Thanks to the impetus provided by an inspired comment on the previous blog entry, Igor and I got excited about the idea of analyzing the average RVU rate for all CPT codes, broken down by procedure type. Are "well codes" paid at the same rate as "sick codes?" What about hospital visits? Imms Admin?
Well, we calculated it for you, and the results are fascinating.
If you must have the procedures broken down in a different way, let me know. My thanks to I♥DAVETAYLOE and Igor on this one. (This is all charges from PCC peds clients from 11/1/09 - 10/31/10, including unpaid charges.)
| Description |
CPT Code Range |
% of 2010 Medicare |
| Sick Visits |
99201-99215 |
92% |
| Well Visits |
99381-99396 |
107% |
| Imm Admin |
90465-90468,90471-90474 |
89% |
| Developmental Screening |
96110-96111 |
166% |
| Burn Treatment |
16000, 16020, 17250, 30901 |
87% |
| Circumcision Codes |
54150-54161 |
91% |
| Wart Removal |
17110-17111 |
95% |
| Foreign Body Removals |
30300-30320, 69200, 10120,10060 |
87% |
| Laceration Repair |
11040, 11041, 12001-13160 |
93% |
| Orthopedic Procedures (incl. Nursemaid's Elbow) |
20100-29999 |
90% |
| Vision or Hearing Screening |
92583, 92551-92552, 99173, S0302 |
114% |
| Consultations |
99241-99245, 99251-99255 |
91% |
| Newborn Hospital Visits |
99431-99433,99460-99463 |
121% |
| Hospital Visits |
99470-99489, 99220-99269 |
94% |
| Counseling Visits |
99400-99409 |
30% |
I'll give someone else here the first stab at commentary, but I won't sit on my hands for long.
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