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Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2003 and Inclusion of Registered Nurses in the Personnel Provision of the Critical Access Hospital Emergency Services Requirement for Frontier Areas and Remote Locations

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Information about this document as published in the Federal Register.

Published Document

This document has been published in the Federal Register. Use the PDF linked in the document sidebar for the official electronic format.

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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 December 31, 2002, entitled, “Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2003 and Inclusion of Registered Nurses in the Personnel Provision of the Critical Access Hospital Emergency Services Requirement for Frontier Areas and Remote Locations”.

EFFECTIVE DATE:

This rule is effective March 1, 2003.

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FOR FURTHER INFORMATION CONTACT:

Diane Milstead, (410) 786-3355.

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SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 02-32503 of December 31, 2002 (67 FR 79966), there were a number of technical errors that are identified and corrected in the Correction of Errors section below. Additionally there are various revisions to Addenda B, C, D and E. The provisions in this correction notice are effective as if they had been included in the document published December 31, 2002.

Discussion of Addenda B, C, D and E

1. In Addendum B, we assigned incorrect status indicators for the following CPT codes: Page 80111 for CPT code 67221; page 80143 for CPT codes 90723, 90740, 90743, 90744, 90746, 90747 and 90748; page 80158 for CPT codes 99026 and 99027; and page 80166 for HCPCS code J3370. We assigned incorrect status indicators and RVUS for the following CPT and HCPCS codes: Page 80147 for CPT code 92597; page 80149 for CPT codes 93315, 99315-TC, 99317 and 93317-TC; page 80156 for 95951 and 95951-TC, page 80158 for CPT code 99026 and 99027 and page 80163 for G0125 and G0125-TC. We also erroneously assigned RVUs to the following HCPCS codes that are not used for Medicare payment: Page 80164 for G0219 and G0219-26; page 80165 for G0255 and G0255-26. These corrections are reflected in correction number 12 to follow.

2. We indicated the incorrect global period in Addenda B and C for the following CPT codes: Page 80100 for CPT code 58550; pages 80074 and 80167 for CPT codes 33224; and page 80134 for CPT codes 77789, 77789-26 and 77789-TC. The corrected global period is in correction number 13 to follow.

3. In Addenda B and C, on pages 80044, 80165 and 80170, we erroneously assigned RVUs to a CPT code 0020T which is an emerging technology code and also created two new HCPCS codes (G0279 and G0280) with payments based on our valuation of this CPT code. However, assignment of RVUs for this CPT code is contrary to national policy established in the November 1, 2001 (66 FR 55269), final rule which stated that we would provide payment for emerging technology codes as determined by the carrier. In addition, based on the creation of these two G codes, we are not recognizing CPT code 0019T for Medicare purposes. Corrections for these services are in correction number 14.

4. In Addenda B on page 80097, incorrect work and practice expense RVUS were assigned to CPT code 53853. In addition, on page 80110 the RVUs listed under non-facility total and facility total were incorrect for the following codes: 66710, 66720, 66761 66762 and 66770. These corrections are reflected in correction number 15.

5. In Addenda B and C, incorrect practice expense RVUs were assigned for the following CPT codes: Page 80044 for CPT codes 10021 and 10022; page 80060 for CPT 26587; page 80084 for CPT code 42820; page 80092 for CPT codes 50080, 50081, 50236, 50240; page 80093 for CPT codes 50553, 50555, 50557, 50561, 50684 and 50690; page 80094 for CPT codes 50953, 50955, 50957, 50961, 51010, 51605, 51610, 51710, 51726 and 51726-TC; page 80095 and 80168 for CPT codes 51772, 51772-TC, 51784, 51784-TC, 51785, 51785-TC, 51792, 51792-TC, 51795, 51795-TC, 51798, 52000, 52005, 52010, 52204, 52214, 52224, 52265, 52270, 52275, 52276, 52281, 52282, 52283, 52285, 52310, 52315, 52317, 52330 and 52332; page 80096 for CPT codes 52647, 53025, 53040, 53080, 53085, 53200, 53265 and 53270; page 80093 for CPT codes 53850, 53852, 54000, 54001, 54015, 54055, 54060, 54105, 54111, 54115, 54120, 54125, 54130, 54135, 54160, 54205, 54300, 54304, 54308, 54312, 54324, 54328, 54332, 54360 and 54430; page 80098 for CPT codes 54500, 54700, 55100, 55250, 55450, and 55700; page 80099 for CPT code 55873; page 80100 for CPT code 58340; page 80109 for CPT code 65220; page 80110 for CPT code 66740; page 80110 for CPT codes 66821 and 66984; page 80111 for CPT codes 67820 and 67825; page 80117 for CPT codes 71275 and 71275-TC; page 80119 for CPT codes 72191 and 72191-TC; page 80120 for CPT codes 73206 and 73206-TC; page 80121 for CPT codes 73706 and 73706-TC; page 80122 for CPT codes 74175 and 74175-TC; page 80130 for CPT codes 76519 and 76519-TC; page 80141 for CPT code 88141; page 80145 for CPT codes 91122, 91122-TC, 92014, 92081, 92081-TC, 92083, 92083-TC, 92135 , 92135-TC, 92235; page 80146 for CPT codes 92235-TC, 92250 and 92250-TC; page 80148 for CPT code 93012; page 80153 for CPT codes 94014 and 94015; page 80163 for HCPCS codes G0124 and G0141; page 80165 and 80170 for HCPCS codes G0275, G0278 and G0281; page 80166 and 80170 for HCPCS codes G0283, G0289 and P3001. The corrected RVUs are in item number 16.

6. In Addendum D, on page 80171, the carrier numbers listed for Ohio and West Virginia are incorrect. The corrected numbers are reflected in number 17 to follow. Start Printed Page 32401

7. We are revising the title of Addendum E that appeared on the top of every column from page 80172 through page 80174, to read as follows: “Updated List of CPT1/HCPCS Codes Used to Define Certain Designated Health Services Under the Physician Self-Referral Prohibition (Section 1877 of the Act).” We are also correcting a number of typographical errors. On page 80172, in the second column, the last word in the second subheading concerning HCPCS level 2 codes for physical therapy/occupational therapy/speech-language pathology services is corrected to read “services”. On page 80173, in the third column, the description of CPT codes 93320 and 93321 is corrected to include a dash between CPT codes 93303 and 93308. On page 80174, in the first column, the description of CPT code 93325 is corrected to include a dash between 93303 and 93308. Also on page 80174, in the third column, under the first subheading, the description of CPT code 90657 is corrected to read “Flu vaccine, 6-35 mo, im.”

Also in Addendum E, we erroneously included or excluded certain codes. On page 80172, in the first column, we erroneously included HCPCS codes P2031 and P7001 as clinical laboratory services. We are removing these codes and their descriptors, because they are not payable by Medicare and therefore are not designated health services. On page 80172, in the second column, we inadvertently omitted CPT code 92597. This code is now covered as a speech-pathology service under Medicare and, thus, is being added as a designated health service. Also on page 80172, in the second column, we included CPT 0019T as a physical therapy service. Consistent with changes made elsewhere in this correction notice, we are removing CPT code 0019T and its descriptor because it is no longer valid for Medicare purposes. On page 80174, in the third column under the first subheading, we incorrectly included CPT code 90748 and HCPCS codes Q3021, Q3022, and Q3023 as vaccines to which the physician self-referral prohibition does not apply if certain conditions are satisfied. We are removing CPT code 90748 and its descriptor because it is no longer valid for Medicare purposes. We are removing HCPCS codes Q3021, Q3022 and Q3023 and their descriptors, as these codes have been discontinued. Because CPT codes 90740, 90743, 90744, 90746 and 90747 were reactivated to replace HCPCS codes Q3021-23, we are adding in numeric order CPT codes 90740, 90743, 90744, 90746 and 90747 and their descriptors in place of the removed Q codes.

Lastly, we note that on page 80172 in the third column, we included HCPCS code G0281 as a physical therapy service. In accordance with the Medicare Program Memorandum Transmittal B-03-001 issued on January 17, 2003, Medicare coverage for this service will not begin until April 1, 2003. Although this effective date differs from the March 1, 2003, effective date for the rest of the codes that appear in Addendum E, we have left the code on the list because it is a designated health service subject to the physician self-referral prohibition. Because payment cannot be made before April 1, 2003, there are no self-referral implications until that date.

The corrections to Addendum E are shown in correction numbers 18 and 19 to follow.

II. Correction of Errors

Correction of Errors

In FR Doc. 02-32503 of December 31, 2002 (67 FR 79966), make the following corrections:

1. On page 79966, in column three, in the Comment date section, the seventh sentence is revised as follows to correct the referenced table number: “* * * identified in Table 9, the interim work. * * *”

2. On page 79969, in column two in section E, “Delay in Effective Date”, the last sentence is revised as follows to correct the effective date: “* * * March 1, 2003 * * *”

3. In Table 6, on page 80004 for CPT code 51798, replace the value listed under the column labeled “2003 Work RVU” with “0.00” to agree with discussion on page 80009.

4. On page 80007, fifth paragraph remove the following language “* * * 21740 Reconstructive repair of pectus excavatum or carinatum; open and * * *” and add “and “21743 Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure), with thoracoscopy” at the end of the paragraph.

5. On page 80013, in column two, under the discussion of G0279, G0280 and CPT code 0020T, we incorrectly discuss assignment of RVUs for this CPT code contrary to national policy established in the November 1, 2001 (66 FR 55269) final rule. (Based on this we also assigned RVUs to G0279 and G0280). Replace existing language beginning at the last paragraph in column two (“We are creating and establishing a” * * * through the sentence prior to the discussion of Electrical Stimulation for Wound Care in the third column (* * * “total treatments or weekly intervals.”) with the following:

“We are creating two new G codes describing extracorporeal shock wave therapy for the musculoskeletal system. Because we have created these two G codes, we will not recognize CPT code 0019T. Creation of these G codes does not imply that the services will be covered by Medicare. We believe these services are similar to other physical therapy modalities, and when covered, will be paid under the therapy fee schedule and be carrier priced.”

6. On page 80016, in the second paragraph of the second column, the phrase “for January 1, 2003” is revised to read “March 1, 2003.”

7. On page 80017, Table 9—“Additions and Deletions to the Physician Self-Referral Codes” is amended as follows:

a. Under the title, the subheading “HCPCS” is corrected to read “HCPCS/CPT 1” and the subheading “CPT 1/Descriptor” is corrected to read “Descriptor”.

b. Under the subheading “Additions,” CPT code 0019T and HCPCS codes Q3021, Q3022 and Q3023 and their descriptors are removed and the following CPT codes and their descriptors are added in numeric order:

90740 Hepb vacc, ill pat 3 dose im

90743 Hep b vacc, adol, 2 dose, im

92597 Oral speech device eval

c. Under the subheading “Deletions,” CPT codes 90744, 90746 and 90747 and their corresponding descriptors are removed and CPT code 90748 and its descriptor “Hep b/hib vaccine, im” is added in numeric order.

8. On page 80018, Table 9 is amended as follows:

a. Under the title, the subheading “HCPCS” is corrected to read “HCPCS/CPT 1” and the subheading “CPT 1/Descriptor” is corrected to read “Descriptor”.

b. HCPCS codes P2031 “Hair analysis” and P7001 “Culture bacterial urine” are added in alphanumeric order.

c. In the footnote to Table 9, the words “copyrighted in the” are corrected to read “copyright”.

9. On page 80018, the first column after Table 9 is amended as follows:

a. The first sentence is revised to read: The “Additions” section of Table 9 generally reflects changes to the lists of designated health services to conform them to the most recent publications of CPT and HCPCS codes.”

b. In the second sentence of the first paragraph: the first 2 words of the sentence are removed and replaced with, “One”; and, “0019T,” is removed.Start Printed Page 32402

c. In the third sentence of the first paragraph, the phrase “while CPT codes 0019T and 0020T are therapy codes” is revised to read, “while CPT code 0020T is a therapy code.”

d. In the second paragraph that continues into column two, the beginning of the third sentence through the parenthetical phrase “(Q3021, Q3022 and Q3023)” is revised to read, “Table 9 also reflects the addition of 2 vaccine codes (CPT 90740 and 90743)”.

10. On page 80018, the second column is amended as follows:

a. At the end of the partial paragraph at the top of the column, the following sentence is added: “CPT codes 90740 and 90743 were inadvertently omitted from prior years’ lists of codes identifying the preventive screening tests, immunizations, and vaccines that may qualify for this exception.”

b. The first sentence of the first full paragraph is revised to read, “The “Deletions” section of Table 9 generally reflects changes necessary to conform the code list to the most recent publications of CPT and HCPCS codes.”

c. The second sentence of the first full paragraph is revised by adding the word “also,” after the word “We.”

11. On page 80018, in the second column, following the first full paragraph, a new paragraph is added to read as follows:

“We are deleting CPT code 90748 (“Hep b/hib vaccine, im”) and HCPCS codes P2031 (“Hair analysis”) and P7001 (“Culture bacteria urine”). CPT code 90748 is not valid for Medicare purposes. HCPCS codes P2031 and P7001 are not payable by Medicare.”

12. In Addendum B, the following codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUsNonfacility PE RVUsFacility PE RVUsMalpractice RVUsNonfacility totalFacility totalGlobal
67221ROcular photodynamic ther4.014.631.880.168.806.05000
90723IDtap-hep b-ipv vaccine, im0.000.000.000.000.000.00XXX
90740XHepb vacc, ill pat 3 dose im0.000.000.000.000.000.00XXX
90743XHep b vacc, adol, 2 dose, im0.000.000.000.000.000.00XXX
90744XHepb vacc ped/adol 3 dose im0.000.000.000.000.000.00XXX
90746XHep b vaccine, adult, im0.000.000.000.000.000.00XXX
90747XHepb vacc, ill pat 4 dose im0.000.000.000.000.000.00XXX
90748IHep b/hib vaccine, im0.000.000.000.000.000.00XXX
92597AOral speech device eval0.861.630.410.042.531.31XXX
93315CEcho transescophageal0.000.000.000.000.000.00XXX
93315TCCEcho transescophageal0.000.000.000.000.000.00XXX
93317CEcho transescophageal0.000.000.000.000.000.00XXX
93317TCCEcho transescophageal0.000.000.000.000.000.00XXX
95951CEEG monitoring/videorecord0.000.000.000.000.000.00XXX
95951TCCEEG monitoring/videorecord0.000.000.000.000.000.00XXX
99026NIn-hospital on call service0.000.000.000.000.000.00XXX
99027NOut-of-hosp on call service0.000.000.000.000.000.00XXX
G0125CPET image pulmonary nodule0.000.000.000.000.000.00XXX
G0125TCCPET image pulmonary nodule0.000.000.000.000.000.00XXX
G0219NPET imgwholbod melano nonco0.000.000.000.000.000.00XXX
G021926NPET imgwholbod melano nonco0.000.000.000.000.000.00XXX
G0255NCurrent percep threshold tst0.000.000.000.000.000.00XXX
G025526NCurrent percep threshold tst0.000.000.000.000.000.00XXX
J3370EVancomycin hci injection0.000.000.000.000.000.00XXX

13. In Addenda B and C, the following codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUsNonfacility PE RVUsFacility PE RVUsMalpractice RVUsNonfacility totalFacility totalGlobal
33224Insert pacing lead & connect9.05NA3.920.36NA13.33000
58550Laparo-asst vag hysterectomy14.19NA7.211.44NA22.84090
77789Apply surface radiation1.120.84NA0.052.01NA000
7778926Apply surface radiation1.120.390.390.031.541.54000
77789TCApply surface radiation0.000.45NA0.020.47NA000

14. In Addenda B and C, the following codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUsNonfacility PE RVUsFacility PE RVUsMalpractice RVUsNonfacility totalFacility totalGlobal
0019TIExtracorp shock wave tx, ms0.000.000.000.000.000.00XXX
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0020TCExtracorp shock wave tx, ft0.000.000.000.000.000.00XXX
G0279CExcorp shock tx, elbow epi0.000.000.000.000.000.00XXX
G0280CExcorp shock tx, other than0.000.000.000.000.000.00XXX

15. In Addendum B, the following codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUsNonfacility PE RVUsFacility PE RVUsMalpractice RVUsNonfacility totalFacility totalGlobal
53853AProstatic water thermother5.2438.963.670.2744.479.18090
66710ADestruction, ciliary body4.785.143.810.1810.108.77090
66720ADestruction, ciliary body4.785.454.490.1910.429.46090
66761ARevision of iris4.075.253.980.169.488.21090
66762ARevision of iris4.585.333.970.1810.098.73090
66770ARemoval of inner eye lesion5.185.764.480.2011.149.86090

16. In addenda B and C, the following codes are corrected to read as follows:

CPT 1/HCPCS 2MODStatusDescriptionPhysician work RVUsNonfacility PE RVUsFacility PE RVUsMalpractice RVUsNon-FacilityFacility totalGlobal
10021AFna w/o image1.272.370.530.073.711.87XXX
10022AFna w/ image1.272.660.440.053.981.76XXX
26587AReconstruct extra finger14.056.364.761.1221.5319.93090
42820ARemove tonsils and adenoids3.914.254.250.288.448.44090
50080ARemoval of kidney stone14.7110.1610.160.8625.7325.73090
50081ARemoval of kidney stone21.8012.2312.231.3035.3335.33090
50236ARemoval of kidney & ureter24.8613.2113.211.5039.5739.57090
50240APartial removal of kidney22.0012.3312.331.3635.6935.69090
50553AKidney endoscopy5.9914.022.000.3520.368.34000
50555AKidney endoscopy & biopsy6.5316.012.170.3822.929.08000
50557AKidney endoscopy & treatment6.6214.802.180.3921.819.19000
50561AKidney endoscopy & treatment7.5914.092.510.4422.1210.54000
50684AInjection for ureter x-ray0.7612.610.250.0413.411.05000
50690AInjection for ureter x-ray1.1612.770.390.0613.991.61000
50953AEndoscopy of ureter6.2413.952.060.3720.568.67000
50955AEndoscopy of ureter6.7517.982.260.3825.119.39000
50957AUreter endoscopy & treatment6.7913.792.240.4020.989.43000
50961AUreter endoscopy & treatment6.0517.611.990.3524.018.39000
51010ADrainage of bladder3.535.712.080.239.475.84010
51605APreparation for bladder x-ray0.6413.630.220.0414.310.90000
51610AInjection for bladder x-ray1.0513.410.350.0514.511.45000
51710AChange of bladder tube1.493.901.300.095.482.88010
51726AComplex cystometrogram1.716.976.970.158.838.83000
51726TCAComplex cystometrogram0.006.396.390.046.436.43000
51772AUrethra pressure profile1.616.326.320.168.098.09000
51772TCAUrethra pressure profile0.005.755.750.045.795.79000
51784AAnal/urinary muscle study1.535.255.250.136.916.91000
51784TCAAnal/urinary muscle study0.004.734.730.034.764.76000
51785AAnal/urinary muscle study1.535.275.270.126.926.92000
51785TCAAnal/urinary muscle study0.004.754.750.034.784.78000
51792AUrinary reflex study1.105.445.440.206.746.74000
51792TCAUrinary reflex study0.005.015.010.115.125.12000
51795AUrine voiding pressure study1.536.706.700.188.418.41000
51795TCAUrine voiding pressure study0.006.186.180.086.266.26000
51798AUs urine capacity measure0.000.58NA0.070.65NAXXX
52000ACystoscopy2.014.570.780.126.702.91000
52005ACystoscopy & ureter catheter2.376.380.920.158.903.44000
52010ACystoscopy & duct catheter3.027.771.150.1810.974.35000
52204ACystoscopy2.375.440.930.157.963.45000
52214ACystoscopy and treatment3.717.241.360.2211.175.29000
Start Printed Page 32404
52224ACystoscopy and treatment3.146.121.180.189.444.50000
52265ACystoscopy and treatment2.945.671.140.188.794.26000
52270ACystoscopy & revise urethra3.376.411.340.209.984.91000
52275ACystoscopy & revise urethra4.707.111.780.2812.096.76000
52276ACystoscopy and treatment5.008.011.900.3013.317.20000
52281ACystoscopy and treatment2.808.051.100.1711.024.07000
52282ACystoscopy, implant stent6.4013.082.290.3819.869.07000
52283ACystoscopy and treatment3.745.861.410.229.825.37000
52285ACystoscopy and treatment3.616.311.370.2210.145.20000
52310ACystoscopy and treatment2.814.731.050.177.714.03000
52315ACystoscopy and treatment5.215.751.880.3111.277.40000
52317ARemove bladder stone6.727.822.340.4014.949.46000
52330ACystoscopy and treatment5.0417.401.800.3022.747.14000
52332ACystoscopy and treatment2.8316.401.070.1719.404.07000
52647ALaser surgery of prostate10.3642.874.570.6153.8415.54090
53025AIncision of urethra1.133.690.450.074.891.65000
53040ADrainage of urethra abscess6.4011.867.170.4118.6713.98090
53080ADrainage of urinary leakage6.297.227.220.4213.9313.93090
53085ADrainage of urinary leakage10.278.638.630.6719.5719.57090
53200ABiopsy of urethra2.594.760.950.177.523.71000
53265ATreatment of urethra lesion3.125.772.280.209.095.60010
53270ARemoval of urethra gland3.095.582.520.218.885.82010
53850AProstatic microwave thermotx9.4563.304.250.5673.3114.26090
53852AProstatic rf thermotx9.8852.424.430.5862.8814.89090
54000ASlitting of prepuce1.544.771.400.106.413.04010
54001ASlitting of prepuce2.195.362.010.147.694.34010
54015ADrain penis lesion5.326.513.050.3312.168.70010
54055ADestruction, penis lesion(s)1.225.591.390.076.882.68010
54060AExcision of penis lesion(s)1.934.891.560.126.943.61010
54105ABiopy of penis3.505.552.070.219.265.78010
54111ATreat penis lesion, graft13.578.388.380.7922.7422.74090
54115ATreatment of penis lesion6.159.536.060.3916.0712.60090
54120APartial removal of penis9.977.237.230.6017.8017.80090
54125ARemoval of penis13.538.438.430.8122.7722.77090
54130ARemove penis & nodes20.1410.9410.941.1932.2732.27090
54135ARemove penis & nodes26.3613.0013.001.5840.9440.94090
54160ACircumcision2.484.971.750.167.614.39010
54205ATreatment of penis lesion7.936.476.470.4714.8714.87090
54300ARevision of penis10.418.048.040.5418.9918.99090
54304ARevision of penis12.499.259.250.7422.4822.48090
54308AReconstruction of urethra11.838.828.820.7021.3521.35090
54312AReconstruction of urethra13.579.879.870.8124.2524.25090
54324AReconstruction of urethra16.3111.0611.061.0328.4028.40090
54328ARevise penis/urethra15.6510.0910.090.9226.6626.66090
54332ARevise penis/urethra17.0810.5610.561.0128.6528.65090
54360APenis plastic surgery11.937.857.850.7220.5020.50090
54430ARevision of penis10.157.277.270.6018.0218.02090
54500ABiopsy of testis1.315.460.440.086.851.83000
54700ADrainage of scrotum3.437.023.060.2310.686.72010
55100ADrainage of scrotum abscess2.137.873.220.1510.155.50010
55250ARemoval of sperm duct(s)3.297.702.920.2111.206.42090
55450ALigation of sperm duct4.125.982.430.2410.346.79010
55700ABiopsy of prostate1.573.500.730.105.172.40000
55873ACryoblate prostate19.479.469.461.0229.9529.95090
58340ACatheter for hysterography0.8812.740.320.0813.701.28000
65220ARemove foreign body from eye0.713.500.180.054.260.94000
66740ADestruction, ciliary body4.784.844.840.189.809.80090
66821AAfter cataract laser surgery2.353.833.390.106.285.84090
66984ACataract surg w/iol, 1 stage10.23NA7.650.41NA18.29090
67820ARevise eyelashes0.891.140.380.042.071.31000
67825ARevise eyelashes1.381.621.030.063.062.47010
71275ACt angiography, chest1.9212.9812.980.3815.2815.28XXX
71275TCACt angiography, chest0.0012.3312.330.3212.6512.65XXX
72191ACt angiograph, pelv w/o & w/dye1.8112.5912.590.3814.7814.78XXX
72191TCACt angiograph, pelv w/o & w/dye0.0011.9711.970.3212.2912.29XXX
73206ACt angio upr extrm w/o & w/dye1.8111.5411.540.3813.7313.73XXX
73206TCACt angio upr extrm w/o & w/dye0.0010.9210.920.3211.2411.24XXX
Start Printed Page 32405
73706ACt angio lwr extr w/o & w/dye1.9011.5711.570.3813.8513.85XXX
73706TCACt angio lwr extr w/o & w/dye0.0010.9210.920.3211.2411.24XXX
74175ACt angio abdom w/o & w/dye1.9012.6212.620.3814.9014.90XXX
74175TCACt angio abdom w/o & w/dye0.0011.9711.970.3212.2912.29XXX
76519AEcho exam of eye0.541.93NA0.072.54NAXXX
76519TCAEcho exam of eye0.001.68NA0.061.74NAXXX
88141ACytopath, c/v, interpret0.420.190.190.010.620.62XXX
91122AAnal pressure record1.774.554.550.176.496.49000
91122TCAAnal pressure record0.003.933.930.074.004.00000
92014AEye exam & treatment1.101.370.480.022.491.60XXX
92081AVisual field examination(s)0.360.89NA0.021.27NAXXX
92081TCVisual field examination(s)0.000.73NA0.010.74NAXXX
92083AVisual field examination(s)0.501.37NA0.021.89NAXXX
92083TCVisual field examination(s)0.001.14NA0.011.15NAXXX
92135Opthalmic dx imaging0.351.32NA0.021.69NAXXX
92135TCOpthalmic dx imaging0.001.16NA0.011.17NAXXX
92235Eye exam with photos0.812.68NA0.073.56NAXXX
92235TCEye exam with photos0.002.31NA0.052.36NAXXX
92250Eye exam with photos0.441.54NA0.022.00NAXXX
92250TCEye exam with photos0.001.35NA0.011.26NAXXX
93012ATransmission of ecg0.005.99NA0.156.14NAXXX
94014APatient recorded spirometry0.520.98NA0.031.53NAXXX
94015APatient recorded spirometry0.000.81NA0.010.82NAXXX
G0124AScreen c/v thin layer by MD0.420.190.190.010.620.62XXX
G0141AScr c/v cyto, autosys and MD0.420.190.190.010.620.62XXX
G0275ARenal angio, cardiac cath0.250.100.100.010.360.36ZZZ
G0278AIliac art angio, cardiac cath0.250.100.100.010.360.36ZZZ
G0281AElec stim unattend for press0.180.160.160.010.350.35XXX
G0283AElec stim other than wound0.180.160.160.010.350.35XXX
G0289AArthro, loose body + chondro1.480.580.580.272.332.33ZZZ
P3001AScreening pap smear by phys0.420.190.190.010.620.62XXX

17. In the table of addendum D the following carrier numbers are corrected as follows:

Addendum D

[Corrected]

Carrier no.Locality no.Locality nameWorkPractice expenseMalpractice
0088300OHIO0.9880.9440.957
0088416WEST VIRGINIA0.9630.8501.378

Addendum E [Corrected]

18. In Addendum E, the following CPT codes and their descriptors are added:

PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
92597Oral speech device eval
PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
90740Hepb vacc, ill pat 3 dose im
90743Hep b vacc, adol, 2 dose, im
90744Hepb vacc ped/adol 3 dose im
90746Hep b vaccine, adult, im
90747Hepb vacc, ill pat 4 dose im

19. In Addendum E, the following CPT and HCPCS codes and their descriptors are removed:

CLINICAL LABORATORY SERVICES
P2031Hair analysis
P7001Culture bacterial urine
PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
0019TExtracorp shock wave tx, ms
PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
90748Hep b/hib vaccine, im
Q3021Ped hepatitis b vaccine inj
Q3022Hepatitis b vaccine adult ds
Q3023Injection hepatitis Bvaccine

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 notice take effect. We can waive this procedure, however, if we find good cause that notice and comment procedure is impracticable, unnecessary, or contrary to the public interest and incorporate a statement of the finding and the reasons for it into the notice issued.

We find it unnecessary to undertake notice and comment rulemaking because this notice merely provides technical corrections to the regulations. Therefore, we find good cause to waive notice and comment procedures.

Start Signature

Dated: April 24, 2003.

Ann Agnew,

Executive Secretary to the Department.

End Signature End Supplemental Information

[FR Doc. 03-11747 Filed 5-29-03; 8:45 am]

BILLING CODE 4120-01-P