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<a href=" http://retrash.com/zenofem-australia.pdf ">zenofem australia </a> The one point you left out of the article is that all changes to the RVU system are revenue neutral. So if the total RVU value of all the codes is increased, there is an automatic across the board reduction in the values of all the codes. So unless there is an automatic increase in the number of higher RVU procedures (which probably happens), the updates by the RUC don't automatically increase overall spending. This unfortunately also exacerbates the gap between cognitive and procedural codes.