Code submitted by: CPT code. Allowed Services work RVU. Descriptor

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Gerald Bryan
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1 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes) 328,030 CMS 0.66 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa) 3,830,524 CMS 0.79 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic 12,395 CMS 8.9 Incision and drainage, leg or ankle; deep abscess or hematoma 4,908 SVS 4.93 Tube thoracostomy with or without water seal (eg, for abscess, hemothorax, empyema) (separate procedure) 60,306 CMS 3.97 Repair of thoracoabdominal aortic aneurysm with graft, with or without cardiopulmonary bypass 1,444 SVS Embolectomy or thrombectomy, with or without catheter; carotid, subclavian or innominate artery, by neck incision 234 SVS Percutaneous placement of gastrostomy tube 32,798 CMS 4.48 Incision and drainage of deep supralevator, pelvirectal, or retrorectal abscess 652 ASCRS 4.71 Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) 5,476 ASCRS 4.95 Anoscopy; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure) 88,940 ASCRS 0.5 Anoscopy; with dilation (eg, balloon, guide wire, bougie) 2,131 ASCRS 1.31

79 Percutaneous vertebroplasty, one vertebral body, unilateral or bilateral injection; thoracic 12,395 CMS 8.9 Incision and drainage, leg or ankle; deep abscess or hematoma 4,908 SVS 4.

2 work RVU Percutaneous cholecystostomy 3,233 ACS 7.22 Introduction of percutaneous transhepatic catheter for biliary drainage 3,126 ACS 7.82 Introduction of percutaneous transhepatic stent for internal and external biliary drainage 5,325 ACS Change of percutaneous biliary drainage catheter 10,086 ACS 5.54 Revision and/or reinsertion of transhepatic tube 515 ACS 5.84 Excision or destruction, open, intra-abdominal or retroperitoneal tumors or cysts or endometriomas; 3,443 ACOG Excision or destruction, open, intra-abdominal or retroperitoneal tumors or cysts or endometriomas; extensive 3,531 ACOG Lithotripsy, extracorporeal shock wave 47,718 CMS 9.08 Biopsy, prostate; needle or punch, single or multiple, any approach 241,521 CMS 1.57 Spinal puncture, lumbar, diagnostic 76,927 AAP Orthopantogram 27,326 CMS chest; single view, frontal 18,344,071 CMS chest, two views, frontal and lateral; 16,694,627 CMS thorax; with contrast material(s) 1,843,380 CMS pelvis; without contrast material 1,052,775 CMS 1.09

54 Revision and/or reinsertion of transhepatic tube 515 ACS 5.84 Excision or destruction, open, intra-abdominal or retroperitoneal tumors or cysts or endometriomas; 3,443 ACOG 10.

3 pelvis; with contrast material(s) 2,123,943 CMS 1.16 wrist; two views 461,737 CMS 0.16 wrist; complete, minimum of three views 743,409 CMS 0.17 hand; two views 286,082 CMS 0.16 hand; minimum of three views 731,207 CMS 0.17 finger(s), minimum of two views 315,853 CMS 0.13 abdomen; single anteroposterior view 1,847,189 CMS 0.18 abdomen; complete, including decubitus and/or erect views 1,030,469 CMS 0.27 abdomen; complete acute abdomen series, including supine, erect, and/or decubitus views, single view chest 1,089,316 CMS 0.32 abdomen; without contrast material 1,155,454 CMS 1.19 abdomen; with contrast material(s) 2,018,764 CMS 1.27 morphology; without contrast material 1,113 ACC 1.6 morphology; with contrast material 1,226 ACC 2

13 abdomen; single anteroposterior view 1,847,189 CMS 0.18 abdomen; complete, including decubitus and/or erect views 1,030,469 CMS 0.

4 function, with or without morphology; complete study 2,842 ACC 1.83 function, with or without morphology; limited study 261 ACC 1.74 Dual energy x-ray absorptiometry (dxa), bone density study, one or more sites; axial skeleton (eg, hips, pelvis, spine) 2,428,543 CMS 0.3 Ophthalmic biometry by ultrasound echography, a- scan; with intraocular lens power calculation 1,690,880 CMS Ultrasound, abdominal, b- scan and/or real time with image documentation; complete 1,367,513 CMS Ultrasound, transvaginal 303,687 CMS treatment planning; complex 285,397 CMS simulation-aided field setting; simple 231,871 CMS simulation-aided field setting; complex 368,497 CMS Basic radiation dosimetry calculation, central axis depth dose calculation, tdf, nsd, gap calculation, off axis factor, tissue inhomogeneity factors, calculation of nonionizing radiation surface and depth dose, as required during course of treatment, onl 1,266,334 CMS 0.62

3 Ophthalmic biometry by ultrasound echography, a- scan; with intraocular lens power calculation 1,690,880 CMS 0.

5 Teletherapy, isodose plan (whether hand or computer calculated); complex (mantle or inverted y, tangential ports, the use of wedges, compensators, complex blocking, rotational beam, or special beam considerations) 179,513 CMS 1.56 Special dosimetry (eg, tld, microdosimetry) (specify), only when prescribed by the treating physician 390,985 CMS 0.87 Treatment devices, design and construction; complex (irregular blocks, special shields, compensators, wedges, molds or casts) 1,098,403 CMS 1.24 Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral, endocavitary or intraoperative cone irradiation) 143,586 CMS 2.09 Bone and/or joint imaging; whole body 744,786 CMS 0.86 Bone and/or joint imaging; three phase study 137,144 CMS 1.02 Myocardial perfusion imaging; tomographic (spect), multiple studies (including attenuation correction when performed), at rest and/or stress (exercise and/or pharmacologic) and redistribution and/or rest injection, with or without quantification 2,751,144 CMS 1.46 Myocardial perfusion study with wall motion, qualitative or quantitative study (list separately in addition to for primary procedure) 2,531,282 CMS 0.62 Myocardial perfusion study with ejection fraction (list separately in addition to for primary procedure) 2,529,899 CMS 0.62

56 Special dosimetry (eg, tld, microdosimetry) (specify), only when prescribed by the treating physician 390,985 CMS 0.

76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete 76642 limited

76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete 76642 limited 2015 CPT Code Update The ACR, either alone or in conjunction with other specialty societies, worked on a number of code proposals for the 2015 code cycle. This update provides a listing of code changes