[Federal Register Volume 67, Number 81 (Friday, April 26, 2002)]
[Rules and Regulations]
[Pages 20681-20687]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-9395]



[[Page 20681]]

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

42 CFR Parts 405, 410, 411, 414, and 415

[CMS-1169-CN]
RIN 0938-AK57


Medicare Program; Revisions to Payment Policies and Five-Year 
Review of and Adjustments to the Relative Value Units Under the 
Physician Fee Schedule for Calendar Year 2002; Correction

AGENCY: Centers for Medicare & Medicaid Services (CMS), 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, 2001 entitled ``Revisions to Payment Policies and Five-Year 
Review of and Adjustments to the Relative Value Units Under the 
Physician Fee Schedule for Calendar Year 2002.''

EFFECTIVE DATE: January 1, 2002, except for the provisions updating the 
list of codes used to define certain ``designated health services'' 
under the physician self-referral prohibition set forth in section 1877 
of the Social Security Act (42 U.S.C. section 1395nn). Those provisions 
are effective January 4, 2002.

FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 01-27275 of November 1, 2001 (67 FR 55246), 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, C and E. The provisions in this correction 
notice are effective as if they had been included in the document 
published November 1, 2001. Accordingly, the corrections regarding the 
update for the list of codes used to define certain ``designated health 
services'' under the physician self-referral prohibition set forth in 
section 1877 of the Social Security Act (42 U.S.C. section 1395nn) are 
effective January 4, 2002. All other corrections are effective January 
1, 2002.

II. Discussion of Addenda B, C, and E

    1. In Addendum B, we assigned incorrect status indicators for the 
following codes:
     Page 55334 for CPT codes 10021-26, 10021-TC, 10022-26, and 
10022-TC.
     Page 55456 for CPT codes 93613-26 and 93613-TC;
     Page 55468 for HCPCS codes A4263 and A4329.
     Page 55469 for HCPCS code A4550.
     Page 55471 for HCPCS codes A5064, A5074, and A5075.
     Page 55480 for HCPCS code G0025.
     Page 55482 for HCPCS codes G0126, G0126-26, G0126-TC, 
G0163, G0163-26, G0163-TC, G0164, G0164-26, G0164-TC, G0165, G0165-26, 
and G0165-TC.
     Page 55483 for HCPCS codes G0203, G0205, G0205-26, G0205-
TC, G0207, G0207-26, G0207-TC;
     Page 55489 for HCPCS codes J7193, J7195, J7198, and J7199.
     Page 55492 for HCPCS code Q0187.
     Page 55493 for HCPCS codes Q3014 and Q3017.
    These corrections are reflected in correction number 18 to follow.
    2. The following CPT codes were inadvertently excluded from 
addendum B:
     On page 55454, CPT codes 92597 and 92598.
     On page 55466, CPT codes 99375 and 99378.
    Correction number 19, which follows, lists these codes and their 
corresponding RVUs.
    3. We also used the incorrect status indicator and included RVUs 
for CPT codes 76390, 76390-26 and 76390-TC on page 55420, and CPT code 
90887 on page 55450 although these services are not covered under 
Medicare. These corrections are reflected in correction number 20 to 
follow.
    4. On page 55257 of the November 1, 2001 rule we indicated we were 
adding a catheter to the supply list for CPT code 36533 however, we 
erroneously omitted this supply from the CPEP data. The corrected 
practice expense RVUs that reflect the addition of this supply are 
shown in correction number 21 to follow.
    5. On page 55419 of Addendum B and 55498 of Addendum C, we assigned 
incorrect practice expense RVUs to CPT codes 76085 and 76085-TC. In 
addition, the global period for 76085-TC was listed incorrectly. 
Corrections are reflected in correction number 22 to follow.
    6. In addendum B on page 55454 we failed to list the professional 
and technical components for CPT code 93025 and also assigned incorrect 
practice expense RVUs to 93025. The corrected practice expense RVUs as 
well as the values for the professional and technical components of 
this CPT code are listed in correction number 23 to follow.
    7. On pages 55456, 55457 and 55461 we indicated the incorrect 
global period for CPT codes 93613, 93662-TC, 95824 and 95824-TC. The 
global period is corrected in number 24 to follow.
    8. In Addenda B and C, incorrect practice expense RVUs were 
assigned for CPT codes 76092 and 76092-TC, 92136, 92136-26, 92136-TC, 
95250, 95808, 95808-26, 95808-TC, 95810, 95810-26, 95810-TC, 95811, 
95811-26, 95811-TC, 95903, 95903-26, 95903-TC, 95951, 95951-TC, 95956, 
95956-TC and HCPCS codes G0108, G0109 G0236 and G0236-TC. Entries on 
the pages listed below are corrected as follows:
     Pages 55420 and 55499 for CPT codes 76092 and 76092-TC.
     Pages 55451 and 55452 for CPT codes 92136, 92136-26, 
92136-TC.
     Page 55461 for CPT codes 95250, 95808, 95808-26, 95808-TC, 
95810, 95810-26, 95810-TC, 95811, 95811-26, and 95811-TC.
     Page 55462 for CPT codes 95903, 95903-26, 95903-TC, 95951, 
and 95951-TC.
     Page 55463 for CPT codes 95956 and 95956-TC.
     Page 55481 for HCPCS G0108 and G0109.
     Pages 55484 and 55499 for HCPCS codes G0236 and G0236-TC.
    Corrections are reflected in correction number 25 to follow.
    9. On page 55464 of the November 1, 2001 rule we erroneously 
included the high-pressure water jet gun and disposable water jet tip 
in supplies used with code 97601. These supplies should be omitted from 
the CPEP data. The corrected practice expense RVUs, which reflect the 
deletion of these supplies, are shown in correction number 26 to 
follow.
    10. On page 55498 of Addendum C, we failed to include the following 
G codes for respiratory therapy: G0237, G0238, and G0239. These G codes 
are reflected in correction number 27 to follow.
    11. In Addendum E, concerning the physician self-referral 
prohibition, we mistakenly included three codes and omitted five codes. 
On page 55502, in the first column, CPT code ``76390 MR spectroscopy'' 
is removed. This service is not covered by Medicare (see section 50-13, 
``Magnetic Resonance Imaging,'' of the Coverage Issues Manual (HCFA 
Pub. 6)) and was mistakenly included.

[[Page 20682]]

On page 55502, in the second column, HCPCS code ``G0188 Xray lwr 
extrmty-full lngth'' is removed from the listing under ``Radiology.'' 
This code was discontinued under HCPCS effective December 31, 2001. On 
page 55502, in the third column under the heading ``Radiation Therapy 
Services and Supplies,'' the subheading that reads ``INCLUDE CPT codes 
for radiation therapy classified elsewhere'' is amended by adding the 
words ``HCPCS and'' after ``INCLUDE''. Following the last entry under 
the revised subheading, the following codes are added: ``G0242 
Multisource photon ster plan'' and ``G0243 Multisour photon stero 
treat''.
    These codes were inadvertently omitted from the November 1, 2001 
rule. On page 55502, in the third column under the heading ``Preventive 
Screening Tests, Immunizations and Vaccines,'' HCPCS code ``Q3018 
Hepatitis B vaccine'' is removed. This code was never incorporated 
under HCPCS. Also on page 55502, in the third column under the heading 
``Preventive Screening Tests, Immunizations and Vaccines,'' CPT codes 
``90744 Hepb vacc ped/adol 3 dose im'', ``90746 Hep b vaccine, adult, 
im'', and ``90747 Hepb vacc, ill pat 4 dose im'' are added in numerical 
order. These three codes were mistakenly removed. The additions and 
deletions to Addendum E are shown in correction number 28 and 29 to 
follow.

    Note: To view the updated list of codes in its entirety, refer 
to our physician self-referral website at www.hcfa.gov/medlearn/refphys.htm.

III. Correction of Errors

    In FR Doc. 01-27275 of November 1, 2001 (67 FR 55246), make the 
following corrections:
    1. On page 55246, in column two, the ``Effective date'' section is 
corrected to read as follows:
    ``Effective date: This rule is effective January 1, 2002 except for 
the provisions updating the list of codes used to define certain 
``designated health services'' under the physician self-referral 
prohibition set forth in section 1877 of the Social Security Act (42 
U.S.C. section 1395nn). Those provisions appear in Addendum E and are 
effective January 4, 2002.''
    As we explained in the preamble to the November 1, 2001 rule (66 FR 
55311), the updated list of codes regarding certain designated health 
services under the physician self-referral prohibition would become 
effective on January 4, 2002 because that is the effective date for the 
relevant provisions of the physician self-referral final rule that was 
published on January 4, 2001. We inadvertently omitted the January 4, 
2002 effective date from the Effective date section of the November 1, 
2001 rule.
    2. On page 55256, we failed to specify that we were not including 
certain supplies for CPT code 97601. Add the following at the top of 
the third column on this page:
    `` For CPT code 97601, Wound(s), care selective, we deleted 
the hi pressure water jet gun and the disposable water jet tip from the 
supplies as these are not typically used in this procedure.''
    3. On page 55269, column one in the table of codes the ASA base 
unit value for code 01916 should be ``5'' rather than ``6''. Also under 
the discussion concerning anesthesia base units in the Result of 
Evaluation of Comments replace the word ``proposed'' in lines 11 and 16 
with the word ``assigned as interim values''.
    4. On page 55272, the following corrections are made to Table 3.--
2002 MAMMOGRAPHY PAYMENTS

----------------------------------------------------------------------------------------------------------------
                                                                             Practice   Malpractice
     CPT \1\/HCPCS            MOD            Descriptor         Work RVU   expense RVU      RVU         Total
----------------------------------------------------------------------------------------------------------------
76092..................  ............  Mammogram, screening.         0.70         1.47         0.09         2.26
76092..................  26            Mammogram, screening.         0.70         0.25         0.03         0.98
76092..................  TC            Mammogram, screening.         0.00         1.22         0.06         1.28
G0236..................  ............  Computer aided                0.06         0.41         0.02         0.49
                                        detect, diag.
G0236..................  26            Computer aided                0.06         0.02         0.01         0.09
                                        detect, diag.
G0236..................  TC            Computer aided                0.00         0.39         0.01         0.40
                                        detect, diag.
76085..................  ............  Computer aided                0.06         0.41         0.02         0.49
                                        detection.
76085..................  26            Computer aided                0.06         0.02         0.01         0.09
                                        detection.
76085..................  TC            Computer aided                0.00         0.39         0.01        0.40
                                        detection.
----------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2001 American Medical Association.

    5. On page 55274, column two, in the second sentence of the 
response replace ``compared to the key components of a level III 
evaluation and management (CPT code 99213)'' with the following 
``compared to the key components of an evaluation and management 
service (CPT code 99213).
    6. On page 55287, the footnote for table 4 is revised to reference 
the correct copyright date and should read as follows ``CPT codes and 
descriptions only are copyright 2001 American Medical Association.''
    7. On page 55291 in column one and column two after the discussions 
summarizing what was in the proposed notice and before the Comment 
discussion for CPT codes 43259 and 43263, 43265, and 43269 add the 
following sentence ``We disagreed and proposed to maintain the current 
RVUs.''
    8. On page 55295, the footnote for table 5 is revised to reference 
the correct copyright date and should read as follows ``CPT codes and 
descriptions only are copyright 2001 American Medical Association.''
    9. On page 55304, add the following information concerning CPT code 
90474 in Table 6 between CPT code 90473 and CPT code 90939:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                                                                                    2002
                *CPT Code                                 Mod                Description        RUC           HCPAC recommendation         CMS      work
                                                                                          recommendation                                 Decision    RVU
--------------------------------------------------------------------------------------------------------------------------------------------------------
90474#...................................    ..............................       Immune           0.15   ...........................     Disagree  0.00
                                                                             admin oral/
                                                                              nasal addl
--------------------------------------------------------------------------------------------------------------------------------------------------------

    10. On page 55305, the last footnote for table 6 and the two 
footnotes for table 7 are revised to reference the correct copyright 
date and should read as follows ``CPT codes and descriptions

[[Page 20683]]

only are copyright 2001 American Medical Association.''
    11. On page 55307, in the discussion of new and revised codes, 
language was inadvertently omitted from our discussion of CPT code 
53853. Replace existing language beginning at first paragraph in column 
three (``We note * * *'') and the table in the middle of the page with 
the following:
    We note that although the intraservice time for CPT code 53853 is 
sixty minutes, most of that time is spent monitoring the flow of hot 
water through a catheter and balloon and checking the water's 
temperature. We estimate that the maximum amount of time spent on 
activities other than monitoring is 20 minutes. This means that the 
work intensity for the intraservice portion of this procedure is 
significantly less than it is for most other surgical procedures and, 
specifically, the reference codes examined by the RUC. Therefore we 
compared CPT code 53853 to 90-day global procedures with less than 30 
minutes of intraservice time and to zero-day globals involving 
insertion of catheters with similar intraservice times. For these 
reasons we compared CPT code 58350 to the following procedures:

----------------------------------------------------------------------------------------------------------------
                                                                          Intraservice
             CPT \1\ Code               Global          Work RVU              time        Pre/post service time
                                        period                              (minutes)
----------------------------------------------------------------------------------------------------------------
53853  Transurethral destruction of         90  RUC-6.41................            60  113 (see below)
 prostate tissue; by water induced
 thermotherapy.
                                                CMS assigned RVU-4.14...
30130  Excision turbinate, partial or       90  3.38....................            27  78
 complete, any method.
36520  Therapeutic Apheresis; plasma       000  1.74....................            60  40
 and/or cell exchange.
42826  Tonsillectomy, primary or            90  3.38....................            28  82
 secondary; age 12 or over.
46045  Incision and drainage of             90  4.32....................            25  206
 intramural, intramuscular, or
 submucosal abscess, transanal, under
 anesthesia.
49420  intraperitoneal cannula or          000  2.22....................            48  39
 catheter for drainage or dialysis;
 temporary.
46946  Ligation of internal                 90  3.0.....................            25  75
 hemorrhoids; multiple procedures.
53675  Catheterization, urethra;           000  1.47....................            30  26
 complicated (may include difficult
 removal of balloon catheter).
58800  Drainage of ovarian cyst(s),         90  4.14....................            23  100
 unilateral or bilateral, (separate
 procedure); vaginal approach.
61105  Twist burr hole for subdural         90  5.14....................            27  97
 or ventricular puncture.
65810  Paracentesis of anterior             90  4.87....................            28  104
 chamber of eye (separate procedure);
 with removal of vitreous and/or
 discussion of anterior hyaloid
 membrane, with or without air
 injection.
67031  Severing of vitreous strands,        90  3.67....................            26  79
 vitreous face adhesions, sheets,
 membranes, or opacities, laser
 surgery (one or more stages).
----------------------------------------------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2001 American Medical Association.

Additions and Deletions to the Physician Self-Referral Codes

    12. On page 55312, Table 8--``Additions and Deletions to the 
Physician Self-Referral Codes'' is amended as follows and is shown 
below:
    a. Under the subheading ``Additions,'' by removing the periods 
after every entry; by removing spaces between words in the description 
of HCPCS codes G0202, G0204 and G0206; by adding in alphanumeric order 
the codes ``G0242 Multisource photon ster plan'' and ``G0243 Multisour 
photon stero treat''; and by removing code ``Q3018 Hepatitis B 
vaccine.''
    b. Under the subheading ``Deletions,'' by removing the three 
entries under the subheading; and by adding the codes ``76390 MR 
spectroscopy'' and ``G0188 Xray lwr extrmty-full lngth.''
    c. By revising the footnote to read ``CPT codes and descriptions 
only are copyright 2001 American Medical Association. All rights are 
reserved and applicable FARS/DFARS clauses apply.''

 Table 8.--Additions and Deletions To The Physician Self-Referral Codes
------------------------------------------------------------------------
                 Codes                             Description
------------------------------------------------------------------------
Additions CPT \1\ or HCPCS Codes:
    76085..............................  Computer mammogram add-on
    77301..............................  Radioltherapy dos plan, imrt
    77418..............................  Radiation tx delivery, imrt
    92974..............................  Cath place, cardio brachytx
    96000..............................  Motion analysis, video/3d
    96001..............................  Motion test w/ft press meas
    96002..............................  Dynamic surface emg
    96003..............................  Dynamic fine wire emg
    G0202..............................  Screeningmammographydigital
    G0204..............................  Diagnosticmammographydigital
    G0206..............................  Diagnosticmammographydigital
    G0236..............................  Digital film convert diag ma
    G0242..............................  Multisource photon ster plan
    G0243..............................  Multisour photon stero treat
    J1270..............................  Injection, doxercalciferol
    J1755..............................  Injection, iron sucrose
Deletions: CPT \1\ or HCPCS Codes:
    76390..............................  MR spectroscopy
    G0188..............................  Xray lwr extrmty-full lngth
------------------------------------------------------------------------
\1\ CPT codes and descriptions only are copyright 2001 American Medical
  Association. All rights are reserved and applicable FARS/DFARS clauses
  apply.

    13. On page 55312 in the second column, the first paragraph is 
amended by revising the third sentence to read as follows: ``Table 8 
also includes 2 codes

[[Page 20684]]

(G0202 and 76085) that we have identified as screening tests.''

    14. On page 55329, 42 CFR 410.26(a)(3) is revised to read:
    (a) * * *
    (3) Independent contractor means an individual (or an entity that 
has hired such an individual) who performs part-time or full-time work 
for which the individual (or the entity that has hired such an 
individual) receives an IRS-1099 form.
* * * * *
    15. On page 55331, 42 CFR 410.134(d)(ii) the word ``dietician'' is 
revised to read ``dietitian''.
    16. On page 55333 in Addendum B, in column three add the following 
after the entry for status indicator ``E'':
* * * * *
    F = Deleted/discontinued codes. (Code not subject to a 90-day grace 
period).
* * * * *
    17. On page 55334 in Addendum B, in the first and second columns of 
the key describing Addenda B and C descriptions for the columns for 
practice expense RVUs (items 6 and 7) and totals (items 9 and 10) do 
not agree with the layout of the addenda. These descriptions are 
corrected as follows:
* * * * *
    6. Non-facility practice expense RVUs. These are the fully 
implemented resource-based practice expense RVUs for non-facility 
settings.
    7. Facility practice expense RVUs. These are the fully implemented 
resource-based practice expense RVUs for facility settings.
* * * * *
    9. Non-facility total. This is the sum of the work, fully 
implemented non-facility practice expense, and malpractice expense 
RVUs.
    10. Facility total. This is the sum of the work, fully implemented 
facility practice expense, and malpractice expense RVUs.
* * * * *

IV. Addenda B and C [Corrected]

    In the Tables of Addenda B and C the following HCPCS codes are 
corrected to read as follows:
    INSERT EXCEL TABLES HERE FOR ADDENDA B and C corrections FILE: 
CN1169rev130.xls
    18. In the Table of Addendum B the following HCPCS codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Fully                                  Fully
                                                                                implemented     Fully                  implemented     Fully
 CPT \1\ HCPCS2        MOD        Status          Description        Physician      non-     implemented  Malpractice      non-     implemented   Global
                                                                     Work RVUs  facility PE  facility PE      RVUs       facility     facility
                                                                                    RVUs         RVUs                     total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
10021..........  26                    H   Fna w/o image...........      1.27        0.55         0.55         0.07         1.89         1.89        XXX
10021..........  TC                    H   Fna w/o image...........      0.00        0.47           NA         0.03         0.50           NA        XXX
10022..........  26                    H   Fna w/ image............      1.27        0.48         0.48         0.05         1.80         1.80        XXX
10022..........  TC                    H   Fna w/ image............      0.00        0.63           NA         0.03         0.66           NA        XXX
93613..........  26                    H   Electrophys map, 3d, add-     7.00        2.79         2.79         0.52        10.31        10.31        XXX
                                            on.
93613..........  TC                    H   Electrophys map, 3d, add-     0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            on.
A4263..........  ..............        B   Permanent tear duct plug      0.00        0.00         0.00         0.00         0.00         0.00        XXX
A4329..........  ..............        F   External catheter start       0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            set.
A4550..........  ..............        B   Surgical trays..........      0.00        0.00         0.00         0.00         0.00         0.00        XXX
A5064..........  ..............        F   Drain ostomy pouch w/         0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            fceplte.
A5074..........  ..............        F   Urinary pouch w/              0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            faceplate.
A5075..........  ..............        F   Urinary pouch on              0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            faceplate.
G0025..........  ..............        B   Collagen skin test kit..      0.00        0.00         0.00         0.00         0.00         0.00        XXX
G0126..........  ..............        F   Lung image (PET) staging      0.00        0.00           NA         0.00         0.00           NA        XXX
G0126..........  26                    F   Lung image (PET) staging      0.00        0.00         0.00         0.00         0.00         0.00        XXX
G0126..........  TC                    F   Lung image (PET) staging      0.00        0.00           NA         0.00         0.00           NA        XXX
G0163..........  ..............        F   Pet for rec of                0.00        0.00           NA         0.00         0.00           NA        XXX
                                            colorectal ca.
G0163..........  26                    F   Pet for rec of                0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            colorectal ca.
G0163..........  TC                    F   Pet for rec of                0.00        0.00           NA         0.00         0.00           NA        XXX
                                            colorectal ca.
G0164..........  ..............        F   Pet for lymphoma staging      0.00        0.00           NA         0.00         0.00           NA        XXX
G0164..........  26                    F   Pet for lymphoma staging      0.00        0.00         0.00         0.00         0.00         0.00        XXX
G0164..........  TC                    F   Pet for lymphoma staging      0.00        0.00           NA         0.00         0.00           NA        XXX
G0165..........  ..............        F   Pet, rec melanoma/met ca      0.00        0.00           NA         0.00         0.00           NA        XXX
G0165..........  26                    F   Pet, rec melanoma/met ca      0.00        0.00         0.00         0.00         0.00         0.00        XXX
G0165..........  TC                    F   Pet, rec melanoma/met ca      0.00        0.00           NA         0.00         0.00           NA        XXX
G0203..........  ..............        F   Screenmamammographyfilmd      0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            igital.
G0205..........  ..............        F   Diagnostic mammography        0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            filmpro.
G0205..........  26                    F   Diagnostic                    0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            mammographyfilmpro.
G0205..........  TC                    F   Diagnostic                    0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            mammographyfilmpro.
G0207..........  ..............        F   Diagnostic                    0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            mammographyfilm.
G0207..........  26                    F   Diagnostic                    0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            mammographyfilm.
G0207..........  TC                    F   Diagnostic                    0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            mammographyfilm.
J7193..........  ..............        X   Factor IX non-                0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            recombinant.
J7195..........  ..............        X   Factor IX recombinant...      0.00        0.00         0.00         0.00         0.00         0.00        XXX
J7198..........  ..............        X   Anti-inhibitor..........      0.00        0.00         0.00         0.00         0.00         0.00        XXX
J7199..........  ..............        X   Hemophilia clot factor        0.00        0.00         0.00         0.00         0.00         0.00        XXX
                                            noc.
Q0187..........  ..............        X   Factor via recombinant..      0.00        0.00         0.00         0.00         0.00         0.00        XXX
Q3014..........  ..............        X   Telehealth facility fee.      0.00        0.00         0.00         0.00         0.00         0.00        XXX
Q3017..........  ..............        X   ALS assessment..........      0.00        0.00         0.00         0.00         0.00         0.00        XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------

    19. In the Table of Addendum B the following HCPCS codes are 
corrected to read as follows:

[[Page 20685]]



--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Fully                                  Fully
                                                                                implemented     Fully                  implemented     Fully
CPT \1\  HCPCS2        MOD        Status          Description        Physician      non-     implemented  Malpractice      non-     implemented   Global
                                                                     Work RVUs  facility PE  facility PE      RVUs       facility     facility
                                                                                    RVUs         RVUs                     total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
92597..........  ..............  ........  Oral speech device eval.     +1.35        1.49         0.54         0.05         2.89         1.94        XXX
92598..........  ..............  ........  Modify oral speech           +0.99        0.76         0.40         0.04         1.79         1.43        XXX
                                            device.
99375..........  ..............  ........  Home health care             +1.73        1.57           NA         0.06         3.36           NA        XXX
                                            supervision.
99378..........  ..............  ........  Hospice care supervision     +1.73        1.97           NA         0.06         3.76           NA        XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------

    20. In the Table of Addendum B the following HCPCS codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Fully                                  Fully
                                                                                implemented     Fully                  implemented     Fully
 CPT \1\ HCPCS2        MOD        Status          Description        Physician      non-     implemented  Malpractice      non-     implemented   Global
                                                                     Work RVUs  facility PE  facility PE      RVUs       facility     facility
                                                                                    RVUs         RVUs                     total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
76390..........  ..............        N   Mr spectroscopy.........      1.40       11.14           NA         0.55        13.09           NA        XXX
76390..........  26                    N   Mr spectroscopy.........      1.40        0.50         0.50         0.06         1.96         1.96        XXX
76390..........  TC                    N   Mr spectroscopy.........      0.00       10.64           NA         0.49        11.13           NA        XXX
90887..........  ..............        N   Consultation with family     +1.48        0.83         0.59         0.03         2.34         2.10        XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------

    21. In the Table of Addendum B the following HCPCS codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Fully                                  Fully
                                                                                implemented     Fully                  implemented     Fully
 CPT \1\ HCPCS2        MOD        Status          Description        Physician      non-     implemented  Malpractice      non-     implemented   Global
                                                                     Work RVUs  facility PE  facility PE      RVUs       facility     facility
                                                                                    RVUs         RVUs                     total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
36533..........  ..............        A   insertion of access           5.32       15.34         3.50         0.49        21.15         9.31        000
                                            device.
--------------------------------------------------------------------------------------------------------------------------------------------------------

    22. In the Tables of Addendum B and C the following CPT codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Fully                                  Fully
                                                                                implemented     Fully                  implemented     Fully
 CPT \1\ HCPCS2        MOD        Status          Description        Physician      non-     implemented  Malpractice      non-     implemented   Global
                                                                     Work RVUs  facility PE  facility PE      RVUs       facility     facility
                                                                                    RVUs         RVUs                     total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
76085..........  ..............        A   Computer mammogram add-       0.06        0.41           NA         0.02         0.49           NA        ZZZ
                                            on.
76085..........  TC                    A   Computer mammogram add-       0.00        0.39           NA         0.01         0.40           NA        ZZZ
                                            on.
--------------------------------------------------------------------------------------------------------------------------------------------------------

    23. In the Tables of Addendum B and C the following CPT codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                   Fully                                  Fully
                                                                                implemented     Fully                  implemented     Fully
 CPT \1\ HCPCS2        MOD        Status          Description        Physician      non-     implemented  Malpractice      non-     implemented   Global
                                                                     Work RVUs  facility PE  facility PE      RVUs       facility     facility
                                                                                    RVUs         RVUs                     total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
93025..........  ..............        A   Microvolt t-wave assess.      0.75        6.51           NA         0.11         7.37           NA        XXX
93025..........  26                    A   Microvolt t-wave assess.      0.75        0.32         0.32         0.02         1.09         1.09        XXX
93025..........  TC                    A   Microvolt t-wave assess.      0.00        6.19           NA         0.09         6.28           NA        XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------

    24. In the Tables of Addenda B and C the following CPT codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      Fully                               Fully
                                                                                   implemented     Fully       Mal-    implemented     Fully
 CPT \1\  HCPCS2       MOD         Status           Description         Physician      non-     implemented  practice      non-     implemented   Global
                                                                        work RVUs  facility PE  facility PE    RVUs      facility     facility
                                                                                       RVUs         RVUs                  total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
93613...........  ............  C            Electrophys map, 3d, add-      0.00        0.00         0.00        0.00       0.00         0.00        ZZZ
                                              on.
93662...........  TC            C            Intracardiac ecg (ice)...      0.00        0.00           NA        0.00       0.00           NA        ZZZ

[[Page 20686]]

 
95824...........  ............  C            Electroencephalography...      0.00        0.00         0.00        0.00       0.00         0.00        ZZZ
95824...........  TC            C            Electroencephalography...      0.00        0.00           NA        0.00       0.00           NA        ZZZ
--------------------------------------------------------------------------------------------------------------------------------------------------------

    25. In the Tables of Addenda B and C the following CPT codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      Fully                               Fully
                                                                                   implemented     Fully       Mal-    implemented     Fully
 CPT\1\  HCPCS2        MOD         Status           Description         Physician      non-     implemented  practice      non-     implemented   Global
                                                                        work RVUs  facility PE  facility PE    RVUs      facility     facility
                                                                                       RVUs         RVUs                  total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
76092...........  ............  A            mammogram, screening.....      0.70        1.47           NA        0.09       2.26           NA        XXX
76092...........  TC            A            mammogram, screening.....      0.00        1.22           NA        0.06       1.28           NA        XXX
92136...........  ............  A            Ophthalmic biometry......      0.54        1.95           NA        0.07       2.56           NA        XXX
92136...........  26            A            Ophthalmic biometry......      0.54        0.26         0.26        0.01       0.81         0.81        XXX
92136...........  TC            A            Ophthalmic biometry......      0.00        1.69           NA        0.06       1.75           NA        XXX
95250...........  ............  A            Glucose monitoring, cont.      0.00        3.02           NA        0.01       3.03           NA        XXX
95808...........  ............  A            Polysomnography, 1-3.....      2.65        9.54           NA        0.44      12.63           NA        XXX
95808...........  26            A            Polysomnography, 1-3.....      2.65        0.99         0.99        0.09       3.73         3.73        XXX
95808...........  TC            A            Polysomnography, 1-3.....      0.00        8.55           NA        0.35       8.90           NA        XXX
95810...........  ............  A            Polysomnography, 4 or          3.53       16.92           NA        0.47      20.92           NA        XXX
                                              more.
95810...........  26            A            Polysomnography, 4 or          3.53        1.26         1.26        0.12       4.91         4.91        XXX
                                              more.
95810...........  TC            A            Polysomnography, 4 or          0.00       15.66           NA        0.35      16.01           NA        XXX
                                              more.
95811...........  ............  A            Polysomnography, wcpap...      3.80       17.19           NA        0.49      21.48           NA        XXX
95811...........  28            A            Polysomnography, wcpap...      3.80        1.34         1.34        0.13       5.27         5.27        XXX
95811...........  TC            A            Polysomnography, wcpap...      0.00       15.85           NA        0.36      16.21           NA        XXX
95903...........  ............  A            Motor nerve conduction...      0.60        0.81           NA        0.04       1.45           NA        XXX
95903...........  26            A            Motor nerve conduction...      0.60        0.27         0.27        0.02       0.89         0.89        XXX
95903...........  TC            A            Motor nerve conduction...      0.00        0.54           NA        0.02       0.56           NA        XXX
95951...........  ............  A            EEG monitoring/                6.00       39.72           NA        0.58      46.30           NA        XXX
                                              videorecord.
95951...........  TC            A            EEG monitoring/                0.00       37.00           NA        0.38      37.38           NA        XXX
                                              videorecord.
95956...........  ............  A            Eeg monitoring, cable/         3.08       12.34           NA        0.47      15.89           NA        XXX
                                              radio.
95956...........  TC            A            Eeg monitoring, cable/         0.00       11.04           NA        0.36      11.40           NA        XXX
                                              radio.
G0108...........  ............  A            Diab manage trn per indiv      0.00        0.82           NA        0.01       0.83           NA        XXX
G0109...........  ............  A            Diab manage trn indi/          0.00        0.48           NA        0.01       0.49           NA        XXX
                                              group.
G0236...........  ............  A            digital film convert diag      0.06        0.41           NA        0.02       0.49           NA        ZZZ
                                              ma.
G0236...........  TC            A            digital film convert diag      0.00        0.39           NA        0.01       0.40           NA        ZZZ
                                              ma.
--------------------------------------------------------------------------------------------------------------------------------------------------------

    26. In the Table of Addendum B the following CPT codes are 
corrected to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      Fully                               Fully
                                                                                   implemented     Fully       Mal-    implemented     Fully
 CPT\1\  HCPCS2        MOD         Status           Description         Physician      non-     implemented  practice      non-     implemented   Global
                                                                        work RVUs  facility PE  facility PE    RVUs      facility     facility
                                                                                       RVUs         RVUs                  total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
97601...........  ............  A            Wound(s) care selective..      0.50        0.61         0.61        0.04       1.15         1.15        XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------

    27. The following HCPCS codes should be added to the Table of 
Addendum C to read as follows:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                                      Fully                               Fully
                                                                                   implemented     Fully       Mal-    implemented     Fully
 CPT\1\  HCPCS2        MOD         Status           Description         Physician      non-     implemented  practice      non-     implemented   Global
                                                                        work RVUs  facility PE  facility PE    RVUs      facility     facility
                                                                                       RVUs         RVUs                  total        total
--------------------------------------------------------------------------------------------------------------------------------------------------------
G0237...........  ............  A            Therapeutic procd strg         0.00        0.45           NA        0.02       0.47           NA        XXX
                                              endur.
G0238...........  ............  C            Oth resp proc, indiv.....      0.00        0.00         0.00        0.00       0.00         0.00        XXX
G0239...........  ............  C            Oth resp proc, group.....      0.00        0.00         0.00        0.00       0.00         0.00        XXX
--------------------------------------------------------------------------------------------------------------------------------------------------------


[[Page 20687]]

V. Addendum E [Corrected]

    28. In the table of Addendum E, the following HCPCS codes for 
Radiation Therapy Services and Supplies are added immediately following 
HCPCS code 92974 and the following HCPCS codes for Preventive Screening 
Tests, Immunizations and Vaccines are added immediately following HCPCS 
code 90732:

                 Radiation Therapy Services and Supplies
------------------------------------------------------------------------
 
------------------------------------------------------------------------
G0242............................  Multisource photon stero plan.
G0243............................  Multisource photon stero treat.
------------------------------------------------------------------------


         Preventive Screening Tests, Immunizations and Vaccines
------------------------------------------------------------------------
 
------------------------------------------------------------------------
90744............................  Hep b vacc ped/adol 3 dose im.
90746............................  Hep b vaccine, adult im.
90747............................  Hep b vacc, ill pat 4 dose im.
------------------------------------------------------------------------

    29. In the table of Addendum E, the following HCPCS codes are 
removed:

                                Radiology
------------------------------------------------------------------------
 
------------------------------------------------------------------------
76390............................  MR spectroscopy.
G0188............................  Xray lwr extrmty-full lngth.
------------------------------------------------------------------------


         Preventive Screening Tests, Immunizations and Vaccines
------------------------------------------------------------------------
 
------------------------------------------------------------------------
   Q3018  Hepatitis B vaccine.
------------------------------------------------------------------------

VI. Waiver of Proposed Rulemaking

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a Notice take effect. We can waive this procedure, 
however, if we find good cause that notice and comment procedure is 
impracticable, unnecessary, or contrary to the public interest and 
incorporate a statement of the finding and the reasons for it into the 
notice issued.
    We find it unnecessary to undertake notice and comment rulemaking 
because this document merely provides technical corrections to the 
regulations. Therefore, we find good cause, we waive notice and comment 
procedures.

    Authority: (Catalog of Federal Domestic Assistance Program No. 
93.774, Medicare-Supplementary Medical Insurance Program)

    Dated: April 11, 2002.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 02-9395 Filed 4-25-02; 8:45 am]
BILLING CODE 4120-01-P