{"id":68,"date":"2020-11-04T14:31:51","date_gmt":"2020-11-04T14:31:51","guid":{"rendered":"https:\/\/12uh.com\/ioectr\/?p=68"},"modified":"2020-11-04T14:31:51","modified_gmt":"2020-11-04T14:31:51","slug":"lowest-non-facility-rvu-procedures","status":"publish","type":"post","link":"https:\/\/12uh.com\/ioectr\/lowest-non-facility-rvu-procedures\/","title":{"rendered":"Lowest Non-Facility RVU Procedures"},"content":{"rendered":"\n

The list below are 90-day surgeries that have the lowest<\/strong> non-facility Practice Expense RVU\u2019s or reimbursement in the 2020 PFSRVU Medicare database. While still considered \u201cmajor surgery,\u201d based on the NON-FAC PE these would be considered those that required the lowest overhead costs or risk. There is a likelihood that their Global fee will be changed to 10 days and they will be considered \u201cin-office\u201d procedures in the future.<\/p>\n\n\n\n

CPT<\/strong><\/td>Description<\/strong><\/td>Global<\/strong><\/td>NON FAC PE RVU<\/strong><\/td>FAC PE RVU<\/strong><\/td>WORK RVU<\/strong><\/td>MALPR<\/strong><\/td>TOT NON FAC RVU<\/strong><\/td>TOT FAC RVU<\/strong><\/td><\/tr>
28530<\/td>Treat sesamoid bone fracture<\/td>90<\/td>2.08<\/strong><\/td>1.66<\/td>1.11<\/td>0.11<\/td>3.3<\/td>2.88<\/td><\/tr>
28510<\/td>Treatment of toe fracture<\/td>90<\/td>2.17<\/strong><\/td>2.11<\/td>1.17<\/td>0.13<\/td>3.47<\/td>3.41<\/td><\/tr>
21820<\/td>Treat sternum fracture<\/td>90<\/td>2.55<\/strong><\/td>2.52<\/td>1.36<\/td>0.27<\/td>4.18<\/td>4.15<\/td><\/tr>
28490<\/td>Treat big toe fracture<\/td>90<\/td>2.74<\/strong><\/td>2.22<\/td>1.17<\/td>0.16<\/td>4.07<\/td>3.55<\/td><\/tr>
28515<\/td>Treatment of toe fracture<\/td>90<\/td>2.93<\/strong><\/td>2.34<\/td>1.56<\/td>0.18<\/td>4.67<\/td>4.08<\/td><\/tr>
27200<\/td>Treat tail bone fracture<\/td>90<\/td>3.03<\/strong><\/td>3.11<\/td>1.92<\/td>0.37<\/td>5.32<\/strong><\/td>5.4<\/td><\/tr>
26750<\/td>Treat finger fracture each<\/td>90<\/td>3.18<\/strong><\/td>3.21<\/td>1.8<\/td>0.34<\/td>5.32<\/strong><\/td>5.35<\/td><\/tr>
28540<\/td>Treat foot dislocation<\/td>90<\/td>3.2<\/strong><\/td>2.64<\/td>2.19<\/td>0.18<\/td>5.57<\/td>5.01<\/td><\/tr>
28495<\/td>Treat big toe fracture<\/td>90<\/td>3.23<\/strong><\/td>2.38<\/td>1.68<\/td>0.19<\/td>5.1<\/td>4.25<\/td><\/tr>
28010<\/td>Incision of toe tendon<\/td>90<\/td>3.45<\/strong><\/td>2.75<\/td>2.97<\/td>0.27<\/td>6.69<\/td>5.99<\/td><\/tr>
26720<\/td>Treat finger fracture each<\/td>90<\/td>3.58<\/strong><\/td>3.24<\/td>1.76<\/td>0.32<\/td>5.66<\/td>5.32<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Note also that the Site of Service differential is not that different with these codes, most are less than one RVU ($36.09) apart. All are orthopedic codes and most are fracture treatment codes. Two codes, 27200 and 26750 reimburse less <\/strong>in the office than the ASC. The Site of Service Differential for codes 26750 and 21820 is only .03 RVU’s or $1.08. It must be an oversight or data error as I cannot fathom any type of cost accounting for overhead determining that $1.08 is appropriate for an office-based surgery suite. <\/p>\n","protected":false},"excerpt":{"rendered":"

The list below are 90-day surgeries that have the lowest non-facility Practice Expense RVU\u2019s or reimbursement in the 2020 PFSRVU Medicare database. While still considered \u201cmajor surgery,\u201d based on the NON-FAC PE these would be considered those that required the lowest overhead costs or risk. There is a likelihood that… Continue reading → <\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[4,32,3],"tags":[28,61,54,51,56,48,44,17,53,55,45,52,58,21,57,19],"class_list":["post-68","post","type-post","status-publish","format-standard","hentry","category-4","category-office-based-surgery","category-reimbursement","tag-fac-pe-rvus-2","tag-fracture-care","tag-geographic-practice-cost-indices-gpci","tag-malpractice-rvus","tag-medicare-conversion-factor","tag-non-facility-payment-rate","tag-non-facility-reimbursement-rate","tag-office-based-surgery-reimbursement","tag-physician-work-rvus","tag-practice-expense-rvus","tag-relative-value-units","tag-rvum","tag-rvup","tag-rvus","tag-rvuw","tag-site-of-service-differential"],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/68","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/comments?post=68"}],"version-history":[{"count":1,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/68\/revisions"}],"predecessor-version":[{"id":69,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/68\/revisions\/69"}],"wp:attachment":[{"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/media?parent=68"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/categories?post=68"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/tags?post=68"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}