CY 2014 Medicare Physician Fee Schedule Final Rule					
"CY 2014 Actions on CY 2013 New, Revised, and Potentially Misvalued Codes"					
HCPCS Code	Short Descriptor	CY 2013 Work RVU*	CY 2014 Interim Final/Final Work RVU*	CY 2014 Action	
10120	Remove foreign body	1.22	1.22	Finalize	
11055	Trim skin lesion	0.35	0.35	Finalize	
11056	Trim skin lesions 2 to 4	0.50	0.50	Finalize	
11057	Trim skin lesions over 4	0.65	0.65	Finalize	
11300	Shave skin lesion 0.5 cm/<	0.60	0.60	Finalize	
11301	Shave skin lesion 0.6-1.0 cm	0.90	0.90	Finalize	
11302	Shave skin lesion 1.1-2.0 cm	1.05	1.05	Finalize	
11303	Shave skin lesion >2.0 cm	1.25	1.25	Finalize	
11305	Shave skin lesion 0.5 cm/<	0.80	0.80	Finalize	
11306	Shave skin lesion 0.6-1.0 cm	0.96	0.96	Finalize	
11307	Shave skin lesion 1.1-2.0 cm	1.20	1.20	Finalize	
11308	Shave skin lesion >2.0 cm	1.46	1.46	Finalize	
11310	Shave skin lesion 0.5 cm/<	0.80	0.80	Finalize	
11311	Shave skin lesion 0.6-1.0 cm	1.10	1.10	Finalize	
11312	Shave skin lesion 1.1-2.0 cm	1.30	1.30	Finalize	
11313	Shave skin lesion >2.0 cm	1.68	1.68	Finalize	
11719	Trim nail(s) any number	0.17	0.17	Finalize	
12035	Intmd rpr s/a/t/ext 12.6-20	3.50	3.50	Finalize	
12036	Intmd rpr s/a/t/ext 20.1-30	4.23	4.23	Finalize	
12037	Intmd rpr s/tr/ext >30.0 cm	5.00	5.00	Finalize	
12045	Intmd rpr n-hf/genit12.6-20	3.75	3.75	Finalize	
12046	Intmd rpr n-hf/genit20.1-30	4.30	4.30	Finalize	
12047	Intmd rpr n-hf/genit >30.0cm	4.95	4.95	Finalize	
12055	Intmd rpr face/mm 12.6-20 cm	4.50	4.50	Finalize	
12056	Intmd rpr face/mm 20.1-30.0	5.30	5.30	Finalize	
12057	Intmd rpr face/mm >30.0 cm	6.00	6.00	Finalize	
13100	Cmplx rpr trunk 1.1-2.5 cm	3.00	3.00	Finalize	
13101	Cmplx rpr trunk 2.6-7.5 cm	3.50	3.50	Finalize	
13102	Cmplx rpr trunk addl 5cm/<	1.24	1.24	Finalize	
13120	Cmplx rpr s/a/l 1.1-2.5 cm	3.23	3.23	Finalize	
13121	Cmplx rpr s/a/l 2.6-7.5 cm	4.00	4.00	Finalize	
13122	Cmplx rpr s/a/l addl 5 cm/>	1.44	1.44	Finalize	
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f	3.73	3.73	Finalize	
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f	4.78	4.78	Finalize	
13133	Cmplx rpr f/c/c/m/n/ax/g/h/f	2.19	2.19	Finalize	
13150	Cmplx rpr e/n/e/l 1.0 cm/<	3.58	D	D	
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm	4.34	4.34	Finalize	
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm	4.90	5.34	Finalize	
13153	Cmplx rpr e/n/e/l addl 5cm/<	2.38	2.38	Finalize	
20985	Cptr-asst dir ms px	2.50	2.50	Finalize	
22586	Prescrl fuse w/ instr l5-s1	28.12	28.12	Finalize	
23350	Injection for shoulder x-ray	1.00	1.00	Finalize	
23331	Remove shoulder foreign body	7.63	D	D	
23332	Remove shoulder foreign body	12.37	D	D	
23472	Reconstruct shoulder joint	22.13	22.13	Finalize	
23473	Revis reconst shoulder joint	25.00	25.00	Finalize	
23474	Revis reconst shoulder joint	27.21	27.21	Finalize	
23600	Treat humerus fracture	3.00	3.00	Interim Final	
24160	Remove elbow joint implant	8.00	18.63	Interim Final	
24363	Replace elbow joint	22.00	22.00	Finalize	
24370	Revise reconst elbow joint	23.55	23.55	Finalize	
24371	Revise reconst elbow joint	27.50	27.50	Finalize	
28470	Treat metatarsal fracture	2.03	2.03	Interim Final	
29075	Application of forearm cast	0.77	0.77	Interim Final	
29581	Apply multlay comprs lwr leg	0.25	0.25	Interim Final	
29582	Apply multlay comprs upr leg	0.35	0.35	Interim Final	
29583	Apply multlay comprs upr arm	0.25	0.25	Interim Final	
29584	Appl multlay comprs arm/hand	0.35	0.35	Interim Final	
29824	Shoulder arthroscopy/surgery	8.98	8.98	Interim Final	
29826	Shoulder arthroscopy/surgery	3.00	3.00	Interim Final	
29827	Arthroscop rotator cuff repr	15.59	15.59	Finalize	
29828	Arthroscopy biceps tenodesis	13.16	13.16	Finalize	
31231	Nasal endoscopy dx	1.10	1.10	Finalize	
31647	Bronchial valve init insert	4.40	4.40	Finalize	
31648	Bronchial valve remov init	4.20	4.20	Finalize	
31649	Bronchial valve remov addl	1.44	1.44	Finalize	
31651	Bronchial valve addl insert	1.58	1.58	Finalize	
31660	Bronch thermoplsty 1 lobe	4.25	4.25	Finalize	
31661	Bronch thermoplsty 2/> lobes	4.50	4.50	Finalize	
32440	Remove lung pneumonectomy	27.28	27.28	Finalize	
32480	Partial removal of lung	25.82	25.82	Finalize	
32482	Bilobectomy	27.44	27.44	Finalize	
32491	Lung volume reduction	25.24	25.24	Finalize	
32551	Insertion of chest tube	3.29	3.29	Finalize	
32554	Aspirate pleura w/o imaging	1.82	1.82	Finalize	
32555	Aspirate pleura w/ imaging	2.27	2.27	Finalize	
32556	Insert cath pleura w/o image	2.50	2.50	Finalize	
32557	Insert cath pleura w/ image	3.12	3.12	Finalize	
32663	Thoracoscopy w/lobectomy	24.64	24.64	Finalize	
32668	Thoracoscopy w/w resect diag	3.00	3.00	Finalize	
32669	Thoracoscopy remove segment	23.53	23.53	Finalize	
32670	Thoracoscopy bilobectomy	28.52	28.52	Finalize	
32671	Thoracoscopy pneumonectomy	31.92	31.92	Finalize	
32672	Thoracoscopy for lvrs	27.00	27.00	Finalize	
32673	Thoracoscopy w/thymus resect	21.13	21.13	Finalize	
32701	Thorax stereo rad targetw/tx	4.18	4.18	Finalize	
33361	Replace aortic valve perq	25.13	25.13	Finalize	
33362	Replace aortic valve open	27.52	27.52	Finalize	
33363	Replace aortic valve open	28.50	28.50	Finalize	
33364	Replace aortic valve open	30.00	30.00	Finalize	
33365	Replace aortic valve open	33.12	33.12	Finalize	
33367	Replace aortic valve w/byp	11.88	11.88	Finalize	
33368	Replace aortic valve w/byp	14.39	14.39	Finalize	
33369	Replace aortic valve w/byp	19.00	19.00	Finalize	
33405	Replacement of aortic valve	41.32	41.32	Finalize	
33430	Replacement of mitral valve	50.93	50.93	Finalize	
33533	Cabg arterial single	33.75	33.75	Finalize	
33990	Insert vad artery access	8.15	8.15	Finalize	
33991	Insert vad art&vein access	11.88	11.88	Finalize	
33992	Remove vad different session	4.00	4.00	Finalize	
33993	Reposition vad diff session	3.51	3.51	Finalize	
35475	Repair arterial blockage	5.75	6.60	Finalize	
35476	Repair venous blockage	4.71	5.10	Finalize	
36221	Place cath thoracic aorta	4.17	4.17	Finalize	
36222	Place cath carotid/inom art	5.53	5.53	Finalize	
36223	Place cath carotid/inom art	6.00	6.00	Finalize	
36224	Place cath carotd art	6.50	6.50	Finalize	
36225	Place cath subclavian art	6.00	6.00	Finalize	
36226	Place cath vertebral art	6.50	6.50	Finalize	
36227	Place cath xtrnl carotid	2.09	2.09	Finalize	
36228	Place cath intracranial art	4.25	4.25	Finalize	
37197	Remove intrvas foreign body	6.29	6.29	Finalize	
37211	Thrombolytic art therapy	8.00	8.00	Finalize	
37212	Thrombolytic venous therapy	7.06	7.06	Finalize	
37213	Thromblytic art/ven therapy	5.00	5.00	Finalize	
37214	Cessj therapy cath removal	2.74	2.74	Finalize	
38240	Transplt allo hct/donor	3.00	4.00	Finalize	
38241	Transplt autol hct/donor	3.00	3.00	Finalize	
38242	Transplt allo lymphocytes	2.11	2.11	Finalize	
38243	Transplj hematopoietic boost	2.13	2.13	Finalize	
40490	Biopsy of lip	1.22	1.22	Finalize	
43206	Esoph optical endomicroscopy	C	2.39	Interim Final	
43252	Egd optical endomicroscopy	C	3.06	Interim Final	
44705	Prepare fecal microbiota	I	I	Finalize	
45330	Diagnostic sigmoidoscopy	0.96	0.96	Finalize	
47562	Laparoscopic cholecystectomy	10.47	10.47	Finalize	
47563	Laparo cholecystectomy/graph	11.47	11.47	Finalize	
47600	Removal of gallbladder	17.48	17.48	Finalize	
47605	Removal of gallbladder	18.48	18.48	Finalize	
49505	Prp i/hern init reduc >5 yr	7.96	7.96	Finalize	
50590	Fragmenting of kidney stone	9.77	9.77	Finalize	
52214	Cystoscopy and treatment	3.50	3.50	Finalize	
52224	Cystoscopy and treatment	4.05	4.05	Finalize	
52234	Cystoscopy and treatment	4.62	4.62	Finalize	
52235	Cystoscopy and treatment	5.44	5.44	Finalize	
52240	Cystoscopy and treatment	7.50	7.50	Finalize	
52287	Cystoscopy chemodenervation	3.20	3.20	Finalize	
52351	Cystouretero & or pyeloscope	5.75	5.75	Finalize	
52352	Cystouretero w/stone remove	6.75	6.75	Finalize	
52353	Cystouretero w/lithotripsy	7.50	7.50	Finalize	
52354	Cystouretero w/biopsy	8.00	8.00	Finalize	
52355	Cystouretero w/excise tumor	9.00	9.00	Finalize	
53850	Prostatic microwave thermotx	10.08	10.08	Finalize	
60520	Removal of thymus gland	17.16	17.16	Finalize	
60521	Removal of thymus gland	19.18	19.18	Finalize	
60522	Removal of thymus gland	23.48	23.48	Finalize	
64450	N block other peripheral	0.75	0.75	Finalize	
64612	Destroy nerve face muscle	1.41	1.41	Finalize	
64613	Destroy nerve neck muscle	2.01	D	D	
64614	Destroy nerve extrem musc	2.20	D	D	
64615	Chemodenerv musc migraine	1.85	1.85	Finalize	
64640	Injection treatment of nerve	1.23	1.23	Finalize	
65222	Remove foreign body from eye	0.84	0.84	Finalize	
65800	Drainage of eye	1.53	1.53	Finalize	
66982	Cataract surgery complex	11.08	11.08	Finalize	
66984	Cataract surg w/iol 1 stage	8.52	8.52	Finalize	
67028	Injection eye drug	1.44	1.44	Finalize	
67810	Biopsy eyelid & lid margin	1.18	1.18	Finalize	
68200	Treat eyelid by injection	0.49	0.49	Finalize	
69200	Clear outer ear canal	0.77	0.77	Finalize	
69433	Create eardrum opening	1.57	1.57	Finalize	
72040	X-ray exam neck spine 2-3 vw	0.22	0.22	Finalize	
72050	X-ray exam neck spine 4/5vws	0.31	0.31	Finalize	
72052	X-ray exam neck spine 6/>vws	0.36	0.36	Finalize	
72191	Ct angiograph pelv w/o&w/dye	1.81	1.81	Interim Final	
73221	Mri joint upr extrem w/o dye	1.35	1.35	Finalize	
73721	Mri jnt of lwr extre w/o dye	1.35	1.35	Finalize	
74170	Ct abdomen w/o & w/dye	1.40	1.40	Finalize	
74174	Ct angio abd&pelv w/o&w/dye	2.20	2.20	Finalize	
74175	Ct angio abdom w/o & w/dye	1.90	1.90	Finalize	
74247	Contrst x-ray uppr gi tract	0.69	0.69	Finalize	
74280	Contrast x-ray exam of colon	0.99	0.99	Finalize	
74400	Contrst x-ray urinary tract	0.49	0.49	Finalize	
75896-26	X-rays transcath therapy	1.31	1.31	Interim Final	
75896-TC	X-rays transcath therapy	C	C	Interim Final	
75898-26	Follow-up angiography	1.65	1.65	Interim Final	
75898-TC	Follow-up angiography	C	C	Interim Final	
76830	Transvaginal us non-ob	0.69	0.69	Finalize	
76872	Us transrectal	0.69	0.69	Finalize	
77001	Fluoroguide for vein device	0.38	0.38	Interim Final	
77002	Needle localization by xray	0.54	0.54	Interim Final	
77003	Fluoroguide for spine inject	0.60	0.60	Interim Final	
77080	Dxa bone density axial	0.20	0.20	Finalize	
77082	Dxa bone density vert fx	0.17	0.17	Finalize	
77301	Radiotherapy dose plan imrt	7.99	7.99	Finalize	
78012	Thyroid uptake measurement	0.19	0.19	Finalize	
78013	Thyroid imaging w/blood flow	0.37	0.37	Finalize	
78014	Thyroid imaging w/blood flow	0.50	0.50	Finalize	
78070	Parathyroid planar imaging	0.80	0.80	Finalize	
78071	Parathyrd planar w/wo subtrj	1.20	1.20	Finalize	
78072	Parathyrd planar w/spect&ct	1.60	1.60	Finalize	
78278	Acute gi blood loss imaging	0.99	0.99	Finalize	
78472	Gated heart planar single	0.98	0.98	Finalize	
86153	Cell enumeration phys interp	0.69	0.69	Finalize	
88120	Cytp urne 3-5 probes ea spec	1.20	1.20	Interim Final	
88121	Cytp urine 3-5 probes cmptr	1.00	1.00	Interim Final	
88312	Special stains group 1	0.54	0.54	Finalize	
88365	Insitu hybridization (fish)	1.20	1.20	Interim Final	
88367	Insitu hybridization auto	1.30	1.30	Interim Final	
88368	Insitu hybridization manual	1.40	1.40	Interim Final	
88375	Optical endomicroscpy interp	C	I	Interim Final	
90785	Psytx complex interactive	0.11	0.33	Interim Final	
90791	Psych diagnostic evaluation	2.80	3.00	Interim Final	
90792	Psych diag eval w/med srvcs	2.96	3.25	Interim Final	
90832	Psytx pt&/family 30 minutes	1.25	1.50	Interim Final	
90833	Psytx pt&/fam w/e&m 30 min	0.98	1.50	Interim Final	
90834	Psytx pt&/family 45 minutes	1.89	2.00	Interim Final	
90836	Psytx pt&/fam w/e&m 45 min	1.60	1.90	Interim Final	
90837	Psytx pt&/family 60 minutes	2.83	3.00	Interim Final	
90838	Psytx pt&/fam w/e&m 60 min	2.56	2.50	Interim Final	
90839	Psytx crisis initial 60 min	C	3.13	Interim Final	
90840	Psytx crisis ea addl 30 min	C	1.50	Interim Final	
90845	Psychoanalysis	1.79	2.10	Interim Final	
90846	Family psytx w/o patient	1.83	2.40	Interim Final	
90847	Family psytx w/patient	2.21	2.50	Interim Final	
90853	Group psychotherapy	0.59	0.59	Interim Final	
90863	Pharmacologic mgmt w/psytx	I	I	Interim Final	
91112	Gi wireless capsule measure	2.10	2.10	Finalize	
92083	Visual field examination(s)	0.50	0.50	Finalize	
92100	Serial tonometry exam(s)	0.61	0.61	Finalize	
92235	Eye exam with photos	0.81	0.81	Finalize	
92286	Internal eye photography	0.40	0.40	Finalize	
92920	Prq cardiac angioplast 1 art	10.10	10.10	Finalize	
92921	Prq cardiac angio addl art	B	B	Finalize	
92924	Prq card angio/athrect 1 art	11.99	11.99	Finalize	
92925	Prq card angio/athrect addl	B	B	Finalize	
92928	Prq card stent w/angio 1 vsl	11.21	11.21	Finalize	
92929	Prq card stent w/angio addl	B	B	Finalize	
92933	Prq card stent/ath/angio	12.54	12.54	Finalize	
92934	Prq card stent/ath/angio	B	B	Finalize	
92937	Prq revasc byp graft 1 vsl	11.20	11.20	Finalize	
92938	Prq revasc byp graft addl	B	B	Finalize	
92941	Prq card revasc mi 1 vsl	12.56	12.56	Finalize	
92943	Prq card revasc chronic 1vsl	12.56	12.56	Finalize	
92944	Prq card revasc chronic addl	B	B	Finalize	
93015	Cardiovascular stress test	0.75	0.75	Finalize	
93016	Cardiovascular stress test	0.45	0.45	Finalize	
93018	Cardiovascular stress test	0.30	0.30	Finalize	
93308	Tte f-up or lmtd	0.53	0.53	Finalize	
93653	Ep & ablate supravent arrhyt	15.00	15.00	Finalize	
93654	Ep & ablate ventric tachy	20.00	20.00	Finalize	
93655	Ablate arrhythmia add on	7.50	7.50	Finalize	
93656	Tx atrial fib pulm vein isol	20.02	20.02	Finalize	
93657	Tx l/r atrial fib addl	7.50	7.50	Finalize	
93925	Lower extremity study	0.80	0.80	Finalize	
93926	Lower extremity study	0.50	0.50	Finalize	
93970	Extremity study	0.70	0.70	Finalize	
93971	Extremity study	0.45	0.45	Finalize	
95017	Perq & icut allg test venoms	0.07	0.07	Finalize	
95018	Perq&ic allg test drugs/biol	0.14	0.14	Finalize	
95076	Ingest challenge ini 120 min	1.50	1.50	Finalize	
95079	Ingest challenge addl 60 min	1.38	1.38	Finalize	
95782	Polysom <6 yrs 4/> paramtrs	2.60	2.60	Finalize	
95783	Polysom <6 yrs cpap/bilvl	2.83	2.83	Finalize	
95860	Muscle test one limb	0.96	0.96	Finalize	
95861	Muscle test 2 limbs	1.54	1.54	Finalize	
95863	Muscle test 3 limbs	1.87	1.87	Finalize	
95864	Muscle test 4 limbs	1.99	1.99	Finalize	
95865	Muscle test larynx	1.57	1.57	Finalize	
95866	Muscle test hemidiaphragm	1.25	1.25	Finalize	
95867	Muscle test cran nerv unilat	0.79	0.79	Finalize	
95868	Muscle test cran nerve bilat	1.18	1.18	Finalize	
95869	Muscle test thor paraspinal	0.37	0.37	Finalize	
95870	Muscle test nonparaspinal	0.37	0.37	Finalize	
95885	Musc tst done w/nerv tst lim	0.35	0.35	Finalize	
95886	Musc test done w/n test comp	0.70	0.86	Finalize	
95887	Musc tst done w/n tst nonext	0.47	0.71	Finalize	
95905	Motor &/ sens nrve cndj test	0.05	0.05	Finalize	
95907	Nvr cndj tst 1-2 studies	1.00	1.00	Finalize	
95908	Nrv cndj tst 3-4 studies	1.25	1.25	Finalize	
95909	Nrv cndj tst 5-6 studies	1.50	1.50	Finalize	
95910	Nrv cndj test 7-8 studies	2.00	2.00	Finalize	
95911	Nrv cndj test 9-10 studies	2.50	2.50	Finalize	
95912	Nrv cndj test 11-12 studies	3.00	3.00	Finalize	
95913	Nrv cndj test 13/> studies	3.56	3.56	Finalize	
95921	Autonomic nrv parasym inervj	0.90	0.90	Finalize	
95922	Autonomic nrv adrenrg inervj	0.96	0.96	Finalize	
95923	Autonomic nrv syst funj test	0.90	0.90	Finalize	
95924	Ans parasymp & symp w/tilt	1.73	1.73	Finalize	
95925	Somatosensory testing	0.54	0.54	Finalize	
95926	Somatosensory testing	0.54	0.54	Finalize	
95928	C motor evoked uppr limbs	1.50	1.50	Interim Final	
95929	C motor evoked lwr limbs	1.50	1.50	Interim Final	
95938	Somatosensory testing	0.86	0.86	Finalize	
95939	C motor evoked upr&lwr limbs	2.25	2.25	Finalize	
95940	Ionm in operatng room 15 min	0.60	0.60	Finalize	
95941	Ionm remote/>1 pt or per hr	I	I	Finalize	
95943	Parasymp&symp hrt rate test	C	C	Finalize	
96920	Laser tx skin < 250 sq cm	1.15	1.15	Finalize	
96921	Laser tx skin 250-500 sq cm	1.30	1.30	Finalize	
96922	Laser tx skin >500 sq cm	2.10	2.10	Finalize	
97150	Group therapeutic procedures	0.65	0.29	Finalize	
99485	Suprv interfacilty transport	B	B	Finalize	
99486	Suprv interfac trnsport addl	B	B	Finalize	
99487	Cmplx chron care w/o pt vsit	B	B	Finalize	
99488	Cmplx chron care w/ pt vsit	B	B	Finalize	
99489	Complx chron care addl30 min	B	B	Finalize	
99495	Trans care mgmt 14 day disch	2.11	2.11	Finalize	
99496	Trans care mgmt 7 day disch	3.05	3.05	Finalize	
G0127	Trim nail(s)	0.17	0.17	Finalize	
G0416	Sat biopsy 10-20	3.09	3.09	Finalize	
G0452	Molecular pathology interpr	0.37	0.37	Finalize	
G0453	Cont intraop neuro monitor	0.50	0.60	Finalize	
G0455	Fecal microbiota prep instil	0.97	1.34	Finalize	
G0456	Neg pre wound <=50 sq cm	C	C	Finalize	
G0457	Neg pres wound >50 sq cm	C	C	Finalize	
*Codes for which work RVUs are not applicable have the appropriate PFS procedure status indicator in the relevant column.  A description of all PFS procedure status indicators can be found in Addendum A.					
