Question: I am having trouble finding an HCPCS code that works for HIV/AIDS. Please help! RVUReimbursement Physicians are paid by relative value units (RVU) assigned by

I am having trouble finding an HCPCS code that works for HIV/AIDS. Please help!

RVUReimbursement

Physicians are paid by relative value units (RVU)assigned by the Centers for Medicare & Medicaid Services (CMS) and adjusted by a geographical cost index (GCI) also assigned by CMS. RVUs are assigned for work (treating the patient), practice (the clinic where the patient is treated), and malpractice (funds to help provide malpractice protection). The GCI is the same for the geography for all treatments in that area. The total RVUs are multiplied by a standard conversion (dollar amount set by CMS which is adjusted each year) that is currently $34.89.

Note:See the section, Physician Fee Lookup Procedure.

Calculation	Formula
Adjusted Work RVUs	Work RVUs Work GCI
Adjusted Practice RVUs	Practice RVUs Practice GCI
Adjusted Malpractice RVUs	Maltractice RVSs Malpractice RVU
Total RVUs	Adjusted Work RVUs + Adjusted Practice RVUs + Adjusted Malpractice RVUs
Reimbursement per visit	Total RVUs $34.89

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