Wiki Fee schedule for Preventive visits

[jorellana42]

We're in the middle of revamping our fee schedule. We're using RVU and GCPI calculations. We're having a hard time with the preventive visits (99384-99397) because they're not recognized on the Medicare Fee Schedule lookup tool. How are you calculating for these codes?

 

[Cynthia Hughes]

Does this copy and paste from the RVU file help?

STATUS WORK NON-F FAC MP NON-F FACILITY
HCPCS CODE DESCRIPTION RVU PE PE TOTAL TOTAL

99381 N + Init pm e/m new pat infant 1.50 1.54 0.58 0.09 3.13 2.17
99382 N + Init pm e/m new pat 1-4 yrs 1.60 1.58 0.62 0.10 3.28 2.32
99383 N + Prev visit new age 5-11 1.70 1.61 0.66 0.10 3.41 2.46
99384 N + Prev visit new age 12-17 2.00 1.73 0.76 0.12 3.85 2.88
99385 N + Prev visit new age 18-39 1.92 1.69 0.73 0.11 3.72 2.76
99386 N + Prev visit new age 40-64 2.33 1.85 0.89 0.14 4.32 3.36
99387 N + Init pm e/m new pat 65+ yrs 2.50 2.03 0.96 0.15 4.68 3.61
99391 N + Per pm reeval est pat infant 1.37 1.37 0.53 0.08 2.82 1.98
99392 N + Prev visit est age 1-4 1.50 1.42 0.58 0.09 3.01 2.17
99393 N + Prev visit est age 5-11 1.50 1.41 0.58 0.09 3.00 2.17
99394 N + Prev visit est age 12-17 1.70 1.49 0.66 0.10 3.29 2.46
99395 N + Prev visit est age 18-39 1.75 1.51 0.68 0.10 3.36 2.53
99396 N + Prev visit est age 40-64 1.90 1.57 0.73 0.11 3.58 2.74
99397 N + Per pm reeval est pat 65+ yr 2.00 1.73 0.76 0.12 3.85 2.88

You can download the most recent RVU file from https://www.cms.gov/Medicare/Medica...=1&DLEntries=10&DLSort=0&DLSortDir=descending.

Cindy