CPT® Codes with RVU

Background

CPT® copyright 2007 the American Medical Association.
Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein. CPT is a registered trademark of the American Medical Association.

Current Procedural Terminology (CPT), is a uniform coding system consisting of descriptive terms and identifying codes that are used to identify medical services and procedures provided by healthcare providers such as physicians and other health care professionals. The healthcare providers use the CPT to identify services and procedures for which they bill public or private health insurance programs. RVU (Relative Value Unit) is used in the computation of the amount payable by Medicare to a healthcare provider for services performed for a Medicare beneficiary. Healthcare providers can use RVU to perform an analysis of reimbursement amounts for different services performed, and for setting their fees. Note that the HCPCS Level II Codes are used primarily to identify products, supplies, and services not included in the CPT codes.

CPT Codes with RVU Dataset
The following are the various datasets available on CDH for CPT codes. Different views of the information have been made available for ease of use. Please note that some of the datasets may require a paid subscription (indicated by the symbol), due to the value-add provided (consolidating various sources, additional attributes, and incremental updates). All reasonable commercial attempt is made to keep the information up-to-date.
HC08 CPT® Codes with CMS RVU values - 2008 Official 2008 CPT® codes, along with the global service modifier RVU data values from CMS. CPT® copyright 2007 the American Medical Association.
HC09 CPT® Codes with CMS RVU values - 2009 Official 2009 CPT® codes, along with the global service modifier RVU data values from CMS. CPT® copyright 2008 the American Medical Association.
Dataset Features and Price List
Feature HC08
HC09
CPT Code: CPT or HCPCS Code. X X
CPT Short Description: Abbreviated description (up to 28 characters in length) of CPT code. X X
CPT Medium Description: Abbreviated description (up to 48 characters in length) of CPT code. X X
CPT Long Description: Unabbreviated description of CPT code. X X
Work RVU: Relative Value Unit (RVU) for the physician work in the service as published in the Federal Register Fee Schedule for Physicians Services for CY 2008. X X
Transitioned Non-Facility Practice Expense RVU: Relative Value Unit (RVU) for the transitioned resource-based practice expense for the non-facility setting, as published in the Federal Register Fee Schedule for Physicians Services for CY 2008. X X
Fully Implemented Non-Facility Practice Expense RVU: Relative Value Unit (RVU) for the fully-implemented resource-based practice expense for the non-facility setting, as published in the Federal Register Fee Schedule for Physicians Services for CY 2008. X X
Transitioned Facility Practice Expense RVU: Relative Value Unit (RVU) for the transitioned resource-based practice expense for the facility setting, as published in the Federal Register Fee Schedule for Physicians Services for CY 2008. X X
Fully Implemented Facility Practice Expense RVU: Relative Value Unit (RVU) for the fully implemented resource-based practice expense for the facility setting, as published in the Federal Register Fee Schedule for Physicians Services for CY 2008. X X
Malpractice RVU: RVU for the malpractice expense for the service as published in the Federal Register Fee Schedule for Physicians' Services for CY 2008. X X
Non-Facility Practice Expense OPPS: The OPPS Payment Amount calculated using these values is compared to the Medicare Physician Fee Schedule to determine appicability of the OPPS Imaging Cap mandated by Section 5102(b) of the Deficit Reduction Act of 2005. X X
Facility Practice Expense OPPS: The OPPS Payment Amount calculated using these values is compared to the Medicare Physician Fee Schedule to determine applicability of the OPPS Imaging Cap mandated by Section 5102(b) of the Deficit Reduction Act of 2005. X X
Malpractice OPPS: The OPPS Payment Amount calculated using these values is compared to the Medicare Physician Fee Schedule to determine applicability of the OPPS Imaging Cap mandated by Section 5102(b) of the Deficit Reduction Act of 2005. X X
Automated Notification: Automated Notification of Changes. X X
Free Email Support. X X
Free Telephone Support. X X
Attribute Sources
A list of all attributes of the datasets, along with relevant sources. The field Portal Release Date is the date this information was published on CommonDataHub.
Attribute Source Portal Release Date
CPT Code AMA 30-May-2008
CPT Short Description AMA 30-May-2008
CPT Medium Description AMA 30-May-2008
CPT Long Description AMA 30-May-2008
Work RVU CMS 30-May-2008
Transitioned Non-Facility Practice Expense RVU CMS 30-May-2008
Fully Implemented Non-Facility Practice Expense RVU CMS 30-May-2008
Transitioned Facility Practice Expense RVU CMS 30-May-2008
Fully Implemented Facility Practice Expense RVU CMS 30-May-2008
Malpractice RVU CMS 30-May-2008
Non-Facility Practice Expense OPPS CMS 30-May-2008
Facility Practice Expense OPPS CMS 30-May-2008
Malpractice OPPS CMS 30-May-2008
Details of the sources used:

CPT :
http://www.ama-assn.org/ama/pub/category/3113.html
RVU:
http://www.cms.hhs.gov/PhysicianFeeSched/01_Overview.asp#TopOfPage

Acronyms
A listing of the acronyms and abbreviations used.

CPT: Current Procedural Terminology
AMA: American Medical Association
HCPCS: Healthcare Common Procedure Coding System
CMS: Centers for Medicare and Medicaid Services
RVU: Relative Value Unit
 
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