[Federal Register Volume 62, Number 159 (Monday, August 18, 1997)]
[Proposed Rules]
[Pages 43962-43963]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 97-21730]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 400, 405, 410, and 414
[BPD-884-CN]
RIN 0938-AH94
Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule, Other Part B Payment Policies, and
Establishment of the Clinical Psychologist Fee Schedule for Calendar
Year 1998; Correction
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Correction of proposed rule.
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SUMMARY: This document corrects technical errors that appeared in the
proposed rule published in the Federal Register on June 18, 1997
entitled ``Medicare Program; Revisions to Payment Policies Under the
Physician Fee Schedule, Other Part B Payment Policies, and
Establishment of the Clinical Psychologist Fee Schedule for Calendar
Year 1998.''
[[Page 43963]]
FOR FURTHER INFORMATION CONTACT:
Stanley Weintraub, (410) 786-4498.
SUPPLEMENTARY INFORMATION:
Background.
In the Federal Register Document dated June 18, 1997, there were a
number of technical errors. In Addendum B of the proposed rule, on
pages 33195 through 33196, the proposed statistical linking methodology
is discussed. In preparing the table entitled ``Linking Adjustment
Factors by CPEP,'' the actual linking factors were not accurately
stated. The actual factors are shown in the revised table in this
document under the heading ``Correction of Errors.''
In addition, in Addendum C, on page 33288, we inadvertently printed
incorrect information for CPT code 92543 (caloric vestibular testing).
The discussion on page 33183 of the proposed rule indicated that we
are proposing to reduce the relative value units (RVUs) for CPT code
92543 to 25 percent of what the RVUs would otherwise have been. As
explained in that material, we are making this proposal because we plan
to permit physicians and suppliers to bill four units of service
instead of the one until now permitted. The intent is to reduce billing
confusion regarding these codes in a budget-neutral way.
In Addendum C of the proposed rule, the reduction to 25 percent of
the RVUs otherwise applicable was reflected for the practice expense
RVUs, but we incorrectly published unreduced RVUs for work and
malpractice. The corrected RVUs appear in this document under the
heading ``Correction of Errors.''
Correction of Errors
In FR Doc. 97-15817 of June 18, 1997 (62 FR 33158), insert the
following revised table on page 33196:
Addendum B.--Linking Adjustment Factors by CPEP
------------------------------------------------------------------------
Clinical
labor Administrative
CPEP linking labor linking
adjustment adjustment
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CPEP #1.................................... .84 .50
CPEP #2.................................... .40 .36
CPEP #3.................................... .42 .31
CPEP #4.................................... 1.03 .56
CPEP #5.................................... .96 .52
CPEP #6.................................... .80 .46
CPEP #7.................................... 1.00 1.00
CPEP #8.................................... .44 .22
CPEP #9.................................... .54 .35
CPEP #10................................... .91 .78
CPEP #11................................... .93 .39
CPEP #12................................... .55 .24
CPEP #13................................... .77 .44
CPEP #14................................... 1.00 1.00
CPEP #15................................... 1.07 .20
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Make the following corrections in Addendum C for CPT code 92543 on
page 33288:
Addendum C.--Relative Value Units (RVUs) and Related Information
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Direct
Direct in out of Total in Total out
CPT \1\ / Physician office office office of office Malpractice Total in Total out
HCPCS MOD Status Description work RVUs practice practice practice practice RVUs office of office
\2\ \3\ \4\ expense expense expense expense
RVUs RVUs RVUs RVUs
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* * * * * * *
92543... .............. A Caloric vestibular 0.10 0.14 0.14 0.20 0.20 0.02 0.32 0.32
test.
92543... 26............ A Caloric vestibular 0.10 0.02 0.02 0.05 0.05 0.01 0.16 0.16
test.
92543... TC............ A Caloric vestibular 0.00 0.12 0.12 0.15 0.15 0.01 0.16 0.16
test.
* * * * * * *
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\1\ CPT codes and descriptions only are copyright 1996 American Medical Association. All rights reserved. Applicable FARS/DFARS apply.
\2\ Copyright 1994 American Dental Association. All rights reserved.
\3\ + Indicates RVUs are not for Medicare Payment.
\4\ * Work RVUs increased in global surgical package.
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: August 6, 1997.
Neil J. Stillman,
Deputy Assistant Secretary for Information Resources Management.
[FR Doc. 97-21730 Filed 8-15-97; 8:45 am]
BILLING CODE 4120-01-M