HCPCS	Short Descriptor	Modifier	Facility	PE RVU Without Phase-In	PE RVU With Phase-In
10030	Guide cathet fluid drainage		N	12.4	13.04
10040	Acne surgery		Y	0.54	1.01
28344	Repair extra toe(s)		N	7.71	8.36
28344	Repair extra toe(s)		Y	3.38	3.62
29580	Application of paste boot		Y	0.17	0.21
29905	Subtalar arthro w/exc		Y	5.14	6.03
31081	Removal of frontal sinus		Y	14.95	18.23
31085	Removal of frontal sinus		Y	15.56	18.89
31600	Incision of windpipe		Y	2.32	2.68
36555	Insert non-tunnel cv cath		Y	0.37	0.41
36556	Insert non-tunnel cv cath		Y	0.5	0.87
51720	Treatment of bladder lesion		Y	0.31	0.55
51798	Us urine capacity measure		N	0.33	0.44
52000	Cystoscopy		Y	0.65	0.68
64418	N block inj suprascapular		N	1.09	2.12
64418	N block inj suprascapular		Y	0.42	0.56
67820	Revise eyelashes		N	0.21	0.81
67820	Revise eyelashes		Y	0.31	0.88
70490	Ct soft tissue neck w/o dye		N	3.32	3.4
70490	Ct soft tissue neck w/o dye	TC	N	2.84	2.92
70544	Mr angiography head w/o dye		N	5.98	7.99
70544	Mr angiography head w/o dye	TC	N	5.54	7.55
70545	Mr angiography head w/dye		N	6.18	7.91
70545	Mr angiography head w/dye	TC	N	5.74	7.47
70546	Mr angiograph head w/o&w/dye		N	9.32	12.11
70546	Mr angiograph head w/o&w/dye	TC	N	8.78	11.57
70547	Mr angiography neck w/o dye		N	6.02	8.04
70547	Mr angiography neck w/o dye	TC	N	5.57	7.59
70548	Mr angiography neck w/dye		N	6.37	8.58
70548	Mr angiography neck w/dye	TC	N	5.82	8.03
70549	Mr angiograph neck w/o&w/dye		N	9.5	12.31
70549	Mr angiograph neck w/o&w/dye	TC	N	8.84	11.65
71250	Ct thorax w/o dye		N	3.28	3.37
71250	Ct thorax w/o dye	TC	N	2.85	2.94
71270	Ct thorax w/o & w/dye		N	5.16	5.19
71270	Ct thorax w/o & w/dye	TC	N	4.65	4.68
72195	Mri pelvis w/o dye		N	6.31	7.41
72195	Mri pelvis w/o dye	TC	N	5.77	6.88
72196	Mri pelvis w/dye		N	7.32	7.99
72196	Mri pelvis w/dye	TC	N	6.68	7.36
72197	Mri pelvis w/o & w/dye		N	9.25	9.73
72197	Mri pelvis w/o & w/dye	TC	N	8.44	8.92
73718	Mri lower extremity w/o dye		N	6.19	7.26
73718	Mri lower extremity w/o dye	TC	N	5.69	6.76
73719	Mri lower extremity w/dye		N	7.3	7.96
73719	Mri lower extremity w/dye	TC	N	6.7	7.36
73720	Mri lwr extremity w/o&w/dye		N	9.28	9.76
73720	Mri lwr extremity w/o&w/dye	TC	N	8.49	8.98
74181	Mri abdomen w/o dye		N	5.1	6.45
74181	Mri abdomen w/o dye	TC	N	4.56	5.91
74182	Mri abdomen w/dye		N	8.59	9
74182	Mri abdomen w/dye	TC	N	7.95	8.36
74183	Mri abdomen w/o & w/dye		N	9.27	9.75
74183	Mri abdomen w/o & w/dye	TC	N	8.46	8.95
75716	Artery x-rays arms/legs		N	3.02	3.35
75716	Artery x-rays arms/legs	TC	N	2.45	2.78
76101	Complex body section x-ray		N	1.85	2.3
76101	Complex body section x-ray	26	N	0.1	0.11
76101	Complex body section x-ray	26	Y	0.1	0.11
76101	Complex body section x-ray	TC	N	1.75	2.19
76510	Ophth us b & quant a		N	1.25	3.17
76510	Ophth us b & quant a	26	N	0.43	1.33
76510	Ophth us b & quant a	26	Y	0.43	1.33
76510	Ophth us b & quant a	TC	N	0.82	1.84
76511	Ophth us quant a only		N	0.99	1.67
76511	Ophth us quant a only	26	N	0.38	0.57
76511	Ophth us quant a only	26	Y	0.38	0.57
76511	Ophth us quant a only	TC	N	0.61	1.1
76512	Ophth us b w/non-quant a		N	0.81	1.54
76512	Ophth us b w/non-quant a	26	N	0.33	0.65
76512	Ophth us b w/non-quant a	26	Y	0.33	0.65
76512	Ophth us b w/non-quant a	TC	N	0.48	0.9
76516	Echo exam of eye		N	0.88	1.38
76516	Echo exam of eye	26	N	0.24	0.3
76516	Echo exam of eye	26	Y	0.24	0.3
76516	Echo exam of eye	TC	N	0.64	1.08
76519	Echo exam of eye		N	1.3	1.54
76519	Echo exam of eye	TC	N	0.96	1.21
76881	Us compl joint r-t w/img		N	0.44	2.22
76881	Us compl joint r-t w/img	TC	N	0.2	1.98
77332	Radiation treatment aid(s)		N	0.53	1.2
77332	Radiation treatment aid(s)	TC	N	0.32	0.99
77470	Special radiation treatment		N	1.62	1.76
77470	Special radiation treatment	TC	N	0.73	0.88
78110	Plasma volume single		N	1.79	2.14
78110	Plasma volume single	TC	N	1.76	2.11
78111	Plasma volume multiple		N	1.87	2.01
78111	Plasma volume multiple	TC	N	1.83	1.97
78120	Red cell mass single		N	1.8	1.96
78120	Red cell mass single	TC	N	1.76	1.92
78121	Red cell mass multiple		N	1.88	2.12
78121	Red cell mass multiple	TC	N	1.83	2.07
78130	Red cell survival study		N	2.95	3.32
78130	Red cell survival study	TC	N	2.85	3.22
78135	Red cell survival kinetics		N	7.48	7.68
78135	Red cell survival kinetics	TC	N	7.37	7.57
78140	Red cell sequestration		N	2.51	2.64
78140	Red cell sequestration	TC	N	2.41	2.54
78185	Spleen imaging		N	4.52	4.58
78185	Spleen imaging	TC	N	4.45	4.51
78191	Platelet survival		N	2.95	3.32
78191	Platelet survival	TC	N	2.85	3.22
78231	Serial salivary imaging		N	2.44	2.51
78231	Serial salivary imaging	TC	N	2.35	2.42
78271	Vit b-12 absrp exam int fac		N	1.67	1.89
78271	Vit b-12 absrp exam int fac	TC	N	1.64	1.86
78272	Vit b-12 absorp combined		N	1.8	2.03
78272	Vit b-12 absorp combined	TC	N	1.75	1.98
79440	Nuclear rx intra-articular		N	1.42	1.49
79440	Nuclear rx intra-articular	TC	N	1.08	1.16
88185	Flowcytometry/tc add-on		N	0.64	0.85
88187	Flowcytometry/read 2-8		N	0.32	0.56
88187	Flowcytometry/read 2-8		Y	0.32	0.56
88323	Microslide consultation		N	1.41	1.6
88323	Microslide consultation	TC	N	0.73	0.92
88355	Analysis skeletal muscle		N	1.84	1.86
88355	Analysis skeletal muscle	TC	N	1.32	1.34
88360	Tumor immunohistochem/manual		N	2.88	2.91
88360	Tumor immunohistochem/manual	26	N	0.38	0.43
88360	Tumor immunohistochem/manual	26	Y	0.38	0.43
88361	Tumor immunohistochem/comput		N	3.13	3.14
88361	Tumor immunohistochem/comput	26	N	0.38	0.41
88361	Tumor immunohistochem/comput	26	Y	0.38	0.41
88362	Nerve teasing preparations		N	3.56	3.68
88362	Nerve teasing preparations	TC	N	2.57	2.69
89230	Collect sweat for test		N	0.06	0.09
90460	Im admin 1st/only component		N	0.21	0.4
90471	Immunization admin		N	0.21	0.4
90473	Immune admin oral/nasal		N	0.21	0.4
92136	Ophthalmic biometry		N	0.82	1.66
92136	Ophthalmic biometry	TC	N	0.48	1.33
92250	Eye exam with photos		N	0.69	1.2
92250	Eye exam with photos	TC	N	0.48	0.99
92575	Sensorineural acuity test		N	1.18	1.32
93284	Prgrmg eval implantable dfb		N	1.09	1.1
93284	Prgrmg eval implantable dfb	TC	N	0.6	0.61
93295	Dev interrog remote 1/2/mlt		N	0.3	0.77
93295	Dev interrog remote 1/2/mlt		Y	0.3	0.77
93308	Tte f-up or lmtd		N	2.26	2.44
93308	Tte f-up or lmtd	TC	N	2.08	2.26
93350	Stress tte only		N	3.86	4.36
93350	Stress tte only	TC	N	3.35	3.85
93503	Insert/place heart catheter		Y	0.37	0.82
93613	Electrophys map 3d add-on		Y	2.24	2.94
95004	Percut allergy skin tests		N	0.1	0.13
96160	Pt-focused hlth risk assmt		N	0.08	0.11
96161	Caregiver health risk assmt		N	0.08	0.11
96360	Hydration iv infusion init		N	0.75	1.13
96372	Ther/proph/diag inj sc/im		N	0.21	0.4
96374	Ther/proph/diag inj iv push		N	0.9	1.11
96375	Tx/pro/dx inj new drug addon		N	0.36	0.4
97016	Vasopneumatic device therapy		N	0.15	0.26
97018	Paraffin bath therapy		N	0.11	0.18
97022	Whirlpool therapy		N	0.33	0.36
97032	Electrical stimulation		N	0.15	0.18
G0248	Demonstrate use home inr mon		N	1.71	2.48
G0249	Provide inr test mater/equip		N	2	2.5
G0416	"Prostate biopsy, any mthd"		N	5.65	8.36
G0416	"Prostate biopsy, any mthd"	TC	N	4.13	6.85
