ICU CPT and wRVU

October 1, 2022
CPT CodeShort DescriptionFull DescriptionwRVU
11100Biopsy skin lesionBiopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; single lesion0.81
11101Biopsy skin add-onBiopsy of skin, subcutaneous tissue and/or mucous membrane (including simple closure), unless otherwise listed; each separate/additional lesion (List separately in addition to code for primary procedure)0.41
31500Insert emergency airwayIntubation, endotracheal, emergency procedure3.00
31502Change of windpipe airwayTracheotomy tube change prior to establishment of fistula tract 0.65
31600Incision of windpipeTracheostomy, planned (separate procedure) 5.56
31603Incision of windpipeTracheostomy, emergency procedure; transtracheal 6.00
31622Dx bronchoscope/washBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; diagnostic, with cell washing, when performed (separate procedure) 2.53
31623Dx bronchoscope/brushBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings 2.63
31624Dx bronchoscope/lavageBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial alveolar lavage2.63
31625Bronchoscopy w/biopsy(s)Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with bronchial or endobronchial biopsy(s), single or multiple sites3.11
31628Bronchoscopy/lung bx eachBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with transbronchial lung biopsy(s), single lobe3.55
31645Bronchoscopy clear airwaysBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess)2.88
31646Bronchoscopy reclear airwayBronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent2.78
32551Insertion of chest tubeTube thoracostomy, includes connection to drainage system (eg, water seal), when performed, open (separate procedure)3.04
32554Aspirate pleura w/o imagingThoracentesis, needle or catheter, aspiration of the pleural space; without imaging guidance1.82
32560Treat pleurodesis w/agentInstillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)1.54
32561Lyse chest fibrin init dayInstillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day1.39
32562Lyse chest fibrin subq dayInstillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day1.24
33967Insertion Intra-aortic Balloon Assist Dev Perq (IABP)Insertion of intra-aortic balloon assist device, percutaneous4.84
33968Removal Intra-aortic Balloon Assist Dev Perq (IABP) Removal of intra-aortic balloon assist device, percutaneous0.64
33970Insj Intra-aort Balo Assist Dev Via Fem Art Open (IABP)Insertion of intra-aortic balloon assist device through the femoral artery, open approach6.74
33971Rmvl I-aort Balo Asst Dev W/rpr Fem Art W/wo Grf (IABP)
Removal of intra-aortic balloon assist device including repair of femoral artery, with or without graft11.99
33973Insj I-aort Balo Assist Dev Via Ascending Aorta (IABP)
Insertion of intra-aortic balloon assist device through the ascending aorta9.75
33974Rmvl Ascending-aorta Balo Dev W/rpr Ascend-aorta (IABP)Removal of intra-aortic balloon assist device from the ascending aorta, including repair of the ascending aorta, with or without graft15.03
33990Insert vad artery accessInsertion of ventricular assist device, percutaneous including radiological supervision and interpretation; arterial access only7.90
33992Remove vad different sessionRemoval of percutaneous ventricular assist device at separate and distinct session from insertion3.75
33993Reposition vad diff sessionRepositioning of percutaneous ventricular assist device with imaging guidance at separate and distinct session from insertion3.26
36014Place catheter in arterySelective catheter placement, left or right pulmonary artery3.02
36556Insert non-tunnel CV cathInsertion of non-tunneled centrally inserted central venous catheter; age 5 years or older1.75
36580Replace CVAD cathReplacement, complete, of a non-tunneled centrally inserted central venous catheter, without subcutaneous port or pump, through same venous access1.31
36620Insertion catheter arteryArterial catheterization or cannulation for sampling, monitoring or transfusion (separate procedure); percutaneous1.00
49082Abd paracentesisAbdominal paracentesis (diagnostic or therapeutic); without imaging guidance1.24
49084Peritoneal lavagePeritoneal lavage, including imaging guidance, when performed2.00
62270Spinal fluid tap diagnosticSpinal puncture, lumbar, diagnostic1.37
76937Us guide vascular accessUltrasound guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent realtime ultrasound visualization of vascular needle entry, with permanent recording and reporting (List separately in addition to code for primary procedure)0.30
77001Fluoroguide for vein deviceFluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)0.38
92950Heart/lung resuscitation cprCardiopulmonary resuscitation (eg, in cardiac arrest)4.00
92960Cardioversion electric extCardioversion, elective, electrical conversion of arrhythmia; external2.00
94002Vent mgmt inpat init dayVentilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial day1.99
94003Vent mgmt inpat subq dayVentilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent day1.37
99152Mod sed same phys/q15 >5 yrsModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time, patient age 5 years or older0.25
99153Mod sed same phys/q15 eaModerate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service)0.00
99156Mod sed oth phys/15min >5 yrsModerate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time, patient age 5 years or older1.65
99157Mod sed other phys/15 minModerate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service)1.25
99221Initial hospital careInitial hospital care, per day, for the evaluation and management of a patient, low complexity, 30 minutes1.92
99222Initial hospital careInitial hospital care, per day, for the evaluation and management of a patient, moderate complexity, 50 minutes2.61
99223Initial hospital careInitial hospital care, per day, for the evaluation and management of a patient, high complexity, 70 minutes3.86
99231Subsequent hospital careSubsequent hospital care, per day, for the evaluation and management of a patient, low complexity, 15 minutes0.76
99232Subsequent hospital careSubsequent hospital care, per day, for the evaluation and management of a patient, moderate complexity, 25 minutes1.39
99233Subsequent hospital careSubsequent hospital care, per day, for the evaluation and management of a patient, high complexity, 35 minutes2.00
99238Hospital discharge dayHospital discharge day management; 30 minutes or less1.28
99239Hospital discharge dayHospital discharge day management; more than 30 minutes1.90
99251Inpatient consultationInpatient consultation for a new or established patient, 20 minutes1.00
99252Inpatient consultationInpatient consultation for a new or established patient, 40 minutes1.50
99253Inpatient consultationInpatient consultation for a new or established patient, 55 minutes2.27
99254Inpatient consultationInpatient consultation for a new or established patient, 80 minutes3.29
99255Inpatient consultationInpatient consultation for a new or established patient, 110 minutes4.00
99291Critical care first hourCritical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes4.50
99292Critical care addl 30 minCritical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)2.25

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Omid Zad, MD
Omid Zad, MD

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