tci Part B Insider - 2005 Issue 40

GASTROINTESTINAL SUGERY: RVUs For New Codes Reward Attention To Additional Procedures

You can double your reimbursement for combined fistula approachYou'd better scan your surgeon's charts carefully, or you might miss out on extra reimbursement for gastrointestinal surgeries in 2006.The Centers for Medicare & Medicaid Services has released RVUs for the new CPT codes for 2006. In many cases, those RVUs are a lot higher when the surgeon does something additional, such as creating a pouch or resection.Example 1: You'll only receive 47.83 facility-based RVUs for new code 45395 (Laparoscopic removal of rectum). But you'll receive 51.96 RVUs if you can bill 45397 (... with pouch). Pay...

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