Others titles

  • Medicare Information
  • Physician Fee Schedule Relative Value Units 2020
  • Physician Fee Schedule Relative Value Units 2019
  • Physician Fee Schedule Relative Value Units 2018
  • Physician Fee Schedule Relative Value Units 2017
  • The RVUs and Policy Indicators Associated With Physician Fee Schedule
  • Physician Fee Schedule RVUs 2020
  • Physician Fee Schedule RVUs 2019
  • Physician Fee Schedule RVUs 2018
  • Physician Fee Schedule RVUs 2017
  • Facility Practice Expense RVUs 2020
  • Facility Practice Expense RVUs 2019
  • Facility Practice Expense RVUs 2018
  • Facility Practice Expense RVUs 2017
  • Diagnostic Imaging Family Indicator for RVUs 2020
  • Diagnostic Imaging Family Indicator for RVUs 2019
  • Diagnostic Imaging Family Indicator for RVUs 2018
  • Diagnostic Imaging Family Indicator for RVUs 2017

Keywords

  • Physician Fee Schedule Relative Value Units 2020
  • RVUs 2020
  • Physician Fee Schedule Relative Value Units 2019
  • RVUs 2019
  • Physician Fee Schedule Relative Value Units 2018
  • RVUs 2018
  • Physician Fee Schedule Relative Value Units 2017
  • RVUs 2017
  • The RVUs and Policy Indicators Associated With Physician Fee Schedule
  • Physician Fee Schedule
  • Medicare Health Insurance
  • Medicare Coverage
  • Medicare Insurance
  • Physician Fee Schedule

Physician Fee Schedule Relative Value Units

This dataset contains information on services covered by the Medicare Physician Fee Schedule (MPFS) in 2017 and 2018. For more than 10,000 physician services; the dataset contains the associated relative value units (RVUs), a fee schedule status indicator, and various payment policy indicators needed for payment adjustment (i.e., payment of assistant at surgery, team surgery, bilateral surgery, etc.).

Log in to download
Complexity

Get The Data

For getting access to data download links please read and accept the end-user license agreement.
Your Data License
  • Research
    Non-Commercial, Share-Alike, Attribution Free Forever
  • Commercial
    Commercial Use, Remix & Adapt, White Label Log in to download

John Snow Labs Standard End User License Agreement

Last updated:January 20, 2021

This Data Library End User License Agreement (“EULA”) applies to academic researchers, educators, and students using any product of John Snow Labs in John Snow Labs’ Data Library as defined below (hereinafter referred to “you”). This EULA is between you and John Snow Labs Inc., a Delaware corporation (“John Snow Labs”, “we” or “us”).

By downloading and/or using (as applicable) Data Library of John Snow Labs (as defined below), you automatically agree to be bound by, and use it in compliance with, this EULA. This EULA, together with additional terms and conditions and/or policies referenced herein or located on https://www.johnsnowlabs.com and/or conveyed to you by John Snow Labs, is a legally binding contract between you and John Snow Labs.

PLEASE READ THIS EULA CAREFULLY BEFORE DOWNLOADING OR USING DATA LIBRARY.

We may make changes to this EULA from time to time. When we do so, we will revise the “last updated” date given above. The then-current version of this EULA will supersede all earlier versions. You agree that your continued use of Data Library after such changes have been published to our EULA will constitute your acceptance of such revised EULA.

Definitions

“Data Library” means a data library provided by John Snow Labs and located at https://www.johnsnowlabs.com/marketplace/;

“Website” means https://www.johnsnowlabs.com being owned and operated by John Snow Labs.

Important Notice

By downloading and using any product from the Data Library, you acknowledge that the use of Data Library can be subject to the restrictions and controls imposed by United States export regulations.

You represent and warrant that you do not intend to use Data Library for any purpose prohibited by United States export regulations, including, without limitation, terrorism, cyber-attacks, cyber-crimes, money-laundering, industrial espionage, or nuclear, chemical or biological weapons proliferation. Further, you represent and warrant that you are not listed as a denied party on any list governing United States exports.

Eligibility

Our Data Library can be used by an individual.

In the event you have entered into a separate written agreement with John Snow Labs regarding Data Library that contemplates terms that are inconsistent with this EULA, the written agreement shall control and this EULA will not apply to you to the extent inconsistent with such written agreement, or, if such written agreement is contemplated to be in lieu of this EULA, then this EULA shall not apply at all

License Granted

Subject to your compliance with this EULA, as well as any other applicable policies, John Snow Labs grants you non-exclusive, non-transferable, revocable, license to download, access to, modify, and use of, Data Library worldwide (subject to applicable export laws) during the term of this EULA (as described below) under the following conditions:

  • The license can be used solely for research, private study and personal use of Data Library for unlimited period, or unless terminated under this EULA.were made;
  • This license is personal to you and is limited by all terms and conditions set forth in this EULA;
  • The license is granted as a non-commercial, attribution, share-alike and no-derivate-work license as more detailed below;
  • Under the attribution license, you must give the appropriate name of the creator and a copyright notice of John Snow Labs, provide link to this license and indicate if changes
  • Under the share-alike license, you can distribute modified works only under a license identical to this EULA;
  • Under the no-derivate-work license, you can perform only verbatim copies of Data Library, not derivate works or remixes based on it;
  • If the license is used for academic research purpose, the publication shall be made under the open-access, open-source and open-data license.

You can download any dataset from the Data Library from the Website.

Except for your pre-existing rights and this license granted to you, we and our licensors retain all rights, titles and interests in and to our Data Library, all related intellectual property rights, including trademarks (whether registered or pending), domain and business names. Our Data Library is protected by applicable intellectual property laws, including United States copyright law and international treaties.

John Snow Labs is entitled to revoke the license granted at any time at its sole discretion.

License Restrictions

You will be deemed to have taken any action that you permit, assist or facilitate any person or entity to take related to this EULA, your content or use of Data Library. You are responsible for end users’ use of your content and Data Library. You will ensure that all end users comply with your obligations under this EULA and that the terms of your agreement with each end user are consistent with this EULA. If you become aware of any violation of your obligations under this EULA caused by an end user, you will immediately suspend access to your content and Data Library by such end user.

License Restrictions

You will access or use our Data Library solely via John Snow Labs’ Data Library.

Except as otherwise explicitly provided in this EULA or as may be expressly permitted by applicable law, you will not, and will not permit or authorize any third party to:

  1. you cannot reproduce, translate, enhance, decompile, disassemble, reverse engineer or create derivative works of Data Library or its technological features or measures;
  2. you cannot rent, lease, sell, resell, loan, distribute, or sublicense access to any of Data Library;
  3. you cannot circumvent or disable any security or technological features or measures of Data Library;
  4. you cannot use our intellectual property rights without our express prior written authorization or in violation of this EULA;
  5. you cannot use Data Library with an intent to build a competitive product or service, or copy or substantially copy any ideas, features, functions, organization, structure, application program interface, graphics, or user interface of Data Library;
  6. you cannot copy, distribute, or resell any of the information; audio, visual, and audiovisual works, or other content made available on Data Library (collectively, “Content”) or compile or collect any Content as part of a database or other work;
  7. you cannot use any automated tool (e.g., robots, spiders) to access or use Data Library, or to store, copy, modify, distribute, or resell any Content;
  8. you cannot circumvent or disable any rights management, usage rules, or other security features of Data Library;
  9. you cannot use Data Library in a manner that overburdens, or that threatens the integrity, performance, or availability of, Data Library; or
  10. you cannot remove, alter, or obscure any proprietary notices (including copyright and trademark notices) on any portion of Data Library or any Content.

If you breach any of this EULA, the above license will terminate automatically.

Fees and Taxes

This license is for non-commercial use. If you wish to use our Data Library for commercial use, please contact us at support@JohnSnowLabs.com.

Support and Updates

Under this EULA, support services are excluded.

From time to time John Snow Labs can perform updates to our software. If available, such updates may include bug fixes, new features and/or enhancements. You are solely responsible for deploying such updates at your own risk and liability.

Term and Termination

This EULA will become effective as of the date of your order of Data Library and shall be in effect until terminated.

John Snow Labs may suspend or terminate your right to use Data Library, if you or your end user’s use of Data Library:

  1. is in breach of this EULA;
  2. poses a security risk to Data Library;
  3. could adversely impact our systems, Data Library or other customers;
  4. could subject us, our affiliates, or any third party to liability; or
  5. could be fraudulent.

We may also suspend or terminate your right to use Data Library, if you have ceased to operate in the ordinary course, made an assignment for the benefit of creditors or similar disposition of your assets, or become the subject of any bankruptcy, reorganization, liquidation, dissolution or similar proceeding.

You will cease use of Data Library during any period of suspension, or upon termination of this EULA.

All provisions which by their nature are intended to survive termination shall survive termination of this EULA.

Access to Data Library

We do not provide you with the equipment to access Data Library. You are responsible for all fees charged by third parties related to your access and use of Data Library (e.g., charges by Internet service providers).

You are responsible for monitoring your use of Data Library, including payment of all fees and/or taxes related to such access and use. You agree that John Snow Labs is permitted to request and you hereby consent to provide John Snow Labs information related to your use of Data Library for auditing purposes.

You also certify that you are legally permitted to use Data Library, and take full responsibility for the selection and use of Data Library. This EULA is void where prohibited by law, and the right to use Data Library is revoked in such jurisdictions. John Snow Labs makes no claim that Data Library may be lawfully used outside of the United States. If you use Data Library from outside of the United States, you do so at your own risk and you are responsible for compliance with the laws of jurisdiction.

Privacy Policy

We may collect, store and receive personal and other information about you through our Products. Our collection and use of this information is governed by our Privacy Policy available at https://www.JohnSnowLabs.com/privacy/ which may be amended from time to time.

Links and Third Party Content

Data Library may display, or contain links to, third party products, services, and websites. Any opinions, advice, statements, services, offers, or other information that constitutes part of the content expressed, authored, or made available by other users or other third parties, or which is accessible through or may be located using Data Library (collectively, “Third Party Content”) are those of the respective authors or producers and not of us or our shareholders, directors, officers, employees, agents, or representatives.

We do not control Third Party Content and do not guarantee the accuracy, integrity or quality of such Third Party Content. We are not responsible for the performance of, we do not endorse, and we are not responsible or liable for, any Third Party Content or any information or materials advertised in any Third Party Content. By using Data Library, you may be exposed to content that is offensive, indecent, or objectionable. We are not responsible or liable, directly or indirectly, for any damage or loss caused to you by your use of or reliance on any goods, services, or information available on or through any third party service or Third Party Content. It is your responsibility to evaluate the information, opinion, advice, or other content available on and through our Products.

Proprietary Rights

John Snow Labs will not obtain any rights under this EULA from you (or your licensors) to your content.

Data Library is and remains the exclusive property of John Snow Labs and its licensors. Except for the access and use rights expressly set forth in this EULA, no license or other rights in or to Data Library or John Snow Labs trademark(s) and other intellectual property rights therein, are granted to you, and all such licenses and rights are expressly reserved. You will not remove, alter, or obscure any proprietary notices (including copyright and trademark notices) on any portion of Data Library or any Content.

Trademarks

“John Snow Labs,” the John Snow Labs logo, and any other product, business or service name or slogan, whether registered or pending, displayed on Data Library are trademarks of John Snow Labs, Inc. or its suppliers or licensors, and may not be copied, imitated or used, in whole or in part, without the prior written permission of John Snow Labs or the applicable trademark holder. You may not use any metatags or any other “hidden text” utilizing “John Snow Labs” or any other name, trademark or product, business or service name of John Snow Labs without our prior written permission. In addition, the look and feel of Data Library, including all page headers, custom graphics, button icons and scripts, is the service mark, trademark and/or trade dress of John Snow Labs may not be copied, imitated or used, in whole or in part, without our prior written permission. All other trademarks, pending trademarks, registered trademarks, product names and company names or logos mentioned in Data Library are the property of John Snow Labs Inc. and/or their respective owners. Reference to any products, services, processes or other information, by trade name, trademark, manufacturer, supplier, or otherwise does not constitute or imply endorsement, sponsorship, or recommendation thereof by us.

Disclaimer of Warranties

YOUR USE OF DATA LIBRARY IS AT YOUR SOLE RISK. THE PRODUCTS AND CONTENT EACH ARE PROVIDED ON AN “AS IS” AND “AS AVAILABLE” BASIS. WE AND OUR SUPPLIERS AND LICENSORS EXPRESSLY DISCLAIM ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED, INCLUDING, BUT NOT LIMITED TO THE IMPLIED WARRANTIES OF MERCHANTABILITY, FITNESS FOR A PARTICULAR PURPOSE, TITLE, AND NON-INFRINGEMENT. WE DO NOT GUARANTEE THE ACCURACY, COMPLETENESS, OR USEFULNESS OF THE PRODUCTS OR ANY CONTENT, AND YOU RELY ON THE PRODUCTS AND CONTENT AT YOUR OWN RISK. ANY MATERIAL THAT YOU ACCESS OR OBTAIN THROUGH OUR PRODUCTS IS DONE AT YOUR OWN DISCRETION AND RISK AND YOU WILL BE SOLELY RESPONSIBLE FOR ANY DAMAGE TO YOUR COMPUTER OR LOSS OF DATA THAT RESULTS FROM THE DOWNLOAD OF ANY MATERIAL THROUGH OUR PRODUCTS. NO ADVICE OR INFORMATION, WHETHER ORAL OR WRITTEN, OBTAINED BY YOU FROM US OR THROUGH OR FROM OUR PRODUCTS WILL CREATE ANY WARRANTY NOT EXPRESSLY STATED IN THIS EULA. SOME STATES MAY PROHIBIT A DISCLAIMER OF WARRANTIES AND YOU MAY HAVE OTHER RIGHTS THAT VARY FROM STATE TO STATE.

Limitation of Liability

WE AND OUR SUPPLIERS AND LICENSORS WILL NOT BE LIABLE FOR ANY DIRECT, INDIRECT, INCIDENTAL, SPECIAL, CONSEQUENTIAL, OR EXEMPLARY DAMAGES, INCLUDING BUT NOT LIMITED TO, DAMAGES FOR LOSS OF PROFITS, GOODWILL, USE, DATA, OR OTHER INTANGIBLE LOSSES (EVEN IF WE HAVE BEEN ADVISED OF THE POSSIBILITY OF THESE DAMAGES), RESULTING FROM YOUR USE OF OUR PRODUCTS AND CONTENT. UNDER NO CIRCUMSTANCES WILL THE TOTAL LIABILITY OF US AND OUR SUPPLIERS AND LICENSORS OF ALL KINDS ARISING OUT OF OR RELATED TO YOUR USE OF THE PRODUCTS AND CONTENT (INCLUDING BUT NOT LIMITED TO WARRANTY CLAIMS), REGARDLESS OF THE FORUM AND REGARDLESS OF WHETHER ANY ACTION OR CLAIM IS BASED ON CONTRACT, TORT, OR OTHERWISE, EXCEED THE AMOUNTS, IF ANY, THAT YOU HAVE PAID FOR YOUR USE OF THE PRODUCTS AND CONTENT. BECAUSE SOME STATES DO NOT ALLOW THE EXCLUSION OR LIMITATION OF LIABILITY FOR CONSEQUENTIAL OR INCIDENTAL DAMAGES, THE ABOVE LIMITATION MAY NOT APPLY TO YOU.

Indemnity

To the full extent permitted by applicable law, you shall defend, indemnify and hold harmless John Snow Labs, its affiliates and its licensors, and each of their respective employees, officers, directors, and representatives from and against any claims, damages, losses, liabilities, costs, and expenses (including reasonable attorney’s fees) arising out of or relating to any third party claim concerning: (a) your use of Data Library; (b) breach of this EULA or violation of applicable law by you; (c) any content or the combination of such content with other software, content or processes, including any claim involving alleged infringement or misappropriation of third-party rights by such content or combination; or (d) breach of any obligation or duty you owe to a third party.

Legal Notices

Enforcement of this EULA will be governed by the laws of the State of Delaware, excluding its conflict and choice of law principles. The exclusive jurisdiction and venue for any claims arising out of or related to this EULA or your use of Data Library will lie in the state and federal courts located in Sussex County, within the State of Delaware, and you irrevocably agree to submit to the jurisdiction of such courts. Our failure to enforce any right or provision in this EULA will not constitute a waiver of such right or provision unless acknowledged and agreed by us in writing. In the event that a court of competent jurisdiction finds any provision of this EULA to be illegal, invalid, or unenforceable, the remaining provisions will remain in full force and effect.

Notifications

We may use your contact information to notify you if we have any legitimate interest or if we need to notify you on any important information related to your use of Data Library. We will not send you newsletters unless you expressly consented to such notifications.

Contacting Us

If you have any questions or concerns about Data Library or this EULA, you may contact us by email at support@JohnSnowLabs.com.

Description

The formula for 2017 and 2018 physician fee schedule payment amount is as follows:

2017 and 2018 Non-Facility Pricing Amount =
[(Work RVU * Work GPCI) +
(Non-Facility PE RVU * PE GPCI) +
(MP RVU * MP GPCI)] * Conversion Factor (CF)

2017 and 2018 Facility Pricing Amount =
[(Work RVU * Work GPCI) +
(Facility PE RVU * PE GPCI) +
(MP RVU * MP GPCI)] * Conversion Factor

Certain therapy codes will receive a 50 percent reduction to the PE.
Section 5102(b) of the Deficit Reduction Act of 2005 requires a payment cap on the technical component (TC) of certain diagnostic imaging procedures and the TC portions of the global diagnostic imaging services. This cap is based on the Outpatient Prospective Payment System (OPPS) payment. To implement this provision, the physician fee schedule amount is compared to the OPPS payment amount and the lower amount is used in the formula below to calculate payment.

2017 and 2018 OPPS Non-Facility Payment Amount =
[(Work RVU * Work GPCI) + (OPPS Non-Facility PE RVU * PE GPCI) +
(OPPS MP RVU * MP GPCI)] * Conversion Factor

2017 and 2018 OPPS Facility Payment Amount =
[Work RVU * Work GPCI) + (OPPS Facility PE RVU * PE GPCI) +
(OPPS MP RVU * MP GPCI)] * Conversion Factor

About this Dataset

Data Info

Date Created

2017-01-01

Last Modified

2020-01-31

Version

2020-01-31

Update Frequency

Annual

Temporal Coverage

2017 to 2020

Spatial Coverage

United States

Source

John Snow Labs; Centers for Medicare and Medicaid Services;

Source License URL

Source License Requirements

• CPT codes and descriptions only are copyright 2017 American Medical Association. All rights reserved. Applicable FARS/DFARS apply • All dental codes copyright 2017/18 American Dental Association, all rights reserved.

Source Citation

N/A

Keywords

Physician Fee Schedule Relative Value Units 2020, RVUs 2020, Physician Fee Schedule Relative Value Units 2019, RVUs 2019, Physician Fee Schedule Relative Value Units 2018, RVUs 2018, Physician Fee Schedule Relative Value Units 2017, RVUs 2017, The RVUs and Policy Indicators Associated With Physician Fee Schedule, Physician Fee Schedule, Medicare Health Insurance, Medicare Coverage, Medicare Insurance, Physician Fee Schedule

Other Titles

Medicare Information, Physician Fee Schedule Relative Value Units 2020, Physician Fee Schedule Relative Value Units 2019, Physician Fee Schedule Relative Value Units 2018, Physician Fee Schedule Relative Value Units 2017, The RVUs and Policy Indicators Associated With Physician Fee Schedule, Physician Fee Schedule RVUs 2020, Physician Fee Schedule RVUs 2019, Physician Fee Schedule RVUs 2018, Physician Fee Schedule RVUs 2017, Facility Practice Expense RVUs 2020, Facility Practice Expense RVUs 2019, Facility Practice Expense RVUs 2018, Facility Practice Expense RVUs 2017, Diagnostic Imaging Family Indicator for RVUs 2020, Diagnostic Imaging Family Indicator for RVUs 2019, Diagnostic Imaging Family Indicator for RVUs 2018, Diagnostic Imaging Family Indicator for RVUs 2017

Data Fields

Name Description Type Constraints
HCPCS_CodeCPT or Level 2 HCPCS numberstring-
ModifierFor diagnostic tests, a blank in this field denotes the global service and the following modifiers identify the components:26 = Professional component, TC = Technical componentstring-
DescriptionDescription of the codestring-
Status_CodeA = Active Code. B = Bundled Code. C = Carriers price the code. D = Deleted Codes. E = Excluded from Physician Fee Schedule by regulation. F = Deleted/Discontinued Codes. G = Not valid for Medicare purposes.stringmaxLength : 1
Is_Used_For_Medicare_PaymentFalse denotes that a unit is not used for medicare payment.boolean-
Work_RVURelative Value Unit (RVU) for the physician work in the service as published in the Federal Register Fee Schedule for Physicians Services for CY 2018.numberlevel : Ratio
NonFacility_PE_RVURelative Value Unit (RVU) for the resource-based practice expense for the non-facility setting, as published in the Federal Register Fee Schedule for Physicians Services for CY 2018.numberlevel : Ratio
Is_NonFacility_NA_IndicatorFalse denotes that a unit is not used for non facility indicator.boolean-
Facility_PE_RVURelative Value Unit (RVU) for the resource-based practice expense for the facility setting, as published in the Federal Register Fee Schedule for Physicians Services for CY 2018.numberlevel : Ratio
Is_Facility_NA_IndicatorFalse denotes that a unit is not used for non facility indicator.boolean-
Malpractice_RVURVU for the malpractice expense for the service as published in the Federal Register Fee Schedule for Physicians' Services for CY 2087.numberlevel : Ratio
Total_NonFacility_RVUSum of work, non-facility practice expense, and malpractice expense RVUs.numberlevel : Ratio
Total_Facility_RVUSum of work, facility practice expense, and malpractice expense RVUs.numberlevel : Ratio
PCTC_IndicatorIndicatorintegerlevel : Nominal
Global_Surgery_DaysProvides time frames that apply to each surgical procedure.stringmaxLength : 3
Preoperative_PercentagePercentage for preoperative portion of global package.numberlevel : Nominal
Intraoperative_PercentagePercentage for intraoperative portion of global package, including postoperative work in the hospital.numberlevel : Nominal
Postoperative_PercentagePercentage for postoperative portion of global package that is provided in the office after discharge from the hospital.numberlevel : Nominal
Multiple_Procedure_Modifier_51Indicates applicable payment adjustment rule for multiple procedures: 0=No payment adjustment rules for multiple procedures apply. If procedure is reported on the same day as another procedure, base the payment on the lower of (a) the actual charge, or (b) the fee schedule amount for the procedure.integerlevel : Nominal
Bilateral_Surgery_Modifier_50Indicates services subject to payment adjustment.integerlevel : Nominal
Assistant_at_SurgeryIndicates services where an assistant at surgery is never paid for per Medicare Claims Manual.integerlevel : Nominal
Co_Surgeons_Modifier_62Indicates services for which two surgeons, each in a different specialty, may be paid.integerlevel : Nominal
Team_Surgery_Modifier_66Indicates services for which team surgeons may be paid. 0=Team surgeons not permitted for this procedure.1=Team surgeons could be paid, though supporting documentation required to establish medical necessity of a team; pay by report. 2=Team surgeons permitted; pay by report.integerlevel : Nominal
Endoscopic_Base_CodeCode which identifies an endoscopic base code for each code with a multiple surgery indicator of 3.string-
Conversion_FactorThis is the multiplier that transforms relative values into payment amounts. This conversion factor reflects the MEI update adjustment. For 2002 and beyond, there is a single conversion factor for allnumberlevel : Nominal
Physician_Supervision_of_Diagnostic_ProceduresThis field is for use in post-payment review.string-
Calculation_FlagAs of July 1, 2014 the value for the Calculation Flag for all HCPCS is “0”.integerlevel : Nominal
Diagnostic_Indicator_Imaging_FamilyThis field identifies the applicable diagnostic service family for that HCPCS codes with a multiple procedure indicators of ‘4’. For services effective January 1, 2011 and after, family indicators 01 – 11 will not be populated. The values are:integerlevel : Nominal
NonFacility_PE_Used_For_OPPS_Payment_AmountThe OPPS Payment Amount calculated using these values is compared to the Medicare Physician Fee Schedule to determine applicability of the OPPS Imaging Cap mandated by Section 5102(b) of the Deficit Reduction Act of 2005.numberlevel : Nominal
Facility_PE_Used_For_OPPS_Payment_AmountThe OPPS Payment Amount calculated using these values is compared to the Medicare Physician Fee Schedule to determine applicability of the OPPS Imaging Cap mandated by Section 5102(b) of the Deficit Reduction Act of 2005.numberlevel : Nominal
Malpractice_Used_For_OPPS_Payment_AmountThe OPPS Payment Amount calculated using these values is compared to the Medicare Physician Fee Schedule to determine applicability of the OPPS Imaging Cap mandated by Section 5102(b) of the Deficit Reduction Act of 2005.numberlevel : Nominal
YearYear of Physician Fee Schedule Relative Value Units (2017 and 2018)date-

Data Preview

HCPCS CodeModifierDescriptionStatus CodeIs Used For Medicare PaymentWork RVUNonFacility PE RVUIs NonFacility NA IndicatorFacility PE RVUIs Facility NA IndicatorMalpractice RVUTotal NonFacility RVUTotal Facility RVUPCTC IndicatorPreoperative PercentageIntraoperative PercentagePostoperative PercentageMultiple Procedure Modifier 51Bilateral Surgery Modifier 50Assistant at SurgeryCo Surgeons Modifier 62Team Surgery Modifier 66Endoscopic Base CodeConversion FactorPhysician Supervision of Diagnostic ProceduresCalculation FlagDiagnostic Indicator Imaging FamilyNonFacility PE Used For OPPS Payment AmountFacility PE Used For OPPS Payment AmountMalpractice Used For OPPS Payment AmountYear
A0021Outside state ambulance servI00000090009999934.893190990002021
A0080Noninterest escort in non erI00000090009999934.893190990002021
A0090Interest escort in non erI00000090009999934.893190990002021
A0100Nonemergency transport taxiI00000090009999934.893190990002021
A0110Nonemergency transport busI00000090009999934.893190990002021
A0120Noner transport mini-busI00000090009999934.893190990002021
A0130Noner transport wheelch vanI00000090009999934.893190990002021
A0140Nonemergency transport airI00000090009999934.893190990002021
A0160Noner transport case workerI00000090009999934.893190990002021
A0170Transport parking fees/tollsI00000090009999934.893190990002021