Under CMS 2370-F, there are several codes for which there are relative value units (RVUs),

When there are RVUs for just one site of service the state should use those RVUs. There is no alternate method for calculation.

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Date

Thu, 02/28/2013 - 12:00

Topic

Affordable Care Act

Sub Topic

Final Rule

Provider Payments

FAQ ID

93896

FAQ Page

Frequently Asked Questions

FAQ Question

Under CMS 2370-F, there are several codes for which there are relative value units (RVUs), but a rate does not calculate for the non-facility setting. For example, 99217-99221 (observation codes) only have a facility fee. If the state is electing the option of paying the non-facility fee, should it use the facility fee or is there an alternative method for calculation?