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RVUs for Preventive Services

September 1, 2005

In negotiating contracts with payers, we use 2004 Medicare rates as a reference.Where would I find rates for preventive care CPTs (99381-4, 99391-4)?

Question: In negotiating contracts with payers, we use 2004 Medicare rates as a reference.Where would I find rates for preventive care CPTs (99381-4, 99391-4)?

Answer: You'll find the RVUs for these exams on the fee schedules from Medicare. Fee schedules from past years are posted in the physician area of www.cms.org.

Medicare lists RVUs even though it does not traditionally pay for prevention, other than its new "Welcome to Medicare" exam.