Sample RVUs for selected HCPCS Codes

HCPCS Code	Description	Work RVU	Practice Expense RVU	Malpractice Expense RVU
99203	Office Visit	1.23	0.48	0.09
99204	Office Visit	2.00	0.71	0.12
10080	I&D of pilonidal cyst, simple	1.17	1.11	0.11
45380	Colonoscopy with biopsy	4.43	1.73	0.35
52601	TURP, complete	12.35	5.1	0.87

Sample GPCIs for selected U.S. Cities

City	Work GPCI	Practice Expense GCPI	Malpractice Expense GCPI
Indianapolis	1.000	0.946	0.941
Austin	1.010	1.063	1.061
Pittsburgh	1.010	1.115	0.819
Helena	1.020	1.098	1.386

a. How much can a physician in Indianapolis bill Medicare for an office visit for a new patient with a detailed history and physical and low-complexity medical decision making (assuming the patient has met any deductible for the year?) Assume a conversion factor of $34.0682

b. In which city would a physician receive the highest reimbursement for a TURP?

c. In which city would a physician receive the lowest reimbursement for a colonoscopy with biopsy?

d. Calculate the expected payment for an incision and drainage of a pilonidal cyst in each of the cities listed. Conversion factor: $34.0682