Status Amputation “V” Codes
V49.71 Great toe
V49.72 Other toe(s)
V49.73 Foot
V49.74 Ankle (Disarticulation of ankle)
V49.75 Below knee
V49.76 Above knee (Disarticulation of knee)
V49.77 Hip (Disarticulation of hip)
Aftercare “V” Codes
V53.7 Orthopedic devices
V54.01 Aftercare encounter for removal of internal fixation device
V54.09 Other aftercare involving internal fixation device
V54.19 Aftercare for healing traumatic fracture of other bone
V54.29 Aftercare for healing pathologic fracture of other bone
V54.81 Aftercare following joint replacement (must use with site code V43.69)
V54.89 Other orthopedic aftercare
V54.9 Unspecified orthopedic aftercare
V57.1 Care involving rehab procedures – other PT
V57.81 Orthotic training Gait training in the use of artificial limbs
V58.30 Encounter for change or removal of non-surgical wound dressing
V58.31 Encounter for change or removal of surgical wound dressing
V58.32 Encounter for removal of sutures
V58.41 Encounter for planned post-operative wound closure
V58.43 Aftercare following surgery for injury and trauma
V58.49 Other specified aftercare following surgery
Tuesday, July 27, 2010
Medicare physician fee schedule - Quick overview
Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:
* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.
Medicare Physician Fee Schedule Payment Rates
Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)
Medicare Physician Fee Schedule Payment Rates Formula
The Medicare PFS payment rates formula is shown below:
[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF
Medicare fee schedule download
covered services and their payment rates. Physicians’ services include the following:
* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.
Medicare Physician Fee Schedule Payment Rates
Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)
Medicare Physician Fee Schedule Payment Rates Formula
The Medicare PFS payment rates formula is shown below:
[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF
Medicare fee schedule download

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