[Federal Register Volume 68, Number 82 (Tuesday, April 29, 2003)]
[Notices]
[Pages 22774-22965]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 03-10120]
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Part II
Department of Veterans Affairs
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38 CFR Part 17
Reasonable Charges for Medical Care or Services; 2003 Update; Notice
and Interim Final Rule
Federal Register / Vol. 68, No. 82 / Tuesday, April 29, 2003 /
Notices
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DEPARTMENT OF VETERANS AFFAIRS
Reasonable Charges for Medical Care or Services; 2003 Update
AGENCY: Department of Veterans Affairs.
ACTION: Notice.
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SUMMARY: This document provides ``reasonable charges'' for medical care
or services provided or furnished by VA to a veteran:
--For a nonservice-connected disability for which the veteran is
entitled to care (or the payment of expenses of care) under a health
plan contract;
--For a nonservice-connected disability incurred incident to the
veteran's employment and covered under a worker's compensation law or
plan that provides reimbursement or indemnification for such care and
services; or
--For a nonservice-connected disability incurred as a result of a
motor vehicle accident in a State that requires automobile accident
reparations insurance.
FOR FURTHER INFORMATION CONTACT: David Cleaver, Chief Business Office
(161), Veterans Health Administration, Department of Veterans Affairs,
810 Vermont Avenue, NW., Washington, DC 20420, (202) 254-0361. (This is
not a toll free number.)
SUPPLEMENTARY INFORMATION: The ``reasonable charges'' regulations for
medical care and services (38 CFR 17.101), as amended by a companion
document published in this issue of the Federal Register, have
established the methodology for acute inpatient facility charges at
Sec. 17.101(b), the methodology for skilled nursing facility/sub-acute
inpatient facility charges at Sec. 17.101(c), the methodology for
outpatient facility charges at Sec. 17.101(d), and the methodology for
physician charges at Sec. 17.101(e). Using these methodologies,
information for calculating actual charge amounts at individual VA
facilities is set forth below and is effective until changed by a
subsequent Federal Register notice.
Previously, information on the data sources used to establish
Relative Value Units (RVUs) for specified Current Procedural
Terminology (CPT) codes was included in the regulations. We are now
presenting this information in the applicable Federal Register notice.
For this notice, the CPT codes to which this information applies are
presented in Table F, Physician Nationwide RVUs and Conversion Factors
for CPT Codes with Total RVUs Only, and Table I, Physician Nationwide
RVUs and Conversion Factors for Pathology and Laboratory CPT Codes with
Total RVUs Only. Information on the data sources used to establish RVUs
for these CPT codes is presented in the Data Source columns in these
tables. The meanings of the entries in these columns are fully
described in the reasonable charges regulations at Sec. 17.101(a)(4)
and Sec. 17.101(e).
Approved: March 20, 2003.
Anthony J. Principi,
Secretary of Veterans Affairs.
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[FR Doc. 03-10120 Filed 4-28-03; 8:45 am]
BILLING CODE 8320-01-C