[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:
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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.