{"id":86,"date":"2020-11-04T16:06:08","date_gmt":"2020-11-04T16:06:08","guid":{"rendered":"https:\/\/12uh.com\/ioectr\/?p=86"},"modified":"2020-11-04T16:06:08","modified_gmt":"2020-11-04T16:06:08","slug":"site-of-service-differential-10-day-global-procedures-facility-pe-rvus","status":"publish","type":"post","link":"https:\/\/12uh.com\/ioectr\/site-of-service-differential-10-day-global-procedures-facility-pe-rvus\/","title":{"rendered":"Site of Service Differential 10 Day Global Procedures (Facility PE RVU\u2019s"},"content":{"rendered":"\n<p>This list is our 10-day global procedures with comparable Facility PE RVU\u2019s (7.14) to code 29848.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>CPT<\/strong><\/td><td><strong>Description<\/strong><\/td><td><strong>Global<\/strong><\/td><td><strong>NON FAC PE RVU<\/strong><\/td><td><strong>FAC PE RVU<\/strong><\/td><td><strong>WORK RVU<\/strong><\/td><td><strong>MALPR<\/strong><\/td><td><strong>TOT NON FAC RVU<\/strong><\/td><td><strong>TOT RVU<\/strong><\/td><td><strong>TOT FAC RVU<\/strong><\/td><\/tr><tr><td>58661<\/td><td>Laparoscopy remove adnexa<\/td><td>10<\/td><td>&nbsp;<\/td><td>5.71<\/td><td>11.35<\/td><td>1.8<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>18.86<\/td><\/tr><tr><td>38571<\/td><td>Laparoscopy lymphadenectomy<\/td><td>10<\/td><td>&nbsp;<\/td><td>5.71<\/td><td>12<\/td><td>1.46<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>19.17<\/td><\/tr><tr><td>62194<\/td><td>Replace\/irrigate catheter<\/td><td>10<\/td><td>&nbsp;<\/td><td>6.15<\/td><td>5.78<\/td><td>2.13<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>14.06<\/td><\/tr><tr><td>68371<\/td><td>Harvest eye tissue alograft<\/td><td>10<\/td><td>&nbsp;<\/td><td>6.2<\/td><td>5.09<\/td><td>0.38<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>11.67<\/td><\/tr><tr><td><strong>21076<\/strong><\/td><td><strong>Prepare face\/oral prosthesis<\/strong><\/td><td><strong>10<\/strong><\/td><td><strong>11.31<\/strong><\/td><td><strong>6.96<\/strong><\/td><td><strong>13.4<\/strong><\/td><td><strong>1.18<\/strong><\/td><td><strong>25.89<\/strong><\/td><td><strong>25.89<\/strong><\/td><td><strong>21.54<\/strong><\/td><\/tr><tr><td>31239<\/td><td>Nasal\/sinus endoscopy surg<\/td><td>10<\/td><td>&nbsp;<\/td><td>7.46<\/td><td>9.04<\/td><td>0.91<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>17.41<\/td><\/tr><tr><td>38572<\/td><td>Laparoscopy lymphadenectomy<\/td><td>10<\/td><td>&nbsp;<\/td><td>8.36<\/td><td>15.6<\/td><td>2.36<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>26.32<\/td><\/tr><tr><td>31292<\/td><td>Nsl\/sins ndsc med\/inf dcmprn<\/td><td>10<\/td><td>&nbsp;<\/td><td>10.36<\/td><td>15.9<\/td><td>2.16<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>28.42<\/td><\/tr><tr><td>38573<\/td><td>Laps pelvic lymphadec<\/td><td>10<\/td><td>&nbsp;<\/td><td>10.45<\/td><td>20<\/td><td>3.07<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>33.52<\/td><\/tr><tr><td>31293<\/td><td>Nsl\/sins ndsc med&amp;inf dcmprn<\/td><td>10<\/td><td>&nbsp;<\/td><td>10.87<\/td><td>17.47<\/td><td>2.37<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>30.71<\/td><\/tr><tr><td>31290<\/td><td>Nasal\/sinus endoscopy surg<\/td><td>10<\/td><td>&nbsp;<\/td><td>11.46<\/td><td>18.61<\/td><td>2.64<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>32.71<\/td><\/tr><tr><td>31294<\/td><td>Nsl\/sins ndsc surg on dcmprn<\/td><td>10<\/td><td>&nbsp;<\/td><td>12.08<\/td><td>20.31<\/td><td>2.78<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>35.17<\/td><\/tr><tr><td>31291<\/td><td>Nasal\/sinus endoscopy surg<\/td><td>10<\/td><td>&nbsp;<\/td><td>12.17<\/td><td>19.56<\/td><td>3.22<\/td><td>&nbsp;<\/td><td>&nbsp;<\/td><td>34.95<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>These procedures are the highest Facility PE RVU\u2019s for 10-day global procedures. Only one has a site of service differential. The 10-day global may be more a reflection of their relative risk or safety than indicative of actual facility costs.<\/p>\n\n\n\n<p>In general the main reason a procedure is designated facility-only is based on anesthesia requirements and safety issues. An ASC or hospital outpatient has better emergency services than an office; a hospital has the best services in case of a problem.<\/p>\n\n\n\n<p>Of the 469, 10-day global procedures in the 2020 Medicare PFSRVU database, 392 have a Site of Service Differential and 77 do not (essentially considered \u201cfacility-only\u201d). While only 16% of the total I find this to be higher than I expected.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>This list is our 10-day global procedures with comparable Facility PE RVU\u2019s (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 &nbsp; 5.71 11.35 1.8 &nbsp; &nbsp; 18.86&#8230; <a class=\"continue-reading-link\" href=\"https:\/\/12uh.com\/ioectr\/site-of-service-differential-10-day-global-procedures-facility-pe-rvus\/\"> Continue reading <span class=\"meta-nav\">&rarr; <\/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":[4,6,32,3],"tags":[66,67,47,16,9,28,54,69,15,29,14,51,56,11,48,44,17,53,55,45,52,58,21,57,19],"class_list":["post-86","post","type-post","status-publish","format-standard","hentry","category-4","category-documentation","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-global-period","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\/86","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=86"}],"version-history":[{"count":1,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/86\/revisions"}],"predecessor-version":[{"id":87,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/posts\/86\/revisions\/87"}],"wp:attachment":[{"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/media?parent=86"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/categories?post=86"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/12uh.com\/ioectr\/wp-json\/wp\/v2\/tags?post=86"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}