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Wiki 99080

daedolos

Expert
Local Chapter Officer
Messages
465
Location
San Pedro, CA
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Anyone have a 2017 PFS RVU value for this report?

Peace
?_?
 
You can get the RVU info from the Medicare Physician Fe Schedule look up tool


https://www.cms.gov/apps/physician-fee-schedule/search/search-criteria.aspx


In this case, when the result is: The current Physician Fee Schedule does not price the requested HCPCS Code(s).


It means there is no RVU assigned.

---------------------

Another way is to download the full RVU file from CMS

https://www.cms.gov/Medicare/Medica...ysicianFeeSched/PFS-Relative-Value-Files.html

File is by year and Quarter (A = Jan, B= April, C = July, D = October)

RVU data starts in column F. It also indicates there is no RVU. There is additional info in this file for example 99080 is RBRVS Status B (column D). Status B is Bundled code: Payment for covered services is bundled into payment for otherservices. Separate payment for the provision of these services is never made.
 
Thanks for the feedback. I was able to find an old PFS from Hawaii that suggested a RVU of 2.6 at $33.XX per unit. I've also been told that 99080 caps out at $50. I'm just curious if anyone else has input on this matter. It's a special report for workmans comp and I'm trying to find out the price range.

Peace
@_*
 
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