{"id":81,"date":"2020-11-04T15:48:56","date_gmt":"2020-11-04T15:48:56","guid":{"rendered":"https:\/\/12uh.com\/ioectr\/?p=81"},"modified":"2020-11-04T15:48:56","modified_gmt":"2020-11-04T15:48:56","slug":"10-day-global-surgical-procedures-with-comparable-work-rvus-to-ectr-6-39","status":"publish","type":"post","link":"https:\/\/12uh.com\/ioectr\/10-day-global-surgical-procedures-with-comparable-work-rvus-to-ectr-6-39\/","title":{"rendered":"10-Day Global Surgical Procedures with Comparable Work RVU\u2019s to ECTR (6.39)"},"content":{"rendered":"\n

In our effort to compare and contrast different procedures I analyzed 10-day global procedures. These are generally considered “office” procedures.<\/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 RVU<\/strong><\/td>TOT FAC RVU<\/strong><\/td><\/tr>
11646<\/td>Exc f\/e\/e\/n\/l mal+mrg >4 cm<\/td>10<\/td>7.4<\/td>4.11<\/td>6.26<\/strong><\/td>0.91<\/td>14.57<\/td>14.57<\/td>11.28<\/td><\/tr>
55706<\/td>Prostate saturation sampling<\/td>10<\/td> <\/td>3.8<\/td>6.28<\/strong><\/td>0.67<\/td> <\/td> <\/td>10.75<\/td><\/tr>
36566<\/td>Insert tunneled cv cath<\/td>10<\/td>124.73<\/td>2.95<\/td>6.29<\/strong><\/td>1.21<\/td>132.23<\/td>132.23<\/td>10.45<\/td><\/tr>
42720<\/td>Drainage of throat abscess<\/td>10<\/td>5.79<\/td>3.99<\/td>6.31<\/strong><\/td>0.85<\/td>12.95<\/td>12.95<\/td>11.15<\/td><\/tr>
49324<\/td>Lap insert tunnel ip cath<\/td>10<\/td> <\/td>3.52<\/td>6.32<\/strong><\/td>1.5<\/td> <\/td> <\/td>11.34<\/td><\/tr>
58356<\/strong><\/td>Endometrial cryoablation<\/strong><\/td>10<\/strong><\/td>44.62<\/strong><\/td>2.83<\/strong><\/td>6.41<\/strong><\/td>1.01<\/strong><\/td>52.04<\/strong><\/td>52.04<\/strong><\/td>10.25<\/strong><\/td><\/tr>
50592<\/td>Perc rf ablate renal tumor<\/td>10<\/td>84.08<\/td>2.81<\/td>6.55<\/strong><\/td>0.56<\/td>91.19<\/td>91.19<\/td>9.92<\/td><\/tr>
38510<\/td>Biopsy\/removal lymph nodes<\/td>10<\/td>7.11<\/td>4.1<\/td>6.74<\/strong><\/td>1.25<\/td>15.1<\/td>15.1<\/td>12.09<\/td><\/tr>
49325<\/td>Lap revision perm ip cath<\/td>10<\/td> <\/td>3.65<\/td>6.82<\/strong><\/td>1.63<\/td> <\/td> <\/td>12.1<\/td><\/tr>
49428<\/td>Ligation of shunt<\/td>10<\/td> <\/td>4.03<\/td>6.87<\/strong><\/td>1.68<\/td> <\/td> <\/td>12.58<\/td><\/tr>
63650<\/td>Implant neuroelectrodes<\/td>10<\/td>46.26<\/td>4.01<\/td>7.15<\/strong><\/td>0.77<\/td>54.18<\/td>54.18<\/td>11.93<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

The list above includes 10-day global procedures with a Work RVU close to 6.93 similar to ECTR (29848). Most have a Site of Service Differential. Four do not so it cannot be said that all 10-day global procedures are \u201coffice\u201d procedures. I found that surprising. My takeaway is that the Facility versus Non-Facility PE Site of Service Differential is not exactly proportional to the global days (90 versus 10). They are related but there are exceptions.<\/p>\n\n\n\n

These would be considered \u201cfacility-only\u201d. It\u2019s likely that they are generally performed in the office; I don\u2019t know if an insurance company would deny them for POS=11 but there is no NON-FAC PE reimbursement. <\/p>\n","protected":false},"excerpt":{"rendered":"

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 → <\/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":[66,67,47,16,9,28,54,15,29,14,51,56,11,48,44,17,53,55,45,52,58,21,57,19],"class_list":["post-81","post","type-post","status-publish","format-standard","hentry","category-4","category-office-based-surgery","category-reimbursement","tag-10-day-global","tag-90-day-global","tag-ambulatory-surgery-center-asc","tag-carpal-tunnel-release","tag-endoscopic-soft-tissue-release","tag-fac-pe-rvus-2","tag-geographic-practice-cost-indices-gpci","tag-in-office-endoscopic-carpal-tunnel-release","tag-ioectr","tag-ioestr","tag-malpractice-rvus","tag-medicare-conversion-factor","tag-medicare-reimbursement","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\/81","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=81"}],"version-history":[{"count":1,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/81\/revisions"}],"predecessor-version":[{"id":82,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/81\/revisions\/82"}],"wp:attachment":[{"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/media?parent=81"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/categories?post=81"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/tags?post=81"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}