P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax info@medicaldatafiles.com
Record Layout / Sample Data
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MedicalDataFiles.Com
P.O. Box 510949 Milwaukee, WI 53203 800 669-3337 414 272-6666 Fax info@medicaldatafiles.com Record Layout / Sample Data |
|
File Description / Details: |
| Description: | AMA CPT© Codes with Short, Medium & Long Descriptions, Gender Status Indicators |
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Record Layout: |
| Field | Type | Size | Description |
| Code | Char | 5 | CPT Code |
| Sdesc | Char | 28 | CPT Description (Upper) |
| Mdesc | Char | 48 | CPT Description (Upper) |
| LDesc | Char | 254 | CPT Description (Upper and lower case) |
| GFP | Char | 3 | Global Fee Period (Follow-up days) |
| Non_FAC_RVU | Char | 10 | Total Non Facility RVUs |
| Non_FAC_Fee | Char | 10 | Non Facility Fee - National |
| FAC_RVU | Char | 10 | Total Facility RVUs |
| FAC_Fee | Char | 10 | Facility Fee - National |
| Notes | Char | 254 | CPT Coding Tips and Notes |
| Status | Char | 1 | N- New, R- Revised |
| Gender | Char | 1 | F- Female, M- Male |
| C_Sedation | Char | 1 | C - Moderate Sedation |
| Add_On_Code | Char | 1 | A - Add-on Code |
| 51EX | Char | 2 | ME - Modifier '51' Exempt (These codes are exempt from the use of modifier 51) |
| 63EX | Char | 2 | ME - Modifier '63' Exempt (These codes are exempt from the use of modifer 63) |
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CODE |
SDESC |
MDESC |
LDESC |
NON_FAC_RVU |
NON_FAC_FEE |
FAC_RVU |
FAC_Fee |
GLOBAL |
NOTES |
STATUS |
GENDER |
C_SEDATION |
ADD_ON_CODE |
51EX |
63EX |
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43314 |
TRACHEO-ESOPHAGOPLASTY CONG |
ESPHGP CGEN DFCT THRC APPR W/RPR FSTL |
Esophagoplasty for congenital defect (plastic repair or reconstruction), thoracic approach; with repair of congenital tracheoesophageal fistula |
76.95 |
2405.21 |
76.95 |
2405.21 |
90 |
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ME |
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43635 |
REMOVAL OF STOMACH, PARTIAL |
VAGOTOMY PFRMD W/PRTL DSTL GSTRCT |
Vagotomy when performed with partial distal gastrectomy (List separately in addition to code(s) for primary procedure) |
2.94 |
91.64 |
2.94 |
91.64 |
ZZZ |
Add-on Code. UNBUNDLING ALERT: 43635 cannot be used with 38100, 38500, 43610, 43630, 43640, 43750, 43760, 43825, 43830, 43832, 43840, 43860, 44005 |
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A |
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43761 |
REPOSITION GASTROSTOMY TUBE |
REPOSITION GASTRIC FEEDING TUBE THRU DUODENUM |
Repositioning of the gastric feeding tube, through the duodenum for enteric nutrition |
3.24 |
102.2 |
2.82 |
87.9 |
0 |
For endoscopic placement of gastrostomy tube, use 43246. For radiological supervision and interpretation, see 75984. |
R |
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44500 |
INTRO, GASTROINTESTINAL TUBE |
INTRO LONG GI TUBE SPX |
Introduction of long gastrointestinal tube (eg, Miller-Abbott) (separate procedure) |
0.69 |
21.46 |
0.69 |
21.46 |
0 |
Includes conscious sedation. Modifier - 51 Exempt. |
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C |
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ME |
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49450 |
REPLACE G/C TUBE PERC |
REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS |
Replacement of gastrostomy or cecostomy (or other colonic) tube, percutaneous, under fluoroscopic guidance including contrast injection(s), image documentation and report |
20.41 |
689.88 |
1.88 |
58.6 |
0 |
New CPT 2008. |
N |
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50722 |
RELEASE OF URETER |
URTROLSS F/OVARIAN VEIN SYND |
Ureterolysis for ovarian vein syndrome |
27.25 |
855.79 |
27.25 |
855.79 |
90 |
For bilateral procedure, report 50715 with modifier 50 |
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F |
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52275 |
CYSTOSCOPY & REVISE URETHRA |
CSTO INT URETHROTOMY MALE |
Cystourethroscopy, with internal urethrotomy; male |
17.45 |
575.41 |
6.98 |
218.72 |
0 |
A4550 (Disposable Surgical Tray) can be coded in addition to 52275 in the office setting. Payment is at carrier discretion. |
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M |
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03/05/08 |
CPT copyright 2007 American Medical Association. All rights reserved.