[Federal Register Volume 66, Number 59 (Tuesday, March 27, 2001)]
[Rules and Regulations]
[Pages 16607-16611]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 01-7445]


=======================================================================
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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.

[[Page 16608]]

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  x  1.009  x  1.027 
 x  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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                      Fully                                                           Fully
                                                        Physician  implemented    Year 2001      Fully       Year 2001     Mal-    Implemented    Year 2001      Fully       Year 2001
 CPT\1\     MOD        Status          Description         work        non-     transitional  implemented  transitional  practice      non-     transitional  implemented  transitional   Global
HCPCS\2\                                                 RVUs\3\   facility PE  non-facility  facility PE   facility PE    RVUs      facility   non-facility    facility     facility
                                                                       RVUs        PE RVUs        RVUs         RVUs                   total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
   99234  .......  A              Observ/hosp same          2.56         N/A           N/A         0.92          0.88        0.11        N/A           N/A         3.59          3.55        XXX
                                   date.
   99235  .......  A              Observ/hosp same          3.42         N/A           N/A         1.20          1.19        0.13        N/A           N/A         4.75          4.74        XXX
                                   date.
   99236  .......  A              Observ/hosp same          4.27         N/A           N/A         1.46          1.41        0.17        N/A           N/A         5.90          5.85       XXX
                                   date.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                     Fully                                                           Fully
                                                       Physician  implemented    Year 2001      Fully       Year 2001     Mal-    implemented    Year 2001      Fully       Year 2001
 CPT\1\      MOD       Status         Description         work        non-     transitional  implemented  transitional  practice      non-     transitional  implemented  transitional   Global
HCPCS\2\                                                RVUs\3\   facility PE  non-facility  facility PE   facility PE    RVUs      facility   non-facility    facility     facility
                                                                      RVUs        PE RVUs        RVUs         RVUs                   total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  G0105   ........  A             Colorectal scrn; hi      3.68        6.60         6.07          1.70         2.38        0.20       10.48         9.95          5.58         6.26        000
                                   risk ind.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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.


[[Page 16609]]

    11. In the Table of Addendum B the following HCPCS code descriptors 
are corrected to read as follows:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                      Fully                                                           Fully
                                                        Physician  implemented    Year 2001      Fully       Year 2001     Mal-    implemented    Year 2001      Fully       Year 2001
 CPT\1\     MOD        Status          Description         work        non-     transitional  implemented  transitional  practice      non-     transitional  implemented  transitional   Global
HCPCS\2\                                                 RVUs\3\   facility PE  non-facility  facility PE   facility PE    RVUs      facility   non-facility    facility     facility
                                                                       RVUs        PE RVUs        RVUs         RVUs                   total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
   G0179  .......  A              MD recert HHA             0.45        1.09          1.09         0.18          0.18        0.06       1.60          1.60         0.69          0.69        XXX
                                   patient.
   G0190  .......  X              Immunization admin,       0.00        0.00          0.00         0.00          0.00        0.00       0.00          0.00         0.00          0.00       XXX
                                   ea add.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Fully                                                              Fully
                                                    Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\     MOD       Status       Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                             RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  G0184   ........  A            Ocular photo. Tx,      0.47        0.23         0.23          0.23         0.23          0.50         1.20         1.20          1.20         1.20        ZZZ
                                  2nd eye.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Fully                                                              Fully
                                                    Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\     MOD       Status       Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                             RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  G0195   ........  A            Clinical eval          1.50        1.81         1.64          0.77         0.86          0.07         3.38         3.21          2.34         2.43         XXX
                                  swallowing func.
  G0196   ........  A            Eval of swallow w/     1.50        1.81         1.64          0.77         0.86          0.07         3.38         3.21          2.34         2.43        XXX
                                  radio opa.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Fully                                                              Fully
                                                    Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\     MOD       Status       Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                             RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  76934   ........  D            Echo guide for         0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  chest tap.
  76934        26   D            Echo guide for         0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  chest tap.
  A0362   ........  I            Basic emer sep         0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  mile & supply.
  A0364   ........  I            Adv non-er no          0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  serv sep mi&su.
  A0366   ........  I            Adv non-er serv        0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  sep mil&supp.
  A0368   ........  I            Adv er no serv         0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  sep mile&supp.
  A0370   ........  I            Adv er spec serv       0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  sep mi&supp.
  A0380   ........  X            Basic life             0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  support mileage.
  A0390   ........  X            Advanced life          0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  support mileag.
  Q0186   ........  I            Paramedic              0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00        XXX
                                  intercept, rural.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

[[Page 16610]]



------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Fully                                                              Fully
                                                    Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\     MOD       Status       Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                             RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  93662        26   H            Intracardiac ecg       0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00         XXX
                                  (ice).
  93662         TC  H            Intracardiac ecg       0.00        0.00         0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00        XXX
                                  (ice).
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                  Fully                                                              Fully
                                                    Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\     MOD       Status       Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                             RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
  59150   ........  A            Treat ectopic         11.20        6.08         5.79          6.08         5.79          1.23        18.51        18.22         18.51        18.22         090
                                  pregnancy.
  59151   ........  A            Treat ectopic         11.10        5.59         6.53          5.59         6.53          1.41        18.10        19.04         18.10        19.04        090
                                  pregnancy.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                              Fully
                                                     Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\    MOD       Status         Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                 \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                              RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
   70612  .......  A             Percut                  1.31        0.49          0.49         0.49          0.49         0.23         2.03          2.03         2.03          2.03       XXX
                                  vertebroplasty
                                  fluor.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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:

------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                   Fully                                                              Fully
                                                     Physician  implemented    Year 2001      Fully       Year 2001                implemented    Year 2001      Fully       Year 2001
 CPT \1\    MOD       Status         Description     work RVUs      non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional   Global
  HCPCS                                                 \3\     facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
   \2\                                                              RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
   70540  .......  A             MRI orbit/face/         1.10       11.52         11.72          N/A           N/A         0.36        12.98         13.18          N/A           N/A        XXX
                                  neck w/o dye.
   70540       26  A             MRI orbit/face/         1.10        0.39          0.47         0.39          0.47         0.04         1.53          1.61         1.53          1.61        XXX
                                  neck w/o dye.
   70542  .......  A             MRI orbit/face/         1.33       13.81         13.81          N/A           N/A         0.43        15.57         15.57          N/A           N/A        XXX
                                  neck w/ dye.
   70542       26  A             MRI orbit/face/         1.33        0.47          0.47         0.47          0.47         0.04         1.84          1.84         1.84          1.84        XXX
                                  neck w/ dye.
   70543  .......  A             MRI orbit/fac/nck       1.76       25.34         25.34          N/A           N/A         0.78        27.88         27.88          N/A           N/A        XXX
                                  w/o&w/ dye.
   70543       26  A             MRI orbit/fac/nck       1.76        0.63          0.63         0.63          0.63         0.08         2.47          2.47         2.47          2.47        XXX
                                  w/o&w/ dye.
   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/      1.89       25.38         25.38          N/A           N/A         0.63        27.90         27.90          N/A           N/A        XXX
                                  dye.
   71552       26  A             MRI chest w/o & w/      1.89        0.67          0.67         0.67          0.67         0.07         2.63          2.63         2.63          2.63        XXX
                                  dye.
   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/     1.89       25.38         25.38          N/A           N/A         0.85        28.12         28.12          N/A           N/A        XXX
                                   dye.
   72197       26  A             MRI pelvis w/o & w/     1.89        0.67          0.67         0.67          0.67         0.09         2.65          .265         2.65          2.65        XXX
                                   dye.
   73218  .......  A             MRI upper               1.10       11.52         11.52          N/A           N/A         0.36        12.98         12.98          N/A           N/A        XXX
                                  extremity w/o dye.
   73218       26  A             MRI upper               1.10        0.39          0.39         0.39          0.39         0.04         1.53          1.53         1.53          1.53        XXX
                                  extremity w/o dye.
   73219  .......  A             MRI upper               1.33       13.82         13.82          N/A           N/A         0.43        15.58         15.58          N/A           N/A        XXX
                                  extremity w/ dye.
   73219       26  A             MRI upper               1.33        0.48          0.48         0.48          0.48         0.04         1.85          1.85         1.85          1.85        XXX
                                  extremity w/ dye.
   73220  .......  A             MRI upper               1.76       25.34         22.08          N/A           N/A         0.78        27.88         24.62          N/A           N/A        XXX
                                  extremity w/o & w/
                                   dye.
   73220       26  A             MRI upper               1.76        0.63          0.65         0.63          0.65         0.08         2.47          2.49         2.47          2.49        XXX
                                  extremity w/o & w/
                                   dye.
   73221  .......  A             MRI joint upr           1.10       11.52         11.66          N/A           N/A         0.36        12.98         13.12          N/A           N/A        XXX
                                  extrem w/o dye.
   73221       26  A             MRI joint upr           1.10        0.39          0.41         0.39          0.41         0.04         1.53          1.55         1.53          1.55        XXX
                                  extrem w/o dye.
   73222  .......  A             MRI joint upr           1.33       13.81         13.81          N/A           N/A         0.43        15.57         15.57          N/A           N/A        XXX
                                  extrem w/ dye.
   73222       26  A             MRI joint upr           1.33        0.47          0.47         0.47          0.47         0.04         1.84          1.84         1.84          1.84        XXX
                                  extrem w/ dye.
   73223  .......  A             MRI joint upr extr      1.76       25.34         25.34          N/A           N/A         0.78        27.88         27.88          N/A           N/A        XXX
                                  w/o & w/ dye.
   73223       26  A             MRI joint upr extr      1.76        0.63          0.63         0.63          0.63         0.08         2.47          2.47         2.47          2.47        XXX
                                  w/o & w/ dye.
   73718  .......  A             MRI lower               1.10       11.52         11.52          N/A           N/A         0.36        12.98         12.98          N/A           N/A        XXX
                                  extremity w/o dye.
   73718       26  A             MRI lower               1.10        0.39          0.39         0.39          0.39         0.04         1.53          1.53         1.53          1.53        XXX
                                  extremity w/o dye.
   73719  .......  A             MRI lower               1.33       13.81         13.81          N/A           N/A         0.43        15.57         15.57          N/A           N/A        XXX
                                  extremity w/ dye.
   73719       26  A             MRI lower               1.33        0.47          0.47         0.47          0.47         0.04         1.84          1.84         1.84          1.84        XXX
                                  extremity w/ dye.

[[Page 16611]]

 
   73720  .......  A             MRI lower               1.76       25.33         22.08          N/A           N/A         0.78        27.87         24.62          N/A           N/A        XXX
                                  extremity w/o & w/
                                   dye.
   73720       26  A             MRI lower               1.76        0.62          0.65         0.62          0.65         0.08         2.46          2.49         2.46          2.49        XXX
                                  extremity w/o & w/
                                   dye.
   73721  .......  A             MRI joint of lwr        1.10       11.52         11.66          N/A           N/A         0.36        12.98         13.12          N/A           N/A        XXX
                                  extre w/o dye.
   73721       26  A             MRI joint of lwr        1.10        0.39          0.41         0.39          0.41         0.04         1.53          1.55         1.53          1.55        XXX
                                  extre w/o dye.
   73722  .......  A             MRI joint of lwr        1.33       13.82         13.82          N/A           N/A         0.43        15.58         15.58          N/A           N/A        XXX
                                  extr w/ dye.
   73722       26  A             MRI joint of lwr        1.33        0.48          0.48         0.48          0.48         0.04         1.85          1.85         1.85          1.85        XXX
                                  extr w/ dye.
   73723  .......  A             MRI joint of lwr        1.76       25.34         25.34          N/A           N/A         0.78        27.88         27.88          N/A           N/A        XXX
                                  extr w/o & w/ dye.
   73723       26  A             MRI joint of lwr        1.76        0.63          0.63         0.63          0.63         0.08         2.47          2.47         2.47          2.47        XXX
                                  extr w/o & w/ dye.
   74181  .......  A             MRI abdomen w/o         1.22       11.56         11.77          N/A           N/A         0.41        13.19         13.40          N/A           N/A        XXX
                                  dye.
   74181       26  A             MRI abdomen w/o         1.22        0.43          0.52         0.43          0.52         0.04         1.69          1.78         1.69          1.78        XXX
                                  dye.
   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 &       1.89       25.38         25.38          N/A           N/A         0.85        28.12         28.12          N/A           N/A        XXX
                                  w/ dye.
   74183       26  A             MRI abdomen w/o &       1.89        0.67          0.67         0.67          0.67         0.09         2,65          2.65         .265          2.65        XXX
                                  w/ dye.
   76934       TC  D             Echo guide for          0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  chest tap.
   76938  .......  D             Echo exam for           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  drainage.
   76938       26  D             Echo exam for           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  drainage.
   76938       TC  D             Echo exam for           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  drainage.
   76960  .......  D             Echo guidance           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  radiotherapy.
   76960       26  D             Echo guidance           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  radiotherapy.
   76960       TC  D             Echo guidance           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  radiotherapy.
   87145  .......  D             Culture typing,         0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  phage method.
   87208  .......  D             Smear, stain and        0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  interpret.
   92525  .......  G             Oral function           1.50        1.55          1.44         0.60          0.59         0.07         3.12          3.01         2.17          2.16        XXX
                                  evaluation.
   92597  .......  G             Oral speech device      1.35        1.49          1.39         0.54          0.68         0.05         2.89          2.79         1.94          2.08        XXX
                                  eval.
   92598  .......  G             Modify oral speech      0.99        0.76          0.75         0.40          0.48         0.04         1.79          1.78         1.43          1.51        XXX
                                  device.
   99375  .......  G             Home health care        1.73        1.40          1.40         0.63          0.63         0.06         3.19          3.19         2.42          2.42        XXX
                                  supervision.
   99378  .......  G             Hospice care            1.73        1.73          1.73         0.60          0.60         0.06         3.52          3.52         2.39          2.39        XXX
                                  supervision.
   A0030  .......  I             Air ambulance           0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  service.
   A0040  .......  I             Helicopter              0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  ambulance service.
   A0050  .......  I             Water amb service       0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  emergency.
   A0225  .......  D             Neonatal emergency      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  transport.
   A0300  .......  I             Ambulance basic         0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  non-emer all.
   A0302  .......  I             Ambulance basic         0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  emergency all.
   A0304  .......  I             Amb adv non-er no       0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  serv all.
   A0306  .......  I             Amb adv non-er          0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  spec serv all.
   A0308  .......  I             Amb adv er no spec      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  serv all.
   A0310  .......  I             Amb adv er spec         0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  serv all.
   A0320  .......  I             Amb basic non-er +      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  supplies.
   A0322  .......  I             Amb basic emerg +       0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  supplies.
   A0324  .......  I             Adv non-er serv         0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  sep mileage.
   A0326  .......  I             Adv non-er no serv      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  sep mile.
   A0328  .......  I             Adv er no serv sep      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  mileage.
   A0330  .......  I             Adv er spec serv        0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  sep mile.
   A0340  .......  I             Amb basic non-er +      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  mileage.
   A0342  .......  I             Ambul basic emer +      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  mileage.
   A0344  .......  I             Amb adv non-er no       0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  serv + mile.
   A0346  .......  I             Amb adv non-er          0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  serv + mile.
   A0348  .......  I             Adv emer no spec        0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  serv + mile.
   A0350  .......  I             Adv emer spec serv      0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00        XXX
                                  + mileage.
   A0360  .......  I             Adv non-er sep          0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00       XXX
                                  mile & sup.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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