CALCULATION OF PE RVUS UNDER METHODOLOGY FOR SELECTED CODES												
												
	Step	Source	Formula	99213	33533	71046	71046-TC 	71046-26	93000	93005	93010	90834
				"Office visit, est"	"CABG, arterial, single"	Chest x-ray	Chest x-ray	Chest x-ray	"ECG, complete"	"ECG, tracing"	"ECG, report"	"Psychotherapy, 45 minutes"
				Nonfacility	Facility	Nonfacility	Nonfacility	Nonfacility	Nonfacility	Nonfacility	Nonfacility	Nonfacility
(1) Labor cost (Lab)	Step 1	AMA		16.38	96.52	9.88	9.88	0.00	4.55	4.55	0.00	0.00
(2) Supply cost (Sup)	Step 1	AMA		5.54	14.84	0.59	0.59	0.00	1.00	1.00	0.00	0.18
(3) Equipment cost (Eqp)	Step 1	AMA		0.34	1.10	12.85	12.85	0.00	0.23	0.23	0.00	0.14
(4) Direct cost (Dir)	Step 1		=(1)+(2)+(3)	22.25	112.50	23.32	23.32	0.00	5.78	5.78	0.00	0.32
(5) Direct Scaling Adjustment (Dir. Adj.)	Steps 2-4	See footnote*		0.5010	0.5010	0.5010	0.5010	0.5010	0.5010	0.5010	0.5010	0.5010
(6) Adjusted Labor	Steps 2-4	=Labor * Dir Adj	=(1)*(5)	8.21	48.35	4.95	4.95	0.00	2.28	2.28	0.00	0.00
(7) Adjusted Supplies	Steps 2-4	=Eqp * Dir Adj	=(2)*(5)	2.77	7.43	0.30	0.30	0.00	0.50	0.50	0.00	0.09
(8) Adjusted Equipment	Steps 2-4	=Sup * Dir Adj	=(3)*(5)	0.17	0.55	6.44	6.44	0.00	0.11	0.11	0.00	0.07
(9) Adjusted Direct	Steps 2-4		=(6)+(7)+(8)	11.15	56.34	11.68	11.68	0.00	2.90	2.90	0.00	0.16
(10) Conversion Factor (CF)	Step 5	PFS		34.6062	34.6062	34.6062	34.6062	34.6062	34.6062	34.6062	34.6062	34.6062
(11) Adj. labor cost converted	Step 5	=(Lab * Dir Adj)/CF	=(6)/(10)	0.24	1.40	0.14	0.14	0.00	0.07	0.07	0.00	0.00
(12) Adj. supply cost converted	Step 5	=(Sup * Dir Adj)/CF	=(7)/(10)	0.08	0.21	0.01	0.01	0.00	0.01	0.01	0.00	0.00
(13) Adj. equipment cost converted	Step 5	=(Eqp * Dir Adj)/CF	=(8)/(10)	0.00	0.02	0.19	0.19	0.00	0.00	0.00	0.00	0.00
(14) Adj. direct cost converted	Step 5		=(11)+(12)+(13)	0.32	1.63	0.34	0.34	0.00	0.08	0.08	0.00	0.00
(15) Work RVU	Setup File	PFS		1.30	33.75	0.22	0.00	0.22	0.17	0.00	0.17	2.24
(16) Dir_pct	"Steps 6,7"	Surveys		0.25	0.17	0.30	0.30	0.30	0.29	0.29	0.29	0.05
(17) Ind_pct	"Steps 6,7"	Surveys		0.75	0.83	0.70	0.70	0.70	0.71	0.71	0.71	0.95
(18) Ind. Alloc. Formula (1st part)	Step 8	See Step 8		(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)	(14)/(16)*(17)
(19) Ind. Alloc.(1st part)	Step 8		See 18	0.98	7.83	0.78	0.78	0.00	0.20	0.20	0.00	0.09
(20) Ind. Alloc. Formula (2nd part)	Step 8	See Step 8		(15)	(15)	(15+11)	(11)	(15)	(15+11)	(11)	(15)	(15)
(21) Ind. Alloc.(2nd part)	Step 8		See 20	1.30	33.75	0.36	0.14	0.22	0.24	0.07	0.17	2.24
(22) Indirect Allocator (1st + 2nd)	Step 8		=(19)+(21)	2.28	41.58	1.15	0.93	0.22	0.44	0.27	0.17	2.33
(23) Indirect Scaling Adjustment (Ind. Adj.)	Steps 9-11	See Footnote**		0.3909	0.3909	0.3909	0.3909	0.3909	0.3909	0.3909	0.3909	0.3909
(24) Adjusted Indirect Allocator	Steps 9-11	=Ind Alloc * Ind Adj		0.89	16.25	0.45	0.36	0.09	0.17	0.11	0.07	0.91
(25) Ind. Practice Cost Index (IPCI)	Steps 12-16			1.10	0.73	0.97	0.97	0.97	0.89	0.89	0.89	0.34
(26) Adjusted Indirect	Step 17	= Adj.Ind Alloc * PCI	=(24)*(25)	0.98	11.81	0.44	0.35	0.08	0.15	0.09	0.06	0.31
(27) Adjusted Indirect for high work/low direct PE office-based services	Step 17 Cog	See Footnote***		0.97	11.71	0.43	0.35	0.08	0.15	0.09	0.06	0.65
(28) Sum of Direct and Indirect PE	Step 18	=Adj Dir + Adj Ind	=(14)+(26)	1.29	13.34	0.77	0.69	0.08	0.24	0.18	0.06	0.65
(29) Budget Neutrality Adjustment (BN Adj.)	Step 18			1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00	1.00
(30) Adjusted Sum of Direct and Indirect PE	Step 18		=(28)*(29)	1.29	13.33	0.77	0.69	0.08	0.24	0.18	0.06	0.65
"(31) Final PE RVU
(with Phase-In)"	Step 19	Apply Phase-In Transition		1.28	13.26	0.77	0.69	0.08	0.24	0.18	0.06	0.65
												
"Notes: 1) PE RVUs may not match Addendum B due to rounding.  2) The use of any particular conversion factor (CF) to illustrate the PE Calculation has no effect on the resulting RVUs, because the same conversion factor is used to calculate the direct and indirect scaling adjustments. "												
												
*The direct adj = [current pe rvus * CF * avg dir pct]/[sum direct inputs] = [step2]/[step3]												
												
**The indirect adj = [current pe rvus * avg ind pct]/[sum of ind allocators] = [step9]/[step10]												
												
"*** The adjusted high work/low direct PE office-based services has two steps: (A) Indirect PE Floor = Work RVU* [Ratio of Indirect PE to work RVU for CPT 99213] = step15*[step17 CPT 99213/step15 CPT 99213], (B) Indirect PE Adjustment = Indirect PE + [Indirect PE Floor - Indirect PE]/[4*4] =  step17a + [Indirect PE Floor-step17]/[4*4] "												
												
Note: The use of any particular conversion factor (CF) to illustrate the PE Calculation has no effect on the resulting RVUs.												
