[Federal Register Volume 59, Number 135 (Friday, July 15, 1994)]
[Unknown Section]
[Page 0]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 94-17222]
[[Page Unknown]]
[Federal Register: July 15, 1994]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Health Care Financing Administration
42 CFR Parts 405 and 414
[BPD-770-CN]
RIN 0938-AG22
Medicare Program; Revisions to Payment Policies and Adjustments
to the Relative Value Units Under the Physician Fee Schedule for
Calendar Year 1994
AGENCY: Health Care Financing Administration (HCFA), HHS.
ACTION: Correction of final rule with comment period.
-----------------------------------------------------------------------
SUMMARY: This document corrects technical errors that appeared in the
final rule with comment period published in the Federal Register on
December 2, 1993 (58 FR 63626) entitled ``Revisions to Payment Policies
and Adjustments to the Relative Value Units Under the Physician Fee
Schedule for Calendar Year 1994.''
EFFECTIVE DATE: January 1, 1994.
FOR FURTHER INFORMATION CONTACT: Elizabeth Holland, (410) 966-1309.
SUPPLEMENTARY INFORMATION: In Federal Register Document [93-29362]
beginning on page 63626, in the issue of December 2, 1993, make the
following corrections:
A. Page 63626
1. In the ADDRESSES section, in column 2, in line 12, the telephone
number is corrected to read ``(202) 690-7890.''
2. In column 3, in line 10, the Federal Register citation is
corrected to read ``(57 FR 55914).''
B. Page 63628
In column 3, in line 4, the Federal Register citation is corrected
to read ``(56 FR 59502).''
C. Page 63642
In column 2, in the paragraph designated I., the number of the
fourth code in the listing is corrected to read ``84182.''
D. Page 63652
In column 2, in the paragraph designated 2.a., the Federal Register
citation is corrected to read ``(57 FR 55938).''
E. Pages 63653 and 63662, Table 3
1. On page 63653, the following codes are corrected to read:
----------------------------------------------------------------------------------------------------------------
Specialty
HCPCS+ MOD description RUC recommended recommended HCFA decision
work RVUs work RVUs
----------------------------------------------------------------------------------------------------------------
*15788..... Chemical peel, face, epiderm...................... None............ 5.00 Decreased.
*15789..... Chemical peel, face, dermal....................... None............ 6.59 Decreased.
*15792..... Chemical peel, nonfacial.......................... None............ 4.00 Decreased.
*15793..... Chemical peel, nonfacial.......................... None............ 5.34 Decreased.
----------------------------------------------------------------------------------------------------------------
2. On page 63662, the following codes are corrected to read:
----------------------------------------------------------------------------------------------------------------
Specialty
HCPCS+ MOD description RUC recommended recommended HCFA decision
work RVUs work RVUs
----------------------------------------------------------------------------------------------------------------
97545...... Work hardening.................................... None............ 1.70 (b).
97546...... Work hardening.................................... None............ .85 (b).
----------------------------------------------------------------------------------------------------------------
F. Pages 63722 through 63836, Addendum B
1. On page 63722, the following codes are corrected to read:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
33401.... C Valvuloplasty, open............................ 0.00 0.00 0.00 0.00 090 S
33403.... C Valvuloplasty, w/cp bypass..................... .00 .00 .00 .00 090 S
33406.... C Replacement, aortic valve...................... .00 .00 .00 .00 090 S
33413.... C Replacement, aortic valve...................... .00 .00 .00 .00 090 S
33414.... C Repair, aortic valve........................... .00 .00 .00 .00 090 S
33471.... C Valvotomy, pulmonary valve..................... .00 .00 .00 .00 090 S
33475.... C Replacement, pulmonary valve................... .00 .00 .00 .00 090 S
33505.... C Repair artery w/tunnel......................... .00 .00 .00 .00 090 S
33506.... C Repair artery, translocation................... .00 .00 .00 .00 090 S
33600.... C Closure of valve............................... .00 .00 .00 .00 090 S
33602.... C Closure of valve............................... .00 .00 .00 .00 090 S
33606.... C Anastomosis/artery-aorta....................... .00 .00 .00 .00 090 S
33608.... C Repair anomaly w/conduit....................... .00 .00 .00 .00 090 S
33610.... C Repair by enlargement.......................... .00 .00 .00 .00 090 S
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
2. On page 63723, the following codes are corrected to read:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
33611.... C Repair double ventricle........................ 0.00 0.00 0.00 0.00 090 S
33612.... C Repair double ventricle........................ .00 .00 .00 .00 090 S
33615.... C Repair (simple fontan)......................... .00 .00 .00 .00 090 S
33617.... C Repair by modified fontan...................... .00 .00 .00 .00 090 S
33619.... C Repair single ventricle........................ .00 .00 .00 .00 090 S
33692.... C Repair of heart defects........................ .00 .00 .00 .00 090 S
33697.... C Repair of heart defects........................ .00 .00 .00 .00 090 S
33698.... C Repair of heart defects........................ .00 .00 .00 .00 090 S
33722.... C Repair of heart defect......................... .00 .00 .00 .00 090 S
33732.... C Repair heart-vein defect....................... .00 .00 .00 .00 090 S
33736.... C Revision of heart chamber...................... .00 .00 .00 .00 090 S
33766.... C Major vessel shunt............................. .00 .00 .00 .00 090 S
33767.... C Atrial septectomy/septostomy................... .00 .00 .00 .00 090 S
33770.... C Repair great vessels defect.................... .00 .00 .00 .00 090 S
33771.... C Repair great vessels defect.................... .00 .00 .00 .00 090 S
33853.... C Repair septal defect........................... .00 .00 .00 .00 090 S
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
3. On page 63724, the following codes are corrected to read:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
33917.... C Repair pulmonary artery........................ 0.00 0.00 0.00 0.00 090 S
33918.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S
33919.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S
33920.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S
33922.... C Transect pulmonary artery...................... .00 .00 .00 .00 090 S
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
4. On page 63733, HCPCS code 43248 is corrected to read as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
43248.... A Upper GI endoscopy/guidewire................... 3.18 *4.14 0.34 7.66 000 N
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
5. On page 63749, the third appearance of HCPCS code 59020 is
corrected to read as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
59020.... A Fetal contract stress test..................... 0.67 *0.87 0.19 1.73 000 S
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
6. On page 63764, the following code is corrected to read:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
70551.... A Magnetic image, brain (MRI).................... 1.50 0.67 0.10 2.27 XXX N
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
7. On page 63799, the following code is added to read:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
86423.... D Radioimmunosorbent test IGE.................... 0.00 0.00 0.00 0.00 XXX O
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
8. On page 63836, the following codes are corrected to read:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Practice
HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update
RVUs\2\ RVUs period
--------------------------------------------------------------------------------------------------------------------------------------------------------
J7030.... E Infusion, normal saline solution............... 0.00 0.00 0.00 0.00 XXX O
J7040.... E Infusion, normal saline solution............... .00 .00 .00 0.00 XXX O
J7042.... E 5% dextrose/normal saline...................... .00 .00 .00 0.00 XXX O
J7050.... E Infusion, normal saline solution............... .00 .00 .00 0.00 XXX O
J7051.... E Sterile saline or water........................ .00 .00 .00 0.00 XXX O
J7060.... E 5% dextrose/water.............................. .00 .00 .00 0.00 XXX O
J7070.... E Infusion, d5w.................................. .00 .00 .00 0.00 XXX O
J7120.... E Ringers lactate infusion....................... .00 .00 .00 0.00 XXX O
--------------------------------------------------------------------------------------------------------------------------------------------------------
\1\All numeric CPT HCPCS Copyright 1993 American Medical Association.
\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.
(Section 1848 of the Social Security Act (42 U.S.C. 1395w-4))
(Catalog of Federal Domestic Assistance Program No. 93.774,
Medicare--Supplementary Medical Insurance Program)
Dated: July 5, 1994.
Neil J. Stillman,
Deputy Assistant Secretary for Information Resources Management.
[FR Doc. 94-17222 Filed 7-14-94; 8:45 am]
