tci General Surgery Coding Alert - 2009 Issue 6

Reader Questions: Base Total RVU Calculations on 3 Details

Question: How do I determine which RVUs to use in the Medicare fee schedule for reimbursement for our practice? Texas Subscriber Answer: The Physician Fee Schedule establishes different values for codes depending on the setting/site (facility or non-facility) in which the provider performs the service or procedure. For some services, the total RVUs for a given procedure are the same regardless of whether the physician performs the procedure in a facility or a non-facility. In some cases, however, the two totals may differ. How it works: The facility and non-facility totals are made up of several constituent parts: physician...

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