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Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2000

Document Details

Information about this document as published in the Federal Register.

Published Document

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Start Preamble

AGENCY:

Health Care Financing Administration (HCFA), HHS.

ACTION:

Correction of final rule with comment period.

SUMMARY:

This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register on November 2, 1999, entitled “Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2000.”

EFFECTIVE DATE:

January 1, 2000.

Start Further Info

FOR FURTHER INFORMATION CONTACT:

Diane Milstead, (410) 786-3355.

End Further Info End Preamble Start Supplemental Information

SUPPLEMENTARY INFORMATION:

Background

In FR Doc. 99-28367 of November 2, 1999, (64 FR 59380), there were a number of technical errors. The errors relate to the omission of language discussing payment for pulse oximetry, temperature gradient studies and venous pressure determinations and the removal of the x-ray requirement before chiropractic manipulation; acceptance of the RUC recommendations for work relative value units (RVUs); RUC recommendations for CPT codes 17276 and 95165; a comment on codes in the “zero work” pool; discussion of CPT code 61862 and the correct billing procedures; and regulations text definitions concerning the coverage of prostate screening. Additionally there are various revisions to Addenda B and C.

The provisions in this correction notice are effective as if they had been included in the document published in the Federal Register on November 2, 1999, that is, January 1, 2000.

Discussion of Addenda B and C

1. On page 39626 of the July 22, 1999 proposed rule, we discussed revising the work RVUs for certain pediatric surgical services to reflect more appropriate data. We inadvertently omitted these work RVU changes from Addendum B of the November 2, 1999 final rule. Entries on the pages listed below are corrected as follows: Page 59451 for CPT code 21740; page 59476 for CPT codes 38550 and 38555; page 59477 for CPT code 39503; page 59479 for CPT codes 42810 and 42815; page 59480 for CPT codes 43305, 43310, 43312, and 43831; page 59482 for CPT codes 45120 and 45121; page 59483 for CPT codes 46715, 46716, 46730, 46735, Start Printed Page 1933046740, and 46751; page 59484 for CPT codes 47700 and 47701; page 59485 for CPT codes 49215, 49495, 49580, 49600, 49605, and 49606; page 59488 for CPT code 51940; and page 59495 for CPT code 60280. These corrections are reflected in correction number 8 to follow.

2. On page 59421 of the November 2, 1999 final rule, we assigned 5.85 work RVUs to CPT code 61885. We inadvertently omitted this value from Addenda B and C. Entries on the pages listed below are corrected as follows: Page 59497 and page 59582 for CPT code 61885. These corrections are reflected in correction number 9 to follow.

3. In Addendum B, we assigned incorrect status indicators for the following CPT codes: Page 59553 for CPT codes 94760 and 94761; and page 59578 for HCFA Common Procedure Coding System (HCPCS) codes Q0183, Q0184, Q0185, Q0186, Q1001, Q1002, Q1003, Q1004, and Q1005. These corrections are reflected in correction number 10 to follow.

4. On page 39630 of the July 22, 1999 proposed rule, we discussed accepting the RUC work RVU recommendations for five CPT codes that were carrier priced for 1999. The status of these codes would also change from Carrier Priced (C) to Active (A) in the final rule. We inadvertently omitted the work RVUs, status indicator, and correct global indicator changes from Addendum B of the final rule. Entries on the pages listed below are corrected as follows: Page 59473 for CPT code 35500; page 59475 for CPT code 36823; page 59476 for CPT code 38792; page 59495 for CPT 60650 (renumbered from CPT code 56321 for which we accepted the RUC recommendation); page 59476 for CPT code 38120 (renumbered from CPT code 56345 for which we accepted the RUC recommendation); and page 59481 for CPT code 44201 (renumbered from CPT code 56347 for which we accepted the RUC recommendation). In addition, we failed to reflect the practice expense values assigned to these codes. These corrections are reflected in correction 11 to follow.

5. In Addendum B, we inadvertently published incorrect global periods for CPT codes 33968, 47560, 62263, 96570 and 96571. Entries on pages listed below are corrected as follows: Pages 59472 and 59582 for CPT code 33968; page 59484 for CPT code 47560; pages 59497 and 59582 for CPT code 62263; and pages 59556 and 59583 for CPT codes 96570 and 96571. These corrections are reflected in correction number 12 to follow.

6. On page 39629 of the July 22, 1999 proposed rule, we proposed changing ventricular assist device insertions, CPT codes 33975 and 33976, to an XXX global and reducing the work RVUs accordingly. In the November 2, 1999 final rule, in Addendum B, we changed the global periods to XXX but inadvertently failed to reduce the work RVUs as stated in the proposed rule. Entries on the page listed below are corrected as follows: Page 59472 for CPT codes 33975 and 33976. In addition, we failed to show the adjustments to the CPEP data made to accommodate the changing global periods. These corrections are reflected in correction number 13 to follow.

7. In Addendum B, we inadvertently assigned incorrect practice expense and malpractice RVUs to HCPCS codes G0102, G0104, G0105, and incorrect malpractice relative value units for CPT codes 59000 through 59899. Entries on the pages listed below are corrected as follows: Page 59571 for HCPCS codes G0102, G0104, and G0105; pages 59494 and 59495 for CPT codes 59000 through 59899. These corrections are reflected in correction number 14 to follow.

8. On pages 59448 and 59582 of Addendum B, we assigned an incorrect procedure status and global period to CPT code 20979. Entries on pages listed below are corrected as follows: Pages 59448 and 59582 for CPT code 20979. These corrections are reflected in correction number 15 to follow.

9. In Addendum B, we inadvertently assigned incorrect practice expense RVUs for HCPCS codes G0106, G0106-26, G0106-TC, G0120, G0120-26, G0120-TC, G0170, G0171 and CPT code 45378-53. Entries on pages listed below are corrected as follows: Page 59571 for HCPCS codes G0106, G0106-26, G0106-TC, G0120, G0120-26 and G0120-TC; page 59572 and page 59583 for G0170 and G0171; and page 59482 for CPT 45378-53. These corrections are reflected in correction number 16 to follow.

10. We incorrectly denoted that CPT code 40814 was not applicable in a non-facility setting. On page 59477 of Addendum B, the applicable practice expense values are included for the nonfacility setting for CPT code 40814. These corrections are reflected in correction number 17 to follow.

11. In Addendum B, we assigned incorrect practice expense and/or malpractice RVUs for HCPCS codes G0163, G0163-26, G0163-TC, G0164, G0164-26, G0164-TC, G0165, G0165-26, and G0165-TC. Entries on the pages listed below are corrected as follows: Page 59571 for HCPCS codes G0163, G0163-26, and G0163-TC and page 59572 for G0164, G0164-26, G0164-TC, G0165, G0165-26 and G0165-TC. These corrections are reflected in correction number 18 to follow.

Correction of Errors

In FR Doc. 99-28367 of November 2, 1999, make the following corrections:

1. On page 59395, second column, after the sixth full paragraph, add the following:

CPT code 17276, Destruction, malignant lesion, any method scalp, neck, hands, feet, genitalia; lesion diameter over 4.0cm

The RUC forwarded a recommendation for supplies. We accepted the recommendation but deleted what appeared to be duplicated gauze supplies.”

2. On page 59398, first column, after the last paragraph insert the following:

“CPT Code 95165, professional services for the supervision and provision of antigens for allergen immunotherapy.

The nature of the RUC's recommendation regarding this code was significantly different than its recommendations regarding other codes. The RUC did not examine the direct expense inputs for code 95165 but commented on the definition of dose used for claims involving this code. Because the direct expense inputs have not been reviewed, we believe that it is not appropriate to revise the practice expense value at this time.”

3. On page 59406, in the last line of column two, insert the words “, in Table 7,” between the words “95956” and “should”.

4. On page 59413, column three, after line 7, add the following:

“Result of Evaluation of Comments:

We are adopting our proposal to bundle payment for these services beginning January 2000 with the exception of code 94762, which we will continue to pay separately when continuous overnight monitoring is medically necessary as a separate procedure.

M. Removal of Requirement for X-ray Before Chiropractic Manipulation

We are conforming our regulations to section 4513(a) of the BBA that deleted the requirement that a spinal subluxation be demonstrated by an x-ray for a chiropractor to receive payment under Medicare Part B for manual manipulation of the spine to correct a subluxation.

Comment: We received one comment requesting we revise § 410.22 (Limitations on services of a chiropractor) to recognize chiropractors as physicians for purposes of ordering and furnishing diagnostic tests and other services and supplies related to manual manipulation for treatment of subluxation of the spine.

Response: We believe that extending the scope of services of the chiropractor to include other services, such as ordering and furnishing diagnostic tests, is inconsistent with section 1861(r) of the Act. Thus, we cannot implement this comment. Start Printed Page 19331

Comment: Two commenters expressed concern that the x-ray requirement has been removed without being replaced by clear”

5. On page 59418, in the third column, line 6 from the top, replace “69” with “85”, and line 9, replace “31” with “15”.

[Corrected]
Start Amendment Part

6. On page 59440, in the second column, § 410.39 is corrected by adding paragraphs (a)(4) and (a)(5) as follows:

End Amendment Part
Prostate cancer screening tests: Conditions for and limitations on coverage.
* * * * *

(a) * * *

(4) A physician for purposes of this provision means a doctor of medicine or osteopathy (as defined in section 1861(r)(1) of the Act) who is fully knowledgeable about the beneficiary, and who would be responsible for explaining the results of the screening examination or test.

(5) A physician assistant, nurse practitioner, clinical nurse specialist, or certified nurse midwife for purposes of this provision means a physician assistant, nurse practitioner, clinical nurse specialist, or certified nurse midwife (as defined in sections 1861(aa) and 1861(gg) of the Act) who is fully knowledgeable about the beneficiary, and who would be responsible for explaining the results of the screening examination or test.

* * * * *
Start Amendment Part

7. On page 59440, in the second and third columns, in § 410.39, paragraphs (b) and (d), add the phrase “as defined in paragraphs (a)(4) or (a)(5) of this section,” after the word “midwife.”

End Amendment Part

Addendum B [Corrected]

8. In the table of Addendum B, the following CPT codes are corrected to read as follows:

CPT1/HCPCS2MODStatusDescriptionPhysician Work RVUs3Fully implemented nonfacility PE RVUsYear 2000 transitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully Implemented non facility totalYear 2000 transitional nonfacility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
21740AReconstruction of sternum16.80NANA15.8012.781.95NANA34.5531.53090
38550ARemoval, neck/armpit lesion6.92NANA5.244.380.50NANA12.6611.80090
38555ARemoval, neck/armpit lesion14.14NANA11.479.681.53NANA27.1425.35090
39503ARepair of diaphragm hernia37.54NANA14.9821.163.26NANA55.7861.96090
42810AExcision of neck cyst3.254.774.093.833.620.278.297.617.357.14090
42815AExcision of neck cyst7.07NANA6.067.350.55NANA13.6814.97090
43305ARepair esophagus and fistula17.39NANA12.6013.741.32NANA31.3132.45090
43310ARepair of esophagus27.47NANA17.6418.043.07NANA48.1848.58090
43312ARepair esophagus and fistula30.50NANA23.1519.023.46NANA57.1152.98090
43831APlace gastrostomy tube7.84NANA4.154.900.74NANA12.7313.48090
45120ARemoval of rectum25.00NANA11.4514.622.31NANA38.7641.93090
45121ARemoval of rectum and colon27.51NANA12.9812.352.65NANA43.1442.51090
46715ARepair of anovaginal fistula7.46NANA4.314.060.86NANA12.6312.38090
46716ARepair of anovaginal fistula12.85NANA6.506.541.21NANA20.5620.60090
46730AConstruction of absent anus22.39NANA11.7411.701.91NANA36.0436.00090
46735AConstruction of absent anus27.02NANA12.1513.152.59NANA41.7642.76090
46740AConstruction of absent anus24.19NANA10.4011.472.31NANA36.9037.97090
46751ARepair of anal sphincter8.77NANA5.534.980.86NANA15.1614.61090
47700AExploration of bile ducts15.62NANA8.238.261.37NANA25.2225.25090
47701ABile duct revision29.55NANA13.2111.062.87NANA45.6343.48090
49215AExcise sacral spine tumor23.20NANA10.509.862.18NANA35.8835.24090
49495ARepair inguinal hernia, init5.84NANA3.674.540.56NANA10.0710.94090
49580ARepair umbilical hernia3.34NANA2.743.470.34NANA6.427.15090
49600ARepair umbilical lesion10.96NANA5.665.690.95NANA17.5717.60090
49605ARepair umbilical lesion24.94NANA11.3110.312.20NANA38.4537.45090
49606ARepair umbilical lesion21.31NANA8.898.961.91NANA32.1132.18090
51940ACorrection of bladder defect28.43NANA13.3816.981.90NANA43.7147.31090
60280ARemove thyroid duct lesion5.87NANA4.866.060.48NANA11.2112.41090
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

9. In the table of Addenda's B and C, the following CPT code is corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUs 3Fully implemented nonfacility PE RVUs 4Year 2000 transitional nonfacility PE RVUs 4Fully implemented facility PE RVUs 4Year 2000 transitional facility PE RVUs 4Malpractice RVUsFully implemented nonfacility totalYear 2000 transitional non-facility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
61885AImplant neurostim one array5.85NANA4.866.060.48NANA11.2112.41090
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

10. In the table of Addendum B, the following HCPCS codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUs 3Fully implemented nonfacility PE RVUs 4Year 2000 transitional nonfacility PE RVUs 4Fully implemented facility PE RVUs 4Year 2000 transitional facility PE RVUs 4Malpractice RVUsFully implemented nonfacility totalYear 2000 transitional non-facility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
Q0183XNonmetabolic active tissue0.000.000.000.000.000.000.000.000.000.00XXX
Q0184XMetabolically active tissue0.000.000.000.000.000.000.000.000.000.00XXX
Q0185XMetabolic active D/E tissue0.000.000.000.000.000.000.000.000.000.00XXX
Q0186XParamedic intercept, rural0.000.000.000.000.000.000.000.000.000.00XXX
Start Printed Page 19332
Q1001XNtiol category 10.000.000.000.000.000.000.000.000.000.00XXX
Q1002XNtiol category 20.000.000.000.000.000.000.000.000.000.00XXX
Q1003XNtiol category 30.000.000.000.000.000.000.000.000.000.00XXX
Q1004XNtiol category 40.000.000.000.000.000.000.000.000.000.00XXX
Q1005XNtiol category 50.000.000.000.000.000.000.000.000.000.00XXX
94760TMeasure blood oxygen level0.000.080.180.080.180.020.100.200.100.20XXX
94761TMeasure blood oxygen level0.000.150.420.150.420.050.200.470.200.47XXX
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

11. In the table of Addendum B, the following CPT codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUs3Fully implemented nonfacility PE RVUsYear 2000 trasitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 transitional facility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
35500AHarvest vein for bypass6.45NANA2.432.430.73NANA9.619.61ZZZ
36823AInsert cannula(s)21.00NANA11.5411.540.67NANA33.2133.21090
38120ALaparoscopic splenectomy17.00NANA7.837.831.04NANA25.8725.87090
38792AIdentify sentinel node0.52NANA0.200.200.01NANA0.730.73000
44201ALaparoscopic jejunostomy9.78NANA3.613.611.35NANA14.7414.74090
60650ALaparoscopy adrenalectomy20.00NANA9.109.101.35NANA30.4530.45090
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

12. In the table of Addenda's B and/or C, the following CPT codes are corrected to read as follows:

CPT 1/HCPC 2MODStatusDescriptionPhysician work RVUs3Fully implemented nonfacility PE RVUsYear 2000 trasitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 transitional facility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
33968ARemove aortic assist device0.640.250.250.250.250.271.161.161.161.16000
47560ALaparoscopy w/ cholangio4.89N/AN/A1.952.480.46N/AN/A7.307.83000
62263ALysis epidural adhesions6.024.614.612.182.180.8811.5111.519.089.08010
96570APhotodynamic tx, 30 min1.100.710.710.430.430.282.092.091.811.81ZZZ
96571APhotodynamc tx, addl 15 min0.550.310.310.210.210.281.141.141.041.04ZZZ
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

13. In table of Addendum B, the following CPT codes are corrected to read as follows:

CPT 1/HCPC 2MODStatusDescriptionPhysician work RVUs3Fully implemented nonfacility PE RVUsYear 2000 trasitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 transitional facility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
33975AImplant ventricular device21.00NANA16.8016.102.86NANA40.6639.96XXX
33976AImplant ventricular device23.00NANA18.6519.823.91NANA45.5646.73XXX
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

14. In table of Addendum B, the following CPT codes are corrected to read as follows:

CPT 1/HCPC 2MODStatusDescriptionPhysician work RVUs3Fully implemented nonfacility PE RVUsYear 2000 trasitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 transitional facility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
G0102AProstate ca screening; dre0.170.510.370.060.090.010.690.550.240.27XXX
G0104ACA screen; flexi sigmoidscope0.961.351.340.330.460.072.382.371.361.49000
G0105AColorectal scrn; hi risk ind3.705.995.241.292.860.269.959.205.256.82000
59000AAmniocentesis1.301.541.300.490.770.193.032.791.982.26000
59012AFetal cord punture, prenatal3.45NANA1.382.110.51NANA5.346.07000
59015AChorion biopsy2.201.271.290.851.080.323.793.813.373.60000
59020AFetal contract stress test0.660.781.060.781.060.211.651.931.651.93000
5902026AFetal contract stress test0.660.260.530.260.530.131.051.321.051.32000
59020TCAFetal contract stress test0.000.520.530.520.530.080.600.610.600.61000
59025AFetal non-stress test0.530.430.550.430.550.101.061.181.061.18000
5902526AFetal non-stress test0.530.200.310.200.310.080.810.920.810.92000
59025TCAFetal non-stress test0.000.230.240.230.240.020.250.260.250.26000
59030AFetal scalp blood sample1.99NANA0.771.240.30NANA3.063.53000
59050AFetal monitor w/ report0.89NANA0.340.610.12NANA1.351.62XXX
59051AFetal monitor/interpret only0.74NANA0.280.580.10NANA1.121.12XXX
59100ARemove uterus lesion12.35NANA6.055.271.80NANA20.2019.42090
Start Printed Page 19333
59120ATreat ectopic pregnancy11.49NANA5.737.131.67NANA18.8920.29090
59121ATreat ectopic pregnancy11.67NANA5.845.841.70NANA19.2119.21090
59130ATreat ectopic pregnancy14.22NANA6.896.682.07NANA23.1822.97090
59135ATreat ectopic pregnancy13.88NANA6.768.732.01NANA22.6524.62090
59136ATreat ectopic pregnancy13.18NANA6.496.621.92NANA21.5921.72090
59140ATreat ectopic pregnancy5.46NANA3.404.230.79NANA9.6510.48090
59150ATreat ectopic pregnancy6.89NANA3.954.441.00NANA11.8412.33090
59151ATreat ectopic pregnancy7.86NANA4.016.681.15NANA13.0215.69090
59160AD & C after delivery2.713.303.242.072.630.396.406.345.175.73010
59200AInsert cervical dilator0.791.190.890.290.30.112.091.791.191.20000
59300AEpisiotomy or vaginal repair2.411.561.320.920.730.344.314.073.673.48000
59320ARevision of cervix2.48NANA1.301.620.36NANA4.144.46000
59325ARevision of cervix4.07NANA1.922.530.59NANA6.587.19000
59350ARepair of uterus4.95NANA1.842.840.73NANA7.528.52000
59400AObstetrical care23.06NANA13.4414.863.35NANA39.8541.27MMM
59409AObstetrical care13.50NANA5.087.691.97NANA20.5523.16MMM
59410AObstetrical care14.78NANA6.018.62.15NANA22.9425.53MMM
59412AAntepartum manipulation1.711.161.240.650.990.253.123.202.612.95MMM
59414ADeliver placenta1.61NANA1.131.190.24NANA2.983.04MMM
59425AAntepartum care only4.814.623.884.623.10.7110.149.4010.148.62MMM
59426AAntepartum care only8.287.856.617.815.251.2017.3316.0917.2914.73MMM
59430ACare after delivery2.131.140.781.140.680.323.593.233.593.13MMM
59510ACesarean delivery26.22NANA15.4016.873.82NANA45.4446.91MMM
59514ACesarean delivery only15.97NANA6.018.972.32NANA24.3027.26MMM
59515ACesarean delivery17.37NANA7.5610.22.53NANA27.4630.10MMM
59525ARemover uterus after cesarean8.54NANA3.193.661.24NANA12.9713.44ZZZ
59610AVbac delivery24.62NANA9.3612.823.58NANA37.5641.02MMM
59612AVbac delivery only15.06NANA5.778.032.20NANA23.0325.29MMM
59614AVbac care after delivery16.34NANA6.298.742.38NANA25.0127.46MMM
59618AAttempted Vbac delivery27.78NANA10.5114.434.05NANA42.3446.26MMM
59620AAttempted Vbac delivery only17.53NANA6.679.302.55NANA26.7529.38MMM
59622AAttempted Vbac after care18.93NANA7.2710.052.76NANA28.9631.74MMM
59812ATreatment of miscarriage3.254.214.072.233.060.487.947.805.966.79090
59820ACare of miscarriage4.014.404.242.523.30.599.008.847.127.90090
59821ATreatment of miscarriage4.474.873.912.712.830.6610.009.047.847.96090
59830ATreat uterus infection6.11NANA3.644.280.89NANA10.6411.28090
59840RAbortion3.014.644.072.142.820.448.097.525.596.27010
59841RAbortion5.246.015.043.353.710.7512.0011.039.349.70010
59850RAbortion5.91NANA2.523.430.86NANA9.2910.20090
59851RAbortion5.93NANA2.873.760.86NANA9.6610.55090
59852RAbortion8.24NANA4.345.161.19NANA13.7714.59090
59855RAbortion6.12NANA3.173.830.89NANA10.1810.84090
59856RAbortion7.48NANA3.554.551.09NANA12.1213.12090
59857RAbortion9.29NANA4.285.521.36NANA14.9316.17090
59866RAbortion (mpr)4.00NANA1.552.330.58NANA6.136.91000
59870AEvacuate mole of uterus4.28NANA2.853.010.62NANA7.757.91090
59871ARemove cerclage suture2.131.891.910.811.370.324.344.363.263.82000
59898CLaparo proc, ob care/delivery0.000.000.000.000.000.000.000.000.000.00YYY
59899CMaternity care procedure0.000.000.000.000.000.000.000.000.000.00YYY
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

15. In table of Addenda B and C, the following CPT code is corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUs 3Fully implemented facility PE RVUsYear 2000 transitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 transitional nonfacility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
20979NU.S. bone stimulation0.170.250.250.070.070.010.430.430.250.25XXX
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110—D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

16. In the table of Addendum B, the following CPT codes are corrected to read as follows:

CPT 1/ HCPCS 2MODStatusDescriptionPhysician work RVUs 3Fully implemented nonfacility PE RVUsYear 2000 transitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 Transitional nonfacility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 Transitional nonfacility totalFully implemented facility totalYear 2000 Transitional facility totalGlobal
G0106AColon CA screen; barium enema0.992.512.662.512.660.153.653.803.653.80XXX
G010626AColon CA screen; barium enema0.990.270.380.270.380.041.301.411.301.41XXX
G0106TCAColon CA screen; barium enema0.002.242.282.242.280.112.352.392.352.39XXX
G0120AAColon ca scrn barium enema0.992.512.662.512.660.153.653.803.653.80XXX
G012026AColon ca scrn barium enema0.990.270.380.270.380.041.301.411.301.41XXX
G0120TCAColon ca scrn barium enema0.002.242.282.242.280.112.352.392.352.39XXX
G0170ASkin biograft1.503.143.141.101.100.395.035.032.992.9910
G0171ASkin biograft add-on0.380.300.300.150.150.391.071.070.920.92ZZZ
4537853ADiagnostic colonoscopy0.961.351.340.330.460.072.382.371.361.49000
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply. Start Printed Page 19334
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

17. In the table of Addendum B, the following CPT code is corrected to read as follows:

CPT 1/ HCPCS 2MODStatusDescriptionPhysician work RVUs 3Fully implemented nonfacility PE RVUsYear 2000 transitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 Transitional nonfacility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 Transitional nonfacility totalFully implemented facility totalYear 2000 Transitional facility totalGlobal
40814AExcise/repair mouth lesion3.423.643.583.642.700.257.317.257.316.3790
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

18. In the table of Addendum B, the following HCPCS codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUs3Fully implemented nonfacility PE RVUsYear 2000 transitional nonfacility PE RVUsFully implemented facility PE RVUsYear 2000 transitional facility PE RVUsMalpractice RVUsFully implemented nonfacility totalYear 2000 transitional nonfacility totalFully implemented facility totalYear 2000 transitional facility totalGlobal
G0163APET for rec of colorectal ca1.5056.2156.2156.2156.212.0659.7759.7759.7759.77XXX
G016326APET for rec of colorectal ca1.500.580.580.580.580.052.132.132.132.13XXX
G0163TCAPET for rec of colorectal ca0.0055.6355.6355.6355.632.0157.6457.6457.6457.64XXX
G0164APET for lymphoma staging1.8756.3556.3556.3556.352.0660.2860.2860.2860.28XXX
G016426APET for lymphoma staging1.870.720.720.720.720.052.642.642.642.64XXX
G0164TCAPET for lymphoma staging0.0055.6355.6355.6355.632.0157.6457.6457.6457.64XXX
G0165APET, rec of melanoma/met ca1.5056.2156.2156.2156.212.0659.7759.7759.7759.77XXX
G016526APET, rec of melanoma/met ca1.500.580.580.580.580.052.132.132.132.13XXX
G0165TCAPET, rec of melanoma/met ca0.0055.6355.6355.6355.632.0157.6457.6457.6457.64XXX
1 CPT codes and descriptions only are copyright 1999 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Apply.
2 Copyright 1994 American Dental Association. All rights reserved (D0110-D9999).
3 + Indicates RVUs are not used for Medicare payment.
4 PE RVUs = Practice Expense Relative Value Units.

(Section 1848 of the Social Security Act (42 U.S.C. 1395w-4)) (Catalog of Federal Domestic Assistance Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Start Signature

Dated: March 23, 2000.

Brian P. Burns,

Deputy Assistant Secretary for Information Resources Management.

End Signature End Supplemental Information

[FR Doc. 00-8717 Filed 4-10-00; 8:45 am]

BILLING CODE 4120-01-P