This is an interesting list. Based on comparable Work RVU’s to ECTR (code 29848) of 6.39 and technically considered “minor surgery” there are significant facility fees associated with most of them—higher in fact than those of our comparable 90-day global list.
| CPT | Description | NON FAC PE RVU | FAC PE RVU | Site of Serv. Diff. | Amount | WORK RVU | TOT NON FAC RVU | TOT RVU | TOT FAC RVU |
| 42720 | Drainage of throat abscess | 5.79 | 3.99 | 1.8 | $ 64.96 | 6.31 | 12.95 | 12.95 | 11.15 |
| 38510 | Biopsy/removal lymph nodes | 7.11 | 4.1 | 3.01 | $ 108.63 | 6.74 | 15.1 | 15.1 | 12.09 |
| 11646 | Exc f/e/e/n/l mal+mrg >4 cm | 7.4 | 4.11 | 3.29 | $ 118.74 | 6.26 | 14.57 | 14.57 | 11.28 |
| 58356 | Endometrial cryoablation | 44.62 | 2.83 | 41.79 | $ 1,508.20 | 6.41 | 52.04 | 52.04 | 10.25 |
| 63650 | Implant neuroelectrodes | 46.26 | 4.01 | 42.25 | $ 1,524.80 | 7.15 | 54.18 | 54.18 | 11.93 |
| 50592 | Perc rf ablate renal tumor | 84.08 | 2.81 | 81.27 | $ 2,933.03 | 6.55 | 91.19 | 91.19 | 9.92 |
| 36566 | Insert tunneled cv cath | 124.73 | 2.95 | 121.78 | $ 4,395.04 | 6.29 | 132.23 | 132.23 | 10.45 |
Why you might ask? There could be many reasons: they could be misclassified, they may be unique, the association may have lobbied harder. The Site of Service Differential is all over the place: from $64.96 to $4,395.04. It’s possible these are rarely if ever performed in the office. The four highest codes reimburse over $1500 when performed in the office. None are orthopedic procedures.