tci Part B Insider - 2011 Issue 17

Reader Questions: No RVUs May Mean No Pay for You

Question: Can you explain to me why some codes (such as 99172) do not have an associated relative value unit (RVU)? How can I find what the RVUs are for this code?Answer: RVUs are based on the pricing established by the Medicare Physician Fee Schedule; if a CPT® procedure code does not have an RVU, it often is because Medicare does not cover the service. You can find out where Medicare stands on the payment status of any particular code by checking the Fee Schedule.Key: When perusing the Fee Schedule, check the "Status Code" column (Column D)...

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