[Federal Register: May 30, 2003 (Volume 68, Number 104)]
[Rules and Regulations]
[Page 32400-32405]
From the Federal Register Online via GPO Access [wais.access.gpo.gov]
[DOCID:fr30my03-21]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
42 CFR Parts 410, 414, and 485
[CMS-1204-CN]
RIN 0938-AL21
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
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.
FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.
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.
[[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.
[[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:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Nonfacility Facility Malpractice Nonfacility Facility
CPT 1/HCPCS 2 MOD Status Description work RVUs PE RVUs PE RVUs RVUs total total Global
--------------------------------------------------------------------------------------------------------------------------------------------------------
67221.......... ............ R Ocular photodynamic 4.01 4.63 1.88 0.16 8.80 6.05 000
ther.
90723.......... ............ I Dtap-hep b-ipv 0.00 0.00 0.00 0.00 0.00 0.00 XXX
vaccine, im.
90740.......... ............ X Hepb vacc, ill pat 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose im.
90743.......... ............ X Hep b vacc, adol, 2 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose, im.
90744.......... ............ X Hepb vacc ped/adol 3 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose im.
90746.......... ............ X Hep b vaccine, adult, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
im.
90747.......... ............ X Hepb vacc, ill pat 4 0.00 0.00 0.00 0.00 0.00 0.00 XXX
dose im.
90748.......... ............ I Hep b/hib vaccine, im 0.00 0.00 0.00 0.00 0.00 0.00 XXX
92597.......... ............ A Oral speech device 0.86 1.63 0.41 0.04 2.53 1.31 XXX
eval.
93315.......... ............ C Echo transescophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93315.......... TC.......... C Echo transescophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93317.......... ............ C Echo transescophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
93317.......... TC.......... C Echo transescophageal 0.00 0.00 0.00 0.00 0.00 0.00 XXX
95951.......... ............ C EEG monitoring/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
videorecord.
95951.......... TC.......... C EEG monitoring/ 0.00 0.00 0.00 0.00 0.00 0.00 XXX
videorecord.
99026.......... ............ N In-hospital on call 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
99027.......... ............ N Out-of-hosp on call 0.00 0.00 0.00 0.00 0.00 0.00 XXX
service.
G0125.......... ............ C PET image pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nodule.
G0125.......... TC.......... C PET image pulmonary 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nodule.
G0219.......... ............ N PET imgwholbod melano 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonco.
G0219.......... 26.......... N PET imgwholbod melano 0.00 0.00 0.00 0.00 0.00 0.00 XXX
nonco.
G0255.......... ............ N Current percep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
threshold tst.
G0255.......... 26.......... N Current percep 0.00 0.00 0.00 0.00 0.00 0.00 XXX
threshold tst.
J3370.......... ............ E Vancomycin hci 0.00 0.00 0.00 0.00 0.00 0.00 XXX
injection.
--------------------------------------------------------------------------------------------------------------------------------------------------------
13. In Addenda B and C, the following codes are corrected to read
as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Nonfacility Facility Malpractice Nonfacility Facility
CPT 1/HCPCS 2 MOD Status Description work RVUs PE RVUs PE RVUs RVUs total total Global
--------------------------------------------------------------------------------------------------------------------------------------------------------
33224.......... ............ ............... Insert pacing lead & 9.05 NA 3.92 0.36 NA 13.33 000
connect.
58550.......... ............ ............... Laparo-asst vag 14.19 NA 7.21 1.44 NA 22.84 090
hysterectomy.
77789.......... ............ ............... Apply surface 1.12 0.84 NA 0.05 2.01 NA 000
radiation.
77789.......... 26.......... ............... Apply surface 1.12 0.39 0.39 0.03 1.54 1.54 000
radiation.
77789.......... TC.......... ............... Apply surface 0.00 0.45 NA 0.02 0.47 NA 000
radiation.
--------------------------------------------------------------------------------------------------------------------------------------------------------
14. In Addenda B and C, the following codes are corrected to read
as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Nonfacility Facility Malpractice Nonfacility Facility
CPT 1/HCPCS 2 MOD Status Description work RVUs PE RVUs PE RVUs RVUs total total Global
--------------------------------------------------------------------------------------------------------------------------------------------------------
0019T.......... ............ I Extracorp shock wave 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx, ms.
[[Page 32403]]
0020T.......... ............ C Extracorp shock wave 0.00 0.00 0.00 0.00 0.00 0.00 XXX
tx, ft.
G0279.......... ............ C Excorp shock tx, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
elbow epi.
G0280.......... ............ C Excorp shock tx, 0.00 0.00 0.00 0.00 0.00 0.00 XXX
other than.
--------------------------------------------------------------------------------------------------------------------------------------------------------
15. In Addendum B, the following codes are corrected to read as
follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Nonfacility Facility Malpractice Nonfacility Facility
CPT 1/HCPCS 2 MOD Status Description work RVUs PE RVUs PE RVUs RVUs total total Global
--------------------------------------------------------------------------------------------------------------------------------------------------------
53853.......... ............ A Prostatic water 5.24 38.96 3.67 0.27 44.47 9.18 090
thermother.
66710.......... ............ A Destruction, ciliary 4.78 5.14 3.81 0.18 10.10 8.77 090
body.
66720.......... ............ A Destruction, ciliary 4.78 5.45 4.49 0.19 10.42 9.46 090
body.
66761.......... ............ A Revision of iris..... 4.07 5.25 3.98 0.16 9.48 8.21 090
66762.......... ............ A Revision of iris..... 4.58 5.33 3.97 0.18 10.09 8.73 090
66770.......... ............ A Removal of inner eye 5.18 5.76 4.48 0.20 11.14 9.86 090
lesion.
--------------------------------------------------------------------------------------------------------------------------------------------------------
16. In addenda B and C, the following codes are corrected to read
as follows:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Physician Nonfacility Facility Malpractice Non- Facility
CPT 1/HCPCS 2 MOD Status Description work RVUs PE RVUs PE RVUs RVUs Facility total Global
--------------------------------------------------------------------------------------------------------------------------------------------------------
10021........... ............ A Fna w/o image......... 1.27 2.37 0.53 0.07 3.71 1.87 XXX
10022........... ............ A Fna w/ image.......... 1.27 2.66 0.44 0.05 3.98 1.76 XXX
26587........... ............ A Reconstruct extra 14.05 6.36 4.76 1.12 21.53 19.93 090
finger.
42820........... ............ A Remove tonsils and 3.91 4.25 4.25 0.28 8.44 8.44 090
adenoids.
50080........... ............ A Removal of kidney 14.71 10.16 10.16 0.86 25.73 25.73 090
stone.
50081........... ............ A Removal of kidney 21.80 12.23 12.23 1.30 35.33 35.33 090
stone.
50236........... ............ A Removal of kidney & 24.86 13.21 13.21 1.50 39.57 39.57 090
ureter.
50240........... ............ A Partial removal of 22.00 12.33 12.33 1.36 35.69 35.69 090
kidney.
50553........... ............ A Kidney endoscopy...... 5.99 14.02 2.00 0.35 20.36 8.34 000
50555........... ............ A Kidney endoscopy & 6.53 16.01 2.17 0.38 22.92 9.08 000
biopsy.
50557........... ............ A Kidney endoscopy & 6.62 14.80 2.18 0.39 21.81 9.19 000
treatment.
50561........... ............ A Kidney endoscopy & 7.59 14.09 2.51 0.44 22.12 10.54 000
treatment.
50684........... ............ A Injection for ureter x- 0.76 12.61 0.25 0.04 13.41 1.05 000
ray.
50690........... ............ A Injection for ureter x- 1.16 12.77 0.39 0.06 13.99 1.61 000
ray.
50953........... ............ A Endoscopy of ureter... 6.24 13.95 2.06 0.37 20.56 8.67 000
50955........... ............ A Endoscopy of ureter... 6.75 17.98 2.26 0.38 25.11 9.39 000
50957........... ............ A Ureter endoscopy & 6.79 13.79 2.24 0.40 20.98 9.43 000
treatment.
50961........... ............ A Ureter endoscopy & 6.05 17.61 1.99 0.35 24.01 8.39 000
treatment.
51010........... ............ A Drainage of bladder... 3.53 5.71 2.08 0.23 9.47 5.84 010
51605........... ............ A Preparation for 0.64 13.63 0.22 0.04 14.31 0.90 000
bladder x-ray.
51610........... ............ A Injection for bladder 1.05 13.41 0.35 0.05 14.51 1.45 000
x-ray.
51710........... ............ A Change of bladder tube 1.49 3.90 1.30 0.09 5.48 2.88 010
51726........... ............ A Complex cystometrogram 1.71 6.97 6.97 0.15 8.83 8.83 000
51726........... TC.......... A Complex cystometrogram 0.00 6.39 6.39 0.04 6.43 6.43 000
51772........... ............ A Urethra pressure 1.61 6.32 6.32 0.16 8.09 8.09 000
profile.
51772........... TC.......... A Urethra pressure 0.00 5.75 5.75 0.04 5.79 5.79 000
profile.
51784........... ............ A Anal/urinary muscle 1.53 5.25 5.25 0.13 6.91 6.91 000
study.
51784........... TC.......... A Anal/urinary muscle 0.00 4.73 4.73 0.03 4.76 4.76 000
study.
51785........... ............ A Anal/urinary muscle 1.53 5.27 5.27 0.12 6.92 6.92 000
study.
51785........... TC.......... A Anal/urinary muscle 0.00 4.75 4.75 0.03 4.78 4.78 000
study.
51792........... ............ A Urinary reflex study.. 1.10 5.44 5.44 0.20 6.74 6.74 000
51792........... TC.......... A Urinary reflex study.. 0.00 5.01 5.01 0.11 5.12 5.12 000
51795........... ............ A Urine voiding pressure 1.53 6.70 6.70 0.18 8.41 8.41 000
study.
51795........... TC.......... A Urine voiding pressure 0.00 6.18 6.18 0.08 6.26 6.26 000
study.
51798........... ............ A Us urine capacity 0.00 0.58 NA 0.07 0.65 NA XXX
measure.
52000........... ............ A Cystoscopy............ 2.01 4.57 0.78 0.12 6.70 2.91 000
52005........... ............ A Cystoscopy & ureter 2.37 6.38 0.92 0.15 8.90 3.44 000
catheter.
52010........... ............ A Cystoscopy & duct 3.02 7.77 1.15 0.18 10.97 4.35 000
catheter.
52204........... ............ A Cystoscopy............ 2.37 5.44 0.93 0.15 7.96 3.45 000
52214........... ............ A Cystoscopy and 3.71 7.24 1.36 0.22 11.17 5.29 000
treatment.
[[Page 32404]]
52224........... ............ A Cystoscopy and 3.14 6.12 1.18 0.18 9.44 4.50 000
treatment.
52265........... ............ A Cystoscopy and 2.94 5.67 1.14 0.18 8.79 4.26 000
treatment.
52270........... ............ A Cystoscopy & revise 3.37 6.41 1.34 0.20 9.98 4.91 000
urethra.
52275........... ............ A Cystoscopy & revise 4.70 7.11 1.78 0.28 12.09 6.76 000
urethra.
52276........... ............ A Cystoscopy and 5.00 8.01 1.90 0.30 13.31 7.20 000
treatment.
52281........... ............ A Cystoscopy and 2.80 8.05 1.10 0.17 11.02 4.07 000
treatment.
52282........... ............ A Cystoscopy, implant 6.40 13.08 2.29 0.38 19.86 9.07 000
stent.
52283........... ............ A Cystoscopy and 3.74 5.86 1.41 0.22 9.82 5.37 000
treatment.
52285........... ............ A Cystoscopy and 3.61 6.31 1.37 0.22 10.14 5.20 000
treatment.
52310........... ............ A Cystoscopy and 2.81 4.73 1.05 0.17 7.71 4.03 000
treatment.
52315........... ............ A Cystoscopy and 5.21 5.75 1.88 0.31 11.27 7.40 000
treatment.
52317........... ............ A Remove bladder stone.. 6.72 7.82 2.34 0.40 14.94 9.46 000
52330........... ............ A Cystoscopy and 5.04 17.40 1.80 0.30 22.74 7.14 000
treatment.
52332........... ............ A Cystoscopy and 2.83 16.40 1.07 0.17 19.40 4.07 000
treatment.
52647........... ............ A Laser surgery of 10.36 42.87 4.57 0.61 53.84 15.54 090
prostate.
53025........... ............ A Incision of urethra... 1.13 3.69 0.45 0.07 4.89 1.65 000
53040........... ............ A Drainage of urethra 6.40 11.86 7.17 0.41 18.67 13.98 090
abscess.
53080........... ............ A Drainage of urinary 6.29 7.22 7.22 0.42 13.93 13.93 090
leakage.
53085........... ............ A Drainage of urinary 10.27 8.63 8.63 0.67 19.57 19.57 090
leakage.
53200........... ............ A Biopsy of urethra..... 2.59 4.76 0.95 0.17 7.52 3.71 000
53265........... ............ A Treatment of urethra 3.12 5.77 2.28 0.20 9.09 5.60 010
lesion.
53270........... ............ A Removal of urethra 3.09 5.58 2.52 0.21 8.88 5.82 010
gland.
53850........... ............ A Prostatic microwave 9.45 63.30 4.25 0.56 73.31 14.26 090
thermotx.
53852........... ............ A Prostatic rf thermotx. 9.88 52.42 4.43 0.58 62.88 14.89 090
54000........... ............ A Slitting of prepuce... 1.54 4.77 1.40 0.10 6.41 3.04 010
54001........... ............ A Slitting of prepuce... 2.19 5.36 2.01 0.14 7.69 4.34 010
54015........... ............ A Drain penis lesion.... 5.32 6.51 3.05 0.33 12.16 8.70 010
54055........... ............ A Destruction, penis 1.22 5.59 1.39 0.07 6.88 2.68 010
lesion(s).
54060........... ............ A Excision of penis 1.93 4.89 1.56 0.12 6.94 3.61 010
lesion(s).
54105........... ............ A Biopy of penis........ 3.50 5.55 2.07 0.21 9.26 5.78 010
54111........... ............ A Treat penis lesion, 13.57 8.38 8.38 0.79 22.74 22.74 090
graft.
54115........... ............ A Treatment of penis 6.15 9.53 6.06 0.39 16.07 12.60 090
lesion.
54120........... ............ A Partial removal of 9.97 7.23 7.23 0.60 17.80 17.80 090
penis.
54125........... ............ A Removal of penis...... 13.53 8.43 8.43 0.81 22.77 22.77 090
54130........... ............ A Remove penis & nodes.. 20.14 10.94 10.94 1.19 32.27 32.27 090
54135........... ............ A Remove penis & nodes.. 26.36 13.00 13.00 1.58 40.94 40.94 090
54160........... ............ A Circumcision.......... 2.48 4.97 1.75 0.16 7.61 4.39 010
54205........... ............ A Treatment of penis 7.93 6.47 6.47 0.47 14.87 14.87 090
lesion.
54300........... ............ A Revision of penis..... 10.41 8.04 8.04 0.54 18.99 18.99 090
54304........... ............ A Revision of penis..... 12.49 9.25 9.25 0.74 22.48 22.48 090
54308........... ............ A Reconstruction of 11.83 8.82 8.82 0.70 21.35 21.35 090
urethra.
54312........... ............ A Reconstruction of 13.57 9.87 9.87 0.81 24.25 24.25 090
urethra.
54324........... ............ A Reconstruction of 16.31 11.06 11.06 1.03 28.40 28.40 090
urethra.
54328........... ............ A Revise penis/urethra.. 15.65 10.09 10.09 0.92 26.66 26.66 090
54332........... ............ A Revise penis/urethra.. 17.08 10.56 10.56 1.01 28.65 28.65 090
54360........... ............ A Penis plastic surgery. 11.93 7.85 7.85 0.72 20.50 20.50 090
54430........... ............ A Revision of penis..... 10.15 7.27 7.27 0.60 18.02 18.02 090
54500........... ............ A Biopsy of testis...... 1.31 5.46 0.44 0.08 6.85 1.83 000
54700........... ............ A Drainage of scrotum... 3.43 7.02 3.06 0.23 10.68 6.72 010
55100........... ............ A Drainage of scrotum 2.13 7.87 3.22 0.15 10.15 5.50 010
abscess.
55250........... ............ A Removal of sperm 3.29 7.70 2.92 0.21 11.20 6.42 090
duct(s).
55450........... ............ A Ligation of sperm duct 4.12 5.98 2.43 0.24 10.34 6.79 010
55700........... ............ A Biopsy of prostate.... 1.57 3.50 0.73 0.10 5.17 2.40 000
55873........... ............ A Cryoblate prostate.... 19.47 9.46 9.46 1.02 29.95 29.95 090
58340........... ............ A Catheter for 0.88 12.74 0.32 0.08 13.70 1.28 000
hysterography.
65220........... ............ A Remove foreign body 0.71 3.50 0.18 0.05 4.26 0.94 000
from eye.
66740........... ............ A Destruction, ciliary 4.78 4.84 4.84 0.18 9.80 9.80 090
body.
66821........... ............ A After cataract laser 2.35 3.83 3.39 0.10 6.28 5.84 090
surgery.
66984........... ............ A Cataract surg w/iol, 1 10.23 NA 7.65 0.41 NA 18.29 090
stage.
67820........... ............ A Revise eyelashes...... 0.89 1.14 0.38 0.04 2.07 1.31 000
67825........... ............ A Revise eyelashes...... 1.38 1.62 1.03 0.06 3.06 2.47 010
71275........... ............ A Ct angiography, chest. 1.92 12.98 12.98 0.38 15.28 15.28 XXX
71275........... TC.......... A Ct angiography, chest. 0.00 12.33 12.33 0.32 12.65 12.65 XXX
72191........... ............ A Ct angiograph, pelv w/ 1.81 12.59 12.59 0.38 14.78 14.78 XXX
o & w/dye.
72191........... TC.......... A Ct angiograph, pelv w/ 0.00 11.97 11.97 0.32 12.29 12.29 XXX
o & w/dye.
73206........... ............ A Ct angio upr extrm w/o 1.81 11.54 11.54 0.38 13.73 13.73 XXX
& w/dye.
73206........... TC.......... A Ct angio upr extrm w/o 0.00 10.92 10.92 0.32 11.24 11.24 XXX
& w/dye.
[[Page 32405]]
73706........... ............ A Ct angio lwr extr w/o 1.90 11.57 11.57 0.38 13.85 13.85 XXX
& w/dye.
73706........... TC.......... A Ct angio lwr extr w/o 0.00 10.92 10.92 0.32 11.24 11.24 XXX
& w/dye.
74175........... ............ A Ct angio abdom w/o & w/ 1.90 12.62 12.62 0.38 14.90 14.90 XXX
dye.
74175........... TC.......... A Ct angio abdom w/o & w/ 0.00 11.97 11.97 0.32 12.29 12.29 XXX
dye.
76519........... ............ A Echo exam of eye...... 0.54 1.93 NA 0.07 2.54 NA XXX
76519........... TC.......... A Echo exam of eye...... 0.00 1.68 NA 0.06 1.74 NA XXX
88141........... ............ A Cytopath, c/v, 0.42 0.19 0.19 0.01 0.62 0.62 XXX
interpret.
91122........... ............ A Anal pressure record.. 1.77 4.55 4.55 0.17 6.49 6.49 000
91122........... TC.......... A Anal pressure record.. 0.00 3.93 3.93 0.07 4.00 4.00 000
92014........... ............ A Eye exam & treatment.. 1.10 1.37 0.48 0.02 2.49 1.60 XXX
92081........... ............ A Visual field 0.36 0.89 NA 0.02 1.27 NA XXX
examination(s).
92081........... TC.......... ............... Visual field 0.00 0.73 NA 0.01 0.74 NA XXX
examination(s).
92083........... ............ A Visual field 0.50 1.37 NA 0.02 1.89 NA XXX
examination(s).
92083........... TC.......... ............... Visual field 0.00 1.14 NA 0.01 1.15 NA XXX
examination(s).
92135........... ............ ............... Opthalmic dx imaging.. 0.35 1.32 NA 0.02 1.69 NA XXX
92135........... TC.......... ............... Opthalmic dx imaging.. 0.00 1.16 NA 0.01 1.17 NA XXX
92235........... ............ ............... Eye exam with photos.. 0.81 2.68 NA 0.07 3.56 NA XXX
92235........... TC.......... ............... Eye exam with photos.. 0.00 2.31 NA 0.05 2.36 NA XXX
92250........... ............ ............... Eye exam with photos.. 0.44 1.54 NA 0.02 2.00 NA XXX
92250........... TC.......... ............... Eye exam with photos.. 0.00 1.35 NA 0.01 1.26 NA XXX
93012........... ............ A Transmission of ecg... 0.00 5.99 NA 0.15 6.14 NA XXX
94014........... ............ A Patient recorded 0.52 0.98 NA 0.03 1.53 NA XXX
spirometry.
94015........... ............ A Patient recorded 0.00 0.81 NA 0.01 0.82 NA XXX
spirometry.
G0124........... ............ A Screen c/v thin layer 0.42 0.19 0.19 0.01 0.62 0.62 XXX
by MD.
G0141........... ............ A Scr c/v cyto, autosys 0.42 0.19 0.19 0.01 0.62 0.62 XXX
and MD.
G0275........... ............ A Renal angio, cardiac 0.25 0.10 0.10 0.01 0.36 0.36 ZZZ
cath.
G0278........... ............ A Iliac art angio, 0.25 0.10 0.10 0.01 0.36 0.36 ZZZ
cardiac cath.
G0281........... ............ A Elec stim unattend for 0.18 0.16 0.16 0.01 0.35 0.35 XXX
press.
G0283........... ............ A Elec stim other than 0.18 0.16 0.16 0.01 0.35 0.35 XXX
wound.
G0289........... ............ A Arthro, loose body + 1.48 0.58 0.58 0.27 2.33 2.33 ZZZ
chondro.
P3001........... ............ A Screening pap smear by 0.42 0.19 0.19 0.01 0.62 0.62 XXX
phys.
--------------------------------------------------------------------------------------------------------------------------------------------------------
17. In the table of addendum D the following carrier numbers are
corrected as follows:
Addendum D
[Corrected]
----------------------------------------------------------------------------------------------------------------
Locality Practice
Carrier no. no. Locality name Work expense Malpractice
----------------------------------------------------------------------------------------------------------------
00883........ 00 OHIO......................................... 0.988 0.944 0.957
00884........ 16 WEST VIRGINIA................................ 0.963 0.850 1.378
----------------------------------------------------------------------------------------------------------------
Addendum E [Corrected]
18. In Addendum E, the following CPT codes and their descriptors
are added:
PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
92597..................................... Oral speech device eval
PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
90740..................................... Hepb vacc, ill pat 3 dose im
90743..................................... Hep b vacc, adol, 2 dose, im
90744..................................... Hepb vacc ped/adol 3 dose im
90746..................................... Hep b vaccine, adult, im
90747..................................... Hepb vacc, ill pat 4 dose im
19. In Addendum E, the following CPT and HCPCS codes and their
descriptors are removed:
CLINICAL LABORATORY SERVICES
P2031..................................... Hair analysis
P7001..................................... Culture bacterial urine
PHYSICAL THERAPY, OCCUPATIONAL THERAPY, AND SPEECH-LANGUAGE PATHOLOGY
0019T..................................... Extracorp shock wave tx, ms
PREVENTIVE SCREENING TESTS, IMMUNIZATIONS AND VACCINES
90748..................................... Hep b/hib vaccine, im
Q3021..................................... Ped hepatitis b vaccine inj
Q3022..................................... Hepatitis b vaccine adult ds
Q3023..................................... Injection 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.
Dated: April 24, 2003.
Ann Agnew,
Executive Secretary to the Department.
[FR Doc. 03-11747 Filed 5-29-03; 8:45 am]
BILLING CODE 4120-01-P