Why do I have to list the CPT/HCPCS codes in RVU work order?
Each assessment (except COC) requires codes to be entered in RVU work order because every CPT code has been assigned a relative value unit (RVU) and they are determined based on the resources necessary to the physician’s performance of the service. Assigning these services in the proper sequence based on a highest to lowest RVUs can ensure proper payment. When submitting the claims, listing the codes in the wrong order may lower your reimbursements. This proper sequencing is crucial when it comes to reimbursement because if a lower RVU code is billed first, it will be reimbursed fully while the higher RVU code will be paid at a reduced rate thus lowering the overall reimbursement. Because of this we have required that the procedure codes are listed in Work RVU order and cannot give you credit for reporting your coding in the wrong order.