Surgeries with Comparable Facility Practice Expense RVU’s to Endoscopic Carpal Tunnel Surgery

The codes listed below have similar facility PE RVU’s to 29848.

CPTDescriptionGlobalNON FAC PE RVUFAC PE RVUWORK RVUMALPRTOT NON FAC RVUTOT RVUTOT FAC RVU
27087Remove hip foreign body90 7.158.831.81  17.79
40527Reconstruct lip with flap90 7.159.321.26  17.73
26145Tendon excision palm/finger90 7.156.491.17  14.81
35587Vein byp pop-tibl peroneal90 7.1426.216.3  39.65
53210Removal of urethra90 7.1413.721.69  22.55
50728Revise ureter90 7.1412.181.95  21.27
29848Wrist endoscopy/surgery90 7.146.391.16  14.69
25651Pin ulnar styloid fracture90 7.145.821.09  14.05
25690Treat wrist dislocation90 7.145.721.14  14
67141Treatment of retina908.247.146.150.4614.8514.8513.75
37215Transcath stent cca w/eps90 7.1317.754.16  29.04
53515Repair of urethra injury90 7.1314.221.63  22.98
32035Thoracostomy w/rib resection90 7.1311.292.58  21
60220Partial removal of thyroid90 7.1311.192.02  20.34
25145Remove forearm bone lesion90 7.136.541.29  14.96
27516Treat thigh fx growth plate908.047.135.591.1114.7414.7413.83

Note that although the Facility PE RVU’s are similar the Total Facility RVU’s are much different for many—most are higher. Six are orthopedic codes. Only two codes, 67141 and 27516 have a Site of Service differential meaning they reimburse for the office overhead (a “facility” fee) if performed in the office. The Site of Service differential for 67141 is 1.1 or $39.70 and for 27516 it’s 0.91 or $32.84. These are on the low side. One is an ophthalmic procedure, the other is orthopedic. One takeaway here is that for codes with comparable Facility PE RVU’s performing them in the office has relatively low overhead (“facility fee”). Remember that the NON-FAC PE for open carpal tunnel surgery (CPT code 64721) is only $6.14. That is the increase in reimbursement to the surgeon for performing the procedure in the office versus the ASC.

Tagged , , , , , , , , , , , , , , , , , , , , , , . Bookmark the permalink.

Comments are closed.