CALCULATION OF PE RVUS UNDER METHODOLOGY FOR SELECTED CODES											
											
	Step	Source	Formula	"99213 Office visit, est "	"33533 CABG, arterial,"	71020 Chest x-ray	71020-TC Chest x-ray	71020-26 Chest x-ray	"93000 ECG, complete"	"93005 ECG, tracing"	"93010 ECG, report"
				Nonfacility	single Facility	Nonfacility	Nonfacility	Nonfacility	Nonfacility	Nonfacility	Nonfacility
(1) Labor cost (Lab)	Step 1	AMA		13.32	77.52	5.74	5.74	0	5.1	5.1	0
(2) Supply cost (Sup)	Step 1	AMA		2.98	7.34	0.53	0.53	0	1.19	1.19	0
(3) Equipment cost (Eqp)	Step 1	AMA		0.17	0.58	7.32	7.32	0	0.09	0.09	0
(4) Direct cost (Dir)	Step 1		=(1)+(2)+(3)	16.48	85.45	13.59	13.59	0	6.38	6.38	0
(5) Direct adjustment (Dir. Adj.)	Steps 2-4	See Footnote*		0.5899	0.5899	0.5899	0.5899	0.5899	0.5899	0.5899	0.5899
(6) Adjusted Labor	Steps 2-4		=(1)*(5)	7.86	45.73	3.39	3.39	0	3.01	3.01	0
(7) Adjusted Supplies	Steps 2-4	=Eqp * Dir Adj	=(2)*(5)	1.76	4.33	0.31	0.31	0	0.7	0.7	0
(8) Adjusted Equipment	Steps 2-4	=Sup * Dir Adj	=(3)*(5)	0.1	0.34	4.32	4.32	0	0.05	0.05	0
(9) Adjusted Direct	Steps 2-4		=(6)+(7)+(8)	9.72	50.41	8.02	8.02	0	3.77	3.77	0
(10) Conversion Factor (CF)	Step 5	PFS		35.8043	35.8043	35.8043	35.8043	35.8043	35.8043	35.8043	35.8043
(11) Adj. labor cost converted	Step 5	=(Lab * Dir Adj)/CF	=(6)/(10)	0.22	1.28	0.09	0.09	0	0.08	0.08	0
(12) Adj. supply cost converted	Step 5	=(Sup * Dir Adj) /CF	=(7)/(10)	0.05	0.12	0.01	0.01	0	0.02	0.02	0
(13) Adj. equipment cost converted	Step 5	=(Eqp * Dir Adj)/ CF	=(8)/(10)	0	0.01	0.12	0.12	0	0	0	0
(14) Adj. direct cost converted	Step 5		=(11)+(12)+(13)	0.27	1.41	0.22	0.22	0	0.11	0.11	0
(15) Work RVU	Setup File	PFS		0.97	33.75	0.22	0	0.22	0.17	0	0.17
(16) Dir_pct	"Steps 6,7"	Surveys		0.25	0.17	0.29	0.29	0.29	0.29	0.29	0.29
(17) Ind_pct	"Steps 6,7"	Surveys		0.75	0.83	0.71	0.71	0.71	0.71	0.71	0.71
(18) Ind. Alloc. Formula (1st part)	Step 8	See Step 8		(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)
(19) Ind. Alloc.(1st part)	Step 8		See 18	0.83	6.7	0.54	0.54	0	0.26	0.26	0
(20) Ind. Alloc. Formula (2nd part)	Step 8	See Step 8		(15)	(15)	(15+11)	(11)	(15)	(15+11)	(11)	(15)
(21) Ind. Alloc.(2nd part)	Step 8		See 20	0.97	33.75	0.31	0.09	0.22	0.25	0.08	0.17
(22) Indirect Allocator (1st + 2nd)	Step 8		=(19)+(21)	1.8	40.45	0.86	0.64	0.22	0.51	0.34	0.17
(23) Indirect Adjustment (Ind. Adj.)	Steps 9-11	See Footnote**		0.38	0.38	0.38	0.38	0.38	0.38	0.38	0.38
(24) Adjusted Indirect Allocator	Steps 9-11	=Ind Alloc * Ind Adj		0.68	15.37	0.33	0.24	0.08	0.2	0.13	0.06
(25) Ind. Practice Cost Index (IPCI)	Steps 12-16			1.08	0.74	1	1	1	0.91	0.91	0.91
(26) Adjusted Indirect	Step 17	= Adj.Ind Alloc * PCI	=(24)*(25)	0.74	11.39	0.32	0.24	0.08	0.18	0.12	0.06
(27) Final PE RVU	Step 18	=(Adj Dir + Adj Ind) * Other Adj	"=((14)+(26))
* Other Adj)"	1.02	12.89	0.55	0.47	0.08	0.29	0.23	0.06
											
Note: The Other Adjustment in row 27 includes adjustments due to budget neutrality and the application of the phase-in transition. 											
											
*The direct adj = [current pe rvus * CF * avg dir pct]/[sum direct inputs] = [step2]/[step3]											
											
**The indirect adj = [current pe rvus * avg ind pct]/[sum of ind allocators] = [step9]/[step10]											
											
Note: The use of any particular conversion factor (CF) in Table XX to illustrate the PE Calculation has no effect on the resulting RVUs.											
											
Note: The budget neutrality adjustment includes an adjustment for the equipment utilization change.											
