Site of Service Differential 10 Day Global Procedures (Facility PE RVU’s

This list is our 10-day global procedures with comparable Facility PE RVU’s (7.14) to code 29848. CPT Description Global NON FAC PE RVU FAC PE RVU WORK RVU MALPR TOT NON FAC RVU TOT RVU TOT FAC RVU 58661 Laparoscopy remove adnexa 10   5.71 11.35 1.8     18.86… Continue reading

Site of Service Differential 10-Day Global Procedures

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… Continue reading

10-Day Global Surgical Procedures with Comparable Work RVU’s to ECTR (6.39)

In our effort to compare and contrast different procedures I analyzed 10-day global procedures. These are generally considered “office” procedures. CPT Description Global NON FAC PE RVU FAC PE RVU WORK RVU MALPR TOT NON FAC RVU TOT RVU TOT FAC RVU 11646 Exc f/e/e/n/l mal+mrg >4 cm 10 7.4… Continue reading

Surgical Procedures with Comparable Work RVU’s to ECTR (6.39)

CPT Description Global NON FAC PE RVU FAC PE RVU WORK RVU MALPR TOT NON FAC RVU TOT RVU TOT FAC RVU 24130 Removal of head of radius 90   7.06 6.42 1.21     14.69 29834 Elbow arthroscopy/surgery 90   6.55 6.42 1.22     14.19 58805 Drainage of… Continue reading

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. CPT Description Global NON FAC PE RVU FAC PE RVU WORK RVU MALPR TOT NON FAC RVU TOT RVU TOT FAC RVU 27087 Remove hip foreign body 90   7.15 8.83 1.81     17.79 40527 Reconstruct lip with… Continue reading

Surgeries With Comparable Total RVU’s to Endoscopic Carpal Tunnel Surgery

Below is a list of CPT codes from the Medicare PFSRVU database that have comparable total RVUs to CPT code 29848: Endoscopic Carpal Tunnel Surgery (ECTR). The Work RVU’s are also similar, most in 6-7 RVU range. CPT Description Global NON FAC PE RVU FAC PE RVU WORK RVU MALPR… Continue reading

Benefits of WALANT and OBS

Many hand surgery procedures such as carpal tunnel release, tendon repair and removal of masses can now be performed under local anesthesia alone, avoiding the use of sedation or general anesthesia. The technique—known as Wide-Awake Local Anesthesia, No Tourniquet (WALANT)—can be performed in the surgeon’s office. The ability to safely… Continue reading

Obtaining Non-Facility Physician Expense RVU’s for Office-Based Surgeries

That are currently assigned as “facility-only.” These do not have a Site of Service Differential. My name is Jeffrey Restuccio, CPC, COC, I am a reimbursement expert and I’m working on a long-term project with the goal of obtaining appropriate office overhead reimbursement (non-facility physician expense RVU’s or a “facility… Continue reading

Facility Versus Non-Facility Practice Expense RVU’s For 90-Day Global Procedures

For the purpose of this project and analysis there are two types of surgical procedures. Updated Sep 2021. Facility OR office-based Facility-Only 1 Those that can be performed in the office or a facility (ASC, hospital outpatient department [HOPD] or hospital). Considered “Facility-Only”. 2 There is a Site of Service… Continue reading