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Sub-Field: 162.971

Package: Fee Basis

FEE BASIS CPT RVU(#162.97)-->162.971

Sub-Field: 162.971


Information

Parent File Name Number Package
FEE BASIS CPT RVU(#162.97) CALENDAR YEAR 162.971 Fee Basis

Details

Field # Name Loc Type Details
.01 CALENDAR YEAR 0;1 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>9999)!(X<1900)!(X?.E1"."1N.N) X
  • LAST EDITED:  SEP 12, 1995
  • HELP-PROMPT:  Type a Number between 1900 and 9999, 0 Decimal Digits
  • DESCRIPTION:  
    For each service rendered there are a set of relative value units by calendar year.
  • CROSS-REFERENCE:  162.971^B
    1)= S ^FB(162.97,DA(1),"CY","B",$E(X,1,30),DA)=""
    2)= K ^FB(162.97,DA(1),"CY","B",$E(X,1,30),DA)
.02 MODIFIER LEVEL 0;2 FREE TEXT

  • INPUT TRANSFORM:  K:$L(X)>30!($L(X)<1) X
  • LAST EDITED:  SEP 14, 1995
  • HELP-PROMPT:  Answer must be 1-30 characters in length.
  • DESCRIPTION:  
    This field ties a multiplier to a CPT-modifier combination when a CPT-Modifier combination has not been defined in the schedule directly.
.03 WORK RELATIVE VALUE UNIT 0;3 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999.99)!(X<0)!(X?.E1"."3N.N) X
  • LAST EDITED:  MAY 03, 1999
  • HELP-PROMPT:  Type a Number between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the work relative value unit associated with a CPT code. These units are set by Health Care Finance Administration.
.04 NON-FAC PRACTICE EXPENSE RVU 0;4 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999.99)!(X<0)!(X?.E1"."3N.N) X
  • LAST EDITED:  MAY 03, 1999
  • HELP-PROMPT:  Type a Number between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the practice expense relative value unit for the CPT code when performed in a non-facility setting.
.05 FACILITY PRACTICE EXPENSE RVU 0;5 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999.99)!(X<0)!(X?.E1"."3N.N) X
  • LAST EDITED:  MAY 03, 1999
  • HELP-PROMPT:  Type a Number between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  This is the practice expense relative value unit for the CPT code when performed in a facility setting such as inpatient or outpatient hospital settings, emergency rooms, skilled nursing facilities, or ambulatory
    surgical centers.
.06 MALPRACTICE EXPENSE RVU 0;6 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999.99)!(X<0)!(X?.E1"."3N.N) X
  • LAST EDITED:  MAY 03, 1999
  • HELP-PROMPT:  Type a Number between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  
    This is the malpractice relative value unit associated with a CPT code. These units are set by Health Care Finance Administration.
.07 BASE UNITS 0;7 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>99999.99)!(X<0)!(X?.E1"."3N.N) X
  • LAST EDITED:  MAY 03, 1999
  • HELP-PROMPT:  Type a Number between 0 and 99999.99, 2 Decimal Digits
  • DESCRIPTION:  For anesthesia codes (00100-01999) this field holds the base unit. HCFA plans on changing the calculation for anesthesia payments in the near future to be like all other codes but for now the fee is calculated by:
    (base units + actual time in minutes/15) times anesthesia conversion
    factor). In all other CPT codes this field will be null.
.08 NONPAYABLE 0;8 NUMBER

  • INPUT TRANSFORM:  K:+X'=X!(X>1)!(X<0)!(X?.E1"."1N.N) X
  • LAST EDITED:  NOV 10, 2005
  • HELP-PROMPT:  Type 0 for "NO", 1 for "YES"
  • DESCRIPTION:  
    Indicates if the CPT/CPT MOD is NOT used for Medicare payment.
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