2006 proposed fee schedule - American Society of Clinical Oncology

for the required in-person physician or practitioner SNF
116
visits. We will review and consider the recommendations of
the report to determine whether to add SNFs to the list of
approved originating sites. We are also soliciting public
comments on this topic.
E. Contractor Pricing of Unlisted Therapy Modalities and
Procedures
[If you choose to comment on issues in this section, please
include the caption “CODING—CONTRACTOR PRICING” at the
beginning of your comments.]
We recognize that there may be services or procedures
performed that have no specific CPT codes assigned. In
these situations, it is appropriate to use one of the CPT
codes designated for reporting unlisted procedures. These
unlisted codes do not typically have RVUs assigned to them.
For services coded using these unlisted codes, the
provider includes a description of specific procedures that
were furnished. The contractor uses this information to
determine an appropriate valuation.
Currently, there are two unlisted CPT codes with
assigned RVUs, CPT 97039, Unlisted modality (specify and
time if constant attendance), and 97139 Unlisted therapeutic
procedure. Given the variability of the services that could
be provided using these nonspecific codes, use of assigned
RVUs may not accurately reflect the resources actually