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CMS-1503-FC 1738<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 />

58410 A Suspension of uterus 13.80 NA NA 8.26 7.80 2.31 090<br />

58520 A Repair of ruptured uterus 13.48 NA NA 8.11 7.62 2.89 090<br />

58540 A Revision of uterus 15.71 NA NA 9.21 8.66 2.65 090<br />

58541 A Lsh uterus 250 g or less 14.70 NA NA 9.01 8.43 2.46 090<br />

58542 A Lsh w/t/o ut 250 g or less 16.56 NA NA 9.88 9.22 2.80 090<br />

58543 A Lsh uterus above 250 g 16.87 NA NA 10.04 9.34 2.85 090<br />

58544 A Lsh w/t/o uterus above 250 g 18.37 NA NA 10.73 9.93 3.11 090<br />

58545 A Laparoscopic myomectomy 15.55 NA NA 8.93 8.40 2.66 090<br />

58546 A Laparo-myomectomy complex 19.94 NA NA 10.93 10.27 3.38 090<br />

58548 A Lap radical hyst 31.63 NA NA 17.88 16.16 5.31 090<br />

58550 A Laparo-asst vag hysterectomy 15.10 NA NA 9.09 8.62 2.55 090<br />

58552 A Laparo-vag hyst incl t/o 16.91 NA NA 9.92 9.37 2.87 090<br />

58553 A Laparo-vag hyst complex 20.06 NA NA 11.04 10.34 3.40 090<br />

58554 A Laparo-vag hyst w/t/o compl 23.11 NA NA 12.90 12.06 3.92 090<br />

58555 A Hysteroscopy dx sep proc 3.33 4.97 4.12 1.88 1.77 0.56 000<br />

58558 A Hysteroscopy biopsy 4.74 6.09 5.08 2.56 2.42 0.80 000<br />

58559 A Hysteroscopy lysis 6.16 NA NA 3.22 3.03 1.05 000<br />

58560 A Hysteroscopy resect septum 6.99 NA NA 3.61 3.40 1.18 000<br />

58561 A Hysteroscopy remove myoma 9.99 NA NA 5.01 4.69 1.67 000<br />

58562 A Hysteroscopy remove fb 5.20 6.02 5.04 2.74 2.59 0.87 000<br />

58563 A Hysteroscopy ablation 6.16 39.21 45.03 3.22 3.04 1.05 000<br />

58565 A Hysteroscopy sterilization 7.12 43.93 48.55 4.77 4.60 1.20 090<br />

58570 A Tlh uterus 250 g or less 15.88 NA NA 9.60 8.94 2.69 090<br />

58571 A Tlh w/t/o 250 g or less 17.69 NA NA 10.61 9.77 3.00 090<br />

58572 A Tlh uterus over 250 g 20.09 NA NA 11.60 10.69 3.40 090<br />

58573 A Tlh w/t/o uterus over 250 g 23.11 NA NA 13.16 12.02 3.88 090<br />

58578 C Laparo proc uterus 0.00 0.00 0.00 0.00 0.00 0.00 YYY<br />

58579 C Hysteroscope procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY

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