Federal Register / Vol. 68, No. 158 / Friday, August 15, 2003 / Proposed Rules 49129 ADDENDUM B.—RELATIVE VALUE UNITS (RVUS) AND RELATED INFORMATION—Continued Physician Non- Mal- Non- 1 CPT/ Facility Facility 2 MOD Status Description work facility PE practice acility Global HCPCS RVUs RVUs PE RVUs RVUs total total 42720 ....... ........... A Drainage of throat ab- 5.42 5.24 3.93 0.39 11.05 9.74 010 scess. 42725 ....... ........... A Drainage of throat ab- 10.72 N/A 8.26 0.80 N/A 19.78 090 scess. 42800 ....... ........... A Biopsy of throat ................ 1.39 2.35 1.45 0.10 3.84 2.94 010 42802 ....... ........... A Biopsy of throat ................ 1.54 3.17 1.62 0.11 4.82 3.27 010 42804 ....... ........... A Biopsy of upper nose/ 1.24 3.16 1.54 0.09 4.49 2.87 010 throat. 42806 ....... ........... A Biopsy of upper nose/ 1.58 3.17 1.66 0.12 4.87 3.36 010 throat. 42808 ....... ........... A Excise pharynx lesion ...... 2.30 3.31 1.99 0.17 5.78 4.46 010 42809 ....... ........... A Remove pharynx foreign 1.81 2.46 1.40 0.13 4.40 3.34 010 body. 42810 ....... ........... A Excision of neck cyst ........ 3.25 5.05 3.53 0.25 8.55 7.03 090 42815 ....... ........... A Excision of neck cyst ........ 7.07 N/A 5.63 0.53 N/A 13.23 090 42820 ....... ........... A Remove tonsils and ade- 3.91 N/A 3.63 0.28 N/A 7.82 090 noids. 42821 ....... ........... A Remove tonsils and ade- 4.29 N/A 3.81 0.30 N/A 8.40 090 noids. 42825 ....... ........... A Removal of tonsils ............ 3.42 N/A 3.43 0.24 N/A 7.09 090 42826 ....... ........... A Removal of tonsils ............ 3.38 N/A 3.33 0.23 N/A 6.94 090 42830 ....... ........... A Removal of adenoids ....... 2.57 N/A 2.68 0.18 N/A 5.43 090 42831 ....... ........... A Removal of adenoids ....... 2.71 N/A 2.94 0.19 N/A 5.84 090 42835 ....... ........... A Removal of adenoids ....... 2.30 N/A 2.72 0.17 N/A 5.19 090 42836 ....... ........... A Removal of adenoids ....... 3.18 N/A 3.26 0.22 N/A 6.66 090 42842 ....... ........... A Extensive surgery of throat 8.76 N/A 7.01 0.61 N/A 16.38 090 42844 ....... ........... A Extensive surgery of throat 14.31 N/A 10.36 1.04 N/A 25.71 090 42845 ....... ........... A Extensive surgery of throat 24.29 N/A 16.60 1.76 N/A 42.65 090 42860 ....... ........... A Excision of tonsil tags ...... 2.22 N/A 2.68 0.16 N/A 5.06 090 42870 ....... ........... A Excision of lingual tonsil ... 5.40 N/A 5.02 0.38 N/A 10.80 090 42890 ....... ........... A Partial removal of pharynx 12.94 N/A 9.67 0.91 N/A 23.52 090 42892 ....... ........... A Revision of pharyngeal 15.83 N/A 11.27 1.14 N/A 28.24 090 walls. 42894 ....... ........... A Revision of pharyngeal 22.88 N/A 15.55 1.64 N/A 40.07 090 walls. 42900 ....... ........... A Repair throat wound ......... 5.25 N/A 3.79 0.39 N/A 9.43 010 42950 ....... ........... A Reconstruction of throat ... 8.10 N/A 6.82 0.58 N/A 15.50 090 42953 ....... ........... A Repair throat, esophagus 8.96 N/A 7.77 0.73 N/A 17.46 090 42955 ....... ........... A Surgical opening of throat 7.39 N/A 5.73 0.63 N/A 13.75 090 42960 ....... ........... A Control throat bleeding ..... 2.33 N/A 2.08 0.17 N/A 4.58 010 42961 ....... ........... A Control throat bleeding ..... 5.59 N/A 5.02 0.40 N/A 11.01 090 42962 ....... ........... A Control throat bleeding ..... 7.14 N/A 5.91 0.51 N/A 13.56 090 42970 ....... ........... A Control nose/throat bleed- 5.43 N/A 3.72 0.37 N/A 9.52 090 ing. 42971 ....... ........... A Control nose/throat bleed- 6.21 N/A 5.17 0.45 N/A 11.83 090 ing. 42972 ....... ........... A Control nose/throat bleed- 7.20 N/A 5.64 0.54 N/A 13.38 090 ing. 42999 ....... ........... C Throat surgery procedure 0.00 0.00 0.00 0.00 0.00 0.00 YYY 43020 ....... ........... A Incision of esophagus ...... 8.09 N/A 5.75 0.70 N/A 14.54 090 43030 ....... ........... A Throat muscle surgery ...... 7.69 N/A 6.00 0.60 N/A 14.29 090 43045 ....... ........... A Incision of esophagus ...... 20.12 N/A 10.51 2.15 N/A 32.78 090 43100 ....... ........... A Excision of esophagus le- 9.19 N/A 6.31 0.79 N/A 16.29 090 sion. 43101 ....... ........... A Excision of esophagus le- 16.24 N/A 7.83 1.81 N/A 25.88 090 sion. 43107 ....... ........... A Removal of esophagus .... 40.00 N/A 17.03 3.29 N/A 60.32 090 43108 ....... ........... A Removal of esophagus .... 34.19 N/A 14.36 3.78 N/A 52.33 090 43112 ....... ........... A Removal of esophagus .... 43.50 N/A 18.14 3.67 N/A 65.31 090 43113 ....... ........... A Removal of esophagus .... 35.27 N/A 15.19 4.33 N/A 54.79 090 43116 ....... ........... A Partial removal of esoph- 31.22 N/A 17.10 2.62 N/A 50.94 090 agus. 43117 ....... ........... A Partial removal of esoph- 40.00 N/A 16.27 3.51 N/A 59.78 090 agus. 43118 ....... ........... A Partial removal of esoph- 33.20 N/A 13.89 3.56 N/A 50.65 090 agus. —————————— 1 CPT codes and descriptions only are copyright American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. 2 Copyright American Dental Association. All rights reserved. VerDate jul<14>2003 19:07 Aug 14, 2003 Jkt 200001 PO 00000 Frm 00101 Fmt 4742 Sfmt 4742 E:\FR\FM\15AUP3.SGM 15AUP3 49130 Federal Register / Vol. 68, No. 158 / Friday, August 15, 2003 / Proposed Rules ADDENDUM B.—RELATIVE VALUE UNITS (RVUS) AND RELATED INFORMATION—Continued Physician Non- Mal- Non- 1 CPT/ Facility Facility 2 MOD Status Description work facility PE practice acility Global HCPCS RVUs RVUs PE RVUs RVUs total total 43121 ....... ........... A Partial removal of esoph- 29.19 N/A 12.58 3.44 N/A 45.21 090 agus. 43122 ....... ........... A Partial removal of esoph- 40.00 N/A 16.47 3.27 N/A 59.74 090 agus. 43123 ....... ........... A Partial removal of esoph- 33.20 N/A 14.10 3.96 N/A 51.26 090 agus. 43124 ....... ........... A Removal of esophagus .... 27.32 N/A 13.15 2.95 N/A 43.42 090 43130 ....... ........... A Removal of esophagus 11.75 N/A 7.69 1.06 N/A 20.50 090 pouch. 43135 ....... ........... A Removal of esophagus 16.10 N/A 8.04 1.85 N/A 25.99 090 pouch. 43200 ....... ........... A Esophagus endoscopy ..... 1.59 4.49 1.11 0.11 6.19 2.81 000 43201 ....... ........... A Esoph scope w/sub- 2.09 4.92 1.29 0.12 7.13 3.50 000 mucous inj. 43202 ....... ........... A Esophagus endoscopy, bi- 1.89 5.61 0.98 0.12 7.62 2.99 000 opsy. 43204 ....... ........... A Esoph scope w/sclerosis 3.77 N/A 1.57 0.18 N/A 5.52 000 inj. 43205 ....... ........... A Esophagus endoscopy/li- 3.79 N/A 1.58 0.17 N/A 5.54 000 gation. 43215 ....... ........... A Esophagus endoscopy ..... 2.60 N/A 1.24 0.17 N/A 4.01 000 43216 ....... ........... A Esophagus endoscopy/le- 2.40 N/A 1.21 0.15 N/A 3.76 000 sion. 43217 ....... ........... A Esophagus endoscopy ..... 2.90 6.99 1.24 0.17 10.06 4.31 000 43219 ....... ........... A Esophagus endoscopy ..... 2.80 N/A 1.39 0.16 N/A 4.35 000 43220 ....... ........... A Esoph endoscopy, dilation 2.10 N/A 1.00 0.12 N/A 3.22 000 43226 ....... ........... A Esoph endoscopy, dilation 2.34 N/A 1.07 0.12 N/A 3.53 000 43227 ....... ........... A Esoph endoscopy, repair 3.60 N/A 1.50 0.18 N/A 5.28 000 43228 ....... ........... A Esoph endoscopy, abla- 3.77 N/A 1.60 0.25 N/A 5.62 000 tion. 43231 ....... ........... A Esoph endoscopy w/us 3.19 N/A 1.35 0.20 N/A 4.74 000 exam. 43232 ....... ........... A Esoph endoscopy w/us fn 4.48 N/A 1.87 0.26 N/A 6.61 000 bx. 43234 ....... ........... A Upper GI endoscopy, 2.01 5.37 0.91 0.13 7.51 3.05 000 exam. 43235 ....... ........... A Uppr gi endoscopy, diag- 2.39 5.18 1.06 0.13 7.70 3.58 000 nosis. 43236 ....... ........... A Uppr gi scope w/submuc 2.92 6.11 1.26 0.14 9.17 4.32 000 inj. 43239 ....... ........... A Upper GI endoscopy, bi- 2.87 5.73 1.23 0.14 8.74 4.24 000 opsy. 43240 ....... ........... A Esoph endoscope w/drain 6.86 N/A 2.68 0.36 N/A 9.90 000 cyst. 43241 ....... ........... A Upper GI endoscopy with 2.59 N/A 1.14 0.14 N/A 3.87 000 tube. 43242 ....... ........... A Uppr gi endoscopy w/us fn 7.31 N/A 2.81 0.29 N/A 10.41 000 bx.