HCPCS	Short Descriptor	Modifier	Facility	PE RVU Without Phase-In	PE RVU With Phase-In
10040	Acne surgery		Y	0.53	0.62
22862	Revise lumbar artif disc		Y	16.12	17.86
29105	Apply long arm splint		Y	0.28	0.47
37216	Transcath stent cca w/o eps		Y	2.31	23.73
51736	Urine flow measurement		N	0.21	0.21
51736	Urine flow measurement	TC	N	0.15	0.15
51798	Us urine capacity measure		N	0.29	0.35
58100	Biopsy of uterus lining		Y	0.47	0.65
64405	N block inj occipital		N	0.85	1.23
64418	N block inj suprascapular		N	1.16	1.49
65205	Remove foreign body from eye		N	0.32	0.79
65205	Remove foreign body from eye		Y	0.33	0.50
65210	Remove foreign body from eye		N	0.48	0.95
65210	Remove foreign body from eye		Y	0.42	0.57
67515	Inject/treat eye socket		N	0.66	1.44
67515	Inject/treat eye socket		Y	0.56	1.26
67820	Revise eyelashes		N	0.22	0.59
67820	Revise eyelashes		Y	0.31	0.65
70544	Mr angiography head w/o dye		N	5.80	6.55
70544	Mr angiography head w/o dye	TC	N	5.36	6.11
70545	Mr angiography head w/dye		N	6.07	6.48
70545	Mr angiography head w/dye	TC	N	5.63	6.05
70546	Mr angiograph head w/o&w/dye		N	9.09	9.90
70546	Mr angiograph head w/o&w/dye	TC	N	8.55	9.37
70547	Mr angiography neck w/o dye		N	5.82	6.58
70547	Mr angiography neck w/o dye	TC	N	5.38	6.14
70548	Mr angiography neck w/dye		N	6.25	7.05
70548	Mr angiography neck w/dye	TC	N	5.70	6.50
70549	Mr angiograph neck w/o&w/dye		N	9.27	10.09
70549	Mr angiograph neck w/o&w/dye	TC	N	8.61	9.43
74181	Mri abdomen w/o dye		N	4.94	5.32
74181	Mri abdomen w/o dye	TC	N	4.40	4.79
76000	Fluoroscopy <1 hr phys/qhp		N	0.82	0.99
76000	Fluoroscopy <1 hr phys/qhp	TC	N	0.71	0.88
76510	Ophth us b & quant a		N	1.25	2.43
76510	Ophth us b & quant a	26	N	0.43	0.94
76510	Ophth us b & quant a	26	Y	0.43	0.94
76510	Ophth us b & quant a	TC	N	0.82	1.49
76511	Ophth us quant a only		N	0.99	1.27
76511	Ophth us quant a only	TC	N	0.61	0.89
76512	Ophth us b w/non-quant a		N	0.80	1.15
76512	Ophth us b w/non-quant a	26	N	0.33	0.42
76512	Ophth us b w/non-quant a	26	Y	0.33	0.42
76512	Ophth us b w/non-quant a	TC	N	0.47	0.73
76514	Echo exam of eye thickness		N	0.17	0.20
76514	Echo exam of eye thickness	TC	N	0.09	0.12
76516	Echo exam of eye		N	0.89	1.11
76516	Echo exam of eye	TC	N	0.65	0.87
76881	Us compl joint r-t w/img		N	0.45	1.84
76881	Us compl joint r-t w/img	TC	N	0.21	1.60
77332	Radiation treatment aid(s)		N	0.52	1.01
77332	Radiation treatment aid(s)	TC	N	0.31	0.80
85097	Bone marrow interpretation		N	0.99	1.12
88185	Flowcytometry/tc add-on		N	0.63	0.69
88323	Microslide consultation		N	1.39	1.41
88323	Microslide consultation	TC	N	0.72	0.74
89230	Collect sweat for test		N	0.06	0.07
90460	Im admin 1st/only component		N	0.21	0.29
90471	Immunization admin		N	0.21	0.29
90473	Immune admin oral/nasal		N	0.21	0.29
92136	Ophthalmic biometry		N	0.81	1.41
92136	Ophthalmic biometry	TC	N	0.47	1.08
92250	Eye exam with photos		N	0.68	1.01
92250	Eye exam with photos	TC	N	0.47	0.80
92572	Staggered spondaic word test		N	0.91	1.19
93295	Dev interrog remote 1/2/mlt		N	0.30	0.47
93295	Dev interrog remote 1/2/mlt		Y	0.30	0.47
93571	Heart flow reserve measure	26	N	0.48	0.59
93571	Heart flow reserve measure	26	Y	0.48	0.59
93572	Heart flow reserve measure	26	N	0.35	0.61
93572	Heart flow reserve measure	26	Y	0.35	0.61
95004	Percut allergy skin tests		N	0.10	0.10
95800	Slp stdy unattended		N	3.91	3.89
95800	Slp stdy unattended	26	N	0.30	0.31
95800	Slp stdy unattended	26	Y	0.30	0.31
95806	Sleep study unatt&resp efft		N	1.67	2.92
95806	Sleep study unatt&resp efft	26	N	0.32	0.44
95806	Sleep study unatt&resp efft	26	Y	0.32	0.44
95806	Sleep study unatt&resp efft	TC	N	1.35	2.48
95950	Ambulatory eeg monitoring		N	5.30	6.64
95950	Ambulatory eeg monitoring	TC	N	4.65	6.00
96160	Pt-focused hlth risk assmt		N	0.08	0.09
96161	Caregiver health risk assmt		N	0.08	0.09
96360	Hydration iv infusion init		N	0.76	0.88
96372	Ther/proph/diag inj sc/im		N	0.21	0.29
97016	Vasopneumatic device therapy		N	0.15	0.17
97018	Paraffin bath therapy		N	0.10	0.13
G0166	"Extrnl counterpulse, per tx"		N	3.00	3.19
G0168	Wound closure by adhesive		Y	0.07	0.31
G0248	Demonstrate use home inr mon		N	1.65	2.00
G0249	Provide inr test mater/equip		N	1.76	2.02
G0409	Corf related serv 15 mins ea		N	0.29	0.45
G0416	"Prostate biopsy, any mthd"		N	5.71	7.01
G0416	"Prostate biopsy, any mthd"	TC	N	4.23	5.54
