CY 2014 Medicare Physician Fee Schedule Final Rule 					
"CY 2014 New, Revised, and Potentially Misvalued Codes"					
HCPCS Code	Short Descriptor	CY 2013 Work RVU	AMA RUC/HCPAC Recommended Work RVU*	CY 2014 Interim Final Work RVU*	CMS Refinement to AMA/HCPAC Recommended Time*
10030	Guide cathet fluid drainage	New	3.00	3.00	No
17000	Destruct premalg lesion	0.65	0.61	0.61	No
17003	Destruct premalg les 2-14	0.07	0.04	0.04	No
17004	Destroy premal lesions 15/>	1.85	1.37	1.37	No
17311	Mohs 1 stage h/n/hf/g	6.2	6.20	6.20	No
17312	Mohs addl stage	3.3	3.30	3.30	No
17313	Mohs 1 stage t/a/l	5.56	5.56	5.56	No
17314	Mohs addl stage t/a/l	3.06	3.06	3.06	No
17315	Mohs surg addl block	0.87	0.87	0.87	No
19081	Bx breast 1st Lesion strtctc	New	3.29	3.29	No
19082	Bx breast add Lesion strtctc	New	1.65	1.65	No
19083	Bx breast 1st Lesion US imag	New	3.10	3.10	No
19084	Bx breast add Lesion US imag	New	1.55	1.55	No
19085	Bx breast 1st lesion mr imag	New	3.64	3.64	No
19086	Bx breast add lesion mr imag	New	1.82	1.82	No
19281	Perq device breast 1st imag	New	2.00	2.00	No
19282	Perq device breast ea imag	New	1.00	1.00	No
19283	Perq dev breast 1st strtctc	New	2.00	2.00	No
19284	Perq dev breast add strtctc	New	1.00	1.00	No
19285	Perq dev breast 1st us imag	New	1.70	1.70	No
19286	Perq dev breast add us imag	New	0.85	0.85	Yes
19287	Perq dev breast 1st mr guide	New	3.02	2.55	No
19288	Perq dev breast add mr guide	New	1.51	1.28	No
23333	Remove shoulder fb deep	New	6.00	6.00	No
23334	Shoulder prosthesis removal	New	18.89	15.50	No
23335	Shoulder prosthesis removal	New	22.13	19.00	No
24164	Remove radius head implant	6.43	10.00	10.00	No
27130	Total hip arthroplasty	21.79	19.60	20.72	Yes
27236	Treat thigh fracture	17.61	17.61	17.61	Yes
27446	Revision of knee joint	16.38	17.48	17.48	No
27447	Total knee arthroplasty	23.25	19.60	20.72	Yes
31237	Nasal/sinus endoscopy surg	2.98	2.60	2.60	No
31238	Nasal/sinus endoscopy surg	3.26	2.74	2.74	No
31239	Nasal/sinus endoscopy surg	9.33	9.04	9.04	No
31240	Nasal/sinus endoscopy surg	2.61	2.61	2.61	No
33282	Implant pat-active ht record	4.8	3.50	3.50	No
33284	Remove pat-active ht record	3.14	3.00	3.00	No
33366	Trcath replace aortic valve	New	40.00	35.88	No
34841	Endovasc visc aorta 1 graft	New	C	C	N/A
34842	Endovasc visc aorta 2 graft	New	C	C	N/A
34843	Endovasc visc aorta 3 graft	New	C	C	N/A
34844	Endovasc visc aorta 4 graft	New	C	C	N/A
34845	Visc & infraren abd 1 prosth	New	C	C	N/A
34846	Visc & infraren abd 2 prosth	New	C	C	N/A
34847	Visc & infraren abd 3 prosth	New	C	C	N/A
34848	Visc & infraren abd 4+ prost	New	C	C	N/A
35301	Rechanneling of artery	19.61	21.16	21.16	No
36245	Ins cath abd/l-ext art 1st	4.67	4.90	4.90	No
37217	Stent placemt retro carotid	New	22.00	20.38	No
37236	Open/perq place stent 1st	New	9.00	9.00	No
37237	Open/perq place stent ea add	New	4.25	4.25	No
37238	Open/perq place stent same	New	6.29	6.29	No
37239	Open/perq place stent ea add	New	3.34	2.97	No
37241	Vasc embolize/occlude venous	New	9.00	9.00	No
37242	Vasc embolize/occlude artery	New	11.98	10.05	No
37243	Vasc embolize/occlude organ	New	14.00	11.99	No
37244	Vasc embolize/occlude bleed	New	14.00	14.00	No
43191	Esophagoscopy rigid trnso dx	New	2.78	2.00	No
43192	Esophagoscp rig trnso inject	New	3.21	2.45	No
43193	Esophagoscp rig trnso biopsy	New	3.36	3.00	No
43194	Esophagoscp rig trnso rem fb	New	3.99	3.00	No
43195	Esophagoscopy rigid balloon	New	3.21	3.00	No
43196	Esophagoscp guide wire dilat	New	3.36	3.30	No
43197	Esophagoscopy flex dx brush	New	1.59	1.48	Yes
43198	Esophagosc flex trnsn biopsy	New	1.89	1.78	Yes
43200	Esophagoscopy flexible brush	1.59	1.59	1.50	No
43201	Esoph scope w/submucous inj	2.09	1.90	1.80	No
43202	Esophagoscopy flex biopsy	1.89	1.89	1.80	No
43204	Esoph scope w/sclerosis inj	3.76	2.89	2.40	No
43205	Esophagus endoscopy/ligation	3.78	3.00	2.51	No
43211	Esophagoscop mucosal resect	New	4.58	4.21	No
43212	Esophagoscop stent placement	New	3.73	3.38	No
43213	Esophagoscopy retro balloon	New	5.00	4.73	No
43214	Esophagosc dilate balloon 30	New	3.78	3.38	No
43215	Esophagoscopy flex remove fb	2.6	2.60	2.51	No
43216	Esophagoscopy lesion removal	2.4	2.40	2.40	No
43217	Esophagoscopy snare les remv	2.9	2.90	2.90	No
43220	Esophagoscopy balloon <30mm	2.1	2.10	2.10	No
43226	Esoph endoscopy dilation	2.34	2.34	2.34	No
43227	Esophagoscopy control bleed	3.59	3.26	2.99	No
43229	Esophagoscopy lesion ablate	New	3.72	3.54	No
43231	Esophagoscop ultrasound exam	3.19	3.19	2.90	No
43232	Esophagoscopy w/us needle bx	4.47	3.83	3.54	No
43233	Egd balloon dil esoph30 mm/>	New	4.45	4.05	No
43235	Egd diagnostic brush wash	2.39	2.26	2.17	No
43236	Uppr gi scope w/submuc inj	2.92	2.57	2.47	No
43237	Endoscopic us exam esoph	3.98	3.85	3.57	No
43238	Egd us fine needle bx/aspir	5.02	4.50	4.11	No
43239	Egd biopsy single/multiple	2.87	2.56	2.47	No
43240	Egd w/transmural drain cyst	6.85	7.25	7.25	No
43241	Egd tube/cath insertion	2.59	2.59	2.59	No
43242	Egd us fine needle bx/aspir	7.3	5.39	4.68	No
43243	Egd injection varices	4.56	4.37	4.37	No
43244	Egd varices ligation	5.04	4.50	4.50	No
43245	Egd dilate stricture	3.18	3.18	3.18	No
43246	Egd place gastrostomy tube	4.32	4.32	3.66	No
43247	Egd remove foreign body	3.38	3.27	3.18	No
43248	Egd guide wire insertion	3.15	3.01	3.01	No
43249	Esoph egd dilation <30 mm	2.9	2.77	2.77	No
43250	Egd cautery tumor polyp	3.2	3.07	3.07	No
43251	Egd remove lesion snare	3.69	3.57	3.57	No
43253	Egd us transmural injxn/mark	New	5.39	4.68	No
43254	Egd endo mucosal resection	New	5.25	4.88	No
43255	Egd control bleeding any	4.81	4.20	3.66	No
43257	Egd w/thrml txmnt gerd	5.5	4.25	4.11	No
43259	Egd us exam duodenum/jejunum	5.19	4.74	4.14	No
43260	Ercp w/specimen collection	5.95	5.95	5.95	No
43261	Endo cholangiopancreatograph	6.26	6.25	6.25	No
43262	Endo cholangiopancreatograph	7.38	6.60	6.60	No
43263	Ercp sphincter pressure meas	7.28	7.28	6.60	No
43264	Ercp remove duct calculi	8.89	6.73	6.73	No
43265	Ercp lithotripsy calculi	10	8.03	8.03	No
43266	Egd endoscopic stent place	New	4.40	4.05	No
43270	Egd lesion ablation	New	4.39	4.21	No
43273	Endoscopic pancreatoscopy	2.24	2.24	2.24	No
43274	Ercp duct stent placement	New	8.74	8.48	No
43275	Ercp remove forgn body duct	New	6.96	6.96	No
43276	Ercp stent exchange w/dilate	New	9.10	8.84	No
43277	Ercp ea duct/ampulla dilate	New	7.11	7.00	No
43278	Ercp lesion ablate w/dilate	New	8.08	7.99	No
43450	Dilate esophagus 1/mult pass	1.38	1.38	1.38	No
43453	Dilate esophagus	1.51	1.51	1.51	No
49405	Image cath fluid colxn visc	New	4.25	4.25	No
49406	Image cath fluid peri/retro	New	4.25	4.25	No
49407	Image cath fluid trns/vgnl	New	4.50	4.50	No
50360	Transplantation of kidney	40.9	40.90	39.88	No
52332	Cystoscopy and treatment	2.82	2.82	2.82	No
52356	Cysto/uretero w/lithotripsy	New	8.00	8.00	No
62310	Inject spine cerv/thoracic	1.91	1.68	1.18	No
62311	Inject spine lumbar/sacral	1.54	1.54	1.17	No
62318	Inject spine w/cath crv/thrc	2.04	2.04	1.54	No
62319	Inject spine w/cath lmb/scrl	1.87	1.87	1.50	No
63047	Remove spine lamina 1 lmbr	15.37	15.37	15.37	No
63048	Remove spinal lamina add-on	3.47	3.47	3.47	No
64616	Chemodenerv musc neck dyston	New	1.79	1.53	No
64617	Chemodener muscle larynx emg	New	2.06	1.90	No
64642	Chemodenerv 1 extremity 1-4	New	1.65	1.65	No
64643	Chemodenerv 1 extrem 1-4 ea	New	1.32	1.22	No
64644	Chemodenerv 1 extrem 5/> mus	New	1.82	1.82	No
64645	Chemodenerv 1 extrem 5/> ea	New	1.52	1.39	No
64646	Chemodenerv trunk musc 1-5	New	1.80	1.80	No
64647	Chemodenerv trunk musc 6/>	New	2.11	2.11	No
66183	Insert ant drainage device	New	13.20	13.20	No
67914	Repair eyelid defect	3.75	3.75	3.75	No
67915	Repair eyelid defect	3.26	2.03	2.03	No
67916	Repair eyelid defect	5.48	5.48	5.48	No
67917	Repair eyelid defect	6.19	5.93	5.93	No
67921	Repair eyelid defect	3.47	3.47	3.47	No
67922	Repair eyelid defect	3.14	2.03	2.03	No
67923	Repair eyelid defect	6.05	5.48	5.48	No
67924	Repair eyelid defect	5.93	5.93	5.93	No
69210	Remove impacted ear wax uni	0.61	0.58	0.61	No
70450	Ct head/brain w/o dye	0.85	0.85	0.85	No
70460	Ct head/brain w/dye	1.13	1.13	1.13	No
70551	Mri brain stem w/o dye	1.48	1.48	1.48	No
70552	Mri brain stem w/dye	1.78	1.78	1.78	No
70553	Mri brain stem w/o & w/dye	2.36	2.36	2.29	No
72141	Mri neck spine w/o dye	1.6	1.48	1.48	No
72142	Mri neck spine w/dye	1.92	1.78	1.78	No
72146	Mri chest spine w/o dye	1.6	1.48	1.48	No
72147	Mri chest spine w/dye	1.92	1.78	1.78	No
72148	Mri lumbar spine w/o dye	1.48	1.48	1.48	No
72149	Mri lumbar spine w/dye	1.78	1.78	1.78	No
72156	Mri neck spine w/o & w/dye	2.57	2.29	2.29	No
72157	Mri chest spine w/o & w/dye	2.57	2.29	2.29	No
72158	Mri lumbar spine w/o & w/dye	2.36	2.29	2.29	No
77280	Set radiation therapy field	0.7	0.70	0.70	No
77285	Set radiation therapy field	1.05	1.05	1.05	No
77290	Set radiation therapy field	1.56	1.56	1.56	No
77293	Respirator motion mgmt simul	New	2.00	2.00	No
77295	3-d radiotherapy plan	4.56	4.29	4.29	No
81161	Dmd dup/delet analysis	New	1.85	X	N/A
88112	Cytopath cell enhance tech	1.18	0.56	0.56	No
88342	Immunohisto antibody slide	0.85	0.60	I	N/A
88343	Immunohisto antibod add slid	New	0.24	I	N/A
92521	Evaluation of speech fluency	New	1.75	1.75	No
92522	Evaluate speech production	New	1.50	1.50	No
92523	Speech sound lang comprehen	New	3.36	3.00	No
92524	Behavral qualit analys voice	New	1.75	1.50	No
93000	Electrocardiogram complete	0.17	0.17	0.17	No
93010	Electrocardiogram report	0.17	0.17	0.17	No
93582	Perq transcath closure pda	New	14.00	12.56	No
93583	Perq transcath septal reduxn	New	14.00	14.00	No
93880	Extracranial bilat study	0.6	0.80	0.60	No
93882	Extracranial uni/ltd study	0.4	0.50	0.40	No
95816	Eeg awake and drowsy	1.08	1.08	1.08	No
95819	Eeg awake and asleep	1.08	1.08	1.08	No
95822	Eeg coma or sleep only	1.08	1.08	1.08	No
96365	Ther/proph/diag iv inf init	0.21	0.21	0.21	No
96366	Ther/proph/diag iv inf addon	0.18	0.18	0.18	No
96367	Tx/proph/dg addl seq iv inf	0.19	0.19	0.19	No
96368	Ther/diag concurrent inf	0.17	0.17	0.17	No
96413	Chemo iv infusion 1 hr	0.28	0.28	0.28	No
96415	Chemo iv infusion addl hr	0.19	0.19	0.19	No
96417	Chemo iv infus each addl seq	0.21	0.21	0.21	No
97610	Low frequency non-thermal us	New	C	C	N/A
98940	Chiropract manj 1-2 regions	0.45	0.46	0.46	No
98941	Chiropract manj 3-4 regions	0.65	0.71	0.71	No
98942	Chiropractic manj 5 regions	0.87	0.96	0.96	No
99446	Interprof phone/online 5-10	New	0.35	B	No
99447	Interprof phone/online 11-20	New	0.70	B	No
99448	Interprof phone/online 21-30	New	1.05	B	No
99449	Interprof phone/online 31/>	New	1.40	B	No
99481	Tot body Syst hypothermia	New	C	C	N/A
99482	Selective head hypothermia	New	C	C	N/A
G0461	"Immunohistochemistry, init"	New	N/A	0.60	No
G0462	"Immunohistochemistry, addl"	New	N/A	0.24	No
"*The AMA RUC/HCPAC recommendation reflects the CY2014 AMA RUC/HCPAC recommendation. Where N/A is listed, either we did not receive a recommendation from the AMA RUC/HCPAC, the code is not nationally priced or the code is not separately payable/payable. 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."					
