Signed on July 15, 2008, the Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) made several changes to the 2008 and 2009 Medicare Resource-Based Relative Value Scale (RBRVS). These changes include the following:

You can obtain a copy of the 2008 Medicare RBRVS at The 2009 RBRVS will be available on or after January 1, 2009, at the same Web site. For a clear, concise description of the RBRVS and how to use it in your practice, and to access the most commonly used pediatric codes, go to

Tip:When referring to the Medicare RBRVS, continue to use thetransitionalpractice expense (PE) RVUs as opposed to the fully implemented PE RVUs. The fully implemented PE RVUs will be used in 2011 when the 4-year transition to resource-based PE RVUs is complete.

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