastrography ............................
Electrogastrography w/test .................
Electrogastrography w/test .................
Electrogastrography w/test .................
Gastroenterology procedure ...............
Gastroenterology procedure ...............
Gastroenterology procedure ...............
Eye exam, new patient .......................
Eye exam, new patient .......................
Eye exam established pat ..................
Eye exam & treatment ........................
Refraction ............................................
New eye exam & treatment ................
Eye exam & treatment ........................
Special eye evaluation ........................
Corneal topography ............................
Corneal topography ............................
Corneal topography ............................
Special eye evaluation ........................
Special eye evaluation ........................
Special eye evaluation ........................
Orthoptic/pleoptic training ...................
Orthoptic/pleoptic training ...................
Orthoptic/pleoptic training ...................
Fitting of contact lens ..........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.44
0.00
1.44
0.91
0.00
0.91
0.97
0.00
0.97
1.59
0.00
1.59
0.97
0.00
0.97
1.10
0.00
1.10
0.97
0.00
0.97
0.79
0.00
0.79
0.94
0.00
0.94
0.20
0.00
0.20
1.08
0.37
3.64
0.00
3.64
1.00
0.00
1.00
0.97
0.00
0.97
1.77
0.00
1.77
0.00
0.00
0.00
0.52
0.00
0.00
0.66
0.00
0.00
0.00
0.88
1.82
0.92
1.42
0.38
2.50
1.31
0.37
0.35
0.00
0.35
0.69
0.00
0.69
0.37
0.00
0.37
0.70
3.14
2.52
0.62
2.90
2.48
0.42
4.15
3.73
0.42
11.39
10.69
0.70
3.47
3.03
0.44
2.81
2.31
0.50
7.73
7.45
0.28
2.92
2.55
0.37
2.58
2.29
0.29
1.34
1.28
0.06
2.14
1.67
20.66
18.99
1.67
18.84
18.39
0.45
8.89
8.62
0.27
4.31
3.69
0.62
0.00
0.00
0.00
0.25
0.00
0.00
0.32
0.00
0.00
0.00
0.93
1.57
0.99
1.37
0.10
NA
NA
0.25
0.49
0.37
0.12
0.76
0.54
0.22
0.86
0.77
0.09
0.90
3.76
3.20
0.56
2.67
2.30
0.37
4.69
4.31
0.38
11.10
10.47
0.63
3.20
2.81
0.39
2.52
2.07
0.45
9.43
9.12
0.31
2.68
2.36
0.32
2.76
2.48
0.28
1.40
1.33
0.07
2.47
1.89
21.42
19.95
1.47
18.84
18.39
0.45
9.94
9.63
0.31
4.70
4.09
0.61
0.00
0.00
0.00
0.22
0.00
0.00
0.28
0.00
0.00
0.00
0.95
1.63
1.01
1.39
0.79
NA
NA
0.29
0.49
0.37
0.12
0.75
0.49
0.26
0.69
0.57
0.12
0.99
NA
NA
0.62
NA
NA
0.42
NA
NA
0.42
NA
NA
0.70
NA
NA
0.44
NA
NA
0.50
NA
NA
0.28
NA
NA
0.37
NA
NA
0.29
NA
NA
0.06
0.32
0.07
NA
NA
1.67
NA
NA
0.45
NA
NA
0.27
NA
NA
0.62
0.00
NA
NA
0.25
NA
NA
0.32
NA
NA
0.00
0.25
0.55
0.31
0.46
0.09
0.86
0.35
0.13
NA
NA
0.12
NA
NA
0.22
NA
NA
0.09
0.22
NA
NA
0.56
NA
NA
0.37
NA
NA
0.38
NA
NA
0.63
NA
NA
0.39
NA
NA
0.45
NA
NA
0.31
NA
NA
0.32
NA
NA
0.28
NA
NA
0.07
0.30
0.08
NA
NA
1.47
NA
NA
0.45
NA
NA
0.31
NA
NA
0.61
0.00
NA
NA
0.22
NA
NA
0.28
NA
NA
0.00
0.30
0.62
0.30
0.46
0.12
0.96
0.46
0.14
NA
NA
0.12
NA
NA
0.26
NA
NA
0.12
0.27
0.13
0.06
0.07
0.06
0.02
0.04
0.12
0.06
0.06
0.12
0.06
0.06
0.12
0.06
0.06
0.12
0.06
0.06
0.12
0.06
0.06
0.05
0.02
0.03
0.07
0.02
0.05
0.03
0.02
0.01
0.07
0.03
0.16
0.07
0.09
0.05
0.02
0.03
0.11
0.04
0.07
0.21
0.08
0.13
0.00
0.00
0.00
0.02
0.00
0.00
0.03
0.00
0.00
0.00
0.02
0.04
0.02
0.03
0.01
0.07
0.03
0.01
0.02
0.01
0.01
0.03
0.01
0.02
0.02
0.01
0.01
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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18:30 Jan 14, 2008
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000
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000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
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2684
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
92081
92081
92081
92082
92082
92082
92083
92083
92083
92100
92120
92130
92135
92135
92135
92136
92136
92136
92140
92225
92226
92230
92235
92235
92235
92240
92240
92240
92250
92250
92250
92260
92265
92265
92265
92270
92270
92270
92275
92275
92275
92283
92283
92283
92284
92284
92284
92285
92285
92285
92286
92286
92286
92287
92310
92311
92312
92313
92314
92315
92316
92317
92325
92326
92340
92341
92342
92352
92353
92354
92355
92358
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
N
A
A
A
A
A
N
N
N
B
B
B
B
B
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Visual field examination(s) ..................
Serial tonometry exam(s) ....................
Tonography & eye evaluation .............
Water provocation tonography ............
Ophth dx imaging post seg .................
Ophth dx imaging post seg .................
Ophth dx imaging post seg .................
Ophthalmic biometry ...........................
Ophthalmic biometry ...........................
Ophthalmic biometry ...........................
Glaucoma provocative tests ...............
Special eye exam, initial .....................
Special eye exam, subsequent ...........
Eye exam with photos ........................
Eye exam with photos ........................
Eye exam with photos ........................
Eye exam with photos ........................
Icg angiography ..................................
Icg angiography ..................................
Icg angiography ..................................
Eye exam with photos ........................
Eye exam with photos ........................
Eye exam with photos ........................
Ophthalmoscopy/dynamometry ..........
Eye muscle evaluation ........................
Eye muscle evaluation ........................
Eye muscle evaluation ........................
Electro-oculography ............................
Electro-oculography ............................
Electro-oculography ............................
Electroretinography .............................
Electroretinography .............................
Electroretinography .............................
Color vision examination .....................
Color vision examination .....................
Color vision examination .....................
Dark adaptation eye exam ..................
Dark adaptation eye exam ..................
Dark adaptation eye exam ..................
Eye photography .................................
Eye photography .................................
Eye photography .................................
Internal eye photography ....................
Internal eye photography ....................
Internal eye photography ....................
Internal eye photography ....................
Contact lens fitting ..............................
Contact lens fitting ..............................
Contact lens fitting ..............................
Contact lens fitting ..............................
Prescription of contact lens ................
Prescription of contact lens ................
Prescription of contact lens ................
Prescription of contact lens ................
Modification of contact lens ................
Replacement of contact lens ..............
Fitting of spectacles ............................
Fitting of spectacles ............................
Fitting of spectacles ............................
Special spectacles fitting ....................
Special spectacles fitting ....................
Special spectacles fitting ....................
Special spectacles fitting ....................
Eye prosthesis service ........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.36
0.00
0.36
0.44
0.00
0.44
0.50
0.00
0.50
0.92
0.81
0.81
0.35
0.00
0.35
0.54
0.00
0.54
0.50
0.38
0.33
0.60
0.81
0.00
0.81
1.10
0.00
1.10
0.44
0.00
0.44
0.20
0.81
0.00
0.81
0.81
0.00
0.81
1.01
0.00
1.01
0.17
0.00
0.17
0.24
0.00
0.24
0.20
0.00
0.20
0.66
0.00
0.66
0.81
1.17
1.08
1.26
0.92
0.69
0.45
0.68
0.45
0.00
0.00
0.37
0.47
0.53
0.37
0.50
0.00
0.00
0.00
0.95
0.84
0.11
1.32
1.18
0.14
1.51
1.35
0.16
1.24
0.97
1.18
0.79
0.67
0.12
1.42
1.23
0.19
0.89
0.24
0.23
0.68
2.26
1.97
0.29
4.38
3.99
0.39
1.30
1.16
0.14
0.23
1.00
0.76
0.24
1.32
1.09
0.23
2.42
2.07
0.35
0.99
0.94
0.05
1.13
1.06
0.07
0.80
0.73
0.07
2.09
1.87
0.22
1.90
1.06
1.27
1.45
1.42
1.14
1.31
1.63
1.31
0.83
0.73
0.44
0.46
0.48
0.56
0.59
0.28
0.44
0.24
0.95
0.82
0.13
1.27
1.11
0.16
1.47
1.28
0.19
1.29
1.02
1.23
0.79
0.66
0.13
1.54
1.32
0.22
0.94
0.23
0.22
1.10
2.44
2.11
0.33
5.25
4.80
0.45
1.41
1.25
0.16
0.24
1.24
0.98
0.26
1.42
1.14
0.28
2.18
1.79
0.39
0.91
0.85
0.06
1.50
1.43
0.07
0.89
0.81
0.08
2.56
2.31
0.25
2.14
1.09
1.18
1.27
1.24
1.04
1.08
1.27
1.12
0.62
1.18
0.57
0.60
0.62
0.62
0.66
4.58
2.39
0.60
NA
NA
0.11
NA
NA
0.14
NA
NA
0.16
0.27
0.25
0.27
NA
NA
0.12
NA
NA
0.19
0.14
0.12
0.11
0.19
NA
NA
0.29
NA
NA
0.39
NA
NA
0.14
0.07
NA
NA
0.24
NA
NA
0.23
NA
NA
0.35
NA
NA
0.05
NA
NA
0.07
NA
NA
0.07
NA
NA
0.22
0.27
0.27
0.31
0.33
0.31
0.16
0.13
0.22
0.11
NA
NA
0.09
0.11
0.12
0.09
0.11
NA
NA
NA
NA
NA
0.13
NA
NA
0.16
NA
NA
0.19
0.32
0.28
0.32
NA
NA
0.13
NA
NA
0.22
0.18
0.14
0.13
0.19
NA
NA
0.33
NA
NA
0.45
NA
NA
0.16
0.08
NA
NA
0.26
NA
NA
0.28
NA
NA
0.39
NA
NA
0.06
NA
NA
0.07
NA
NA
0.08
NA
NA
0.25
0.29
0.36
0.33
0.42
0.30
0.21
0.14
0.26
0.13
NA
NA
0.11
0.14
0.17
0.11
0.15
NA
NA
NA
0.02
0.01
0.01
0.02
0.01
0.01
0.02
0.01
0.01
0.02
0.02
0.02
0.02
0.01
0.01
0.08
0.07
0.01
0.01
0.01
0.01
0.02
0.08
0.06
0.02
0.09
0.06
0.03
0.02
0.01
0.01
0.01
0.06
0.02
0.04
0.05
0.02
0.03
0.05
0.02
0.03
0.02
0.01
0.01
0.02
0.01
0.01
0.02
0.01
0.01
0.04
0.02
0.02
0.02
0.04
0.03
0.03
0.02
0.01
0.01
0.02
0.01
0.01
0.06
0.01
0.01
0.01
0.01
0.02
0.10
0.01
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2685
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
92370
92371
92499
92499
92499
92502
92504
92506
92507
92508
92511
92512
92516
92520
92526
92531
92532
92533
92534
92541
92541
92541
92542
92542
92542
92543
92543
92543
92544
92544
92544
92545
92545
92545
92546
92546
92546
92547
92548
92548
92548
92551
92552
92553
92555
92556
92557
92559
92560
92561
92562
92563
92564
92565
92567
92568
92569
92571
92572
92575
92576
92577
92579
92582
92583
92584
92585
92585
92585
92586
92587
92587
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
TC ......
Status
N
B
C
C
C
A
A
A
A
A
A
A
A
A
A
B
B
B
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
A
A
N
N
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Repair & adjust spectacles .................
Repair & adjust spectacles .................
Eye service or procedure ....................
Eye service or procedure ....................
Eye service or procedure ....................
Ear and throat examination ................
Ear microscopy examination ...............
Speech/hearing evaluation .................
Speech/hearing therapy ......................
Speech/hearing therapy ......................
Nasopharyngoscopy ...........................
Nasal function studies .........................
Facial nerve function test ....................
Laryngeal function studies ..................
Oral function therapy ..........................
Spontaneous nystagmus study ...........
Positional nystagmus test ...................
Caloric vestibular test .........................
Optokinetic nystagmus test .................
Spontaneous nystagmus test .............
Spontaneous nystagmus test .............
Spontaneous nystagmus test .............
Positional nystagmus test ...................
Positional nystagmus test ...................
Positional nystagmus test ...................
Caloric vestibular test .........................
Caloric vestibular test .........................
Caloric vestibular test .........................
Optokinetic nystagmus test .................
Optokinetic nystagmus test .................
Optokinetic nystagmus test .................
Oscillating tracking test .......................
Oscillating tracking test .......................
Oscillating tracking test .......................
Sinusoidal rotational test .....................
Sinusoidal rotational test .....................
Sinusoidal rotational test .....................
Supplemental electrical test ................
Posturography .....................................
Posturography .....................................
Posturography .....................................
Pure tone hearing test, air ..................
Pure tone audiometry, air ...................
Audiometry, air & bone .......................
Speech threshold audiometry .............
Speech audiometry, complete ............
Comprehensive hearing test ...............
Group audiometric testing ...................
Bekesy audiometry, screen ................
Bekesy audiometry, diagnosis ............
Loudness balance test ........................
Tone decay hearing test .....................
Sisi hearing test ..................................
Stenger test, pure tone .......................
Tympanometry ....................................
Acoustic refl threshold tst ...................
Acoustic reflex decay test ...................
Filtered speech hearing test ...............
Staggered spondaic word test ............
Sensorineural acuity test ....................
Synthetic sentence test .......................
Stenger test, speech ...........................
Visual audiometry (vra) .......................
Conditioning play audiometry .............
Select picture audiometry ...................
Electrocochleography ..........................
Auditor evoke potent, compre .............
Auditor evoke potent, compre .............
Auditor evoke potent, compre .............
Auditor evoke potent, limit ..................
Evoked auditory test ...........................
Evoked auditory test ...........................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.32
0.00
0.00
0.00
0.00
1.51
0.18
0.86
0.52
0.26
0.84
0.55
0.43
0.75
0.55
0.00
0.00
0.00
0.00
0.40
0.00
0.40
0.33
0.00
0.33
0.10
0.00
0.10
0.26
0.00
0.26
0.23
0.00
0.23
0.29
0.00
0.29
0.00
0.50
0.00
0.50
0.00
0.00
0.00
0.00
0.00
0.60
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.20
0.29
0.20
0.00
0.00
0.00
0.00
0.00
0.70
0.00
0.00
0.00
0.50
0.00
0.50
0.00
0.13
0.00
0.39
0.24
0.00
0.00
0.00
NA
0.60
3.50
1.23
0.55
3.12
1.00
1.23
0.93
1.70
0.00
0.00
0.00
0.00
1.15
1.04
0.11
1.29
1.20
0.09
0.65
0.62
0.03
1.03
0.96
0.07
1.00
0.94
0.06
1.81
1.73
0.08
0.11
1.70
1.56
0.14
0.25
0.61
0.77
0.41
0.51
0.29
0.00
0.00
0.70
0.62
0.55
0.48
0.25
0.13
0.10
0.07
0.44
0.59
1.15
0.58
0.26
0.35
1.17
0.73
1.36
2.10
1.95
0.15
1.41
0.65
0.61
0.47
0.43
0.00
0.00
0.00
NA
0.55
3.05
1.17
0.53
3.22
1.07
1.21
0.72
1.67
0.00
0.00
0.00
0.00
1.09
0.94
0.15
1.22
1.09
0.13
0.61
0.57
0.04
0.97
0.87
0.10
0.90
0.81
0.09
1.90
1.80
0.10
0.09
1.98
1.78
0.20
0.25
0.52
0.71
0.40
0.54
0.74
0.00
0.00
0.71
0.51
0.46
0.47
0.33
0.33
0.24
0.24
0.41
0.34
0.73
0.51
0.49
0.54
0.95
0.81
1.92
2.08
1.90
0.18
1.64
1.01
0.96
0.07
NA
NA
NA
0.00
0.90
0.06
0.28
0.16
0.09
0.67
0.17
0.14
0.24
0.16
0.00
0.00
0.00
0.00
NA
NA
0.11
NA
NA
0.09
NA
NA
0.03
NA
NA
0.07
NA
NA
0.06
NA
NA
0.08
0.11
NA
NA
0.14
NA
NA
NA
NA
NA
0.20
0.00
0.00
NA
NA
NA
NA
NA
0.07
0.09
0.07
NA
NA
NA
NA
NA
0.23
NA
NA
NA
NA
NA
0.15
NA
NA
NA
0.10
NA
NA
NA
0.00
1.01
0.07
0.34
0.19
0.11
0.72
0.18
0.18
0.31
0.18
0.00
0.00
0.00
0.00
NA
NA
0.15
NA
NA
0.13
NA
NA
0.04
NA
NA
0.10
NA
NA
0.09
NA
NA
0.10
0.09
NA
NA
0.20
NA
NA
NA
NA
NA
0.69
0.00
0.00
NA
NA
NA
NA
NA
0.29
0.24
0.24
NA
NA
NA
NA
NA
0.48
NA
NA
NA
NA
NA
0.18
NA
NA
NA
0.02
0.02
0.00
0.00
0.00
0.05
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.00
0.00
0.00
0.00
0.04
0.02
0.02
0.03
0.02
0.01
0.02
0.01
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.06
0.15
0.13
0.02
0.01
0.04
0.06
0.04
0.06
0.12
0.00
0.00
0.06
0.04
0.04
0.05
0.04
0.06
0.04
0.04
0.04
0.01
0.02
0.05
0.07
0.06
0.06
0.08
0.21
0.17
0.14
0.03
0.14
0.12
0.11
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00119
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
000
XXX
XXX
XXX
XXX
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2686
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
92587
92588
92588
92588
92590
92591
92592
92593
92594
92595
92596
92597
92601
92602
92603
92604
92605
92606
92607
92608
92609
92610
92611
92612
92613
92614
92615
92616
92617
92620
92621
92625
92626
92627
92630
92633
92640
92700
92950
92953
92960
92961
92970
92971
92973
92974
92975
92977
92978
92978
92978
92979
92979
92979
92980
92981
92982
92984
92986
92987
92990
92992
92993
92995
92996
92997
92998
93000
93005
93010
93012
93014
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A ........
A ........
A ........
A ........
N ........
N ........
N ........
N ........
N ........
N ........
A ........
A ........
A ........
A ........
A ........
A ........
B ........
B ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
I ..........
I ..........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
C ........
A ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
Evoked auditory test ...........................
Evoked auditory test ...........................
Evoked auditory test ...........................
Evoked auditory test ...........................
Hearing aid exam, one ear .................
Hearing aid exam, both ears ..............
Hearing aid check, one ear ................
Hearing aid check, both ears ..............
Electro hearng aid test, one ...............
Electro hearng aid tst, both ................
Ear protector evaluation ......................
Oral speech device eval .....................
Cochlear implt f/up exam < 7 .............
Reprogram cochlear implt < 7 ............
Cochlear implt f/up exam 7 > .............
Reprogram cochlear implt 7 > ............
Eval for nonspeech device rx .............
Non-speech device service .................
Ex for speech device rx, 1hr ...............
Ex for speech device rx addl ..............
Use of speech device service .............
Evaluate swallowing function ..............
Motion fluoroscopy/swallow ................
Endoscopy swallow tst (fees) .............
Endoscopy swallow tst (fees) .............
Laryngoscopic sensory test ................
Eval laryngoscopy sense tst ...............
Fees w/laryngeal sense test ...............
Interprt fees/laryngeal test ..................
Auditory function, 60 min ....................
Auditory function, + 15 min .................
Tinnitus assessment ...........................
Eval aud rehab status .........................
Eval aud status rehab add-on ............
Aud rehab pre-ling hear loss ..............
Aud rehab postling hear loss ..............
Aud brainstem implt programg ...........
Ent procedure/service .........................
Heart/lung resuscitation cpr ................
Temporary external pacing .................
Cardioversion electric, ext ..................
Cardioversion, electric, int ..................
Cardioassist, internal ..........................
Cardioassist, external .........................
Percut coronary thrombectomy ...........
Cath place, cardio brachytx ................
Dissolve clot, heart vessel ..................
Dissolve clot, heart vessel ..................
Intravasc us, heart add-on ..................
Intravasc us, heart add-on ..................
Intravasc us, heart add-on ..................
Intravasc us, heart add-on ..................
Intravasc us, heart add-on ..................
Intravasc us, heart add-on ..................
Insert intracoronary stent ....................
Insert intracoronary stent ....................
Coronary artery dilation ......................
Coronary artery dilation ......................
Revision of aortic valve .......................
Revision of mitral valve .......................
Revision of pulmonary valve ...............
Revision of heart chamber ..................
Revision of heart chamber ..................
Coronary atherectomy ........................
Coronary atherectomy add-on ............
Pul art balloon repr, percut .................
Pul art balloon repr, percut .................
Electrocardiogram, complete ..............
Electrocardiogram, tracing ..................
Electrocardiogram report ....................
Transmission of ecg ............................
Report on transmitted ecg ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.13
0.36
0.00
0.36
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.86
2.30
1.30
2.25
1.25
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.27
0.71
1.27
0.63
1.88
0.79
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
3.79
0.23
2.25
4.59
3.51
1.77
3.28
3.00
7.24
0.00
0.00
0.00
1.80
0.00
0.00
1.44
14.82
4.16
10.96
2.97
22.70
23.48
18.12
0.00
0.00
12.07
3.26
11.98
5.99
0.17
0.00
0.17
0.00
0.52
0.04
1.12
1.01
0.11
0.00
0.00
0.00
0.00
0.00
0.00
1.02
1.99
1.09
0.84
1.19
0.78
0.00
0.00
4.63
0.88
2.45
1.70
1.95
2.97
0.24
2.42
0.21
3.16
0.26
1.93
0.44
1.94
2.01
0.46
0.00
0.00
1.34
0.00
3.25
NA
4.37
NA
NA
NA
NA
NA
NA
1.73
0.00
0.00
0.96
0.00
0.00
0.77
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
0.35
0.28
0.07
4.17
0.22
0.05
1.38
1.24
0.14
0.00
0.00
0.00
0.00
0.00
0.00
0.80
1.84
2.29
1.61
1.67
1.06
0.00
0.00
3.86
0.72
2.02
2.57
2.69
2.86
0.32
2.46
0.28
3.28
0.35
1.54
0.34
1.53
2.10
0.50
0.00
0.00
1.34
0.00
3.72
NA
5.34
NA
NA
NA
NA
NA
NA
4.89
0.00
0.00
0.84
0.00
0.00
0.67
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
0.42
0.36
0.06
5.09
0.21
0.04
NA
NA
0.11
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.28
0.64
0.40
0.73
0.41
0.00
0.00
NA
NA
NA
NA
NA
0.42
0.24
0.42
0.21
0.61
0.26
NA
NA
1.94
NA
0.46
0.00
0.00
1.34
0.00
0.77
0.07
1.45
2.43
1.46
1.09
1.76
1.62
3.84
NA
NA
NA
0.96
NA
NA
0.77
8.13
2.23
6.06
1.58
15.34
15.96
11.34
0.00
0.00
6.65
1.76
5.61
3.00
NA
NA
0.07
NA
0.22
0.05
NA
NA
0.14
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.37
2.07
1.39
1.44
0.88
0.00
0.00
NA
NA
NA
NA
NA
0.54
0.31
0.54
0.28
0.80
0.35
NA
NA
1.53
NA
0.50
0.00
0.00
1.34
0.00
0.87
0.07
1.31
2.26
1.26
0.97
1.52
1.40
3.33
NA
NA
NA
0.84
NA
NA
0.67
7.09
1.93
5.29
1.37
13.59
14.09
10.57
0.00
0.00
5.80
1.51
5.22
2.60
NA
NA
0.06
NA
0.21
0.01
0.14
0.13
0.01
0.00
0.00
0.00
0.00
0.00
0.00
0.06
0.03
0.07
0.07
0.07
0.07
0.00
0.00
0.05
0.05
0.04
0.08
0.08
0.04
0.05
0.04
0.05
0.06
0.05
0.06
0.06
0.06
0.06
0.02
0.00
0.00
0.01
0.00
0.28
0.02
0.07
0.29
0.16
0.06
0.23
0.21
0.50
0.46
0.00
0.00
0.06
0.00
0.00
0.06
1.03
0.29
0.76
0.21
1.51
1.59
1.20
0.00
0.00
0.84
0.10
0.40
0.28
0.03
0.02
0.01
0.18
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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15JAR2
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
XXX
ZZZ
XXX
XXX
XXX
XXX
000
000
000
000
000
000
ZZZ
ZZZ
000
XXX
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
000
ZZZ
000
ZZZ
090
090
090
090
090
000
ZZZ
000
ZZZ
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2687
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
93015
93016
93017
93018
93024
93024
93024
93025
93025
93025
93040
93041
93042
93224
93225
93226
93227
93230
93231
93232
93233
93235
93236
93237
93268
93270
93271
93272
93278
93278
93278
93303
93303
93303
93304
93304
93304
93307
93307
93307
93308
93308
93308
93312
93312
93312
93313
93314
93314
93314
93315
93315
93315
93316
93317
93317
93317
93318
93318
93318
93320
93320
93320
93321
93321
93321
93325
93325
93325
93350
93350
93350
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
C
C
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Cardiovascular stress test ..................
Cardiovascular stress test ..................
Cardiovascular stress test ..................
Cardiovascular stress test ..................
Cardiac drug stress test ......................
Cardiac drug stress test ......................
Cardiac drug stress test ......................
Microvolt t-wave assess ......................
Microvolt t-wave assess ......................
Microvolt t-wave assess ......................
Rhythm ECG with report .....................
Rhythm ECG, tracing ..........................
Rhythm ECG, report ...........................
ECG monitor/report, 24 hrs ................
ECG monitor/record, 24 hrs ................
ECG monitor/report, 24 hrs ................
ECG monitor/review, 24 hrs ...............
ECG monitor/report, 24 hrs ................
Ecg monitor/record, 24 hrs .................
ECG monitor/report, 24 hrs ................
ECG monitor/review, 24 hrs ...............
ECG monitor/report, 24 hrs ................
ECG monitor/report, 24 hrs ................
ECG monitor/review, 24 hrs ...............
ECG record/review ..............................
ECG recording ....................................
Ecg/monitoring and analysis ...............
Ecg/review, interpret only ...................
ECG/signal-averaged ..........................
ECG/signal-averaged ..........................
ECG/signal-averaged ..........................
Echo transthoracic ..............................
Echo transthoracic ..............................
Echo transthoracic ..............................
Echo transthoracic ..............................
Echo transthoracic ..............................
Echo transthoracic ..............................
Echo exam of heart ............................
Echo exam of heart ............................
Echo exam of heart ............................
Echo exam of heart ............................
Echo exam of heart ............................
Echo exam of heart ............................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal ........................
Echo transesophageal intraop ............
Echo transesophageal intraop ............
Echo transesophageal intraop ............
Doppler echo exam, heart ..................
Doppler echo exam, heart ..................
Doppler echo exam, heart ..................
Doppler echo exam, heart ..................
Doppler echo exam, heart ..................
Doppler echo exam, heart ..................
Doppler color flow add-on ...................
Doppler color flow add-on ...................
Doppler color flow add-on ...................
Echo transthoracic ..............................
Echo transthoracic ..............................
Echo transthoracic ..............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.75
0.45
0.00
0.30
1.17
0.00
1.17
0.75
0.00
0.75
0.16
0.00
0.16
0.52
0.00
0.00
0.52
0.52
0.00
0.00
0.52
0.00
0.00
0.45
0.52
0.00
0.00
0.52
0.25
0.00
0.25
1.30
0.00
1.30
0.75
0.00
0.75
0.92
0.00
0.92
0.53
0.00
0.53
2.20
0.00
2.20
0.95
1.25
0.00
1.25
0.00
0.00
2.78
0.95
0.00
0.00
1.83
0.00
0.00
2.20
0.38
0.00
0.38
0.15
0.00
0.15
0.07
0.00
0.07
1.48
0.00
1.48
1.91
0.22
1.54
0.15
2.40
1.82
0.58
3.93
3.55
0.38
0.19
0.14
0.05
2.31
0.85
1.19
0.27
2.30
0.72
1.35
0.23
0.00
0.00
0.22
5.79
0.29
5.28
0.22
0.62
0.52
0.10
4.50
3.97
0.53
3.10
2.80
0.30
3.73
3.28
0.45
2.62
2.35
0.27
7.39
6.42
0.97
NA
7.22
6.66
0.56
0.00
0.00
1.31
NA
0.00
0.00
0.55
0.00
0.00
0.86
1.67
1.49
0.18
0.61
0.54
0.07
0.66
0.63
0.03
5.09
4.33
0.76
1.94
0.20
1.61
0.13
1.98
1.47
0.51
5.77
5.43
0.34
0.20
0.15
0.05
2.97
1.05
1.69
0.23
3.10
1.12
1.77
0.21
0.00
0.00
0.19
6.61
0.76
5.65
0.20
0.93
0.83
0.10
4.41
3.91
0.50
2.67
2.38
0.29
3.97
3.57
0.40
2.38
2.15
0.23
5.98
5.10
0.88
NA
5.73
5.22
0.51
0.00
0.00
1.16
NA
0.00
0.00
0.61
0.00
0.00
0.67
1.77
1.60
0.17
0.89
0.82
0.07
1.80
1.77
0.03
3.71
3.05
0.66
NA
0.22
NA
0.15
NA
NA
0.58
NA
NA
0.38
NA
NA
0.05
NA
NA
NA
0.27
NA
NA
NA
0.23
0.00
0.00
0.22
NA
NA
NA
0.22
NA
NA
0.10
NA
NA
0.53
NA
NA
0.30
NA
NA
0.45
NA
NA
0.27
NA
NA
0.97
0.12
NA
NA
0.56
NA
NA
1.31
0.26
NA
NA
0.55
NA
NA
0.86
NA
NA
0.18
NA
NA
0.07
NA
NA
0.03
NA
NA
0.76
NA
0.20
NA
0.13
NA
NA
0.51
NA
NA
0.34
NA
NA
0.05
NA
NA
NA
0.23
NA
NA
NA
0.21
0.00
0.00
0.19
NA
NA
NA
0.20
NA
NA
0.10
NA
NA
0.50
NA
NA
0.29
NA
NA
0.40
NA
NA
0.23
NA
NA
0.88
0.17
NA
NA
0.51
NA
NA
1.16
0.25
NA
NA
0.61
NA
NA
0.67
NA
NA
0.17
NA
NA
0.07
NA
NA
0.03
NA
NA
0.66
0.14
0.02
0.11
0.01
0.12
0.08
0.04
0.14
0.11
0.03
0.02
0.01
0.01
0.24
0.08
0.14
0.02
0.26
0.11
0.13
0.02
0.00
0.00
0.02
0.28
0.08
0.18
0.02
0.12
0.11
0.01
0.27
0.23
0.04
0.15
0.13
0.02
0.26
0.23
0.03
0.15
0.13
0.02
0.37
0.29
0.08
0.06
0.33
0.29
0.04
0.00
0.00
0.09
0.05
0.00
0.00
0.08
0.00
0.00
0.14
0.13
0.12
0.01
0.09
0.08
0.01
0.22
0.21
0.01
0.18
0.13
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00121
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
2688
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
93501
93501
93501
93503
93505
93505
93505
93508
93508
93508
93510
93510
93510
93511
93511
93511
93514
93514
93514
93524
93524
93524
93526
93526
93526
93527
93527
93527
93528
93528
93528
93529
93529
93529
93530
93530
93530
93531
93531
93531
93532
93532
93532
93533
93533
93533
93539
93540
93541
93542
93543
93544
93545
93555
93555
93555
93556
93556
93556
93561
93561
93561
93562
93562
93562
93571
93571
93571
93572
93572
93572
93580
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
A
A
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
C
C
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Right heart catheterization ..................
Right heart catheterization ..................
Right heart catheterization ..................
Insert/place heart catheter ..................
Biopsy of heart lining ..........................
Biopsy of heart lining ..........................
Biopsy of heart lining ..........................
Cath placement, angiography .............
Cath placement, angiography .............
Cath placement, angiography .............
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Left heart catheterization ....................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt & Lt heart catheters .......................
Rt, lt heart catheterization ...................
Rt, lt heart catheterization ...................
Rt, lt heart catheterization ...................
Rt heart cath, congenital .....................
Rt heart cath, congenital .....................
Rt heart cath, congenital .....................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
R & l heart cath, congenital ................
Injection, cardiac cath .........................
Injection, cardiac cath .........................
Injection for lung angiogram ...............
Injection for heart x-rays .....................
Injection for heart x-rays .....................
Injection for aortography .....................
Inject for coronary x-rays ....................
Imaging, cardiac cath ..........................
Imaging, cardiac cath ..........................
Imaging, cardiac cath ..........................
Imaging, cardiac cath ..........................
Imaging, cardiac cath ..........................
Imaging, cardiac cath ..........................
Cardiac output measurement .............
Cardiac output measurement .............
Cardiac output measurement .............
Cardiac output measurement .............
Cardiac output measurement .............
Cardiac output measurement .............
Heart flow reserve measure ...............
Heart flow reserve measure ...............
Heart flow reserve measure ...............
Heart flow reserve measure ...............
Heart flow reserve measure ...............
Heart flow reserve measure ...............
Transcath closure of asd ....................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.02
0.00
3.02
2.91
4.37
0.00
4.37
4.09
0.00
4.09
4.32
0.00
4.32
0.00
0.00
5.02
0.00
0.00
7.04
0.00
0.00
6.94
5.98
0.00
5.98
0.00
0.00
7.27
0.00
0.00
8.99
0.00
0.00
4.79
0.00
0.00
4.22
0.00
0.00
8.34
0.00
0.00
9.99
0.00
0.00
6.69
0.40
0.43
0.29
0.29
0.29
0.25
0.40
0.81
0.00
0.81
0.83
0.00
0.83
0.00
0.00
0.50
0.00
0.00
0.16
0.00
0.00
1.80
0.00
0.00
1.44
17.97
18.71
17.14
1.57
NA
20.92
18.64
2.28
28.85
26.68
2.17
28.15
25.87
2.28
NA
NA
2.65
NA
NA
2.95
NA
NA
3.78
35.14
31.97
3.17
NA
NA
3.86
NA
NA
4.43
NA
NA
2.58
NA
NA
1.84
NA
NA
3.57
NA
NA
3.66
NA
NA
3.16
2.47
8.62
0.15
5.19
2.62
1.84
5.87
0.60
0.17
0.43
0.88
0.44
0.44
NA
NA
0.14
NA
NA
0.03
NA
NA
0.96
NA
NA
0.74
NA
18.39
17.03
1.36
NA
12.29
10.31
1.98
21.78
19.65
2.13
33.65
31.42
2.23
NA
NA
2.55
NA
NA
3.04
NA
NA
3.47
43.04
40.05
2.99
NA
NA
3.59
NA
NA
4.23
NA
NA
2.43
NA
NA
1.89
NA
NA
3.58
NA
NA
3.95
NA
NA
2.98
1.31
4.39
0.13
2.65
1.37
0.97
3.01
3.59
3.22
0.37
5.55
5.17
0.38
NA
NA
0.15
NA
NA
0.04
NA
NA
0.82
NA
NA
0.62
NA
NA
NA
1.57
NA
NA
NA
2.28
NA
NA
2.17
NA
NA
2.28
NA
NA
2.65
NA
NA
2.95
NA
NA
3.78
NA
NA
3.17
NA
NA
3.86
NA
NA
4.43
NA
NA
2.58
NA
NA
1.84
NA
NA
3.57
NA
NA
3.66
NA
NA
3.16
0.21
0.23
0.15
0.15
0.16
0.13
0.21
NA
NA
0.43
NA
NA
0.44
NA
NA
0.14
NA
NA
0.03
NA
NA
0.96
NA
NA
0.74
9.41
NA
NA
1.36
NA
NA
NA
1.98
NA
NA
2.13
NA
NA
2.23
NA
NA
2.55
NA
NA
3.04
NA
NA
3.47
NA
NA
2.99
NA
NA
3.59
NA
NA
4.23
NA
NA
2.43
NA
NA
1.89
NA
NA
3.58
NA
NA
3.95
NA
NA
2.98
0.19
0.20
0.13
0.13
0.13
0.12
0.19
NA
NA
0.37
NA
NA
0.38
NA
NA
0.15
NA
NA
0.04
NA
NA
0.82
NA
NA
0.62
8.40
1.27
1.06
0.21
0.20
0.46
0.16
0.30
0.93
0.65
0.28
2.61
2.31
0.30
0.00
0.00
0.35
0.00
0.00
0.49
0.00
0.00
0.48
3.46
3.04
0.42
0.00
0.00
0.51
0.00
0.00
0.62
0.00
0.00
0.33
0.00
0.00
0.29
0.00
0.00
0.58
0.00
0.00
0.69
0.00
0.00
0.47
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.37
0.34
0.03
0.54
0.51
0.03
0.00
0.00
0.02
0.00
0.00
0.01
0.00
0.00
0.06
0.00
0.00
0.04
1.25
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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15JAR2
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000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
XXX
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000
000
000
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2689
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
93581
93600
93600
93600
93602
93602
93602
93603
93603
93603
93609
93609
93609
93610
93610
93610
93612
93612
93612
93613
93615
93615
93615
93616
93616
93616
93618
93618
93618
93619
93619
93619
93620
93620
93620
93621
93621
93621
93622
93622
93622
93623
93623
93623
93624
93624
93624
93631
93631
93631
93640
93640
93640
93641
93641
93641
93642
93642
93642
93650
93651
93652
93660
93660
93660
93662
93662
93662
93668
93701
93701
93701
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
Status
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
C
A
C
A
A
A
A
A
A
A
A
C
C
A
N
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Transcath closure of vsd ....................
Bundle of His recording ......................
Bundle of His recording ......................
Bundle of His recording ......................
Intra-atrial recording ............................
Intra-atrial recording ............................
Intra-atrial recording ............................
Right ventricular recording ..................
Right ventricular recording ..................
Right ventricular recording ..................
Map tachycardia, add-on ....................
Map tachycardia, add-on ....................
Map tachycardia, add-on ....................
Intra-atrial pacing ................................
Intra-atrial pacing ................................
Intra-atrial pacing ................................
Intraventricular pacing .........................
Intraventricular pacing .........................
Intraventricular pacing .........................
Electrophys map 3d, add-on ...............
Esophageal recording .........................
Esophageal recording .........................
Esophageal recording .........................
Esophageal recording .........................
Esophageal recording .........................
Esophageal recording .........................
Heart rhythm pacing ...........................
Heart rhythm pacing ...........................
Heart rhythm pacing ...........................
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Stimulation, pacing heart ....................
Stimulation, pacing heart ....................
Stimulation, pacing heart ....................
Electrophysiologic study .....................
Electrophysiologic study .....................
Electrophysiologic study .....................
Heart pacing, mapping ........................
Heart pacing, mapping ........................
Heart pacing, mapping ........................
Evaluation heart device ......................
Evaluation heart device ......................
Evaluation heart device ......................
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Electrophysiology evaluation ..............
Ablate heart dysrhythm focus .............
Ablate heart dysrhythm focus .............
Ablate heart dysrhythm focus .............
Tilt table evaluation .............................
Tilt table evaluation .............................
Tilt table evaluation .............................
Intracardiac ecg (ice) ..........................
Intracardiac ecg (ice) ..........................
Intracardiac ecg (ice) ..........................
Peripheral vascular rehab ...................
Bioimpedance, thoracic .......................
Bioimpedance, thoracic .......................
Bioimpedance, thoracic .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
24.39
0.00
0.00
2.12
0.00
0.00
2.12
0.00
0.00
2.12
0.00
0.00
4.99
0.00
0.00
3.02
0.00
0.00
3.02
6.99
0.00
0.00
0.99
0.00
0.00
1.49
0.00
0.00
4.25
0.00
0.00
7.31
0.00
0.00
11.57
0.00
0.00
2.10
0.00
0.00
3.10
0.00
0.00
2.85
0.00
0.00
4.80
0.00
0.00
7.59
0.00
0.00
3.51
0.00
0.00
5.92
0.00
0.00
4.88
10.49
16.23
17.65
1.89
0.00
1.89
0.00
0.00
2.80
0.00
0.17
0.00
0.17
NA
0.00
0.00
1.09
0.00
0.00
1.04
0.00
0.00
1.04
0.00
0.00
2.61
0.00
0.00
1.47
0.00
0.00
1.43
NA
0.00
0.00
0.54
0.00
0.00
0.26
0.00
0.00
2.28
0.00
0.00
3.87
0.00
0.00
6.09
0.00
0.00
1.10
0.00
0.00
1.57
0.00
0.00
1.50
0.00
0.00
2.60
0.00
0.00
2.75
0.00
0.00
1.82
0.00
0.00
3.11
0.00
4.77
2.60
NA
NA
NA
3.01
2.04
0.97
0.00
0.00
1.47
0.41
0.70
0.64
0.06
NA
0.00
0.00
0.96
0.00
0.00
0.93
0.00
0.00
0.92
0.00
0.00
2.29
0.00
0.00
1.31
0.00
0.00
1.29
NA
0.00
0.00
0.40
0.00
0.00
0.35
0.00
0.00
1.97
0.00
0.00
3.53
0.00
0.00
5.46
0.00
0.00
0.96
0.00
0.00
1.39
0.00
0.00
1.30
0.00
0.00
2.40
0.00
0.00
2.76
0.00
0.00
1.59
0.00
0.00
2.71
0.00
5.97
2.41
NA
NA
NA
2.71
1.86
0.85
0.00
0.00
1.29
0.41
0.84
0.77
0.07
11.56
NA
NA
1.09
NA
NA
1.04
NA
NA
1.04
NA
NA
2.61
NA
NA
1.47
NA
NA
1.43
3.69
NA
NA
0.54
NA
NA
0.26
NA
NA
2.28
NA
NA
3.87
NA
NA
6.09
NA
NA
1.10
NA
NA
1.57
NA
NA
1.50
NA
NA
2.60
NA
NA
2.75
NA
NA
1.82
NA
NA
3.11
NA
NA
2.60
5.80
8.53
9.35
NA
NA
0.97
NA
NA
1.47
NA
NA
NA
0.06
10.48
NA
NA
0.96
NA
NA
0.93
NA
NA
0.92
NA
NA
2.29
NA
NA
1.31
NA
NA
1.29
3.23
NA
NA
0.40
NA
NA
0.35
NA
NA
1.97
NA
NA
3.53
NA
NA
5.46
NA
NA
0.96
NA
NA
1.39
NA
NA
1.30
NA
NA
2.40
NA
NA
2.76
NA
NA
1.59
NA
NA
2.71
NA
NA
2.41
5.12
7.43
8.12
NA
NA
0.85
NA
NA
1.29
NA
NA
NA
0.07
1.72
0.00
0.00
0.16
0.00
0.00
0.17
0.00
0.00
0.18
0.00
0.00
0.35
0.00
0.00
0.24
0.00
0.00
0.25
0.49
0.00
0.00
0.03
0.00
0.00
0.09
0.00
0.00
0.30
0.00
0.00
0.51
0.00
0.00
0.80
0.00
0.00
0.15
0.00
0.00
0.22
0.00
0.00
0.20
0.00
0.00
0.33
0.00
0.00
0.97
0.00
0.00
0.24
0.00
0.00
0.41
0.00
0.42
0.15
0.73
1.13
1.23
0.08
0.02
0.06
0.00
0.00
0.09
0.01
0.02
0.01
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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18:30 Jan 14, 2008
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000
000
000
000
000
000
000
000
000
000
000
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ZZZ
ZZZ
ZZZ
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000
000
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000
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XXX
XXX
XXX
XXX
2690
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
93720
93721
93722
93724
93724
93724
93727
93731
93731
93731
93732
93732
93732
93733
93733
93733
93734
93734
93734
93735
93735
93735
93736
93736
93736
93740
93740
93740
93741
93741
93741
93742
93742
93742
93743
93743
93743
93744
93744
93744
93745
93745
93745
93760
93762
93770
93770
93770
93784
93786
93788
93790
93797
93798
93799
93799
93799
93875
93875
93875
93880
93880
93880
93882
93882
93882
93886
93886
93886
93888
93888
93888
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
B
A
A
A
A
A
A
A
A
A
A
A
A
C
C
C
N
N
B
B
B
A
A
A
A
A
A
C
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Total body plethysmography ...............
Plethysmography tracing ....................
Plethysmography report ......................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze ilr system ...............................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Telephone analy, pacemaker .............
Telephone analy, pacemaker .............
Telephone analy, pacemaker .............
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Analyze pacemaker system ................
Telephonic analy, pacemaker .............
Telephonic analy, pacemaker .............
Telephonic analy, pacemaker .............
Temperature gradient studies .............
Temperature gradient studies .............
Temperature gradient studies .............
Analyze ht pace device sngl ...............
Analyze ht pace device sngl ...............
Analyze ht pace device sngl ...............
Analyze ht pace device sngl ...............
Analyze ht pace device sngl ...............
Analyze ht pace device sngl ...............
Analyze ht pace device dual ...............
Analyze ht pace device dual ...............
Analyze ht pace device dual ...............
Analyze ht pace device dual ...............
Analyze ht pace device dual ...............
Analyze ht pace device dual ...............
Set-up cardiovert-defibrill ....................
Set-up cardiovert-defibrill ....................
Set-up cardiovert-defibrill ....................
Cephalic thermogram ..........................
Peripheral thermogram .......................
Measure venous pressure ..................
Measure venous pressure ..................
Measure venous pressure ..................
Ambulatory BP monitoring ..................
Ambulatory BP recording ....................
Ambulatory BP analysis ......................
Review/report BP recording ................
Cardiac rehab .....................................
Cardiac rehab/monitor ........................
Cardiovascular procedure ...................
Cardiovascular procedure ...................
Cardiovascular procedure ...................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Extracranial study ...............................
Intracranial study .................................
Intracranial study .................................
Intracranial study .................................
Intracranial study .................................
Intracranial study .................................
Intracranial study .................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.17
0.00
0.17
4.88
0.00
4.88
0.52
0.45
0.00
0.45
0.92
0.00
0.92
0.17
0.00
0.17
0.38
0.00
0.38
0.74
0.00
0.74
0.15
0.00
0.15
0.16
0.00
0.16
0.80
0.00
0.80
0.91
0.00
0.91
1.03
0.00
1.03
1.18
0.00
1.18
0.00
0.00
0.00
0.00
0.00
0.16
0.00
0.16
0.38
0.00
0.00
0.38
0.18
0.28
0.00
0.00
0.00
0.22
0.00
0.22
0.60
0.00
0.60
0.40
0.00
0.40
0.94
0.00
0.94
0.62
0.00
0.62
1.17
1.13
0.04
3.23
0.88
2.35
0.64
0.79
0.55
0.24
1.15
0.67
0.48
0.93
0.85
0.08
0.69
0.50
0.19
0.96
0.57
0.39
0.91
0.84
0.07
0.04
0.00
0.04
1.02
0.60
0.42
1.15
0.67
0.48
1.19
0.64
0.55
1.35
0.72
0.63
0.00
0.00
0.00
0.00
0.00
0.04
0.00
0.04
1.39
0.81
0.45
0.13
0.32
0.44
0.00
0.00
0.00
2.55
2.48
0.07
6.16
5.95
0.21
4.12
4.01
0.11
7.03
6.75
0.28
4.92
4.72
0.20
0.97
0.92
0.05
4.55
2.42
2.13
0.42
0.72
0.52
0.20
1.01
0.59
0.42
0.86
0.79
0.07
0.60
0.43
0.17
0.84
0.51
0.33
0.79
0.73
0.06
0.11
0.07
0.04
0.99
0.63
0.36
1.09
0.67
0.42
1.16
0.69
0.47
1.23
0.69
0.54
0.00
0.00
0.00
0.00
0.00
0.05
0.01
0.04
1.47
0.86
0.48
0.13
0.31
0.45
0.00
0.00
0.00
2.44
2.37
0.07
5.85
5.65
0.20
3.82
3.69
0.13
6.88
6.56
0.32
4.57
4.36
0.21
NA
NA
0.04
NA
NA
2.35
0.64
NA
NA
0.24
NA
NA
0.48
NA
NA
0.08
NA
NA
0.19
NA
NA
0.39
NA
NA
0.07
NA
NA
0.04
NA
NA
0.42
NA
NA
0.48
NA
NA
0.55
NA
NA
0.63
NA
NA
0.00
0.00
0.00
NA
NA
0.04
NA
NA
NA
0.13
0.09
0.13
NA
NA
0.00
NA
NA
0.07
NA
NA
0.21
NA
NA
0.11
NA
NA
0.28
NA
NA
0.20
NA
NA
0.05
NA
NA
2.13
0.42
NA
NA
0.20
NA
NA
0.42
NA
NA
0.07
NA
NA
0.17
NA
NA
0.33
NA
NA
0.06
NA
NA
0.04
NA
NA
0.36
NA
NA
0.42
NA
NA
0.47
NA
NA
0.54
NA
NA
0.00
0.00
0.00
NA
NA
0.04
NA
NA
NA
0.13
0.08
0.12
NA
NA
0.00
NA
NA
0.07
NA
NA
0.20
NA
NA
0.13
NA
NA
0.32
NA
NA
0.21
0.07
0.06
0.01
0.39
0.24
0.15
0.02
0.05
0.04
0.01
0.07
0.04
0.03
0.07
0.06
0.01
0.03
0.02
0.01
0.06
0.04
0.02
0.07
0.06
0.01
0.02
0.01
0.01
0.07
0.04
0.03
0.07
0.04
0.03
0.07
0.04
0.03
0.08
0.04
0.04
0.00
0.00
0.00
0.00
0.00
0.02
0.01
0.01
0.03
0.01
0.01
0.01
0.01
0.01
0.00
0.00
0.00
0.12
0.11
0.01
0.39
0.35
0.04
0.26
0.22
0.04
0.45
0.39
0.06
0.32
0.27
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2691
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
93890
93890
93890
93892
93892
93892
93893
93893
93893
93922
93922
93922
93923
93923
93923
93924
93924
93924
93925
93925
93925
93926
93926
93926
93930
93930
93930
93931
93931
93931
93965
93965
93965
93970
93970
93970
93971
93971
93971
93975
93975
93975
93976
93976
93976
93978
93978
93978
93979
93979
93979
93980
93980
93980
93981
93981
93981
93982
93990
93990
93990
94002
94003
94004
94005
94010
94010
94010
94014
94015
94016
94060
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
R
A
A
A
A
A
A
B
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Tcd, vasoreactivity study ....................
Tcd, vasoreactivity study ....................
Tcd, vasoreactivity study ....................
Tcd, emboli detect w/o inj ...................
Tcd, emboli detect w/o inj ...................
Tcd, emboli detect w/o inj ...................
Tcd, emboli detect w/inj ......................
Tcd, emboli detect w/inj ......................
Tcd, emboli detect w/inj ......................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Lower extremity study .........................
Lower extremity study .........................
Lower extremity study .........................
Lower extremity study .........................
Lower extremity study .........................
Lower extremity study .........................
Upper extremity study .........................
Upper extremity study .........................
Upper extremity study .........................
Upper extremity study .........................
Upper extremity study .........................
Upper extremity study .........................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Extremity study ...................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Vascular study ....................................
Penile vascular study ..........................
Penile vascular study ..........................
Penile vascular study ..........................
Penile vascular study ..........................
Penile vascular study ..........................
Penile vascular study ..........................
Aneurysm pressure sens study ..........
Doppler flow testing ............................
Doppler flow testing ............................
Doppler flow testing ............................
Vent mgmt inpat, init day ....................
Vent mgmt inpat, subq day .................
Vent mgmt nf per day .........................
Home vent mgmt supervision .............
Breathing capacity test .......................
Breathing capacity test .......................
Breathing capacity test .......................
Patient recorded spirometry ................
Patient recorded spirometry ................
Review patient spirometry ..................
Evaluation of wheezing .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.00
0.00
1.00
1.15
0.00
1.15
1.15
0.00
1.15
0.25
0.00
0.25
0.45
0.00
0.45
0.50
0.00
0.50
0.58
0.00
0.58
0.39
0.00
0.39
0.46
0.00
0.46
0.31
0.00
0.31
0.35
0.00
0.35
0.68
0.00
0.68
0.45
0.00
0.45
1.80
0.00
1.80
1.21
0.00
1.21
0.65
0.00
0.65
0.44
0.00
0.44
1.25
0.00
1.25
0.44
0.00
0.44
0.30
0.25
0.00
0.25
1.99
1.37
1.00
1.50
0.17
0.00
0.17
0.52
0.00
0.52
0.31
6.44
6.13
0.31
6.85
6.53
0.32
7.00
6.67
0.33
3.11
3.03
0.08
4.68
4.54
0.14
5.94
5.77
0.17
8.02
7.83
0.19
5.14
5.03
0.11
6.25
6.10
0.15
4.18
4.08
0.10
3.01
2.90
0.11
6.20
5.99
0.21
4.07
3.92
0.15
8.46
7.83
0.63
4.58
4.16
0.42
6.03
5.82
0.21
4.16
4.02
0.14
3.48
3.02
0.46
2.84
2.68
0.16
0.80
5.22
5.16
0.06
NA
NA
NA
0.70
0.74
0.70
0.04
0.81
0.67
0.14
1.32
5.68
5.32
0.36
6.00
5.61
0.39
6.01
5.62
0.39
2.90
2.82
0.08
4.35
4.21
0.14
5.36
5.19
0.17
7.40
7.21
0.19
4.60
4.48
0.12
5.80
5.65
0.15
3.83
3.73
0.10
2.90
2.79
0.11
5.73
5.51
0.22
3.83
3.68
0.15
8.04
7.43
0.61
4.45
4.04
0.41
5.28
5.06
0.22
3.69
3.54
0.15
3.16
2.73
0.43
2.86
2.71
0.15
0.80
4.61
4.53
0.08
NA
NA
NA
0.70
0.71
0.66
0.05
0.78
0.63
0.15
1.19
NA
NA
0.31
NA
NA
0.32
NA
NA
0.33
NA
NA
0.08
NA
NA
0.14
NA
NA
0.17
NA
NA
0.19
NA
NA
0.11
NA
NA
0.15
NA
NA
0.10
NA
NA
0.11
NA
NA
0.21
NA
NA
0.15
NA
NA
0.63
NA
NA
0.42
NA
NA
0.21
NA
NA
0.14
NA
NA
0.46
NA
NA
0.16
NA
NA
NA
0.06
0.35
0.32
0.23
NA
NA
NA
0.04
NA
NA
0.14
NA
NA
NA
0.36
NA
NA
0.39
NA
NA
0.39
NA
NA
0.08
NA
NA
0.14
NA
NA
0.17
NA
NA
0.19
NA
NA
0.12
NA
NA
0.15
NA
NA
0.10
NA
NA
0.11
NA
NA
0.22
NA
NA
0.15
NA
NA
0.61
NA
NA
0.41
NA
NA
0.22
NA
NA
0.15
NA
NA
0.43
NA
NA
0.15
NA
NA
NA
0.08
0.34
0.32
0.23
NA
NA
NA
0.05
NA
NA
0.15
NA
0.45
0.39
0.06
0.45
0.39
0.06
0.45
0.39
0.06
0.15
0.13
0.02
0.26
0.22
0.04
0.30
0.25
0.05
0.39
0.35
0.04
0.27
0.23
0.04
0.41
0.37
0.04
0.27
0.24
0.03
0.14
0.12
0.02
0.46
0.40
0.06
0.30
0.27
0.03
0.56
0.43
0.13
0.35
0.30
0.05
0.43
0.37
0.06
0.27
0.24
0.03
0.42
0.34
0.08
0.33
0.31
0.02
0.01
0.26
0.23
0.03
0.09
0.06
0.04
0.06
0.03
0.02
0.01
0.03
0.01
0.02
0.07
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2692
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
94060
94060
94070
94070
94070
94150
94150
94150
94200
94200
94200
94240
94240
94240
94250
94250
94250
94260
94260
94260
94350
94350
94350
94360
94360
94360
94370
94370
94370
94375
94375
94375
94400
94400
94400
94450
94450
94450
94452
94452
94452
94453
94453
94453
94610
94620
94620
94620
94621
94621
94621
94640
94642
94644
94645
94660
94662
94664
94667
94668
94680
94680
94680
94681
94681
94681
94690
94690
94690
94720
94720
94720
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
B
B
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Evaluation of wheezing .......................
Evaluation of wheezing .......................
Evaluation of wheezing .......................
Evaluation of wheezing .......................
Evaluation of wheezing .......................
Vital capacity test ................................
Vital capacity test ................................
Vital capacity test ................................
Lung function test (MBC/MVV) ...........
Lung function test (MBC/MVV) ...........
Lung function test (MBC/MVV) ...........
Residual lung capacity ........................
Residual lung capacity ........................
Residual lung capacity ........................
Expired gas collection .........................
Expired gas collection .........................
Expired gas collection .........................
Thoracic gas volume ...........................
Thoracic gas volume ...........................
Thoracic gas volume ...........................
Lung nitrogen washout curve .............
Lung nitrogen washout curve .............
Lung nitrogen washout curve .............
Measure airflow resistance .................
Measure airflow resistance .................
Measure airflow resistance .................
Breath airway closing volume .............
Breath airway closing volume .............
Breath airway closing volume .............
Respiratory flow volume loop .............
Respiratory flow volume loop .............
Respiratory flow volume loop .............
CO2 breathing response curve ...........
CO2 breathing response curve ...........
CO2 breathing response curve ...........
Hypoxia response curve .....................
Hypoxia response curve .....................
Hypoxia response curve .....................
Hast w/report .......................................
Hast w/report .......................................
Hast w/report .......................................
Hast w/oxygen titrate ..........................
Hast w/oxygen titrate ..........................
Hast w/oxygen titrate ..........................
Surfactant admin thru tube .................
Pulmonary stress test/simple ..............
Pulmonary stress test/simple ..............
Pulmonary stress test/simple ..............
Pulm stress test/complex ....................
Pulm stress test/complex ....................
Pulm stress test/complex ....................
Airway inhalation treatment ................
Aerosol inhalation treatment ...............
Cbt, 1st hour .......................................
Cbt, each addl hour ............................
Pos airway pressure, CPAP ...............
Neg press ventilation, cnp ..................
Evaluate pt use of inhaler ...................
Chest wall manipulation ......................
Chest wall manipulation ......................
Exhaled air analysis, o2 ......................
Exhaled air analysis, o2 ......................
Exhaled air analysis, o2 ......................
Exhaled air analysis, o2/co2 ...............
Exhaled air analysis, o2/co2 ...............
Exhaled air analysis, o2/co2 ...............
Exhaled air analysis ............................
Exhaled air analysis ............................
Exhaled air analysis ............................
Monoxide diffusing capacity ................
Monoxide diffusing capacity ................
Monoxide diffusing capacity ................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.31
0.60
0.00
0.60
0.07
0.00
0.07
0.11
0.00
0.11
0.26
0.00
0.26
0.11
0.00
0.11
0.13
0.00
0.13
0.26
0.00
0.26
0.26
0.00
0.26
0.26
0.00
0.26
0.31
0.00
0.31
0.40
0.00
0.40
0.40
0.00
0.40
0.31
0.00
0.31
0.40
0.00
0.40
1.16
0.64
0.00
0.64
1.42
0.00
1.42
0.00
0.00
0.00
0.00
0.76
0.76
0.00
0.00
0.00
0.26
0.00
0.26
0.20
0.00
0.20
0.07
0.00
0.07
0.26
0.00
0.26
1.24
0.08
1.00
0.85
0.15
0.48
0.46
0.02
0.51
0.48
0.03
0.82
0.76
0.06
0.51
0.48
0.03
0.76
0.73
0.03
0.61
0.55
0.06
0.95
0.89
0.06
0.60
0.53
0.07
0.73
0.65
0.08
1.03
0.93
0.10
1.01
0.92
0.09
1.27
1.20
0.07
1.69
1.59
0.10
0.34
0.79
0.63
0.16
3.18
2.73
0.45
0.38
0.00
0.96
0.35
0.81
NA
0.40
0.54
0.51
1.06
1.00
0.06
1.07
1.02
0.05
1.04
1.02
0.02
1.15
1.09
0.06
1.11
0.08
0.90
0.74
0.16
0.47
0.45
0.02
0.47
0.44
0.03
0.74
0.67
0.07
0.58
0.55
0.03
0.66
0.63
0.03
0.69
0.62
0.07
0.82
0.75
0.07
0.66
0.59
0.07
0.66
0.58
0.08
0.94
0.83
0.11
0.92
0.82
0.10
1.14
1.06
0.08
1.60
1.49
0.11
0.34
1.64
1.46
0.18
2.69
2.25
0.44
0.34
0.00
0.96
0.35
0.73
NA
0.36
0.53
0.48
1.46
1.39
0.07
1.79
1.74
0.05
1.52
1.50
0.02
1.08
1.01
0.07
NA
0.08
NA
NA
0.15
NA
NA
0.02
NA
NA
0.03
NA
NA
0.06
NA
NA
0.03
NA
NA
0.03
NA
NA
0.06
NA
NA
0.06
NA
NA
0.07
NA
NA
0.08
NA
NA
0.10
NA
NA
0.09
NA
NA
0.07
NA
NA
0.10
0.34
NA
NA
0.16
NA
NA
0.45
NA
0.00
NA
NA
0.19
0.20
NA
NA
NA
NA
NA
0.06
NA
NA
0.05
NA
NA
0.02
NA
NA
0.06
NA
0.08
NA
NA
0.16
NA
NA
0.02
NA
NA
0.03
NA
NA
0.07
NA
NA
0.03
NA
NA
0.03
NA
NA
0.07
NA
NA
0.07
NA
NA
0.07
NA
NA
0.08
NA
NA
0.11
NA
NA
0.10
NA
NA
0.08
NA
NA
0.11
0.34
NA
NA
0.18
NA
NA
0.44
NA
0.00
NA
NA
0.21
0.21
NA
NA
NA
NA
NA
0.07
NA
NA
0.05
NA
NA
0.02
NA
NA
0.07
0.06
0.01
0.13
0.10
0.03
0.02
0.01
0.01
0.03
0.02
0.01
0.06
0.05
0.01
0.02
0.01
0.01
0.05
0.04
0.01
0.05
0.04
0.01
0.07
0.06
0.01
0.03
0.02
0.01
0.03
0.02
0.01
0.09
0.06
0.03
0.04
0.02
0.02
0.04
0.02
0.02
0.04
0.02
0.02
0.26
0.13
0.10
0.03
0.16
0.10
0.06
0.02
0.00
0.02
0.02
0.04
0.03
0.04
0.05
0.02
0.07
0.06
0.01
0.13
0.12
0.01
0.05
0.04
0.01
0.07
0.06
0.01
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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XXX
XXX
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2693
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
94725
94725
94725
94750
94750
94750
94760
94761
94762
94770
94770
94770
94772
94772
94772
94774
94775
94776
94777
94799
94799
94799
95004
95010
95012
95015
95024
95027
95028
95044
95052
95056
95060
95065
95070
95071
95075
95115
95117
95120
95125
95130
95131
95132
95133
95134
95144
95145
95146
95147
95148
95149
95165
95170
95180
95199
95250
95251
95805
95805
95805
95806
95806
95806
95807
95807
95807
95808
95808
95808
95810
95810
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
A ........
A ........
A ........
A ........
A ........
A ........
T .........
T .........
A ........
A ........
A ........
A ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
Membrane diffusion capacity ..............
Membrane diffusion capacity ..............
Membrane diffusion capacity ..............
Pulmonary compliance study ..............
Pulmonary compliance study ..............
Pulmonary compliance study ..............
Measure blood oxygen level ...............
Measure blood oxygen level ...............
Measure blood oxygen level ...............
Exhaled carbon dioxide test ...............
Exhaled carbon dioxide test ...............
Exhaled carbon dioxide test ...............
Breath recording, infant ......................
Breath recording, infant ......................
Breath recording, infant ......................
Ped home apnea rec, compl ..............
Ped home apnea rec, hk-up ...............
Ped home apnea rec, downld .............
Ped home apnea rec, report ...............
Pulmonary service/procedure .............
Pulmonary service/procedure .............
Pulmonary service/procedure .............
Percut allergy skin tests ......................
Percut allergy titrate test .....................
Exhaled nitric oxide meas ...................
Id allergy titrate-drug/bug ....................
Id allergy test, drug/bug ......................
Id allergy titrate-airborne .....................
Id allergy test-delayed type .................
Allergy patch tests ..............................
Photo patch test ..................................
Photosensitivity tests ..........................
Eye allergy tests .................................
Nose allergy test .................................
Bronchial allergy tests .........................
Bronchial allergy tests .........................
Ingestion challenge test ......................
Immunotherapy, one injection .............
Immunotherapy injections ...................
Immunotherapy, one injection .............
Immunotherapy, many antigens .........
Immunotherapy, insect venom ............
Immunotherapy, insect venoms ..........
Immunotherapy, insect venoms ..........
Immunotherapy, insect venoms ..........
Immunotherapy, insect venoms ..........
Antigen therapy services ....................
Antigen therapy services ....................
Antigen therapy services ....................
Antigen therapy services ....................
Antigen therapy services ....................
Antigen therapy services ....................
Antigen therapy services ....................
Antigen therapy services ....................
Rapid desensitization ..........................
Allergy immunology services ..............
Glucose monitoring, cont ....................
Gluc monitor, cont, phys i&r ...............
Multiple sleep latency test ..................
Multiple sleep latency test ..................
Multiple sleep latency test ..................
Sleep study, unattended .....................
Sleep study, unattended .....................
Sleep study, unattended .....................
Sleep study, attended .........................
Sleep study, attended .........................
Sleep study, attended .........................
Polysomnography, 1-3 ........................
Polysomnography, 1-3 ........................
Polysomnography, 1-3 ........................
Polysomnography, 4 or more .............
Polysomnography, 4 or more .............
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.26
0.00
0.26
0.23
0.00
0.23
0.00
0.00
0.00
0.15
0.00
0.15
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.01
0.15
0.00
0.15
0.01
0.01
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.95
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.06
0.06
0.06
0.06
0.06
0.06
0.06
0.06
2.01
0.00
0.00
0.85
1.88
0.00
1.88
1.66
0.00
1.66
1.66
0.00
1.66
2.65
0.00
2.65
3.52
0.00
0.98
0.91
0.07
1.77
1.71
0.06
0.06
0.11
0.84
0.81
0.77
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.15
0.31
0.49
0.21
0.17
0.10
0.31
0.15
0.16
1.25
0.73
0.70
0.81
0.98
0.68
0.23
0.28
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.27
0.36
0.68
0.66
0.98
1.30
0.26
0.20
1.66
0.00
3.50
0.26
7.02
6.51
0.51
3.93
3.46
0.47
12.31
11.90
0.41
15.76
15.06
0.70
17.70
16.80
1.94
1.87
0.07
1.55
1.49
0.06
0.05
0.09
0.66
0.78
0.74
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.13
0.32
0.49
0.18
0.16
0.12
0.27
0.18
0.20
0.71
0.54
0.45
1.55
1.95
0.75
0.31
0.39
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.23
0.34
0.56
0.54
0.78
1.05
0.23
0.17
1.85
0.00
3.80
0.22
12.14
11.56
0.58
3.64
3.13
0.51
12.08
11.61
0.47
14.48
13.67
0.81
17.60
16.56
NA
NA
0.07
NA
NA
0.06
NA
NA
NA
NA
NA
0.04
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.73
0.70
NA
NA
0.26
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.02
0.02
0.02
0.02
0.02
0.02
0.02
0.02
0.77
0.00
NA
0.26
NA
NA
0.51
NA
NA
0.47
NA
NA
0.41
NA
NA
0.70
NA
NA
NA
NA
0.07
NA
NA
0.06
NA
NA
NA
NA
NA
0.04
NA
NA
0.00
0.00
0.00
0.00
0.00
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.54
0.45
NA
NA
0.32
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.02
0.02
0.02
0.02
0.02
0.02
0.02
0.02
0.85
0.00
NA
0.22
NA
NA
0.58
NA
NA
0.51
NA
NA
0.47
NA
NA
0.81
NA
NA
0.13
0.12
0.01
0.05
0.04
0.01
0.02
0.06
0.10
0.08
0.07
0.01
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.02
0.01
0.02
0.02
0.03
0.02
0.02
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.04
0.00
0.01
0.02
0.43
0.34
0.09
0.39
0.31
0.08
0.50
0.42
0.08
0.55
0.42
0.13
0.59
0.42
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
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15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
YYY
YYY
YYY
YYY
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2694
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
95810
95811
95811
95811
95812
95812
95812
95813
95813
95813
95816
95816
95816
95819
95819
95819
95822
95822
95822
95824
95824
95824
95827
95827
95827
95829
95829
95829
95830
95831
95832
95833
95834
95851
95852
95857
95860
95860
95860
95861
95861
95861
95863
95863
95863
95864
95864
95864
95865
95865
95865
95866
95866
95866
95867
95867
95867
95868
95868
95868
95869
95869
95869
95870
95870
95870
95872
95872
95872
95873
95873
95873
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Polysomnography, 4 or more .............
Polysomnography w/cpap ...................
Polysomnography w/cpap ...................
Polysomnography w/cpap ...................
Eeg, 41-60 minutes .............................
Eeg, 41-60 minutes .............................
Eeg, 41-60 minutes .............................
Eeg, over 1 hour .................................
Eeg, over 1 hour .................................
Eeg, over 1 hour .................................
Eeg, awake and drowsy .....................
Eeg, awake and drowsy .....................
Eeg, awake and drowsy .....................
Eeg, awake and asleep ......................
Eeg, awake and asleep ......................
Eeg, awake and asleep ......................
Eeg, coma or sleep only .....................
Eeg, coma or sleep only .....................
Eeg, coma or sleep only .....................
Eeg, cerebral death only .....................
Eeg, cerebral death only .....................
Eeg, cerebral death only .....................
Eeg, all night recording .......................
Eeg, all night recording .......................
Eeg, all night recording .......................
Surgery electrocorticogram .................
Surgery electrocorticogram .................
Surgery electrocorticogram .................
Insert electrodes for EEG ...................
Limb muscle testing, manual ..............
Hand muscle testing, manual .............
Body muscle testing, manual ..............
Body muscle testing, manual ..............
Range of motion measurements ........
Range of motion measurements ........
Tensilon test ........................................
Muscle test, one limb ..........................
Muscle test, one limb ..........................
Muscle test, one limb ..........................
Muscle test, 2 limbs ............................
Muscle test, 2 limbs ............................
Muscle test, 2 limbs ............................
Muscle test, 3 limbs ............................
Muscle test, 3 limbs ............................
Muscle test, 3 limbs ............................
Muscle test, 4 limbs ............................
Muscle test, 4 limbs ............................
Muscle test, 4 limbs ............................
Muscle test, larynx ..............................
Muscle test, larynx ..............................
Muscle test, larynx ..............................
Muscle test, hemidiaphragm ...............
Muscle test, hemidiaphragm ...............
Muscle test, hemidiaphragm ...............
Muscle test cran nerv unilat ................
Muscle test cran nerv unilat ................
Muscle test cran nerv unilat ................
Muscle test cran nerve bilat ................
Muscle test cran nerve bilat ................
Muscle test cran nerve bilat ................
Muscle test, thor paraspinal ................
Muscle test, thor paraspinal ................
Muscle test, thor paraspinal ................
Muscle test, nonparaspinal .................
Muscle test, nonparaspinal .................
Muscle test, nonparaspinal .................
Muscle test, one fiber .........................
Muscle test, one fiber .........................
Muscle test, one fiber .........................
Guide nerv destr, elec stim .................
Guide nerv destr, elec stim .................
Guide nerv destr, elec stim .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.52
3.79
0.00
3.79
1.08
0.00
1.08
1.73
0.00
1.73
1.08
0.00
1.08
1.08
0.00
1.08
1.08
0.00
1.08
0.00
0.00
0.74
1.08
0.00
1.08
6.20
0.00
6.20
1.70
0.28
0.29
0.47
0.60
0.16
0.11
0.53
0.96
0.00
0.96
1.54
0.00
1.54
1.87
0.00
1.87
1.99
0.00
1.99
1.57
0.00
1.57
1.25
0.00
1.25
0.79
0.00
0.79
1.18
0.00
1.18
0.37
0.00
0.37
0.37
0.00
0.37
2.88
0.00
2.88
0.37
0.00
0.37
0.90
19.70
18.74
0.96
5.90
5.60
0.30
6.52
6.04
0.48
5.28
4.98
0.30
6.13
5.83
0.30
5.52
5.22
0.30
0.00
0.00
0.21
11.54
11.24
0.30
24.77
23.01
1.76
2.97
0.40
0.37
0.50
0.54
0.26
0.24
0.58
1.16
0.84
0.32
1.66
1.15
0.51
1.92
1.35
0.57
2.14
1.53
0.61
1.39
0.90
0.49
1.32
0.93
0.39
1.15
0.91
0.24
1.47
1.11
0.36
1.03
0.91
0.12
0.99
0.87
0.12
1.64
0.76
0.88
1.02
0.88
0.14
1.04
19.45
18.34
1.11
4.97
4.59
0.38
5.77
5.18
0.59
4.49
4.11
0.38
4.56
4.18
0.38
5.06
4.68
0.38
0.00
0.00
0.26
7.12
6.77
0.35
27.90
25.86
2.04
3.13
0.43
0.35
0.54
0.58
0.31
0.25
0.59
1.29
0.92
0.37
1.53
0.94
0.59
1.82
1.14
0.68
2.40
1.66
0.74
1.42
0.79
0.63
1.03
0.56
0.47
1.04
0.75
0.29
1.35
0.91
0.44
0.70
0.56
0.14
0.68
0.54
0.14
1.43
0.68
0.75
0.69
0.54
0.15
0.90
NA
NA
0.96
NA
NA
0.30
NA
NA
0.48
NA
NA
0.30
NA
NA
0.30
NA
NA
0.30
NA
NA
0.21
NA
NA
0.30
NA
NA
1.76
0.41
0.09
0.10
0.14
0.17
0.04
0.04
0.16
NA
NA
0.32
NA
NA
0.51
NA
NA
0.57
NA
NA
0.61
NA
NA
0.49
NA
NA
0.39
NA
NA
0.24
NA
NA
0.36
NA
NA
0.12
NA
NA
0.12
NA
NA
0.88
NA
NA
0.14
1.04
NA
NA
1.11
NA
NA
0.38
NA
NA
0.59
NA
NA
0.38
NA
NA
0.38
NA
NA
0.38
NA
NA
0.26
NA
NA
0.35
NA
NA
2.04
0.57
0.11
0.11
0.18
0.23
0.06
0.04
0.19
NA
NA
0.37
NA
NA
0.59
NA
NA
0.68
NA
NA
0.74
NA
NA
0.63
NA
NA
0.47
NA
NA
0.29
NA
NA
0.44
NA
NA
0.14
NA
NA
0.14
NA
NA
0.75
NA
NA
0.15
0.17
0.61
0.43
0.18
0.17
0.11
0.06
0.20
0.11
0.09
0.16
0.10
0.06
0.16
0.10
0.06
0.19
0.13
0.06
0.00
0.00
0.04
0.19
0.14
0.05
0.50
0.02
0.48
0.11
0.01
0.02
0.02
0.03
0.01
0.01
0.02
0.07
0.02
0.05
0.13
0.06
0.07
0.15
0.06
0.09
0.21
0.12
0.09
0.11
0.03
0.08
0.10
0.03
0.07
0.07
0.04
0.03
0.10
0.05
0.05
0.04
0.02
0.02
0.04
0.02
0.02
0.13
0.05
0.08
0.04
0.02
0.02
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00128
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
2695
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
95874
95874
95874
95875
95875
95875
95900
95900
95900
95903
95903
95903
95904
95904
95904
95920
95920
95920
95921
95921
95921
95922
95922
95922
95923
95923
95923
95925
95925
95925
95926
95926
95926
95927
95927
95927
95928
95928
95928
95929
95929
95929
95930
95930
95930
95933
95933
95933
95934
95934
95934
95936
95936
95936
95937
95937
95937
95950
95950
95950
95951
95951
95951
95953
95953
95953
95954
95954
95954
95955
95955
95955
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Guide nerv destr, needle emg ............
Guide nerv destr, needle emg ............
Guide nerv destr, needle emg ............
Limb exercise test ...............................
Limb exercise test ...............................
Limb exercise test ...............................
Motor nerve conduction test ...............
Motor nerve conduction test ...............
Motor nerve conduction test ...............
Motor nerve conduction test ...............
Motor nerve conduction test ...............
Motor nerve conduction test ...............
Sense nerve conduction test ..............
Sense nerve conduction test ..............
Sense nerve conduction test ..............
Intraop nerve test add-on ...................
Intraop nerve test add-on ...................
Intraop nerve test add-on ...................
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Autonomic nerv function test ..............
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
Somatosensory testing .......................
C motor evoked, uppr limbs ...............
C motor evoked, uppr limbs ...............
C motor evoked, uppr limbs ...............
C motor evoked, lwr limbs ..................
C motor evoked, lwr limbs ..................
C motor evoked, lwr limbs ..................
Visual evoked potential test ................
Visual evoked potential test ................
Visual evoked potential test ................
Blink reflex test ...................................
Blink reflex test ...................................
Blink reflex test ...................................
H-reflex test .........................................
H-reflex test .........................................
H-reflex test .........................................
H-reflex test .........................................
H-reflex test .........................................
H-reflex test .........................................
Neuromuscular junction test ...............
Neuromuscular junction test ...............
Neuromuscular junction test ...............
Ambulatory eeg monitoring .................
Ambulatory eeg monitoring .................
Ambulatory eeg monitoring .................
EEG monitoring/videorecord ...............
EEG monitoring/videorecord ...............
EEG monitoring/videorecord ...............
EEG monitoring/computer ...................
EEG monitoring/computer ...................
EEG monitoring/computer ...................
EEG monitoring/giving drugs ..............
EEG monitoring/giving drugs ..............
EEG monitoring/giving drugs ..............
EEG during surgery ............................
EEG during surgery ............................
EEG during surgery ............................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.37
0.00
0.37
1.10
0.00
1.10
0.42
0.00
0.42
0.60
0.00
0.60
0.34
0.00
0.34
2.11
0.00
2.11
0.90
0.00
0.90
0.96
0.00
0.96
0.90
0.00
0.90
0.54
0.00
0.54
0.54
0.00
0.54
0.54
0.00
0.54
1.50
0.00
1.50
1.50
0.00
1.50
0.35
0.00
0.35
0.59
0.00
0.59
0.51
0.00
0.51
0.55
0.00
0.55
0.65
0.00
0.65
1.51
0.00
1.51
0.00
0.00
5.99
3.30
0.00
3.30
2.45
0.00
2.45
1.01
0.00
1.01
0.95
0.83
0.12
1.48
1.09
0.39
0.92
0.78
0.14
1.00
0.83
0.17
0.84
0.74
0.10
1.72
1.10
0.62
1.16
0.91
0.25
1.61
1.35
0.26
2.33
2.08
0.25
3.07
2.92
0.15
3.00
2.85
0.15
3.13
2.97
0.16
3.94
3.50
0.44
4.26
3.82
0.44
2.64
2.54
0.10
1.11
0.94
0.17
0.85
0.70
0.15
0.59
0.43
0.16
0.92
0.72
0.20
4.93
4.50
0.43
0.00
0.00
1.68
7.22
6.29
0.93
4.38
3.96
0.42
2.76
2.48
0.28
0.67
0.52
0.15
1.46
1.03
0.43
1.09
0.93
0.16
1.10
0.88
0.22
0.97
0.84
0.13
1.99
1.21
0.78
0.94
0.65
0.29
1.19
0.86
0.33
2.14
1.82
0.32
2.10
1.91
0.19
2.07
1.88
0.19
2.15
1.94
0.21
3.48
2.94
0.54
3.74
3.19
0.55
2.45
2.32
0.13
1.07
0.86
0.21
0.64
0.45
0.19
0.52
0.32
0.20
0.76
0.53
0.23
4.43
3.90
0.53
0.00
0.00
2.12
7.43
6.32
1.11
4.30
3.57
0.73
2.54
2.22
0.32
NA
NA
0.12
NA
NA
0.39
NA
NA
0.14
NA
NA
0.17
NA
NA
0.10
NA
NA
0.62
NA
NA
0.25
NA
NA
0.26
NA
NA
0.25
NA
NA
0.15
NA
NA
0.15
NA
NA
0.16
NA
NA
0.44
NA
NA
0.44
NA
NA
0.10
NA
NA
0.17
NA
NA
0.15
NA
NA
0.16
NA
NA
0.20
NA
NA
0.43
NA
NA
1.68
NA
NA
0.93
NA
NA
0.42
NA
NA
0.28
NA
NA
0.15
NA
NA
0.43
NA
NA
0.16
NA
NA
0.22
NA
NA
0.13
NA
NA
0.78
NA
NA
0.29
NA
NA
0.33
NA
NA
0.32
NA
NA
0.19
NA
NA
0.19
NA
NA
0.21
NA
NA
0.54
NA
NA
0.55
NA
NA
0.13
NA
NA
0.21
NA
NA
0.19
NA
NA
0.20
NA
NA
0.23
NA
NA
0.53
NA
NA
2.12
NA
NA
1.11
NA
NA
0.73
NA
NA
0.32
0.04
0.02
0.02
0.11
0.06
0.05
0.04
0.02
0.02
0.05
0.02
0.03
0.04
0.02
0.02
0.23
0.07
0.16
0.06
0.02
0.04
0.07
0.02
0.05
0.07
0.02
0.05
0.10
0.06
0.04
0.09
0.06
0.03
0.10
0.06
0.04
0.09
0.03
0.06
0.09
0.03
0.06
0.03
0.01
0.02
0.10
0.06
0.04
0.04
0.02
0.02
0.05
0.02
0.03
0.10
0.02
0.08
0.51
0.43
0.08
0.00
0.00
0.32
0.60
0.43
0.17
0.19
0.06
0.13
0.22
0.17
0.05
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
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2696
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
95956
95956
95956
95957
95957
95957
95958
95958
95958
95961
95961
95961
95962
95962
95962
95965
95965
95965
95966
95966
95966
95967
95967
95967
95970
95971
95972
95973
95974
95975
95978
95979
95980
95981
95982
95990
95991
95999
96000
96001
96002
96003
96004
96020
96020
96020
96040
96101
96102
96103
96105
96110
96111
96116
96118
96119
96120
96125
96150
96151
96152
96153
96154
96155
96401
96402
96405
96406
96409
96411
96413
96415
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
C
A
C
C
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
C
A
A
A
A
A
C
C
A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
A
A
A
A
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Eeg monitoring, cable/radio ................
Eeg monitoring, cable/radio ................
Eeg monitoring, cable/radio ................
EEG digital analysis ............................
EEG digital analysis ............................
EEG digital analysis ............................
EEG monitoring/function test ..............
EEG monitoring/function test ..............
EEG monitoring/function test ..............
Electrode stimulation, brain ................
Electrode stimulation, brain ................
Electrode stimulation, brain ................
Electrode stim, brain add-on ...............
Electrode stim, brain add-on ...............
Electrode stim, brain add-on ...............
Meg, spontaneous ..............................
Meg, spontaneous ..............................
Meg, spontaneous ..............................
Meg, evoked, single ............................
Meg, evoked, single ............................
Meg, evoked, single ............................
Meg, evoked, each add"l ..................
Meg, evoked, each add"l ..................
Meg, evoked, each add"l ..................
Analyze neurostim, no prog ................
Analyze neurostim, simple ..................
Analyze neurostim, complex ...............
Analyze neurostim, complex ...............
Cranial neurostim, complex ................
Cranial neurostim, complex ................
Analyze neurostim brain/1h ................
Analyz neurostim brain addon ............
Io anal gast n-stim init ........................
Io anal gast n-stim subsq ...................
Io ga n-stim subsq w/reprog ...............
Spin/brain pump refil & main ..............
Spin/brain pump refil & main ..............
Neurological procedure .......................
Motion analysis, video/3d ...................
Motion test w/ft press meas ................
Dynamic surface emg .........................
Dynamic fine wire emg .......................
Phys review of motion tests ................
Functional brain mapping ...................
Functional brain mapping ...................
Functional brain mapping ...................
Genetic counseling, 30 min ................
Psycho testing by psych/phys ............
Psycho testing by technician ..............
Psycho testing admin by comp ...........
Assessment of aphasia .......................
Developmental test, lim ......................
Developmental test, extend ................
Neurobehavioral status exam .............
Neuropsych tst by psych/phys ............
Neuropsych testing by tec ..................
Neuropsych tst admin w/comp ...........
Cognitive test by hc pro ......................
Assess hlth/behave, init ......................
Assess hlth/behave, subseq ...............
Intervene hlth/behave, indiv ................
Intervene hlth/behave, group ..............
Interv hlth/behav, fam w/pt .................
Interv hlth/behav fam no pt .................
Chemo, anti-neopl, sq/im ....................
Chemo hormon antineopl sq/im ..........
Chemo intralesional, up to 7 ...............
Chemo intralesional over 7 .................
Chemo, iv push, sngl drug ..................
Chemo, iv push, addl drug .................
Chemo, iv infusion, 1 hr ......................
Chemo, iv infusion, addl hr .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
3.08
0.00
3.08
1.98
0.00
1.98
4.24
0.00
4.24
2.97
0.00
2.97
3.21
0.00
3.21
0.00
0.00
7.99
0.00
0.00
3.99
0.00
0.00
3.49
0.45
0.78
1.50
0.92
3.00
1.70
3.50
1.64
0.80
0.30
0.65
0.00
0.77
0.00
1.80
2.15
0.41
0.37
2.14
0.00
0.00
3.43
0.00
1.86
0.50
0.51
0.00
0.00
2.60
1.86
1.86
0.55
0.51
1.70
0.50
0.48
0.46
0.10
0.45
0.44
0.21
0.19
0.52
0.80
0.24
0.20
0.28
0.19
16.30
15.44
0.86
5.85
5.30
0.55
6.70
5.47
1.23
3.05
2.18
0.87
2.21
1.30
0.91
0.00
0.00
2.39
0.00
0.00
1.19
0.00
0.00
1.01
0.90
0.58
1.15
0.49
1.44
0.73
1.86
0.72
NA
0.44
0.47
1.62
1.61
0.00
NA
NA
NA
NA
0.65
0.00
0.00
1.07
0.98
0.35
1.10
0.92
1.66
0.19
0.69
0.53
0.84
1.53
1.69
0.76
0.10
0.10
0.09
0.02
0.09
0.10
1.86
0.78
3.69
3.62
2.80
1.50
3.64
0.66
15.86
14.78
1.08
4.20
3.50
0.70
5.10
3.61
1.49
2.84
1.74
1.10
2.45
1.30
1.15
0.00
0.00
2.91
0.00
0.00
1.45
0.00
0.00
1.09
0.87
0.63
1.18
0.55
1.57
0.81
1.90
0.80
NA
0.44
0.47
1.56
1.55
0.00
NA
NA
NA
NA
0.79
0.00
0.00
1.07
0.98
0.50
0.88
0.56
1.71
0.18
0.87
0.68
1.11
1.27
1.21
0.76
0.14
0.14
0.13
0.03
0.13
0.14
1.51
0.89
3.06
3.31
2.86
1.55
3.91
0.71
NA
NA
0.86
NA
NA
0.55
NA
NA
1.23
NA
NA
0.87
NA
NA
0.91
NA
NA
2.39
NA
NA
1.19
NA
NA
1.01
0.13
0.18
0.44
0.22
0.78
0.47
1.02
0.46
0.25
0.12
0.18
NA
0.17
0.00
0.44
0.56
0.10
0.09
0.65
NA
NA
1.07
NA
0.33
0.09
0.10
NA
NA
0.58
0.40
0.33
0.10
0.10
0.37
0.09
0.09
0.08
0.02
0.08
0.10
NA
NA
0.24
0.32
NA
NA
NA
NA
NA
NA
1.08
NA
NA
0.70
NA
NA
1.49
NA
NA
1.10
NA
NA
1.15
NA
NA
2.91
NA
NA
1.45
NA
NA
1.09
0.13
0.20
0.46
0.28
1.04
0.60
1.16
0.58
0.25
0.12
0.18
NA
0.17
0.00
0.48
0.61
0.13
0.10
0.79
NA
NA
1.07
NA
0.48
0.13
0.14
NA
NA
0.81
0.52
0.48
0.14
0.13
0.37
0.13
0.13
0.12
0.02
0.12
0.14
NA
NA
0.24
0.31
NA
NA
NA
NA
0.59
0.43
0.16
0.23
0.12
0.11
0.34
0.13
0.21
0.55
0.07
0.48
0.39
0.07
0.32
0.00
0.00
0.46
0.00
0.00
0.19
0.00
0.00
0.16
0.03
0.07
0.14
0.07
0.16
0.12
0.18
0.08
0.07
0.02
0.05
0.06
0.06
0.00
0.11
0.10
0.02
0.02
0.11
0.00
0.00
0.17
0.01
0.05
0.01
0.02
0.18
0.18
0.18
0.18
0.18
0.18
0.02
0.16
0.01
0.01
0.01
0.01
0.01
0.02
0.01
0.01
0.03
0.03
0.06
0.06
0.08
0.07
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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Fmt 4742
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15JAR2
Global
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ZZZ
ZZZ
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XXX
XXX
XXX
ZZZ
XXX
ZZZ
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
XXX
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000
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2697
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
96416
96417
96420
96422
96423
96425
96440
96445
96450
96521
96522
96523
96542
96549
96567
96570
96571
96900
96902
96904
96910
96912
96913
96920
96921
96922
96999
97001
97002
97003
97004
97005
97006
97010
97012
97014
97016
97018
97022
97024
97026
97028
97032
97033
97034
97035
97036
97039
97110
97112
97113
97116
97124
97139
97140
97150
97530
97532
97533
97535
97537
97542
97545
97546
97597
97598
97602
97605
97606
97750
97755
97760
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
T .........
A ........
C ........
A ........
A ........
A ........
A ........
B ........
R ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
I ..........
I ..........
B ........
A ........
I ..........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
R ........
R ........
A ........
A ........
B ........
A ........
A ........
A ........
A ........
A ........
Chemo prolong infuse w/pump ...........
Chemo iv infus each addl seq ............
Chemo, ia, push tecnique ...................
Chemo ia infusion up to 1 hr ..............
Chemo ia infuse each addl hr ............
Chemotherapy,infusion method ..........
Chemotherapy, intracavitary ...............
Chemotherapy, intracavitary ...............
Chemotherapy, into CNS ....................
Refill/maint, portable pump .................
Refill/maint pump/resvr syst ................
Irrig drug delivery device ....................
Chemotherapy injection ......................
Chemotherapy, unspecified ................
Photodynamic tx, skin .........................
Photodynamic tx, 30 min ....................
Photodynamic tx, addl 15 min ............
Ultraviolet light therapy .......................
Trichogram ..........................................
Whole body photography ....................
Photochemotherapy with UV-B ...........
Photochemotherapy with UV-A ...........
Photochemotherapy, UV-A or B .........
Laser tx, skin < 250 sq cm .................
Laser tx, skin 250-500 sq cm .............
Laser tx, skin > 500 sq cm .................
Dermatological procedure ...................
Pt evaluation .......................................
Pt re-evaluation ...................................
Ot evaluation .......................................
Ot re-evaluation ..................................
Athletic train eval ................................
Athletic train reeval .............................
Hot or cold packs therapy ...................
Mechanical traction therapy ................
Electric stimulation therapy .................
Vasopneumatic device therapy ...........
Paraffin bath therapy ..........................
Whirlpool therapy ................................
Diathermy eg, microwave ...................
Infrared therapy ...................................
Ultraviolet therapy ...............................
Electrical stimulation ...........................
Electric current therapy .......................
Contrast bath therapy .........................
Ultrasound therapy ..............................
Hydrotherapy .......................................
Physical therapy treatment .................
Therapeutic exercises .........................
Neuromuscular reeducation ................
Aquatic therapy/exercises ...................
Gait training therapy ...........................
Massage therapy ................................
Physical medicine procedure ..............
Manual therapy ...................................
Group therapeutic procedures ............
Therapeutic activities ..........................
Cognitive skills development ..............
Sensory integration .............................
Self care mngment training .................
Community/work reintegration ............
Wheelchair mngment training .............
Work hardening ...................................
Work hardening add-on ......................
Active wound care/20 cm or < ............
Active wound care > 20 cm ................
Wound(s) care non-selective ..............
Neg press wound tx, < 50 cm ............
Neg press wound tx, > 50 cm ............
Physical performance test ..................
Assistive technology assess ...............
Orthotic mgmt and training .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.21
0.21
0.17
0.17
0.17
0.17
2.37
2.20
1.53
0.21
0.21
0.04
0.75
0.00
0.00
1.10
0.55
0.00
0.41
0.00
0.00
0.00
0.00
1.15
1.17
2.10
0.00
1.20
0.60
1.20
0.60
0.00
0.00
0.06
0.25
0.18
0.18
0.06
0.17
0.06
0.06
0.08
0.25
0.26
0.21
0.21
0.28
0.00
0.45
0.45
0.44
0.40
0.35
0.00
0.43
0.27
0.44
0.44
0.44
0.45
0.45
0.45
0.00
0.00
0.58
0.80
0.00
0.55
0.60
0.45
0.62
0.45
4.09
1.73
2.78
4.50
1.99
4.67
5.56
5.42
4.99
3.16
2.78
0.64
3.56
0.00
3.74
0.40
0.19
0.57
0.11
1.90
2.01
2.58
3.47
3.58
3.33
4.64
0.00
0.65
0.41
0.76
0.54
0.00
0.00
0.07
0.14
0.18
0.24
0.17
0.33
0.08
0.07
0.08
0.20
0.44
0.20
0.10
0.44
0.00
0.32
0.34
0.53
0.27
0.27
0.00
0.29
0.22
0.38
0.22
0.27
0.37
0.28
0.29
0.00
0.00
1.10
1.27
0.00
0.40
0.41
0.33
0.27
0.42
4.34
1.84
2.72
4.66
1.94
4.57
6.84
6.73
5.97
3.46
2.71
0.67
3.90
0.00
2.85
0.38
0.19
0.50
0.15
1.90
1.50
1.92
2.57
3.06
2.97
4.06
0.00
0.70
0.42
0.82
0.61
0.00
0.00
0.06
0.14
0.18
0.21
0.13
0.27
0.07
0.06
0.08
0.18
0.36
0.17
0.10
0.38
0.00
0.29
0.33
0.46
0.26
0.25
0.00
0.27
0.20
0.35
0.21
0.25
0.35
0.27
0.28
0.00
0.00
0.88
1.03
0.00
0.37
0.38
0.32
0.28
0.38
NA
NA
NA
NA
NA
NA
0.98
0.96
0.83
NA
NA
NA
0.32
0.00
NA
0.40
0.19
NA
0.09
NA
NA
NA
NA
0.56
0.51
1.04
0.00
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.12
0.17
0.00
0.11
0.13
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.10
1.07
1.06
NA
NA
NA
0.49
0.00
NA
0.38
0.19
NA
0.13
NA
NA
NA
NA
0.56
0.54
0.83
0.00
NA
NA
NA
NA
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
0.00
NA
NA
NA
NA
NA
NA
NA
NA
0.00
0.00
0.39
0.48
0.00
0.17
0.18
NA
NA
NA
0.08
0.07
0.08
0.08
0.02
0.08
0.17
0.14
0.09
0.06
0.06
0.01
0.07
0.00
0.04
0.11
0.03
0.02
0.01
0.01
0.04
0.05
0.10
0.02
0.03
0.04
0.00
0.05
0.02
0.06
0.02
0.00
0.00
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.00
0.02
0.01
0.01
0.01
0.01
0.00
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.01
0.00
0.00
0.05
0.05
0.00
0.02
0.03
0.02
0.02
0.03
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
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000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2698
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
97761
97762
97799
97802
97803
97804
97810
97811
97813
97814
98925
98926
98927
98928
98929
98940
98941
98942
98943
98960
98961
98962
98966
98967
98968
98969
99000
99001
99002
99024
99026
99027
99050
99051
99053
99056
99058
99060
99070
99071
99075
99078
99080
99082
99090
99091
99100
99116
99135
99140
99143
99144
99145
99148
99149
99150
99170
99172
99173
99174
99175
99183
99185
99186
99190
99191
99192
99195
99199
99201
99202
99203
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
C
A
A
A
N
N
N
N
A
A
A
A
A
A
A
A
N
B
B
B
N
N
N
N
B
B
B
B
N
N
B
B
B
B
B
B
B
B
N
B
B
C
B
B
B
B
B
B
C
C
C
C
C
C
A
N
N
N
A
A
A
A
X
X
X
A
C
A
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Prosthetic training ...............................
C/o for orthotic/prosth use ..................
Physical medicine procedure ..............
Medical nutrition, indiv, in ...................
Med nutrition, indiv, subseq ................
Medical nutrition, group ......................
Acupunct w/o stimul 15 min ................
Acupunct w/o stimul addl 15m ............
Acupunct w/stimul 15 min ...................
Acupunct w/stimul addl 15m ...............
Osteopathic manipulation ...................
Osteopathic manipulation ...................
Osteopathic manipulation ...................
Osteopathic manipulation ...................
Osteopathic manipulation ...................
Chiropractic manipulation ...................
Chiropractic manipulation ...................
Chiropractic manipulation ...................
Chiropractic manipulation ...................
Self-mgmt educ & train, 1 pt ...............
Self-mgmt educ/train, 2-4 pt ...............
Self-mgmt educ/train, 5-8 pt ...............
Hc pro phone call 5-10 min ................
Hc pro phone call 11-20 min ..............
Hc pro phone call 21-30 min ..............
Online service by hc pro .....................
Specimen handling .............................
Specimen handling .............................
Device handling ..................................
Postop follow-up visit ..........................
In-hospital on call service ...................
Out-of-hosp on call service .................
Medical services after hrs ...................
Med serv, eve/wkend/holiday .............
Med serv 10pm-8am, 24 hr fac ..........
Med service out of office ....................
Office emergency care ........................
Out of office emerg med serv .............
Special supplies ..................................
Patient education materials ................
Medical testimony ...............................
Group health education ......................
Special reports or forms .....................
Unusual physician travel .....................
Computer data analysis ......................
Collect/review data from pt .................
Special anesthesia service .................
Anesthesia with hypothermia ..............
Special anesthesia procedure ............
Emergency anesthesia .......................
Mod cs by same phys, < 5 yrs ...........
Mod cs by same phys, 5 yrs + ...........
Mod cs by same phys add-on ............
Mod cs diff phys < 5 yrs .....................
Mod cs diff phys 5 yrs + .....................
Mod cs diff phys add-on .....................
Anogenital exam, child ........................
Ocular function screen ........................
Visual acuity screen ............................
Ocular photoscreening ........................
Induction of vomiting ...........................
Hyperbaric oxygen therapy .................
Regional hypothermia .........................
Total body hypothermia ......................
Special pump services ........................
Special pump services ........................
Special pump services ........................
Phlebotomy .........................................
Special service/proc/report .................
Office/outpatient visit, new ..................
Office/outpatient visit, new ..................
Office/outpatient visit, new ..................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.45
0.25
0.00
0.45
0.37
0.25
0.60
0.50
0.65
0.55
0.45
0.65
0.87
1.03
1.19
0.45
0.65
0.87
0.40
0.00
0.00
0.00
0.25
0.50
0.75
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.10
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.75
0.00
0.00
0.00
0.00
2.34
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.45
0.88
1.34
0.33
0.73
0.00
0.14
0.12
0.08
0.26
0.15
0.27
0.19
0.29
0.37
0.45
0.51
0.57
0.21
0.27
0.33
0.17
0.58
0.28
0.20
0.09
0.14
0.20
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.25
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.83
0.00
0.06
0.00
0.36
2.60
1.67
1.63
0.00
0.00
0.00
2.56
0.00
0.55
0.84
1.11
0.30
0.58
0.00
0.30
0.29
0.13
0.32
0.20
0.33
0.24
0.30
0.39
0.48
0.55
0.62
0.22
0.29
0.35
0.21
0.58
0.28
0.20
0.09
0.14
0.20
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.25
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
1.80
0.00
0.06
0.00
0.87
2.92
1.15
1.71
0.00
0.00
0.00
1.50
0.00
0.52
0.81
1.12
NA
NA
0.00
0.11
0.09
0.07
0.14
0.11
0.15
0.13
0.12
0.17
0.22
0.26
0.30
0.12
0.17
0.24
0.09
NA
NA
NA
0.06
0.11
0.17
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.61
0.00
NA
0.00
NA
0.57
NA
NA
0.00
0.00
0.00
NA
0.00
0.16
0.29
0.43
NA
NA
0.00
0.29
0.28
0.12
0.18
0.15
0.20
0.17
0.13
0.21
0.26
0.30
0.33
0.12
0.17
0.23
0.13
NA
NA
NA
0.06
0.11
0.17
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.58
0.00
NA
0.00
NA
0.65
NA
NA
0.00
0.00
0.00
NA
0.00
0.15
0.30
0.45
0.02
0.02
0.00
0.01
0.01
0.01
0.03
0.03
0.03
0.03
0.02
0.03
0.03
0.04
0.05
0.01
0.01
0.02
0.01
0.01
0.01
0.01
0.01
0.02
0.03
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.08
0.00
0.01
0.00
0.10
0.16
0.04
0.45
0.00
0.00
0.00
0.02
0.00
0.03
0.05
0.09
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00132
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
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Global
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000
000
000
000
000
000
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
ZZZ
ZZZ
XXX
XXX
ZZZ
XXX
XXX
ZZZ
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2699
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
99204
99205
99211
99212
99213
99214
99215
99217
99218
99219
99220
99221
99222
99223
99231
99232
99233
99234
99235
99236
99238
99239
99241
99242
99243
99244
99245
99251
99252
99253
99254
99255
99281
99282
99283
99284
99285
99288
99289
99290
99291
99292
99293
99294
99295
99296
99298
99299
99300
99304
99305
99306
99307
99308
99309
99310
99315
99316
99318
99324
99325
99326
99327
99328
99334
99335
99336
99337
99339
99340
99341
99342
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
A
A
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Office/outpatient visit, new ..................
Office/outpatient visit, new ..................
Office/outpatient visit, est ....................
Office/outpatient visit, est ....................
Office/outpatient visit, est ....................
Office/outpatient visit, est ....................
Office/outpatient visit, est ....................
Observation care discharge ................
Observation care .................................
Observation care .................................
Observation care .................................
Initial hospital care ..............................
Initial hospital care ..............................
Initial hospital care ..............................
Subsequent hospital care ...................
Subsequent hospital care ...................
Subsequent hospital care ...................
Observ/hosp same date ......................
Observ/hosp same date ......................
Observ/hosp same date ......................
Hospital discharge day .......................
Hospital discharge day .......................
Office consultation ..............................
Office consultation ..............................
Office consultation ..............................
Office consultation ..............................
Office consultation ..............................
Inpatient consultation ..........................
Inpatient consultation ..........................
Inpatient consultation ..........................
Inpatient consultation ..........................
Inpatient consultation ..........................
Emergency dept visit ..........................
Emergency dept visit ..........................
Emergency dept visit ..........................
Emergency dept visit ..........................
Emergency dept visit ..........................
Direct advanced life support ...............
Ped crit care transport ........................
Ped crit care transport addl ................
Critical care, first hour .........................
Critical care, add"l 30 min ................
Ped critical care, initial ........................
Ped critical care, subseq ....................
Neonate crit care, initial ......................
Neonate critical care subseq ..............
Ic for lbw infant < 1500 gm .................
Ic, lbw infant 1500-2500 gm ...............
Ic, infant pbw 2501-5000 gm ..............
Nursing facility care, init ......................
Nursing facility care, init ......................
Nursing facility care, init ......................
Nursing fac care, subseq ....................
Nursing fac care, subseq ....................
Nursing fac care, subseq ....................
Nursing fac care, subseq ....................
Nursing fac discharge day ..................
Nursing fac discharge day ..................
Annual nursing fac assessmnt ............
Domicil/r-home visit new pat ...............
Domicil/r-home visit new pat ...............
Domicil/r-home visit new pat ...............
Domicil/r-home visit new pat ...............
Domicil/r-home visit new pat ...............
Domicil/r-home visit est pat ................
Domicil/r-home visit est pat ................
Domicil/r-home visit est pat ................
Domicil/r-home visit est pat ................
Domicil/r-home care supervis .............
Domicil/r-home care supervis .............
Home visit, new patient ......................
Home visit, new patient ......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.30
3.00
0.17
0.45
0.92
1.42
2.00
1.28
1.28
2.14
2.99
1.88
2.56
3.78
0.76
1.39
2.00
2.56
3.41
4.26
1.28
1.90
0.64
1.34
1.88
3.02
3.77
1.00
1.50
2.27
3.29
4.00
0.45
0.88
1.34
2.56
3.80
0.00
4.79
2.40
4.50
2.25
15.98
7.99
18.46
7.99
2.75
2.50
2.40
1.61
2.30
3.00
0.76
1.16
1.55
2.35
1.13
1.50
1.71
1.01
1.52
2.63
3.46
4.09
1.07
1.72
2.46
3.58
1.25
1.80
1.01
1.52
1.49
1.79
0.32
0.55
0.76
1.10
1.38
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.66
1.08
1.45
1.93
2.26
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
2.26
0.80
NA
NA
NA
NA
NA
NA
NA
0.57
0.74
0.91
0.31
0.47
0.61
0.87
0.41
0.51
0.56
0.43
0.55
0.82
1.02
1.16
0.43
0.59
0.77
1.03
0.58
0.77
0.43
0.56
1.49
1.78
0.36
0.55
0.73
1.06
1.35
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.65
1.06
1.42
1.88
2.27
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
NA
NA
2.42
0.85
NA
NA
NA
NA
NA
NA
NA
0.53
0.68
0.83
0.29
0.46
0.61
0.82
0.43
0.55
0.53
0.46
0.62
0.87
1.09
1.29
0.42
0.58
0.79
1.09
0.58
0.77
0.45
0.62
0.71
0.91
0.06
0.15
0.28
0.44
0.61
0.50
0.38
0.59
0.84
0.54
0.71
1.07
0.24
0.42
0.59
0.78
0.98
1.21
0.49
0.67
0.22
0.48
0.67
1.08
1.31
0.31
0.49
0.80
1.19
1.39
0.09
0.17
0.25
0.46
0.67
0.00
1.08
0.89
1.10
0.56
3.78
1.65
4.57
2.06
0.68
0.58
0.71
0.57
0.74
0.91
0.31
0.47
0.61
0.87
0.41
0.51
0.56
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.71
0.93
0.06
0.15
0.26
0.42
0.63
0.51
0.41
0.65
0.93
0.50
0.72
1.05
0.23
0.40
0.56
0.83
1.07
1.32
0.52
0.70
0.22
0.47
0.65
1.00
1.27
0.27
0.50
0.74
1.08
1.37
0.09
0.15
0.28
0.47
0.69
0.00
1.26
0.85
1.19
0.60
4.27
2.03
4.97
2.30
0.80
0.72
0.77
0.53
0.68
0.83
0.29
0.46
0.61
0.82
0.43
0.55
0.53
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.12
0.15
0.01
0.03
0.03
0.05
0.08
0.06
0.06
0.10
0.14
0.07
0.10
0.13
0.03
0.04
0.06
0.13
0.16
0.19
0.05
0.07
0.05
0.10
0.13
0.16
0.21
0.05
0.09
0.11
0.13
0.18
0.02
0.04
0.09
0.14
0.23
0.00
0.24
0.12
0.21
0.11
1.12
0.45
1.16
0.32
0.17
0.16
0.15
0.05
0.07
0.09
0.03
0.04
0.06
0.08
0.05
0.06
0.05
0.05
0.07
0.10
0.13
0.16
0.04
0.06
0.09
0.13
0.06
0.07
0.05
0.07
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2700
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
99343
99344
99345
99347
99348
99349
99350
99354
99355
99356
99357
99358
99359
99360
99363
99364
99366
99367
99368
99374
99375
99377
99378
99379
99380
99381
99382
99383
99384
99385
99386
99387
99391
99392
99393
99394
99395
99396
99397
99401
99402
99403
99404
99406
99407
99408
99409
99411
99412
99420
99429
99431
99432
99433
99435
99436
99440
99441
99442
99443
99444
99450
99455
99456
99477
99499
99500
99501
99502
99503
99504
99505
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Physician
work
RVUs2
Mod
Status
Description
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
B ........
B ........
X ........
B ........
B ........
B ........
B ........
B ........
B ........
I ..........
B ........
I ..........
B ........
B ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
N ........
A ........
A ........
N ........
N ........
N ........
N ........
N ........
N ........
A ........
A ........
A ........
A ........
A ........
A ........
N ........
N ........
N ........
N ........
N ........
R ........
R ........
A ........
C ........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
Home visit, new patient ......................
Home visit, new patient ......................
Home visit, new patient ......................
Home visit, est patient ........................
Home visit, est patient ........................
Home visit, est patient ........................
Home visit, est patient ........................
Prolonged service, office ....................
Prolonged service, office ....................
Prolonged service, inpatient ...............
Prolonged service, inpatient ...............
Prolonged serv, w/o contact ...............
Prolonged serv, w/o contact ...............
Physician standby services .................
Anticoag mgmt, init .............................
Anticoag mgmt, subseq ......................
Team conf w/pat by hc pro .................
Team conf w/o pat by phys ................
Team conf w/o pat by hc pro ..............
Home health care supervision ............
Home health care supervision ............
Hospice care supervision ....................
Hospice care supervision ....................
Nursing fac care supervision ..............
Nursing fac care supervision ..............
Init pm e/m, new pat, inf .....................
Init pm e/m, new pat 1-4 yrs ...............
Prev visit, new, age 5-11 ....................
Prev visit, new, age 12-17 ..................
Prev visit, new, age 18-39 ..................
Prev visit, new, age 40-64 ..................
Init pm e/m, new pat 65+ yrs ..............
Per pm reeval, est pat, inf ..................
Prev visit, est, age 1-4 ........................
Prev visit, est, age 5-11 ......................
Prev visit, est, age 12-17 ....................
Prev visit, est, age 18-39 ....................
Prev visit, est, age 40-64 ....................
Per pm reeval est pat 65+ yr ..............
Preventive counseling, indiv ...............
Preventive counseling, indiv ...............
Preventive counseling, indiv ...............
Preventive counseling, indiv ...............
Behav chng smoking 3-10 min ...........
Behav chng smoking < 10 min ...........
Audit/dast, 15-30 min ..........................
Audit/dast, over 30 min .......................
Preventive counseling, group .............
Preventive counseling, group .............
Health risk assessment test ................
Unlisted preventive service .................
Initial care, normal newborn ...............
Newborn care, not in hosp .................
Normal newborn care/hospital ............
Newborn discharge day hosp .............
Attendance, birth .................................
Newborn resuscitation ........................
Phone e/m by phys 5-10 min .............
Phone e/m by phys 11-20 min ...........
Phone e/m by phys 21-30 min ...........
Online e/m by phys .............................
Basic life disability exam .....................
Work related disability exam ...............
Disability examination .........................
Init day hosp neonate care .................
Unlisted e&m service ..........................
Home visit, prenatal ............................
Home visit, postnatal ..........................
Home visit, nb care .............................
Home visit, resp therapy .....................
Home visit mech ventilator .................
Home visit, stoma care .......................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
2.53
3.38
4.09
1.00
1.56
2.33
3.28
1.77
1.77
1.71
1.71
2.10
1.00
1.20
1.65
0.63
0.82
1.10
0.72
1.10
1.73
1.10
1.73
1.10
1.73
1.19
1.36
1.36
1.53
1.53
1.88
2.06
1.02
1.19
1.19
1.36
1.36
1.53
1.71
0.48
0.98
1.46
1.95
0.24
0.50
0.65
1.30
0.15
0.25
0.00
0.00
1.17
1.26
0.62
1.50
1.50
2.93
0.25
0.50
0.75
0.00
0.00
0.00
0.00
7.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.82
1.00
1.15
0.42
0.56
0.73
0.96
0.65
0.62
NA
NA
0.51
0.26
0.28
1.30
0.38
0.20
0.25
0.16
0.55
0.75
0.55
0.75
0.55
0.75
1.00
1.04
1.03
1.07
1.07
1.15
1.28
0.86
0.90
0.90
0.93
0.94
0.98
1.12
0.36
0.48
0.59
0.70
0.11
0.18
0.19
0.34
0.22
0.24
0.22
0.00
NA
1.01
NA
NA
NA
NA
0.09
0.14
0.20
0.00
0.00
0.00
0.00
1.98
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.88
1.09
1.29
0.41
0.57
0.78
1.07
0.71
0.68
NA
NA
0.51
0.26
0.28
1.30
0.38
0.20
0.25
0.16
0.62
1.15
0.62
1.35
0.62
0.87
1.25
1.29
1.25
1.31
1.31
1.45
1.58
0.94
1.00
0.98
1.03
1.05
1.11
1.24
0.49
0.67
0.84
1.01
0.10
0.18
0.19
0.34
0.20
0.25
0.22
0.00
NA
0.97
NA
NA
NA
NA
0.09
0.14
0.20
0.00
0.00
0.00
0.00
1.98
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
0.50
0.47
0.50
0.50
0.51
0.26
0.28
0.38
0.14
0.19
0.25
0.16
0.25
0.40
0.25
0.40
0.25
0.40
0.27
0.31
0.31
0.35
0.35
0.43
0.47
0.24
0.27
0.27
0.31
0.31
0.35
0.39
0.11
0.22
0.34
0.45
0.07
0.13
0.15
0.30
0.03
0.06
NA
0.00
0.27
0.29
0.17
0.50
0.33
0.67
0.06
0.11
0.17
0.00
0.00
0.00
0.00
1.98
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
NA
NA
NA
NA
NA
NA
0.58
0.54
0.56
0.56
0.51
0.26
0.28
0.38
0.14
0.19
0.25
0.16
0.34
0.97
0.34
1.17
0.34
0.53
0.36
0.42
0.42
0.47
0.47
0.58
0.63
0.31
0.36
0.36
0.42
0.42
0.47
0.53
0.15
0.30
0.45
0.60
0.08
0.15
0.15
0.30
0.05
0.08
NA
0.00
0.32
0.34
0.19
0.54
0.40
0.80
0.06
0.11
0.17
0.00
0.00
0.00
0.00
1.98
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.10
0.13
0.16
0.04
0.06
0.09
0.13
0.08
0.07
0.07
0.08
0.09
0.04
0.05
0.07
0.04
0.06
0.05
0.03
0.05
0.07
0.05
0.07
0.04
0.06
0.05
0.05
0.05
0.06
0.06
0.07
0.07
0.04
0.05
0.05
0.05
0.05
0.06
0.06
0.01
0.02
0.04
0.05
0.01
0.01
0.01
0.03
0.01
0.01
0.01
0.00
0.05
0.07
0.02
0.06
0.06
0.12
0.02
0.02
0.03
0.00
0.00
0.00
0.00
0.32
0.00
0.00
0.00
0.00
0.00
0.00
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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ZZZ
ZZZ
ZZZ
ZZZ
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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2701
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
Physician
work
RVUs2
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
Mod
Status
Description
99506 ....
99507 ....
99509 ....
99510 ....
99511 ....
99512 ....
99600 ....
99601 ....
99602 ....
99605 ....
99606 ....
99607 ....
A4890 ....
G0008 ...
G0009 ...
G0010 ...
G0027 ...
G0101 ...
G0102 ...
G0103 ...
G0104 ...
G0105 ...
G0105 ...
G0106 ...
G0106 ...
G0106 ...
G0108 ...
G0109 ...
G0117 ...
G0118 ...
G0120 ...
G0120 ...
G0120 ...
G0121 ...
G0121 ...
G0122 ...
G0122 ...
G0122 ...
G0123 ...
G0124 ...
G0127 ...
G0128 ...
G0130 ...
G0130 ...
G0130 ...
G0141 ...
G0143 ...
G0144 ...
G0145 ...
G0147 ...
G0148 ...
G0166 ...
G0168 ...
G0173 ...
G0175 ...
G0176 ...
G0177 ...
G0179 ...
G0180 ...
G0181 ...
G0182 ...
G0186 ...
G0202 ...
G0202 ...
G0202 ...
G0204 ...
G0204 ...
G0204 ...
G0206 ...
G0206 ...
G0206 ...
G0219 ...
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
53 .......
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
53 .......
............
TC ......
26 .......
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
TC ......
26 .......
............
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
I ..........
X ........
X ........
X ........
R ........
X ........
X ........
X ........
X ........
A ........
A ........
X ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
T .........
T .........
A ........
A ........
A ........
A ........
A ........
N ........
N ........
N ........
X ........
A ........
R ........
R ........
A ........
A ........
A ........
A ........
X ........
X ........
X ........
X ........
X ........
A ........
A ........
X ........
X ........
X ........
X ........
A ........
A ........
A ........
A ........
C ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
A ........
N ........
Home visit, im injection .......................
Home visit, cath maintain ...................
Home visit day life activity ..................
Home visit, sing/m/fam couns .............
Home visit, fecal/enema mgmt ...........
Home visit for hemodialysis ................
Home visit nos ....................................
Home infusion/visit, 2 hrs ...................
Home infusion, each addtl hr ..............
Mtms by pharm, np, 15 min ................
Mtms by pharm, est, 15 min ...............
Mtms by pharm, addl 15 min ..............
Repair/maint cont hemo equip ............
Admin influenza virus vac ...................
Admin pneumococcal vaccine ............
Admin hepatitis b vaccine ...................
Semen analysis ...................................
CA screen;pelvic/breast exam ............
Prostate ca screening; dre ..................
PSA screening ....................................
CA screen;flexi sigmoidscope .............
Colorectal scrn; hi risk ind ..................
Colorectal scrn; hi risk ind ..................
Colon CA screen;barium enema ........
Colon CA screen;barium enema ........
Colon CA screen;barium enema ........
Diab manage trn per indiv ..................
Diab manage trn ind/group .................
Glaucoma scrn hgh risk direc .............
Glaucoma scrn hgh risk direc .............
Colon ca scrn; barium enema ............
Colon ca scrn; barium enema ............
Colon ca scrn; barium enema ............
Colon ca scrn not hi rsk ind ................
Colon ca scrn not hi rsk ind ................
Colon ca scrn; barium enema ............
Colon ca scrn; barium enema ............
Colon ca scrn; barium enema ............
Screen cerv/vag thin layer ..................
Screen c/v thin layer by MD ...............
Trim nail(s) ..........................................
CORF skilled nursing service .............
Single energy x-ray study ...................
Single energy x-ray study ...................
Single energy x-ray study ...................
Scr c/v cyto,autosys and md ..............
Scr c/v cyto,thinlayer,rescr ..................
Scr c/v cyto,thinlayer,rescr ..................
Scr c/v cyto,thinlayer,rescr ..................
Scr c/v cyto, automated sys ...............
Scr c/v cyto, autosys, rescr ................
Extrnl counterpulse, per tx ..................
Wound closure by adhesive ...............
Linear acc stereo radsur com .............
OPPS Service,sched team conf .........
OPPS/PHP;activity therapy .................
OPPS/PHP; train & educ serv ............
MD recertification HHA PT .................
MD certification HHA patient ..............
Home health care supervision ............
Hospice care supervision ....................
Dstry eye lesn,fdr vssl tech ................
Screeningmammographydigital ...........
Screeningmammographydigital ...........
Screeningmammographydigital ...........
Diagnosticmammographydigital ..........
Diagnosticmammographydigital ..........
Diagnosticmammographydigital ..........
Diagnosticmammographydigital ..........
Diagnosticmammographydigital ..........
Diagnosticmammographydigital ..........
PET img wholbod melano nonco ........
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.45
0.17
0.00
0.96
3.69
0.96
0.99
0.00
0.99
0.00
0.00
0.45
0.17
0.99
0.00
0.99
3.69
0.96
0.99
0.00
0.99
0.00
0.42
0.17
0.08
0.22
0.00
0.22
0.42
0.00
0.00
0.00
0.00
0.00
0.07
0.45
0.00
0.00
0.00
0.00
0.45
0.67
1.73
1.73
0.00
0.70
0.00
0.70
0.87
0.00
0.87
0.70
0.00
0.70
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.48
0.32
0.00
2.52
6.39
2.52
4.95
4.60
0.35
0.59
0.31
0.76
0.71
4.95
4.60
0.35
6.39
2.52
5.65
5.42
0.23
0.00
0.38
0.38
0.02
0.55
0.49
0.06
0.38
0.00
0.00
0.00
0.00
0.00
4.50
1.58
0.00
0.00
0.00
0.00
0.48
0.56
0.80
0.82
0.00
2.81
2.57
0.24
3.40
3.10
0.30
2.67
2.43
0.24
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.50
0.36
0.00
2.40
6.27
2.40
3.75
3.42
0.33
0.71
0.40
0.74
0.62
3.75
3.42
0.33
6.27
2.40
4.11
3.81
0.30
0.00
0.26
0.32
0.02
0.72
0.65
0.07
0.26
0.00
0.00
0.00
0.00
0.00
4.04
1.76
0.00
0.00
0.00
0.00
0.75
0.91
1.14
1.24
0.00
2.79
2.56
0.23
3.09
2.80
0.29
2.46
2.23
0.23
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.06
0.00
0.62
1.82
0.62
NA
NA
0.35
NA
NA
NA
NA
NA
NA
0.35
1.82
0.62
NA
NA
0.23
0.00
0.38
0.04
0.02
NA
NA
0.06
0.38
0.00
0.00
0.00
0.00
0.00
NA
0.21
0.00
0.00
0.00
0.00
NA
NA
NA
NA
0.00
NA
NA
0.24
NA
NA
0.30
NA
NA
0.24
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
NA
0.06
0.00
0.56
1.65
0.56
NA
NA
0.33
NA
NA
NA
NA
NA
NA
0.33
1.65
0.56
NA
NA
0.30
0.00
0.26
0.06
0.02
NA
NA
0.07
0.26
0.00
0.00
0.00
0.00
0.00
NA
0.21
0.00
0.00
0.00
0.00
NA
NA
NA
NA
0.00
NA
NA
0.23
NA
NA
0.29
NA
NA
0.23
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.02
0.01
0.00
0.08
0.30
0.08
0.17
0.13
0.04
0.01
0.01
0.01
0.01
0.17
0.13
0.04
0.30
0.08
0.18
0.13
0.05
0.00
0.02
0.01
0.01
0.06
0.05
0.01
0.02
0.00
0.00
0.00
0.00
0.00
0.01
0.03
0.00
0.00
0.00
0.00
0.02
0.03
0.07
0.07
0.00
0.10
0.07
0.03
0.11
0.07
0.04
0.09
0.06
0.03
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
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XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
XXX
XXX
XXX
XXX
XXX
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
YYY
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
2702
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
sroberts on PROD1PC70 with RULES
CPT1/
HCPCS
G0219
G0219
G0235
G0235
G0235
G0237
G0238
G0239
G0245
G0246
G0247
G0248
G0249
G0250
G0251
G0252
G0252
G0252
G0255
G0255
G0255
G0257
G0259
G0260
G0268
G0269
G0270
G0271
G0275
G0278
G0281
G0282
G0283
G0288
G0289
G0290
G0291
G0293
G0294
G0295
G0297
G0300
G0302
G0303
G0304
G0305
G0306
G0307
G0308
G0309
G0310
G0311
G0312
G0313
G0314
G0315
G0316
G0317
G0318
G0319
G0320
G0321
G0322
G0323
G0324
G0325
G0326
G0327
G0328
G0329
G0332
G0333
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
...
Mod
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
N
N
N
N
N
A
A
A
R
R
R
R
R
R
E
N
N
N
N
N
N
E
E
E
A
B
A
A
A
A
A
N
A
A
A
E
E
E
E
N
X
X
X
X
X
X
X
X
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
X
A
A
X
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
PET img wholbod melano nonco ........
PET img wholbod melano nonco ........
PET not otherwise specified ...............
PET not otherwise specified ...............
PET not otherwise specified ...............
Therapeutic procd strg endur .............
Oth resp proc, indiv ............................
Oth resp proc, group ...........................
Initial foot exam pt lops .......................
Followup eval of foot pt lop ................
Routine footcare pt w lops ..................
Demonstrate use home inr mon .........
Provide test material,equipm ..............
MD review interpret of test .................
Linear acc based stero radio ..............
PET imaging initial dx .........................
PET imaging initial dx .........................
PET imaging initial dx .........................
Current percep threshold tst ...............
Current percep threshold tst ...............
Current percep threshold tst ...............
Unsched dialysis ESRD pt hos ...........
Inject for sacroiliac joint ......................
Inj for sacroiliac jt anesth ....................
Removal of impacted wax md ............
Occlusive device in vein art ................
MNT subs tx for change dx ................
Group MNT 2 or more 30 mins ..........
Renal angio, cardiac cath ...................
Iliac art angio,cardiac cath ..................
Elec stim unattend for press ...............
Elect stim wound care not pd .............
Elec stim other than wound ................
Recon, CTA for surg plan ...................
Arthro, loose body + chondro .............
Drug-eluting stents, single ..................
Drug-eluting stents,each add ..............
Non-cov surg proc,clin trial .................
Non-cov proc, clinical trial ...................
Electromagnetic therapy onc ..............
Insert single chamber/cd .....................
Insert reposit lead dual+gen ...............
Pre-op service LVRS complete ..........
Pre-op service LVRS 10-15dos ..........
Pre-op service LVRS 1-9 dos .............
Post op service LVRS min 6 ..............
CBC/diffwbc w/o platelet .....................
CBC without platelet ...........................
ESRD related svc 4+mo < 2yrs ..........
ESRD related svc 2-3mo <2yrs ..........
ESRD related svc 1 vst <2yrs ............
ESRD related svs 4+mo 2-11yr ..........
ESRD relate svs 2-3 mo 2-11y ...........
ESRD related svs 1 mon 2-11y ..........
ESRD related svs 4+ mo 12-19 ..........
ESRD related svs 2-3mo/12-19 ..........
ESRD related svs 1vis/12-19y ............
ESRD related svs 4+mo 20+yrs .........
ESRD related svs 2-3 mo 20+y ..........
ESRD related svs 1visit 20+y .............
ESD related svs home undr 2 ............
ESRDrelatedsvs home mo 2-11y .......
ESRD related svs hom mo12-19 ........
ESRD related svs home mo 20+ ........
ESRD relate svs home/dy <2yr ..........
ESRD relate home/day/ 2-11yr ...........
ESRD relate home/dy 12-19yr ............
ESRD relate home/dy 20+yrs .............
Fecal blood scrn immunoassay ..........
Electromagntic tx for ulcers ................
Preadmin IV immunoglobulin ..............
Dispense fee initial 30 day .................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.88
0.45
0.50
0.00
0.00
0.18
0.00
0.00
0.00
1.50
0.00
0.00
0.00
0.00
0.00
0.00
0.61
0.00
0.37
0.25
0.25
0.25
0.18
0.00
0.18
0.00
1.48
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
12.74
10.61
8.49
9.73
8.11
6.49
8.28
6.90
5.52
5.09
4.24
3.39
10.61
8.11
6.90
4.24
0.35
0.23
0.27
0.14
0.00
0.06
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.21
0.23
0.31
0.84
0.55
0.68
3.41
3.40
0.08
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.66
0.00
0.12
0.08
NA
NA
0.14
0.00
0.14
1.03
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.57
4.16
2.78
3.55
2.70
1.84
3.39
2.56
1.66
2.25
1.69
1.13
2.69
1.99
1.71
1.14
0.16
0.09
0.10
0.06
0.00
0.15
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.34
0.36
0.32
0.81
0.55
0.60
5.01
3.68
0.07
0.00
0.00
0.00
0.60
0.00
0.00
0.00
0.00
0.00
0.00
0.65
0.00
0.29
0.13
NA
NA
0.12
0.00
0.12
5.83
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
7.06
5.63
4.24
4.13
3.31
2.49
3.90
3.12
2.30
2.56
2.04
1.52
4.90
2.95
2.69
1.76
0.20
0.10
0.11
0.07
0.00
0.15
1.97
0.00
NA
0.00
NA
NA
0.00
NA
NA
NA
0.29
0.15
0.16
NA
NA
NA
0.00
NA
NA
0.00
NA
NA
0.00
0.00
0.00
0.00
0.20
0.00
0.09
0.07
0.13
0.13
NA
0.00
NA
NA
0.58
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
5.57
4.16
2.78
3.55
2.70
1.84
3.39
2.56
1.66
2.25
1.69
1.13
2.69
1.99
1.71
1.14
0.16
0.09
0.10
0.06
0.00
NA
NA
0.00
NA
0.00
NA
NA
0.00
NA
NA
NA
0.30
0.15
0.18
NA
NA
NA
0.00
NA
NA
0.60
NA
NA
0.00
0.00
0.00
0.00
0.22
0.00
0.28
0.12
0.12
0.12
NA
0.00
NA
NA
0.69
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
7.06
5.63
4.24
4.13
3.31
2.49
3.90
3.12
2.30
2.56
2.04
1.52
4.90
2.95
2.69
1.76
0.20
0.10
0.11
0.07
0.00
NA
NA
0.00
0.00
0.00
0.00
0.00
0.00
0.02
0.02
0.02
0.04
0.02
0.02
0.01
0.01
0.01
0.00
0.00
0.00
0.04
0.00
0.00
0.00
0.00
0.00
0.00
0.02
0.00
0.01
0.01
0.01
0.01
0.01
0.00
0.01
0.18
0.26
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.42
0.36
0.28
0.34
0.29
0.22
0.27
0.23
0.17
0.17
0.14
0.11
0.36
0.29
0.23
0.14
0.01
0.01
0.01
0.01
0.00
0.01
0.00
0.00
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
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Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
XXX
XXX
XXX
ZZZ
ZZZ
XXX
XXX
XXX
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
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XXX
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XXX
2703
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM B.—RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICARE PAYMENTS FOR
2008; CORRECTED—Continued
CPT1/
HCPCS
Mod
G0337 ...
G0339 ...
G0340 ...
G0341 ...
G0342 ...
G0343 ...
G0344 ...
G0364 ...
G0365 ...
G0365 ...
G0365 ...
G0366 ...
G0367 ...
G0368 ...
G0372 ...
G0377 ...
G0378 ...
G0379 ...
G0389 ...
G0389 ...
G0389 ...
G0392 ...
G0393 ...
G0394 ...
G0396 ...
G0397 ...
G3001 ...
G9001 ...
G9002 ...
G9003 ...
G9004 ...
G9005 ...
G9006 ...
G9007 ...
G9008 ...
G9009 ...
G9010 ...
G9011 ...
G9012 ...
G9013 ...
G9014 ...
G9016 ...
G9017 ...
G9018 ...
G9019 ...
G9020 ...
G9033 ...
G9034 ...
G9035 ...
G9036 ...
G9041 ...
G9042 ...
G9043 ...
G9044 ...
G9140 ...
M0064 ...
P3001 ....
Q0035 ...
Q0035 ...
Q0035 ...
Q0091 ...
Q0092 ...
Q3001 ...
Q3014 ...
R0070 ...
R0075 ...
R0076 ...
V5299 ....
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
TC ......
26 .......
............
............
............
............
............
............
............
............
Status
X
C
C
A
A
A
A
A
A
A
A
A
A
A
A
X
X
X
A
A
A
A
A
X
A
A
X
X
X
X
X
X
X
X
X
X
X
X
X
N
N
N
X
X
X
X
X
X
X
X
A
A
A
A
X
A
A
A
A
A
A
A
C
X
C
C
B
R
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
........
Physician
work
RVUs2
Description
Hospice evaluation preelecti ...............
Robot lin-radsurg com, first ................
Robt lin-radsurg fractx 2-5 ..................
Percutaneous islet celltrans ................
Laparoscopy islet cell trans ................
Laparotomy islet cell transp ................
Initial preventive exam ........................
Bone marrow aspirate &biopsy ...........
Vessel mapping hemo access ............
Vessel mapping hemo access ............
Vessel mapping hemo access ............
EKG for initial prevent exam ...............
EKG tracing for initial prev ..................
EKG interpret & report preve ..............
MD service required for PMD .............
Administra Part D vaccine ..................
Hospital observation per hr .................
Direct admit hospital observ ...............
Ultrasound exam AAA screen ............
Ultrasound exam AAA screen ............
Ultrasound exam AAA screen ............
AV fistula or graft arterial ....................
AV fistula or graft venous ...................
Blood occult test,colorectal .................
Alcohol/subs interv 15-30mn ..............
Alcohol/subs interv >30 min ................
Admin + supply, tositumomab ............
MCCD, initial rate ................................
MCCD,maintenance rate ....................
MCCD, risk adj hi, initial .....................
MCCD, risk adj lo, initial .....................
MCCD, risk adj, maintenance .............
MCCD, Home monitoring ....................
MCCD, sch team conf ........................
Mccd,phys coor-care ovrsght ..............
MCCD, risk adj, level 3 .......................
MCCD, risk adj, level 4 .......................
MCCD, risk adj, level 5 .......................
Other Specified Case Mgmt ...............
ESRD demo bundle level I .................
ESRD demo bundle-level II ................
Demo-smoking cessation coun ...........
Amantadine HCL 100mg oral .............
Zanamivir,inhalation pwd 10m ............
Oseltamivir phosphate 75mg ..............
Rimantadine HCL 100mg oral ............
Amantadine HCL oral brand ...............
Zanamivir, inh pwdr, brand .................
Oseltamivir phosp, brand ....................
Rimantadine HCL, brand ....................
Low vision rehab occupationa ............
Low vision rehab orient/mobi ..............
Low vision lowvision therapi ...............
Low vision rehabilate teache ..............
Frontier extended stay demo ..............
Visit for drug monitoring ......................
Screening pap smear by phys ............
Cardiokymography ..............................
Cardiokymography ..............................
Cardiokymography ..............................
Obtaining screen pap smear ..............
Set up port xray equipment ................
Brachytherapy Radioelements ............
Telehealth facility fee ..........................
Transport portable x-ray .....................
Transport port x-ray multipl .................
Transport portable EKG ......................
Hearing service ...................................
Fully Implemented
non-facility
PE RVUs2
Year 2008
transitional
non-facility
PE RVUs2
Fully implemented
facility
PE RVUs2
Year 2008
transitional
facility
PE RVUs2
Mal-practice
RVUs2
1.34
0.00
0.00
6.98
11.92
19.85
1.34
0.16
0.25
0.00
0.25
0.17
0.00
0.17
0.17
0.00
0.00
0.00
0.58
0.00
0.58
9.48
6.03
0.00
0.65
1.30
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.44
0.10
0.10
0.10
0.00
0.37
0.42
0.17
0.00
0.17
0.37
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.31
0.00
0.00
NA
NA
NA
1.11
0.16
5.22
5.16
0.06
0.35
0.28
0.07
0.04
0.00
0.00
0.00
2.41
2.21
0.20
48.69
37.15
0.00
0.19
0.34
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.10
0.02
0.02
0.02
0.00
0.91
0.38
0.30
0.25
0.05
0.75
0.47
0.00
0.00
0.00
0.00
0.00
0.00
0.41
0.00
0.00
NA
NA
NA
1.12
0.15
4.61
4.53
0.08
0.42
0.36
0.06
0.22
0.00
0.00
0.00
2.41
2.21
0.20
52.41
40.96
0.00
0.19
0.34
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.20
0.16
0.16
0.13
0.00
0.62
0.26
0.37
0.32
0.05
0.71
0.40
0.00
0.00
0.00
0.00
0.00
0.00
0.31
0.00
0.00
2.36
5.07
8.55
0.43
0.07
NA
NA
0.06
NA
NA
0.07
0.04
0.00
0.00
0.00
NA
NA
0.20
3.39
2.23
0.00
0.15
0.29
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.10
0.02
0.02
0.02
0.00
0.07
0.38
NA
NA
0.05
0.10
0.47
0.00
0.00
0.00
0.00
0.00
0.00
0.41
0.00
0.00
2.48
5.18
8.66
0.45
0.06
NA
NA
0.08
NA
NA
0.06
0.05
0.00
0.00
0.00
NA
NA
0.20
3.47
2.29
0.00
0.15
0.29
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.20
0.16
0.16
0.13
0.00
0.09
0.26
NA
NA
0.05
0.12
0.40
0.00
0.00
0.00
0.00
0.00
0.00
0.09
0.00
0.00
0.48
1.46
2.07
0.10
0.04
0.25
0.23
0.02
0.03
0.02
0.01
0.01
0.00
0.00
0.00
0.11
0.08
0.03
0.62
0.34
0.00
0.01
0.03
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.01
0.01
0.01
0.01
0.00
0.01
0.02
0.03
0.02
0.01
0.02
0.01
0.00
0.00
0.00
0.00
0.00
0.00
sroberts on PROD1PC70 with RULES
1 CPT
Global
XXX
XXX
XXX
000
090
090
XXX
ZZZ
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
000
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not
used for Medicare payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00137
Fmt 4742
Sfmt 4742
E:\FR\FM\15JAR2.SGM
15JAR2
2704
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
2. On pages 66543 through 66545,
Addendum C, Codes with Interim
RVUs, the table is corrected to read as
follows:
ADDENDUM C.—CODES WITH INTERIM RVUS
sroberts on PROD1PC70 with RULES
CPT 1/
HCPCS
20555
20660
20690
20692
20985
20986
20987
21073
22206
22207
22208
23515
23585
23615
23616
23630
23670
23680
24357
24358
24359
24545
24546
24575
24579
24635
24685
25515
25525
25526
25545
25574
25575
25628
26615
26650
26665
26685
26715
26735
26746
26765
26785
27248
27267
27268
27269
27416
27511
27513
27514
27519
27535
27540
27556
27557
27558
27726
27766
27767
27768
27769
27784
27792
27814
27822
27823
27826
27827
27828
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
Status
A
A
A
A
A
C
C
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
Physician
work
RVUs 2
Description
Place ndl musc/tis for rt ......................
Apply, rem fixation device ..................
Apply bone fixation device .................
Apply bone fixation device .................
Cptr-asst dir ms px .............................
Cptr-asst dir ms px io img ..................
Cptr-asst dir ms px pre img ................
Mnpj of tmj w/anesth ..........................
Cut spine 3 col, thor ...........................
Cut spine 3 col, lumb .........................
Cut spine 3 col, addl seg ...................
Treat clavicle fracture .........................
Treat scapula fracture ........................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat dislocation/fracture ....................
Treat dislocation/fracture ....................
Repair elbow, perc .............................
Repair elbow w/deb, open ..................
Repair elbow deb/attch open .............
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat humerus fracture .......................
Treat elbow fracture ...........................
Treat ulnar fracture .............................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of radius .......................
Treat fracture of ulna ..........................
Treat fracture radius & ulna ...............
Treat fracture radius/ulna ...................
Treat wrist bone fracture ....................
Treat metacarpal fracture ...................
Treat thumb fracture ...........................
Treat thumb fracture ...........................
Treat hand dislocation ........................
Treat knuckle dislocation ....................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger fracture, each ..................
Treat finger dislocation .......................
Treat thigh fracture .............................
Cltx thigh fx .........................................
Cltx thigh fx w/mnpj ............................
Optx thigh fx .......................................
Osteochondral knee autograft ............
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treatment of thigh fracture .................
Treat thigh fx growth plate .................
Treat knee fracture .............................
Treat knee fracture .............................
Treat knee dislocation ........................
Treat knee dislocation ........................
Treat knee dislocation ........................
Repair fibula nonunion .......................
Optx medial ankle fx ...........................
Cltx post ankle fx ................................
Cltx post ankle fx w/mnpj ...................
Optx post ankle fx ..............................
Treatment of fibula fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treatment of ankle fracture ................
Treat lower leg fracture ......................
Treat lower leg fracture ......................
Treat lower leg fracture ......................
Fully
implemented
non-facility
PE RVUs 2
Year 2008
transitional
non-facility
PE RVUs 2
Fully
implemented
facility
PE RVUs 2
Year 2008
transitional
facility
PE RVUs 2
6.00
4.00
8.65
16.00
2.50
0.00
0.00
3.33
37.00
36.50
9.66
9.53
14.07
12.12
18.19
10.39
12.12
12.99
5.32
6.54
8.86
12.99
14.73
9.53
11.26
8.64
8.21
8.64
10.37
12.96
7.78
8.64
12.10
9.51
6.91
5.19
7.78
6.91
6.87
7.26
9.59
5.70
6.44
10.64
5.38
7.00
18.75
14.00
14.97
19.11
14.46
13.11
13.27
11.16
12.86
15.76
18.25
14.20
7.73
2.50
5.00
10.00
9.51
9.55
10.46
11.03
12.98
10.92
14.56
18.20
NA
2.28
NA
NA
0.99
0.00
0.00
5.50
NA
NA
3.73
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.62
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.28
NA
NA
0.99
0.00
0.00
5.50
NA
NA
3.73
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
3.62
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
2.18
1.55
3.71
6.79
0.99
0.00
0.00
2.31
17.73
17.61
3.73
6.78
8.08
8.45
12.30
7.00
7.38
8.17
5.15
5.73
6.20
8.37
10.22
7.69
8.29
10.31
7.02
6.97
8.71
11.10
6.95
6.88
8.94
7.34
5.66
5.79
6.47
6.06
5.76
5.84
6.38
4.93
5.15
7.30
4.40
5.02
9.89
8.39
9.66
11.82
10.62
9.49
8.78
8.45
9.46
10.79
11.17
7.68
6.68
3.65
4.30
6.08
6.66
6.89
7.90
9.43
10.21
8.52
11.48
12.76
2.18
1.55
3.71
6.79
0.99
0.00
0.00
2.31
17.73
17.61
3.73
6.78
8.08
8.45
12.30
7.00
7.38
8.17
5.15
5.73
6.20
8.37
10.22
7.69
8.29
10.31
7.02
6.97
8.71
11.10
6.95
6.88
8.94
7.34
5.66
5.79
6.47
6.06
5.76
5.84
6.38
4.93
5.15
7.30
4.40
5.02
9.89
8.39
9.66
11.82
10.62
9.49
8.78
8.45
9.46
10.79
11.17
7.68
6.68
3.65
4.30
6.08
6.66
6.89
7.90
9.43
10.21
8.52
11.48
12.76
Malpractice
RVUs 2
0.43
0.59
0.59
1.05
0.48
0.00
0.00
0.43
6.23
6.07
2.07
1.28
1.54
1.62
3.70
1.27
1.36
1.76
0.87
1.07
1.41
1.83
2.74
1.87
2.03
2.29
1.52
1.59
2.13
2.20
1.53
1.21
1.82
1.37
0.86
0.94
0.90
1.09
0.91
0.95
0.91
0.66
0.68
1.82
0.89
1.16
2.93
2.32
2.38
3.13
3.01
2.56
2.01
2.28
2.51
2.98
3.09
1.43
1.44
0.30
0.79
1.45
1.23
1.32
1.86
1.92
2.26
1.47
2.44
2.82
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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15JAR2
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000
000
090
090
ZZZ
ZZZ
ZZZ
090
090
090
ZZZ
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
2705
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM C.—CODES WITH INTERIM RVUS—Continued
sroberts on PROD1PC70 with RULES
CPT 1/
HCPCS
27829
27832
28415
28420
28445
28446
28465
28485
28505
28525
28555
28585
28615
28645
28675
29828
29904
29905
29906
29907
31500
33257
33258
33259
33864
34806
35523
36591
36592
36593
36620
41019
43760
49203
49204
49205
49440
49441
49442
49446
49450
49451
49452
49460
49465
50385
50386
50593
51797
52649
55920
57284
57285
57423
58570
58571
58572
58573
67041
67042
67043
67113
67229
68816
75557
75558
75559
75560
75561
75562
75563
75564
78811
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
26
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
26
26
26
26
26
26
26
26
26
Status
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
T
T
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
N
A
N
A
N
A
N
A
Physician
work
RVUs 2
Description
Treat lower leg joint ............................
Treat lower leg dislocation .................
Treat heel fracture ..............................
Treat/graft heel fracture ......................
Treat ankle fracture ............................
Osteochondral talus autogrft ..............
Treat midfoot fracture, each ...............
Treat metatarsal fracture ....................
Treat big toe fracture ..........................
Treat toe fracture ................................
Repair foot dislocation ........................
Repair foot dislocation ........................
Repair foot dislocation ........................
Repair toe dislocation .........................
Repair of toe dislocation .....................
Arthroscopy biceps tenodesis ............
Subtalar arthro w/fb rmvl ....................
Subtalar arthro w/exc .........................
Subtalar arthro w/deb .........................
Subtalar arthro w/fusion .....................
Insert emergency airway ....................
Ablate atria, lmtd, add-on ...................
Ablate atria, x10sv, add-on ................
Ablate atria w/bypass add-on .............
Ascending aortic graft .........................
Aneurysm press sensor add-on .........
Artery bypass graft .............................
Draw blood off venous device ............
Collect blood from picc .......................
Declot vascular device .......................
Insertion catheter, artery ....................
Place needles h&n for rt .....................
Change gastrostomy tube ..................
Exc abd tum 5 cm or less ..................
Exc abd tum over 5 cm ......................
Exc abd tum over 10 cm ....................
Place gastrostomy tube perc ..............
Place duod/jej tube perc .....................
Place cecostomy tube perc ................
Change g-tube to g-j perc ..................
Replace g/c tube perc ........................
Replace duod/jej tube perc ................
Replace g-j tube perc .........................
Fix g/colon tube w/device ...................
Fluoro exam of g/colon tube ..............
Change stent via transureth ...............
Remove stent via transureth ..............
Perc cryo ablate renal tum .................
Intraabdominal pressure test ..............
2Prostate laser enucleation ................
Place needles pelvic for rt ..................
Repair paravag defect, open ..............
Repair paravag defect, vag ................
Repair paravag defect, lap .................
Tlh, uterus 250 g or less ....................
Tlh w/t/o 250 g or less ........................
Tlh, uterus over 250 g ........................
Tlh w/t/o uterus over 250 g ................
Vit for macular pucker ........................
Vit for macular hole ............................
Vit for membrane dissect ...................
Repair retinal detach, cplx ..................
Tr retinal les preterm inf .....................
Probe nl duct w/balloon ......................
Cardiac mri for morph ........................
Cardiac mri flow/velocity .....................
Cardiac mri w/stress img ....................
Cardiac mri flow/vel/stress .................
Cardiac mri for morph w/dye ..............
Card mri flow/vel w/dye ......................
Card mri w/stress img & dye ..............
Ht mri w/flo/vel/strs & dye ..................
Pet image, ltd area .............................
Fully
implemented
non-facility
PE RVUs 2
Year 2008
transitional
non-facility
PE RVUs 2
Fully
implemented
facility
PE RVUs 2
Year 2008
transitional
facility
PE RVUs 2
8.64
10.01
15.96
17.29
15.53
17.50
8.64
7.28
7.28
5.46
9.49
10.92
10.46
7.28
5.46
13.00
8.50
9.00
9.47
12.00
2.33
9.63
11.00
14.14
60.00
2.06
24.00
0.00
0.00
0.00
1.15
8.84
0.90
20.00
26.00
30.00
4.18
4.77
4.00
3.31
1.36
1.84
2.86
0.96
0.62
4.44
3.30
9.08
0.80
17.16
8.31
14.25
11.52
16.00
15.75
17.56
19.96
22.98
19.00
22.13
22.94
25.00
16.00
3.00
2.35
2.60
2.95
3.00
2.60
2.86
3.00
3.35
1.54
NA
NA
NA
NA
NA
NA
NA
NA
8.28
7.82
10.36
9.45
NA
6.65
7.69
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.51
NA
0.54
0.67
0.60
NA
NA
4.04
NA
NA
NA
25.06
30.13
24.46
25.78
18.97
19.71
23.51
20.59
3.89
30.64
19.38
114.62
0.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
12.75
0.94
0.60
1.27
0.69
1.04
0.66
1.38
0.77
0.53
NA
NA
NA
NA
NA
NA
NA
NA
8.28
7.82
10.36
9.45
NA
6.65
7.69
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.51
NA
0.54
0.67
0.60
NA
NA
4.04
NA
NA
NA
25.06
30.13
24.46
25.78
18.97
19.71
23.51
20.59
3.89
30.64
19.38
114.62
0.41
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
12.75
0.94
0.60
1.27
0.69
1.04
0.66
1.38
0.77
0.53
6.88
6.50
11.77
11.60
10.26
10.36
6.19
5.51
4.36
3.88
5.99
6.41
8.09
3.95
3.90
8.18
5.89
6.52
6.88
7.87
0.48
5.47
5.99
7.80
20.11
0.51
9.22
NA
NA
NA
0.19
3.28
0.39
7.66
9.27
10.35
1.81
2.01
1.63
1.15
0.44
0.64
1.00
0.31
0.22
2.05
1.61
3.45
0.41
9.32
3.14
6.57
5.16
6.52
6.46
6.95
7.60
8.42
10.37
11.49
12.35
13.75
9.52
2.51
0.94
0.60
1.27
0.69
1.04
0.66
1.38
0.77
0.53
6.88
6.50
11.77
11.60
10.26
10.36
6.19
5.51
4.36
3.88
5.99
6.41
8.09
3.95
3.90
8.18
5.89
6.52
6.88
7.87
0.48
5.47
5.99
7.80
20.11
0.51
9.22
NA
NA
NA
0.19
3.28
0.39
7.66
9.27
10.35
1.81
2.01
1.63
1.15
0.44
0.64
1.00
0.31
0.22
2.05
1.61
3.45
0.41
9.32
3.14
6.57
5.16
6.52
6.46
6.95
7.60
8.42
10.37
11.49
12.35
13.75
9.52
2.51
0.94
0.60
1.27
0.69
1.04
0.66
1.38
0.77
0.53
Malpractice
RVUs 2
0.95
1.03
2.67
2.81
2.59
2.45
1.10
0.83
0.56
0.49
1.04
1.25
1.30
0.57
0.45
2.17
1.25
1.32
1.39
1.90
0.17
0.89
1.09
1.78
6.73
0.30
2.14
0.01
0.01
0.37
0.07
0.59
0.09
2.27
2.94
3.40
0.49
0.29
0.24
0.18
0.08
0.11
0.18
0.05
0.03
0.27
0.20
0.58
0.12
1.11
0.58
1.41
0.63
1.65
1.82
1.81
2.31
2.28
0.86
1.00
1.04
1.13
0.71
0.16
0.10
0.11
0.10
0.11
0.11
0.11
0.11
0.13
0.11
——————————
1 CPT
codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not used for Medicare
payment.
VerDate Aug<31>2005
18:30 Jan 14, 2008
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PO 00000
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Fmt 4742
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E:\FR\FM\15JAR2.SGM
15JAR2
Global
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
090
000
ZZZ
ZZZ
ZZZ
090
ZZZ
090
XXX
XXX
XXX
000
000
000
090
090
090
010
010
010
000
000
000
000
000
000
000
000
010
ZZZ
090
000
090
090
090
090
090
090
090
090
090
090
090
090
010
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
2706
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM C.—CODES WITH INTERIM RVUS—Continued
CPT 1/
HCPCS
78812
78813
78814
78815
78816
86486
88380
88381
90769
90770
90771
93503
93982
95004
95024
95027
95980
95981
95982
96125
98966
98967
98968
98969
99174
99366
99367
99368
99406
99407
99408
99409
99441
99442
99443
99444
99477
G0396
G0397
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
....
Mod
Status
26
26
26
26
26
............
26
26
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
............
A
A
A
A
A
A
A
A
A
A
A
A
R
A
A
A
A
A
A
A
N
N
N
N
N
B
B
B
A
A
N
N
N
N
N
N
A
A
A
Physician
work
RVUs 2
Description
Pet image, skull-thigh .........................
Pet image, full body ............................
Pet image w/ct, lmtd ...........................
Pet image w/ct, skull-thigh .................
Pet image w/ct, full body ....................
Skin test, nos antigen .........................
Microdissection, laser .........................
Microdissection, manual .....................
Sc ther infusion, up to 1 hr .................
Sc ther infusion, addl hr .....................
Sc ther infusion, reset pump ..............
Insert/place heart catheter ..................
Aneurysm pressure sens study ..........
Percut allergy skin tests .....................
Id allergy test, drug/bug ......................
Id allergy titrate-airborne ....................
Io anal gast n-stim init ........................
Io anal gast n-stim subsq ...................
Io ga n-stim subsq w/reprog ...............
Cognitive test by hc pro .....................
Hc pro phone call 5-10 min ................
Hc pro phone call 11-20 min ..............
Hc pro phone call 21-30 min ..............
Online service by hc pro ....................
Ocular photoscreening .......................
Team conf w/pat by hc pro ................
Team conf w/o pat by phys ................
Team conf w/o pat by hc pro .............
Behav chng smoking 3-10 min ...........
Behav chng smoking < 10 min ..........
Audit/dast, 15-30 min .........................
Audit/dast, over 30 min ......................
Phone e/m by phys 5-10 min .............
Phone e/m by phys 11-20 min ...........
Phone e/m by phys 21-30 min ...........
Online e/m by phys ............................
Init day hosp neonate care .................
Alcohol/subs interv 15-30mn ..............
Alcohol/subs interv > 30 min ..............
Fully
implemented
non-facility
PE RVUs 2
Year 2008
transitional
non-facility
PE RVUs 2
Fully
implemented
facility
PE RVUs 2
Year 2008
transitional
facility
PE RVUs 2
1.93
2.00
2.20
2.44
2.50
0.00
1.56
1.18
0.21
0.18
0.00
2.91
0.30
0.01
0.01
0.01
0.80
0.30
0.65
1.70
0.25
0.50
0.75
0.00
0.00
0.82
1.10
0.72
0.24
0.50
0.65
1.30
0.25
0.50
0.75
0.00
7.00
0.65
1.30
0.66
0.69
0.75
0.84
0.86
0.13
0.43
0.32
3.93
0.22
1.86
NA
0.80
0.13
0.16
0.12
NA
0.44
0.47
0.76
0.09
0.14
0.20
0.00
0.00
0.20
0.25
0.16
0.10
0.18
0.19
0.34
0.09
0.14
0.20
0.00
1.98
0.19
0.34
0.66
0.69
0.75
0.84
0.86
0.13
0.43
0.32
3.93
0.22
1.86
NA
0.80
0.13
0.16
0.12
NA
0.44
0.47
0.76
0.09
0.14
0.20
0.00
0.00
0.20
0.25
0.16
0.10
0.18
0.19
0.34
0.09
0.14
0.20
0.00
1.98
0.19
0.34
0.66
0.69
0.75
0.84
0.86
NA
0.43
0.32
NA
NA
NA
NA
NA
NA
NA
NA
0.25
0.12
0.18
0.37
0.06
0.11
0.17
0.00
0.00
0.19
0.25
0.16
0.08
0.15
0.15
0.30
0.06
0.11
0.17
0.00
1.98
0.15
0.29
0.66
0.69
0.75
0.84
0.86
NA
0.43
0.32
NA
NA
NA
NA
NA
NA
NA
NA
0.25
0.12
0.18
0.37
0.06
0.11
0.17
0.00
0.00
0.19
0.25
0.16
0.08
0.15
0.15
0.30
0.06
0.11
0.17
0.00
1.98
0.15
0.29
Malpractice
RVUs 2
0.11
0.11
0.11
0.11
0.11
0.02
0.07
0.06
0.06
0.04
0.01
0.20
0.01
0.01
0.01
0.01
0.07
0.02
0.05
0.16
0.01
0.02
0.03
0.00
0.00
0.06
0.05
0.03
0.01
0.01
0.01
0.03
0.02
0.02
0.03
0.00
0.32
0.01
0.03
Global
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
ZZZ
ZZZ
000
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
XXX
1
CPT codes and descriptions only are copyright 2007 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 If values are reflected for codes not payable by Medicare, please note that these values have been established as a courtesy to the general public and are not
used for Medicare payment.
3. On pages 66545 through 66546,
Addendum D, 2008 Geographic
Adjustment Factors (GAFs), the table is
corrected to read as follows:
ADDENDUM D.—2008 GEOGRAPHIC ADJUSTMENT FACTORS (GAFS) BY MEDICARE LOCALITY
sroberts on PROD1PC70 with RULES
Carrier
31140
31140
31140
00803
00803
31140
31143
14330
31140
00805
00903
31146
31146
31146
00591
00952
00590
00953
00805
00952
00865
00833
00831
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
VerDate Aug<31>2005
Locality
06
05
09
01
02
07
01
04
03
01
01
26
17
18
00
16
04
01
99
15
01
01
01
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
Locality name
GAF
San Mateo, CA ........................................................................................................................................................
San Francisco, CA ..................................................................................................................................................
Santa Clara, CA ......................................................................................................................................................
Manhattan, NY ........................................................................................................................................................
NYC Suburbs/Long I., NY .......................................................................................................................................
Oakland/Berkeley, CA .............................................................................................................................................
Metropolitan Boston ................................................................................................................................................
Queens, NY .............................................................................................................................................................
Marin/Napa/Solano, CA ...........................................................................................................................................
Northern NJ .............................................................................................................................................................
DC + MD/VA Suburbs .............................................................................................................................................
Anaheim/Santa Ana, CA .........................................................................................................................................
Ventura, CA .............................................................................................................................................................
Los Angeles, CA .....................................................................................................................................................
Connecticut ..............................................................................................................................................................
Chicago, IL ..............................................................................................................................................................
Miami, FL .................................................................................................................................................................
Detroit, MI ................................................................................................................................................................
Rest of New Jersey .................................................................................................................................................
Suburban Chicago, IL .............................................................................................................................................
Metropolitan Philadelphia, PA .................................................................................................................................
Hawaii/Guam ...........................................................................................................................................................
Alaska ......................................................................................................................................................................
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Jkt 214001
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Frm 00140
Fmt 4701
Sfmt 4701
E:\FR\FM\15JAR2.SGM
15JAR2
1.231
1.228
1.207
1.174
1.171
1.154
1.143
1.137
1.133
1.130
1.126
1.124
1.102
1.100
1.096
1.093
1.092
1.090
1.078
1.074
1.072
1.050
1.045
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
2707
ADDENDUM D.—2008 GEOGRAPHIC ADJUSTMENT FACTORS (GAFS) BY MEDICARE LOCALITY—Continued
sroberts on PROD1PC70 with RULES
Carrier
00836
31143
00803
00901
00590
00524
00511
00900
00900
00834
31140
31146
00902
00900
00835
31144
00900
00528
00952
00900
00973
00900
00824
31142
00901
03102
00740
00590
00953
00836
00523
00883
00954
00865
31145
00904
03502
00900
00801
00951
00952
05535
00521
00630
00511
00900
00835
00884
00528
05440
00880
00650
00740
31142
00660
00510
05130
03602
00826
00512
00655
03202
00522
00523
00740
03402
00520
03302
00973
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
Locality
02
99
03
01
03
01
01
11
18
00
99
99
01
31
01
40
09
01
12
28
50
15
01
03
99
00
02
99
99
99
01
00
00
99
50
00
09
20
99
00
99
00
05
00
99
99
99
16
99
35
01
00
04
99
00
00
00
21
00
00
00
01
00
99
99
02
13
01
20
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
Locality name
GAF
Seattle (King Cnty), WA ..........................................................................................................................................
Rest of Massachusetts ............................................................................................................................................
Poughkpsie/N NYC Suburbs, NY ............................................................................................................................
Baltimore/Surr. Cntys, MD ......................................................................................................................................
Fort Lauderdale, FL .................................................................................................................................................
Rhode Island ...........................................................................................................................................................
Atlanta, GA ..............................................................................................................................................................
Dallas, TX ................................................................................................................................................................
Houston, TX ............................................................................................................................................................
Nevada ....................................................................................................................................................................
Rest of California * ...................................................................................................................................................
Rest of California * ...................................................................................................................................................
Delaware .................................................................................................................................................................
Austin, TX ................................................................................................................................................................
Portland, OR ............................................................................................................................................................
New Hampshire .......................................................................................................................................................
Brazoria, TX ............................................................................................................................................................
New Orleans, LA .....................................................................................................................................................
East St. Louis, IL .....................................................................................................................................................
Fort Worth, TX .........................................................................................................................................................
Virgin Islands ...........................................................................................................................................................
Galveston, TX ..........................................................................................................................................................
Colorado ..................................................................................................................................................................
Southern Maine .......................................................................................................................................................
Rest of Maryland .....................................................................................................................................................
Arizona ....................................................................................................................................................................
Metropolitan Kansas City, MO ................................................................................................................................
Rest of Florida .........................................................................................................................................................
Rest of Michigan .....................................................................................................................................................
Rest of Washington .................................................................................................................................................
Metropolitan St Louis, MO ......................................................................................................................................
Ohio .........................................................................................................................................................................
Minnesota ................................................................................................................................................................
Rest of Pennsylvania ..............................................................................................................................................
Vermont ...................................................................................................................................................................
Virginia .....................................................................................................................................................................
Utah .........................................................................................................................................................................
Beaumont, TX .........................................................................................................................................................
Rest of New York ....................................................................................................................................................
Wisconsin ................................................................................................................................................................
Rest of Illinois ..........................................................................................................................................................
North Carolina .........................................................................................................................................................
New Mexico .............................................................................................................................................................
Indiana .....................................................................................................................................................................
Rest of Georgia .......................................................................................................................................................
Rest of Texas ..........................................................................................................................................................
Rest of Oregon ........................................................................................................................................................
West Virginia ...........................................................................................................................................................
Rest of Louisiana ....................................................................................................................................................
Tennessee ...............................................................................................................................................................
South Carolina .........................................................................................................................................................
Kansas * ...................................................................................................................................................................
Kansas * ...................................................................................................................................................................
Rest of Maine ..........................................................................................................................................................
Kentucky ..................................................................................................................................................................
Alabama ..................................................................................................................................................................
Idaho ........................................................................................................................................................................
Wyoming ..................................................................................................................................................................
Iowa .........................................................................................................................................................................
Mississippi ...............................................................................................................................................................
Nebraska .................................................................................................................................................................
Montana ...................................................................................................................................................................
Oklahoma ................................................................................................................................................................
Rest of Missouri * ....................................................................................................................................................
Rest of Missouri * ....................................................................................................................................................
South Dakota ...........................................................................................................................................................
Arkansas ..................................................................................................................................................................
North Dakota ...........................................................................................................................................................
Puerto Rico ..............................................................................................................................................................
* Indicates multiple carriers.
VerDate Aug<31>2005
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00141
Fmt 4701
Sfmt 4701
E:\FR\FM\15JAR2.SGM
15JAR2
1.045
1.042
1.040
1.037
1.033
1.031
1.024
1.022
1.021
1.019
1.014
1.014
1.012
1.001
0.996
0.994
0.994
0.993
0.992
0.989
0.989
0.986
0.983
0.981
0.981
0.980
0.980
0.977
0.976
0.973
0.971
0.970
0.967
0.956
0.953
0.950
0.948
0.946
0.945
0.943
0.941
0.937
0.936
0.935
0.931
0.931
0.930
0.925
0.923
0.923
0.920
0.917
0.917
0.915
0.912
0.910
0.909
0.907
0.906
0.902
0.902
0.898
0.898
0.889
0.889
0.889
0.888
0.887
0.789
2708
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
4. On pages 66546 through 66547,
Addendum E, 2008*** Geographic
Practice Cost Indices by State and
Medicare Locality, the table is corrected
to read as follows:
ADDENDUM E.—2008** GEOGRAPHIC PRACTICE COST INDICES BY STATE AND MEDICARE LOCALITY
2008 GPCIs
Carrier
Locality
Locality name
sroberts on PROD1PC70 with RULES
Work
00510
00831
03102
00520
31146
31146
31140
31140
31140
31140
31140
31146
31140
31146
00824
00591
00903
00902
00590
00590
00590
00511
00511
00833
05130
00952
00952
00952
00952
00630
00826
00650
00740
00660
00528
00528
31142
31142
00901
00901
31143
31143
00953
00953
00954
00512
00523
00740
00523
00740
03202
00655
00834
31144
00805
00805
00521
00803
00803
00803
14330
00801
05535
03302
00883
00522
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
VerDate Aug<31>2005
00
01
00
13
26
18
03
07
05
06
09
17
99
99
01
00
01
01
03
04
99
01
99
01
00
12
15
16
99
00
00
00
04
00
01
99
03
99
01
99
01
99
01
99
00
00
01
02
99
99
01
00
00
40
01
99
05
01
02
03
04
99
00
01
00
00
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
Alabama ..................................................................................................................................
Alaska .....................................................................................................................................
Arizona ....................................................................................................................................
Arkansas .................................................................................................................................
Anaheim/Santa Ana, CA .........................................................................................................
Los Angeles, CA .....................................................................................................................
Marin/Napa/Solano, CA ..........................................................................................................
Oakland/Berkeley, CA .............................................................................................................
San Francisco, CA ..................................................................................................................
San Mateo, CA .......................................................................................................................
Santa Clara, CA ......................................................................................................................
Ventura, CA ............................................................................................................................
Rest of California * ..................................................................................................................
Rest of California * ..................................................................................................................
Colorado ..................................................................................................................................
Connecticut .............................................................................................................................
DC + MD/VA Suburbs .............................................................................................................
Delaware .................................................................................................................................
Fort Lauderdale, FL ................................................................................................................
Miami, FL ................................................................................................................................
Rest of Florida ........................................................................................................................
Atlanta, GA ..............................................................................................................................
Rest of Georgia .......................................................................................................................
Hawaii/Guam ...........................................................................................................................
Idaho .......................................................................................................................................
East St. Louis, IL ....................................................................................................................
Suburban Chicago, IL .............................................................................................................
Chicago, IL ..............................................................................................................................
Rest of Illinois .........................................................................................................................
Indiana ....................................................................................................................................
Iowa .........................................................................................................................................
Kansas * ..................................................................................................................................
Kansas * ..................................................................................................................................
Kentucky .................................................................................................................................
New Orleans, LA .....................................................................................................................
Rest of Louisiana ....................................................................................................................
Southern Maine .......................................................................................................................
Rest of Maine ..........................................................................................................................
Baltimore/Surr. Cntys, MD ......................................................................................................
Rest of Maryland .....................................................................................................................
Metropolitan Boston ................................................................................................................
Rest of Massachusetts ...........................................................................................................
Detroit, MI ...............................................................................................................................
Rest of Michigan .....................................................................................................................
Minnesota ................................................................................................................................
Mississippi ...............................................................................................................................
Metropolitan St Louis, MO ......................................................................................................
Metropolitan Kansas City, MO ................................................................................................
Rest of Missouri * ....................................................................................................................
Rest of Missouri * ....................................................................................................................
Montana ..................................................................................................................................
Nebraska .................................................................................................................................
Nevada ....................................................................................................................................
New Hampshire ......................................................................................................................
Northern NJ .............................................................................................................................
Rest of New Jersey ................................................................................................................
New Mexico ............................................................................................................................
Manhattan, NY ........................................................................................................................
NYC Suburbs/Long I., NY .......................................................................................................
Poughkpsie/N NYC Suburbs, NY ...........................................................................................
Queens, NY ............................................................................................................................
Rest of New York ....................................................................................................................
North Carolina .........................................................................................................................
North Dakota ...........................................................................................................................
Ohio .........................................................................................................................................
Oklahoma ................................................................................................................................
18:30 Jan 14, 2008
Jkt 214001
PO 00000
Frm 00142
Fmt 4701
Sfmt 4701
E:\FR\FM\15JAR2.SGM
15JAR2
PE
MP
0.982
1.017
0.988
0.961
1.034
1.041
1.034
1.053
1.059
1.072
1.083
1.027
1.007
1.007
0.986
1.038
1.047
1.011
0.989
1.000
0.973
1.009
0.979
1.001
0.967
0.989
1.017
1.025
0.975
0.986
0.966
0.968
0.968
0.969
0.986
0.970
0.980
0.962
1.012
0.994
1.029
1.007
1.036
0.998
0.992
0.959
0.993
0.990
0.949
0.949
0.950
0.959
1.002
0.982
1.057
1.042
0.973
1.064
1.051
1.014
1.032
0.997
0.972
0.946
0.993
0.964
0.850
1.098
0.975
0.839
1.254
1.192
1.304
1.330
1.494
1.486
1.419
1.223
1.056
1.056
1.004
1.179
1.235
1.033
1.004
1.059
0.937
1.053
0.878
1.137
0.876
0.929
1.093
1.104
0.877
0.912
0.869
0.881
0.881
0.857
0.995
0.863
1.020
0.889
1.069
0.981
1.311
1.106
1.048
0.922
0.994
0.847
0.943
0.960
0.812
0.812
0.846
0.882
1.036
1.034
1.225
1.124
0.888
1.299
1.286
1.077
1.235
0.919
0.923
0.852
0.930
0.853
0.617
0.828
0.936
0.439
0.874
0.871
0.535
0.531
0.526
0.510
0.485
0.749
0.634
0.634
0.715
0.934
0.972
0.777
1.965
2.703
1.489
0.892
0.889
0.726
0.500
1.757
1.628
1.888
1.196
0.514
0.506
0.632
0.632
0.754
1.066
0.965
0.558
0.558
1.010
0.812
0.787
0.787
2.300
1.287
0.324
0.760
1.001
1.061
0.938
0.938
0.780
0.345
1.067
0.693
1.038
1.038
0.989
1.243
1.493
0.983
1.449
0.544
0.632
0.490
1.097
0.503
2709
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
ADDENDUM E.—2008** GEOGRAPHIC PRACTICE COST INDICES BY STATE AND MEDICARE LOCALITY—Continued
2008 GPCIs
Carrier
Locality
Locality name
Work
00835
00835
00865
00865
00973
00524
00880
03402
05440
00900
00900
00900
00900
00900
00900
00900
00900
03502
31145
00904
00973
00836
00836
00951
00884
03602
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
.......
01
99
01
99
20
01
01
02
35
31
20
09
11
28
15
18
99
09
50
00
50
02
99
00
16
21
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
.........
Portland, OR ...........................................................................................................................
Rest of Oregon .......................................................................................................................
Metropolitan Philadelphia, PA .................................................................................................
Rest of Pennsylvania ..............................................................................................................
Puerto Rico .............................................................................................................................
Rhode Island ...........................................................................................................................
South Carolina ........................................................................................................................
South Dakota ..........................................................................................................................
Tennessee ..............................................................................................................................
Austin, TX ...............................................................................................................................
Beaumont, TX .........................................................................................................................
Brazoria, TX ............................................................................................................................
Dallas, TX ...............................................................................................................................
Fort Worth, TX ........................................................................................................................
Galveston, TX .........................................................................................................................
Houston, TX ............................................................................................................................
Rest of Texas ..........................................................................................................................
Utah .........................................................................................................................................
Vermont ...................................................................................................................................
Virginia ....................................................................................................................................
Virgin Islands ..........................................................................................................................
Seattle (King Cnty), WA ..........................................................................................................
Rest of Washington ................................................................................................................
Wisconsin ................................................................................................................................
West Virginia ...........................................................................................................................
Wyoming .................................................................................................................................
PE
MP
1.002
0.968
1.016
0.993
0.905
1.029
0.975
0.942
0.978
0.991
0.984
1.019
1.009
0.998
0.991
1.016
0.968
0.977
0.968
0.982
0.982
1.014
0.987
0.988
0.973
0.956
1.037
0.926
1.102
0.914
0.696
1.040
0.899
0.870
0.884
1.016
0.868
0.942
1.033
0.971
0.956
1.001
0.872
0.922
0.976
0.941
0.996
1.109
0.976
0.920
0.823
0.848
0.453
0.453
1.492
0.938
0.254
0.946
0.417
0.390
0.615
0.969
1.311
1.250
1.077
1.077
1.250
1.310
1.092
0.841
0.497
0.614
0.998
0.755
0.748
0.592
1.436
0.904
* Indicates multiple carriers.
** 2008 GPCIs are the first year of the update transition.
5. On page 66551, Addendum F, CPT/
HCPCS Imaging Codes Defined by DRA
5102(B), the descriptors for the
following CPT codes are corrected to
read as follows:
ADDENDUM F.—CPT/HCPCS IMAGING
CODES DEFINED BY DRA 5102(B)
HCPCS/
CPT*
92135
92235
92240
92250
92285
92286
........
........
........
........
........
........
Short descriptor
Ophth dx imaging post seg.
Eye exam with photos.
Icg angiography.
Eye exam with photos.
Eye photography.
Internal eye photography.
sroberts on PROD1PC70 with RULES
VerDate Aug<31>2005
Jkt 214001
..........
..........
..........
..........
..........
..........
..........
..........
..........
Brachytx, non-str, Gold-198.
Brachytx, non-str, HDR Ir-192.
Brachytx, NS, Non-HDRIr-192.
Brachytx, non-str, Yttrium-90.
Brachytx, non-str, HA, I-125.
Brachytx, non-str, HA, P-103.
Brachy linear, non-str, P-103.
Brachytx, stranded, P-103.
Brachytx, non-stranded, P103.
PSA screening.
Radiology and Certain Other Imaging
Services
75558
75560
75562
75564
..........
..........
..........
..........
Cardiac MRI flow/velocity.
Cardiac MRI flo/vel/stress.
Card MRI flow/vel w/dye.
Ht MRI w/flow/vel/strs & dye.
Radiation Therapy Services and Supplies
C2637 ..........
Ccta w/wo dye.
Ccta w/wo, quan calcium.
Chest x-ray.
Chest x-ray.
Ob us < 14 wks, single fetus.
Technetium TC-99m
teboroxime.
22:39 Jan 14, 2008
C1716
C1717
C1719
C2616
C2634
C2635
C2636
C2640
C2641
b. Deleting the following entries:
Radiology and Certain Other Imaging
Services
..........
..........
..........
..........
..........
..........
Inj Fe-based MR contrast,
1ml.
Radiation Therapy Services and Supplies
G0103 .........
6. On pages 66575 through 66578,
Addendum I, List of CPT 1/HCPCS
Codes Used to Describe Certain
Designated Health Service Categories 2
Under Section 1877 of the Social
Security Act, the table is corrected by—
a. Correcting the following entries:
0146T
0147T
71010
71015
76801
A9501
Q9953 .........
Brachytx, Ytterbium-169.
IV. Waiver of Proposed Rulemaking
and Delay in Effective Date
We ordinarily publish a notice of
proposed rulemaking in the Federal
Register to provide a period for public
comment before the provisions of a rule
take effect in accordance with section
PO 00000
Frm 00143
Fmt 4701
Sfmt 4701
553(b) of the Administrative Procedure
Act (APA) (5 U.S.C. 553(b)). However,
we can waive the notice and comment
procedures if the Secretary finds, for
good cause, that the notice and
comment process is impracticable,
unnecessary or contrary to the public
interest, and incorporates a statement of
the finding and the reasons therefore in
the rule.
Section 553(d) of the APA ordinarily
requires a 30-day delay in effective date
of final rules after the date of their
publication. This 30-day delay in
effective date can be waived, however,
if an agency finds for good cause that
the delay is impracticable, unnecessary,
or contrary to the public interest, and
the agency incorporates a statement of
the findings and its reasons in the rule
issued.
This correction notice addresses
typographical and technical errors made
in FR Doc. 07–5506, the CY 2008 PFS
final rule with comment period, which
appeared in the November 27, 2007
Federal Register (72 FR 66222), and is,
with limited exceptions as noted in that
rule, effective January 1, 2008. The
provisions of the final rule with
comment period have been subjected
previously to notice and comment
procedures. These corrections contained
in this correction notice are consistent
with, and do not make substantive
E:\FR\FM\15JAR2.SGM
15JAR2
2710
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 / Rules and Regulations
sroberts on PROD1PC70 with RULES
changes to, the payment methodologies
and policies adopted in the CY 2008
PFS final rule with comment period. As
such, this correction notice is intended
to ensure the CY 2008 PFS final rule
with comment period accurately reflects
the policies adopted in that rule. We
find, therefore, for good cause that it is
unnecessary and would be contrary to
the public interest to undertake further
notice and comment procedures to
incorporate these corrections into the
final rule with comment period.
VerDate Aug<31>2005
22:39 Jan 14, 2008
Jkt 214001
For the same reasons, we are also
waiving the 30-day delay in effective
date for this correction notice. We
believe that it is in the public interest
to ensure that the CY 2008 PFS final
rule with comment period accurately
states our policies as of the date they
take effect. Therefore, we find that
delaying the effective date of these
corrections beyond the effective date of
the final rule with comment period
would be contrary to the public interest.
PO 00000
Frm 00144
Fmt 4701
Sfmt 4701
In so doing, we find good cause to waive
the 30-day delay in the effective date.
Authority: (Catalog of Federal Domestic
Assistance Program No. 93.774, Medicare—
Supplementary Medical Insurance Program)
Dated: December 31, 2007.
Ashley Files Flory,
Deputy Executive Secretary to the
Department.
[FR Doc. 07–6308 Filed 12–31–07; 4:47 pm]
BILLING CODE 4120–01–P
E:\FR\FM\15JAR2.SGM
15JAR2
Agencies
[Federal Register Volume 73, Number 10 (Tuesday, January 15, 2008)]
[Rules and Regulations]
[Pages 2568-2710]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 07-6308]
[[Page 2567]]
-----------------------------------------------------------------------
Part II
Department of Health and Human Services
-----------------------------------------------------------------------
Centers for Medicare & Medicaid Services
-----------------------------------------------------------------------
42 CFR Parts 409, 410, 411 et al.
Medicare Program; Revisions to Payment Policies Under the Physician Fee
Schedule, and Other Part B Payment Policies for CY 2008; Revisions to
the Payment Policies of Ambulance Services Under the Ambulance Fee
Schedule for CY 2008; and the Amendment of the E-Prescribing Exemption
for Computer-Generated Facsimile Transmissions; Corrections; Final Rule
Federal Register / Vol. 73, No. 10 / Tuesday, January 15, 2008 /
Rules and Regulations
[[Page 2568]]
-----------------------------------------------------------------------
Department of Health and Human Services
Centers for Medicare & Medicaid Services
42 CFR Parts 409, 410, 411, 413, 414, 415, 418, 423, 424, 482, 484,
and 485
[CMS-1385-CN2]
RIN 0938-A065
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule, and Other Part B Payment Policies for CY 2008;
Revisions to the Payment Policies of Ambulance Services Under the
Ambulance Fee Schedule for CY 2008; and the Amendment of the E-
Prescribing Exemption for Computer-Generated Facsimile Transmissions;
Corrections
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Correction Notice of Final Rule with Comment Period.
-----------------------------------------------------------------------
SUMMARY: This correction notice corrects several technical and
typographical errors in the final rule with comment period that
appeared in the November 27, 2007 Federal Register (72 FR 66222). The
final rule with comment period addressed Medicare Part B payment
policy, including the physician fee schedule (PFS) that is applicable
for calendar year (CY) 2008; the competitive acquisition program (CAP);
clinical lab fee schedule issues; performance standards for diagnostic
testing facilities; conforming and clarifying changes for comprehensive
outpatient rehabilitation facilities (CORFs); physician self-referral
issues; and standards and requirements related to therapy services
under Medicare Parts A and B. The final rule with comment period also
updated the list of services subject to the physician self-referral
prohibitions.
Effective Date: This correction notice is effective January 1, 2008.
FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.
SUPPLEMENTARY INFORMATION:
I. Background
In FR Doc. 07-5506 of November 27, 2007 (72 FR 66222) (hereinafter
referred to as the CY 2008 PFS final rule with comment period), there
were a number of technical and typographical errors that are identified
and corrected in the Correction of Errors section of this notice. The
provisions of this notice are effective as if they had been included in
the CY 2008 PFS final rule with comment period. Accordingly, the
corrections are effective January 1, 2008.
II. Summary of Errors
A. Errors in the Preamble
On page 66276, the third column, the third paragraph, lines are 10
through 13, the sentence ``It is not unusual for us to provide for
discretionary reopening or reconsideration of final agency action'' is
deleted because the sentence was inadvertently repeated.
On page 66392, Table 40, Impact of Final Rule with Comment Period
and Estimated Physician Update on 2008 Payment for Selected Procedures,
the columns for 2008 payment amount and the percent change for both
facility and non-facility are corrected due to a methodological error.
B. Errors in the Addenda
On pages 66410 through 66543, Addendum B, Relative Value Units and
Related Information Used in Determining Medicare Payments for 2008,
incorrect PE RVUs were listed for many CPT codes due to a
methodological error. Therefore, for the convenience of health care
providers and the public, we are republishing Addendum B in its
entirety. In addition, the work RVUs are corrected for CPT code 67113
and the status indicator, work RVUs, and malpractice RVUs are corrected
for CPT code 93503 in this revised addendum.
On pages 66543 through 66545, Addendum C, Codes with Interim RVUs,
incorrect PE RVUs were listed for many CPT codes due to a
methodological error. Therefore, for the convenience of health care
providers and the public, we are republishing Addendum C in its
entirety.
On pages 66545 through 66546, Addendum D, 2008 Geographic
Adjustment Factors (GAFs), we identified errors in the data used to
calculate the GAFs, and therefore, we are republishing Addendum D in
its entirety.
On pages 66546 through 66547, Addendum E, 2008 * * * Geographic
Practice Cost Indices by State and Medicare Locality, we identified
errors in the data used to calculate the Geographic Practice Cost
Indices (GPCIs), and therefore, we are republishing Addendum E in its
entirety.
On pages 66575 through 66578, Addendum I, List of CPT \1\/HCPCS
Codes Used to Describe Certain Designated Health Service Categories \2\
Under Section 1877 of the Social Security Act, Correction to Addendum
I, we incorrectly included CPT code 0147T and its short descriptor
within the short descriptor for CPT code 0146T, and CPT code 71015 and
its short descriptor within the short descriptor for CPT code 71010.
Therefore, we are republishing the entries for CPT 0146T, 0147T, 71010,
and 71015 on separate lines. We are removing CPT codes 75558, 75560,
75562, and 75564 because these codes are considered non-covered
services and were incorrectly included on the Code List. We are
removing HCPCS code C2637 because it is paid for as part of an ASC
service and should not have been included on the Code List. (We note
that when provided in an inpatient or outpatient hospital setting, this
source is considered to be a Designated Health Service.) In addition,
the short descriptor for the HCPCS code G0103 was incorrect, and
therefore, we are revising. Also, we omitted CPT code 76801 and we are
adding it to Addendum I.
III. Correction of Errors
A. Corrections to the Preamble
1. On page 66226, 3rd column, 4th paragraph, lines 5 through 7, the
phrase ``we are applying a separate budget neutrality (BN) adjustor''
is corrected to read ``we applied a separate budget neutrality (BN)
adjustor''.
2. On page 66227, at the top of the 1st column, the formula
``Payment = [(RVU work x budget neutrality adjustor x work GPCI) + (RVU
PE x PE GPCI) + (MP RVU x MP GPCI)] x CF'' is corrected to read
``Payment = [(RVU work x budget neutrality adjustor (round product to
two decimal places) x GPCI work) + (RVU PE x GPCI PE) + (RVU
malpractice x GPCI malpractice)] x CF''.
3. On page 66241, in Table 4, Practice Expense Supply Item
Additions for CY 2008, the 8th row, with the supply description ``fee,
image analysis'' is corrected by deleting this row.
4. On page 66242, in Table 5, Practice Expense Equipment Item
Additions for CY 2008,
a. In the 2nd row, in the 5th column, CPT codes ``7557'' and
``7558'' are corrected to read ``75557'' and ``75558''.
b. In the 5th row, the equipment description ``Camera, ocular
photoscreening, w-laptop and software'' is corrected by deleting this
row.
5. On page 66253, in the 2nd column, following the 2nd full
paragraph, 2nd bullet, line 1, the term ``angioscopy'' is corrected to
read ``angiography''.
6. On page 66254,
a. First column, after the 1st full paragraph, the title of item 2,
lines 3 and 4, the phrase ``(CPT codes 17311 Through 17315)'' is
corrected to read ``(CPT codes 17311 and 17313)''.
[[Page 2569]]
b. Second column, the 2nd full paragraph,
(1) Line 6, the phrase ``17311 through 17315'' is corrected to read
``17311 and 17313''.
(2) Line 11, following the phrase ``created in 2007.'' insert the
sentence ``(Note: CPT codes 17312, 17314, and 17315 are not subject to
the multiple surgery payment reduction because they are add-on
codes.)''
7. On page 66262, 3rd column, 3rd full paragraph, lines 32 through
35, the Web site reference to ``https://www.cmsm.hhs.gov/
CompetitiveAcquisforBios/15____Approved____
Vendor.asp#TopOfPage'' is corrected to read ``https://www.cms.hhs.gov/
CompetitiveAcquisforBios/15____Approved____
Vendor.asp#TopOfPage.''
8. On page 66263, 1st column, 1st partial paragraph, lines 20 and
21, the Web site reference to ``https://www.cms.hhs.gov/manuals/
downloads/pim83co2pdf'' is corrected to read ``https://www.cms.hhs.gov/
Manuals/01_Overview.asp.''
9. On page 66268, 1st column, the last paragraph, line 1, the
phrase ``section 1847B((b)(4)(E)'' is corrected to read ``section
1847B(b)(4)(E)''.
10. On page 66270, 2nd column, 1st full paragraph, line 1, the
phrase ``commercially-available'' is corrected to read ``commercially
available''.
11. On page 66273, 3rd column, 1st full paragraph, lines 14 and 15,
the Web site reference to ``https://www.grants.nih.gov/grants/guide/rfa-
files/FRA-HS-06-001.html'' is corrected to read ``https://
www.grants.nih.gov/grants/guide/rfa-files/RFA-HS-06-001.html.''
12. On page 66276, 3rd column, 3rd full paragraph, lines 10 through
13, the sentence ``It is not unusual for us to provide for
discretionary reopening or reconsideration of final agency action'' is
corrected by deleting the sentence.
13. On page 66285, 3rd column, 1st partial paragraph, line 3, the
term ``Administrator'' is corrected to ``Administrative''.
14. On page 66287, 1st column, 5th full paragraph, line 6, the
phrase ``by noting that term'' is corrected to read ``by noting that
the term''.
15. On page 66291, 1st column, 2nd paragraph, line 14, the phrase
``procedure to another Medicare-enrolled'' is corrected to read
``procedure from another Medicare-enrolled''.
16. On page 66292, 3rd column, 2nd paragraph,
a. Line 6, the phrase ``a fixed-base IDTF does not-'' is corrected
to read ``a fixed-base IDTF is prohibited from--''.
b. Line 7 (1st bullet), the term ``Share'' is corrected to read
``Sharing.''
c. Line 10 (2nd bullet), the phrase ``Lease or sublease'' is
corrected to read ``Leasing or subleasing.''
d. Line 14 (3rd bullet), the term ``Share'' is corrected to read
``Sharing.''
17. On page 66301, 3rd column, 1st partial paragraph, lines 3 and
4, the phrase ``and should not be referring'' is corrected to read
``and should not be understood to refer''.
18. In Table 16, ``AMA RUC and HCPAC Recommendations and CMS'
Decisions for New and Revised 2008 CPT Codes'', in the second column
labeled ``Mod'', the ``26'' following CPT code 93503 is removed.
19. On page 66372, 3rd column, 1st partial paragraph, line 1, the
reference to ``Addendum x'' is corrected to read ``Addendum I.''
20. On pages 66372 and 66373, Table 19, Additions to the Physician
Self-Referral List of CPT/HCPCS Codes, the table is corrected by--
a. Deleting the following entries:
(1) Under the heading ``Radiology and Certain Other Imaging
Services'',
------------------------------------------------------------------------
------------------------------------------------------------------------
Radiology and Certain Other Imaging Services
------------------------------------------------------------------------
75558............................... Cardiac mri flow/velocity.
75560............................... Cardiac mri flow/vel/stress.
75562............................... Card mri flow/vel w/dye.
75564............................... Ht mri w/flow/vel/strs & dye.
------------------------------------------------------------------------
(2). Under the heading ``Radiation Therapy Services and Supplies'',
------------------------------------------------------------------------
------------------------------------------------------------------------
Radiation Therapy Services and Supplies
------------------------------------------------------------------------
C2637............................... Brachytx, Ytterbium-169
------------------------------------------------------------------------
b. Correcting the following entries:
------------------------------------------------------------------------
------------------------------------------------------------------------
C1716............................... Brachytx, non-str, Gold-198.
C1717............................... Brachytx, non-str, HDR Ir-192.
C1719............................... Brachytx, NS, Non-HDRIr-192.
C2616............................... Brachytx, non-str, Yttrium-90.
C2634............................... Brachytx, non-str, HA, I-125.
C2635............................... Brachytx, non-str, HA, P-103.
C2636............................... Brachy linear, non-str, P-103.
C2640............................... Brachytx, stranded, P-103.
C2641............................... Brachytx, non-stranded, P-103.
------------------------------------------------------------------------
21. On page 66383, Table 35, Calculation for the 2008 Anesthesia
Conversion Factor,
a. Third row (2007 Combined Adjustment for PE and BN), 2nd column,
the figure ``0.9089'' is corrected to read ``0.911''.
b. Fourth row (CY 2007 Pre-TRHCA Anesthesia Conversion Factor), 2nd
column, the figure ``$15.3328'' is corrected to read ``$15.3682''.
c. Seventh row (CY 2008 Anesthesia CF after MEI and 2008 Adjustment
Factor), 2nd column, the figure ``$14.5162'' is corrected to read
``$14.5497''.
d. Eighth row (2008 Combined Adjustment for PE and BN), 2nd column,
the figure ``1.1250'' is corrected to read ``1.2277''.
e. Ninth row (CY 2008 Anesthesia Conversion Factor), 2nd column,
the figure ``16.3307'' is corrected to read ``$17.8627''.
22. On page 66391, Table 39, Combined CY 2008 Total Allowed Charge
Impact for the Remaining 5-Year Review of Work RVUs and Practice
Expense Changes, OPPS Imagining Cap, and the CY 2008 Update, the 1st
footnote ``*PE changes are CY 2008 second year transition changes. For
fully implemented CY 2010 PE changes see Table 1.'' is corrected to
read ``*PE changes are CY 2008 second year transition changes. For
fully implemented CY 2010 PE changes see Table 38.''
23. On page 66392, Table 40, Impact of Final Rule with Comment
Period and Estimated Physician Update on 2008 Payment for Selected
Procedures, the columns for 2008 payment amount and the percent change
are corrected to read as follows:
Table 40.--Impact of Final Rule With Comment Period and Physician Update on 2008 Payment for Selected Procedures
----------------------------------------------------------------------------------------------------------------
Facility Non-facility
-----------------------------------------------------------------
CPT/HCPCS MOD Description Percent Percent
2007 2008 change 2007 2008 change
----------------------------------------------------------------------------------------------------------------
11721............. ....... Debride nail, 6 $28.80 $24.53 -15 $39.03 $35.43 -9
or more.
17000............. ....... Destruct premalg 44.72 41.56 -7 63.29 60.30 -5
lesion.
27130............. ....... Total hip 1,360.52 1,195.11 -12 na na na
arthroplasty.
27244............. ....... Treat thigh 1,100.92 963.45 -12 na na na
fracture.
[[Page 2570]]
27447............. ....... Total knee 1,464.74 1,283.69 -12 na na na
arthroplasty.
33533............. ....... CABG, arterial, 1,908.52 1,659.12 -13 na na na
single.
35301............. ....... Rechanneling of 1,071.74 934.83 -13 na na na
artery.
43239............. ....... Upper GI 155.00 140.36 -9 325.16 294.35 -9
endoscopy,
biopsy.
66821............. ....... After cataract 253.53 223.15 -12 270.97 238.14 -12
laser surgery.
66984............. ....... Cataract surg w/ 641.98 560.08 -13 na na na
iol, 1 stage.
67210............. ....... Treatment of 556.34 488.20 -12 580.59 507.96 -13
retinal lesion.
71010............. ....... Chest x-ray...... na na na 26.15 22.83 -13
71010............. 26 Chest x-ray...... 8.72 7.84 -10 8.72 7.84 -10
77056............. ....... Mammogram, both na na na 97.40 93.69 -4
breasts.
77056............. 26 Mammogram, both 41.31 37.48 -9 41.31 37.48 -9
breasts.
77057............. ....... Mammogram, na na na 81.86 73.93 -10
screening.
77057............. 26 Mammogram, 33.35 30.32 -9 33.35 30.32 -9
screening.
77427............. ....... Radiation tx 176.22 158.42 -10 176.22 158.42 -10
management, x5.
78465............. 26 Heart image (3d), 73.14 66.43 -9 73.14 66.43 -9
multiple.
88305............. 26 Tissue exam by 37.90 32.36 -15 37.90 32.36 -15
pathologist.
90801............. ....... Psy dx interview. 129.99 112.08 -14 145.15 131.50 -9
90862............. ....... Medication 44.72 39.18 -12 50.40 46.67 -7
management.
90935............. ....... Hemodialysis, one 67.46 58.26 -14 na na na
evaluation.
92012............. ....... Eye exam 34.11 38.50 13 61.77 62.69 1
established pat.
92014............. ....... Eye exam & 55.71 59.28 6 91.33 90.96 0
treatment.
92980............. ....... Insert 795.85 721.22 -9 na na na
intracoronary
stent.
93000............. ....... Electrocardiogram 24.63 20.78 -16 24.63 20.78 -16
, complete.
93010............. ....... Electrocardiogram 8.34 7.50 -10 8.34 7.50 -10
report.
93015............. ....... Cardiovascular 104.22 93.01 -11 104.22 93.01 -11
stress test.
93307............. 26 Echo exam of 46.99 42.24 -10 46.99 42.24 -10
heart.
93510............. 26 Left heart 242.92 215.65 -11 242.92 215.65 -11
catheterization.
98941............. ....... Chiropractic 28.80 25.55 -11 33.35 29.64 -11
manipulation.
99203............. ....... Office/outpatient 67.08 58.60 -13 91.71 81.42 -11
visit, new.
99213............. ....... Office/outpatient 42.07 37.48 -11 59.50 53.49 -10
visit, est.
99214............. ....... Office/outpatient 66.32 58.60 -12 90.20 80.40 -11
visit, est.
99222............. ....... Initial hospital 119.00 104.59 -12 na na na
care.
99223............. ....... Initial hospital 173.57 153.65 -11 na na na
care.
99231............. ....... Subsequent 35.62 31.68 -11 na na na
hospital care.
99232............. ....... Subsequent 63.67 56.55 -11 na na na
hospital care.
99233............. ....... Subsequent 90.95 81.08 -11 na na na
hospital care.
99236............. ....... Observ/hosp same 205.40 179.20 -13 na na na
date.
99239............. ....... Hospital 94.74 83.13 -12 na na na
discharge day.
99243............. ....... Office 93.23 83.13 -11 122.41 109.36 -11
consultation.
99244............. ....... Office 145.91 130.14 -11 179.26 160.12 -11
consultation.
99253............. ....... Inpatient 108.77 97.09 -11 na na na
consultation.
99254............. ....... Inpatient 156.52 140.02 -11 na na na
consultation.
99283............. ....... Emergency dept 60.64 52.81 -13 na na na
visit.
99284............. ....... Emergency dept 110.28 97.44 -12 na na na
visit.
99291............. ....... Critical care, 208.82 182.61 -13 256.19 224.51 -12
first hour.
99292............. ....... Critical care, 104.60 91.64 -12 114.45 100.16 -12
add'l 30 min.
99348............. ....... Home visit, est na na na 66.32 68.14 3
patient.
99350............. ....... Home visit, est na na na 150.83 139.34 -8
patient.
G0008............. ....... Admin influenza na na na 18.95 18.40 -3
virus vac.
G0317............. ....... ESRD related svs 283.09 245.63 -13 283.09 245.63 -13
4+mo 20+yrs.
----------------------------------------------------------------------------------------------------------------
23. On page 66393,
a. First column, after the 2nd full paragraph, the following
paragraph is inserted as a result of corrections to Addendum D noted
below in this notice. The insertion reads as follows:
``In 2008, the counties with the three highest GAFs were in
California. Thirty-one payment localities had increases in the GAF of
less than one percent. Thirty-eight payment localities had decreases of
less than 1 percent. Fifteen payment localities had decreases of over 1
percent and eight payment localities had increases of over 1 percent.''
b. First column, the 3rd full paragraph and 4th partial paragraph
are deleted as a result of corrections to Addendum D noted below in
this notice.
c. Second column, the 1st partial paragraph is deleted as a result
of corrections to Addendum D noted below in this notice.
B. Corrections to the Addenda
The corrections to Addenda B, C, D, E, F, and I will not appear in
the Code of Federal Regulations.
1. On pages 66410 through 66543, Addendum B, Relative Value Units
and Related Information Used in Determining Medicare Payments for 2008,
the table is corrected to read as follows:
[[Page 2571]]
--------------------
\1\ CPT codes and descriptions only are copyright 2007 American Medical
Association. All Rights Reserved. Applicable FARS/DFARS Apply.
\2\ If values are reflected for codes not payable by Medicare, please
note that these values have been established as a courtesy to the
general public and are not used for Medicare payment.
Addendum B.--Relative Value Units and Related Information Used in Determining Medicare Payments for 2008; Corrected
--------------------------------------------------------------------------------------------------------------------------------------------------------
Fully
Physician Implemented Year 2008 Fully Year 2008 Mal-
CPT\1\/ HCPCS Mod Status Description work non- transitional implemented transitional practice Global
RVUs\2\ facility PE non-facility facility PE facility PE RVUs\2\
RVUs\2\ PE RVUs\2\ RVUs\2\ RVUs\2\
--------------------------------------------------------------------------------------------------------------------------------------------------------
0016T......... ............ C........... Thermotx choroid 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vasc lesion.
0017T......... ............ C........... Photocoagulat 0.00 0.00 0.00 0.00 0.00 0.00 XXX
macular drusen.
0019T......... ............ C........... Extracorp shock wv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx,ms nos.
0026T......... ............ C........... Measure remnant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
lipoproteins.
0027T......... ............ C........... Endoscopic 0.00 0.00 0.00 0.00 0.00 0.00 XXX
epidural lysis.
0028T......... ............ C........... Dexa body 0.00 0.00 0.00 0.00 0.00 0.00 XXX
composition study.
0029T......... ............ C........... Magnetic tx for 0.00 0.00 0.00 0.00 0.00 0.00 XXX
incontinence.
0030T......... ............ C........... Antiprothrombin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
antibody.
0031T......... ............ C........... Speculoscopy...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0032T......... ............ C........... Speculoscopy w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
direct sample.
0041T......... ............ C........... Detect ur infect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
agnt w/cpas.
0042T......... ............ C........... Ct perfusion w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
contrast, cbf.
0043T......... ............ C........... Co expired gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
0046T......... ............ C........... Cath lavage, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mammary duct(s).
0047T......... ............ C........... Cath lavage, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
mammary duct(s).
0048T......... ............ C........... Implant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ventricular
device.
0049T......... ............ C........... External 0.00 0.00 0.00 0.00 0.00 0.00 XXX
circulation
assist.
0050T......... ............ C........... Removal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
circulation
assist.
0051T......... ............ C........... Implant total 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart system.
0052T......... ............ C........... Replace component 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart syst.
0053T......... ............ C........... Replace component 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart syst.
0058T......... ............ C........... Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ovary tiss.
0059T......... ............ C........... Cryopreservation, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
oocyte.
0060T......... ............ C........... Electrical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
impedance scan.
0061T......... ............ C........... Destruction of 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tumor, breast.
0062T......... ............ C........... Rep intradisc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
annulus;1 lev.
0063T......... ............ C........... Rep intradisc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
annulus;>1lev.
0064T......... ............ C........... Spectroscop eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX
expired gas.
0066T......... ............ N........... Ct 0.00 0.00 0.00 NA NA 0.00 XXX
colonography;scre
en.
0066T......... TC.......... N........... Ct 0.00 0.00 0.00 NA NA 0.00 XXX
colonography;scre
en.
0066T......... 26.......... N........... Ct 0.00 0.00 0.00 0.00 0.00 0.00 XXX
colonography;scre
en.
0067T......... ............ C........... Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX
0067T......... TC.......... C........... Ct colonography;dx 0.00 0.00 0.00 NA NA 0.00 XXX
0067T......... 26.......... C........... Ct colonography;dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0068T......... ............ C........... Interp/rept heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sound.
0069T......... ............ C........... Analysis only 0.00 0.00 0.00 0.00 0.00 0.00 XXX
heart sound.
0070T......... ............ C........... Interp only heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sound.
0071T......... ............ C........... U/s leiomyomata 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablate <200.
0072T......... ............ C........... U/s leiomyomata 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ablate >200.
0073T......... ............ A........... Delivery, comp 0.00 13.17 15.60 NA NA 0.13 XXX
imrt.
0075T......... ............ C........... Perq stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0075T......... TC.......... C........... Perq stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0075T......... 26.......... C........... Perq stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0076T......... ............ C........... S&i stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0076T......... TC.......... C........... S&i stent/chest 0.00 0.00 0.00 NA NA 0.00 XXX
vert art.
0076T......... 26.......... C........... S&i stent/chest 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vert art.
0077T......... ............ C........... Cereb therm 0.00 0.00 0.00 0.00 0.00 0.00 XXX
perfusion probe.
0078T......... ............ C........... Endovasc aort repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
w/device.
0079T......... ............ C........... Endovasc visc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extnsn repr.
0080T......... ............ C........... Endovasc aort repr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rad s&i.
0081T......... ............ C........... Endovasc visc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
extnsn s&i.
0084T......... ............ C........... Temp prostate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
urethral stent.
0085T......... ............ C........... Breath test heart 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reject.
0086T......... ............ C........... L ventricle fill 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure.
0087T......... ............ C........... Sperm eval 0.00 0.00 0.00 0.00 0.00 0.00 XXX
hyaluronan.
0088T......... ............ C........... Rf tongue base vol 0.00 0.00 0.00 0.00 0.00 0.00 XXX
reduxn.
0089T......... ............ C........... Actigraphy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
testing, 3-day.
0090T......... ............ C........... Cervical artific 0.00 0.00 0.00 0.00 0.00 0.00 XXX
disc.
0092T......... ............ C........... Artific disc addl. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0093T......... ............ C........... Cervical artific 0.00 0.00 0.00 0.00 0.00 0.00 XXX
diskectomy.
0095T......... ............ C........... Artific diskectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl.
0096T......... ............ C........... Rev cervical 0.00 0.00 0.00 0.00 0.00 0.00 XXX
artific disc.
0098T......... ............ C........... Rev artific disc 0.00 0.00 0.00 0.00 0.00 0.00 XXX
addl.
0099T......... ............ C........... Implant corneal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
ring.
0100T......... ............ C........... Prosth retina 0.00 0.00 0.00 0.00 0.00 0.00 XXX
receive&gen.
0101T......... ............ C........... Extracorp shockwv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx,hi enrg.
0102T......... ............ C........... Extracorp shockwv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx,anesth.
0103T......... ............ C........... Holotranscobalamin 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0104T......... ............ C........... At rest cardio gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rebreathe.
0105T......... ............ C........... Exerc cardio gas 0.00 0.00 0.00 0.00 0.00 0.00 XXX
rebreathe.
0106T......... ............ C........... Touch quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0107T......... ............ C........... Vibrate quant 0.00 0.00 0.00 0.00 0.00 0.00 XXX
sensory test.
0108T......... ............ C........... Cool quant sensory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
[[Page 2572]]
0109T......... ............ C........... Heat quant sensory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
0110T......... ............ C........... Nos quant sensory 0.00 0.00 0.00 0.00 0.00 0.00 XXX
test.
0111T......... ............ C........... Rbc membranes 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fatty acids.
0123T......... ............ C........... Scleral 0.00 0.00 0.00 0.00 0.00 0.00 XXX
fistulization.
0124T......... ............ C........... Conjunctival drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
placement.
0126T......... ............ C........... Chd risk imt study 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0130T......... ............ C........... Chron care drug 0.00 0.00 0.00 0.00 0.00 0.00 XXX
investigatn.
0137T......... ............ C........... Prostate 0.00 0.00 0.00 0.00 0.00 0.00 XXX
saturation
sampling.
0140T......... ............ C........... Exhaled breath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
condensate ph.
0141T......... ............ I........... Perq islet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
0142T......... ............ I........... Open islet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplant.
0143T......... ............ I........... Laparoscopic islet 0.00 0.00 0.00 0.00 0.00 0.00 XXX
transplnt.
0144T......... ............ C........... CT heart wo dye; 0.00 0.00 0.00 NA NA 0.00 XXX
qual calc.
0144T......... TC.......... C........... CT heart wo dye; 0.00 0.00 0.00 NA NA 0.00 XXX
qual calc.
0144T......... 26.......... C........... CT heart wo dye; 0.00 0.00 0.00 0.00 0.00 0.00 XXX
qual calc.
0145T......... ............ C........... CT heart w/wo dye 0.00 0.00 0.00 NA NA 0.00 XXX
funct.
0145T......... TC.......... C........... CT heart w/wo dye 0.00 0.00 0.00 NA NA 0.00 XXX
funct.
0145T......... 26.......... C........... CT heart w/wo dye 0.00 0.00 0.00 0.00 0.00 0.00 XXX
funct.
0146T......... ............ C........... CCTA w/wo dye..... 0.00 0.00 0.00 NA NA 0.00 XXX
0146T......... TC.......... C........... CCTA w/wo dye..... 0.00 0.00 0.00 NA NA 0.00 XXX
0146T......... 26.......... C........... CCTA w/wo dye..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0147T......... ............ C........... CCTA w/wo, quan 0.00 0.00 0.00 NA NA 0.00 XXX
calcium.
0147T......... TC.......... C........... CCTA w/wo, quan 0.00 0.00 0.00 NA NA 0.00 XXX
calcium.
0147T......... 26.......... C........... CCTA w/wo, quan 0.00 0.00 0.00 0.00 0.00 0.00 XXX
calcium.
0148T......... ............ C........... CCTA w/wo, strxr.. 0.00 0.00 0.00 NA NA 0.00 XXX
0148T......... TC.......... C........... CCTA w/wo, strxr.. 0.00 0.00 0.00 NA NA 0.00 XXX
0148T......... 26.......... C........... CCTA w/wo, strxr.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0149T......... ............ C........... CCTA w/wo, strxr 0.00 0.00 0.00 NA NA 0.00 XXX
quan calc.
0149T......... TC.......... C........... CCTA w/wo, strxr 0.00 0.00 0.00 NA NA 0.00 XXX
quan calc.
0149T......... 26.......... C........... CCTA w/wo, strxr 0.00 0.00 0.00 0.00 0.00 0.00 XXX
quan calc.
0150T......... ............ C........... CCTA w/wo, disease 0.00 0.00 0.00 NA NA 0.00 XXX
strxr.
0150T......... TC.......... C........... CCTA w/wo, disease 0.00 0.00 0.00 NA NA 0.00 XXX
strxr.
0150T......... 26.......... C........... CCTA w/wo, disease 0.00 0.00 0.00 0.00 0.00 0.00 XXX
strxr.
0151T......... ............ C........... CT heart funct add- 0.00 0.00 0.00 NA NA 0.00 XXX
on.
0151T......... TC.......... C........... CT heart funct add- 0.00 0.00 0.00 NA NA 0.00 XXX
on.
0151T......... 26.......... C........... CT heart funct add- 0.00 0.00 0.00 0.00 0.00 0.00 XXX
on.
0155T......... ............ C........... Lap impl gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0156T......... ............ C........... Lap remv gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0157T......... ............ C........... Open impl gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0158T......... ............ C........... Open remv gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
curve electrd.
0159T......... ............ C........... Cad breast mri.... 0.00 0.00 0.00 NA NA 0.00 ZZZ
0159T......... TC.......... C........... Cad breast mri.... 0.00 0.00 0.00 NA NA 0.00 ZZZ
0159T......... 26.......... C........... Cad breast mri.... 0.00 0.00 0.00 0.00 0.00 0.00 ZZZ
0160T......... ............ C........... Tcranial magn stim 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx plan.
0161T......... ............ C........... Tcranial magn stim 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx deliv.
0162T......... ............ C........... Anal program gast 0.00 0.00 0.00 0.00 0.00 0.00 XXX
neurostim.
0163T......... ............ C........... Lumb artif 0.00 0.00 0.00 0.00 0.00 0.00 YYY
diskectomy addl.
0164T......... ............ C........... Remove lumb artif 0.00 0.00 0.00 0.00 0.00 0.00 YYY
disc addl.
0165T......... ............ C........... Revise lumb artif 0.00 0.00 0.00 0.00 0.00 0.00 YYY
disc addl.
0166T......... ............ C........... Tcath vsd close w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o bypass.
0167T......... ............ C........... Tcath vsd close w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
bypass.
0168T......... ............ C........... Rhinophototx light 0.00 0.00 0.00 0.00 0.00 0.00 XXX
app bilat.
0169T......... ............ C........... Place stereo cath 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brain.
0170T......... ............ C........... Anorectal fistula 0.00 0.00 0.00 0.00 0.00 0.00 XXX
plug rpr.
0171T......... ............ C........... Lumbar spine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
proces distract.
0172T......... ............ C........... Lumbar spine 0.00 0.00 0.00 0.00 0.00 0.00 XXX
process addl.
0173T......... ............ C........... Iop monit io 0.00 0.00 0.00 0.00 0.00 0.00 XXX
pressure.
0174T......... ............ C........... Cad cxr with 0.00 0.00 0.00 0.00 0.00 0.00 XXX
interp.
0175T......... ............ C........... Cad cxr remote.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0176T......... ............ C........... Aqu canal dilat w/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
o retent.
0177T......... ............ C........... Aqu canal dilat w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
retent.
0178T......... ............ C........... 64 lead ecg w i&r. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0179T......... ............ C........... 64 lead ecg w 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tracing.
0180T......... ............ C........... 64 lead ecg w i&r 0.00 0.00 0.00 0.00 0.00 0.00 XXX
only.
0181T......... ............ C........... Corneal hysteresis 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0182T......... ............ C........... Hdr elect 0.00 0.00 0.00 0.00 0.00 0.00 XXX
brachytherapy.
0183T......... ............ C........... Wound ultrasound.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX
0184T......... ............ C........... Exc rectal tumor 0.00 0.00 0.00 0.00 0.00 0.00 XXX
endoscopic.
0185T......... ............ C........... Comptr probability 0.00 0.00 0.00 0.00 0.00 0.00 XXX
analysis.
0186T......... ............ C........... Suprachoroidal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
drug delivery.
0187T......... ............ C........... Ophthalmic dx 0.00 0.00 0.00 0.00 0.00 0.00 XXX
image anterior.
10021......... ............ A........... Fna w/o image..... 1.27 2.18 2.17 0.37 0.46 0.10 XXX
[[Page 2573]]
10022......... ............ A........... Fna w/image....... 1.27 2.15 2.35 0.41 0.41 0.08 XXX
10040......... ............ A........... Acne surgery...... 1.19 1.33 1.17 0.98 0.88 0.05 010
10060......... ............ A........... Drainage of skin 1.19 1.51 1.36 1.08 1.01 0.12 010
abscess.
10061......... ............ A........... Drainage of skin 2.42 2.07 1.95 1.51 1.50 0.26 010
abscess.
10080......... ............ A........... Drainage of 1.19 2.68 2.89 1.10 1.11 0.11 010
pilonidal cyst.
10081......... ............ A........... Drainage of 2.47 3.49 3.78 1.45 1.47 0.24 010
pilonidal cyst.
10120......... ............ A........... Remove foreign 1.23 1.95 2.06 0.94 0.96 0.12 010
body.
10121......... ............ A........... Remove foreign 2.71 3.51 3.51 1.65 1.72 0.33 010
body.
10140......... ............ A........... Drainage of 1.55 2.26 2.02 1.29 1.29 0.19 010
hematoma/fluid.
10160......... ............ A........... Puncture drainage 1.22 1.85 1.72 1.08 1.08 0.14 010
of lesion.
10180......... ............ A........... Complex drainage, 2.27 3.25 3.12 1.80 1.89 0.35 010
wound.
11000......... ............ A........... Debride infected 0.60 0.72 0.65 0.16 0.19 0.07 000
skin.
11001......... ............ A........... Debride infected 0.30 0.23 0.23 0.08 0.10 0.04 ZZZ
skin add-on.
11004......... ............ A........... Debride genitalia 10.80 NA NA 3.21 3.55 0.67 000
& perineum.
11005......... ............ A........... Debride abdom wall 14.24 NA NA 3.78 4.67 0.96 000
11006......... ............ A........... Debride genit/per/ 13.10 NA NA 3.96 4.40 1.28 000
abdom wall.
11008......... ............ A........... Remove mesh from 5.00 NA NA 1.29 1.66 0.61 ZZZ
abd wall.
11010......... ............ A........... Debride skin, fx.. 4.19 6.81 6.84 2.34 2.48 0.66 010
11011......... ............ A........... Debride skin/ 4.94 7.04 7.60 2.01 2.18 0.74 000
muscle, fx.
11012......... ............ A........... Debride skin/ 6.87 9.01 10.56 3.11 3.47 1.16 000
muscle/bone, fx.
11040......... ............ A........... Debride skin, 0.50 0.68 0.60 0.16 0.18 0.06 000
partial.
11041......... ............ A........... Debride skin, full 0.60 0.72 0.69 0.19 0.26 0.10 000
11042......... ............ A........... Debride skin/ 0.80 0.95 0.96 0.24 0.34 0.13 000
tissue.
11043......... ............ A........... Debride tissue/ 3.04 3.51 3.44 2.60 2.60 0.32 010
muscle.
11044......... ............ A........... Debride tissue/ 4.11 4.84 4.65 3.58 3.67 0.43 010
muscle/bone.
11055......... ............ R........... Trim skin lesion.. 0.43 0.81 0.68 0.11 0.14 0.05 000
11056......... ............ R........... Trim skin lesions, 0.61 0.88 0.76 0.16 0.19 0.07 000
2 to 4.
11057......... ............ R........... Trim skin lesions, 0.79 0.99 0.86 0.20 0.25 0.10 000
over 4.
11100......... ............ A........... Biopsy, skin 0.81 1.88 1.56 0.38 0.38 0.03 000
lesion.
11101......... ............ A........... Biopsy, skin add- 0.41 0.41 0.37 0.20 0.19 0.02 ZZZ
on.
11200......... ............ A........... Removal of skin 0.79 1.23 1.13 0.90 0.83 0.04 010
tags.
11201......... ............ A........... Remove skin tags 0.29 0.16 0.16 0.11 0.12 0.02 ZZZ
add-on.
11300......... ............ A........... Shave skin lesion. 0.51 1.19 1.09 0.21 0.21 0.03 000
11301......... ............ A........... Shave skin lesion. 0.85 1.51 1.31 0.38 0.38 0.04 000
11302......... ............ A........... Shave skin lesion. 1.05 1.76 1.53 0.48 0.47 0.05 000
11303......... ............ A........... Shave skin lesion. 1.24 2.03 1.81 0.55 0.54 0.07 000
11305......... ............ A........... Shave skin lesion. 0.67 1.07 0.96 0.20 0.24 0.07 000
11306......... ............ A........... Shave skin lesion. 0.99 1.43 1.26 0.38 0.40 0.07 000
11307......... ............ A........... Shave skin lesion. 1.14 1.70 1.49 0.47 0.48 0.07 000
11308......... ............ A........... Shave skin lesion. 1.41 1.71 1.58 0.49 0.54 0.13 000
11310......... ............ A........... Shave skin lesion. 0.73 1.38 1.25 0.31 0.32 0.04 000
11311......... ............ A........... Shave skin lesion. 1.05 1.64 1.43 0.48 0.48 0.05 000
11312......... ............ A........... Shave skin lesion. 1.20 1.92 1.67 0.56 0.55 0.06 000
11313......... ............ A........... Shave skin lesion. 1.62 2.19 2.00 0.73 0.72 0.10 000
11400......... ............ A........... Exc tr-ext b9+marg 0.87 1.88 1.94 0.93 0.91 0.06 010
0.5 < cm.
11401......... ............ A........... Exc tr-ext b9+marg 1.25 2.19 2.12 1.15 1.09 0.10 010
0.6-1 cm.
11