Medicare Program; Revisions to Payment Policies and Adjustments to the Relative Value Units Under the Physician Fee Schedule for Calendar Year 1994

Federal RegisterJul 15, 1994

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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Care Financing Administration

42 CFR Parts 405 and 414

[BPD-770-CN]

RIN 0938-AG22

Medicare Program; Revisions to Payment Policies and Adjustments

to the Relative Value Units Under the Physician Fee Schedule for

Calendar Year 1994

AGENCY: Health Care Financing Administration (HCFA), HHS.

ACTION: Correction of final rule with comment period.

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SUMMARY: This document corrects technical errors that appeared in the

final rule with comment period published in the Federal Register on

December 2, 1993 (58 FR 63626) entitled ``Revisions to Payment Policies

and Adjustments to the Relative Value Units Under the Physician Fee

Schedule for Calendar Year 1994.''

EFFECTIVE DATE: January 1, 1994.

FOR FURTHER INFORMATION CONTACT: Elizabeth Holland, (410) 966-1309.

SUPPLEMENTARY INFORMATION: In Federal Register Document [93-29362]

beginning on page 63626, in the issue of December 2, 1993, make the

following corrections:

A. Page 63626

1. In the ADDRESSES section, in column 2, in line 12, the telephone

number is corrected to read ``(202) 690-7890.''

2. In column 3, in line 10, the Federal Register citation is

corrected to read ``(57 FR 55914).''

B. Page 63628

In column 3, in line 4, the Federal Register citation is corrected

to read ``(56 FR 59502).''

C. Page 63642

In column 2, in the paragraph designated I., the number of the

fourth code in the listing is corrected to read ``84182.''

D. Page 63652

In column 2, in the paragraph designated 2.a., the Federal Register

citation is corrected to read ``(57 FR 55938).''

E. Pages 63653 and 63662, Table 3

1. On page 63653, the following codes are corrected to read:

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Specialty

HCPCS+ MOD description RUC recommended recommended HCFA decision

work RVUs work RVUs

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*15788..... Chemical peel, face, epiderm...................... None............ 5.00 Decreased.

*15789..... Chemical peel, face, dermal....................... None............ 6.59 Decreased.

*15792..... Chemical peel, nonfacial.......................... None............ 4.00 Decreased.

*15793..... Chemical peel, nonfacial.......................... None............ 5.34 Decreased.

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2. On page 63662, the following codes are corrected to read:

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Specialty

HCPCS+ MOD description RUC recommended recommended HCFA decision

work RVUs work RVUs

----------------------------------------------------------------------------------------------------------------

97545...... Work hardening.................................... None............ 1.70 (b).

97546...... Work hardening.................................... None............ .85 (b).

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F. Pages 63722 through 63836, Addendum B

1. On page 63722, the following codes are corrected to read:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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33401.... C Valvuloplasty, open............................ 0.00 0.00 0.00 0.00 090 S

33403.... C Valvuloplasty, w/cp bypass..................... .00 .00 .00 .00 090 S

33406.... C Replacement, aortic valve...................... .00 .00 .00 .00 090 S

33413.... C Replacement, aortic valve...................... .00 .00 .00 .00 090 S

33414.... C Repair, aortic valve........................... .00 .00 .00 .00 090 S

33471.... C Valvotomy, pulmonary valve..................... .00 .00 .00 .00 090 S

33475.... C Replacement, pulmonary valve................... .00 .00 .00 .00 090 S

33505.... C Repair artery w/tunnel......................... .00 .00 .00 .00 090 S

33506.... C Repair artery, translocation................... .00 .00 .00 .00 090 S

33600.... C Closure of valve............................... .00 .00 .00 .00 090 S

33602.... C Closure of valve............................... .00 .00 .00 .00 090 S

33606.... C Anastomosis/artery-aorta....................... .00 .00 .00 .00 090 S

33608.... C Repair anomaly w/conduit....................... .00 .00 .00 .00 090 S

33610.... C Repair by enlargement.......................... .00 .00 .00 .00 090 S

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

2. On page 63723, the following codes are corrected to read:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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33611.... C Repair double ventricle........................ 0.00 0.00 0.00 0.00 090 S

33612.... C Repair double ventricle........................ .00 .00 .00 .00 090 S

33615.... C Repair (simple fontan)......................... .00 .00 .00 .00 090 S

33617.... C Repair by modified fontan...................... .00 .00 .00 .00 090 S

33619.... C Repair single ventricle........................ .00 .00 .00 .00 090 S

33692.... C Repair of heart defects........................ .00 .00 .00 .00 090 S

33697.... C Repair of heart defects........................ .00 .00 .00 .00 090 S

33698.... C Repair of heart defects........................ .00 .00 .00 .00 090 S

33722.... C Repair of heart defect......................... .00 .00 .00 .00 090 S

33732.... C Repair heart-vein defect....................... .00 .00 .00 .00 090 S

33736.... C Revision of heart chamber...................... .00 .00 .00 .00 090 S

33766.... C Major vessel shunt............................. .00 .00 .00 .00 090 S

33767.... C Atrial septectomy/septostomy................... .00 .00 .00 .00 090 S

33770.... C Repair great vessels defect.................... .00 .00 .00 .00 090 S

33771.... C Repair great vessels defect.................... .00 .00 .00 .00 090 S

33853.... C Repair septal defect........................... .00 .00 .00 .00 090 S

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

3. On page 63724, the following codes are corrected to read:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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33917.... C Repair pulmonary artery........................ 0.00 0.00 0.00 0.00 090 S

33918.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S

33919.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S

33920.... C Repair pulmonary atresia....................... .00 .00 .00 .00 090 S

33922.... C Transect pulmonary artery...................... .00 .00 .00 .00 090 S

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

4. On page 63733, HCPCS code 43248 is corrected to read as follows:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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43248.... A Upper GI endoscopy/guidewire................... 3.18 *4.14 0.34 7.66 000 N

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

5. On page 63749, the third appearance of HCPCS code 59020 is

corrected to read as follows:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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59020.... A Fetal contract stress test..................... 0.67 *0.87 0.19 1.73 000 S

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

6. On page 63764, the following code is corrected to read:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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70551.... A Magnetic image, brain (MRI).................... 1.50 0.67 0.10 2.27 XXX N

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

7. On page 63799, the following code is added to read:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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86423.... D Radioimmunosorbent test IGE.................... 0.00 0.00 0.00 0.00 XXX O

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

8. On page 63836, the following codes are corrected to read:

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Practice

HCPCS\1\ MOD status Description Work RVUs expense Malpractice Total Global Update

RVUs\2\ RVUs period

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J7030.... E Infusion, normal saline solution............... 0.00 0.00 0.00 0.00 XXX O

J7040.... E Infusion, normal saline solution............... .00 .00 .00 0.00 XXX O

J7042.... E 5% dextrose/normal saline...................... .00 .00 .00 0.00 XXX O

J7050.... E Infusion, normal saline solution............... .00 .00 .00 0.00 XXX O

J7051.... E Sterile saline or water........................ .00 .00 .00 0.00 XXX O

J7060.... E 5% dextrose/water.............................. .00 .00 .00 0.00 XXX O

J7070.... E Infusion, d5w.................................. .00 .00 .00 0.00 XXX O

J7120.... E Ringers lactate infusion....................... .00 .00 .00 0.00 XXX O

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\2\*Indicates reduction of Practice Expense RVUs as a result of OBRA 1993.

(Section 1848 of the Social Security Act (42 U.S.C. 1395w-4))

(Catalog of Federal Domestic Assistance Program No. 93.774,

Medicare--Supplementary Medical Insurance Program)

Dated: July 5, 1994.

Neil J. Stillman,

Deputy Assistant Secretary for Information Resources Management.

[FR Doc. 94-17222 Filed 7-14-94; 8:45 am]

This is a copy of a public record, reproduced as it was published. It is not legal advice, and it may not be the version a court would rely on. Check the official source before you cite it.