# | Name | Location | Type | Details | Index | Description |
---|---|---|---|---|---|---|
.01 | calendar year | 0;1 | NUMERIC | B | For each service rendered there are a set of relative value units by calendar year. | |
.02 | modifier level | 0;2 | FREE TEXT | This field ties a multiplier to a CPT-modifier combination when a CPT-Modifier combination has not been defined in the schedule directly. | ||
.03 | work relative value unit | 0;3 | NUMERIC | This is the work relative value unit associated with a CPT code. These units are set by Health Care Finance Administration. | ||
.04 | non-fac practice expense rvu | 0;4 | NUMERIC | This is the practice expense relative value unit for the CPT code when performed in a non-facility setting. | ||
.05 | facility practice expense rvu | 0;5 | NUMERIC | This is the practice expense relative value unit for the CPT code when performed in a facility setting such as inpatient or outpatient hospital settings, emergency rooms, skilled nursing facilities, or ambulatory surgical centers. | ||
.06 | malpractice expense rvu | 0;6 | NUMERIC | This is the malpractice relative value unit associated with a CPT code. These units are set by Health Care Finance Administration. | ||
.07 | base units | 0;7 | NUMERIC | For anesthesia codes (00100-01999) this field holds the base unit. HCFA plans on changing the calculation for anesthesia payments in the near future to be like all other codes but for now the fee is calculated by: (base units + actual time in minutes/15) times anesthesia conversion factor). In all other CPT codes this field will be null. | ||
.08 | nonpayable | 0;8 | NUMERIC | Indicates if the CPT/CPT MOD is NOT used for Medicare payment. |
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