---
title: Effect of 2009 RVU Changes on Pediatrics
description: Effect of 2009 RVU Changes on Pediatrics
---

# Effect of 2009 RVU Changes on Pediatrics

November 19, 2008

[practice management](https://chipsblog.pcc.com/tag/practice-management), [rvu](https://chipsblog.pcc.com/tag/rvu)

OK, overdue, but done.  Here's what I did...I took the top 40 RVU-valid CPT codes that our clients have performed over the last 12 months and fit them into an overall model comparing the 2008 Transitioned Non-Facility Rates to the 2009 Transitioned Non-Facility rates (someone check my logic).  With the help of Siouxsie, I made sure to map things like the 99431, which doesn't exist in 2009, to the 99460, etc.

Here's the bottom line: pediatricians should expect the 2009 RVUs to **reduce their average reimbursement** (on those procedures) **by 3.5%**, not accounting for [GPCI changes](https://chipsblog.pcc.com/2009-rbrvs-gpci-analysis/).  This does not address any of those non-RVU codes related to immunizations, [after-hours codes](http://www.pedsource.com/search/node/after+hours+type%3Ablog), etc.  The implication of this reduction, however, is that pediatric codes will actually increase about 2.3% over last year, as Medicare will implementing an overall 5.6% cut across the board.

What are the big winners and losers this year?

| **CPT Code** | **Description** | **Difference (’08-’09)** |
| --- | --- | --- |
| 92587 | Evoked Auditory Test | -43.2% |
| 92567 | Tympanometry | -20.4% |
| 95117 | Immunotherapy Injections | -17.1% |
| 86580 | TB Intradermal test | -10.0% |
| 99211 | Office visit, est | -3.8% |
| 94760 | Measure blood oxygen level | +8.2% |
| 92551 | Pure tone hearing test, air | +10.3% |
| 90772 | Ther/proph/diag inj, sc/im | +12.5% |

Tomorrow, I'll have an overdue second GPCI review, but this is the important piece today. -3.5%. Could be worse, but could be a lot better.

Thanks to Siouxse who also provided [this important review](http://www.pedsource.com/sites/pedsource/files/2009%20CPT%20Renumbering.pdf) of the code changes.  I need to help get this out to the world.

[2009 CPT Renumbering.pdf](https://chipsblog.pcc.com/hubfs/2009-CPT-Renumbering.pdf)

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