Gap Code License $199

Although RBRVS is the most widely used RVS (Relative Value Scale) it does not provide fee information for procedures and services not priced by Medicare. This results in "gaps" in medical fee schedules. Private payers including managed care who adopt RBRVS methodology are forced to price their gap claims on an individual basis or use alternative non RVS methodologies. Some simply pay out the claim while other defer to a review panel, bypassing the regular adjudication. This slows down the claims review  process and often results in disputes and appeals with payers.

RBRVS EZ-Fees Gap Codes are provided under a license agreement with Relative Value Studies, Inc. (RVSI) publishers of the Complete RBRVS. We have selected RVSI's Gap solution based on their reputation and experience in developing accurate, user-friendly coding and reimbursement guidelines for health care providers, consultants, and payers.

Integration of Gap Codes into RBRVS EZ-Fees is seamless. Simply enter your Gap license number under (Help-Upgrades-Gap License) and all Gap codes will appear on the main screen with a status indicator "g".  Since Gaps codes were designed for the RBRVS formula using the same CF (Conversion Factor)  and GPCIs (Geographic Practice Cost Indicators) there is no math or adjustments.

All versions of RBRVS EZ-Fees are upgradeable to include Gap Codes. 

0174T, 0175T, 15824, 15825, 15826, 15828, 15829, 15847, 15876, 15877, 15878, 15879, 17380, 21088, 21742, 21743, 24940, 32850, 32855, 32856, 33930, 33933, 33940, 33944, 36415, 36416, 36468, 36469, 37195, 41820, 41821, 41850, 41870, 43496, 43647, 43648, 43881, 43882, 44132, 44133, 44135, 44136, 44137, 44715, 47133, 47143, 47144, 47145, 48550, 48551, 49906, 50300, 50323, 50325, 58974, 63043, 63044, 65760, 65765, 65767, 65771, 69090, 69710, 70170, 70170 TC, 70555, 70555 TC, 70557, 70557 TC, 70558, 70558 TC, 70559, 70559 TC, 72291, 72291 TC, 72292, 72292 TC, 73530, 73530 TC, 74190, 74190 TC, 74235, 74235 TC, 74300, 74300 TC, 74301, 74301 TC, 74305, 74305 TC, 74328, 74328 TC, 74329, 74329 TC, 74330, 74330 TC, 74340, 74340 TC, 74355, 74355 TC, 74360, 74360 TC, 74363, 74363 TC, 74420, 74420 TC, 74425, 74425 TC, 74445, 74445 TC, 74450, 74450 TC, 74470, 74470 TC, 74742, 74742 TC, 74775, 74775 TC, 75801, 75801 TC, 75803, 75803 TC, 75805, 75805 TC, 75807, 75807 TC, 75810, 75810 TC, 75894, 75894 TC, 75896, 75896 TC, 75898, 75898 TC, 75900, 75900 TC, 75945, 75945 TC, 75946, 75946 TC, 75952, 75952 TC, 75953, 75953 TC, 75954, 75954 TC, 75970, 75970 TC, 75980, 75980 TC, 75982, 75982 TC, 76001, 76001 TC, 76125, 76125 TC, 76140, 76932, 76932 TC, 76940, 76940 TC, 76941, 76941 TC, 76945, 76945 TC, 76975, 76975 TC, 76998, 76998 TC, 77013, 77013 TC, 77022, 77022 TC, 77371, 78267, 78268, 78282, 78282 TC, 78414, 78414 TC, 78459, 78459 TC, 78491, 78491 TC, 78492, 78492 TC, 78608, 78608 TC, 78609 TC, 78811, 78811 TC, 78812, 78812 TC, 78813, 78813 TC, 78814, 78814 TC, 78815, 78815 TC, 78816, 78816 TC, 79300, 79300 TC, 79445, 79445 TC, 80047, 80048, 80050, 80051, 80053, 80055, 80061, 80069, 80074, 80076, 80100, 80101, 80102, 80103, 80150, 80152, 80154, 80156, 80157, 80158, 80160, 80162, 80164, 80166, 80168, 80170, 80172, 80173, 80174, 80176, 80178, 80182, 80184, 80185, 80186, 80188, 80190, 80192, 80194, 80195, 80196, 80197, 80198, 80200, 80201, 80202, 80299, 80400, 80402, 80406, 80408, 80410, 80412, 80414, 80415, 80416, 80417, 80418, 80420, 80422, 80424, 80426, 80428, 80430, 80432, 80434, 80435, 80436, 80438, 80439, 80440, 81000, 81001, 81002, 81003, 81005, 81007, 81015, 81020, 81025, 81050, 82000, 82003, 82009, 82010, 82013, 82016, 82017, 82024, 82030, 82040, 82042, 82043, 82044, 82045, 82055, 82075, 82085, 82088, 82101, 82103, 82104, 82105, 82106, 82107, 82108, 82120, 82127, 82128, 82131, 82135, 82136, 82139, 82140, 82143, 82145, 82150, 82154, 82157, 82160, 82163, 82164, 82172, 82175, 82180, 82190, 82205, 82232, 82239, 82240, 82247, 82248, 82252, 82261, 82270, 82271, 82272, 82274, 82286, 82300, 82306, 82308, 82310, 82330, 82331, 82340, 82355, 82360, 82365, 82370, 82373, 82374, 82375, 82376, 82378, 82379, 82380, 82382, 82383, 82384, 82387, 82390, 82397, 82415, 82435, 82436, 82438, 82441, 82465, 82480, 82482, 82485, 82486, 82487, 82488, 82489, 82491, 82492, 82495, 82507, 82520, 82523, 82525, 82528, 82530, 82533, 82540, 82541, 82542, 82543, 82544, 82550, 82552, 82553, 82554, 82565, 82570, 82575, 82585, 82595, 82600, 82607, 82608, 82610, 82615, 82626, 82627, 82633, 82634, 82638, 82646, 82649, 82651, 82652, 82654, 82656, 82657, 82658, 82664, 82666, 82668, 82670, 82671, 82672, 82677, 82679, 82690, 82693, 82696, 82705, 82710, 82715, 82725, 82726, 82728, 82731, 82735, 82742, 82746, 82747, 82757, 82759, 82760, 82775, 82776, 82784, 82785, 82787, 82800, 82803, 82805, 82810, 82820, 82938, 82941, 82943, 82945, 82946, 82947, 82948, 82950, 82951, 82952, 82953, 82955, 82960, 82962, 82963, 82965, 82975, 82977, 82978, 82979, 82980, 82985, 83001, 83002, 83003, 83008, 83009, 83010, 83012, 83013, 83014, 83015, 83018, 83020, 83021, 83026, 83030, 83033, 83036, 83037, 83045, 83050, 83051, 83055, 83060, 83065, 83068, 83069, 83070, 83071, 83080, 83088, 83090, 83150, 83491, 83497, 83498, 83499, 83500, 83505, 83516, 83518, 83519, 83520, 83525, 83527, 83528, 83540, 83550, 83570, 83582, 83586, 83593, 83605, 83615, 83625, 83630, 83631, 83632, 83633, 83634, 83655, 83661, 83662, 83663, 83664, 83670, 83690, 83695, 83698, 83700, 83701, 83704, 83718, 83719, 83721, 83727, 83735, 83775, 83785, 83788, 83789, 83805, 83825, 83835, 83840, 83857, 83858, 83864, 83866, 83872, 83873, 83874, 83876, 83880, 83883, 83885, 83887, 83890, 83891, 83892, 83893, 83894, 83896, 83897, 83898, 83900, 83901, 83902, 83903, 83904, 83905, 83906, 83907, 83908, 83909, 83912, 83913, 83914, 83915, 83916, 83918, 83919, 83921, 83925, 83930, 83935, 83937, 83945, 83950, 83951, 83970, 83986, 83992, 83993, 84022, 84030, 84035, 84060, 84061, 84066, 84075, 84078, 84080, 84081, 84085, 84087, 84100, 84105, 84106, 84110, 84119, 84120, 84126, 84127, 84132, 84133, 84134, 84135, 84138, 84140, 84143, 84144, 84146, 84150, 84152, 84153, 84154, 84155, 84156, 84157, 84160, 84163, 84165, 84166, 84181, 84182, 84202, 84203, 84206, 84207, 84210, 84220, 84228, 84233, 84234, 84235, 84238, 84244, 84252, 84255, 84260, 84270, 84275, 84285, 84295, 84300, 84302, 84305, 84307, 84311, 84315, 84375, 84376, 84377, 84378, 84379, 84392, 84402, 84403, 84425, 84430, 84432, 84436, 84437, 84439, 84442, 84443, 84445, 84446, 84449, 84450, 84460, 84466, 84478, 84479, 84480, 84481, 84482, 84484, 84485, 84488, 84490, 84510, 84512, 84520, 84525, 84540, 84545, 84550, 84560, 84577, 84578, 84580, 84583, 84585, 84586, 84588, 84590, 84591, 84597, 84600, 84620, 84630, 84681, 84702, 84703, 84704, 84830, 85002, 85004, 85007, 85008, 85009, 85013, 85014, 85018, 85025, 85027, 85032, 85041, 85044, 85045, 85046, 85048, 85049, 85055, 85130, 85170, 85175, 85210, 85220, 85230, 85240, 85244, 85245, 85246, 85247, 85250, 85260, 85270, 85280, 85290, 85291, 85292, 85293, 85300, 85301, 85302, 85303, 85305, 85306, 85307, 85335, 85337, 85345, 85347, 85348, 85360, 85362, 85366, 85370, 85378, 85379, 85380, 85384, 85385, 85390, 85397, 85400, 85410, 85415, 85420, 85421, 85441, 85445, 85460, 85461, 85475, 85520, 85525, 85530, 85536, 85540, 85547, 85549, 85555, 85557, 85576, 85597, 85610, 85611, 85612, 85613, 85635, 85651, 85652, 85660, 85670, 85675, 85705, 85730, 85732, 85810, 86000, 86001, 86003, 86005, 86021, 86022, 86023, 86038, 86039, 86060, 86063, 86140, 86141, 86146, 86147, 86148, 86155, 86156, 86157, 86160, 86161, 86162, 86171, 86185, 86200, 86215, 86225, 86226, 86235, 86243, 86255, 86256, 86277, 86280, 86294, 86300, 86301, 86304, 86308, 86309, 86310, 86316, 86317, 86318, 86320, 86325, 86327, 86329, 86331, 86332, 86334, 86335, 86336, 86337, 86340, 86341, 86343, 86344, 86353, 86355, 86356, 86357, 86359, 86360, 86361, 86367, 86376, 86378, 86382, 86384, 86403, 86406, 86430, 86431, 86480, 86485, 86590, 86592, 86593, 86602, 86603, 86606, 86609, 86611, 86612, 86615, 86617, 86618, 86619, 86622, 86625, 86628, 86631, 86632, 86635, 86638, 86641, 86644, 86645, 86648, 86651, 86652, 86653, 86654, 86658, 86663, 86664, 86665, 86666, 86668, 86671, 86674, 86677, 86682, 86684, 86687, 86688, 86689, 86692, 86694, 86695, 86696, 86698, 86701, 86702, 86703, 86704, 86705, 86706, 86707, 86708, 86709, 86710, 86713, 86717, 86720, 86723, 86727, 86729, 86732, 86735, 86738, 86741, 86744, 86747, 86750, 86753, 86756, 86757, 86759, 86762, 86765, 86768, 86771, 86774, 86777, 86778, 86784, 86787, 86788, 86789, 86790, 86793, 86800, 86803, 86804, 86805, 86806, 86807, 86808, 86812, 86813, 86816, 86817, 86821, 86822, 86850, 86860, 86870, 86880, 86885, 86886, 86890, 86891, 86900, 86901, 86904, 86905, 86906, 86910, 86911, 86920, 86921, 86922, 86923, 86927, 86930, 86931, 86932, 86940, 86941, 86945, 86950, 86960, 86965, 86970, 86971, 86972, 86975, 86976, 86977, 86978, 86985, 87001, 87003, 87015, 87040, 87045, 87046, 87070, 87071, 87073, 87075, 87076, 87077, 87081, 87084, 87086, 87088, 87101, 87102, 87103, 87106, 87107, 87109, 87110, 87116, 87118, 87140, 87143, 87147, 87149, 87152, 87158, 87164, 87166, 87168, 87169, 87172, 87176, 87177, 87181, 87184, 87185, 87186, 87187, 87188, 87190, 87197, 87205, 87206, 87207, 87209, 87210, 87220, 87230, 87250, 87252, 87253, 87254, 87255, 87260, 87265, 87267, 87269, 87270, 87271, 87272, 87273, 87274, 87275, 87276, 87277, 87278, 87279, 87280, 87281, 87283, 87285, 87290, 87299, 87300, 87301, 87305, 87320, 87324, 87327, 87328, 87329, 87332, 87335, 87336, 87337, 87338, 87339, 87340, 87341, 87350, 87380, 87385, 87390, 87391, 87400, 87420, 87425, 87427, 87430, 87449, 87450, 87451, 87470, 87471, 87472, 87475, 87476, 87477, 87480, 87481, 87482, 87485, 87486, 87487, 87490, 87491, 87492, 87495, 87496, 87497, 87498, 87500, 87510, 87511, 87512, 87515, 87516, 87517, 87520, 87521, 87522, 87525, 87526, 87527, 87528, 87529, 87530, 87531, 87532, 87533, 87534, 87535, 87536, 87537, 87538, 87539, 87540, 87541, 87542, 87550, 87551, 87552, 87555, 87556, 87557, 87560, 87561, 87562, 87580, 87581, 87582, 87590, 87591, 87592, 87620, 87621, 87622, 87640, 87641, 87650, 87651, 87652, 87653, 87660, 87797, 87798, 87799, 87800, 87801, 87802, 87803, 87804, 87807, 87808, 87809, 87810, 87850, 87880, 87899, 87900, 87901, 87902, 87903, 87904, 88000, 88005, 88007, 88012, 88014, 88016, 88020, 88025, 88027, 88028, 88029, 88036, 88037, 88040, 88130, 88140, 88142, 88143, 88147, 88148, 88150, 88152, 88153, 88154, 88155, 88164, 88165, 88166, 88167, 88174, 88175, 88230, 88233, 88235, 88237, 88239, 88240, 88241, 88245, 88248, 88249, 88261, 88262, 88263, 88264, 88267, 88269, 88271, 88272, 88273, 88274, 88275, 88280, 88283, 88285, 88289, 88371, 88372, 88384, 88384,2688384 TC, 88720, 89050, 89051, 89055, 89060, 89125, 89160, 89190, 89250, 89300, 89310, 89320, 89321, 89325, 89329, 89330, 90281, 90283, 90287, 90288, 90291, 90296, 90371, 90375, 90376, 90378, 90384, 90385, 90386, 90389, 90393, 90396, 90399, 90476, 90477, 90581, 90585, 90586, 90632, 90633, 90634, 90636, 90645, 90646, 90647, 90648, 90655, 90656, 90657, 90658, 90660, 90665, 90669, 90675, 90676, 90680, 90690, 90691, 90692, 90693, 90698, 90700, 90701, 90702, 90703, 90704, 90705, 90706, 90707, 90708, 90710, 90712, 90713, 90714, 90715, 90716, 90717, 90718, 90719, 90720, 90721, 90723, 90725, 90727, 90732, 90733, 90734, 90735, 90740, 90743, 90744, 90746, 90747, 90748, 90749, 90882, 90889, 90952, 90953, 90989, 90993, 92531, 92532, 92533, 92534, 92559, 92560, 92590, 92591, 92592, 92593, 92594, 92595, 92978, 92978 TC, 92979, 92979 TC, 92992, 92993, 93315, 93315 TC, 93317, 93317 TC, 93318, 93318 TC, 93530, 93530 TC, 93531, 93531 TC, 93532, 93532 TC, 93533, 93533 TC, 93561, 93561 TC, 93562, 93562 TC, 93571, 93571 TC, 93572, 93572 TC, 93600, 93600 TC, 93602, 93602 TC, 93603, 93603 TC, 93609, 93609 TC, 93610, 93610 TC, 93612, 93612 TC, 93615, 93615 TC, 93616, 93616 TC, 93618, 93618 TC, 93619, 93619 TC, 93620, 93620 TC, 93621, 93621 TC, 93622, 93622 TC, 93623, 93623 TC, 93624, 93624 TC, 93631, 93631 TC, 93640, 93640 TC, 93641, 93641 TC, 93662, 93662 TC, 94642, 95120, 95125, 95130, 95131, 95132, 95133, 95134, 95824, 95824 TC, 95951, 95951 TC, 95965, 95965 TC, 95966, 95966 TC, 95967, 95967 TC, 96020, 96020 TC, 96110, 96376, 97005, 97006, 97039, 97139, 97545, 97546, 97602, 99000, 99001, 99002, 99026, 99027, 99050, 99056, 99058, 99075, 99090, 99100, 99116, 99135, 99140, 99143, 99144, 99145, 99148, 99149, 99150, 99172, 99190, 99191, 99192, 99288, 99450, 99455, 99456, 99500, 99501, 99502, 99503, 99504, 99505, 99506, 99507, 99509, 99510, 99511, 99512, 99601, 99602, A4263, A4300, A4550, G0008, G0009, G0010, G0027, G0103, G0123, G0143, G0144, G0145, G0147, G0148, G0252, G0252 TC, P2031, P2038, P3000, P7001, P9612, P9615, Q0111, Q0112, Q0113, Q0114, Q0115, Q3014, R0070, R0075, S0601, S0610, S0612, S0620, S0621, S0800, S0810, S2205, S2206, S2207, S2208, S2209, S2300, S2340, S2350, S2351, S3652, S9090 

CPT^® Codes and Descriptions © 2011 AMA All Rights Reserved

CPT^® is a registered trademark of the American Medical Association.