The table below illustrates the proposed 2008 reimbursement rates
based on the proposed Medicare Physician Fee Schedule conversion
factor of 34.1457
and the proposed budget neutrality factor of 0.8816.
CODE |
DESCRIPTION |
WORK RVU |
BNF |
ADJ WORK RVU |
PE RVU |
MAL RVU |
CF |
MC ALLOWABLE |
90760 |
INITIAL |
0.17 |
0.8816 |
0.15 |
1.37 |
0.07 |
34.1457 |
54.29 |
90761 |
EA ADDTL HR |
0.09 |
0.8816 |
0.08 |
0.36 |
0.04 |
34.1457 |
16.39 |
90765 |
IV TX/DX, INITIAL, UP TO 1HR |
0.21 |
0.8816 |
0.19 |
1.68 |
0.07 |
34.1457 |
66.24 |
90766 |
IV TX/DX, EA ADDL HR |
0.18 |
0.8816 |
0.16 |
0.42 |
0.04 |
34.1457 |
21.17 |
90767 |
TX/DX, ADDL SEQ INF |
0.19 |
0.8816 |
0.17 |
0.79 |
0.04 |
34.1457 |
34.15 |
90768 |
TX/DX CONCURRENT INF |
0.17 |
0.8816 |
0.15 |
0.38 |
0.04 |
34.1457 |
19.46 |
90772 |
TX/DX INJ SC/IM |
0.17 |
0.8816 |
0.15 |
0.38 |
0.01 |
34.1457 |
18.44 |
90773 |
TX/DX INJ IA |
0.17 |
0.8816 |
0.15 |
0.31 |
0.02 |
34.1457 |
16.39 |
90774 |
TX/DX INJ, IV PUSH |
0.18 |
0.8816 |
0.16 |
1.31 |
0.04 |
34.1457 |
51.56 |
90775 |
TX/DX INJ, EA ADDL IV PUSH |
0.10 |
0.8816 |
0.09 |
0.54 |
0.04 |
34.1457 |
22.88 |
96401 |
CHEMO, SQ/IM |
0.21 |
0.8816 |
0.19 |
1.51 |
0.01 |
34.1457 |
58.39 |
96402 |
CHEMO, HORMONAL, SQ/IM |
0.19 |
0.8816 |
0.17 |
0.88 |
0.01 |
34.1457 |
36.19 |
96409 |
CHEMO, IV PUSH |
0.24 |
0.8816 |
0.21 |
2.84 |
0.06 |
34.1457 |
106.19 |
96411 |
CHEMO, IV PUSH, ADDL DRUG |
0.20 |
0.8816 |
0.18 |
1.55 |
0.06 |
34.1457 |
61.12 |
96413 |
CHEMO, INF, INITIAL, 1ST HR |
0.28 |
0.8816 |
0.25 |
3.9 |
0.08 |
34.1457 |
144.44 |
96415 |
CHEMO, INF, ADDL HR |
0.19 |
0.8816 |
0.17 |
0.71 |
0.07 |
34.1457 |
32.44 |
96416 |
CHEMO, PROLONGED INF, W/PUMP |
0.21 |
0.8816 |
0.19 |
4.33 |
0.08 |
34.1457 |
157.07 |
96417 |
CHEMO, INF, EA ADDL SEQ |
0.21 |
0.8816 |
0.19 |
1.83 |
0.07 |
34.1457 |
71.36 |
96420 |
CHEMO, IA, PUSH |
0.17 |
0.8816 |
0.15 |
2.7 |
0.08 |
34.1457 |
100.05 |
96422 |
CHEMO, IA, INF UP TO 1HR |
0.17 |
0.8816 |
0.15 |
4.53 |
0.08 |
34.1457 |
162.53 |
96423 |
CHEMO, IA, INF EA ADDL HR |
0.17 |
0.8816 |
0.15 |
1.92 |
0.02 |
34.1457 |
71.36 |
96425 |
CHEMO, INF, IA W/PUMP |
0.17 |
0.8816 |
0.15 |
4.53 |
0.08 |
34.1457 |
162.53 |
96440 |
CHEMO, INTRACAVITY PLEURAL |
2.37 |
0.8816 |
2.09 |
6.81 |
0.17 |
34.1457 |
309.70 |
96445 |
CHEMO, INTRACAVITY PERITONEAL |
2.20 |
0.8816 |
1.94 |
6.72 |
0.14 |
34.1457 |
300.48 |
96450 |
CHEMO, CNS |
1.53 |
0.8816 |
1.35 |
5.95 |
0.09 |
34.1457 |
252.34 |
96521 |
REFILL/MAINT PUMP |
0.21 |
0.8816 |
0.19 |
3.44 |
0.06 |
34.1457 |
126.00 |
96522 |
REFILL/MAINT IMPLANTABLE PUMP RESV |
0.21 |
0.8816 |
0.19 |
2.69 |
0.06 |
34.1457 |
100.39 |
96523 |
IRRIG/PORT FLUSH |
0.04 |
0.8816 |
0.04 |
0.67 |
0.01 |
34.1457 |
24.58 |
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