Comparison of CY CMS RVUs for Radiation Oncology, Updated for Final Rule

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1 Comparison of CY -13 CMS RVUs for Radiation Oncology, Updated for Final Rule Difference Percent Global A Fna w/o image XXX % % A Drainage of skin abscess % % A Place ndl musc/tis for rt % % A Removal of fixation device % % A Diagnostic laryngoscopy % % A Place needles h&n for rt % % C Tongue and mouth surgery YYY #DIV/0! #DIV/0! A Diagnostic anoscopy % % A Transperi needle place pros % % A Place rt device/marker pros % % A Place needles pelvic for rt % % A Insert uteri tandems/ovoids % % A Ins vag brachytx device % % A Pelvic examination % % A Echograp trans r pros study XXX % % TC A Echograp trans r pros study XXX % % A Echograp trans r pros study XXX % % A Echo guide for biopsy XXX % % TC A Echo guide for biopsy XXX % % A Echo guide for biopsy XXX % % A Echo guidance radiotherapy XXX % % TC A Echo guidance radiotherapy XXX % % A Echo guidance radiotherapy XXX % % A Echo guidance radiotherapy XXX % % TC A Echo guidance radiotherapy XXX % % A Echo guidance radiotherapy XXX % % A Ct scan for therapy guide XXX % % TC A Ct scan for therapy guide XXX % % A Ct scan for therapy guide XXX % % A Radiation therapy planning XXX % % A Radiation therapy planning XXX % % A Radiation therapy planning XXX % % A Set radiation therapy field XXX % % TC A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % TC A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % TC A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % TC A Set radiation therapy field XXX % % A Set radiation therapy field XXX % % C Radiation therapy planning XXX #DIV/0! #DIV/0! TC C Radiation therapy planning XXX #DIV/0! #DIV/0!

2 Comparison of CY -13 CMS RVUs for Radiation Oncology, Updated for Final Rule Difference Percent Global C Radiation therapy planning XXX #DIV/0! #DIV/0! A Radiation therapy dose plan XXX % % TC A Radiation therapy dose plan XXX % % A Radiation therapy dose plan XXX % % A Radiotherapy dose plan imrt XXX % % TC A Radiotherapy dose plan imrt XXX % % A Radiotherapy dose plan imrt XXX % % A Teletx isodose plan simple XXX % % TC A Teletx isodose plan simple XXX % % A Teletx isodose plan simple XXX % % A Teletx isodose plan intermed XXX % % TC A Teletx isodose plan intermed XXX % % A Teletx isodose plan intermed XXX % % A Teletx isodose plan complex XXX % % TC A Teletx isodose plan complex XXX % % A Teletx isodose plan complex XXX % % A Special teletx port plan XXX % % TC A Special teletx port plan XXX % % A Special teletx port plan XXX % % A Brachytx isodose calc simp XXX % % TC A Brachytx isodose calc simp XXX % % A Brachytx isodose calc simp XXX % % A Brachytx isodose calc interm XXX % % TC A Brachytx isodose calc interm XXX % % A Brachytx isodose calc interm XXX % % A Brachytx isodose plan compl XXX % % TC A Brachytx isodose plan compl XXX % % A Brachytx isodose plan compl XXX % % A Special radiation dosimetry XXX % % TC A Special radiation dosimetry XXX % % A Special radiation dosimetry XXX % % A Radiation treatment aid(s) XXX % % TC A Radiation treatment aid(s) XXX % % A Radiation treatment aid(s) XXX % % A Radiation treatment aid(s) XXX % % TC A Radiation treatment aid(s) XXX % % A Radiation treatment aid(s) XXX % % A Radiation treatment aid(s) XXX % % TC A Radiation treatment aid(s) XXX % % A Radiation treatment aid(s) XXX % % A Radiation physics consult XXX % % A Design mlc device for imrt XXX % % TC A Design mlc device for imrt XXX % % A Design mlc device for imrt XXX % % A Radiation physics consult XXX % % C Srs multisource XXX #DIV/0! #DIV/0! A Srs linear based XXX % %

3 Comparison of CY -13 CMS RVUs for Radiation Oncology, Updated for Final Rule Difference Percent #VALUE! Global A Sbrt delivery XXX % % C External radiation dosimetry XXX #DIV/0! #DIV/0! TC C External radiation dosimetry XXX #DIV/0! #DIV/0! C External radiation dosimetry XXX #DIV/0! #DIV/0! A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiation treatment delivery XXX % % A Radiology port film(s) XXX % % A Radiation tx delivery imrt XXX % % A Stereoscopic x-ray guidance XXX % % TC A Stereoscopic x-ray guidance XXX % % A Stereoscopic x-ray guidance XXX % % A Neutron beam tx simple XXX % % A Neutron beam tx complex XXX % % X Io rad tx delivery by x-ray XXX #DIV/0! #DIV/0! X Io rad tx deliver by elctrns XXX #DIV/0! #DIV/0! A Radiation tx management x XXX % % A Radiation therapy management XXX % % A Stereotactic radiation trmt XXX % % A Sbrt management XXX % % A Io radiation tx management XXX % % A Special radiation treatment XXX % % TC A Special radiation treatment XXX % % A Special radiation treatment XXX % % C Radiation therapy management XXX #DIV/0! #DIV/0! TC C Radiation therapy management XXX #DIV/0! #DIV/0! C Radiation therapy management XXX #DIV/0! #DIV/0! C Proton trmt simple w/o comp XXX #DIV/0! #DIV/0! C Proton trmt simple w/comp XXX #DIV/0! #DIV/0! C Proton trmt intermediate XXX #DIV/0! #DIV/0! C Proton treatment complex XXX #DIV/0! #DIV/0! R Hyperthermia treatment XXX % % TC R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % TC R Hyperthermia treatment XXX % %

4 Comparison of CY -13 CMS RVUs for Radiation Oncology, Updated for Final Rule Difference Percent Global R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % TC R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % TC R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % TC R Hyperthermia treatment XXX % % R Hyperthermia treatment XXX % % A Infuse radioactive materials % % TC A Infuse radioactive materials % % A Infuse radioactive materials % % A Apply intrcav radiat simple % % TC A Apply intrcav radiat simple % % A Apply intrcav radiat simple % % A Apply intrcav radiat interm % % TC A Apply intrcav radiat interm % % A Apply intrcav radiat interm % % A Apply intrcav radiat compl % % TC A Apply intrcav radiat compl % % A Apply intrcav radiat compl % % A Apply interstit radiat simpl % % TC A Apply interstit radiat simpl % % A Apply interstit radiat simpl % % A Apply interstit radiat inter % % TC A Apply interstit radiat inter % % A Apply interstit radiat inter % % A Apply interstit radiat compl % % TC A Apply interstit radiat compl % % A Apply interstit radiat compl % % A Hdr brachytx 1 channel XXX % % TC A Hdr brachytx 1 channel XXX % % A Hdr brachytx 1 channel XXX % % A Hdr brachytx 2-12 channel XXX % % TC A Hdr brachytx 2-12 channel XXX % % A Hdr brachytx 2-12 channel XXX % % A Hdr brachytx over 12 chan XXX % % TC A Hdr brachytx over 12 chan XXX % % A Hdr brachytx over 12 chan XXX % % A Apply surface radiation % % TC A Apply surface radiation % % A Apply surface radiation % % A Radiation handling XXX % % TC A Radiation handling XXX % % A Radiation handling XXX % %

5 Comparison of CY -13 CMS RVUs for Radiation Oncology, Updated for Final Rule Difference Percent Global C Radium/radioisotope therapy XXX #DIV/0! #DIV/0! TC C Radium/radioisotope therapy XXX #DIV/0! #DIV/0! C Radium/radioisotope therapy XXX #DIV/0! #DIV/0! A Office/outpatient visit new XXX % % A Office/outpatient visit new XXX % % A Office/outpatient visit new XXX % % A Office/outpatient visit new XXX % % A Office/outpatient visit new XXX % % A Office/outpatient visit est XXX % % A Office/outpatient visit est XXX % % A Office/outpatient visit est XXX % % A Office/outpatient visit est XXX % % A Office/outpatient visit est XXX % % A Initial hospital care XXX % % A Initial hospital care XXX % % A Initial hospital care XXX % % A Subsequent hospital care XXX % % A Subsequent hospital care XXX % % A Subsequent hospital care XXX % % A Observ/hosp same date XXX % % A Observ/hosp same date XXX % % A Observ/hosp same date XXX % % A Hospital discharge day XXX % % A Hospital discharge day XXX % % A Prolonged service office ZZZ % % A Prolonged service office ZZZ % % A Prolonged service inpatient ZZZ % % A Prolonged service inpatient ZZZ % % B Prolong service w/o contact XXX % % B Prolong serv w/o contact add ZZZ % % A Behav chng smoking 3-10 min XXX % % A Behav chng smoking > 10 min XXX % % Status A active code paid under M.D. fee system N non-covered services; not covered by Medicare Indicators: B bundled into payment for other services R restricted coverage; special coverage instructions apply C carriers establish RVUs & payments X not "physician services" for fee schedule payment I not valid for Medicare reporting Note: CPTs with negative RVU revisions >20% have been highlighted in red 1 CPT codes and descriptors only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS apply. 2 If values are reflected for codes not payable by Medicare, values have been established as a courtesy to the public & are not used for Medicare payment. Sources: CMS-1524-FC (); CMS-1590-FC, RVU13AR (2013) CY Radonc RVUs Final Rule gold (2-21)