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CMS-1503-FC 1575<br />

CPT 1 /<br />

HCPCS Mod Status Description<br />

Physi-<br />

cian<br />

Work<br />

RVUs 2<br />

Fully<br />

Imple-<br />

mented<br />

Non-<br />

Facility<br />

PE<br />

RVUs 2<br />

Year<br />

2011<br />

Transi-<br />

tional<br />

Non-<br />

Facility<br />

PE<br />

RVUs 2<br />

Fully<br />

Imple-<br />

mented<br />

Facility<br />

PE<br />

RVUs 2<br />

Year<br />

2011<br />

Transi-<br />

tional<br />

Facility<br />

PE<br />

RVUs 2<br />

Mal-<br />

Practice<br />

RVUs 2 Global<br />

12007 A Repair superficial wound(s) 2.90 3.20 3.72 1.07 1.50 0.50 000<br />

1200F I Seizure type& frequ docd 0.00 0.00 0.00 0.00 0.00 0.00 XXX<br />

12011 A Repair superficial wound(s) 1.07 1.87 2.12 0.43 0.68 0.19 000<br />

12013 A Repair superficial wound(s) 1.22 1.88 2.21 0.46 0.77 0.20 000<br />

12014 A Repair superficial wound(s) 1.57 2.08 2.47 0.57 0.89 0.26 000<br />

12015 A Repair superficial wound(s) 1.98 2.46 2.96 0.67 1.03 0.33 000<br />

12016 A Repair superficial wound(s) 2.68 2.92 3.45 0.91 1.29 0.46 000<br />

12017 A Repair superficial wound(s) 3.18 NA NA 0.76 1.34 0.56 000<br />

12018 A Repair superficial wound(s) 3.61 NA NA 0.85 1.78 0.64 000<br />

12020 A Closure of split wound 2.67 4.93 4.73 2.47 2.34 0.42 010<br />

12021 A Closure of split wound 1.89 2.63 2.45 1.94 1.80 0.31 010<br />

12031 A Intmd wnd repair s/tr/ext 2.20 4.76 4.53 2.41 2.20 0.35 010<br />

12032 A Intmd wnd repair s/tr/ext 2.52 6.07 6.01 2.98 2.84 0.38 010<br />

12034 A Intmd wnd repair s/tr/ext 2.97 5.65 5.42 2.72 2.52 0.50 010<br />

12035 A Intmd wnd repair s/tr/ext 3.47 6.90 6.68 2.98 2.82 0.64 010<br />

12036 A Intmd wnd repair s/tr/ext 4.09 7.24 6.92 3.26 3.06 0.77 010<br />

12037 A Intmd wnd repair s/tr/ext 4.71 7.90 7.60 3.78 3.59 0.90 010<br />

12041 A Intmd wnd repair n-hf/genit 2.42 4.86 4.60 2.47 2.25 0.37 010<br />

12042 A Intmd wnd repair n-hg/genit 2.79 5.38 5.26 2.86 2.67 0.41 010<br />

12044 A Intmd wnd repair n-hg/genit 3.19 6.72 6.32 2.71 2.53 0.52 010<br />

12045 A Intmd wnd repair n-hg/genit 3.68 6.61 6.44 2.92 2.79 0.62 010<br />

12046 A Intmd wnd repair n-hg/genit 4.29 7.79 7.62 3.46 3.30 0.84 010<br />

12047 A Intmd wnd repair n-hg/genit 4.69 8.60 8.24 3.52 3.48 0.91 010<br />

12051 A Intmd wnd repair face/mm 2.52 5.04 4.91 2.63 2.45 0.39 010<br />

12052 A Intmd wnd repair face/mm 2.87 5.79 5.63 3.36 3.11 0.42 010<br />

12053 A Intmd wnd repair face/mm 3.17 6.45 6.19 2.89 2.69 0.50 010<br />

12054 A Intmd wnd repair face/mm 3.50 6.70 6.37 2.77 2.60 0.58 010<br />

12055 A Intmd wnd repair face/mm 4.47 7.83 7.35 2.98 2.80 0.73 010

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