[Federal Register Volume 59, Number 135 (Friday, July 15, 1994)] [Unknown Section] [Page 0] From the Federal Register Online via the Government Publishing Office [www.gpo.gov] [FR Doc No: 94-17222] [[Page Unknown]] [Federal Register: July 15, 1994] ======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Health Care Financing Administration 42 CFR Parts 405 and 414 [BPD-770-CN] RIN 0938-AG22 Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1994 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 December 2, 1993 (58 FR 63626) entitled ``Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1994.'' EFFECTIVE DATE: January 1, 1994. FOR FURTHER INFORMATION CONTACT: Elizabeth Holland, (410) 966-1309. SUPPLEMENTARY INFORMATION: In Federal Register Document [93-29362] beginning on page 63626, in the issue of December 2, 1993, make the following corrections: A. Page 63626 1. In the ADDRESSES section, in column 2, in line 12, the telephone number is corrected to read ``(202) 690-7890.'' 2. In column 3, in line 10, the Federal Register citation is corrected to read ``(57 FR 55914).'' B. Page 63628 In column 3, in line 4, the Federal Register citation is corrected to read ``(56 FR 59502).'' C. Page 63642 In column 2, in the paragraph designated I., the number of the fourth code in the listing is corrected to read ``84182.'' D. Page 63652 In column 2, in the paragraph designated 2.a., the Federal Register citation is corrected to read ``(57 FR 55938).'' E. Pages 63653 and 63662, Table 3 1. On page 63653, the following codes are corrected to read: ---------------------------------------------------------------------------------------------------------------- Specialty HCPCS+ MOD description RUC recommended recommended HCFA decision work RVUs work RVUs ---------------------------------------------------------------------------------------------------------------- *15788..... Chemical peel, face, epiderm...................... None............ 5.00 Decreased. *15789..... Chemical peel, face, dermal....................... None............ 6.59 Decreased. *15792..... Chemical peel, nonfacial.......................... None............ 4.00 Decreased. *15793..... Chemical peel, nonfacial.......................... None............ 5.34 Decreased. ---------------------------------------------------------------------------------------------------------------- 2. On page 63662, the following codes are corrected to read: ---------------------------------------------------------------------------------------------------------------- Specialty HCPCS+ MOD description RUC recommended recommended HCFA decision work RVUs work RVUs ---------------------------------------------------------------------------------------------------------------- 97545...... Work hardening.................................... None............ 1.70 (b). 97546...... Work hardening.................................... None............ .85 (b). ---------------------------------------------------------------------------------------------------------------- F. Pages 63722 through 63836, Addendum B 1. On page 63722, the following codes are corrected to read: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 33401.... C Valvuloplasty, open............................ 0.00 0.00 0.00 0.00 090 S 33403.... C Valvuloplasty, w/cp bypass..................... .00 .00 .00 .00 090 S 33406.... C Replacement, aortic valve...................... .00 .00 .00 .00 090 S 33413.... C Replacement, aortic valve...................... .00 .00 .00 .00 090 S 33414.... C Repair, aortic valve........................... .00 .00 .00 .00 090 S 33471.... C Valvotomy, pulmonary valve..................... .00 .00 .00 .00 090 S 33475.... C Replacement, pulmonary valve................... .00 .00 .00 .00 090 S 33505.... C Repair artery w/tunnel......................... .00 .00 .00 .00 090 S 33506.... C Repair artery, translocation................... .00 .00 .00 .00 090 S 33600.... C Closure of valve............................... .00 .00 .00 .00 090 S 33602.... C Closure of valve............................... .00 .00 .00 .00 090 S 33606.... C Anastomosis/artery-aorta....................... .00 .00 .00 .00 090 S 33608.... C Repair anomaly w/conduit....................... .00 .00 .00 .00 090 S 33610.... C Repair by enlargement.......................... .00 .00 .00 .00 090 S -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 2. On page 63723, the following codes are corrected to read: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 33611.... C Repair double ventricle........................ 0.00 0.00 0.00 0.00 090 S 33612.... C Repair double ventricle........................ .00 .00 .00 .00 090 S 33615.... C Repair (simple fontan)......................... .00 .00 .00 .00 090 S 33617.... C Repair by modified fontan...................... .00 .00 .00 .00 090 S 33619.... C Repair single ventricle........................ .00 .00 .00 .00 090 S 33692.... C Repair of heart defects........................ .00 .00 .00 .00 090 S 33697.... C Repair of heart defects........................ .00 .00 .00 .00 090 S 33698.... C Repair of heart defects........................ .00 .00 .00 .00 090 S 33722.... C Repair of heart defect......................... .00 .00 .00 .00 090 S 33732.... C Repair heart-vein defect....................... .00 .00 .00 .00 090 S 33736.... C Revision of heart chamber...................... .00 .00 .00 .00 090 S 33766.... C Major vessel shunt............................. .00 .00 .00 .00 090 S 33767.... C Atrial septectomy/septostomy................... .00 .00 .00 .00 090 S 33770.... C Repair great vessels defect.................... .00 .00 .00 .00 090 S 33771.... C Repair great vessels defect.................... .00 .00 .00 .00 090 S 33853.... C Repair septal defect........................... .00 .00 .00 .00 090 S -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 3. On page 63724, the following codes are corrected to read: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 33917.... C Repair pulmonary artery........................ 0.00 0.00 0.00 0.00 090 S 33918.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S 33919.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S 33920.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S 33922.... C Transect pulmonary artery...................... .00 .00 .00 .00 090 S -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 4. On page 63733, HCPCS code 43248 is corrected to read as follows: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 43248.... A Upper GI endoscopy/guidewire................... 3.18 *4.14 0.34 7.66 000 N -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 5. On page 63749, the third appearance of HCPCS code 59020 is corrected to read as follows: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 59020.... A Fetal contract stress test..................... 0.67 *0.87 0.19 1.73 000 S -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 6. On page 63764, the following code is corrected to read: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 70551.... A Magnetic image, brain (MRI).................... 1.50 0.67 0.10 2.27 XXX N -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 7. On page 63799, the following code is added to read: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- 86423.... D Radioimmunosorbent test IGE.................... 0.00 0.00 0.00 0.00 XXX O -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. 8. On page 63836, the following codes are corrected to read: -------------------------------------------------------------------------------------------------------------------------------------------------------- Practice HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update RVUs\2\ RVUs period -------------------------------------------------------------------------------------------------------------------------------------------------------- J7030.... E Infusion, normal saline solution............... 0.00 0.00 0.00 0.00 XXX O J7040.... E Infusion, normal saline solution............... .00 .00 .00 0.00 XXX O J7042.... E 5% dextrose/normal saline...................... .00 .00 .00 0.00 XXX O J7050.... E Infusion, normal saline solution............... .00 .00 .00 0.00 XXX O J7051.... E Sterile saline or water........................ .00 .00 .00 0.00 XXX O J7060.... E 5% dextrose/water.............................. .00 .00 .00 0.00 XXX O J7070.... E Infusion, d5w.................................. .00 .00 .00 0.00 XXX O J7120.... E Ringers lactate infusion....................... .00 .00 .00 0.00 XXX O -------------------------------------------------------------------------------------------------------------------------------------------------------- \1\All numeric CPT HCPCS Copyright 1993 American Medical Association. \2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993. (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: July 5, 1994. Neil J. Stillman, Deputy Assistant Secretary for Information Resources Management. [FR Doc. 94-17222 Filed 7-14-94; 8:45 am]