[Federal Register: October 31, 1997 (Rules and Regulations)] [Page 59247-59260] From the Federal Register Online via GPO Access [[pp. 59247-59260]] Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule, Other Part B Payment Policies, and Establishment of the Clinical Psychologist Fee Schedule for Calendar Year 1998 [[Continued from page 59246]] [[Page 59247]] V2600... .................. X Hand held low vision 0.00 0.00 0.00 0.00 0.00 0.00 XXX aids. V2610... .................. X Single lens spectacle 0.00 0.00 0.00 0.00 0.00 0.00 XXX mount. V2615... .................. X Telescop/othr compound 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2623... .................. X Plastic eye prosth 0.00 0.00 0.00 0.00 0.00 0.00 XXX custom. V2624... .................. X Polishing artifical eye. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2625... .................. X Enlargemnt of eye 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. V2626... .................. X Reduction of eye 0.00 0.00 0.00 0.00 0.00 0.00 XXX prosthesis. V2627... .................. X Scleral cover shell..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2628... .................. X Fabrication & fitting... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2629... .................. X Prosthetic eye other 0.00 0.00 0.00 0.00 0.00 0.00 XXX type. V2630... .................. X Anter chamber intraocul 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2631... .................. X Iris support intraoclr 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2632... .................. X Post chmbr intraocular 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2700... .................. X Balance lens............ 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2710... .................. X Glass/plastic slab off 0.00 0.00 0.00 0.00 0.00 0.00 XXX prism. V2715... .................. X Prism lens/es........... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2718... .................. X Fresnell prism press-on 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2730... .................. X Special base curve...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2740... .................. X Rose tint plastic....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2741... .................. X Non-rose tint plastic... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2742... .................. X Rose tint glass......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2743... .................. X Non-rose tint glass..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2744... .................. X Tint photochromatic lens/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX es. V2750... .................. X Anti-reflective coating. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2755... .................. X UV lens/es.............. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2760... .................. X Scratch resistant 0.00 0.00 0.00 0.00 0.00 0.00 XXX coating. V2770... .................. X Occluder lens/es........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2780... .................. X Oversize lens/es........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX V2781... .................. X Progressive lens per 0.00 0.00 0.00 0.00 0.00 0.00 XXX lens. V2785... .................. X Corneal tissue 0.00 0.00 0.00 0.00 0.00 0.00 XXX processing. V2799... .................. X Miscellaneous vision 0.00 0.00 0.00 0.00 0.00 0.00 XXX service. V5008... .................. N Hearing screening....... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5010... .................. N Assessment for hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5011... .................. N Hearing aid fitting/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX checking. V5014... .................. N Hearing aid repair/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX modifying. V5020... .................. N Conformity evaluation... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5030... .................. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX air. V5040... .................. N Body-worn hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX bone. V5050... .................. N Body-worn hearing aid in 0.00 0.00 0.00 0.00 0.00 0.00 XXX ear. V5060... .................. N Behind ear hearing aid.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5070... .................. N Glasses air conduction.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5080... .................. N Glasses bone conduction. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5090... .................. N Hearing aid dispensing 0.00 0.00 0.00 0.00 0.00 0.00 XXX fee. V5100... .................. N Body-worn bilat hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5110... .................. N Hearing aid dispensing 0.00 0.00 0.00 0.00 0.00 0.00 XXX fee. V5120... .................. N Body-worn binaur hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5130... .................. N In ear binaural hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5140... .................. N Behind ear binaur 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5150... .................. N Glasses binaural hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5160... .................. N Dispensing fee binaural. 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5170... .................. N Within ear cros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5180... .................. N Behind ear cros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5190... .................. N Glasses cros hearing aid 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5200... .................. N Cros hearing aid dispens 0.00 0.00 0.00 0.00 0.00 0.00 XXX fee. V5210... .................. N In ear bicros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5220... .................. N Behind ear bicros 0.00 0.00 0.00 0.00 0.00 0.00 XXX hearing aid. V5230... .................. N Glasses bicros hearing 0.00 0.00 0.00 0.00 0.00 0.00 XXX aid. V5240... .................. N Dispensing fee bicros... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5299... .................. R Hearing service......... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5336... .................. N Repair communication 0.00 0.00 0.00 0.00 0.00 0.00 XXX device. V5362... .................. R Speech screening........ 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5363... .................. R Language screening...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX V5364... .................. R Dysphagia screening..... 0.00 0.00 0.00 0.00 0.00 0.00 XXX -------------------------------------------------------------------------------------------------------------------------------------------------------- Addendum C--Codes With Interim Relative Value Units Addendum C lists the codes for which interim RVUs have been established. Because these RVUs are interim, public comments on these codes will be considered if they are received by 5 p.m., December 30, 1997. Any revisions to the interim RVUs will be announced in a document to be published in 1998 that provides our analysis of and responses to public comments. These revisions will apply to services furnished beginning January 1, 1999. Addendum C contains the following information: [[Page 59248]] 1. CPT/HCPCS code. This is either a CPT or alphanumeric HCPCS code for the service in question. CPT codes are listed first, followed by alphanumeric HCPCS codes. 2. Modifier. A modifier is shown if there is TC (modifier TC) and a PC (modifier -26) for the service. If there is a PC and a TC for the service, Addendum C contains three entries for the code: one for the global values (both professional and technical); one for modifier -26 (PC); and one for modifier TC. The global service is not designated by a modifier, and physicians must bill using the code without a modifier if the physician furnishes both the PCs and the TCs of the service. 3. Status indicator. This indicator shows whether the CPT/HCPCS code is in the fee schedule and whether it is separately payable if the service is covered. See Addendum B for a description of the status indicators. 4. Description of the code. This is an abbreviated version of the narrative description of the code. 5. Physician work RVUs. These are the interim RVUs for the physician work for this service. 6. Practice expense RVUs. These are the interim RVUs for the practice expense for the service. 7. Malpractice expense RVUs. These are the interim RVUs for the malpractice expense for the service. 8. Total RVUs. This is the sum of the work, practice expense, and malpractice expense RVUs. 9. Global period. This indicator shows the number of days in the global period for the code (0, 10, or 90 days). See Addendum B for explanations of the alpha codes. \4\ * Work RVUs increased in global surgical package. \5\ # Indicates reduction of Practice Expense RVUs as result of 110% PE reduction. Addendum C.--Codes With Interim RVUs -------------------------------------------------------------------------------------------------------------------------------------------------------- Non- Physician facility Facility Mal- Non- CPT \1\/ MOD Status Description work RVUs practice practice practice facility Facility Global HCPCS \3\ \4\ expense expense RVUs total total \2\ RVUs \5\ RVUs \5\ -------------------------------------------------------------------------------------------------------------------------------------------------------- 11055... .................. R Trim skin lesion........ 0.27 0.19 0.19 0.01 0.47 0.47 000 11056... .................. R Trim 2 to 4 skin lesions 0.39 0.26 0.26 0.02 0.67 0.67 000 11057... .................. R Trim over 4 skin lesions 0.50 0.21 0.21 0.02 0.73 0.73 000 11200... .................. A Removal of skin tags.... *0.77 0.43 0.43 0.04 1.24 1.24 010 11201... .................. A Removal of added skin 0.29 0.17 0.17 0.02 0.48 0.48 ZZZ tags. 11719... .................. R Trim nail(s)............ 0.06 0.18 #0.07 0.01 0.25 0.14 000 17000... .................. A Destroy benign/premal *0.60 0.42 0.42 0.03 1.05 1.05 010 lesion. 17003... .................. A Destroy 2-14 lesions.... 0.15 0.13 0.13 0.01 0.29 0.29 ZZZ 17004... .................. A Destroy 15 & more *2.79 2.25 2.25 0.20 5.24 5.24 010 lesions. 17110... .................. A Destruct lesion, 1-14... *0.65 0.40 0.40 0.03 1.08 1.08 010 17111... .................. A Destruct lesion, 15 or *0.92 0.60 0.60 0.05 1.57 1.57 010 more. 17200... .................. D 1Electrocautery of skin *0.00 0.00 0.00 0.00 0.00 0.00 010 tags. 17340... .................. A Cryotherapy of skin..... *0.76 0.28 0.28 0.02 1.06 1.06 010 19020... .................. A Incision of breast *3.57 1.40 1.40 0.28 5.25 5.25 090 lesion. 19316... .................. A Suspension of breast.... *10.69 #11.76 #11.76 2.43 24.88 24.88 090 19357... .................. A Breast reconstruction... *18.16 12.15 12.15 2.37 32.68 32.68 090 19361... .................. A Breast reconstruction... *19.26 20.13 20.13 3.88 43.27 43.27 090 19366... .................. A Breast reconstruction... *21.28 16.40 16.40 3.18 40.86 40.86 090 20102... .................. A Explore wound, abdomen.. *3.94 1.92 1.92 0.45 6.31 6.31 010 20103... .................. A Explore wound, extremity *5.30 2.59 2.59 0.60 8.49 8.49 010 20664... .................. A Halo brace application.. *8.06 3.82 3.82 0.65 12.53 12.53 090 20962... .................. A Other bone graft, *39.27 26.90 26.90 5.26 71.43 71.43 090 microvasc. 21010... .................. A Incision of jaw joint... *10.14 10.24 10.24 0.93 21.31 21.31 090 21015... .................. A Resection of facial *5.29 #5.82 #5.82 1.13 12.24 12.24 090 tumor. 21026... .................. A Excision of facial *4.85 3.14 3.14 0.28 8.27 8.27 090 bone(s). 21029... .................. A Contour of face bone *7.71 #8.48 #8.48 0.78 16.97 16.97 090 lesion. 21030... .................. A Removal of face bone *6.46 3.35 3.35 0.29 10.10 10.10 090 lesion. 21032... .................. A Remove exostosis, *3.24 3.88 3.88 0.35 7.47 7.47 090 maxilla. 21034... .................. A Removal of face bone *16.17 6.98 6.98 0.89 24.04 24.04 090 lesion. 21040... .................. A Removal of jaw bone *2.11 2.76 2.76 0.24 5.11 5.11 090 lesion. 21044... .................. A Removal of jaw bone *11.86 9.55 9.55 1.11 22.52 22.52 090 lesion. 21045... .................. A Extensive jaw surgery... *16.17 13.83 13.83 1.58 31.58 31.58 090 21050... .................. A Removal of jaw joint.... *10.77 #11.85 #11.85 1.08 23.70 23.70 090 21060... .................. A Remove jaw joint *10.23 #11.25 #11.25 1.04 22.52 22.52 090 cartilage. 21070... .................. A Remove coronoid process. *8.20 6.81 6.81 0.82 15.83 15.83 090 21076... .................. A Prepare face/oral *13.42 #14.76 #14.76 1.35 29.53 29.53 010 prosthesis. 21077... .................. A Prepare face/oral *33.75 #37.13 #37.13 3.39 74.27 74.27 090 prosthesis. 21079... .................. A Prepare face/oral *22.34 27.93 27.93 2.25 52.52 52.52 090 prosthesis. 21080... .................. A Prepare face/oral *25.10 31.38 31.38 2.52 59.00 59.00 090 prosthesis. 21081... .................. A Prepare face/oral *22.88 28.59 28.59 2.30 53.77 53.77 090 prosthesis. 21082... .................. A Prepare face/oral *20.87 #22.96 #22.96 2.10 45.93 45.93 090 prosthesis. 21083... .................. A Prepare face/oral *19.30 24.13 24.13 1.94 45.37 45.37 090 prosthesis. 21084... .................. A Prepare face/oral *22.51 28.14 28.14 2.28 52.93 52.93 090 prosthesis. 21085... .................. A Prepare face/oral *9.00 #9.90 #9.90 0.90 19.80 19.80 010 prosthesis. 21086... .................. A Prepare face/oral *24.92 31.15 31.15 2.51 58.58 58.58 090 prosthesis. 21087... .................. A Prepare face/oral *24.92 #27.41 #27.41 2.51 54.84 54.84 090 prosthesis. 21100... .................. A Maxillofacial fixation.. *4.22 1.06 1.06 0.11 5.39 5.39 090 21110... .................. A Interdental fixation.... *5.21 5.53 5.53 0.46 11.20 11.20 090 21141... .................. A Reconstruct midface, *18.10 14.34 14.34 1.68 34.12 34.12 090 lefort. 21142... .................. A Reconstruct midface, *18.81 14.84 14.84 1.74 35.39 35.39 090 lefort. 21143... .................. A Reconstruct midface, *19.58 15.40 15.40 1.81 36.79 36.79 090 lefort. 21208... .................. A Augmentation of facial *10.23 #11.25 #11.25 1.07 22.55 22.55 090 bones. 21209... .................. A Reduction of facial *6.72 4.59 4.59 0.76 12.07 12.07 090 bones. 21210... .................. A Face bone graft......... *10.23 #11.25 #11.25 1.29 22.77 22.77 090 21215... .................. A Lower jaw bone graft.... *10.77 #11.85 #11.85 1.42 24.04 24.04 090 [[Page 59249]] 21230... .................. A Rib cartilage graft..... *10.77 10.37 10.37 1.69 22.83 22.83 090 21235... .................. A Ear cartilage graft..... *6.72 #7.39 #7.39 1.09 15.20 15.20 090 21242... .................. A Reconstruction of jaw *12.95 #14.25 #14.25 2.25 29.45 29.45 090 joint. 21244... .................. A Reconstruction of lower *11.86 #13.05 #13.05 1.93 26.84 26.84 090 jaw. 21245... .................. A Reconstruction of jaw... *11.86 11.47 11.47 1.31 24.64 24.64 090 21246... .................. A Reconstruction of jaw... *12.47 8.83 8.83 1.04 22.34 22.34 090 21247... .................. A Reconstruct lower jaw *22.63 #24.89 #24.89 2.27 49.79 49.79 090 bone. 21255... .................. A Reconstruct lower jaw *16.72 #18.39 #18.39 1.68 36.79 36.79 090 bone. 21256... .................. A Reconstruction of orbit. *16.19 #17.81 #17.81 1.63 35.63 35.63 090 21260... .................. A Revise eye sockets...... *16.52 #18.17 #18.17 1.66 36.35 36.35 090 21261... .................. A Revise eye sockets...... *31.49 17.78 17.78 1.65 50.92 50.92 090 21263... .................. A Revise eye sockets...... *28.42 #31.26 #31.26 2.86 62.54 62.54 090 21267... .................. A Revise eye sockets...... *18.90 14.61 14.61 2.13 35.64 35.64 090 21268... .................. A Revise eye sockets...... *24.48 15.35 15.35 3.13 42.96 42.96 090 21270... .................. A Augmentation cheek bone. *10.23 9.60 9.60 1.41 21.24 21.24 090 21275... .................. A Revision orbitofacial *11.24 8.95 8.95 1.26 21.45 21.45 090 bones. 21280... .................. A Revision of eyelid...... *6.03 #6.63 #6.63 0.61 13.27 13.27 090 21282... .................. A Revision of eyelid...... *3.49 #3.84 #3.84 0.79 8.12 8.12 090 21295... .................. A Revision of jaw muscle/ *1.53 0.96 0.96 0.13 2.62 2.62 090 bone. 21296... .................. A Revision of jaw muscle/ *4.25 3.62 3.62 0.22 8.09 8.09 090 bone. 21325... .................. A Repair of nose fracture. *3.77 4.09 4.09 0.52 8.38 8.38 090 21330... .................. A Repair of nose fracture. *5.38 #5.92 #5.92 0.86 12.16 12.16 090 21335... .................. A Repair of nose fracture. *8.61 #9.47 #9.47 1.56 19.64 19.64 090 21336... .................. A Repair nasal septal *5.72 4.09 4.09 0.52 10.33 10.33 090 fracture. 21337... .................. A Repair nasal septal *2.70 2.82 2.82 0.38 5.90 5.90 090 fracture. 21338... .................. A Repair nasoethmoid *6.46 5.01 5.01 0.66 12.13 12.13 090 fracture. 21339... .................. A Repair nasoethmoid *8.09 7.09 7.09 0.70 15.88 15.88 090 fracture. 21340... .................. A Repair of nose fracture. *10.77 8.91 8.91 1.04 20.72 20.72 090 21343... .................. A Repair of sinus fracture *12.95 9.17 9.17 1.08 23.20 23.20 090 21344... .................. A Repair of sinus fracture *19.72 9.17 9.17 1.08 29.97 29.97 090 21345... .................. A Repair of nose/jaw *8.16 7.90 7.90 0.81 16.87 16.87 090 fracture. 21346... .................. A Repair of nose/jaw *10.61 9.40 9.40 1.04 21.05 21.05 090 fracture. 21347... .................. A Repair of nose/jaw *12.69 10.36 10.36 1.36 24.41 24.41 090 fracture. 21348... .................. A Repair of nose/jaw *16.69 11.34 11.34 2.22 30.25 30.25 090 fracture. 21355... .................. A Repair cheek bone *3.77 1.56 1.56 0.17 5.50 5.50 010 fracture. 21356... .................. A Repair cheek bone *4.15 #4.57 #4.57 0.89 9.61 9.61 010 fracture. 21360... .................. A Repair cheek bone *6.46 #7.11 #7.11 0.89 14.46 14.46 090 fracture. 21366... .................. A Repair cheek bone *17.77 12.08 12.08 2.36 32.21 32.21 090 fracture. 21385... .................. A Repair eye socket *9.16 9.59 9.59 1.13 19.88 19.88 090 fracture. 21386... .................. A Repair eye socket *9.16 9.07 9.07 1.25 19.48 19.48 090 fracture. 21387... .................. A Repair eye socket *9.70 7.45 7.45 0.96 18.11 18.11 090 fracture. 21390... .................. A Repair eye socket *10.13 #11.14 #11.14 1.37 22.64 22.64 090 fracture. 21395... .................. A Repair eye socket *12.68 9.63 9.63 1.37 23.68 23.68 090 fracture. 21400... .................. A Treat eye socket *1.40 1.67 #1.54 0.17 3.24 3.11 090 fracture. 21401... .................. A Repair eye socket *3.26 2.58 2.58 0.32 6.16 6.16 090 fracture. 21406... .................. A Repair eye socket *7.01 5.21 5.21 0.74 12.96 12.96 090 fracture. 21407... .................. A Repair eye socket *8.61 7.09 7.09 0.78 16.48 16.48 090 fracture. 21408... .................. A Repair eye socket *12.38 8.49 8.49 0.99 21.86 21.86 090 fracture. 21421... .................. A Treat mouth roof *5.14 6.14 #5.65 0.62 11.90 11.41 090 fracture. 21422... .................. A Repair mouth roof *8.32 #9.15 #9.15 1.19 18.66 18.66 090 fracture. 21423... .................. A Repair mouth roof *10.40 9.80 9.80 1.19 21.39 21.39 090 fracture. 21431... .................. A Treat craniofacial *7.05 6.02 6.02 0.71 13.78 13.78 090 fracture. 21432... .................. A Repair craniofacial *8.61 6.76 6.76 0.84 16.21 16.21 090 fracture. 21433... .................. A Repair craniofacial *25.35 17.96 17.96 2.10 45.41 45.41 090 fracture. 21435... .................. A Repair craniofacial *17.25 13.25 13.25 1.88 32.38 32.38 090 fracture. 21436... .................. A Repair craniofacial *28.04 14.65 14.65 2.08 44.77 44.77 090 fracture. 21440... .................. A Repair dental ridge *2.70 3.07 #2.97 0.28 6.05 5.95 090 fracture. 21445... .................. A Repair dental ridge *5.38 6.11 #5.92 0.56 12.05 11.86 090 fracture. 21450... .................. A Treat lower jaw fracture *2.97 2.84 2.84 0.26 6.07 6.07 090 21451... .................. A Treat lower jaw fracture *4.87 5.83 #5.36 0.74 11.44 10.97 090 21452... .................. A Treat lower jaw fracture *1.98 1.39 1.39 0.17 3.54 3.54 090 21453... .................. A Treat lower jaw fracture *5.54 6.64 #6.09 0.55 12.73 12.18 090 21454... .................. A Treat lower jaw fracture *6.46 #7.11 #7.11 1.42 14.99 14.99 090 21461... .................. A Repair lower jaw *8.09 #8.90 #8.90 1.30 18.29 18.29 090 fracture. 21462... .................. A Repair lower jaw *9.79 #10.77 #10.77 1.34 21.90 21.90 090 fracture. 21465... .................. A Repair lower jaw *11.91 8.44 8.44 0.99 21.34 21.34 090 fracture. 21485... .................. A Reset dislocated jaw.... *3.99 2.19 2.19 0.20 6.38 6.38 090 21490... .................. A Repair dislocated jaw... *11.86 6.31 6.31 0.52 18.69 18.69 090 21493... .................. A Treat hyoid bone *1.27 1.52 #1.40 0.13 2.92 2.80 090 fracture. 21494... .................. A Repair hyoid bone *6.28 7.52 7.52 0.63 14.43 14.43 090 fracture. 21495... .................. A Repair hyoid bone *5.69 4.82 4.82 0.51 11.02 11.02 090 fracture. 21497... .................. A Interdental wiring...... *3.86 3.97 3.97 0.38 8.21 8.21 090 21740... .................. A Reconstruction of *16.50 8.99 8.99 1.64 27.13 27.13 090 sternum. 21750... .................. A Repair of sternum *10.77 7.33 7.33 1.43 19.53 19.53 090 separation. [[Page 59250]] 22505... .................. A Manipulation of spine... *1.87 1.31 1.31 0.17 3.35 3.35 010 22818... .................. A Kyphectomy, 1-2 segments *31.83 28.25 28.25 4.85 64.93 64.93 090 22819... .................. A Kyphectomy, 3 & more *36.44 28.25 28.25 4.85 69.54 69.54 090 segment. 23616... .................. A Repair humerus fracture. *21.27 22.32 22.32 3.54 47.13 47.13 090 24006... .................. A Release elbow joint..... *9.31 7.14 7.14 1.17 17.62 17.62 090 24516... .................. A Repair humerus fracture. *11.65 9.65 9.65 1.54 22.84 22.84 090 24546... .................. A Repair humerus fracture. *15.69 9.97 9.97 1.59 27.25 27.25 090 25337... .................. A Reconstruct ulna/ *10.17 8.60 8.60 1.45 20.22 20.22 090 radioulnar. 25520... .................. A Repair fracture of *6.26 5.74 5.74 0.94 12.94 12.94 090 radius. 25525... .................. A Repair fracture of *12.24 11.15 11.15 1.83 25.22 25.22 090 radius. 25526... .................. A Repair fracture of *12.98 11.85 11.85 1.94 26.77 26.77 090 radius. 25574... .................. A Treat fracture radius & *7.01 #7.71 #7.71 1.73 16.45 16.45 090 ulna. 26546... .................. A Repair non-union hand... *8.92 8.11 8.11 1.33 18.36 18.36 090 26608... .................. A Treat metacarpal *5.36 3.55 3.55 0.57 9.48 9.48 090 fracture. 27193... .................. A Treat pelvic ring *5.56 2.41 2.41 0.39 8.36 8.36 090 fracture. 27194... .................. A Treat pelvic ring *9.65 3.90 3.90 0.50 14.05 14.05 090 fracture. 27215... .................. A Pelvic fracture(s) *10.05 #11.06 #11.06 2.33 23.44 23.44 090 treatment. 27216... .................. A Treat pelvic ring *15.19 4.30 4.30 0.66 20.15 20.15 090 fracture. 27217... .................. A Treat pelvic ring *14.11 14.55 14.55 2.33 30.99 30.99 090 fracture. 27218... .................. A Treat pelvic ring *20.15 14.55 14.55 2.33 37.03 37.03 090 fracture. 27226... .................. A Treat hip wall fracture. *14.91 15.78 15.78 2.52 33.21 33.21 090 27245... .................. A Repair of thigh fracture *20.31 16.30 16.30 2.62 39.23 39.23 090 27496... .................. A Decompression of thigh/ *6.11 4.53 4.53 0.74 11.38 11.38 090 knee. 27497... .................. A Decompression of thigh/ *7.17 5.55 5.55 0.91 13.63 13.63 090 knee. 27498... .................. A Decompression of thigh/ *7.99 6.32 6.32 1.04 15.35 15.35 090 knee. 27499... .................. A Decompression of thigh/ *9.00 7.28 7.28 1.19 17.47 17.47 090 knee. 27501... .................. A Treatment of thigh *5.92 5.41 5.41 0.82 12.15 12.15 090 fracture. 27503... .................. A Treatment of thigh *10.58 7.67 7.67 1.21 19.46 19.46 090 fracture. 27507... .................. A Treatment of thigh *13.99 #15.39 #15.39 2.56 31.94 31.94 090 fracture. 27509... .................. A Treatment of thigh *7.71 4.22 4.22 0.65 12.58 12.58 090 fracture. 27511... .................. A Treatment of thigh *13.64 #15.00 #15.00 2.56 31.20 31.20 090 fracture. 27535... .................. A Treatment of knee *11.50 11.69 11.69 1.88 25.07 25.07 090 fracture. 27558... .................. A Repair of knee *17.72 14.60 14.60 2.43 34.75 34.75 090 dislocation. 27759... .................. A Repair of tibia fracture *13.76 13.74 13.74 2.22 29.72 29.72 090 27824... .................. A Treat lower leg fracture *2.89 3.47 #3.18 0.55 6.91 6.62 090 27825... .................. A Treat lower leg fracture *6.19 6.51 6.51 1.06 13.76 13.76 090 27826... .................. A Treat lower leg fracture *8.54 #9.39 #9.39 1.88 19.81 19.81 090 27829... .................. A Treat lower leg joint... *5.49 #6.04 #6.04 1.37 12.90 12.90 090 27892... .................. A Decompression of leg.... *7.39 3.39 3.39 0.64 11.42 11.42 090 27893... .................. A Decompression of leg.... *7.35 3.38 3.38 0.67 11.40 11.40 090 28470... .................. A Treat metatarsal *1.99 1.80 1.80 0.23 4.02 4.02 090 fracture. 28475... .................. A Treat metatarsal *2.97 2.34 2.34 0.30 5.61 5.61 090 fracture. 28531... .................. A Treat sesamoid bone *2.35 1.91 1.91 0.32 4.58 4.58 090 fracture. 28576... .................. A Treat foot dislocation.. *4.17 2.77 2.77 0.42 7.36 7.36 090 29800... .................. A Jaw arthroscopy/surgery. *6.43 4.01 4.01 0.46 10.90 10.90 090 29804... .................. A Jaw arthroscopy/surgery. *8.14 #8.95 #8.95 1.46 18.55 18.55 090 29850... .................. A Knee arthroscopy/surgery *8.19 #9.01 #9.01 1.74 18.94 18.94 090 29851... .................. A Knee arthroscopy/surgery *13.10 10.95 10.95 1.74 25.79 25.79 090 29855... .................. A Tibial arthroscopy/ *10.62 #11.68 #11.68 1.88 24.18 24.18 090 surgery. 29856... .................. A Tibial arthroscopy/ *14.14 11.69 11.69 1.88 27.71 27.71 090 surgery. 29860... .................. A Hip arthroscopy, dx..... *8.05 4.84 4.84 0.76 13.65 13.65 090 29861... .................. A Hip arthroscopy/surgery. *9.15 9.38 9.38 1.73 20.26 20.26 090 29862... .................. A Hip arthroscopy/surgery. *9.90 10.07 10.07 2.32 22.29 22.29 090 29863... .................. A Hip arthroscopy/surgery. *9.90 8.72 8.72 1.73 20.35 20.35 090 29891... .................. A Ankle arthroscopy/ *8.40 8.86 8.86 1.77 19.03 19.03 090 surgery. 29892... .................. A Ankle arthroscopy/ *9.00 8.86 8.86 1.77 19.63 19.63 090 surgery. 29893... .................. A Scope, plantar *5.22 5.20 5.20 0.46 10.88 10.88 090 fasciotomy. 30460... .................. A Revision of nose........ *9.96 8.58 8.58 0.93 19.47 19.47 090 30462... .................. A Revision of nose........ *19.57 17.16 17.16 1.87 38.60 38.60 090 30801... .................. A Cauterization inner nose *1.09 0.47 0.47 0.05 1.61 1.61 010 30802... .................. A Cauterization inner nose *2.03 0.94 0.94 0.11 3.08 3.08 010 32201... .................. A Percut drainage, lung 4.00 3.03 3.03 0.35 7.38 7.38 000 lesion. 33496... .................. A Repair, prosth valve *27.25 #29.98 #29.98 5.33 62.56 62.56 090 clot. 33501... .................. A Repair heart vessel *17.78 14.14 14.14 2.51 34.43 34.43 090 fistula. 33514... .................. A CABG, vein, five........ *35.00 #38.50 #38.50 7.23 80.73 80.73 090 33516... .................. A CABG, vein, six+........ *37.40 #41.14 #41.14 7.74 86.28 86.28 090 33517... .................. A CABG, artery-vein, *2.57 #2.83 #2.83 0.50 5.90 5.90 090 single. 33518... .................. A CABG, artery-vein, two.. *4.85 #5.34 #5.34 1.02 11.21 11.21 090 33519... .................. A CABG, artery-vein, three *7.12 #7.83 #7.83 1.52 16.47 16.47 090 33521... .................. A CABG, artery-vein, four. *9.40 #10.34 #10.34 2.03 21.77 21.77 090 33522... .................. A CABG, artery-vein, five. *11.67 #12.84 #12.84 2.54 27.05 27.05 090 33523... .................. A CABG, artery-vein, six+. *13.95 #15.35 #15.35 3.05 32.35 32.35 090 33533... .................. A CABG, arterial, single.. *25.83 #28.41 #28.41 5.36 59.60 59.60 090 33534... .................. A CABG, arterial, two..... *28.82 #31.70 #31.70 6.03 66.55 66.55 090 [[Page 59251]] 33535... .................. A CABG, arterial, three... *31.81 #34.99 #34.99 6.70 73.50 73.50 090 33536... .................. A CABG, arterial, four+... *34.79 #38.27 #38.27 7.37 80.43 80.43 090 33800... .................. A Aortic suspension....... *16.24 14.14 14.14 2.51 32.89 32.89 090 34151... .................. A Removal of artery clot.. *16.86 11.96 11.96 2.39 31.21 31.21 090 35400... .................. A Angioscopy.............. 3.00 2.27 2.27 0.27 5.54 5.54 ZZZ 35691... .................. A Arterial transposition.. *18.05 19.62 19.62 3.81 41.48 41.48 090 35693... .................. A Arterial transposition.. *15.36 9.40 9.40 1.91 26.67 26.67 090 35694... .................. A Arterial transposition.. *19.16 9.33 9.33 2.17 30.66 30.66 090 35695... .................. A Arterial transposition.. *19.16 9.33 9.33 2.17 30.66 30.66 090 36470... .................. A Injection therapy of *1.09 0.27 0.27 0.04 1.40 1.40 010 vein. 36530... .................. R Insertion of infusion *6.20 4.82 4.82 1.02 12.04 12.04 010 pump. 36531... .................. R Revision of infusion *4.87 4.37 4.37 0.27 9.51 9.51 010 pump. 36532... .................. R Removal of infusion pump *3.30 1.77 1.77 0.37 5.44 5.44 010 36534... .................. A Revision of access port. *2.80 #3.08 #3.08 0.21 6.09 6.09 010 36535... .................. A Removal of access port.. *2.27 1.81 1.81 0.38 4.46 4.46 010 36834... .................. A Repair A-V aneurysm..... *9.93 7.80 7.80 1.66 19.39 19.39 090 37195... .................. A Thrombolytic therapy, 0.00 7.68 7.68 0.54 8.22 8.22 XXX stroke. 37250... .................. A Intravascular us........ 2.10 1.14 1.14 0.13 3.37 3.37 ZZZ 37251... .................. A Intravascular us........ 1.60 0.87 0.87 0.10 2.57 2.57 ZZZ 40800... .................. A Drainage of mouth lesion *1.17 0.74 0.74 0.07 1.98 1.98 010 40801... .................. A Drainage of mouth lesion *2.53 1.70 1.70 0.16 4.39 4.39 010 40804... .................. A Removal foreign body, *1.24 0.58 0.58 0.06 1.88 1.88 010 mouth. 40805... .................. A Removal foreign body, *2.69 2.50 2.50 0.30 5.49 5.49 010 mouth. 40808... .................. A Biopsy of mouth lesion.. *0.96 0.76 0.76 0.08 1.80 1.80 010 40810... .................. A Excision of mouth lesion *1.31 1.18 1.18 0.11 2.60 2.60 010 40812... .................. A Excise/repair mouth *2.31 1.50 1.50 0.14 3.95 3.95 010 lesion. 40814... .................. A Excise/repair mouth *3.42 3.23 3.23 0.32 6.97 6.97 090 lesion. 40816... .................. A Excision of mouth lesion *3.67 3.22 3.22 0.33 7.22 7.22 090 40818... .................. A Excise oral mucosa for *2.41 2.25 2.25 0.20 4.86 4.86 090 graft. 40819... .................. A Excise lip or cheek fold *2.41 1.23 1.23 0.14 3.78 3.78 090 40820... .................. A Treatment of mouth *1.28 0.53 0.53 0.06 1.87 1.87 010 lesion. 40830... .................. A Repair mouth laceration. *1.76 0.67 0.67 0.07 2.50 2.50 010 40831... .................. A Repair mouth laceration. *2.46 1.94 1.94 0.21 4.61 4.61 010 41800... .................. A Drainage of gum lesion.. *1.17 0.69 0.69 0.07 1.93 1.93 010 41805... .................. A Removal foreign body, *1.24 0.84 0.84 0.08 2.16 2.16 010 gum. 41806... .................. A Removal foreign body, *2.69 1.64 1.64 0.15 4.48 4.48 010 jawbone. 41822... .................. R Excision of gum lesion.. *2.31 3.03 3.03 0.25 5.59 5.59 010 41823... .................. R Excision of gum lesion.. *3.30 #3.63 #3.63 0.34 7.27 7.27 090 41825... .................. A Excision of gum lesion.. *1.31 1.49 1.49 0.14 2.94 2.94 010 41826... .................. A Excision of gum lesion.. *2.31 2.07 2.07 0.18 4.56 4.56 010 41827... .................. A Excision of gum lesion.. *3.42 #3.76 #3.76 0.38 7.56 7.56 090 41828... .................. R Excision of gum lesion.. *3.09 4.07 4.07 0.33 7.49 7.49 010 41830... .................. R Removal of gum tissue... *3.35 #3.69 #3.69 0.36 7.40 7.40 010 41872... .................. R Repair gum.............. *2.59 #2.85 #2.85 0.27 5.71 5.71 090 41874... .................. R Repair tooth socket..... *3.09 #3.40 #3.40 0.32 6.81 6.81 090 43360... .................. A Gastrointestinal repair. *28.78 21.36 21.36 4.19 54.33 54.33 090 43361... .................. A Gastrointestinal repair. *32.65 25.27 25.27 4.77 62.69 62.69 090 44626... .................. A Repair bowel opening.... *22.59 11.37 11.37 2.40 36.36 36.36 090 44700... .................. A Suspend bowel w/ *14.35 11.37 11.37 2.40 28.12 28.12 090 prosthesis. 44901... .................. A Drain, app abscess, perc 3.38 2.56 2.56 0.30 6.24 6.24 000 45119... .................. A Remove, rectum w/ *26.21 16.06 16.06 3.36 45.63 45.63 090 reservoir. 45900... .................. A Reduction of rectal *1.83 0.58 0.58 0.11 2.52 2.52 010 prolapse. 45905... .................. A Dilation of anal *1.61 0.71 0.71 0.12 2.44 2.44 010 sphincter. 45910... .................. A Dilation of rectal *1.96 0.87 0.87 0.13 2.96 2.96 010 narrowing. 46715... .................. A Repair of anovaginal *7.46 3.51 3.51 0.82 11.79 11.79 090 fistula. 46746... .................. A Repair, cloacal anomaly. *36.74 24.26 24.26 2.37 63.37 63.37 090 47011... .................. A Percut drain, liver 3.70 2.80 2.80 0.33 6.83 6.83 000 lesion. 47511... .................. A Insert bile duct drain.. *10.50 2.87 2.87 0.25 13.62 13.62 090 47716... .................. A Fusion of bile duct cyst *13.83 6.56 6.56 1.53 21.92 21.92 090 48001... .................. A Placement of drain, *18.83 8.13 8.13 1.89 28.85 28.85 090 pancreas. 48005... .................. A Resect/debride pancreas. *22.40 9.19 9.19 2.14 33.73 33.73 090 48146... .................. A Pancreatectomy.......... *23.91 16.49 16.49 1.92 42.32 42.32 090 48154... .................. A Pancreatectomy.......... *39.95 22.54 22.54 4.75 67.24 67.24 090 48511... .................. A Drain pancreatic 4.00 3.03 3.03 0.35 7.38 7.38 000 pseudocyst. 48556... .................. A Removal, allograft *15.71 7.26 7.26 1.69 24.66 24.66 090 pancreas. 49021... .................. A Drain abdominal abscess. *3.38 #3.72 #3.72 0.91 8.01 8.01 000 49041... .................. A Percut drain abdom 4.00 3.03 3.03 0.35 7.38 7.38 000 abscess. 49061... .................. A Percutdrain retroper 3.70 2.80 2.80 0.33 6.83 6.83 000 abscess. 49062... .................. A Drain to peritoneal *11.36 8.07 8.07 0.79 20.22 20.22 090 cavity. 49423... .................. A Exchange drainage cath.. 1.46 1.10 1.10 0.13 2.69 2.69 000 49424... .................. A Assess cyst, contrast 0.76 0.57 0.57 0.07 1.40 1.40 000 inj. 49507... .................. A Repair, inguinal hernia. *8.17 5.04 5.04 1.08 14.29 14.29 090 50021... .................. A Percut drain renal 3.38 2.56 2.56 0.30 6.24 6.24 000 abscess. 50727... .................. A Revise ureter........... *8.18 5.37 5.37 0.51 14.06 14.06 090 [[Page 59252]] 50728... .................. A Revise ureter........... *12.02 7.90 7.90 0.77 20.69 20.69 090 50782... .................. A Reimplant ureter in *19.54 13.78 13.78 1.46 34.78 34.78 090 bladder. 50783... .................. A Reimplant ureter in *20.55 13.78 13.78 1.46 35.79 35.79 090 bladder. 52282... .................. A Cystoscopy, implant 6.40 4.58 4.58 0.45 11.43 11.43 000 stent. 52450... .................. A Incision of prostate.... *7.64 4.99 4.99 0.49 13.12 13.12 090 53850... .................. A Prostatic microwave *9.45 6.71 6.71 0.66 16.82 16.82 090 thermotx. 53852... .................. A Prostatic rf thermotx... *9.88 7.01 7.01 0.69 17.58 17.58 090 54401... .................. A Insert self-contd *10.28 #11.31 #11.31 1.73 23.32 23.32 090 prosthesis. 56300... .................. A Laparoscopy; diagnostic. *5.10 4.45 4.45 0.93 10.48 10.48 010 56301... .................. A Laparoscopy; tubal *5.60 4.71 4.71 1.28 11.59 11.59 010 cautery. 56302... .................. A Laparoscopy; tubal block *5.60 5.26 5.26 1.32 12.18 12.18 010 56303... .................. A Laparoscopy; excise *11.79 5.53 5.53 1.16 18.48 18.48 090 lesions. 56304... .................. A Laparoscopy; lysis...... *11.29 5.60 5.60 1.20 18.09 18.09 090 56305... .................. A Laparoscopy; biopsy..... *5.40 4.90 4.90 0.79 11.09 11.09 010 56306... .................. A Laparoscopy; aspiration. *5.70 4.87 4.87 1.18 11.75 11.75 010 56310... .................. A Laparoscopic enterolysis *14.44 8.28 8.28 1.75 24.47 24.47 090 56314... .................. A Lapar; drain lymphocele. *9.48 6.73 6.73 0.66 16.87 16.87 090 56318... .................. A Laparoscopic orchiectomy *10.96 7.23 7.23 0.81 19.00 19.00 090 56322... .................. A Laparoscopy, vagus *10.15 5.07 5.07 1.18 16.40 16.40 090 nerves. 56323... .................. A Laparoscopy, vagus *12.15 6.09 6.09 1.41 19.65 19.65 090 nerves. 56324... .................. A Laparoscopy, *12.58 9.16 9.16 1.93 23.67 23.67 090 cholecystoenter. 56342... .................. A Laparoscopic *14.23 9.37 9.37 2.00 25.60 25.60 090 cholecystectomy. 56343... .................. A Laparoscopic *13.74 5.28 5.28 1.11 20.13 20.13 090 salpingostomy. 56344... .................. A Laparoscopic *12.88 5.11 5.11 1.19 19.18 19.18 090 fimbrioplasty. 56345... .................. C Laparoscopic splenectomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 56346... .................. A Laparoscopic gastrostomy *7.73 6.19 6.19 1.19 15.11 15.11 090 56347... .................. C Laparoscopic jejunostomy 0.00 0.00 0.00 0.00 0.00 0.00 XXX 56348... .................. A Laparo; resect intestine *22.04 13.25 13.25 2.78 38.07 38.07 090 56349... .................. A Laparoscopy; fundoplasty *17.25 11.88 11.88 2.53 31.66 31.66 090 56350... .................. A Hysteroscopy; diagnostic 3.33 1.99 1.99 0.44 5.76 5.76 000 56351... .................. A Hysteroscopy; biopsy.... 4.75 1.99 1.99 0.44 7.18 7.18 000 56352... .................. A Hysteroscopy; lysis..... 6.17 3.77 3.77 0.85 10.79 10.79 000 56353... .................. A Hysteroscopy; resect 7.00 3.77 3.77 0.85 11.62 11.62 000 septum. 56354... .................. A Hysteroscopy; remove 10.00 4.93 4.93 1.30 16.23 16.23 000 myoma. 56355... .................. A Hysteroscopy; remove 5.21 1.99 1.99 0.44 7.64 7.64 000 impact. 56356... .................. A Hysteroscopy; ablation.. 6.17 4.39 4.39 1.49 12.05 12.05 000 56631... .................. A Extensive vulva surgery. *16.20 #17.82 #17.82 4.51 38.53 38.53 090 56634... .................. A Extensive vulva surgery. *17.88 #19.67 #19.67 4.51 42.06 42.06 090 56637... .................. A Extensive vulva surgery. *21.97 21.42 21.42 4.51 47.90 47.90 090 56810... .................. A Repair of perineum...... *4.13 2.62 2.62 0.51 7.26 7.26 010 57308... .................. A Fistula repair, *9.94 7.23 7.23 1.41 18.58 18.58 090 transperine. 57510... .................. A Cauterization of cervix. *1.90 0.52 0.52 0.09 2.51 2.51 010 57531... .................. A Removal of cervix, *22.04 17.77 17.77 3.87 43.68 43.68 090 radical. 58262... .................. A Vaginal hysterectomy.... *13.99 9.39 9.39 2.07 25.45 25.45 090 58263... .................. A Vaginal hysterectomy.... *15.28 10.32 10.32 2.22 27.82 27.82 090 58345... .................. A Reopen fallopian tube... *4.66 3.49 3.49 0.41 8.56 8.56 010 58823... .................. A Percut drain pelvic 3.38 2.56 2.56 0.30 6.24 6.24 000 abscess. 58825... .................. A Transposition, ovary(s). *6.13 4.03 4.03 0.93 11.09 11.09 090 59150... .................. A Treat ectopic pregnancy. *6.89 4.53 4.53 1.05 12.47 12.47 090 59151... .................. A Treat ectopic pregnancy. *7.86 8.61 8.61 0.64 17.11 17.11 090 59871... .................. A Remove cerclage suture.. 2.13 1.78 1.78 0.41 4.32 4.32 000 60271... .................. A Removal of thyroid...... *14.89 12.14 12.14 2.25 29.28 29.28 090 61760... .................. A Implant brain electrodes *22.27 14.98 14.98 1.75 39.00 39.00 090 62280... .................. A Treat spinal cord lesion *2.63 0.71 0.71 0.14 3.48 3.48 010 62281... .................. A Treat spinal cord lesion *2.66 0.87 0.87 0.28 3.81 3.81 010 62282... .................. A Treat spinal canal *2.33 1.70 1.70 0.40 4.43 4.43 010 lesion. 64612... .................. A Destroy nerve, face *1.96 1.45 1.45 0.17 3.58 3.58 010 muscle. 64613... .................. A Destroy nerve, spine *1.96 1.45 1.45 0.17 3.58 3.58 010 muscle. 64716... .................. A Revision of cranial *6.31 4.83 4.83 0.67 11.81 11.81 090 nerve. 64755... .................. A Incision of stomach *13.52 10.47 10.47 2.27 26.26 26.26 090 nerves. 64885... .................. A Nerve graft, head or *17.53 12.69 12.69 1.48 31.70 31.70 090 neck. 64886... .................. A Nerve graft, head or *20.75 15.13 15.13 1.77 37.65 37.65 090 neck. 65860... .................. A Incise inner eye *3.55 #3.91 #3.91 0.37 7.83 7.83 090 adhesions. 66700... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.35 10.39 10.39 090 body. 66710... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.41 10.45 10.45 090 body. 66740... .................. A Destruction, ciliary *4.78 #5.26 #5.26 0.39 10.43 10.43 090 body. 67027... .................. A Implant eye drug system. *10.85 9.04 9.04 0.47 20.36 20.36 090 67414... .................. A Explore/decompress eye *11.13 8.39 8.39 0.44 19.96 19.96 090 socke. 67445... .................. A Explore/decompress eye *14.42 11.13 11.13 0.57 26.12 26.12 090 socke. 67570... .................. A Decompress optic nerve.. *13.58 7.56 7.56 0.39 21.53 21.53 090 68761... .................. A Close tear duct opening. *1.36 0.92 0.92 0.04 2.32 2.32 010 69205... .................. A Clear outer ear canal... *1.20 1.07 1.07 0.11 2.38 2.38 010 75945... 26 A Intravascular us........ 0.40 0.22 0.22 0.03 0.65 0.65 XXX 75946... 26 A Intravascular us........ 0.40 0.22 0.22 0.03 0.65 0.65 XXX [[Page 59253]] 76076... 26 A Dual energy x-ray study. 0.22 0.10 0.10 0.02 0.34 0.34 XXX 76078... 26 A Photodensitometry....... 0.20 0.10 0.10 0.02 0.32 0.32 XXX 76390... 26 A Mr spectroscopy......... 1.40 0.66 0.66 0.10 2.16 2.16 XXX 76831... 26 A Echo exam, uterus....... 0.72 0.32 0.32 0.05 1.09 1.09 XXX 76885... 26 A Echo exam, infant hips.. 0.74 0.32 0.32 0.05 1.11 1.11 XXX 76886... 26 A Echo exam, infant hips.. 0.62 0.27 0.27 0.04 0.93 0.93 XXX 77750... .................. A Infuse radioactive *4.91 3.32 3.32 0.38 8.61 8.61 090 materials. 77750... 26 A Infuse radioactive *4.91 2.05 2.05 0.30 7.26 7.26 090 materials. 77761... .................. A Radioelement application *3.81 3.98 3.98 0.39 8.18 8.18 090 77761... 26 A Radioelement application *3.81 1.59 1.59 0.23 5.63 5.63 090 77762... .................. A Radioelement application *5.72 5.83 5.83 0.57 12.12 12.12 090 77762... 26 A Radioelement application *5.72 2.39 2.39 0.35 8.46 8.46 090 77763... .................. A Radioelement application *8.57 7.86 7.86 0.77 17.20 17.20 090 77763... 26 A Radioelement application *8.57 3.58 3.58 0.50 12.65 12.65 090 77777... .................. A Radioelement application *7.48 7.17 7.17 0.71 15.36 15.36 090 77777... 26 A Radioelement application *7.48 3.13 3.13 0.45 11.06 11.06 090 77778... .................. A Radioelement application *11.19 9.58 9.58 0.98 21.75 21.75 090 77778... 26 A Radioelement application *11.19 4.69 4.69 0.67 16.55 16.55 090 77781... .................. A High intensity *1.66 20.04 20.04 1.32 23.02 23.02 090 brachytherapy. 77781... 26 A High intensity *1.66 0.69 0.69 0.11 2.46 2.46 090 brachytherapy. 77782... .................. A High intensity *2.49 20.40 20.40 1.37 24.26 24.26 090 brachytherapy. 77782... 26 A High intensity *2.49 1.05 1.05 0.16 3.70 3.70 090 brachytherapy. 77783... .................. A High intensity *3.73 20.90 20.90 1.44 26.07 26.07 090 brachytherapy. 77783... 26 A High intensity *3.73 1.55 1.55 0.23 5.51 5.51 090 brachytherapy. 77784... .................. A High intensity *5.61 21.69 21.69 1.56 28.86 28.86 090 brachytherapy. 77784... 26 A High intensity *5.61 2.34 2.34 0.35 8.30 8.30 090 brachytherapy. 77789... .................. A Radioelement application *1.12 0.89 0.89 0.10 2.11 2.11 090 77789... 26 A Radioelement application *1.12 0.46 0.46 0.07 1.65 1.65 090 78491... 26 I Heart image (pet) single +1.50 1.34 1.34 0.10 2.94 2.94 XXX 78492... 26 I Heart image (pet) +1.87 1.34 1.34 0.10 3.31 3.31 XXX multiple. 78707... 26 A Kidney flow & function 0.96 0.42 0.42 0.06 1.44 1.44 XXX image. 78708... 26 A Kidney flow & function 1.21 0.42 0.42 0.06 1.69 1.69 XXX image. 78709... 26 A Kidney flow & function 1.41 0.42 0.42 0.06 1.89 1.89 XXX image. 88141... .................. A Cytopath cerv/vag 0.42 0.32 0.32 0.04 0.78 0.78 XXX interpret. 88152... .................. X Cytopath cerv/vag auto.. 0.00 0.00 0.00 0.00 0.00 0.00 XXX 90802... .................. A Intac psy dx interview.. 3.01 0.38 0.38 0.05 3.44 3.44 XXX 90804... .................. A Psytx, office (20-30)... 1.11 0.35 0.35 0.05 1.51 1.51 XXX 90805... .................. A Psytx, office (20-30) w/ 1.47 0.35 0.35 0.05 1.87 1.87 XXX e&m. 90806... .................. A Psytx, office (45-50)... 1.73 0.54 0.54 0.08 2.35 2.35 XXX 90807... .................. A Psytx, office (45-50) w/ 2.00 0.54 0.54 0.08 2.62 2.62 XXX e&m. 90808... .................. A Psytx, office (75-80)... 2.76 1.05 1.05 0.15 3.96 3.96 XXX 90809... .................. A Psytx, office (75-80) w/ 3.15 1.05 1.05 0.15 4.35 4.35 XXX e&m. 90810... .................. A Intac psytx, office (20- 1.19 0.59 0.59 0.09 1.87 1.87 XXX 30). 90811... .................. A Intac psytx, off 20-30 w/ 1.58 0.59 0.59 0.09 2.26 2.26 XXX e&m. 90812... .................. A Intac psytx, office (45- 1.86 0.59 0.59 0.09 2.54 2.54 XXX 50). 90813... .................. A Intac psytx, off 45-50 w/ 2.15 0.59 0.59 0.09 2.83 2.83 XXX e&m. 90814... .................. A Intac psytx, office (75- 2.97 0.59 0.59 0.09 3.65 3.65 XXX 80). 90815... .................. A Intac psytx, off 75-80 w/ 3.39 0.59 0.59 0.09 4.07 4.07 XXX e&m. 90816... .................. A Psytx, hosp (20-30)..... 1.24 0.35 0.35 0.05 1.64 1.64 XXX 90817... .................. A Psytx, hosp (20-30) w/ 1.65 0.35 0.35 0.05 2.05 2.05 XXX e&m. 90818... .................. A Psytx, hosp (45-50)..... 1.94 0.54 0.54 0.08 2.56 2.56 XXX 90819... .................. A Psytx, hosp (45-50) w/ 2.24 0.54 0.54 0.08 2.86 2.86 XXX e&m. 90821... .................. A Psytx, hosp (75-80)..... 3.09 1.05 1.05 0.15 4.29 4.29 XXX 90822... .................. A Psytx, hosp (75-80) w/ 3.53 1.05 1.05 0.15 4.73 4.73 XXX e&m. 90823... .................. A Intac psytx, hosp (20- 1.33 0.59 0.59 0.09 2.01 2.01 XXX 30). 90824... .................. A Intac psytx, hsp 20-30 w/ 1.77 0.59 0.59 0.09 2.45 2.45 XXX e&m. 90826... .................. A Intac psytx, hosp (45- 2.08 0.59 0.59 0.09 2.76 2.76 XXX 50). 90827... .................. A Intac psytx, hsp 45-50 w/ 2.41 0.59 0.59 0.09 3.09 3.09 XXX e&m. 90828... .................. A Intac psytx, hosp (75- 3.32 0.59 0.59 0.09 4.00 4.00 XXX 80). 90829... .................. A Intac psytx, hsp 75-80 w/ 3.80 0.59 0.59 0.09 4.48 4.48 XXX e&m. 90865... .................. A Narcosynthesis.......... 2.84 0.50 0.50 0.07 3.41 3.41 XXX 90875... .................. N Psychophysiological 1.20 0.00 0.00 0.00 1.20 1.20 XXX therapy. 90876... .................. N Psychophysiological 1.90 0.00 0.00 0.00 1.90 1.90 XXX therapy. 90885... .................. B Psy evaluation of +0.97 0.31 0.31 0.04 1.32 1.32 XXX records. 92986... .................. A Revision of aortic valve *21.80 12.04 12.04 0.90 34.74 34.74 090 92987... .................. A Revision of mitral valve *22.70 12.20 12.20 0.91 35.81 35.81 090 92990... .................. A Revision of pulmonary *17.34 9.59 9.59 0.71 27.64 27.64 090 valve. 92997... .................. A Pul art balloon repair, 12.00 #13.20 #13.20 1.22 26.42 26.42 000 perc. 92998... .................. A Pul art balloon repair, 6.00 3.80 3.80 0.44 10.24 10.24 ZZZ perc. 93508... 26 A Cath placement, 4.10 2.78 2.78 0.23 7.11 7.11 000 angiography. 93530... 26 A Rt heart cath, 4.23 3.61 3.61 0.34 8.18 8.18 000 congenital. 93531... 26 A R & l heart cath, 8.35 5.45 5.45 0.39 14.19 14.19 000 congenital. 93532... 26 A R & l heart cath, 10.00 7.14 7.14 0.50 17.64 17.64 000 congenital. 93533... 26 A R & l heart cath, 6.70 2.93 2.93 0.22 9.85 9.85 000 congenital. [[Page 59254]] 95806... 26 A Sleep study, unattended. 1.66 2.45 #1.83 0.19 4.30 3.68 XXX 95811... 26 A Polysomnography w/cpap.. 3.80 2.57 2.57 0.20 6.57 6.57 XXX 95870... 26 A Muscle test, non- 0.37 0.33 0.33 0.03 0.73 0.73 XXX paraspinal. 95921... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX test. 95922... 26 A Autonomic nervous func 0.96 0.34 0.34 0.03 1.33 1.33 XXX test. 95923... 26 A Autonomic nervous func 0.90 0.32 0.32 0.02 1.24 1.24 XXX test. 96902... .................. B Trichogram.............. +0.41 0.29 0.29 0.02 0.72 0.72 XXX 97001... .................. A Pt evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX 97002... .................. A Pt re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX 97003... .................. A Ot evaluation........... 1.20 0.35 0.35 0.11 1.66 1.66 XXX 97004... .................. A Ot re-evaluation........ 0.60 0.04 0.04 0.01 0.65 0.65 XXX 97780... .................. N Acupuncture w/o stim.... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 97781... .................. N Acupuncture w/stim...... 0.00 0.00 0.00 0.00 0.00 0.00 XXX 99141... .................. B Sedation, iv/im or +0.80 0.83 0.83 0.05 1.68 1.68 XXX inhalant. 99142... .................. B Sedation, oral/rectal/ +0.60 0.62 0.62 0.04 1.26 1.26 XXX nasal. 99234... .................. A Observ/hosp same date... 2.56 0.68 0.68 0.06 3.30 3.30 XXX 99235... .................. A Observ/hosp same date... 3.42 1.05 1.05 0.09 4.56 4.56 XXX 99236... .................. A Observ/hosp same date... 4.27 1.14 1.14 0.09 5.50 5.50 XXX 99301... .................. A Nursing facility care... 1.20 0.45 0.45 0.03 1.68 1.68 XXX 99302... .................. A Nursing facility care... 1.61 0.50 0.50 0.04 2.15 2.15 XXX 99303... .................. A Nursing facility care... 2.01 0.95 0.95 0.07 3.03 3.03 XXX 99311... .................. A Nursing facility care, 0.60 0.34 0.34 0.03 0.97 0.97 XXX subseq. 99312... .................. A Nursing facility care, 1.00 0.41 0.41 0.03 1.44 1.44 XXX subseq. 99313... .................. A Nursing facility care, 1.42 0.46 0.46 0.04 1.92 1.92 XXX subseq. 99315... .................. A Nursing fac discharge 1.13 0.51 0.51 0.04 1.68 1.68 XXX day. 99316... .................. A Nursing fac discharge 1.50 0.51 0.51 0.04 2.05 2.05 XXX day. 99341... .................. A Home visit, new patient. 1.01 0.53 0.53 0.05 1.59 1.59 XXX 99342... .................. A Home visit, new patient. 1.52 0.60 0.60 0.05 2.17 2.17 XXX 99343... .................. A Home visit, new patient. 2.27 0.77 0.77 0.06 3.10 3.10 XXX 99344... .................. A Home visit, new patient. 3.03 0.85 0.85 0.09 3.97 3.97 XXX 99345... .................. A Home visit, new patient. 3.79 0.85 0.85 0.09 4.73 4.73 XXX 99347... .................. A Home visit, estab 0.76 0.45 0.45 0.04 1.25 1.25 XXX patient. 99348... .................. A Home visit, estab 1.26 0.53 0.53 0.04 1.83 1.83 XXX patient. 99349... .................. A Home visit, estab 2.02 0.61 0.61 0.05 2.68 2.68 XXX patient. 99350... .................. A Home visit, estab 3.03 0.76 0.76 0.07 3.86 3.86 XXX patient. 99374... .................. B Home health care +1.10 0.51 0.51 0.04 1.65 1.65 XXX supervision. 99375... .................. A Home health care 1.73 0.51 0.51 0.04 2.28 2.28 XXX supervision. 99377... .................. B Hospice care supervision +1.10 0.51 0.51 0.04 1.65 1.65 XXX 99378... .................. A Hospice care supervision 1.73 0.51 0.51 0.04 2.28 2.28 XXX 99379... .................. B Nursing fac care +1.10 0.51 0.51 0.04 1.65 1.65 XXX supervision. 99380... .................. B Nursing fac care +1.73 0.51 0.51 0.04 2.28 2.28 XXX supervision. 99436... .................. A Attendance, birth....... 1.50 1.55 1.55 0.10 3.15 3.15 XXX G0030... 26 A PET imaging prev PET 1.50 0.48 0.48 0.07 2.05 2.05 XXX single. G0031... 26 A PET imaging prev PET 1.87 0.65 0.65 0.10 2.62 2.62 XXX multple. G0032... 26 A PET follow SPECT 78464 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0033... 26 A PET follow SPECT 78464 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0034... 26 A PET follow SPECT 76865 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0035... 26 A PET follow SPECT 78465 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0036... 26 A PET follow cornry angio 1.50 0.48 0.48 0.07 2.05 2.05 XXX sing. G0037... 26 A PET follow cornry angio 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0038... 26 A PET follow myocard perf 1.50 0.48 0.48 0.07 2.05 2.05 XXX sing. G0039... 26 A PET follow myocard perf 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0040... 26 A PET follow stress echo 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0041... 26 A PET follow stress echo 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0042... 26 A PET follow ventriculogm 1.50 0.48 0.48 0.07 2.05 2.05 XXX sing. G0043... 26 A PET follow ventriculogm 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0044... 26 A PET following rest ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0045... 26 A PET following rest ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0046... 26 A PET follow stress ECG 1.50 0.48 0.48 0.07 2.05 2.05 XXX singl. G0047... 26 A PET follow stress ECG 1.87 0.65 0.65 0.10 2.62 2.62 XXX mult. G0051... .................. D Destroy benign/premal *0.00 0.00 0.00 0.00 0.00 0.00 010 lesion. G0101... .................. A CA screen;pelvic/breast 0.45 0.28 0.28 0.02 0.75 0.75 XXX exam. G0104... .................. A CA screen;flexi 0.96 1.23 #1.06 0.12 2.31 2.14 000 sigmoidscope. G0105... .................. A Colorectal scrn; hi risk 3.70 4.13 #4.07 0.39 8.22 8.16 000 ind. G0106... 26 A Colon CA screen;barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX enema. G0107... .................. X CA screen; fecal blood 0.00 0.00 0.00 0.00 0.00 0.00 XXX test. G0110... .................. R Nett pulm-rehab educ; 0.90 0.26 0.26 0.04 1.20 1.20 XXX ind. G0111... .................. R Nett pulm-rehab educ; 0.27 0.20 0.20 0.02 0.49 0.49 XXX group. G0112... .................. R Nett;nutrition guid, 1.72 0.97 0.97 0.10 2.79 2.79 XXX initial. G0113... .................. R Nett;nutrition guid, 1.29 0.77 0.77 0.09 2.15 2.15 XXX subseqnt. G0114... .................. R Nett; psychosocial 1.20 0.35 0.35 0.11 1.66 1.66 XXX consult. G0115... .................. R Nett; psychological 1.20 0.35 0.35 0.11 1.66 1.66 XXX testing. G0116... .................. A Nett; psychosocial 1.11 0.35 0.35 0.05 1.51 1.51 XXX counsel. G0120... 26 A Colon ca scrn; barium 0.99 0.45 0.45 0.07 1.51 1.51 XXX enema. [[Page 59255]] G0121... .................. N Colon ca scrn; barium +3.70 4.13 #4.07 0.39 8.22 8.16 XXX enema. G0122... 26 N Colon ca scrn; barium +0.99 0.45 0.45 0.07 1.51 1.51 XXX enema. -------------------------------------------------------------------------------------------------------------------------------------------------------- Addendum D.--1999 Geographic Practice Cost Indices by Medicare Carrier and Locality ---------------------------------------------------------------------------------------------------------------- Carrier Locality Practice Mal- No. No. Locality name Work expense practice ---------------------------------------------------------------------------------------------------------------- 00510.. 00 ALABAMA.................................................... 0.978 0.872 0.876 00831.. 01 ALASKA..................................................... 1.063 1.173 1.533 00832.. 00 ARIZONA.................................................... 0.995 0.971 1.189 00520.. 13 ARKANSAS................................................... 0.953 0.855 0.403 02050.. 26 ANAHEIM/SANTA ANA, CA...................................... 1.036 1.191 0.846 02050.. 18 LOS ANGELES, CA............................................ 1.055 1.199 0.846 31140.. 03 MARIN/NAPA/SOLANO, CA...................................... 1.014 1.161 0.667 31140.. 07 OAKLAND/BERKLEY, CA........................................ 1.040 1.196 0.667 31140.. 05 SAN FRANCISCO, CA.......................................... 1.067 1.299 0.667 31140.. 06 SAN MATEO, CA.............................................. 1.047 1.274 0.667 31140.. 09 SANTA CLARA, CA............................................ 1.062 1.262 0.667 02050.. 17 VENTURA, CA................................................ 1.027 1.131 0.717 02050.. 99 REST OF STATE*............................................. 1.008 1.043 0.698 31140.. 99 REST OF STATE*............................................. 1.008 1.043 0.698 00824.. 01 COLORADO................................................... 0.987 0.970 0.795 10230.. 00 CONNECTICUT................................................ 1.049 1.172 1.052 00570.. 01 DELAWARE................................................... 1.019 1.028 0.860 00580.. 01 DC + MD/VA SUBURBS......................................... 1.050 1.161 1.032 00590.. 03 FORT LAUDERDALE, FL........................................ 0.996 1.026 1.783 00590.. 04 MIAMI, FL.................................................. 1.015 1.077 2.350 00590.. 99 REST OF STATE.............................................. 0.975 0.948 1.327 00511.. 01 ATLANTA, GA................................................ 1.006 1.034 0.951 00511.. 99 REST OF STATE.............................................. 0.970 0.900 0.951 00833.. 01 HAWAII/GUAM................................................ 0.998 1.183 0.954 05130.. 00 IDAHO...................................................... 0.960 0.892 0.566 00621.. 16 CHICAGO, IL................................................ 1.027 1.088 1.693 00621.. 12 EAST ST. LOUIS, IL......................................... 0.988 0.931 1.487 00621.. 15 SUBURBAN CHICAGO, IL....................................... 1.006 1.067 1.365 00621.. 99 REST OF STATE.............................................. 0.963 0.886 0.990 00630.. 00 INDIANA.................................................... 0.981 0.917 0.408 00640.. 00 IOWA....................................................... 0.958 0.882 0.648 00650.. 00 KANSAS*.................................................... 0.963 0.898 0.890 00740.. 04 KANSAS*.................................................... 0.963 0.898 0.890 00660.. 00 KENTUCKY................................................... 0.970 0.874 0.807 00528.. 01 NEW ORLEANS, LA............................................ 0.998 0.950 1.153 00528.. 99 REST OF STATE.............................................. 0.969 0.881 1.031 31142.. 03 SOUTHERN MAINE............................................. 0.979 1.030 0.708 31142.. 99 REST OF STATE.............................................. 0.961 0.924 0.708 00901.. 01 BALTIMORE/SURR. CNTYS, MD.................................. 1.019 1.039 1.098 00901.. 99 REST OF STATE.............................................. 0.985 0.986 0.866 31143.. 01 METROPOLITAN BOSTON........................................ 1.039 1.196 0.713 31143.. 99 REST OF STATE.............................................. 1.010 1.093 0.713 00623.. 01 DETROIT, MI................................................ 1.042 1.022 3.069 00623.. 99 REST OF STATE.............................................. 0.996 0.939 1.828 10240.. 00 MINNESOTA.................................................. 0.989 0.967 0.507 10250.. 00 MISSISSIPPI................................................ 0.957 0.846 0.721 00740.. 02 METROPOLITAN KANSAS CITY, MO............................... 0.988 0.949 1.196 11260.. 01 METROPOLITAN ST. LOUIS, MO................................. 0.994 0.943 1.198 00740.. 99 REST OF STATE*............................................. 0.945 0.828 1.165 11260.. 99 REST OF STATE*............................................. 0.945 0.828 1.165 00751.. 01 MONTANA.................................................... 0.951 0.877 0.732 00655.. 00 NEBRASKA................................................... 0.949 0.873 0.443 00834.. 00 NEVADA..................................................... 1.005 1.032 0.997 31144.. 40 NEW HAMPSHIRE.............................................. 0.988 1.033 1.013 00860.. 01 NORTHERN NJ................................................ 1.057 1.191 0.795 00860.. 99 REST OF STATE.............................................. 1.028 1.094 0.795 00521.. 05 NEW MEXICO................................................. 0.973 0.910 0.716 00803.. 01 MANHATTAN, NY.............................................. 1.093 1.353 1.654 00803.. 02 NYC SUBURBS/LONG I., NY.................................... 1.067 1.233 1.932 00803.. 03 POUGHKPSIE/N NYC SUBURBS, NY............................... 1.010 1.084 1.326 14330.. 04 QUEENS, NY................................................. 1.057 1.234 1.839 00801.. 99 REST OF STATE.............................................. 0.999 0.959 0.793 05535.. 00 NORTH CAROLINA............................................. 0.970 0.924 0.497 00820.. 01 NORTH DAKOTA............................................... 0.950 0.877 0.656 16360.. 00 OHIO....................................................... 0.990 0.939 1.074 [[Page 59256]] 00522.. 00 OKLAHOMA................................................... 0.969 0.882 0.451 00835.. 01 PORTLAND, OR............................................... 0.996 1.021 0.587 00835.. 99 REST OF STATE.............................................. 0.961 0.938 0.587 00865.. 01 METROPOLITAN PHILADELPHIA, PA.............................. 1.024 1.089 1.207 00865.. 99 REST OF STATE.............................................. 0.989 0.931 0.637 00973.. 20 PUERTO RICO................................................ 0.882 0.729 0.359 00870.. 01 RHODE ISLAND............................................... 1.018 1.069 1.189 00880.. 01 SOUTH CAROLINA............................................. 0.975 0.905 0.280 00820.. 02 SOUTH DAKOTA............................................... 0.935 0.873 0.435 05440.. 35 TENNESSEE.................................................. 0.975 0.899 0.552 00900.. 31 AUSTIN, TX................................................. 0.986 1.000 0.849 00900.. 20 BEAUMONT, TX............................................... 0.992 0.899 1.386 00900.. 09 BRAZORIA, TX............................................... 0.992 0.977 1.386 00900.. 11 DALLAS, TX................................................. 1.010 1.016 0.930 00900.. 28 FORT WORTH, TX............................................. 0.987 0.971 0.930 00900.. 15 GALVESTON, TX.............................................. 0.988 0.970 1.386 00900.. 18 HOUSTON, TX................................................ 1.020 1.007 1.418 00900.. 99 REST OF STATE.............................................. 0.966 0.888 0.871 00910.. 09 UTAH....................................................... 0.977 0.909 0.594 31145.. 50 VERMONT.................................................... 0.973 0.984 0.548 00973.. 50 VIRGIN ISLANDS............................................. 0.965 1.034 1.032 10490.. 00 VIRGINIA................................................... 0.985 0.941 0.557 00836.. 02 SEATTLE (KING CNTY), WA.................................... 1.005 1.080 0.742 00836.. 99 REST OF STATE.............................................. 0.982 0.976 0.742 16510.. 16 WEST VIRGINIA.............................................. 0.963 0.853 1.106 00951.. 00 WISCONSIN.................................................. 0.981 0.933 0.841 00825.. 21 WYOMING.................................................... 0.967 0.895 0.705 ---------------------------------------------------------------------------------------------------------------- * Payment locality is serviced by two carriers. Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors to assure budget neutrality: Work = 1.00027; Practice expense = 1.00057; Malpractice = 1.03174. Addendum E.--1998 Geographic Practice Cost Indices by Medicare Carrier and Locality ---------------------------------------------------------------------------------------------------------------- Carrier Locality Practice Mal- No. No. Locality name Work expense practice ---------------------------------------------------------------------------------------------------------------- 00510.. 00 ALABAMA.................................................... 0.979 0.871 0.902 00831.. 01 ALASKA..................................................... 1.064 1.164 1.575 00832.. 00 ARIZONA.................................................... 0.996 0.964 1.255 00520.. 13 ARKANSAS................................................... 0.954 0.854 0.415 02050.. 26 ANAHEIM/SANTA ANA, CA...................................... 1.037 1.198 0.799 02050.. 18 LOS ANGELES, CA............................................ 1.056 1.203 0.799 31140.. 03 MARIN/NAPA/SOLANO, CA...................................... 1.015 1.171 0.632 31140.. 07 OAKLAND/BERKLEY, CA........................................ 1.041 1.206 0.632 31140.. 05 SAN FRANCISCO, CA.......................................... 1.068 1.315 0.632 31140.. 06 SAN MATEO, CA.............................................. 1.048 1.287 0.632 31140.. 09 SANTA CLARA, CA............................................ 1.063 1.276 0.632 02050.. 17 VENTURA, CA................................................ 1.028 1.162 0.702 02050.. 99 REST OF STATE*............................................. 1.009 1.046 0.663 31140.. 99 REST OF STATE*............................................. 1.009 1.046 0.663 00824.. 01 COLORADO................................................... 0.988 0.961 0.811 10230.. 00 CONNECTICUT................................................ 1.050 1.182 1.027 00570.. 01 DELAWARE................................................... 1.020 1.030 0.826 00580.. 01 DC + MD/VA SUBURBS......................................... 1.051 1.177 1.006 00590.. 03 FORT LAUDERDALE, FL........................................ 0.997 1.031 1.825 00590.. 04 MIAMI, FL.................................................. 1.016 1.082 2.403 00590.. 99 REST OF STATE.............................................. 0.976 0.946 1.372 00511.. 01 ATLANTA, GA................................................ 1.007 1.032 0.927 00511.. 99 REST OF STATE.............................................. 0.971 0.896 0.927 00833.. 01 HAWAII/GUAM................................................ 0.999 1.202 0.938 05130.. 00 IDAHO...................................................... 0.961 0.887 0.577 00621.. 16 CHICAGO, IL................................................ 1.028 1.084 1.538 00621.. 12 EAST ST. LOUIS, IL......................................... 0.988 0.930 1.345 00621.. 15 SUBURBAN CHICAGO, IL....................................... 1.007 1.080 1.262 00621.. 99 REST OF STATE.............................................. 0.964 0.885 0.906 00630.. 00 INDIANA.................................................... 0.982 0.917 0.382 00640.. 00 IOWA....................................................... 0.959 0.880 0.664 00650.. 00 KANSAS*.................................................... 0.964 0.895 1.041 00740.. 04 KANSAS*.................................................... 0.964 0.895 1.041 00660.. 00 KENTUCKY................................................... 0.971 0.871 0.813 00528.. 01 NEW ORLEANS, LA............................................ 0.999 0.948 1.075 00528.. 99 REST OF STATE.............................................. 0.969 0.876 0.972 31142.. 03 SOUTHERN MAINE............................................. 0.980 1.032 0.734 31142.. 99 REST OF STATE.............................................. 0.962 0.925 0.734 00901.. 01 BALTIMORE/SURR. CNTYS, MD.................................. 1.020 1.038 1.107 00901.. 99 REST OF STATE.............................................. 0.984 0.969 0.864 [[Page 59257]] 31143.. 01 METROPOLITAN BOSTON........................................ 1.040 1.205 0.846 31143.. 99 REST OF STATE.............................................. 1.011 1.089 0.846 00623.. 01 DETROIT, MI................................................ 1.043 1.030 3.060 00623.. 99 REST OF STATE.............................................. 0.997 0.937 1.836 10240.. 00 MINNESOTA.................................................. 0.990 0.966 0.551 10250.. 00 MISSISSIPPI................................................ 0.957 0.845 0.724 00740.. 02 METROPOLITAN KANSAS CITY, MO............................... 0.989 0.949 1.202 11260.. 01 METROPOLITAN ST. LOUIS, MO................................. 0.995 0.944 1.203 00740.. 99 REST OF STATE*............................................. 0.946 0.831 1.162 11260.. 99 REST OF STATE*............................................. 0.946 0.831 1.162 00751.. 01 MONTANA.................................................... 0.952 0.871 0.744 00655.. 00 NEBRASKA................................................... 0.950 0.873 0.444 00834.. 00 NEVADA..................................................... 1.006 1.030 0.942 31144.. 40 NEW HAMPSHIRE.............................................. 0.988 1.034 0.965 00860.. 01 NORTHERN NJ................................................ 1.058 1.203 0.779 00860.. 99 REST OF STATE.............................................. 1.029 1.104 0.779 00521.. 05 NEW MEXICO................................................. 0.974 0.907 0.754 00803.. 01 MANHATTAN, NY.............................................. 1.094 1.356 1.600 00803.. 02 NYC SUBURBS/LONG I., NY.................................... 1.068 1.234 1.846 00803.. 03 POUGHKPSIE/N NYC SUBURBS, NY............................... 1.011 1.083 1.272 14330.. 04 QUEENS, NY................................................. 1.058 1.237 1.763 00801.. 99 REST OF STATE.............................................. 1.000 0.957 0.807 05535.. 00 NORTH CAROLINA............................................. 0.971 0.921 0.466 00820.. 01 NORTH DAKOTA............................................... 0.951 0.869 0.637 16360.. 00 OHIO....................................................... 0.991 0.940 1.062 00522.. 00 OKLAHOMA................................................... 0.969 0.881 0.437 00835.. 01 PORTLAND, OR............................................... 0.997 1.011 0.612 00835.. 99 REST OF STATE.............................................. 0.962 0.934 0.612 00865.. 01 METROPOLITAN PHILADELPHIA, PA.............................. 1.025 1.090 1.261 00865.. 99 REST OF STATE.............................................. 0.990 0.928 0.687 00973.. 20 PUERTO RICO................................................ 0.883 0.734 0.314 00870.. 01 RHODE ISLAND............................................... 1.019 1.072 1.379 00880.. 01 SOUTH CAROLINA............................................. 0.976 0.902 0.321 00820.. 02 SOUTH DAKOTA............................................... 0.936 0.865 0.439 05440.. 35 TENNESSEE.................................................. 0.976 0.899 0.538 00900.. 31 AUSTIN, TX................................................. 0.987 0.993 0.838 00900.. 20 BEAUMONT, TX............................................... 0.993 0.896 1.407 00900.. 09 BRAZORIA, TX............................................... 0.993 0.972 1.407 00900.. 11 DALLAS, TX................................................. 1.011 1.014 0.912 00900.. 28 FORT WORTH, TX............................................. 0.988 0.972 0.912 00900.. 15 GALVESTON, TX.............................................. 0.989 0.968 1.407 00900.. 18 HOUSTON, TX................................................ 1.021 1.006 1.423 00900.. 99 REST OF STATE.............................................. 0.966 0.884 0.855 00910.. 09 UTAH....................................................... 0.978 0.900 0.619 31145.. 50 VERMONT.................................................... 0.974 0.986 0.500 00973.. 50 VIRGIN ISLANDS............................................. 0.966 1.006 1.028 10490.. 00 VIRGINIA................................................... 0.986 0.940 0.538 00836.. 02 SEATTLE (KING CNTY), WA.................................... 1.006 1.079 0.745 00836.. 99 REST OF STATE.............................................. 0.983 0.969 0.745 16510.. 16 WEST VIRGINIA.............................................. 0.964 0.852 1.055 00951.. 00 WISCONSIN.................................................. 0.982 0.930 1.001 00825.. 21 WYOMING.................................................... 0.968 0.888 0.758 ---------------------------------------------------------------------------------------------------------------- * Payment locality is serviced by two carriers. Note: Work GPCI is the 1/4 work GPCI required by Section 1848(e)(1)(A)(iii) of the Social Security Act. GPCIs rescaled by the following factors to assure budget neutrality: Work = 1.00027; Practice expense = 1.00057; Malpractice = 1.03174. Addendum F.--1999 Versus 1997 Geographic Adjustment Factor (GAF) by 1998 Fee Schedule Area ---------------------------------------------------------------------------------------------------------------- Carrier Locality Percent No. No. Locality name 1999 GAF 1997 GAF Difference difference ---------------------------------------------------------------------------------------------------------------- 00973.. 50 VIRGIN ISLANDS.......................... 0.997 0.974 0.023 2.4 00621.. 16 CHICAGO, IL............................. 1.084 1.066 0.018 1.7 00901.. 99 REST OF MARYLAND........................ 0.980 0.964 0.016 1.7 00621.. 12 EAST ST. LOUIS, IL...................... 0.989 0.974 0.015 1.5 00528.. 99 REST OF LOUISIANA....................... 0.936 0.926 0.010 1.1 00621.. 99 REST OF ILLINOIS........................ 0.933 0.924 0.009 1.0 00528.. 01 NEW ORLEANS, LA......................... 0.986 0.977 0.009 0.9 00820.. 01 NORTH DAKOTA............................ 0.906 0.898 0.008 0.9 00803.. 02 NYC SUBURBS/LONG I., NY................. 1.177 1.170 0.007 0.6 00834.. 00 NEVADA.................................. 1.016 1.010 0.006 0.6 00803.. 03 POUGHKPSIE/N NYC SUBURBS, NY............ 1.056 1.050 0.006 0.6 00835.. 01 PORTLAND, OR............................ 0.987 0.981 0.006 0.6 00820.. 02 SOUTH DAKOTA............................ 0.886 0.880 0.006 0.7 00900.. 31 AUSTIN, TX.............................. 0.985 0.979 0.006 0.6 16510.. 16 WEST VIRGINIA........................... 0.925 0.919 0.006 0.7 [[Page 59258]] 00824.. 01 COLORADO................................ 0.971 0.966 0.005 0.5 00900.. 99 REST OF TEXAS........................... 0.929 0.924 0.005 0.5 00910.. 09 UTAH.................................... 0.931 0.926 0.005 0.5 00836.. 99 REST OF WASHINGTON...................... 0.968 0.963 0.005 0.5 31144.. 40 NEW HAMPSHIRE........................... 1.008 1.003 0.005 0.5 00511.. 01 ATLANTA, GA............................. 1.015 1.011 0.004 0.4 00511.. 99 REST OF GEORGIA......................... 0.940 0.936 0.004 0.4 05535.. 00 NORTH CAROLINA.......................... 0.928 0.924 0.004 0.4 14330.. 04 QUEENS, NY.............................. 1.167 1.163 0.004 0.3 00900.. 11 DALLAS, TX.............................. 1.009 1.006 0.003 0.3 00751.. 01 MONTANA................................. 0.910 0.907 0.003 0.3 00831.. 01 ALASKA.................................. 1.131 1.128 0.003 0.3 05130.. 00 IDAHO................................... 0.913 0.911 0.002 0.2 00630.. 00 INDIANA................................. 0.927 0.925 0.002 0.2 00660.. 00 KENTUCKY................................ 0.923 0.921 0.002 0.2 00803.. 01 MANHATTAN, NY........................... 1.227 1.225 0.002 0.2 00900.. 09 BRAZORIA, TX............................ 1.005 1.003 0.002 0.2 10490.. 00 VIRGINIA................................ 0.946 0.944 0.002 0.2 31145.. 50 VERMONT................................. 0.957 0.955 0.002 0.2 02050.. 18 LOS ANGELES............................. 1.104 1.103 0.001 0.1 10250.. 00 MISSISSIPPI............................. 0.900 0.899 0.001 0.1 00835.. 99 REST OF OREGON.......................... 0.934 0.933 0.001 0.1 05440.. 35 TENNESSEE............................... 0.924 0.923 0.001 0.1 00590.. 03 FORT WORTH, TX.......................... 0.978 0.977 0.001 0.1 00570.. 01 DELAWARE................................ 1.015 1.015 0.000 0.0 00640.. 00 IOWA.................................... 0.912 0.912 0.000 0.0 00623.. 99 REST OF MICHIGAN........................ 1.013 1.013 0.000 0.0 00655.. 00 NEBRASKA................................ 0.894 0.894 0.000 0.0 16360.. 00 OHIO.................................... 0.973 0.973 0.000 0.0 00973.. 20 PUERTO RICO............................. 0.794 0.794 0.000 0.0 00900.. 18 HOUSTON, TX............................. 1.034 1.034 0.000 0.0 00900.. 20 BEAUMONT, TX............................ 0.973 0.973 0.000 0.0 00836.. 02 SEATTLE (KING CNTY), WA................. 1.023 1.023 0.000 0.0 00825.. 21 WYOMING................................. 0.925 0.925 0.000 0.0 02050.. 99 REST OF CALIFORNIA*..................... 1.007 1.008 -0.001 -0.1 31140.. 99 REST OF CALIFORNIA*..................... 1.007 1.008 -0.001 -0.1 00520.. 13 ARKANSAS................................ 0.886 0.887 -0.001 -0.1 00832.. 00 ARIZONA................................. 0.994 0.995 -0.001 -0.1 00740.. 02 METROPOLITAN KANSAS CITY, MO............ 0.982 0.983 -0.001 -0.1 11260.. 01 METROPOLITAN ST. LOUIS, MO.............. 0.983 0.984 -0.001 -0.1 00801.. 99 REST OF NEW YORK........................ 0.973 0.974 -0.001 -0.1 00901.. 01 BALTIMORE/SURR. CNTYS, MD............... 1.031 1.032 -0.001 -0.1 00900.. 15 GALVESTON, TX........................... 1.000 1.001 -0.001 -0.1 00510.. 00 ALABAMA................................. 0.930 0.932 -0.002 -0.2 02050.. 26 ANAHEIM/SANTA ANA, CA................... 1.090 1.092 -0.002 -0.2 00621.. 15 SUBURBAN CHICAGO, IL.................... 1.048 1.050 -0.002 -0.2 00521.. 05 NEW MEXICO.............................. 0.935 0.937 -0.002 -0.2 00522.. 00 OKLAHOMA................................ 0.908 0.910 -0.002 -0.2 00880.. 01 SOUTH CAROLINA.......................... 0.913 0.915 -0.002 -0.2 00590.. 99 REST OF FLORIDA......................... 0.981 0.984 -0.003 -0.3 31142.. 99 REST OF MAINE........................... 0.934 0.937 -0.003 -0.3 00740.. 99 REST OF MISSOURI*....................... 0.908 0.911 -0.003 -0.3 11260.. 99 REST OF MISSOURI*....................... 0.908 0.911 -0.003 -0.3 00865.. 99 REST OF PENNSYLVANIA.................... 0.948 0.951 -0.003 -0.3 10240.. 00 MINNESOTA............................... 0.957 0.961 -0.004 -0.4 31140.. 03 MARIN/NAPA/SOLANO, CA................... 1.058 1.063 -0.005 -0.5 31142.. 03 SOUTHERN MAINE.......................... 0.987 0.992 -0.005 -0.5 31140.. 07 OAKLAND/BERKLEY, CA..................... 1.086 1.092 -0.006 -0.5 10230.. 00 CONNECTICUT............................. 1.100 1.106 -0.006 -0.5 00623.. 01 DETROIT, MI............................. 1.131 1.137 -0.006 -0.5 00860.. 99 REST OF NEW JERSEY...................... 1.044 1.051 -0.007 -0.7 00865.. 01 METROPOLITAN PHILADELPHIA, PA........... 1.059 1.066 -0.007 -0.7 31140.. 06 SAN MATEO, CA........................... 1.122 1.130 -0.008 -0.7 00900.. 28 FORT LAUDERDALE, FL..................... 1.046 1.055 -0.009 -0.9 31140.. 09 SANTA CLARA, CA......................... 1.125 1.134 -0.009 -0.8 00590.. 04 MIAMI, FL............................... 1.105 1.114 -0.009 -0.8 31140.. 05 SAN FRANCISCO, CA....................... 1.143 1.153 -0.010 -0.9 00580.. 01 DC +MD/VA SUBURBS....................... 1.095 1.105 -0.010 -0.9 31143.. 99 REST OF MASSACHUSETTS................... 1.030 1.040 -0.010 -1.0 00860.. 01 NORTHERN NJ............................. 1.099 1.109 -0.010 -0.9 00650.. 00 KANSAS*................................. 0.933 0.945 -0.012 -1.3 00740.. 04 KANSAS*................................. 0.933 0.945 -0.012 -1.3 00951.. 00 WISCONSIN............................... 0.955 0.968 -0.013 -1.3 00833.. 01 HAWAII/GUAM............................. 1.072 1.086 -0.014 -1.3 31143.. 01 METROPOLITAN BOSTON..................... 1.088 1.108 -0.020 -1.8 [[Page 59259]] 00870.. 01 RHODE ISLAND............................ 1.047 1.068 -0.021 -2.0 02050.. 17 VENTURA, CA............................. 1.055 1.079 -0.024 -2.2 ---------------------------------------------------------------------------------------------------------------- * Payment locality is serviced by two carriers. Addendum G.--Counties Included in 1998 Localities [Alphabetically by State and Locality Name Within State] ---------------------------------------------------------------------------------------------------------------- Carrier Locality No. No. State Fee schedule area Counties ---------------------------------------------------------------------------------------------------------------- 00510.. 00 ALABAMA................... STATEWIDE...................... ALL COUNTIES. 00831.. 01 ALASKA.................... STATEWIDE...................... ALL COUNTIES. 00832.. 00 ARIZONA................... STATEWIDE...................... ALL COUNTIES. 00520.. 13 ARKANSAS.................. STATEWIDE...................... ALL COUNTIES. 02050.. 26 CALIFORNIA................ ANAHEIM/SANTA ANA.............. ORANGE. 02050.. 18 .......................... LOS ANGELES.................... LOS ANGELES. 31140.. 03 .......................... MARIN/NAPA/SOLANO.............. MARIN, NAPA, AND SOLANO. 31140.. 07 .......................... OAKLAND/BERKLEY................ ALAMEDA AND CONTRA COSTA. 31140.. 05 .......................... SAN FRANCISCO.................. SAN FRANCISCO. 31140.. 06 .......................... SAN MATEO...................... SAN MATEO. 31140.. 09 .......................... SANTA CLARA.................... SANTA CLARA. 02050.. 17 .......................... VENTURA........................ VENTURA. 02050.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES. 31140.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES. 00824.. 01 COLORADO.................. STATEWIDE...................... ALL COUNTIES. 10230.. 00 CONNECTICUT............... STATEWIDE...................... ALL COUNTIES. 00570.. 01 DELAWARE.................. STATEWIDE...................... ALL COUNTIES. 00580.. 01 DISTRICT OF COLUMBIA...... DC + MD/VA SUBURBS............. DISTRICT OF COLUMBIA; ALEXANDRIA CITY, ARLINGTON, FAIRFAX, FAIRFAX CITY, FALLS CHURCH CITY IN VIRGINIA; MONTGOMERY AND PRINCE GEORGE'S IN MARYLAND. 00900.. 03 FLORIDA................... FORT LAUDERDALE................ BROWARD, COLLIER, INDIAN RIVER, LEE, MARTIN, PALM BEACH, AND ST. LUCIE. 00590.. 04 .......................... MIAMI.......................... DADE AND MONROE. 00590.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00511.. 01 GEORGIA................... ATLANTA........................ BUTTS, CHEROKEE, CLAYTON, COBB, DEKALB, DOUGLAS, FAYETTE, FORSYTH, FULTON, GWINNETT, HENRY, NEWTON, PAULDING, ROCKDALE AND WALTON. 00511.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00833.. 01 HAWAII/GUAM............... STATEWIDE...................... ALL COUNTIES. 05130.. 00 IDAHO..................... STATEWIDE...................... ALL COUNTIES. 00621.. 16 ILLINOIS.................. CHICAGO........................ COOK. 00621.. 12 .......................... EAST ST. LOUIS................. BOND, CALHOUN, CLINTON, JERSEY, MACOUPIN, MADISON, MONROE, MONTGOMERY, RANDOLPH, ST. CLAIR AND WASHINGTON. 00621.. 15 .......................... SUBURBAN CHICAGO............... DUPAGE, KANE, LAKE AND WILL. 00621.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00630.. 00 INDIANA................... STATEWIDE...................... ALL COUNTIES. 00640.. 00 IOWA...................... STATEWIDE...................... ALL COUNTIES. 00650.. 00 KANSAS.................... STATEWIDE*..................... ALL COUNTIES. 00740.. 04 .......................... STATEWIDE*..................... ALL COUNTIES. 00660.. 00 KENTUCKY.................. STATEWIDE...................... ALL COUNTIES. 00528.. 01 LOUISIANA................. NEW ORLEANS.................... JEFFERSON, ORLEANS, PLAQUEMINES AND ST. BERNARD. 00528.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 31142.. 03 MAINE..................... SOUTHERN MAINE................. CUMBERLAND AND YORK. 31142.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00901.. 01 MARYLAND.................. BALTIMORE/SURR. CNTYS.......... ANNE ARUNDEL, BALTIMORE, BALTIMORE CITY, CARROLL, HARFORD AND HOWARD. 00901.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES EXCEPT MONTGOMERY AND PRINCE GEORGE'S. 31143.. 01 MASSACHUSETTS............. METROPOLITAN BOSTON............ MIDDLESEX, NORFOLK AND SUFFOLK. 31143.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00623.. 01 MICHIGAN.................. DETROIT........................ MACOMB, OAKLAND, WASHTENAW AND WAYNE. 00623.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 10240.. 00 MINNESOTA................. STATEWIDE...................... ALL COUNTIES. 10250.. 00 MISSISSIPPI............... STATEWIDE...................... ALL COUNTIES. 00740.. 02 MISSOURI.................. METROPOLITAN KANSAS CITY....... CLAY, JACKSON AND PLATTE. 11260.. 01 .......................... METROPOLITAN ST. LOUIS......... JEFFERSON, ST. CHARLES, ST. LOUIS AND ST. LOUIS CITY. 00740.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES. 11260.. 99 .......................... REST OF STATE*................. ALL OTHER COUNTIES. 00751.. 01 MONTANA................... STATEWIDE...................... ALL COUNTIES. [[Page 59260]] 00655.. 00 NEBRASKA.................. STATEWIDE...................... ALL COUNTIES. 00834.. 00 NEVADA.................... STATEWIDE...................... ALL COUNTIES. 31144.. 40 NEW HAMPSHIRE............. STATEWIDE...................... ALL COUNTIES. 00860.. 01 NEW JERSEY................ NORTHERN NJ.................... BERGEN, ESSEX, HUDSON, HUNTERDON, MIDDLESEX, MORRIS, PASSAIC, SOMERSET, SUSSEX, UNION AND WARREN. 00860.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00521.. 05 NEW MEXICO................ STATEWIDE...................... ALL COUNTIES. 00803.. 01 NEW YORK.................. MANHATTAN...................... NEW YORK. 00803.. 02 .......................... NYC SUBURBS/LONG ISLAND........ BRONX, KINGS, NASSAU, RICHMOND, ROCKLAND, SUFFOLK AND WESTCHESTER. 00803.. 03 .......................... POUGHKPSIE/N NYC SUBURBS....... COLUMBIA, DELAWARE, DUTCHESS, GREENE, ORANGE, PUTNAM, SULLIVAN AND ULSTER. 14330.. 04 .......................... QUEENS......................... QUEENS. 00801.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 05535.. 00 NORTH CAROLINA............ STATEWIDE...................... ALL COUNTIES. 00820.. 01 NORTH DAKOTA.............. STATEWIDE...................... ALL COUNTIES. 16360.. 00 OHIO...................... STATEWIDE...................... ALL COUNTIES. 00522.. 00 OKLAHOMA.................. STATEWIDE...................... ALL COUNTIES. 00835.. 01 OREGON.................... PORTLAND....................... CLACKAMAS, MULTNOMAH AND WASHINGTON. 00835.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00865.. 01 PENNSYLVANIA.............. METROPOLITAN PHILADELPHIA...... BUCKS, CHESTER, DELAWARE, MONTGOMERY AND PHILADELPHIA. 00865.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00973.. 20 PUERTO RICO............... PUERTO RICO.................... ALL COUNTY EQUIVALENTS. 00870.. 01 RHODE ISLAND.............. STATEWIDE...................... ALL COUNTIES. 00880.. 01 SOUTH CAROLINA............ STATEWIDE...................... ALL COUNTIES. 00820.. 02 SOUTH DAKOTA.............. STATEWIDE...................... ALL COUNTIES. 05440.. 35 TENNESSEE................. STATEWIDE...................... ALL COUNTIES. 00900.. 31 TEXAS..................... AUSTIN......................... TRAVIS. 00900.. 20 .......................... BEAUMONT....................... JEFFERSON. 00900.. 09 .......................... BRAZORIA....................... BRAZORIA. 00900.. 11 .......................... DALLAS......................... DALLAS. 00590.. 03 .......................... FORT WORTH..................... TARRANT. 00900.. 15 .......................... GALVESTON...................... GALVESTON. 00900.. 18 .......................... HOUSTON........................ HARRIS. 00900.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 00910.. 09 UTAH...................... STATEWIDE...................... ALL COUNTIES. 31145.. 50 VERMONT................... STATEWIDE...................... ALL COUNTIES. 00973.. 50 VIRGIN ISLANDS............ VIRGIN ISLANDS................. ALL COUNTY EQUIVALENTS. 10490.. 00 VIRGINIA.................. STATEWIDE...................... ALL COUNTIES, EXCEPT ALEXANDRIA CITY, ARLINGTON, FAIRFAX, FAIRFAX CITY, AND FALLS CHURCH CITY. 00836.. 02 WASHINGTON................ SEATTLE (KING CNTY)............ KING. 00836.. 99 .......................... REST OF STATE.................. ALL OTHER COUNTIES. 16510.. 16 WEST VIRGINIA............. STATEWIDE...................... ALL COUNTIES. 00951.. 00 WISCONSIN................. STATEWIDE...................... ALL COUNTIES. 00825.. 21 WYOMING................... STATEWIDE...................... ALL COUNTIES. ---------------------------------------------------------------------------------------------------------------- * Payment locality is serviced by two carriers. [FR Doc. 97-28973 Filed 10-30-97; 8:45 am] BILLING CODE 4120-03-P