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Compiled From the Most Current Medicare Physician Fee Schedule
The PMIC RBRVS datafile is compiled from the most current Medicare Physician Fee Schedule. Use the RBRVS datafile to calculate fees for Medicare beneficiaries, determine fees for new procedures, or calculate revenue contributions by providers.
The RBRVS datafile includes over 13,000 CPT and HCPCS codes with relative values and supplementary billing information where assigned by CMS. The individual records include:
- CPT/HCPCS code
- Modifier
- Description
- Status code
- Work RVU
- Fully implemented non-facility practice expense RVU
- Fully implemented facility practice expense RVU
- Malpractice RVU
- Total fully implemented non-facility RVUs
- Total full implemented facility RVUs
- Global surgery indicators
- Multiple procedure payment code
- Bilateral surgery payment code
- Assistant at surgery payment code
- Co-surgeons payment code
- Team surgery payment code
The accompanying Geographic Practice Cost Indices (GPCI) datafile, used to modify the RBRVS values by geographic location includes:
- Medicare carrier number
- Medicare locality number
- Locality name
- Work RVU
- Practice expense RVU
- Malpractice RVU
CPT is a registered trademark of the American Medical Association.
