ADDENDUM C. - RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN THE DETERMINING OF MEDICARE PAYMENT AMOUNTS FOR CY2013 								
"CPT1/
HCPCS"	Mod	Status	Description	"Physi-
cian
Work
RVUs2"	"
Non-
Facility
PE
RVUs2"	"
Facility
PE
RVUs2"	"Mal-
Practice
RVUs2"	Global
10120		A	Remove foreign body	1.22	3.21	1.72	0.16	010
11055		R	Trim skin lesion	0.35	1.05	0.09	0.02	000
11056		R	Trim skin lesions 2 to 4	0.50	1.20	0.13	0.03	000
11057		R	Trim skin lesions over 4	0.65	1.25	0.17	0.04	000
11300		A	Shave skin lesion 0.5 cm/<	0.60	2.27	0.35	0.08	000
11301		A	Shave skin lesion 0.6-1.0 cm	0.90	2.60	0.56	0.12	000
11302		A	Shave skin lesion 1.1-2.0 cm	1.05	3.08	0.66	0.14	000
11303		A	Shave skin lesion >2.0 cm	1.25	3.27	0.77	0.18	000
11305		A	Shave skin lesion 0.5 cm/<	0.80	2.09	0.27	0.06	000
11306		A	Shave skin lesion 0.6-1.0 cm	0.96	2.58	0.44	0.11	000
11307		A	Shave skin lesion 1.1-2.0 cm	1.20	2.97	0.61	0.15	000
11308		A	Shave skin lesion >2.0 cm	1.46	2.97	0.58	0.14	000
11310		A	Shave skin lesion 0.5 cm/<	0.80	2.52	0.48	0.11	000
11311		A	Shave skin lesion 0.6-1.0 cm	1.10	2.09	0.69	0.15	000
11312		A	Shave skin lesion 1.1-2.0 cm	1.30	3.36	0.82	0.20	000
11313		A	Shave skin lesion >2.0 cm	1.68	3.66	1.04	0.25	000
11719		R	Trim nail(s) any number	0.17	0.16	0.04	0.01	000
12035		A	Intmd rpr s/a/t/ext 12.6-20	3.50	7.54	3.09	0.65	010
12036		A	Intmd rpr s/a/t/ext 20.1-30	4.23	7.70	3.31	0.81	010
12037		A	Intmd rpr s/tr/ext >30.0 cm	5.00	8.05	3.68	0.96	010
12045		A	Intmd rpr n-hf/genit12.6-20	3.75	7.72	3.73	0.64	010
12046		A	Intmd rpr n-hf/genit20.1-30	4.30	11.00	5.00	0.84	010
12047		A	Intmd rpr n-hf/genit >30.0cm	4.95	11.79	5.35	0.96	010
12055		A	Intmd rpr face/mm 12.6-20 cm	4.50	8.99	3.73	0.73	010
12056		A	Intmd rpr face/mm 20.1-30.0	5.30	10.46	5.25	0.67	010
12057		A	Intmd rpr face/mm >30.0 cm	6.00	9.82	4.41	0.76	010
13100		A	Cmplx rpr trunk 1.1-2.5 cm	3.00	6.58	2.66	0.47	010
13101		A	Cmplx rpr trunk 2.6-7.5 cm	3.50	7.90	3.56	0.54	010
13102		A	Cmplx rpr trunk addl 5cm/<	1.24	2.19	0.73	0.23	ZZZ
13120		A	Cmplx rpr s/a/l 1.1-2.5 cm	3.23	6.80	3.34	0.50	010
13121		A	Cmplx rpr s/a/l 2.6-7.5 cm	4.00	8.24	3.36	0.61	010
13122		A	Cmplx rpr s/a/l addl 5 cm/>	1.44	2.31	0.84	0.26	ZZZ
13131		A	Cmplx rpr f/c/c/m/n/ax/g/h/f	3.73	7.28	3.16	0.57	010
13132		A	Cmplx rpr f/c/c/m/n/ax/g/h/f	4.78	8.80	3.88	0.71	010
13133		A	Cmplx rpr f/c/c/m/n/ax/g/h/f	2.19	2.78	1.35	0.34	ZZZ
13150		A	Cmplx rpr e/n/e/l 1.0 cm/<	3.58	7.09	2.48	0.57	010
13151		A	Cmplx rpr e/n/e/l 1.1-2.5 cm	4.34	7.66	3.58	0.65	010
13152		A	Cmplx rpr e/n/e/l 2.6-7.5 cm	4.90	8.73	3.93	0.73	010
13153		A	Cmplx rpr e/n/e/l addl 5cm/<	2.38	3.01	1.42	0.38	ZZZ
20600		A	Drain/inject joint/bursa	0.66	0.66	0.30	0.07	000
20605		A	Drain/inject joint/bursa	0.98	0.83	0.45	0.12	000
20610		A	Drain/inject joint/bursa	0.79	0.87	0.44	0.12	000
20985		A	Cptr-asst dir ms px	2.50	NA	1.34	0.49	ZZZ
22586		A	Prescrl fuse w/ instr l5/s1	28.12	NA	10.37	6.76	090
23331		A	Remove shoulder foreign body	7.63	NA	8.48	1.50	090
23332		A	Remove shoulder foreign body	12.37	NA	11.43	2.40	090
23350		A	Injection for shoulder x-ray	1.00	2.74	0.38	0.10	000
23472		A	Reconstruct shoulder joint	22.13	NA	16.89	4.32	090
23473		A	Revis reconst shoulder joint	25.00	NA	18.39	4.88	090
23474		A	Revis reconst shoulder joint	27.21	NA	19.58	5.36	090
23600		A	Treat humerus fracture	3.00	6.30	5.71	0.58	090
24160		A	Remove elbow joint implant	8.00	NA	8.48	1.50	090
24363		A	Replace elbow joint	22.00	NA	16.97	4.09	090
24370		A	Revise reconst elbow joint	23.55	NA	17.69	4.38	090
24371		A	Revise reconst elbow joint	27.50	NA	19.95	5.11	090
28470		A	Treat metatarsal fracture	2.03	4.35	3.89	0.33	090
29075		A	Application of forearm cast	0.77	1.72	0.96	0.14	000
29581		A	Apply multlay comprs lwr leg	0.25	1.63	0.11	0.01	000
29582		A	Apply multlay comprs upr leg	0.35	1.78	0.09	0.01	000
29583		A	Apply multlay comprs upr arm	0.25	1.07	0.07	0.01	000
29584		A	Appl multlay comprs arm/hand	0.35	1.78	0.09	0.01	000
29824		A	Shoulder arthroscopy/surgery	8.98	NA	9.47	1.77	090
29826		A	Shoulder arthroscopy/surgery	3.00	NA	1.60	0.59	ZZZ
29827		A	Arthroscop rotator cuff repr	15.59	NA	13.26	3.08	090
29828		A	Arthroscopy biceps tenodesis	13.16	NA	11.73	2.59	090
31231		A	Nasal endoscopy dx	1.10	5.21	0.69	0.12	000
31647		A	Bronchial valve init insert	4.40	NA	1.67	0.57	000
31648		A	Bronchial valve addl insert	4.20	NA	2.18	0.56	000
31649		A	Bronchial valve remov init	1.44	0.64	0.64	0.10	ZZZ
31651		A	Bronchial valve remov addl	1.58	0.62	0.62	0.11	ZZZ
31660		A	Bronch thermoplsty 1 lobe	4.25	NA	1.86	0.55	000
31661		A	Bronch thermoplsty 2/> lobes	4.50	NA	1.93	0.60	000
32440		A	Remove lung pneumonectomy	27.28	NA	13.19	6.36	090
32480		A	Partial removal of lung	25.82	NA	12.42	6.06	090
32482		A	Bilobectomy	27.44	NA	13.56	6.42	090
32491		R	Lung volume reduction	25.24	NA	12.89	5.88	090
32551		A	Insertion of chest tube	3.29	NA	1.21	0.73	000
32554		A	Aspirate pleura w/o imaging	1.82	14.66	0.65	0.17	000
32555		A	Aspirate pleura w/ imaging	2.27	16.70	0.80	0.23	000
32556		A	Insert cath pleura w/o image	2.50	14.80	0.87	0.25	000
32557		A	Insert cath pleura w/ image	3.12	24.68	1.07	0.69	000
32663		A	Thoracoscopy w/lobectomy	24.64	NA	11.48	5.74	090
32668		A	Thoracoscopy w/w resect diag	3.00	NA	1.22	0.73	ZZZ
32669		A	Thoracoscopy remove segment	23.53	NA	11.18	5.48	090
32670		A	Thoracoscopy bilobectomy	28.52	NA	12.82	6.58	090
32671		A	Thoracoscopy pneumonectomy	31.92	NA	13.65	7.54	090
32672		A	Thoracoscopy for lvrs	27.00	NA	12.10	6.36	090
32673		A	Thoracoscopy w/thymus resect	21.13	NA	10.17	4.51	090
32701		A	Thorax stereo rad targetw/tx	4.18	NA	1.32	1.05	XXX
33361		A	Replace aortic valve perq	25.13	NA	9.01	5.61	000
33362		A	Replace aortic valve open	27.52	NA	9.83	6.14	000
33363		A	Replace aortic valve open	28.50	NA	10.17	6.36	000
33364		A	Replace aortic valve open	30.00	NA	11.21	6.70	000
33365		A	Replace aortic valve open	33.12	NA	11.49	7.93	000
33367		A	Replace aortic valve w/byp	11.88	NA	3.73	2.84	ZZZ
33368		A	Replace aortic valve w/byp	14.39	NA	4.52	3.45	ZZZ
33369		A	Replace aortic valve w/byp	19.00	NA	5.97	4.55	ZZZ
33405		A	Replacement of aortic valve	41.32	NA	16.78	9.92	090
33430		A	Replacement of mitral valve	50.93	NA	20.72	12.26	090
33533		A	Cabg arterial single	33.75	NA	14.15	8.13	090
33990		A	Insert vad artery access	8.15	NA	2.96	1.82	XXX
33991		A	Insert vad art&vein access	11.88	NA	4.31	2.65	XXX
33992		A	Remove vad different session	4.00	NA	1.26	0.89	XXX
33993		A	Reposition vad diff session	3.51	NA	1.11	0.78	XXX
35475		R	Repair arterial blockage	5.75	41.47	2.22	0.92	000
35476		A	Repair venous blockage	4.71	39.06	2.18	0.65	000
36221		A	Place cath thoracic aorta	4.17	29.27	1.39	0.83	000
36222		A	Place cath carotid/inom art	5.53	35.93	2.13	0.98	000
36223		A	Place cath carotid/inom art	6.00	39.37	2.28	1.06	000
36224		A	Place cath carotd art	6.50	42.83	2.57	1.10	000
36225		A	Place cath subclavian art	6.00	39.04	2.25	1.05	000
36226		A	Place cath vertebral art	6.50	43.81	2.59	1.10	000
36227		A	Place cath xtrnl carotid	2.09	4.98	0.80	0.33	ZZZ
36228		A	Place cath intracranial art	4.25	30.37	1.64	0.67	ZZZ
37197		A	Remove intrvas foreign body	6.29	39.71	2.16	0.57	000
37211		A	Thrombolytic art therapy	8.00	NA	2.56	1.39	000
37212		A	Thrombolytic venous therapy	7.06	NA	2.26	1.23	000
37213		A	Thromblytic art/ven therapy	5.00	NA	1.50	0.87	000
37214		A	Cessj therapy cath removal	2.74	NA	1.11	0.48	000
38240		R	Transplt allo hct/donor	3.00	NA	1.65	0.21	XXX
38241		R	Transplt autol hct/donor	3.00	NA	1.64	0.19	XXX
38242		A	Transplt allo lymphocytes	2.11	NA	1.15	0.12	000
38243		A	Transplj hematopoietic boost	2.13	NA	1.17	0.12	000
40490		A	Biopsy of lip	1.22	2.52	0.79	0.18	000
43206		C	Esoph optical endomicroscopy	0.00	0.00	0.00	0.00	YYY
43252		C	Uppr gi opticl endomicrscopy	0.00	0.00	0.00	0.00	YYY
44705		I	Prepare fecal microbiota	0.00	0.00	0.00	0.00	XXX
45330		A	Diagnostic sigmoidoscopy	0.96	3.17	0.82	0.14	000
47562		A	Laparoscopic cholecystectomy	10.47	NA	6.81	2.21	090
47563		A	Laparo cholecystectomy/graph	11.47	NA	7.26	2.43	090
47600		A	Removal of gallbladder	17.48	NA	10.42	3.70	090
47605		A	Removal of gallbladder	18.48	NA	10.84	3.93	090
49505		A	Prp i/hern init reduc >5 yr	7.96	NA	5.83	1.66	090
50590		A	Fragmenting of kidney stone	9.77	10.27	5.73	0.95	090
52214		A	Cystoscopy and treatment	3.50	15.75	1.23	0.33	000
52224		A	Cystoscopy and treatment	4.05	16.00	1.42	0.40	000
52234		A	Cystoscopy and treatment	4.62	NA	2.03	0.44	000
52235		A	Cystoscopy and treatment	5.44	NA	2.36	0.53	000
52240		A	Cystoscopy and treatment	7.50	NA	3.08	0.73	000
52287		A	Cystoscopy chemodenervation	3.20	5.56	1.35	0.33	000
52351		A	Cystouretero & or pyeloscope	5.75	NA	2.62	0.55	000
52352		A	Cystouretero w/stone remove	6.75	NA	3.07	0.66	000
52353		A	Cystouretero w/lithotripsy	7.50	NA	3.33	0.72	000
52354		A	Cystouretero w/biopsy	8.00	NA	3.51	0.77	000
52355		A	Cystouretero w/excise tumor	9.00	NA	3.86	0.88	000
53850		A	Prostatic microwave thermotx	10.08	50.70	6.55	0.99	090
60520		A	Removal of thymus gland	17.16	NA	10.17	3.47	090
60521		A	Removal of thymus gland	19.18	NA	9.88	4.53	090
60522		A	Removal of thymus gland	23.48	NA	11.95	5.46	090
64450		A	N block other peripheral	0.75	1.58	0.52	0.06	000
64612		A	Destroy nerve face muscle	1.41	2.24	1.80	0.46	010
64613		A	Destroy nerve neck muscle	2.01	2.55	2.10	0.59	010
64614		A	Destroy nerve extrem musc	2.20	2.91	2.28	0.42	010
64615		A	Chemodenerv musc migraine	1.85	1.78	1.36	0.60	010
64640		A	Injection treatment of nerve	1.23	2.73	1.48	0.11	010
65222		A	Remove foreign body from eye	0.84	1.09	0.64	0.13	000
65800		A	Drainage of eye	1.53	1.88	1.03	0.22	000
66982		A	Cataract surgery complex	11.08	NA	11.55	1.72	090
66984		A	Cataract surg w/iol 1 stage	8.52	NA	9.77	1.34	090
67028		A	Injection eye drug	1.44	1.45	1.40	0.20	000
67810		A	Biopsy eyelid & lid margin	1.18	3.89	0.78	0.18	000
68200		A	Treat eyelid by injection	0.49	0.69	0.50	0.08	000
69200		A	Clear outer ear canal	0.77	2.94	0.88	0.10	000
69433		A	Create eardrum opening	1.57	4.50	2.26	0.22	010
72040		A	X-ray exam neck spine 3/<vws	0.22	0.82	NA	0.04	XXX
72040	TC	A	X-ray exam neck spine 3/<vws	0.00	0.73	NA	0.01	XXX
72040	26	A	X-ray exam neck spine 3/<vws	0.22	0.09	0.09	0.03	XXX
72050		A	X-ray exam neck spine 4/5vws	0.31	1.11	NA	0.04	XXX
72050	TC	A	X-ray exam neck spine 4/5vws	0.00	0.99	NA	0.01	XXX
72050	26	A	X-ray exam neck spine 4/5vws	0.31	0.12	0.12	0.03	XXX
72052		A	X-ray exam neck spine 6/>vws	0.36	1.48	NA	0.04	XXX
72052	TC	A	X-ray exam neck spine 6/>vws	0.00	1.34	NA	0.01	XXX
72052	26	A	X-ray exam neck spine 6/>vws	0.36	0.14	0.14	0.03	XXX
72191		A	Ct angiograph pelv w/o&w/dye	1.81	10.02	NA	0.13	XXX
72191	TC	A	Ct angiograph pelv w/o&w/dye	0.00	9.38	NA	0.01	XXX
72191	26	A	Ct angiograph pelv w/o&w/dye	1.81	0.64	0.64	0.12	XXX
72192		A	Ct pelvis w/o dye	1.09	4.03	NA	0.06	XXX
72192	TC	A	Ct pelvis w/o dye	0.00	3.64	NA	0.01	XXX
72192	26	A	Ct pelvis w/o dye	1.09	0.39	0.39	0.05	XXX
72193		A	Ct pelvis w/dye	1.16	6.93	NA	0.08	XXX
72193	TC	A	Ct pelvis w/dye	0.00	6.51	NA	0.01	XXX
72193	26	A	Ct pelvis w/dye	1.16	0.42	0.42	0.07	XXX
72194		A	Ct pelvis w/o & w/dye	1.22	7.86	NA	0.08	XXX
72194	TC	A	Ct pelvis w/o & w/dye	0.00	7.42	NA	0.01	XXX
72194	26	A	Ct pelvis w/o & w/dye	1.22	0.44	0.44	0.07	XXX
73221		A	Mri joint upr extrem w/o dye	1.35	6.83	NA	0.11	XXX
73221	TC	A	Mri joint upr extrem w/o dye	0.00	6.32	NA	0.01	XXX
73221	26	A	Mri joint upr extrem w/o dye	1.35	0.51	0.51	0.10	XXX
73721		A	Mri jnt of lwr extre w/o dye	1.35	6.83	NA	0.11	XXX
73721	TC	A	Mri jnt of lwr extre w/o dye	0.00	6.32	NA	0.01	XXX
73721	26	A	Mri jnt of lwr extre w/o dye	1.35	0.51	0.51	0.10	XXX
74150		A	Ct abdomen w/o dye	1.19	4.02	NA	0.08	XXX
74150	TC	A	Ct abdomen w/o dye	0.00	3.59	NA	0.01	XXX
74150	26	A	Ct abdomen w/o dye	1.19	0.43	0.43	0.07	XXX
74160		A	Ct abdomen w/dye	1.27	6.96	NA	0.08	XXX
74160	TC	A	Ct abdomen w/dye	0.00	6.49	NA	0.01	XXX
74160	26	A	Ct abdomen w/dye	1.27	0.47	0.47	0.07	XXX
74170		A	Ct abdomen w/o & w/dye	1.40	8.08	NA	0.09	XXX
74170	TC	A	Ct abdomen w/o & w/dye	0.00	7.57	NA	0.01	XXX
74170	26	A	Ct abdomen w/o & w/dye	1.40	0.51	0.51	0.08	XXX
74174		A	Ct angio abd&pelv w/o&w/dye	2.20	12.55	NA	0.15	XXX
74174	TC	A	Ct angio abd&pelv w/o&w/dye	0.00	11.77	NA	0.01	XXX
74174	26	A	Ct angio abd&pelv w/o&w/dye	2.20	0.78	0.78	0.14	XXX
74175		A	Ct angio abdom w/o & w/dye	1.90	10.08	NA	0.13	XXX
74175	TC	A	Ct angio abdom w/o & w/dye	0.00	9.40	NA	0.01	XXX
74175	26	A	Ct angio abdom w/o & w/dye	1.90	0.68	0.68	0.12	XXX
74176		A	Ct abd & pelvis	1.74	4.98	NA	0.11	XXX
74176	TC	A	Ct abd & pelvis	0.00	4.35	NA	0.01	XXX
74176	26	A	Ct abd & pelvis	1.74	0.63	0.63	0.10	XXX
74177		A	Ct abd & pelv w/contrast	1.82	8.35	NA	0.11	XXX
74177	TC	A	Ct abd & pelv w/contrast	0.00	7.69	NA	0.01	XXX
74177	26	A	Ct abd & pelv w/contrast	1.82	0.66	0.66	0.10	XXX
74178		A	Ct abd & pelv 1/> regns	2.01	9.90	NA	0.13	XXX
74178	TC	A	Ct abd & pelv 1/> regns	0.00	9.17	NA	0.01	XXX
74178	26	A	Ct abd & pelv 1/> regns	2.01	0.73	0.73	0.12	XXX
74247		A	Contrst x-ray uppr gi tract	0.69	3.58	NA	0.05	XXX
74247	TC	A	Contrst x-ray uppr gi tract	0.00	3.33	NA	0.01	XXX
74247	26	A	Contrst x-ray uppr gi tract	0.69	0.25	0.25	0.04	XXX
74280		A	Contrast x-ray exam of colon	0.99	5.60	NA	0.06	XXX
74280	TC	A	Contrast x-ray exam of colon	0.00	5.24	NA	0.01	XXX
74280	26	A	Contrast x-ray exam of colon	0.99	0.36	0.36	0.05	XXX
74400		A	Contrst x-ray urinary tract	0.49	2.88	NA	0.04	XXX
74400	TC	A	Contrst x-ray urinary tract	0.00	2.70	NA	0.01	XXX
74400	26	A	Contrst x-ray urinary tract	0.49	0.18	0.18	0.03	XXX
75896		C	X-rays transcath therapy	0.00	0.00	NA	0.00	XXX
75896	TC	C	X-rays transcath therapy	0.00	0.00	NA	0.00	XXX
75896	26	A	X-rays transcath therapy	1.31	0.44	0.44	0.16	XXX
75898		C	Follow-up angiography	0.00	0.00	NA	0.00	XXX
75898	TC	C	Follow-up angiography	0.00	0.00	NA	0.00	XXX
75898	26	A	Follow-up angiography	1.65	0.59	0.59	0.20	XXX
76830		A	Transvaginal us non-ob	0.69	1.51	NA	0.04	XXX
76830	TC	A	Transvaginal us non-ob	0.00	1.24	NA	0.01	XXX
76830	26	A	Transvaginal us non-ob	0.69	0.27	0.27	0.03	XXX
76872		A	Us transrectal	0.69	1.42	NA	0.05	XXX
76872	TC	A	Us transrectal	0.00	1.18	NA	0.01	XXX
76872	26	A	Us transrectal	0.69	0.24	0.24	0.04	XXX
77001		A	Fluoroguide for vein device	0.38	3.14	NA	0.04	ZZZ
77001	TC	A	Fluoroguide for vein device	0.00	3.01	NA	0.01	ZZZ
77001	26	A	Fluoroguide for vein device	0.38	0.13	0.13	0.03	ZZZ
77002		A	Needle localization by xray	0.54	1.77	NA	0.04	XXX
77002	TC	A	Needle localization by xray	0.00	1.54	NA	0.01	XXX
77002	26	A	Needle localization by xray	0.54	0.23	0.23	0.03	XXX
77003		A	Fluoroguide for spine inject	0.60	2.18	NA	0.04	XXX
77003	TC	A	Fluoroguide for spine inject	0.00	1.92	NA	0.01	XXX
77003	26	A	Fluoroguide for spine inject	0.60	0.26	0.26	0.03	XXX
77080		A	Dxa bone density axial	0.20	1.26	NA	0.02	XXX
77080	TC	A	Dxa bone density axial	0.00	1.18	NA	0.01	XXX
77080	26	A	Dxa bone density axial	0.20	0.08	0.08	0.01	XXX
77082		A	Dxa bone density vert fx	0.17	0.65	NA	0.02	XXX
77082	TC	A	Dxa bone density vert fx	0.00	0.58	NA	0.01	XXX
77082	26	A	Dxa bone density vert fx	0.17	0.07	0.07	0.01	XXX
77301		A	Radiotherapy dose plan imrt	7.99	49.88	NA	0.63	XXX
77301	TC	A	Radiotherapy dose plan imrt	0.00	46.64	NA	0.22	XXX
77301	26	A	Radiotherapy dose plan imrt	7.99	3.24	3.24	0.41	XXX
78012		A	Thyroid uptake measurement	0.19	2.23	NA	0.02	XXX
78012	TC	A	Thyroid uptake measurement	0.00	2.16	NA	0.01	XXX
78012	26	A	Thyroid uptake measurement	0.19	0.07	0.07	0.01	XXX
78013		A	Thyroid imaging w/blood flow	0.37	5.76	NA	0.04	XXX
78013	TC	A	Thyroid imaging w/blood flow	0.00	5.62	NA	0.03	XXX
78013	26	A	Thyroid imaging w/blood flow	0.37	0.14	0.14	0.01	XXX
78014		A	Thyroid imaging w/blood flow	0.50	6.57	NA	0.06	XXX
78014	TC	A	Thyroid imaging w/blood flow	0.00	6.40	NA	0.03	XXX
78014	26	A	Thyroid imaging w/blood flow	0.50	0.17	0.17	0.03	XXX
78070		A	Parathyroid planar imaging	0.80	8.15	NA	0.07	XXX
78070	TC	A	Parathyroid planar imaging	0.00	7.89	NA	0.03	XXX
78070	26	A	Parathyroid planar imaging	0.80	0.26	0.26	0.04	XXX
78071		A	Parathyrd planar w/wo subtrj	1.20	9.34	NA	0.09	XXX
78071	TC	A	Parathyrd planar w/wo subtrj	0.00	8.94	NA	0.03	XXX
78071	26	A	Parathyrd planar w/wo subtrj	1.20	0.40	0.40	0.06	XXX
78072		C	Parathyrd planar w/spect&ct	0.00	0.00	NA	0.00	YYY
78072	TC	C	Parathyrd planar w/spect&ct	0.00	0.00	NA	0.00	YYY
78072	26	A	Parathyrd planar w/spect&ct	1.60	0.65	0.65	0.05	XXX
78278		A	Acute gi blood loss imaging	0.99	9.49	NA	0.08	XXX
78278	TC	A	Acute gi blood loss imaging	0.00	9.15	NA	0.03	XXX
78278	26	A	Acute gi blood loss imaging	0.99	0.34	0.34	0.05	XXX
78472		A	Gated heart planar single	0.98	5.96	NA	0.07	XXX
78472	TC	A	Gated heart planar single	0.00	5.62	NA	0.03	XXX
78472	26	A	Gated heart planar single	0.98	0.34	0.34	0.04	XXX
86153	26	A	Cell enumeration phys interp	0.69	0.28	0.28	0.02	XXX
88120		A	Cytp urne 3-5 probes ea spec	1.20	16.99	NA	0.06	XXX
88120	TC	A	Cytp urne 3-5 probes ea spec	0.00	16.56	NA	0.03	XXX
88120	26	A	Cytp urne 3-5 probes ea spec	1.20	0.43	0.43	0.03	XXX
88121		A	Cytp urine 3-5 probes cmptr	1.00	15.36	NA	0.04	XXX
88121	TC	A	Cytp urine 3-5 probes cmptr	0.00	14.94	NA	0.01	XXX
88121	26	A	Cytp urine 3-5 probes cmptr	1.00	0.42	0.42	0.03	XXX
88300		A	Surgical path gross	0.08	0.33	NA	0.02	XXX
88300	TC	A	Surgical path gross	0.00	0.29	NA	0.01	XXX
88300	26	A	Surgical path gross	0.08	0.04	0.04	0.01	XXX
88302		A	Tissue exam by pathologist	0.13	0.76	NA	0.02	XXX
88302	TC	A	Tissue exam by pathologist	0.00	0.70	NA	0.01	XXX
88302	26	A	Tissue exam by pathologist	0.13	0.06	0.06	0.01	XXX
88304		A	Tissue exam by pathologist	0.22	1.07	NA	0.02	XXX
88304	TC	A	Tissue exam by pathologist	0.00	0.97	NA	0.01	XXX
88304	26	A	Tissue exam by pathologist	0.22	0.10	0.10	0.01	XXX
88305		A	Tissue exam by pathologist	0.75	1.29	NA	0.02	XXX
88305	TC	A	Tissue exam by pathologist	0.00	0.97	NA	0.01	XXX
88305	26	A	Tissue exam by pathologist	0.75	0.32	0.32	0.01	XXX
88307		A	Tissue exam by pathologist	1.59	7.10	NA	0.05	XXX
88307	TC	A	Tissue exam by pathologist	0.00	6.32	NA	0.01	XXX
88307	26	A	Tissue exam by pathologist	1.59	0.78	0.78	0.04	XXX
88309		A	Tissue exam by pathologist	2.80	10.30	NA	0.11	XXX
88309	TC	A	Tissue exam by pathologist	0.00	8.92	NA	0.03	XXX
88309	26	A	Tissue exam by pathologist	2.80	1.38	1.38	0.08	XXX
88312		A	Special stains group 1	0.54	2.31	NA	0.02	XXX
88312	TC	A	Special stains group 1	0.00	2.08	NA	0.01	XXX
88312	26	A	Special stains group 1	0.54	0.23	0.23	0.01	XXX
88365		A	Insitu hybridization (fish)	1.20	4.01	NA	0.04	XXX
88365	TC	A	Insitu hybridization (fish)	0.00	3.53	NA	0.01	XXX
88365	26	A	Insitu hybridization (fish)	1.20	0.48	0.48	0.03	XXX
88367		A	Insitu hybridization auto	1.30	6.23	NA	0.06	XXX
88367	TC	A	Insitu hybridization auto	0.00	5.82	NA	0.01	XXX
88367	26	A	Insitu hybridization auto	1.30	0.41	0.41	0.05	XXX
88368		A	Insitu hybridization manual	1.40	5.37	NA	0.05	XXX
88368	TC	A	Insitu hybridization manual	0.00	5.00	NA	0.01	XXX
88368	26	A	Insitu hybridization manual	1.40	0.37	0.37	0.04	XXX
88375		C	Optical endomicroscpy interp	0.00	0.00	0.00	0.00	YYY
90785		A	Psytx complex interactive	0.11	0.02	0.02	0.01	XXX
90791		A	Psych diagnostic evaluation	2.80	1.52	0.53	0.11	XXX
90792		A	Psych diag eval w/med srvcs	2.96	0.58	0.48	0.11	XXX
90832		A	Psytx pt&/family 30 minutes	1.25	0.54	0.14	0.05	XXX
90833		A	Psytx pt&/fam w/e&m 30 min	0.98	0.20	0.19	0.04	ZZZ
90834		A	Psytx pt&/family 45 minutes	1.89	0.41	0.20	0.07	XXX
90836		A	Psytx pt&/fam w/e&m 45 min	1.60	0.32	0.32	0.06	ZZZ
90837		A	Psytx pt&/family 60 minutes	2.83	0.53	0.32	0.11	XXX
90838		A	Psytx pt&/fam w/e&m 60 min	2.56	0.54	0.52	0.10	ZZZ
90839		C	Psytx crisis initial 60 min	0.00	0.00	0.00	0.00	XXX
90840		C	Psytx crisis ea addl 30 min	0.00	0.00	0.00	0.00	XXX
90845		A	Psychoanalysis	1.79	0.35	0.33	0.07	XXX
90846		R	Family psytx w/o patient	1.83	0.27	0.40	0.07	XXX
90847		R	Family psytx w/patient	2.21	0.31	0.42	0.08	XXX
90853		A	Group psychotherapy	0.59	0.10	0.10	0.03	XXX
90863		I	Pharmacologic mgmt w/psytx	0.00	0.00	0.00	0.00	XXX
91112		A	Gi wireless capsule measure	2.10	32.69	NA	0.10	XXX
91112	TC	A	Gi wireless capsule measure	0.00	31.59	NA	0.01	XXX
91112	26	A	Gi wireless capsule measure	2.10	1.10	1.10	0.09	XXX
92081		A	Visual field examination(s)	0.30	0.69	NA	0.04	XXX
92081	TC	A	Visual field examination(s)	0.00	0.53	NA	0.01	XXX
92081	26	A	Visual field examination(s)	0.30	0.16	0.16	0.03	XXX
92082		A	Visual field examination(s)	0.40	1.03	NA	0.05	XXX
92082	TC	A	Visual field examination(s)	0.00	0.81	NA	0.01	XXX
92082	26	A	Visual field examination(s)	0.40	0.22	0.22	0.04	XXX
92083		A	Visual field examination(s)	0.50	1.42	NA	0.04	XXX
92083	TC	A	Visual field examination(s)	0.00	1.12	NA	0.01	XXX
92083	26	A	Visual field examination(s)	0.50	0.30	0.30	0.03	XXX
92100		A	Serial tonometry exam(s)	0.61	1.77	0.35	0.03	XXX
92235		A	Eye exam with photos	0.81	2.48	NA	0.04	XXX
92235	TC	A	Eye exam with photos	0.00	1.94	NA	0.01	XXX
92235	26	A	Eye exam with photos	0.81	0.54	0.54	0.03	XXX
92286		A	Internal eye photography	0.40	0.72	NA	0.02	XXX
92286	TC	A	Internal eye photography	0.00	0.49	NA	0.01	XXX
92286	26	A	Internal eye photography	0.40	0.23	0.23	0.01	XXX
92920		A	Prq cardiac angioplast 1 art	10.10	NA	3.70	2.19	000
92921		B	Prq cardiac angio addl art	0.00	0.00	0.00	0.00	ZZZ
92924		A	Prq card angio/athrect 1 art	11.99	NA	4.41	2.61	000
92925		B	Prq card angio/athrect addl	0.00	0.00	0.00	0.00	ZZZ
92928		A	Prq card stent w/angio 1 vsl	11.21	NA	4.10	2.45	000
92929		B	Prq card stent w/angio addl	0.00	0.00	0.00	0.00	ZZZ
92933		A	Prq card stent/ath/angio	12.54	NA	4.58	2.74	000
92934		B	Prq card stent/ath/angio	0.00	0.00	0.00	0.00	ZZZ
92937		A	Prq revasc byp graft 1 vsl	11.20	NA	4.09	2.45	000
92938		B	Prq revasc byp graft addl	0.00	0.00	0.00	0.00	ZZZ
92941		A	Prq card revasc mi 1 vsl	12.56	NA	4.59	2.75	000
92943		A	Prq card revasc chronic 1vsl	12.56	NA	4.59	2.75	000
92944		B	Prq card revasc chronic addl	0.00	0.00	0.00	0.00	ZZZ
93015		A	Cardiovascular stress test	0.75	1.56	NA	0.03	XXX
93016		A	Cardiovascular stress test	0.45	0.17	0.17	0.01	XXX
93017		A	Cardiovascular stress test	0.00	1.28	NA	0.01	XXX
93018		A	Cardiovascular stress test	0.30	0.11	0.11	0.01	XXX
93308		A	Tte f-up or lmtd	0.53	2.40	NA	0.02	XXX
93308	TC	A	Tte f-up or lmtd	0.00	2.21	NA	0.01	XXX
93308	26	A	Tte f-up or lmtd	0.53	0.19	0.19	0.01	XXX
93653		A	Ep & ablate supravent arrhyt	15.00	NA	5.91	3.27	000
93654		A	Ep & ablate ventric tachy	20.00	NA	7.91	4.36	000
93655		A	Ablate arrhythmia add on	7.50	NA	2.96	1.63	ZZZ
93656		A	Tx atrial fib pulm vein isol	20.02	NA	7.90	4.36	000
93657		A	Tx l/r atrial fib addl	7.50	NA	2.96	1.64	ZZZ
93925		A	Lower extremity study	0.80	6.66	NA	0.09	XXX
93925	TC	A	Lower extremity study	0.00	6.38	NA	0.03	XXX
93925	26	A	Lower extremity study	0.80	0.28	0.28	0.06	XXX
93926		A	Lower extremity study	0.50	3.77	NA	0.07	XXX
93926	TC	A	Lower extremity study	0.00	3.61	NA	0.01	XXX
93926	26	A	Lower extremity study	0.50	0.16	0.16	0.06	XXX
93970		A	Extremity study	0.70	4.91	NA	0.08	XXX
93970	TC	A	Extremity study	0.00	4.67	NA	0.01	XXX
93970	26	A	Extremity study	0.70	0.24	0.24	0.07	XXX
93971		A	Extremity study	0.45	2.94	NA	0.05	XXX
93971	TC	A	Extremity study	0.00	2.79	NA	0.01	XXX
93971	26	A	Extremity study	0.45	0.15	0.15	0.04	XXX
95017		A	Perq & icut allg test venoms	0.07	0.18	0.03	0.01	XXX
95018		A	Perq&ic allg test drugs/biol	0.14	0.49	0.06	0.01	XXX
95076		A	Ingest challenge ini 120 min	1.50	1.89	0.56	0.05	XXX
95079		A	Ingest challenge addl 60 min	1.38	0.99	0.51	0.05	ZZZ
95115		A	Immunotherapy one injection	0.00	0.27	NA	0.01	XXX
95117		A	Immunotherapy injections	0.00	0.31	NA	0.01	XXX
95782		A	Polysom <6 yrs 4/> paramtrs	2.60	27.83	NA	0.29	XXX
95782	TC	A	Polysom <6 yrs 4/> paramtrs	0.00	26.78	NA	0.19	XXX
95782	26	A	Polysom <6 yrs 4/> paramtrs	2.60	1.05	1.05	0.10	XXX
95783		A	Polysom <6 yrs cpap/bilvl	2.83	29.63	NA	0.33	XXX
95783	TC	A	Polysom <6 yrs cpap/bilvl	0.00	28.48	NA	0.21	XXX
95783	26	A	Polysom <6 yrs cpap/bilvl	2.83	1.15	1.15	0.12	XXX
95860		A	Muscle test one limb	0.96	2.74	NA	0.04	XXX
95860	TC	A	Muscle test one limb	0.00	2.24	NA	0.01	XXX
95860	26	A	Muscle test one limb	0.96	0.50	0.50	0.03	XXX
95861		A	Muscle test 2 limbs	1.54	3.53	NA	0.06	XXX
95861	TC	A	Muscle test 2 limbs	0.00	2.74	NA	0.01	XXX
95861	26	A	Muscle test 2 limbs	1.54	0.79	0.79	0.05	XXX
95863		A	Muscle test 3 limbs	1.87	4.32	NA	0.08	XXX
95863	TC	A	Muscle test 3 limbs	0.00	3.39	NA	0.01	XXX
95863	26	A	Muscle test 3 limbs	1.87	0.93	0.93	0.07	XXX
95864		A	Muscle test 4 limbs	1.99	5.12	NA	0.08	XXX
95864	TC	A	Muscle test 4 limbs	0.00	4.12	NA	0.01	XXX
95864	26	A	Muscle test 4 limbs	1.99	1.00	1.00	0.07	XXX
95865		A	Muscle test larynx	1.57	2.39	NA	0.05	XXX
95865	TC	A	Muscle test larynx	0.00	1.63	NA	0.01	XXX
95865	26	A	Muscle test larynx	1.57	0.76	0.76	0.04	XXX
95866		A	Muscle test hemidiaphragm	1.25	2.79	NA	0.06	XXX
95866	TC	A	Muscle test hemidiaphragm	0.00	2.15	NA	0.01	XXX
95866	26	A	Muscle test hemidiaphragm	1.25	0.64	0.64	0.05	XXX
95867		A	Muscle test cran nerv unilat	0.79	2.56	NA	0.04	XXX
95867	TC	A	Muscle test cran nerv unilat	0.00	2.17	NA	0.01	XXX
95867	26	A	Muscle test cran nerv unilat	0.79	0.39	0.39	0.03	XXX
95868		A	Muscle test cran nerve bilat	1.18	3.02	NA	0.05	XXX
95868	TC	A	Muscle test cran nerve bilat	0.00	2.44	NA	0.01	XXX
95868	26	A	Muscle test cran nerve bilat	1.18	0.58	0.58	0.04	XXX
95869		A	Muscle test thor paraspinal	0.37	2.17	NA	0.02	XXX
95869	TC	A	Muscle test thor paraspinal	0.00	1.99	NA	0.01	XXX
95869	26	A	Muscle test thor paraspinal	0.37	0.18	0.18	0.01	XXX
95870		A	Muscle test nonparaspinal	0.37	2.30	NA	0.02	XXX
95870	TC	A	Muscle test nonparaspinal	0.00	2.11	NA	0.01	XXX
95870	26	A	Muscle test nonparaspinal	0.37	0.19	0.19	0.01	XXX
95885		A	Musc tst done w/nerv tst lim	0.35	1.43	NA	0.02	ZZZ
95885	TC	A	Musc tst done w/nerv tst lim	0.00	1.25	NA	0.01	ZZZ
95885	26	A	Musc tst done w/nerv tst lim	0.35	0.18	0.18	0.01	ZZZ
95886		A	Musc test done w/n test comp	0.70	1.76	NA	0.03	ZZZ
95886	TC	A	Musc test done w/n test comp	0.00	1.40	NA	0.01	ZZZ
95886	26	A	Musc test done w/n test comp	0.70	0.36	0.36	0.02	ZZZ
95887		A	Musc tst done w/n tst nonext	0.47	1.61	NA	0.02	ZZZ
95887	TC	A	Musc tst done w/n tst nonext	0.00	1.37	NA	0.01	ZZZ
95887	26	A	Musc tst done w/n tst nonext	0.47	0.24	0.24	0.01	ZZZ
95905		A	Motor &/ sens nrve cndj test	0.05	2.02	NA	0.02	XXX
95905	TC	A	Motor &/ sens nrve cndj test	0.00	2.00	NA	0.01	XXX
95905	26	A	Motor &/ sens nrve cndj test	0.05	0.02	0.02	0.01	XXX
95907		A	Motor&/sens 1-2 nrv cndj tst	1.00	1.72	NA	0.06	XXX
95907	TC	A	Motor&/sens 1-2 nrv cndj tst	0.00	1.23	NA	0.03	XXX
95907	26	A	Motor&/sens 1-2 nrv cndj tst	1.00	0.49	0.49	0.03	XXX
95908		A	Motor&/sens 3-4 nrv cndj tst	1.25	2.11	NA	0.07	XXX
95908	TC	A	Motor&/sens 3-4 nrv cndj tst	0.00	1.49	NA	0.03	XXX
95908	26	A	Motor&/sens 3-4 nrv cndj tst	1.25	0.62	0.62	0.04	XXX
95909		A	Motor&/sens 5-6 nrv cndj tst	1.50	2.52	NA	0.09	XXX
95909	TC	A	Motor&/sens 5-6 nrv cndj tst	0.00	1.78	NA	0.05	XXX
95909	26	A	Motor&/sens 5-6 nrv cndj tst	1.50	0.74	0.74	0.04	XXX
95910		A	Motor&sens 7-8 nrv cndj test	2.00	3.29	NA	0.12	XXX
95910	TC	A	Motor&sens 7-8 nrv cndj test	0.00	2.30	NA	0.06	XXX
95910	26	A	Motor&sens 7-8 nrv cndj test	2.00	0.99	0.99	0.06	XXX
95911		A	Motor&sen 9-10 nrv cndj test	2.50	3.90	NA	0.15	XXX
95911	TC	A	Motor&sen 9-10 nrv cndj test	0.00	2.66	NA	0.08	XXX
95911	26	A	Motor&sen 9-10 nrv cndj test	2.50	1.24	1.24	0.07	XXX
95912		A	Motor&sen 11-12 nrv cnd test	3.00	4.49	NA	0.18	XXX
95912	TC	A	Motor&sen 11-12 nrv cnd test	0.00	3.01	NA	0.09	XXX
95912	26	A	Motor&sen 11-12 nrv cnd test	3.00	1.48	1.48	0.09	XXX
95913		A	Motor&sens 13/> nrv cnd test	3.56	5.12	NA	0.21	XXX
95913	TC	A	Motor&sens 13/> nrv cnd test	0.00	3.36	NA	0.11	XXX
95913	26	A	Motor&sens 13/> nrv cnd test	3.56	1.76	1.76	0.10	XXX
95921		A	Autonomic nrv parasym inervj	0.90	1.71	NA	0.05	XXX
95921	TC	A	Autonomic nrv parasym inervj	0.00	1.33	NA	0.01	XXX
95921	26	A	Autonomic nrv parasym inervj	0.90	0.38	0.38	0.04	XXX
95922		A	Autonomic nrv adrenrg inervj	0.96	2.19	NA	0.05	XXX
95922	TC	A	Autonomic nrv adrenrg inervj	0.00	1.77	NA	0.01	XXX
95922	26	A	Autonomic nrv adrenrg inervj	0.96	0.42	0.42	0.04	XXX
95923		A	Autonomic nrv syst funj test	0.90	6.78	NA	0.05	XXX
95923	TC	A	Autonomic nrv syst funj test	0.00	6.35	NA	0.01	XXX
95923	26	A	Autonomic nrv syst funj test	0.90	0.43	0.43	0.04	XXX
95924		A	Ans parasymp & symp w/tilt	1.73	2.52	NA	0.09	XXX
95924	TC	A	Ans parasymp & symp w/tilt	0.00	1.78	NA	0.01	XXX
95924	26	A	Ans parasymp & symp w/tilt	1.73	0.74	0.74	0.08	XXX
95925		A	Somatosensory testing	0.54	5.23	NA	0.02	XXX
95925	TC	A	Somatosensory testing	0.00	4.97	NA	0.01	XXX
95925	26	A	Somatosensory testing	0.54	0.26	0.26	0.01	XXX
95926		A	Somatosensory testing	0.54	5.02	NA	0.04	XXX
95926	TC	A	Somatosensory testing	0.00	4.76	NA	0.01	XXX
95926	26	A	Somatosensory testing	0.54	0.26	0.26	0.03	XXX
95928		A	C motor evoked uppr limbs	1.50	7.11	NA	0.10	XXX
95928	TC	A	C motor evoked uppr limbs	0.00	6.38	NA	0.03	XXX
95928	26	A	C motor evoked uppr limbs	1.50	0.73	0.73	0.07	XXX
95929		A	C motor evoked lwr limbs	1.50	7.16	NA	0.10	XXX
95929	TC	A	C motor evoked lwr limbs	0.00	6.43	NA	0.03	XXX
95929	26	A	C motor evoked lwr limbs	1.50	0.73	0.73	0.07	XXX
95938		A	Somatosensory testing	0.86	8.88	NA	0.07	XXX
95938	TC	A	Somatosensory testing	0.00	8.46	NA	0.03	XXX
95938	26	A	Somatosensory testing	0.86	0.42	0.42	0.04	XXX
95939		A	C motor evoked upr&lwr limbs	2.25	12.59	NA	0.15	XXX
95939	TC	A	C motor evoked upr&lwr limbs	0.00	11.49	NA	0.04	XXX
95939	26	A	C motor evoked upr&lwr limbs	2.25	1.10	1.10	0.11	XXX
95940		A	Ionm in operatng room 15 min	0.60	NA	0.31	0.03	XXX
95941		I	Ionm remote/>1 pt or per hr	0.00	0.00	0.00	0.00	XXX
95943		C	Parasymp&symp hrt rate test	0.00	0.00	0.00	0.00	XXX
95943	TC	C	Parasymp&symp hrt rate test	0.00	0.00	0.00	0.00	XXX
95943	26	C	Parasymp&symp hrt rate test	0.00	0.00	0.00	0.00	XXX
96920		A	Laser tx skin < 250 sq cm	1.15	3.47	0.76	0.04	000
96921		A	Laser tx skin 250-500 sq cm	1.30	3.79	0.85	0.04	000
96922		A	Laser tx skin >500 sq cm	2.10	4.93	1.39	0.08	000
97150		A	Group therapeutic procedures	0.29	0.21	NA	0.01	XXX
99485		B	Suprv interfacilty transport	1.50	NA	0.61	0.08	XXX
99486		B	Suprv interfac trnsport addl	1.30	NA	0.53	0.08	XXX
99487		B	Cmplx chron care w/o pt vsit	1.00	1.35	NA	0.06	XXX
99488		B	Cmplx chron care w/ pt vsit	2.50	2.73	NA	0.17	XXX
99489		B	Complx chron care addl30 min	0.50	0.68	NA	0.03	ZZZ
99495		A	Trans care mgmt 14 day disch	2.11	2.57	1.71	0.14	XXX
99496		A	Trans care mgmt 7 day disch	3.05	3.55	2.56	0.20	XXX
G0127		R	Trim nail(s)	0.17	0.51	0.04	0.01	000
G0416		A	Sat biopsy 10-20	3.09	16.51	NA	0.12	XXX
G0416	TC	A	Sat biopsy 10-20	0.00	14.36	NA	0.01	XXX
G0416	26	A	Sat biopsy 10-20	3.09	2.15	2.15	0.11	XXX
G0452	26	A	Molecular pathology interpr	0.37	0.15	0.15	0.03	XXX
G0453		A	Cont intraop neuro monitor	0.50	NA	0.24	0.03	XXX
G0455		A	Fecal microbiota prep instil	0.97	2.23	0.47	0.10	000
G0456		C	Neg pre wound <=50 sq cm	0.00	0.00	0.00	0.00	YYY
G0457		C	Neg pres wound >50 sq cm	0.00	0.00	0.00	0.00	YYY
G0459		A	Telehealth inpt pharm mgmt	0.95	NA	0.30	0.04	XXX
								
1 CPT codes and descriptors only are copyright 2013 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."								
