TABLE G. — PHYSICIAN AND OTHER PROFESSIONAL SERVICES RELATIVE VALUE UNITS (RVUs) BY CPT/HCPCS CODE PAGE 1 of 135 Non-Facility CPT/ Status/ Work Facility Practice Practice Total Expense Charge HCPCS Modifier 1 CPT/HCPCS Code Description Conversion Factor/GAAF Category Usage Expense Expense RVUs Expense RVUs Methodology 3 Code Indicator 2 RVUs RVUs 01996 Blank DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN Anesthesia Blank Blank Blank Blank 2.66 5% Sample 10021 Blank FINE NEEDLE ASPIRATION W/O IMAGING GUIDANCE Surgery Blank 1.27 0.56 2.05 Blank RBRVS 10022 Blank FINE NEEDLE ASPIRATION WITH IMAGING GUIDANCE Surgery Blank 1.27 0.48 2.60 Blank RBRVS 10030 Blank IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE Surgery Blank 3.00 1.17 18.44 Blank RBRVS 10035 Blank PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE Surgery Blank 1.70 0.63 13.31 Blank RBRVS 10036 Blank PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE Surgery Blank 0.85 0.32 12.26 Blank RBRVS 10040 Blank ACNE SURGERY Surgery Blank 1.21 1.13 1.50 Blank RBRVS 10060 Blank INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE Surgery Blank 1.22 1.41 1.97 Blank RBRVS 10061 Blank INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE Surgery Blank 2.45 2.37 3.10 Blank RBRVS 10080 Blank INCISION & DRAINAGE PILONIDAL CYST SIMPLE Surgery Blank 1.22 1.53 3.68 Blank RBRVS 10081 Blank INCISION & DRAINAGE PILONIDAL CYST COMPLICATED Surgery Blank 2.50 2.00 4.76 Blank RBRVS 10120 Blank INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE Surgery Blank 1.22 1.59 2.94 Blank RBRVS 10121 Blank INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL Surgery Blank 2.74 2.17 4.63 Blank RBRVS 10140 Blank I&D HEMATOMA SEROMA/FLUID COLLECTION Surgery Blank 1.58 1.60 2.84 Blank RBRVS 10160 Blank PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST Surgery Blank 1.25 1.33 2.28 Blank RBRVS 10180 Blank INCISION & DRAINAGE COMPLEX PO WOUND INFECTION Surgery Blank 2.30 2.33 4.21 Blank RBRVS 11000 Blank DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF Surgery Blank 0.60 0.17 0.89 Blank RBRVS 11001 Blank DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF Surgery Blank 0.30 0.08 0.28 Blank RBRVS 11004 Blank DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT&PR Surgery Blank 10.80 3.93 3.93 Blank RBRVS 11005 Blank DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL Surgery Blank 14.24 5.23 5.23 Blank RBRVS 11006 Blank DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL Surgery Blank 13.10 4.72 4.72 Blank RBRVS 11008 Blank REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION Surgery Blank 5.00 1.83 1.83 Blank RBRVS 11010 Blank DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS Surgery Blank 4.19 3.09 9.04 Blank RBRVS 11011 Blank DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC Surgery Blank 4.94 2.70 9.29 Blank RBRVS 11012 Blank DBRDMT FX&/DISLC SUBQ T/M/F BONE Surgery Blank 6.87 4.03 12.04 Blank RBRVS 11042 Blank DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< Surgery Blank 1.01 0.64 2.17 Blank RBRVS 11043 Blank DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/< Surgery Blank 2.70 1.37 3.39 Blank RBRVS 11044 Blank DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/< Surgery Blank 4.10 1.90 4.20 Blank RBRVS 11045 Blank DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM Surgery Blank 0.50 0.18 0.59 Blank RBRVS 11046 Blank DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM Surgery Blank 1.03 0.40 0.88 Blank RBRVS 11047 Blank DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM Surgery Blank 1.80 0.73 1.40 Blank RBRVS 11055 Blank PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1 Surgery Blank 0.35 0.09 0.97 Blank RBRVS 11056 Blank PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4 Surgery Blank 0.50 0.12 1.11 Blank RBRVS 11057 Blank PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4 Surgery Blank 0.65 0.16 1.16 Blank RBRVS 11100 Blank BX SKIN SUBCUTANEOUS&/MUCOUS MEMBRANE 1 LESION Surgery Blank 0.81 0.48 2.00 Blank RBRVS 11101 Blank BIOPSY SKIN SUBQ&/MUCOUS MEMBRANE EA ADDL LESN Surgery Blank 0.41 0.25 0.46 Blank RBRVS 11200 Blank REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 Surgery Blank 0.82 1.16 1.56 Blank RBRVS 11201 Blank REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10 Surgery Blank 0.29 0.15 0.21 Blank RBRVS 11300 Blank SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/< Surgery Blank 0.60 0.33 2.06 Blank RBRVS 11301 Blank SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM Surgery Blank 0.90 0.52 2.36 Blank RBRVS 11302 Blank SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM Surgery Blank 1.05 0.61 2.78 Blank RBRVS 11303 Blank SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM Surgery Blank 1.25 0.71 2.97 Blank RBRVS 11305 Blank SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/< Surgery Blank 0.80 0.26 1.93 Blank RBRVS 11306 Blank SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM Surgery Blank 0.96 0.42 2.37 Blank RBRVS 11307 Blank SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM Surgery Blank 1.20 0.57 2.71 Blank RBRVS 11308 Blank SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM Surgery Blank 1.46 0.52 2.66 Blank RBRVS 11310 Blank SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/< Surgery Blank 0.80 0.45 2.29 Blank RBRVS 11311 Blank SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM Surgery Blank 1.10 0.63 1.89 Blank RBRVS 11312 Blank SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM Surgery Blank 1.30 0.76 3.04 Blank RBRVS 11313 Blank SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM Surgery Blank 1.68 0.96 3.32 Blank RBRVS 11400 Blank EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< Surgery Blank 0.90 1.26 2.47 Blank RBRVS 11401 Blank EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM Surgery Blank 1.28 1.49 2.74 Blank RBRVS 11402 Blank EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM Surgery Blank 1.45 1.58 3.00 Blank RBRVS 11403 Blank EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM/< Surgery Blank 1.84 2.06 3.27 Blank RBRVS 11404 Blank EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM Surgery Blank 2.11 2.15 3.67 Blank RBRVS 11406 Blank EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM Surgery Blank 3.52 2.85 4.67 Blank RBRVS 11420 Blank EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/< Surgery Blank 1.03 1.18 2.31 Blank RBRVS 11421 Blank EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM Surgery Blank 1.47 1.47 2.76 Blank RBRVS 11422 Blank EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM Surgery Blank 1.68 1.94 3.03 Blank RBRVS 11423 Blank EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM Surgery Blank 2.06 2.11 3.33 Blank RBRVS 11424 Blank EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM Surgery Blank 2.48 2.25 3.72 Blank RBRVS 11426 Blank EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM Surgery Blank 4.09 3.05 4.63 Blank RBRVS 11440 Blank EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< Surgery Blank 1.05 1.76 2.63 Blank RBRVS 11441 Blank EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM Surgery Blank 1.53 2.00 2.99 Blank RBRVS 11442 Blank EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM Surgery Blank 1.77 2.11 3.27 Blank RBRVS 11443 Blank EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM Surgery Blank 2.34 2.39 3.63 Blank RBRVS 11444 Blank EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM Surgery Blank 3.19 2.80 4.27 Blank RBRVS 11446 Blank EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM Surgery Blank 4.80 3.76 5.51 Blank RBRVS 11450 Blank EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR Surgery Blank 3.22 3.31 6.89 Blank RBRVS 11451 Blank EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR Surgery Blank 4.43 3.95 8.41 Blank RBRVS 11462 Blank EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR Surgery Blank 3.00 3.27 6.92 Blank RBRVS 11463 Blank EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR Surgery Blank 4.43 4.01 8.60 Blank RBRVS 11470 Blank EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR Surgery Blank 3.74 3.57 7.23 Blank RBRVS 11471 Blank EXCISION H/P/P/U COMPLEX REPAIR Surgery Blank 4.89 4.23 8.69 Blank RBRVS 11600 Blank EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< Surgery Blank 1.63 1.55 3.58 Blank RBRVS NOTE: CPT Codes and descriptions only are copyright 2016 American Medical Association.