[Federal Register Volume 59, Number 149 (Thursday, August 4, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: X94-10804]


[[Page Unknown]]

[Federal Register: August 4, 1994]


                                                   VOL. 59, NO. 149

                                           Thursday, August 4, 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

Correction

    In rule document 94-17222 beginning on page 36069 in the issue of 
Friday, July 15, 1994, the tables appearing on pages 36069 through 
36071 should have appeared as follows:
    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....      26  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....      26  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.