[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