[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.
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\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