Psychiatry and EM RVUs 2013

ADDENDUM B.
- RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICA
CPT1/
HCPCS
Mod
Status
90785
90791
90792
90832
90833
90834
90836
90837
90838
90839
90840
90845
90846
90847
90849
90853
90863
90865
90867
90868
90869
90870
90875
90876
90880
90882
90885
90887
90889
90899
90901
90911
99201
99202
99203
99204
99205
99211
99212
99213
A
A
A
A
A
A
A
A
C
C
A
R
R
R
A
I
A
C
C
C
A
N
N
A
N
B
B
B
C
A
A
A
A
A
A
A
A
A
A
Description
Psytx complex interactive

Psych diagnostic evaluation
Psych diag eval w/med srvcs
Psytx pt&/family 30 minutes
Psytx pt&/fam w/e&m 30 min
Psytx crisis initial 60 min
Psytx crisis ea addl 30 min
Psychoanalysis
Family psytx w/o patient
Family psytx w/patient
Multiple family group psytx
Group psychotherapy
Pharmacologic mgmt w/psytx
Narcosynthesis
Tcranial magn stim tx plan
Tcranial magn stim tx deli
Tcran magn stim redetemine
Electroconvulsive therapy
Psychophysiological therapy
Psychophysiological therapy
Hypnotherapy
Environmental manipulation
Psy evaluation of records
Consultation with family
Preparation of report
Psychiatric service/therapy
Biofeedback train any meth
Biofeedback peri/uro/rectal
Office/outpatient visit new
Office/outpatient visit est
Physician
Work
RVUs2
0.11
2.80
2.96
1.25
0.98
1.89
1.60
2.83
2.56
0.00
0.00
1.79
1.83
2.21
0.59
0.59
0.00
2.84
0.00
0.00
0.00
2.50
1.20
1.90
2.19
0.00
0.97
1.48
0.00
0.00
0.41
0.89
0.48
0.93
1.42
2.43
3.17
0.18
0.48
0.97
99214
99215
99217
99218
99219
99220
99221
99222
99223
99224
99225
99226
99231
99232
99233
99234
99235
99236
99238
99239
99241
99242
99243
99244
99245
99251
99252
99253
99254
99255
99281
99282
99283
99284
99285
99288
99291
99292
99304
99305
99306
99307
99308
99309
99310
99315
99316
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
I
I
I
I
I
I
I
I
I
I
A
A
A
A
A
B
A
A
A
A
A
A
A
A
A
A
A

Observation care discharge
Initial observation care
Initial hospital care
Subsequent observation care
Subsequent hospital care
Observ/hosp same date
Hospital discharge day
Hospital discharge day
Office consultation
Office consultation
Office consultation
Office consultation
Office consultation
Inpatient consultation
Emergency dept visit
Direct advanced life support
Critical care first hour
Critical care addl 30 min
Nursing facility care init
Nursing fac care subseq
Nursing fac discharge day
Nursing fac discharge day
1.50
2.11
1.28
1.92
2.60
3.56
1.92
2.61
3.86
0.76
1.39
2.00
0.76
1.39
2.00
2.56
3.24
4.20
1.28
1.90
0.64
1.34
1.88
3.02
3.77
1.00
1.50
2.27
3.29
4.00
0.45
0.88
1.34
2.56
3.80
0.00
4.50
2.25
1.64
2.35
3.06
0.76
1.16
1.55
2.35
1.28
1.90
99318
99324
99325
99326
99327
99328
99334
99335
99336
99337
99339
99340
99341
99342
99343
99344
99345
99347
99348
99349
99350
99354
99355
99356
99357
99358
99359
99360
99363
99364
99366
99367
99368
99374
99375
99377
99378
99379
99380
99381
99382
99383
99384
99385
99386
99387
99391
A
A
A
A
A
A
A
A
A
A
B
B
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
X
B
B
B
B
B
B
I
B
I
B
B
N
N
N
N
N
N
N
N
Annual nursing fac assessmnt

Domicil/r-home visit new pat
Domicil/r-home visit est pat
Domicil/r-home care supervis
Domicil/r-home care supervis
Home visit new patient
Home visit est patient
Prolonged service office
Prolonged service office
Prolonged service inpatient
Prolonged service inpatient
Prolong service w/o contact
Prolong serv w/o contact add
Physician standby services
Anticoagulant mgmt initial
Anticoagulant mgmt subseq
Team conf w/pat by hc prof
Team conf w/o pat by phys
Team conf w/o pat by hc pro
Home health care supervision
Home health care supervision
Hospice care supervision
Hospice care supervision
Nursing fac care supervision
Nursing fac care supervision
Init pm e/m new pat infant
Init pm e/m new pat 1-4 yrs
Prev visit new age 5-11
Init pm e/m new pat 65+ yrs
Per pm reeval est pat infant
1.71
1.01
1.52
2.63
3.46
4.09
1.07
1.72
2.46
3.58
1.25
1.80
1.01
1.52
2.53
3.38
4.09
1.00
1.56
2.33
3.28
1.77
1.77
1.71
1.71
2.10
1.00
1.20
1.65
0.63
0.82
1.10
0.72
1.10
1.73
1.10
1.73
1.10
1.73
1.50
1.60
1.70
2.00
1.92
2.33
2.50
1.37
99392
99393
99394
99395
99396
99397
99401
99402
99403
99404
99406
99407
99408
99409
99411
99412
99420
99429
99441
99442
99443
99444
99450
99455
99456
99460
99461
99462
99463
99464
99465
99466
99467
99468
99469
99471
99472
99475
99476
99477
99478
99479
99480
99485
99486
99487
99488
N
N
N
N
N
N
N
N
N
N
A
A
N
N
N
N
N
N
N
N
N
N
N
R
R
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
A
B
B
B
B
Prev visit est age 1-4

Per pm reeval est pat 65+ yr
Preventive counseling indiv
Behav chng smoking 3-10 min
Behav chng smoking > 10 min
Audit/dast 15-30 min
Audit/dast over 30 min
Preventive counseling group
Preventive counseling group
Health risk assessment test
Unlisted preventive service
Phone e/m phys/qhp 5-10 min
Online e/m by phys/qhp
Basic life disability exam
Work related disability exam
Disability examination
Init nb em per day hosp
Init nb em per day non-fac
Sbsq nb em per day hosp
Same day nb discharge
Attendance at delivery
Nb resuscitation
Ped crit care transport
Ped crit care transport addl
Neonate crit care initial
Neonate crit care subsq
Ped critical care initial
Ped critical care subsq
Ped crit care age 2-5 init
Ped crit care age 2-5 subsq
Init day hosp neonate care
Ic lbw inf < 1500 gm subsq
Ic lbw inf 1500-2500 g subsq
Ic inf pbw 2501-5000 g subsq
Suprv interfacilty transport
Suprv interfac trnsport addl
Cmplx chron care w/o pt vsit
Cmplx chron care w/ pt vsit
1.50
1.50
1.70
1.75
1.90
2.00
0.48
0.98
1.46
1.95
0.24
0.50
0.65
1.30
0.15
0.25
0.00
0.00
0.25
0.50
0.75
0.00
0.00
0.00
0.00
1.92
1.26
0.84
2.13
1.50
2.93
4.79
2.40
18.46
7.99
15.98
7.99
11.25
6.75
7.00
2.75
2.50
2.40
1.50
1.30
1.00
2.50
99489
99495
99496
99499
B
A
A
C
Complx chron care addl30 min

Trans care mgmt 14 day disch
Trans care mgmt 7 day disch
Unlisted e&m service
0.50
2.11
3.05
0.00
USED IN DETERMINING MEDICARE PAYMENTS FOR CY 2013
NonFacility
PE
RVUs2
Facility
PE
RVUs2
MalPractice
RVUs2
NonFacility
Total
RVUs2
Facility
Total
RVUs2
0.02
0.02
0.01
0.14
0.14
1.52
0.58
0.54
0.20
0.41
0.32
0.53
0.53
0.00
0.00
0.34
0.27
0.31
0.38
0.10
0.00
1.99
0.00
0.00
0.00
2.65
0.84
1.10
0.55
0.00
0.39
0.98
0.00
0.00
0.74
1.55
0.77
1.19
1.61
2.18
2.55
0.41
0.77
1.09
0.53
0.48
0.14
0.19
0.20
0.32
0.32
0.52
0.00
0.00
0.33
0.40
0.42
0.22
0.10
0.00
0.70
0.00
0.00
0.00
0.57
0.48
0.77
0.35
0.00
0.39
0.60
0.00
0.00
0.17
0.33
0.24
0.44
0.64
1.10
1.39
0.07
0.20
0.42
0.11
0.11
0.05
0.04
0.07
0.06
0.11
0.10
0.00
0.00
0.07
0.07
0.08
0.03
0.03
0.00
0.11
0.00
0.00
0.00
0.11
0.08
0.12
0.08
0.00
0.07
0.10
0.00
0.00
0.01
0.07
0.04
0.07
0.14
0.23
0.27
0.01
0.04
0.07
4.43
3.65
1.84
1.22
2.37
1.98
3.47
3.19
0
0
2.2
2.17
2.6
1
0.72
0
4.94
0
0
0
5.26
2.12
3.12
2.82
0
1.43
2.56
0
0
1.16
2.51
1.29
2.19
3.17
4.84
5.99
0.6
1.29
2.13
3.44
3.55
1.44
1.21
2.16
1.98
3.26
3.18
0
0
2.19
2.3
2.71
0.84
0.72
0
3.65
0
0
0
3.18
1.76
2.79
2.62
0
1.43
2.18
0
0
0.59
1.29
0.76
1.44
2.2
3.76
4.83
0.26
0.72
1.46
1.53
1.95
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.66
1.10
1.46
1.96
2.30
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.00
3.15
1.12
0.91
1.27
1.53
0.48
0.76
0.98
1.39
0.74
1.01
0.65
0.92
0.72
0.80
1.10
1.50
0.81
1.12
1.66
0.32
0.60
0.86
0.31
0.59
0.85
1.08
1.37
1.75
0.73
1.06
0.24
0.51
0.71
1.14
1.38
0.32
0.52
0.84
1.23
1.61
0.12
0.23
0.32
0.58
0.83
0.00
1.56
0.79
0.91
1.27
1.53
0.48
0.76
0.98
1.39
0.74
1.01
0.10
0.14
0.08
0.12
0.17
0.24
0.18
0.22
0.29
0.06
0.07
0.11
0.05
0.08
0.12
0.22
0.22
0.29
0.07
0.11
0.07
0.14
0.18
0.22
0.29
0.07
0.12
0.15
0.18
0.24
0.03
0.07
0.10
0.22
0.30
0.00
0.34
0.18
0.14
0.20
0.23
0.04
0.07
0.08
0.14
0.08
0.10
3.13
4.2
1.37
2.58
3.52
5.2
6.36
0
7.99
3.55
2.69
3.82
4.82
1.28
1.99
2.61
3.88
2.1
3.01
2.25
3.17
2.08
2.84
3.87
5.3
2.91
3.95
5.81
1.14
2.06
2.97
1.12
2.06
2.97
3.86
4.83
6.24
2.08
3.07
0.95
1.99
2.77
4.38
5.44
1.39
2.14
3.26
4.7
5.85
0.6
1.18
1.76
3.36
4.93
0
6.4
3.22
2.69
3.82
4.82
1.28
1.99
2.61
3.88
2.1
3.01
0.94
0.52
0.68
1.20
1.66
1.86
0.60
0.90
1.25
1.72
0.92
1.23
0.51
0.65
1.05
1.63
1.94
0.53
0.76
1.20
1.60
0.98
0.91
NA
NA
0.89
0.45
NA
1.98
0.59
0.35
NA
NA
0.86
1.20
0.86
1.20
0.86
1.20
1.63
1.67
1.70
1.82
1.79
1.95
2.15
1.44
0.94
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
0.76
0.69
0.81
0.79
0.89
0.45
0.48
0.67
0.25
0.33
0.44
0.29
0.44
0.70
0.44
0.70
0.44
0.70
0.60
0.65
0.69
0.81
0.77
0.94
1.01
0.55
0.10
0.07
0.10
0.16
0.22
0.24
0.07
0.10
0.14
0.23
0.08
0.12
0.07
0.11
0.18
0.22
0.26
0.07
0.10
0.14
0.22
0.11
0.11
0.11
0.11
0.14
0.07
0.08
0.11
0.04
0.05
0.07
0.04
0.07
0.11
0.07
0.11
0.07
0.11
0.10
0.09
0.10
0.13
0.13
0.15
0.17
0.09
2.75
1.6
2.3
3.99
5.34
6.19
1.74
2.72
3.85
5.53
2.25
3.15
1.59
2.28
3.76
5.23
6.29
1.6
2.42
3.67
5.1
2.86
2.79
#VALUE!
3.13
1.52
3.74
1.26
1.22
2.03
3.04
2.03
3.04
2.03
3.04
3.23
3.36
3.5
3.95
3.84
4.43
4.82
2.9
2.75
2.64
2.57
2.63
2.61
3.13
1.52
1.76
2.43
0.92
1.2
1.61
1.05
1.61
2.54
1.61
2.54
1.61
2.54
2.2
2.34
2.49
2.94
2.82
3.42
3.68
2.01
1.49
1.48
1.57
1.59
1.65
1.83
0.55
0.75
0.94
1.14
0.15
0.26
0.32
0.58
0.32
0.37
0.32
0.00
0.14
0.24
0.34
0.00
0.00
0.00
0.00
NA
1.59
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
NA
1.35
2.73
0.60
0.60
0.69
0.71
0.77
0.81
0.19
0.40
0.59
0.79
0.10
0.20
0.26
0.52
0.06
0.10
NA
0.00
0.10
0.20
0.30
0.00
0.00
0.00
0.00
0.60
0.52
0.30
1.07
0.62
1.06
1.93
0.97
7.45
2.88
7.65
3.18
4.06
2.75
2.67
1.11
1.01
0.87
0.60
0.52
NA
NA
0.10
0.10
0.10
0.10
0.12
0.13
0.03
0.07
0.10
0.12
0.01
0.03
0.04
0.08
0.01
0.01
0.01
0.00
0.01
0.03
0.05
0.00
0.00
0.00
0.00
0.08
0.08
0.05
0.11
0.07
0.22
1.02
0.14
1.52
0.42
0.87
0.48
0.86
0.52
0.38
0.18
0.16
0.16
0.08
0.08
0.06
0.17
3.09
3.08
3.37
3.44
3.67
3.96
1.06
1.8
2.5
3.21
0.4
0.79
1.01
1.96
0.48
0.63
0.33
0
0.4
0.77
1.14
0
0
0
0
2.93
2.41
5.4
2.2
2.2
2.49
2.56
2.79
2.94
0.7
1.45
2.15
2.86
0.35
0.73
0.95
1.9
0.22
0.36
0
0.36
0.73
1.1
0
0
0
0
2.6
1.86
1.19
3.31
2.19
4.21
7.74
3.51
27.43
11.29
24.5
11.65
16.17
10.02
10.05
4.04
3.67
3.43
2.18
1.9
0.68
2.57
3.54
0.00
NA
1.71
2.56
0.00
0.03
0.14
0.20
0.00
1.21
4.82
6.79
0
3.96
5.81
0

Psychiatry and EM RVUs 2013

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Psychiatry and EM RVUs 2013

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ADDENDUM B.

- RELATIVE VALUE UNITS AND RELATED INFORMATION USED IN DETERMINING MEDICA

Psytx complex interactive

Office/outpatient visit est

Annual nursing fac assessmnt

Prev visit est age 1-4

Complx chron care addl30 min

USED IN DETERMINING MEDICARE PAYMENTS FOR CY 2013

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