2013-19378. Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B ...

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 16, 2012, entitled “Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule, DME Face-to-Face Encounters, Elimination of the Requirement for Termination of Non-Random Prepayment Complex Medical Review and Other Revisions to Part B for CY 2013.”

DATES:

The correcting document is effective August 12, 2013 and is applicable beginning January 1, 2013.

FOR FURTHER INFORMATION CONTACT:

Elliott Isaac, [phone].

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 2012-26900 of November 16, 2012 (77 FR 68892 through 69373), there were a number of technical errors that are identified and corrected in the Correction of Errors section below. These corrections are effective January 1, 2013. We note that the Addenda A through H for the CY 2013 PFS final rule with comment period as corrected in this correction notice are available on the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​.

II. Summary of Errors

A. Summary of Errors in the Preamble

On pages 68904 through 68906, in Table 3: Calculation of PE RVUs under Methodology for Selected Codes, the PE RVUs listed in the table are incorrect.

On page 68907, in our discussion of the changes to direct PE inputs for specific services, we made a typographical error in identifying the calendar years.

On page 68957, in our discussion of Medicare telehealth services, we inadvertently omitted a discussion of psychotherapy services.

On page 68958, in our discussion of therapy services, we inadvertently omitted language regarding the claims-based data collection strategy for therapy services.

On page 68965, we inadvertently omitted language in our discussion on non-payable G-codes on beneficiary functional status.

On page 68966, we inadvertently included language.

On pages 68967 and 68968, we inadvertently made errors in the descriptors for G-codes in Table 21: G-Codes for Claims-Based Functional Reporting for CY 2013.

On page 69033, we inadvertently omitted a code-specific direct PE input.

On pages 69042 and 69043, in our discussion of the global period for CPT code 22586, we made a typographical error in the code descriptor.

On page 69051,

a. We inadvertently used the wrong descriptor for CPT 36221.

b. We inadvertently omitted two paragraphs regarding our treatment of CPT codes 37197 and 37214.

On pages 69071 through 69073, we made clerical errors in table references.

On page 69074, in our discussion of pricing supply and equipment items, we inadvertently omitted a paragraph detailing the items for which we did not receive adequate information and therefore could not price them for the interim final values in the CY 2013 rule.

On pages 69077 through 69128, we made numerous typographical errors and technical errors in Table 74: CPT Codes with Refined direct PE Recommendations for CY 2013 Interim Codes and therefore are correcting the table.

On page 69138, we made typographical errors in the CY 2013 PFS conversion factor (CF).

On page 69138, we made typographical errors in the CY 2013 PFS CF in Table 87: Calculation of the CY 2013 PFS CF.

On page 69139, in Table 88: Calculation of the CY 2013 Anesthesia CF, we inadvertently listed the incorrect anesthesia CF.

On page 69145, we inadvertently referred to “physician's order” instead of “valid prescription.”

On page 69212, due to a typographical error, the title of PQRS Measure 190 referred to in the comment bullet was not correct.

On pages 69215 through 69267, the notes after Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014* were inadvertently omitted.

On page 69237, in Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014*, due to a typographical error, Measures #189 and 190 were incorrectly listed as available for reporting under PQRS.

On page 69269, in Table 96: PQRS Quality Measures Available for Reporting for Group Practices Using the GPRO Web Interface for 2013 and Beyond, due to a typographical error, the description of the measure “Medication Reconciliation” is incorrect.

On page 69277, in Table 108: HIV/AIDS Measures Group, due to a clerical error, there are measures listed that have lost their NQF endorsement and are therefore no longer being maintained by the respective measure owner.

On page 69300, due to a clerical error, we stated the deadlines for requesting an informal review for the 2012 and 2013 eRx incentives incorrectly. The regulation at § 414.92(g) correctly states that eligible professionals and group practices must submit an informal review request for the 2012 and 2013 incentives within 90 days of the release of the feedback reports. The preamble does not reflect this same regulation text. Therefore, we are revising the preamble to reflect the regulation text at § 414.92(g).

On pages 69344 through 69345, in Table 134: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty, due to technical errors in the calculations of the impacts, there were errors in the total estimated impacts and the estimated impacts for the following specialties: 01—ALLERGY/IMMUNOLOGY, 02—ANESTHESIOLOGY, 10—FAMILY PRACTICE, 13—GENERAL SURGERY, 18—INTERNAL MEDICINE, 19—INTERVENTIONAL PAIN MANAGEMENT, 21—MULTISPECIALTY CLINIC/OTHER PHY, 34—PLASTIC SURGERY, 41—UROLOGY, 49—NURSE ANES/ANES ASST.

On page 69345, at the end of Table 134: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty, we made clerical errors in the first footnote.

On pages 69347 through 69348, in Table 135: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy, due to technical errors in calculations of the impacts, there were errors in the estimates of the total impact and on the impact for the following specialties: 01—ALLERGY/IMMUNOLOGY, 02—ANESTHESIOLOGY, 13—GENERAL SURGERY, 18—INTERNAL MEDICINE, 19—INTERVENTIONAL PAIN MANAGEMENT, 21—MULTISPECIALTY CLINIC/OTHER PHY, 41—UROLOGY, 49—NURSE ANES/ANES ASST.

On page 69348, at the end of Table 135: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy, we made a clerical error in the first footnote.

On page 69350 through 69351, in Table 136: Impact of Final Rule with Comment Period on CY 2013 Payment for Selected Procedures, we made technical errors in the calculation of the impacts.

On page 69351, in footnotes 3 and 4 at the end of Table 136: Impact of Final Rule with Comment Period on CY 2013 Payment for Selected Procedures, we inadvertently listed the incorrect 2012 conversion factor.

B. Summary and Correction of Errors in the Addenda on the CMS Web site

Technical errors in the creation of the direct practice expense database resulted in incorrect direct PE inputs for CPT codes: 11307, 11313, 13100, 13101, 13102, 13120, 13121, 13122, 13131, 13132, 13133, 13150, 13151, 13152, 31231, 32554, 32555, 32556, 32557, 35475, 35476, 36221, 36222, 36223, 36224, 36225, 36226, 37197, 52224, 64612, 65800, 72040, 72050, 72052, 72069, 72193, 72194, 74160, 74170, 74177, 74178, 76872, 77301, 92081, 92082, 92083, 92235, 92286, 93925, 93970, 95010, 95015, 95017, 95018, 95782, 95783, and 97150. As a result of these errors, the budget neutrality adjustment used in calculating PE RVUs was incorrect, resulting in incorrect values for other PE RVUs in Addenda B and C. These errors are corrected in the revised Direct PE Input Database available on the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​. Resulting changes to PE RVUs are reflected in the corrected Addenda B and C posted on the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​.

Due to a technical error, although the physician time records for CPT codes 22841, 51798, 95990, 96913, and 97602 were properly removed from the physician time file per final policy discussed in the CY 2013 final rule with comment period (77 FR 68926), these time records were inadvertently used in the creation of the PE RVUs. This technical error is corrected in the revised CY 2013 Addendum B posted to the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​.

Due a technical error in applying a change made in the final rule in calculating the impact of the ophthalmology MPPR used in the PE methodology, as described on page 68901, the “CY 2012 Utilization data Crosswalk to CY 2013” file posted on the CMS Web site contained errors. This also resulted in errors in Addenda B and C files posted on the CMS Web site. These addenda have been corrected as a result of the changes made in this correction notice and the corrected Addenda B and C files are posted on the CMS Web site. www.cms.gov/​/PhysicianFeeSched/​.

Due to a technical error in calculating the anesthesia inputs, the PE RVUs for all services reflected in Addenda B and C posted on the CMS Web site were inaccurate. Resulting changes to the PE RVUs are reflected in the corrected Addenda B and C.

Due to a technical error, in Addendum B, row 8744 containing CPT/HCPC 92287 did not list RVUs for use with both the TC and 26 modifiers. The corrected Addendum B, which is posted on the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​, includes these services and related information.

Due to a technical error in Addendum B, row 9180 containing CPT/HCPC 93657 did not list a PE RVU. The corrected Addendum B, which is posted on the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​ reflects this change.

Due to a technical error in the posting of Addendum C, the “NA” flags did not display for services when either the facility or nonfacility setting did not contain a value. The corrected Addendum C, which is posted on the CMS Web site at www.cms.gov/​/PhysicianFeeSched/​, reflects the “NA” flags for services that are not valued in the indicated setting.

III. 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 rule take effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we can waive this notice and comment procedure if the Secretary finds, for good cause, that the notice and comment process is impracticable, unnecessary, or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice.

Section 553(d) of the APA ordinarily requires a 30-day delay in the effective date of final rules after the date of their publication in the Federal Register. This 30-day delay in effective date can be waived, however, if an agency finds for good cause that the delay is impracticable, unnecessary, or contrary to the public interest, and the agency incorporates a statement of the findings and its reasons in the rule issued.

This document merely corrects typographical and technical errors in the preamble and addenda of the CY 2013 Physician Fee Schedule final rule with comment period. The provisions of that final rule with comment period have been subjected to notice and comment procedures. The corrections contained in this document are consistent with, and do not make substantive changes to, the policies and payment methodologies that were adopted in the CY 2013 PFS final rule with comment period. As a result, the corrections made through this correcting document are intended to ensure that the CY 2013 PFS final rule with comment period accurately reflects the policies adopted in that rule. Therefore, we find for good cause that it is unnecessary and would be contrary to the public interest to undertake further notice and comment procedures to incorporate the corrections in this document into the CY 2013 PFS final rule with comment period. For the same reasons, we find that there is good cause to waive the 30-day delay in the effective date for these corrections.

Further, we believe that it is in the public interest to ensure that the CY 2013 PFS final rule with comment period accurately reflects our policies as of the date they take effect. Therefore, we find that delaying the effective date of these corrections beyond the effective date of the final rule with comment period would be contrary to the public interest. In so doing, we find good cause to waive the 30-day delay in effective date.

IV. Correction of Errors

In FR Doc. 2012-26900 of November 16, 2012 (77 FR 68892), make the following corrections:

A. Correction of Errors in the Preamble

1. On pages 68904 through 68906, in Table 3: Calculation of PE RVUs Under Methodology for Selected Codes, the table is corrected to read as follows:

Table 3—Calculation of PE RVUS Under Methodology for Selected Codes

	Step	Source	Formula	99213 Office visit, est nonfacility	33533 CABG, arterial, single facility	71020 Chest x-ray nonfacility	71020-TC Chest x-ray nonfacility	71020-26 Chest x-ray nonfacility	93000 ECG, complete nonfacility	93005 ECG, tracing nonfacility	93010 ECG, report nonfacility
(1) Labor cost (Lab)	Step 1	AMA		13.32	77.52	5.74	5.74	0.00	6.12	6.12	0.00
(2) Supply cost (Sup)	Step 1	AMA		2.98	0.00	3.39	3.39	0.00	1.19	1.19	0.00
(3) Equipment cost (Eqp)	Step 1	AMA		0.17	0.58	7.24	7.24	0.00	0.11	0.11	0.00
(4) Direct cost (Dir)	Step 1		=(1)+(2)+(3)	16.48	78.10	16.38	16.38	0.00	7.42	7.42	0.00
(5) Direct adjustment (Dir. Adj.)	Steps 2-4	See footnote*		0.5973	0.5973	0.5973	0.5973	0.5973	0.5973	0.5973	0.5973
(6) Adjusted Labor	Steps 2-4	=Labor * Dir Adj	=(1)*(5)	7.96	46.30	3.43	3.43	0.00	3.66	3.66	0.00
(7) Adjusted Supplies	Steps 2-4	=Eqp * Dir Adj	=(2)*(5)	1.78	0.00	2.03	2.03	0.00	0.71	0.71	0.00
(8) Adjusted Equipment	Steps 2-4	=Sup * Dir Adj	=(3)*(5)	0.10	0.35	4.33	4.33	0.00	0.06	0.06	0.00
(9) Adjusted Direct	Steps 2-4		=(6)+(7)+(8)	9.84	46.65	9.78	9.78	0.00	4.43	4.43	0.00
(10) Conversion Factor (CF)	Step 5	PFS		34.0376	34.0376	34.0376	34.0376	34.0376	34.0376	34.0376	34.0376
(11) Adj. labor cost converted	Step 5	=(Lab * Dir Adj)/CF	=(6)/(10)	0.23	1.36	0.10	0.10	0.00	0.11	0.11	0.00
(12) Adj. supply cost converted	Step 5	=(Sup * Dir Adj)/CF	=(7)/(10)	0.05	0.00	0.06	0.06	0.00	0.02	0.02	0.00
(13) Adj. equipment cost converted	Step 5	=(Eqp * Dir Adj)/CF	=(8)/(10)	0.00	0.01	0.13	0.13	0.00	0.00	0.00	0.00
(14) Adj. direct cost converted	Step 5		=(11)+(12)+(13)	0.29	1.37	0.29	0.29	0.00	0.13	0.13	0.00
(15) Work RVU	Setup File	PFS		0.97	33.75	0.22	0.00	0.22	0.17	0.00	0.17
(16) Dir_pct	Steps 6,7	Surveys		0.31	0.18	0.31	0.31	0.31	0.31	0.31	0.31
(17) Ind_pct	Steps 6,7	Surveys		0.69	0.82	0.69	0.69	0.69	0.69	0.69	0.69
(18) Ind. Alloc. Formula (1st part)	Step 8	See Step 8		((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)
(19) Ind. Alloc.(1st part)	Step 8		See 18	0.87	6.41	0.7	0.7	0	0.32	0.32	0
(20) Ind. Alloc. Formula (2nd part)	Step 8	See Step 8		(15)	(15)	(15+11)	(11)	(15)	(15+11)	(11)	(15)
(21) Ind. Alloc.(2nd part)	Step 8		See 20	0.97	33.75	0.32	0.10	0.22	0.28	0.11	0.17
(22) Indirect Allocator (1st + 2nd)	Step 8		=(19)+(21)	1.84	40.16	1.03	0.81	0.22	0.60	0.43	0.17
(23) Indirect Adjustment (Ind. Adj.)	Steps 9-11	See Footnote**		0.40	0.40	0.40	0.40	0.40	0.40	0.40	0.40
(24) Adjusted Indirect Allocator	Steps 9-11	=Ind Alloc * Ind Adj		0.75	16.25	0.42	0.33	0.09	0.24	0.17	0.07
(25) Ind. Practice Cost Index (IPCI)	Steps 12-16			1.08	0.79	0.92	0.92	0.92	0.92	0.92	0.92
(26) Adjusted Indirect	Step 17	= Adj.Ind Alloc * PCI	=(24)*(25)	0.81	12.76	0.38	0.30	0.08	0.22	0.16	0.06
(27) PE RVU	Step 18	=(Adj Dir + Adj Ind) * budn	=((14)+(26)) * budn	1.10	14.15	0.67	0.59	0.08	0.35	0.29	0.06

2. On page 68907, first column, first paragraph,

a. Line 6, the phrase “CY 2012” is corrected to read “CY 2013.”

b. Line 8, the phrase “CY 2012” is corrected to read “CY 2013.”

3. On page 68957, second column, following Table 18 is corrected by adding the following:

“6. Psychiatry Services

For CY 2013, the CPT Editorial Panel replaced the current psychiatry/psychotherapy CPT codes with a new structure that allows for the separate reporting of E/M codes, eliminates codes based upon the site-of-service, establishes CPT codes for crisis, and creates a series of psychotherapy add-on CPT codes to describe interactive complexity and medication management. Many of these services are included in the list of Medicare telehealth services. For CY 2013, we did not propose any changes in Medicare telehealth payment policies related to the existing services described by these new codes. Therefore, the new codes describing services currently included on the CY 2012 list of Medicare telehealth services will be included on the CY 2013 list of Medicare telehealth services.

In the case of pharmacologic management services, currently on the CY 2012 list of Medicare telehealth services, we note that the CPT Editorial Panel deleted CPT code 90862 (Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy), and that for CY 2013, psychiatrists will bill the appropriate E/M code when furnishing pharmacologic management services. In order to maintain current telehealth policy for these services when furnished to inpatients, we are establishing a new HCPCS G-code, G0459 (Inpatient telehealth, pharmacologic management, including prescription use and review of medication with no more than minimal medical psychotherapy), on an interim basis for CY 2013 that will describe the pharmacologic management service when furnished via telehealth to inpatients.

We will address any other change in telehealth policy regarding psychiatry services in future rulemaking.”.

4. On page 68959, first column, partial line 5, before the phrase “Between 1998-2008,” is corrected to read as follows: “We note that this number does not represent a discrete number of beneficiaries; rather, it represents the total number of beneficiaries receiving therapy services under plans of care from different disciplines and different providers.”.

5. On page 68965, third column, third paragraph, lines 4 and 5, the phrase “a composite score” is corrected to read “an overall composite score.”

6. On page 68966, third column, second full paragraph, lines 19 through 21, the phrase “…functional measures, such as is done with the FOTO Patient tool, for example.” is corrected to read “functional measures.”

7. On page 68967 and 68968, in Table 21: G-Codes for Claims-Based Functional Reporting for CY 2013, the listed entries are corrected to read as follows:

Other PT/OT Primary Functional Limitation
G8990	Other physical or occupational therapy primary functional limitation, current status, at therapy episode outset and at reporting intervals.
G8991	Other physical or occupational therapy primary functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting.
G8992	Other physical or occupational therapy primary functional limitation, discharge status, at discharge from therapy or to end reporting.
Other PT/OT Primary Functional Limitation
G8993	Other physical or occupational therapy subsequent functional limitation, current status, at therapy episode outset and at reporting intervals.
G8994	Other physical or occupational therapy subsequent functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting.
G8995	Other physical or occupational therapy subsequent functional limitation, discharge status, at discharge from therapy or to end reporting.
Swallowing
G8996	Swallowing functional limitation, current status at therapy episode outset and at reporting intervals.
G8997	Swallowing functional limitation, projected goal status, at therapy episode outset, at reporting intervals, and at discharge or to end reporting.
G8998	Swallowing functional limitation, discharge status, at discharge from therapy or to end reporting.
Motor Speech
G8999	Motor speech functional limitation, current status at therapy episode outset and at reporting intervals.
G9186	Motor speech functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
Spoken Language Comprehension
G9159	Spoken language comprehension functional limitation, current status at therapy episode outset and at reporting intervals.
G9160	Spoken language comprehension functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
G9161	Spoken language comprehension functional limitation, discharge status at discharge from therapy or to end reporting.
Spoken Language Expression
G9162	Spoken language expression functional limitation, current status at therapy episode outset and at reporting intervals.
G9163	Spoken language expression functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
G9164	Spoken language expression functional limitation, discharge status at discharge from therapy or to end reporting.
Attention
G9165	Attention functional limitation, current status at therapy episode outset and at reporting intervals.
G9166	Attention functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
G9167	Attention functional limitation, discharge status at discharge from therapy or to end reporting.
Memory
G9168	Memory functional limitation, current status at therapy episode outset and at reporting intervals.
G9169	Memory functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
G9170	Memory functional limitation, discharge status at discharge from therapy or to end reporting.
Voice
G9171	Voice functional limitation, current status at therapy episode outset and at reporting intervals.
G9172	Voice functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
G9173	Voice functional limitation, discharge status at discharge from therapy or to end reporting.
Other SLP Functional Limitation
G9174	Other speech language pathology functional limitation, current status at therapy episode outset and at reporting intervals.
G9175	Other speech language pathology functional limitation, projected goal status at therapy episode outset, at reporting intervals, and at discharge from or to end reporting.
G9176	Other speech language pathology functional limitation, discharge status at discharge from therapy or to end reporting.

8. On page 69033, in the third column, after second full paragraph, is corrected by adding the following:

“(14) Needle EMG: Electromyography (CPT Codes 95886, 95887)

In establishing interim final direct PE inputs for 2012, CMS refined the AMA RUC's recommendation for CPT codes 95886 (Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levels (list separately in addition to code for primary procedure)) and 95887 (Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (list separately in addition to code for primary procedure)) by reducing the number of service period clinical labor minutes to account for preparatory clinical labor tasks associated with both the base and add-on codes. CMS also refined the corresponding equipment minutes.

Comment: Several commenters explained that clinical labor typically requires additional time to prepare the distinct equipment used in furnishing the services described by the add-on codes.

Response: After reviewing the information provided by the commenters, we agree that it would be appropriate to incorporate additional minutes for these codes. Therefore, we are finalizing the direct PE inputs for CPT codes 95886 and 95887 with the additional refinement of adding two minutes to both the service period clinical labor time and the corresponding equipment time. The direct PE inputs are displayed in the final CY 2013 direct PE input database, available on the CMS Web site under downloads for the CY 2013 PFS final rule at www.cms.gov/​PhysicianFeeSched/​.”.

9. On page 69042, bottom half of the page, last paragraph, last line, the phrase CPT code 99231 visits is corrected to read “99231 (subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; a problem focused examination; medical decision making that is straightforward or of low complexity) visits,”.

10. On page 69043, top of page, first column, first partial paragraph, lines 1 and 2, the phrase 99323 visit is corrected to read “99232 (subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; an expanded problem focused examination; medical decision making of moderate complexity) visit, 1 CPT code 99238 (hospital discharge day management; 30 minutes or less) visit, and 4 CPT code 99213 (office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity) visits.”.

11. On page 69051,

a. First column, first full paragraph, lines 2 through 10, the parenthetical ((Non-selective catheter placement, thoracic aorta, with angiography of the extracranial carotid, vertebral, and/or intracranial vessels, unilateral or bilateral, and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed).), is corrected to read: “((Selective catheter placement, common carotid or innominate artery, unilateral, any approach, with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation, includes angiography of the cervicocerebral arch, when performed).)”.

b. Third column, after last full paragraph, is corrected by adding the following:

“CPT codes 37620, 75940, and 36010 were identified as potentially misvalued through the Codes Reported Together 75 percent or More screen. In response, the CPT Editorial Panel created CPT codes 37191 through 37193 and 37197 to bundle the services together. After clinical review of CPT code 37197 (Transcatheter retrieval, percutaneous, of intravascular foreign body (for example, fractured venous or arterial catheter), includes radiological supervision and interpretation, and imaging guidance (ultrasound or fluoroscopy), when performed), along with the other related bundled services, we believe a work RVU of 6.29 accurately reflects the work involved in furnishing this service. We believe CPT code 37197 involves similar work as CPT code 36247 (Selective catheter placement, arterial system; initial third order or more selective abdominal, pelvic, or lower extremity artery branch, within a vascular family) and should be valued the same. Furthermore, we believe a work RVU of 6.29 appropriately reflects the relative difference in work between this service and related CPT codes 37191, 37192, and 37193. The AMA RUC recommended a work RVU of 6.72 for CPT code 37197, a direct crosswalk to CPT code 36475 (Endovenous ablation therapy of incompetent vein, extremity, inclusive of all imaging guidance and monitoring, percutaneous, radiofrequency; first vein treated). On an interim final basis for CY 2013, we are assigning a work RVU of 6.29 to CPT code 37197.”.

12. On page 69071, lower half of the page, third column,

a. Lines 3 and 4, the phrase “Table KK6 is corrected to read “Table 73.”.

b. Line 10, the phrase “Table KK7” is corrected to read “Table 74.”.

13. On page 69072,

a. First column, first full paragraph, line 1, the phrase “Table KK7” is corrected to read “Table 74.”

b. Second column,

(1) First full paragraph, last line, the phrase “Table 73” is corrected to read “Table 74.”.

(2) Second full paragraph, last line, the phrase “Table 73” is corrected to read “Table 74.”.

c. Third column,

(1) First paragraph, last line, the phrase “Table 73” is corrected to read “Table 74.”.

(2) Second paragraph, lines 23 and 24, the phrase “Table 73” is corrected to read “Table 74.”

14. On page 69073, second column, second full paragraph, last line, the phrase “Table 73” is corrected to read, “Table 74.”

15. On page 69074, first column, following first partial paragraph, is corrected to read as follows:

“We note that we did not receive adequate information for pricing the following new supply and equipment items included in the AMA RUC's CY 2013 direct PE input recommendations: SD276 (Indicator powder), SK115 (Reproduced patient worksheet), SL464 (Atomizer tips, disposable), and ER088 (Infrared illuminator). Therefore, for CY 2013, these supply and equipment items have no price inputs associated with them in the direct PE database. We will consider any newly submitted information regarding appropriate pricing for these supply items as part of our annual supply and equipment price update process.”

16. On pages 69077 through 69128, in Table 74: CPT Codes with Refined Direct PE Recommendations for CY 2013 Interim Codes is corrected to read as follows:

TABLE 74—CPT Codes With Refined Direct PE Recommendations for CY 2013 Interim Codes

CPT Code	CPT Code description	CMS Code	CMS Code description	NonFac/Fac	Labor activity (if applicable)	RUC recommendation or current value (min or qty)	CMS refinement (min or qty)	Comment
11300	Shave skin lesion 0.5 cm/<	ED004	camera, digital (6 mexapixel)	NF		29	14	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		29	14	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		29	14	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		29	14	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		29	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		29	24	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator(tubing, covering, etc.) with stand	NF		29	14	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11301	Shave skin lesion 0.6-1.0 cm	ED004	camera, digital (6 mexapixel)	NF		32	17	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		32	17	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		32	17	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		32	17	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		32	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		32	27	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		32	17	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11302	Shave skin lesion 1.1-2.0 cm	ED004	camera, digital (6 mexapixel)	NF		37	20	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		37	20	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		37	20	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		37	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		37	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		37	30	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		37	20	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11303	Shave skin lesion >2.0 cm	ED004	camera, digital (6 mexapixel)	NF		41	22	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		41	22	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		41	22	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		41	22	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		41	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		41	32	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		41	22	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11305	Shave skin lesion 0.5 cm/<	ED004	camera, digital (6 mexapixel)	NF		29	17	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		29	17	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		29	17	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		29	17	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		29	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		29	27	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		29	17	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11306	Shave skin lesion 0.6-1.0 cm	ED004	camera, digital (6 mexapixel)	NF		31	25	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		31	25	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		31	25	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		31	25	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		31	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		31	35	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		31	25	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Assist physician in performing procedure	10	18	Conforming to physician time.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11307	Shave skin lesion 1.1-2.0 cm	ED004	camera, digital (6 mexapixel)	NF		37	21	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		37	21	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		37	21	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		37	21	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		37	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		37	31	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		37	21	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11308	Shave skin lesion >2.0 cm	ED004	camera, digital (6 mexapixel)	NF		42	24	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		42	24	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		42	24	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		42	24	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		42	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		42	34	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		42	24	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11310	Shave skin lesion 0.5 cm/<	ED004	camera, digital (6 mexapixel)	NF		34	20	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		34	20	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		34	20	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		34	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		34	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		34	30	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		34	20	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11311	Shave skin lesion 0.6-1.0 cm	ED004	camera, digital (6 mexapixel)	NF		34	24	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		34	24	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		34	24	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		34	24	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		34	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		34	34	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		34	24	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Assist physician in performing procedure	11	17	Conforming to physician time.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11312	Shave skin lesion 1.1-2.0 cm	ED004	camera, digital (6 mexapixel)	NF		43	17	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		43	17	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		43	17	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		43	17	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		43	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		43	37	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		43	17	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11313	Shave skin lesion >2.0 cm	ED004	camera, digital (6 mexapixel)	NF		48	30	Refined equipment time to reflect typical use exclusive to patient.
		EF014	light, surgical	NF		48	30	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		48	30	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		48	30	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		48	0	CMS clinical review; not described as typical in work vignette.
		EQ137	instrument pack, basic ($500-$1499)	NF		48	40	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		48	30	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	1	10	Standardized time input.
		SB003	cover, probe (cryosurgery)	NF		1	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB033	mask, surgical	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
11719	Trim nail(s) any number	L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	3	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Provide pre-service education/obtain consent	2	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Prepare room, equipment, supplies	2	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Clean room/equipment by physician staff	3	1	CMS clinical review.
		SJ028	hydrogen peroxide	NF		10	0	CMS clinical review.
		SJ053	swab-pad, alcohol	NF		10	0	CMS clinical review.
13100	Cmplx rpr trunk 1.1-2.5 cm	EF014	light, surgical	NF		32	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		32	39	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		32	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		32	39	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		32	39	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		32	46	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		32	39	Refined equipment time to reflect typical use exclusive to patient.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13101	Cmplx rpr trunk 2.6-7.5 cm	EF014	light, surgical	NF		45	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		45	47	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		45	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		45	47	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		45	47	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		45	54	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		45	47	CMS clinical review.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB027	gown, staff, impervious	F		2	0	CMS clinical review.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SB034	mask, surgical, with face shield	F		2	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		10	0	Duplicative.
13102	Cmplx rpr trunk addl 5cm/<	EF015	mayo stand	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13120	Cmplx rpr s/a/l 1.1-2.5 cm	EF014	light, surgical	NF		86	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		86	41	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		86	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		86	41	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		86	41	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		86	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		86	41	Refined equipment time to reflect typical use exclusive to patient.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB027	gown, staff, impervious	F		2	0	CMS clinical review.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SB034	mask, surgical, with face shield	F		2	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13121	Cmplx rpr s/a/l 2.6-7.5 cm	EF014	light, surgical	NF		129	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		129	48	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		129	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		129	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		129	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		129	55	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		129	48	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	15	10	Standardized time input.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		10	0	Duplicative.
13122	Cmplx rpr s/a/l addl 5 cm/>	EF015	mayo stand	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		30	20	Refined equipment time to reflect typical use exclusive to patient.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13131	Cmplx rpr f/c/c/m/n/ax/g/h/f	EF014	light, surgical	NF		45	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		45	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		45	55	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13132	Cmplx rpr f/c/c/m/n/ax/g/h/f	EF014	light, surgical	NF		50	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		50	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		50	58	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		10	0	Duplicative.
13133	Cmplx rpr f/c/c/m/n/ax/g/h/f	EF015	mayo stand	NF		35	23	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		35	23	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		35	23	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		35	23	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		35	23	Refined equipment time to reflect typical use exclusive to patient.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13150	Cmplx rpr e/n/e/l 1.0 cm/<	EF014	light, surgical	NF		30	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		30	44	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		30	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		30	44	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		30	44	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		30	51	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		30	44	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Assist physician in performing procedure	20	26	Conforming to physician time.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13151	Cmplx rpr e/n/e/l 1.1-2.5 cm	EF014	light, surgical	NF		45	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		45	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		45	55	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		45	48	Refined equipment time to reflect typical use exclusive to patient.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
13152	Cmplx rpr e/n/e/l 2.6-7.5 cm	EF014	light, surgical	NF		50	27	Refined equipment time to reflect typical use exclusive to patient.
		EF015	mayo stand	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		EF023	table, exam	NF		50	27	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		50	58	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		50	51	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF		15	10	Standardized time input.
		SB016	drape-cover, sterile, OR light handle	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	0	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		10	0	Duplicative.
13153	Cmplx rpr e/n/e/l addl 5cm/<	EF015	mayo stand	NF		45	30	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		45	30	Refined equipment time to reflect typical use exclusive to patient.
		EQ114	electrosurgical generator, up to 120 watts	NF		45	30	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		45	30	Refined equipment time to reflect typical use exclusive to patient.
		EQ351	Smoke Evacuator (tubing, covering, etc.) with stand	NF		45	30	Refined equipment time to reflect typical use exclusive to patient.
		SC029	needle, 18-27g	NF		2	0	CMS clinical review.
			Electrocautery Supply Pack	NF		1	0	Non-standard direct practice expense input.
		SJ041	povidone soln (Betadine)	NF		5	0	Duplicative.
20600	Drain/inject joint/bursa	EF023	table, exam	NF		19	16	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		19	16	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	F	Discharge day management	6	0	CMS clinical review.
		L037D	RN/LPN/MTA	F	Conduct phone calls/call in prescriptions	0	3	CMS clinical review.
		SC029	needle, 18-27g	NF		4	2	CMS clinical review.
		SC055	syringe 3ml	NF		2	1	CMS clinical review.
20605	Drain/inject joint/bursa	EF023	table, exam	NF		19	16	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		19	16	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	F	Discharge day management	6	0	CMS clinical review.
		L037D	RN/LPN/MTA	F	Conduct phone calls/call in prescriptions	0	3	CMS clinical review.
		SC029	needle, 18-27g	NF		4	2	CMS clinical review.
		SC055	syringe 3ml	NF		2	1	CMS clinical review.
20610	Drain/inject joint/bursa	EF023	table, exam	NF		19	16	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		19	16	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	F	Discharge day management	6	0	CMS clinical review.
		L037D	RN/LPN/MTA	F	Conduct phone calls/call in prescriptions	0	3	CMS clinical review.
		SC029	needle, 18-27g	NF		4	2	CMS clinical review.
		SC057	syringe 5-6ml	NF		2	1	CMS clinical review.
23472	Reconstruct shoulder joint	SA052	pack, post-op incision care (staple)	F		0	1	CMS clinical review.
		SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
23473	Revis reconst shoulder joint	SA052	pack, post-op incision care (staple)	F		0	1	CMS clinical review.
		SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
23474	Revis reconst shoulder joint	SA052	pack, post-op incision care (staple)	F		0	1	CMS clinical review.
		SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
24363	Replace elbow joint	SA052	pack, post-op incision care (staple)	F		0	1	CMS clinical review.
		SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
24370	Revise reconst elbow joint	SA052	pack, post-op incision care (staple)	F		0	1	CMS clinical review.
		SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
24371	Revise reconst elbow joint	SA052	pack, post-op incision care (staple)	F		0	1	CMS clinical review.
		SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
31231	Nasal endoscopy dx	ED032	printer, laser, paper	NF		43	35	Refined equipment time to reflect typical use exclusive to patient.
		EF008	chair with headrest, exam, reclining	NF		43	35	Refined equipment time to reflect typical use exclusive to patient.
		EQ138	instrument pack, medium ($1500 and up)	NF		0	47	Refined equipment time to reflect typical use exclusive to patient.
		EQ167	light source, xenon	NF		43	35	Refined equipment time to reflect typical use exclusive to patient.
		EQ170	light, fiberoptic headlight w-source	NF		43	35	Refined equipment time to reflect typical use exclusive to patient.
		EQ234	suction and pressure cabinet, ENT (SMR)	NF		43	35	Refined equipment time to reflect typical use exclusive to patient.
		ES013	endoscope, rigid, sinoscopy	NF		63	42	Refined equipment time to reflect typical use exclusive to patient.
		ES013	endoscope, rigid, sinoscopy	NF		63	0	CMS clinical review.
		ES031	video system, endoscopy (processor, digital capture, monitor, printer, cart)	NF		43	35	Refined equipment time to reflect typical use exclusive to patient.
		ES036	Nasal Endoscopy Instrument Package	NF		63	0	Non-standard direct practice expense input.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	2	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	1	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Clean Surgical Instrument Package	10	15	Standardized time input.
		L037D	RN/LPN/MTA	NF	Review/read X-ray, lab, and pathology reports	5	0	CMS clinical review.
		SB027	gown, staff, impervious	NF		2	1	Duplicative.
		SB034	mask, surgical, with face shield	NF		2	1	Duplicative.
31647	Bronchial valve init insert	L047C	RN/Respiratory Therapist	F	Complete pre-service diagnostic & referral forms	3	5	CMS clinical review.
		L047C	RN/Respiratory Therapist	F	Coordinate pre-surgery services	5	3	CMS clinical review.
32554	Aspirate pleura w/o imaging	EF023	table, exam	NF		56	52	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		0	52	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Complete pre-service diagnostic & referral forms	5	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Coordinate pre-surgery services	3	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Monitor pt. following service/check tubes, monitors, drains	5	10	CMS clinical review.
		SA048	pack, minimum multi-specialty visit	NF		0	1	CMS clinical review.
		SA067	tray, shave prep	NF		0	1	CMS clinical review.
			kit, thoracentesis	NF		1	0	CMS clincial review.
		SA070	tray, thoracentesis	NF		0	1	CMS clincial review.
		SA077	kit, pleural catheter insertion	NF		0	1	CMS clinical review.
		SB001	cap, surgical	NF		0	2	CMS clinical review.
		SB006	drape, non-sterile, sheet 40in x 60in	NF		1	0	CMS clinical review.
		SB024	gloves, sterile	NF		1	2	CMS clinical review.
		SB034	mask, surgical, with face shield	NF		0	2	CMS clinical review.
		SB039	shoe covers, surgical	NF		0	2	CMS clinical review.
		SB044	underpad 2ft x 3ft (Chux)	NF		0	1	CMS clinical review.
		SG056	gauze, sterile 4in x 4in (10 pack uou)	NF		1	0	CMS clinical review.
32555	Aspirate pleura w/imaging	ED024	film processor, dry, laser	NF		58	7	Refined equipment time to reflect typical use exclusive to patient.
		EF019	stretcher chair	NF		15	10	CMS clinical review.
		EL015	room, ultrasound, general	NF		33	30	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		58	7	Refined equipment time to reflect typical use exclusive to patient.
		L041B	Radiologic Technologist	NF	Complete pre-service diagnostic & referral forms	5	0	CMS clinical review.
		L041B	Radiologic Technologist	NF	Coordinate pre-surgery services	3	1	CMS clinical review.
		L041B	Radiologic Technologist	NF	Monitor pt. following service/check tubes, monitors, drains	15	10	CMS clinical review.
		L041B	Radiologic Technologist	NF	Process images, complete data sheet, present images and data to the interpreting physician	5	2	CMS clinical review.
			kit, thoracentesis	NF		1	0	CMS clinical review.
		SA070	tray, thoracentesis	NF		0	1	CMS clinical review.
		SA077	kit, pleural catheter insertion	NF		0	1	CMS clinical review.
		SB001	cap, surgical	NF		0	3	CMS clinical review.
		SB027	gown, staff, impervious	NF		0	1	CMS clinical review.
		SB039	shoe covers, surgical	NF		0	3	CMS clinical review.
		SB044	underpad 2ft x 3ft (Chux)	NF		0	1	CMS clinical review.
		SG078	tape, surgical occlusive 1in (Blenderm)	NF		0	15	CMS clinical review.
		SM012	disinfectant spray (Transeptic)	NF		10	0	CMS clinical review.
		SM021	sanitizing cloth-wipe (patient)	NF		2	0	CMS clinical review.
32556	Insert cath pleura w/o image	EQ168	light, exam	NF		0	76	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Complete pre-service diagnostic & referral forms	5	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Coordinate pre-surgery services	3	1	CMS clinical review.
		SA044	pack, moderate sedation	NF		0	1	CMS clinical review.
		SA048	pack, minimum multi-specialty visit	NF		0	1	CMS clinical review.
		SA067	tray, shave prep	NF		0	1	CMS clinical review.
		SB001	cap, surgical	NF		0	2	CMS clinical review.
		SB006	drape, non-sterile, sheet 40in x 60in	NF		1	0	CMS clinical review.
		SB034	mask, surgical, with face shield	NF		0	2	CMS clinical review.
		SB039	shoe covers, surgical	NF		0	2	CMS clinical review.
		SB044	underpad 2ft x 3ft (Chux)	NF		0	1	CMS clinical review.
		SC010	closed flush system, angiography	NF		0	1	CMS clinical review.
		SG056	gauze, sterile 4in x 4in (10 pack uou)	NF		1	0	CMS clinical review.
		SH065	sodium chloride 0.9% flush syringe	NF		0	1	CMS clinical review.
		SH069	sodium chloride 0.9% irrigation (500-1000ml uou)	NF		0	1	CMS clinical review.
		SL157	cup, sterile, 8 oz	NF		0	1	CMS clinical review.
32557	Insert cath pleura w/image	ED024	film processor, dry, laser	NF		58	7	CMS clinical review.
		EF019	stretcher chair	NF		15	10	CMS clinical review.
		EL007	room, CT	NF		43	40	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		60	40	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		58	7	CMS clinical review.
		L046A	CT Technologist	NF	Complete pre-service diagnostic & referral forms	5	0	CMS clinical review.
		L046A	CT Technologist	NF	Coordinate pre-surgery services	3	1	CMS clinical review.
		L046A	CT Technologist	NF	Check dressings & wound/home care instructions/coordinate office visits/prescriptions	3	5	CMS clinical review.
		L046A	CT Technologist	NF	Assist physician in performing procedure	28	30	Conforming to physician time.
		SA071	kit, AccuStick II Introducer System with RO Marker	NF		1	0	CMS clinical review.
		SA077	kit, pleural catheter insertion	NF		0	1	CMS clinical review.
		SB001	cap, surgical	NF		2	3	CMS clinical review.
		SB011	drape, sterile, fenestrated 16in x 29in	NF		1	0	CMS clinical review.
		SB014	drape, sterile, three-quarter sheet	NF		1	0	CMS clinical review.
		SB019	drape-towel, sterile 18in x 26in	NF		4	0	CMS clinical review.
		SB024	gloves, sterile	NF		2	1	CMS clinical review.
		SB027	gown, staff, impervious	NF		0	1	CMS clinical review.
		SB039	shoe covers, surgical	NF		2	3	CMS clinical review.
		SC049	stop cock, 3-way	NF		1	0	CMS clinical review.
		SC056	syringe 50-60ml	NF		2	0	CMS clinical review.
		SC058	syringe w-needle, OSHA compliant (SafetyGlide)	NF		1	0	CMS clinical review.
		SD043	dilator, vessel, angiographic	NF		1	0	CMS clinical review.
		SD088	guidewire	NF		1	0	CMS clinical review.
		SD146	catheter percutaneous fastener (Percu-Stay)	NF		1	0	CMS clinical review.
		SD161	drainage catheter, all purpose	NF		1	0	CMS clinical review.
		SD163	drainage pouch, nephrostomy-biliary	NF		1	0	CMS clinical review.
		SF007	blade, surgical (Bard-Parker)	NF		1	0	CMS clinical review.
		SG009	applicator, sponge-tipped	NF		4	0	CMS clinical review.
		SG078	tape, surgical occlusive 1in (Blenderm)	NF		0	25	CMS clinical review.
		SH047	lidocaine 1%-2% inj (Xylocaine)	NF		10	0	CMS clinical review.
		SJ041	povidone soln (Betadine)	NF		60	0	CMS clinical review.
		SL036	cup, biopsy-specimen sterile 4oz	NF		1	0	CMS clinical review.
		SL156	cup, sterile, 12-16 oz	NF		1	0	CMS clinical review.
33361	Replace aortic valve perq	L037D	RN/LPN/MTA	F	Coordinate pre-surgery services	40	10	Standardized time input.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	8	5	Standardized time input.
		L037D	RN/LPN/MTA	F	Provide pre-service education/obtain consent	20	7	Standardized time input.
		L037D	RN/LPN/MTA	F	Follow-up phone calls & prescriptions	7	3	Standardized time input.
33362	Replace aortic valve open	L037D	RN/LPN/MTA	F	Coordinate pre-surgery services	40	10	Standardized time input.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	8	5	Standardized time input.
		L037D	RN/LPN/MTA	F	Provide pre-service education/obtain consent	20	7	Standardized time input.
		L037D	RN/LPN/MTA	F	Follow-up phone calls & prescriptions	7	3	Standardized time input.
33363	Replace aortic valve open	L037D	RN/LPN/MTA	F	Coordinate pre-surgery services	40	10	Standardized time input.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	8	5	Standardized time input.
		L037D	RN/LPN/MTA	F	Provide pre-service education/obtain consent	20	7	Standardized time input.
		L037D	RN/LPN/MTA	F	Follow-up phone calls & prescriptions	7	3	Standardized time input.
33364	Replace aortic valve open	L037D	RN/LPN/MTA	F	Coordinate pre-surgery services	40	10	Standardized time input.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	8	5	Standardized time input.
		L037D	RN/LPN/MTA	F	Provide pre-service education/obtain consent	20	7	Standardized time input.
		L037D	RN/LPN/MTA	F	Follow-up phone calls & prescriptions	7	3	Standardized time input.
33365	Replace aortic valve open	L037D	RN/LPN/MTA	F	Coordinate pre-surgery services	40	10	Standardized time input.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	8	5	Standardized time input.
		L037D	RN/LPN/MTA	F	Provide pre-service education/obtain consent	20	7	Standardized time input.
		L037D	RN/LPN/MTA	F	Follow-up phone calls & prescriptions	7	3	Standardized time input.
33366	#N/A	L037D	RN/LPN/MTA	F	Coordinate pre-surgery services	40	10	Standardized time input.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	8	5	Standardized time input.
		L037D	RN/LPN/MTA	F	Provide pre-service education/obtain consent	20	7	Standardized time input.
		L037D	RN/LPN/MTA	F	Follow-up phone calls & prescriptions	7	3	Standardized time input.
33405	Replacement of aortic valve	L051A	RN	F	Other Clinical Activity—specify: for reference code 33406 and codes 33405 and 33430: Additional coordination between multiple specialties for complex procedures (tests, meds, scheduling, etc) prior to patient arrival at site of service.	15	0	CMS clinical review.
		L051A	RN	F	Other Clinical Activity—specify: for reference code 33406 and codes 33405 and 33430: Additional coordination between multiple specialties for complex procedures (tests, meds, scheduling, etc) prior to patient arrival at site of service.	15	0	CMS clinical review.
35475	Repair arterial blockage	EL011	room, angiography	NF		51	52	Refined equipment time to reflect typical use exclusive to patient.
		EQ011	ECG, 3-channel (with SpO2, NIBP, temp, resp)	NF		212	285	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EQ032	IV infusion pump	NF		212	285	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EQ168	light, exam	NF		120	52	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	F	Complete pre-service diagnostic & referral forms	5	3	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies	4	2	Standardized time input.
		SB019	drape-towel, sterile 18in x 26in	NF		4	2	CMS clinical review.
35476	Repair venous blockage	Ef027	table, instrument, mobile	NF		302	277	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EL011	room, angiography	NF		43	44	Refined equipment time to reflect typical use exclusive to patient.
		EQ011	ECG, 3-channel (with SpO2, NIBP, temp, resp)	NF		137	277	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EQ032	IV infusion pump	NF		137	277	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EQ168	light, exam	NF		120	44	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	F	Schedule space and equipment in facility	3	5	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies	4	2	Standardized time input.
		SB019	drape-towel, sterile 18in x 26in	NF		4	2	CMS clinical review.
36221	Place cath thoracic aorta	EF018	stretcher	NF		272	0	CMS Code correction.
		EF027	table, instrument, mobile	NF		0	272	CMS Code correction.
		EL011	room, angiography	NF		49	45	Refined equipment time to reflect typical use exclusive to patient.
		EQ088	contrast media warmer	NF		49	45	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		49	45	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
		L041A	Angio Technician	NF	Image Post Processing	5	0	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies	2	7	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare and position patient/monitor patient/set up IV	2	7	CMS clinical review.
		SD249	Sterile Radio-opaque ruler (le Maitre, documentation available)	NF		1	0	CMS clinical review.
36222	Place cath carotid/inom art	EF018	stretcher	NF		282	0	CMS Code correction.
		EF027	table, instrument, mobile	NF		0	282	CMS Code correction.
		EL011	room, angiography	NF		59	55	Refined equipment time to reflect typical use exclusive to patient.
		EQ088	contrast media warmer	NF		59	55	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		59	55	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
		SD147	catheter, (Glide)	NF		1	0	CMS clinical review.
		SD249	Sterile Radio-opaque ruler (le Maitre, documentation available)	NF		1	0	CMS clinical review.
36223	Place cath carotid/inom art	EF018	stretcher	NF		287	0	CMS Code correction.
		EF027	table, instrument, mobile	NF		0	287	CMS Code correction.
		EL011	room, angiography	NF		64	60	Refined equipment time to reflect typical use exclusive to patient.
		EQ088	contrast media warmer	NF		64	60	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		64	60	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
		SD249	Sterile Radio-opaque ruler (le Maitre, documentation available)	NF		1	0	CMS clinical review.
36224	Place cath carotd art	EF018	stretcher	NF		292	0	CMS Code correction.
		EF027	table, instrument, mobile	NF		0	292	CMS Code correction.
		EL011	room, angiography	NF		69	65	Refined equipment time to reflect typical use exclusive to patient.
		EQ088	contrast media warmer	NF		69	65	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		69	65	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
36225	Place cath subclavian art	EF018	stretcher	NF		287	0	CMS Code correction.
		EF027	table, instrument, mobile	NF		0	287	CMS Code correction.
		EL011	room, angiography	NF		64	60	Refined equipment time to reflect typical use exclusive to patient.
		EQ088	contrast media warmer	NF		64	60	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		64	60	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
36226	Place cath vertebral art	EF018	stretcher	NF		292	0	CMS Code correction.
		EF027	table, instrument, mobile	NF		0	292	CMS Code correction.
		EL011	room, angiography	NF		69	65	Refined equipment time to reflect typical use exclusive to patient.
		EQ088	contrast media warmer	NF		69	65	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		69	65	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
36228	Place cath intracranial art	L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies	1	0	CMS clinical review.
		L041B	Radiologic Technologist	NF	Assisting with flouroscopy/image acquisition (75%)	23	22	CMS clinical review.
		SC057	syringe 5-6ml	NF		4	0	CMS clinical review.
37197	Remove intrvas foreign body	EF027	table, instrument, mobile	NF		305	302	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EL011	room, angiography	NF		77	72	Refined equipment time to reflect typical use exclusive to patient.
		EQ011	ECG, 3-channel (with SpO2, NIBP, temp, resp)	NF		305	302	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EQ032	IV infusion pump	NF		305	302	Moderate Sedation equipment—Time includes administering anesthesia, procedure time, and monitoring patient.
		EQ088	contrast media warmer	NF		77	0	CMS clinical review.
		EQ250	ultrasound unit, portable	NF		77	0	CMS clinical review.
		ER029	film alternator (motorized film viewbox)	NF		77	72	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Greet patient, provide gowning, assure appropriate medical records are available	5	3	Standardized time input.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	5	3	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies (including imaging equipment)	7	5	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare and position patient/monitor patient/set up IV	5	2	Standardized time input.
		SB005	cover-condom, transducer or ultrasound probe	NF		1	0	CMS clinical review.
		SB048	sheath-cover, sterile, 96in x 6in (transducer)	NF		1	0	CMS clinical review.
		SD147	catheter, (Glide)	NF		1	0	CMS clinical review.
		SD252	guidewire, Amplatz wire 260 cm	NF		1	0	CMS clinical review.
		SH065	sodium chloride 0.9% flush syringe	NF		2	0	CMS clinical review.
47600	Removal of gallbladder	SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
		SA054	pack, post-op incision care (suture)	F		0	1	CMS clinical review.
47605	Removal of gallbladder	SA053	pack, post-op incision care (suture & staple)	F		1	0	CMS clinical review.
		SA054	pack, post-op incision care (suture)	F		0	1	CMS clinical review.
50590	Fragmenting of kidney stone	EL014	room, radiographic-fluoroscopic	NF		86	0	Consistent with the AMA RUC's CY2011 recommendation.
		EQ175	lithotriptor, with C-arm (ESWL)	NF		86	67	Refined equipment time to reflect typical use exclusive to patient.
52214	Cystoscopy and treatment	EF027	table, instrument, mobile	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		EQ153	laser (gs, uro, obg, ge) (Indigo Optima)	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		EQ167	light source, xenon	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		ES006	endoscope forceps, biopsy	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		ES007	endoscope forceps, grasping	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		ES018	fiberscope, flexible, cystoscopy	NF		100	92	Refined equipment time to reflect typical use exclusive to patient.
		ES031	video system, endoscopy (processor, digital capture, monitor, printer, cart)	NF		100	65	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Review Chart	3	0	CMS clinical review.
		SB019	drape-towel, sterile 18in x 26in	NF		1	0	Duplicative.
		SB024	gloves, sterile	NF		0	1	CMS clinical review.
		SD270	Penis clamp	NF		1	0	Not a disposable according to submitted invoice.
		SH047	lidocaine 1%-2% inj (Xylocaine)	NF		50	0	Duplicative.
52224	Cystoscopy and treatment	EF027	table, instrument, mobile	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		EQ153	laser (gs, uro, obg, ge) (Indigo Optima)	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		EQ167	light source, xenon	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		ES006	endoscope forceps, biopsy	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		ES007	endoscope forceps, grasping	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		ES018	fiberscope, flexible, cystoscopy	NF		105	94	Refined equipment time to reflect typical use exclusive to patient.
		ES031	video system, endoscopy (processor, digital capture, monitor, printer, cart)	NF		105	67	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Review Chart	3	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Prepare biopsy Specimen	5	2	CMS clinical review.
		SB019	drape-towel, sterile 18in x 26in	NF		1	0	Duplicative.
		SB024	gloves, sterile	NF		3	1	CMS clinical review.
		SD270	Penis clamp	NF		1	0	Not a disposable according to submitted invoice.
		SH047	lidocaine 1%-2% inj (Xylocaine)	NF		50	0	Duplicative.
		SL036	cup, biopsy-specimen sterile 4oz	NF		6	3	CMS clinical review.
52287	Cystoscopy chemodenervation	EF027	table, instrument, mobile	NF		78	49	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		78	49	Refined equipment time to reflect typical use exclusive to patient.
		EQ170	light, fiberoptic headlight w-source	NF		78	49	Refined equipment time to reflect typical use exclusive to patient.
		ES018	fiberscope, flexible, cystoscopy	NF		78	76	Refined equipment time to reflect typical use exclusive to patient.
		ES031	video system, endoscopy (processor, digital capture, monitor, printer, cart)	NF		78	49	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Assist physician in performing procedure	20	21	Conforming to physician time.
		SH048	lidocaine 2% jelly, topical (Xylocaine)	NF		10	0	Duplicative.
53850	Prostatic microwave thermotx	EF020	stretcher, endoscopy	NF		99	85	Refined equipment time to reflect typical use exclusive to patient.
		EF027	table, instrument, mobile	NF		99	85	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		169	152	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	F		169	152	Refined equipment time to reflect typical use exclusive to patient.
		EQ037	TUMT system control unit	NF		99	85	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		169	152	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	F		169	152	Refined equipment time to reflect typical use exclusive to patient.
		EQ250	ultrasound unit, portable	NF		99	85	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Prepare room, equipment, supplies	2	4	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Setup ultrasound probe	5	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Setup TUMT machine	5	0	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Clean TUMT machine	3	0	CMS clinical review.
		SB022	gloves, non-sterile	NF		3	2	CMS clinical review.
		SB024	gloves, sterile	NF		3	2	CMS clinical review.
		SH047	lidocaine 1%-2% inj (Xylocaine)	NF		3	30	CMS clinical review.
64612	Destroy nerve face muscle	EL006	lane, screening (oph)	F		39	27	Refined equipment time to reflect typical use exclusive to patient.
		EL006	lane, screening (oph)	NF		48	45	Refined equipment time to reflect typical use exclusive to patient.
		SC031	needle, 30g	F		0	1	CMS clinical review.
64615	Chemodenerv musc migraine	EF023	table, exam	NF		24	18	Refined equipment time to reflect typical use exclusive to patient.
65800	Drainage of eye	EL006	Lane, Screening	NF		21	22	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		21	22	Refined equipment time to reflect typical use exclusive to patient.
67810	Biopsy eyelid & lid margin	EF014	light, surgical	NF		20	22	Refined equipment time to reflect typical use exclusive to patient.
		EF031	table, power	NF		20	22	Refined equipment time to reflect typical use exclusive to patient.
		EQ110	electrocautery-hyfrecator, up to 45 watts	NF		1	22	Refined equipment time to reflect typical use exclusive to patient.
		EQ137	instrument pack, basic ($500-$1499)	NF		1	30	Refined equipment time to reflect typical use exclusive to patient.
		SB011	drape, sterile, fenestrated 16in x 29in	NF		0	1	CMS clinical review.
		SB019	drape-towel, sterile 18in x 26in	NF		4	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	Standardized time input.
72040	X-ray exam neck spine 3/<vws	ED025	film processor, wet	NF		20	4	Refined equipment time to reflect typical use exclusive to patient.
		EL012	room, basic radiology	NF		20	13	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		20	4	Refined equipment time to reflect typical use exclusive to patient.
			Film jacket or jacket insert	NF		1	0	Non-standard direct practice expense input.
72050	X-ray exam neck spine 4/5vws	ED025	film processor, wet	NF		28	6	Refined equipment time to reflect typical use exclusive to patient.
		EL012	room, basic radiology	NF		28	19	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		28	6	Refined equipment time to reflect typical use exclusive to patient.
			Film jacket or jacket insert	NF		1	0	Non-standard direct practice expense input.
72052	X-ray exam neck spine 6/>vws	ED025	film processor, wet	NF		36	8	Refined equipment time to reflect typical use exclusive to patient.
		EL012	room, basic radiology	NF		36	25	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		36	8	Refined equipment time to reflect typical use exclusive to patient.
			Film jacket or jacket insert	NF		1	0	Non-standard direct practice expense input.
72191	Ct angiograph pelv w/o&w/dye	EL007	room, CT	NF		101	40	Refined equipment time to reflect typical use exclusive to patient.
		L041B	Radiologic Technologist	NF	Retrieve prior appropriate imaging exams and hang for MD review, verify orders, review the chart to incorporate relevant clinical information	0	5	CMS clinical review.
		L041B	Radiologic Technologist	NF	Greet patient, provide gowning, assure appropriate medical records are available	0	3	CMS clinical review.
		L041B	Radiologic Technologist	NF	Education/instruction/counseling/obtain consent	0	2	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies	0	2	Standardized time input.
		L041B	Radiologic Technologist	NF	Prepare and position patient/monitor patient/set up IV	0	7	CMS clinical review.
		L041B	Radiologic Technologist	NF	Aquire images	0	28	CMS clinical review.
		L041B	Radiologic Technologist	NF	Clean room/equipment by physician staff	0	3	CMS clinical review.
		L046A	CT Technologist	NF	Retrieve prior appropriate imaging exams and hang for MD review, verify orders, review the chart to incorporate relevant clinical information	5	0	CMS clinical review.
		L046A	CT Technologist	NF	Greet patient, provide gowning, assure appropriate medical records are available	3	0	CMS clinical review.
		L046A	CT Technologist	NF	Education/instruction/counseling/obtain consent	2	0	CMS clinical review.
		L046A	CT Technologist	NF	Prepare room, equipment, supplies	5	0	CMS clinical review.
		L046A	CT Technologist	NF	Prepare and position patient/monitor patient/set up IV	7	0	CMS clinical review.
		L046A	CT Technologist	NF	Aquire images	28	0	CMS clinical review.
		L046A	CT Technologist	NF	Clean room/equipment by physician staff	3	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		1	0.1	CMS clinical review.
72192	Ct pelvis w/o dye	ED024	film processor, dry, laser	NF		5	0	CMS clinical review.
		ED032	printer, laser, paper	NF		0	5	CMS clinical review.
		EL007	room, CT	NF		45	22	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	6	4	CMS clinical review.
		SK013	computer media, dvd	NF		1	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK091	x-ray envelope	NF		1	0	CMS clinical review.
		SK098	film, x-ray, laser print	NF		4	8	CMS clinical review.
72193	Ct pelvis w/dye	ED024	film processor, dry, laser	NF		5	0	CMS clinical review.
		ED032	printer, laser, paper	NF		0	5	CMS clinical review.
		EL007	room, CT	NF		40	32	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	7	4	CMS clinical review.
		L046A	CT Technologist	NF	Service Period	40	43	CMS clinical review.
		SB006	drape, non-sterile, sheet 40in x 60in	NF		1	0	CMS clinical review.
		SB014	drape, sterile, three-quarter sheet	NF		0	1	CMS clinical review.
		SC001	angiocatheter 14g-24g	NF		1	0	CMS clinical review.
		SC002	angiocatheter set	NF		0	1	CMS clinical review.
		SC025	needle, 14-20g, biopsy	NF		0	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
		SC059	syringe, 25ml (MRI power injector)	NF		0	1	CMS clinical review.
		SG068	plaster bandage (4in x 5yd uou)	NF		1	0	CMS clinical review.
		SG075	tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)	NF		0	6	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		6	0	CMS clinical review.
		SH065	sodium chloride 0.9% flush syringe	NF		0	15	CMS clinical review.
		SK013	computer media, dvd	NF		1	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK091	x-ray envelope	NF		1	0	CMS clinical review.
72194	Ct pelvis w/o & w/dye	ED024	film processor, dry, laser	NF		10	7	CMS clinical review.
		EL007	room, CT	NF		54	39	CMS clinical review.
		ER029	film alternator (motorized film viewbox)	NF		10	7	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	7	4	CMS clinical review.
		L046A	CT Technologist	NF	Service Period	54	52	CMS clinical review.
		SC025	needle, 14-20g, biopsy	NF		0	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
		SK013	computer media, dvd	NF		1	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK091	x-ray envelope	NF		1	0	CMS clinical review.
		SK098	film, x-ray, laser print	NF		0	8	CMS clinical review.
73221	Mri joint upr extrem w/o dye	ED024	film processor, dry, laser	NF		63	33	Refined equipment time to reflect typical use exclusive to patient.
		EL008	room, MR	NF		63	33	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		63	33	Refined equipment time to reflect typical use exclusive to patient.
		L047A	MRI Technologist	NF	Prepare room, equipment, supplies	5	3	CMS clinical review.
		L047A	MRI Technologist	NF	Prepare and position patient/monitor patient/set up IV	3	2	Standardized time input.
		L047A	MRI Technologist	NF	Escort patient from exam room due to magnetic sensitivity	2	0	Non-standard direct practice expense input.
			Insert folder	NF		1	0	Non-standard direct practice expense input.
73721	Mri jnt of lwr extre w/o dye	ED024	film processor, dry, laser	NF		63	33	Refined equipment time to reflect typical use exclusive to patient.
		EL008	room, MR	NF		63	33	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		63	33	Refined equipment time to reflect typical use exclusive to patient.
		L047A	MRI Technologist	NF	Prepare room, equipment, supplies	5	3	CMS clinical review.
		L047A	MRI Technologist	NF	Prepare and position patient/monitor patient/set up IV	3	2	Standardized time input.
		L047A	MRI Technologist	NF	Escort patient from exam room due to magnetic sensitivity	2	0	Non-standard direct practice expense input.
			Insert folder	NF		1	0	Non-standard direct practice expense input.
74150	Ct abdomen w/o dye	ED024	film processor, dry, laser	NF		5	0	CMS clinical review.
		ED032	printer, laser, paper	NF		0	5	CMS clinical review.
		EL007	room, CT	NF		32	22	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	6	4	CMS clinical review.
		SK013	computer media, dvd	NF		1	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK091	x-ray envelope	NF		1	0	CMS clinical review.
		SK098	film, x-ray, laser print	NF		4	8	CMS clinical review.
74160	Ct abdomen w/dye	ED024	film processor, dry, laser	NF		7	0	CMS clinical review.
		ED032	printer, laser, paper	NF		0	5	CMS clinical review.
		EL007	room, CT	NF		47	32	CMS clinical review.
		ER029	film alternator (motorized film viewbox)	NF		7	5	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	7	4	CMS clinical review.
		L046A	CT Technologist	NF	Service Period	47	43	CMS clinical review.
		SB006	drape, non-sterile, sheet 40in x 60in	NF		1	0	CMS clinical review.
		SB014	drape, sterile, three-quarter sheet	NF		0	1	CMS clinical review.
		SC001	angiocatheter 14g-24g	NF		1	0	CMS clinical review.
		SC002	angiocatheter set	NF		0	1	CMS clinical review.
		SC025	needle, 14-20g, biopsy	NF		0	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
		SC059	syringe, 25ml (MRI power injector)	NF		0	1	CMS clinical review.
		SG075	tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)	NF		0	6	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		6	0	CMS clinical review.
		SH065	sodium chloride 0.9% flush syringe	NF		0	15	CMS clinical review.
		SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	NF		1	0	CMS clinical review.
		SK013	computer media, dvd	NF		1	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK091	x-ray envelope	NF		1	0	CMS clinical review.
		SK098	film, x-ray, laser print	NF		6	4	CMS clinical review.
74170	Ct abdomen w/o & w/dye	ED024	film processor, dry, laser	NF		15	7	Refined equipment time to reflect typical use exclusive to patient.
		EL007	room, CT	NF		65	39	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		15	7	Refined equipment time to reflect typical use exclusive to patient.
		L046A	CT Technologist	NF	Retrieve prior appropriate imaging exams and hang for MD review, verify orders, review the chart to incorporate relevant clinical information and confirm contrast protocol with interpreting MD	7	4	CMS clinical review.
		L046A	CT Technologist	NF	Assist physician in performing procedure	32	27	CMS clinical review.
		L046A	CT Technologist	NF	Image Post Processing	15	7	CMS clinical review.
		SB006	drape, non-sterile, sheet 40in x 60in	NF		1	0	CMS clinical review.
		SB014	drape, sterile, three-quarter sheet	NF		0	1	CMS clinical review.
		SC001	angiocatheter 14g-24g	NF		1	0	CMS clinical review.
		SC002	angiocatheter set	NF		0	1	CMS clinical review.
		SC025	needle, 14-20g, biopsy	NF		0	1	CMS clinical review.
		SC029	needle, 18-27g	NF		1	0	CMS clinical review.
		SC059	syringe, 25ml (MRI power injector)	NF		0	1	CMS clinical review.
		SG050	gauze, non-sterile 2in x 2in	NF		0	1	CMS clinical review.
		SG075	tape, elastic, 1in (Elastoplast, Elasticon) (5yd uou)	NF		0	6	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		6	0	CMS clinical review.
		SH016	barium suspension (Polibar)	NF		900	0	CMS clinical review.
		SH065	sodium chloride 0.9% flush syringe	NF		0	15	CMS clinical review.
		SH068	sodium chloride 0.9% inj bacteriostatic (30ml uou)	NF		1	0	CMS clinical review.
		SK013	computer media, dvd	NF		1	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK091	x-ray envelope	NF		1	0	CMS clinical review.
		SK098	film, x-ray, laser print	NF		14	8	CMS clinical review.
74175	Ct angio abdom w/o & w/dye	EL007	room, CT	NF		101	40	Refined equipment time to reflect typical use exclusive to patient.
		L041B	Radiologic Technologist	NF	Retrieve prior appropriate imaging exams and hang for MD review, verify orders, review the chart to incorporate relevant clinical information	0	5	CMS clinical review.
		L041B	Radiologic Technologist	NF	Greet patient, provide gowning, assure appropriate medical records are available	0	3	CMS clinical review.
		L041B	Radiologic Technologist	NF	Education/instruction/counseling/obtain consent	0	2	CMS clinical review.
		L041B	Radiologic Technologist	NF	Prepare room, equipment, supplies	0	2	Standardized time input.
		L041B	Radiologic Technologist	NF	Prepare and position patient/monitor patient/set up IV	0	7	CMS clinical review.
		L041B	Radiologic Technologist	NF	Aquire images	0	28	CMS clinical review.
		L041B	Radiologic Technologist	NF	Clean room/equipment by physician staff	0	3	CMS clinical review.
		L046A	CT Technologist	NF	Retrieve prior appropriate imaging exams and hang for MD review, verify orders, review the chart to incorporate relevant clinical information	5	0	CMS clinical review.
		L046A	CT Technologist	NF	Greet patient, provide gowning, assure appropriate medical records are available	3	0	CMS clinical review.
		L046A	CT Technologist	NF	Education/instruction/counseling/obtain consent	2	0	CMS clinical review.
		L046A	CT Technologist	NF	Prepare room, equipment, supplies	5	0	CMS clinical review.
		L046A	CT Technologist	NF	Prepare and position patient/monitor patient/set up IV	7	0	CMS clinical review.
		L046A	CT Technologist	NF	Aquire images	28	0	CMS clinical review.
		L046A	CT Technologist	NF	Clean room/equipment by physician staff	3	0	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		1	0.1	CMS clinical review.
74176	Ct abd & pelvis	ED032	printer, laser, paper	NF		8	7	CMS clinical review.
		ER029	film alternator (motorized film viewbox)	NF		27	7	CMS clinical review.
		L046A	CT Technologist	NF	Service Period	40	39	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
74177	Ct abd & pelv w/contrast	ED032	printer, laser, paper	NF		10	7	CMS clinical review.
		EL007	room, CT	NF		42	39	CMS clinical review.
		ER029	film alternator (motorized film viewbox)	NF		42	7	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	7	6	CMS clinical review.
		L046A	CT Technologist	NF	Service Period	58	52	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK098	film, x-ray, laser print	NF		10	8	CMS clinical review.
74178	Ct abd & pelv 1/> regns	ED032	printer, laser, paper	NF		20	10	CMS clinical review.
		EL007	room, CT	NF		57	48	CMS clinical review.
		ER029	film alternator (motorized film viewbox)	NF		57	10	CMS clinical review.
		L046A	CT Technologist	NF	Pre-Service Period	7	6	CMS clinical review.
		L046A	CT Technologist	NF	Service Period	83	64	CMS clinical review.
		SK016	computer media, optical disk 2.6gb	NF		0	0.1	CMS clinical review.
		SK076	slide sleeve (photo slides)	NF		0	1	CMS clinical review.
		SK098	film, x-ray, laser print	NF		23	16	CMS clinical review.
76830	Transvaginal us non-ob	ED024	film processor, dry, laser	NF		5	0	CMS clinical review.
		ED032	printer, laser, paper	NF		1	0	CMS clinical review.
		EF027	table, instrument, mobile	NF		0	36	Refined equipment time to reflect typical use exclusive to patient.
		EF034	table, ultrasound	NF		0	36	Refined equipment time to reflect typical use exclusive to patient.
		EL015	room, ultrasound, general	NF		37	0	CMS clinical review.
		EQ250	ultrasound unit, portable	NF		0	36	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		10	0	CMS clinical review.
		ER086	ultrasound probe	NF		0	37	Refined equipment time to reflect typical use exclusive to patient.
		L051B	RN/Diagnostic Medical Sonographer	NF	Clean room/equipment by physician staff	3	2	CMS clinical review.
		SB026	gown, patient	NF		0	1	CMS clinical review.
		SJ033	lubricating jelly (Surgilube)	NF		1	0	CMS clinical review.
76872	Us transrectal	EF027	table, instrument, mobile	NF		68	34	Refined equipment time to reflect typical use exclusive to patient.
		EF034	table, ultrasound	NF		68	34	Refined equipment time to reflect typical use exclusive to patient.
		EQ250	ultrasound unit, portable	NF		68	34	Refined equipment time to reflect typical use exclusive to patient.
		ER086	ultrasound probe	NF		68	35	Refined equipment time to reflect typical use exclusive to patient.
		L051B	RN/Diagnostic Medical Sonographer	NF	Retrieve prior images for comparison:	0	3	CMS clinical review.
		L051B	RN/Diagnostic Medical Sonographer	NF	Review Chart	3	0	CMS clinical review.
		L051B	RN/Diagnostic Medical Sonographer	NF	Obtain vital signs	3	0	CMS clinical review.
		L051B	RN/Diagnostic Medical Sonographer	NF	Prepare room, equipment, supplies	2	3	CMS clinical review.
		L051B	RN/Diagnostic Medical Sonographer	NF	Prepare ultrasound probe	5	0	CMS clinical review.
		L051B	RN/Diagnostic Medical Sonographer	NF	Obtain vital signs	3	0	CMS clinical review.
		L051B	RN/Diagnostic Medical Sonographer	NF	Clean room/equipment by physician staff	3	2	CMS clinical review.
		SB012	drape, sterile, for Mayo stand	NF		1	0	CMS clinical review.
		SC019	iv tubing (extension)	NF		1	0	CMS clinical review.
		SH048	lidocaine 2% jelly, topical (Xylocaine)	NF		10	0	CMS clinical review.
		SJ001	alcohol isopropyl 70%	NF		5	0	CMS clinical review.
		SJ032	lubricating jelly (K-Y) (5gm uou)	NF		2	0	CMS clinical review.
		SM018	glutaraldehyde 3.4% (Cidex, Maxicide, Wavicide)	NF		32	0	CMS clinical review.
		SM019	glutaraldehyde test strips (Cidex, Metrex)	NF		1	0	CMS clinical review.
		SM022	sanitizing cloth-wipe (surface, instruments, equipment)	NF		2	0	CMS clinical review.
77003	Fluoroguide for spine inject	ED025	film processor, wet	NF		3	2	Refined equipment time to reflect typical use exclusive to patient.
		EL014	room, radiographic-fluoroscopic	NF		9	18	Refined equipment time to reflect typical use exclusive to patient.
		ER029	film alternator (motorized film viewbox)	NF		3	2	Refined equipment time to reflect typical use exclusive to patient.
		L041B	Radiologic Technologist	NF	Clean room/equipment by physician staff	2	1	CMS clinical review.
		L041B	Radiologic Technologist	NF	Process films, hang films and review study with interpreting MD prior to patient discharge	3	2	CMS clinical review.
77080	Dxa bone density axial	ER078	phantom, spine, DXA calibration check	NF		1	2	Refined equipment time to reflect typical use exclusive to patient.
77301	Radiotherapy dose plan imrt	ED011	computer system, record and verify	NF		20	0	CMS clinical review.
		ED033	treatment planning system, IMRT (Corvus w-Peregrine 3D Monte Carlo)	NF		376	330	CMS clinical review.
		ER005	IMRT CT-based simulator	NF		58	47	CMS clinical review.
		ER014	chamber, Farmer-type	NF		45	47	Refined equipment time to reflect typical use exclusive to patient.
		ER028	electrometer, PC-based, dual channel	NF		45	47	Refined equipment time to reflect typical use exclusive to patient.
		ER050	phantom, solid water calibration check	NF		45	47	Refined equipment time to reflect typical use exclusive to patient.
		ER089	IMRT accelerator	NF		45	47	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Obtain vital signs	3	0	CMS clinical review.
78012	Thyroid uptake measurement	EF010	chair, thyroid imaging	NF		40	30	Refined equipment time to reflect typical use exclusive to patient.
		ER063	thyroid uptake system	NF		40	30	Refined equipment time to reflect typical use exclusive to patient.
78013	Thyroid imaging w/blood flow	ER032	gamma camera system, single-dual head	NF		48	38	Refined equipment time to reflect typical use exclusive to patient.
78014	Thyroid imaging w/blood flow	EF010	chair, thyroid imaging	NF		65	55	Refined equipment time to reflect typical use exclusive to patient.
		ER032	gamma camera system, single-dual head	NF		65	50	Refined equipment time to reflect typical use exclusive to patient.
		ER063	thyroid uptake system	NF		65	55	Refined equipment time to reflect typical use exclusive to patient.
78070	Parathyroid planar imaging	ER032	gamma camera system, single-dual head	NF		73	68	Refined equipment time to reflect typical use exclusive to patient.
78071	Parathyrd planar w/wo subtrj	ER032	gamma camera system, single-dual head	NF		86	81	Refined equipment time to reflect typical use exclusive to patient.
86153	Cell enumeration phys interp	EP106	CELLSEARCH system	NF		16	0	Laboratory physician interpretation code.
		EP107	Laboratory Information System	NF		4	0	Laboratory physician interpretation code.
		L045A	Cytotechnologist	NF	Collate images and review with Pathologist	5	0	Laboratory physician interpretation code.
88120	Cytp urne 3-5 probes ea spec	EP088	ThermoBrite	NF		107	321	CMS clinical review.
		EP092	Olympus BX41 Fluorescent Microscope (without filters or camera )	NF		1.33	73.00	CMS clinical review.
88121	Cytp urine 3-5 probes cmptr	EP088	ThermoBrite	NF		26.75	160.50	CMS clinical review.
		EP090	IkoniLan Software	NF		2.97	29.70	CMS clinical review.
		EP091	IkoniScope	NF		2.97	29.70	CMS clinical review.
88300	Surgical path gross		courier transportation cost	NF		2.02	0	Indirect Practice Expense.
			Copath System with maintenance contract	NF		3	0	Indirect Practice Expense.
			Copath software	NF		3	0	Indirect Practice Expense.
88302	Tissue exam by pathologist		specimen, solvent, and formalin disposal cost	NF		0.18	0	Indirect Practice Expense.
			courier transportation cost	NF		2.02	0	Indirect Practice Expense.
			equipment maintenance cost	NF		0.61	0	Included in equipment cost per minute calculation.
			Copath System with maintenance contract	NF		3	0	Indirect Practice Expense.
			Copath software	NF		3	0	Indirect Practice Expense.
88304	Tissue exam by pathologist		specimen, solvent, and formalin disposal cost	NF		0.35	0	Indirect Practice Expense.
			courier transportation cost	NF		2.02	0	Indirect Practice Expense.
			equipment maintenance cost	NF		0.61	0	Included in equipment cost per minute calculation.
			Copath System with maintenance contract	NF		5	0	Indirect Practice Expense.
			Copath software	NF		5	0	Indirect Practice Expense.
88305	Tissue exam by pathologist		specimen, solvent, and formalin disposal cost	NF		0.35	0	Indirect Practice Expense.
			courier transportation cost	NF		2.02	0	Indirect Practice Expense.
			equipment maintenance cost	NF		0.61	0	Included in equipment cost per minute calculation.
			Copath System with maintenance contract	NF		4	0	Indirect Practice Expense.
			Copath software	NF		4	0	Indirect Practice Expense.
88307	Tissue exam by pathologist		specimen, solvent, and formalin disposal cost	NF		1.85	0	Indirect Practice Expense.
			courier transportation cost	NF		2.02	0	Indirect Practice Expense.
			equipment maintenance cost	NF		0.61	0	Included in equipment cost per minute calculation.
			Copath System with maintenance contract	NF		10	0	Indirect Practice Expense.
			Copath software	NF		10	0	Indirect Practice Expense.
88309	Tissue exam by pathologist		specimen, solvent, and formalin disposal cost	NF		1.85	0	Indirect Practice Expense.
			courier transportation cost	NF		2.02	0	Indirect Practice Expense.
			equipment maintenance cost	NF		0.61	0	Included in equipment cost per minute calculation.
			Copath System with maintenance contract	NF		12	0	Indirect Practice Expense.
			Copath software	NF		12	0	Indirect Practice Expense.
90791	Psych diagnostic evaluation			NF				2012 Fully Implemented PE RVUs maintained.
90832	Psytx pt&/family 30 minutes			NF				2012 Fully Implemented PE RVUs maintained.
90834	Psytx pt&/family 45 minutes			NF				2012 Fully Implemented PE RVUs maintained.
90836	Psytx pt&/fam w/e&m 45 min			NF				2012 Fully Implemented PE RVUs maintained.
91112	Gi wireless capsule measure		Activation Fixture	NF		5	0	CMS clinical review.
			Docking Station	NF		40	0	CMS clinical review.
			MotiliGI software	NF		40	0	CMS clinical review.
		EQ352	Data receiver	NF		7,220	2,880	CMS clinical review.
		SA048	pack, minimum multi-specialty visit	NF		1	0	CMS clinical review.
			SmartBar	NF		1	0	CMS clinical review.
92081	Visual field examination(s)	SA050	pack, ophthalmology visit (no dilation)	NF		1	0	CMS clinical review.
		EL006	lane, screening (oph)	NF		12	17	Refined equipment time to reflect typical use exclusive to patient.
		EQ029	Humphrey field analyzer	NF		12	17	Refined equipment time to reflect typical use exclusive to patient.
		EQ165	lens set, trial, full diameter, w-frame	NF		12	17	CMS clinical review.
92082	Visual field examination(s)	SA050	pack, ophthalmology visit (no dilation)	NF		1	0	CMS clinical review.
		EL006	lane, screening (oph)	NF		22	27	Refined equipment time to reflect typical use exclusive to patient.
		EQ029	Humphrey field analyzer	NF		22	27	Refined equipment time to reflect typical use exclusive to patient.
		EQ165	lens set, trial, full diameter, w-frame	NF		22	27	CMS clinical review.
92083	Visual field examination(s)	SA050	pack, ophthalmology visit (no dilation)	NF		1	0	CMS clinical review.
		EL006	lane, screening (oph)	NF		32	37	Refined equipment time to reflect typical use exclusive to patient.
		EQ029	Humphrey field analyzer	NF		32	37	Refined equipment time to reflect typical use exclusive to patient.
		EQ165	lens set, trial, full diameter, w-frame	NF		32	37	CMS clinical review.
92235	Eye exam with photos	ED008	camera, retinal (TRC 50IX, w-ICG, filters, motor drives)	NF		60	35	Refined equipment time to reflect typical use exclusive to patient.
		EF030	table, motorized (for instruments-equipment)	NF		60	35	Refined equipment time to reflect typical use exclusive to patient.
		EL005	lane, exam (oph)	NF		60	35	Refined equipment time to reflect typical use exclusive to patient.
		L038A	COMT/COT/RN/CST	NF	Monitor pt. following service/check tubes, monitors, drains	5	2	CMS clinical review.
		L039A	Certified Retinal Angio	NF	Assist physician in performing procedure	40	20	CMS clinical review.
93015	Cardiovascular stress test	EF023	table, exam	NF		58	46	Refined equipment time to reflect typical use exclusive to patient.
		EQ078	cardiac monitor w-treadmill (12-lead PC-based ECG)	NF		58	46	Refined equipment time to reflect typical use exclusive to patient.
		L051A	RN	NF	Assist physician in performing procedure	20	14	CMS clinical review.
93017	Cardiovascular stress test	EF023	table, exam	NF		58	46	Refined equipment time to reflect typical use exclusive to patient.
		EQ078	cardiac monitor w-treadmill (12-lead PC-based ECG)	NF		58	46	Refined equipment time to reflect typical use exclusive to patient.
		L051A	RN	NF	Assist physician in performing procedure	20	14	CMS clinical review.
		L051A	RN	NF	Complete diagnostic forms, lab & X-ray requisitions	0	4	CMS clinical review.
93925	Lower extremity study	ED011	computer system, record and verify	NF		10	0	CMS clinical review.
		ED021	computer, desktop, w-monitor	NF		95	7	Refined equipment time to reflect typical use exclusive to patient.
		ED025	film processor, wet	NF		10	7	Refined equipment time to reflect typical use exclusive to patient.
		ED034	video SVHS VCR (medical grade)	NF		95	0	CMS clinical review.
		EL016	room, ultrasound, vascular	NF		95	76	Refined equipment time to reflect typical use exclusive to patient.
		ER067	x-ray view box, 4 panel	NF		10	7	Refined equipment time to reflect typical use exclusive to patient.
		L054A	Vascular Technologist	NF	Provide pre-service education/obtain consent	3	2	CMS clinical review.
		L054A	Vascular Technologist	NF	Prepare room, equipment, supplies	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Prepare and position patient	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Collate preliminary data, arrange images, archive	10	7	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Record patient history	1	0	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: QA documentation	4	0	CMS clinical review.
		SK086	video tape, VHS	NF		1	0	CMS clinical review.
93926	Lower extremity study	ED011	computer system, record and verify	NF		10	0	CMS clinical review.
		ED021	computer, desktop, w-monitor	NF		59	4	Refined equipment time to reflect typical use exclusive to patient.
		ED025	film processor, wet	NF		10	4	Refined equipment time to reflect typical use exclusive to patient.
		ED034	video SVHS VCR (medical grade)	NF		59	0	CMS clinical review.
		EL016	room, ultrasound, vascular	NF		59	42	Refined equipment time to reflect typical use exclusive to patient.
		ER067	x-ray view box, 4 panel	NF		10	4	Refined equipment time to reflect typical use exclusive to patient.
		L054A	Vascular Technologist	NF	Provide pre-service education/obtain consent	3	2	CMS clinical review.
		L054A	Vascular Technologist	NF	Prepare room, equipment, supplies	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Prepare and position patient	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Collate preliminary data, arrange images, archive	8	4	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Record patient history	1	0	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: QA documentation	4	0	CMS clinical review.
		SK086	video tape, VHS	NF		1	0	CMS clinical review.
93970	Extremity study	ED011	computer system, record and verify	NF		10	0	CMS clinical review.
		ED021	computer, desktop, w-monitor	NF		71	7	Refined equipment time to reflect typical use exclusive to patient.
		ED025	film processor, wet	NF		10	7	Refined equipment time to reflect typical use exclusive to patient.
		ED034	video SVHS VCR (medical grade)	NF		71	0	CMS clinical review.
		EL016	room, ultrasound, vascular	NF		71	52	Refined equipment time to reflect typical use exclusive to patient.
		ER067	x-ray view box, 4 panel	NF		10	7	Refined equipment time to reflect typical use exclusive to patient.
		L054A	Vascular Technologist	NF	Provide pre-service education/obtain consent	3	2	CMS clinical review.
		L054A	Vascular Technologist	NF	Prepare room, equipment, supplies	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Prepare and position patient	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Collate preliminary data, arrange images, archive	10	7	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Record patient history	1	0	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: QA documentation	4	0	CMS clinical review.
		SK086	video tape, VHS	NF		1	0	CMS clinical review.
93971	Extremity study	ED011	computer system, record and verify	NF		10	0	CMS clinical review.
		ED021	computer, desktop, w-monitor	NF		45	4	Refined equipment time to reflect typical use exclusive to patient.
		ED025	film processor, wet	NF		10	4	Refined equipment time to reflect typical use exclusive to patient.
		ED034	video SVHS VCR (medical grade)	NF		45	0	CMS clinical review.
		EL016	room, ultrasound, vascular	NF		45	30	CMS clinical review.
		ER067	x-ray view box, 4 panel	NF		10	4	Refined equipment time to reflect typical use exclusive to patient.
		L054A	Vascular Technologist	NF	Provide pre-service education/obtain consent	3	2	CMS clinical review.
		L054A	Vascular Technologist	NF	Prepare room, equipment, supplies	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Prepare and position patient	3	2	Standardized time input.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Collate preliminary data, arrange images, archive	6	4	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: Record patient history	1	0	CMS clinical review.
		L054A	Vascular Technologist	NF	Other Clinical Activity: QA documentation	4	0	CMS clinical review.
		SB006	drape, non-sterile, sheet 40in x 60in	NF		2	1	CMS clinical review.
		SK086	video tape, VHS	NF		1	0	CMS clinical review.
95076	Ingest challenge ini 120 min	EF023	table, exam	NF		141	133	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		141	133	Refined equipment time to reflect typical use exclusive to patient.
		L037D	RN/LPN/MTA	NF	Prepare testing doses	15	7	CMS clinical review.
95115	Immunotherapy one injection	EF040	refrigerator, vaccine, commercial grade, w-alarm lock	NF		15	0	CMS clinical review.
95117	Immunotherapy injections	EF041	x-ray machine, portable	NF		17	0	CMS clinical review.
95782	Polysom <6 yrs 4/> paramtrs	EF003	bedroom furniture (hospital bed, table, reclining chair)	NF		660	602	Refined equipment time to reflect typical use exclusive to patient.
			Crib	NF		660	0	CMS clinical review.
		EQ134	impedance meter, 32-channel	NF		660	602	Refined equipment time to reflect typical use exclusive to patient.
		EQ272	sleep diagnostic system, attended (w-acquisition station, review master, computer)	NF		660	662	Refined equipment time to reflect typical use exclusive to patient.
			Capnograph	NF		660	0	Duplicative.
		ER088	Infrared illuminator	NF		660	602	Refined equipment time to reflect typical use exclusive to patient.
		L047B	REEGT	NF	Provide pre-service education/obtain consent	5	3	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Set up and calibrate all monitoring and recording equipment (initial), including capnograph (for child)	6	5	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Measure and mark head and face. Apply and secure electrodes to head and face. Check impedances. Reapply electrodes as needed. (1.5 min per electrode for child, 1 min per electrode for adult)	30	20	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Apply recording devices for cardio-respiratory, leg movements, body positioning and snoring	0	15	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Apply recording devices for cardio-respiratory, leg movements, body positioning, snoring and capnography	20	0	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Daytime tech reviews and edits recording, marks artifacts, scores sleep stages, performs evaluation of physiological changes	100	97	CMS clinical review.
95783	Polysom <6 yrs cpap/bilvl	EF003	bedroom furniture (hospital bed, table, reclining chair)	NF		660	647	Refined equipment time to reflect typical use exclusive to patient.
			Crib	NF		660	0	CMS clinical review.
		EQ134	impedance meter, 32-channel	NF		660	647	Refined equipment time to reflect typical use exclusive to patient.
		EQ272	sleep diagnostic system, attended (w-acquisition station, review master, computer)	NF		660	707	Refined equipment time to reflect typical use exclusive to patient.
			Capnograph	NF		660	0	Duplicative.
		ER088	Infrared illuminator	NF		660	647	Refined equipment time to reflect typical use exclusive to patient.
		L047B	REEGT	NF	Provide pre-service education/obtain consent	5	3	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Set up and calibrate all monitoring and recording equipment (initial), including capnograph (for child)	6	5	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Measure and mark head and face. Apply and secure electrodes to head and face. Check impedances. Reapply electrodes as needed. (1.5 min per electrode for child, 1 min per electrode for adult)	30	20	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Apply recording devices for cardio-respiratory, leg movements, body positioning and snoring	0	15	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Apply recording devices for cardio-respiratory, leg movements, body positioning, snoring and capnography	20	0	CMS clinical review.
		L047B	REEGT	NF	Other Clinical Activity—specify: Daytime tech reviews and edits recording, marks artifacts, scores sleep stages, performs evaluation of physiological changes	100	97	CMS clinical review.
95861	Muscle test 2 limbs	EF023	table, exam	NF		44	41	Refined equipment time to reflect typical use exclusive to patient.
		EQ024	EMG-NCV-EP system, 8 channel	NF		44	41	Refined equipment time to reflect typical use exclusive to patient.
		L037A	Electrodiagnostic Technologist	NF	Assist physician in performing procedure	19	29	Conforming to physician time.
95863	Muscle test 3 limbs	EF023	table, exam	NF		58	52	Refined equipment time to reflect typical use exclusive to patient.
		EQ024	EMG-NCV-EP system, 8 channel	NF		58	52	Refined equipment time to reflect typical use exclusive to patient.
95864	Muscle test 4 limbs	EF023	table, exam	NF		71	62	Refined equipment time to reflect typical use exclusive to patient.
		EQ024	EMG-NCV-EP system, 8 channel	NF		71	62	Refined equipment time to reflect typical use exclusive to patient.
95868	Muscle test cran nerve bilat	EF023	table, exam	NF		35	32	Refined equipment time to reflect typical use exclusive to patient.
		EQ024	EMG-NCV-EP system, 8 channel	NF		35	32	Refined equipment time to reflect typical use exclusive to patient.
95907	Motor&/sens 1-2 nrv cndj tst	SG051	gauze, non-sterile 4in x 4in	NF		0	4	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		4	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		12	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95908	Motor&/sens 3-4 nrv cndj tst	SG051	gauze, non-sterile 4in x 4in	NF		0	8	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		8	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		24	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95909	Motor&/sens 5-6 nrv cndj tst	SG051	gauze, non-sterile 4in x 4in	NF		0	12	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		12	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		36	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95910	Motor&sens 7-8 nrv cndj test	L037A	Electrodiagnostic Technologist	NF		50	40	Conforming to physician time.
		SG051	gauze, non-sterile 4in x 4in	NF		0	16	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		16	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		48	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95911	Motor&sen 9-10 nrv cndj test	L037A	Electrodiagnostic Technologist	NF		64	50	Conforming to physician time.
		SG051	gauze, non-sterile 4in x 4in	NF		0	20	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		20	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		60	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95912	Motor&sen 11-12 nrv cnd test	L037A	Electrodiagnostic Technologist	NF		77	60	Conforming to physician time.
		SG051	gauze, non-sterile 4in x 4in	NF		0	24	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		24	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		72	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95913	Motor&sens 13/> nrv cnd test	L037A	Electrodiagnostic Technologist	NF		87	70	Conforming to physician time.
		SG051	gauze, non-sterile 4in x 4in	NF		0	26	CMS clinical review.
		SG055	gauze, sterile 4in x 4in	NF		26	0	CMS clinical review.
		SG079	tape, surgical paper 1in (Micropore)	NF		78	0	CMS clinical review.
		SJ022	electrode skin prep gel (NuPrep)	NF		100	0	CMS clinical review.
95921	Autonomic nrv parasym inervj	EF032	table, tilt (w-trendelenberg)	NF		64	55	Refined equipment time to reflect typical use exclusive to patient.
		EQ051	arterial tonometry acquisition system (WR Testworks)	NF		64	55	Refined equipment time to reflect typical use exclusive to patient.
		EQ052	arterial tonometry monitor (Colin Pilot)	NF		64	55	Refined equipment time to reflect typical use exclusive to patient.
		L037A	Electrodiagnostic Technologist	NF	Greet patient, provide gowning, assure appropriate medical records are available	3	0	CMS clinical review.
		L037A	Electrodiagnostic Technologist	NF	Obtain vital signs	3	0	CMS clinical review.
		L037A	Electrodiagnostic Technologist	NF	Monitor pt. following service/check tubes, monitors, drains	5	2	CMS clinical review.
95922	Autonomic nrv adrenrg inervj	EF032	table, tilt (w-trendelenberg)	NF		79	70	Refined equipment time to reflect typical use exclusive to patient.
		EQ051	arterial tonometry acquisition system (WR Testworks)	NF		79	70	Refined equipment time to reflect typical use exclusive to patient.
		EQ052	arterial tonometry monitor (Colin Pilot)	NF		79	70	Refined equipment time to reflect typical use exclusive to patient.
		L037A	Electrodiagnostic Technologist	NF	Greet patient, provide gowning, assure appropriate medical records are available	3	0	CMS clinical review.
		L037A	Electrodiagnostic Technologist	NF	Obtain vital signs	3	0	CMS clinical review.
		L037A	Electrodiagnostic Technologist	NF	Monitor pt. following service/check tubes, monitors, drains	5	2	CMS clinical review.
95923	Autonomic nrv syst funj test	EQ035	QSART acquisition system (Q-Sweat)	NF		74	61	Refined equipment time to reflect typical use exclusive to patient.
		EQ124	stimulator, constant current, w-stimulating and grounding electrodes (Grass Telefactor)	NF		74	61	Refined equipment time to reflect typical use exclusive to patient.
		EQ171	light, infra-red, ceiling mount	NF		74	61	Refined equipment time to reflect typical use exclusive to patient.
		L037A	Electrodiagnostic Technologist	NF	Assist physician in performing procedure	55	45	CMS clinical review.
		L037A	Electrodiagnostic Technologist	NF	Monitor pt. following service/check tubes, monitors, drains	5	2	CMS clinical review.
		SJ020	electrode conductive gel	NF		5	0	CMS clinical review.
95924	Ans parasymp & symp w/tilt	EF032	table, tilt (w-trendelenberg)	NF		79	76	Refined equipment time to reflect typical use exclusive to patient.
		EQ051	arterial tonometry acquisition system (WR Testworks)	NF		79	76	Refined equipment time to reflect typical use exclusive to patient.
		EQ052	arterial tonometry monitor (Colin Pilot)	NF		79	76	Refined equipment time to reflect typical use exclusive to patient.
		L037A	Electrodiagnostic Technologist	NF	Monitor pt. following service/check tubes, monitors, drains	5	2	CMS clinical review.
96920	Laser tx skin < 250 sq cm	EF031	table, power	NF		20	26	Refined equipment time to reflect typical use exclusive to patient.
		EQ161	laser, excimer	NF		20	26	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		17	26	Refined equipment time to reflect typical use exclusive to patient.
			Annual Laser Service Package	NF		1	0	Included in equipment cost per minute calculation.
		L037D	RN/LPN/MTA	NF	Monitor pt. following service/check tubes, monitors, drains	3	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Clean room/equipment by physician staff	3	2	CMS clinical review.
		SF028	laser tip (single use)	NF		1	0	CMS clinical review.
		SJ029	ice pack, instant	NF		4	1	CMS Code correction.
96921	Laser tx skin 250-500 sq cm	EF031	table, power	NF		23	29	Refined equipment time to reflect typical use exclusive to patient.
		EQ161	laser, excimer	NF		23	29	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		23	29	Refined equipment time to reflect typical use exclusive to patient.
			Annual Laser Service Package	NF		1	0	Included in equipment cost per minute calculation.
		L037D	RN/LPN/MTA	NF	Monitor pt. following service/check tubes, monitors, drains	3	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Clean room/equipment by physician staff	3	2	CMS clinical review.
		SF028	laser tip (single use)	NF		1	0	CMS clinical review.
		SJ029	ice pack, instant	NF		4	2	CMS Code correction.
96922	Laser tx skin >500 sq cm	EF031	table, power	NF		33	39	Refined equipment time to reflect typical use exclusive to patient.
		EQ161	laser, excimer	NF		33	39	Refined equipment time to reflect typical use exclusive to patient.
		EQ168	light, exam	NF		30	39	Refined equipment time to reflect typical use exclusive to patient.
			Annual Laser Service Package	NF		1	0	Included in equipment cost per minute calculation.
		L037D	RN/LPN/MTA	NF	Monitor pt. following service/check tubes, monitors, drains	3	1	CMS clinical review.
		L037D	RN/LPN/MTA	NF	Clean room/equipment by physician staff	3	2	CMS clinical review.
		SF028	laser tip (single use)	NF		1	0	CMS clinical review.
97150	Group therapeutic procedures	EQ248	ultrasonic biometry, pachymeter	NF		10	5	Refined equipment time to reflect typical use exclusive to patient.
		EQ269	blood pressure monitor, ambulatory, w-battery charger	NF		1	0	CMS clinical review.
		SA007	kit, cooking activity ingredients (mac-cheese)	NF		1	0	CMS clinical review.
99495	Trans care mgmt 14 day disch	L042A	RN/LPN	F	Communication (with patient, family members, guardian or caretaker, surrogate decision makers, and/or other professionals) regarding aspects of care, etc.	0	45	CMS clinical review.
99496	Trans care mgmt 7 day disch	L042A	RN/LPN	NF	Communication (with patient, family members, guardian or caretaker, surrogate decision makers, and/or other professionals) regarding aspects of care, etc.	60	70	CMS clinical review.
		L042A	RN/LPN	F	Communication (with patient, family members, guardian or caretaker, surrogate decision makers, and/or other professionals) regarding aspects of care, etc.	0	70	CMS clinical review.

17. On page 69138,

a. Top two thirds of the page, first column, first full paragraph, line 1, the phrase “The CY 2013 PFS CF is $25.0008” is corrected to read “The CY 2013 PFS CF is $25.0070.”

b. Third column, first full paragraph, line 19, the phrase CF to be $25.0008” is corrected to read “CF to be $25.0070.”

c. Lower half of the page, in Table 87: Calculation of the CY 2013 PFS CF, the list entry

CY 2013 Conversion Factor		$25.0008

is corrected to read as follows:

CY 2013 Conversion Factor		$25.0070

18. On page 69139, top quarter of the page, in Table 88: Calculation of the CY 2013 Anesthesia CF, the list entry

CY 2013 Anesthesia Factor		$15.93

is corrected to read as follows:

CY 2013 Anesthesia Factor		$16.1236

19. On page 69145, second column, first partial paragraph, lines 20 and 21, the phrase that reads “pharmacy for use upon a physician's order” is corrected to read “pharmacy for use upon a valid prescription.”

20. On page 69212, second column, first full paragraph, lines 5-8, the phrase “Measure 190: Referral for Otologic Evaluation for Patients with Acute or Chronic Dizziness” is corrected to read “Measure 190: Referral for Otologic Evaluation for Patients with a History of Sudden or Rapidly Progressive Hearing Loss.”

21. On page 69237, in Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014*, Measures #189 and #190 are deleted.

22. On page 69267, after Table 95: Individual Quality Measures for the Physician Quality Reporting System Proposed to be Available for Reporting via Claims, Registry, EHR, or GRPO Web Interface Beginning in 2013 or 2014*, the following note is added:

*Measures that can be reported using the GPRO web interface.

†These measures can only be reported by participants using the GPRO. They are not available for reporting for individual Eligible Professionals using this reporting method.

¥ Titles and descriptions in this table are aligned with 2013 Physician Quality Reporting System Claims and Qualified Registry measure titles and descriptions, and may differ from existing measures in other programs. Please reference the National Quality Forum (NQF) and Physician Quality Reporting System numbers for clarification.

⋄Measures to be deleted in 2014.

‡Measures to be added in 2013.

○Measures to be added in 2014.

23. On page 69269, in Table 96: PQRS Quality Measures Available for Reporting for Group Practices Using the GPRO Web Interface for 2013 and Beyond, in the Measure and Title description for NQF/PQRS 0097/46 the phrase that reads “seen within 60 days following discharge” is corrected to read “seen within 30 days following discharge.”

24. On page 69277, in Table 108: HIV/AIDS Measures Group, the following measures: HIV/AIDS Measures Group: PQRS Measure #206 (“HIV/AIDS: Screening for High Risk Sexual Behaviors”) and #207 (“HIV/AIDS: Screening for Injection Drug Use”) are deleted.

25. On page 69300,

a. Third column, line 22-23, the phrase “a deadline of February 28, 2013 to request an informal review” is corrected to read “a deadline of 90 days following the receipt of the feedback reports to request an informal review.”

b. Lines 27-28, the phrase “a deadline of February 28, 2014 to request an informal review” is corrected to read “a deadline of 90 days following the receipt of the feedback reports to request an informal review.”

26. On pages 69344 through 69345, we are correcting Table 134: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty* and the first footnote (*) that reads: *Table 83 shows only the final payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January 2013 conversion factor change under current law.” to read as follows:

Table 134—CY 2013 Final Rule With Comment Period Estimated Impact on Total Allowed Charges by Specialty *

[Estimated impact for RVU changes *]

Specialty	Allowed charges (mil)	Impact of work and MP RVU changes %	Impact of PE RVU changes %	Combined impact %
(A)	(B)	(C)	(D)	(E)
TOTAL	$86,384	0	0	0
01-ALLERGY/IMMUNOLOGY	200	0	2	2
02-ANESTHESIOLOGY	1,817	0	2	2
03-CARDIAC SURGERY	369	0	−1	−1
04-CARDIOLOGY	6,733	−1	−2	−2
05-COLON AND RECTAL SURGERY	153	0	2	2
06-CRITICAL CARE	263	0	1	1
07-DERMATOLOGY	3,024	0	0	0
08-EMERGENCY MEDICINE	2,839	0	0	0
09-ENDOCRINOLOGY	437	0	1	1
10-FAMILY PRACTICE	5,943	2	5	7
11-GASTROENTEROLOGY	1,896	0	0	0
12-GENERAL PRACTICE	587	0	1	1
13-GENERAL SURGERY	2,283	0	1	1
14-GERIATRICS	220	1	3	5
15-HAND SURGERY	135	0	1	1
16-HEMATOLOGY/ONCOLOGY	1,909	0	2	2
17-INFECTIOUS DISEASE	629	0	1	1
18-INTERNAL MEDICINE	11,163	1	3	5
19-INTERVENTIONAL PAIN MGMT	538	0	1	1
20-INTERVENTIONAL RADIOLOGY	204	0	−2	−3
21-MULTISPECIALTY CLINIC/OTHER PHY	81	0	0	0
22-NEPHROLOGY	2,080	0	0	0
23-NEUROLOGY	1,604	−2	−5	−7
24-NEUROSURGERY	687	0	0	0
25-NUCLEAR MEDICINE	49	0	−2	−3
27-OBSTETRICS/GYNECOLOGY	704	0	0	0
28-OPHTHALMOLOGY	5,645	−3	0	−3
29-ORTHOPEDIC SURGERY	3,643	0	0	0
30-OTOLARNGOLOGY	1,076	0	2	2
31-PATHOLOGY	1,210	0	−6	−6
32-PEDIATRICS	65	1	3	3
33-PHYSICAL MEDICINE	999	−1	−3	−4
34-PLASTIC SURGERY	356	0	1	1
35-PSYCHIATRY	1,170	−1	3	2
36-PULMONARY DISEASE	1,703	0	1	1
37-RADIATION ONCOLOGY	1,988	0	−7	−7
38-RADIOLOGY	4,818	0	−3	−3
39-RHEUMATOLOGY	548	0	0	0
40-THORACIC SURGERY	343	0	−1	−1
41-UROLOGY	1,918	0	−1	−2
42-VASCULAR SURGERY	888	0	−2	−2
43-AUDIOLOGIST	57	0	−4	−4
44-CHIROPRACTOR	746	0	1	1
45-CLINICAL PSYCHOLOGIST	575	1	−3	−2
46-CLINICAL SOCIAL WORKER	406	1	−3	−2
47-DIAGNOSTIC TESTING FACILITY	888	0	−7	−7
48-INDEPENDENT LABORATORY	1,073	0	−14	−14
49-NURSE ANES/ANES ASST	1,008	0	2	2
50-NURSE PRACTITIONER	1,623	1	3	4
51-OPTOMETRY	1,061	−1	1	1
52-ORAL/MAXILLOFACIAL SURGERY	45	0	1	1
53-PHYSICAL/OCCUPATIONAL THERAPY	2,636	0	4	4
54-PHYSICIAN ASSISTANT	1,229	1	2	3
55-PODIATRY	1,925	0	2	2
56-PORTABLE X-RAY SUPPLIER	106	0	5	5
57-RADIATION THERAPY CENTERS	72	0	−9	−9
98-OTHER	19	0	1	1
* Table 134 shows only the final payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January 2013 conversion factor change under current law.

27. On pages 69347 through 69348, we are correcting Table 135: CY 2013 PFS Final Rule with Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy* and the text in the first footnote (*) for Table 135 that reads “*Table 135 shows only the proposed payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January 2013 conversion factor change under current law.” to read as follows:

Table 135—CY 2013 PFS Final Rule With Comment Period Estimated Impact on Total Allowed Charges by Specialty by Selected Policy* Estimated Impact for RVU Changes*

Specialty	Allowed charges (mil)	Impact of end of PPIS transition %	New, revised, potentially misvalued codes, MPPR, new utilization and other factors %	Updated equipment interest rate assumption %	Transitional care management %	Input changes for certain radiation therapy procedures %	Total (cumulative impact) %
(A)	(B)	(C)	(D)	(E)	(F)	(G)	(H)
TOTAL	86,384	0	0	0	0	0	0
01-ALLERGY/IMMUNOLOGY	200	0	0	2	0	0	2
02-ANESTHESIOLOGY	1,817	1	1	0	0	0	2
03-CARDIAC SURGERY	369	−1	0	0	0	0	−1
04-CARDIOLOGY	6,733	−2	0	0	−1	0	−2
05-COLON AND RECTAL SURGERY	153	1	0	0	0	0	2
06-CRITICAL CARE	263	0	0	0	0	0	1
07-DERMATOLOGY	3,024	0	0	1	−1	0	0
08-EMERGENCY MEDICINE	2,839	0	0	0	0	0	0
09-ENDOCRINOLOGY	437	1	1	0	−1	0	1
10-FAMILY PRACTICE	5,943	1	1	0	4	0	7
11-GASTROENTEROLOGY	1,896	0	0	0	0	0	0
12-GENERAL PRACTICE	587	1	0	0	−1	0	1
13-GENERAL SURGERY	2,283	1	0	0	0	0	1
14-GERIATRICS	220	1	1	0	2	0	5
15-HAND SURGERY	135	1	0	0	−1	0	1
16-HEMATOLOGY/ONCOLOGY	1,909	−1	3	1	−1	0	2
17-INFECTIOUS DISEASE	629	1	1	0	0	0	1
18-INTERNAL MEDICINE	11,163	1	1	0	3	0	5
19-INTERVENTIONAL PAIN MGMT	538	1	0	0	−1	0	1
20-INTERVENTIONAL RADIOLOGY	204	−2	0	0	0	0	−3
21-MULTISPECIALTY CLINIC/OTHER PHY	81	0	0	0	0	0	0
22-NEPHROLOGY	2,080	0	0	0	0	0	0
23-NEUROLOGY	1,604	1	−8	0	0	0	−7
24-NEUROSURGERY	687	0	0	0	0	0	0
25-NUCLEAR MEDICINE	49	−2	0	−1	0	0	−3
27-OBSTETRICS/GYNECOLOGY	704	0	0	0	−1	0	0
28-OPHTHALMOLOGY	5,645	2	−4	0	0	0	−3
29-ORTHOPEDIC SURGERY	3,643	1	0	0	0	0	0
30-OTOLARNGOLOGY	1,076	1	1	1	−1	0	2
31-PATHOLOGY	1,210	−1	−5	0	0	0	−6
32-PEDIATRICS	65	1	0	0	3	0	3
33-PHYSICAL MEDICINE	999	1	−5	0	−1	0	−4
34-PLASTIC SURGERY	$356	1	0	0	0	0	1
35-PSYCHIATRY	1,170	0	2	0	−1	0	2
36-PULMONARY DISEASE	1,703	0	1	0	−1	0	1
37-RADIATION ONCOLOGY	1,988	−4	2	−3	−1	−1	−7
38-RADIOLOGY	4,818	−2	0	−1	0	0	−3
39-RHEUMATOLOGY	548	0	1	0	−1	0	0
40-THORACIC SURGERY	343	−1	0	0	0	0	−1
41-UROLOGY	1,918	−2	0	0	−1	0	−2
42-VASCULAR SURGERY	888	−1	−1	0	0	0	−2
43-AUDIOLOGIST	57	−3	0	0	0	0	−4
44-CHIROPRACTOR	746	1	0	0	0	0	1
45-CLINICAL PSYCHOLOGIST	575	−2	1	0	0	0	−2
46-CLINICAL SOCIAL WORKER	406	−2	0	0	0	0	−2
47-DIAGNOSTIC TESTING FACILITY	888	−5	0	−2	−1	0	−7
48-INDEPENDENT LABORATORY	1,073	−2	−12	1	−1	0	−14
49-NURSE ANES/ANES ASST	1,008	2	0	0	0	0	2
50-NURSE PRACTITIONER	1,623	1	1	0	2	0	4
51-OPTOMETRY	1,061	2	−1	0	0	0	1
52-ORAL/MAXILLOFACIAL SURGERY	45	1	0	1	−1	0	1
53-PHYSICAL/OCCUPATIONAL THERAPY	2,636	2	2	0	0	0	4
54-PHYSICIAN ASSISTANT	1,229	1	0	0	2	0	3
55-PODIATRY	1,925	2	0	1	−1	0	2
56-PORTABLE X-RAY SUPPLIER	106	1	4	1	−1	0	5
57-RADIATION THERAPY CENTERS	72	−5	4	−5	−1	−1	−9
98-OTHER	19	1	0	0	0	0	1
“*Table 135 shows only the final payment policy impact on PFS services. We note that these impacts do not include the effects of the negative January 2013 conversion factor change under current law.”

28. On pages 69350 through 69351, we are correcting Table 136 Impact of Final Rule with Comment Period on CY 2013 Payment for Selected Procedures* to read as follows:

29. On page 69351,

a. Footnote 3 “Payments based on the 2012 conversion factor of 34.0376, adjusted to 34.0066 to include the budget neutrality adjustment” is corrected to read “Payments based on the 2012 conversion factor of 34.0376, adjusted to 34.0230 to include the budget neutrality adjustment.”

b. Footnote 4 for Table 136 “Payments based on the 2013 conversion factor of 25.0008, which includes the budget neutrality adjustment” is corrected to read “Payments based on the 2013 conversion factor of 25.0070, which includes the budget neutrality adjustment.”

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Dated: August 2, 2013.

Jennifer M. Cannistra,

Executive Secretary to the Department, Department of Health and Human Services.