66 FR 59 pgs. 16607-16611 - Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001
Type: RULEVolume: 66Number: 59Pages: 16607 - 16611
Docket number: [HCFA-1120-CN]
FR document: [FR Doc. 01-7445 Filed 3-26-01; 8:45 am]
Agency: Health and Human Services Department
Sub Agency: Health Care Financing Administration
Official PDF Version: PDF Version
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 410 and 414
[HCFA-1120-CN]
RIN 0938-AK11
Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001
AGENCY:
Health Care Financing Administration (HCFA), HHS.
ACTION:
Correction of final rule with comment period.
SUMMARY:
This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register on November 1, 2000, entitled "Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2001."
EFFECTIVE DATE:
January 1, 2001.
FOR FURTHER INFORMATION CONTACT:
Diane Milstead, (410) 786-3355.
SUPPLEMENTARY INFORMATION:
Background
In FR Doc. 00-27833 of November 1, 2000, (65 FR 65376), there were a number of technical errors that are identified and corrected in the Correction of Errors section below. Additionally there are various revisions to Addenda B and C. The provisions in this correction notice are effective as if they had been included in the document published November 1, 2000, that is, January 1, 2001.
Discussion of Addenda B and C
1. While we had proposed revisions to the work relative work units (RVUs) for observation care codes (CPT 99234 through 99236) on page 44196 of the July 17, 2000 proposed rule, we indicated in the November 1, 2000 final rule we were not proceeding with the revisions to the work RVUS. Unfortunately, the work RVUs published in the November 1, 2000 rule continued to reflect the proposed reductions. The following entries on page 65555 are corrected: CPT code 99234, CPT code 99235, and CPT code 99236. These corrections are reflected in correction number 9 to follow. In addition, since no change was made to the RVUs for these codes, they should not be included on page 65585 of Addendum C. Therefore, they have been deleted from Addendum C.
2. On page 65568 of Addendum B, the value assigned to HCPCS code G0105 under the column labeled "Year 2001 Transitional Non-facility Total" is incorrect. The corrected value is reflected in correction number 10 to follow.
3. On page 65569 and 65570 of Addendum B, the short descriptor to HCFA Common Procedure Coding System (HCPCS) codes G0179 and G0190 are listed incorrectly. The corrected descriptor is reflected in correction number 11 to follow.
4. On page 65569 of Addendum B and page 65585 of Addendum C, the short descriptor for HCPCS code G0184 is listed incorrectly. The corrected descriptor is reflected in correction number 12 to follow.
5. On page 65246 of the November 1, 2000, we stated that HCPCS codes G0195 and G0196 will be assigned RVUs and inputs for practice expense. However, Addenda B and C incorrectly indicate that these codes are carrier priced. Entries on the following pages are corrected: pages 65570 and 65585 for HCPCS codes G0195 and G0196. These corrections are reflected in corrections number 13 to follow.
6. In Addendum B, we assigned incorrect status indicators for the following CPT codes: page 65517 for CPT codes 76934, 76934-26, 76934-TC, 76938, 76938-26, 76938-TC; page 65518 for CPT codes 76960, 76960-26, 76960-TC; page 65536 for CPT codes 87145 and 87208; page 65544 for CPT code 92525, page 65545 for CPT codes 92597 and 92598; page 65556 for CPT codes 99375 and 99378; page 65556 for HCPCS codes A0030, A0040, A0050, A0225, A0300, A0302, A0304, A0306, A0308, A0310, A0320, A0322, A0324, A0326, A0328, A0330, A0340, A0342, A0344, A0346, A0348, A0350, A0360, A0362, A0364; page 65557 for HCPCS codes A0366, A0368, A0370, A0380 and A0390; and page 65577 for HCPCS code Q0186. These corrections are reflected in correction number 14 to follow.
7. In Addendum B, page 65548, we assigned incorrect status indicators and RVUs to CPT codes 93662-26 and 93662-TC. Corrections are made in correction number 15 to follow.
8. In Addendum B. page 65491, we assigned incorrect work and practice expense RVUs to CPT codes 59150 and 59151. We have corrected these RVUs in correction number 16 to follow.
9. In Addendum B, page 65514, we assigned incorrect malpractice RVUs to CPT code 76012. A correction is reflected in correction number 17 to follow.
10. In Addendum B the work RVUs for the following codes were incorrect due to a technical error in the payment calculations: page 65503 for CPT code 70540; page 65504 for CPT codes 70540-26, 70542, 70542-26, 70543, and 70543-26; on page 65505 for CPT codes 71550, 71550-26, 71551, 71551-26, 71552, and 71552-26; on page 65506 for CPT 72195, 72195-26, 72196, 72196-26, 72197, and 72197-26; on page 65508 for CPT code 73218, 73218-26, 73219, 73219-26, 73220, 73220-26, 73221, 73221-26, 73222, 73222-26, 73223, and 73223-26; on page 65509 for CPT codes 74181, 74181-26, 74182, 74182-26, and 74183; and on page 65510 for CPT code 74183-26. Corrections are made in correction number 18 to follow.
Correction of Errors
In FR Doc. 00-27833 of November 1, 2000, (65 FR 65376), make the following corrections:
1. On page 65383, column three, under "Comments on Response Rate", in the third full paragraph labeled "Response", in the third from the last line, delete the words "divided by the mean,".
2. On page 65385, column two, under "Result of Evaluation of Comments", second bullet, first paragraph, line eleven, delete the words "divided by the mean,".
3. On page 65425, column two, under Medical Nutrition Therapy (CPT codes 97802 through 97804) in the first paragraph, fourth sentence, replace "Diabetic" with "Dietetic".
4. On page 65427, column two, section V. "Physician Fee Schedule Update and Conversion Factor for Calendar Year 2001", in the second sentence of the first paragraph, the anesthesia conversion factor should be corrected to read 17.83.
5. On page 65432, column one, first paragraph, the parenthetical contained in the note should read "(that is, 1.019 × 1.009 × 1.027 × 1.000 = 1.056)."
6. On page 65437, in the table labeled "Impact of This Final Rule Only on Payment for Selected Codes," for CPT code 99236, replace the values under "Old facility" and "New facility" columns with "225.72" and the value under the percent change column with a "0".
Addendum B [Corrected]
7. On page 65440 in column three, add the following after the entry for status code "G":
"H" = Deleted modifier (code used to have modifier of TC and PC)
"I" = Code not valid for Medicare purposes. Medicare does not recognize codes assigned this status. Medicare uses another code for the reporting of, and payment for, these services. This indicator is treated in the same manner as status indicator "G". Its use allows for more efficient processing of Medicare claims.
8. On page 65441, in the second and third columns of the key describing Addenda B and C, the year 2000 was incorrectly referenced. The references to "2000" in items 5, 7, 9, 10, 12, and 14 should be corrected to "2001."
9. In the Table of Addendum B the following CPT codes are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Mal-practice RVUs | Fully Implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 99234 | A | Observ/hosp same date | 2.56 | N/A | N/A | 0.92 | 0.88 | 0.11 | N/A | N/A | 3.59 | 3.55 | XXX | |
| 99235 | A | Observ/hosp same date | 3.42 | N/A | N/A | 1.20 | 1.19 | 0.13 | N/A | N/A | 4.75 | 4.74 | XXX | |
| 99236 | A | Observ/hosp same date | 4.27 | N/A | N/A | 1.46 | 1.41 | 0.17 | N/A | N/A | 5.90 | 5.85 | XXX | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 +Indicates RVUs are not used for Medicare payment. | ||||||||||||||
10. In the Table of Addendum B the following HCPCS code is corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Mal-practice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G0105 | A | Colorectal scrn; hi risk ind | 3.68 | 6.60 | 6.07 | 1.70 | 2.38 | 0.20 | 10.48 | 9.95 | 5.58 | 6.26 | 000 | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 +Indicates RVUs are not used for Medicare payment. | ||||||||||||||
11. In the Table of Addendum B the following HCPCS code descriptors are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Mal-practice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G0179 | A | MD recert HHA patient | 0.45 | 1.09 | 1.09 | 0.18 | 0.18 | 0.06 | 1.60 | 1.60 | 0.69 | 0.69 | XXX | |
| G0190 | X | Immunization admin, ea add | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 +Indicates RVUs are not used for Medicare payment. | ||||||||||||||
12. In the Table of Addenda's B and C the following HCPCS code is corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G0184 | A | Ocular photo. Tx, 2nd eye | 0.47 | 0.23 | 0.23 | 0.23 | 0.23 | 0.50 | 1.20 | 1.20 | 1.20 | 1.20 | ZZZ | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 + Indicates RVUs are not used for Medicare payments. | ||||||||||||||
13. In the Table of Addenda's B and C the following HCPCS codes are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| G0195 | A | Clinical eval swallowing func | 1.50 | 1.81 | 1.64 | 0.77 | 0.86 | 0.07 | 3.38 | 3.21 | 2.34 | 2.43 | XXX | |
| G0196 | A | Eval of swallow w/radio opa | 1.50 | 1.81 | 1.64 | 0.77 | 0.86 | 0.07 | 3.38 | 3.21 | 2.34 | 2.43 | XXX | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 + Indicates RVUs are not used for Medicare payments. | ||||||||||||||
14. In the Table of Addendum B the following CPT codes are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 76934 | D | Echo guide for chest tap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76934 | 26 | D | Echo guide for chest tap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| A0362 | I | Basic emer sep mile supply | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0364 | I | Adv non-er no serv sep misu | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0366 | I | Adv non-er serv sep milsupp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0368 | I | Adv er no serv sep milesupp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0370 | I | Adv er spec serv sep misupp | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0380 | X | Basic life support mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0390 | X | Advanced life support mileag | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| Q0186 | I | Paramedic intercept, rural | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 + Indicates RVUs are not used for Medicare payments. | ||||||||||||||
15. In the Table of Addendum B the following CPT codes are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 93662 | 26 | H | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 93662 | TC | H | Intracardiac ecg (ice) | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 + Indicates RVUs are not used for Medicare payments. | ||||||||||||||
16. In the Table of Addendum B the following CPT codes are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 59150 | A | Treat ectopic pregnancy | 11.20 | 6.08 | 5.79 | 6.08 | 5.79 | 1.23 | 18.51 | 18.22 | 18.51 | 18.22 | 090 | |
| 59151 | A | Treat ectopic pregnancy | 11.10 | 5.59 | 6.53 | 5.59 | 6.53 | 1.41 | 18.10 | 19.04 | 18.10 | 19.04 | 090 | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 + Indicates RVUs are not used for Medicare payments. | ||||||||||||||
17. In the Table of Addendum B the following HCPCS code is corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 70612 | A | Percut vertebroplasty fluor | 1.31 | 0.49 | 0.49 | 0.49 | 0.49 | 0.23 | 2.03 | 2.03 | 2.03 | 2.03 | XXX | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All rights reserved. Applicable FARS/DFARS apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 +Indicates RVUs are not used for Medicare payments. | ||||||||||||||
18. In the Table of Addendum B the following CPT codes are corrected to read as follows:
| CPT1 HCPCS2 | MOD | Status | Description | Physician work RVUs3 | Fully implemented non-facility PE RVUs | Year 2001 transitional non-facility PE RVUs | Fully implemented facility PE RVUs | Year 2001 transitional facility PE RVUs | Malpractice RVUs | Fully implemented non-facility total | Year 2001 transitional non-facility total | Fully implemented facility total | Year 2001 transitional facility total | Global |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 70540 | A | MRI orbit/face/neck w/o dye | 1.10 | 11.52 | 11.72 | N/A | N/A | 0.36 | 12.98 | 13.18 | N/A | N/A | XXX | |
| 70540 | 26 | A | MRI orbit/face/neck w/o dye | 1.10 | 0.39 | 0.47 | 0.39 | 0.47 | 0.04 | 1.53 | 1.61 | 1.53 | 1.61 | XXX |
| 70542 | A | MRI orbit/face/neck w/ dye | 1.33 | 13.81 | 13.81 | N/A | N/A | 0.43 | 15.57 | 15.57 | N/A | N/A | XXX | |
| 70542 | 26 | A | MRI orbit/face/neck w/ dye | 1.33 | 0.47 | 0.47 | 0.47 | 0.47 | 0.04 | 1.84 | 1.84 | 1.84 | 1.84 | XXX |
| 70543 | A | MRI orbit/fac/nck w/ow/ dye | 1.76 | 25.34 | 25.34 | N/A | N/A | 0.78 | 27.88 | 27.88 | N/A | N/A | XXX | |
| 70543 | 26 | A | MRI orbit/fac/nck w/ow/ dye | 1.76 | 0.63 | 0.63 | 0.63 | 0.63 | 0.08 | 2.47 | 2.47 | 2.47 | 2.47 | XXX |
| 71550 | A | MRI chest w/o dye | 1.22 | 11.56 | 11.77 | N/A | N/A | 0.41 | 13.19 | 13.40 | N/A | N/A | XXX | |
| 71550 | 26 | A | MRI chest w/o dye | 1.22 | 0.43 | 0.52 | 0.43 | 0.52 | 0.04 | 1.69 | 1.78 | 1.69 | 1.78 | XXX |
| 71551 | A | MRI chest w/ dye | 1.44 | 13.85 | 13.85 | N/A | N/A | 0.48 | 15.77 | 15.77 | N/A | N/A | XXX | |
| 71551 | 26 | A | MRI chest w/ dye | 1.44 | 0.51 | 0.51 | 0.51 | 0.51 | 0.05 | 2.00 | 2.00 | 2.00 | 2.00 | XXX |
| 71552 | A | MRI chest w/o w/ dye | 1.89 | 25.38 | 25.38 | N/A | N/A | 0.63 | 27.90 | 27.90 | N/A | N/A | XXX | |
| 71552 | 26 | A | MRI chest w/o w/ dye | 1.89 | 0.67 | 0.67 | 0.67 | 0.67 | 0.07 | 2.63 | 2.63 | 2.63 | 2.63 | XXX |
| 72195 | A | MRI pelvis w/o dye | 1.22 | 11.56 | 11.56 | N/A | N/A | 0.41 | 13.19 | 13.19 | N/A | N/A | XXX | |
| 72195 | 26 | A | MRI pelvis w/o dye | 1.22 | 0.43 | 0.43 | 0.43 | 0.43 | 0.04 | 1.69 | 1.69 | 1.69 | 1.69 | XXX |
| 72196 | A | MRI pelvis w/ dye | 1.44 | 13.85 | 13.48 | N/A | N/A | 0.48 | 15.77 | 15.40 | N/A | N/A | XXX | |
| 72196 | 26 | A | MRI pelvis w/ dye | 1.44 | 0.51 | 0.58 | 0.51 | 0.58 | 0.05 | 2.00 | 2.07 | 2.00 | 2.07 | XXX |
| 72197 | A | MRI pelvis w/o w/ dye | 1.89 | 25.38 | 25.38 | N/A | N/A | 0.85 | 28.12 | 28.12 | N/A | N/A | XXX | |
| 72197 | 26 | A | MRI pelvis w/o w/ dye | 1.89 | 0.67 | 0.67 | 0.67 | 0.67 | 0.09 | 2.65 | .265 | 2.65 | 2.65 | XXX |
| 73218 | A | MRI upper extremity w/o dye | 1.10 | 11.52 | 11.52 | N/A | N/A | 0.36 | 12.98 | 12.98 | N/A | N/A | XXX | |
| 73218 | 26 | A | MRI upper extremity w/o dye | 1.10 | 0.39 | 0.39 | 0.39 | 0.39 | 0.04 | 1.53 | 1.53 | 1.53 | 1.53 | XXX |
| 73219 | A | MRI upper extremity w/ dye | 1.33 | 13.82 | 13.82 | N/A | N/A | 0.43 | 15.58 | 15.58 | N/A | N/A | XXX | |
| 73219 | 26 | A | MRI upper extremity w/ dye | 1.33 | 0.48 | 0.48 | 0.48 | 0.48 | 0.04 | 1.85 | 1.85 | 1.85 | 1.85 | XXX |
| 73220 | A | MRI upper extremity w/o w/ dye | 1.76 | 25.34 | 22.08 | N/A | N/A | 0.78 | 27.88 | 24.62 | N/A | N/A | XXX | |
| 73220 | 26 | A | MRI upper extremity w/o w/ dye | 1.76 | 0.63 | 0.65 | 0.63 | 0.65 | 0.08 | 2.47 | 2.49 | 2.47 | 2.49 | XXX |
| 73221 | A | MRI joint upr extrem w/o dye | 1.10 | 11.52 | 11.66 | N/A | N/A | 0.36 | 12.98 | 13.12 | N/A | N/A | XXX | |
| 73221 | 26 | A | MRI joint upr extrem w/o dye | 1.10 | 0.39 | 0.41 | 0.39 | 0.41 | 0.04 | 1.53 | 1.55 | 1.53 | 1.55 | XXX |
| 73222 | A | MRI joint upr extrem w/ dye | 1.33 | 13.81 | 13.81 | N/A | N/A | 0.43 | 15.57 | 15.57 | N/A | N/A | XXX | |
| 73222 | 26 | A | MRI joint upr extrem w/ dye | 1.33 | 0.47 | 0.47 | 0.47 | 0.47 | 0.04 | 1.84 | 1.84 | 1.84 | 1.84 | XXX |
| 73223 | A | MRI joint upr extr w/o w/ dye | 1.76 | 25.34 | 25.34 | N/A | N/A | 0.78 | 27.88 | 27.88 | N/A | N/A | XXX | |
| 73223 | 26 | A | MRI joint upr extr w/o w/ dye | 1.76 | 0.63 | 0.63 | 0.63 | 0.63 | 0.08 | 2.47 | 2.47 | 2.47 | 2.47 | XXX |
| 73718 | A | MRI lower extremity w/o dye | 1.10 | 11.52 | 11.52 | N/A | N/A | 0.36 | 12.98 | 12.98 | N/A | N/A | XXX | |
| 73718 | 26 | A | MRI lower extremity w/o dye | 1.10 | 0.39 | 0.39 | 0.39 | 0.39 | 0.04 | 1.53 | 1.53 | 1.53 | 1.53 | XXX |
| 73719 | A | MRI lower extremity w/ dye | 1.33 | 13.81 | 13.81 | N/A | N/A | 0.43 | 15.57 | 15.57 | N/A | N/A | XXX | |
| 73719 | 26 | A | MRI lower extremity w/ dye | 1.33 | 0.47 | 0.47 | 0.47 | 0.47 | 0.04 | 1.84 | 1.84 | 1.84 | 1.84 | XXX |
| 73720 | A | MRI lower extremity w/o w/ dye | 1.76 | 25.33 | 22.08 | N/A | N/A | 0.78 | 27.87 | 24.62 | N/A | N/A | XXX | |
| 73720 | 26 | A | MRI lower extremity w/o w/ dye | 1.76 | 0.62 | 0.65 | 0.62 | 0.65 | 0.08 | 2.46 | 2.49 | 2.46 | 2.49 | XXX |
| 73721 | A | MRI joint of lwr extre w/o dye | 1.10 | 11.52 | 11.66 | N/A | N/A | 0.36 | 12.98 | 13.12 | N/A | N/A | XXX | |
| 73721 | 26 | A | MRI joint of lwr extre w/o dye | 1.10 | 0.39 | 0.41 | 0.39 | 0.41 | 0.04 | 1.53 | 1.55 | 1.53 | 1.55 | XXX |
| 73722 | A | MRI joint of lwr extr w/ dye | 1.33 | 13.82 | 13.82 | N/A | N/A | 0.43 | 15.58 | 15.58 | N/A | N/A | XXX | |
| 73722 | 26 | A | MRI joint of lwr extr w/ dye | 1.33 | 0.48 | 0.48 | 0.48 | 0.48 | 0.04 | 1.85 | 1.85 | 1.85 | 1.85 | XXX |
| 73723 | A | MRI joint of lwr extr w/o w/ dye | 1.76 | 25.34 | 25.34 | N/A | N/A | 0.78 | 27.88 | 27.88 | N/A | N/A | XXX | |
| 73723 | 26 | A | MRI joint of lwr extr w/o w/ dye | 1.76 | 0.63 | 0.63 | 0.63 | 0.63 | 0.08 | 2.47 | 2.47 | 2.47 | 2.47 | XXX |
| 74181 | A | MRI abdomen w/o dye | 1.22 | 11.56 | 11.77 | N/A | N/A | 0.41 | 13.19 | 13.40 | N/A | N/A | XXX | |
| 74181 | 26 | A | MRI abdomen w/o dye | 1.22 | 0.43 | 0.52 | 0.43 | 0.52 | 0.04 | 1.69 | 1.78 | 1.69 | 1.78 | XXX |
| 74182 | A | MRI abdomen w/ dye | 1.44 | 13.85 | 13.85 | N/A | N/A | 0.48 | 15.77 | 15.77 | N/A | N/A | XXX | |
| 74182 | 26 | A | MRI abdomen w/ dye | 1.44 | 0.51 | 0.51 | 0.51 | 0.51 | 0.05 | 2.00 | 2.00 | 2.00 | 2.00 | XXX |
| 74183 | A | MRI abdomen w/o w/ dye | 1.89 | 25.38 | 25.38 | N/A | N/A | 0.85 | 28.12 | 28.12 | N/A | N/A | XXX | |
| 74183 | 26 | A | MRI abdomen w/o w/ dye | 1.89 | 0.67 | 0.67 | 0.67 | 0.67 | 0.09 | 2,65 | 2.65 | .265 | 2.65 | XXX |
| 76934 | TC | D | Echo guide for chest tap | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76938 | D | Echo exam for drainage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76938 | 26 | D | Echo exam for drainage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76938 | TC | D | Echo exam for drainage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76960 | D | Echo guidance radiotherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 76960 | 26 | D | Echo guidance radiotherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 76960 | TC | D | Echo guidance radiotherapy | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX |
| 87145 | D | Culture typing, phage method | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 87208 | D | Smear, stain and interpret | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 92525 | G | Oral function evaluation | 1.50 | 1.55 | 1.44 | 0.60 | 0.59 | 0.07 | 3.12 | 3.01 | 2.17 | 2.16 | XXX | |
| 92597 | G | Oral speech device eval | 1.35 | 1.49 | 1.39 | 0.54 | 0.68 | 0.05 | 2.89 | 2.79 | 1.94 | 2.08 | XXX | |
| 92598 | G | Modify oral speech device | 0.99 | 0.76 | 0.75 | 0.40 | 0.48 | 0.04 | 1.79 | 1.78 | 1.43 | 1.51 | XXX | |
| 99375 | G | Home health care supervision | 1.73 | 1.40 | 1.40 | 0.63 | 0.63 | 0.06 | 3.19 | 3.19 | 2.42 | 2.42 | XXX | |
| 99378 | G | Hospice care supervision | 1.73 | 1.73 | 1.73 | 0.60 | 0.60 | 0.06 | 3.52 | 3.52 | 2.39 | 2.39 | XXX | |
| A0030 | I | Air ambulance service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0040 | I | Helicopter ambulance service | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0050 | I | Water amb service emergency | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0225 | D | Neonatal emergency transport | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0300 | I | Ambulance basic non-emer all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0302 | I | Ambulance basic emergency all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0304 | I | Amb adv non-er no serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0306 | I | Amb adv non-er spec serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0308 | I | Amb adv er no spec serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0310 | I | Amb adv er spec serv all | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0320 | I | Amb basic non-er + supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0322 | I | Amb basic emerg + supplies | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0324 | I | Adv non-er serv sep mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0326 | I | Adv non-er no serv sep mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0328 | I | Adv er no serv sep mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0330 | I | Adv er spec serv sep mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0340 | I | Amb basic non-er + mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0342 | I | Ambul basic emer + mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0344 | I | Amb adv non-er no serv + mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0346 | I | Amb adv non-er serv + mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0348 | I | Adv emer no spec serv + mile | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0350 | I | Adv emer spec serv + mileage | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| A0360 | I | Adv non-er sep mile sup | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | 0.00 | XXX | |
| 1 CPT codes and descriptions only are copyright 2000 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. | ||||||||||||||
| 2 Copyright 1994 American Dental Association. All rights reserved. | ||||||||||||||
| 3 + Indicates RVUs are not used for Medicare payment. | ||||||||||||||
Authority:
Section 1848 of the Social Security Act (42 U.S.C. 1395w-4).
(Catalog of Federal Domestic Assistance Program No. 93.774, Medicare-Supplementary Medical Insurance Program)
Dated: March 19, 2001.
Brian P. Burns,
Deputy Assistant Secretary for Information Resource Management.
[FR Doc. 01-7445 Filed 3-26-01; 8:45 am]
BILLING CODE 4120-01-M